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F E A T U R E D    A R T I C L E

Acknowledging the Dark: Working through the Holidays

December 15th, 2014
photo by Sam HowzitAs we enter the holiday season we expect to see a rise in symptoms in the people we serve. While “holiday-related suicide” is generally regarded as a myth, studies here have focused on ...


From Private Practice Toolbox:

The Power of Online Presence: Facebook Brings Australian Parenting Expert Elly Taylor International Opportunities

Screen shot 2014-12-09 at 12.20.24 PM   Discover how some very successful mental health professionals use blogging, social media, and other technologies as powerful tools for their therapy practices. Elly Taylor, AARC, is an Australian Relationship Counsellor, Parenthood Researcher and advocate for emotional health. She teaches parents and professionals about the eight stages of early parenthood following pregnancy so families can ...
From Reflections from a Children's Therapist:

Help for the Daydreaming Child

Girl Looking Up While Sitting With Head In Hands In Class Children who display disrupting behaviors, such as hyperactivity, talking when they are not supposed to, aggression, fidgeting, and other more challenging behaviors are often the children who receive the most attention in terms of being identified as a child in need of support services in school or as a ...
From Private Practice Kickstart:

Starting a Counseling Practice Part 6: Do you need an EHR

Starting a Counseling Practice Part 6: Do you need an EHRBefore you start researching all the different Electronic Health Record (EHR) options out there, how do you know you need an EHR and how do you choose? VISION: Think about what a better private practice looks like and what it means for you to have balance. Look at a ...

Q & A With the Expert: Ketamine for Depression

Q & A With the Expert: Ketamine for DepressionTCPR: Dr. Mathew, there is a lot of buzz around ketamine as a treatment for depression. What are the effects of ketamine in depression trials thus far? Dr. Mathew: The studies so far have been very consistent. Typically, a slow, constant infusion of a subanesthetic dose—0.5 mg/kg—of ketamine is given over 40 minutes. To put this in perspective, the anesthetic dose is generally 2 to 3 mg/kg, so we are ...

Does Brintellix Bring Anything New?

Does Brintellix Bring Anything New?After a dry spell of new antidepressants—the last one to be approved was levomilnacipran (Fetzima), the active enantiomer of milnacipran (Savella) in July 2013—the FDA approved vortioxetine (Brintellix) in September 2013. Vortioxetine is another serotonergic antidepressant. How exactly does it work, and what are its advantages over existing drugs? Vortioxetine has several actions on serotonin-related targets. Like SSRIs, it’s a serotonin reuptake inhibitor. It’s also an agonist at 5-HT1A receptors as well as an ...

 

How to Become a Consultant

How to Become a ConsultantI believe that anyone, anywhere, can become a consultant today. I wasted seven year of income before I starting consulting. I had one consulting class in college, but it wasn’t clear how the topics translated to being a counselor. I’ve been posting my monthly consulting income publicly for about two years. I estimate that I have lost about $84,000 in missed opportunities by not taking action sooner in learning the basics of becoming ...

FDA Approves New Abuse-Deterrent Painkiller; CDC Reports on Deaths from Opioid Overdoses

FDA Approves New Abuse Deterrent OpioidThe FDA has approved a new opioid, Hysingla ER (hydrocodone bitartrate), for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment, and for which alternative treatment options are inadequate. Hysingla joins a small but growing list of extended release opioids that are specifically formulated to prevent abuse. These include the new combo drug Targiniq (oxycodone and naloxone), approved in July 2014, along with Oxyctonin CII (oxycodone hydrochloride controlled-release) and ...

Compulsive Pleasing is Deceptive and Dangerous

compulsive pleasing is dangerousThe truism, “It is better to give than to receive,” is a cliché that reflects a pro-social character trait, selflessness. Selfless individuals, caretaker personalities, invariably place the welfare of others before their own. They are typically pleasing and accommodating and at least at first blush others view them with respect if not adoration. Those in our surround are taken aback when such admirable qualities are transformed into an addiction to please, the signpost ...


Fire in the Mind: The Depression-Inflammation Connection

Fire in the Mind: The Depression-Inflammation ConnectionWe have all bumped up against the limits of the current model of antidepressant treatments for depression: the patient who comes in with a laundry list of failed medication trials, or a number of other complaints depicting a portrait of malaise—aches, pains, anhedonia, fatigue, brain fog, digestive woes—that don’t really respond to currently available agents. What if shifting our thinking about underlying causes might hold the answer to treatment of these ...

Compulsive Pleasing is Deceptive and Dangerous

compulsive pleasing is dangerousThe truism, “It is better to give than to receive,” is a cliché that reflects a pro-social character trait, selflessness. Selfless individuals, caretaker personalities, invariably place the welfare of others before their own. They are typically pleasing and accommodating and at least at first blush others view them with respect if not adoration. Those in our surround are taken aback when such admirable qualities are transformed into an addiction to please, the signpost ...

 

Current News & Research for November 2014

Less than 50% with Mental Illness Get Services Less Than Half of Adults With Mental Illness Received Services in 2013 Only 45% of adults with a DMS-IV defined mental illness received any type of mental health care in 2013, according to new data released from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) 2013 National Survey on Drug Use and Health. For people with serious mental ...

Types of Dementia

Types of Dementia

Current News on Medications and Research

News of Note ANTIPSYCHOTICS APA Warns Against Common Uses of Antipsychotics In September 2013, the American Psychiatric Association (APA) released a list of common, but potentially dangerous and inappropriate, uses for antipsychotics. The APA’s list includes the following recommendations:   Don’t prescribe any antipsychotics without an appropriate initial evaluation and ongoing monitoring Don’t routinely prescribe two or more antipsychotic medications together Don’t prescribe antipsychotics as first-line treatment for behavioral and psychological symptoms of dementia Don’t routinely prescribe antipsychotics as first-line treatment of insomnia in adults   Don’t ...

Using Applied Tension for Blood and Needle Phobias

A common—but often overlooked and misunderstood—psychiatric disorder is the phobia of blood and needles. Although generally slight and psychosocially inconsequential, most people become a little uncomfortable when confronted with blood or a needle. However, for some, the reaction can be extreme and go well beyond a touch of nausea and change in heart rate. Fortunately for these individuals, a technique known as “applied tension” can help them address and deal with the physical and psychological effects of these fears. [caption id="attachment_6525" align="alignright" width="300"]...

Suicide: A Practical Look at Cognitive-Behavioral Therapy

Cognitive-behavioral therapists use a variety of techniques in their work with suicidal patients. The choice of technique depends on various factors including the patient’s psychological capacity, the nature of the problem, and the psychological model that the therapist has determined to be most relevant to the patient’s problems. The cognitive-behavioral formulation is based on information derived from the first assessment. It should be a written explanation of the problem that sheds light on the crucial factors, both cognitive and behavioral, which are thought to play a ...

3 Tips for Working Effectively with Dreams

Jim brings the following dream into session: He’s Edgar Allan Poe. Two birds are circling above him high overhead. If he holds up his right hand, a dove will fly down and perch on it. If he holds up his left, a raven will. He’s drawn to the raven but fearful that he’ll be overwhelmed by its enormous black wings. He remembers, though, that he’s Poe, has written a poem about ravens, and knows something about them. It’s still risky, but he decides to hold up his ...