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F E A T U R E D    A R T I C L E

Traumatic Brain Injury in Psychiatric Practice

January 26th, 2015
Traumatic Brain Injury in Psychiatric Practice A casual glance at front-page headlines and scientific publications has probably raised your awareness of traumatic brain injury (TBI) and the TBI-related symptoms that might bring a patient to your office. In ...


From Private Practice Toolbox:

Adventures in Private Practice: Weight Management Counselor Michelle Lewis, LCSW

Screen shot 2015-01-26 at 9.14.14 PMThis series highlights the successful private practitioners’ journey in private practice so you can learn from their successes and missteps. One of the unexpected benefits of writing this blog is that I’ve been able to meet and connect with practitioners around the globe. The therapist featured today actually is not on the other side of ...
From Reflections from a Children's Therapist:

Play Therapy Tips for Children with Autism

Stacked blocks spelling autism on white background Children with an autism spectrum disorder can benefit from a number of different treatment modalities. Applied Behavior Analysis is an evidence-based approach to helping children with Autism grow and develop. Additionally, many play-based methods can also benefit children with Autism. When an adult, whether a parent or a trained professional, ...
From Private Practice Kickstart:

Free Training: Niche Development in Private Practice

NICHE DEVELOPMENT for Therapists in Private PracticeWhether you are starting out or have been in practice for over 20 years, it’s important to know how to articulate who you help. But do you need a niche? Is this something crucial to the success of your practice? And once you have an niche, how do you market that niche ethically? For ...

Q & A With the Expert: Treating Returning Veterans

Q & A With the Expert: Treating Returning VeteransTCPR: Dr. Moore, you have worked as both a civilian psychologist and in the field as an active duty member of a combat stress team. Please tell us about some of the clinical problems you observed on the front lines. Dr. Moore: I would say that well more than half of my initial presentations were, interestingly enough, relationship-oriented. Especially with a group of primarily young men ages 18 to 24 ...

Cocaine Vaccine? Meds for Meth Addicts? Current News in Addiction

addiction2015 is starting off on a high note for researchers in the drug addiction field, with recent studies showing promise for preventing cocaine addiction and treating methamphetamine addiction. The search for a “vaccine” to prevent cocaine from getting users high is not new. However, researchers from the Scripps Research Institute in La Jolla, CA, have recently taken a new approach to developing this remedy, and preliminary results are positive. The researchers’ method, which has only been tested on ...

 

Strange New World of Hypnosis Part II: Hypnotic Susceptibility and Suggestion

hypnotic eyeNineteenth-century clinical practice was the first framework within which hypnotic susceptibility was measured (Pearson, 2003). The dimension experienced during hypnosis is appropriately termed “openness to experience” in McCrae and Costa’s “big five” factor analytic model of personality (McCrae, 1993), or “creativity/psychoticism” in Eysenck’s (1995) earlier identified “big three.” Questions arose whether every person was hypnotizable, or only a select few (Hilgard, 1965). Hilgard standardized the measurement process toward what is now termed “hypnotic susceptibility” or “hypnotizability.” The scales ...

Some Tips for Building Your Private Practice Website

Some Tips for Building Your Private Practice WebsiteeEvery private practitioner should have their own website, plain and simple. If you don't, you're missing out on dozens -- if not hundreds -- of potential referrals every year. Today's modern, empowered patient expects to learn more about any professional long before they ever step into their office. Do not relegate this to an online directory (yes, you should be in all of those as well). You need your own ...

FDA Approves Implantable Device to Treat Obesity

enteromedicsThe FDA has approved a novel implantable device that sends electric pulses to the brains of its users to help them lose weight. The Maestro Rechargeable System (Enteromedics, Inc) is a pacemaker-like device that is surgical implanted into the abdomen. It sends intermittent electric pulses along the nerve pathways between the stomach and the brain that signal feelings of hunger and fullness. This device uses “VBLOC® vagal blocking therapy”—the process by which it blocks the body’s normal messaging ...


FDA Approves Implantable Device to Treat Obesity

enteromedicsThe FDA has approved a novel implantable device that sends electric pulses to the brains of its users to help them lose weight. The Maestro Rechargeable System (Enteromedics, Inc) is a pacemaker-like device that is surgical implanted into the abdomen. It sends intermittent electric pulses along the nerve pathways between the stomach and the brain that signal feelings of hunger and fullness. This device uses “VBLOC® vagal blocking therapy”—the process by which it blocks the body’s normal messaging ...

Varenicline (Chantix) and Adverse Psychiatric Effects

Research Updates in Psychiatry Varenicline (Chantix) is a nicotine partial agonist that is approved by the FDA for smoking cessation. Since July 1, 2009, the FDA has also required a “black box warning” based on postmarketing reports of adverse neuropsychiatric effects. The label now warns clinicians to watch for “serious [or] unusual changes in mood and behavior.” To explore the correlation, if any, between varenicline and adverse psychiatric effects, researchers reexamined data from two large sources. First, they obtained complete ...

 

How to Structure a Consulting Proposal

dollar signI made a huge mistake, and it probably cost me $5,000 or more. When I first started my website, www.PracticeofthePractice.com, I would occasionally get listeners to my podcast or readers of the blog that wanted consulting. I’d get an e-mail that would say something like: “Hey Joe, It’s Jamie from Awesome Counseling in Atlanta. I’ve been listening to your show and want to know how much consulting is? Keep up the great work! -Jamie” Then ...

FDA News: Warning Issued for Ziprasidone; Saxenda Approved for Weight Loss

syringeThe FDA is advising providers to warn their patients that the antipsychotic ziprasidone (Geodon) in rare cases can cause a severe, potentially deadly, skin reaction. A federal Drug Safety Communication, released in December 2014, reported recent data connecting ziprasidone to DRESS—Drug Reaction with Eosinophilia and Systemic Symptoms. DRESS is a medication reaction that begins with a rash, but can progress to fever, swollen lymph nodes, excess white blood cells, and possible systemic complications such as inflammation of the ...

Transgender Teen’s Suicide Renews Push to Ban Conversion Therapy

lawBy now, most people have heard about the suicide of transgender teen Leelah Alcorn, who ended her life by walking in front of a truck on December 28. In the week since Leelah’s death, an Internet trail of her struggles has turned up, ranging from a suicide note on her personal blog to a lengthy post on a “ask transgender” thread on Reddit. Leelah’s experience tells the story of a child who was born physically male, but ...

How to Grow an Income as a Consultant

woman consultantI’m always skeptical of people that tell me how to build an income. I tend to be a fairly measured and tactful guy. When someone says, “Give me your money, I’ll show you how to make money,” I almost always run away. Why is that? Most of us don’t want to give our money away. Yet, we do it every day. We buy frappachinos, gasoline, pay for our houses, and buy new clothes. What do you spend money ...

Blinded by Darkness: The Collective Denial of Evil and Its Impact on Psychiatric Treatment

evil eye by Brian SudaThe only thing necessary for the triumph of evil is for good men to do nothing –Edmund Burke A therapist advises a woman who’s been stalked and harassed by her psychopathic ex-husband to meet him over coffee to address co-parenting. A young woman with severe somatization of trauma is told by her therapist that her psychopathic brother was engaging in sexual "play" when he was raping her vaginally with objects as children. A ...

How to Grow a Consulting Audience

Growing a consulting audienceJohnny Cash had just died. I stood in front of the audience, dressed in black. I started singing and playing “Man in Black” as a tribute. About a third of the way through the song, I realized that I had started singing in the wrong key and that our drummer way off beat. I stopped the song and didn’t even start it over. I apologized and said that I could not do that to ...