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F E A T U R E D    A R T I C L E

What’s in a Name? The Debate over Post-Traumatic Stress Disorder

March 2nd, 2015
PTSD soldierA little known semantic battle in the military that has garnered considerable attention over the last year is whether or not the term "Post-Traumatic Stress Disorder" should be changed to "Post-Traumatic Stress." There are formidable supporters ...


From Private Practice Toolbox:

6 Things I Learned from ‘Breaking Up’ With Managed Care

6 Lessons Learned From Breaking Up with Managed CareIt was a scary step to resign from all insurance panels! I wasn’t aware of any therapists who had built a fee-for-service practice in my area. The things I learned in the process of were better than I had expected. When my practice Wasatch Family Therapy transitioned from managed care panels ...
From Reflections from a Children's Therapist:

4 Play Therapy Videos for Kids with Attention Issues (ADHD/ADD); Improve Your Child’s Focus

As a play therapist working with kids with ADHD/ADD or various attention issues (or as a parent with a kid who gets easily distracted), you may find it challenging to get the child to focus on any given task. Following are some ideas and techniques you can use to help the child improve their attention issues. ...
From Private Practice Kickstart:

Getting Started With Social Media

Social media for therapists and counselorsGetting your social media accounts set up when you start your practice almost seems to be a given these days. Yet, some of you have posted in other forums asking – what’s the point? Fact is, many people have built amazing practices without social media. It doesn’t mean that you can’t do the same. Social ...

How an Established Counselor Can Add Consulting to a Practice

female consultantSo you’ve got a private practice. It’s been going well for years. You show up, you go home, everything flows. Maybe it is just you, maybe you have other counselors. So, why add consulting to your practice? Why rock the boat? As I meet with future consultants, they often fall into three traps: The I’m Not Good Enough Trap The Everything is Great Trap The I Don’t Know How to Market Myself Trap Clearly, if we can overcome these traps and ...

Medicalizing the Human Experience in the DSM

grievingThe Diagnostic and Statistical Manual of Mental Disorders (DSM) has historically been criticized as an unreliable diagnostic tool. At this point, we have no scientific way of testing for mental disorders. Diagnosis is strictly based on a cluster of observed and self-reported symptoms. Critics argue that several of the disorders listed in the DSM are normal human experiences characterized by extreme stress or sadness. People experiencing such issues can benefit from therapy, but in order to receive ...

 

Is There a “Way Out” of Psychiatric Disability?

Research Updates in Psychiatry The largest and fastest-growing subset of Social Security Disability (SSDI) beneficiaries is patients with psychiatric diagnoses, even as the federal SSDI Trust Fund diminishes. In 2005, the Social Security Administration authorized the Mental Health Treatment Study (MHTS) to test the hypothesis that a comprehensive, team-based, supported employment program would increase the likelihood that beneficiaries would find work. More than 2,000 SSDI beneficiaries with a primary psychiatric diagnosis (N=2,238) agreed to participate. Half (N=1,121) were randomized ...

The Sociocultural History of Eating Disorders

woman profile February 22–28 is National Eating Disorder Awareness Week. Learn more at http://nedawareness.org Eating disorders are a major public health issue in the US. They are the deadliest of any mental illness. But their causes are hard to pin down. Eating disorders are complex psychosocialbiological illnesses that involve a continuous interplay of nature versus nurture. While scientists are interested in uncovering the neurobiological predispositions that lead people to develop eating disorders, psychology is more interested in ...

Tips to Help Clients Stop Perfectionism

perfectionismIn psychology, perfectionism is a personality trait often characterized by someone setting high standards and striving to be flawless. It is often accompanied by a person being critical to self and concerned about other people's evaluations of them. Having high standards, however, can be a good thing. It helps us to accomplish goals and it helps to push us forward to completing tasks. So is perfectionism good or bad?  How Perfectionism Causes Harm According to Center for Clinical Interventions ...


Collapsing into Sexuality: The Dynamics of Sexual Boundary Transgressions by Therapists

woman in bedAndrea Celenza’s bibliography is all about sex. Mostly sex between therapists and their clients. Curiously, for therapists, whose theoretical legacy is strewn with references to the sexual engine room of psychic life, this appears to be something of a taboo subject. And it is this repression of the subject of sexual boundary transgressions that Celenza believes is to account for the messes in which psychologists find themselves when they fall into sexuality with their clients. New ...

An Ethical Perspective on the Affordable Care Act

An Ethical Perspective on the Affordable Care ActThe mission of the Patient Protection and Affordable Care Act (PPACA), commonly referred to as “the ACA” or “Obamacare,” is to secure health care for all US citizens, regardless of age, gender, race, medical history, or socioeconomic status. Provisions of the ACA, originally approved in 2010, are set to take effect by 2020, and generally fall into two categories: increasing access to healthcare (by mandating insurance coverage), and improving the quality ...

 

Why Quantifying Treatment Outcomes Matters

outcomesThe term “critical juncture” has long been used to describe the point in time in which monumental events, ideas, or decisions chart a new course, which is significantly different than the one previously traveled. At one time or another every nation, industry, company, or individual faces such a moment in their existence; often more than once. The addiction treatment field is at its first critical juncture of the 21st century. The decisions being made today regarding clinical ...

When My Psychotic Patient Asked Me for a Date

transferenceOne day in the course of treating a young woman with schizophrenia, the patient—whom I’ll call “Laura”—asked me if I would like to take her out on a date. For a good half-minute, I was stunned. I had to think carefully about my answer, as I struggled with my conflicting emotions. Now, psychiatrists and other psychotherapists don’t date their patients—period. To do so would be to exploit the vulnerability of those who are seeking treatment for difficult ...

Complex PTSD and the Realm of Dissociation

C-PTSDLouise often feels like part of her is “acting.” At the same time, “there is another part ‘inside’ that is not connecting with the me that is talking to you,” she says. When the depersonalization is at its most intense, she feels like she just doesn't exist. These experiences leave her confused about who she really is, and quite often, she feels like an "actress" or simply, "a fake.” ― Daphne Simeon (Feeling Unreal: Depersonalization Disorder ...

Creating a Forensic Subspecialty

forensic-subspecialtyThere are many reasons to add a forensic subspecialty in your practice. Maybe you are becoming burned out by the demands of HIPAA and managed care; who wouldn’t be? Perhaps you have excellent assessment skills and would like to use them in a different and more challenging arena. Maybe you could use a new revenue stream. In any case, you have been thinking about trying forensics, but are unsure how to go about preparing yourself and then ...

Federal Programs for Seriously Mentally Ill Disorganized, Poorly Monitored

gov't reportA new report from the US Government Accountability Office (GAO) says that the nation’s many federal programs that support people with mental illness lack systems for coordinating their services and are often poorly evaluated and monitored. (The GAO is a division of Congress that is responsible for investigating and evaluating federal programs to improve performance and accountability to the American people.) In the report, “MENTAL HEALTH: HHS Leadership Needed to Coordinate Federal Efforts ...

5 Ways to Fast Forward Your Consulting Collaboration

collaborationI used to get really nervous around people I respect. I still do sometimes. What’s my opening line? I don’t want to appear to be like a fan. Are they going to think I just want to make money off of them? Ah, networking, it’s such an odd thing...yet, as counselors we should be masters! We all know that collaboration is great. It’s so easy to get stuck returning emails, phone calls, and listening to podcasts, that ...