Child & Adolescent Psychiatry

The Maraschino Cherry Syndrome

My wife and I were eagerly consuming a hot fudge sundae on a blazingly hot July day, when suddenly, upon uncovering two maraschino cherries, I was transported back more than 40 years...

General

Narcissism in Mothers – The Reality of the Classic Villainess

Ever wonder what makes Cinderella’s stepmother, Snow White’s stepmother, and Rapunzel’s adopted mother so evil? These classic fairytale characters are easily villainized precisely because their maternal instincts are contrary to those natural for a nurturing mother. Cinderella’s stepmother, for example, is a humiliating narcissistic parent who neglected and snubbed her daughter after Cinderella went through...

Coping Skills

Understanding the Effects of Old Abuse and How to Conquer It

One of the many ways a person learns to cope with intense trauma or abuse is to dissociate or detach from their immediate environment. For some, this is a natural reaction born out of a survival instinct. For others, it requires effort and practice to shut down their feelings, intentionally ignore surroundings, and completely disengage...

Anxiety

Hoarding Disorder: An Overview for Therapists

 Clara called for an appointment after the Board of Health threatened to condemn her house if she didn’t get it cleaned up. Someone told her a therapist might be able to get them to back off. I asked to visit so I could understand what the problem was. Stuff was piled everywhere. There was...

Children & Teens

10 Emotions That Can be Unintentionally Inherited by Children

Amy’s anxiety was through the roof.She couldn’t remember the last time she felt at peace. Her mind raced obsessively with thoughts of worst-possible outcomes, reliving past hurts over and over, and fortune-telling what everyone around her was thinking. She found herself going to dark places of imagining what would happen if her husband died, if...

Children & Teens

10 Essentials of Co-Parenting After a Divorce

If you have been through or are currently facing a divorce, by this point you know the difficulty that comes with the process. However, the unpleasant aspects don’t simply disappear once a divorce is finalized. For those with children, now the hard part of co-parenting begins.Co-parents are defined as the legal guardians or parents of...

Autism

Research Updates in Psychiatry: OCD and Autism

OCD SSRIs May Work More Quickly in Pediatric OCD Than You RealizeREVIEW OF: Varigonda A et al. Journal of the American Academy of Child & Adolescent Psychiatry 2016; ahead of publication.STUDY TYPE: Systematic literature review and meta-analysisThe pharmacological treatment of obsessive-compulsive disorder (OCD) for adults is pretty well worked out....

Business Advice for Therapists

Group Practice Marketing Interview with Dr. Luis Morales Knight

Jennifer Rollin speaks with Dr. Luis Morales Knight of Child & Adolescent Behavioral Health Center about group practice marketing.Jennifer: How should someone starting out in transitioning from solo to group practice begin to organize his or her marketing efforts? Do you recommend a marketing plan, if so what books/resources do you recommend in creating one? Dr....

Coping Skills

The 40 Do’s and Don’ts During a Divorce

After counseling hundreds of clients through the divorce process - and having experienced it as a child and adult myself - I have seen the good, the bad, and all the ugly. Too many times in the midst of divorce, unresolved anger takes over a person’s behavior and they become something that they usually are...

Abuse

Victim Blaming

It is so hard to deal with abusers and other types of manipulators because they are masters at blame-shifting. Somehow, in any argument, they are adamantly more capable of convincing victims that they are at fault, than victims are at realizing they are the victims of the entire debacle!Victim blaming is a manipulative tactic used...

Addiction

What Patients Need to Know About Smartphone Use in Bed

Sleep is critical for good mental health. An out of whack sleep cycle can quickly lead to the development and worsening of symptoms across mental health diagnoses including bipolar and unipolar depression, anxiety, and psychosis.It’s no surprise, then, that many mental health professionals find themselves discussing things like sleep habits and hygiene with patients who...

General

Are You a Good Communicator?

At the start of their initial marriage counseling session, I asked Kevin and Karen, “What can I help you with?” With equal amounts of conviction, both of them said communication. As a therapist, I admit that upon hearing this statement I immediately dismiss it. The reasoning is simple: most people who enter marriage counseling struggle...

Business Advice for Therapists

The Role of the Authentic Self in Trauma-Informed Care

As professional psychotherapists, we offer our authentic self as an ally, in a healing relationship.  On the journey of trauma-informed care, the patient can witness the therapist's authentic self at work during a therapy session. But another core concept deserves more attention: helping patients become aware of, and nurture...

General

Are You a “Helicopter Parent?”

Mindy was told by her teenage daughter in the middle of a rage that she was being a “helicopter parent.” Her daughter was upset that Mindy asked for details about where she was going that night, who was going to be there, and when she would be getting home. For some reason, this standard line...

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