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General

Change Your Life: Create a Vision Board

One way to change your life is to create a vision board. Visualizing your dreams is important towards reaching them.If you would like to take your life back, part of healing involves moving forward. Yes, grieving is important, but so is moving on; and part of moving on is visualizing the future you want for...

Abuse

When Your Abuser is Nice

The PerpetratorWhat does it mean when an abuser is nice?  There are one of three options:It means he wants to be nice, either to bolster his image around others and/or to convince himself that he's a good person. He wants something from you and it's a manipulation strategy. He's in the recovery phase of...

Coping Skills

50 Excuses for Why People WON’T Change

Recently, I was speaking about the impact of decision fatigue on our daily lives. Decision fatigue is the deterioration of making good decisions after a long day of decision making. Basically, the more decisions a person makes in a day, the worst the decisions tend to be by the end of the day. This concept...



Family

What It’s Like to be the Daughter of a Sociopath

“I hate him, with every fiber of my being, I hate him,” Marie said as she looked back on her day. “But while I hate him for this moment, I won’t let the hate linger because I’m not going to give him that power over me.” After years of silence, her bio dad sent a...

Family

When Mother’s Day Seems Impossible

Elizabeth hadn’t heard from her daughter in years. The rift between them started shortly after her daughter’s marriage. There were signs when her daughter and husband were dating that something was not right. But Elizabeth couldn’t put her finger on it. The harder she tried to figure it out, the further her daughter became. She...



Family

Happy or Not-so-happy Narcissistic Mother’s Day

“You can have many spouses, but only ONE mother!” Maureen’s narcissistic mother screamed at her as she left her mother’s house. The intention was good. It was Mother’s Day and Maureen wanted to see her mom. She called her mom the week before, letting her know that she would be stopping by. Her mom seemed...

Carlat Psychiatry Report

Holding Effective Family Meetings: Q&A with Gabor I. Keitner, MD

TCPR: Why is it important for psychiatrists to meet with families of patients?Dr. Keitner: If you want to comprehensively understand your patients and modify variables that might impact treatment and outcome, it’s important to understand families. There has been a lot of research showing that the family environment can have a significant...

ABA

ABA Parent Training Curriculum Tips and Research

ABA parent training curriculum is something that a lot of ABA professionals (BCBAs, etc.) must develop individually. This is acceptable standard of practice and is like other fields in which a service is being provided to an individual for the goal of improving some sort of skill or deficit in the individual’s repertoire.ABA parent training curriculum...

Communication

Why Couples Get Stuck

The presenting complaint of couples who come to see us for counseling is often that they are regularly fighting. They are in our office instead of a lawyer’s because they do love...

Abuse

INTEGRATING UNPROCESSED MEMORIES

The following information is provided to help therapists and counselors assist their clients in processing through the exercise of integrating "uncomforted" memories.  In addition, this article can be used by individuals struggling to heal from a painful past and aren't sure how to begin.The content of this article is based on the work and research...

Coping Skills

What are Panic Attacks?

As Pam was driving on a highway bridge overpass, she was suddenly struck with the thought that the bridge could collapse and she would die. She had driven on this overpass a dozen times without ever thinking twice about it so she dismissed the thought as ridiculous. But that did not work. Almost immediately, her...

ABA

Tips for Creating Quality ABA Parent Training Goals

How do you select ABA parent training goals? Selecting ABA parent training goals has some similarities to how you would select goals for your clients for their direct ABA service.ABA parent training goals as well as goals for direct ABA service should both be developed with the identification of socially significant behaviors in mind.Additionally, both ABA...



General

7 Steps of Change for a Positive Narcissistic Mid-Life Crisis

Chuck knew he was a jerk. He cheated on his wife several times, put his work before his family, rarely went to his kid’s activities, drank heavily on the rare occasions that he was home, and verbally berated anyone who challenged him. And yet, he was a highly successful businessman, intelligent about a wide range...

Antipsychotics

Clozapine: A Fresh Look

Several trials show it to be a superior treatment option, yet clozapine remains the “red-headed stepchild” of antipsychotics. Even though large studies reveal clozapine has impressive efficacy, particularly with treatment-resistant schizophrenia, many of us are reluctant to use it.According to one study, of the 30% of patients who have treatment-resistant schizophrenia,...