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Coping Skills

How to Talk to Someone in Shock

Shock, or Acute Stress Disorder (ASD), is a psychological and emotional stress reaction that occurs when a person experiences or witnesses a traumatic event.  One moment everything is normal, then the event happens, and the person immediately feels fear, stress, pain or panic. The shock is magnified when it is combined with or threatened by...

Coping Skills

How to Begin Healing from a Devastating Hurricane

Hurricane Michael hit Floridians by surprise. What began as a tropical storm early in the week quickly escalated to a rare category 4 hurricane a few days later. The hurricane wind speed was the 4th most powerful to make landfall in the United States. This left families and shops unable to prepare for damage and...

Business Mindset for Therapists

Niche & Specialization: Ethics or Business?

Last week we presented at the Therapy Reimagined Conference in Los Angeles to a room of passionate clinicians in private practice. We spent 90 minutes digging into the ethics of niche and specialization and how it impacts client experiences and outcomes from the first contact to termination. In many ways it really came down to the question:Niche...

Carlat Psychiatry Report

First-Episode Psychosis: Q&A with Ann Shinn, MD

TCPR: Dr. Shinn, when we see patients with a first episode of psychosis, it can be difficult to know what the diagnosis is and how to proceed with treatment. What’s the approach of your program at McLean Hospital?Dr. Shinn: We start with a good diagnostic assessment. We elicit a patient’s history, talk to family...

Children & Teens

Are You Obsessive or Compulsive?

Tabitha thought that once she got married her almost irrational fears would subside and she would no longer do some of her “odd” behaviors. Much to her discouragement, however, they did not. Instead, she noticed that she was only getting worse. She was so afraid of losing her husband that she would take three, hour-long...

Business Mindset for Therapists

Private Practice Success

What makes a private practice successful? Why can one therapist start a private practice and be full in just two months, while another therapist is struggling to fill their calendar two years after their doors open? And, is a full schedule really the sign of whether a private practice is successful or not?The truth is, every...

General

The 3 Types of Dissociative Disorders

In the middle of a conversation about weekend plans with her husband, Margaret stood up, waved her finger, and angrily yelled at him. Instead of reacting at the moment as he had done in the past, her husband stayed still. About three minutes later, Margaret returned to her seat, appeared calm again, and picked back...

Abuse

Control by Deprivation

This is a coercive strategy used to control another person by withdrawing affection and warmth from the relationship; or as a weapon of punishment.Have you ever been with a person who uses deprivation as a means to control you? If you aren't sure what deprivation looks like, here is a list of examples:Withdraws affection ...

Coping Skills

Emotional Blackmail: A Subtle Abuse

As the last of her children left for college, Janet realized she was done with her marriage. She had maintained the image of a “perfect family” for too long. It took her several years to get to this point - including many hours with a counselor - but after all that time she was finally...

Abuse

How Victims are groomed by Abusive Predators

People who recover from abusive relationships of any type, including cult situations, domestic violence, sex trafficking, and even “run of the mill” types of abusive relationships often ask themselves the question, “How did I let this happen to me?”There are a few common reasons people stay in abusive relationships, but the primary reason they get...

Coping Skills

What is Stockholm Syndrome?

When Bailey began therapy, she had already convinced herself that she was crazy. In her early 20’s, Bailey was still living at home with her brother and mother. She failed her first semester of college, had regular panic attacks, associated herself with unhealthy people, and was barely holding onto her waitress job. Her father also...

General

7 Steps to Helping a Friend Change for the Better

After watching her best friend self-destruct yet again, Emily could no longer stay silent. Their 5-year friendship was on the verge of ending with Emily heading in a positive direction and her best friend destroying her life. Emily confronted her bestie a couple of months ago addressing the excessive drinking, illegal use of pain pills,...

Adolescents

The Neuroscience of Marijuana

The neuroscience of cannabis has advanced at a remarkable pace. While it’s a complicated story, the basic effects of marijuana on our brains are pretty well established and fairly easy to grasp. Some knowledge of these effects can be clinically useful, particularly when it comes to predicting the potential effects of excessive THC...