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Addiction

Recognizing and Reversing Relapse

I first met 32-year-old Miranda after a drug relapse that followed a stay in a residential addiction treatment facility. She had begun experimenting recreationally with prescription opioids in her early 20s, but her use escalated after she was involved in a car accident a few years later and a doctor began prescribing...

Children & Teens

10 Things You Can Do if Your Teen Seems Narcissistic

“Yet another frustrating conversation with my son,” Halley remarked to her therapist. “He is so arrogant, demanding, and controlling. He refuses to see that the wrong in his actions and insists that everyone else is to blame for his situation. I’m so tired of fighting with him.”Halley’s 17-year-old son developed severely escalating bad behavior over...

Brain Development

The Developing Self: Joy and Grief in Ego Evolution

In Bruce Springsteen’s book, "Born to Run," the author provides a poignant image of the many selves we “occupy” in our maturation. No one you have been and no place you have gone ever leaves you. The new parts of you simply jump in the car and go along for the rest of the ride. The...

Antidepressants

Psychiatric Patients at Elevated Risk for Heat-Related Illnesses

As the contends with soaring temperatures and record-breaking heat in many areas this summer, the risk of heat stroke and hyperthermia is particularly high, for children, for the elderly, as well as for psychiatric populations, especially users of psychotropic medications.Heat stroke occurs when the body temperature rises to 104°F, and has deleterious...

General

My Journey in Mindfulness and Meditation

The following article is about my personal journey through the emerging world of mindfulness. Mindfulness has become a recent buzz within therapy and, as a therapist, I find it necessary to explore or test drive, if you will, new techniques before trying them out with my clients. With all of the talk of mindfulness going...

Exhaustion

What is Narcissism Awareness Grief (NAG)?

After years of thinking she was dysfunctional, Sam finally embraced the reality of her mother’s narcissism. Her whole life had been filled with feelings of inadequacy, inferiority, self-doubt, shame, and guilt over every little thing she did wrong or was told by her mother was wrong. Now, several therapists later, Sam opened her eyes to...

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....