Abuse

Addressing the Opioid Epidemic, Part 2

Alongside increasing accessibility of medication-assisted treatment (MAT) is the need to decrease the excessive number of opioid painkillers being prescribed in the first place.Widely touted as the start of this opioid crisis, the unwarranted over prescription of opioid medications over the past few decades is a reflection both of the state of...

Marriage

30 Relationship Destroyers

Have you ever wondered what a therapist is thinking about while you talk about your relationship woes? While I can’t speak for all therapists, I do look for specific factors that can determine the success or failure in any relationship. When an area is revealed, such as a pattern of lying, it needs to be...

Abuse

Addressing the Opioid Epidemic, Part 1

The is currently being blighted by the deadliest opioid epidemic in its history. With more than 63,600 overdose deaths in 2016, and an expected higher number in 2017, the situation is only getting worse. It is now officially a public health emergency.This crisis is attributed firstly to the over prescription of opioid painkillers,...

Abuse

How do I break my addiction to the narcissist?

Narcissists are addictive. They offer up salient brain chemicals that are hard to overcome. When people get involved in an intimate relationship with a narcissist they become hooked on the experiences the narcissist brings into their lives. Breaking an addiction to strong brain chemistry created by powerful emotional experiences is hard to do.It involves a...

Coping Skills

Finding Peace in the Face of Abuse

Aaron was deeply troubled. He finally came to the realization that he left his abusive childhood home only to recreate it as an adult. This was not his intent. He wanted more for himself and his children. The peace he longed for had never been achieved either within himself or in his environment.His mother was...

Coping Skills

10 Signs Your Spouse Might be Dependent

Natalie didn’t get it. She watched her sister tolerate an abusive spouse who routinely left her for another woman and then returned on a whim. Her sister knew he was an adulterer, arrogant, intolerable, demanding, condescending, cruel and controlling. She complained about him, said she wanted to leave, but then when push came to shove,...

Addiction

Research Updates in Addiction: Cannabis and Alcohol

CANNABIS Vilazodone Not Effective for Cannabis DependenceREVIEW OF: McRae-Clark AL et al. Vilazodone for cannabis dependence: A randomized, controlled pilot trial. The American Journal on Addictions 2016;25(1):69–75STUDY TYPE: Randomized clinical trialEffective pharmacological treatments for cannabis dependence have eluded the field of addiction psychiatry. It’s not, however, due to a lack of trying. Theoretical...

Anger Management

Do Offense Specific Intervention Programs Work?

Punishment within the criminal justice system remains the cornerstone and is one of the primary objectives of sentencing in all western countries (Ward and Salmon 2009). As Foucault (1995) explains, the prime purpose of punishment is based around reducing the desire that makes crime attractive and to make the penalty to be feared.The process...

Business Practices

Our Four Fathers: Considering Development in the Helping Process

Often, fathers are hesitant to engage in the process of seeking help or building parenting knowledge and skills through counseling. At times, they might even feel marginalized despite the rising trend in father involvement. As research continues to elucidate the benefits of active fathering on child development, one aspect not as clearly examined is a father’s...

Abuse

Divorcing a Narcissist

The first phase of divorcing a narcissist involves developing an exit strategy. This is an anxiety-provoking prospect. Many people feel as if the task is too daunting to undertake. Many wonder, “Where do I go?” “How do I start?” How can I survive financially?”There are many unknowns at this phase of the process. There are...

General

10 Strategies for Dealing with Your Narcissistic Ex

Charles thought that divorcing his narcissistic wife would end his frustrations. But it did not. Not too long after the divorce was finalized, his wife began acting like they were still married. Added to the confusion, she got intensely angry when he began dating and even undermined his prospects by contacting them. She claimed that...

Family

The Narcissistic Cycle of Abuse Among Siblings

As sisters, Nicole and Sofi grew up in a two-parent, middle class family. From the outside looking in, things appeared normal and healthy. But for Sofi, life was very difficult. Her sister bullied her, stole prized possessions, would lie and blame Sofi for things that went wrong, physically hit her, and destroyed some of Sofi’s...

Binge Eating Disorder

Compassion-Focused Therapy for Eating Disorders: Q + A with Dr. Stan Steindl

Compassion-Focused Therapy (CFT) is a psychotherapeutic model that draws from evolutionary science and the science of compassion to alleviate suffering. CFT has been shown to be particularly useful in the alleviation of shame and self-criticism, and has been found to be effective with a range of populations struggling with various afflictions.The following is a Q+A with...

Carlat Psychiatry Report

Psychopharmacology in Jails: An Introduction

If you are interested in part-time correctional work, the best place to start is often the local jail—as opposed to a prison. What’s the difference between the two? A jail is a criminal justice facility operated by a city or county. It houses people who are awaiting trial or who have received short...

Coping Skills

10 Signs of a Passive-Aggressive Person

Tess was immediately annoyed in the presence of her manager and she couldn’t understand why.She normally got along with a wide-range of personalities, had no issue with authority, and was generally well-liked by most. But for some reason, every time she saw her manager, she wanted to run in the opposite direction.Their conversations were strained....

Children & Teens

Have a Difficult Kid? Do These 7 Techniques

Maggie and James were involved parents. They participated in their kid’s school, coached a team or two, helped with homework, and knew the names of their kid’s friends. But for some reason, one of their three kids was constantly in trouble. The other two enjoyed a great reputation at their school but their sister was...

Brain Development

How Information Overload Affects the Brain

Our technological powers increase,But the side effect and potential hazards also escalate (Alvin Toffler)1  I know the world is turning on its axis but somebody must be stepping on the ‘accelerator pedal’ because my head is spinning. I’m beginning to feel nauseous, confused, and irritable. There is just too much information coming at me, too fast,...