General Articles

Getting Clean on Addiction Policy in the U.S.

Wednesday, May 22nd, 2013

Getting Clean on Addiction Policy in the U.S.A couple of weeks ago, the New York Times Review of Books reviewed David Sheff’s new book Clean:  Overcoming Addiction and Ending America’s Greatest Tragedy. After noting some highlights in the book, editor Mick Sussman aptly concluded that Sheff has “performed a vital service by compiling sensible advice on a subject for which sensible advice is in short supply.”

I agree. Sheff diagnoses the nation’s response to addiction as being as sick as addiction itself. His message cuts across not only the policies of criminalization but the criminalization of an addict’s character.

The Origins of Anxiety

Wednesday, May 22nd, 2013

The Origins of AnxietyAccording to author and psychiatrist Jeffrey P. Kahn, M.D., in his book Angst: Origins of Anxiety & Depression, today’s disorders might’ve been yesterday’s valuable social instincts.

Today’s panic disorder might’ve prevented our ancestors from venturing to potentially dangerous places, far away from their families and tribes.

Today’s social anxiety might’ve maintained social hierarchies and peace in primitive times.

Today’s obsessive-compulsive disorder (OCD) might’ve helped our ancestors keep tidy and safe nests.

5 Simple Words that Could Ruin Your Relationship

Tuesday, May 21st, 2013

5 Simple Words that Could Ruin Your RelationshipThis article from YourTango was written by Julie Orlov.

Words are powerful. They can cut you, heal you, inspire you, and stop you from certain actions. Learning the language of a strong, healthy relationship or marriage takes time and diligence, but saying some words regularly may cause irreparable damage.

Here are five words that are destined to cause damage to your relationship or marriage.

Families Could Help More in Treatment, If HIPAA Allowed It

Tuesday, May 21st, 2013

Families Could Help More in Treatment, If HIPAA Allowed ItWhy is it that families are kept so far out of the loop when it comes to a loved one’s health?

The quick, easy answer, of course, is the nation’s health insurance portability and accountability act (HIPAA). Physicians are able to share only certain information with the family unless the patient agrees to more. The problem is that the patient might be too elderly, addicted or mentally ill to cooperate or even understand what they are agreeing to (or simply stubborn).

Certainly individual civil liberties must be taken into consideration. This writer, in fact, is more than moderately liberal.

But there is a blurry but significant line that puts human wisdom to the test, as we evaluate true need for family assistance.

What’s in a Name? The Washington Redskins

Monday, May 20th, 2013

What's in a Name? The Washington RedskinsThis blog is a slight departure from my usual posts as a recent news story has raised some thoughts for me that I wanted to write about.

As a therapist, I’m always interested in human behavior, especially when it comes to inequality. I understand that humans often act irrationally, and I think discrimination is often based on learned thinking which can be overcome with time and education.

So I’ve been following the latest debate on whether the Washington Redskins American football team should change its name. This question has been going on for at least the last 30 years and last week, owner Daniel Snyder, publicly came out and proclaimed: ”We’ll never change the name, it’s that simple. NEVER — you can use caps.”

What I’m curious about is why, in 2013, we’re even arguing whether the name should be changed.

3 Lessons on Being Successful At Work

Monday, May 20th, 2013

3 Lessons on Being Successful At WorkAccording to author Laura Vanderkam in her newest e-book What the Most Successful People Do At Work: A Short Guide to Making Over Your Career, the secret to “astonishing productivity” lies in daily disciplines.

In the book Vanderkam outlines seven of these disciplines: mind your hours; plan; make success possible; know what is work; practice; pay in; and pursue pleasure. For each one she shares stories and interviews with successful people who use these disciplines in their own daily lives.

Here are several lessons from Vanderkam’s book on boosting your productivity and being successful at work.

Perception, Reaction & Mindfulness

Monday, May 20th, 2013

Perception, Reaction & MindfulnessI am frequently asked “What is mindfulness?”

I start by saying something poignant like “It’s being aware and in the present moment” or “It’s about allowing each experience to wash over us like a cool spring rain, without attachment or judgments.” I love these answers and they generally tend to spawn a lively conversation about experiences, judgment and simply allowing ourselves to be present.

Mindfulness, though, is also about perception and reaction. Here’s what I mean…

Mike Webster & the NFL Lawsuit over Chronic Traumatic Encephalopathy

Sunday, May 19th, 2013

Mike Webster & the NFL Lawsuit over Chronic Traumatic EncephalopathyAny Pittsburgh Steeler fan over the age of 36 could tell you about Mike Webster.  He was our All-Pro center who, alongside Terry Bradshaw, Jack Lambert, Franco Harris, Mean Joe Greene and so many notorious others, carried the team to four Super Bowl wins in the 1970s.  Mike was bigger than Mean Joe but known for a heart of gold.

Pittsburgh heard the news a little before it went national in 2002.

Webster died at the young age of 50 after a few years of suddenly erratic behavior occasionally reported upon in local papers. His life had unraveled inexplicably, not due to drugs or alcohol but some strange other force. He seemed sidelined by debilitating depression, disjointed thinking in public, and bouts of anger previously foreign to his easy nature off the field.

There were murmurings but nothing made fully public until after Webster’s death. The diagnosis was a first for the National Football League (NFL), but one that slowly made its way into the banner headlines of the game over the next decade: Chronic Traumatic Encephalopathy (CTE).

When 2 of Your Values Are in Conflict

Sunday, May 19th, 2013

When 2 of Your Values Are in ConflictI spend a lot of time thinking about questions such as, “How do we change?” “Why is it so hard to make ourselves do things that we want to do?”

For instance, Why is it so hard to make myself go to bed? and “How can we stick to our resolutions?

I realize now that a big challenge for me is simply finding clarity.

6 Ways Pets Relieve Depression

Sunday, May 19th, 2013

6 Ways Pets Relieve DepressionThe day I returned from inpatient therapy, my Lab-Chow mix cuddled up to me on the bed as I cried. She looked into my defeated gaze and licked my tears.

I was astounded that this creature was capable of the empathy that I so craved in my closest friends and relatives. It was like she could read the pathetic and sad thoughts that disabled me and wanted me to know I was lovable in the midst of my suffering.

She continues to be a supportive presence in my life, especially on the days that I grow weary of trying on — and throwing out — every mindful exercise and cognitive behavioral strategy… the hours where staying positive seems impossible. She gets it. I know she does.

Every week I hear tales of four-legged creatures becoming angels in times of terrifying darkness. Indeed, a substantial body of research indicates that pets improve our mental health.

How? Here are a few ways.

Job Layoffs: The Aftermath of Redundancy

Saturday, May 18th, 2013

Job Layoffs: The Aftermath of RedundancyIn a previous post, I mentioned there was a rumor of redundancy for some friends of mine. Some people were in fact let go, though none of my friends were among the unfortunate ones.

Redundancy — losing your job in a layoff — is difficult for most people. I’ve worked with many people who have been made redundant and struggled with the aftermath. On the whole, these individuals have been hard workers, intelligent, and loyal to their companies; when the hammer finally fell, they often went into an emotional tailspin.

After the initial shock, and even though many had been compensated well for losing their job, it’s interesting to note money became the least important factor.

What really mattered was suddenly losing direction and meaning in their lives. Without work, they became unsure and lost.

DSM-5 Released: The Big Changes

Saturday, May 18th, 2013

DSM-5 Released: The Big ChangesThe DSM-5 was officially released today. We will be covering it in the weeks to come here on the blog and over at Psych Central Professional in a series of upcoming articles detailing the major changes.

In the meantime, here is an overview of the big changes. We sat in on a conference call that the American Psychiatric Association (APA) had in order to introduce the new version of the diagnostic reference manual used primarily by clinicians in the U.S. to diagnose mental disorders. It is called the Diagnostic and Statistical Manual of Mental Disorders and is now in its fifth major revision (DSM-5).

James Scully, Jr., MD, CEO of the APA, kicked off the call by remarking that the DSM-5 will be a “critical guidebook for clinicians” — a theme echoed by the other speakers on the call.

Recent Comments
  • Alli: Liz, How do you manage without meds? What are your rules/techniques? Thank you, Alli
  • Connie R. Wieland: I guess it is really difficult when you have a partner who is going through depression or who is...
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