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Anxiety and Panic

When Do I Need to See Someone about My Anxiety? 4 Questions to Ask Yourself

You’re anxious. You have been dealing with anxiety for a long time and you are starting to wonder whether you need to talk to a counselor about what you are experiencing. You feel that talking to a counselor would help, but you don’t want to blow your issue out of proportion. You don’t want to seem weak or incapable of handling your own business, but this is really bothering you. How do you know when it’s time?

There are a lot of people who are or have been in your shoes. I have a lot of experience working with (and experiencing) anxiety, and this exact thought process is more common than you might think.
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Addiction

How to Inexpensively Solve the Opioid Crisis


The Case for Pharmacy Dosing of Methadone
The stigma around methadone use and the several important problems endemic to the system of methadone clinics in the United States are well-known, reducing the number of users who can benefit from the life-saving medication. These issues are important reasons why the promulgation of other forms of Medication-Assisted Treatment has been so important. At the same time, other countries have found great success in combating their own opioid crises through innovations...
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Addiction

After FTC Action, Elimidrol Suddenly a Mood Enhancement Supplement

I've long been skeptical of the dozens of nutritional supplements on the market that claim to "enhance your mood" or promote a healthy "emotional balance." A healthy emotional balance comes from learning specific psychological skills in life to help you better cope with and benefit from your emotions -- not from a pill.

So I found it more than a little bit strange when I was recently contacted by a marketing company promoting a "mood enhancing" supplement called Elimidrol. This supplement was marketed for over 2 1/2 years -- with apparently little or no scientific evidence -- by Sunrise Nutraceuticals as an effective remedy for opiate withdrawal.

How did this supplement make an apparent 180 degree marketing turn from helping to relieve opiate withdrawal to mood enhancer so readily?

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Habits

4 Tips to Improve Your Self-Care

Self-care is one of those things that for one reason or another we tend to put off and ignore. Self-care is a crucial part of human functioning that provides us with the tools needed to face our daily challenges. In treatment, self-care almost always gets assessed initially, as it tends to be a driven force in recovery. However, I have noticed that this term has been commonly misinterpreted for selfishness and self-indulgence. It’s important to consider what self-care in the mental health field refers to and why it’s important to implement it in your lifestyle the most effective way. 
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Anxiety and Panic

All Roads Lead to Therapy

December 2016 arrived, and I had given the year all that was left in me. Most of the year was spent cycling in and out of depressive episodes, battling severe loneliness, and questioning if moving across the country was a grave mistake. The pains of the year brought one realization to light, I could no longer go through life’s journey alone anymore. I needed something beyond that motivational speech from a good friend. I needed more than the insight that a caring coworker could provide. I needed help… I needed professional help. It was time to return to therapy.
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Addiction

Does Tough Love Lead to Wellness? A Glimpse into One Family’s Experience with Addiction

Heroin abuse in the United States is reaching epidemic proportions. According to SAMHSA, between 2007 and 2012, the number of heroin users has doubled from an estimated 375,000 to over 665,000. Additionally, in 2010, the number of deaths as a direct result of overdose surpassed auto accident deaths.  

It is impossible to avoid the facts about heroin. We are bombarded daily by the national and local media and extensive online resources. So, is tough love the answer?
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Addiction

Addiction: Accepting the Treatment Norm Is Not an Option

For over fifty years the treatment industry has categorically failed. Personal experience of this writer as well as objective data has demonstrated that 3-5% of individuals who complete residential treatment will remain “sober” for a year or more. Additionally, according to the Baldwin Research Institute Inc., over 90% of all treatment in the U.S. is 12-step based and over 95% teach the disease concept. From any perspective and surely from a business perspective, a 95% failure rate is utterly unacceptable. Why does society and the medical/clinical community accept these findings? The answer seems to be “this is how we have always done it.”
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General

How the Repeal of Obamacare Will Impact People with Mental Illness

When the Affordable Care Act ("Obamacare") was passed into law seven years ago, it signaled a fundamental change in America's healthcare system. After all, in every other first-world, industrialized nation, healthcare is a basic right of citizens. Only in the U.S. has healthcare been seen as primarily a business -- one where profits can be put before people's health.

Now as the Republicans seek to unmake Obamacare with a "repeal and replace" effort, questions have are arising about how exactly this will impact individuals -- both those who depend on Obamacare as a lifeline to affordable healthcare and those who don't. There's a lot of fear and misinformation out there right now, so I'd like to set the record straight.

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Aging

Video: Medical Conditions That Can Cause Psychiatric Symptoms

It seems like common sense that psychological problems require psychological solutions. If anxiety is interfering in your life, then surely the appropriate treatment is psychotherapy or anxiety medication, right?

In reality, though, other medical conditions can sometimes masquerade as psychiatric conditions. Hyperthyroidism can cause anxiety, and vitamin B-12 deficiency can cause paranoia, to give only two examples.
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General

How to Mindfully Fire Toxic Friends & Loved Ones: A Shrink’s Guide to Setting Boundaries

"Don't cling to a mistake just because you spent a lot of time making it" - unknown 

As a Manhattan-based psychotherapist working with a high-functioning adult population, I am always surprised to encounter a repetitive theme in my office. People, no matter how smart, successful, and savvy, find it impossible to break up with their toxic jobs, relationships, and friends. Clients repeatedly walk into my practice frustrated with their life-draining, dysfunctional relationships or jobs.
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