9 05, 2017

Perfectionism: When setting high standards backfires

By | May 9th, 2017|Partner Perspectives|

Striving to do well is a positive attribute as long as there are no negative consequences for doing so. A healthy desire to excel and achieve high standards is one thing. Perfectionism, though, can be problematic if you evaluate yourself based on self-imposed, highly demanding standards, especially in areas of life that are important to […]

12 04, 2017

Why it’s worth it: Committing to ERP for OCD during treatment and beyond!

By | April 12th, 2017|From OCD to Anxiety|

Many people feel hopeful after reading about OCD and learning that treatment may help them.  At the same time, as they learn about what exposure and response prevention (ERP) entails, they often feel caught between a rock and a hard place. As awful as OCD is, therapy that involves facing your worst fears may also […]

22 03, 2017

Enhancing Adherence with Bibliotherapy

By | March 22nd, 2017|Partner Perspectives|

Self-help reading is often assigned as an extra-therapy activity and, like any homework assignment, thoughtful planning on the part of the therapist can mean the difference between a homework assignment that is completed or not. The following guidelines can improve the likelihood that clients will understand and complete self-help readings.

Never assign a self-help reading that […]

1 02, 2017

Ten Early Signs that Your Loved One May Have a Hoarding Problem

By | February 1st, 2017|Partner Perspectives|

The signs of someone with a significant hoarding problem are obvious. Floorboards rot and sag under the weight of tons of paper and garbage. Food containers litter the home and the smells of rotting food and mildew permeate the air. Every nook and cranny is filled with stuff and what paths there are in the […]

6 01, 2017

Shy Kids, Silent Kids

By | January 6th, 2017|Kid Korner|

I met Margaret when she was 5-years old. She wore faded overalls inherited from her older brother that her mother had embroidered with flowers, stars, and hearts. Her mother had to pull Margaret into my office. Once there, Margaret burrowed her head into her mother’s side and would not look at me. When I asked […]

5 12, 2016

Doing it Backwards: Why Addressing Misbehavior Starts with Positive Reinforcement, Not Punishment

By | December 5th, 2016|Kid Korner|

Part 1 in a series on effectively managing challenging behavior in children

Most children have their fair share of behavioral challenges, but for some, these can be especially intense, leaving the whole family exasperated. Difficult behaviors like backtalk, incessant arguing, attention-seeking, lying, and even swearing, hitting, and outright defiance can be incredibly stressful for […]

27 11, 2016

Preventing Relapse in the Treatment of Obsessive-Compulsive Disorder: Life-Style Exposures

By | November 27th, 2016|From OCD to Anxiety|

Obsessive-compulsive disorder (OCD) is a chronic condition and therefore even following an effective treatment, your client always and will forever face the possibility of relapse. Assisting the client to manage the risk of relapse is an essential part of treatment for the condition. As you taper sessions with the client, use the times between sessions […]

29 10, 2016

Preventing Relapse in the Treatment of Obsessive-Compulsive Disorder: Self-Directed Exposures

By | October 29th, 2016|From OCD to Anxiety, Partner Perspectives|

Obsessive-compulsive disorder (OCD) is a chronic condition and therefore even following an effective treatment, your client always and will forever face the possibility of relapse. Assisting the client to manage the risk of relapse is an essential part of treatment for the condition. As you taper sessions with the client, use the times between sessions […]

19 10, 2016

When the Winnie-the-Pooh Cup is Half-Empty: Cognitive-Behavior Therapy for Depressed Children

By | October 19th, 2016|Kid Korner|

A clinician recently told me that cognitive-behavior therapy (CBT) wasn’t appropriate for children because it was “too cerebral.” I asked her what she meant by this and she said that CBT just wasn’t any fun. It didn’t look fun to her so it couldn’t be fun to a kid. And, if it wasn’t fun then […]

30 09, 2016

Behavioral Treatment for Tourette Disorder and Motor Tics

By | September 30th, 2016|Kid Korner|

Tourette disorder is a chronic neurological condition characterized by brief, rapid movements (motor tics) such as blinking, sniffing, or tongue thrusting) or sounds (vocal tics) such as throat clearing, grunting, humming. However, both motor and vocal tics can be quite complex, such as a girl who repeatedly and violently thrusts her index finger up a […]