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 […]

9 09, 2016

The Many Faces of Bullying Part 1: Face-to-face exclusion

By | September 9th, 2016|Kid Korner, Teen Topics|

In an age of parents sticking up for their children regardless of how wrong their children’s behavior is, Leslie Blanchard’s post “4th grader comes home with disturbing news – then mom realizes her ‘worst nightmare’ is coming true” is refreshingly honest. Rather than candy-coating the situation of her daughter leaving a well-meaning peer out “just […]

19 08, 2016

From Kazoos to Spider Rings: Prolonged Exposure with Kids

By | August 19th, 2016|From OCD to Anxiety, Kid Korner|

Exposure appears to be the key change-producing procedure in the cognitive-behavioral treatment of anxiety and phobic disorders in children. Successful exposures depend on the clinician’s ability to engage the child in anxiety-provoking tasks. Successful exposures are both developmentally appropriate and fun for the child. Developing exposures for anxious children can be fun for the clinician […]

5 08, 2016

Nuts and Bolts of Imaginal Exposure

By | August 5th, 2016|From OCD to Anxiety|

Imaginal exposure involves the client imagining the feared object or situation to evoke fear and anxiety. Research has demonstrated that direct in vivo exposure to feared objects or situations is more effective than imaginal exposure to the same circumstance. However, the combination of both exposure strategies has produced excellent outcomes and, at times, imaginal exposure […]