ADHD: Get a Good History and Ask About Benign Signs

ADHD: Get a Good History and Ask About Benign Signs

Obtaining an accurate history is absolutely essential to isolating ADHD as a diagnosis because co-occurring disorders are the rule rather than the exception when it comes to assessing mental disorders in youth. Also, every mental disorder on the planet adversely affects attention in some manner. With children, it’s essential to ascertain what sort of difficulties […]

Matching Up

Matching Up

On an episode of Seinfeld, George Costanza, well known for his numerous relationship break ups, laid claim to the phrase “it’s not you, it’s me.” It’s equally true though that “it’s not me, it’s you” may also apply.   

There’s Always A Choice

There’s Always A Choice

Think about it, when we say we have no choice, what we’re really saying is there’s no good choice, no safe option that makes it easy for us to decide. Sometimes we’re confronted with having to choose between presenting evils or difficulties – an unenviable position to be in indeed, because it breeds feelings of […]

I Get Questions... Many Questions

I Get Questions… Many Questions

Q. I am seeing a 40 year man with Generalized Anxiety Disorder.  Also describes self as an introvert.  He is in the Technology field and in a leadership role which he does not like.   There are many issues to be addressed, but was wanting to know your thoughts on any medications like Buspar that could […]

Rejected, Or Just Unchosen?

Rejected, Or Just Unchosen?

A couple of weeks ago I took on a client who has recently been downsized from his job. Since this happened, he has sent out resume after resume and has been called by a number of companies to come in for interviews. No offers yet. In our most recent session, it was obvious that he […]

Assessing a Client for Bipolar Disorder: The 3 Best Questions to Get Started

Assessing a Client for Bipolar Disorder: The 3 Best Questions to Get Started

There is not a mental disorder that generates more consternation when it comes to diagnostic assuredness than bipolar disorder, particularly on an initial evaluation. We clinicians are forever searching for better screening questions to more quickly hone in on a diagnosis, and of course, bipolar is no exception. But we shouldn’t act in haste simply […]

Bridling Irrational Fear

Bridling Irrational Fear

Fear that we experience day-to-day is most often imagined. This is because in the mostly civilized society in which we live and function, we’re not often confronted by imminent danger and threat – mobilizing the flight-or-flight response. So when fear arises in non-dangerous situations, the emotional sensations that result are perception-driven and not governed by […]

OverPathologizing

OverPathologizing

One of the most common problems I encounter when consulting with people about their psychiatric medications is the utter lack of clear rationale for what they’ve been prescribed. The more medications I see on a client’s profile, the more inclined I am to believe that the prescriber has taken a reactive approach to pharmacologically treating […]

12 Tips For Finding A Suitable Therapist

12 Tips For Finding A Suitable Therapist

I do a considerable amount of medication consultation, and one of the most often asked questions in these sessions is how to go about finding a therapist. Although there are numerous pursuable paths toward locating a psychotherapist or counselor, the more important issue is “goodness of fit,” simply, is this someone you can work with. […]

The Anatomy of a Medication Mess

The Anatomy of a Medication Mess

Joe, I am 69 years old and live in San Francisco. I was on Prozac for over 20 years. In 2012, while on an African Safari, a trip of a lifetime, I noticed that I was disinterested and bored. Actually, I realized that I was depressed. I got a recommendation for a psychiatrist to get […]