At the risk of assaulting a few egos, improving your client’s presenting condition – the only thing that counts in the business of psychotherapy and counseling – will not result from how much you know or think you know, how many workshops you’ve attended, how many letters you string behind your name or how many […]
For far too many folks, it’s acceptable to not get what they want rather than be disappointed. Down here in south Louisiana, we have a term for reneging on something or dancing around an announcement of what we want – “crawfishing.” Crawfishing statements are never really clear – “I’ll see what I can do about […]
In July of 2013, the FDA approved a new serotonin norepinephrine reuptake inhibitor (SNRI) Fetzima (levomilnacipran) for major depressive disorder in adults only. The efficacy of Fetzima at once-daily doses of 40-120mg was established in three randomized, placebo-controlled studies in adults with MDD.
Ordinarily, I am not a fan of unsolicited feedback. But if you’re soliciting it, or for that matter seeking coaching or counsel, defending your current position or even worse, assuming a defensive posture isn’t going to help you. Defending your ideas or ways of doing something will preclude you from listening intently for the messages […]
The benzodiazepines have been the mainstay of anxiety management for several decades now. In the past decade or two, the antidepressants, particularly the serotonin agents, have entered the picture when it comes to managing anxiety pharmacologically. Both benzodiazepines and contemporary antidepressants are FDA-approved for anxiety treatment and are most often employed in the “worried-well” with […]
Anyone who has either recently started or is contemplating the use of antidepressants or benzodiazepine anti-anxiety agents should ask themselves: what is it I am asking of the drug and for how long do I envision availing myself of its services.
If we’ve got passion for doing or accomplishing something, then the motivation to follow through on the project naturally accompanies the passion right? Not so fast. Once we embark upon a venture that fires us up and we’ve figured out a platform for launching it and a productive way to make some waves, why do […]
Interesting to know what’s on neuroscientific radar screens, but impractical in the treatment room because we treat in the here and now. Moves at a “laboratory” pace – very slow. Subject to the vagaries of funding. Disappoints often – the complexity of brain functioning has defeated the DSMs and even the best NIMH efforts in […]
Although considered highly prevalent, bipolar disorder is routinely misdiagnosed. Psychiatric literature is replete with data about over-diagnosis – particularly in pediatric populations – but this disorder is frequently under-recognized also. Here are the major headwinds combating effective identification and treatment:
Worry is what people do when they won’t, or don’t know how to be productive. Worry saps energy and provides a way to spend time. It goes hand-in-hand with procrastination and time wasters like continuously checking e-mail, social media or mindless web surfing – all of which keeps them from getting down to business.