Psychotherapy

Trauma-Focused CBT for Child Sexual Abuse

Topics: Psychotherapy

Recent conservative estimates indicate that approximately one out of five girls and one out of 20 boys experience sexual victimization involving physical contact prior to the age of 18 (Saunders BE & Adams ZW, Child Adolesc Psychiatr Clin N Am 2014;23(2):167–184). However, these findings may underestimate the true rates of victimization becaus

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By the Numbers: Sexual Violence

Topics: Psychotherapy

Sexual violence and abuse is a pervasive problem, making it highly likely mental health professionals will encounter victims in their practice. Consider these statistics: Adults 86% percent of rape victims are female Approximately one in six women experiences rape or attempted rape in her lifetime In a study of undergraduate women, 19% expe

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Treatment Approaches for Rape Victims

Topics: Psychotherapy

Imagine hearing that a family responded this way after a sexual assault, “My father and mother said that the way I dressed and friends I chose provoked the incident. They blamed me for the first two months after the incident.” Or, as another young woman recounted, “[An acquaintance] mentioned that I should never have been talking to

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Psychological Evaluation of Patients Prior to Bariatric Surgery

Topics: Genetics and Psychiatry | Psychotherapy

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The Growing Epidemic of Pediatric Obesity

Topics: Genetics and Psychiatry | Psychotherapy

We are all increasingly asked to identify, assess, and treat overweight and obese children and adolescents. What’s behind what many see as a growing epidemic of childhood obesity in the US? And what are the most effective pscyhosocial interventions for these children? Research has shown that multiple factors play a role in a child or adolescent

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You are What is Eating You—The Genetics, Environment, and Behavior of Obesity

Topics: Genetics and Psychiatry | Psychotherapy

It is a sobering fact that more than a third of America’s adults are obese, along with nearly 18% of US children. Weight gain is more complex than a simple mathematical equation (Caloric Intake > Caloric Expenditure = Weight Gain). A constellation of genetics, environment, and behavior contribute to obesity. In this article, we’ll expl

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Psychosocial Interventions for Hoarding Disorder

Topics: Psychotherapy

Assessment Tools for Hoarding Disorder Saving Inventory-Revised (SI-R): self-report instrument that rates difficulty discarding, excessive clutter, and excessive acquisition. (Effectiveness validated in Frost RO et al, Behav Res Ther 2004;42(10):1163-1182.) A modified version can be found at http://bit.ly/1gEZnT2   Hoarding Rating Scale:

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Key Facts about Hoarding Disorder

Topics: Psychotherapy

Demographics and Prevalence Hoarding disorder almost three times more prevalent in older adults (ages 55–94) than those 34 to 44 Hoarding afflicts men more than women Women with hoarding disorder tend to engage in more excessive acquisition of possessions Onset is usually by age 15, with clinically significant impairment by the mid-30s

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The Diagnosis and Treatment of Hoarding Disorder

Topics: DSM | Psychotherapy

Hoarding has become a subject of widespread fascination in the last decade, with frequent exposure in popular media and an exponential increase in research on the topic. Reality television has drawn the public eye to compelling stories of people who can’t throw anything away and fill their houses with everything from piles of old newspapers to

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Cognitive Remediation for Schizophrenia

Topics: Psychotherapy

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Improving Function with Cognitive Remediation

Topics: Psychotherapy

Some people with serious mental illness suffer from cognitive problems, such as not being able to process information quickly, concentrate, or remember new information. While some psychiatric medications have cognitive effects, it’s now understood that the mental illnesses themselves can cause much of the cognitive dysfunction. Cognitive dysfunctio

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Do Patients Prefer Psychotherapy or Medication?

Topics: Psychotherapy | Research Updates

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Treating Adolescents with Dialectical Behavior Therapy

Topics: Personality Disorders | Psychotherapy

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Who Can Benefit From DBT?

Topics: Personality Disorders | Psychotherapy

Recent research has demonstrated that dialectical behavior therapy (DBT) works for treating adolescent, young adult, and adult populations diagnosed with borderline personality disorder (BPD) (Rizvi SL et al, Prof Psychol-Res Pr 2013;44(2)73–80), though data pertaining to its superiority over other treatments remain mixed. Psychologist Marsha L

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Dialectical Behavior Therapy: A Primer

Topics: Personality Disorders | Psychotherapy

Half a century ago, a suicidal young woman named Marsha Linehan spent more than two years in a psychiatric hospital. Locked as tightly in her own personal torment as in her seclusion room, she vowed not only that she would get out, but that she would get well and help others escape the same torment. Today, Dr. Linehan, the psychologist who developed dia

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Medications Used to Treat ADHD

Topics: ADHD | Psychotherapy

You can really break down the medication options for ADHD to stimulants or non-stimulants. In deciding what medication is best, prescribers consider side effects, whether it is appropriate to prescribe a controlled substance based on diversion or abuse potential, as well as practical issues such as how complicated the required dosing schedule is. Th

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Psychosocial Treatments for ADHD Across the Lifespan

Topics: ADHD | Psychotherapy

Evidence-based treatments for attention-deficit/hyperactivity disorder (ADHD) include medication and behavioral interventions. While medications have been shown to reduce ADHD-related symptoms and functional impairments across settings, effects tend to last only as long as the medication is active within the body and brain (Paykina N and Greenhill LL. A

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Victimization Increases Thoughts of Suicide in Adolescents

Topics: Psychotherapy

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Mindfulness Therapies for Depression

Topics: Psychotherapy

Editor’s note: Dr. Williams is the author or co-author of a number of books. His most recently published book is Mindfulness-Based Cognitive Therapy for Depression, Second Edition (Guilford Press, 2013) which he wrote with John Teasdale and Zindel Segal. He is also a co-author of Mindfulness: A Practical Guide to Finding Peace in a Frantic World, whi

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How Mindfulness Training Works

Topics: Psychotherapy

Mindfulness training (MT) helps to counter individuals’ tendency toward rumination about the past and future. Mindfulness is both the process and state of being present with whatever is happening in the moment with purposeful management of attention. This is often cultivated by sitting meditation, in which one sits in a comfortable position, whethe

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