Most military efforts miss target on suicide prevention

When no one hears the cries, readjustment becomes out of reach. Returning troops claw their way back toward some degree of normalcy that remain eternally beyond reach. The abyss beckons. The keen sense of being broken beyond repair, yet knowing they look no different outwardly, threatens to strangle their spirits. They are caught in a […]

Share Button
Continue Reading ...
  • Cognitive behavioral therapy (CBT): Helpful hints

    Cognitive behavioral therapy (CBT) assumes psychological problems are caused by negative thoughts and behavior that influence feelings. We can help clients with a few suggestions on how to change what they are doing when distressed rather than to focus solely on what they are thinking. Here are some actions a psychologist can instruct a client […]

    Share Button
    Continue Reading ...
  • Court cases, market forces reshaping psychology

    I write from my experience as chair of Texas State Board of Examiners of Psychologists (TSBEP), but what I’ve seen has broad implications for professional practice nationwide. For nearly 50 years the Federal Trade Commission (FTC) has focused on increased competition to facilitate a “free market” in the professions and has closely watched activities of […]

    Share Button
    Continue Reading ...
  • Empathy may be ill-timed in treating trauma

    Under-recognized in the treatment of trauma is the negative impact that may result when an offer of compassion or empathy is ill-timed. Children, now adults, often continue to adhere to entrenched allegiances of accommodating parental caregivers – pathological states which long served to negate the unique existence of that child as an evolving individual. A […]

    Share Button
    Continue Reading ...
  • Out-of-office encounters may be beneficial

    Engaging with clients outside the office has generally been discouraged or called unethical, similar to the way in which uninformed risk management and ethics “experts” have traditionally viewed dual relationships, bartering, self-disclosure by therapists or gift exchange between clients and therapists. Once we go beyond the “don’t list” and take off distorted “risk management glasses” […]

    Share Button
    Continue Reading ...
  • Closing private psychologist practice not for faint of heart

    The closing of a private practice is a complex process inclusive of ethical, legal, financial and emotional issues. I found a handy-dandy checklist in the literature discussing the ethical, legal and financial obligations. However, the checklist failed to help me anticipate the intensity of my own resistance to termination. It is my intent now to […]

    Share Button
    Continue Reading ...
  • ACA hasn’t reduced health care costs

    “The only way we’re going to stop our country from being a latter day Roman Empire – and falling under its own weight,” MIT economist Jonathan Gruber told a 2010 audience, “is getting control of the growth rate of health care costs.” The 2010 Affordable Care Act (ACA), which Gruber was integral in developing, was […]

    Share Button
    Continue Reading ...
  • Letter: HIPAA preempts state laws

    HIPAA preempts any state law that restricts a patient’s access to their records. It requires that you release a copy of the patient’s records to him/her, and all states require disclosure of records to third parties on patient request. (Records after death Sept/Oct issue) When the patient dies, HIPAA requires that only their personal representative […]

    Share Button
    Continue Reading ...