Psychogastroenterology replete with opportunities

For the past 20 years, the role of the clinical psychologist in the management of chronic digestive disease has evolved into the newly recognized field of psychogastroenterology. Like other specialties within behavioral medicine, psychogastroenterology focuses on the intersection of chronic medical diseases impacting the digestive system and their subsequent social and emotional impacts. Research into […]

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  • Special considerations needed when working with first responders

    First responders and their families make up a unique subculture. Therapists have heard countless stories of their difficulties finding competent treatment. Police and fire responders report that they often overcome a reluctance to seek treatment only to be met with a provider who understands little about their work and has difficulty handling their trauma. Psychologists […]

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  • Sexually kinky clients present ethical issues

    Kink can be broadly defined by the compound acronym BDSM, which stands for bondage and discipline, domination and submission, sadism and masochism. It refers to a broad spectrum of erotic behaviors and relationships that incorporate ritualized, consensual and erotic power play. Long hidden underground, in recent decades kink has become increasingly normalized as research and […]

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  • Employee vs independent contractor – why it matters

    Some practice owners bring on new clinicians as independent contractors rather than as employees, which saves the practice owner money, time and paperwork. When clinicians working in the practice are designated as employees, the practice owner is responsible for paying half of their Social Security and Medicare taxes. The practice owner also needs to withhold […]

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  • Using CQ (couple intelligence) in couples counseling

    In The Analytic Attitude, Roy Shaefer, Ph.D., reminded us that the therapist’s flaunting of intelligence with patients can be distancing, if not anti-therapeutic. Interpersonal relational models of psychotherapy, psychoanalysis and counseling, have elevated the role of authenticity over intellect. Might the principle of “relating” rather than “impressing” also apply to the intimate partner milieu? At […]

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  • Exposure therapy is fast and effective

    When I first heard about exposure therapy I was early in my graduate career sitting on a bench with a professional mentor who told me that her son had a needle phobia and was in treatment to reduce his fear so that he could be vaccinated. She described the therapist showing pictures and watching videos […]

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  • Challenge ‘diet mentality’ to treat binge eating

    Binge eating disorder (BED) is the most common eating disorder among adults in the United States. More than 8 percent of American adults meet some or all of the criteria for binge eating disorder at some point in their life, more than all other eating disorders combined. Despite the need for effective treatment, binge eating […]

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  • Psychologists can play big role in stemming opioid crisis

    Every day in the United States, an average of 150 people will die of opioid overdoses. That’s the sobering truth about a crisis that has gripped the country for more than a decade, according to the Centers for Disease Control and Prevention, which found that more than 399,000 people died from overdoses from 1999-2017. But […]

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  • Telepsychology takes special training

    Launching a telepsychology practice involves numerous tasks, some similar to starting any private practice and others more pertinent to the practice of telespychology. Following are some of the things I did to launch my practice, with a focus on the aspects that more specifically pertain to telepsychology. First I wrote an ebook and listed it […]

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  • Self-care is essential to risk management

    When we consider risk management in psychological practice, we readily think of: informed consent, documentation, consultation, personal characteristics of patient and provider, best-practice clinical strategies and levels of risk. But rarely do we think of self-care. And yet, self-care might be the most foundational, most all-encompassing risk management tool of all. Imagine for a moment […]

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