Bariatric surgery patients need sex counseling

Obesity is associated with life-threatening co-morbid conditions including type-2 diabetes, heart disease, hypertension, and certain cancers. Given the severe consequences of obesity and the short-term results with traditional diet programs, many American adults undergo bariatric surgery for weight loss. Pre-operative psychosocial assessments are often required to determine appropriateness for surgery, as well as post-operative risk […]

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  • Psychodynamic dangers in treating BPD

    Psychiatrist Thomas Gutheil describes several psychodynamic characteristics of people with BPD that can lead to lawsuits: Rage Borderline rage is so intense that therapists often feel coerced into acting against their best therapeutic judgment. They may be afraid to set limits or boundaries. Alternatively, their reaction to clients’ rage may be to become too rigid. […]

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  • Track and Market Outcome Results

    Private practitioners are continually challenged to come up with new ways of attracting clients. Rather than learning trendy new treatments to lure new customers, imagine being able to measure and market the quality of your services more effectively. Few clinicians have ventured into this powerful way to position a private practice: focusing on improving and […]

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  • Football Head Injuries Create Need for Therapists

    The United States is obsessed with football, and especially the National Football League (NFL). Between the artistry of the game and fantasy football fanatics, the NFL has become America’s pastime. The size and speed of today’s NFL athlete is the reason the league is so popular, but it is also the reason that the game has become […]

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  • Partners of Sex Addicts Need Treatment for Trauma

    The field of clinical treatment and therapeutic intervention for the spectrum of disorders related to compulsive sexual behavior and sex addiction is still a newly emerging field, yet to even gain legitimacy within the larger psychological community. Research, professional debate and clinical development have been predominantly focused on the nature of sex addiction, how to […]

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  • Once Taboo Topic, Money, Now Critical Therapy Issue

    Money is increasingly emerging as a topic in the psychotherapy setting. Our current recessionary times have brought financial matters to the fore in the lives of the general public and our clients as well, but in addition, a budding movement appears be taking root. Long a taboo subject of conversation in our culture, money has […]

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  • The Minefield of Divorce Counseling

    Statistics indicate that at least 50 percent of all marriages fail in the United States, creating a potential increase in the need for psychological services. The demand for psychologists is limited not only to post-divorce therapy but often includes couples counseling preceding the divorce. Not to be forgotten are the minors of the marriage who […]

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  • Documenting Client Claims of Sexual Abuse

    With the cases from the Penn State football sexual abuse scandal continuing to grow, we will soon see an explosion of unrelated cases from clients who have been too afraid to accuse alleged predators. I am already observing such reports from my own clients. One question being raised is, “How will we know which cases/accusations […]

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  • My Experience with Carl Whitaker

    Carl A. Whitaker, M.D., was a pioneer in psychotherapy as well as family therapy. He co-authored the master classic, The Roots of Psychotherapy, with Thomas P. Malone, M.D., Ph.D. Whitaker’s major contribution was freeing up the use of self to shoot from the hip concerning such unconscious materials as suicide, homicide, incest etc. that therapists […]

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  • Multiple Relationships Not Always Bad

    I was surprised to read the statement of my esteemed colleague, Ed Zuckerman, Ph.D., in the last issue of The National Psychologist (Nov/Dec, 2011), where as part of an article on “The Fiduciary Heart of Ethics“ he stated, “We have an ethical obligation to avoid multiple relationships.” This statement is in contrast to the APA’s […]

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