Join us in celebrating our 25th anniversary

Goal Setting to Engage Adolescents

CBT for Youth By Torrey Creed, PhD Many adolescents begin treatment on a different footing from adults. Rather than choosing to start treatment, adolescents may be referred by someone else for behavior the adolescent sees as justified, appropriate, or a part of their identity rather than something to be changed. Other adolescents may be referred for treatment for behavior or situations they feel hopeless or helpless about, and may therefore enter…
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PTSD as a Survival Mechanism

PTSD as a Survival Mechanism by Norman Cotterell, PhD Posttraumatic Stress Disorder (PTSD), as defined in the DSM-V, is characterized by 5 symptoms. The last four must last longer than a month and cause significant distress: Exposure to trauma: death or threat of death or injury.Intrusive symptoms: memories, flashbacks, psychological distress, physical distress.Avoidance: trying not to think about the trauma, avoiding places that remind you of it.Negative alterations in thought and mood: amnesia, negative beliefs,…
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Why Use Exposure for Post Traumatic Stress Disorder?

Why Use Exposure for Post Traumatic Stress Disorder? By Aaron Brinen, PsyD As practitioners, we care deeply for the individuals we serve. Working with them following a traumatic event often activates our desire to protect and care for our clients, particularly when a survivor presents with the disruptive symptoms of Post Traumatic Stress Disorder (PTSD). Some practitioners, though, become overly focused on the desire to prevent any hurt or distress.  Their treatment…
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Working with Borderline Personality Disorder

Responding to Our Own Unhelpful Cognitions By Amy Cunningham, PsyD It’s quite challenging when clients engage in behaviors that we view negatively. This situation commonly arises when we work with clients with borderline personality disorder (BPD). These clients have a history of disturbed relationships and a tendency to engage in maladaptive interpersonal behavior. We ourselves often have negative thoughts about these clients, especially when our own core beliefs become activated. While…
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An Introduction to the Suicide Mode

CBT for Suicide Prevention By Marjan Ghahramanlou-Holloway, PhD In 1996, Aaron Beck proposed the concept of “modes” to describe the “synchronous interactions” among the cognitive, affective, physiological, motivational, and behavioral systems of personality. To understand the construct of the suicide mode, consider the case of Richard, a 25-year-old graduate student with recurrent depression. Richard discovers shortly after the New Year that he has failed his comprehensive exams. The example below illustrates…
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