Category: Psychological Treatment

Anti-depressant

“Anti-depressant Medication Authorization”: “We cannot be certain that the cause of a patient’s alleged depression falls upon us. The patient could be depressed for a number of reasons, and we are not going to get caught up approving anti-depressants for these folks.” This is a very common source of resistance when patients were depressed before, during …

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unmedicated

Unmedicated: In the last half of the 20th century, the resistance to directly addressing psychological problems actually increased. We had a ready stream of medications that blamed and treated the brain for our various incapacities to deal with our lives. Some euphemistically referred to this as the Prozac Generation. Individuals, as a first response to …

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Commitment

Commitment: “The most common reason for being referred for psychotherapy is to help resolve a conflict. This may be a family, occupational or social problem. We all have these, but when they rise to the level of interfering with daily functioning, they are referred to as a “disorder” and warrant care. Under workers’ compensation, the most …

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Probability

Probability: “When we do research, we run experiments to determine if what we do makes a difference. It not only must make a difference, but that difference must be statistically significant because some differences could merely occur by chance. For example if you flip a coin 20 times, you should get close to one-half heads …

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Treatment Resistance

The concern is “treatment resistance” mental disorder. In the scientific literature, there has been a 25 fold increase in the number of articles addressing treatment resistance. Treatment resistance is the failure to return to baseline and achieve a 50% reduction in symptoms even though effective dosage and sufficient duration of treatment has occurred. We have …

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hypervigilance

Hypervigilance

Hypervigilance is a symptom. Vigilance is the ability to stay focused upon a task and/or concept for an extended period of …
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contradiction

Contradiction

Contradiction “We read two of your consultation reports last month.  One said that the patient lost 20 pounds which was …
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generalized

Generalized

Generalized Anxiety Anxiety is a milder form of fear, and as you know, fear is an essential emotion that protects us from …
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