Substance Use
There are many schools of psychology, and a significant thread that connects them all is the acknowledgment of a human tendency to repeat the past. Cognitive Theory explores learned thoughts while Behavioral Theory explores learned behaviors. Systems Theory suggests that if a dynamic or pattern is familiar, it feels more comfortable, so the security of…
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The film Beautiful Boy concludes with the statement in the closing credits that drug overdose is now the leading cause of death in Americans under age 50. Hardly a spoiler, this stressful statistic is the backdrop of the central question of film – why are so many young people getting hooked on drugs and dying…
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When a relative cuts off from a family, the absence presents a conscious and unconscious heavy heartedness that is difficult to resolve. Interestingly, when a therapy client reveals that a relationship with a family member has been severed to the point that there is absolutely no communication, there are often many other cutoffs discovered throughout…
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Can spouses gage one another’s mental health? Can therapists and metal health professionals rest assured that a client who appears to be functioning well is safe and stable? Can we take responsibility for the emotional well being of people we love and heal their psychological pain? Lady Gaga and Bradley Cooper’s tremendous remake of the…
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The previews and early promotion of I, Tonya inspired memories about Tonya Harding and her scandalous role in the 1994 attack on Nancy Kerrigan. I felt conflicted about revisiting that infamous incident and the popular cultural drama that followed. I assumed that I would enjoy learning more about the competitive world of figure skating, but…
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The slippery criteria that define substance abuse are notoriously difficult to distinguish in a client’s behavior. Sometimes the signs are obvious. But often, therapy clients hesitate to report the full extent of their usage. Practicing therapists must ask the right questions, usually more than once. I was trained to begin therapy asking several background inquiries…
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Deepak Chopra famously said: “When you blame and criticize others, you are avoiding some truth about yourself.” The tendency to focus on the flaws of others in order to deny scary or painful dimensions of the self comes up often in therapy. Sigmund Freud described this process as projective identification. Projective identification — often called…
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“I don’t believe in epiphanies. I don’t believe in transformative moments, as transformation is harder than a moment. I’ve seen far too many people awash in a genuine desire to change only to lose their mettle when they realized just how difficult change actually is.” What factors facilitate authentic change? And what traits of character…
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Discovering infidelity is a common reason that couples seek therapy. Infidelity is much more frequent than one might expect, and the popular culture tends to equate infidelity with a loveless or passionless marriage. In my work as a couples therapist, I often discover marriages that have experienced infidelity but that clash with this popular conception.…
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Parents of teenagers are bound to struggle to communicate and connect with their kids. It’s hard enough to lure a teen out of their bedroom, let alone to convince them to engage in an authentic conversation. One strategy to connect with teens is to create scenarios that set the stage for conversation. Driving to and…
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