Substance Use
Therapists are taught to screen for substance abuse in the first session. Conventional training teaches that traditional psychotherapy will not be helpful if a client is actively abusing a substance and encourages clinicians to refer addicts to a substance abuse treatment program. Some therapists use a tough love approach and refuse to move beyond a…
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Vanessa Kirby’s performance in Pieces of a Woman is so raw and relatable that it can feel jarring to watch. Considering the trailer and the fact that her labor and delivery scene takes place almost immediately, it is not much of a spoiler to share that the film explores the impact of her loss of…
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Throughout the COVID19 I notice that reading a good book is welcome diversion from the relentless news cycle. However, I also notice and hear from others that it helps to read books that quickly grab and absorb one’s attention. With this in mind, I decided to re-read James McBride’s “The Color of Water.” I first…
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As a therapist, I am perpetually curious about what draws people into love. Relationships are the ingredients that create the recipes of my clients’ lives. And the dynamics of romantic love are an ongoing focus for many people in therapy. Landford Wilson’s Broadway play, Burn This, starring Keri Russell and Adam Driver is a story…
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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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