There are many temptations to organize our life around the experience of earlier trauma. But that may short-change the future—which starts by our envisioning something better.
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The fundamentals of therapy
Anthony D. Smith LMHC
Treating depression and anxiety likely conjures images of therapy and psychiatry, but don't stop there. These three often-overlooked complementary disciplines may accelerate gains.
Feeling worn down by something about your partner, but can't put your finger on it? Perhaps you're starting to notice one of these five corrosive personality characteristics.
The recognition of prolonged grief disorder sparked emotionally reactive allegations that it just pathologized grief. An objective look shows it's not quite so simple.
If you feel unprepared to clinically encounter someone hearing voices, remembering not bluntly to ask these three reflexive questions can help.
It may sound a lot like borderline personality, but think again.
Constitutional psychopathy is an old term with some modern relevance.
Ever wonder why some people's anger continues to seethe, despite all their anger management programming? There's likely more than anger at hand.
What happens when someone is consumed by what began as adaptive, protective functions? Learn how psychological defenses can help us weather problems, or create their own.
Personality disorders are often baffling, but we can better understand them by simply knowing the lens through which people with these disorders view life.
Kids "acting out" may swiftly attract disruptive disorder diagnoses. Asking what is being acted out and observing diagnostic protocol can make you reconsider their accuracy.
Think gender should be a deciding factor of personality disorder diagnoses? Think again.
Three little phrases could be standing in the way of a better therapeutic alliance. Up your helper communications game by avoiding these repelling comments.
Not all splitting is malignant, nor is it safe to assume pathological splitting indicates borderline personality disorder.
Learning not to take challenging behavior personally and maintaining clear boundaries sets the stage for successful work with demanding personalities.
Infantile personality is no longer a common term, but you may have encountered this curious subtype of the histrionic.
Many personality disorders, even some that appear to have nothing in common, co-occur and play surprisingly well together. How does this happen?
Effective clinical encounters with personality disorders require special considerations. Dr. Joseph Shannon, a 40-year veteran of personality disorder work, shares five essentials.
Many personality disorders are not included in the DSM. Perhaps the most obscure of these is the hypomanic or exuberant personality.
Depression sidelines some people in the winter. Referring to them as having seasonal affective disorder may represent a misunderstanding of seasonal moods.
Many peripartum women experience at least some scattered depressive symptoms. Sometimes, it becomes major depression, bringing unique challenges to mothers and therapists alike.
What do you call it when major depressive disorder gets energy, rapid thoughts, and scattered affect? Give up? Mixed features.
Catatonic states are common in mood disorders, but often unnoticed. Identifying major depression with catatonic features takes a trained eye and could be a lifesaving observation.
Not every depressive spell is totally sad, agitated, and sleepless. Mood reactivity, leaden paralysis, and hypersomnia are atypical features, highly associated with bipolar disorder.
Melancholic features is the darkest form of major depression. Learn how it differs significantly from other forms of major depression, and the unique treatment it often requires.
It is no secret that depressive and anxiety disorders often co-occur, but did you know that some people develop anxiety specific to Major Depressive Disorder?
Hallucinations and delusions don't always mean schizophrenia; about 20% of people with major depressive disorder can become psychotic during an episode.
Major depressive disorder can manifest with eight subtypes, adding challenges to identifying and treating the condition.
People with delusional disorder can hide in plain sight, despite experiencing psychotic symptoms. Is it possible to tell the difference between "quirky" ideas and actual delusions?
Differentiating psychotic disorders doesn't have to be confusing. Attention to symptom context and duration helps clinicians diagnose and treat patients.
There is more to psychosis than hallucinations and paranoia.
Anthony Smith, LMHC, has 22 years of experience that includes the roles of therapist, juvenile court evaluator, professor, and counseling supervisor.