The COVID crisis throws into relief what happens when grief has—quite literally—nowhere to go. The evidence suggests that most people summon strengths that surpass their own expectations.
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Keeping Steady on Life’s River of Stress
Michael S. Scheeringa M.D.
Voluntary implementation of measurement-based care has hit a wall. An alternative that seems to work better is involuntary implementation.
Missing the diagnosis of PTSD is a common problem for clinicians. Patients and not-yet-patients can also contribute to the problem.
Types and tips: The types of mental health providers and tips on how the find the right kind for your particular needs.
Confused about the right treatment for children with PTSD? Here is clarification about the research evidence and some confusing claims.
6 reasons why play therapy may not be ideal for kids dealing with trauma.
Does trauma change your essential personality? Two recent films present different views on the impact of trauma on character and morality.
What’s new in trauma and PTSD research? If research is to be more than an exercise of confirmation bias to support belief systems, the wheat needs to be separated from the chaff.
Clinic data show what percentages of psychotherapy patients can change in less than three months, between three and 12 months, and longer than 12 months
Three steps to finding and changing automatic negative thoughts.
Eight steps to good in vivo exposures for PTSD using structure and a systematic plan.
Is exposure therapy the best treatment for PTSD?
The tension between fidelity and flexibility: Is it manualized protocols or therapists that need to be flexible?
On the importance of structure in psychotherapy. How can you tell if your therapist is good?
Achieve insight into your unconscious, figure out your life path, sort through life challenges, or symptom reduction: What can you expect from therapy?
Most, but not all, clients show major improvement. Predicting response based on severity, complexity, motivation, and cognitive capacity is the next step for therapy.
Each approach to measure reductions of problems has its pros and cons, but measuring all of them for every patient would be overwhelming. Or would it?
Critics of CBT sermonize their gospels of private practice about why full CBT cannot or should not be done, yet we do it, and our data shows it works.
The half-hearted use of CBT techniques has been the main way CBT is practiced in the community. A few payers are getting serious about trying to change that.
Therapists should be more transparent with caregivers about a child's treatment.
Clinicians can be concerned about upsetting clients by asking about trauma, but the benefits of identifying PTSD outweigh the risks.
The calm after the storm may be the time of most risk to develop PTSD for young children who return to see their devastated homes.
New Orleans has joined the vogue of passing trauma-informed resolutions. Who does that really help?
We know that the events that cause PTSD are discrete moments of intense panic when individuals believe they or a loved one are about to die.
How can we comprehend such senseless acts of callousness and cruelty? Social media at the local level may be a key to prevention.
New advice on how to help children following a school shooting. Much advice found online is solid, but some appears impractical or counterproductive.
Five simple things you can do to take matters in your own hands.
Does a simple narrative explain many of life’s problems? Many trauma-informed care proponents are selling a narrative, not science.
Demystifying the obscure interviewing techniques of doctors and other clinicians: The “frame of reference” problem.
Clinicians miss the diagnosis in patients with PTSD approximately 90% of the time. Here are seven reasons why the diagnosis is under-recognized.
It is common to blame individuals for not seeking professional help, but it is likely not their fault. Mental health providers are more to blame for being poor at marketing.
Michael S. Scheeringa, M.D., is Professor and Vice Chair of Research for psychiatry at Tulane University School of Medicine.