crisis prevention

Crisis Prevention

Crisis prevention is a great goal, but it sometimes seems like the goal is always moving ahead into a cloudy future.  How can we get crisis prevention into our action planning right now? First, think ahead.  Any big changes coming up? Starting school, kids starting school, travel, new job, new home.  These are the kinds of changes that can be …

Instagram Photos Reveal Depression

Smartphones are collecting information about us all of the time. As we post pictures and text online what are we revealing about how we feel, our moods over time? This is a Brave New World for those who created online services that are designed to substitute for, or enhance, our everyday, in person lives. A study published in March of …

Distress Tolerance

In A wonderful young woman we have been seeing for a few months asked for some recommendations for skills to help her deal with her experience of moments of overwhelming negative emotions that often seem to come out of nowhere. This post is a relatively quickly pulled together document derived from Marsha Linehan’s Dialectical Behavior Therapy. Think of it as a “draft” …

“Hitting Bottom” and Substance Abuse Recovery

I’ve always been a bit ambivalent about the idea that sometimes, an alcohol or substance abuser needs to “hit bottom” before they can get well. For one thing, there aren’t that many people in our practice who have decided to stop drinking or using drugs as a result of a classic “hitting bottom” experience. For another thing, the whole idea …