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Thursday, September 29, 2011

Mental and Emotional Health on The Decline

Is Mental and Emotional Health Improving?  I think not.  Judging by the explosive growth of the use of pharmaceuticals in treating mental health and emotional issues, reports from College campus counseling centers, the reported drain on services of Community Mental Health Centers and the rising numbers of severe mental health issues found in our incarceration facilities mental and emotional health is more than likely decreasing.

Given that as a society we are even more connected and more tuned in electronically, how could this be happening?  I believe the answer lies in some basic concepts and understandings gleaned generally from Behavioral Psychology and Clinical Behavioral Analysis in particular.

Lets start with a basic understanding of a few terms or principles.  The first is ratio strain (RS).  RS is a term that comes from researchers in the field of experimental analysis of behavior and refers to a phenomenon discovered while researching schedules of reinforcement.  In essence it was found that when animals were asked to produce too much behavior for too little reward, emotional responding appeared where the animals were observed to apparently be frustrated and angry based upon their levels of acting out and aggressive behavior.  The definition of ratio strain is now the “Disruption of operant responding when a ratio schedule is increased rapidly.”  Take my word for it, too much behavior being asked for in a context of too little reward.  Something you may have recognized in your life at some point?  A normal thought you may have had during that moment was that the people around you were taking you for granted; that you were doing more and being noticed for it less.

The second term important to understand is Behavioral Activation (BA).  BA refers to a third generation behavior therapy where the goal is to increase the amount of reward or reinforcement a person receives in their environment while simultaneously reducing the punishment they currently receive.  In other words the idea of BA is to help people get more of the things they want, desire or appreciate and to also reduce the amount of pain, struggle, stress, or frustration they experience.

Given an understanding of these two terms one can easily see how our current lifestyles, and the speed at which we live them, could naturally result in an over-all decrease in our mental and emotional health.  For those fortunate enough to benefit from the speed and who report a great deal of reward, good for you.  No one should begrudge anyone for having a fulfilling and rewarding life; that is something we all strive for. 

For those not so fortunate, morning eventually arrives and the struggle continues.  At some point many make successful choices and the context of their lives change for the better.  For others, over time, things pile up and mental and emotional health decreases even more.

Friday, September 23, 2011

Lesbian Identity Development

One of the most prolific area's written about in the popular press today is sexual identity, sexual orientation and sexual preference. When a women identifies herself as female with a sexual preference for other females she embarks on a journey of self discovery that often results, if successful, in acceptance of a Lesbian Identity or role. Due to a myriad of public and family ridicule, the journey is often confusing and tumultuous. While the exact mechanism involved in choosing ones sexual preferences has yet to be fully explained, there is no doubt among professionals that it is not a choice in the standard sense of the term. One is either attracted to members of the opposite gender or the same gender. A few are attracted to both and a very few to neither. The purpose of this post is to outline the development of lesbian identity and the various phases women often go through on their way to successfully attaining a healthy identity as lesbian.

McCarn and Fassinger (1996) developed a four stage model of lesbian identity development that is currently regarded as the strongest prevailing explanation of this journey of self discovery.  This theory incorporates both stages in the individual journey as well as speaking to the issues involved in being part of a marginalized minority group.  Stages as used here refer to a sequential developmental trajectory that a women may move both forward and backwards through time; it best reflects a lifelong journey affected by social and political contexts over time.

"Awareness" is the first stage and is generally regarded as a time of feeling different.  An awareness develops that there are variety of sexual orientations possible and one is not limited by a heterosexual orientation.  There is no indication of an age range for this stage and it is possible that awareness can and does occur at any age.

The second stage is termed "Exploration" and involves an individuals consideration of their relationship, both emotional and physical, with other lesbians.  This includes attraction to other females as well as ones possible membership in the lesbian and larger gay community.  Self questioning might include issues related to both emotional and physical intimacy with other women as well as the social meaning of identification with the LGBT community on the whole.  Exploring social opportunities within the lesbian community or experimentation with a lesbian partner may begin here.

A "Deepening/Commitment" phase can then follow as the third stage.  Here, as the name implies, a greater appreciation and understanding begins to develop and pride emerges as a women begins to fulfill who she feels she was meant to be.  Anger is also possible related to the natural despair that can follow with the realization that prejudice and discrimination can come with such identity.  For many women, especially those with a valued public identity to lose, important questions regarding "coming out of the closet" now get scrutiny.  Many are now forced to accept an underground identity wavering between the relief of fulfillment and the fear of public discovery.

The final stage is termed "Internalization/Synthesis" and it is here that a deeper identification is formed with ones sexual orientation and other aspects of ones life and identity.  The direction of visualization changes from a person looking inward towards a new orientation and fulfillment as a lesbian towards a outward view of a full fledged member of the lesbian community looking at a society not yet fully ready to accept her with the same tolerance as if she was heterosexual.

Keep in mind that a women moves through these stages within her own time frame which is also sensitive to the opportunities of lesbian social contact in her environment and the quality of the emotional and physical relationships she develops; the same as if she was heterosexual and learning to navigate the trials and tribulations of that world.  In essence some of these stages may be mastered within a short time frame while others may take years.  And stepping back, to a previous developmental stage, is always possible.  For some, development may arrest at stage three while others may halt their development at stage two or even stage one.

Anywhere along this developmental trajectory, informed and competent psychological help and support can be beneficial.


Online Therapy

ONLINE THERAPY; We recognize that actually getting to an office for face to face therapy is often a hardship in today's world.For years psychological research had suggested that in person, face to face therapy was the only viable option for competent psychological assessment and treatment. With the advent of faster computer processing speed, more reliable internet connections and better webcam technology all that has changed; eTherapy is now a reality. You can speak with your Psychologist in real-time, enjoying all the normal visual cues of a positive relationship while remaining at your home or office. Online Therapy or Mental Health Therapy via Webcam or Online Mental Heath Therapy, whichever phrase your prefer, is quickly becoming mainstream.

For years numerous groups of individuals have been denied access to competent psychological care simply because they could not travel to an office setting or did not have licensed psychological care in their area. All that has changed. Contact Dr. Conlin today to find out how you can fully participate in Real-Time Mental Health Counseling Via Online Counseling from your location. Dr. Conlin's services are reimbursable by many of the largest insurance carriers in the USA. Email him to find out more and get the help you need starting today.

To learn more; http://www.apa.org/monitor/2011/06/telehealth.aspx

Tuesday, October 12, 2010

Real-Time Video Therapy Via Online Webcam


ONLINE THERAPY; We recognize that actually getting to an office for face to face therapy is often a hardship in today's world.For years psychological research had suggested that in person, face to face therapy was the only viable option for competent psychological assessment and treatment. With the advent of faster computer processing speed, more reliable internet connections and better webcam technology all that has changed; eTherapy is now a reality. You can speak with your Psychologist in real-time, enjoying all the normal visual cues of a positive relationship while remaining at your home or office. Online Therapy or Mental Health Therapy via Webcam or Online Mental Heath Therapy, whichever phrase your prefer, is quickly becoming mainstream.

For years numerous groups of individuals have been denied access to competent psychological care simply because they could not travel to an office setting or did not have licensed psychological care in their area. All that has changed. Contact Dr. Conlin today to find out how you can fully participate in Real-Time Mental Health Counseling Via Online Counseling from anywhere in the world. Dr. Conlin's services are reimbursable by many of the largest insurance carriers in the USA. Email him to find out more and get the help you need starting today.

Friday, October 24, 2008

Freedom To Act: Making Self Awareness Work For You




There are easily millions of important Life Skills that are not taught in school or by your parents. One of these is Emotional Self Control. You can run over to your favorite book store and and find hundred's of self help books on not letting others control your emotions (Co-Dependency) but my experience has been that this particular life skill can be reduced to three basic abilities in the form of questions;

1. Asking yourself at various times throughout the day, "How am I doing?" What this refers to is having some type of emotional gauge or reading as to your current emotional state; happy, sad, neutral, etc. Also known as one element of self awareness. People high in this ability are known as being skilled in self observation.

2. Asking yourself "Why is it this way?" In other words why am I feeling what I'm feeling at this particular moment in time? Or, how did I get here? This question becomes especially important if you're feeling good, strong or some other positive emotion. Knowing how you ended up feeling good can be very helpful in reproducing it later when you're not feeling so good. Feeling good is no accident! It results from both your actions and the responses of others.

3. If I'm not feeling so good emotionally, "what can I do to get back to at least neutral if not positive?" Seems basic to me that none of us has to remain in a negative emotional state unless we want to for some reason. How we feel is our choice. Sure, there are events or circumstances in life that are going to do a real number on us as far as emotional upset goes. No need to list here the multitude of things that are bad in life or that we will all face from time to time. The important thing though is that we can alter our emotional state of our own choice, making us free to act as opposed to simply react.

If you see that many of your actions in life are impulsive or simply reactions maybe you want to make a change? We can help. Email me and I can explain how.

Monday, October 20, 2008

Employment Law: When To See A Psychologist & Why


The situation you never expect has happened; your boss or supervisor, who is also your lover, decides it's time to remove you from the payroll or it's clear to you he/she will do so if you fail to continue to comply. So much for the great job that provided the necessary security for you and perhaps for your family.

Clients often wonder why they need to seek the help of a psychologist when what they really want at that point is legal help and advice. The answer is simple. No one is suggesting that you're crazy or need treatment for a mental health problem. You do however need support to deal with the fear and loss and you need to be able to show the negative effects that the situation had upon you should you have legal recourse. Now you find yourself a victim which can produce depression and severe anxiety.

On top of this your life begins to revolve around your legal status as you battle for justice and as anyone who's been involved in legal action can attest too, not many days go by where you are not thinking about or kicking yourself over the situation and how poorly and unfairly you were treated.

As a treater and expert witness in both State and Federal courts I've handled multiple sexual harassment and gender bias cases, both for plaintiff's and defendants. I know first hand the benefits of having trained help and support as you travel through the legal system. The goal in almost all cases is simple; find a way to go from victim to survivor as well as finding a way to go on with life as the case seemingly takes forever in the courts.

If you find yourself in one of these unexpected and tragic situations do not hesitate to seek professional help and support. Your Attorney may recommend you do this (good attorney's do) so follow his or her advice and make the call today. Sexual Harassment has been around since women entered the workplace and it is also an issue for men now. There is really no need to suffer in private.

Wednesday, October 8, 2008

Dr. John M. Conlin, Licensed Clinical Psychologist



Dr. John Conlin & FAQ'S - What is a Clinical Psychologist?


A Clinical Psychologist is an individual who has earned a doctorate in psychology and whose training is in the assessment and treatment of psychological problems.

Clinical Psychologists have completed a 4 year graduate program specializing in Clinical Psychology. In addition they are required to complete a one year pre-doctoral residency (often in Hospitals or other health care settings) under the direct supervision of licensed psychologists as well as completing and successfully defending a dissertation (some type of scientific research complete with a scholarly written report of all findings).

Once completed they then have the additional requirement of completing a one year post-doctorate year of supervised work and upon successful completion of that year they then are required to pass a State Licensing examination in order to acquire the title of Licensed Clinical Psychologist and to be eligible for third party reimbursement from their patients health insurance carriers.

Clinical Psychologists receive more specialized training and are required to participate in more supervised clinical experiences then any other professional in the field of counseling and the treatment of psychological or psychiatric disorders. Clinical Psychologists are not only treatment providers but they are also recognized scientists in the study of human behavior.


-What Do Psychologists Do and Where They Do It (Adopted From APA.ORG and their position paper on careers in Psychology)?

Psychology is an extraordinarily diverse field with hundreds of career paths. Some specialties, like caring for people with mental and emotional disorders, are familiar to most of us. Others, like helping with the design of advanced computer systems or studying how we remember things, are less well known.

What all psychologists have in common is a shared interest in the minds and behaviors of both humans and animals. In their work, they draw on an ever-expanding body of scientific knowledge about how we think, act, and feel, and apply the information to their special areas of expertise.

In addition to their particular mix of science and practice, psychologists can be distinguished in terms of where they work. Many psychologists work in more than one setting. For instance, college professors often consult for industry or see clients on a part-time basis. Although it's possible to identify a host of different work settings, for the purpose of this booklet, we'll consider some of the most prominent examples.

Psychologists Conduct Research

Many psychologists conduct research that runs the gamut from studies of basic brain functions to individual behavior to the behavior of complex social organizations. Subjects of such scientific study include animals, human infants, well-functioning and emotionally disturbed people, elderly people, students, workers, and just about every other population one can imagine. Some research takes place in laboratories where the study conditions can be carefully controlled; some is carried out in the field, such as the workplace, the highway, schools, and hospitals, where behavior is studied as it occurs naturally.

Much of the laboratory research is conducted in universities, government agencies (such as the National Institutes of Health and the armed services), and private research organizations. Whereas most psychological scientists are engaged in the actual planning and conduct of research, some are employed in management or administration—usually after having served as active researchers.

Psychologists Study Social Development

Developmental psychologists study the many behavioral and psychological changes that occur throughout the life span.

Psychologists Help People Learn

Psychologists provide a number of services—both direct and indirect—to children, youth, and families in schools at all levels, from nursery school through college. Many focus on improving the effectiveness of teaching and student learning, frequently by studying motivation and cognitive processes in the classroom.

School psychologists also provide counseling and crisis intervention services. They help students with learning or behavior problems, learning disabilities, and cognitive deficits. They work with students in schools to prevent violence and other disruptive behaviors. They also serve on interdisciplinary teams that develop individual educational plans for students with special needs. Psychologists work within specialty areas of learning, too, such as the arts and sports.

Psychologists Promote Physical and Mental Health

Psychologists as health providers span a large and diverse spectrum of subfields. Some psychologists work alone, with patients and clients coming to the psychologist's office. Others are involved in health care teams and typically work in hospitals, medical schools, outpatient clinics, nursing homes, pain clinics, rehabilitation facilities, and community health and mental health centers.

Increasingly, psychologists in independent practice are contracting on either a part-time or a full-time basis with organizations to provide a wide range of services. For example, a psychologist can join a health practice and work with a team of other health care providers, such as physicians, nutritionists, physiotherapists, and social workers to prevent or treat illness. This team approach, which is likely to become more common in the future, frequently includes efforts to change unhealthy behaviors and ensure that patients follow the recommended treatment. The team also helps patients cope with stress.

Psychologists also instruct students who are training to become health care professionals, such as physicians and nurses, about the psychological factors involved in illness. And they advise health care providers already in practice about the psychological bases of some illness so that symptoms that are psychological in origin can be better diagnosed and treated.

Psychologists Study and Contribute to the Work Environment

Anywhere people work, and anything they do while at work, is of interest to psychologists. Psychologists study what makes people effective, satisfied, and motivated in their jobs; what distinguishes good workers or managers from poor ones; and what conditions of work promote high or low productivity, morale, and safety.

Some psychologists design programs for recruiting, selecting, placing, and training employees. They evaluate, monitor, and improve performance. They help make changes in the way the organization is set up.

Others help design the actual tasks, tools, and environments with which people must deal when doing their jobs. These specialists can also help design the products that organizations turn out and conduct research related to product design. For example, they play a big role in making computer hardware and software more user-friendly, which in turn contributes both to operator performance in the workplace and product acceptability in the marketplace.

Psychologists with training in mental health and health care also deal with the health and adjustment of individuals in the work setting. They work with employee assistance plans that provide help with drug or alcohol addiction problems, depression, and other disorders; they also foster healthy behavior.