Treatment Articles

Setting Goals and Meeting Them – Tips on How to Manage Your Anxiety and Achieve

Wednesday, March 13th, 2013

goalscrpdLife is about moving forward.  Even when we feel stuck or not capable of progress in our personal, or professional life, it’s important to make goals.  When we do that the challenge becomes meeting those goals.

First and Foremost, Acknowledge Your Anxiety

Often times anxiety impedes our ability to reach our goals.  We get anxious at the thought of the work that goes into reaching our goals, or we can feel overwhelmed.  Fear of failure also plays a role in stopping us from achieving.  Don’t be afraid to fail. I once heard a great saying: “Do it, and do it wrong.”  We only learn from our mistakes, and they only shape our ability to achieve that much more.  You only fail when you don’t try.  To quote Bazooka Joe, “If at first you don’t succeed, you are doing it wrong!” Learn from your failures, and you will be that much closer to conquering your missions.

Here are some tips on how to help keep moving forward and make your goals a reality:

  1. The List – Write down your goals.  Whether they are big or small, make a list and put it somewhere visible so you are reminded every day what your mission is, and once you accomplish it, cross it off.  I prefer a Sharpe pen to really make it permanent and it feels good to draw a dark line through it.  Did it, done, next!
  2. Prioritize your goals – You should try and have a short term list and a long term list.  For example, write down what you want to accomplish for the day.  Make a separate list for the month.  And another for the year.  Make a list for where you want to be in five years.  Don’t think you have to limit yourself when you organize your lists.

4 Weight Gain Worries – When Enough is Enough

Wednesday, February 27th, 2013

weightcrpdWe all suffer weight gain, and weigh loss.  Particularly when we have to face side effects that alter our comfortable body weight.  Sometimes the meds we take for depression can cause weight gain which can back fire on you and cause you more depression.  Often times the weight seems to appear overnight.  The side effects seem to hit instantaneously and you wake up to a new body.  And it can happen with or without side effects from meds.

I’ve suffered weight gain from lithium and it was rough.  I told my shrink I’d rather be skinny and crazy then fat and sane, and I meant it.  I think back to that time and laugh at the signs that drove me over the edge. We all have areas in our body that we know will gain weight.  Stomach, thighs, hips, ass.  Depending on where you tend to carry your weight, we can be used to knowing what certain areas are at risk.  But, sometimes other unknown areas are affected and it can be troubling, or scary.  You are swimming in unchartered waters which can be hard.  Hard fat is hard knocks.

Here are some signs to consider when enough is enough: Hands, Feet, Neck and Face.


NOS – Not Otherwise Specified

Wednesday, February 27th, 2013

depressedcrpdRecently I’ve been rethinking my stance on diagnosis that tag on NOS, for example, Paranoid Schizophrenia NOS or Major Depression Disorder NOS. 

When I used to work in psych wards in Los Angeles County, it used to irk me that the treatment team would throw out diagnosis left and right with NOS for either they didn’t have to time to properly diagnose patients cause the hospital was a rotating door, OR, they don’t know enough about mental illness to properly diagnose someone so stick on the NOS to be safe.  It annoyed me on multiple levels cause once a person has an Axis I diagnosis it’s documented in a system.  Patients would come and go and float from hospital to hospital and when I would pull up their name in the system the patient would have several different diagnosis NOS…NOS…NOS. 


Self-Diagnosis & Miss-Diagnosis: A Cautionary Tale

Tuesday, January 15th, 2013

self diagnosisSome people diagnose themselves before they get professional psychiatric help.  I did, and society influenced my “self-diagnosis.”  Just like PE class for children’s physical health awareness, it is crucial to teach mental health diagnosis in schools instead of using buzz words like ADHD and jumping on a bandwagon that might not be yours.  I thought I was ADHD because I didn’t know there was such a thing as Bipolar II – Chronic Hypo Mania.  Big difference.

Here are some red flags to consider when you self-diagnose and/or miss-diagnose:  


Connecticut Shooting: A Closed Door Meeting on Mental Health Awareness

Thursday, January 3rd, 2013

closed door meetings about gun controlRecently I’ve wondered what kind of discussions are going on behind closed doors at the White House, in Congress, and the Senate, with regards to the shooting that happened in Connecticut.

Once again, how it is possible to focus on gun control when the root of the problem of shooters in our past, and of late, is mental illness? 

Like most things in life, it probably comes down to one thing: MONEY

How much money would it take to educate the American people on mental illness? 

What steps would be necessary to pursue education and provide better mental health care programs and treatment for those that suffer from a mental illness?

I imagine a closed door discussion on mental health awareness going as follows:

“We can’t afford to put mental health on the table when discussing the shooting because we don’t have the funds to start addressing this matter.”

“Yeah, you’re right.  Besides, most people are either clueless to mental health issues or scared so if we start talking about it we might find questions with no answers or solutions.”


Honey Boo Boo What? – Body Image, Weight and TLC (The Learning Channel)

Wednesday, October 24th, 2012

kids body imageTLC’s reality show, “Here Comes Honey Boo Boo” features a reality star with a refreshing look into weight gain and body image.  And it comes from a child named Honey Boo Boo.  

Honey Boo Boo is one of the only females in modern day society that is actually embracing her fat, full throttle, at the ripe young age of a seven-years-old.

If you haven’t heard already, Honey Boo Boo is a reality star that got her fame from participating in beauty pageants.  She is a pioneer of loving herself despite her fat. One episode Ms. Boo Boo actually pulls out her stomach fat and says straight into the camera:

“The judges don’t know a good thing when they see it!”


Do You Know How to Read? – Unique Symptoms of Your Mental Illness

Tuesday, October 2nd, 2012

how do you readIt seemed like a ridiculous question during my first psych assessment with a psychiatrist.  I was a Columbia University graduate with a BA in English, “Yes, of course I can read.”  But, when I stopped to think about it, the question wasn’t can I read but how do I read.


The Politics of Mental Illness: Inpatient Psych Wards Revealed

Monday, September 24th, 2012

politics of mental illnessThe current state of our treatment of the mentally ill in some inpatient psych wards is not acceptable. And those that “whistle blow” on pertinent issues and concerns surrounding our treatment of the mentally ill, and get disciplined for it, point to a real problem:  What are they hiding?

Today I’m going to address three significant issues I witnessed in acute inpatient psych wards:


Am I a Pharmaceutical Guinea Pig? – Longer term side effects of a pill that works for you now

Tuesday, September 11th, 2012

pharmaceutical guinea pigThere was a patient in a psych ward I worked with that refused to take her meds.  A lot of my patients refused meds but this particular case haunts me every now and again.


Honesty in Therapy and Your Pocketbook

Monday, September 10th, 2012

honesty in therapyIt can be challenging to find, select, & stick with a therapist, especially when issues arise regarding problems between you and your therapist that you are not willing to discuss with him or her openly.


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