Anxiety

Hoarding: Compulsion or Addiction?

The topic of compulsive hoarding has garnered much attention in recent years in the mainstream media.  Compulsive hoarding has been likened to addiction in some discussions of the problem, yet they are very different constructs.  Let’s take a look at the what we know about the similarities and differences in order to answer the burning question of why can’t someone clean a hoarder’s home for him/her. For brevity’s sake, let’s...
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Anxiety

Buried in Stuff: Understanding Compulsive Hoarding

WHAT IS COMPULSIVE HOARDING?

Compulsive hoarding is a disorder that involves the accumulation of belongings to such an extent that the resulting clutter renders parts of the living space unusable.

WHAT ARE THE SIGNS/SYMPTOMS OF COMPULSIVE HOARDING?

The acquisition and failure to discard a large number of items/possession that are considered by most to be of little or no value
These possessions clutter the living space, rendering the space unable to be used in...
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Cognitive Behavioral Therapy

Effective Mental Healthcare for All: Improving Mental Health Disparities

With the growing diversity of the population, it is imperative that we, as mental health treatment providers, are culturally aware and competent in providing the best possible evidence-based healthcare.

This post is Part 2 of 2 in which Dr. Chapman discusses healthcare’s responsibility to our changing community. Part 1 can be found at: What are Mental Health Disparities?

I am pleased to welcome back Clinical Psychologist, Dr. L. Kevin Chapman, who serves as...
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Cognitive Behavioral Therapy

What are Mental Health Disparities?


With the growing diversity of the population, it is imperative that we, as mental health treatment providers, are culturally aware and competent in providing the best possible evidence-based healthcare.

I am pleased to welcome Clinical Psychologist, Dr. L. Kevin Chapman, who serves as Associate Professor, and Director of the Center for Mental Health Disparities at the University of Louisville. Dr. Chapman is an expert in evidence-based psychotherapy practice and focuses his...
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Anxiety

Managing Stress in a Tough Economy

80% of Americans on the East Coast identify money as a significant source of stress in their lives, according to the 2011 American Psychological Association, Stress in America Survey.

And, while the economy, housing market, and job markets remain significant concerns for many, personal finances remain the most common concern for a large extent, our lives revolve around money; it determines our housing, our schools, our clothing, our meals, our self-care, anour entertainment. It...
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Cognitive Behavioral Therapy

Case Files: Sara and her Hair Pulling (Trichotillomania)

Sara pulls the woven, green hat from her head to show her nearly bald scalp, with only a few tufts of long, thin hair surrounding her crown. Sara has trichotillomania. She pulls her own hair out.

This is not the first time I met with Sara. In fact, we’d been working together for months, but this is the first time she felt comfortable enough to show me what she’s done to herself.“This is where I pull...
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Emotional Health

When Infection Triggers OCD


In 1998, Dr. Susan Swedo, a researcher at NIMH, first described in the scientific literature a subtype of OCD in which children demonstrated an abrupt onset of neuropsychiatric symptoms (OCD, tics, ADHD-like symptoms, anxiety) with a “saw-toothed” course, preceded by streptococcal infection.  This syndrome was termed PANDAS, Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.  In PANDAS, the body’s immune system is over-reactive to strep bacteria, leading to psychiatric and neurological symptoms.  Dr. Swedo...
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Emotional Health

Sensationalism at its Best: Psychiatric Illness on TV


Let's face it; people are drawn to television programming that evokes emotion.  Whether it's a love story, action film, comedy, or a heart-wrenching drama, we are drawn to watching the emotional experiences of others. Sometimes, watching these illustrations of life serve as a means of fantasizing, sometimes escape and wonder, sometimes amusement; and always an experience of emotion in response to what we see.  We naturally attempt to relate or empathize with the characters...
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