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The Challenges of Working with Suicidal Teens

Best Practices for When Work Becomes Dramatic and Unpredictable

Matthew Selekman • 9/29/2017 • 2 Comments

By Matthew Selekman - Working with self-harming teens often seems like riding a runaway roller coaster, which keeps threatening to go off the rails altogether. To succeed, you have to be highly flexible and able to turn on a dime, as the circumstances demand.

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A Week in the Life of a School Social Worker

The Challenges—and Rewards—of Work in an Inner City School

Howard Honigsfeld • 9/26/2017 • No Comments

By Howard Honigsfeld - Public School 48, where I’m on staff as a social worker, sits on a block between a juvenile detention center and a strip club. A week of work can be exciting, frustrating, and often hair-raising—anything but boring.

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How to Develop a Safety Plan with Suicidal Clients

A Process of Inquiry That Promotes Empathic Connection

Douglas Flemons • 9/19/2017 • No Comments

By Douglas Flemons - Suicide assessment is a high-stakes process infused with uncertainty. However, even the best scales can be unreliable when they’re completed in the midst of an emotional crisis. Rather than outsourcing your decision-making to an instrument, it's important that therapists learn how to conduct a conversational evaluation that builds on their therapeutic skills.

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Pinpointing Suicidality with Brain Science

Can the Brains of the Dead Give Hope to the Living?

Charles Barber • 9/12/2017 • No Comments

By Charles Barber - For the last three decades, Victoria Arango has been studying the brains of people who committed suicide, and has discovered that the biochemistry of their brains differs significantly from that of people who don't commit suicide.

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Coping and Learning After a Client's Suicide

A Therapist Reflects on What He Might Have Done Differently

Frank Pittman • 9/7/2017 • 2 Comments

By Frank Pittman - I've been in full-time private practice for almost 30 years. In that time, three patients in my practice killed themselves. Each suicide has left me shell-shocked and questioning my therapeutic attitudes and methods. I did not expect Adam to be one of my casualties.

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Is Teen Suicide Contagious?

Clinicians Weigh in on the Controversy around 13 Reasons Why

Chris Lyford • 7/24/2017 • No Comments

By Chris Lyford - 13 Reasons Why has become one of Netflix’s most watched features, in part for how it confronts the subject of young adult suicide. But the notion that it glorifies self-harm has led suicide-prevention agencies, school boards, and therapists to speak out.

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Inside the Asian Immigrant Experience

Dealing with Ongoing Discomfort as a Perpetual Outsider

Tazuko Shibusawa • 6/6/2017 • No Comments

By Tazuko Shibusawa - I was born in Japan, but spent my earliest childhood years in Michigan with my family. Since World War II, the image of Asians as a model minority has held, with increasing numbers of immigrants from all over Asia. But we Asian Americans are under tremendous pressure to prove ourselves, and we continue to be on guard against outbreaks of racial hatred.

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Diagnosing and Treating Subtle Bipolar II

A Perspective on "Depression Plus"

James Phelps • 5/1/2017 • 1 Comment

By James Phelps - Treatment for bipolar disorders used to focus on medication, but like many other mood specialists, I’ve found that most clients don’t get the help they need with medication alone, or even with established therapy approaches in combination with medication. Instead, a combination of new, lesser-known therapies plus medications has been shown to produce substantial gains in mood stabilization and daily functioning.

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Therapists Answer The Millennial Question

Are Today's Young Adults on the Brink of Crisis?

Chris Lyford • 3/17/2017 • 1 Comment

By Chris Lyford - A recent interview with leading TED speaker and business consultant Simon Sinek has gone viral, with more than 5.7 million views on YouTube. But is its core message—that Millennials are facing a mental health crisis of mammoth proportions—really true?

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When Depression Runs in the Family

Being Haunted Isn't the Same as Being Cursed

Martha Manning • 2/9/2017 • No Comments

By Martha Manning - My family is haunted by depression. My mother can trace it back in her family at least six generations. When it hits, it hits hard. My own battle with depression has focused on developing an understanding of the commonalities I share with my mother and grandmother, appreciating aspects of our shared legacies as some of the things I most valued in myself. Being haunted is not the same as being cursed.

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