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The Age of FoMO

Our Brains on 24/7 Alert

July/August 2017
Our compulsive use of digital devices is best understood as the result of their ability to tap into a deep anxiety in the human psyche about “missing out.”

Editor's Note

July/August 2016
Today, with all the presumed advances therapists have made in reducing mental suffering from previously untreatable conditions, is there a solution, a cure, a fix for OCD? As with so many difficult emotional conditions, the answer is far from simple, not least because OCD appears to bear a strong genetic component. Still, we have more knowledge about how to recognize it, and how to distinguish it from other conditions that it often mimics, including PTSD, depression, and even psychosis. More importantly, many specialists working with OCD employ some variation on what two authors for this issue, Martin Seif and Sally Winston, call “upside-down therapy,” an approach that seems to break, or at least bend, the rules of what many of us have been taught is good clinical practice.
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Upside-Down Psychotherapy

Breaking the Rules with Our OCD Clients

July/August 2016
It’s now clear that much of what therapists do for people suffering from OCD actually worsens the problem. Providing empathic reassurance, rational disputation, and coping skills to manage anxiety only serves to refuel the obsession. So how do you avoid the dead end of co-compulsing with your clients?
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OCD and Children

It’s a Family Affair

July/August 2016
OCD in children can operate like a kind of cult leader, demanding acceptance of an extreme view of a perilous reality and offering solutions that can’t be resisted, no matter how absurd they may sound. Given the overwhelming fear and worry the condition generates, falling in line with the cult leader can seem like the best strategy—except that it doesn’t work.

Bookmarks

Lost in the Maze: Finding the exit from OCD

March/April 2015
Review: The Man Who Couldn’t Stop: OCD and the True Story of a Life Lost in Thought

Finding an exit from the bewildering maze of a disorder that confounds many clinicians.

The Mindfulness Explosion

The Perils of Mainstream Acceptance

January/February 2015
By replacing the exotic aura of spirituality with the language of science and a down-to-earth self-help approach, mindfulness has brought practices once considered New Age hokum into mainstream acceptance. But as it increasingly becomes a product to be sold in the marketplace, does it risk losing something vital to its transformative power?

In Consultation

The Many Guises of OCD

November/December 2014

Enduring recovery from obsessive compulsive disorder means riding out the demands of an inner bully.

Falling in Love Again

A Brief History of Psychoactive Drugs

July/August 2014
Over the last 150 years, we’ve seen waves of mass infatuations with psychotropic drugs—antidepressants being the latest. While all these drugs are different, their story arc seems to follow a predictable course.
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The Anatomy of a Psychiatric Consult

Solving the Puzzle

July/August 2014
For many therapists, an air of mystery surrounds the role of psychopharmacology in mental health treatment. Here's a step-by-step tour of the complexities of the psychiatric consultation.

The Cult of DSM

Ending Our Allegiance to the Great Gazoo

March/April 2014
Labeling clients with DSM diagnoses is a ritual most of us perform to get reimbursed and pay our mortgages, but few of us actually believe in. Has the time finally come for us to take our dissatisfaction with the DSM seriously and turn it into something more than a bitter complaint?
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