Posts

confabulation

Is it narcissism or confabulation? It can be a difficult to tell these two apart as distinguishing sarcasm and “humorously delivered” criticism. Is a person deliberately lying when they confabulate? Here’s a quick definition of confabulate.

In the formal version, confabulate means to talk, with roots found in the words ‘fable’ and ‘fabulous.’ In the world of psychiatry, it means to fabricate imaginary experiences as compensation for loss of memory. This is common in alcohol induced dementias aka Korsakoff syndrome (a type of dementia often associated with alcohol abuse), but it also has been observed in cases of Alzheimer’s disease and frontotemporal dementia.

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your inner critic

What Is Your Inner Critic And Where Did It Come From?

To answer that, here is a story for you. Read more

sleep and insomnia

Word. This is the number one anxiety related sleep issue I hear about: “I wake up and can’t get back to sleep.” That is closely followed by: “I can’t get my monkey mind to stop at night when I am trying to get to sleep.” I am going to help you with both issues. It’s up to you to actually implement the help. Horses, water, drink…well you know the drill.

First we are going to get the blah, blah, blah, sleep hygiene talk out of the way. You have heard it all before, BECAUSE IT’S IMPORTANT, duh. If you can’t get these principles under wraps, you may as well stop here, even if I am going to give you some mostly secret knowledge later on.

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things your therapist wants you to know

As therapist, here are six things I want you to know. Some could be considered general life truisms, but they are also things that will help you progress more quickly if you choose to enter therapy.

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social anxiety

A concerned mother wrote and asked me for suggestions for her son who was in his first semester at college in a different state. She was feeling helpless from afar, and wanted to know how to advise him about his long-standing social anxiety and depression, which had flared in his new environment. This is what I told her.

Dear Worried Mom,

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talk therapy

What better time than the start of a new year to make change that can positively affect the rest of your life? Let’s assume you have made that brave decision, and talk therapy is part of your plan. What do you expect when you are expecting talk therapy? If you want to know how I do it, read on.

People that have never experienced talk therapy often feel a tad apprehensive about getting started. There are lots of reasons. Some wonder if it will do any good at all, and others have the odd fear they won’t be able to ‘do it right.’ Some people simply don’t know how it proceeds or what is expected of them, and they are anxious about that. Still others believe they will receive all the instructions from the therapist about how to change and be on their way—with no real understanding of the courage, persistence, and work that real change takes. And some believe a pill is the answer.

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vacations are important

What is the point of a vacation?

The easy answer is to get away from work and your daily routine. Perhaps it is to relax and unwind from daily stresses that accumulate over time, so much so that we are not even aware of the pile-up. But I think that taking time away from your daily routine makes you a better person for others. It creates the ability to be more ‘there’, more present, for others when you tend to your own spiritual garden. In other words, vacations matter.

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breath work

Most therapists who treat anxiety disorders will teach you breath work. They also call it diaphragmatic breathing or belly breathing. But I don’t think that many teach you why this is so important in managing anxiety.

Why does the why matter? Because if you understand a little more about the positive effect this can have on your body during panic and anxiety, you are more likely to use it.

There are three solid reasons to do breath work.

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focus with hypnosis

I use hypnosis in treatment when the client agrees it will be helpful. It is part of the sessions, not the entire content. In order to learn hypnosis, I trained specifically with different instructors who teach different methods. In this way I developed my own style. And I don’t care what you call hypnosis: mediation, guided imagery, or hocus-pocus, it works. When you focus with hypnosis, you are quieting and stilling the mind with a gentleness that allows the solutions already within you to surface.

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Don't give up

Do you like cheeseburgers? Boy I do, but I also like a lot of other foods. I don’t want to eat the same thing everyday. The same idea applies when you end up with a therapist who relies on just one approach to help you. Some forms of therapy demand a sort of “workbook-stick-with-the-program” pre-packaged approach that can leave a client feeling oddly out of sync with the therapist. It feels forced. Or the person doesn’t feel like the therapist “gets it” even when they are kind and supportive. This can actually worsen your situation by making you feel as if you did something wrong. Don’t give up. There are actions you can take that will help.

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