ADHD–a good excuse or a reason to take responsibility?

ADHD presents special challenges to both the kid that has it and to his or her parents. Being the parent of a typical kid these days is challenging enough. When you throw in the distractibility, impulsivity and academic struggles that come with ADHD, it can magnify other issues that are hard all by themselves (like . . . → Read More: ADHD–a good excuse or a reason to take responsibility?

The window of opportunity is not locked

I have noticed in my increasingly longer life, that the window of opportunity only stays open so long. There seems to be chances in life to grab the brass ring, but then the time passes and you are left in the dust . . . or are you? Sometimes the answer is yes. But often . . . → Read More: The window of opportunity is not locked

The Plague comes to visit . . . MRSA hysteria and the need to get back to work

All of a sudden, people have started showing up in the office with MRSA. It is freaking people out . . . completely. There have been calls for specialized cleaning services to come to the office and disinfect and decontaminate. Therapists are voicing hesitancy about seeing certain patients. There was even a recommendation by someone . . . → Read More: The Plague comes to visit . . . MRSA hysteria and the need to get back to work

Oppositional Defiant Disorder

When well meaning advocates for kids with mental health issues speak of “labeling” a kid . . . one of the “labels” that they talk about is Oppositional Defiant Disorder, aka ODD. This is an issue that goes way back to when the disorder was first characterized and diagnostic criteria were formalized. The criteria for . . . → Read More: Oppositional Defiant Disorder

School Violence (Part I)–a plea to parents

I am the parent of a ninth grader. I have had two others go through our local high school. I am hoping my youngest will make it through alive. I’m asking for your help. For my child, and the children of all the other kids in the school. And the teachers. And the custodians. And . . . → Read More: School Violence (Part I)–a plea to parents

Time to meet with the teachers!!!

OK gang . . . its October!!! You know what that means????? It time to . . . MEET THE TEACHERS!!!! I don’t mean that passing by at the end of “back to school night” thing where you ask “how’s Raoul doing?” What do you think the teacher is going to say “Oh my GOOOODDDDD, . . . → Read More: Time to meet with the teachers!!!

Another life lesson by the deli-Lama

I was in the local supermarket on Saturday. There was this older lady who was taking care of me at the deli counter. This supermarket is my usual haunt. It is not unusual for me to be in there several times a week. I have seen her before in there taking care of me and . . . → Read More: Another life lesson by the deli-Lama

To Be There (part II)

I have heard through the grapevine that some of my patients have been worried that I am unhappy with my job because my writing has become sparse and . . . well . . . sarcastic. More sarcastic than usual. Nothing could be farther from the truth. I am, actually, quite happy with how my . . . → Read More: To Be There (part II)

Measuring up (part II)–justifying mediocrity

It has always been a struggle, both as a parent and as a therapist, to watch kids justify their behavior. There is lots of explanation and theory about why people do this, but trying to conceptualize this in a way that made sense for a kid has been difficult. I’ll get kids in the office . . . → Read More: Measuring up (part II)–justifying mediocrity

Benzodiazepines and the art of self adjusting medications–how to drive your psychiatrist bananas

In responce to my blarticle about the limits of usefulness of Klonopin, e-chimp writes in with the following barrage of thought provoking questions and comments:

What’s your opinion on the thin line between mis-use and self-medication? Say someone’s prescribed a small supply of 2mg diazepam, finds that this dosage does nothing and adjusts it . . . → Read More: Benzodiazepines and the art of self adjusting medications–how to drive your psychiatrist bananas