Our very own Dr. Rosen was recently interviewed by VoyageMIA! See the full interview here.
Dr. Rosen, let’s start with your story. We’d love to hear how you got started and how the journey has been so far.
Children are referred for a psychological assessment for many reasons. They may have attention or behavior problems at home or in school, be subjected to bullying, be depressed or anxious, or have a learning disorder. Often when kids are struggling in school or seem to be behind their peers developmentally, a counselor or teacher will suggest the child undergo a psychological assessment.
The findings from this type of evaluation will let us know where the child excels and which areas he or she might need to address (for example: an undiagnosed learning disability). Dr. Ryan Seidman, the Clinical Director at our Children’s Center notes that, “Having your child evaluated can promote improvement in academic and emotional functioning.”
Psychological assessments are done by highly trained child psychologists who are specialists in their fields. These mental health professionals evaluate the child’s strengths and weaknesses, then work with parents and teachers to come up with an approach that will help the child progress.
These assessments aren’t like “actual” tests can be and they aren’t something the child can study for. In fact, it is best if the child is relaxed during the evaluation, so the assessment isn’t a “pass or fail” test.
During a psychological assessment, the psychologist will:
Psychological testing isn’t a quick assessment. The evaluation will likely takes several hours to complete and often involves more than one session to be certain the psychologist has all the details about a child. By putting this information together, the child psychologist comes to an understanding of where a child needs assistance and can develop strategies to help them reach their full potential.
When the testing is complete, the child psychologist will go over the results with the child’s parents. Keep in mind that the outcomes do not reveal everything about a child’s potential, abilities or skills. Rather, the evaluation is used as a way to learn about their “present functioning level” emotionally, in their school and home environments, how they learn, and their strengths and weaknesses.
The child psychologist will discuss areas in which the child does well and offer suggestions to help them improve in areas that need to be addressed. If the child is diagnosed with a learning disability, or a behavioral or emotional issue, recommendations will be made for ways to help the child manage that specific concern or problem.
By evaluating and understanding where the child has issues, child psychologists can provide positive coping strategies, reduce the child’s stress and enrich their competence and well being.
For more information about how our child psychologists can help your child with a psychological assessment, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us today at 561-496-1094.
How much of a part does resilience play when it comes to dealing with emotional or psychological trauma? As it turns out, quite a lot. Resilience is the inner strength that allows you to adapt when you’ve been exposed to trauma or adversity. This characteristic is strengthened by optimism, which is the extent to which people feel positive and encouraged about their future. Studies have shown that those who are resilient and optimistic feel a higher degree of psychological well-being and are able to recover more quickly from disturbing events. These individuals are able to process stressful situations without becoming overwhelmed and can move through them without turning to unhealthy coping mechanisms, such as substance abuse.
Are you in a relationship with a person who thinks they are far superior to you and to everyone around them? Or maybe your parent ran your life, expecting nothing less than excellence from you and being envious of your achievements – so much so that they found a way to make your triumphs all about them. Perhaps you are married to someone who is “difficult” – they demand all your attention, have an inflated ego, and are frequently critical of you because things are always “your fault.” If you have a difficult, selfish, and unemotionally available loved one and feel like you have less self-confidence, have less independence, or have given up your family, friends, hobbies, or a career for this person, you may be dealing with narcissistic abuse.
Emotional trauma or psychological trauma is a reaction to an experience or event that is deeply distressing or disturbing to the individual. Trauma can be the result of things such as going through a natural disaster, being involved in a car accident, living through a major event, such as war or abuse, or having been the victim of a crime. A trauma response will be similar no matter what caused it.
When people experience a psychological trauma, it often shakes them to their core, especially if they felt they had little to no control over the event. They are left feeling helpless and they may experience flashbacks or have a persistent fear that something bad will happen to them again.
Even though these emotional responses are part of a normal reaction, trauma changes patterns in your brain, causing you to carry the burden of distress long after the events have passed. However, by working with a mental health professional who specializes in trauma, you can experience trauma recovery and learn to feel safe again.
In general, trauma can be defined as a psychological, emotional response to an event or an experience that is deeply distressing or disturbing. When loosely applied, this trauma definition can refer to something upsetting, such as being involved in an accident, having an illness or injury, losing a loved one, or going through a divorce. However, it can also encompass the far extreme and include experiences that are severely damaging, such as rape or torture.
Because events are viewed subjectively, this broad trauma definition is more of a guideline. Everyone processes a traumatic event differently because we all face them through the lens of prior experiences in our lives. For example: one person might be upset and fearful after going through a hurricane, but someone else might have lost family and barely escaped from a flooded home during Hurricane Katrina. In this case, a minor Category One hurricane may bring up traumatic flashbacks of their terrifying experience.
Because trauma reactions fall across a wide spectrum, psychologists have developed categories as a way to differentiate between types of trauma. Among them are complex trauma, post-traumatic stress disorder (PTSD), and developmental trauma disorder.
Suicide is devastating to the ones left behind. It brings up a myriad of powerful emotions: among other things, you must deal with feelings of shock, anger, guilt, and overwhelming grief. The survivor is left wondering if they could have done something to prevent the person from taking their life. They are often furious at the deceased person for leaving them or for putting them through this heart-wrenching experience. And, the survivor must learn about the grieving process when it comes to coping with suicide so they can continue on with their own life.
*If you are grieving a loved one, please be gentle with yourself during this devastating time and know that you could not have done anything to prevent this suicide. More than ninety percent of the time, suicide happens because the person was deeply depressed or facing another form of mental illness. Depression and mental illnesses are caused by chemical imbalances in the brain, which keep the person from seeing their situation clearly. In their mind, they believed there was no other way to deal with their pain.
Also, if you are facing the loss of a loved one through suicide, please know that you do not have to go through these intense emotions alone. Talk with your family, join one of the suicide support groups in your area, turn to the clergy or supportive friends, or speak with a therapist who specializes in trauma and grief counseling.
Trauma can come in many forms. The soldier returning from active duty in a war zone, the child who lives with physical, sexual, or emotional abuse or neglect, the first responder who must deal with human suffering on a daily basis, and the adult who endures domestic abuse all are experiencing trauma. Complex trauma occurs repeatedly and often involves direct harm to the victim. Its effects are cumulative and generally transpire in a specific setting and, frequently, within a particular time frame or within a specific relationship.
Going through trauma can make an individual experience intense feelings of guilt, as if they are somehow responsible for the event(s) that are so terrifying to them. This altered sense of shame and painful self-perception is crippling. It can make the person feel isolated and hopeless, and as if they are no longer in charge of themselves.
Humans are social creatures. We bond with friends, engage with coworkers, and pair up in relationships. In many ways, we need interaction with other people but, for individuals with social anxiety disorder, being in a social setting can be a huge source of stress and anxiety. This is where virtual reality therapy can help.
The standard treatment for social anxiety is cognitive behavioral therapy (CBT) and in-vivo exposure therapy. This combination physically exposes a person to social situations in small doses, allowing them to gradually desensitize their fear and build up their tolerance. The individual also participates in role playing to learn and practice social skills for even more confidence.
But, being physically present in an anxiety-inducing setting can be difficult, not to mention time consuming when you have to travel to a location. With virtual reality exposure therapy (VRET), however, people with social anxiety can work behind the scenes to challenge their fears in a safe, realistic environment, and in a way that gives them control.
Social Anxiety Disorder is the persistent, sometimes overwhelming anxiety or chronic fear of being in everyday social situations. People who suffer from the disorder feel that they are constantly being watched and judged by those around them. In a social setting, they worry continuously that they will do something to embarrass themselves. While these people are aware they might be making more out of a situation than it really calls for, they can’t help stressing about it anyway.
Social Anxiety can be present in just one area of a person’s life (for example, they may fear giving a speech in front of their team at work) or it may be so encompassing that a person with the disorder finds it extremely traumatic to go to school or work, or perhaps even to the bank or the grocery store.
VR Therapy is a high-tech method that helps people learn effective ways to cope with the anxiety-laden situations they dread. During a VRET session, the person wears a virtual reality headset similar to the kind used in video games or to watch movies on the phone. A simulation program plays and one or more avatars are displayed. The person engages with these avatars in a variety of common social situations in order to become better prepared for interactions in real-life situations.
The programs start at a low threshold of anxiety stimulus and are gradually increased as the person builds their coping skills. A therapist listens in to the session, providing coaching and feedback. Relaxation and stress management techniques are often also used and sometimes medications can provide a benefit.
Virtual reality exposure therapy allows you to feel as if you are in a setting, but the therapist can stop the program if you become truly upset. Even if a person knows the virtual reality program isn’t real, what they experience is enough to trigger an emotional response to their phobia. By working through their reactions, nearly 83 percent of people who have tried virtual reality therapy have managed to put their fears behind them.
In a 2013 study, participants who had been diagnosed with social anxiety disorder took part in a randomized trial that compared virtual reality therapy with in-vivo exposure therapy. The group was assigned to present a speech in front of their peers.
Before doing so, some participants went through eight sessions of VRET, some went through eight sessions of in-vivo exposure therapy, while some were waitlisted and had to give the speech without either type of therapy. After completion of active treatment, both therapy groups showed significant improvement and reduced anxiety levels over the waitlisted group. Furthermore, at the 12-month review, both groups continued to maintain this improvement.
Although more studies will be done in the future, the findings from this one show that there were no significant differences between the physical and virtual treatments. VR therapy is just as effective in treating social anxiety as traditional therapy, but with the benefit of being in an office setting rather than in the actual, emotionally-charged environment.
The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida is a regional center for the National Social Anxiety Center. Our certified therapists provide compassionate care and have specialized training in social anxiety treatment and virtual reality therapy. For more information, contact us or call us today at 561-496-1094.
Attention Deficit Hyperactive Disorder or ADHD is a medical disorder involving abnormalities in brain function. Often, this disorder can be passed genetically through families from one generation to the next. The condition is generally diagnosed in childhood, however we now know that ADHD commonly continues into adulthood. Although the hyperactivity component usually subsides in adults, attention and concentration problems often persist. If not caught in childhood, adults often become suspicious they may have adult ADHD when their children is diagnosed, and they recognize the same set of symptoms in themselves.
The Centers for Disease Control (CDC) estimates that approximately four percent of adults have the disorder. The risk increases in those people who have close blood relatives (parents, siblings, etc) who also have ADHD, in people who were born prematurely or were exposed to environmental toxins, or those who were born to mothers who smoked, drank alcohol, or abused drugs during their pregnancy.
The following can be warning signs of adult ADHD:
The signs that are so telling for ADHD in children are often more subtle when you reach adulthood. The Centers for Disease Control (CDC) has a comprehensive list of criteria for adult ADHD symptoms. If five or more of the symptoms on each list are present now and were noticeable before the age of twelve, if they have persisted for more than six months, and if you are age 17 or older, you may have adult ADHD:
In addition, the following conditions must be met:
Since the focus of attention deficit hyperactive disorder is normally on children and helping them learn to function through their challenges, if you’ve reached adulthood without an ADHD diagnosis, it may seem silly to consider treatment. However, it is still very important that you address your condition. As noted above, untreated adult ADHD can cause ongoing disruptions in your life, such as workplace or relationship problems, and alcohol or substance abuse.
Adult ADHD treatment can be very effective and can help turn your life around. A combined approach works best. This includes prescribing appropriate ADHD medications to help balance and boost the brain’s neurotransmitters, as well as psychotherapies like Cognitive Behavioral Therapy. CBT teaches life skills in time management and organizational development and provides aids that may allow some people to eventually discontinue their medication. Additionally, couples therapies can be used to help improve communication skills and teach your significant other ways to understand and help with your Adult ADHD condition.
It is challenging to have adult ADHD, so don’t go through it alone. The mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida are here to help. For more information, contact us or call us today at 561-496-1094.