Interesting Abstract About Online Counseling

Medscape Medical News from the • American Psychiatric Association (APA) 2015 Annual Meeting This coverage is not sanctioned by, nor a part of, the American Psychiatric Association. Medscape Psychiatry An Internet Depression Therapy as Effective as Drugs? Bret S. Stetka, MD; Jan Philipp Klein, MD Editor's Note: While browsing a poster session at the American Psychiatric Association's 168th Annual Meeting in Toronto, Ontario, Canada, Medscape spoke with Dr Jan Philipp Klein of the Lübeck University (Lübeck, Germany) Department of Psychiatry and Psychotherapy about the efficacy of a new Internet-based depression therapy. Medscape: What was the objective of your study[1]? Dr Klein: We were interested in studying Internet-based psychological interventions for depression, in part due to the large treatment gap associated with the condition. Many patients don't get adequate treatment for depression. Prior to starting the study we knew that there is an evidence base for psychological Internet interventions in treating depressive symptoms. However, in previous studies, the sample size was much smaller, and depressive symptoms were only self-rated. This was the first study to also include clinician ratings over time. Medscape: How big was the study? Dr Klein: We recruited over 1000 participants with mild to moderate depressive symptoms, and...

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WHAT MAKES YOU HAPPY? WHAT MAKES YOUR PARTNER HAPPY?

If you’re not mean to your partner it’s up to her to make herself happy. You can’t make another person happy. It’s not the same as giving a gift or a surprise birthday party, which do make people happy in the moment. I’m talking about another adult who is  chronically unhappy. You say, “Nice day”. They say, “What did you mean by that?” Go on about your day. Happiness with life in general is up to each of us to give ourselves. How do I give myself happiness? You’re thinking. We’ve all heard from all kinds of sources that we should live in the moment, practice mindfulness, forgive others, meditate, live in the present not the past or the future. And now be aware that whomever wrote or said those things made themselves happy by doing them. One or more of those things may make you happy too or none of them are what you need to make yourself happy so don’t do them. They make someone else happy not you. Make yourself happy by considering what you, yes; you actually want to do when you’re not working to pay for doing more of it. Forget about what you should...

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HOW TO TELL THE DIFFERENCE BETWEEN AN ALCOHOLIC AND A SOCIAL DRINKER

This might seem like a no brainer but it really isn't. There are plenty of functional alcoholics walking around looking like they're social drinkers. Why should you care you ask? You should care because you don't want him to be your baby's father or mother, don't want him to be the man/woman you fall in love with, don't want to waste days, months, years to discover you've invested in a relationship where the next drink is more important than you are, don't want to get used or abused, don't want to go broke trying to fix someone. Enough? O.K. Here's how you can tell the difference between an alcoholic and a social drinker: As opposed to a social drinker an alcoholic 1. Wouldn't consider leaving half a glass of wine on the table, they'd drink up and order another or plan to go somewhere else that drinks are being served. 2. Thinks every party, birthday (even for the three year old), picnic, walk, event, lunch, dinner (and breakfast but you won't know), movie, sporting event live or on TV and just about every other activity is a time alcohol should be served and not a little but a lot. 3....

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WHAT ABOUT HER?

In my last blog I wrote about some things women do that, although they seem nice, have more to do with dependency and smothering than loving. I imagined some women reading the article and thinking, “Well, I wouldn’t be so clingy if I knew he actually loved me.” It’s a fair statement for many women. I’m talking about the “chicken and egg” cycle where he wants sex and she doesn’t and she wants conversation and he doesn’t and who knows who did what to whom first? This blog is an article about what he does that turns her off and a few things he can do to turn her on. A common complaint I hear from men in my office is that they had a good sexual relationship with their wife before they got married or before they had children and now they resent feeling like they have to beg for sex or stand on their heads while they mow the lawn before she feels ready. They really don’t understand how they’ve contributed to the problem. Here you go guys. Think about this list before you dismiss it as being dumb or a bunch of psychobabble. It’s likely that, making...

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HOW CAN BEING REALLY NICE DRIVE A MAN AWAY?

Well there’s nice and then there’s too nice. We should all be nice people meaning polite, sensitive to others, helpful when we can. Some women, hoping to get or keep a man, take it too far. Here’s a partial list of the too nice behaviors that come to mind: 1. You hate football but pretend you like it and act really excited about a game whether it’s in your home or one of his friends has invited you to their home. You make lots of little snacks, fill the fridge with beer or whatever you think they like to drink and are so cheerful it appears that you may have had a lobotomy in the past twenty-four hours. You greet each one of his friends and partners, if they have them; with so much enthusiasm it’s clear you’re faking it. In fact, you’re so faking it that it’s obvious and you're such a great cheerleader you drink too much, talk too much, cheer too loud, because you believe this is going to make him love you more. Actually it’s pretty repulsive behavior because you’re taking up all of the air in the room. It would be better if you said...

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A MAJOR REASON PEOPLE DON’T GET WHAT THEY WANT

I hear about this every day in my practice. A wife wishes her husband would take her somewhere without the kids, a husband wishes his wife would get up and have a cup of coffee with him before he leaves for work. A woman or man is very unhappy with their job yet they stay, nose to the grindstone, just waiting for the weekend. In all of these cases and many more, the major reason people don’t get what they want is because they don’t believe in themselves. They often think they do but when I review with them what they do to get those needs met I’m always struck by how easily people throw in the towel, give up, say it can’t happen. That’s because the conscious part of their mind tells them they are worth it because the conscious mind knows that’s the right answer but somewhere buried in the subconscious mind is an old message, from a parent or a teacher or a school peer or someone else they were exposed to early in life who told them that they weren’t good enough, that they should accept what they can get because they’re not really good enough,...

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