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Dec

15

After Rough Beginning, a Great-Granddaughter, 3, Blossoms

Posted By: wbhazel1 on December 15, 2011 at 10:00 am

This article was written by Jennifer Mascia of The New York Times and is a heartwarming story about a great grandmother who in her twilight years is raising a three year old.

The story encompasses something for helping professionals of every hue: Domestic violence, substance abuse, severe and chronic mental health issues thrown in with transcultural and generational issues.

Please enjoy this article.

William B. Hazel, III,
ACSW, LCSW, LADC

After Rough Beginning, a Great-Granddaughter, 3, Blossoms

    Filed Under: Abuse , Anger , Anger Management , Anxiety / Stress , Anxiety Therapy , Individual Treatment , Parenting , Professional Counselor , Psychiatry , Psychology , Social Work , Unresolved Childhood Issues , Violence Tagged with , , , , , , , , , , , , , , , , , , , , , ,
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Dec

14

Getting Someone to Psychiatric Treatment Can Be Difficult and Inconclusive

Posted By: wbhazel1 on December 14, 2011 at 7:25 am

This was a fascinating article written by G. Sulzberger and Benedict Carey for The New York Times. It speaks to the often emotionally and physically exhausting task to get someone who you think would benefit with behavioral health assessment and/or intervention to acquiece to receiving this support. It speaks to the inherent rights of individuals to decide their own destiny, limited public resources dedicated to mental health services and the oft futility of after release the client must be trusted to comply with future appointments and/or medication management. In the helping professions particularly with addictions treatment we get a fair share (75%?) of involuntary clients. We get them pulled, pushed or wheeled in by parents, spouses, employers or the criminal justice system. Please enjoy this article as I believe it will give us helping professionals some added insight into who is walking through our doors.

William B. Hazel, III,
ACSW, LCSW, LADC

Getting Someone to Psychiatric Treatment Can Be Difficult and Inconclusive

    Filed Under: Individual Treatment , Professional Counselor , Psychiatry , Psychology , Social Work , Treatment modality , Trust Issues Tagged with , , , , , , , , , , , , , , ,
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Dec

08

Vital Signs: Behavior: Videos of Self-Injury Find an Audience

Posted By: wbhazel1 on December 8, 2011 at 11:04 am

This very interesting and thought provoking article written by Roni Caryn Rabin for The New York Times Health Section refers to an extremely popular form of social media viewed by millions daily: Youtube.

Apparently there are numerous videos on Youtube which portray self mutilation like burning, cutting, disturbing wounds and embedding items under the skin. Many lack warnings and some appear to glamorize this parasuicidal behavior with theme music of sorts. This is important information for helping professionals to know because any of us who treat children and adolescents should know of the nearly cultlike following many have for Youtube videos. This article and the surrounding awareness of social media can help us to ask the questions many of us would never even consider. Please enjoy this article and let the dialogue begin:

William B. Hazel, III,
ACSW, LCSW, LADC

Vital Signs: Behavior: Videos of Self-Injury Find an Audience

    Filed Under: Abuse , Anger , Anger Management , Difficult Emotions , Identity Issues , Individual Treatment , Low Self Esteem , Professional Counselor , Psychiatry , Psychology , PTSD / Trauma , Social Phobia Treatment , Social Work , Unresolved Childhood Issues , Violence Tagged with , , , , , , , , , , , , , , , ,
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Dec

01

Analyzing Your Therapist: A Rorschach Test?

Posted By: wbhazel1 on December 1, 2011 at 10:49 am

These two letters to the editor published in The New York Times Opinion Pages were written by a psychiatrist and a clinical social worker respectively. They both have rather definitive views on The Opinion piece by Dr. Keeley Holmes a psychologist who wrote of her dismay at clients publishing online complaints, concerns or observations of their experiences in therapy in non healthcare related forums. Please enjoy the letters and it is my hope that their conflicting views may stimulate our own dialogue around our thoughts in this area.

William B. Hazel, III,
ACSW, LCSW, LADC

Analyzing Your Therapist: A Rorschach Test?

    Filed Under: Family Treatment , Group Treatment , Individual Treatment , Marriage and Family Therapist , Pre-Marital Counseling , Professional Counselor , Psychiatry , Psychology , Social Work , Trust Issues , Work Related Issues Tagged with , , , , , , , , , ,
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Nov

29

In Orthodox Jewish Enclaves, an Alarm Sounds Over Eating Disorders

Posted By: wbhazel1 on November 29, 2011 at 10:43 am

One of the things I truly love about my profession is there is always so much to learn about people and they very often are willing guides to the rich tapesty that is their lives. This article written by Roni Caryn Rabin for The New York Times was a delightful read as I learned something of which I was previously unaware. This article published in The Health Section reviews eating disorders within Orthodox Jewish Communities.

Please enjoy this delightful article that shares how their culture in some ways may encourage certain behaviors which can frequently mask these illnesses. Another huge point is the stigma of mental illness within this community can very often serve as a barrier to identication and care. Of course one would be negligent to fail to mention how community leaders can impact families coming forward to receive services. Finally where do these patients receive their care? All of these are very important assessment and treatment considerations in order to maximize optimal outcomes for all relevant shareholders.

William B. Hazel, III,
ACSW, LCSW, LADC

In Orthodox Jewish Enclaves, an Alarm Sounds Over Eating Disorders

    Filed Under: Addiction Therapy , Depression , Depression Therapy , Individual Treatment , Professional Counselor , Psychiatry , Psychology , Social Work , Treatment modality , Unresolved Childhood Issues Tagged with , , , , , , , , , , , , , , , , , , ,
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Nov

27

Learning to Listen to Distressed Classmates

Posted By: wbhazel1 on November 27, 2011 at 10:38 am

This is article written by Abigail Sullivan Moore for the New York Times is a welcome read as it provides us helping professionals with an ounce of prevention if you will. It discusses a student support center and additional resources for college students who may find that life’s challenges have become a bit unmanageable. There is no need to review recent campus tragedies to know that oft times young people today are under an immense amount of stress and pressure with multiple competing demands and all too often little external support. It is good to know that such resources exist and I’m glad many campuses fully recognize this need.

It is no secret that young people often go to their peers for advice, help or just to be a listening board of sorts. It is refreshing that these peers learn to recognize warning signs of despair AND know how to make it sound ok to seek help from a qualified professional. Please enjoy the article:

William B. Hazel, III,
ACSW, LCSW, LADC

Learning to Listen to Distressed Classmates

    Filed Under: Difficult Emotions , Identity Issues , Individual Treatment , Parenting , Professional Counselor , Psychiatry , Psychology , Social Phobia Treatment , Social Work , Trust Issues , Unresolved Childhood Issues Tagged with , , , , , , , , , , , , , , , , , , , , , , , ,
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Nov

26

Talk Doesn’t Pay, So Psychiatry Turns to Drug Therapy

Posted By: wbhazel1 on November 26, 2011 at 10:36 am

This article written by Gardiner Harris of The New York Times reiterates what we helping professionals already know. We have been aware for some years now that psychotherapy is now the province of primarily psychologists and social workers. Not meaning to get into a fight with other helping professionals here but social workers are the largest providers of mental health services (talk therapy) in The United States. Now having said that this article was indeed sad to read. It spoke of a psychiatrist who no longer finds it financially feasible to practice his craft, psychotherapy. Dr. Donald Levin reports that his practice is now relegated to approximately 12-15 minutes per patient daily where he primarily serves in a medication management role.

I posted this article for several reasons : To formally acknowlege what has oft been discussed in the circles of helping professionals that psychiatrists although invaluable in every arena of skilled provision for mental health care are no longer at the forefront of counseling and therapeutic service delivery. Other professionals must now be prepared (as if we have not for years) accept the gauntlet of stepping forward and serving as full partners in the assessment, diagnosing and treatment of mental health disorders. The article makes significant points that lacking a medical school education should allow us to provide less expensive fees to provide services for more people. We must recognize this and after a medical assessment do what we do best. The article speaks to the idea that there is no discernible difference in quality between the two professions (psychiatry and clinical social work or psychology). As the least expensive practitioners it should enable us to move forward in our areas of expertise , learn more serve more. Please enjoy this article.

William B. Hazel, III,
ACSW, LCSW, LADC

Talk Doesn’t Pay, So Psychiatry Turns to Drug Therapy

    Filed Under: Individual Treatment , Professional Counselor , Psychiatry , Psychology , Social Work , Work Related Issues Tagged with , , , , , , , ,
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Nov

25

For the Developmentally Disabled, Harm in Safe Havens

Posted By: wbhazel1 on November 25, 2011 at 10:33 am

This article written by Danny Hakim for The New York Times reported on a subject which merits periodic review and if you’ll pardon my phrase dusting off. It discusses that subsequent to the desinstitualization or the closure of the former facilities (old warehouses) of the developmentally disabled the patients unable to be maintained at home with family were placed in community settings. Within these community settings are state employees who are at times untrained in the appropriate care of patients. This article reveals some staff have criminal convictions to include crimes of violence either related to or unrelated to their state jobs. This article discusses assaults, neglect, sexual abuse and other improprieties perpetrated by staff on the residents of these group homes. It reviews the relative inefficiency, mismanagement, fraud, waste and abuse by managerial personnel. It discloses an instance of efforts at whistleblowing to The Office of The Governor as well as state agencies which purportedly ensure the appropriate protection, care and safety of these clients. These whistleblowing efforts apparently have been met by retaliatory efforts by those exposed. This article should stimulate discussion and debate hopefully leading to much needed change! Please enjoy the article:

William B. Hazel, III,
ACSW, LCSW, LADC

For the Developmentally Disabled, Harm in Safe Havens

    Filed Under: Abuse , Individual Treatment , Professional Counselor , Psychiatry , Psychology , PTSD / Trauma , Reality , Social Work , Trust Issues , Violence , Work Related Issues Tagged with , , , , , , , , ,
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Nov

24

With Anorexia, Total Recovery Can Be Elusive

Posted By: wbhazel1 on November 24, 2011 at 11:43 am

This is very good qualitative article written by Abby Ellin for The New York Times.

It discussed the eating disorder Anorexia, an illness inwhich at least a third of sufferers will chronically suffer and another third will die of this disease.

Interestingly enough despite the widespread impact that this disorder has, particularly on women and adolescents there is a dearth of studies relating to recovery.

Recovery has been defined in different ways by different groups. According to this article there is shockingly very few studies done on recovery

I think a helpful way of looking at Anorexia and Bullimia is it is a disorder with significant medical as well as mental health components which each must receive proper therapy.

It was interesting to read about the emergency room physician at a high powered medical school who after years of recovery relapsed and saw her life suffer a significant setback.

All in all this was an interesting read and worth sharing.

Please enjoy this article:

William B. Hazel III,
ACSW, LCSW, LADC

With Anorexia, Total Recovery Can Be Elusive

    Filed Under: Addiction Therapy , Depression , Depression Therapy , Difficult Emotions , Identity Issues , Individual Treatment , Low Self Esteem , Professional Counselor , Psychiatry , Psychology , Relationship Problems , Social Phobia Treatment , Social Work Tagged with , , , , , , , , , , , , , , , , , , , , ,
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Nov

23

Treating the Traumas Inflicted on Children

Posted By: wbhazel1 on November 23, 2011 at 11:40 am

This Opinion piece was published in The New York Times and written by Bessel A. van der Kolk, a professor of psychiatry at Boston University School of Medicine, is the founder and medical director of the Trauma Center at the Justice Resource Institute.

It raises interesting questions in the mind of this former child protective services professional and should stimulate dialogue from all helping professionals.

Dr. Van Der Kolk speaks of the development and increased understanding of the effects of trauma as experienced in combat but additionally that served through the experience of an invalidating and nonnurturing childhood.

It was distressing to read that President Obama is proposing a reduction by 70% of funding for The National Child Traumatic Stress Network which was created in 2001.

This network was patterned after The National Center for PTDS and serves to study, evaluate and develop treatment for traumatized children nationwide.

I see the policymakers have not yet learned how the least powerful among us are treated is the way we will get it much later.

Please enjoy the reading of this piece and lets get the word out.

William B. Hazel III,
ACSW, LCSW, LADC

Treating the Traumas Inflicted on Children

    Filed Under: Abuse , Individual Treatment , Parenting , Professional Counselor , Psychiatry , Psychology , Social Work , Unresolved Childhood Issues Tagged with , , , , , , , , , , , , , , , , , , ,
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