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Therapy as Science: You + Your Therapist + Scientific Method

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I consider myself a scientist.  I wear this hat officially when conducting research, but I also wear it every time I sit with a patient.  In my research, my science is pretty self-evident: I identify a research question, develop falsifiable hypotheses, and then collect quantifiable data to see whether or not the phenomenon I’m studying behaves the way I think it does. A very similar process unfolds when I work with you in my clinic.  However, from your vantage point, you might not realize it right away.  Nevertheless, we are two collaborative empiricists. Most often, you will define the “research question”.  Usually, this is the very reason that you’re coming to see me.  Sometimes the questions we think we’re asking are not necessarily the ones we should be asking.  For example, questions like, “Why is this happening to me?”...

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School Refusal & Parental Stigma: Am I a Bad Parent?

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Like any other behavior, school refusal does not have a singular cause. This is pretty self-evident, but in the heat of the moment when your child is having a tantrum, this fact is quickly forgotten. It is simply too easy to conclude that you have raised a “bad child.” Sadly, much of society might wrongly agree with you. For many, the term “school refusal” has automatic negative connotations. Although school refusal is a behavior that has many different potential causes, it often gets lumped together with rebelliousness, conduct problems, and oppositionality. This is unfortunate because many cases of school refusal do not actually involve any of these factors. Am I a Bad Parent? Parent Social Stigma in School Refusal. Regardless of the origins of your child’s school refusal, it is important to consider a separate parent-related factor that maintains...

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School Refusal Causes (Social & Anxiety-Related Factors)

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With the summer quickly fading to black and the academic year looming largely, we will soon be entering the season of school refusal. When I use the term “school refusal,” I’m not talking about that once-in-a-blue-moon occasion when a child forgets about an important test or project and decides it’s easier to feign illness than face the music. That’s pretty typical for nearly all kids, and it doesn’t necessarily establish a pattern of problematic behavior. What I’m talking about is school refusal that is pattern-based, recurrent, and results in academic or social impairment. For assessment or treatment of school refusal, feel free to contact me at my private practice, which services Palm Beach (Palm Beach Gardens, Jupiter, West Palm Beach, Boca Raton, Boynton Beach), Fort Lauderdale, and Miami. What causes school refusal? Why do kids refuse to go to...

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Test Anxiety Treatment & Diagnostic Considerations

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When considering treatment for test-taking anxiety, make sure that you have a comprehensive diagnostic assessment to rule out other possible causes of your symptoms.  Not all cases of test anxiety are alike, and sometimes symptoms of test anxiety actually reflect a separate, underlying condition.  If you’re located in South Florida (Palm Beach Gardens, Jupiter, West Palm Beach, Fort Lauderdale, Boca Raton, Boynton Beach, & Miami), I would be happy to meet with you to conduct an assessment of your symptoms and provide treatment (if appropriate). Regardless of where you live, here is a short list of factors to consider when getting help for your symptoms: Test Anxiety Diagnosis & Treatment Strategies 1. Don’t assume that just because you have test anxiety that the problem is only test anxiety. Test performance issues may also have an independent panic component. If...

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“Pure-O” OCD: Common Obsessions & Mental Rituals

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As a follow-up to my previous post on Pure-O OCD, I thought it might be helpful to identify some obsessions that are commonly reported by individuals with Pure Obsessional OCD.  These same obsessions may also be experienced by individuals with non-Pure-O forms of the disorder.  Keep in mind that some of these symptoms are quite common (when experienced in a limited form) and may or may not represent an underlying psychological condition.  If you experience symptoms like these, consult with your doctor for clarification.  I am also available to conduct assessments and provide treatment if you’re located in South Florida (Palm Beach Gardens, Jupiter, West Palm Beach, Fort Lauderdale, Boca Raton, Boynton Beach, & Miami). Remember that most people who have Pure-O OCD actually perform compulsions.  These compulsions just tend to be mental rather than behavioral in nature.  Mental rituals...

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