Note: Although some behavioral conditions that do not involve ingestion of substances have similarities to substance-related disorders, only one disorder-Gambling Disorder-has sufficient data to be included in this section. – DSM-V, Non-Substance-Related ctive86.lcohol DrugGambling Alcohol Drug Counseling–addictions of ALL kinds are on the rise. For many years, I have specialized in treating most addictions. Although men are still more likely to die from prescription pain killers, consider this:
1)Nearly 48,000 women died of prescription painkiller* overdoses between 1999 and 2010.
2)Deaths from prescription painkiller overdoses among women have increased more than 400% since 1999, compared to 265% among men.
3)For every woman who dies a prescription painkiller overdose, 30 go to the emergency department for painkiller misuse or abuse.
4)About 18 women die every day of a prescription painkiller overdose in the US, more than 6,600 deaths in 2010. Prescription painkiller overdoses are an under-recognized and growing problem for women. (Source: Centers for Disease Control and Prevention (CDC).
Gambling is now the only other medically recognized addiction besides alcohol and drug addiction. Consider the following:
1)The rate of suicide for gambling addiction is twice higher than any other addiction. Suicide risk can be difficult to assess. With other addictions, the individual is often under the influence when they become suicidal. In contrast, a gambler may think, ‘If I don’t win back the money with this bet, I’m going to kill myself.’ It is an important element of gambling addiction therapy to assess often for suicide.
2) Giving control of all money to a family member is a standard of care for gambling addiction therapy. This includes credit cards and bank accounts.
3) 50% suffer with alcohol addiction.
4) 75% suffer with a mood disorder.
5) Couples and family therapy is essential when delivering gambling addiction therapy.
6) Medication Evaluation is often indicated.
Since 2002, I have delivered counseling to over 500 individuals seeking help specifically for Gambling Disorder. I have provided general addiction counseling to over 1000 clients and patients in hospital and office settings. If you or a family member need help with gambling alcohol drug counseling, you can make an instant appointment or call me at 404-985-6785.[/et_pb_text][/et_pb_column]
Step by step guide for choosing counselors in Atlanta. I have worked in Atlanta for 25 years, am acquainted with many counselors, psychologists, and social workers. Please don’t hesitate to call if I am unable to meet your needs and I will identify a few prospective therapists who can help.
1) Geriatric. Elderly persons particularly those dealing with death and dying or illness.2) Adult. Approximately 18 or older.3) Adolescents. Approximately age 13-18.4) Children. Infancy to age 12 or 13.5) Couple or family.
These are all highly specialized areas of work. When you contact a counselor or psychologist ask these questions:1) Rather than asking do they work with children, ask what % of their work is with children. The same applies for all of the other above mentioned specialties. At least 30-50% of their work should be in that specialty.2) Ask them to briefly describe their credentialing or training.
Children have different therapy goals than adults, teens and so on. Roughly speaking though not hard and fast, elderly persons’ focus will be on coping with aging. Adults will be growth-oriented. Change oriented. Are more likely to choose longer-term therapy because of those factors. Adolescents can be divided into two groups. Those who are under 18 will have unique legal issues-custody, confidentiality rights and so on. Individuals between 18 and roughly 22 in many cases cope similarly to adolescents. Both groups tend to externalize the source of their struggles. They may have difficulty understanding they are the cause of their struggles. Goals for both will be more focused on behavior change. Children have not developed all verbal skills. Therapy that is highly verbal or “talk” is often inappropriate. The goals of therapy will often be promoting behavior change through the therapist working with the parent. To teach the parent different ways of interacting with their child. Couples and Families require directive and highly interactive approaches. Of these, adult individual therapy often results in the most deep and enduring growth and change. Change the individual wants to carry through their life. Changing relationship patterns, and other personal/ professional advancement. (Counselors in Atlanta can differ than other geographical areas, but this topic is beyond the scope of this article.)
Sometimes this can be difficult. It may be difficult to know. Maybe only that you feel depressed. Suggestions for further identifying your struggles include:
1) What happened during the prior week? Why do you want help now? Maybe you had an argument with a family member. Did they ask you to get help with a specific problem? Maybe you experienced an outburst or were more irritable. Maybe you were suddenly more anxious and afraid. Felt dizzy, short of breath. Tightness in your chest or fear of dying. Think back on the past 6-12 months. Have you experienced family death? Job loss? these are only examples. You may be fully aware of your needs because of prior experience with a therapist.
2)Did you receive a startling report or phone call from your child’s teacher?3)Did you learn of ill health or terminal illness of an elder family member?
An appropriate conversation may be something like this:
“Hi, I’m John. I am looking for a counselor or social worker for my 10 year old son. I received a call from the school psychologist reporting he made threats to another student. It appears these problems began about two weeks ago when his father moved out of state. I would like to schedule an appointment. Please tell me about your experience working with children? What percentage of your practice is child therapy?”
“I’m John. I have seen a therapist previously for help with my drinking and my father’s alcohol abuse when I was a child. The therapy was helpful. I want to resume with another therapist. Can you tell me about your experience with addiction and childhood trauma? Do you work mostly with adults?” (In fact here is an excellent short book for Adult Children of Alcoholics.)
If you are satisfied with the outcome of your conversation, consider making an appointment with them. Again these are guidelines, but nonetheless an excellent starting point for finding the right therapist.
Free counselors in Atlanta and State of Georgia Mental Health Facilities. Some centers while not free, offer free walk-in evaluations.
CRISIS STABILIZATION / EMERGENCIES:
Georgia Crisis and Access Line: 1 800 715-4225 (ww.mygcal.com)Emergency Police: 911 (ask for a CIT (Crisis Intervention Trained) officer)United Way: 211 (211online.unitedwayatlanta.org)NAMI National Help Line: 1 800 950-6264 (NAMI) (Mon.-Fri. 10-6) www.nami.orgPeer Support “Warm Line”: 1 888 945-1414 consumer-directed 24/7
Cobb/Douglas Crisis Stabilization Program5400 S. Cobb DriveSmyrna, GA 30080404 794-4857 / www.cobbcsb.com
DeKalb CSB – DeKalb Regional Crisis Center450 Winn WayDecatur, GA 30030404 892-4646 / www.dekcsb.org
MENTAL HEALTH HOSPITALS AND SERVICES:
Ridgeview Institute – 770-434-4567Emory University Hospital Psychiatry – 404 686-6222 – www.emoryhealthcare.orgEmory Child & Adolescent Mood Program (CAMP) – www.camp-emory.comGA Regional State Hospital/Atlanta – 404 243-2100Anchor Hospital 770-991-6044 serves adolescents & adultsVA Medical Center (Decatur) veterans will be transported to GradyWesley Woods Hospital Psychiatric Unit (geriatric) 404 728-6222Peachford Hospital (Dunwoody) 770-455-3200
There is a quote from a famous therapist. “If you think you’ve heard it all before, you aren’t listening.” Each person is unique. Many clients feel lost. It is your role to talk in your sessions and my aim is not to fix you. It is not my role to find you. You seek counseling to find yourself.
Thinking of getting a therapist? I work with adults who struggle with anxiety, depression, panic attacks, life trauma, dissociative disorders and gambling addiction.
There are thousands of psychologists, professional counselors, social workers and marriage and family therapists in metro Atlanta eager to help you. Like clients, each professional is unique in their approach to provide counseling for depression.
Depression is a broad term but it often manifests as feeling stressed, irritable, sleepless and even unexplained aches and pains. It is the first word that enters our mind when we think about our emotional pain. Depression may also be the “ball of confusion” we feel when we lose a family member, divorce or are struggling in a difficult relationship. Some of the red flags of depression are panic attacks, crying spells, social withdrawal. There are others. Therapy can be incredibly helpful for reducing or eliminating these effects. In fact, many are amazed with their ability to recover from depression and anxiety once they seek help. Therapy can help with many other forms of mental or psychological distress.
I am a therapist. I am also a part time musician. The skills required for both are surprisingly similar. They are equal parts science, art, and craft. When a therapist fuses these skills, clients feel empowered, that their feelings are real, that someone understands them. As a result, they feel less depressed and anxious. When we understand our feelings and beliefs, we learn what motivates our behavior. When we learn what drives our behavior, we can change it. And also change how we think and feel.
The science of therapy is learned in graduate school through coursework and research– textbooks on family therapy, play therapy, group therapy, diagnosis of schizophrenia and other severe mental illnesses. Also, there are many theories and approaches to helping people improve their mental state and change behavior. Some are therapeutically confrontational; assertive approaches to helping you see irrational behavior. Some are homework based. Some are targeted at specific fears like spider phobia. My therapeutic approach is focused on growth, change, developing healthy relationships, finding peace and happiness. In textbooks, it is known as eclectic or blended therapy. I blend cognitive, interpersonal and experiential therapy.
There is a quote from a famous therapist. I don’t recall his name:
“If you think you’ve heard it all before, you aren’t listening.”
Each person is unique. Therefore, I do not perform therapy as a “procedure”. I do not aim to fix you. Since my life is not your life, I don’t tell you what is best for you. You have the ability to make the best choices in your life. My role is to listen and observe carefully and provide a different perspective. Many clients feel lost. As such, it is not my role to find you, but to help you find yourself.
With The Art of Experiential Therapy, everything you experience in my office is an opportunity to help you understand yourself, grieve your losses, and allow yourself to feel and heal and grow and change. When you notice something on my desk has been moved a few inches. When I yawn (but that doesn’t happen often-honestly). When YOU yawn. When your eyes tear. When you suddenly change the topic…these are only examples.
Therapy is both scary and exciting, but that is how therapy should work. As they say, ‘nothing ventured, nothing gained’. If you are taking risk and feeling emotion in your sessions with me, you will make progress and feel better.
The seamstress, the carpenter, the brick mason. What do these occupations share in common? They all develop their skills through apprenticeship. As a therapist, you learn special techniques; means and methods and systems. Others teach you. As you collect tools, you place them in your tool box. Some you will use often. Some only occasionally. Nevertheless, all the tools have a purpose. One of these tools are the therapist’s own feelings; their compass. It is when the science moves out of the way and the art/craft moves forward that exciting things happen in therapy. You may come to a session thinking you have nothing to share or discuss. You may leave the same session feeling incredible relief and delight that you had a breakthrough!
“There is no substitute for experience.” – Eric Groh LPC GA Licensed
Now that you know my science, art and craft for providing therapy, please feel free to book an instant appointment.
EMDR or Eye Movement Desensitization and Reprocessing is a therapy that accelerates the resolution of traumatic events and flashbacks. I usually experience a good success rate with clients for whom it is appropriate. Wiki EMDR is an excellent source of information and describes the process clearly and simply.
Most people initially seek counseling for help coping with a recent traumatic event or loss. If in the area, they may seek out Grief Counseling Atlanta based therapists. Grief comes in many forms:
1) Death of a family member or loved one.2) Living with a chronic or terminal illness.3) Grief Counseling Atlanta for job loss.4) Divorce.5) Abrupt ending of a relationship.6) Near death experiences such as an automobile accident.7) Children and divorce.8) Adult Children of Alcoholics.9) Adult children of parental abandonment.
You may be acquainted with the Kubler-Ross Model of the stages of grief. This model applies in many situations in Grief Counseling. Many of my clients come from the Metropolitan Atlanta and surroundings areas in Georgia. This has allowed me to specialize in work with a wide variety of cultures and ethnic groups. Grief Counseling Atlanta based then can manifest differently across cultural groups. Following is the Kubler-Ross model from Wiki:
— The first reaction is denial. In this stage individuals believe the diagnosis is somehow mistaken, and cling to a false, preferable reality.
— When the individual recognizes that denial cannot continue, it becomes frustrated, especially at proximate individuals. Certain psychological responses of a person undergoing this phase would be: “Why me? It’s not fair!”; “How can this happen to me?”; ‘”Who is to blame?”; “Why would this happen?”.
— The third stage involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made in exchange for a reformed lifestyle. People facing less serious trauma can bargain or seek compromise.
— “I’m so sad, why bother with anything?”; “I’m going to die soon so what’s the point?”; “I miss my loved one, why go on?” During the fourth stage, the individual becomes saddened by the mathematical probability of death. In this state, the individual may become silent, refuse visitors and spend much of the time mournful and sullen.
— “It’s going to be okay.”; “I can’t fight it, I may as well prepare for it.”; “Nothing is impossible.”In this last stage, individuals embrace mortality or inevitable future, or that of a loved one, or other tragic event. People dying may precede the survivors in this state.
The stages of grief don’t happen in this order. For example, one doesn’t move through the 5 stages then is done grieving. For example, as people struggle with denial they may alternate. Reach the bargaining stage, then become in denial again. Noteworthy is that this process is normal and natural. Depression often is not problematic unless it persists for many months.
Please read this article fully. It explains the complex condition in clear terms. Only some of it may apply to you. For others, it will be spot on. Eric Groh is an Atlanta counselor who has helped hundreds of Bipolar Disorder individuals greatly improve their lives through psychotherapy.
Bipolar describes the ups and downs of our mood. Ups and downs are normal. We aren’t in a good mood all of the time. We aren’t in a bad mood all of the time. That’s not how our brains operate. It is normal to feel excited. Sometimes we feel sad. Life would be boring if our mood were the same all of the time. There is Bipolar Type 1 and 2. Type 1 is much more rare. It tends to be more chronic and severe. Some believe the two disorders are only loosely related. At least 90% of those diagnosed are Type 2.
Watch the video above. Then return to continue reading.
The video begins with gentle waves. Interpret them as pleasant mood changes. The waves intensify with splashes of color. The colors represent ecstasy and excitement. Sadness and mourning. A normal range of emotion.
Type 2 Bipolar symptoms are often “triggered”. Panic Attacks. Memories replaying like a video. Nightmares. Rage episodes. Isolation. Dark places that feel like a cloud hanging over us. Agitation. Irritability. Negative reactions to relationship events. Disorientation.
But notice what occurs at the midpoint of the video. There are bursts and eruptions that result in a deepening of the waves. They waves become erratic and violent. These are the distressing mood swings of Bipolar Disorder.
With Type 1, sometimes nothing. They might be random due to a chemical imbalance in the brain. The person is usually prescribed medications to keep their mood steady. A full manic episode ( the older name ” manic depression ” ) includes symptoms of: (National Institute of Mental Health)
Thoughts crashing into each other.
Being unusually distracted.
Increasing activities, such as taking on multiple new projects.
Irritability or agitation.
Sleeping little or not being tired.
Having an outrageous beliefs in one’s abilities.
High risk health behavior.
When most severe, one may believe they are a prophet or great figure in history. It is even obvious to family they have severe problems. Sadly it can result in forced hospitalization. It is most effectively treated with medications to keep your mood level.
People who have deep mood swings but have never had a
full manic episode are often categorized Bipolar Type 2.
In some ways, it is a catch-all category. A diagnosis for everyone who does not meet criteria for Bipolar Type 1. While not applicable to all, the following is relevant for many.
A staggering number of adults who have survived sexual trauma in childhood are also diagnosed Bipolar 2. Many studies say at least twice the rate of non-trauma survivors. Therefore, many survivors have dramatic mood swings. If an adult survivor of molestation comes to me already diagnosed by a medical doctor, about 70% are Bipolar Type 2.
There are subtle but important differences. Symptoms may appear the same, but have different processes.With Bipolar 2, the mood swings are often not random as in Type 1. Rather, they can be triggered by stress. Panic Attacks. Flashbacks. Nightmares. Rage episodes. Isolation. Agitation. Irritability. Negative reactions to relationship events. Disorientation.
Dear Workshop Attendees and Peers:
As described in my supervision workshop, the most important concept applies to all three GA Composite Board licensing specialties: we have two essential relationships with our supervisees: we are supervisor/supervisee but also licensed peers and therefore are both responsible for maintaining our respective licenses.
Here is more helpful information about and my Ethics: Understanding and Avoiding Board Complaints 5 hours NBCC workshop.The diagnose law SB 319 is very convoluted and awkwardly written. Also, sections of that law are probably unenforceable as they conflict with statutory powers granted to many of the state of Georgia healthcare boards including what is the law of Composite Board of PC SW and MFT. Based upon board experience, rules that will be passed by the Composite Board may be consequently repealed and replaced.
I did not include a download link for the Financial Arrangements Agreement because it actually is very brief: be certain it covers fees, consequences and charges for late cancellation, forms of payment. You may opt to offer a different fee structure for advance payment of multiple sessions but design that carefully as it could result in a financial disagreement.