How Does ADHD Work? (Part I)


There are three basic models to explain ADHD: Model I – Frontal/Pre-Frontal Lobe Dysfunction The frontal lobes, and especially the pre-frontal lobes, are involved in executive reasoning and inhibition of responses(Biederman et al, 2004). To explain, when you weigh possible solutions to a problem, evaluating the strengths and weaknesses of each possible solutions and finally choosing one, you are engaging in executive reasoning. ADHD can be thought of as a deficit in focusing, or a difficulty... more


Diagnosis of ADHD


Is ADHD Real Estimates vary, but the rates of ADHD fall between 3 to 5% (APA) and 7 to 12% (CDC) of children, with 60-85% continuing to meet criteria in adolescence, and 60% continuing to meet criteria in adulthood. Some authors debate whether ADHD is a real disorder, or simply a problem resulting from poor parenting, carbohydrate consumption and food additives, learning environment, etc…. ADHD is a “real” disorder, and many professional organizations have made clear statements... more


10 Tips to Reduce Stress

While you may not be able to solve the biggest stressors in your life, you can do something about many of the smaller stressors that “nickel and dime you to death.” Here are some proven stress reducers you can implement in daily life to help: Get up 15 minutes earlier each morning. That gives you a little more time to eat something, run back to get something you forgot, or enjoy a quiet moment with tea or coffee before rushing out the door for work. If you drive to work, a 15 or 20 minute... more


Letter to Dr. Laura

Dr. Laura

Dr. Laura I got this letter years ago from a friend, and had to post it here. However, given recent events in the news about Indiana and other states passing “religious freedom laws,” I think it takes on more meaning. For those who don’t know who Dr. Laura was, she dispensed advice in books, a radio show, and a short-lived TV show. She was not a licensed mental health professional, so could not call herself a “therapist”. Instead, she called herself a “shrink.”... more


Integrated Behavioral Couples Therapy

Neil Jacobson

Traditional Behavioral Couples Therapy (TBCT) is based on a few basic ideas: Simply talking about how you feel and think about problems is not very helpful; rather, doing something about them is what helps. TBCT focuses on changing behavior through communication and problem-solving; you negotiate changes and agree to implement them. Studies have shown that inclusion of a “communication skills” module seems to help improve the effect of treatment. Most partners can learn ways break bad... more


What is a Learning Disability?

Some History Of Learning Disabilities The first written account of a learning disability was in 1896. The case was that of a 14 yr old boy “bright and intelligent… quick at games and in no way inferior to others of his age [except for] his inability to learn to read” The phrase “learning disability” was coined here in Chicago in 1963 by Kirk Old Ideas About Learning Disability Children with Learning Disabilities used to be diagnosed with “minimal brain dysfunction.”... more



Marriage is the only war where you sleep with the enemy. Gary Busey What Do We Know About Infidelity? Some stats on infidelity: In the clinical population, 25-30% of couples come to therapy in the aftermath of an affair, and an additional 30% report during therapy that there has been an affair, so roughly 1 in 2 couples in your office will have had experiences with affairs… although (consistent with Gottman’s report) loss of intimacy was the larger reported problem for most couples,... more


The History of Marital Therapy

from The history of couple therapy: A millennial review. Family Process, 41, 199-260. (2002). Gurman and Fraenkel point out that relational therapy (formerly marital or couples therapy) has been largely neglected as its own specialty, even though family therapists do almost twice as much work with couples as work with multigenerational families. Sometimes it is traditional therapy just focused on the adult romantic relationship, but sometimes it is parent-focused work within the context of a family.... more


The Nurture Assumption

review of a book by Judith Rich Harris In a very interesting book, Ms. Harris presents considerable psychological and anthropological data to reexamine the “Nurture Assumption,” or the belief that nurturing your children will lead to happy well-adjusted children, and that if your children grow up otherwise then logically you didn’t nurture them. Her explanations are clear and her ideas well presented. However, Ms. Harris makes some of the same mistakes as the developmental psychologists... more


The Sound Marital House

John Gottman has been conducting marital therapy research for almost 30 years, and is a well-respected leader in the field. Based on this research and clinical testing of the theory, he and his wife Julie Schwartz-Gottman have developed a solid understanding of why some relationships last and why some do not, as well as an effective model for relationship therapy. The Gottmans have studied both the “masters and disasters” of marriage (as the absence of what makes for a good relationship... more

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