Do I Have Narcissistic Personality Disorder?

We’ve all done it: called the arrogant, self-righteous, unsympathetic person we know a

“narcissist” and we may have even felt pretty confident that they are most certainly suffering from a Narcissistic Personality Disorder.  It’s a buzzword for the selfish and self-indulgent people we have difficulty with. We may even be right on occasion. I know I have, much to my chagrin. We never really want our laymen’s assessment to be true, do we?

A Brief Overview of DBT – Dialectical Behavioral Therapy

In this brief overview of Dialectical Behavioral Therapy (DBT), we are illustrating the efficacy of  DBT for the treatment of patients with suicidal behavior, bipolar disorder, and borderline personality disorder. DBT has been shown to reduce severe dysfunctional behaviors in clients. DBT uses validation has a tool to the client accept unpleasant thoughts and feelings rather than react to them in a dysfunctional way.  Simply put, dialectical means that two ideas can be true at the same time. Validation is the action of telling someone that what they see, feel, think or experience is real, logical and understandable. It’s important to remember that validation is non-judgmental and doesn’t mean you agree or even approve of the behavior you are validating.

Healthy Boundaries Make for Healthy Teens

What steps can you take to ensure that you aren’t in violation of someone’s boundaries? For example, not everyone enjoys being hugged, nor is it always appropriate to express that level of touch. From the perspective of a teacher or a therapist, one must understand the innate power differential that exists between teacher and student or therapist and client. One is looking to the other for advice and pedagogic elucidation, and one is holding the power to elicit such information. We therefore need to be thoughtful in our approach to employing touch in these situations.

Redefining Your Emotional Landscape With DBT

The ideology behind therapeutic tools like DBT is to facilitate and encourage an emotional and psychological paradigm shift towards a more sustainable relationship to one’s mental health challenges. The foundational tenant of DBT (Dialectical Behavioral Therapy) is mindfulness training. By using core mindfulness skills, one becomes personally active in redefining their relationship to their suffering.  Using these tools, one can learn to be non-reactive to their discomfort while staying emotionally present.  In a nutshell, they are taking what is a learned response to stress and dismantling it. DBT teaches you how to put it back together in a healthier, more sustainable and manageable way.

Mental Health Care: The Only Way Out is Through

Mental health is not something to be meddled with. It’s not something that can be fixed by prayer or meditation or going to yoga or by thinking positively. It requires legitimate clinically supported psychological care.  For some that may require a long-term in-patient program, for some, that may require an intensive outpatient program, and for some that may require weekly meetings with a therapist. The spiritual practices of prayer, meditation and yoga can and ought to be integrated into any therapeutic work but they are not the end all be all.

Boston Marathon: Emotional Care During Tragedy

We are once again faced with the darkness of another tragedy: the bombing at the Boston Marathon. Events like this inevitably bring up our past traumas, leading to feelings of deep sadness, and often confronted by some of our unfettered grief. There is also a huge sense of confusion when we are faced with the unanswerable question of “Why?”

The Value of an Outpatient Program

Outpatient programs have a unique position for those seeking treatment. They are sometimes looked upon as a softer way to approach treatment when a family is seeking help for their teen. There are some who think they can recover via our outpatient program alone, only to find out they need the more intensive care of our residential facility.  There are those who resist our outpatient program after spending time in residential only to discover that it is through our outpatient program where they learn to apply the tools they learned in our residential program.

DBT With Dr. Georgina Smith, Ph.D

We are pleased to welcome Dr. Georgina Smith, Ph.D to the Visions clinical team. She has been working with adults, families, and children since 2001, making her vast knowledge of neurofeedback and Dialectical Behavorial Therapy (DBT) accessible to a wide range of clientele. Dr. Smith specializes in treating survivors of trauma, abuse, and those suffering from eating disorders, and addiction. She also treats individuals suffering from chronic depression, self-injury, mood, personality, and anxiety disorders. Her knowledge and use of neurofeedback and DBT allows her to help her clients in a way that empowers them be engaged in their own recovery. Dr. Smith’s approach is holistic, and caring, and she ardently believes in ensuring that her clients feel seen. Her work with adolescents has built an authentic treatment style where she is able to form a genuine connection with her clients, so they feel seen, heard, validated and challenged. Dr. Smith encourages them to be ok in the skin they’re in. That particular tenant of treatment spreads healing throughout one’s mind, body, and spirit.

Working With Our Addiction to Anger

Can you be addicted to anger? Does the adrenaline rush of being angry dictate your response to the world? Better yet, are you even aware this is happening? Or have you become so used to the rage response, it’s become part of your normative behavior.

We know anger is a natural occurrence, but for some, it becomes so deeply problematic, it devolves into an addiction. When we become our anger (or any emotion, for that matter), we disable our ability to communicate. In those moments when we are lost in the rage and its resulting dissension, our hearts are frozen; our eyes are blinded; our tongues are tied. No good can come from this.  But what can we do? How can we change this innately negative response to our frustration?

Recovery: Redefining Normal

Stepping onto a path of recovery and beginning the removal of toxicity from one’s life is an arduous, often painful, but beautiful process. But I like to believe that some of our greatest lessons come from our difficulties. Those are the times that provide us with the most insight into what is actually going on with us. Take for instance your relationships with others. Is there a pattern? Have you continued to add links to an unhealthy chain be it consciously or subconsciously? Are you happy?