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?”   As parents, it is important to be transparent and honest with our kids in times like this. This does not mean sharing gruesome photographs of the event with them or feeding them gory details. Talking to our kids and allowing …

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.   Our outpatient program provides a …

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. …

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; …

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? When there is a history of toxicity in one’s life, particularly when it’s introduced …

Los Angeles outpatient facilities are typically where one goes in order to transition from the intensive setting of being in an inpatient treatment facility to the wide-open world.  The outpatient setting is the perfect environment for clients to reintegrate themselves into their new mode of living a life in recovery. On occasion, outpatient can also be the first place one goes to get help when an inpatient facility seems like too much and trying to recover on his or her own has been futile.. At Visions’ Los Angeles outpatient facility, we focus on the entire family, ardently continuing the work …

On Friday, September 28, we had the honor of co-hosting a Behavioral Health Educational Seminar, addressing Treatment Resistant Mood Disorders, and BiPolar Disorders. We co-hosted the seminar with Austen Riggs and PCH Treatment at the beautiful Victorian in Santa Monica, California. Eric Plakun, MD, DFAPA, FACPsych and Director of Admissions and Public Relations at Austen Riggs Center spoke about A Psychodynamic Approach to Treatment Resistant Mood Disorders. David J. Miklowitz, PhD, Professor of Psychiatry in the Divisions of Child and Adolescent Psychiatry at the UCLA Semel Institute and the Bipolar Treatment Consultant at PCH Treatment Center spoke about Bipolar Disorder: Current Thinking About Diagnosis and Treatment. …

Trichotillomania (TTM) is a type of body-focused repetitive behavior (BFRB) specifically characterized by impulsive pulling out of one’s hair from the scalp, eyebrows, eyelashes, or elsewhere on the body. According to the DSM-IV of the American Psychiatric Association, TTM must meet the following five criteria: Repetitive pulling of one’s own hair that results in noticeable hair loss. A feeling of tension prior to pulling or when trying to resist the behavior. Pleasure, gratification, or relief while engaging in the behavior. The behavior is not accounted for by another medical (or dermatological) or psychiatric problem (such as schizophrenia). Hair pulling leads …

Garth Lemaster is precisely the type of person you want around in a crisis: he’s level-headed, straightforward, respectful, and honest. He shows up when he says he will and he always gives his heart and soul to his work. Garth is one of those therapists the kids seek out for their check-ins, and as a result, he spends the majority of his time at Visions session. It’s also not unusual to see Garth helping out with the day-to-day operations of Outpatient and the Day School, which shows how much of a team player he really is. Since 2007, Garth has …

According to the DSM-IV, “Personality Disorders are mental illnesses that share several unique qualities.  They contain symptoms that are enduring and play a major role in most, if not all, aspects of the person’s life.  While many disorders vacillate in terms of symptom presence and intensity, personality disorders typically remain relatively constant.” Further, the DSM-IV says that in order to be diagnosed, the following criteria must be met: Symptoms have been present for an extended period of time, are inflexible and pervasive, and are not a result of alcohol or drugs or another psychiatric disorder. The history of symptoms can …