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Mending ruptures in client-therapist relationship during PTSD treatment has positive benefits

Online Counseling ServicesIn order for prolonged exposure therapy, an evidence-based psychotherapy for PTSD, to reach its full potential, any misperceptions or ruptures in trust and communication between therapist and client need fixing, according to a new Case Western Reserve University study.

The study, reported in the Journal of Consulting and Clinical Psychology online article, “Patterns of Therapeutic Alliance: Rupture-Repair Episodes in Prolonged Exposure for PTSD,” is among the first to examine how ruptures in the relationship between the therapist and client can damage a patient’s treatment outcome.

An alliance rupture may occur when there is a break in the therapist-client bond. For example, ruptures in the therapeutic relationship may occur when therapeutic progress stalls, negative feelings arise between the therapist and client, or when the work in therapy becomes challenging.

“We want therapists to know that a rupture in the therapeutic relationship isn’t a bad thing, as long as the therapist tends to it,” said Stephanie Keller, one of the study’s researchers and a Case Western Reserve doctoral student in clinical psychology. “However, if the rupture is not repaired, then your patient may not do as well in treatment.”

The research study included 116 people who experienced a traumatic event such as childhood sexual or physical abuse, physical assault, or combat exposure, and had a primary diagnosis of PTSD. Participants engaged in a 10-session treatment program called prolonged exposure (PE) therapy.

To help therapists chart progress and examine the therapeutic relationship, each client assessed his or her own PTSD symptoms and perception of their relationship with the therapist during treatment. This helped researchers to identify those clients who experience no ruptures in the therapeutic relationship (a stable relationship), clients who experienced a rupture that was subsequently repaired, and those with ruptures that went unrepaired.

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We are on the First Page!

first pageProvenTherapy.com is listed on the first page of Google for keyword ‘online counseling services’. The site was on the seventh page since the latest Panda update by Google in May/June 2013. Site traffic went down drastically since. However, with the support of some very active Therapists we could achieve this goal. At the moment the site is showing at position 10 on the first page of Google. We are trying to fine-tune our SEO at the moment in order to improve the site ranking further.

Divorce Elevates Risk for Depression

Divorce is associated with an increased risk of future depressive episodes but only for those who already have a history of depression, according to a new study published in Clinical Psychological Science, a journal of the Association for Psychological Science.

marriage and relationship problems“Stressful life events like divorce are associated with significant risk for prolonged emotional distress, including clinically-significant depression,” notes psychological scientist and lead researcher David Sbarra of the University of Arizona. “At the same time, we know from considerable research that the experience of divorce is non-random. Some people are much greater risk for experiencing a divorce than other people.”

This led Sbarra and colleagues to wonder: Is it divorce, or the factors leading to divorce — such as marital discord, neuroticism, or hostility — that increase the risk for depression?

To investigate this question, the researchers took advantage of data from the longitudinal, nationally representative Midlife Development in the United States (MIDUS) study. The researchers matched each participant who had separated or divorced during the study to a continuously married person in the study who had the same propensity to divorce, based on a number of previously identified factors. By comparing participants to their match, the researchers were able to account for the fact that it’s impossible to randomly assign people to divorce or stay married.

In line with previous research, the results showed that divorce had a significant effect on subsequent depression.

But, as Sbarra and colleagues found, the full story was a bit more complex.

Specifically, divorce or separation only increased the likelihood of a later depressive episode for those participants who reported a history of depression. In fact, nearly 60% of adults with a history of depression who divorced during the study experienced a depressive episode at the follow-up assessment.

For all other participants — including those who had a history of depression but hadn’t divorced, and those who divorced but had no history of depression — there was no elevated risk for a future depressive episode. Only about 10% of these people experienced a depressive episode at follow-up.

The magnitude of the difference between the two groups — 60% versus 10% — surprised the researchers.

“These findings are very important because they affirm the basic notion that most people are resilient in the face of divorce and that we do not see severe disorder among people without a history of a past depressive illness,” says Sbarra. “If you’ve never experienced a significant depression in your life and you experience a separation or divorce, your odds for becoming depressed in the future are not that large at all.”

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Know More about Phobia

A phobia is an irrational fear, a kind of anxiety disorder in which the sufferer has a relentless dread of a situation, living creature, place or thing.

phobiasIndividuals with a phobia go to great lengths to avoid a perceived danger which is much greater in their minds than in real life. If confronted with the source of their phobia, the person will suffer enormous distress, which can interfere with their normal function; it can sometimes lead to total panic. For some people, even thinking about their phobia is immensely distressing.

A phobia starts when a person begins organizing their lives around avoiding the object of their fear. A phobia is much more serious than a simple fear. Sufferers have an overpowering need to steer clear of anything which triggers their anxiety.

If the phobia is of something the phobic person very rarely comes into contact with, such as snakes, their daily lives will not be affected. However, some complex phobias are impossible to avoid, such as agoraphobia (fear of leaving home or public places) or social phobia (fear of being among groups of people).

Non-psychological phobiasphotophobia means sensitivity to light. For example, if you have conjunctivitis or a migraine your eyes may be particularly sensitive to light. This does not mean the person is afraid of light. One of the symptoms of rabies is hydrophobia, which is the inability to drink water.

Discrimination or prejudice – some words which include the word “phobia” do not refer to fear, but rather to prejudice or discrimination. Homophobia is not an uncontrollable fear of homosexual people; it is a dislike, a discrimination against them. Some older people may dislike youths or teenagers (ephebiphobia). Xenophobia is a dislike of strangers, foreigners or the unknown.

There are three main categories of phobias:

    • Specific phobias (simple phobias) – involve a disproportionate fear about specific situations, living creatures, places, activities, or things. Examples include a fear of:

      – Dentists (dentophobia)
      – Bats (chiroptophobia)
      – Dogs (cynophobia)
      – Flying (aviophobia)
      – Snakes (opidiophobia)
      – Birds (ornithophobia)
      – Frogs (ranidaphobia)

The two cateogories below, social phobia and agoraphobia are known as complex phobias. They are linked to a deep-rooted fear or anxiety about certain situations, incidents or circumstances, which make them much more disabling than simple phobias.

    • Social phobia – now called social anxiety disorder. A person with social phobia finds being in social situations difficult and sometimes unbearable. Going to parties, weddings, functions, or exhibitions cause sufferers anxiety; there is fear of being embarrassed or humiliated in public. The ultimate nightmare for a person with social phobia is probably to have to talk in public or act on a stage of front of an audience.

      There is a fear of being judged by other people. People affected with social phobia feel that they will be scrutinized and singled out in the crowd, which would be an unbearably embarrassing ordeal. The dread of being laughed at because of their clothes, voice or some feature of their body is so intense that they prefer to avoid social gatherings altogether.

      Psychologists say that a high proportion of adults with social phobia started taking measures to avoid social situations during their teenage years. Studies have shown that their progressively isolated lifestyles make them more susceptible to developing depression. Experts emphasize that social phobia is not the same as shyness.

      Obese people may develop social anxiety disorder, simply because of their weight.

    • Agoraphobia – an individual with agoraphobia is frightened of finding himself/herself in situations where there is no escape; they fear being stuck in a desperate situation with no help. Agoraphobia may include a dread of traveling on buses or trains, going into large shops or shopping malls. When symptoms are severe, the patient may find it unbearable to even step out of their own home.

Sufferers have an 80% risk of also suffering from panic disorder. As with social phobia, crowded and public places are avoided.

Article continues here…

“Release Yourself from Grief and Addiction,” Jeffrey is a ProvenTherapist!

Jeffrey Perkins is a licensed Counselor in child abuse recognition, licensed in Special Education and also the publisher of “Breaking Down Communication Barriers of Children with Autism.” He is a new member of the approved ProvenTherapists team.

Jeffrey Perkins

PRLog (Press Release) – Oct. 25, 2013 – SUFFOLK, Va. — Jeffrey has been practicing mental and behavioral health, intensive in-home, grief and addiction counseling to children, adolescents and adults alike throughout his career. He has counseled middle and high school teenagers for over 20 years as well as providing educating families on parenting skills which has vastly improved their relationships with their children. Jeffrey has taught as a licensed special education teacher for over 20 years and has provided grief and addiction counseling for approximately 10 years.

Jeffrey’s Expert Service

Jeffrey is a team oriented counselor with a great deal of compassion. He realizes that it takes a team effort (counselor as well as the individual or families being served) in order to make counseling or therapy excel and reach those individuals as it should. He is very empathetic to the client and makes a point to “place himself in their shoes” in order to get the full effect of what the client is facing and the journey that he or she has traveled along the way. Jeffrey strongly believes that listening is the first and most important element in dealing with a person’s grief or addiction and that it lays the foundation for the counseling structure that is being built between the therapist and the client. Jeffrey states “Many barriers can be eliminated simply by listening and building trust with your client.” He believes that social media and the services being provided by https://www.proventherapy.com serve as a springboard to those who are in need of counseling and simply don’t know of any other options available to them.

Read full story here…

Appraisal by a ProvenTherapist

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A One-step Solution for All Your Problems

Leeza S. Dillip – Approved ProvenTherapist

Leeza S. Dillip

“What is this life if, full of care

We have no time to stand and stare.”

William Henry Davis “Leisure”

Life today, is so fast-paced, challenging, complex and full of ups and downs. Do you remember the last time you laughed heartily, spent memorable times with your loved ones, jumped with joy or cried like a child, looked at the beautiful sunset or spun stories watching floating clouds? Most of us would be trying to answer these questions. We may have conquered many milestones in terms of education, profession, materialistic pursuits and so on. But, deep within our emotional sensitiveness is becoming shallow.

New Look

Life manifests itself in varied ways. Some moments impart a lot of happiness and positive aspects. While some instances render us hopeless and helpless. Loss of a loved one, transitions in life, daily stress, depression, break ups, emotional pains, anger and agonies, failure and frustrations, mood swings and confusion, chaos and loss…there are manifold ways in which life hits you hard and makes it unbearable. Under these circumstances it is very hard to find a support system, a shoulder to lean on, a person who can understand you pains in a non-judgmental manner and one who can show you the way out of all these challenges and pains.

If you are someone who is struggling with the ebb and tide of life, if situations are literally churning you up and if you are becoming a prey to mental health issues…we, at ProvenTherapy are dedicated to hold your hand and show you the path out of all the atrocities you are facing.

ProvenTherapy is like a Multi-specialty and Super-specialty health set up. With more than 100 specialized counselors, therapists and life coaches, ProvenTherapy is a pioneer in the field of Online Counselling. You can find different therapists specialized in different areas of life skills, mental health, therapy and healing…..all at a single place. Here are some of the hallmarks of ProvenTherapy:

  • Highly Qualified and experienced counselors and therapists
  • 24/7 online counselling and therapy support through live chat, emails, etc
  • Multi-specialized professionals to help you in dealing with your problems
  • Your privacy, security, confidentiality and dignity are never breached
  • Empathetic understanding of your pains and showing you varied ways of dealing with them
  • Extensive and intensive assessment, diagnosis, treatment, counselling and follow-up systems so that all your problems are treated in a wholesome manner
  • Flexible timings, user-friendly set up, easy to access and sign up, economic and less time consuming
  • Additional services also can be accessed free of cost. Like: Forums, therapist forums, blogs, therapeutic articles and videos and much more.

ProvenTherapy is not just a website full of words; it is a world full of well-meaning people who are dedicated to help you and to take you out of the overwhelming problems that you are facing. We, at ProvenTherapy await your arrival to facilitate your health, happiness and overall well-being.

Neutrons show accumulation of antidepressant in brain – Another reason to embrace talk therapy!

BrainExperiments with neutrons at the Technische Universitat Munchen (TUM) show that the antidepressant lithium accumulates more strongly in white matter of the brain than in grey matter. This leads to the conclusion that it works differently from synthetic psychotropic drugs. The tissue samples were examined at the Research Neutron Source Heinz Maier-Leibnitz (FRM II) with the aim of developing a better understanding of the effects this substance has on the human psyche.

At present lithium is most popular for its use in rechargeable batteries. But for decades now, lithium has also been used to treat various psychological diseases such as depressions, manias and bipolar disorders. But, the exact biological mode of action in certain brain regions has hardly been understood. It is well known that lithium lightens moods and reduces aggression potential.

Because it is so hard to dose, doctors have been reluctant to prescribe this “universal drug”. Nonetheless, a number of international studies have shown that a higher natural lithium content in drinking water leads to a lower suicide rate in the general population. Lithium accumulates in the brains of untreated people, too. This means that lithium, which has so far been regarded as unimportant, could be an essential trace element for humans.

Read full story here…

Phobias may be cured by watching others – an interesting study reveals

Big scary spider

Whether it is a fear of spiders, snakes or heights, many of us have phobias that we would love to be rid of for good. Now, a new study suggests that we can, by watching other individuals interact with the object or scenario that frightens us.

Researchers from the Karolinska Institutet in Sweden say that experiencing our fears through the actions of another person may be more effective than trying to combat our fears directly, and it could even prevent them from resurfacing.

Previous studies have suggested that social forms of learning may trigger phobias, the researchers say. From this, they wanted to see whether it could also help to suppress them.

The study, published in Psychological Science, involved conducting a vicarious learning experiment on 36 male participants.

All participants were shown a series of faces. The appearance of one face was followed by an unpleasant electrical stimulation to the wrist six out of the nine times it was presented. The researchers say this was to teach the participants to associate the target face with the electric shock.

The researchers then showed the participants two movie clips of the same experiment in which the target face was not linked to the electrical stimulation. One movie clip showed a person carrying out the experiment, while the other clip did not.

Read full story here…

Middle East Eating Disorders Association Founder Dr. Alford Joins the Team of ProvenTherapists

“Eating Disorder does not have to be a life sentence” Dr Jeremy Alford

Qualified Clinical Psychologist, Hypnotherapist & Neurofeedback Therapist, Member of the British Psychological Society ,and Founder member of the Qualitative Methods in Psychology Section, Dr Jeremy Alford opens Online Clinic at ProvenTherapy.com

Dr Jeremy AlfordPress Release: Sep. 10, 2013 – Dr Alford established his own private practice since 2003 and has 15,000 client hours until now. He is also founder and president of the Middle East Eating Disorders Association. Dr Alford has a multicultural experience and proven adaptability to international settings. He has experience in the application of learning in the UK and applying this knowledge in the Middle East.

He is specialized in the support and treatment of:

* Eating disorders and related issues

* Smoking Cessation

* Mood and Anxiety Disorders (such as Depression, Phobias, Panic Attacks)

* Compulsive Behaviours (Obsessive Compulsive Disorders, Addictions)

* Traumas (such as Post Traumatic Stress Disorders, Grief)

* Learning difficulties (Attention Deficit Disorders, Hyperactivity, Anger Management, Assertiveness Training)

* Psychotic issues (Management of Schizophrenia and other specific issues)

Dr Alford has appeared on several TV interviews to discuss various psychological topics in addition to having newspaper and magazine interviews.

Read full story here…

A history of depression increases risk for future episodes following divorce

depressionDivorce is associated with an increased risk of future depressive episodes but only for those who already have a history of depression, according to a new study published in Clinical Psychological Science, a journal of the Association for Psychological Science.

“Stressful life events like divorce are associated with significant risk for prolonged emotional distress, including clinically-significant depression,” notes psychological scientist and lead researcher David Sbarra of the University of Arizona. “At the same time, we know from considerable research that the experience of divorce is non-random. Some people are much greater risk for experiencing a divorce than other people.”

This led Sbarra and colleagues to wonder: Is it divorce, or the factors leading to divorce – such as marital discord, neuroticism, or hostility – that increase the risk for depression?

To investigate this question, the researchers took advantage of data from the longitudinal, nationally representative Midlife Development in the United States (MIDUS) study. The researchers matched each participant who had separated or divorced during the study to a continuously married person in the study who had the same propensity to divorce, based on a number of previously identified factors. By comparing participants to their match, the researchers were able to account for the fact that it’s impossible to randomly assign people to divorce or stay married.

In line with previous research, the results showed that divorce had a significant effect on subsequent depression.

But, as Sbarra and colleagues found, the full story was a bit more complex.

Specifically, divorce or separation only increased the likelihood of a later depressive episode for those participants who reported a history of depression. In fact, nearly 60% of adults with a history of depression who divorced during the study experienced a depressive episode at the follow-up assessment.

For all other participants – including those who had a history of depression but hadn’t divorced, and those who divorced but had no history of depression – there was no elevated risk for a future depressive episode. Only about 10% of these people experienced a depressive episode at follow-up.

Read the full story here…

Counseling at ProvenTherapy.com should be an easy journey, provided you take the first step! The first step is to contact a Therapist... this could be the hardest part because you have to break your mental barrier... but, the journey is sure to be relaxing and comfortable for you! --- the ProvenTherapy Team