Irvin Yalom on Stanford University’s Philosophy Talk, talking about the topic of his new book, “Staring at the Sun: Overcoming the Terror of Death. Irvin Yalom is the Founder of Existential Psychology. The sound in this video is not the best, but doesn’t detract from the great dialog either.

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For more information visit our Boston Psychologist Empolyment page at http://thriveboston.com/hiring_employment.html or call us at 617-395-5806.

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One notable thing about using SUBOXONE is the “Here to Help” treatment support program that is offered to persons on the medication for opioid dependance. The Here to Help Program gives patients exclusive access to a personal “Care Coach” as well as a number of online resources and tools.  (See www.HereToHelpProgram.com)

Thrive Boston Counseling has joined the Here to Help referral network, to support patients overcoming opioid dependance.

ABOUT OPIOID DEPENDENCY

Opioid dependency is a medical diagnosis characterized by an individual’s inability to stop using opioids even when objectively in his or her best interest to do so.  The DSM-IV-TR clinical guidelines for a definite diagnosis of “dependence” require that three or more of the following six characteristic features be experienced or exhibited:

• 1. A strong desire or sense of compulsion to take the drug;
• 2. Difficulties in controlling drug-taking behaviour in terms of its onset, termination, or levels of use;
• 3. A physiological withdrawal state when drug use is stopped or reduced, as evidenced by: the characteristic withdrawal syndrome for the substance; or use of the same (or a closely related) substance with the intention of relieving or avoiding withdrawal symptoms;
• 4. Evidence of tolerance, such that increased doses of the drug are required in order to achieve effects originally produced by lower doses;
• 5. Progressive neglect of alternative pleasures or interests because of drug use, increased amount of time necessary to obtain or take the drug or to recover from its effects;
• 6. Persisting with drug use despite clear evidence of overtly harmful consequences, such as harm to the liver, depressive mood states or impairment of cognitive functioning.

Long-term treatment with buprenorphine/naloxone in primary care: results at 2-5 years.

http://www.druglib.com/abstract/fi/fiellin-da_am-j-addict_20080300.html

Extended vs short-term buprenorphine-naloxone for treatment of opioid-addicted youth: a randomized trial.

http://www.druglib.com/abstract/wo/woody-ge_jama_20081105.html

Buprenorphine/naloxone treatment in primary care is associated with decreased human immunodeficiency virus risk behaviors.

http://www.druglib.com/abstract/su/sullivan-le_j-subst-abuse-treat_20080700.html

Important Safety Information (ISI)

SUBOXONE^® (buprenorphine HCl/naloxone HCl dihydrate sublingual tablets) (CIII) is indicated for the treatment of opioid dependence.

It is extremely dangerous to take benzodiazepines or other depressants while taking SUBOXONE. A serious overdose and death may occur if benzodiazepines, sedatives, tranquilizers, antidepressants, or alcohol are taken at the same time as SUBOXONE.

SUBOXONE has potential for abuse and produces dependence of the opioid type, with a milder withdrawal syndrome than full agonists.

Cytolytic hepatitis and hepatitis with jaundice have been observed in the addicted population receiving buprenorphine.

Allergic reactions including bronchospasm, angioneurotic edema, and anaphylactic shock have been reported in patients taking buprenorphine.

There are no adequate and well-controlled studies of SUBOXONE (a Category C medication) in pregnancy.

Caution should be exercised when driving cars or operating machinery.

Always store buprenorphine-containing medications safely and out of the reach and sight of children. Destroy any unused medication appropriately.

The most commonly reported adverse events with SUBOXONE include: headache (36%, placebo 22%), withdrawal syndrome (25%, placebo 37%), pain (22%, placebo 19%), insomnia (14%, placebo 16%), nausea (15%, placebo 11%), and constipation (12%, placebo 3%). Please see full Prescribing Information for a complete list.

To report an adverse event caused by taking SUBOXONE, please call 1-877-782-6966. You are also encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full US Prescribing Information for SUBOXONE.

NOTE FROM THRIVE: This Post is not a paid advertisement, nor is it a recommendation that Suboxone is the right treatment for Opioid Dependency. This post is simply to provide basic information about Opiates, Opioid Dependency Treatment, and increase awareness of the Suboxone Here to Help program.

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For children, significant life events such as the death of a family member, friend, or pet; a divorce, a family move/relocation/change of schools, physical abuse, sexual abuse, verbal abuse, neglect, trauma, a major illness in the family can cause stress that might lead to problems with behavior, mood, sleep, appetite, and academic or social functioning.

Child therapy is known to help kids cope with, and overcome, life stresses.

Signs that your child may benefit from seeing a psychologist or licensed therapist include:

·         developmental delay in speech, language, or toilet training

·         learning or attention problems

·         behavioral problems (i.e., excessive anger, acting out, bedwetting or eating disorders)

·         a drop in grades at school

·         episodes of sadness, tearfulness, or depression

·         social withdrawal or isolation

·         being the victim of bullying, or bullying other children

·         decreased interest in previously enjoyed activities

·         overly aggressive behavior (i.e., biting, kicking, or hitting)

·         sudden changes in appetite

·         selective mutism (not speaking)

·         problems sleeping, or not wanting to go to sleep

·         missing or skipping school

·         mood swings

·         an increase in physical complaints (i.e., headache, stomachache, or not feeling well) despite a normal physical exam by your doctor

·         signs of alcohol, drug, or other substance use

·         problems coping with life transitions (i.e., separation, divorce, or relocation)

·         bereavement and grief issues

·         sexual, physical, or emotional abuse

·         exposure to traumatic events

Marriage Counseling

Relationship counseling is the process of counseling persons who are in a relationship in an effort to help them better manage conflict, overcome hurts, and build a strong relationship. The “relationship” in relationship therapy may be between members of a family or a couple, employees or employers in a workplace, or between a professional and a client.

Couples therapy/Marriage therapy may differ from relationship counseling. Couples therapy is more about seemingly intractable problems with a relationship history, where emotions are the target and the agent of change.

Short term counseling may be between 1 to 3 sessions whereas long term couples therapy may be between 12 and 24 sessions. In addition, counseling tends to be more ‘here and now’ and new coping strategies the outcome.

Christian Counseling

Christian counseling is faith-based counseling which draws upon the science of Psychology filtered through the biblical foundations of Christian teaching. The unifying factor is the therapist, him or herself, who has integrated a combination of Christianity and psychotherapy into an applied program. Clients may see Christian counseling as a relationship with a caring counselor directed toward increased awareness of themselves, others, the societies and cultures in which they live, and their understanding of the Christian God. It is often focused on solving the individual problems of the patient.

Christian Counseling is the process of integrating current psychological methods and processes with behavioral standards promulgated by Scripture. The point of Christianity is the healing of relationships: Relationships between man and God and relationships between people. Christian Counselors at times have more education than traditional therapists, since they receive training from both the secular and the religious world.

Group therapy

Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format. The broader concept of group therapy can be taken to include any helping process that takes place in a group, including support groups, skills training groups (such as anger management, mindfulness, relaxation training or social skills training), and psycho-education groups.

Individual therapy

Psychotherapy is an intentional interpersonal relationship used by trained psychotherapists to aid a client in problems of living. It aims to increase the individual’s well-being. Psychotherapy may be performed by practitioners with a number of different qualifications, including psychologists, marriage and family therapists, occupational therapists, licensed clinical social workers, counselors, psychiatric nurses, psychoanalysts, and psychiatrists.

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