Practice at CCBT: A Supportive and Established Mental Health Group
Dr. Arnold presents on Integrated Behavioral Healthcare at the 2017 APA Practice Leadership Conference
CCBT looks to Affiliate with Child/Adolescent and Adult Psychologists, LISWs, and PCCs
CCBT has enjoyed a very high number of referrals in 2017, and in particular for issues related to children and adolescents. Would you like to work in concert with primary care physicians to trailblazer the future of behavioral health? Take advantage of co-location CCBT has with primary care practices, and become a part of value-based, integrated behavioral health services by contacting CCBT either though the contact form below, or at Dr. Arnold’s email.
In 2017, CCBT launched an additional reason to affiliate: The Valant EHR. If you’re a provider and want to access a powerful but easy-to-use EHR, its the latest reason to affiliate with CCBT. The ease of navigating the record, the EHR’s integration of evidence-based treatment notes, and the simple scheduling and billing functionality creates for our affiliates fast but comprehensive records and business functioning. And, the web-based format means it’s friendly for use with Wifi (of course, affiliates must maintain HIPAA and licensing privacy requirements for any device they use to access the EHR, including their smartphones).
Immediate Need: Pediatric or Child and Possible Co-Located Services
CCBT is currently seeking psychologists, independent social workers, and professional clinical counselors who specialize in treating children. CCBT will begin expanding into co-located services with other healthcare providers, and will need to increase the number of affiliates working with children. If you have the necessary independent license and specialization, please consider joining CCBT.
Experience a supportive, professional practice where you see your patients and chart your notes, while CCBT does the rest
- Commitment to Your Clinical Practice
- Full Administrative and Business Supports
- Marketing to Fill Affiliates’ Caseloads with Insurance Benefits Verification
- Any Stage of Career Welcome (with an Independent Practice License)
- Affiliates Set Their Own Availability
- You Set Your Hours
Depression and Anxiety
Depression affects over 6.5% of the population in the United States each year, according to the NIH and affects women almost twice as often as men. CBT for depression focuses on restarting the rewarding parts of your life, increasing enjoyable activities, and managing depressive thoughts. CBT has been shown to be effective with both short-term, and often long-term, depression when compared to medications alone (Driessen and Holton, 2010).
Anxiety affects almost 20% of us in any given year (NIMH), with Panic at almost 5%, Generalized Anxiety at almost 6%, and OCD approaching 2% (NIMH Stats Page). CBT for anxiety usually includes exposure therapy, reduction of avoidance strategies, changes to anxious thoughts, and coping methods (e.g., relaxation, mindfulness). Studies are highly supportive of the usefulness of CBT for anxiety disorders (Otte, 2011).
A special kind of anxiety, Post-traumatic Stress Disorder (PTSD), occurs after exposure to violent, threatening, and helpless experiences typically considered traumatic. These can include combat, domestic violence, disasters, or motor vehicle accidents. Almost 7% of us will experience PTSD in our lifetimes. Treatment with CBT includes Prolonged Exposure Therapy, Cognitive Processing Therapy, or Narrative Story Telling.
Reading Strategy to Improve Comprehension
Many children and adolescents experience problems from undiagnosed or mild reading problems. Many of these student don’t qualify for a specific learning disability in the schools, but nonetheless they have problems with reading speed, reading fluency, and word decoding (pronunciation).
When reading in middle school and high school, these students often use early developed habits that are geared to getting the reading done (to avoid failing to finish before the time is up in the classroom), rather than habits to produce comprehension.
Students can improve comprehension when reading with a purpose, and one well-researched strategy is the SQ3R.
S: Scan the reading passage, focusing on Titles, Section Headings, Figure Captions, Picture Captions, Highlighted Words, and Topic/Summary Sentences.
Q: From the key reading areas, create questions about the passage that direct your reading–so you are reading to answer questions about what the passage is about.
Read: Read to answer the questions and identify key information or concepts. Write in the margins, but avoid highlighting. The trick is to grasp that the passage has content you need to grasp to answer your questions.
Recite: Say out loud summaries of each paragraph, and answer the questions that way too. Often, it’s a good idea to write both the answers and brief summaries out in a notebook or on flashcards.
Review: Use the notes in the margins, the questions and answers, and the summaries to review your reading. When the teacher plans testing, review the notes, etc. every few days, or at least weekly. Be sure you can answer the questions you wrote correctly–if you don’t, re-review the content until you are the master of that passage.
For more on reading and reading comprehension, take a look at the US Dept. of Education’s Reading Panel Report. To download a PowerPoint review of SQ3R (including research citations), see the Cal State University-Bakersfield website.
Stress in America
The American Psychological Association (www.apa.org), just released its 2017 Report on Stress in America. Personal safety of Americans has grown for several years as a major area of stress. There continues to be a gap between the sexes on stress and how one copes. Perhaps most amazing is that, for every coping strategy, barely half of those who responded (if that many) use a coping strategy. Read it here:
New PsychologyToday Blog: Daddy, Can I Die and Make the Pain Stop?
The title to this blog post is probably startling to most readers. But perhaps more startling is the documented frequency of suicidality in pre-adolescent children. According to one study (Dilillo et al., 2015), in pre-adolescents suicide occurs at a rate of .5 to 100,000 in girls, and .9 to 100,000 in boys. However, suicidal thinking, according to a study in 1998 (Gould et al., 1998), was present in 24 out of 560 children ages 7-12 years. More of the PsychologyToday Blog
Behavioral Parent Training for Families with Children who display Disruptive Behaviors
CCBT is taking self-referrals and referrals from pediatricians/family physicians for a group that will provide training to parents in behavioral parenting.
The flyer for the group is Positive Behavioral Parenting. Interested? Fill in the contact form on the webpage, and mention Behavioral Parent Training.
New powerful study on behavioral interventions, medication and ADHD.
CCBT integrates Kazdin’s approach into our protocol. See the Yale description of this validated treatment for behavioral problems.