tag:blogger.com,1999:blog-1069452529722261921.comments2023-05-22T02:18:30.903-07:00TeenShrinkTalkAnonymoushttp://www.blogger.com/profile/10574253468799505078noreply@blogger.comBlogger20125tag:blogger.com,1999:blog-1069452529722261921.post-10759139833159706932019-02-03T09:03:49.082-08:002019-02-03T09:03:49.082-08:00I’m going to read this. I’ll be sure to come back....I’m going to read this. I’ll be sure to come back. thanks for sharing. and also This article gives the light in which we can observe the reality. this is very nice one and gives indepth information. thanks for this nice article... <a href="https://www.creamy-teen.com" rel="nofollow">creamy pussy</a><br />Faiza Jeehttps://www.blogger.com/profile/00020979319705793429noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-31307637823553010212014-01-23T14:55:42.151-08:002014-01-23T14:55:42.151-08:00ps Ha reading my post it feels like a plug in this...ps Ha reading my post it feels like a plug in this book, I swear I have no vested interest and no connection to the author or publisher, but it's just rare and refreshing to find an easy to read book that seems to cover most of the contemporary 'bases', so thought you might also appreciate. It's kinda a relief that it's even possible. Though I feel it is still missing some of the key pieces that I have found in Neufeld's paradigm on anxiety (re: separation complex)Stephenienoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-87411296595224078632014-01-23T13:52:49.966-08:002014-01-23T13:52:49.966-08:00Wow we are really on the same page! I feel exactl...Wow we are really on the same page! I feel exactly the same about an integrating journey... I've "see behind the curtains" and I now I can't 'unsee'... (some days I wish I could go back to thinking I knew everything by flipping open a CBT-manual, I slept better at night) :) <br /><br />BTW I really like a new book FOR PARENTS of anxious children (that's my specialty), and just thought I would share. It's Lawrence Cohen's new book The Opposite of Worry - some of it could be applicable to teens (as we know that emotional age doesn't always equate with actual age). I think it weaves together beautifully attachment-theory, somatic (understanding how stress and trauma is held in the body), EFT, and CBT/psychoed, AND playful strategies that I think appeal to children (as a parent of a 4 and 6 year old I can tell). AND best of all it is so easy to read and non-pathologizing - parents won't even know they are being taken through all the current research. I just happen to be reading it now so pretty excited about it, but I'm sure next month I'll be on to something else. ha Take care, Stephenie Stepheniehttp://www.leapclinic.canoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-91877480734329416742014-01-21T09:32:14.162-08:002014-01-21T09:32:14.162-08:00Yes - there is a world of complexity that CBT does...Yes - there is a world of complexity that CBT does not address... I also was extensively trained in CBT and still see it's role in our work... but attachment theory, interpersonal, emotion focussed and somatically influenced conceptual frameworks have led me on this theoretically journey to more integrated understandings. Glad you could join me!Anonymoushttps://www.blogger.com/profile/10574253468799505078noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-82785855165748809542014-01-19T08:45:22.553-08:002014-01-19T08:45:22.553-08:00Dear Dr. Ocana, I have just stumbled on your blog ...Dear Dr. Ocana, I have just stumbled on your blog and am now listening to your shrinkrap talk with much interest. I am a parent and also work in child/youth mental health in Vancouver in private practice, and bring in different paradigms and lens to understand the roots of behaviour and the best contexts to 'grow our children up'. Though originally and extensively trained in CBT, lately I am finding many answers through Gordon Neufeld's attachment-based developmental model. I just wanted to express my appreciation for your efforts on this blog and hope that you continue to post (when you find the time!). Take care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-58025026334039945522013-05-10T05:17:11.258-07:002013-05-10T05:17:11.258-07:00Thanks for helpful explanation on this. I am read...Thanks for helpful explanation on this. I am reading up on this seemingly new body therapy for trauma. Try listening to the episode of Shrink Wrap when Dr Dave interviews two Californian Child Protection Service therapists who are treating parents of at-risk children with somatic experiencing therapy, which seems similar also so Pat Ogden's Sensorimotor psychotherapy.sprinkletastichttps://www.blogger.com/profile/01221182635417482433noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-77031523552055690312013-04-03T12:28:45.237-07:002013-04-03T12:28:45.237-07:00Thanks for saying so!Thanks for saying so!Anonymoushttps://www.blogger.com/profile/10574253468799505078noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-50952516101670591402013-04-03T09:30:34.399-07:002013-04-03T09:30:34.399-07:00Thanks for doing this. I appreciate you.Thanks for doing this. I appreciate you.Somegirlinwyohttps://www.blogger.com/profile/08455285882084000860noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-38673064047959270782013-03-04T08:15:46.902-08:002013-03-04T08:15:46.902-08:00Welcome Anonymous! Good to hear from a fellow pedi...Welcome Anonymous! Good to hear from a fellow pedi-psych who is wrestling with the same issues. I am pleased to hear you are in a position to influence positive change! I wish you great success in doing so and I hope this blog may be of some inspiration to you.Anonymoushttps://www.blogger.com/profile/10574253468799505078noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-46913104510868275832013-03-04T03:34:30.752-08:002013-03-04T03:34:30.752-08:00I'd love to expand the discussion - taking Co...I'd love to expand the discussion - taking Collaborative Model to child treatment units where the ALOS is longer than the traditional inpatient "stabilization" unit. At least in the US, inpatient units are typically 1 week stays, and treatment is at best, just getting the first steps in place in a longer process. In some areas longer term treatment is within a "state hospital," a residential treatment facility, or a "community-based" equivalent (the same supports, but without the bricks and morter building.)<br /><br />When I first became fascinated by child psychiatry, it was through narrative psychology, often rooted in the psychoanalytic tradition. My clinical training experience began on a unit with very behavioral roots, although strongly guided by developmental and attachment overtones. As an early career director of an inpatient unit, I balanced my ideas of what "seemed best," with the vision of the university hospital administration, the "real world," experiences of my seasoned staff, and the fiscal realities. Now, more seasoned (parenting 3 early elementary school boys does that) I am reassessing what are the best approaches for promoting real growth, change, resilience, and overall better behavior and functioning. My current professional position requires looking at these treatment models from a state wide, systems perspective. I'd love to hear thoughts from others who are questioning what are better approaches for this kind of work.<br /><br /><br />Pedi-psych MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-54330401220750985582013-03-03T17:29:48.069-08:002013-03-03T17:29:48.069-08:00This and you next posting are well written summari...This and you next posting are well written summaries of information which is out in the literature, but it is wonderful to see it reshared. As the attending/director on an inpatient unit - you well know how difficult it is to correct, years later, trauma's impact on the most severely impacted youth ... be it prenatal and preverbal environment, genetics, severely impaired parents or often many of the above.<br /><br />Keep writing! Hope to learn more as you continue share your explorations.<br /><br />Another pedi-psych MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-15751041469029004962013-03-01T21:25:21.591-08:002013-03-01T21:25:21.591-08:00What a beautiful and elegant summary of his fairly...What a beautiful and elegant summary of his fairly massive book you've given here. <br /><br />Yes, it would have been wonderful if I could have spoken with him longer. In fact, I was quite shocked by his statement at the end of our interview that he would have liked it to go on longer! :-)<br /><br />DavidUnknownhttps://www.blogger.com/profile/15998580176459556409noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-85748485304712191952013-02-27T16:43:02.631-08:002013-02-27T16:43:02.631-08:00Dear Dr. Ocana, thanks for your positive review of...Dear Dr. Ocana, thanks for your positive review of my podcast (www.ShrinkRapRadio.com). I'm very happy to have a professional of your caliber who is equally excited as I am about the promise of neuroscience to integrate and transcend the various "schools of psychotherapy." We are understanding more and more the processes which have led to therapeutic success in the past and what it will take to increase those success in the future. Glad to see you you've been inspired to resume your blogging here. Providing good information is an important curative, too! :-)<br /><br />Best,<br /><br />"Dr. Dave"<br />David Van Nuys, PhDUnknownhttps://www.blogger.com/profile/15998580176459556409noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-35669037379243591022013-02-27T15:05:55.113-08:002013-02-27T15:05:55.113-08:00It is indeed encouraging to see that psychology is...It is indeed encouraging to see that psychology is moving beyond pathology. I think the study of the mind in the west has been quite limited to reductionism, perhaps rightly so. Neuroscience has allowed us to explore approaches that were once theoretical, and perhaps even spiritual, but had a practical function.<br /><br />I'm rather pleased to see doctors and scientists embracing new technology. I think the mind, body, and brain relationship is just beginning to be understood. In the nineties I recall that you were the product of your genes and there wasn't much else beyond that. This notion has been completely turned upside down. It's an exciting time to be interesting in the field.<br /><br />Keep writing.doc-lolnoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-56877141754764801092012-12-01T08:38:52.663-08:002012-12-01T08:38:52.663-08:00I am curious about the rates of mental illness in ...I am curious about the rates of mental illness in industrial societies in contrast to rural societies. Is there any information regarding the mental health of traditional societies? Have there been studies?Lolidaynoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-81061082257370917592012-10-20T10:18:21.005-07:002012-10-20T10:18:21.005-07:00Stay tuned for the next few posts where we will na...Stay tuned for the next few posts where we will narrow in even more closely on the risk factors as they layer up! High stress reactive (sensitive) infants are definitely more at risk for developing internalizing disorders such as Eating Disorders while low stress reactive infants are at risk for developing externalizing disorders.Anonymoushttps://www.blogger.com/profile/10574253468799505078noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-78885909761823046892012-10-20T08:15:09.222-07:002012-10-20T08:15:09.222-07:00Great post! Love that metaphor of orchid children ...Great post! Love that metaphor of orchid children and dandelion children. Orchids seem to be much more at risk for eating disorders when there is a poor fit with their environments.Jennifer Lanehttps://www.blogger.com/profile/13300124780126853962noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-76125322760115130992012-10-04T16:08:33.901-07:002012-10-04T16:08:33.901-07:00I think it's critical for HCPs working on the ...I think it's critical for HCPs working on the front lines to add their best thinking to the conversation in their line of work (ditto for any subject matter experts). It's arguably the most efficient and authentic way to innovate a therapeutic care by engaging different perspectives to solve problems together (much like the premise of this blog post).<br /><br />Separately, As a father of three (and a non-medical professional) your words resonate. Invariably, collaborating with my child on a solution is empowering for them and deeply satisfying for me, the parent. I feel that by doing this as consistently as possible, I'm giving them tools to be successful in life as they grow older and more independent. Trick is to have the perseverance to do this every time, which requires eternal patience. Interestingly, as a business professional, I try to take the same approach with my team mates. It would be egotistical of me to think I have all the answers to everyone's problems...Thanks again for adding value. Keep it up!Colin Fosterhttp://www.linkedin.com/in/colinfosternoreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-71227064582660036832012-10-03T08:57:27.562-07:002012-10-03T08:57:27.562-07:00Thank you Renter. Out of curiousity, in what conte...Thank you Renter. Out of curiousity, in what context are you using your collaboration based approach?Anonymoushttps://www.blogger.com/profile/10574253468799505078noreply@blogger.comtag:blogger.com,1999:blog-1069452529722261921.post-51728766448672601082012-10-02T21:16:06.134-07:002012-10-02T21:16:06.134-07:00Let me have the honour of being the first to post....Let me have the honour of being the first to post. Excellent precis of the historical journey that psychiatry has taken. It is encouraging and reassuring that your unit has the same goal of reducing seclusion and restraints through a collaborative model. We have also relied heavily on Ross Green as well as the Engagement Model with a substantial nod to attachment as a way to engage, empower, collaborate and allow for the shared responsibility for improvements in health, sense of self and family life. Renter in vanhttps://www.blogger.com/profile/08420451538387217657noreply@blogger.com