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Licensed Psychologist

Natural Disasters

Hurricane Dorian pounded the Bahamas and is anticipated to move up the east coast of the U.S. Some of you may be directly affected. Others may be reminded of past traumatic experience in natural disasters. Feelings of fear and powerlessness or overwhelming worry of being trapped may well be elicited.Even though you may not personally experience physical injury, it is not uncommon to have strong emotional reactions. Understanding your responses to these disturbing events can help you cope with your feelings, and thoughts and help you along the path to recovery. The American Psychological Association has described common reactions and responses to disaster. Initially people may feel stunned and disoriented. Once these initial reactions subside, it is common to feel anxious and overwhelmed or more moody than usual. You may experience vivid, repeated memories of the event. They can occur for no apparent reason and may lead to physiological reactions such as rapid heartbeat or sweating. You may have difficulty concentrating or making decisions. You may find yourself more irritable or become more withdrawn than usual. Your sleep and eating patterns may also be disrupted or you may find yourself oversensitive to loud sounds smells or other environmental sensations which may serve as triggers. Fortunately, research shows that most people are resilient over time. Talking with friends and family about the event can reduce stress and help you feel less alone. Do not repeatedly watch or read news about the event. Get plenty of rest and exercise and eat properly. Make time for activities that you enjoy: read a good book, take a walk, or go to the movies. Do something positive. Helping others can give you a sense of purpose in a situation that feels out of control. Do not turn to drugs or alcohol. In the long run, they only create additional problems. If your feelings do not go away or continue to interfere with your daily functioning, join a support group or seek help from a licensed mental health professional. Asking for help is a sign of strength not weakness.

Resources:

  • Mental Health America, 2019, Kevin Rowell, PhD, and Rebecca Thomley, PsyD
  • Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75 (5), 671. doi: 10.1037/0022-006X.75.5.671
  • Bonanno, G. A., Papa, A., & O'Neill, K. (2001). Loss and human resilience. Applied and Preventive Psychology, 10(3), 193-206. doi: 10.1016/S0962-1849(01)80014-7
  • Butler, L. D., Koopman, C., Azarow, J., Blasey, C. M., Magdalene, J. C., DiMiceli, S., ... & Spiegel, D. (2009). Psychosocial predictors of resilience after the September 11, 2001 terrorist attacks. The Journal of Nervous and Mental Disease, 197 (4), 266-273. doi: 10.1097/NMD.0b013e31819d9334
  • Silver, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. JAMA: The Journal of the American Medical Association, 288 (10), 1235-1244. doi: 10.1001/jama.288.10.1235
  • Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological resilience after disaster? The role of demographics, resources, and life stress. Journal of Consulting and Clinical Psychology, 75 (5), 671. doi: 10.1037/0022-006X.75.5.671
  • Bonanno, G. A., Papa, A., & O'Neill, K. (2001). Loss and human resilience. Applied and Preventive Psychology, 10(3), 193-206. doi: 10.1016/S0962-1849(01)80014-7
  • Butler, L. D., Koopman, C., Azarow, J., Blasey, C. M., Magdalene, J. C., DiMiceli, S., ... & Spiegel, D. (2009). Psychosocial predictors of resilience after the September 11, 2001 terrorist attacks. The Journal of Nervous and Mental Disease, 197 (4), 266-273. doi: 10.1097/NMD.0b013e31819d9334
  • Silver, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. JAMA: The Journal of the American Medical Association, 288 (10), 1235-1244. doi: 10.1001/jama.288.10.1235

The Walking Wounded

From the January 2013 Monitor on Psychology by Dr. Siri Carpenter:

Excerpt: "Tempted to read just one more email before you sleep?  Don't.  New research finds that not getting enough sleep - whether because of our insatiable desire for digital media or more traditional sleep disturbances - has far-reaching effects on physical and psychological health." Read the full article.

Choosing a Therapist: Psychiatrist or Psychologist

The term "psychologist" and "psychiatrist" are often used interchangeably to describe a person who conducts psychotherapy. In fact,these two professions are not interchangeable. There are significant differences between these professional roles. Examining the educational background required for each profession can be helpful in understanding their differences. Psychiatrists go to medical school like other physicians. After three or four years they receive their M.D. degree. They spend the next four years in a residency which generally includes inpatient and outpatient rotations in general medicine, family medicine, pediatrics, neurology, and psychiatry. This residency does not usually include specific training in psychology and psychotherapy. After they complete their residency and pass the state board exam, these physicians can obtain a license to practice. As physicians, they are able to prescribe medicine and admit patients to hospitals. Clinical Psychologists typically spend five to seven years receiving graduate training in psychology in order to obtain a doctoral degree, (most commonly a Ph.D. but may be a Psy.D. or an Ed.D.), in clinical or counseling psychology. Psychology is the study of people: how they think, act, react, and interact. All course work is related to understanding every aspect of human behavior and the thoughts, feelings, and motivation underlying this behavior. Two years of supervised clinical experience follow receipt of the doctorate degree when candidates are trained to diagnose, perform psychotherapy, and help people understand themselves and address their emotional issues. Following these two years of clinical experience, they may take the state licensing exam. Only after they have met the above requirements and passed the state licensing exam are they able to practice clinical psychology and call themselves a "psychologist." Some psychologists and psychiatrists go on to receive further specialized training after attaining their Ph.D. or M.D. Degrees. Advanced programs in child, adolescent, family, marriage and couples therapy, group psychotherapy, psychoanalytic psychotherapy, and behavioral and cognitive therapy may require at least one to three years of additional coursework and supervision. A clinician who has obtained one or more Certificates in advanced training programs is among the most highly trained mental health professionals. Psychotherapy is conducted with individuals, groups, couples, and families. Psychotherapists help people to overcome stress, emotional problems, relationship problems, and troublesome habits. Psychologists treat people by providing psychotherapy focused on helping people understand the root of their problems and what they can do to change destructive behaviors, grow emotionally, and enhance their lives. Most psychiatrists in private practice focus on symptom relief using medicine to correct chemical imbalances that affect their clients. Most psychologists do not prescribe medicine. However, some psychologists who have taken advanced training in psychopharmacology can prescribe medicine as a part of their psychotherapy treatment.
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