1. Acknowledge the Loss: It is important to validate the child’s feelings and acknowledge the loss. This can help the child to feel seen and to know that it is okay to talk about their feelings.

2. Provide Comfort: One of the best ways to help children with grief is to provide comfort. Give the child physical affection such as hugs, listen to them talk about how they are feeling, and offer encouragement and reassurance.

3. Talk Openly About Their Feelings: Allowing children to openly express their feelings can help them to cope with their grief. Ask them questions about how they are feeling and encourage them to talk openly about the loss. It is important to acknowledge their feelings rather than discounting them or suggesting they should be feeling something else.

4. Normalize Grief: It is important to help children understand that grief is a normal response to a loss. Explain that grief is experienced differently by each individual and can be expressed through different ways such as crying, physical discomfort, and anger.

5. Create an Open and Safe Environment: Creating an open and safe environment for the child to express their emotions can be incredibly helpful. It is important to create a space that is comfortable and safe for children to talk openly about their feelings without fear of judgement or criticism.

6. Embrace Traditions and Memorials: Helping children to engage in activities and rituals that keep their loved one close can prove to be beneficial. Allowing children to incorporate activities such as writing or photo collage into their own rituals or traditions can also be an effective coping strategy.

By providing children with understanding and support during their grief, they can learn how to manage their emotions and ultimately, begin to heal.

Narcissistic Personality Disorder is classified as a mental disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy with an underlying view that one is superior to others. Those with NPD may have difficulty maintaining relationships due to their inability to recognize the emotional needs of others and their tendency to engage in exploitive or manipulative behavior.

The DSM-5 outlines several key diagnostic criteria for individuals to be diagnosed with NPD. Core symptoms can include an exaggerated sense of self-importance, a need for constant admiration, a strong sense of entitlement, and a lack of empathy. Additionally, symptoms may include grandiose fantasies or beliefs, a preoccupation with power or prestige, a strong sense of competitive superiority, exploiting or manipulating others, extreme narcissism in interpersonal relationships, and difficulty recognizing the emotional needs of others.

The exact cause of NPD is currently unknown, however there are some theories which suggest the disorder may be related to an underlying biological factor or be the result of environmental influences. Some research has suggested that genetics may play a role in the development of NPD, as it has been found to have a higher rate of occurrence in those who have a family history of the disorder. Additionally, there is evidence to suggest that individuals who experienced trauma, neglect, or other forms of early childhood adversity may be more likely to develop narcissistic traits or personality features.

Several tools and diagnostic criteria are used by mental health professionals when diagnosing NPD. These typically include an in-depth interview with the individual to assess their symptoms and behavior, as well as observation of the person’s interactions with others. In addition, mental health professionals may look at an individual’s medical history, family and social history, and lifestyle to gain a better understanding of the disorder.

It is important to note that in order to receive a diagnosis of NPD, the individual must meet the criteria outlined in the DSM-5. Additionally, the symptoms should persist for an extended period of time and have a significant effect on one’s personal and professional life, while also impairing an individual’s ability to interact with and relate to others.

The treatment of NPD typically involves psychotherapy. During psychotherapy, the individual can learn how to recognize and manage their symptoms, build relationships with others, and cultivate empathy for those around them. It is important to note that due to the complexity of the disorder, treatment for NPD may take an extended period of time, with any progress seen likely being incremental.

In addition, medications such as selective serotonin reuptake inhibitors (SSRIs) may be prescribed in order to alleviate symptoms such as anxiety and depression. However, as of yet there is no specific medication specifically approved by the FDA to treat NPD.

Narcissistic Personality Disorder is a complex mental health disorder that can have an immense impact on a person’s psychological wellbeing. Individuals suffering from NPD experience extreme difficulties in forming and maintaining relationships, as well as difficulty recognizing the needs of those around them. Despite its complexity, NPD can be effectively treated and managed through psychotherapy and in some cases, through the use of medication. Through awareness and knowledge around the disorder, those affected can learn to recognize and manage their symptoms, as well as develop mutually beneficial relationships with others.

First and foremost, psychological evaluations are used to assess the mental stability and personal integrity of an applicant for immigration. Typically, a licensed mental health practitioner will conduct an assessment to determine if an individual is psychologically fit for immigration. This assessment may include such measures as counseling sessions, psychological interviews, and cognitive tests. During a counseling session, an individual is encouraged to openly discuss any mental health issues they may have, as well as any experiences which could impact mental health. Through psychological interviews, the practitioner will assess an individual’s level of mental stability by evaluating their responses and behavior. Cognitive tests are also conducted in order to assess cognitive functioning and the ability to think coherently and logically.

The goals of such evaluations are two-fold: firstly, to ensure the safety of the United States and its citizens, and secondly, to guarantee that an individual can successfully transition into their new environment. Ideally, the evaluation process should assess an individual’s mental state and character in order to determine if he or she is socially adjusted and psychologically sound. Mental health and stability are especially important for those seeking to become legal citizens, as it is assumed this group will have more difficulty assimilating into US society. When conducting a psychological evaluation, it is important to assess an individual’s mental stability and personal integrity in order to guarantee that he or she is psychologically sound and capable of making the transition into US society. Mental stability is determined by assessing an individual’s ability to think, reason, and understand the consequences of their actions. Personal integrity is also an important factor in determining if an individual is mentally stable, as this allows an individual to signify the level of trust and truthfulness they possess. Factors such as communication, behavior, and attitude are also taken into consideration during psychological evaluations to assess an individual’s personal integrity.

Psychological evaluations are not only used to establish an individual’s mental stability and personal integrity, but also to assess an individual’s ability to adequately adapt to his or her new environment. Immigration authorities will consider an individual’s background, nationality, and language when evaluating the potential to successfully transition into the community. This includes an assessment of an individual’s ability to adapt and thrive in US society, emotionally, mentally, and socially. Consequently, it is important for an individual to be familiar with the application process and the cultural expectations in the United States prior to applying.

Overall, it is clear that psychological evaluations are essential for evaluating an individual’s mental stability and personal integrity in order to guarantee a successful transition into US society. The purpose of such evaluations is to ensure the safety and security of the United States and its citizens, as well as to make sure that an individual is capable of adapting and thriving within the community. It is also important to note that additional psychological evaluations may be required to fully assess an individual’s potential to successfully transition into their new environment. By conducting such evaluations, it will be possible to guarantee successful integration into US society with minimal disruption or danger.

For many couples, there is a common fear of the unknown. As a couple, you might be uncertain of how counseling is conducted and what topics you may have to discuss. This fear can be intimidating and can cause couples to resist attending. It is important to keep in mind that the main purpose of couples counseling is to help partners find better ways to communicate and resolve conflicts, which is often a beneficial process that can help to strengthen relationships.

Additionally, another fear that couples may have is that counseling will put their relationships under a microscope. The fear is that a counselor or therapist might dig into the couple’s relationship problems and uncover sensitive and difficult topics, which may be distressing for either partner. It is important for couples to know that all discussion between partners and counselors is kept private and confidential. Relationship counselors do not take sides, but help couples to better understand one another and resolve conflicts.

Therefore, while couples counseling can be a scary thought, it is important to remember its many benefits. With the help of a competent and professional counselor, you can learn how to improve communication, find and apply effective strategies to work through your issues, and gain insight into yourself and your relationship. Ultimately, couples counseling gives you the opportunity to learn the skills you need to create a healthier, and stronger relationship.

PTSD is a mental health disorder that can be triggered by a terrifying event that a person experiences or witnesses. Symptoms of PTSD may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event. People with PTSD may experience symptoms for months or even years after the traumatic event. In some cases, these symptoms may be so severe that they interfere with a person’s ability to function in everyday life. PTSD can occur in people of any age, including children.

PTSD is a serious condition that can have a profound impact on a person’s mental and physical health. If you or someone you know is experiencing symptoms of PTSD, it is important to seek professional help.

What Causes PTSD?

PTSD can be caused by a variety of traumatic events, such as natural disasters, terrorist attacks, car accidents, or sexual assault. While it is normal to experience some anxiety and stress after a traumatic event, most people will eventually adjust and return to their pre-event level of functioning. For people with PTSD, however, the stress and anxiety continue long after the event has ended. In some cases, the symptoms of PTSD may not even appear until months or years after the initial trauma.

There is no single cause of PTSD, and it is thought to be the result of a combination of biological, psychological, and social factors. It is believed that people who are exposed to multiple traumas, or who have a history of mental health disorders, are at a higher risk for developing PTSD.

What are the Symptoms of PTSD?

Symptoms of PTSD can be divided into four main categories: intrusive thoughts, avoidance, negative changes in mood and thinking, and changes in physical and emotional reactions.

Intrusive thoughts are reoccurring, unwanted memories of the traumatic event. People with PTSD may relive the event through flashbacks or nightmares. They may also have intrusive thoughts during waking hours. These thoughts may be so distressing that they try to avoid activities, places, or people that remind them of the trauma.

Avoidance is a common symptom of PTSD. People with PTSD may try to avoid anything that reminds them of the trauma. This may include people, places, activities, or conversations. They may also avoid thinking or talking about the event.

Negative changes in mood and thinking are common in people with PTSD. They may feel hopeless, depressed, or guilty. They may also have trouble remembering details of the event or feel that their life has no purpose. People with PTSD may also experience negative changes in how they think about others. They may view people as untrustworthy, dangerous, or evil.

Changes in physical and emotional reactions are also common in people with PTSD. They may startle easily, have trouble sleeping, or become irritable or aggressive. They may also have trouble concentrating or feel constantly on edge. Physical symptoms such as headaches, digestive problems, and chest pain are also common.

What are the Effects of PTSD?

PTSD can have a profound effect on a person’s mental and physical health. People with PTSD may have trouble functioning at work, at school, or in social situations. They may also have difficulty maintaining close relationships. PTSD can lead to depression, anxiety, and substance abuse. It can also worsen existing mental and physical health conditions.

PTSD can also have a negative impact on physical health. People with PTSD may be at a higher risk for developing cardiovascular disease, chronic pain, and gastrointestinal disorders. They may also be more likely to engage in risky behaviors, such as excessive drinking or drug use.

If you or someone you know is experiencing symptoms of PTSD, it is important to seek professional help. PTSD is a serious condition that can have a profound impact on a person’s mental and physical health.

It’s impossible to understand why anyone would want to harm an innocent child, yet every year approximately 3 million cases of child abuse and neglect are reported in the United States. When you’re in contact with children, whether they’re children of your own, children in your extended family or children you interact with through the course of employment or volunteer work, a child that’s been a victim of abuse may decide to divulge to you their experience of abuse or neglect.

Listen

As the child is talking to you, be silent and listen. Let them talk freely. When they pause or stop talking, your calm silence and attention may prompt them to say more.

Calm

As the child is talking, it’s important to stay calm and steady, yet caring. Don’t cry, get upset or display any negative emotion as they may feel they’re being punished or shamed. It’s natural for you to feel upset or angry, but be sure to express your anger or upset to the appropriate people.

When you speak or ask questions of the child, be aware of your tone. Ask questions for the purpose of reporting pertinent details to the proper authorities, and avoid leading questions. Open-ended questions are best.

Believe

Believe the child’s report, and let them know they are believed. Now is not the time to assess validity, determine details or do detective work. You might want to say something such as, “I believe you. It’s good that you told me.”

Reassure

Re-establish safety with the child by reassuring them that they are loved and cared for, and that they did nothing wrong and are not in trouble. Free them from self-blame by letting them know it isn’t their fault. You can say something such as, “Nothing that happened is your fault” or “You did nothing to make this happen.”

Don’t restrict the child from play or fun activities unless necessary for their safety. They may see restrictions as punishment.

Get Help

Do not alert or confront the alleged offender. Call the local police or Child Protective Services/Department of Children and Family Services in your area as soon as possible to make a report.

Above all, it’s important that the child receives support and assistance immediately. If your child or a child you know has been the victim of abuse and you need the help of a licensed professional, please contact me today to set up an appointment.

Make a To-Do List
Ruminating on worries can cause lots of stress. Clear your mind by making a to-do list. Put down everything that needs to be done into your phone or onto a sheet of paper, and as you write them down, visualize yourself removing this task from your mind onto the list.

Watch Your Language
Many times parents believe things will get better when their children move on to the next phase of their maturity. However, the truth is that the worry will continue until you change your pattern of thought. To do this, watch the language you use to describe things. Don’t use phrases such as, “this will be a disaster if I don’t get it done on time” or “I’ll die of embarrassment if I forget.”

Also change thoughts of “I have to” to “I want to”. For example, instead of saying “I have to sign the kids up for karate” say, “I want to sign the kids up for karate because I know they’ll love it.”

Get Some Fresh Air
There’s nothing like some fresh air and sunlight to ease anxiety. Put your baby in a stroller and go for a walk around the block, to a neighbor’s house, or a local park. Take your kids to an outdoor mall or sit on the patio of a frozen yogurt shop and share a frozen treat. You can also try your local library. Some libraries also have outdoor patio areas where you can read with your kids.

Practice Mindfulness Exercises
If your anxiety is difficult to control, try deep-breathing from your belly. While you do this, concentrate on five things you can see, four things you can touch, three things you can hear, two things you can smell and one thing you can taste. This can help calm you when you’re feeling a panic or anxiety attack start to arise.

Use Your Support Network
Call your friends or family to chat or ask for advice. It may also help to vent with a Facebook parenting group or other online message board. You can also call your therapist and make an appointment and work through your challenges.

Try these tips to control and cope with your anxiety, and enjoy the time with your children free from worry.

If you find your anxiety to be impacting your ability to be a happy, successful parent, it might be time to speak with a professional who can help. Please contact me today for an initial consultation.