Psychodynamics of Intergenerational Transmission of Trauma Experiences 8/25/22

While Adverse Childhood Experiences (ACEs) can arise spontaneously from any number of sources, one of the frequent causes of trauma exposure occurs when parents unconsciously re-enact their own trauma exposure(s) with their children.   Sadly, most exposures to ACEs do not result in the affected individual (or their parent) receiving optimal psychological support and therapeutic intervention, […]

The Latest on Prazosin for Trauma Associated Nightmares 5/27/2021

Adverse Child Experiences (ACEs), or traumatic experiences, have significant medical and psychological sequelae.  ACES may or may not lead to post traumatic stress disorder, and regardless of the presence of a formal diagnosis, exposure to ACEs increase the risk for poor sleep and traumatic nightmares.  There are many psychotherapeutic and resiliency enhancing ways to support […]

Beyond the ACE Score: “As the twig is bent…” 4/16/2021

Spoiler Alert:  Traumatic exposures, coupled with impaired parent-child relationships, experienced during early infancy and early childhood years are associated with great risk to children’s cognitive, emotional and social development. The seminal Adverse Childhood Experiences study demonstrated the strong correlation between the number of adverse events experienced in childhood and the risks for negative health and […]

“My child can’t focus. What does that mean?”

Many children and adolescents present to their primary care provider’s office with concerns about inattention, poor focus or poor concentration. Since the primary care provider’s office is typically the first stop, it is important to be comfortable further evaluating the presenting problem, identifying associated symptoms, determining the diagnosis and implementing the best treatment plan. Many […]

Anxiety Disorders

Anxiety disorders are far and away one of the most frequent of mental health disorders. Often they are not recognized and/or treated within the context of the primary care setting, even though they tend to be chronic conditions that have significant impact on patients’ health and well-being. Anxiety is a universal and highly adaptive experience, […]