FREE Professional Training: Psychological Trauma, an Overview, 2/15

FREE Professional Training:  Psychological Trauma, an Overview, 2/15

For Clinicians

We'd love you to join Mind Therapy Clinic's staff at our clinical training the evening of February 15. Tea and light snacks will be offered.

When: Friday, February 15, 4:30 PM - 6:30 PM

Where: Mind Therapy Clinic, 240 Tamal Vista Drive, Corte Madera CA 94925, Upstairs Classroom

FREE with no CEs. $25 for 2 CEs.

RSVP here by Friday, February 8.

For questions, please contact Jacqueline Perlmutter, Director of Professional Relations, 415-846-8409

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Latest Publication by Dr. Schiller - Quantitative Electroencephalography in Guiding Treatment of Major Depression

Latest Publication by Dr. Schiller - Quantitative Electroencephalography in Guiding Treatment of Major Depression

The latest paper by Mind Therapy Clinic’s Dr. Mark Schiller reviews significant contributions to the evidence for the use of quantitative electroencephalography features as biomarkers of depression treatment and examines the potential of such technology to guide pharmacotherapy.

More recent machine learning approaches such as the Psychiatric Encephalography Evaluation Registry (PEER) technology and other efforts analyze large datasets to develop variables that may best predict response rather than test a priori hypotheses. Frequency band abnormalities such as alpha and theta band abnormalities have shown promise as have combinatorial measures such as cordance (a measure combining alpha and theta power) and the Antidepressant Treatment Response Index in predicting medication treatment response. Nevertheless, studies have been hampered by methodological problems and inconsistencies, and these approaches have ultimately failed to elicit any significant interest in actual clinical practice. Technologies such as PEER may go beyond predicting response to a particular antidepressant and help to guide pharmacotherapy.

Read the full article here.

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BPD expert added to the Mind Therapy Clinic team!

BPD expert added to the Mind Therapy Clinic team!

We are thrilled to announce, Katy Tarella, LCSW, joins Mind Therapy Clinic as assistant clinical director and brings her expertise in borderline personality disorder treatment from her previous position at McLean Hospital in Belmont, MA. Katy is a licensed clinical social worker, trained in Dialectical Behavior Therapy (DBT), Mentalization Based Therapy (MBT), Dialectical Behavioral Therapy for Post-Traumatic Stress Disorder (DBT-PTSD), MBT for families, and General Psychiatric Management (GPM).

Learn more about Katy

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Holiday Wisdom for Families with a Member with Complex Psychiatric Issues

Holiday Wisdom for Families with a Member with Complex Psychiatric Issues

As family members, we would love it at our get-togethers if members could relax and enjoy each other. However, when a member experiences depression, anxiety, social anxiety, addiction struggles and personality disorders, we may have to adjust that dream picture of cozy camaraderie and stress-free relationships. A key tool of this readjustment is to cultivate our own inner peace, acceptance and equanimity. Here are some tools to help move into peace of mind and create the space for joy and gratitude.

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Frontiers of Trauma Treatment CE Event - Jan 18

Frontiers  of Trauma Treatment CE Event - Jan 18

Clinicians: Join Andrew Sidoli, MSW, Executive Clinical Director, Recovery Ways Treatment Programs to learn more about effective trauma treatment for families with a member in treatment. Moderated by Katy Tarella, LCSW, Assistant Clinical Director at Mind Therapy Clinic, we’ll review the neurobiology of attachment, examine current theory about attachment trauma and discuss and practice the use of the attachment interview as a practical therapeutic tool.

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Welcome Katherine Bregar, our new intern to Mind Therapy Clinical Training Program

Welcome Katherine Bregar, our new intern to Mind Therapy Clinical Training Program

A warm welcome to our newest predoctoral intern, Katherine Bregar!  She has a M.A. in Counseling Psychology and is working toward completion of her PsyD degree in Clinical Psychology.   She is supervised by Nicole Poell, PsyD. Mind Therapy Clinic's Internship Program in Clinical Psychology prepares interns to relate to clients and the community in constructive, positive, and effective ways and to utilize an integrated approach to therapy.  If you are interested in becoming an intern or would like to refer a patient who could benefit from receiving care from our interns on a sliding-scale based fee, contact Nicole Poell, PsyD, Mind Therapy Clinic's Director of Clinical Training.

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Catalyst-Assisted Psychotherapy - Emerging New Treatments

catalyst-assisted psychotherapy

By Nicholas P.W. Reeves, MD

One direction of intense interest currently is the potential of certain powerful psychoactive agents such as psilocybin or MDMA to act as catalysts for powerful transformational healing in conjunction with intensive psychotherapy.  MDMA and psilocybin can be powerful catalysts for psychotherapeutic healing because they help to temporarily break the subjects’ brains out of the conditioned patterns of thinking and behavior that have perpetuated their symptoms, thus enabling psychotherapy to have markedly enhanced efficacy through breaking down barriers such as deeply entrenched psychic defense-mechanisms.  Famous UC Berkeley journalist Michael Pollan recently released a great book on this topic called How to Change Your Mind: What the New Science of Psychedelics Teaches Us About Consciousness, Dying, Addiction, Depression and Transcendence.

At this point, there have been tremendously exciting positive results in clinical trials using MDMA as a catalyst to augment psychotherapy for patients with PTSD.  MDMA helps break the sufferers’ brains out of the abnormal patterns of neural network activity (correlate of symptoms and psychic defenses) that were established through the powerful conditioning that occurred as a result of their traumatic experiences.  There have also been incredibly fascinating results from studies using psilocybin-assisted therapy to treat end-of-life anxiety/depression, treatment-resistant depression, nicotine addiction and alcohol addiction.  These therapies (unlike TMS, DBS, and ketamine) are not yet legal for community clinicians to perform, and they require further study of their efficacy and safety before the FDA will grant approval.  Dr. Reeves has been following this line of research very closely for many years, and at least in the case of MDMA-assisted therapy for PTSD, it seems to be getting close to the point of potential FDA approval, as Phase 3 Clinical Trials are just now beginning and the FDA has granted MDMA-assisted therapy its coveted “Breakthrough Therapy” designation.

There are currently ongoing psychedelic research studies in San Francisco and Marin, such as MDMA-assisted therapy for PTSD (UCSF) and for end-of-life anxiety/depression (Dr. Phil Wolfson in Marin), as well as psilocybin-assisted group therapy for depression related to the trauma of the 1980s AIDS epidemic in gay men (UCSF).  Dr. Reeves is a close acquaintance of many of the psychiatrist-scientists conducting these studies, so please feel free to call him if you think your patient might benefit from referral to any of the mentioned clinical trials.

In summary, the field of psychiatry is undergoing exhilarating changes that are inspired by the principles of neuroscience, and several dramatically efficacious and neuroscience-informed treatments are emerging that may radically change the way psychiatry is practiced in the second half of the 21st century.  There has never been a more fascinating time to be a scientifically savvy (read: nerdy) psychiatrist, and each successive generation of new psychiatrists will be able to truthfully say the same thing.

Creating Flexible Exposures in Treating OCD and Related Anxiety Disorders - CE 10/31

Creating Flexible Exposures in Treating OCD and Related Anxiety Disorders - CE 10/31

Clinicians, please join Mind Therapy Clinic staff and Patricia Zurita Oña, PsyD for ACT for a professional training: Creating Flexible Exposures in Treating OCD and Related Anxiety Disorders.

  • Presenter: Patricia Zurita Oña, PsyD

  • When: Wednesday, May 9, 10:30 AM - 12:30 PM

  • Where: Mind Therapy Clinic, 240 Tamal Vista Drive, Corte Madera CA 94925, Upstairs Classroom

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The Future of Psychiatry - by Nicholas Reeves, MD

The Future of Psychiatry - by Nicholas Reeves, MD

In the words of famous neuroscientist Donald Hebb, “Neurons that fire together, wire together.”  Thus, the conditioning that led to abnormal neural circuit activity can be recognized, and new patterns of thinking and behavior can be strengthened through conditioning that installs healthier patterns through the mechanisms of neural plasticity (e.g. changes in number of synapses for communication between neurons within a network and number/sensitivity of the neurotransmitter receptors on the postsynaptic neurons). 

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Neuroscience-Informed Psychiatric Medication Management

Neuroscience-Informed Psychiatric Medication Management

The neuroscience helps us to understand the distal mechanism of action of the medications we use in psychiatry.  What is important to understand from the neuroscience is that the final result for individuals with any psychiatric disorder is that there are changes in the connectivity and function of various brain circuits that correlate with the symptoms of their respective illness

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Neuromodulation Therapies - Exciting New Development

Neuromodulation Therapies - Exciting New Development

There are now two well-researched neuromodulation therapies that are specifically designed to alter activity in brain circuits that exhibit abnormal activity in specific psychiatric disorders.   Transcranial Magnetic Stimulation (TMS) and Deep Brain Stimulation (DBS) were developed specifically with an understanding of neuroanatomy and the physiology of neural networks as a guide. 

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Welcome Ellen Shmunis, our new intern to Mind Therapy Clinical Training Program.

Welcome Ellen Shmunis, our new intern to Mind Therapy Clinical Training Program.

A warm welcome to our newest intern, Ellen Shmunis.  Ellen is an Associate Marriage Family Therapist and has her Masters in Marriage Family Therapy (MFT) from the University of San Francisco. She is supervised by Mind Therapy Clinic's Carol Dietrich. Mind Therapy Clinic's Internship Program in Clinical Psychology prepares interns to relate to clients and the community in constructive, positive, and effective ways and to utilize an integrated approach to therapy.  If you are interested in becoming an intern or would like to refer a patient who could benefit from receiving care from our interns on a sliding-scale based fee, contact Nicole Poell, PsyD, Mind Therapy Clinic's Director of Clinical Training.

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Neuroscience-Informed Psychotherapy - Why certain therapies may be effective.

Neuroscience-Informed Psychotherapy - Why certain therapies may be effective.

The science also provides some explanatory power as to why certain therapies may be effective.  For example, Cognitive Behavioral Therapy (CBT) helps patients to identify how certain errors in their thinking and certain maladaptive behaviors they exhibit helped generate and/or help perpetuate their disorders, as well as the interconnection between these cognitive distortions and the behavioral manifestations of their disorder. 

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