The current health crisis in NYC is testing hospital healthcare providers like never before. During the COVID-19 crisis, the Manhattan Center for Cognitive-Behavioral Therapy is offering free support group services specifically for nurses in the New York City area whose work has been affected by COVID-19.[Read more…]
The scope of the problem
Barriers to mental health treatment abound in the United States. The nature of these barriers is varied. Some involve people seeking but unable to obtain services. Others involve a failure to seek services. In combination, these obstacles result in a large proportion of those in need of mental healthcare not getting it.
For example, a 2008 study examined mental health problems in a large sample of military members who served in Iraq and Afghanistan. The study found that only around half of those veterans with depression and PTSD sought help for these problems. Unfortunately, the corresponding statistics for non-veterans are no better. Why is that?[Read more…]
ERP therapy (exposure and response prevention) and ExRP (exposure and ritual prevention) are psychotherapies used to treat obsessive-compulsive disorder (OCD). ERP was developed in the 1980s and is credited to Edna Foa and colleagues at the University of Pennsylvania, although the basic principles of the treatment were well known for decades prior.
Subsequent innovations in this therapy resulted in its being given a new name: Exposure and Ritual Prevention (ExRP). This created some confusion as the one therapy was now known by two names. For all practical purposes, there is no difference between ERP and ExRP. This piece will provide information about what ERP / ExRP therapy involves, and how they it can helpful to people suffering from OCD.[Read more…]
OCD and confessing
A rarely discussed symptom of OCD is an overwhelming need to confess “sins,” even when the transgressions are very slight. Typically this will arise in the context of a marriage or romantic relationship. At first, what is confessed may not seem so minor. However, if this problem is not addressed, the confessed acts often become quite trivial.[Read more…]
A traumatic crisis
The recent suicides of Lorna Breen, a New York doctor of emergency medicine and Bronx EMT John Mondello have drawn attention to the emotional impact of the COVID-19 pandemic on healthcare workers. Hopefully their deaths do not portend a mental health crisis for the healthcare workers who provided care during the worst of the outbreak. Read on to explore the factors that may have affected these two tragic heroes, and to learn how PTSD and depression are concerns for healthcare workers caring for COVID-19 patients.[Read more…]