Opioid Dependency, Habit Disorders and Self-hypnosis for Those in Recovery

Hypnosis is sometimes called “an empty syringe,” and a properly-trained therapist can sometimes potentiate psychotherapy for opioid dependency and habit disorders via the supplemental use of self-hypnosis training. In other words, the contents of the syringe are given enhanced potency.

Oyster Point Psychological now offers self-hypnosis training for patients who are working on reducing troublesome habits and dependencies such as opioid dependency, emotional eating and smoking, and those who are in recovery from addiction to para-prescriptive drugs. Oftentimes, these are the patients who deem their recovery to be fragile with high possibility for relapse.

Prospective patients for hypnosis services are encouraged to discuss their interest with a therapist of their choosing. Licensure to practice clinical hypnosis and/or membership in a professional society offering graduate-level training in clinical hypnosis is often a good place to start. The American Society for Clinical Hypnosis and the Society for Clinical and Experimental Hypnosis maintain directories of membership – via geographical location and specialization. A patient’s family physician can also be a good source of information on this topic.

We offer an eight-week class in self-hypnosis, and prospective clients who are interested in discussing whether this approach may be helpful are invited to call for a complimentary consultation. We can be reached at 804-435-6777 and by e-mailing ajb@oysterpointpsychological.com.

“Sometimes it’s more important to know what kind of person has the disease than what kind of disease the person has.” – Hippocrates

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Replacing Obamacare: Personal responsibility and common sense

When conservatives talk about replacing Obamacare with something that will “maintain coverage,” we should notice that they are talking about more big, paternalistic government that enables those among us who abdicate responsibility for our own circumstances. We need more personal responsibility and common sense.

How should Obamacare be repealed and replaced? Here goes:

  1. Repeal that portion of the tax code that makes the cost of healthcare premiums deductible for employers.
  2. Change the tax code so that the cost of healthcare premiums is deductible for individuals. In this way, health insurance becomes portable, and individuals can claim a deduction for the cost.
  3. Repeal all laws that prohibit health insurance companies from selling their products across state lines. This would increase competition and lower prices – much like homeowners’ insurance and auto insurance.
  4. Eliminate all mandates. If you are post-menopausal, you should not be required to buy maternity benefits. If you don’t want drug treatment coverage, you should not be required to buy it.
  5. If you want coverage for pre-existing conditions (e.g., you have already broken your leg, gotten cancer, or had that heart attack), you can talk about the possibility of buying post-facto coverage with the insurance representatives you consult from your hospital bed. Coverage for a pre-existing condition is a matter that customers, prospective customers, and insurance carriers can discuss among themselves, and neither the government, nor the taxpayers, have any business in it.
  6. If you lack the good judgment to buy health insurance when you are healthy and costs are low, and you experience a loss, costs associated with this loss are yours and yours alone, and you cannot discharge these obligations via bankruptcy. This debt follows you whenever you try to buy a car, purchase cable TV services, or borrow money for a home. It is a blight on your credit until you pay it off, and you cannot stick it to the taxpayers.

— Andrew J. Billups, PsyD

 

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National Child Abuse Month: Inter-generational Plunder?

April is National Child Abuse Month, and I am asking my friends to do three things: (1) think of deficit spending as fiscal child abuse, (2) get the term “inter-generational equity” into the conversation and (3) hold elected representatives to a pay-down-the-debt position with no new borrowing. My congressman gives this issue minimal attention, and he can do far better.

Call your congressman today and insist that borrowing our children head-over-heels into debt is indefensible, and say that you will not stand for it.

Andrew J. Billups, PsyD

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Addictive relationships: Are therapists enablers?

Author, trainer, and therapist, John Bradshaw, speaks of addictive relationships during his presentation on the topic: Healing The Shame that Binds You. This presentation was made during his promotion of his book by the same title and was recorded by KUHT-TV in Houston.

During his talk, John Bradshaw defines an addictive relationships as: “any pathological relationship with a mood-altering substance or activity that has life-damaging consequences.” I have come to conclude that therapists see some mood-altering relationships and activities more clearly than others, and this selective focus does a disservice to therapy clients and to those who pay for their care.

In my experience, therapists tend to see substance-dependency clearly. Examples of dependency-prone substances are cocaine, alcohol, heroin, tobacco, methamphetamine, and para-prescriptive drugs. They also tend to see dependency-prone behavior clearly when the activities involve gambling, pornography, rageaholism, workaholism, and codependency. In my personal experience, many therapists seem to encourage dependency on various welfare programs and support political figures who view the welfare-dependent and members of the helping industry as special interest groups, whose votes can swing an election.

These therapists seem to think kindly of themselves with respect to their own enabling tendencies when it comes to clients, who are, arguably, in developmental arrest with respect to their own dependency upon food stamps, Section 8 Housing, Medicaid healthcare, Medicaid transportation, free and reduced-price school lunch, free health clinics, disability benefits for the non-disabled, and other charitable ventures that may be well-intentioned but misguided. Perhaps dependency upon therapists belongs in the mix.

In the world of physical medicine, we use the word iatrogenics in talking about the illness caused by the physician – such as the sponge or clamp left in the patient’s abdomen during surgery. Perhaps therapists are vulnerable to charges of iatrogenic behavior, when we see one type of dependency so clearly and another type of dependency poorly if at all.

If we, as therapists, are committed to helping our patients overcome dependency, whatever form it takes, a discussion involving welfare-dependency belongs in the mix. In my opinion, such a discussion is long overdue.

Andrew J. Billups, PsyD

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Muslims hate the United States?: Morning Joe thinks not!

On March 9th, Republican front-runner Donald Trump said that Muslims hate the United States, and former congressman and journalist, Joe Scarborough, devoted no small amount of time on his television program, Morning Joe, castigating Mr. Trump for putting forward such an abhorrent idea. The next day, Mr. Scarborough and his sidekick, Mika Brzezinski, seem unaware of how the Islamic hatred of Christianity, Judaism, the LGBT community, and non-Muslim citizens of the United States is incompatible with good mental health and freedoms we take for granted in the United States.

As a mental health professional, I believe that there are political paradigms that promote mental health, and those that do not. Islam and sharia fall into the second of these two categories. The beheadings, stonings, and amputations that take place in Islamic countries are undeniable, as are the “weddings” that take place between men in their sixties and “brides” who are nine, ten, and eleven years of age. Those of us who are not Muslim are, by definition, “infidels,” and the holy writings of Islam instruct Muslims to do one of three things when they encounter infidels: (1) convert them to Islam, (2) enslave them, or (3) kill them.

The holy texts of Islam also permit Muslims to engage in strategic misrepresentation of their true intentions, if such misrepresentations facilitate infiltration into the homes, organizations, neighborhoods, and governmental agencies of the United States. Interested readers are referred to taqiyya and kitman.

Joe Scarborough and Mika Brzezinski may be well-intentioned, but their misguided certitude on this matter does not serve well their viewing public. The viewers of Morning Joe would be better informed if Joe and Mika did their homework before fatuous chest-thumping on national television.

Andrew J. Billups, PsyD

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Clinical Hypnosis as an Empty Syringe

Knowing of my interest and training in clinical hypnosis, a friend recently asked, “Can you hypnotize and make me stop eating?” My (mildly obese) friend posed the question in a somewhat mocking and derisive manner. I smiled, and we soon found ourselves talking about something else.

My major professor during my internship at a regional medical school liked to say, “Hypnosis is an empty syringe. I do not teach anyone hypnosis unless I know what they are going to put in the syringe.” His emphasis, of course, was to teach the trance induction skills only to trained mental health professionals, who knew what to do with the trance experience once it had been achieved and were also prepared to deal with the lifting and re-living of repressed memories (i.e., abreactions), should this take place.

Clinical hypnosis can be an effective approach to habit control (e.g., smoking), weight control, and pain management. It can also facilitate progress in conventional psychotherapy but is not, in itself, psychotherapy.

Individuals who believe that clinical hypnosis may have something to offer them are encouraged to ask a potential therapist if their license reflects an endorsement in clinical hypnosis and/or if they are certified by either of the two professional organizations: the American Society of Clinical Hypnosis or the Society for Clinical and Experimental Hypnosis.

— Andrew J. Billups, PsyD

 

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Mary Tyler Moore Moments: Nancy Travers

When I first started out, just out of college, 28 years ago, I was working overnights at WOBR Beach 95. I filled in as needed for Uncle Rick (Greg Smrdel) doing 6-mid and occasionally morning news for Gregory Clark, all the while working 9-5 at the Coastland Times newspaper.

When I would drive up to my parking space on Budleigh Street in Manteo, I would think….each time…I am Mary Tyler Moore! I imagined myself throwing my hat in the air in the middle of the street…even though I never wore hats because I never looked good in them! I knew then, as I know even more now, every girl needs her Mary Tyler Moore time!

I’m so lucky! I’m so grateful! I’m so happy to have had my Mary Tyler Moore time!

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Medical Psychologists: What We Do

According to the Academy of Medical Psychology (AMP), there are two educational paths to becoming a medical psychologist. One is to complete medical school and earn a license to practice medicine in the United States. The other is to complete an American Psychological Association-accredited Doctor of Philosophy (Ph.D.) in Psychology or Doctor of Psychology (Psy.D.) program, followed by a post-doctoral master’s degree or certificate program in clinical psychopharmacology (www.amphome.org).

I have my Ph.D. in clinical psychology and spent 23 years working in a pharmacy as a pharmacy technician.  I then spent two years working with a general medical practitioner in his office with his patients.  In the process of all that I learned clinical medicine:  the ability to evaluate and diagnose medical disorders based on clinical symptoms and physical signs.

The “art” of clinical medicine is being lost.  It requires considerable time and, in essence, a mentorship with a physician to notice and understand what is being observed.  Unfortunately that training in clinical medicine is becoming rare.  Instead of clinical medicine leading laboratory medicine, laboratory medicine has ineffectively replaced clinical medicine.  The physicians who know clinical medicine are older.  The impact of managed care on the ability of a physician to take a history has led to nurse practitioners and medical assistants getting that information as a more cost effective method.  But it’s more costly to the patients and adds to the level of misdiagnosis being significantly high.  It’s also led to concierge medical services outside of managed care.

Medical psychology effectively bridges the gap for a physician in providing medical education, ensuring compliance with treatment plans and getting that needed history. Unfortunately, there are few medical psychology practitioners and fewer still know what we do.  I have to explain my role to physicians and psychologists alike.  Most equate what I do to “Dr. House” from the television series.  I just think of it as saving people’s lives.

Margaret A. Donohue, PhD

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Psychologists and Healthy Communities

In my experience, we psychologists often discourage one another from discussing politics. We may wish to think about what paradigms for government (i.e., “politics”) best promote mental health among the citizenry and the growth of healthy communities. As the election season heats up, I suggest we consider this matter as we follow various campaigns at the federal, state, and local levels.

My major professor at Eastern Virginia Medical School displayed a quotation from Sigmund Freud posted on the wall putting forth the notion that for a person to be healthy, three things are necessary: (1) to work with a sense of purpose, (2) to love in a way in which no one is being exploited, and (3) to play as children do. Without any mention of partisan politics, my model for health-enhancing governance follows from these three tenets.I like to see work incentivized with a minimum of deductions, and take-home pay that is as large as possible. This helps families provide for their own needs, such as food, tires for the car, school clothes, mortgage payments, car repair, and other such necessities.

It also requires that the large helping industry, and the assumptions upon which it is built, be re-thought and re-conceptualized. In every instance, we should help the less fortunate in a way that promotes them to become independent of us whenever possible. In my opinion, we do this poorly.Although loving in which no one is exploited can be accomplished with little or no money, that gift in the silver box, dinners in restaurants, scout dues, and a new baseball glove or riding lessons require some measure of discretionary money, and discretionary money is, by definition, what is left over after the basics have been bought. Expressions of love, as they are expressed in charitable donations, are also facilitated via small deductions.

To the extent that we can love those in generations-to-come, I suggest we pay down our 18 trillion dollar national debt and leave those who come after us with government (and a way of thinking about government) that is solidly “in the black.”Larger after-tax checks also help people play. A minimum of deductions makes it easier to buy dance lessons, pay dues to various recreational clubs, movie and concert tickets, sports equipment, and dinners.  Such play experiences also help build a treasure-trove of happy memories.

In each of these three categories regarding a healthy life, there is the undeniable multiplier effect that results from people spending money. Restaurants, auto-repair shops, jewelry stores, waiters, dance instructors, sporting goods stores, department stores, hotel owners, all tend to prosper when people have money and can buy goods and services that you and I provide.

In the model I describe, there is also an increased ability to save and invest, which is a topic I will save for another day.

I encourage my fellow mental health workers to consider these principles and support candidates and vote accordingly.

Andrew J. Billups, PsyD

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Ackerman-Schoendorf Evaluations for Disputed Custody

Oyster Point Psychological is pleased to announce that it is resuming Ackerman-Schoendorf Evaluations (ASPECT) relative to child custody disputes. Call or click for details.

 

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