William Edwin Kerner

It's not my area of specialty so you need to see a counselor that specializes in gambling addiction. Many "addictions" have commonalities to them, for example the activity can often increase dopamine levels, causing a pleasurable experience or a rush feeling. You need to see a professional to see if you have another, untreated, mental health diagnosis such as depression. If that is the case you will have to address both your depression and your gambling addiction. I wish you the best.

Yes to a certain degree, the best overall approach is going to be a combination of medication management and working with a counselor. I wish you the best.

Have them get a second opinion, it is often misdiagnosed. The rate of progress will be determined by multiple factors, the severity of their ADD, genetic and biological considerations and their willingness to implement various changes in their daily life, that may include things such as dietary changes, exercise and adding more structure to their daily routine. So sorry.... I can't give you specific information on length of time because of these different factors. There are many resources out there for people who struggle with ADD / ADHD.

The purpose of counseling is to bring about healthy change in a patient. Sometimes it may include medication with positive behavioral changes. With anxiety there can often be different types, trauma related, or generalized anxiety disorder GAD. If a person has anxiety, caused by trauma, they should pursue the gold standard treatment for PTSD, Cognitive Behavioral Therapy or EMDR (Eye movement desensitization and reprocessing). If they have another type of anxiety, generalized anxiety disorder, panic disorder... then they can make positive changes with their lifestyle that will greatly reduce anxiety but they may also benefit from medication. About 80% of depression and anxiety and be eliminated by making positive changes, 7 hours of sleep per night, regular exercise and a positive healthy diet. There is an old book called "From Panic to Power" and "Rewire your anxious brain" that you may benefit from reading, there are also numerous clip on Youtube that you may find helpful. You also might want to meet with a counselor that can guide you, address other things such as your cognition, family issues and other things that my be contributing to your anxiety. It is very treatable but it requires making some changes. Take care.

A combination of lifestyle changes with counseling that addresses cognition is the best approach.

I'm not sure there is a "quick" treatment, if someone says there is I wouldn't believe them. The clients that I've worked with show about a 60-70% decrease with their depression by addressing the following, sleep, diet, exercise, social engagement and dietary changes. Once these have been addressed I will then address CBT, cognitive behavioral therapy, addressing the client's cognition. I hope this helps.

A person needs to be appropriate diagnosed, if they have depression or Bipolar Disorder they should be under the care of a clinician, masters level counselor, and a psychiatrist for medication management.

It truly depends upon the counselor. If you find a counselor who is skilled at working with depressed patients it can be very helpful. I would strongly encourage anyone who suffers from depression to read "The Depression Cure". Most people can decrease their depression by 80% by making positive lifestyle changes. If someone has depression along with a dual diagnosis, such as anxiety or PTSD, they would benefit by seeing a clinician that specializes in EMDR or Cognitive Behavioral Therapy CBT.

No but it's helpful. Patient's who have mental health issues who see both a physician and an outpatient counselor do 50% better than those who just see a physician. The patient is more consistent with taking their medication and is better able to cope with the difficulties that come with their diagnosis.

Do they "need" therapy or would they be "helped" by therapy. I would say that some counseling would be beneficial to children, especially if they have an increase with negative behaviors. Family therapy would be best, with both parents and the children meeting with a counselor that specializes with helping couples through the divorce process. Take care.

It depends what the causation is for the aggressive behaviors, I can not direct to a treatment path if I haven't assessed you. You need to be evaluated and better understand the causes. The causes could be life stressors, health issues, untreated depression or anxiety, history of past trauma or a chemical imbalance. An assessment would help you understand what is going on and what steps you should take. Good luck to you.

The World Health Care Organizations recognizes 2 primary means by which to treat PTSD, CBT Cognitive Behavioral Therapy, and EMDR "eye movement desensitization reprocessing. You need to see an outpatient counselor that specializes in trauma and uses either one of these treatment modalities.

I would encourage you to make lifestyle changes that can greatly reduce anxiety. I've treated patients who by making basic lifestyle changes many have reduced their anxiety and depression by 80%. Always start with the physiological aspects first, 7+ hours of sleep every night, physical exercise, greatly limiting caffeine intake, along with learning CBT Cognitive Behavioral Therapy can make a big impact. Medications can be helpful but also can cause multiple side effects and often different medications impact patients differently. I would strongly encourage you to educate yourself by reading books about anxiety, see an outpatient counselor and an outpatient psychiatrist.

Hospitalization is only meant for an emergency situation. The goal is to stabilize the patient, make sure that they are prescribed the correct medication with the intention to discharge them to an outpatient provider.

The 2 best types of treatment for PTSD are cognitive therapy and EMDR. Look for a counselor that is trained and certified as an EMDR counselor.

I recommend counseling but many people think that counseling alone will help them. However. I have about a 70% success rate by addressing depression by various life style changes and addressing cognition. I highly recommend a book called The depression cure" by Stephen llardi. However, I recommend an assessment by a mental health professional as well.

Sorry for the delay. There are many different types of anxiety, PTSD, panic disorder, generalized anxiety disorder. About 70% of depression and anxiety can be treated by life style changes. At least 7 hours of sleep, physical exercise, reducing caffeine intake and stress management skill. I recommend 3 books, From panic to power. Rewire your anxious brain and wherever you go there you are. Anxiety and depression are very treatable. But see a good counselor.

I would double check with another professional, improper diagnosis are common. If she not doing any drugs and has no underlying health issues the best approach is medication management and counseling. I would recommend that she educates herself and better understands her disorder.

Yes, but it depends upon multiple factors and the severity of the problems. I recommend a marriage counselor that specializes in " attachment therapy."

It can be, but a proper assessment needs to be done by a good counselor to determine causation or underlying issues. I worked with one client and simply improving his sleep we saw progress. For others, untreated depression, poor marriage, financial stress or a poor satisfaction with a job may be the issue. Be assessed by a good counselor.