If you have questions, or wish to discuss an appointment, please call staff at: (414) 877-1071
  1. National PTSD Awareness Day

    June is national PTSD awareness month but June 27th is national PTSD awareness day. Most everyone has heard of PTSD, Post-traumatic stress disorder, but what most people know about this mental illness they learned from the movies and TV. Typically when you see PTSD portrayed in the movies or on a television show you’ll see a person, normally a man who saw combat during military service, who is unstable, paranoid, has delusions, a violent temper and who probably also has a substance abuse problem. Chances are that the character will also be homeless or nearly so. As with many things we see on screen, there is an element of truth to that portrayal. The people who suffer with worst symptoms of PTSD the do fit that character type. These symptoms of the illness simply makes for better drama and storytelling. But most people who suffer from PTSD don’t suffer symptoms that are nearly as dramatic as pop culture portrays even if they are no less debilitating. The Mayo Clinic defines PTSD as: a mental health condition that’s triggered by a terrifying event. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event. While most of us would have a hard time processing a traumatic event, those who suffer from PTSD find that their symptoms do not get better but get worse over time and that there is a significant impact on how they are able to function in their day to day lives.
    Some of the symptoms of PTSD include: -trouble sleeping
    -reliving the traumatic even
    -nightmares
    -hopelessness about the future
    -loss of concentration
    -difficulty maintaining close relationships
    -being quick to anger
    -self destructive behaviors, including abusing drugs or alcohol
    -hearing or seeing things that are not there
    -being easily frightened Like most other illnesses some people have a higher risk factor of suffering from PTSD than others. That includes people who have already gone through a traumatic event, those who do not have a good support structure like close friends and family who they can rely on, if there is a family history of mental illness or if someone already has a mental health problem. The type of event can also be a factor, if someone was involved as either a victim or a witness or if they believed their lives were at risk are at a higher risk. People who felt helpless to help themselves or a loved one or have an extreme reaction to the event, such as vomiting, shaking or crying, are also at a higher risk for PTSD. Of course these are not all of the many risk factors nor does not having any of these risk factors before or during the even mean someone won’t develop PTSD. While PTSD is most closely associated with the military, anyone who suffers a traumatic event can develop it. Car wreaks, being the victim of violence and going through a natural disaster can all lead to PTSD. It is important to remember; however, that the persons perception of the event, the danger or severity of it, has a greater bearing on the level of risk of PTSD than the actual danger or risk of the event. Treatment for PTSD can take on various forms but the Department of Veteran’s Affairs has found that a mixture of therapy and medication helps most suffers alleviate their symptoms or allows them to become symptom free. It is important for people seeking treatment or who are currently in treatment discuss the options with their health care provider because treatment goals and plans are individual to each patient. If you, or someone you love, has gone through or goes through a traumatic event please reach out and make an appointment to
    speak with a mental health professional, American Behavioral Clinics has qualified therapists and psychiatrists on staff who are able to help PTSD victims and their families cope with PTSD. If you would like more information about PTSD please visit the Department of Veterans Affairs
  2. May Drug Updates

    In the July 2012 issue of Child & Adolescent Psychiatry Alerts several studies held interest for us. The first on Pharmacotherapy for Cannabis Dependence took N-acetylcysteine (NAC), which is an over the counter antioxidant dietary supplement that has glutaminergic properties, and used it in a controlled study as an add on treatment to cannabis dependent subjects in the age range of 13-21 years of age. For an 8-week trial period the adolescents participating in the study were given either 1200mg NAC three times a day or a placebo. The trial was a double blind trial that used urine drug screening weekly to test for cannabis usage. During this period the participants that had been given the NAC had twice the negative urine tests than the placebo group. This study, funded by the National Institute on Drug Abuse, seems to be leading those who treat drug and alcohol abuse to an low cost, over the counter, well tolerated treatment for cannabis abuse that could potentially be used in other addiction disorders. However; more studies should be done to investigate this treatment as a monotherapy and how it would work in combination with other treatments. Another study compared ADHD and Sensory Modulation Disorder. Sensory Modulation Disorder (SMD) is characterized by having difficulties in detecting, modulating, interpreting, and or organizing sensory stimuli. Sensory stimuli being hearing, smell, taste, touch, vision and equilibrium. Using a study group of 176 children, one parent of the child filled out a total of 4 parent report measures. When the data was studied researchers found that those children identified as having SMD had more parent-reported problems and physical complaints than peers with a diagnosis of ADHD. The SMD group were also more likely to have a difficult time adapting and tended to be more withdrawn and anxious, though they had fewer attention problems, than the group with ADHD. It seems that it is clinically important to differentiate between a diagnosis of SMD and ADHD as children with ADHD see more benefit from cognative therapy while children with SMD see more benefit from occupational therapy. In a small case-control study there was a suggestion that a gamma-aminobutyric acid deficit may have some role in the causation of ADHD. GABA works in the central nervous system as the chief inhibitory neurotransmitter in mammals as well as regulating neuronal excitability. 13 children participated in this small case controlled study. The results showed the children with ADHD had a significantly lower GABA level than those children who were developing normally. In it’s role as the primary inhibitory neurotransmitter GABA has a correlation in both motor control and impulsivity in adults. It may be essential for the cortical inhibitory function to use a GABAergic transmission to properly filter sensory information as well as selecting using appropriate behavioral response that is lacking in children with ADHD. A Vitamin B12 deficiency can result in symptoms which can include irritability, being negative, confusion, impaired concentration and attention, amnesia and insomnia. These psychiatric symptoms can often lead to diagnosis of depression, bipolar disorder, panic, phobias or even psychosis and dementia. It may be possible that mood disorders that contain psychotic features that are lacking in a clear cause, especially if there are complaints of movement disorders, could be a result of a B12 deficiency in younger patients. And evaluation of the B12 as well as the folate levels may be beneficial. A studying of self harm and bullying done with 2232 British children showed that more than half of the children who self- harm were also victims of frequent bullying. In fact, children who were bullied were 3 times more likely to engage in self-harm. Family history of suicide was also a strong predictor of bullied children who also self-harmed. Other predictors included, parental mistreatment, extreme borderline characteristics, poverty, ADHD or depression and psychotic symptoms. This suggests that schools and health care professionals should target children with risk factors such as a family histories of suicide, maltreatment in the home; show symptoms of depression or psychosis and who have conduct problems or have characteristics of a borderline personality with programs aimed at lowering their risk of self-harm.
  3. March/April Psychiatry Drug Alerts Update

    From Psyciatry Drug Alerts Periodicity we will be updating our blog with information about Psychiatric drugs we feel will be useful to our current and future patients. These updates are not medical advice and as always you should make sure to contact your health care professional with any concerns about your symptoms and current medications. From the July 2012 Issue Olanzapine for PTSD. In a small manufacturer-sponsored study olanzapine (Zyprexa) monotherapy was superior to placebo in patients with non-combat-related posttraumatic stress disorder. -Up to 40% of all patients with PTSD do not respond to SSRIs and SNRIs, the recommended first-line treatments. Adjunctive Low-Dose Dextromethorphan in Schizophrenia Risperidone (Risperdal) with adjunctive dextromethorphan was more effective than risperdone alone in a group of patients with schizophrenia. This and other observations from the study are consistent with the hypothesis that inflammation is the underlying mechanism of schizophrenia. -Increasing evidence suggest abnormal peripheral and CNS cytokine levels, indicative of inflammatory activation, contribute to the neuronal damage and degeneration observed in patients with schizophrenia. Metformin for Antipsychotic Side Effects in Women Treatment with metformin reversed antipsychotic-induced amenorrhea and weight gain in a placebo-controlled trial of women with first-episode schizophrenia. Lurasidone: Acute Efficacy Lurasidone received FDA approval in 2010 for treatment of schizophrenia. Although similar to other second-generation antipsychotics, it has a somewhat different receptor profile and appears to cause fewer metabolic and OT effects as well as less weight gain. The approved starting dosage is 4mg/day, and the maximum recommended dosage at approval was 80mg/day. Oxytocin: Potential Schizophrenia Treatment The neurohormone oxytocin, synthesized in the hypothalamus,acts both centrally and peripherally, as both a neurotransmitter and as a homorne. Oxytocin receptors are located in a number of brain areas relevant to schizophrenia. The oxytocin sytem interacts with other hormonal systems important in schizophrenia: estrogen, serotonin, dopamine and glutamate. Several studies have demonstrated variations in central or peripheral levels of oxytocin or it’s carrier protein in patients with schizophrenia. ..preclinical and clinical evidence strongly supports the potential for oxytocin to ameliorate social cognitive deficits of schizophrenia, which are poorly address in other treatments.
  4. Solving sleep problems.

    Dr. James Winston is a always reading magazines and looking for new ways to help his patients with a wide range of issues. Sleep problems and insomnia are frequent reasons people choose to see a mental health professional. Dr. Winston found an article by Michael Terman, PhD on Bottom Line Health in their January 2013 issue. Fall Asleep Faster talks about delayed sleep phase disorder (DSPD) can cause insomnia and a sleeping medication may not be able to help.
  5. Greendale Against Bullying-What is bullying?

    Dr Jim and Gilbert Brown American Behavioral Clinics has partnered with Greendale Against Bullying. On March 22nd they had a rally to show the movie Bully, listen to former Packer Gilbert Brown and talk about how to defeat bullying. Dr. James Winston gave a speech to the 400 people who had come to take part, here is what he said. The most common definition is a repeated oppression, psychological or physical of a less powerful person by a more powerful person or group of persons. Bullying behavior occurs in schools, sports, youth groups work places, social groups, senior centers or online activities. It takes place between people of all ages and walks of life. Bullying can be physical which can include hitting, kicking or punching someone. It may involve stealing, hiding or ruining someone’s things. Sometimes it can be threats or making someone do things he or she doesn’t want to do. Verbal bullying includes teasing, insulting or name calling. Relationship bullying may include refusal to talk with someone or spreading rumors about someone. Roughly 25% of kids experience bullying, reasons may include: a different size child, smaller or bigger than other kids their age, if a child is a minority based on color, religion, or sex, if a child has a disability that makes him walk or talk differently, if a child gets anxious or upset easily, if a child is usually alone or doesn’t have many friends, if a child shows a lack of confidence and doesn’t seem like she’ll stand up for herself. Bullying isn’t new, but our attempts to respond to it are. Today, the challenges are complicated by kids access to new technologies which include cyberbullies and Facebook thugs. Cellphones and laptops spread gossip quickly. Emotional violence in the virtual world can inflict real psychological trauma. Kids who bully are often resentful or envious. Some bullies are arrogant or narcissistic. A bully may be having problems in other parts of their life. Something may be going on in their family or they are struggling with school. A bully may feel they aren’t getting enough attention from parents or teachers. A bully may have watched their parents or older siblings get their way by being angry or pushing other people around. The bully may be spoiled by their parents and hasn’t learned about not hurting others. The bully may be exposed to lots of violence in movies, tv or video games. The reason why one kid would want to bully another kid is this. When you make someone feel bad, you gain power over them. Power makes people feel like they’re better than another person. That makes them feel really good about themselves. Power makes you stand out from the crowd and get attention from other kids. So, what should children and teens do if someone bullies them? Ignore the bully. Pretend you didn’t hear them, don’t even look at him, walk right past him if you can. Don’t cry, get angry or show you’re upset, that’s the bully’s goal. Telling someone to stop firmly “NO that’s what you think”. Asking to join the game or conversation in a friendly, confident way. Learning and finding someone else to play with. Interrupting adults and being persistent asking for help. Turn and walk away or run if you have to remove yourself from the situation. Use your awareness to notice a problem situation and move out of reach. To prevent future bullying, don’t walk alone and travel with one other person if you can. Avoid places where bullying happens, i.e. take a different route to school or leave at a different time. Sit near the bus driver on a school bus. Don’t bring expensive things to school. Avoid being alone in a locker room or bathroom. Act confident, make eye contact, and stand up straight with your head held high. Practice bullying comebacks ahead of time. Make new friends and develop interest in social or physical activities. One in 10 students drop out of school because of repeated bullying. 90% of 4th to 8th graders report being victims of bullying. Harassment and bullying have been linked to 75% of school shooting episodes. In summary, people have the right to be treated with respect and the responsibility to act respectfully towards others. My 94 year old, living World War II Sergeant, father always told me to get a good education. It’s important that each child stays focused on what’s really important, like education, and not the negative energy of their peers who may try and suppress their spirits. American Behavioral Clinics is here to help when you feel lost, alone or sad. Doctors, teachers, police officers and lawyers come to American Behavioral Clinics. You shouldn’t feel shameful to get help if you need it. We need to be partners in fighting emotional and physical abuse together.
  6. Exams Are Coming! Need Help with ADD/ADHD?

    Do You Have ADD?

    Having trouble concentrating on the things you need to do?

    Some sign and symptoms

            • Poor listening skills;hard time remembering conversations and following directions.
            • Extreme distractibility; wandering attention makesit hard to stay on track.
            • Struggling to complete tasks, even ones that seem simple.
            • “Zoning out” without realizing it, even in the middle of a conversation.
            • Tendency to overlook details, leading to errors or incomplete work.
            • Difficulty paying attentionor focusing, such as when reading or listening to others.

    Call for more information and to schedule

    your session to be evaluated today

    (414)-982-3740

    No car? No problem!

    Take the Milwaukee County Transit System

    that will bring you right to our Bluemound Clinic!

    American Behavioral Clinics, SC 10424 West Bluemound Road Milwaukee, Wisconsin 53226 More info | Driving Directions

  7. Holiday Eating Tips

    Holiday Eating Tips By Stacey Nye, PhD, FAED Thanksgiving is right around the corner and many of my clients have a similar concern: How to handle all the food usually present at large family holiday events. Hopefully these tips will help get you through with little stress and much enjoyment.     Tip # 1 Eat all of your typical meals and snacks the day of the event. People often make the mistake of skipping meals so that if they end up overeating they won’t feel as guilty. This is a big mistake. Showing up starving to a huge meal containing many of your favorite foods is a set up for overeating or binge eating. “But then I won’t have room in my stomach for everything that I want to eat” you might argue. The reality is that our stomachs have a limited capacity (approximately 1.5 liters of food) and empty approximately every 1-3 hours (depending on the person and food eaten). Eating lunch at 12 will still leave you with a relatively empty stomach for a 4pm dinner, and certainly no less room than you would have had if you had not eaten all day. Plus, walking into the room feeling deprived from fasting all day makes you more vulnerable to feeling out of control once dinner is served. Tip #2 Create structure One of the problems people run into at big holiday meals is that the food is plentiful, available and left out for long periods of time. Most of us eat our meals and snacks in discreet episodes- we take the food out, eat, and then clean up the remainders. So, for all day holiday meals one must create structure where structure may not already exist. • Designate a time in your mind to eat your meal so that it has a discreet beginning, middle and end • Avoid walking around and eating directly from serving platters. Fill a plate for yourself and use utensils. Try to sit at a table designated for eating. If you want seconds, fill your plate again. • When you’re done, clean up your plate and leave the table and dining room. You are making room for someone else to sit and enjoy their meal and doing yourself a favor by not lingering where the food is. There may still be finger food in other rooms. If you decide you want some of this, find a cup or a plate and repeat the process. Tip # 3 Eat mindfully Eat when you’re hungry. Food tastes better when you’re hungry. Stop when you’re full. Guilt aside, the physical sensations of being overly full, such as abdominal pain, bloating or heartburn, are unpleasant and unhealthy. Don’t have room for you favorite desert or enjoyed the turkey so much but you’re too full? Most hosts expect to send home doggy bags. Save the food for when you’re hungry again. Alternatively, make your own Thanksgiving dinner, any day of the year. Eat what you want. Really taste what you’re eating. Don’t like green bean casserole? Don’t eat it. Love squash? Make sure you get some. Tip # 4 Go easy on the alcohol. Alcohol lowers our inhibitions and makes us vulnerable to eating errors like overeating. Drink plenty of water to avoid dehydration. Tip # 5 Remember why you’re there While food can be a major component of many holiday celebrations, most of the time it’s not the main reason. Thanksgiving is a day of counting our blessings and being thankful for what we have. It is also a day when family and friends joins together, often after not having seen one another for a while. Once you have eaten your thanksgiving meal, if you feel tempted to eat more, remember why you are there. Take a look around the room and find a friend or family member that you haven’t seen for a while and go talk to them. Stacey Nye, PhD, FAED American Behavioral Clinics (262) 241-3231 – Stacey Nye is a clinical psychologist specializing in the individual and group treatment of eating disorders, body image and women’s issues.

  8. Group Therapy

    American Behavioral Clinics Group TherapyDuring group therapy, patients meet in a small group with others who may relate to their current condition. Depending on the size and nature of the groups, the setup of group therapy will vary. Typically, groups may have as many as 12 people or as little as 4 people. Groups meet under the supervision of a therapist who guides the sessions. Depending on the group’s needs, our therapists will guide the questions and discussions to bring out the most productive group session.

    Advantages of group therapy

    Group therapy paired will individual therapy produces better clinical outcomes.  Group therapy instills hope. By meeting with others who can relate, or who also face life struggles, patients see they are not alone. In a group setting, patients may share stories or offer information to encourage and support one another. The power of relating to one another and encouraging one another often enables patients to make life changes. In addition, patients may experience that their guilt, stress or pain is lessened in the company of others who can empathize or have been through similar situations. Those in the group experiencing progress or recovery will model new behaviors for other group members; those members, in turn, may be encouraged and find hope.

    Group Therapy – Building a Support System

    Group therapy builds a support system. Groups may form based on a variety of conditions. Some of our groups have formed to assist patients through relational struggles, psychological disorders, family problems, grief and loss, body issues, stress and anxiety and more. In group therapy, you can benefit from others even during sessions when you say very little.  By carefully listening to others many people find that they have important things in common with other group members. This often leads to learning more about yourself.  Group members may also bring up issues that will strike a chord that you may not have been aware of in your own life. An important benefit of group therapy is the opportunity to receive feedback from other group members in a supportive environment. Group therapy provides a safe place to learn more about yourself and others. Current Specialized Groups At American Behavioral Clinics
    • Adolescent Group
    • Bipolar Disorder Group
    • Fibromyalgia Group
    • Substance Abuse Relapse Prevention Group

    Ready to take the first step? Call (414) 281-1677 to schedule an appointment with a therapist.

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