Written by Blue Door Consulting on December 5, 2019
Definitions of Trauma Children are commonly exposed to adverse events which they experience with some degree of stress. The reaction to these events may result in the development of adaptive coping strategies or the activation of resiliency factors such as effective problem-solving or seeking support from family or peers. Developing these capacities is a part […]
Written by Blue Door Consulting on December 5, 2019
What is hospice care? Most professionals have heard about hospice in their communities, and many of them have been exposed to a hospice program due to a family member or friend receiving hospice care. Hospice has existed in the United States for a number of decades, the idea having come from Great Britain when Dame […]
Written by Blue Door Consulting on December 5, 2019
Discussion of Hawaii tends to conjure up images of palm trees, clear blue water and Hawaii 5-0. What is not commonly known is that Hawaii is the most isolated population center on the Earth. We are 2,400 miles from our closest neighbor, California. In the other direction, Japan is more than 3,800 miles away. This isolation […]
Written by Blue Door Consulting on December 5, 2019
All but a few Americans have been negatively impacted by the worst recession since 1929. Overlooked casualties include those professionals who are often seen as responsible for the painful event. The financial services industry had approximately nine million employees at the end of 2007. Many of those are financial professionals (FP). The group includes trust […]
Written by Blue Door Consulting on December 5, 2019
Our children are our future is a phrase often used to promote or justify investment in children. We need a societal commitment to promote positive outcomes to human development and to ensure that all individuals live up to their full potential; positive development does not occur naturally in the context of the stresses and challenges […]
Written by Blue Door Consulting on December 5, 2019
Demographic changes, restrictive rules for inclusion in managed healthcare insurance panels, and improvements in Medicare reimbursement are powerful factors attracting ever increasing numbers of psychologists in the United States to work with older adults. Current population trends are responsible for a pool of older clients; e.g., in 2006 the first of the Baby Boom generation […]
Written by Blue Door Consulting on December 5, 2019
A couple arrives in your office with their reluctant 13-year-old son, Jimmy. The mother is worried he seems depressed, which she believes stems from him being bullied at school about his weight. She explains that at a recent primary care visit, Jimmy had gained another 12 pounds over the past three months. He now weighs […]
Written by Blue Door Consulting on December 5, 2019
A new referral popped up in EPIC. A 34-year-old male, “Derek,” a motor-vehicle collision, arrived at the trauma center with a Glasgow Coma Scale rating of 11. He was intubated and sedated shortly after his arrival, while being treated for several serious injuries. You are consulted because the team on duty in the trauma center […]
Written by Blue Door Consulting on December 5, 2019
The incidence of chronic pain is epidemic and contributes to millions of dollars in lost wages, disability payments, and health care costs. Besides the enormous economic impact, the emotional suffering that persons with chronic pain experience is substantial and contributes to problems in all areas. In attempting to cope with unrelenting pain, individuals often experience […]
Written by Blue Door Consulting on December 5, 2019
Graduate training for most psychologists is typically provided solely through the lens of psychological literature. At the time of my training in the 1980s, emphasis was placed on behavioral methods originally proposed by Fordyce (1976) for the management of chronic pain, with some integration of cognitive theory and behavioral interventions. However, current pain theories are […]