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            [ID] => 49307
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            [post_date] => 2018-03-13 11:48:46
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Dialectical Behavior Therapy in Northern Michigan
To schedule your first appointment call 866.852.4001.
[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class="no-gutters"][vc_column width="2/3" offset="vc_col-sm-offset-2"][vc_row_inner][vc_column_inner width="2/3" offset="vc_col-sm-offset-0"][vc_empty_space height="25px"][vc_column_text]Dialectical Behavior Therapy (DBT) is an intensive outpatient treatment program with its foundations in cognitive behavioral therapy. It is designed to help people with histories of chronic suicide attempts, suicidal ideation, urges to self-harm and patterns of self-harming behaviors. The goal of treatment is to guide and support people in mastering the skills and attitudes to build a “life worth living.”– founder Marsha Linehan, 1992.

DBT assumes that all behaviors are choices and these choices have the function of solving problems in our lives. Sometimes the way we work to solve our problems is helpful. Other times, our choices can actually make things worse. Sometimes in solving one problem, we create another. Our choices can lead to misery, and perhaps, a life we might think is not worth living.

For most of us, the way we solve our problems today has a lot to do with ‘what worked’ at another time in life. As our situations and responsibilities change, we can find that what once worked isn’t really helpful anymore.

In DBT, we believe that we all are doing the best we can and have done the best we could to this point, AND, with a new day and new information, we can do better.

Because DBT is a ‘problem solving’ focused treatment, it is designed to teach and support new ways of responding to the issues of life: ways that are more helpful, ways that may actually solve the problems.
Services
Dialectical Behavior Therapy for adults and teens

Borderline Personality Disorder Family and Friends Class

For more information contact Kym Hansen-Duell at 231.947.2255[/vc_column_text][/vc_column_inner][vc_column_inner width="1/3"][vc_column_text][menu][/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class="quote-full green-bg white-c no-gutters"][vc_column][vc_row_inner][vc_column_inner width="1/2"][vc_column_text]“DBT was developed for individuals with borderline personality disorder," says Kym Hansen-Duell, LMSW, ACSW a licensed social worker at the Traverse City Clinic. "It uses concepts of mindfulness and acceptance or being aware of and attentive to the current situation and emotional state."[/vc_column_text][/vc_column_inner][vc_column_inner width="1/2"][vc_single_image image="48180" img_size="large" onclick="custom_link" link="https://www.pinerest.org/bpd-intense-emotions-blog/"][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]
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            [post_date] => 2015-10-19 10:35:43
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Onsite and Virtual Care Available
Accepting New Patients!
We are providing in-person and telehealth services for psychiatry, individual therapy, group therapy and more. Please call 866.852.4001 to set up your first appointment.
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Traverse City Clinic
[/vc_column_text][vc_column_text]Life is challenging, but it doesn't have to be overwhelming. Whether you're seeking help for yourself, a co-worker, or a loved one, Pine Rest's Traverse City Clinic is here to help you, your family, and friends through complicated or difficult times.

Our clinicians serve people of all ages and treat a variety of mental health issues. Our staff of highly trained psychiatrists, psychologists and social workers provides quality, professional services in a timely, comprehensive, compassionate, professional manner.[/vc_column_text][vc_empty_space][/vc_column_inner][vc_column_inner width="1/3"][vc_column_text][menu][/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][vc_row el_class="no-gutters"][vc_column width="5/6" el_class="equal" offset="vc_col-sm-offset-2"][vc_row_inner][vc_column_inner width="1/3"][vc_column_text][location-info]
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Directions
From the south: Head north on US-31/M-37 (which becomes Division Avenue) past Meijer. Turn left at the stoplight at Silver Lake Road/14th Street. Turn right onto Frankie, which becomes Silver Drive. Our building is on the left.

From the north: Head south on US-31/M-37 (Division Avenue) to 11th Street and turn right. Continue past Elmwood Avenue; turn left onto Silver Drive; follow the green Pine Rest signs.

Our building is reddish stucco; our sign is on the building. Entrance is on the west side.[/vc_column_text][vc_empty_space][vc_column_text]
Clinic Hours
[/vc_column_text][vc_table]Monday,8%3A00%20a.m.%20-%207%3A00%20p.m.|Tuesday,8%3A00%20a.m.%20-%207%3A00%20p.m.|Wednesday,8%3A00%20a.m.%20-%207%3A00%20p.m.|Thursday,8%3A00%20a.m.%20-%207%3A00%20p.m.|Friday,8%3A00%20a.m.%20-%204%3A00%20p.m.[/vc_table][vc_column_text]For after-hours emergencies, please call Protocol at 833.295.0616.[/vc_column_text][/vc_column_inner][vc_column_inner width="2/3"][vc_column_text el_class="no-padding"][location-map]

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Concerns Addressed

 	
Anger Management
 	
Anxiety and Panic
 	
Attention Deficit Hyperactivity Disorder (ADHD)
 	
Borderline Personality Disorder
 	
Career Transitions
 	
Childhood Behavior Problems
 	
Depression/Bipolar Disorder
 	
Eating Disorders
 	
Family, Marital & Relationship Issues
 	
Grief and Loss
 	
Parent/Child Conflict
 	
Postpartum Depression & Other Perinatal Mood Disorders
 	
Spiritual & Religious Issues
 	
Stress Management
 	
Trauma/Post Traumatic Stress Disorder (PTSD)

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Services
Counseling and Therapy
Our highly trained psychologists and social workers provide professional services with compassion and understanding, providing treatment for children, teens, adults and seniors as well as couples and families. Most treatment is in the welcoming environment of our clinic, and our clinicians now offer online teletherapy so you can pursue treatment from the comfort of your home or office.

Our clinicians can provide services for most concerns via online video chat similar to Facetime or Skype. These teletherapy sessions are helpful for individuals with difficulty travelling to our Traverse City location.

We use evidenced based therapies including:

 	
Cognitive Behavioral Therapy (CBT)
 	
Dialectical Behavior Therapy (DBT) for chronic suicidality and self-harming behaviors
 	
Interpersonal Therapy (IP)
 	
Mindfulness-Based Stress Reduction (MBSR)
 	
Prolonged Exposure Therapy for post traumatic stress (PTSD)

Psychiatric Evaluations, Consultation and Medication Management
Testing and Assessments

 	
Addiction & substance use evaluation
 	
Psychiatric evaluations
 	
Same-day psychiatric evaluations are available in Grand Rapids at the Psychiatric Urgent Care Center for adults experiencing acute psychiatric symptoms who cannot wait for routine outpatient intervention

Consultation with physicians, churches, agencies and schools
Employee Assistance Program
Senior Services
Speakers Bureau
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Clinicians
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Depression is very treatable!
If you or a loved one are experiencing symptoms of depression, please call today to make your first appointment.
866.852.4001
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Symptoms of Depression
You may be depressed if you have at least five of these symptoms occurring nearly every day for at least two weeks:

 	
Feeling sad or empty
 	
Having little interest or pleasure in doing things
 	
Experiencing a change in appetite with weight loss or weight gain
 	
Trouble falling or staying asleep, or sleeping too much
 	
Being tired, fatigued and having no energy
 	
Feeling worthless or guilty that you have let yourself or your family down
 	
Moving slowly or the opposite – being overly fidgety and restless
 	
Having difficulty thinking or concentrating on things such as reading the newspaper or watching TV
 	
Letting personal hygiene go – not bathing or not dressing well
 	
Recurring thoughts of hurting yourself or thinking that you’d be better off dead

How Depression Varies
Anyone at any age can experience an episode of depression. however, the signs, diagnosis of and chance that treatment will be sought can differ by age, race and gender.
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When Children Have Depression
Although depression can occur in young children, it is much more common in adolescents and, after puberty, occurs much more frequently in girls. For a diagnosis of depression in children, as in adults, at least five symptoms must be present for a period of at least two weeks.

Young people may also engage in high-risk sexual activities and other behaviors including shoplifting, physical fights and abuse of alcohol or drugs.

Untreated, depression can lead to devastating consequences in young people, including ongoing problems in school, at home and with friends, losing critical developmental years and increasing the risk for substance abuse.

If you are concerned your child may be depressed, it is important to talk to him or her about your observations and how he or she is feeling and to listen for key warning signs. You should try to create an open, honest communication where mental health issues, like depression, are treated like any other health risks affecting adolescents.

Psychotherapies, including cognitive behavioral therapy and interpersonal therapy, and medications have been effective in treating depressed children. Together you, your child and your clinician, can choose a treatment that seems best. If at the end of an adequate trial, usually eight to 12 weeks, you have seen no improvement, the treatment should be changed.

The signs of depression more frequently seen in children are:

 	
Irritability or sadness
 	
Boredom, lack of interest in friends and previously enjoyed activities
 	
Changes in appetite resulting in failure to gain weight or, especially in teens, weight gain
 	
Irregular sleep patterns – either having difficulty sleeping or refusing to wake up for school
 	
Persistent lack of energy or feeling tired
 	
Self-critical – feeling that “no one likes me”
 	
Not performing well at school
 	
Lack of motivation
 	
Inability to concentrate
 	
Preoccupation with death, writing or talking

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Women and Postpartum Depression
Hormonal fluctuations, physical changes, sleep deprivation and the responsibility of caring for a newborn can be overwhelming. Up to 80 percent of new mothers experience the “baby blues,” an emotional rollercoaster of moodiness, tearfulness, anxiety, inability to concentrate and sadness starting around one week postpartum and lasting about three weeks. While it doesn’t feel good, the baby blues are completely normal and not a disorder.

Postpartum depression and other perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth. If untreated, there can be serious complications for moms, babies and families. Consequences include disruption in mother-baby bonding, interruption in the infant’s development, family and relationship conflicts, and in serious cases can lead to suicide or infanticide.

The highest time of risk is at six months after delivery, however, onset can occur any time from pregnancy until three years after the baby is born. Symptoms include excessive worry, sadness, guilt, hopelessness, sleep problems, fatigue, loss of interest in normally pleasurable activities, change in appetite, irritability and difficulty making decisions. In comparison to the baby blues, postpartum depression symptoms continue three weeks or longer.

Risk Factors:

 	
Depression or anxiety during pregnancy
 	
Personal or family history of depression
 	
Complications with pregnancy, birth or breastfeeding
 	
Giving birth to multiples
 	
History of PMS or other significant mood reactions to hormonal changes
 	
Negative mood changes while taking birth control medication
 	
Recent loss or move
 	
Difficulty in asking for support
 	
Low self-esteem or perfectionism
 	
Poor social, familial or financial support
 	
Unresolved miscarriage, abortion, adoption or loss
 	
Thyroid dysfunction

LEARN MORE ABOUT WOMEN AND PMAD.
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Men and Depression
Women experience depression at twice the rate of men, which may explain why men are so reluctant to admit they are depressed and to seek help. While men and women share the same symptoms of depression, men express those symptoms differently. For some reason, not completely understood, men are less likely to exhibit the typical signs of depression such as crying or sadness. By suppressing these feelings, men may actually become more aggressive and irritable.

Men often feel embarrassed or ashamed about their depression and simply try to “tough it out.” They sometimes “take control” by self-medicating with alcohol or drugs. They tend to minimize their emotional symptoms and focus on physical symptoms - like fatigue, pain, headaches or difficulty concentrating - that often accompany depression. This may be why health care providers often fail to recognize depression in men.

Untreated depression in men can have serious and tragic consequences. The Centers for Disease Control (CDC) report that men in the United States are four times more likely to commit suicide than women.

Other Signs of Depression in Men:

 	
Controlling, aggressive, violent or abusive behavior
 	
Escapist behavior, like working too much
 	
Increased alcohol or drug consumption
 	
Irritability or inappropriate anger
 	
Risky behavior, like reckless driving

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Depression in Older Adults
Over 6 million Americans 65 and older are affected by late life depression but only 10% ever receive treatment. Why? Because many people think that depression is a normal part of aging. Due to the many health challenges older adults face, neither they nor their families recognize the symptoms of depression or mistake them as signs of other conditions that plague the elderly: Alzheimer’s and other forms of dementia, arthritis, cancer, heart disease, stroke, etc.

If depression goes untreated, older adults face increased risks of additional illnesses and cognitive decline. The elderly are much more likely to seek treatment for other physical ailments than they are for depression and the symptoms for depression for them can be different than for those who are younger.

The best way to determine if someone is depressed is with a physical exam which includes a review of all medications, plus a clinical and psychiatric interview. Blood tests and imaging studies, such as a CT scan, can eliminate other medical conditions that require different treatments.

Fortunately, treating older adults for depression does help. In fact, 80% of those who are clinically depressed can be successfully treated with medication, psychotherapy, electroconvulsive therapy or a combination of the three.

Signs of Depression in Older Adults:

 	
Memory loss
 	
Confusion
 	
Social withdrawal
 	
Irritability and/or angry outbursts
 	
Loss of appetite
 	
Inability to sleep
 	
Delusions
 	
Hallucinations
 	
Unexplained aches and pains

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Services for Depression at the Traverse City Clinic
Psychiatric Evaluations, Consultation and Medication Management
Counseling and Therapy
Our highly trained psychologists and social workers at the Traverse City Clinic provide professional services with compassion and understanding, providing treatment for children, teens, adults and seniors as well as couples and families. Most treatment is in the welcoming environment of our clinic, and our clinicians now offer online teletherapy so you can pursue treatment from the comfort of your home or office.

Our clinicians can provide services for most concerns via online video chat similar to Facetime or Skype. These teletherapy sessions are helpful for individuals with difficulty travelling to our Traverse City location.

We use evidenced based therapies including:

 	
Cognitive Behavioral Therapy (CBT)
 	
Dialectical Behavior Therapy (DBT) for chronic suicidality and self-harming behaviors
 	
Interpersonal Therapy (IP)
 	
Mindfulness-Based Stress Reduction (MBSR)



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Dialectical Behavior Therapy

Individual and group DBT for adults and teens

Learn More about Dialectical Behavior Therapy

Traverse City Clinic

1050 Silver Drive
Traverse City, MI 49684

Learn More about Traverse City Clinic

Treatment for Depression

Depression treatment for children, teens, adults and older adults

Learn More about Treatment for Depression