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Sexuality and Relationships: How and When to Talk to Your Child

A question that child psychologists in Littleton often receive is “when do I talk to kids about sexuality and relationships?” Many parents are rightly concerned that today’s world and pop culture are far too sexualized, and that children are being exposed to these messages from a very early age. Unfortunately, unless you and your family live in a very secluded area, you will not be able to avoid these messages. From TV, to smartphone ads, to billboards on the highway, children are exposed to messages about sex and relationships that they may not understand. This can cause confusion and discomfort, or may encourage a child to become precociously interested in these topics—even though they have never experienced them firsthand. Here are some suggestions for handling sex and relationships in a modern age.

Work from your value perspective. By building up your family values to be as strong as they can be, all future discussion will be easier. This includes local culture, religion, and your own family’s unique way of doing things. Many people use their spiritual beliefs to teach children about the world, this area is no different.

Attend to biology. Especially with young children, the interest is more about the “what?” and “why?” of the situation, not the emotions. Children understand from a young age that creature of all types, including humans, pets, and bugs outside, engage in mating rituals and have body parts for those rituals. Explaining the biological purpose of these things will help children to feel more confident and can give them a leg up in biology class.

Set clear boundaries. Infants and young children have no “shame” or sense of privacy about their bodies. This is a social structure that only humans enjoy, and that has to be shaped over time. This is also area with many different boundaries. For example, while it may be perfectly acceptable for everyone in your household to walk around in underclothes, explain to your child why this behavior might not be acceptable in other people’s houses. Help your child to learn why his or her “private parts” are supposed to be private, and set clear boundaries about touching or talking about those private parts with others. Approach this issue not from a place of shame or embarrassment, but as keeping something very special (your child’s body) safe and respected.

Start early. As much as you might not want to believe it, most children have learned at least something about what sex is by the time they are in middle school, and are already thinking about dating relationships. Even if you forbid talk of these things in your house, chances are, they have heard it from friends. Make sure your child has the most accurate and responsible information by discussing it yourself. By the time they are old enough to leave the house, they will have heard your feelings on the topic enough times that they have taken it to heart!

If your child is showing sexualized behaviors that do not resolve with conversation and monitoring, or if you would like to find out more about how to talk to your child about issues like sex and relationships, contact a skilled psychologist. In Highlands Ranch, children’s play therapy can help your child to express confusion or thoughts about these and other difficult topics, and can help build strong skills for success in the future. Contact Dr. Lazarus today at to set up an appointment!

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Am I Having a Mid-Life Crisis?

Many clients come in asking a common question: Am I having a mid-life crisis?

Interestingly, many of the clients who are asking this aren’t even mid-way through their lives—which has promoted a tongue-in-check trend of referring to a “quarter-life crisis” or even “third-life crisis.” What do these terms mean, and how can you tell when you need help? Read on to find out some answers from Dr. Steve Lazarus, a psychologist in Littleton.

What is a mid-life crisis?

A mid-life crisis is not a formal diagnosis—just like the “terrible twos” or “irresponsible twentysomething” phases that people tend to go through, a “mid-life crisis” is a pop psychology concept that has been embraced and promoted in the media, showing people in their 40s and 50s rejecting their “boring, adult lives” and engaging in activities such as buying new sports car, ditching the spouse for a younger paramour, or going on a months-long road trip—all while ignoring the daily routine of bills, healthcare, and responsibility. For some, a little fun now and then is normal. For others, big and reckless decisions might signify a deeper crisis. Further, many people who feel like they are having a mid-life crisis report that they are concerned about their own aging, mortality, health, and future. They may feel bored, restless, careless, or rushed to accomplish a “bucket list” of events.

So, am I in a crisis at all?

If you’ve carefully budgeted, expanded your garage, and pre-purchased insurance for your new sports car, you’re probably doing all right. However, if you feel like nothing matters, if you are spending beyond your earnings, or if your new activities in life are alienating friends and family, these are all signs that something is wrong. While it is okay, and even healthy to have fun, when your “fun” starts taking a toll on the other areas of your life, it’s time to re-evaluate.

How can a state of crisis affect my life and relationships?

Most often, by the time people show up in a therapist’s office, they are truly in a state of crisis. They might confess that their spouse no longer wants to engage in intimate activities, or that their kids are avoiding them. Some have even lost jobs. After the initial excitement, many people find themselves “crashing” and regretting their decisions, leaving them with feelings of depression, anxiety, and regret. Many seek counseling in Highlands Ranch, couples therapy, or other help from professionals.

What can I do to feel better?

The upside to a midlife (or quarter-life, or existential) crisis is that it lets you know that something is wrong. Maybe you never bothered to have fun as an adult, so you’ve made up for twenty years of unflinching responsibility with a month of irresponsible partying. Maybe you and your spouse have grown apart, and you finally had the motivation to make a change. Explore the reasons why you needed these drastic changes in your life to find insight into what you might want to change in the long-term. Of course, if you are feeling depressed, anxious, or just don’t understand what is going on, consider seeking help from a professional. Dr. Lazarus has helped many people navigate their or their spouse’s mid-life crisis, coming out stronger on the other side. To set up an appointment, call 303-267-2194.

Categories: Relationships and Marriage

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Why to Continue Reading and Math this Summer

When summer break is on the horizon and the last few days of the school year approach, many kids start dreaming about leisure time, freedom from homework and responsibilities and long days spent relaxing in the sun with friends. The problem is that while summer is a great opportunity for kids to take a break and recharge, they don’t need months to do this.

 

In fact, the extended break actually does more harm than good, and results in a process known as summer learning loss. There are many reasons why this is detrimental, especially for kids who are preparing for college, so it’s important that parents encourage their kids to continue their studies— especially math and reading—throughout the summer months.

Summer Learning Loss in Reading and Math

 

Over the summer holidays, school children lose an average of two to three months’ worth of knowledge in certain subjects, particularly math and reading. As a testament to this, students perform worse on tests taken at the end of summer versus ones taken at the beginning. The reason is because humans learn best when education is continuous and without extended pauses.

 

Worse yet, these learning losses are cumulative; meaning a student finishing high school will have lost a great deal more knowledge due to extended summers than a child who’s only a few years into school.

Effects of Lost Knowledge

 

One of the most noticeable effects of summer learning loss is that teachers spend upwards of six weeks at the beginning of every new school year reviewing material from the previous year, rather than picking up where they left off. This can lead to children being bored and apathetic, and this is never a good way for children to approach their education.

 

Children who are bored or who don’t care about school aren’t likely to excel academically, and this can impact the rest of their lives, including whether they can attend college and what kinds of job opportunities are open to them.

 

Creative Ways to Encourage Summer Learning

 

While most children won’t want to spend extra time during their summer holiday focused on school, there are ways that parents can make summer learning more fun and enjoyable. For one, ask your child to keep a daily journal in which to chronicle events, write a continuing story, or practice other writing techniques that will fend off summer learning loss for literacy.

 

You can also start a book club with your child, where each of you reads the same book over a one- or two-week period, and at the end of the time you can get together to discuss things like theme, plot, the characters, and how you enjoyed the story. And along with being a vital life skill and a great way to spend quality time together, cooking is also an excellent way to keep up your child’s reading and math skills, thanks to things like recipes, grocery lists, ingredient quantities, and measurements.

Many Littleton child behavior psychologists have seen what happens when kids aren’t challenged at school, and this includes poor academic performance, behavioral problems, and disruptive behavior in the classroom. One easy way to prevent learning loss is to encourage your child to participate in educational activities during the summer months, particularly as they apply to reading and math.

 

The good news is that summertime affords many opportunities for parents to encourage fun, unique, and engaging methods of learning that will help kids retain the information they worked so hard to learn during the school year.

 

Private Practice 101

This is an outline of a guide for professionals considering private practice. Dr. Lazarus, a psychologist in Littleton, Colorado would be happy to do a phone consultation with you to discuss these issues at length. This process can help you decide if private practice is for you and if so, the steps needed to have a successful practice with as many clients as you would like.

Please feel free to Contact Dr. Lazarus if you are seeking further advice or supervision.

  • Niche
  • Marketing
  • Location
  • Paperwork, Records
  • Money, legal, accounting

Why do a private practice?

Advantages: Freedom to do what you want, see who you want. You can have your ideal clients. No boss other than your clients, no mandatory meetings or trainings. You have complete autonomy. You have flexibility and can set your own schedule. You can make much more money. It’s fun, you can be creative, grow, change what you’re doing

Disadvantages: You have to do your own marketing; It can be isolating and lonely. You don’t have a consistent income.

1) Niche

What is your specialty? Who do you like to work with? Who do you want to come in? Groups, Individual, couples, population, children, divorce, GLBT, Bereavement, substance abuse

2) Marketing: (Create a funnel system for people to find you) Evaluate your Rate of Return of each system.

  • Web site (creating a website), what should it say, how do people find you i. Blogging, Google Adwords
  • Lunches with professionals (RATE OF RETURN)
  • Do a free talk about a topic
  • Local paper (write an article, do an interview)
  • Insurance companies, managed care panels, Psychology today, Theratribe
  • Physicians, doctors’ offices

3) Location, Location, Location: Where can you make a difference? Is it therapist central or are you unique. Where do you find your clients?

  • Windows vs. interior, size, furniture, play therapy equipment.
  • Rent someone else’s space by the hour, half day, full day until you’re up and running vs. jump in head first with full rent
  • Your own space vs. multi room suite (strongly recommend multi room), kitchen, built in referrals, shared expenses.

4) Paperwork, Records

  1. Know your professional standards. In Colorado, look at DORA for requirements. i. Mandatory Disclosure Statement
  • Releases of Information
  • Intake Paperwork, forms
  • Progress Notes (DAP, SOAP)
    • Doing notes during sessions vs. after?
  • Treatment plans
  • Discharge paperwork

A note about HIPPA: If you transmit any client information electronically, you need to be HIPPA compliant

5) Storage and keeping of records and information

  • Paper records, locked up (3 locks)
  • Computer, laptop (Encrypted)
  • Storage and retention of records(10years) 5) Money, Legal, Accounting
  • How much do you charge per session? Sliding fee models vs. no Sliding fee
  • Malpractice Insurance
  • Office Liability Insurance
  • Taxes: Self Employed, LLC, Corporation
    • Schedule C for business
    • Track money in and expenses
  • Banking: Get a separate business checking account for all transactions
  • Legal advice, paperwork, consultation regarding legal issues?
  • Clinical supervision questions, ethical issues

 

References:

 

The Paper Office, Fourth Edition: Forms, Guidelines, and Resources to Make Your Practice Work Ethically, Legally, and Profitably (The Clinician’s Toolbox) [Paperback]

Edward L. Zuckerman PhD (Author)

The Complete Adult Psychotherapy Treatment Planner (PracticePlanners) [Paperback] Arthur E. Jongsma Jr. (Author), L. Mark Peterson (Author), Timothy J. Bruce (Editor)

Wiley offers over 20 treatment planners both in paper versions and in electronic format.

In addition, they have progress note planners and homework planners which contain handouts for clients.

The Clinical Documentation Sourcebook: The Complete Paperwork Resource for Your Mental Health Practice [Paperback]

Donald E. Wiger

The Clinical Documentation Sourcebook: A Comprehensive Collection of Mental Health Practice Forms, Handouts, and Records, 2nd Edition [Paperback]

Donald E. Wiger

 

 

Play Therapy Treatment Planning and Interventions: The Ecosystemic Model and Workbook (Practical Resources for the Mental Health Professional) [Kindle Edition]

Kevin John. O’Connor (Author), Sue Ammen (Author)

Therapist’s Guide to Clinical Intervention (Practical Resources for the Mental Health Professional) [Kindle Edition] Sharon Johnson (Author)

 

STEVEN A. LAZARUS, PSY.D., L.P.C. 8WEST DRY CREEK CIRCLE, #205 LITTLETON, CO 80120 (303) 267-2194

Copyright® 2016 Dr. Steven A. Lazarus. All Rights Reserved

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Interview: How does the internet effect people

This is an interview between Dr. Steven Lazarus, Psychologist and a high school student named Abigail. She gave permission to post the interview.

Dear Dr. Steven Lazarus,

Thank you for taking your time to answer the following questions. I am honored that you want to post this to your blog, feel free to use it anywhere you would like. Here are my questions, answer the best you can. Thank you!
1) Are there any percentages on brain damage from using the internet too much?
I have not researched this area and cannot provide you with an answer.

2) What does the internet do to our brains specifically, if anything?

The Internet provides a way for us to get media to information on almost any topic. I’m wondering if you’re asking if using computers, smart phones, and other devices has an impact on her brain. The answer to that question is that there is a lot of research that screens activate our frontal lobe of our brain. This is the part of her brain that is in charge of planning and organizing. Sleep studies have shown that when people use screens prior to going to bed, but effects are sleep. It takes longer to go to sleep and longer to get into deep sleep. The current recommendation is that all screens are turned off one hour prior to bedtime.

In addition, many people multitask when using electronic devices or computers. By multitasking, I mean that a student might be working on math homework, checking Facebook, texting friends, posting a photo on pintrist, driving, and surfing the web. This would make it much more difficult to complete homework effectively and as you know, has resulted in distracted driving.

3) Does it effect or mess with our emotions and actions?
Getting instant information from the Internet can have a tremendous effect on our emotions and perhaps our actions. People post tweets when they are angry or in the heat of the moment and say things they would never say if they were calm. Gossip and inappropriate photos are posted on the web without thinking about the damage they can cause. A high school student can start a rumor via texting or Facebook and before the end of the day, almost everyone knows about. This instant source of posting our thoughts and feelings can cause a lot of damage.

On the other hand, having instance access to the Internet has allowed me to find a restaurant quickly, not get lost, find out how to help a person in an emergency, look up a YouTube video for how to fix something, and find out that there is an emergency.

As I discussed in question two, multitasking can have a large effect on our actions and ability to get things done.

4) What are the advantages and disadvantages of the internet?
Some of the advantages are instant information at our fingertips on almost any topic of interest. The ability to spread news quickly to a large group of people is another advantage. From an environmental perspective, a lot less paper is being used for example for e-mail. For people with disabilities, the ability to work from home or take a remote learning education is a wonderful advantage.

Some of the disadvantages are similar to the advantages. For example, having the ability to get instant information instead of taking the time to do research could be a disadvantage. Sometimes, information on the Internet is not accurate and I would call it miss information. For example when a person is sick, when you look up symptoms of that illness you often find worst-case scenarios including cancer. Then it turns out the person just had a cold. Of course, another disadvantage has to do with exposure to dangerous material and people, for example child predators and pornography.

5) On a yearly basis, how many hours do we spend on the internet?
I have not studied this topic but I’m sure you can find this via a Google web search.

6) How much of your daily life at home and work is spent on the internet?
This is another topic that I have not researched. However, of course to some extent this would be dependent on what the person does for work or school. It would be important to count all hours on the Internet including computer, smart phones, ipad, streaming videos, etc.

7) While the internet gets better are we going to get less active and less social? Will we lose our ability to interact in person?
People who use the Internet, social networking, text messaging are often very social. But we may have to change our definition of what social interaction is. Many people have lengthy conversations via text message. Some people even communicate with each other via electronic device even when they’re sitting at the same table. At a minimum, is changing how we interact in person. Good with your family, and notice how many people have their phones out. How many kids are playing a video game at dinner. How many people are gathered around a device looking at pictures.

8) What are some ideas that you have on what people would do, if they couldn’t use the internet?
If people couldn’t use the Internet, I suspect that things would go back to how it was 20 to 30 years ago. We would again send letters through the United States Post Office. We would go to the library to do research. We would use phones to call each other.

9) Will the younger generations lose their ability to write and read cursive?
Curse this is no longer being required in Colorado schools is a part or curriculum. Other than learning how to sign your name in cursive there is very little focus in elementary schools are learning cursive. Keyboarding is being taught from an early age now and is certainly a primary way that people are writing these days.

10) What are your thoughts on cyberbullying? What can we do to help stop it?
Cyber bullying is a major topic of concern. We hear about it every week in our news. People threatened other people, make fun of them, really chill them on social networking platforms etc. a furtive kids committing suicide because of cyber bullying so that is a very concerning area. Interestingly, from a legal perspective people who cyber bully leave a path of breadcrumbs of all of the terrible things that they have said or done toward the other person which can result in criminal charges.

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Healing from a High School Tragedy

A child’s teenage years are supposed to be carefree, fun and filled with delightful memories. However, when a tragedy occurs in a teenager’s life, all of the joy of adolescence is replaced with feelings of grief, anxiety and sadness. Going forward after a traumatic experience is hard for anyone, but it can be especially difficult when you are young. If you are a teen who has recently dealt with trauma, the tips below will help you move on.

1. Talk about your feelings.

If you have survived a tragedy, such as the recent shooting right here at Arapahoe High School, you need to talk about the way the experience affected your life. Were you friends with any of the victims? Did you know the person who committed the crime? Talking about your personal experience with the tragedy will help you move on from it. If you don’t feel comfortable talking to friends or family, consider making an appointment with a professional, such as a teen psychologist.

2. Connect with others.

After dealing with a tragedy, you may feel like you have no one to turn to. In some cases, you may even feel like you want to be by yourself. However, isolating yourself from others is not the best way to deal with your feelings. In order to repair the emotional damage, you must reach out to others for support. Spend time with friends and family, talk to other people who were affected by the tragedy and do your best to get back to your normal activities.

3. Try to get your life back to normal.

With all of the stress of the event, it is easy to get off your normal sleep routine and eating schedules. Try to get a good nights sleep every night. Even if you are not hungry, try to eat three times a day to help regulate your body. If you are having trouble sleeping, this is normal. However, talk with your parents if it continues for more than three days.

4. Give back to the community.

One of the best ways to truly heal from a tragedy is to give something back. Find a way to turn this negative experience into something positive. Examples of giving back include pursuing service-related careers, getting involved in community service or simply sharing your experience with others who are dealing with tragedies of their own.

Even with the best coping strategies, it’s never easy to overcome a tragedy in your life. If you or someone you love is having a hard time because of a recent traumatic experience, don’t hesitate to get the help you need. Have your parents contact a qualified child psychologist to begin the healing process.

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How Much is Too Much: Parents Guide to Video Games

An Ohio teen collapses and is rushed to the hospital after a four-day gaming stint leaves him severely dehydrated. An 18-year-old dies when he develops a blood clot after playing “Diablo 3” for 40 hours straight.

While these examples may be extreme, for some kids, gaming becomes more than just a hobby. Ninety-nine percent of boys and 94 percent of girls play video games on a regular basis, according to a study by the Pew Internet and American Life Project. Of these, recent studies place the number of youths that engage in pathological — or problem — gaming at 8.5 to 15 percent. Many parents find themselves asking, “How much is too much?” This parents guide will help you determine if your child is spending too much time gaming.

Video Game Addiction

Pathological gaming shares a number of characteristics with addictive behaviors like gambling or drug abuse, such as personality changes and cravings. However, while some kids can spend a lot of time playing video games without affecting other areas of their lives, other children get “hooked” and experience a significant impact.

Researchers have identified several characteristics and traits that seem to contribute to a higher risk of pathological gaming. These include:

  • Starting to play at a young age
  • Playing video games for more than 19 hours per week
  • Lack of social competence
  • Lack of impulse control
  • Low levels of empathy for others
  • Low self-esteem
  • Few friends
  • Family history of addiction
  • Exhibits thrill-seeking behavior

For many kids, the lure of gaming lies in the ability to become someone else in the game; a shy, awkward teen with few friends can feel dominant, popular and attractive in the virtual world of a game. The allure of this fantasy world simply becomes more appealing than reality.

Warning Signs

If you’re concerned that your child may be spending too much time playing games, keep your eyes open for these warning signs.

  • Lack of interest in any activities other than gaming
  • Talking about games constantly
  • Playing for increasing amounts of time
  • Dropping friends and activities that aren’t related to gaming
  • Lying about or hiding how much time is spent gaming
  • Feeling irritable or anxious when they’re forced or try to disconnect
  • Decreased grades and school performance
  • Sneaking to play games, such as after bed or after being told not to play
  • Staying up late to play games and sleeping in the daytime
  • Experiencing cravings when they’re away from the game
  • Ignoring personal hygiene and skipping meals to play
  • Playing for more than 19 hours per week
  • Throwing tantrums or acting violently when forced to stop playing (Known as “Rage Quitting”)

Research indicates that addictive gaming behaviors tend to be more pronounced when kids play online, role-playing games that involve multiple players. Dr. Lazarus, a child psychologist, suggests that parents limit video games to no more than two hours per day, and keep a close eye on gaming behaviors. School work, chores, sports, and other social activites should always be a higher priority and completed before video game time.

If you’re worried that your child is spending too much time gaming, therapy with a child psychologist can help. Dr. Steven Lazarus, a child psychologist in Littleton, CO, can help your family work though these issues together through parent consultation and individual therapy which you child.

 

Sources:

usatoday30.usatoday.com/tech/gaming/story/2012-08-08/modern-warfare-3-teen-collapses/56869220/1, http://www.technewsworld.com/story/52916.html http://www.nbcnews.com/id/19354827/#.Ujn93eChDzI, http://www.cnn.com/2012/08/05/tech/gaming-gadgets/gaming-addiction-warning-signs/index.html, http://www.huffingtonpost.com/, http://health.usnews.com/health-news/family-health/brain-and-behavior/articles/2011/01/17/video-game-addiction-tied-to-depression-anxiety-in-kids, http://pediatrics.aappublications.org/content/127/2/e319.full

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The Electronic Free Zone

As a child psychologist, I am encountering more questions about electronics every day.

“Is my child addicted to electronics?”

“Do electronics harm kids?”

“Do they cause ADHD?”

I recently took a family vacation to the San Juan Islands off the coast of Washington. Not only was it a beautiful trip but a wonderful thing happened there. We had no cell phone service! We had no email! We had no video game system or Ipad with us!

The question I have not been asked is: “Do my own electronics harm my relationship with my kids?”
Without the technology constantly texting, checking emails, watching TV, watching my kids play video games or games on their devices, we needed something to do. Instead of sitting at the pool watching my kids play while I checked emails, I played in the pool too. Instead of watching something worthless on TV at night, we played family games. Instead of sitting inside on a beautiful day, we went hiking, sailing, and running.

We were able to reconnect as a family.

Lessons learned:

1) Don’t ever let TV and electronics be a substitute for the quality time you can spend with your kids.

2) Take out a good old fashioned board game. They are really fun!

3) My kids discovered that books are actually pretty good if they don’t have games to play.

4) Have time that is electronic free time every day not only for your kids but model it as parent.

5) Ask yourself what would happen if you actually stepped off the grid of electronics for a bit and what else you could be doing with your time?

6) My exercise was improved when I did not listen to music, watch a TV screen at my club, or stop and check a text or email.

People with cell phones are more available than ER doctors. We respond to texts and facebook posts at dinner with friends, when we are reading a story with our kids, and even when we are driving a car!

Take some time each day to spend quality time with your kids and detox from electronics. There are so many fun things to do without them getting in our way.

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How Therapy Dogs Help Children with Reading

Did you know that dogs can help your child both improve their reading skills and learn to love reading in the process? If your child struggles with reading, consider tutoring with a terrier!

Just ask the kids at B.F. Kitchen Elementary School in Loveland; they’ve been reading to Copper, a golden retriever, since 2011, thanks to the school’s Reading Retriever program — and the results speak for themselves.

This specially trained dog works one-on-one with struggling young readers, providing a supportive, friendly reading buddy who never, ever judges a mispronounced word or run-on sentence. Kids say that having Copper around lifts their spirits, making them feel more confident and excited to read — and results from other schools, libraries and tutoring programs with therapy dogs back this up.

In fact, a study from Tufts University suggests that reading with dogs offers a host of academic, social, physiological and psychological benefits for children, such as:

  • Higher self-esteem and autonomy
  • Reduced stress and lower blood pressure
  • Increased language use
  • Improved social interactions
  • Longer, more sustained focus
  • Better attitude toward school and learning
  • Reduced loss of reading skill over summer vacation
  • Improved reading ability

Libraries, schools and even universities across the country are taking advantage of the benefits of therapy dogs. In Colorado, programs that incorporate reading and therapy dogs are growing more popular, with organizations such as Denver’s Therapy Dogs of Boulder County, Denver Pet Partners, Have Paws Will Travel in Arapahoe County, Aurora’s Wagging Tales, and Paws to Read in Colorado Springs. Even reading to a family pet can help struggling readers to improve their skills and feel more confident.

Reading ability impacts all areas of academic achievement, so building your child’s confidence and skill is essential. Sometimes, a little extra help — from a therapy dog or a professional — can make all the difference. If you’re seeking a child psychologist in the Littleton area, Dr. Steven Lazarus — and his certified therapy dog Zeke — can help your family work through issues together.

What is the difference between a psychologist and psychiatrist?

Many people want to know how a psychologist and psychiatrist are different.

Education:

Both a psychologist and psychiatrist start with a bachelor’s degree. What is different is what happens next in school.

A psychiatrist goes to 4 years of medical school and receives an MD degree. As with all medical doctors, they then go on to get a specialty, such as pediatrician, surgeon, family practice, etc. Psychiatrists go on to specialize in Psychiatry. This allows them to provide therapy to patients and they are specialists in treating mental health disorders such as ADHD, Depression, Anxiety, and Schizophrenia. They can also specialize in specific populations, such as child psychiatrist, substance abuse, and elderly.

A psychologist goes to higher education to get a Ph.D. or Psy.D. Both are doctoral degrees in psychology. Along the way, they may also receive their master’s degree in psychology. Because a psychologist is not a medical doctor, they cannot prescribe medications. Most psychologists will develop a career that is either focused on working with clients in therapy (family therapy, individual therapy, couples therapy, child therapy), or academic focused such as being a professor at a university which would include teaching and research. Some psychologists provide psychological testing and assessment.

Therapy:

These days, many, but not all, psychiatrists have medication only practices. This means that if you are struggling with mental health issues that may require medications; they are the experts in this area. They are often used when people have tried medications through their primary care physician which have not been effective or have had adverse side effects. Appointments for medications are typically once/ month to even quarterly checkups. Some psychiatrists provide therapy and medication management.

Psychologists provide different types of therapy. They may offer play therapy, child and teen therapy, family therapy, couples therapy, group therapy and individual therapy. Most sessions are typically 45 minutes to one hour long in outpatient settings. Many clients attend therapy weekly.

Psychological Testing:

In addition to therapy, some psychologists provide psychological testing. This can include:

  • Learning assessment to look for giftedness or a learning disability
  • Testing for ADHD/ ADD
  • Testing for autism and aspergers
  • Testing for personality disorders and other psychological issues
  • Testing for intelligence

In summary:

In summary, a psychologist is a person who has a doctoral degree in psychology. They are the highest level of training if you are interested in ongoing therapy or assessment. They also work in academic settings such as colleges. A psychiatrist is a medical doctor. Many of them treat mental health conditions by using medications. You would see a psychiatrist if you are struggling with depression, anxiety, attention issues, etc., and need medication to stabilize you medically, but may not necessarily want therapy. It should be noted that some people receive therapy from a psychologist and see a psychiatrist for medications. This combination works quite well together if you require medications.

About the author:

Dr. Steven Lazarus, Psy.D., is a licensed psychologist in private practice in Littleton, CO. He specializes in working with children and teens, adults and couples. If you are interested in more information on if Dr. Lazarus can be helpful to you, please visit his website: www.drstevenlazarus.com