Do you have a problem with compulsive gambling? There is help.

Fast Facts

• More than 80 percent of U.S. adults have reportedly gambled at least once in the past year and have done so responsibly. Approximately one percent of adults (two million individuals), however, meet the criteria of a pathological gambler. Another 2 to 3 percent have less significant, yet serious, problems with their gambling. (1)

• One in three Minnesotans say they know someone with a gambling problem. (2)

• A major depressive disorder is likely to occur in 76 percent of pathological gamblers.(3)

• In a study of gamblers enrolled in a treatment program, 10 percent considered and formulated plans to commit suicide within six months of enrollment to treatment.(4)

• Nearly half of Minnesotans think people with lower incomes are more likely to develop a gambling problem. However, like alcohol and drug addiction, it crosses the entire economic spectrum. (2)

• Nine in 10 Minnesotans say they would feel comfortable talking to a friend or family member about a gambling problem. (2)

• Minnesota is one of 29 states that fund problem gambling programs. (5)

• Minnesota has a toll-free, 24-hour, seven-day-a-week, confidential Helpline providing information and referrals for problem gamblers and other concerned individuals: 1-800-333-HOPE begin_of_the_skype_highlighting 1-800-333-HOPE end_of_the_skype_highlighting.

• Eight in 10 Minnesotans do not know of a financial resource available to those who need problem gambling treatment but cannot afford to pay for it. However, the State of Minnesota will provide treatment if insurance does not cover it. (2)

• In 2006, 1,150 individuals received state-funded treatment from problem gambling treatment providers. (6)

• 93 treatment providers in 111 locations throughout the state are registered with the Minnesota Department of Human Services to provide outpatient treatment.

• Family members and/or significant others affected by negative consequences of problem gambling can access treatment and funding even if the gambler is unwilling to participate in treatment.



1) National Council on Problem Gambling, March 2003.



2) Minnesota Department of Human Services’ Consumer Study, 2002



3) Unwin, B.K.; Davis, M.K.; & Leeuw, J.B. “Pathological gambling,” American Family Physician, February 2000.



4) Moore, Thomas L., Ph.D. Gambling Treatment Programs Evaluation Update, 2002.



5) Association of Problem Gambling Service Administrators, 2007.



6) Minnesota Department of Human Services

Crescent Hill Counseling is alive and open for business

Many of you know that I've been out of town for several weeks in late March, early April for the birth of my first grandchild.  But I'm back now and open for business!

I love being a therapist and watching people change and grow, mature and accept themselves and their families as they are and not try to change others.  Always a losing battle!

At the foundation of the therapy I do is the concept of self-esteem and the idea that we are good people who sometime make bad choices in behaviors and the people with whom we choose to associate.  But we can make new choices every day and learn to separate the person from the behavior or deed.

The man in the picture above (deleted) has been in the news a whole lot recently.  He has been dealing with something called sex addiction.  Is sex addiction real, you ask, or just an excuse for bad behavior?  I believe that it is real because I have been treating sex addicts for almost 25 years.  Often they are powerful, successful, intelligent people who began to feel "entitled" to indulging their impulses even though down deep they knew they were jeopardizing the lives of their families, they were jeopardizing their careers, and they were harming people that were involved with.

Most sex addiction starts very early as sex addicts often grow up in dysfunctional families were sex is either not talked about at all, or is talked about and acted out frequently.  Many sex addicts tell me their families were either very, very religious or had no religion at all.  As children they often grow up feeling scared and along.  They learn to comfort themselves sexually and as they reach puberty and then adulthood, they naturally gravitate toward people who feel as they do.  They often develop "double lives" as the man in the picture did.

If you or someone you know is struggling with internet pornography, repeated affairs, or visiting prostitues and strip bars, please give them my name and address.  I can help and look forward to helping find solutions.

Do you think your teenager is using drugs?

Dear Readers,

One of the populations that I work with is the teenage drug and alcohol abuser.  By the time they get to me they have usually had some run-ins with both the court system and their school teachers, administrators. and definitely their families.  I offer this assessment to you in case you are wondering whether or not your teenager might have a problem.  If you feel that he or she does, please don't hesitate to call me Crescent Hill Counseling, 502-419-1698.  Thanks!

Teen Drug Abuse Assessment

Read each question carefully and completely. Take as much time as you need to reflect on each question. This tool is of no help to you if you refuse to answer each question honestly. Answers are completely confidential. No personal information is requested and your answers are not saved. Remember, if you cheat, you're only cheating yourself.

Yes    No 1. Have you found drug paraphernalia or other evidence of drugs (such as pipes, rolling papers, eye drops, or butane lighters)?
Yes    No 2. Has the teen borrowed increasing amounts of money from you (the parents) or friends?
Yes    No 3. Does the teen steal?
Yes    No 4. Have you noticed abrupt changes in mood or attitude?
Yes    No 5. Have you noticed withdrawal, isolation, depression, or fatigue?
Yes    No 6. Has there been a sudden decline in attendance or performance at school or work?
Yes    No 7. Has there been sudden resistance to discipline at home or school?
Yes    No 8. Have there been more frequent or more intense temper outbursts?
Yes    No 9. Has the teen lost interest in hobbies or sports?
Yes    No 10. Have there been changes in the teen's eating or sleeping habits?
Yes    No 11. Is the teen hanging out with a new group of friends that you suspect may use drugs?
Yes    No 12. Is the teen more secretive about his/her actions or possessions?
Yes    No 13. Have you noticed a drastic change in the teen's appearance or has the teen lost interest in his/her appearance?
Yes    No 14. Does the teen have frequent headaches, nosebleeds, or other physical problems with no medical reason?
Yes    No 15. Do you sometimes smell chemicals or drugs?

--------------------------------------------------------------------------------

Total 'Yes' 0 (out of 15 possible)

Interpretation Based on your answers, the teenager is probably not abusing drugs. Get help for your teen if you still feel there may be a problem with drug abuse.

--------------------------------------------------------------------------------

All calculators are made available as self-help tools for your independent use with results based on information provided by the user. All examples are hypothetical and are for illustrative purposes only. Calculated results are believed to be accurate but results are not guaranteed. Health and Parenting Assessments address subjects that may be of interest to the general public. These assesments should be used for education about medical conditions only and are not for providing medical diagnosis. Only a health care professional can diagnose and recommend treatment. Users are advised to promptly check with a physician if a medical condition exists or is suspected.

Presented by WebCalcSolutions.com and BizCalcs.com.
Copyright © 2005-2010 PeteSoft, LLC. All rights reserved.
Updated 05 Jul 2007

Looking for the Perfect Relationship?

If you're looking for the perfect relationship, I have some bad news for you: there is no such thing! It is purely a figment of Hollywood and romantic fiction novelists. Bottom line? No individual is perfect therefore a perfect relationship isn't going to happen either! But forget about perfection anyway! Perfection doesn't exist in our world but people can definitely have wonderful, beautiful, awesome and extremely satisfying relationships!

Please watch this wisdom-filled video from my friend Abraham Hicks and let me know what you think!

Have a wonder-filled week!

Dealing with Toxic People in the Workplace

We all know them; we all deal with them as best we can, but what do the experts say?


Anyone who’s ever worked in an office or served on a large, longstanding committee probably knows this scenario – when you find yourself getting overly aggravated, disrupted or distracted by an angry, dysfunctional fellow worker.



Check out this excellent advice from psychotherapist Phillip Chard, who suggests guided imagery. When having a reasonable conversation isn’t an option, going inward with guided imagery is the way to go:



Nancy works with an emotionally toxic person.



This individual has a talent for agitating her co-workers, a feat she accomplishes by being disrespectful, hypercritical and sarcastic.



"She verbally attacks people all the time, even in meetings, so everybody in our work group is intimidated by her," Nancy reported.



Management has turned a blind eye to the mess, leaving this woman's colleagues to fend for themselves.

And they've tried, albeit unsuccessfully.



"I've read books and gone to workshops on conflict management, and even worked with a personal coach, but I still get the same result - she doesn't change," Nancy lamented.



The conflict resolution methods Nancy utilized rely on saying things in a certain way, as if the right words, expressions and interactive tone will somehow transform Ms. Toxicity into a more respectful soul. Such rational methods can work on occasion.



However, because toxic people are driven by hostility and unconscious mental scripts, they require a different strategy, one that focuses less on changing an adversary's behavior and more on altering one's own while with him or her.



"You're trying to change how this woman behaves around you, but you may get further by changing your own behavior instead," I suggested.



The greatest power an emotionally toxic person wields is to influence the state of consciousness in someone else.



If such individuals can push your hot buttons and control your feelings and reactions, then they triumph.



"You've abdicated mastery of your own state of mind and behavior to this woman," I told Nancy. "Now, you need to take it back."



Just as one can train the body to acquire certain physical skills, the capacity to manage one's consciousness, including thoughts and feelings, can also be learned.



A variety of psychological disciplines can help, including guided imagery, mental rehearsal, role playing, the use of personal mantras and so on.



In Nancy's case, she chose guided imagery.



While with her toxic co-worker, she visualized an orb of light inside her body, one that expanded in size and intensity each time she inhaled - like inflating a balloon.



She thought of it as a kind of invisible force field of psychic energy surrounding her.



Inside this "sphere of energy," Nancy remained calm, grounded and insulated from Ms. Toxicity's mayhem.



And each time this adversary tried to unbalance her with a nasty remark or critical expression, Nancy simply focused on visualizing her "force field" and maintaining control of her inner state.



The result?



Unable to manipulate Nancy's consciousness, Ms. Toxicity gradually began treating her with greater respect.



Toxic types wield their power by disrupting your capacity to remain in charge of your emotions and state of mind.



By refusing to react on that person's terms, you regain your personal power and demonstrate that you are not going to play their game.



Because when it comes to toxic types, playing is futile.



Just say, "Game over."



This column appeared in the Milwaukee Journal Sentinel on Jan. 18, 2010.

20 Best Break Up Songs to Get Through Grieving: Music to Help Heal When a Relationship Ends

Here's an interesting little article that I ran across this morning and thought you might enjoy!  So many people go into therapy or counseling because of relationship break ups and there is definitely a lot of music that addresses breaking-up.  In my day "Breaking Up is Hard to Do" by Neil Sedaka was a favorite. 


Hope you enjoy this! 


Jan 9, 2010 Sandra Williams



Here are several healing and sad break up songs that are divided into stages of grief.


Couples going through a break up usually go through the five stages of grief (denial, anger, bargaining, depression, and acceptance) until they come to the final stage, which is acceptance. It could take longer to get through the grieving process if it was a lengthy relationship or a bad break up.



Music helps many people cope when relationships end and for some reason they’re often compelled to listen to sad break up songs while mourning. Some of this music is angry and depressing, but there are songs that might actually lift the spirits of those going through break ups.



Angry Break Up Songs:

1.Bad Medicine – Bon Jovi: Bon Jovi seems to have found a formula for belting out rock ballad hits on a regular basis. This was a number one hit in 1988 that sees love as addictive.

2.Shut Up – Black Eyed Peas

3.You Oughta Know – Alanis Morissette

4.Walk – Pantera

5.Untouchable Face – Ani DiFranco

6.Love Stinks – J. Geils Band: Enough said.

Sad Break Up Songs:

7. Congratulations – Traveling Wilburys



8. And It Stoned Me – Van Morrison: Somehow people just know that this Irish singer has been there. Van Morrison is a brilliant songwriter who has a smooth smoky sound with a down to earth blues feel. He can laugh at hard times and is perfect for sad break up songs.



9. Last Day Of Our Acquaintance – Sinead O’Connor: Sinead could sing anything and make it sound sad, but this is a song about a marriage finally falling apart.




10. Trouble – Ray Lamontagne



Good Break Up Denial Songs:

11. End of The Road – Boys II Men



12. Can't Be Really Gone – Tim McGraw



Healing Music Good For The Acceptance Stage

13. With or Without You – U2



14. At This Point In My Life – Tracy Chapman



15. Two more Bottles of Wine – Emmylou Harris



16. Face Drop – Sean Kingston: This is a fun song by the adorable Jamaican singer and songwriter Sean Kingston. “Saying that I'd look better if I was thinner, but you know you should have loved me for my inner”, the husky singer croons.



17. Beyonce – Irreplaceable: Almost everyone knows what “to the left” means, thanks to Beyonce.



18. Let Him Fly – Dixie Chicks



19. I’m Still Standing – Elton John: Elton’s always good for an empowering break up song, and that’s probably because of his big heart. The fact that he’s bounced back from so much himself must add to his song writing skills.



20. I Don’t Care Anymore – Phil Collins: When Phil Collins belts out that he doesn’t care anymore, that’s pretty straightforward. However, much of this break up song list is open to interpretation.





Read more at Suite101: 20 Best Break Up Songs to Get Through Grieving: Music to Help Heal When a Relationship Ends http://popmusic.suite101.com/article.cfm/20_best_break_up_songs_to_get_through_grieving#ixzz0cDU4Z4Dp

Seven Tips for dealing with Seasonal Depression

Starting around Halloween, therapists become overbooked, their schedules bursting at the seams with new appointments and people coming back for a “tune-up”, not feeling so hot all of a sudden.




So, this might be a good time to run some tips by you for dealing with depression during this vulnerable time for so many. And let me just say at the outset that I really do understand that depression, by definition, drains your energy, motivation and sense of hope and efficacy, so you’re not exactly in the mood to follow tips. I get that. Try to do a little of this and that anyway. If you keep at it, the gains can become cumulative and effective over time. Okay, here goes:



1.Seek emotional support from the relationships likely to deliver the goods. That means sharing how you feel with trusted family or friends; making yourself show up for a social activity; emailing somebody; picking up the phone; joining a support group.. you get the picture. Structured social activity is your friend here.





2.Get exercise – it’s a natural anti-depressant. You won’t feel like it if you’re depressed, but go for a walk or get to the gym anyway. And while you’re at it, get your daily dose of sunlight, too, assuming you’re not in the Land of the Midnight Sun or, um, Cleveland. (Sorry, Cleveland! It’s actually exceptionally gorgeous and sunny here lately, with stunning foliage, so that was a cheap shot…. Must be accumulated resentment from too many gray Novembers, I guess.)





3.Try to normalize your sleep pattern – if you’re depressed, you’re likely to be sleeping too little or too much or both. Get to bed at a decent hour and don’t sleep in too long.





4.Eat healthy, mood-boosting foods. This includes complex carbs, vitamin B, chromium and foods rich in Omega 3 fatty acids (salmon, nuts, flax oil, etc). And, for heavens sake, ditch the refined sugar, people! You’ll get a quick boost, followed by a plummeting mood, and that’s a promise. Excessive caffeine isn’t so great for you either.





5.Figure out what works as your uplift tools: listening to guided imagery or your favorite music; getting out in nature; journaling; a taste of dark chocolate; working with your favorite yoga DVD; playing with the dog; taking a hot, aromatherapy bath; getting a massage; watching a goofy movie… whatever does it for you.





6.Be intentionally kind to yourself. Plan with your well-being in mind. Avoid stressful encounters and assignments when possible. Talk nicely and encouragingly to yourself. Watch for when negative self-talk or impossibly high standards start harassing you from the inside and tell that part of your brain to just knock it off.





7.Get professional help if you can’t activate these strategies. You may need a kick-start from some medication and/or more structured care from a pro.



And do check out the research which shows that short term Cognitive Behavioral Therapy (CBT) can alleviate this condition, even more than light therapy, and that for many, results stick through the following year.



(written by Belleruth Naparstek, http://www.belleruthnaparstek.com/)