Pastoral Counseling Services
Q's Ministry, BHITS
Pastoral Counseling, Spiritual & Peace
Counseling with Psychodynamic,
Psychospiritual and Cognitive-Behavioral
Perspectives
.

* Individual * Couple * Family * Elderly *Student
Anxiety, Depression, Eating Problems, PTSD,
Schizophrenia, Marriage, Family, Pre(Marital),
Divorce, Anger Control, Self-Esteem, School
Problems, Psychosomatic Issues
* Diagnosis may be provided for elderly and dependant adults. In most
instances diagnoses is provided by a physician.
Consultation References and Links for Ministry's Clients, Congregants, Parishioners and Trainees    
Depression
months pregnant and 1 week postpartum, Edinburgh post-natal depression scale, Beck Depression Scale, and Beck Anxiety Inventory scores differed. There
was no difference between the two groups of mothers using the Rosenberg Self-Esteem Scale. See Kim, Y.
et al. (2008). Prediction of postpartum depression
by sociodemographic, obstetric and psych factors: A prospective study.
Psychiatry and ... Neuroscience, 62(3), 331-340.
                                                           
 (Click here for Further Research on Depression)
Sleep
Regret, shame and guilt over impulsive acts of the day result in thinking and feelings at night that are not based on facts. Those thoughts and feelings are
related to insomnia; Schmidt, R. E. and Van der Linden, M. (2009). The aftermath of rash action: Sleep-interfering counterfactual thoughts and emotions.
Emotion, 9(4), 549-553.
Anxiety & Panic      
The regional brain volume right dorsal and rostral Anterior Cingulate Cortex reduces in patients with panic disorder. See Asami. T. et al. (2008).  Anterior
cingulate cortex volume reduction in patients with panic disorder.
Psychiatry and ... Neuroscience, 62(3), 322-330.
-- Panic intervention techniques used in counseling can help.  
Psychosomatics  
Tempramental differences affect type 2 Diabetes HbA1c. Based on their finding the table below is generated: see Yoda, N. et al.  (2008). Classification of
adult patients with type 2 diabetes using the Temperament and Character Inventory.
Psychiatry and .... Neuroscience, 62(3), 279-285.








1- Resistance, Defensiveness, Uncooperative, Obsessional, A-volitional - "weak Intentioned" - None goal directed, Personality Disordered, Self-directed (-
correlation with HbA1c, as these measures are low the blood sugar is low), high anxious (+ correlation with HbA1c, as anxiety is high blood sugar is high).
2- Dependence on others, histrionic, fear of unknown, external locus of control (+correlation with HbA1c, as these measures are high, blood sugar is high).
*Any possible misinterpretation can be corrected.

Childhood physical and, more so, sexual abuse can lead to dyspepsia, altered rectal sensory motor function in irritable bowel syndrome; see Geeraerts, B.,
Oudenhove, L. Van, Fischler, B., Vandenberghe, J., Caenepeel, P., Janssens, J. and Tack, J. (2008). Influence of abuse history on gastric sensorimotor
function in functional dyspepsia.
Neurogastroentrology & Motility, 21(1), 33-41.

Parental history of hypertension reduces responsiveness to both positive and negative affect eliciting stimuli, blunting affect, as measured by EMG, GSR, and
rating of arousal. Wilkinson, D. Z. and France, C. R. (2008). Attenuation of positive and negative affect in men and women at increased risk for hypertension: A
function of endogenous barostimulation?
Psychophysiology, 46(1), 114-121.


Victims of Childhood Sexual Abuse (CSA)
Fondling in CSA was not associated with adverse sexual wellbeing but those who were abused by "sexual penetration or attempted sexual penetration were (a)
more likely to be sexually revictimized in adulthood; (b) more likely to have engaged in casual sex, unprotected sex, and voluntary sexual abstinence; and (c)
reported fewer sexual rewards, more sexual costs, and lower sexual self-esteem". Lemieux, S R. & Byers, E. S. (2009). The Sexual Well-Being of Woman who
have Experienced Child Sexual Abuse.
Psych of Woman Quarterly, 32(2), 126-144.    

School Bullies
Adolescents who have poor cooperative relationship with parents became victim of bullies or youth violence at school; and students who are demeaned or de-
powered by their teachers either become victim of bullying- or themselves bully, denigrate, oppress or violate schoolmates; see Nation, M. et al. (2008).
Bullying in School and Adolescent Sense of Empowerment: An Analysis of Relationships with Parents, Friends, and Teachers.
Journal of Community &
Applied Social Psych, 18, 211-232.

Self-Esteem
Feeling authentic and need for autonomy, adequacy, competence, and social relatedness increase inner core self-worth independent of negative and
positive affect; see Heppner, W. L. et al. (2008). Within-Person Relationships Among Daily Self-Esteem, Need Satisfaction, and Authenticity.
Psych Science,
19(11), 1140-1145.
 

Schizophrenia       
Certain antipsychotic medication side effects that affect metabolism (such as increased triglycerides, which is the fat comprised in nuts and lard) increase risk
of cardiac and metabolic disease (insulin resistance), with risk increasing due to life style needing life style education; see Meyer, J. M. and Stahl, S. M.
(2008). The metabolic syndrome and schizophrenia.
Acta Psychiatrica Scandinavica, 119(1), 4-14.   

Post Traumatic Stress Disorder (PTSD) & Psychosis   
Psychotic features accompanying post trauma continue into the future regardless of re-traumatization due reminders or flashbacks; these psychotic features
are different from schizophrenia and PTSD-- with different CRF and dopamine B-hyroxylase levels. That may require different view about the problem or a
different diagnosis. see Braakma, M. H., Kortmann, F. A. M. and Brink, W. van den (2008). Validity of 'post-traumatic stress disorder with secondary psychotic
features': a review of the evidence.
Acta Psychiatrica Scandinavica, 119(1), 15-24. In schizophrenia there is a deficit in maintaining stimulus-reward relations
past 24 hours, showing long-term memory deficits for emotional stimuli; that is contrary to what is seen in PTSD; see Herbener, E. S. (2009, February).
Impairment in Long-Term Retention of Preference Conditioning in Schizophrenia. Biol Psychiatry.    
   

Acute PTSD can cause psychomotor retardation and deficits in attention - concentration, verbal memory and fluency. Proactive interference and poor
performance in verbal fluency for names of animals can be related to PTSD in the past.  These functions are controlled by the prefrontal cortex that is
affected by PTSD caused by earthquakes. Eren-Kocak, E. et al. (2008). Memory and prefrontal functions in earthquake survivors: differences between current
and past post-traumatic stress disorder patients.
Acta Psychiatrica Scandinavica, 119(1), 35-44.
                          
(Click here for Further Research on PTSD and Psychosis)

Borderline Personality
Self-injurious behavior (for example, Self cutting) is an indication of history of suicidal ideation and suicide risk. See Matsumoto, T. (2008). Analgesia during
self-cutting: ... implications and the association with suicidal ideation.
Psychiatry and Clinical Neuroscience, 62(3), 355-358.

Trait aggression and hostility is higher in those who attempt serious suicide. See Doihara, C. et al. (2008). Trait aggression in suicide attempters: A pilot study.
Psychiatry and ... Neuroscience, 62(3), 352-354.

Body Dysmorphic Disorder / Body Image Issues
Preliminary data shows that Cognitive Behavioral Therapy results in low relapse rate of preoccupation with slight or imagined defects in appearance when
compared to fluoxetine, clomipramine / desipramine- which also reduced the symptom severity compared to placebo.
Ipser JC, Sander C, Stein DJ.
Pharmacotherapy and psych therapy for body dysmorphic disorder.
Cochrane Database of Systematic Reviews 2009, Issue 1. Art. No.: CD005332. DOI:
10.1002/14651858.CD005332.pub2.
            
(Click here for Further Research on Body Image Issues..)
Obesity: Lack of care, abuse and anxiety in childhood, depression in adolescent girls, learning difficulties and low scholastics as risk factors are
related to adult obesity. M. Vámosi, B. L. Heitmann and K. O. Kyvik (2009). The relation between an adverse psych and social environment in childhood
and the development of adult obesity: a systematic literature review. Obesity Reviews, 11(3), 177-184.
Addiction & Risk Behavior           
Stimuli that are associated with ethanol (alcohol), even sight of alcohol, can trigger alcohol seeking relapse in the environment where alcohol was
once consumed. Activity in the nucleus accumbens core, not the shell, mediates this effect. The shell of the nucleus accumbens inhibits seeking
responses in that context. Chaudhri, N., Sahuque, L. L., Cone, J. J., Janak, P. H. (2008). Reinstated ethanol-seeking in rats is modulated by
environmental context and requires the nucleus accumbens core.
European Journal of Neuroscience, 28(11), 2288-2298.

The phosphorylation of the glutamate receptor subunit 1 at the Postsynaptic site in the hippocampus seems to be involved in the extinction of
(withdrawal from) opiate-associated conditioned responses (habit / addiction); see Billa, S. K., Sinha, N., Rudrabhatla, S. R. and Moron, J. A. (2008).
Extinction of morphine-dependent conditioned behavior is associated with increased phosphorylation of the GluR1 subunit of AMPA receptors at
hippocampal synapses.
European Journal of Neuroscience, 29(1), 55-64.   

Both alcohol and smoking can cause deficits in executive functions, alcohol affecting IQ and smoking affecting response speed.  Glass, J.M., Buu, A.,
Adams, K..M., Nigg, J.T., Putter, L.I., Jester, L.M., and Zucker, R.A. (2008). Effects of alcoholism severity and smoking on executive neurocognitive
function. Effects of alcoholism severity and smoking on executive neurocognitive function.
Addiction, 104(1), 38-48.
                                                                 
(Click Here for Further Research on Addiction..)
Aggression          
Prior to hospitalization, violence was associated with substance abuse and homosexuality. History of physical aggression and thought distortions
predicts physical violence in the hospital. Paranoid ideation and hostility can change verbal violence to physical violence; see  Amore, M., Menchetti,
M., Tonti, C., Scarlatti, F., Lundgren, E., Esposito, W., Bernardi, D. (2008). predictors of violent behavior among acute psychiatric patients: ... study.

Psychiatry and ... Neurosciences, 62(3), 247-255.

Parenting
"Positive parent–child attitudes for vigorous team sports were related to increased team participation and physical activity, as well as reduced TV and
computer in boys and girls. Value of moderate intensity household chores, such as cleaning house and doing laundry, was related to decreased team
participation and increased TV in boys. Only organized team sports, not general physical activity, was related to reduced TV and computer." Anderson,
C. B., Hughes, S. O. and Fuemmeler, B. F. (2009). Parent-child attitude congruence on type and intensity of physical activity: Testing multiple mediators
of sedentary behavior in older children.
Health Psych, 28(4), 428-438.  

Sleep problems among children 3rd through 5th grades are associated with poor adjustment. And thos in low socioeconomic status homes and African
American children are at risk. Adequate sleep is important for children's healthy development. See: Mona El-Sheikh, Ryan J. Kelly, Joseph A. Buckhalt,
and J. Benjamin Hinnant (2010, May 13). Children's Sleep and Adjustment Over Time: The Role of Socioeconomic Context. Child Development, 81(3),
870-883.

Judgementalness can development in 8 weeks in children as a function of mere conversation regardless of the moral issue. That can be because of
the frustration embedded in conversations. In both male and female children with average age of 9.58 years, who engaged in conversation for 8 weeks
about fair punishment for moral ineptitude, there was development in judgement. Patrick J. Leman, Marina Björnberg, Royal Holloway (2010, May 13).
Conversation, Development, and Gender: A Study of Changes in Children's Concepts of Punishment. Child Development, 81(3), 958-971.
*************************************************************
Pre and Peri-Natal Origins of Mental Health: Child & Adolescent
Treatment of Mental Disorders in Children
Hormonal Changes in Early Pregnancy, Postpartum Anxiety & Delayed Puberty in Child

Dictionary of Mental Health: SAMHSA

Research / Links
Evidence Based Medicine Guidelines
General Matters in Mental Health: Columbia University Medical Center
NIMH Video on Depression
Symptoms of Death of a Loved One: Ghost or Hallucination?
United Nations Science Symposium on Death, Dying, Life- After-Death and Ghost Experience!?
Is it Sympathy or Empathy When we Feel Another's Pain: from Medications, Addictions, Mirror Neurons to Talk Therapy to Heal Pain!?
Procrastination: Expecting Punishment or no Reward, Impulsiveness, Lack of Self-Control, Lack of Dopamine, non-conscientiousness, Feeling Bad,
Lack of Motivation, Indecision, Self-Consciousness, Worry about Imperfection or Pain!?   
Are You Having a Hard Time Changing Yourself?
If Suicidal..
Suicide Prevention
Schizophrenia, Prodromal Risk Syndrome for 1st Psychosis in DSM-V?
schizophrenia bulletin.oxfordjournals.org/
Facts about Schizophrenia
Social Factors in Psychosis - Schizophrenia
Self, Other and Body Senses in Schizophrenia
Violent Crimes is Minimal among Schizophrenics without Comorbidity, Who do not Abuse Substances
Antipsychotics: 1st and 2nd Generation
Antipsychotics: 3rd Generation, "Partial Agonist Antipsychotics"
Antipsychotics and Risk of Heart Disease
Antipsychotics and Neuroleptic Malignant Syndrome
KCNH2 Potassium channel (influx) Associated with Schizophrenia & Antipsychotic's Effect on the Heart
Nap Better for Memory than Caffeine
ADHD and Effects on Siblings
Is Sadness Depression when there is Natural Grief?
Borderline Personality
Is Borderline Personality Fluxithymia?
Honeybees on Cocaine Dance without Purpose
Undiagnosed Deafness and Blindness among those with Intellectual Disability
Coping With Trauma: Video
Autism Spectrum Disorders (Pervasive Developmental Disorders)
Effects of counseling on the brain

Grand Rounds Videos


NARSAD



















Copy Right.  Q's Ministry, BHITS. P.O. Box 241661 Los Angeles Ca 90024                                      10940 Wilshire Blvd, Suite 600, Los Angeles, CA 90024
  Novelty Seeking
(Approaching)
Harm Avoidance
(Avoiding, Anxious)
Reward Dependence
(Habit, Impulse)
Low
1
2
1
High
2
1
2
To receive our services:

  1. Call (310) 443 4168 or click the contact button.
    Referrals by friends, family, or someone else may need
    to have a three way conference to assure confidentiality
    or state the limits to confidentiality
  2. Request for an appointment
  3. Arrive for your appointment
  4. Be greeted, refreshments, agreements, prayer -
    relaxation - meditation
  5. Complete short or long intake form (based on the
    complications) - intake assessment; decide on need for
    additional assessments
  6. In collaboration with you, analysis and identification of
    the problem areas are provided. This may take more
    than one session depending on openness or
    resistance or defenses; gain trust and rapport
  7. Reveal problems - give confessionals
  8. Care plan, consult, counseling, guidance, techniques or
    instructions are provided
  9. Follow-up appointment



Call (310) 443 4168 for your appointment. Leave a message if not
available. Thank You!

Generalized Anxiety: worry with physical symptoms of fatigue, headaches, muscle tension - aches, difficulty swallowing, trembling, twitching, irritability,
sweating, and hot flashes.
Anxiety and Panic: Heart palpitation, pounding, hot/cold flashes, sweaty, weakness, faintness, dizziness, tingling sensations, numbness, nausea, chest pain,
smothering, choking, sense of unreality, fear of going crazy, impending harm - doom, loss of control, feeling as though life is passing by like a movie.
Social Phobia or Social Anxiety: fear of being watched, fear of being judged, embarrassment, humiliation, blushing, sweating, trembling, nausea,
muteness, have a hard time talking, Self-consciousness, fear of speaking, eating or drinking in front of others.
Phobias: Fear of Heights, Escalators, Driving on Highways, Tunnels, Closed-in places, Water, Flying, Dogs or Other Animals, Blood and Injury.
Post Traumatic Stress (PTSD): (Theft, Mugging, Rape, Torture, Abduction, Kidnapping, Child Abuse, Incest, Auto Accident, Plane Crash, Bombing,
Tornadoes, Floods, Earthquakes, Being Yelled at), Flashbacks (Memories and Thoughts of Trauma, Abreactions, Nightmares) Derealization, Loss of Trust,
Shattered Beliefs, Loss of Sense of Security, Avoidance, Anniversary Reactions, Emotional Numbness Towards Close Ones, Loss of Interest, Irritability, Anger,
Loss of Affection, Sleep Problems, Awakenings, Detachment, Being Easily Startled, Anxiety and Panic Symptoms.
Depression: Persistent sadness, anxiousness or "empty" feelings, hopelessness, pessimism, helplessness, worthlessness,guilt feelings, restlessness, irritability,
loss of interest in sex, activities or hobbies enjoyed before, fatigue, loss or decreased energy, difficulty concentrating, remembering details, difficulty making
decisions, insomnia, early morning wakefulness lasting over 1/2 hr, excessive sleeping, overeating, loss of appetite, localized pain, aches or pains, headaches,
cramps, digestive problems, suicidal ideas, suicide attempts.
Grief & Bereavement: Missing, seeing images of, hearing voices of, dreaming or nightmares about the lost person or object, smothering, sensations of
sparking nerves or nerves on fire, continued denial, acceptance resistance, anger, crying, depression, exhaustion, deliberating or bartering with god.     
Obsessiveness-Compulsiveness (OCD): Intruding Thoughts and Images of Order, Symmetry, Street Cracks, Germs, Dirt, Intruders, Friends, Interactions,
Harming Someone, Someone being at Harm, Harming Loved-ones, Sex one Dislikes, thoughts forbidden by religion or ones culture, and Ritualized Behaviors
to reduce the anxiety the thoughts induce, Counting, Washing hands Over and Over Again, Excessive Praying, Touching or Checking Repeatedly, Lock
Checking, Door Checking, Stove Checking, Combing Hair Over and Over, Believing that if One does not Engage in the Repetitions Something Horrible Could
or Would Happen, Believing that Ones Actions or Thoughts are Changing or Influencing the World, Hoarding.
       
Borderline Personality Disorder (can co-occur with Bipolar disorder, depression, anxiety disorders, substance abuse and other
personality disorders- can be related to being a victim of sexual abuse by a stranger, history of stress - neglect - abuse when young,
victim of crimes of violence or rape)
: Instability in Mood, Instability in interpersonal relationships (anxious attachments, changing from love and
admiration to hate, devaluation, demeaning, anger or dislike, abandonment anxiety, rejection sensitivity, disappointment and suicide risk), self/body image,
behavior (impulsiveness, excessive spending, binge eating, risky sex), instability in work, family disruptions, disrupted long-term planning, self-identity, emotion
regulation, self-injury with and without suicide, intense bouts of anger, depression, anxiety for hours or at most a day, drug and alcohol abuse, frequent change
in gender identity, long-term goals, career plans, jobs, friendships, and values, self-esteem problem such as seeing self as bad or unworthy, demeaning others,
feeling misunderstood, mistreated, bored, empty, isolation leading to loss of sense of self (who they are) and abandonment anxiety, avoidance of being alone,
sudden change from crying to laughter or vise versa, crying and laughing at the same time.
             
Intermittent Explosive Disorder:  A. Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of
property. B. The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychosocial stressors. C. The
aggressive episodes are not better accounted for by another mental disorder (e.g., Antisocial Personality Disorder, Borderline Personality Disorder, a Psychotic
Disorder, a Manic Episode, Conduct Disorder, or Attention-Deficit/Hyperactivity Disorder) and are not due to the direct physiological effects of a substance
(e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma, Alzheimer's disease).

Body Dysmorphic Disorder: Preoccupation with slight or imagined defect in appearance
Eating Disorders (Self / Body Image Problems...)

Bulimia Nervosa:
Frequent and recurrent (several times week) feelings of lack of self-control (impulsiveness, reduced in activity in brain areas involving
self-regulation) over Binge-eating (eating large portions of food, much of the time acted out in secret due to shame and disgust) followed by purging, vomiting,
excessive use of laxatives and diuretics, excessive exercise and/or fasting, severe unhappiness about body size and shape (even when normal for his/her age or
weight), fear of gaining weight- causing oral - teeth related problems, electrolyte imbalances and kidney issues, and gastrointestinal problems and acid reflux,
chronic sore throat - inflamation, swollen glands in neck, and severe dehydration.        

Bipolar Disorder (can co-occur with Anxiety disorder, PTSD, OCD): Mood swings from being high - elated - irritable, to being normal, to being sad -
hopeless and then back to being high, elated and/or irritable again. These are characterized by severe changes in energy level and can be a cause for
suicide risk and distortion in rational thought.
Schizophrenia: Positive symptoms, without tumor in the brain there is auditory (hearing voices), olfactory and visual hallucinations, faulty belief that others
are sending thoughts into the environment, without being in a situation - sociopolitical or physical trauma, delusions, thinking they are famous historic figure
(grandeur), having a faulty belief that others are plotting to harm them (paranoia) causing fear and withdrawal in relationships, believing that people are
reading their minds, controlling their thoughts, not making sense when talking (making up unintelligible words, neologisms), disordered thinking, disorganized
thoughts, extreme agitation, movement disorders (clumsiness, uncoordinated, grimaces, involuntary movements, unusual mannerisms;
Negative symptoms,
loss of contact with reality, sitting for hours without moving or talking much (catatonic states),  a-volition, loss or decrease in the ability to initiate plans, speak,
express emotions, flat affect, find pleasure in everyday life, social withdrawal not otherwise specified as depression or laziness;
Cognitive deficits, problems
with attention, working memory, executive functions of planing and organizing.
           


Also addressing Career issues, Pre(marital) issues, Spirituality & Pain, Procrastination, Acute & Chronic Adjustment, Resistance to
Change
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