December 07, 2018Louis Josephson, Ph.D.

It's hard to turn on the radio or visit your favorite online news source these days without coming across a feature story or in-depth series about the state of mental health treatment here in Vermont and nationwide.

More often than not, the media pays a good deal of attention to system inadequacies, regulatory and/or clinical missteps, perceived waste, and poorly coordinated care. Fair enough.

September 05, 2018Gay Maxwell, LICSW

Meet Colleen E. Carney, PhD, Director of the Sleep and Depression Laboratory at Ryerson University in Toronto. In this interview with host, Gay Maxwell, Dr. Carney describes why cognitive behavioral therapy is the best treatment for insomnia.

July 08, 2018Kirk Woodring, LICSW, CGP

With suicide rates on the increase locally and around the world, Naomi Rather, LMHC and Deborah Curtis, LICSW both certified Emotionally Focused Couples Therapists and founders of, seek the expertise of Brattleboro Retreat's Chief Clinical Officer Kirk Woodring to help understand this tragic phenomenon. In this episode of The Couch, the discussion identifies connection is a protective factor against suicide.

July 03, 2018Meghan Baston, MSN, RN

In the past few decades our society has witnessed unprecedented change in almost every area of life. This includes our professional experiences. The work we do and the ways we carry it out bear little resemblance to what most people took for granted at the start of the new millennium.
In the field of healthcare sweeping change has taken place at lightning speed and continues to be the “new normal.”

June 10, 2018Kirk Woodring, LICSW, CGP

In the past week the Centers for Disease Control and Prevention (CDC) released its most recent data on suicide rates in the U.S. Sadly, this announcement was book-ended by the deaths of two celebrities, designer Kate Spade and chef/television personality Anthony Bourdain.

March 16, 2018Vermont Department of Mental Health

The following piece published on the the website of the Vermont Department of Mental Health offers valuable insight that can help us resist the urge to entertain one-dimensional solutions to the increase in violent and antisocial behaviors across our country.


March 14, 2018Gay Maxwell, LICSW

Dr. Randy O. Frost, Ph.D., discusses the current understanding of compulsive hoarding and effective ways to treat this often debilitating illness.


February 27, 2018Louis Josephson, Ph.D.

Following the mass shooting at Marjory Stoneman Douglass High School in Parkland, Fla., our nation is once again deadlocked in a debate over how to put an end to the seemingly endless string of gun-related tragedies playing out in our schools and places of work.

President Trump has suggested that we can solve the problem by arming teachers. He has also suggested that we should open more mental hospitals as a way of getting perpetrators of these crimes “out of our communities.”

January 23, 2018Sara Swartz, MA, LCMHC

Determining the appropriate level of care for a patient is as much an art as it is a science. Serious psychiatric symptoms that affect a person’s ability to function safely may appear as obvious indicators of those who require inpatient care.

November 09, 2017Louis Josephson, Ph.D.

Since the 1960s, U.S. hospitals and healthcare facilities that provide more than 16 beds for the care of people with psychiatric and addiction issues have been known in legislative terms as Institutions for Mental Disease (IMD). Today, this designation has come to represent a significant barrier for Medicaid enrollees who suffer from psychiatric and drug-related issues. This is due to the little known and largely outdated “IMD exclusion,” which is a federal law that blocks Medicaid from making payments (in most cases) to facilities that qualify as IMDs.