BRN Psychological Evaluation

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By Ashley Barnes, M.S. BRN Evaluation As part of a California Board of Registered Nursing (BRN) Investigation, a notice called an “Order to Compel a Psychological Evaluation” is sent to the nurse being investigated. These orders can be issued if there has been an alleged complaint of alcohol, drug, or substance abuse. Orders can also be issued if there has been perceived erratic behavior at work. Failure to comply with the order can result in disciplinary action, even a nurse’s license being revoked. Specific requirements for the examiner, which is often a psychiatrist, include: holding a valid, unrestricted license (which includes scope of practice to conduct a clinical diagnostic evaluation), have at least 3 years of experience in providing evaluations of health professionals with substance abuse disorders, and must be pre-approved by the Board. The Psychological Evaluation itself is extensive, often consisting of the chosen medical professional reviewing the Board …

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Supporting Children’s Mental Health

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By Ashley Barnes, M.S.   Mental Health Concerns in Children   Though many people reflect on childhood as being a care-free time, children are not immune to mental health concerns that plague adults. Some of the most common mental health concerns in children include:   Anxiety: The CDC reports that about 9% of children aged 3 to 17 have been diagnosed with anxiety; still, this doesn’t even reflect all children who struggle with anxiety, just merely those who have been evaluated and diagnosed (CDC, 2023). Signs of childhood anxiety may include ruminating thoughts, situational avoidance that may impact social engagement or school attendance, and panic attacks. Behavior Problems: Roughly 9% of 3-17-year-olds struggle with behavioral concerns that warrant a formal diagnosis (CDC, 2023). Those who have Oppositional Defiant Disorder or Conduct Disorder may disrespect property, engage in harmful acts, or break serious rules. This behavior can be exacerbated by observance …

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Geriatric Mental Health and Home Visits

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By Ashley Barnes, M.S. Geriatric Healthcare Geriatric healthcare is the attentive medical care given to those over the age of 65 who are also referred to as seniors. Many individuals don’t seek geriatric healthcare until well into their 70s, 80s, or even 90s. A subspecialty in geriatric healthcare is geriatric psychiatry, as geriatric mental healthcare is a crucial aspect of geriatric healthcare in general. The American Psychiatric Association (APA) describes geriatric psychiatry as addressing the “biological and psychological aspects of normal aging, the psychiatric effect of acute and chronic physical illness, and the biological and psychosocial aspects of the pathology of primary psychiatric disturbances of older age” (APA, 2021).  Main focal points in geriatric psychiatry pertain to the “prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly and improvement of psychiatric care for healthy and ill elderly patients” (APA, 2021). Some of the most common psychiatric …

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Celebrating Pride Month 2023

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By Ashley Barnes What is Pride Month? LGBTQ+ Pride Month is celebrated in the United States to commemorate the Stonewall riots, which transpired in New York at the end of June 1969. Resultantly, many pride events are held during this month to recognize the positive impact LGBTQ+ people have had on culture and society as well as accomplishments they have achieved. Further, Pride Month commemorates the ongoing pursuit of equal rights and justice for the greater community as well as sub communities within the LGBTQ+ sphere.  Great ways to celebrate pride month include attending pride events, having open conversations, and supporting LGBTQ+ businesses and art. Messages from our team. The Mental Health Center supports and appreciates the LGBTQ+ community, not only in the month of June but every day. Our company strives to make the patient experience inclusive and sensitive to patient needs, honoring all identities. Speaking more on the …

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The Polyvagal Theory: How to Calm the Body

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By Ashley Barnes, M.S. AMFT What is Polyvagal Theory? Polyvagal Theory explains the impact that our nervous system has on our experience of threat and safety. Shifts in our autonomic nervous system (which regulates involuntary physiological processes like heart rate, respiration, digestion, etc.) produces key states of being: rest-and-digest (safe), fight-or-flight (unsafe, mobilization), or shutdown (unsafe, freeze). The autonomic nervous system is composed of three divisions, two of which are the sympathetic and parasympathetic nervous systems.  If we have unresolved trauma in our past, struggle with chronic stress, or experience anxiety and depression, we may live in a version of perpetual fight-or-flight. This is hard on the body and can lead to many adverse health outcomes, both physical and mental. What is the Vagus Nerve? Central to Polyvagal Theory is the vagus nerve, “is the longest cranial nerve in the body, containing both motor and sensory functions in both the …

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