Los Angeles County Published by the Spring 2017 … · Published by the Spring 2017 Los Angeles...

Spring 2017Published by theLos Angeles County

PsychologicalAssociation

Los Angeles

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History of Psychology: Thomas Edison’s “Brainmeter”What You Need to Know About Polycystic Ovary Syndrome

History of Psychology: Thomas Edison’s “Brainmeter”What You Need to Know About Polycystic Ovary Syndrome

psychologistLos Angelesthe

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The Los Angeles PsychologistVol. 31, No. 1, 2017

EDITORJohn Geirland, Ph.D.

CO-EDITORSBeth Leedham, Ph.D.

Gretchen Kubacky, Psy.D.Albert Morell, Ph.D.

Jeff Tirengel, Psy.D., M.P.H.

MANAGING EDITORPatricia B. Fricker, M.A.

ADVERTISING MANAGERCarol Torcello

BOARD OF DIRECTORSOFFICERSPresident

Beth Leedham, Ph.D.Past President

Lisa Osborn, Psy.D.President-Elect

Lynne Steinman, Ph.D.Secretary

Kenneth Skale, Psy.D.Secretary-Elect

Letitia Amick, Ph.D.Treasurer

Evelyn Pechter, Psy.D.Treasurer-Elect

Kenneth Skale, Psy.D.

DIRECTORSIlene Bell, Ph.D.

Gitu Bhatia, Psy.D.Max Feirstein, Ph.D.

K. Drorit Gaines, Ph.D.John Geirland, Ph.D.

Hilary Goldsher, Psy.D.David Laramie, Ph.D.Crystal Lee, Psy.D.

Terry Marks-Tarlow, Ph.D.Pamela McCrory, Ph.D.

Barbara Racy, Ph.D.Peyman Raoofi, Psy.D.

DIRECTOR/BOARD OF PSYCHOLOGY REPRESENTATIVEMichael Fresé, Ph.D.

STUDENT LIAISONMelissa Branchaud M.A.

The Chicago School of Professional Psychology

Fredrick Edo-Okuonghae, M.A. The Chicago School of Professional Psychology

Ryan Witherspoon, M.A. California School of Professional Psychology

at Alliant International University

Executive AdministratorPatricia B. Fricker, M.A.

Executive AssistantCarol Torcello

Clerical AssistantNicole Harris

The Los Angeles Psychologist is an official publication of the Los Angeles County Psychological Association, a non-profit professional

association of psychologists in Los Angeles County.Our offices are located at

6345 Balboa Boulevard., Building II, Suite 126, Encino, CA 91316818-905-0410

[email protected], www.lapsych.org.

The opinions expressed in the articles and columns appearing in The Los Angeles Psychologist are those of the authors and do

not necessarily represent the position of the Los Angeles County Psychological Association. Publication of an advertisement does not imply approval or endorsement of the advertiser, the product, or the

service being advertised.

The Editorial Board reserves the right to edit articles and submissions for clarity and/or due to space limitations.

Advertisers of continuing education workshops may guarantee credits toward Mandatory Continuing Education for Psychologists only if they

have a course and provider number.

Thinking BigBeth Leedham, Ph.D.

Psychologists are paradoxical creatures. We are grounded in sci-ence, but many of us are drawn to work that is as much alchemical as it is empirical. We love people, but many of us are introverts and seek solitude. We are emotionally generous at work but can be crotchety when we are off the clock. And we seek to inspire growth in others, but we often feel stuck in terms of achieving our own potential.

This is actually a problem accessing our own leadership abili-ties. Many of the psychologists I know have a secret aspiration. Maybe there is a book that you have inside you, but you can’t seem to start writing it. Perhaps there is a program you imagine developing, but you never get around to planning it out. Maybe the events of last November have motivated you to become more involved politically, but you don’t know where to start. Or possibly you have a sense that you’d like to get into a professional leadership role, but you don’t see the pathway.

You may need help learning how to lead. A big part of LACPA’s job is to inspire psychologists to learn more, do more, and achieve their best: to be leaders in their own domains. To that end, in collaboration with my fellow LACPA leaders, I am producing a special conference in May, entitled “Thinking Big: How to Aim Higher, Lead Better, and Achieve More in Psychology and Beyond.”

“Thinking Big” is an experiential conference aimed at helping psychologists learn how to lead and make a bigger impact on the world around them. Psychologists at all levels are welcome, and generous scholarship funding is available for those who need it, courtesy of the Presidential funds of LACPA’s 2016 President, Lisa Osborn, and your 2017 President (that’s me!). Watch your mailbox and your LACPA Listserv for more information.

Let’s “Think Bigger” together. ▲

Welcome New MembersFULL MEMBERSMichelle Jackson, Psy.D.Dana Lieberman, Psy.D.Brooke Martin, Psy.D.Donna T. Novak, Psy.D.Laura Ruaro, Psy.D.Joseph Salerno, Psy.D.Aaron Smith, Ph.D.Jessica Smith, Psy.D.Kimberly Tangen, Ph.D.Nicholas Thaler, Ph.D.Katrina Wood, Ph.D.

AFFILIATE MEMBERSElisheva Dorfman, M.A.Carine Keenan,Anet Khechoumian, LMFTKimberly Quinlan, LMFTTeyhou Smyth, M.A.

OUT-OF-COUNTY/STATE MEMBERSDenisia Hockley, B.A.Rachel Foster, Psy.D.

STUDENT MEMBERSKim AnayaJustin AndersenCaroline HarveyJesse JacobVanessa Jung-TirmanRichelle KonczakGenevieve LamJulie McGuire

Nicole OrtizMayra QuezadaAnthony RuckerClaudia SalazarRodika VahdatAnnie VarvaryanJanet Yañez


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In This IssueThe President’s ColumnThinking Big .................................... 3

Beth Leedham, Ph.D.

Editor’s Column ............................... 5 John Geirland, Ph.D.

ArticlesPolycystic Ovary Syndrome and Mental Health Issues ........................ 6 Gretchen Kubacky, Psy.D.

History of Psychology: The Controversy Surrounding Thomas Edison’s “Brainmeter” ........ 8 John Geirland, Ph.D.

Geropsychology: Psychotherapy with Older Patients ......................... 10 Donald Schultz, Ph.D.

Picking the Right Marketing Practices for You ............................ 12 Crystal I. Lee, Psy.D.

Understanding Your Client’s Sexual Fantasies ............................. 14 Piper Grant, Psy.D., MPH

LACPA Working for You .. 16

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Editor’s ColumnJohn Geirland, Ph.D.

A friend recently asked me how much I am paid to edit The Los Angeles Psychologist.

“Nothing,” I said. “They don’t pay you??” he responded, with a mixture of incre-

dulity and pity.I explained that, apart from our excellent office staff, LACPA

board members and other committee members donate their time and efforts to the association. I further explained that working

for LACPA is our way of supporting our profession and connecting with the larger community of psychologists in the Los Angeles area. It is, in other words, a way of exercising leadership. Our association president, Beth Leedham, Ph.D., has done a lot of thinking about leadership and is organizing a conference this May on the sub-ject, and I encourage you to read her column in this issue and stay tuned.

Part of what makes editing this publication so rewarding is the opportunity to learn more about areas of practice in psychology that I am not familiar with, particularly in the area of health psychology. Polycystic ovary syndrome (PCOS) is a condi-tion about which I know little. Gretchen Kubacky, Psy.D., provides a much needed primer on this disorder, which can entail a host of medical and psychological symp-toms and is a leading cause of infertility in women.

I am something of a history nut and am forever devouring history books on myriad subjects. Over ten years ago I came across a fascinating episode in our Nation’s so-cial history during the 1920s involving intelligence testing and Thomas Edison. This quirky story is the subject of “Edison’s Brainmeter,” the second article in this edition of our magazine. The history of psychology is a subject we hope address more often in the future.

As a Baby Boomer, I am confronting the unthinkable: growing older. Charles De Gaulle once said that old age is “a ship wreck.” Morrie Schwartz, on the other hand, told writer Mitch Albom that “a leaf is at its most brilliant right before it falls from the tree” (Tuesdays with Morrie). Donald Schultz, Ph.D., provides much useful in-formation for psychologists who have older adults in their practice. Besides provid-ing the Mitch Albom quote, he observes that the “study of aging can be viewed as a roadmap of how to live and age successfully.”

In days of old when knights were bold, proprietors would hang a sign at the en-trance to their shop on the village road to attract patrons. If only building a private practice was that simple. Nowadays, for the psychologist entering private practice, “the options,” notes Crystal Lee, Psy.D., “seem limitless, and it can sometimes feel like you have to do everything under the sun to have a successful practice.” Her article highlights the pros and cons of some popular marketing practices.

“I’m always thinking about sex,” says standup comic Nikki Glaser. And so are many people being seen by psychologists. Piper Grant, Psy.D., MPH, believes these sexual fantasies “provide great insight into the psyche and underlying scripts,” a point she elaborates on in her article.

As always, editing The Los Angeles Psychologist is fun and rewarding. I hope you enjoy the issue. ▲

Check the Calendar of the LACPA Website

www.lapsych.orgfor the most up-to-date information on LACPA events: SIG and Committee meetings, Continuing Education Programs,

special events such as Mirrors of the Mind, Breakfast with the Board, LACPA office closures.


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It is important to assess a client’s medical issues, even if they are not of initial or primary concern to the client. Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders affecting women and the primary cause of female infertility. Most women with PCOS have one or more mental health diagnoses. Dif-ferentiating medical and psychological symptoms may be a complicated task, especially when the

patient is undiagnosed, and 50% of women with PCOS are undiag-nosed. Proper treatment of all symptoms is critical for the health and longevity of PCOS patients.

Symptoms and complications of PCOS include infertility, increased weight, difficulty losing weight even with severe caloric restriction, weight gain with exercise, central abdominal obesity (apple shape), hirsutism, acne, male pattern balding, akanthosis nigricans (darken-ing of the skin indicative of insulin resistance), skin tags, high risk pregnancy, lactation problems, frequent miscarriage, hypertension,

high cholesterol, insulin resistance, early onset Type 2 diabetes (50% of patients by the age of 40), chronic pain, obstructive sleep apnea, asthma, allergies, in-creased incidence of endometrial cancer, and cardio-vascular disease. Of these symptoms, only three are considered medically acute: irregular menses, hirsutism, and infertility (Sheehan, 2004).

High testosterone levels in women, along with insulin resistance, are linked to increased symptoms of major depressive disorder. According to a 2009 study (Hung et al., 2014), 56.9% of women with PCOS have a diagnos-able mental health issue; 40% have depression (Kerchner et al., 2009). A 2016 meta-analysis (Blay et al., 2016) confirmed the prevalence of psychological disorders in PCOS patients. These mental health issues include depression, bipolar disorder, anxiety, social phobia, poor social adjustment, low-self-esteem, memory problems, anxiety, eating disorders, mood lability, high libido, low libido, problems with sexual functioning, and “brain fog.” According to dieticians with expertise in PCOS, the ma-jority of PCOS patients have an eating disorder. Due to chronically elevated levels of inflammation, women with PCOS may have impaired psychoneuroimmune systems, which contributes to higher levels of depression (Zan-geneh et al., 2016). There is a seven times higher rate of suicide attempts among PCOS patients than in women who do not have PCOS (Mansson, Holte, Landen-Wil-hamsen, Dahlgren, Johnansson, & Landen, 2008).

If all of this sounds stressful and overwhelming, that’s because it is. Women with PCOS often report feeling con-fused, not knowing which treatments to choose or refuse, being overwhelmed by the differing expert opinions on managing their condition, feeling angry, having difficulty managing multiple medications and their side effects, ex-periencing a loss of femininity, having shame about their appearance, feeling frustration, experiencing chronic tired-ness, ongoing irritability, feeling fearful about their po-tential for healthy relationships and childbearing, having resentment toward women who are able to get pregnant easily, practicing extreme and unhealthy eating behaviors, and having chronically elevated levels of stress.

“Official” estimates (The National Institute of Health, Endocrine Society) are that anywhere from 4 – 21% of women have PCOS; 10% is the most commonly cited number. However, when referencing the broader and now-standard 2003 Rotterdam Criteria, that number in-creases to 18 – 21%. The Rotterdam Criteria require two out of three of the following symptoms: absent/irregular menses, evidence of androgen excess (not necessarily by

Polycystic Ovary Syndrome and Mental Health Issues Gretchen Kubacky, Psy.D.

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blood test), and/or ultrasound evidence of polycystic ovaries. Notably, there is no weight or insulin resistance criteria for diagnosis, yet most medical treatment focuses on reducing both weight and insulin resistance. There is no single medi-cal test for PCOS, nor is there a cure.

Assessment of PCOS is difficult medically, and equally if not more confounding in psychological practice. There is only one empirically validated disease-specific question-naire, the infrequently used Polycystic Ovary Syndrome Questionnaire (Pedersen, Brar, Faris, & Corenblum, 2007). While there are stereotypical presentations of PCOS, the visible physical symptoms vary from patient to patient, from morbid obesity, significant acne and balding, and full beards to slender/average weight, clear skin, and normal hair. Some women with PCOS have no problems becoming pregnant, while for many others, infertility takes years to resolve or never resolves. Infertility-related stress, depression, and grief are common reasons for women with PCOS to seek therapy.

While the Rotterdam Criteria prevails, many doctors utilize other diagnostic criteria or do not check for PCOS until a woman complains of infertility, cosmetic problems, or weight issues. Mood issues such as depression may be dismissed as the presumptive outcome of being fat, hairy, and infertile. Women with PCOS may also have a history of being treated dismissively by their physicians, especially regarding weight management, undergoing traumatic medi-cal procedures, and not being diagnosed until it’s “too late.” Consequently, many PCOS patients have not only PCOS, but an entire constellation of related diseases, including hypo-thyroidism, high cholesterol, sleep apnea, and pre-diabetes or diabetes. Hypothyroidism symptoms have significant crossover with symptoms of depression. Each of these condi-tions is challenging to manage and may result in increased stress, depression, and anxiety.

Medical treatment of PCOS typically consists of a combi-nation of prescription medications and lifestyle management. Most patients report strong cravings for sweets and other carbohydrate-rich foods. Patients are often referred to a dieti-cian for weight loss, usually utilizing a low glycemic, low carbohydrate, or ketogenic diet. Metformin (Glucophage), an oral diabetes medication, is prescribed to reduce insulin resistance. It is notorious for causing nausea, diarrhea, and gastrointestinal cramping, to the extent that many patients stop taking it. Birth control pills are prescribed to help regulate acne and menstrual cycles. Statin medications are prescribed prophylactically. Spironolactone, a diuretic that reduces androgen levels, is prescribed for acne and reduction of hirsutism. If a woman also seeks treatment for infertility, a number of other medications may be also be prescribed.

Psychotherapy clients may not associate their medical conditions with their mood or mental health, so it is important to provide psycho-education about the psychological effects of medical illness while assessing the client’s presentation. It

should also be noted that irritability is a more common depression symptom in women with PCOS than for women who do not have PCOS. It is especially important for psychologists who work with PCOS patients to coordinate care with the patient’s endocrinolo-gist, reproductive endocrinologist, dietician, and psychiatrist, if applicable, in order to ensure the most effective treatment plan, as unpredictable hormonal shifts and imbalances will continue to complicate the clinical picture for the life of the patient.

One additional mental health concern in PCOS patients is that many psychotropic medications cause weight gain and may worsen insulin resistance or have been linked to early onset diabetes, problems which already plague women with PCOS. Many women with PCOS refuse psychotropic medication out of fear of weight gain. Many more become non-compliant with metformin because of its gastrointestinal side effects, and others are non-compliant with the medications that have no visible and immediate effects, such as statins. It is not unusual for a PCOS patient to be on five or more prescription medications, exclusive of medications needed to manage other conditions.

Just as there is no singular presentation of PCOS, there is no one-size-fits-all treatment plan, which leads to frustration and frequent exploration of alternative health approaches to symp-tom management. Some familiarity with supplements is also helpful, as many women with PCOS supplement (or may over-supplement to deleterious effect) with DHA/fish oil, N-Acetyl Cysteine, Vitamin D, Vitamin B12, chasteberry/vitex, diindolyl-methane/DIM, magnesium, zinc, and inositol.

Assessment and treatment planning for PCOS patients should include a complete history of the PCOS symptoms and diag-nosis, related dietary choices, exercise habits, and sleep. The PCOSQ may be useful in identifying specific symptoms or problem areas. Treatment should focus on developing a compre-hensive self-care program to reduce stress and improve health-related behaviors. Sleep hygiene, reduction or elimination of eating disordered behaviors, cessation of smoking, and active stress management through mindfulness, meditation, and yoga should also be addressed. Grief and loss and relationship issues may also be areas of clinical focus, particularly if the patient is actively trying to conceive, has miscarried, or has been unable to function fully and effectively in work or school settings because of her PCOS symptoms. While the task of sorting out PCOS-related mental health symptoms may seem daunting, with time and focus symptomatic relief may be achieved both medically and psychologically. ▲

Gretchen Kubacky, Psy.D., is a health psychologist and Certi-fied PCOS Educator specializing in endocrine and gynecological disorders. She has a private practice in West Los Angeles, is the creator of PCOSwellness.com and can be reached at [email protected].

References are available on request from the LACPA office, [email protected].


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One of the most publicized episodes in Thomas Edison’s long and remarkable career involved his notorious “Brainmeter,” which the great inventor devised for assessing intel-ligence. The “Brainmeter” was not a meter at all--editors at the New York Times coined the name--and in the early 1920s a nationwide debate raged over what exactly it measured.

In 1921, the 74-year old Edison had been searching for excep-tional young men to fill management positions at his West Orange, New Jersey, plant. Famous for his gut-instinct hiring practices--one interviewee garnered a cursory glance before being commanded to “come in Monday morning!” --Edison recognized the need for a new method of sifting through applicants.

He sat down and dashed off a 150-item questionnaire in a mat-ter of minutes and placed an ad for “young men, college gradu-ates, interested in manufacturing. Salary $40 per week to begin.”

Applicants were instructed to take the “Hudson tubes” to Park Place in Newark and catch the West Orange bus to Thomas A. Edison Industries, where any morning (except Saturdays) an H.D. Stevens would convey them to a long wooden table on the third floor of the lab and distribute mimeographed copies of the test.

The hard-of-hearing Edison often presented a less than inspiring spectacle during these sessions. “Mr. Edison paced back and forth,” a failed applicant recalled, “irritably de-manding why certain results were not being obtained in his factory and denouncing what he termed bone-headed moves on the part of his executives, while the latter shouted their excuses into his deaf ears.”

The Edison questionnaire included the type of general knowledge questions that a savvy Jeopardy contestant would have no trouble nailing: “Where is the river Volga?” (Russia) “Who composed Il Trovatore?” (Verdi) The con-troversy erupted over the myriad other questions requiring highly technical, if not obscure, knowledge: “Where do we get benzol from?” (The fractional distillation of coal tar) “What city in the United States is noted for its laundry ma-chine making?” (Chicago) “How is sulphuric acid made?” (Way too involved to explain here)

Edison administered his questionnaire to 600 recent col-lege graduates. Twenty-seven passed. “The results of the test are surprisingly disappointing,” Edison told the press. “Men who have gone through college I find to be amazingly ignorant. They don’t seem to know anything.” American companies ought to make wide use of questionnaires, he said, to avoid the hiring of “incompetents.” “We ought to have questionnaires even for plumbers,” he later added.

Edison’s scathing critique of American college graduates grabbed headlines across the country. The New York Times and Washington Post published lists of questions recalled by failed test-takers—which gave ammunition to critics. Only an “intellectual freak of nature” with a cluttered mind could do well on the test, said Dr. William Ruediger, Dean of Teacher’s college at George Washington University. The prospect that American companies might actually use the Edison questionnaire in personnel selection panicked some. “Ex-servicemen may face starvation if businessmen all over the country do not stop using Thomas A. Edison’s question-naire on applicants,” one observer warned. The test per-plexed one New York Times letter writer: “Why does Edison ask such questions?”

Divining the answers to Edison’s test questions became a national pastime of the moment. Two young men on New

History of Psychology: The Controversy Surrounding Thomas Edison’s “Brainmeter”John Geirland, Ph.D.

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spacious front lawn of the Edison home in Llewellyn Park. A 16-year old Seattle high school student named Wilber B. Huston took the prize of a full four-year scholarship to MIT--living expenses included.

Huston died in 2006 at his home in Phoenix at the age of 93. If he didn’t exactly fill Edison’s shoes (an impossibly tall order), he nonetheless enjoyed a long and happy career as a government scientist, serving as deputy project manager of the Nimbus satellite program at the Goddard Space Flight Center. Huston recalled a dinner with the Edison family where he made a good impression on the watchful inventor by tasting his soup before salting it. “I guess I passed both his examinations,” Huston wrote in a short memoir. By then, Edison had mellowed enough to recognize the limitations of his questionnaire. “There is no test,” he said, “no suitable yardstick which can positively determine the relative value of one human being as compared with another.”

A version of this article with footnoted references is available by request from the LACPA Office, [email protected]. ▲

John Geirland, Ph.D., is the Editor of The Los Angeles Psychologist and has a private practice in Burbank. He is also Assistant Professor (Voluntary) in the Department of Psychiatry at UCLA and works part-time at the UCLA Lon-gevity Center.

York’s Seventh Avenue subway quarreled so long over “the longest railroad in the world” that they missed their Manhattan stop and left the train in Brooklyn. Other citizens risked being run over by city buses trying to estimate the voltage required to operate a streetcar. Even Albert Einstein couldn’t dodge the Edi-son questionnaire craze. Reporters challenged the physicist on a visit to Boston to state the speed of sound. Einstein could not recall, the papers gleefully reported, proclaiming the discoverer of relativity to be “one of us.”

In an era in which the eugenics movement caught fire, Edi-son came down solidly on the nurture side of the nature-nurture debate. He blamed the poor scores on the educational system, which he termed a “total failure,” rather than the native intel-ligence of college students. He dismissed criticism that his test only measured how many facts college graduates managed to memorize--otherwise readily available in textbooks--instead of how they think. A manager’s success in business depended on being able to recall facts instantly, Edison argued. “I never knew of a man who was known to have executive ability who did not have an exceptionally good memory.” He estimated memory lapses by his managers cost him $5,000 an instance.

Unlike his light bulb, phonograph, or motion picture camera, Edison’s questionnaire has a questionable legacy. His outra-geous charges about the ignorance of American college students cast doubt on the validity of his test. More damage was done by the “indiscriminant use and subsequent loss in credibility” of testing that followed, behavioral science historian Paul Dennis has written. Within months, corporations, political groups, and even the editor-in-chief of The Congregationalist were churning out Edison-style questionnaires (“Where are the ten lost tribes of [Israel]?”) Many of these questionnaires were ill conceived and poorly designed.

In 1929, two years before his death, Edison crafted a final ques-tionnaire. The Edison scholarship examination aimed to select a “youth of unusual capabilities who perhaps will have the genius to carry on the great work [Thomas Edison] has so well started,” his son Charles announced. The governors of the 48 states, and the District of Columbia, each selected “one male student” of high school age to participate in the competition. Contestants stayed at the Suburban Hotel in West Orange, where they were treated to a lavish banquet, entertained by Blackstone the magi-cian, and given Edison radios and (oddly) toasters.

After all the fun, the young men buckled down to the test, tackling questions like reckoning the acceleration of an object fifty miles above the earth, given that acceleration is “inversely proportionate to the square of the distance from the center of the earth,” and acceleration is 32 mph at the surface. The exam also posed “character” questions, like “When do you consider a lie permissible?”

Contest judges included Henry Ford, George Eastman, Harvey Firestone, and Edison himself. The winner was announced on the clear and sunny morning of August 2, 1929, before a bank of newsreel cameras and radio microphones arranged on the

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“A leaf is at its most brilliant right before it falls from the tree” (from Tuesdays with Morrie)

Baby Boomers are the primary force for the rapid aging of America. The cohort born between 1946 and 1964 make up most of today’s elderly population. Individuals 65 years or older constituted 15% of the United States population in 2016 and will reach 20%

in 2030 (US News and World Report, 2012)It is imperative that psychologists know about the assessment

and treatment of older patients. Geropsychology emphasizes both the psychological and the physical processes of aging, the latter being more significant with age.

The author views aging as an ongoing “final exam” throughout the lifespan for assessing the arc and meaning of one’s life. From this viewpoint, the study of aging provides a roadmap of how to live and age successfully. Geropsychology exceeds a stereotypi-cal focus on the elderly; it also prepares younger patients for suc-cessful later lives; and it helps caregivers cope with the needs of their elderly charges, all of which can be complicated by cultural, ethnic, racial, and personal views on aging and mortality.

Key issues at play in geropsychology include finding an afford-able “goodness-of-fit” treatment for elderly mental disorders, which include geriatric depressive disorders, anxiety disorders, adjustment disorders, substance use disorders, late-life psychotic disorders, and dementia, all of which are exacerbated by social isolation.

A key concept in geropsychology is that of successful ag-ing. Successful aging has three components: (1) maintenance of mental and physical function, with minimal or no impairment, (2) maintenance of low risk for chronic disease and disability, and (3) maintenance of meaningful roles and an active engage-ment with life.

Older-age cognitive changes are normal, with the severity of their courses differing widely among individuals. We must remember that older age does not necessarily bring severe cognitive decline. While older people may experience decline in memory, cognition, receptive and expressive ability, processing speed, emotional stability, abstract thinking (Piaget’s formal op-erational thinking) regressing to more concrete thinking (Piaget’s concrete operational thinking), and the like, many older people never, or only mildly, experience this symptomatology.

A prevalent older-age complaint is memory decline. Memory deficit is not inevitable with age, as each brain has its own specific organization, neuroplasticity, and cognitive reserve, and brain cells continue to grow throughout life. Mild memory

Geropsychology: Psychotherapy with Older PatientsDonald Schultz, Ph.D.

problems have been variously referred to as age-associated memory impairment, mild cognitive impairment (MCI), be-nign senescent forgetfulness or age-related cognitive decline, and is described as an objectively-identified decline in cogni-tive function within normal limits given the person’s age, e.g., problems remembering names and appointments.

Assessments of older individuals should entail the follow-ing: (1) a complete medical history, (2) a mental status exam, e.g., the Folstein Mini Mental State Exam, which taps aphasia, agnosia, apraxia and other defining dementia symptoms, (3) interviews of the patient with and without caregivers present.

Dementia is the second most prevalent and the most devas-tating gerontological disorder (5% prevalence after 65, 50% prevalence after 85). The term is mostly interchangeable with Alzheimer’s Disease (AD) as AD accounts for 70% of dementia cases. Dementia is basically a cognitive disorder caused by organic brain changes, primarily in the hippocam-pus (the primary memory site in the brain), causing loss of the person, impairment in short-term memory and/or long-term memory, plus at least one of apraxia (motor activity im-pairment), aphasia (speech impairment), agnosia (recognition impairment), executive functioning impairment (planning, organizing, abstracting), disinhibited behavior, thus problems with “memory plus.” The number of older Americans who are diagnosable with dementia was six million in 2016, and it is predicted to approximate 15 million by 2050. Its likeli-hood is equal in men and women, but its prevalence is higher in women because they tend to live longer.

AD is the most common dementia, accounting for 70% of dementia cases; 50% of cases are AD only, 20% are AD-VaD (vascular dementia), 10% are due to other causes, that is, they result from any of a variety of dementing illnesses, for example, Parkinson’s Disease. AD is only definitely diag-nosable from histopathological evidence at autopsy or bi-opsy. It is typically diagnosed when symptoms are consistent with AD and medical, neurological, and psychiatric causes are ruled out. Thus, AD is diagnosed by exclusion, i.e., all other causes are eliminated.

A key measure of dementia severity is in the assessment of one’s ability to perform activities of daily living (ADLs), i.e., activities that are of a personal self-care nature, and instrumental activities of daily living (IADLs), i.e., activities that are beyond a personal and self-care nature, e.g., shop-ping, cooking, driving.

The most prevalent gerontological disorder is geriatric depression. Mental health generally improves with age, yet 15% of individuals over 65 are diagnosable with major de-

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pression, while 10% are diagnosable with major depressive disorder. Treatment of geriatric depression should include treatment of any underlying general medical condition, e.g., hypothyroidism, heart disease, vitamin deficiency. The primary class of medication in this context is the selective serotonin reuptake inhibitors.

Treatment paradigms generally include individual psycho-therapy, group psychotherapy, geropsychopharmacology, and lifestyle. The treatment of dementia/AD consists of manage-ment as opposed to cure, as is true of chronic illness gener-ally, in that proper management is in effect a “cure,” with the treatment philosophy and overall goal being that managed treatment can extend a person’s premorbid life so that he or she never suffers a severe level of the disorder. The primary areas of management include environmental alteration/ori-entation and medication. Psychotherapy is only useful if the individual is at the stage where he or she can benefit from talk therapy. In this context, psychotherapy is also helpful for caregivers, which in turn makes therapy helpful for the patient due to the rippling effect.

Treatment plans for AD should include normalizing the person’s situation, offering resources, and empathic listening. Geropsychopharmacological treatment centers around done-pezil (Aricept), which may be instrumental in delaying AD by slowing the reuptake of acetylcholine in brain synapses. Dietary studies have shown that antioxidant vegetables, espe-cially kale, spinach, broccoli, and antioxidant fruits, berries specifically, may slow the development of dementia.

Countertransference in Working with the Older Person

A primary clinical issue with older adults is counter-transference, arising from clinicians’ personal biases about aging and mortality. The author encourages psychologists to engage in self-care interventions in order to maintain mental balance and to avoid burnout. These interventions include regular physical exercise, a healthy and balanced diet, suffi-cient rest and sleep, an attitude of mindfulness, and ongoing personal psychotherapy.

Keep in mind that many older persons sitting in your office have gleaned wisdom over the years that may have much to teach you about life and how to cope with it. ▲

Donald Schultz, Ph.D., a Professor at The Chicago School of Professional Psychology and a licensed clinical psychologist focusing on successful aging and life meaning, is certified as an Alzheimer’s Disease and Other Dementias Treatment Specialist. He will co-direct LACPA’s upcoming Geropsychology Special Interest Group.

References are available on request from the LACPA of-fice, [email protected].

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During the months of March and April, LACPA opens all Special Interest Groups (SIGs) and Clubs

to non-members.

LACPA encourages members to invite at least one colleague to attend a SIG or Club meeting during

March and April so non-members can get a taste of what LACPA has to offer. Colleagues can join using the

LACPA Extended Membership Deal, with membership from March 2017 through August 2018.

Check out the list of SIGs and Club events on the LACPA Website Calendar Section by going to www.lapsych.org

Become a member online through the website or contact the LACPA office at [email protected] for an application.

Bring a Colleague to LACPA…..


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When you are first starting your private practice, it can seem incredibly daunting to start marketing yourself. The options seem limitless. I encourage you to think strategically about your market-ing practices and pick what fits best with your practice, personality, and budget. Below is a list of popular marketing practices.

The BasicsNo matter your personality, practice, or budget, there

are a couple of basic marketing tools that are suggested for everyone: a business card and a website. While you probably already have a business card, you may not have a website. In this digitally-driven world, it is more important than ever to have a website for a basic online presence. Also, for those of you who do have a website, remember that this will probably be your potential client’s first encounter with you, so take the time to make sure it is the first impression you actually want. If you have a website that is outdated, this could deter potential clients, so take the time to review and possibly update your website every year or so.

Other Common Marketing Practices Online Ads

Online ads are a good way to drive traffic to your web-site, which is a suitable marketing technique for any kind of practice. This marketing method is also a good fit for those who are less comfortable cold calling or passing out busi-ness cards to people. By signing up for Google AdWords (an account is free), you can set up an advertising campaign with specific words or phrases. Some words and phrases are more expensive than others, but you have complete control over how much you spend on ads and can establish a spending cap.

Picking the Right Marketing Practices for YouCrystal I. Lee, Psy.D.

Additionally, you can use Google Analytics (also free) to collect data on which words and phrases are working best for you. With careful analysis, you can quickly determine if you are getting a return on your investment.

Online DirectoriesOnline directories, like Psychology Today, are another popular

way to passively drive traffic to your website. For a monthly fee, your profile can be included in a large, easily searchable data-base. I know many people who are big fans of online directories because they get a lot of online traffic. However, unlike online ads, there is no guarantee your profile will ever be seen— some-times you’ll be on the first page of search results (more likely to be seen) and sometimes you will be on later pages (and prob-ably won’t be seen at all). If you have the extra funds, though, it doesn’t hurt to have a profile on a reputable online directory.

Press KitsA press kit is just a fancy name for a package of marketing

materials. Press kits are great for the person who goes out and meets many people with the purpose of building up a network. If you are not comfortable doing this, then having a press kit would not be necessary. Press kits are especially useful for group prac-tices or multidisciplinary practices because you can include more detailed information about all the different services your practice has and different clinicians in the practice. It is probably not necessary for a solo practice that doesn’t provide varied services. Business cards blog articles, easy to read infographics, and other informational materials are great to include in press kits. This elevates your press kit from just another marketing ploy into something actually useful for the person you are giving it to.

Social MediaSocial media is another way to drive traffic to your website

and also to give potential clients another way of getting to know you. Social media is an especially useful marketing tool for those who enjoy participating in online communities. As you integrate yourself into online communities, people will begin to think of you as a trusted resource and may refer to you. What you post, what you “like” or “retweet,” and how you interact with other posts will all reflect who you are, so be mindful of that.

Social media is probably one of the more difficult market-ing tools for our profession because of the tricky ethical con-siderations. If you do decide to utilize social media, pay close attention to the ethics of what you are doing, as posting in online forums can easily degenerate into unethical behavior.

BloggingBlogging is yet another way to drive traffic to your website.

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Having an active blog helps with something called “search engine optimization” (SEO), which means your website will be more likely to show up if someone searches for cer-tain key words; however, this is only the case if the blog is an actual part of your website. Blogging also helps position you as a resource and builds trust between you and poten-tial clients or referral sources before you meet them. Blog-ging is a good marketing tool for those who enjoy writing and sharing knowledge with others. If you are prone to writer’s block or find it difficult to write in a timely manner, this probably is not the marketing practice for you.

NetworkingNetworking is a marketing strategy that should be tai-

lored to the type of practice you have. When thinking about which professionals to network with, consider with whom your clients typically interact. It is more effective to build relationships with those professionals rather than others. For example, children and adolescents who are struggling may interact with school administrators, school counselors, medical doctors, psychiatrists, educational therapists, edu-cational consultants, or regional center case workers.

Some may think that networking is only suitable for outgoing people. They imagine extroverted individuals effortlessly meeting lots of people at a networking event. That may be true, but intro-verts or shy people can be excellent networkers as well. Introverts are great at building relationships on a one-on-one or small group basis. Rather than approaching large networking events as an extrovert would, introverts can instead focus on building new rela-tionships with a select few.

In the end, my most effective marketing strategies have always been the ones that I felt most comfortable implementing. If it was a good fit, I followed-through with using the strategy more, which led to more success. It also made marketing feel easier and less like a dirty, business-driven gimmick. Most importantly, when engaging in the marketing techniques, I came across as more authentic and genuine - like my true self. And isn’t that really the best way to market ourselves? ▲

Crystal I. Lee, Psy.D., is the owner of LA Concierge Psycholo-gist, a unique practice that provides house calls to individuals on the Westside. She is most passionate about working with young adults, particularly those struggling with “failure to launch” issues.

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Featured articles

As a sex therapist, I often ask about or have clients voluntarily share their sexual fantasies. However, from talking with col-leagues, I understand that the topic of sexual fantasies rarely, if at all, comes up in the consultation room. Yet sexual fantasies are common and can provide great insight into the psyche and underlying scripts whether or not the presenting issue is sexually related

(Leitenberg and Henning, 1995; Bader, 2002; Joyal, Cossette, and Lapierre, 2014). Many clinicians may be missing out on an opportunity to deepen their work by exploring sexual fantasies with their clients. Sexual fantasies can bring up shame, wonder-ment, confusion, and many misunderstandings. Working with sexual fantasies can help clients reduce shame, increase self acceptance, and deepen intimacy with self and others.

Often shame or embarrassment arises from confusion about the content of a sexual fantasy. Sexual fantasies are an opportu-nity for one to imagine anything, whether realistic or unrealistic. Whether an elaborate story, a fleeting thought, or mini narra-tive, sexual fantasies are deliberate patterns of thoughts that can stimulate and/or enhance pleasurable feelings. In a sexual fan-tasy, a person is able express their sexuality fully and comfort-ably in a way that is free of judgment, shame, guilt, rejection, or restrictions (Leitenberg and Henning, 1995; Bader, 2002). These fantasies can occur during or outside of a sexual act, and can either be something that stimulates sexual arousal or sexual arousal is stimulated by the fantasy. It is important to differen-tiate between sexual fantasy and sexual preference. A sexual fantasy does not necessarily entail wanting to act out the fantasy, nor does it indicate a sexual preference. Understanding what a sexual fantasy actually is can often reduce shame and embarrass-ment about the fantasy.

Functionally, sexual fantasies provide the person an opportu-nity to circumvent any feelings that may hinder sexual arousal. Michael Bader (2002) states that “the function of sexual fantasy is to undo the beliefs and feelings interfering with sexual excite-ment, to ensure both our safety and our pleasure.”. Psychological safety is a key part of becoming sexually aroused, and in the pro-cess of becoming sexually aroused, our psychological safety may be threatened due to feelings of self-criticism, self-hatred, inferi-ority, fears, and memories of past experiences (Bader, 2002).

Additionally, social, religious, and legal limits on sexual behavior exist. There is also accommodation and consideration of the sexual partner, and compromise may be needed. All of these feelings, fears, memories, and cultural conflicts can stifle sexual excitement. Within sexual fantasy, a person is able to feel stimulated rather than being held back by societal, religious and cultural expectations. Through sexual fantasy, limiting beliefs

Understanding Your Client’s Sexual Fantasies Piper Grant, Psy.D., MPH

are neutralized, dangerous feelings are circumvented, wor-ries are eliminated, and a person is able to fully experience sexual pleasure (Bader, 2002). Sexual fantasies allow for a strong enough sense of psychological safety to experience sexual arousal and pleasure.

Many people wonder if their sexual fantasies are normal. In their research examining sexual fantasy themes, Joyal, et al. (2014) state that most fantasies tend to be typical and common throughout a population. In an examination of sexual fantasies, it was found that five themes were statistically typical and in-cluded feeling romantic emotions during a sexual relationship, oral sex, sex in an unusual place, sex in a romantic location, and sex with two women (more male typical). They deter-mined what was unusual for women was urinating on a part-ner, being urinated on, wearing clothes of the opposite gender, forcing someone to have sex, abusing a person who is drunk, having sex with a prostitute, and having sex with women who have small breasts. What was stated to be unusual for men was urinating on a partner, being urinated on, having sex with two other men, and having sex with more than three other men. It should be noted that there were limitations to this study, the largest being that the sample was primarily heterosexual with only 3.6% identifying as homosexual.

It is imperative to consider the individual client’s history in understanding the function of their sexual fantasy. In assess-ing a sexual fantasy, a clinician should look for underlying beliefs, function, historical relevance, and feelings associated with the fantasy. Significant insight may be gained by look-ing for themes such as omnipotence, guilt, worry, difficulty with pride about gender, aggression, insignificance, loneli-ness, weakness, and low self-worth (Bader, 2002). Clinicians should note how the content of the sexual fantasy counteracts any of the primary feelings identified, and how these primary feelings hinder the client’s sexual arousal and pleasure. For example, a common sexual fantasy is being dominated or hurt and degraded by a person. This can conflict with the in-dividual’s daily lived experience of being someone in control with power or even a sense of superiority in some aspect of his or her life. With analysis of the fantasy, the person may identify struggles with feelings of omnipotence or guilt and worry about the power or strength they hold. Thus, a fantasy in which they are weak or helpless and placed in the infe-rior position is sexually exciting and arousing to them. The fantasy allows them to circumvent feelings of guilt or worry because they are voluntarily empowering someone else to hurt or overpower them, and they are not the ones doing the hurting or in the power position.

Sexual fantasies can trigger feelings of confusion, shame, and embarrassment due to possible misunderstanding of why

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Featured articles

we have them and what they mean. In order to effectively discuss sexual fantasies, it is important for clinicians to understand their own comfort, beliefs, and attitudes about sexual fantasies, as well as their own sexual fantasies. We must also maintain an awareness of potential sexual transference issues. By helping a client understand the function of sexual fantasy, shame is reduced, hindering feelings may be overcome, and a client may experience an increased sense of psychological safety and greater sexual arousal and pleasure through their sexual fantasies. ▲

Piper Grant, Psy.D., MPH, is a licensed clinical psychologist, sex therapist, and founder of Numi Psychology. She specializes in work-ing with individuals and couples on issues related to sex, intimacy, and trauma. Her work assists others in healing ruptures within their relationship, overcoming sexual dysfunction, deepening intimacy, and (re)building a strong foundation within their relationships.



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lacPa Working For You

LACPA Foundation Jason Cencirulo, M.A.

Ethics Committee Lauren Muhlheim, Psy.D.

LACPA Foundation Board member Jason Cencirulo recently interviewed Daniel Gautreau, B.A., last year’s Convention Poster Session’s second-place winner, for his work, The One Truly Serious Philosophical Problem: A Proposed Model for the Treat-ment of Suicidality Using Existential Psychology. Gautreau is a Clinical Psychology Psy.D. student at the California School of Professional Psychology (CSPP)--Los Angeles at Alliant Interna-tional University. He completed his poster under the advisement of Victor Cohen, Ph.D.

(This interview has been edited for brevity.)JC: What got you interested in your subject matter.DG: As an undergraduate, I volunteered at Community

Helpline and received many calls from suicidal individuals. These calls really made an impression on me, and they infused me with a strong desire to develop new ways to help those contemplating suicide. Around the same time, I read Viktor Frankl’s, Man’s Search for Meaning, which still influences the way that I think about my own life and the way I approach therapy.

JC: How did presenting help your professional development?DG: It may be too early to know for sure, but, prior to the

poster presentation, I was becoming fairly discouraged with my research on existential theories to help suicidal clients. I

Playing God? New Responsibility Bestowed Upon Cali-fornia Psychologists

On June 9, 2016, California passed the End of Life Option Act (ELOA: OSB128), becoming the fourth state to do so and catapulting psychologists into a new area of ethical confusion. The law allows for California residents, age 18 and older, to receive a prescription for drugs to end their lives provided that they meet these three criteria:

• Have been properly diagnosed with a terminal illness;• Are projected to die within six months; and• Are not impaired in their capacity to make this decision.This last condition directly concerns psychologists. Mental

health experts (limited to psychologists and psychiatrists and excluding other licensed mental health professionals) may be asked to perform evaluations of competence for patients trying to qualify for this end of life option.

This law impacts psychologists in two potential ways. First, you may have a therapy relationship with a patient who chooses to pursue this option. Second, you may be asked to do

think that presenting gave me more confidence about pursuing this subject, and it also helped me better to conceptualize and organize my research.

JC: What do you hope those who viewed your poster, as well as those who read about it here, will take away from it?

DG: I hope it will encourage others to present and to share their own ideas in whatever form, no matter how odd they think their ideas might be. More specifically, I hope that others will become more interested in incorporating existential psychology into their therapeutic work and into their personal lives.

JC: Why should others consider submitting their posters to LACPA?

DG: It’s a great opportunity to get feedback from peers and professionals whom you look up to. Maybe it’s a short con-versation, but I thought it was nice to feel part of a community that was working toward a common goal. Creating the poster was a great motivator for persevering in my research. Dead-lines also helped.

JC: What advice do you have for those looking to submit their posters to LACPA?

DG: Don’t be afraid to present on something that isn’t main-stream. Try to come up with a poster that you think is interest-ing, and that you are passionate about. ▲

a competency evaluation for a patient considering this option. So, what do psychologists need to know?As always, the APA Ethical Code (EPPCC; APA, 2010) pro-

vides the necessary guidance to address these concerns. First and foremost, providing both therapy and a forensic

evaluation on the same patient constitutes a multiple relation-ship and may be a conflict (EPPCC Standard 3.05). Psycholo-gists should therefore consider refraining from evaluation of their own therapy patient except in remote or underserved areas where this may be unavoidable. They should prudently record their attention to this concern.

Psychologists must practice within the boundaries of their competence (EPPCC Standard 3.01). Providing a competency evaluation for end of life option requires significant specialized knowledge and training. Psychologists providing such evalua-tions need to know about “the medical, psychological, social, and suicide issues in the specific disease,”1 how to facilitate conversations about end of life concerns, and how to conduct capacity evaluations. Otherwise they risk practicing outside of their scope of competence.

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lacPa Working For You

For psychologists who do practice forensic competency evaluations, applicability (validity and reliability) of standard tests and assessment measures to end of life situations should be considered (EPPCC Standard 9.02).

Psychologists of course may lawfully decline to engage in end of life activities. However, they should consider their ethical obligation to not abandon patients (EPPCC Standard 10.10) facing end of life decisions. Psychologists may provide referrals or continue to treat clinically while referring to other professionals to specifically address the end of life concerns.

EPPCC Principle A (Beneficence and Nonmaleficence) advis-es psychologists to benefit those they help and do no harm. Psy-chologists should consider the ethics of whether aiding someone to end their life is harmful as compared to the alternative.

As always, when faced with an issue of import such as the ELOA, it is wise to confer with qualified colleagues. ▲

1Jull-Patterson, D. (2016). Psychology’s Ethics and the End of Life Option Act, California Psychologist (Fall 2016).



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CALL FOR 2017 LACPA AWARDS NOMINATIONSDEADLINE FOR SUBMISSION: April 3, 2017

Since 1991, LACPA has been privileged to honor individuals for their accomplishments in various areas. These awards are presented at LACPA’s annual convention. The Board of Directors voted in 2007 to make the nominations for these awards more inclusive by extending the invitation to all LACPA members to submit candidates for these prestigious presentations.

Please Note: The current LACPA Executive Committee (Beth Leedham, Ph.D.; Lisa Osborn, Psy.D.; Lynne Steinman, Ph.D.; Evelyn Pechter, Psy.D.; Kenneth Skale, Psy.D. and Leticia Amick, Ph.D.) are excluded from being recipients of an award this year due to a conflict of interest.

Please list your nominee and award category and describe what your candidate(s) has accomplished which would merit such a distinction; you may nominate yourself. Please note the goal is to honor individuals based on the breadth and depth of their accomplishments, not just because a person is well liked. LACPA does not present all of the awards every year but only when there is significant accomplishment to warrant a particular award. Please be certain to include your name and contact information; anonymous submissions cannot be accepted. Also if your nominee is chosen you will be given the task to write the bio for the Convention Day Program.

AWARD CATEGORIES

DISTINGUIShED SERvICE TO LACPA By A LACPA MEMBERMust be a current full or emeritus LACPA member who has demonstrated commitment to the LACPA organization by dedicated efforts to further the mission and goals of the organization, has devoted time and energy to LACPA projects and/or events, and has created new, innovative programs for LACPA. DISTINGUIShED SERvICE TO ThE PROFESSIONOF PSyChOLOGy (not limited to a LACPA member)Has demonstrated exceptional accomplishment in the advancement of the profession of psychology, has displayed vision or foresight, may have distinguished himself/herself in academics, research, clinical, public sector, consulting, media, and/or other significant areas.

DISTINGUIShED SERvICE TO ThE COMMUNITy, DIvERSITy, OR SOCIAL JUSTICEHas given of his/her time and energy on projects or activities for the benefit of the public, preferably including but not limited to, our local Los Angeles community.

DISTINGUIShED LEGISLATOR AWARDIs a present or former member of our state legislature or U.S. Congress; has educated the public regarding the importance of addressing and solving issues related to the welfare and mental health of our citizens; has been a proponent of making available psychologically-based treatment; has worked to advance the role of psychologists either at the community, state or national levels; is a “true friend of psychology.”

DISTINGUIShED SERvICE TO LACPA By A GRADUATE STUDENTIs a student member of LACPA, has given time and energy to LACPA for projects and/or events, has worked extensively as a liaison between LACPA and local educational institutions or community organizations.

Please send your response to the LACPA office via email [email protected] by April 3, 2017.

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hISTORy OF LACPA AWARDS

Convention Humanitarian: Distinguished Psychologist:

3rd - 1991 Mayor Tom Bradley Sondra Goldstein, Ph.D.

4th - 1992 The Rev. Dr. George Regas Areta Crowell, Ph.D.

5th - 1993 The Rev. Thomas Smolich, S.J Hector Myers, Ph.D.

6th - 1994 Elizabeth Glaser, M.A. Vivian B. Brown, Ph.D.

7th - 1995 Burt Margolin Gerald C. Davison, Ph.D.

8th - 1996 Rabbi Leonard Beerman Edward A. Dreyfus, Ph.D.

Distinguished Distinguished Distinguished Service to LACPA by Distinguished Commendation for Service to the Distinguished Service to LACPA a Graduate Student: Service to Psychology Service to LACPA: Community, Diversity Legislator: Or Social Custice

9th - 1997 Helene W. Feldman, Ph.D. The Hon. Richard Polanco

Helen Grebow, Ph.D.

10th - 1998 Nancy L. Tither, Ph.D Michael L. Haley, Ph.D. Geoffry D. White, Ph.D. The Hon. Martin Gallegos, D.C

William L. Wallace, Ph.D.

11th - 1999 Lilli Friedland, Ph.D. Mae Billet Ziskin, Ph.D. Dana Kiesel, Ph.D Shelly P. Harrell, Ph.D. The Hon. Gloria Romero, Ph.D.

Miguel Gallardo, M.A.

12th - 2000 Elaine Rodino, Ph.D. Shawn Hubler The Hon. Martha Escutia

13th - 2001 Pamela H. Harmell, Ph.D. The Hon. Kevin Murray

Ronald S. Reiter, Ph.D.

Patricia Fricker, M.A.

14th - 2002 Jana N. Martin, Ph.D. The Hon. Judy Chu, Ph.D.

Judy Sherman, M.L.S

Jeffrey Tirengel, Psy.D., M.P.H.

15th - 2003 Richard Sherman, Ph.D. Charles Faltz, Ph.D.

16th - 2004 Nancy Gardner, Ph.D. Hedda Bolgar, Ph.D. The Hon. Sheila Kuehl

Berta Davis, Ph.D.

17th - 2005 Helen Grusd, Ph.D. Christine Devine The Hon. Alan Lowenthal, Ph.D.

18th - 2006 Kenneth Liberatore, M.A Bonnita Wirth, Ph.D.

19th - 2007 Linda Bortell, Psy.D. Anne Coscarelli, Ph.D. Steve Lopez The Hon. Grace Napolitano

20th - 2008 Alann Dingle, Ph.D. Richard R. Kopp, Ph.D., ABPP Judith Broder, M.D. The Hon. Henry Waxman

Karen Shore, Ph.D., C.G.P.

21st - 2009 Karin S. Hart, Psy.D. Derald Wing Sue, Ph.D. Michael Flood

Stanley Sue, Ph.D.

22nd - 2010 Kathleen Fitzgerald Ph.D. Elyn Saks, J.D., Ph.D. Speaker Emeritus, Karen Bass

23rd - 2011 Karin C Meiselman, Ph.D. Mitch Golant, Ph.D. The Hon. Mike Feuer

24th - 2012 Amy S. Rosett, Ph.D. Peyman Raoofi, Psy.D. David Wellisch, Ph.D. Presidential Award: The Hon. Betsy Butler

25th - 2013 Stephen Phillips, JD, Psy.D. Carol Falender, Ph.D. Raymond Bakaitis, Ph.D. Senator Ted Lieu

26th - 2014 Pamela McCrory, Ph.D. Jeff Tirengel, Psy.D., M.P.H. Senator Alex Padilla

27th – 2015 Colleen Warnesky, Psy.D. Ahoo Karimian, M.A. Caron Post, Ph.D. Senator Holly J. Mitchell

28th – 2016 David Laramie, Ph.D. Shelly Harrell, Ph.D. Stuart Perlman, Ph.D. Senator Ed Hernandez, O.D.


20

ADVERTISE AT THE 29th ANNUAL CONVENTION OF THE LOS ANGELES COUNTY PSYCHOLOGICAL ASSOCIATION

Saturday, October 21, 2017 DoubleTree Hotel in Culver City

Display Ads & Exhibitor Rates Same prices as in 2014! (Be sure to check box below and circle amount.)

Convention Brochure ONLY

Mailed in July

Deadline

6/7/17

Brochure AND

Convention Day

Program

Deadline 6/7/17

Convention Day

Program ONLY

10/15/16

Deadline 9/14/17

Full Page Color (7 ½” W x 9 ½” H) (Does not include back cover) $1295 $2170 $1075 Full Page B&W (7 ½” W x 9 ½” H) $ 695 $ 970 $ 475 Half Page B&W (7 ½” W x 4 ¾” H) $ 490 $ 700 $ 300 Quarter Page B&W (3 ¾” W x 4 ¾” H) $ 280 $ 385 $ 180 Eighth Page B&W (3 ¾” W x 2 ½” H) $ 165 $ 250 $ 115 Business Card B&W (Printed as is; psychologists’ license # required on card) $ 120 $ 175 $ 70 Web Display Ad on LACPA home page $175 per/month $473 3/months $893 6/months (270 pixels wide x 180 pixels high – jpg file required) For more information contact the LACPA office. Exhibitor Table (Includes 1- table, breakfast, luncheon, and parking) …………$450 25% Discount on Convention Registration for up to three exhibitor staffers (call LACPA office for details) Wi-Fi access at Exhibit Table $20.00 per computer Additional Exhibitor Lunch(s) @ $45 per lunch #_______

All display ads must be submitted via email ([email protected]) We require a PDF file; export the file in high resolution (at least 266 dots per inch or better.)

Black and white ads cannot have any color in them, grayscale is fine. Payment must accompany form.

Cancellation Policy for Exhibitors: To receive a refund, a written request must be received at least 30 days before the scheduled date of convention. A $35 processing fee is deducted from all refunds.

LACPA does not endorse any of the products, programs, or services advertised at the Convention.

__________________________________________________________________________________________ Company Name __________________________________________________________________________________________ Contact Person __________________________________________________________________________________________ Address __________________________________________________________________________________________ City/State/Zip (____) ____________________ (____) _______________________ ________________________________ Phone Fax Email

REQUESTS FOR ADS AND EXHIBITOR’S TABLES MUST BE ACCOMPANIED BY PAYMENT.

MAIL TO: LACPA, 6345 Balboa Blvd., Bldg 2, Suite 126 Encino, CA 91316 818-905-0410 FAX 818-332-4949

Visa/MasterCard No. _______________________________________________________ Exp. Date ______________ Three digit security number: __________ Name as on Card: _______________________________________________ Required: This credit card bill is received at this street number_________________ city _________________________________and zip code ________________

Spring 2017

21

lLACPA’s 2017 Convention Sponsorshipss

LACPA offers several ways to sponsor convention. To become a sponsor, choose one or more of the following to support:

Platinum $3500 Ruby $1000 Diamond $2000 Silver $ 750 Gold $1250 Emerald $ 500 Bronze$ 375

Through your sponsorship, you will receive: .All sponsors.receive: recognition in the Convention Brochure mailed to over 7000 Los Angeles area mental health professionals in July (deadline 6/7/17), the Convention Day program distributed to all Convention attendees (deadline 9/14/17), and the Fall and Winter issues of The Los Angeles Psychologist. Sponsors are listed on the center place cards on each table at the luncheon and on a slideshow during the luncheon. Also, a written acknowledgment will be posted on the LACPA Web site’s home page with phone number and a link to your Website, posted from receipt of payment through October 23, 2017.

$375 sponsorr also receives: a business card B&W ad in the Convention Brochure & Day program.

$500 sponsorr also receives: an eighth page B&W ad (3.75” W X 2.5” H) in both publications.

$750 sponsorr also receives: a quarter page B&W ad (3.75” W X 4.75” H) in both publications.

$1250 sponsor. also receives; a half page B&W ad (7.5” W X 9.5” H) in both publications.

$2000 sponsor. also receives; a full page B&W ad (7.5” W X 9.5” H) in both publications, an exhibitor’s table**, one convention registration, continental breakfast, lunch, and parking.

$3500 sponsor. also receives; a full page color ad (7.5” W X 9.5” H) in both publications, an exhibitor’s table**, one convention registration, continental breakfast, lunch, and parking.

**Exhibitor table space is limited. Sponsor early so you won’t be disappointed.

Payment must accompany form. All displays ads must be submitted print ready via email ([email protected]). We require a PDF file. Export the file in high resolution (at least 266 dots per inch or higher). Black and white ads cannot have any color in them; gray scale is fine. Watch the hyperlinks. If you have questions, call the LACPA office.

LACPA does not endorse any of the products, programs, or services advertised at Convention.

_________________________________________________________________________________________ Sponsor Name Sponsorship Amount _________________________________________________________________________________________ Contact Person Web Address _________________________________________________________________________________________ Mailing Address _________________________________________________________________________________________ City/State/Zip (____) __________________ (____) ______________________ ___________________________________ Phone Fax Email

LACPA 6345 Balboa Blvd, Suite 126, Encino, CA 91316

(818) 905-0410 * Fax (818) 332-4949 * [email protected] * www.lapsych.org

Please make checks payable to LACPA or use your VISA or MasterCard. No American Express.

Visa/MasterCard No. _______________________________________________________ Exp. Date ______________ Three-digit security number: __________ Name as on card: _______________________________________________ Required: This credit card’s bill is mailed to this street number_________________ city _________________________________and zip code ________________


22

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Spring 2017

23

Office SpaceBeverly Hills: Start your practice in

Beverly Hills. Beautifully furnished windowed office on ground floor, available for two 1/2 days, minimum of four hour blocks of time, a week. Ground floor, Wheelchair accessible, call lights, separate entrance and exit, full kitchen. Parking included. Con-tact: Dr. Duchesneau, (310) 284-4881 or email [email protected].

Brentwood: Large corner office for individual or couples therapy. Part of a suite. Office is very bright, has three windows, and separate entry/exit. Available most days after 2 PM. Great location and conve-nient parking options. Please email [email protected].

Calabasas: Newly decorated window office available Wednesday, Friday, and weekends. Competitive pric-ing, all amenities included, free parking. Friendly, collegial environ-ment. Contact Meghan Moody at (818) 425-4411.

Encino: Office space, furnished and unfurnished space available, part-time or full-time, waiting room, separate entrance, entry system, wireless cable, security building. Contact Dela at (818) 512-2717 www.TLCOfficeplaza.com.

Encino (Ventura and Woodley): Therapist-friendly building near 101/405. Full/half days in windowed and interior offices. Excellent sound-proofing, call lights, separate exit. Contact [email protected] or (310) 281-8681.

Granada Hills: Lovely building at Devonshire Exit of 405 Fwy. Take a look: http://www.theparcfounda-tion.com/for-rent.html By therapists for therapists. If not the best rates in town, tell us. F/T and P/T. All ameni-ties. 24-hr. access. Contact Dr. Faye at (661) 257-1311 or (661) 476-9076 or [email protected].

Ocean Park/Santa Monica: Unbeat-able location! Easy access to cafes, restaurants, beach, pier. 2510 Main St. at Ocean Park Blvd., 90405. Bright, airy, newly decorated, soundproofed, with large common waiting room, Wi-Fi, copier, easy parking. $240 per day, or $1350 full-time, per month. Call Mona at (310) 392-6163 or email [email protected].

Redondo Beach: Office in small suite full or part-time. Lovely area. Sky-light, waiting room, parking. Afford-able. Margaret Stoll (310) 375-3607; [email protected].

Santa Monica: Downtown 7th street, one block south of Wilshire. Third floor spacious corner room of therapist suite, large openable windows, lofted ceiling, hardwood floors, sophisticated shared wait-ing room opens to a courtyard. Contact Jeanette (310) 471-1420, [email protected].

Santa Monica: Spacious furnished office for sublet. Evenings M-F, full days weekends. Wi-Fi/amenities included. Plentiful parking, acces-sible via Metro. Prime location-full of restaurants and shopping. Teresa (424) 272-6233.

Santa Monica/Brentwood: Beauti-fully totally redone four-office luxury suite (furnished) with huge windows and stunning new hard-wood floors. Available Mondays ($320/month) with optional Tues-day and/or Thursday mornings. Fully equipped – call lights, kitchen, office machines, etc. Immaculate two story classic modern build-ing on Wilshire and Carmelina. Established therapists, various orientations. Email Bob Resnick at [email protected] or call (310) 826-7750.

Sherman Oaks: Charming, nicely furnished small office to sublet in beautiful Pondella building. Avail-able full days/eves Wednesday through Saturday. Clients love of-fice and building. By 101 and 405 freeways. Call (818) 990-0077.

Universal City: Amazing office space in a prime location; Easy access to 101 Freeway. Rooms are spacious and beautifully furnished. Everything in the unit is brand new and it is unlike most other office suites you have seen. Amenities include; Free street parking, secured building, internet/phone line, hot/cold water dispenser, chocolate/teas, mini fridge, microwave, printer and basic office supplies. If you are looking for a special place to continue your practice, contact me at (323) 896-7466 or NatashaLanghans@gmail.

West Los Angeles: Beautifully furnished office with great view available part-time in a two-office suite with waiting room, separate entrance/exit, call light system, kitchen area and Wi-Fi. Conve-niently located in West Los Angeles near the 405 and 10. Please call Dr. Lexi Welanetz at (818) 207-1828.

West Los Angeles: Tastefully deco-rated interior and window office in a full security building available Monday, Friday, and weekends. Competitive pricing, all amenities included. Friendly, collegial envi-ronment. Contact Meghan Moody at (818) 425-4411.

Westwood: Office available for lease in congenial seven-office psychotherapy suite, affordable, courtyard-style building (1314 Westwood Blvd), waiting room, call system, separate entrance, common room with refrigerator, microwave. Excellent location: near shops, restaurants, freeways. Contact Marilyn at (310) 770-0810 or Harvey at (323) 428-6022.

Special GroupsAll advertising for mental health

services must include the practi-tioner’s license number.

Anxiety, Depression, Relationships and Overeating Groups in Santa Monica. Women and Co-Ed. Day and Evening. Sliding-Scale. Led by Sheila Forman, Ph.D., CGP (PSY15265). Call (310) 828-8004 for more information. Free con-sultation.

Support Group for Surviving in The Current Political Climate: Wednesdays 7:30-8:45 PM in Santa Monica. Contact Dr. Rob Gross-bard (PSY14993), (310) 281-7944 [email protected]

Free Support Group for Friends/Family of Addicts: Free, Non-12-step based support group for family/friends of individuals struggling with substances. Mondays 6:00-7:30 PM in Beverly Hills. Contact Dr. Marc Kern (PSY8246), (888) 532-9137. [email protected].

Postpartum Depression Group in Beverly Hills. We are cur-rently interviewing clients for the next upcoming 12-week session. Please contact at: [email protected] or [email protected]. Cara Gar-denswartz, Ph.D. (PSY18399).

Interpersonal Process Groups & Postpartum Depression Group led by Dr. Cara Gardenswartz & Associates. Dr. Gardenswartz (PSY18399) has been running groups since 1994 and is an AGPA Certified Group Psychotherapist. www.GroupTherapyLA.com, Bev-erly Hills.

Mixed GroupsAll advertising for mental health


Interpersonal Group in Tarzana, led by Certified Group Psychotherapist, Rena Pollak, M.A., LMFT, (LMFT #78442). Thursday evenings. 11/1/16 start date. Identifying feelings and relationship dynamics for growth. www.RenaPollak.com (818) 245-5298.

MiscellaneousAll advertising for mental health


Individual and Group for Individuals in Financial Crisis: Economic Crisis Program. Coping strategies and insight into obstacles restricting patients from attaining employment and maintaining financial/emotional stability. Individual and Group. $15 Weekly. Group meets Wednesdays 6-7:30 PM. Supervised by Claudia Feldman, Ph.D. (PSY 25130) Call (424) 371-5191 Wright Institute Los Angeles.

Westwood/Brentwood/West Los Angeles: 520 S. Sepulveda Bl., LA: Suite #308 available: 544 sf; $2,120/mo. Two private offices off open area. Can convert open area to private waiting room and add private entry/exit at landlord’s expense. Great operable windows and natural light. Join dozens of therapists who enjoy landscaped courtyard, soundproof rooms, unlimited free street parking, or onsite reserved or valet parking. Visit www.520Sepulveda.com, or call David at (310) 709-3540. To visit park free and see attendant.

Consultation/Study GroupsAll advertising for mental health ser-

vices must include the practitioner’s license number.

Individual and Couples Therapy Consultation for licensed mental health professionals. 39 years’ post-doctoral experience. Integrative therapy approach. Excellent train-ing in many different orientations. Alan Berkowitz, Ph.D. (PSY5957) (818) 223-8670.

Couple and Sex Therapy Consulta-tion: Dr. Berta Davis (PSY7683) is a certified sex therapist, dip-lomat, clinical supervisor and provider of CEs by AASECT. For further information, contact her at (818) 784-3959.

Case Consultation Group for li-censed therapists with a focus on contemporary psychodynamic per-spectives. Offers the opportunity to discuss cases while learning more about contemporary psychoanalytic ideas. Contact Carol Mayhew, Ph.D., (PSY8950) at (310) 207-9902.

AASECT Certified Supervisor offers skilled, comprehensive Supervision/Training required for AASECT Sex Therapy certification. Linda De Vil-lers, Ph.D., (PSY8518). AASECT CE provider and author. (310) 535-9110 or [email protected].

Professional OpportunitiesPsychology Student Seeks Summer

Intern Position: Bright, person-able empathetic psychology major seeks summer internship. Office work, research, phones, Girl Friday. Available June/July, with some flex-ibility in dates. Flexible hours. Paid or unpaid. Locally born and raised. Reliable transportation. Macken-zie Jordan. [email protected] (818) 665-8131 voice/text


24

NOTE: LACPA does not endorse any of the products, programs or services advertised in

The Los Angeles Psychologist or in articles submitted.

PreSorted Standard

U.S. PostagePaid

Van Nuys, CaPermit #101

Los Angeles County Psychological Association6345 Balboa Blvd. • Building 2, Suite 126Encino, California 91316

ADVERTISING OPTIONS WITH LACPA

Los Angeles County Psychological Association • A Chapter of the California Psychological Association818-905-0410 • FAX 818-332-4949 • [email protected] • www.lapsych.org

ADvERTISING DEADLINES FOR The Los AngeLes PsychoLogisTDeadlines have been established for submitting ads for publication in The Los Angeles Psychologist by noon on the date listed below. If the date falls on a weekend, then the Monday following will be the deadline date. Advertising CANNOT be taken by telephone.

Winter Issue (Dec/Jan/Feb) ..................................... November 1Spring Issue (Mar/Apr/May) ....................................... February 1 Summer Issue (June/July/Aug) .......................................... May 1 Fall Issue (Sept/Oct/Nov) .............................................. August 1 Display Ads- W x L Member/Non-member Full Page – 7½ x 9½ .....................................................$400/$494 Half Page – 7½x 4¾ .....................................................$250/$314 Quarter Page – 3¾ x 4¾ ..............................................$130/$163 Eighth Page – 3¾ x 2½ ..................................................$85/$104

All display ads must be submitted via e-mail to ([email protected]), we require a black and white or grayscale PDF file, please remove all hyper links. Export the file in high resolution (at least 266 dots per inch).

Receive a 15% discount on display advertising when you advertise in four consecutive issues. Total payment must be received in advance.

CLASSIFIED COLUMN ADS: Member: $1.00 per word ..........................Minimum charge $25 Non-Member: $1.20 per word ..................Minimum charge $35

specials to LAcPA Members only:BUSINESS CARD AD – 3 ½” x 2” Published in magazine only$50 an issue of $165 for four issues with payment in advance.Email as PDF file or U.S. Mail business card to LACPA office.

GROUP ThERAPy ADS Listed in both magazine and web siteAll advertising for mental health services must include the practitioner’s license number.One 30 word Group Therapy Ad per issue free; $10 for any part of any additional 10 word increment. Additional Group Therapy Ad(s): $10 for 30 words; $10 for any part of any additional 10 word increment.

Advertising on LACPA’s Web site www.lapsych.orgLACPA’s web site is updated every Friday (Monday, if holiday falls on Friday).

Web Display Advertising with LACPA (270 pixels wide x 180 pixels high – jpg file required) Home Page Display Ad rates: $175 per month $473 3/months $893 6/months Other Page Display Ad Rate: $100 per month

Web site Classified Ads Ad listed on Web site for four weeks, beginning with the date of upload

Member: $1.50 per word ................... Minimum charge $35 Non-Member: $1.80 per word ........... Minimum charge $45

Combination Classified Ad: Web site and Los Angeles PsychologistAd listed on Web site for eight weeks, beginning with the date of upload and in the next upcoming Los Angeles Psychologist

Member: $2.00 per word ................... Minimum charge $45 Non-Member: $2.40 word .................. Minimum charge $55

Please Note: All advertising for mental health services must include the practitioner’s license number.

Submit all ads to the LACPA office via email; display ads as PDFs and classifieds as text, to [email protected]

• Credit cards not accepted under $35. Visa or MasterCard only, no American Express.

• Send your check made payable to LACPA at: 6345 Balboa Blvd., Building 2, Suite 126, Encino, CA 91316

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