A Note to Referring Clinicians—What you can expect from Rochester Center for Behavioral Medicine

We appreciate the many referrals we receive from our primary care and other non-psychiatric colleagues in the community.  RCBM thought it might be helpful to outline our protocol for diagnosing and managing new patients.

RCBM’s Updated Policy Regarding Controlled Substance Prescriptions

Thank you for entrusting us with your mental health care. In order to provide you with the best and safest care, the Rochester Center for Behavioral Medicine has modified our protocol for the prescription of controlled substances.

Opiates and Their Path of Destruction

OpioidAccording to the Centers for Disease Control, 91 Americans die each day from an opioid overdose. Millions of lives are affected by opioid abuse, including the individuals struggling with the abuse and those who love them and want to help.

In the past, physicians have been graded on the level of service they provide to patients. Until recently, one of the major criteria for patient care has been how well they control pain. The lack of available options for chronic pain control has helped contribute to the current crisis. Consequently, the healthcare community has had to shift its focus from keeping patients pain-free to getting and keeping patients off opiate painkillers. This creates another sort of epidemic; leaving millions of people with no other options for pain relief, and the choice of illegally acquiring their current supply, or facing the potential for a painful detox and withdrawal.

RCBM’s Stance on Guns and Mental Illness

Gun control has been a heated and divisive topic for our nation, but RCBM's views on this subject are unwavering.  We believe that it is an unnecessary risk for individuals with mental illness to have access to guns.  

Mandated Reporters

Mandated reporters are individuals who are required by law to report suspicion of abuse, neglect and/or exploitation of children and vulnerable adults.

How Barriers to Care Create Treatment Challenges for Troubled Children and Their Families

The path to a healthy relationship with your child, and getting support from loves ones can be even harder. Well-meaning friends and family might tell you to stage an intervention, find a therapist, or commit your child, thinking these strategies will miraculously fix the problem. The United States annually spends $113 billion on mental health treatment, but barriers to treatment – including flaws in the treatment itself – can mean that the people who need mental health care the most may never get it.


Talking to Younger Children About a Troubled Adult Child

There is nothing more heartbreaking than a disappointed child. When you have an adult child who is mentally ill, violent, or struggling with substance abuse, you may find yourself caring for your grandchildren or struggling to explain the problem to a younger child. Emotions can run high during these conversations. Some parents find themselves bouncing between a desire to rant about a troubled child and a desire to protect a young child from knowledge about their parent or sibling's troubled behavior. Consequently, it's important to never have these conversations when you're feeling angry, emotional, or otherwise vulnerable, and to carefully consider what you're going to say.

Navigating an Arrest: What to Expect When Your Child is Arrested

No matter how strained your relationship is and no matter what your child has done, hearing that the person you love most has been arrested can be terrifying for any parent.  The legal system can be confusing and overwhelming to people unfamiliar with the arrest process, and knowing what to expect can help you develop a strategy for drawing boundaries, getting legal help, intervening on your child's behalf, and deciding when to walk away.

Psychiatric Hospitalization: When It’s the Right Option and What to Expect

The thought of a psychiatric hospitalization can be very scary for a family.  Read on to learn more about what you can expect from taking this step and how to navigate this difficult decision.  This is one of the topics covered in When Your Adult Child Breaks Your Heart.

Book Preview

When Your Adult Child Breaks Your Heart:
Coping With Mental Illness, Substance Abuse, and the Problems That Tear Families Apart

A Preview of the Book