Family Counseling
    • 02 NOV 17
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    November is American Diabetes Month

    November is American Diabetes Month

    Diabetes is one of the leading causes of disability and death in the United States. It can cause blindness, nerve damage, kidney disease, and other health problems if it’s not controlled.  One in 10 Americans have diabetes — that’s more than 30 million people. And another 84 million adults in the United States are at

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    • 03 OCT 17
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    I’m Curious

    I’m Curious

    First, a disclaimer. Therapy does not always work. Not everyone who comes through my door goes away feeling better and/or doing better. I want to believe that many people are helped some and a few people are helped a lot but that just may be my own need for affirmation. The question of why some

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    • 29 SEP 17
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    October is National Breast Cancer Awareness Month

    October is National Breast Cancer Awareness Month

    This October is National Breast Cancer Awareness Month. Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point.   The good news is that most women can survive breast cancer if it’s found and treated

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    • 03 AUG 17
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    August is Immunization Awareness Month

    School-Age Children Getting vaccinated according to the recommended immunization schedule is one of the most important things a parent can do to protect their child’s health. Diseases can quickly spread among groups of children who aren’t vaccinated. Whether it’s a baby starting at a new child care facility, a toddler heading to preschool, a student

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    • 15 JUL 17
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    Tough Stuff

    Tough Stuff

    I was talking with a client just last week about this. We were looking at the circumstances that brought him to see me. We discussed how it would be really great if the other people involved would just make some (seemingly reasonable and productive) changes. If they would, things for my client would truly get

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    • 01 JUN 17
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    Are You Ok?

    Are You Ok?

    You might find this hard to believe, but sometimes feeling better is apparently not acceptable. I know that seems off to some of you and when I’m at my best; it seems off to me, too. Yet, I do encounter people who are really struggling with when it’s ok to be ok and frankly, I’ve

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    • 20 MAY 17
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    May  National Physical Fitness and Sports Month

    May National Physical Fitness and Sports Month

    Family Practice Associates of Lexington is supporting the President’s Council on Fitness, Sports & Nutrition in honor of National Physical Fitness and Sports Month. During the month of May, we challenge all adults to get 30 minutes of physical activity every day.   The Physical Activity Guidelines for Americans recommend that adults: Aim for 2

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    • 01 MAR 17
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    Strong Enough

    This one comes in all shapes and sizes. Sometimes it’s the tough guy who does manual labor or who is a big time athlete. Sometimes it’s the high-powered business person who manages hundreds of people. Sometimes it’s the soldier or police officer who believes the image must stay intact. Sometimes it’s the woman who grew

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    • 25 FEB 17
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    A Marriage Covenant

    A Marriage Covenant

    Raleigh M. Kincaid, LMFT One of the things that I sometimes do when I work with couples is to help them create a document that reflects the values and ideas that we have been working on and that they believe are integral to their making positive and sustainable changes in their relationship. I was looking

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    • 02 JAN 17
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    The Power of Ritual

    I heard a guy on the radio last week talking about how absurd things like New Years Resolutions are. His contention has some logic. He said that if you need to make a change or fresh start, the date doesn’t matter. If you realize on May 19th that you need to lose weight, just start

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    • 02 DEC 16
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    The Season of Hope

    I remember many years ago hearing a sermon on perseverance. The preacher’s contention was that perseverance is the greatest human attribute. That is, we are at our best when we choose not to throw in the towel even when throwing in the towel seems like a reasonable choice. I took that seriously and for most

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    • 28 NOV 16
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    Round and Round We Go

    Round and Round We Go

    Have you ever heard yourself start a sentence with the words, “Well, I only did/said that because you/they…..”? You know you have. And I’ll bet when you said it you felt, or were attempting to feel, very justified. I see it in the therapy room all the time with couples who, even with big bad

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    • 27 OCT 16
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    Flu Season is Here!

    Flu Season is Here!

    It’s flu season and flu vaccine is here!  The CDC recommends that everyone ages 6 months and older receive a flu shot every year.  The pneumonia vaccine is also recommended for all children under the age of 5 years old and all adults 65 years of age and older. Protect yourself and your family against

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    • 02 OCT 16
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    Exposed

    As I write this blog, I am days away from turning 60 so I figure I better say something important. How about this? I know nothing. Every time a client walks through my door, I’m almost certain they will realize that I am a fraud. It is a complete sham that I would ever suggest

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    • 05 SEP 16
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    How Does That Make You Feel?

    There it is. Finally, the therapist asks THE question. The title alone probably caused some percentage of readers to jump back over to Netflix! I can honestly tell you that when the subject of feelings comes up in therapy (which, as you might guess is fairly often), there are often looks of either fear, frustration,

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    • 03 AUG 16
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    It’s My Honor

    It’s My Honor

    I have had the honor over the years of getting to work with some of our military veterans. I also have several clients who are in law enforcement and other first responders. Trust me when I tell you that I am the guy who gets misty-eyed at the 4th of July parade when the veterans,

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    • 01 JUL 16
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    It’s My Job

    I was speaking with a friend several days ago about another person who drives both of us a little crazy and certainly fires anger in both of us. I was starting to rant a little and get on my soapbox (imagine that – me on soapbox!) and then in my head I heard my own

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    • 05 JUN 16
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    Common Ground

    You know I love quoting Brene Brown. As I was thinking about my blog post for this month, I reread this passage from her book The Gifts of Imperfection. She writes: Compassion is not about a relationship between the healer and the wounded. It’s a relationship between equals. Only when we know our own darkness

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    • 11 MAY 16
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    The Big Rewrite

    I am behind in writing my May blog. It’s about being busy but it’s also about deciding what to write about and dealing with how it feels to write about some topics. Last month in The Thread Runners, I wrote about people who chase story lines of possible outcomes into the future but often through

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    • 01 APR 16
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    The Thread Runners

    In therapy, I hear peoples’ narratives about their lives. It really is one of the most interesting parts of what I do and it is an honor to be trusted with these precious stories. One of the most difficult challenges people face is when the narrative of how they thought life was supposed to be

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    • 03 MAR 16
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    ADHD Comes of Age

    ADHD Comes of Age

    Attention Deficit Hyperactive Disorder (ADHD) has had quite a ride. Decades ago, it was discovered in school-aged children. Many kids, long labeled as difficult, scatterbrained, or undisciplined, were discovered to have a biochemical problem that was treatable by certain medicines. It was so interesting. They looked at kids who were running all over the place,

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    • 03 FEB 16
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    As Long as You’re Here

    Trust me. When people come through my office door, they’re not here for fun. They are not here because they are having a great day or great season. They are, emotionally and/or otherwise, in a not so great place and they definitely want it to change. Sometimes they manage to make the escape, a partial

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    • 04 JAN 16
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    The Emotionally Abusive Relationship

    I kind of hate starting off the new year with a heavy or even negative topic but I reckon that sums up a lot of my professional life. My wife sometimes complains when I don’t want to watch emotionally charged shows on TV that dramatize the day to day struggles of people and their relationships but that’s

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    • 01 DEC 15
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    Don’t Be SAD

    Look. I live in Kentucky. I love Kentucky. I think Kentucky’s beautiful places are as beautiful as any in the world. I’m from Lee County, Kentucky and the countryside there, especially in the fall, is breathtaking. Kentucky is home. Quoting the great American poet, John Mellencamp, Kentucky is “pro’bly where they’ll bury me.” Having said

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    • 10 NOV 15
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    Nutrition for People With Diabetes

    If you’ve been recently diagnosed with diabetes, one of your concerns probably is: “What can I eat?” Eating healthfully is vital when you are trying to control diabetes. The best type of diet to follow is one that is high in nutrients, low in fat and added sugar and moderate in calories. You will have

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    • 10 NOV 15
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    November is Diabetes Awareness Month

    According to the American Diabetes Association, diabetes is the 7th leading cause of deaths in the U.S. and affects over 29 million Americans, mainly seniors with 26% of people ages 65 & older having diabetes. There are approximately 1.5 million new cases each year and many complications & risks arise from diabetes, such as high

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    • 06 NOV 15
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    Know the Line. Be the Line.

    This blog topic was hard to articulate well as it sounded like a “duh, of course” kind of topic. It’s about “the line”, as in “knowing where the line is” and “not crossing the line”. The line is not just one thing but is an idea that saturates our lives. Everything has a line. In

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    • 02 OCT 15
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    With All Due Repect

    Ok, so I’ll confess just this one thing. The movie Talladega Nights makes me laugh; like, laugh out loud! It’s low brow and sophomoric but I can’t help myself every time I see it. One of the moments that always cracks me up is when our hero, Ricky Bobby, says to his nemesis “With all

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    • 08 SEP 15
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    FPA Launches a TV Show

    Beginning in September, Family Practice Associates of Lexington will launch a monthly medical show called “Family Practice.” The program will feature stories about health topics of interest to our patients.  Dr. Jeff Foxx of FPA will be the host, and episodes will include interviews with FPA providers and other Lexington area specialists.    Our first show will

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    • 08 SEP 15
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    Welcome Dr. Amanda Foxx

    Family Practice Associates of Lexington, PSC is pleased to welcome Dr. Amanda Foxx to our office.  Dr. Foxx recently completed medical school and residency at the University of Kentucky, where she specialized in Internal Medicine and Pediatrics.  She is a Pediatrician and an Internist.    Dr. Amanda Foxx enjoys seeing patients from newborns to the

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    • 03 SEP 15
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    It’s a Given

    You know what it’s like to have a big, important conversation with someone you love but the conversation is one in which there is a lot of fear in the air. What if they get mad? What if they leave? What if they tell all my friends? What if this causes them to give up

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    • 04 AUG 15
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    Not One without the Other

    I have been reading a new book by Brene Brown called The Gifts of Imperfection: Let Go of Who You Think You’re Supposed to Be and Embrace Who You Are. I understand that these sorts of self-help books are not everyone’s cup of tea but if you do like such as this, I recommend it

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    • 02 JUL 15
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    Bad Math

    This month’s blog is confessional but it is also about almost everyone I know, so that makes it a little easier to take. The topic is something I see in therapy almost every time I have more than one person in the room. I call it bad math. My idea of bad math in relationships

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    • 04 JUN 15
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    The Ol’ “Yes, but” Move

    You’ve done it yourself. You and someone close to you are having an argument. You realize that you need to act like you’re listening to what they are saying in order to get a chance to make your point. You sit there with a concerned look and nodding head while actually planning the counter-attack. When

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    • 06 MAY 15
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    Would You Be My Pre-frontal Lobe?

    This is a follow up on last month’s blog but perhaps with a sharper point. I attended a great seminar a couple of years ago (meaning one that held my attention all day) on the treatment of Bi-polar Disorder and Bi-polar I Disorder, in particular. A hallmark of Bi-polar I Disorder is mania. Mania is

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    • 10 APR 15
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    Consider the Source

    Who knows the truth? Well, clearly I believe I do because I jump off a shaky limb once a month to espouse my thoughts on this blog! Who else? Is it your wife, your husband, your mom, your dad, your grandpa, or your preacher? Is the truth only found in your own head or coming

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    • 04 MAR 15
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    The Connection is the Thing

    A friend recently sent me an article from the Huffington Post about one person’s theory of addiction and what the “antidote” is. I certainly want to hear more about it and see some of the science behind what this writer said but it hit a nerve with me. In short, the writer, Johann Hari, believes

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    • 05 FEB 15
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    Getting It Right the First (or second) Time

    You know as well as I do that there are things in all our lives that we need to get right and get right the first time! Things like parenting decisions or career decisions or who to be with decisions or any of a myriad of other decisions better be right or there will be

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    • 01 JAN 15
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    Shame vs. Guilt: and the Winner Is…!

    As we kick off the New Year, I want to talk some about one of the most fundamentally important topics that comes up in therapy or at least in therapy with me. The topic is shame versus guilt. Though sometimes used interchangeably, these are significantly different words. Guilt is a focus on behavior but shame

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    • 03 DEC 14
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    Working against the Clock

    This is probably a product of being 58 years old but a lot of you are, simply put, wearing me out! You are attempting, with varying degrees of success, to live life at a pace that must be exhausting. And not only are you moving at an exhausting pace, you live as if you expect

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    • 01 NOV 14
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    To Adapt or Not To Adapt

    I have had the privilege to work with some military veterans. I feel great humility when someone who has done, seen, and experienced what they have, trusts me enough to talk about it. The issues they face vary from full blown PTSD to maintaining healthy relational boundaries while deployed. There is a theme that does

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    • 09 OCT 14
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    Good Enough

    In a class I was teaching recently, we dealt with a chapter and subsequent classroom discussion on the subject of human attraction. The students all wanted to know the secret of how to be attractive to others. So we talked about studies that show the effects of facial symmetry and waist to hip ratio on

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    • 06 OCT 14
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    Health & Wellness Magazine – October 2014

    All women need to be knowledgeable about breast cancer because it can be very serious and potentially fatal. Breast cancer kills more women in the US than any other cancer except for lung cancer; experts estimate that one in eight women in the US will be diagnosed with breast cancer during their lifetime. But the good news is that the death rates are going

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    • 09 SEP 14
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    Amber K. Ballard, APRN joins FPA

    Family Practice Associates of Lexington, PSC is pleased to welcome Amber Ballard, APRN to our office, effective September 2, 2014.  Amber comes to FPA with over 3 years of experience as a Nurse Practitioner.  After working for 5 years as an RN in the UK Neonatal Unit, Amber decided to further her education and finished

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    • 02 SEP 14
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    On Suicide

    This is the most difficult and treacherous of all mental health topics. People don’t like to think about suicide. I have worked with people who committed suicide. I am fortunate that this never happened while someone was under my direct or immediate care but I know that there have been a few former patients who

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    • 01 AUG 14
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    What Are the Odds of That?

    As a sports fan and therapist, I have been observing events around the NFL player, Ray Rice, who recently was involved in some apparent partner violence. There has been speculation about fines and punishments. Then, after he does a press conference, there is speculation about his sincerity and whether or not we should accept his

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    • 02 JUL 14
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    What Does This Mean to You?

    I see people for therapy who are really struggling and often they are struggling with things that were brought upon them by circumstances beyond their control. I see people with chronic and terminal illnesses, death of loved ones, loss of relationships, impending divorces, consequences of abuse, and many others. I try my best to help

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    • 13 JUN 14
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    On a Very Serious Note

    The TED Talk I’m referring to today is not the easiest to watch. Some probably shouldn’t and sadly, some who probably should won’t. The talk is by Leslie Morgan Steiner and is titled “Why Domestic Violence Victims Don’t Leave.” She also wrote a book on the topic called Crazy Love. In the talk, she recounts

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    • 19 MAY 14
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    The Gift of Agreement

    You know as well as I do that what makes marriages and international diplomacy work is compromise. We give a little, they give a little, everyone gets some of what they want, and everyone gives up a little of what they want. A middle position is found and agreed upon and there you have it

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    • 05 APR 14
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    Not All It’s Cracked Up to Be

    Is it money? Is it a house? Is it a certain career? Is it leaving home? Is it coming home? What is it? What is it the fills the bill; answers the bell; delivers the goods? What makes you happy? Years ago I read a book by Rabbi Harold Kushner entitled When All You’ve Ever

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    • 08 MAR 14
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    Who Controls the Thermostat?

    This blog is a sort of follow up or new way of describing what I wrote about last month. I recently attended my annual professional conference. The keynote this year was a seminar on parenting difficult teems by therapist and author Scott Sells. If you are a parent struggling with your teen or even pre-teen,

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    • 03 FEB 14
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    Your A-Game

    I’m a big sports fan. I watch sports, listen to sports, talk about sports, and even on occasion, play sports. I was watching my beloved UK Wildcat basketball team the other night and as they were (sadly) losing someone said that they sure did not “bring their A-game”. This is, of course, a reference to

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    • 07 JAN 14
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    Dr. Monohan nominated as Mom-Approved Pediatrician

    Dr. Susan Monohan is board certified in both Pediatrics and Internal Medicine and enjoys taking care of children, from birth through adulthood. She is originally from Winchester, KY and grew up wanting to be a physician. After graduating from Transylvania University in 1996, she went on to medical school at the University of Kentucky where she graduated in

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    • 06 JAN 14
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    What’s Your Gut Telling You?

    When I was a therapist in training, my peers and I often did therapy in a room that had one of those mirrors that is a mirror on one side (the side we did therapy on) and a window on the other (where we could watch one another work). One of the most interesting times

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    • 12 DEC 13
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    Fa, la, la, la, la!

    Happy holidays! Merry Christmas! Happy Hanukah! What ever your tradition at this time of the year, I hope it brings you happiness, joy, peace and love. I hope this but, frankly, I worry about you. I worry because you probably have a lot of emotional investment in the holidays. You may either idealize the season

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    • 01 NOV 13
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    Are You Worth It?

    I want to follow up on my last blog that referenced the video by Brene Brown. I like a lot of what she had to say and as I have thought even more about it, there is one comment of hers that has stuck with me the most. She was comparing the sole difference between

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    • 14 OCT 13
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    Sounds About Right

    You’ve had this experience. It’s that “ring of truth” moment when someone is talking and it suddenly hits you at some deep, almost intuitive, level that what he or she is saying is true. Well, I had that experience recently and I want to share it with you. I’m a part-time instructor at Eastern Kentucky

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    • 03 OCT 13
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    Zostavax® (SHINGLES VACCINE) in our office!

    Family Practice Associates is happy to announce that we are now providing Zostavax® (SHINGLES VACCINE) in our office! This is a covered medical benefit of your Insurance Plan as a preventative service. What does this mean to you?

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    • 03 OCT 13
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    Flu Vaccine Available

    Family Practice Associates of Lexington has… Flumist (Quadrivalent) for Healthy Patients 2-49 yrs, High dose Flu Vaccine for patients 65 years & older, and Injectable Flu vaccine (Quadrivalent) for patients 3 years and up available! Please contact our office to schedule your appointment today! (859) 278-5007 Flu Shot Clinic Hours Wednesdays & Thursdays 9-5pm Saturdays

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    • 29 SEP 13
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    Evening Clinic Hours

    Evening clinic & Saturday hours available at FPA! Did you know that we offer evening appointments on Mondays – Thursdays from 5-7PM?   Please call our office to schedule a sick or well visit during our evening clinic.  We also have Saturday morning hours available.  Our goal is to try and keep you from going

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    • 06 SEP 13
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    An Alarming Trend

    I guess it has always been true but it hit me between the eyes the other day just how much one factor is a part of so many of the people, families, and situations that I try to help with every day of my professional life. That one factor is alcohol. Before you exit out

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    • 12 AUG 13
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    Let Me Be Clear About This

    A part of my training as a Marriage and Family Therapist included training in Systems Theory and, in particular, Family Systems Theory. I won’t bore you with all my vast knowledge about it (or at least all I can remember!!) but there’s an idea I think might be of interest to some of you. The

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    • 01 JUL 13
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    Quid Pro Quo

    Now for your Latin lesson. The phrase quid pro quo translated is “this for that”. It’s used to describe an action that is done in exchange for or in response to another person’s action. It’s an exchange of, say, goods or services in what is considered a balanced or equal manner. When you give a

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    • 03 JUN 13
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    On Being Wrong

    I remember an episode of the old TV series Happy Days in which the Fonz was in a real predicament. He had done something that was totally his mistake and he knew it. He also knew that he needed to say something to make things better but every time he tried to say the phrase

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    • 03 MAY 13
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    The Art of Presence

    You are with someone you love but that person is starting to get riled. You can feel the emotional tension rising. They are talking faster and faster, at a higher pitch level, and there is frustration painted on every corner of their face. You are fairly certain that there is not much in this moment

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    • 03 APR 13
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    Who Am I?

    I love the musical Les Miserables. I’ve had the Broadway soundtrack for many years, saw a live performance probably 15 years ago, and even enjoyed the movie from this past fall. The story line is very broad but the central theme regards one man’s search for his true self. He vacillates between being the reluctant thief, the convict who has

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    • 01 MAR 13
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    The Two R’s – Part 2

    Last month I talked about the first of what I call the two R’s. These are rest and routine and I believe each to be vital for feeling good and living effectively. Here are some thoughts on routine. My theory about routine is not original with me. I picked up the idea at a seminar

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    • 08 FEB 13
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    The Two R’s – Part 1

    A couple of years ago, I went to a really good seminar on treating persons with bi-polar disorder. Many things I learned that day have stuck with me but nothing more than this. The presenter said that the two most important things that those who suffer from bi-polar disorder need are rest and routine. Today’s

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    • 01 JAN 13
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    Right Here – Right Now

    There are always new ideas and points of interest in the field of mental/emotional health. Sometimes we are advanced with brand new concepts and sometimes it’s fresh ways of describing what we have known for awhile. One of the hot topics in my profession over the past several years is that of mindfulness. This would qualify

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    • 03 DEC 12
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    Act on the Truth

    There’s a framed sign in my office that sits on the windowsill behind a couch. On it are these words – Act on the Truth. This little saying came out of my mouth many years ago while working with a long time client, Carol (not her real name), who after some really great strides was

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