Effects of Digital Media on Adolescents

Effects of Digital Media on Adolescents is a new 3-hour online continuing education (CE/CEU) course that explores how the digital world is affecting teens of successive generations.

Effects of Digital Media on Adolescents is a 3-hour online continuing education (CE/CEU) course that explores how digital media is affecting teens of successive generations.

It is becoming clear that the effects of digital media are affecting each successive generation of teenagers in ways that are only now beginning to come into view. iGen’ers’ communication and behaviors differ from those that characterized the Baby Boomers, Millennials, and the XGen’ers. We now know that the adolescent brain is still developing, and some digital behaviors do affect ongoing brain growth. Neuroplasticity can be affected by repetitive or obsessive behaviors, and the digital world offers risks for those adolescents who may engage in excessive video gaming. This course is for professionals, teachers, and parents who are seeking any available information that will help them to monitor their adolescents’ online behavior, teach teens how to remain safe while online, and model appropriate digital behaviors. Included are strategies that can help contribute to a balance between the digital world and the real-time, face-to-face lives of older children and adolescents. Course # 31-18 | 2019 | 52 pages | 20 posttest questions

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COURSE DIRECTIONS

Effects of Digital Media on Adolescents is online course and provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document).

Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more. Have a question? Contact us. We’re here to help!

ABOUT THE AUTHOR

Janet Harrison, PhD, CCC-SLP, has been an Associate Professor and Director of Clinical Education in Speech-Language Pathology at Purdue University, an Associate Professor at Marshall University and an Assistant Professor at Valdosta State University. Prior to her university positions she was Administrative Director of Clinical Services, Devereux Hospital & Neurobehavioral Institute of Texas, and developed a clinical program as the director of the Department of Speech-Language Pathology, Devereux Hospital & Children’s Center of Florida. Dr. Harrison has worked extensively in both medical and educational settings for intervention with children and adolescents who have language disorders as well as emotional/behavioral disorders.

CE INFORMATION

Professional Development Resources is approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Georgia State Board of Occupational Therapy; the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors (#MHC-0135); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678); and is CE Broker compliant (all courses are reported within a few days of completion).

PDR offers over 150 accredited online CE courses for healthcare professionals. Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

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Eating Disorder Toolkit – New CE Course

Eating Disorder Toolkit is a new 1-hour online continuing education (CE/CEU) course that provides an overview of the current research on the prevalence, treatment, and role of the RDN in the care of eating disorders.

Eating Disorder Toolkit is a 1-hour online continuing education (CE/CEU) course that provides an overview of the current research on the prevalence, treatment, and role of the RDN in the care of eating disorders.

Eating disorders (ED) are severe psychiatric disorders that are associated with increased levels of social, psychological, and physical impairment as well as high levels of morbidity and mortality. This toolkit will address the three main eating disorders as listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5): Binge Eating Disorder (BED), Anorexia Nervosa (AN), and Bulimia Nervosa (BN). The previous catch-all category of Eating Disorder Not Otherwise Specified (EDNOS) has been replaced with Other Specified Feeding and Eating Disorder (OSFED) and will not be discussed in this course.

Goals of medical nutrition therapy for eating disorders will be discussed, along with steps in the Nutrition Care Process. Laboratory values to monitor, signs/symptoms and risk factors to consider, and treatment guidelines are provided. A final section includes a case study, resources for both clinicians and clients, and screening tools to assess the presence of an eating disorder. Course #11-27 | 2019 | 21 pages | 10 posttest questions

COURSE DIRECTIONS

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document).

Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more. Have a question? Contact us. We’re here to help!

ABOUT THE AUTHOR

Jen Ross, MSH, RDN, LDN, FAND, is an instructor in the College of Health at the University of North Florida (UNF), where she is currently completing her doctorate in clinical nutrition. Her areas of focus include counseling, intuitive and mindful eating, binge eating, impulsive & compulsive eating, eating disorders, weight concerns, recipe modification, insulin resistance, and maternal/infant nutrition. Jen received her BA in Human Services from Elon College, and BSH and MSH in Health Science/Nutrition from UNF.

CE INFORMATION

Professional Development Resources is a CPE Accredited Provider with the Commission on Dietetic Registration (CDR #PR001). CPE accreditation does not constitute endorsement by CDR of provider programs or materials. Feedback for this activity can be sent directly to CDR. Professional Development Resources is also a provider with the Florida Council of Dietetics and Nutrition (#50-1635) and is CE Broker compliant (all courses are reported within a few days of completion).

PDR offers over 75 CDR-approved online CE courses for dietitians. Click here to view all.

Enjoy 20% off all online continuing education (CE/CEU) courses @pdresources.orgClick here for details.

Earn CE Wherever YOU Love to Be!

Prescription Drug Abuse – New CE Course

New Online CE Course @pdresources.org

Prescription Drug Abuse is a new 3-hour online continuing education (CE) course that examines the misuse of prescription drugs (including opioids) in the United States.

Prescription Drug Abuse

Misuse of prescription drugs means “taking a medication in a manner or dose other than prescribed; taking someone else’s prescription, even if for a legitimate medical complaint such as pain; or taking a medication to feel euphoria” and is a serious public health problem in the United States.

Click here to learn more.

When taken as prescribed, medication can be of great benefit to a patient, helping reduce pain, save lives, and improve one’s overall quality of life. However, when individuals misuse their prescribed medications or take medications not prescribed to them, the consequences can be disastrous. Illicit drug use, including the misuse of prescription medications, affects the health and well-being of millions of Americans. Among other deleterious effects, cardiovascular disease, stroke, cancer, infection with the human immunodeficiency virus (HIV), hepatitis, and lung disease can all be affected by drug use. The important thing to remember is that the medications are not inherently bad in and of themselves – it is how people use (and abuse) them that creates a problem.

Prescription Drug Abuse CE CoursePrescription Drug Abuse will discuss what drives people to abuse prescription drugs and how they obtain them; diagnostic criteria for substance use disorder; history and progression of prescription drug abuse, including types and classes of drugs used; and the cost of prescription drug abuse on addicts and non-addicts alike. The course will then review the sequence of treating individuals who have a prescription drug use disorder, including screening, assessment, diagnosis, treatment, and maintenance. Screening tools, assessment instruments, treatment programs, and evidence-based recommendations are included. Comorbidity between substance use disorder and mental disorders is also discussed. Course 31-00 | 50 pages | 20 posttest questions

Click here to learn more.

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion.

Professional Development Resources is a nonprofit educational corporation 501(c)(3) organized in 1992. We are approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC); the Association of Social Work Boards (ASWB); the American Occupational Therapy Association (AOTA); the American Speech-Language-Hearing Association (ASHA); the Commission on Dietetic Registration (CDR); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy, Psychology & School Psychology, Dietetics & Nutrition, Speech-Language Pathology and Audiology, and Occupational Therapy Practice; the Ohio Counselor, Social Worker & MFT Board and Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs; the Texas Board of Examiners of Marriage & Family Therapists and State Board of Social Worker Examiners; and are CE Broker compliant (all courses are reported within a few days of completion).

Target Audience: PsychologistsCounselorsSocial WorkersMarriage & Family Therapist (MFTs)Speech-Language Pathologists (SLPs)Occupational Therapists (OTs)Registered Dietitian Nutritionists (RDNs)School Psychologists, and Teachers

Earn CE Wherever YOU Love to Be!

Steps to Active Listening

Course excerpt from Active Listening: Techniques that Work for Children and Parents

Active ListeningOne of the fundamental tools of clinicians who work effectively with children and adolescents in the areas of speech-language pathology, occupational therapy, and counseling is the art of listening. Without this set of skills, clinicians are likely to miss essential pieces of information their clients are trying to communicate to them, whether with words or with behavior.

When the word “active” is added to “listening” it alters and amplifies the communication process to include a dynamic feedback loop in which the speaker and the listener validate that each party has been accurately heard.

Many clinicians, like Speech-Language Pathologists (SLPs), are trained to help their young clients improve their communication abilities; other clinicians, such as physical therapists and occupational therapists, assist clients with their activities of daily living. Many times children who are having difficulties in various functional areas are also experiencing negative reactions to their developmental, physical and communication challenges. If they do not see themselves as successful in school and with peers, they can begin to perceive themselves negatively and – worse – start to expect failure. Clinicians need skills to help their clients overcome these damaging reactions and help them think positively about their ability to make changes in their lives.

Active listening is a communication technique that is used in counseling, conflict resolution and training, as well as in many other everyday situations. The listener is required to repeat what they hear the speaker say by re-stating directly or paraphrasing. This way, both the speaker and the listener know that their words have been heard and understood by the other, confirming understanding by both parties.

There are three basic steps in the process of active listening:

  1. Body Language: This is key to letting your client know that you are interested in what they have to say. Listen with full attention, eye contact and body language. One can turn to face the child and get down to his eye level. A gentle touch on the shoulder might be helpful. Leaning forward, smiling and nodding all indicate interest. This shows the child that you care and that his problem requires your full attention. Adults also respond to this. Open posture, gentle voice, friendly facial expression, nodding and tilting of the head to the side are some more ways to indicate interest.
  2. Verbal Encouragers: Prompts used to elicit more information from the client such as: “Uh huh,” “Yes,” and “Umm.” This encourages the speaker to continue speaking and feel as though the listener is engaged in what they are saying. Some listening noises are often helpful. It helps the conversation along without being too intrusive. Denton (2015) explains that “when we give a simple acknowledgment…we establish that the words are heard and stand on their own without a need for endorsement or clarification. They are valuable in and of themselves.”
  3. Paraphrasing: This assures the client that you have accurately heard them and allows them to hear, in turn, how someone else perceives them. It is viewed as an empathetic response to their communication, and allows clients to feel heard so they can then expand on their experiences and feelings, giving valuable information to the clinician.


Although active listening is just one aspect of the counseling experience, it may very well be the most important one. According to Luterman (2006), “The counseling relationship is not a conventional one; it places a different set of demands on the professional. It is a relationship that requires deep, selfless listening. The professional must be willing to put aside his or her agenda and listen to the client. Therefore, the professional can have no point of view other than trying to hear and understand where the client is coming from, and in many cases, reflect that back to the client. Within a counseling relationship, there is the understanding that wisdom resides within the client; therefore, all professional judgments are suspended. Because nonjudgmental listening offers a high degree of emotional safety for the client, he or she can begin the process of resolving problems.”

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Active Listening: Techniques that Work for Children and ParentsActive Listening: Techniques that Work for Children and Parents is a 3-hour online continuing education (CE/CEU) course that offers a valuable compilation of practical and ready-to-use strategies and techniques for achieving more effective communication through active listening. One of the fundamental tools of clinicians who work effectively with children and adolescents is the art of listening. Without this set of skills, clinicians are likely to miss essential pieces of information their clients are trying to communicate to them, whether with words or with behavior. When the word “active” is added to “listening” it alters and amplifies the communication process to include a dynamic feedback loop in which the speaker and the listener validate that each party has been accurately heard. Appropriate use of listening skills by a clinician can increase self-esteem in young clients and motivate them to learn. Using active listening skills, clinicians become more confident and manage their therapy and counseling sessions with a broader and mutually respectful dialogue. This course will teach clinicians how to employ innovative and practical communication and conversational skills in their individual and group therapy sessions with clients and their families, as well as in their working relationships with other professionals. These techniques can be applied to a wide variety of clinical, classroom and home situations, and case examples are included. Also included are sections on positive thinking and resilience, problem-solving skills, and the communication of emotion. Course #30-90 | 2017 | 70 pages | 20 posttest questions


This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion.
Professional Development Resources is approved to sponsor continuing education (CE) by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), Speech-Language Pathology and Audiology, and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501) and the Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

Tips for Preventing Anxiety in Children

Course excerpt from Anxiety in Children –

Anxiety in ChildrenAccording to the Anxiety and Depression Association of America (2017), it is estimated that 40 million Americans suffer from anxiety disorders. Anxiety disorders affect one in eight children. Research shows that untreated children with anxiety disorders are at higher risk of performing poorly in school, missing out on important social experiences, and engaging in substance abuse. One in five children with an anxiety disorder is not diagnosed. Anxiety disorders untreated in childhood can continue well into adulthood.

Children with language and communication disorders are especially susceptible to anxiety because they are struggling academically and often compare themselves with their peers. They might feel stupid, lazy, and overlooked by their peers. They often don’t have the language skills they need to express their anxiety and often have issues with school as a result of it.

What Can Professionals and Parents Do to Prevent Childhood Anxiety?

Certainly, the best way to reduce the incidence and severity of anxiety disorders in children is to take steps to prevent its occurrence in the first place. As noted above, one of the causes of anxiety in children is anxiety in their parents. If the parents can learn to manage their own anxiety, they can help prevent – or at least manage – anxiety in their children.

Here are a few tips and strategies that can be incorporated into therapy sessions for the purpose of preventing and managing anxiety in children:

Remember that Positive Language is Important

Advise parents to check how often they are saying “be careful” to their children. Instead, they recommend saying, “Think a few steps ahead” or “Use your head and have fun!” As clinicians, we can do this as well. It is important for adults to let children know that they are valued and liked regardless of their behavior. Adults can discipline a child and work to improve the child’s behavior while still sending the message of unconditional positive regard.

Foster Resilience and Self-Efficacy

Helping professionals can find ways to foster resilience in children. A resilient child feels that he can positively influence the environment in which he lives. Known as self-efficacy, this can be nurtured by finding ways to foster a child’s independence and autonomy. Children need these life skills to develop into independent and productive members of society. But this generation’s youth are protected more than in previous eras, and rightly so, since many neighborhoods are not conducive to children playing outside or walking to the corner store alone. However, the result of this protective climate has deprived children of opportunities to learn basic life skills.

Adults need to find ways to foster a sense of true mastery in children. When we teach life skills, we are sending the message “you can do this,” “you are capable,” and “you will be an active and productive member of society one day.” According to Flasher and Fogle (2012), “The ability to be encouraging may be one of the most important qualities of clinicians.”

Give Choices

Giving children choices hands some control over to the child without compromising the adult’s authority—a win/win situation. Implicit in the choice is the fact that the child needs to fulfill the task but gets to choose how it will be accomplished. Giving choices diffuses conflict and lets children assert their independence in a healthy way. It exercises their brains by making them think and solve problems. It is an extremely effective technique to use with independent and defiant children and toddlers.

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Anxiety in Children is a 4-hour online continuing education (CE/CEU) course that focuses on behavioral interventions for children with anxiety disorders. According to the Anxiety and Depression Association of America (2017), it is estimated that 40 million Americans suffer from anxiety disorders. Anxiety disorders affect one in eight children, but is often not diagnosed. Untreated anxiety can lead to substance abuse, difficulties in school, and depression. Professionals who work with children, including speech language pathologists, mental health professionals, and occupational therapists, frequently encounter anxiety disorders among their young clients. This course is intended to help clinicians recognize and understand the anxiety disorders that frequently occur in children and learn a wide variety of communication and behavioral strategies for helping their clients manage their anxiety. Included are sections on types and causes of anxiety disorders, strategies for prevention, evidence-based treatments, techniques for helping children manage worry, relaxation techniques for use with children, and detailed discussions on school anxiety and social anxiety. Course #40-43 | 2017 | 69 pages | 25 posttest questions


This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion.

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), Speech-Language Pathology and Audiology, and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501) and the Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

The Importance of Social Skills

Course excerpt from Improving Social Skills in Children & Adolescents

Improving Social Skills in Children & AdolescentsEveryone wants to be wanted and needed; feelings of belonging are crucial for a person’s self-esteem. Children who are socially competent instinctively understand how relationships work. They can process social data and have a collection of behavioral tools at their disposal to help them in the social arena. These children have good relationships with their peers and the adults in their lives, and they are generally happier, resilient and emotionally healthy.

What are social skills? These are essentially the skills that are needed for successful social communication and interaction across a variety of settings and involve the ability to interact with other individuals in a congenial and harmonious manner. A variety of definitions have been offered. Social skills, as defined by Cillessen and Bellmore (2011), involve being prosocial and cooperative, and being interpersonally successful.

Khadi et al. (2015) included such social activities as showing sympathy for others when they are sad, apologizing if he or she hurts the feelings of others, greeting other children, and responding appropriately when introduced to others.

Social competence, as described by Green & Wood (2014) is characterized by achievement and maintenance of satisfying social relationships.

According to Güven et al. (2015, p. 56), social skills are “closely linked to development and are perhaps the most important set of abilities a person can have.” They include:

  • Showing interest in others
  • Giving and receiving
  • Asserting our needs and rights in appropriate ways
  • Showing consideration and sympathy
  • Communicating effectively


Unfortunately, people are not born with these skills, although some individuals learn them more readily than others. Learning how to get along with others is a process that begins at a very early stage and continues throughout life. The process can be seriously disrupted for children who have other developmental or learning difficulties, which can impair natural social learning processes. It is imperative that professionals working with children know how to help kids develop these life affirming social skills.

Improving Social Skills in Children & AdolescentsImproving Social Skills in Children & Adolescents is a 4-hour online continuing education (CE/CEU) course that discusses the social skills children and adolescents will need to develop to be successful in school and beyond. It will demonstrate the challenges and difficulties that arise from a deficit of these crucial skills, as well as the benefits and advantages that can come about with well-developed social skills. This course will also provide practical tools that teachers and therapists can employ to guide children to overcome their difficulties in the social realm and gain social competence. While there are hundreds of important social skills for students to learn, we can organize them into skill areas to make it easier to identify and determine appropriate interventions. This course is divided into 10 chapters, each detailing various aspects of social skills that children, teens, and adults must master to have normative, healthy relationships with the people they encounter every day. This course provides tools and suggestions that, with practice and support, can assist them in managing their social skills deficits to function in society and nurture relationships with the peers and adults in their lives. Course #40-40 | 2016 | 62 pages | 35 posttest questions

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more.

Professional Development Resources is approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Speech-Language Hearing Association (ASHA); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

Happy children image created by Pressfoto – Freepik.com

Effects of Cyberbullying

Course excerpt from Cyberbullying

CyberbullyCyberbullying is intentional, repeated harm to another person using communication technology. Any communication device may be used to harass or intimidate a victim, such as a cell phone, tablet, or computer. Any communication platform may host cyberbullying: social media sites (Facebook, Twitter), applications (Snapchat, AIM), websites (forums or blogs), and any place where one person can communicate with – or at – another person electronically. The short and long-term effects of bullying are considered as significant as neglect or maltreatment as a type of child abuse (Takizawa, 2014).

Cyberbullying does not happen in a vacuum. The victim has other life events that impact emotional and social functioning. The effects of cyberbullying should be viewed in the light of other childhood adversities: abuse, neglect, family dysfunction, loss of a parent, and other life-changing events (Takizawa, 2014). Research has been able to identify patterns of effects due to cyberbullying, some of which last for a lifetime.

In a review of research on cyberbullying, Kowalski and colleagues (2014) found the effects of experiencing cyberbullying include the following:

  • Anxiety
  • Depression
  • Difficulty sleeping
  • Substance abuse
  • Decreased performance in school, absenteeism, and dropping out of school
  • Increased physical symptoms
  • Suicide


The American Academy of Child and Adolescent Psychiatry (AACAP, 2011) also noted that bullying could result in somatic issues such as headaches and stomach aches, as well as eating disorders, alcohol and drug use.

Barlett (2014a) found similar results, with anger, sadness, fearfulness, as well as increased aggressive behavior found in victims of cyberbullying. Kowalski also found a link between an increase in symptoms of obsessive-compulsive disorder and anxiety related to duration of hours spent on the Internet. The authors note that the directionality of this association “clearly bears scrutiny, but the association appears robust.” It would seem that more time online would increase the person’s risk of exposure to bullying behavior, with its negative emotional consequences.

Sampasa-Kanyinga (2014) noted a reciprocal relationship between bullying victimization and depression. The authors state, “Bullying victimization can cause depression, and depressive symptoms may place some youths at increased risk for victimization.” Victims who also bully others are at a higher risk of depression (Copeland, 2013). Copeland also found bully-victims exhibited increased generalized anxiety and panic. Female bully-victims in particular were at risk for agoraphobia.

Not surprisingly, school age students may avoid school due to bullying. Many students reported skipping school due to safety concerns. Steiner (2014) found that high school students who experienced bullying in person or online were far more likely to miss school, as you can see from these results:

  • 21% of high school students bullied both in person and electronically reported missing school due to safety concerns
  • 13% of those bullied in-person only missed school
  • 11% of those bullied electronically only missed school


As a comparison, 4% of students who had not been bullied missed school due to safety concerns. Steiner notes that the results are equivalent to more than half a million of the 16 million enrolled high school students missing school days because they were afraid of being bullied at school.

The effects of childhood bullying can be felt as the victim ages. Copeland (2013) reported psychiatric symptoms in adult victims of bullying that included depression, antisocial personality disorder, anxiety, substance abuse, and suicidal ideation as well as suicide attempts. In a longitudinal study of over 7,700 people who were bullied as children, Takizawa (2014) found significant psychiatric distress in bullying victims during follow-up at ages 23 and 50. Depression, anxiety, and suicidality were increased, and were especially evident in those who were bullied frequently. Cognitive functioning was negatively affected, even after controlling for childhood IQ.

Takizawa also found that the long-lasting effects of bullying included the risk for decreased social relationships, economic difficulty, and poor quality of life. The risk was similar to children placed in foster care or who experienced multiple childhood adversities. Adults who were bullied as children were more likely to have lower educational levels and men had higher unemployment rates. These adults also had a high risk of living without a partner or spouse. They were less likely to have met with friends in the recent past, and reported fewer social supports.

It was interesting that this long-term study as well as Copeland’s (2013) results did not find a risk of alcohol dependence as a result of childhood bullying. The authors theorize that peer influence guides teens into drinking behavior. Since bullying victims are less exposed to peer influences in this way, alcohol abuse may be less of a risk.

The overall effects seen in long-term follow-up are thought to be partially a result of re-victimization. Finkelhor (2007) studied children exposed to violence and found that victimization of one type can lead to a significant risk of vulnerability to other types of victimization.

CyberbullyingCyberbullying is a 2-hour online continuing education (CE/CEU) course that reviews evidenced-based research for identification, management and prevention of cyberbullying in children, adolescents and adults. Bullies have moved from the playground and workplace to the online world, where anonymity can facilitate bullying behavior. Cyberbullying is intentional, repeated harm to another person using communication technology. It is not accidental or random. It is targeted to a person with less perceived power. This may be someone younger, weaker, or less knowledgeable about technology. Any communication device may be used to harass or intimidate a victim, such as a cell phone, tablet, or computer. Any communication platform may host cyberbullying: social media sites (Facebook, Twitter), applications (Snapchat, AIM), websites (forums or blogs), and any place where one person can communicate with – or at – another person electronically. The short and long-term effects of bullying are considered as significant as neglect or maltreatment as a type of child abuse. This course will describe specific cyberbullying behaviors, review theories that attempt to explain why bullying happens, list the damaging effects that befall its victims, and discuss strategies professionals can use to prevent or manage identified cyberbullying. Cyberbullying is a fast-growing area of concern and all healthcare professionals should be equipped to spot the signs and provide support for our patients and clients, as well as keep up with the technology that drives cyberbullying. Course #21-09 | 2016 | 32 pages | 20 posttest questions

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more.

Professional Development Resources is approved to sponsor continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Speech-Language Hearing Association (ASHA); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

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Cyberbully image created by Jcomp – Freepik.com

Executive Functioning: Teaching Children Organizational Skills

New Online CE Course @pdresources.org

Executive Functioning: Teaching Children Organizational SkillsExecutive Functioning: Teaching Children Organizational Skills is a 4-hour online continuing education (CE/CEU) course that will enumerate and illustrate multiple strategies and tools for helping children overcome executive functioning deficits and improve their self-esteem and organizational abilities.

Executive functioning skills represent a key set of mental assets that help connect past experience with present action. They are fundamental to performing activities such as planning, organizing, strategizing, paying attention to and remembering details, and managing time and space. Conversely, executive functioning deficits can significantly disrupt an individual’s ability to perform even simple tasks effectively. Although children with executive functioning difficulties may be at a disadvantage at home and at school, adults can employ many different strategies to help them succeed. Included are techniques for planning and prioritizing, managing emotions, improving communication, developing stress tolerance, building time management skills, increasing sustained attention, and boosting working memory. Course #40-42 | 2017 | 76 pages | 25 posttest questions

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This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more.
Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; by the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the American Speech-Language-Hearing Association (ASHA Provider #AAUM); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), Speech-Language Pathology and Audiology, and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501) and the Board of Speech-Language Pathology and Audiology; the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).

Recognizing Ethical Dilemmas

Course excerpt from Ethical Decision Making for Psychologists: A Practical Model

From time to time, psychologists are confronted with ethical dilemmas that are difficult to resolve. How do you know when an ethical issue arises that requires action on your part? What do you think are some of the characteristics of ethical dilemmas as they apply to psychotherapy? It does not take very long to answer these questions.

Recognizing Ethical Dilemmas

From time to time, psychologists are confronted with ethical dilemmas that are difficult to resolve.Kidder (1995) suggests that ethical dilemmas oftentimes involve right versus wrong choices or “moral temptations.” This certainly applies to a variety of situations including becoming involved in sexual relationships with clients, falsifying data, failing to be up front with clients about policies or procedures pertaining to the psychotherapy process, and using therapeutic techniques without having been trained in the use of those techniques. Most psychologists have either dealt with or thought about situations that make them question what the right thing to do is.

Denise and Andrew were certainly confronted with ethical dilemmas in slightly different ways. You can probably place yourself in their shoes and understand how they must have felt in their respective situations especially being new to the field: confused, surprised, and perhaps overwhelmed. In fact, recognizing ethical dilemmas oftentimes starts with a feeling, specifically, an awareness that you are feeling uncomfortable or uneasy.

Indeed, it is not uncommon for one’s unconscious self to pick up on and react to elements of a situation that one’s conscious self may overlook or fail to react to as quickly. This is not unlike the action of antivirus software, continually monitoring activities that are going on in the background of our computers while we are surfing the net. Although there may be times you are cognizant of the dilemma that aroused these feelings, other times you may realize that something is not right about a situation, but not necessarily be able to put your finger on it until you give it more thought. But it is the realization that “something’s not right” and the associated feeling that is your initial clue that you are dealing with an ethical dilemma.

It is important for you to be tuned in to the feelings that are kindled by ethical dilemmas and to use your feelings as data in the ethical decision-making process. Indeed, Remley and Herlihy (2007) point out that, “Virtue ethicists believe that emotion informs judgment.” They likewise provide the following advice: “Consider what emotions you are experiencing as you contemplate the situation and your possible actions…Your emotions can help guide you in your decision making” (pg. 13).

Think back to when you were a child. Did you parents ever tell you that everyone has a little voice inside that helps us distinguish right from wrong? Some people refer to this as a conscience. The same principle applies to recognizing ethical dilemmas. You might have a gut-level feeling that a situation is somehow problematic and demands action on your part. Although you may not know what you are supposed to do at that moment, you realize that “something’s wrong,” and that feeling does not go away. The emotional uneasiness produced by the dilemma yearns for a response from you to, in essence, put it out of its misery. Knapp and VandeCreek (2006) note that, “…for many psychologists the first indication of a problem comes from their own ‘gut’ reactions or the reactions of a patient. That is, a strain in interpersonal relationships or a feeling of emotional uneasiness is often the first indication of an ethical problem” (pg. 43).

Recognizing ethical dilemmas not only becomes easier with supervision and experience, but if the foundation of your professional identity is the six moral principles, then you will understand intuitively when an issue arises that demands sound reasoning and judgment. There is not one particular moral principle that will help you recognize an ethical dilemma. Psychologists continuously filter experiences through their moral principle net, and when issues get caught in the net they experience a twinge of discomfort that spurs the reasoning and resolution process.

Hare (1991) argues that moral reasoning starts with intuition: “…the intuitive level, with its prima facie duties and principles, is the main locus of everyday moral decisions” (p. 35). Cottone and Tarvydas (2007) likewise note that “The intuitive level of analysis always constitutes the first platform of decision making, even when the situation requires the more detailed level of analysis involved in the critical-evaluative level of consideration” (p. 91). The important point is that intuition is simply a starting point. Psychologists are trained to be self-aware so that they are sensitive to issues that should be addressed with clients. When considered in terms of a scientific process, intuition serves to generate hypotheses that can be confirmed or disconfirmed as psychologists interact with clients throughout the course of the psychotherapy process and discuss ethical concerns with colleagues.

Let’s take into consideration how this might work in the real world. Two psychologists have psychotherapy clients who both suffer from depression. Psychologist A, who is fresh out of graduate school, is concerned that his client is becoming too dependent on him given that the client calls him at home at all hours of the night and will do whatever he tells him to do. Psychologist B, who has been in the field for several years, is also dealing with a depressed client with dependency issues, but has taken a different approach. Psychologist B has placed limits on the number of calls she is willing to receive from the client and has requested that the client not call her at home.

How do the moral principles play a part in the reasoning processes of both psychologists? Psychologist A recognizes that something is wrong, but his moral principle net is “too loose” to catch the problem. Psychologist B understands that allowing the client to call her at home as often as he would like only fosters dependency and is not in the client’s best interests (the moral principle of beneficence or “helpfulness”). Although the client does not like the fact that Psychologist B has placed limits on him, he reluctantly agrees to abide by the rules. Psychologist B felt uncomfortable the first time the client attempted to maneuver into a dependency role and that feeling sparked a response that prevented her from enabling this behavior. But it was only because the discomfort was interpreted in relation to the moral principle of beneficence that Psychologist B understood why it was necessary to set limits.

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Ethical Decision Making for PsychologistsEthical Decision Making for Psychologists: A Practical Model is a 3-hour online continuing education (CE) course that provides psychologists with an intuitive method of resolving ethical dilemmas that is grounded in best practices as outlined in the professional literature as well as the APA Code of Ethics. Topics include the differences between ethics and the law, identifying moral principles which underlie the ethical practice of psychotherapy, and how to apply a practical approach to ethical decision-making. The course is written in a conversational style and includes mnemonics to assist in learning the material and drawing upon this knowledge as necessary when ethical dilemmas arise throughout one’s career. Closeout Course #30-41 | 2009 | 32 pages | 24 posttest questions

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. Professional Development Resources maintains responsibility for this program and its content. Professional Development Resources is also approved by the Florida Board of Psychology and the Office of School Psychology (CE Broker Provider #50-1635).

 

Animal-Assisted Therapy – Online CE Course

By Deirdre Rand, PhD

Animal-Assisted Therapy and the Healing Power of PetsAnimal-Assisted Therapy and the Healing Power of Pets is a 2-hour online continuing education (CE) course that includes the story of Dr. Deirdre Rand’s journey with her animal companions and the lessons learned from the challenges and rewards of those relationships. Also discussed are temperament, socialization and training; the role of the neurohormone oxytocin in strengthening the human-companion animal bond; the founding of the three major organizations which register volunteer handler/therapy teams, along with the contributions of key historic figures in developing animal-assisted therapy as we know it today; examples of animal-assisted interventions with dogs, cats and other animals; and attributes of a great therapy animal and a great handler. Course #30-85 | 2016 | 45 pages | 26 posttest questions

Animal-Assisted Therapy and the Healing Power of Pets provides an essential foundation to anyone interested in animal-assisted intervention work, whether as a healthcare professional or as a volunteer therapy animal team with their dog or cat. Dr. Rand uses a narrative writing style, supplemented with photographs, to give the reader a deeper, more experiential understanding of the material and makes for a good read. The course includes numerous clinical examples, evoking an awareness of the unique bond between people and their companion animals.” – Endorsement by Aubrey H. Fine, EdD, author of Our Faithful Companions: Exploring the Essence of our Kinship with Animals.

This online course provides instant access to the course materials (PDF download) and CE test. After enrolling, click on My Account and scroll down to My Active Courses. From here you’ll see links to download/print the course materials and take the CE test (you can print the test to mark your answers on it while reading the course document). Successful completion of the online CE test (80% required to pass, 3 chances to take) and course evaluation are required to earn a certificate of completion. Click here to learn more.

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB #1046, ACE Program); the Florida Boards of Clinical Social Work, Marriage & Family Therapy, and Mental Health Counseling (#BAP346) and Psychology & School Psychology (#50-1635); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).