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"Our first grader, Jude, is the best. He's fun and funny, sweet and kind…" Sarah's words trailed off. "He sounds like a great kiddo," I said. "The thing is, he's had challenges since birth. He struggled to eat, his sleep schedule...

My week starts with three new clients interested in counseling. Sandra wants to lose weight. She’s been 100 pounds overweight for most of her adult life with high blood pressure, asthma, high cholesterol, and pre-diabetic symptoms. From a family that struggles...

With the election of Donald Trump the psychological term “gaslighting” is experiencing a resurgence in popularity and brings people into my office asking, “Am I being gaslighted?” As with other charged words, I think it’s helpful to take some time and understand the terms...

We live in a unique part of the state. Although technically Gilpin, Jefferson, Clear Creek and Boulder counties are considered urban, often we face health issues traditionally viewed as rural. (http://www.commonwealthfund.org/publications/newsletters/transforming-care/2017/march/in-focus?omnicid=1187163&mid=vernamd@ubhc.rutgers.edu) Rural America faces higher levels of smoking, diabetes, coronary heart disease and suicides....

I sat with Margaret and Larry through years of fertility challenges. Initially it was a curiosity as to why they weren’t getting pregnant like their friends, then enduring invasive medical tests and procedures. Next we dove into discussions about adoption while Margaret took...

Mary and Tom, married for 40 years, come into my office with one question: “Should we stay married or get divorced?” Tom grew up on a Midwestern farm, rising early to milk the cows and feed the chickens. He was the...