By Peter White, M.A., LPCC, LICDC, Lindner Center of HOPE Outpatient Therapist

The problem during Bipolar Mood Disorders is a pattern of swings of the essential elements of mood between the two poles, like the North Pole and South Pole, of Mania and Depression. These swings are not moodiness, which are swings of mood throughout a day. A Bipolar swing is a distinct period of at least one week when the full spectrum of mood elements exhibits depressive and/or manic elements.

Although thought of as a subjective experience, mood deeply influences three areas. First is metabolism – sleep, appetite, libido and energy levels. Second, mood influences both motivation as well as the ability to experience pleasure and/or a sense of accomplishment. Thirdly, mood deeply influences interpretations within thoughts from positive to neutral to negative.

So, we can think of this first spectrum of mood disorder along an axis of depression to neutral to manic. Therefore, a depressed mood will depress metabolism. A person will have difficulty with sleep through either excessive or inadequate or disrupted sleep, loss of appetite or excessive eating despite disrupted appetite, loss of libido as well as loss of energy. Depression will hinder motivation making it difficult to experience the drive to initiate activities as well as hinder pleasure or the reward of activity. This is a very difficult cycle when it is hard to get active in the day compounded by not finding any pleasure or reward in the day’s activities. Lastly, depression will darken the flow of thoughts adding many themes of hopelessness, helplessness, worthlessness and guilt into our thought process.

Conversely, mania will elevate the same essentials. It will increase energy levels often in the face of declining sleep hours. It will increase libido, increase excessive and/or absence of appetite. It will increase motivation often leading to excessive engagement of plans or activities and will create a compounding loop of all activity feeling especially pleasurable or rewarding. Again, conversely is will paint thinking with elevated judgements of specialness, invulnerability, and inevitable positive outcomes.

The second spectrum of mood disorders, like most other behavioral health problems, is along the spectrum of severity – mild to moderate to severe. If you combine this spectrum of severity along with the first spectrum of depressive to manic, we see how varied and individualized any person’s experience with Bipolar Mood disorders can be.  Most people can relate to some degree of depression during periods of their life with perhaps a few weeks or month of low energy, noticing that they are not getting the same rewards in their regular activity as well as perhaps noticing they are thinking unusually negatively about themselves and their outlook on life. We might call this a mild, brief depressive episode. But the reality is that depression is one of the most disruptive and costly of all health conditions as recognized by the World Health Organization. This mean that depression is often moderate or severe to very severe and can disrupt functioning on every level for weeks to months if not years. A severe depression can make it difficult to get out or bed for days on end both from collapsed energy and motivation. It can destroy the pleasure and rewards of living so that all activity feels like a painful chore at best. Finally, it can turn thoughts dangerously dark with so much hopelessness, helplessness and worthless that suicidal thinking emerges nearly with a sense of relief.

Again conversely, though experienced less often by most people, Manic Episodes can present with mild, moderate, severe and very severe intensity. During a sever episode, a person with manic symptoms is often sleeping little but maintaining very high levels of energy. They are often talking very quickly and sometimes laughing excessively and outside the context of humorous things. Given the very high levels of motivation and the reinforcement of pleasure in all activities, they often initiate an excessive number of activities – starting multiple projects with little awareness of the ability to balance or complete them. They frequently initiate conversations or relationship in an open or disinhibited style very unusual for to their character. With elevated thought patterns, they might believe they have a unique or special purpose, and they are convinced that all their activities will be successful and rewarding. Give the excessive energy, motivation, pleasure and elevated sense of self and success, people in manic states will often engage in behavior patterns much riskier than typical – spending money well beyond their mean, unusually disinhibited sexual decision, reckless driving, shop lifting.

I hope it’s useful to review the way mood symptoms fluctuate along these two spectrums, because like all health care conditions, we are best off when we accurately identify what these behaviors are – symptoms. Mood symptoms are not moral challenges, personality traits or unconsciously desired behaviors. Mood symptoms are symptoms, and fortunately, there are many very effective treatments for all symptoms along both spectrums. Please know if you or a loved one or a client is experiencing any degree of Bipolar mood problems, there will be many ways to help and cope, and experience the satisfaction of effectively treating a behavioral health care condition.


Proceeds from the event will go towards Lindner Center of HOPE’s “Transforming HOPE” Capital Campaign

Lindner Center of HOPE hosted its signature fundraiser, Touchdown for HOPE on Sunday, February 11, 2024 in The Bally Sports Club at The Great American Ballpark. The event drew record sponsorship support and the largest attendance post pandemic. Sponsorships, donations, and ticket sales reached $225,000 and attendance was close to 240 people.

Employees, board members, and community supporters enjoyed the tailgate and watch party surrounded by big screen TVs, an unlimited Touchdown buffet, featuring Cincinnati food favorites, and other tasty treats.

Honorary Co-host John Jackson, a former American football offensive tackle in the National Football League and a Cincinnati Bengal from 2000 to 2001, welcomed the group just before kick-off, and thanked the sponsors and fans for supporting the Center. Dr. Paul Crosby also addressed attendees, sharing his appreciation of the Touchdown committee, Mary Alexander, Brock Anderson, Chrissey Barrett Haslam, Greg Harmeyer, Graham Mercurio, Gary Mitchell, Terry Ohnmeis, Jennifer Pierson, Ryan Rybolt, Carl Satterwhite, Joel Stone, John Winch and David Wyler.

Special thanks to 2024 Team Captains, Scott Robertson, John Ryan and David Tasner.

Proceeds from Touchdown for HOPE will be applied to Lindner Center of HOPE’s “Transforming HOPE” Capital Campaign, enabling the Center to add more treatment units, expand wellness facilities and add clinical staff.

A generous list of sponsors made this event possible. Sponsors included:  Bonbright Distributors, Amy and Gary Mitchell, Jeff Wyler Automotive Family, John Winch Family Foundation, American Financial Group, Inc., RCF Group, US Private Wealth Management – U.S. Bank, Ellen & Jon Zipperstein, Joseph Auto Group, The Kate and Ted Emmerich Family Foundation, Myriad Genetics, PNC, Ryan Generational Capital Advisors, Sydney Warm and David Tasner, Tier 1 Performance Solutions, Chrissey Barrett Haslam, Cintech Construction, Millbridge Metals, Warm Construction, and Wagner & Bloch, LLC.

John Jackson, honorary co-host and former Cincinnati Bengal, welcomed the crowd at Touchdown for HOPE.
Touchdown for HOPE 2024 committee members: (l-r) Carl Satterwhite, Suzy Killin, Mary Alexander, Dr. Paul Crosby, John Ryan, Terry Ohnmeis, Scott Robertson, David Tasner and Graham Mercurio.
Tier 1 Performance attendees.
(l-r) Dr. Paul Crosby, Craig Lindner and Dr. Paul Keck
Dawn and Carl Satterwhite enjoying having a 360 degree photo taken.
Almost 240 attendees enjoyed the Touchdown for HOPE watch party.

Lindner Center of HOPE in Mason is a comprehensive mental health center providing excellent, patient-centered, scientifically-advanced care for individuals suffering with mental illness. A state-of-the-science, mental health center and charter member of the National Network of Depression Centers, the Center provides psychiatric hospitalization and partial hospitalization for individuals age 12-years-old and older, outpatient services for all ages, diagnostic and short-term residential services for adults, and research. The Center is enhanced by its partnership with UC Health as its clinicians are ranked among the best providers locally, nationally and internationally. Together Lindner Center of HOPE and UC Health offer a true system of mental health care in the Greater Cincinnati area and across the country. The Center is also affiliated with the University of Cincinnati (UC) College of Medicine.

WHEN: Monday, March 11, 2024
9am-11am and 3pm-5pm (Bring your resume)

WHERE: Lindner Center of HOPE –gymnasium
4075 Old Western Row Road
Mason, OH 45040

We are currently hiring various positions. Check our website for openings:

Visit our website to view more information on these positions: contact HR at HR@LindnerCenter.Org

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Feb 21, 2024  6P – 7:30P EST  Manor House – Mason or virtual

Megan Schrantz, EdD, LPCC, Therapist

Coping with Posttraumatic Stress:  Journey Toward Hope and Healing

Participants will:

  • Learn what posttraumatic stress is and how it can impact one’s mental health and overall functioning.
  • Learn therapeutic tasks for healing trauma.
  • Learn healthy strategies to manage symptoms and to move forward.

click here for registration










Sidney Hays, MSW, LISW, DARTT, Outpatient Therapist, Lindner Center of HOPE

“Trauma” has been a buzzword in recent years. Accompanying it has been discourse around what counts as trauma. From the extreme of exaggerating minor inconveniences as trauma to the opposite end of the spectrum which attempts to gatekeep this term, reserving it for life threatening events only.

These extremes create confusion around not only the definition of the term and related concepts, but unnecessarily polarizes an already sensitive topic. As people debate the validity of traumas, it often reinforces the harmful self-judgements adopted by those who have experienced trauma. This reinforcement is often what keeps people stuck in self-blame and blocks actual healing.

It is common for those who have experienced trauma to blame themselves. This occurs for many reasons. One of the most obvious reasons lies in cultural messaging related to victim blaming, exaggerated self-reliance, and toxic positivity. The messaging of victim blaming often sounds like: What were you wearing? Were you drunk? Why didn’t you leave? Why didn’t you fight back? Why were you there in the first place? Are you really going to talk about your mom like that? Rather than holding those who caused the damage accountable, the responsibility gets shifted to the person who experienced it. This causes significant shame, often keeping people stuck in trauma responses and unhelpful patterns.

The worlds of toxic positivity and “just do it” often dismiss the significance of trauma, which impedes the ability to process and heal from trauma. It can sound something like: But you have so much to be grateful for. Your parents weren’t that bad. Other people have it much worse. Just count your blessings. Just decide to change and make it happen. You just need to (insert unhelpful platitude here). These responses encourage us to ignore the impacts of our trauma, which leads to trauma being stored in the body.

Another explanation of the self-blame that often accompanies trauma is that it gives the person who experienced it a false sense of control. If it was my fault, that means I should have just done better. If it was my fault, I can control the situation. If it was my fault, I can make sure it never happens again. Our brains are often much more comfortable with the notion that we messed up than the reality that other people and many events are outside our control.

Like with most debates and continuums, the surrounding discourse usually harms those who live a life of less privilege. Expanding our understanding of trauma and its impacts creates space for healing and growth.

The problem with many definitions of trauma lies in the focus of the definition. Most center around the event that occurred. However, this focus is incorrect and shortsighted. The most important factor in defining trauma is actually related to how a person experiences a moment, event, or series of events. Because of this, what is experienced as trauma will vary between person to person and moment to moment, which impacts how the body physiologically responds to a perceived threat.

Dr. Peter Levine, the developer of Somatic Experiencing, states that “trauma lives in the body, not the event.” When our nervous system perceives something as a threat, it reacts in kind, regardless of whether or not there is an objective threat. Most of us have heard of the fight (yelling, hitting, approaching), flight (running away from, avoiding), and freeze (immobilization, dissociation, disconnection) responses to a threat without fully understanding how these reactions come to be… These are states of our autonomic nervous system, which controls the automatic functions of the body (blood pressure, heart rate, breathing, digestion, hormones, immune response). This means that these reactions are unconscious, automatic, and the result of our nervous system attempting to protect us from a perceived threat.

When our brains perceive something as a threat, our nervous system does not always choose the most effective response. Our responses are informed by a lifetime’s cycles of threat and response. Because of this, the response of our autonomic nervous system is often the one we’ve used most in the past, or the response we wish we could have used then but didn’t have access or ability to use. This can explain many confusing patterns in our lives, such as a person who experienced emotional neglect as a child might struggle to share their emotions and needs even with a partner in a safe, healthy relationship down the line. These patterns require intentional work to mend to get our nervous system on board with responding in ways that may be more effective, or better in line with our values. In order to do this, we need adequate resources to increase our capacity to tolerate threats and distress.

Many factors impact our ability to cope with perceived threats such as: resources, support, physical health, and the level to which our needs are met. When these factors are well resourced, we have increased capacity to tolerate threat and distress. However, the inverse is also true. When lacking in any of these areas, our capacity drops.

Linda Thai brilliantly defines trauma as, “too sudden, too little, or too much of something for too long or not long enough without adequate time, space, permission, protection, or resources.” This inclusive definition accounts for the many nuances of the human experience, including generational trauma, and trauma resulting from racism, sexism, homophobia, fat phobia, colonization, and other various systems of oppression. Mindfulness of these nuances creates space for the full spectrum of human suffering to be seen, processed, and healed.

When we create this kind of space, increase access to resources, validate, and protect one another, we can be agents of healing in a world severely lacking at.

“If you want to improve the world, start by making people feel safer.”

-Dr. Stephen Porges

Team Members discuss final event plans for their Big Watch Party, “Touchdown for HOPE,” – Lindner Center of HOPE’s signature fundraising event, hosted each year at the Great American Ballpark.

Pictured L-R: Terry Ohnmeis, David Tasner, Mary Alexander, Carl Satterwhite, John Winch, Gary Mitchell, Brock Anderson, John Ryan, Graham Mercurio Not pictured: Chrissey Barrett Haslam, Greg Harmeyer, Jennifer Pierson, Scott Robertson, Ryan Rybolt, Joel Stone, and David Wyler

Lindner Center of HOPE congratulates Tracy Suzanne Cummings, MD, as a 2023 Cincy Best Doc in the Child & Adolescent Psychiatry category.

This is the premier medical award for all practitioners in the Greater Cincinnati region. Nominations were open to the community and allowed for nominations across many different categories, and the best in each category were chosen. Being named as a Cincy Best Docs physician is an exceptional honor.

Heather Melena, APRN, PMHNP-BC,

Psychiatric Nurse Practitioner, Lindner Center of HOPE






Living with a chronic illness can be difficult to manage not only physically but also emotionally and mentally as well. The challenges that can come with chronic illness include learning to cope with the symptoms of that diagnosis, figuring out ways to alleviate your symptoms, doctor’s appointments and strain to financial responsibilities and interpersonal relationships. On top of trying to figure out new ways to handle everything that comes with chronic illness, the emotional and mental strain can feel overwhelming and paralyzing.  Psychological distress has been shown to increase with chronic disease and its accompanying treatment protocols as well as the many other areas affected in one’s life. It has also been well documented that continued stress and/or distress can lead to poor health outcomes and mental illness (Sheth et al, 2023). Thus, finding ways to find acceptance, cope with the feelings of powerlessness, and learning to live within the limitations caused by one’s chronic illness is imperative to finding relief from the mental and emotional turmoil brought on by physiological changes of illness.

Seeking help from a mental health provider (with or without the use of medications), engaging in individual and group therapy, attending support groups are all ways to tackle the mental and emotional aspects of chronic illness. Studies have shown that engaging in acceptance and commitment therapy as well as learning mindfulness techniques can reduce pain intensity, depression, and anxiety with increased self-management and physical wellbeing for those living with chronic health conditions (Wallace-Boyd et al, 2023). Learning strategies such as active coping skills, planning, positive reframing, and emotional support will all be of value to learning to live with the changes experienced by persistent illness. In practice, discussion is had about learning how to live within these new limitations, being patient and kind to oneself, setting realistic expectations, and acknowledging that the way you feel physically may change from day to day- which can be extremely beneficial for someone experiencing chronic illness. Powerlessness is a tough emotional and mental barrier when struggling day to day, where much uncertainty feels uncomfortable. By practicing acceptance and self-love, we can learn to live in the present and move away from dwelling on what our bodies were once capable of or fearing what the future may hold.

The American Psychological Association (2023) defines self-efficacy as an individual’s belief in his or her capacity to engage in behaviors to achieve personal goals. This is reflected in the confidence one has to exert control over their own motivation, behavior, and social environment. Studies have shown that greater self-efficacy can increase one’s control (or belief of) over health outcomes (Sheth et al, 2023).  By learning more positive coping mechanisms and increasing self-efficacy, one can gain confidence in their ability to self-manage their illness and improve their quality of life.

While it may be a difficult task, especially for those that struggle with chronic health problems, engaging in physical activity three to five days a week can be extremely beneficial. There has been endless research on the benefits of physical activity including higher quality of life, lower mortality, reduction of pain, and improved mental health. It has been shown that physical activity can positively impact the overall relationship between inflammation and mental health symptoms, thus reducing inflammation will likely improve depression and anxiety symptoms (Sheth et al, 2023). Physical activity can also improve energy, mental clarity, cognitive ability, and reduce stress and anxiety. It has been shown to improve mood, sleep, and circulation (Sheth et al, 2023).. With that being said, be patient with yourself and listen to your body- if physical activity isn’t what your body needs- rest or try low-intensity activities such as yoga or swimming.

Self-care is something we hear about all the time now- but what does that look like in practice? Self-care is the action or behaviors we incorporate into our daily lives that help not only our physical health but overall mental wellness. Incorporating self-care into our daily lives will not only improve our mood, reduce the toll stress can have on our bodies (ie inflammation, fatigue, sadness), but improve our outlook on the constantly changing physical symptoms of chronic illness. Self-care should be personalized to your needs. In practice we often discuss what someone’s “life worth living” looks like and how to achieve this. Incorporating daily self-care is a step towards learning to live within the new limitation set by illness and reframing our thought processes to think more positively which will enable us to continue moving forward despite our body’s shortcomings. Self-care includes:

  • Seeking out professional help: Whether a therapist, mental health provider, nutritionist, personal trainer- all of which can help you navigate treating the many facets of chronic illness, including depression, anxiety, and stress.
  • Finding support: Joining a group of people or talking with others who suffer with similar conditions can be cathartic, oftentimes lowering distress levels, and offering ways to coping with the diagnosis.
  • Stress Reduction: Identifying sources of stress, finding ways to cut stress out of your life, and ways to better manage stress.
  • Physical activity
  • Eating well:  looking for ways to add foods to your diet that will be beneficial in reducing inflammation, improving immune function, and overall wellbeing. Learning moderation in the foods we eat rather than trying “crash” diets. When we eat foods aimed at healing our bodies, we find that our mood and mental health can improve.
  • Sleep: Adequate and restorative sleep is so important for everyone. Our bodies are in a reparative phase while sleeping- which is needed to heal! Try incorporating good sleep hygiene practices including going to bed around the same time each night, avoiding screens prior to sleep, meditation before bed.
  • Hobbies: Find things that make you feel fulfilled, and make you feel joy/bring joy to your life- whether they are the same hobbies or activities prior to your diagnosis- it is important to do things that make you feel good!

(Mended Hearts, 2023)


American Psychological Association (2023). Teaching tip sheet: Self-efficacy.

Ciotti, S. (2023). “I Get It, I’m Sick Too”: An Autoethnographic Study of One Researcher/Practitioner/Patient With Chronic Illness. Qualitative Health Research33(14), 1305–1321.

MedlinePlus (2022). Living with a chronic illness- dealing with feelings. National Library of Medicine.

MendedHearts(2023). Chronic illness and mental health blog.

Sheth, M. S., Castle, D. J., Wang, W., Lee, A., Jenkins, Z. M., & Hawke, L. D. (2023). Changes to coping and its relationship to improved wellbeing in the optimal health program for chronic disease. SSM Mental Health3.

Wallace-Boyd, K., Boggiss, A. L., Ellett, S., Booth, R., Slykerman, R., & Serlachius, A. S. (2023). ACT2COPE: A pilot randomised trial of a brief online acceptance and commitment therapy intervention for people living with chronic health conditions during the COVID-19 pandemic. Cogent Psychology10(1).

The Harold C. Schott Foundation Eating Disorders Program at Lindner Center of HOPE to Host Free Webinar in Honor of National Eating Disorders Awareness Week National Eating Disorders Awareness Week is February 28, 2024 – March 5, 2024

Compassion for Ourselves: Addressing weight stigma and body shame during the journey to recovery.

Recovering from eating disorders often requires many different parts including therapy, work with a dietitian, groups, and a recovery community. A piece that often does not get addressed is the experience and trauma of weight stigma and shame around body size and weight. This talk will look at the history and internalization of both, the role they play for those with eating disorders and the necessary self-compassion and care required for recovery.

Guest presenter, Chevese Turner’s dedication to health equity began early in her career when she was part of a team working to ensure cancer patients had ongoing access to critical treatments. Driven by her own struggles and recovery, she founded the Binge Eating Disorder Association (BEDA) in 2008 to address the unmet needs of people with the most prevalent eating disorder and was integral to Binge Eating Disorder (BED) receiving its designation in the Diagnostic & Statistics Manual.
Currently, Chevese is an eating disorder and anti-weight discrimination advocate, educator and speaker, and the founder of the Body Equity Alliance in which she assists organizations and brands creating inclusive campaigns, policies and environments that feature and accommodate higher weight people. She is also a lived experience coach and a co-founder of Attune, an educational and coaching organization serving larger bodied individuals, with and without eating disorders, who want to put an end to diet dependency and weight cycling, and are seeking help navigating the healthcare system which is often biased and discriminatory toward larger bodied individuals.



This event will be run virtually through Zoom (details sent with RSVP email confirmation).

Thursday, February 29, 2024
at 6:00PM EST.

Presented by the Harold C. Schott Eating Disorders Program.

by Friday, February 22, 2024

Any questions, contact Pricila Gran at 513-536-0318 or

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A Four-Part Series To Discuss Strategies to Stabilize and Improve Lingering Challenges of Chronic/Sub-Acute Mental Illness and Substance Use

Brought to you by Williams House at Lindner Center of HOPE.
Join Lindner Center of HOPE residential team members as they offer four 1-hour presentations for a free CEU for each presentation attended.
Four consecutive Tuesdays at Noon ET.
Virtual Webcast Event

Target Audience:
Healthcare and Mental Health Professionals


January 30, 2024
The Clinical Benefits of an Extended Stabilization Evaluation

Post presentation the audience will be able to:
1. Outline the clinical benefits of an extended stabilization evaluation in residential treatment.
2. Identify patients who will benefit from an extended stabilization evaluation in residential care.
3. Identify the elements of an extended stabilization evaluation.

Presenters: Michael Groat, PhD, Chief Clinical Officer and Dr. William Hartmann, MD, FAPA, Medical Director of Williams House
Click here to register  (RSVP by Friday, Jan. 26th, 2024)

February 6, 2024
Concurrent Treatment of Schizophrenia and Mood Disorders

Post presentation the audience will be able to:
1. Describe symptom profile, evaluation and assessment processes, and basis of how people admit to Lindner Center of HOPE’s Williams House.
2. Describe Williams House services and how to identify treatment goals and tailor your approach to each individual.
3. Describe course of care, next steps, and discharge planning.

Presenters: Megan Morrison, CNP, PMHNP-BC , Psychiatric Nurse Practitioner,, and Shelby Naghshineh, Residential Behavioral Health Care Coordinator
Click here to register  (RSVP by Friday, Feb. 2nd, 2024)

February 13, 2024

Schizo-Obsessive Disorder: Differential Diagnosis and Identifying Treatment Targets

Post presentation the audience will be able to:

1. Describe what stabilization and evaluation look like for an individual with obsessive-compulsive symptoms and concerns for psychosis.
2.Describe the evaluation process and diagnostic questions that are answered for these patients.
3.Describe the evaluation process, conceptualization, and treatment recommendations for a patient who presents with this disorder.

Presenters: Lindsey Collins Conover, PhD, Staff Psychologist, and Margot Brandi, MD, Medical Director of Sibcy House
Click here to register (RSVP by Friday, Feb. 9th, 2024)

February 20, 2024

Making the ‘Case’ for Stabilizing Evaluation and Restorative Treatment: Three Case Studies

Post presentation the audience will be able to:
1. Differentiate between inpatient care and stabilizing evaluation.
2. Recognize the benefits of integrated and interdisciplinary treatment with a seamless transition into further mental health services.
3. Identify a variety of specialized treatments offered within stabilizing evaluation.

Presenters: Michael Hill, Residential Behavioral Health Care Coordinator and Adan Liendo, LPCC-S, Residential Counselor
Click here to register  (RSVP by Friday, Feb. 16th, 2024)


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing
Medical Education (ACCME) through the joint providership of the University of Cincinnati and the Lindner Center of HOPE. The University of Cincinnati is accredited by the ACCME to provide continuing medical education for physicians.

The University of Cincinnati designates this live activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credits commensurate with the extent of their participation in the activity. Each activity has been approved for 1.0 AMA PRA Category 1 Credit™.

The Ohio Psychological Association under approval number P099-311067501 (2010-2012) approves the University of Cincinnati College of Medicine
Department of Psychiatry for 4 mandatory continuing education credits for Ohio Licensed Psychologists.

The opinions expressed during the educational activity are those of the faculty and do not necessarily represent the views of the University of Cincinnati. The information is presented for the purpose of advancing the attendees’ professional development.

For questions Contact: Pricila Gran at 513-536-0318 or

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