Our Diagnostic, Assessment and Therapeutic Approach

Our assessments have two components

The Cognitive Behavioral Component

  • Identifies the conscious cognitive aspect of problems such as:
    • Underachievement
    • Self destructive behavior
    • Procrastination
    • Perfectionism.
  • Misperceptions and negative thinking associated with these problems are reality tested. Distortions in thinking are systematically corrected.
  • Specific actions and behaviors are established to address the problems.
  • The emotional component is assumed to be only a reaction to the problem-never a primary cause.

The Psychodynamic Component

  • Identifying the context in which the problem arose: a careful personal history establishes a past and current context.
    • This dimension has been virtually eliminated by psycho educational and neuropsychological assessments.
    • Consequently these types of assessments are done outside the context of a person’s life and consider emotional factors as always secondary.
  • Contextual factors themselves do not cause symptoms or problems but emotional reactions to them may.
  • Contextual factors include:
    • Life circumstances
    • Early educational experiences
    • Trauma
    • Family dynamics
    • Peer relationships.
  • Emotional reactions to these and other contextual factors often persist in the form of unresolved emotional conflicts such as:
    • The “inner experience” of having a superior endowment.
    • The way family, peers and teachers have reacted to giftedness.
  • These can often be summarized as a central dynamic conflict.
  • A psychodynamic formulation has three functions:
    • It describes how the central emotional conflict became detracted from its original context ( i.e.giftedness and it’s development) and was then displaced and expressed as dysfunctional behavior, a cognitive dysfunction or a physical problem.
    • It is a method for distinguishing between:
            Emotional reactions to a problem
            Emotional causes or the problem
    • The formulation focuses the therapeutic process toward resolution of the central conflict about giftedness and a restoration of full gifted potential.

Contact Us

Jerald Grobman M.D.


Madelon Sann L.C.S.W.​