PSYCHOLOGICAL SERVICES

INDIVIDUAL Counseling: Client symptoms are based on internal conflicts, relationship difficulties, or other situational challenges.

• Men & Women
  Men and women can reach a point when they need to sort out many complex issues and work through difficult circumstances that may have resulted in depression, anxiety, frustration, anger, confusion, addictions, and other conditions.
   
• Adolescents/Teenagers
  An adolescent/teenager striving for autonomy may show signs of acting out, doing poorly in school, and/or experiencing conflict within the family. Some teenagers may have used poor judgment, broken a law, or may be facing other serious consequences for their behavior. Counseling provides young people with professional support, insight, and direction as they change their thinking and behavior.
   
• Children
  Children may be struggling with poor self-esteem, trying to overcome a chronic bullying problem, learning to manage anger, doing poorly in school, and acting out with inappropriate behavior. Children need a safe place to learn effective coping strategies and gain confidence in their ability to manage their lives successfully.
   
• Resources About Life
  
• Resources for Men
  
• Resources for Women
  
• Resources for Children and Teenagers

COUPLES Counseling: Couples may experience difficulty in a variety of critical areas such as:

• Communication problems may be shutting down dialogue and creating loneliness that may lead to unhealthy relationships outside the marriage.
   
• Sexual problems open the door to anger and frustration.
   
• Emotional affairs create a lack of trust and instability between a husband and wife.
   
• Addictions such as alcohol, drugs, food, pornography, gambling, excessive shopping, and others can create serious relationship issues.
   
• Lack of responsibility leads to financial problems and inability for the family unit to work properly.
   
• Financial problems put the overall well-being of the family at risk.

Individuals usually bring unresolved family-of-origin issues to a marriage or a relationship. Conflict resolution empowers a person to become more emotionally healthy, so he or she is able to experience a more satisfying relationship.

Resources for couples

FAMILY Counseling: Relationship difficulties between and among family members may be affecting quality of family life. Family issues include, but are not limited to:

• Conflict between siblings
• Rebellion and defiance toward parental authority
• Sickness or extended illness of family member
• Divorce
• Care of elderly parents
• Adoption
• Blended families
• Communication
• Grown children moving to parents’ home
• Grandparents as primary caretakers of grandchildren
• Financial responsibility

Resources for Parenting

Resources for Blended Families

GROUP Counseling: Small groups afford an opportunity to work on topical issues with school staff, business associates, church groups, or with others who have common interests.

OTHER SERVICES

RECLAIMING YOUR HEALTH, Lifestyle Counseling

Tired of extra pounds and larger sizes?
Sick of feeling defeated and helpless?
Have you been in a cycle of weight loss followed by weight regain?
ARE YOU READY to be guided towards taking control of your health?

Reclaiming Your Health is a multidisciplinary approach to helping you take control of your health and create a plan for a healthy future across the lifespan. People who are overweight and have been diagnosed with high blood pressure, high cholesterol and other weight-related diagnoses may desire to seek LifeStyle counseling in conjunction with working with a family physician. The focus of LifeStyle counseling is establishing a healthy lifestyle that will improve overall health and well-being. Getting physically healthy and losing weight are the goals.

• Start with a thorough physical exam and evaluation with your family physician. Any medical obstacles to weight loss will be identified and addressed.
• Five LifeStyle counseling sessions with Dr. Brenda Rambo.
• If needed, sessions will be scheduled with a registered dietician and/or personal trainer.
• End with a second follow-up visit with your family physician.
• The initial phase of this program lasts three months. This first phase is a combination of one initial assessment session (45 minutes) and four bimonthly sessions (30 minutes each).
• You can continue your individualized plan beyond the initial phase of 5 sessions for as long as needed to reach your goal.

Healthy Benefits Classes

Healthy Benefits Cooking Classes are offered to clients who participate in LifeStyle Coaching or to clients who are interested in learning how to eat healthy. The classes include:

• Simple basic recipes prepared and enjoyed by participants.
• Handouts with information on healthy nutrition distributed.
• Soup and salad basics demonstrated.
• Secrets to losing weight discussed
• Healthy food choices suggested.

These classes are informative, enjoyable, and provide great fellowship to folks with an interest in improving their health.

Recourses for Healthy Living

Career Transition

Economic conditions in this country have forced thousands to regroup and rethink their way of making a living. Many people are going through career transition due to promotion or demotion, downsizing, burnout, boredom, or relocation. Due to job scarcity, some are being forced to options they’d never before considered,, creating new business ventures and launching into new career possibilities.

Professional input and direction is vital during a career transition. Sometimes new ventures do not go as intended, and a course correction must be made before it’s too late. But how do you know? Career counseling/coaching can help you make sense of this challenging process, guiding you to the right path and giving you encouragement and direction as you pursue your new career journey.

CAREER Counseling

Sorting out a new career path for your life is an exciting adventure, and career counseling offers you an opportunity for self-reflection and career exploration. Individual characteristics measured by tests and inventories are one facet considered in the career-making process. Assessment results should be combined with interests and abilities when making career decisions. Educational choices often coincide with career decisions. Talk to us about how we can help you make plans to move forward in your career.

RESOURCES FOR CAREER BUILDING

• Emotional Intelligence at Work—Daniel Goleman
• Creative Work—Willis Harman & John Hormann
• Anointed for Business—Ed Silvoso
  

CAREER Assessment Center

1. High school students toward the end of tenth or eleventh grade are seeking career direction and paths.
2. College students need direction and help in identifying what career best utilizes their strengths, talents and abilities and personality traits.
3. Adults considering a mid-career change benefit from career assessment.
4. Personnel decisions in regard to applicant screening and hiring or transfers within a company can benefit from using career assessment tools.
   

Tests Administered:

CISS—Campbell Interest and Skill Survey

“The Campbell Interest and Skill Survey (CISS) is a survey of self-reported interests and skills. Its major purpose is to help individuals understand how their interests and skills map into the occupational world, thereby helping them make better career choices.” Page 1

“The CISS is a collection of surveys focusing on the psychological aspects of the work environment. On the interest scales, the individual’s scores indicate strength of attraction for each occupational area; on the skill scales, the individual’s scores provide an estimate of self-confidence in performing well in the specified area.”

The Orientation Scales:

The seven Orientation scales are:

• Influencing—influencing others through leadership, politics, public speaking, and marketing
• Organizing—organizing the Influencing—influencing others through leadership, politics, public speaking, and marketing
• Organizing—organizing the work of others, managing, and monitoring financial performance
• Helping—helping others through teaching, healing and counseling
• Creating—creating artistic, literacy, or musical productions and designing products or environments
• analyzing –analyzing data, using mathematics, and carrying out scientific experiments
• Producing—producing products, using “hands-on” skills in farming, construction, and mechanical crafts
• Adventuring—adventuring, competing, and risk taking through athletic, police, and military activities

The Basic Interest and Skill Scales:

The Basic Scales, each of which has parallel interest and skill scales, provide more detailed information on the individual’s interests and skills.

The Occupational Scales:

High skill scores suggest self-confidence, indicating that the individual would probably be able to perform confidently in that occupational environment.

The Special Scales:

• Academic Focus
• Extraversion
• Variety

Coaching

Coaching sessions provide positive growth ideas that help you reach your goals and tap into your talents and abilities.

Effective coaching begins with specific goals structured as follows:

• Goals must have end result statements about what you hope to accomplish.
• Goals should be measurable.
• Valid goals are something you want that you are capable of achieving.
• Effective goals are something you are passionate about.

You learn through self-discovery. A coach encourages self-reflection and asks relevant, probing questions that stimulate self-discovery. Additionally, the coach helps you become the best you can be by holding high expectations and providing accountability.

Coaching can help you accomplish:

• Higher productivity/performance
• Increase accountability and expectations
• Manage more effectively
• Improve leadership skills

Resources for Coaching

PSYCHOLOGICAL Testing

The Myers-Briggs Personality Inventory is a valuable resource for people who have an ongoing relationship (couples, working associates, family members, etc.). The results of this personality inventory will yield a profile of your perception of life and how you reach conclusions, among other things.

“Perception involves all the ways of becoming aware of things, people, happenings, or ideas. Judgment involves all the ways of coming to conclusions about what has been perceived. If people differ systematically in what they perceive and in how they reach conclusions then it is only reasonable for them to differ correspondingly in their interest, reactions, values, motivations, and skills.”
(MBTI Manual, 3rd Edition, 2003, page 32)

Being able to clearly identify differences and similarities can help resolve conflict associated with differences in personality. Taking the Myers-Briggs can be a great tool in helping couples understand their individual outlook and therefore work toward a more satisfying relationship. It is also beneficial for business associates or family members to learn about personality similarities and differences, which will promote more satisfying and productive relationships.

There are times when psychological testing is useful in determining a diagnosis, treatment planning, and screening for or providing other clinical information. In such situations, Dr. Rambo may suggest various psychological tests.

TRAINER/FACILITATOR

Dr. Rambo trains and facilitates learning in small and large group settings in a spontaneous, fun learning environment. She teaches in the following formats:
Weekend Seminars: Dr. Rambo is available to teach/train on weekends for as many hours as needed to cover the topic. Condensed focus training allows for significant content to be taught without distraction.
Weekend Retreats: Get-away weekend retreats offer an opportunity to pull away from life responsibilities and reflect in a restful setting and renewed perspective and planning for new opportunities and possibilities offer people a time for reflection growth.

Corporate/Business/Law Enforcement Training: Dr. Rambo offers corporations, businesses, and law enforcement agencies specialized training in areas of interest.

LAW ENFORCEMENT SERVICES

LAW ENFORCEMENT/FIRST RESPONDER EVALUATIONS
TESTING CENTER

The Law Enforcement/First Responder Testing Center offers computerized psychological testing of applicants. A pre-employment psychological evaluation takes approximately two hours to complete and offers prompt processing of results. Dr. Rambo receives the results from the data quickly and is able to make a determination as to whether the applicant has passed the requirements for Post Certification.

Because test results are reviewed while the applicant is still in the office, if an applicant has difficulty with a particular testing instrument, additional testing can be done immediately. Additional clinical information is gathered if needed through the reviewing of results.

We work with approximately twenty-seven police, sheriff, and fire departments in the Middle Tennessee area. Our office accessibility, quick turnaround of results, and personable staff have helped us establish good professional relationships with the first responder community.

LAW ENFORCEMENT/FIRST RESPONDER PSYCHOLOGICAL EVALUATIONS

Psychological testing is one component in the process of selecting entry-level first responders (law enforcement officers and firefighters). Because these are high-risk, high-stress positions, state and federal governments use psychological evaluations to help support employment selection decisions and fitness-for-duty evaluations, which can help provide insight into the likely attitudes and behaviors of job candidates. These evaluations also assess the emotional stability and mental health of applicants, determining whether they have risk-prone personality traits, or possible psychopathology. Basic entry-level psychological suitability standards provide a framework for identifying psychological factors that affect job performance or those that could interfere with successful performance.

Diagnostic and screening decisions should never be based exclusively on the results of one test, but based rather on multiple sources of information, which may include but is not limited to: (a) various applicant self-report instruments; (b) the results of the clinical interview; and (c) the results of the cognitive ability test.

The benefits to the department of psychological testing for first responders are:

• Best applicants are chosen based on multiple sources of information
• Increased accuracy of selection
• Reduction of cost for employee turnover

SPECIAL OPERATION RESPONSE TEAM (SORT/SWAT) ASSESSMENT

Special Operation Response Teams are made up of highly trained, skilled members who are called upon during times of serious threat or crisis. It is a local, state, and federal priority to set up effective safety and security programs to help maximize deterrence to crime and terrorism; only the very best SORT/SWAT candidates—from among their experienced officers—are chosen for high-risk assignments. Due to the high level of stress they face in their daily jobs, it is imperative these members be psychologically evaluated.

Numerous law enforcement professionals (police departments, sheriff’s offices, and fire departments) in Middle Tennessee have identified qualities or characteristics of a good SORT/SWAT member. These include:

 Intelligence   Common sense   Sense of humor  
   Team player   Ability to work under extreme stress  
   Self-disciplined   Self-motivated   
   Dependable   Responsible   Courageous   Trustworthy   
   Positive attitude   Competent   Self-confident   Integrity  
   Honest   Drive and determination    Professionalism  
   Perseverance   Goal-oriented   Physically fit   
   Emotionally stable   Good decision maker

The use of psychological evaluations is most frequently found in the selection of SORT/SWAT tactical team members and crisis/hostage negotiators. This not only adds perceived validity to the selection process, it increases the accuracy of the selections. The evaluation is used to assess finalists, or a pool of qualified finalists, for special assignment, selecting candidates with the best fit for the position and screening out the less fit. Ultimately the psychological evaluation assures the best team members are chosen, and thus reduces the agency’s exposure to liability.

INSURANCE:

• AETNA
• BLUE CROSS/BLUE SHIELD
• CIGNA
• MAGELLAN Health Services
• HORIZON
• HUMANA
• LIFESYNC
• PRINCIPAL FINANCIAL GROUP

Or coverage is available if the PRIMARY SUBSCRIBER of the insurance policy is an employee of:

• AT&T
• STATE OF TENNESSEE
• BELL SOUTH
• NISSAN
• OPRYLAND

In order for Rambo & Associates to file your insurance claim our office must have a copy of your insurance card (front and back), a copy of your driver's license, and a signature on the Insurance Benefit & Authorization form.

PLEASE NOTE:

Any out-of-network claims will not be filed by our office, and we do not file secondary insurance. Upon request, Superbill receipts are available for you to submit to any out-of-network or secondary insurance.