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Why Your Patient’s Addiction Treatment Might Fail Without Mental Health Support
A Clinical Guide for Providers Navigating Co-Occurring Disorders Many behavioral health professionals face this challenge:You’ve built trust with a patient struggling with addiction. They’re engaged, showing some progress, yet something isn’t clicking. Emotional volatility, inconsistent follow-through, frequent relapse, or unresolved trauma keep pulling them back. You wonder: Is this a treatment plateau… or are we…
Strict Analysis In The Situation
Today, it feels like everything has changed—it’s either been closed, postponed, or canceled. Some states have officially shut down. You’re working from home, while watching your kids (and trying to teach them). You haven’t seen or hugged your loved ones in weeks.If you’re struggling with all of this, know you’re not alone. And know that…
Bruce Goldberg Is A Connector Who Built a Community of Care
Building Recovery, One Relationship at a Time Bruce Goldberg, LMSW, ACSW, CAADC, SAP, has been called many things: a clinician, a mentor, a leader, but in Southeast Michigan’s behavioral health world, he’s best known as “The Godfather of Mental Health.” For more than 30 years, Bruce has redefined what it means to lead with compassion,…
Navigating Behavioral Health Insurance
At River’s Bend, part of our job is helping you make sense of insurance so you can focus on getting better—not decoding benefits. We sat down with our co-owner, Bruce Goldberg, to talk about what coverage typically looks like for outpatient behavioral health, common hurdles, and how our team partners with insurers to keep your…
Gambling Disorder in the Era of Online Betting
Michigan trends, clinical presentation, and practical care pathways for providers Gambling-related harm is showing up more often in behavioral healthcare settings, sometimes clearly labeled, but more often disguised as anxiety, insomnia, depression, relationship rupture, financial crisis, or relapse risk. For Michigan providers, the clinical landscape has shifted quickly because gambling is no longer limited to…
Amy Fresch Is Leading With Empathy & Healing With Purpose
From Intern to Clinical Director At River’s Bend PC, healing isn’t just clinical, it’s deeply human. And few people embody that truth more than Amy Fresch, MA, LPC. As Clinical Director, Amy leads with a rare blend of therapeutic skill, personal wisdom, and unwavering compassion. Her journey from intern to clinical leader is more than…
