Logo Lepage Associates No White Space Lepage Associates

Solution-Based Psychological & Psychiatric Services



Three convenient locations in

S. Durham/RTP - Chapel Hill  - Raleigh

(919)572-0000      www.lepageassociates.com

Mental Health Matters NewsletterOctober 2015
Groups Currently Running and Accepting New Members:


Women's Therapy Group


Personalized Cooperative Parenting Seminar Series


Effective Co-Parenting Class


Health & Wellness Drop-In Support Group



* Convenient! You can schedule an appointment on-line from the Home Page



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Like us on Facebook and Follow us on Twitter or LinkedIn! We provide the latest health news, up-to-date resources available, and tips such as for stress management, parenting, relationships, etc.


Monthly Reader
Each month we will recommend a book someone at our practice has found useful.
This month's book:

The Co-Parenting Survival Guide: Letting Go of Conflict After a Difficult Divorce


Elizabeth Thayer, Ph.D.


Succinct in-depth information on diagnosis, evaluation, therapy, coaching, and medication.


We Want YOUR Feedback!

We want to make this newsletter as useful for you as possible. In order to do that, we need to hear from you! What do you want to learn more about? What is interesting to you, your own clients, friends, or family? Please share ideas with Leslie Beckman, our Development Coordinator.


Quick Links

(First time recipient? Click here for more info.)

Cooperative Parenting and Divorce:
Avoiding a Loyalty Bind


A loyalty bind in divorce is where the child does not feel allowed to love both parents. He has to side with one or the other about any number of issues, big and small. His anger, sadness, and anxiety increases as he feels pushed to choose and either choice results in the loss, or fear of loss, of the other parent. He can't win. Unfortunately, it's easy to create a loyalty bind. We do to it every time we criticize the other parent or sigh in exasperation about something they did. We do it when we play the role of victim and solicit our child's sympathy for ourselves against the other parent. Loyalty binds are created when we tell our child we miss them when they're with the other parent, or ask questions about their visit with the other parent, or not allow the child to take special items to the other parent's house. An emphasis on making things equal can also create a loyalty bind as the child feels forced to account for time, gifts, money, and affection he exchanges with each parent. More obvious examples of putting the child in the middle include using him as a courier for communication with the other parent, or refusing to attend one of his events if the other parent attends. Even attending the event but sitting far from the other parent forces the child to choose which parent to approach first afterwards. You can see how easy it is to create loyalty binds, and how keeping the child in focus is necessary to prevent them.
(Read on... )


We are excited to announce we have opened a 3rd office...

Lepage Associates -  Raleigh

at The Raleigh Building

on West Hargett Street!



American Psychological Association Top Clinical Efficacy Level
(Level 5: Efficacious & Specific)
Listed by the
American Academy of Pediatrics
as an evidence-based practice for
the treatment of AD/HD - ADD!

Local Articles Featuring Dr. Tina Lepage

A humorous insider look
at a child psychologist
raising a child.

READ monthly Article at 
laughing mom and daughter

A monthly child advice article.
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