Full Course Description


Changing the ADHD Brain: Moving Beyond Medication

Many persons diagnosed with ADHD prefer not to take medication. There are various reasons for this including side effects and concerns with long-term use. In this seminar, you will learn more about these reasons, as well as alternative interventions for ADHD.

Looking at ADHD from a developmental perspective, we will consider reasons for the apparent increase in ADHD diagnoses over the past two decades. By understanding the way the brain works in ADHD, you will be able to better identify a variety of strategies to significantly impact the nervous system and positively influence symptoms of ADHD in your clients.

Not only will you walk away with information about some of the most common non-medication interventions for ADHD such as computerized cognitive training, mindfulness meditation and neurofeedback, you will also learn a variety of practical strategies that can be implemented immediately and at low cost.

We will navigate the vast research on exercise, movement, diet, sleep, disruptive technologies, supplements and the impact of the environment on ADHD, summarizing the findings and applying the information to “real life.” You will leave this seminar with the tools and knowledge to develop a holistic approach to working with adults and children with ADHD.

Program Information

Objectives

  1. Evaluate the relationship between the frontal lobe of the brain and ADHD symptomology for the purpose of client psychoeducation.
  2. Determine the impact of movement and exercise on the reduction of ADHD symptoms as it relates to assessment and treatment planning.
  3. Employ treatment interventions for improving impulse control and working memory in clients.
  4. Analyze the influence of diet and nutrition on ADHD symptoms in relation to assessment and treatment planning.
  5. Develop clinical strategies to calm the nervous system of clients diagnosed with ADHD.
  6. Assess the clinical implications of environmental influences on ADHD symptoms in clients.

Outline

Why Not Medication?

  • Useful as a short-term tool
  • Concerns with long-term use: Effects on the brain
ADHD and the “Immature” Brain
  • Brain imaging evidence of ADHD
  • Research regarding ADHD brain development
  • Frontal lobes mature more slowly in the ADHD brain
  • Excess theta brainwaves
  • Implications for treatment
Movement-Based Strategies
  • Wake up an underaroused ADHD brain
  • Hyperactivity as an adaptive mechanism
  • The impact of play and exercise on the brain
  • Role of rhythm and timing training
  • Integrated movement systems for ADHD
Frontal Lobe/Working Memory Strategic Tools
  • Use it or lose it: Increase memory, attention and focus
  • Games for impulse control and working memory
  • Computerized cognitive training programs
  • Meditation and mindfulness for ADHD
  • Neurofeedback
Diet and Nutrition
  • The impact of sugars, fats, proteins and water
  • Diet and dopamine
  • Omega 3-6-9: What you need to know for brain health
  • Multivitamins/minerals: Do they make a difference?
  • Gluten, food additives and pesticides
ADHD and Nervous System Overstimulation
  • ”Overaroused” subtype of ADHD
  • Stress, anxiety and ADHD: the connection
  • Breathwork and movement for nervous system calming
  • Heart rate variability biofeedback
  • Art therapy techniques to quiet and focus the brain
Environmental Influences
  • Video games and Social Media
  • Sleep deprivation
  • Same symptoms as ADHD
  • Strategies to help insomnia
  • Environmental toxins: lead, phthalates, pollution
  • The impact of time in nature on ADHD symptoms
Limitations of the Research and Potential Risks

Copyright : 10/15/2021

ADHD in Children and Adolescents: Advances in Diagnosis, Treatment and Management

Watch world-renowned ADHD expert Dr. Russell Barkley in a 3-hour seminar highlighting new insights in the diagnosis, treatment and management of ADHD. Packed with recent research and practical application, this webcast is a must-see for anyone who works with kids and adolescents diagnosed with ADHD

Follow along with Dr. Barkley as he walks you through:

  • His latest research findings and what that means for treatment and management of ADHD today
  • How to differentiate between ADHD and Sluggish Cognitive Tempo (SCT) – and why it matters
  • The startling correlation between untreated ADHD and premature, severe health problems
  • Why an ADHD diagnosis lends itself to significant health problems and shorter life expectancy
  • The evolution of ADHD as more than just an educational or mental health problem
  • 14 best principles for managing ADHD in children and teens
  • An update on the most recent evidence-based treatment recommendations

Don’t miss this rare opportunity to learn from a legend in the mental health field!

Program Information

Objectives

  1. Determine the health problems that are negatively affected by ADHD and how to use this knowledge to appropriately revise intervention approaches.
  2. Evaluate the diagnostic criteria of ADHD to the clinical features of SCT as suggested in the most recent literature.
  3. Analyze 14 principles that will promote better executive functioning and self-regulation for children and teens with ADHD.

Outline

The Costs of Undertreated ADHD

  • Why ADHD may be the disorder “behind the curtain” of significant health problems
  • Risk factors: suicide, self-injury, obesity, substance abuse, diabetes and shorter life expectancy
  • Your role in educating kids, caregivers and medical professionals on the health risks of ADHD
  • How to broaden your assessment beyond the DSM-5® to include diet, nutrition, sleep and quality of life

The Future of Diagnosis and Treatment

  • Dr. Barkley’s most recent research – and what it means for you as a helping professional
  • Sluggish Cognitive Tempo (SCT) – ADHD’s lesser known, but just as prominent and debilitating cousin
  • Comparing SCT and ADHD – Demographics, Comorbidity, Risks and Impairments
  • Why SCT is often diagnosed as “ADHD – Inattentive Type” or “ADD”
  • Crucial differences in treatment recommendations for SCT v. ADHD

14 Best Principles for Managing ADHD in Children and Teens

  • Understanding ADHD as a disorder of executive functioning and self-regulation
  • The latest evidence-based treatment recommendations for improving:
    • Self-awareness
    • Time management
    • Emotional self-control
    • Self-motivation
    • Planning and problem solving
    • And more!
  • Recommendations on what to avoid – and why – with kids who have ADHD 

Copyright : 06/10/2021

Rethinking ADHD: A New Treatment Approach

As ubiquitous as it is, the condition we misleadingly call ADHD is too often misunderstood, even by professionals. Rather than treating it as a deficit or a disorder, the best outcomes derive from a new strengths-based model that reconceives ADHD as VAST (Variable Attention Stimulus Trait). Discover cutting-edge interventions based on the VAST approach that can change the lives of clients of all ages. You’ll learn: 

  • How to explain the VAST model to clients in plain language, so they start seeing and using their unique brain traits as an asset rather than a curse 
  • The role of medication vs. nonmedication interventions for children and adults 
  • How to help clients avoid the major pitfalls of VAST, such as chronic self-attack, rumination, underachievement, substance abuse and other addictions, poor relationship choices, and the consequences of disorganization 

Program Information

Objectives

  1. Evaluate several treatment interventions based on a VAST approach to ADHD that improve clinical outcomes. 
  2. Assess how to explain the VAST model to clients in a way that helps them view their unique brain traits as assets. 
  3. Investigate the major pitfalls of treatment and how to avoid them. 
  4. Evaluate the role of medication and nonmedication interventions for children and adults. 

Outline

  • Describe several treatment interventions based on a VAST approach to ADHD that improve clinical outcomes. 
    • Learn how to understand and implement a strength-based approach to treating ADHD.
    • How to take a strength-based history to develop the talents and strengths of a person who has ADHD.   
  • Assess how to explain the VAST model to clients in a way that helps them view their unique brain traits as assets. 
    • Learn how to see ADHD not as a disorder but as a trait.  
    • Learn how to reframe the challenges of ADHD in terms of Mirror Traits.  
  • List the major pitfalls of treatment and how to avoid them. 
    • How to Understand the Role of Medication in the Treatment of ADHD. 
    • How to Find the Right Dose of the Right Medication.  
  • Explain the role of medication and nonmedication interventions for children and adults. 
    • Learn to appreciate ways of treating ADHD without medication. 
    • How to examine the benefits of exercise, nutrition, and other non-medication approaches that promote a healthier mental and physical life. 

Copyright : 02/03/2021

Psychopharmacology: Essential Updates for Mental Health Professionals

If you are like a lot of therapists, many of your clients are taking psychotropic medicines prescribed by a number of different health care professionals. Despite who wrote the script, it is your responsibility to know your clients' symptoms and reactions to medications, and to coordinate their care.   

This intensive focuses on providing practical and useful information about antidepressants, anti-anxiety medications, and medication for insomnia, as well as the tools to handle the ethical decisions that surround psychopharmacology. Get to the "bottom line" on the most prescribed antidepressants, anti-anxiety medications, and medication for insomnia on the market today, and learn how to discuss scope of practice with your patients in order to optimize their care. The goal is for you to leave better prepared to communicate with your clients as well as the prescribers. 

Program Information

Objectives

  1. Investigate the proper role of mental health professionals who treat clients receiving both psychotherapeutic medications and psychotherapy. 
  2. Determine the traditional medications used for the treatment of depressive disorders, anxiety disorders, and medications for insomnia. 
  3. Assess recent advances in the medications for depressive disorders, anxiety disorders, and insomnia.

Outline

  • Why (and what) you should know about psychopharmacology  
  • Questions you can expect from clients and prescribers and how to answer them  
  • Latest information and newest medications for depression, anxiety, and insomnia

Copyright : 12/02/2020

Extended Adolescence - When 25 Looks More Like 18: Clinical Strategies for Clients Struggling to Meet the Demands of Adulthood

The interplay of new technologies, socio-cultural shifts, and educational stressors have created obstacles for young people like never before.

Research suggests that while today’s youth enter adolescence much sooner, they actually reach adulthood much later...resulting in an “extended adolescence.” Our traditional therapeutic tools now fall short, as we endeavor to help clients meet the demands of adulthood.

Watch award-winning author and international speaker Sharon Saline, Psy.D., and national trainer and child/family consultant Steve O’Brien, Psy.D., for an enlightening experience designed to redefine and redesign your treatment approach to help young people forge a path to adulthood.

You will learn strategies to:

  • Navigate ADHD, anxiety, autism and other obstacles to develop life skills
  • Reprogram the dopamine dependent brain
  • Cultivate openness and flexibility with Gen Z culture
  • Collaborate with well-intended but over-involved parents
  • Instill motivation to advance real-world engagement
  • Promote “connected independence” in young adults

This timely and engaging training will shed new light on Generation Z youth and equip you with practical, contemporary tools for empowering these young people to shift gears and move toward a rewarding and meaningful adulthood.

Program Information

Objectives

  1. Evaluate relevant research on extended adolescence and emerging adulthood.
  2. Determine factors which promote normative vs complicated adolescent identity development.
  3. Evaluate the interplay of technological, societal, and educational stressors on the transition from adolescence to young adulthood.
  4. Distinguish how DSM-5™ disorders develop in adolescents hinder the “adulting” process.
  5. Choose therapeutic strategies for reducing symptom severity in young adults and for reducing systemic conflict.
  6. Design clinical interventions for common disorders of the Gen Z population.
  7. Employ therapeutic techniques for cultivating a growth mindset and resilience in young adults.

Outline

When 25 Looks More Like 18, Origins of Extended Adolescence

  • Psychosocial implications of a “Check-listed Childhood”
  • Plugged-in but disconnected: “The Loneliest Generation”
  • Short-term gratification for the dopamine dependent brain
  • Gender, race, privilege and other “identity influencers”
  • Interplay of technology, society and educational stressors
  • “Virtual Reality IS Their Reality”
Reaching Adolescents and Their Families
  • Tips for rapport building with Generation Z
  • Mindfully managing parental involvement
  • Build working alliances without alignments
  • Cultivate cooperation and bypass resistance
Modifying the Clinical Interview – What’s Changed
  • Model openness and flexibility with Gen Z culture
  • Distinguish between pathology and generational differences
  • Precursors to other disorders – are you seeing these traits clearly
  • Navigate more complex Identity exploration and confusion
  • Differentiate oppositional behavior from healthy identity expression
Clinical Strategies for Clients Struggling with:
Anxiety - Social, OCD, Panic
  • Promote “real” interaction in a virtual world
  • Facilitate flexibility by reducing device dependent behavior
  • Neutralize perfectionistic worry to combat outcome certainty
  • Reduce fears around healthy risk taking
Depression
  • Dealing with fallout of social media and cyber harassment
  • Reframe devaluing self-talk from negative online comparison
  • Mood-management and preventing isolation
  • Reduce desensitized views of self-harming thoughts/behaviors
ADHD
  • Social media boundaries to reduce impulsivity and negative consequences
  • Device management to reduce distraction
  • Self-structuring for time blindness
  • “Appointment-Making” for better follow through
Autism Spectrum Disorders and Neurodiversity
  • Social coaching to reduce “passing as neurotypical” stress
  • Brain-based, self-regulation strategies to manage overstimulation
  • Foster flexible self-view around gender identity and sexuality
  • Healthy routines to promote friendship, productivity and fun
Cultivating a Growth Mindset for Life
  • Teach tools for long-term resilience and self-advocacy
  • Determine need for other professional services
  • Advance healthy development in future generations
  • Research findings and limitations

Copyright : 06/09/2021

Adult ADHD: Targeting Executive Skills to Manage ADHD in Adults

A young man calls you to make an appointment, saying once again he has lost his job and that over the last nine years he has lost, or been asked to resign from eight jobs. The appointed time arrives and he does not show. Later that day he leaves a voicemail apologizing for forgetting his appointment and asks to reschedule. He admits that even if he remembered the appointment he would not have made it because he lost his car keys. The appointment is rescheduled and he arrives 20 minutes late. As he sits down he shares he received a speeding ticket on his way here and has had over 50 previous citations. Also, he doesn’t understand why he keeps losing his jobs, as he was always known to make many sales. He then described a litany of stormy relationships with lovers even saying one girlfriend told him he is “reliably unreliable.” He appears disheveled, anxious and demoralized. Talking incessantly while not seemingly able to tell a story in a logical sequence.

Adults portraying Attention-Deficit/Hyperactivity Disorder (ADHD) often come to see you in hopes of making their life less chaotic and improving their day-to-day interactions with others. They really want to change but simply do not know how. You have your usual strategies to use, but will it be enough? Do you have the tools necessary to facilitate real changes and ease their pain?

Let Dr. Blake share with you tried and true evidence-based techniques, skills & methods that can be easily applied with your adult ADHD clients to immediately improve their quality of life. You will learn the latest strategies to treat impaired executive function, the core issue of difficulty in adults with ADHD. These practical, easy to apply methods will help your adult clients improve their time/task management, personal organization, & planning, thus improving many aspects of their life including employment, relationships, physical & mental health, grooming, driving, parenting, etc. Dr. Blake will also teach your how to coordinate treatment with other necessary professionals inclusive of physicians, speech-language therapists, professional organizers, ADHD coaches, job coaches, academic tutors, career counselors, etc.

Program Information

Objectives

  1. Establish what executive function is and why it is so important to time management, personal organization and planning as it relates to treatment in clinical practice.
  2. Analyze how Adult ADHD negatively affects executive function in relation to assessment and treatment outcomes.
  3. Determine how ADHD, Inattentive Presentation (Sluggish Cognitive Tempo) is different from the ADHD that is in the DSM-5® and communicate why this is important as it relates to treatment planning.
  4. Explore assessment tools used to identify deficits in executive functioning, to better inform your choice of treatment interventions.
  5. Implement strategies to help adults with ADHD with their executive function difficulties in the workplace, in relationships, and in parenting.
  6. Identify strategies that are appropriate for fostering executive function development or intervening when executive function difficulties are identified.

Outline

Diagnose ADHD & Measure EF in Adults
Diagnosis

  • The Big 3
  • Ratings scales
  • Questionnaires
  • Semi-structured interviews
  • Impairment Index
  • Collaterals
Measuring EF
  • Adult executive functioning inventory
  • Brief-A
  • Comprehensive executive function inventory
  • WAIS-IV and WJ-IV
  • NIH toolbox cognition battery
  • Barkley’s rating scales
Adult ADHD Treatment
The Big 4 & 4 Steps
  • Therapeutic effect of diagnosis
  • Medication-genetic testing
  • Psychoeducation
  • Accommodation
  • Comorbidities: ADHD, Inattentive presentation-restrictive, or sluggish cognitive tempo
  • Specific Learning Disorder
  • Autism Spectrum Disorder
  • Sleep disorders
  • Depression & anxiety
  • Personality disorders
EF Techniques & Strategies
Organization, Planning & Time Management
  • Clinical Interventions to bring order to the disorganized mind
  • The 30 to 40% rule for inattention, impulsivity/hyperactivity & ADHD
Impulse Control & Self-Regulation
  • CBT & internalized speech
  • Overcoming guilt & shame
  • Automatize behavior
  • What about mindfulness?
  • Relaxation skills
Enhance Focus, Attention & Working Memory
  • ”Neurotypical” forgetting vs. ADHD forgetting
  • Chunking, mnemonics & other memory techniques
  • Multisensory memory
  • Loci
  • Self-testing & self-imagining
  • N-Back
  • 5 ways to reduce cognitive load
  • Technological prosthetics-assistive technology
Stop Executive Dysfunction from Sabotaging Your Clients’ Relationships
  • Impact of EF difficulties on adult relationships
  • Goal setting
  • Self-monitoring & self-talk
  • Social skills training
  • Conflict resolution skills
  • Anger identification
  • Decode facial expressions & body language
  • Making accurate facial expressions
  • Better follow through with medical issues & self-care
  • Tips to remember special dates, etc.
For the Workplace & Home
  • ADHD work difficulties
  • Career counseling
  • Clutter control made simple
  • Job coach & supervision; advocacy?
  • Social skills, self-esteem & education
  • Training & adult education accommodations
  • ”Best” ADHD jobs
Risks & Limitations

Copyright : 11/02/2018

ADHD, Relationships, and Sex: Strategies to Overcome the Over/Under-Functioner Dynamic

Couples show up in your office stuck in a tug of war -- neither partner is happy. 

Without specific strategies to shift this dynamic, you’ll get stuck in the same unwinnable battles – and if you’re not looking for ADHD in one of the partners, you could be missing the boat! 

Explicitly addressing ADHD (including the other partner’s response to it) is the change agent for successful therapy! 

ADHD exacerbates the universal struggles that every couple faces, so learning to work more effectively with these couples will make you more effective with all your couples.  

Join Ari Tuckman, PsyD, CST, in this fresh look at how to move couples forward in therapy: 

  • Overcome ADHD’s mindset traps  
  • Escape the dynamics of the over- and under-functioner 
  • Create more sustainable agreements 
  • Negotiate each partner’s desires and needs  
  • Once again reap the many benefits of a satisfying sex life 

Don’t miss out on learning from one of the few experts in both ADHD and sex therapy! 

Program Information

Objectives

  1. Demonstrate how ADHD neurology impacts an individual psychology. 
  2. Determine the many ways that ADHD can impact both partners in a couple and the common dynamics that ensue. 
  3. Clarify what the research tells us about the differences between the most and least happy couples with one ADHD partner and apply it to practice. 
  4. Integrate a deeper understanding of ADHD, relationship dynamics, and sexuality to work more effectively with these clients to improve both their relationship and sex life. 

Outline

Inside the Adult ADHD Mind   

  • Difficulty seeing time and feeling the future 
  • Avoidance of difficult or unpleasant tasks   
  • Common mindset traps and rationalizations   
  • Psychological defensiveness after a lifetime of being corrected 

ADHD’s Impact on Relationships and Sex 

  • The over-functioner meets the under-functioner 
  • Micromanagement versus independence 
  • Chronic polarizing pattern of push and pull 
  • Sexuality fades and the couple’s connection weakens 

What the Happiest Couples are Doing Right –  

  • Strategies to: 
    • Apply a deeper understanding of ADHD to manage life more resiliently (for both partners) 
    • Create more sustainable expectations to de-escalate the unwinnable tug of war between distraction and anxiety  
    • Explore priorities to decide what to change and what to accept in the relationship 
    • Negotiate differences respectfully and productively  
    • Identify and overcome barriers to a better sex life 

Copyright : 08/21/2020

Identifying and Treating the 1 in 5 students with ADHD and Learning Disabilities who are Returning to School Misdiagnosed and Misunderstood

We are all aware that the pandemic of 2020 brought to light inequities in education that have persisted for the past 20 years. Our challenge now is that the magnification of such dilemmas calls for immediate science-based actions. In this presentation, Pediatric Psychologist, Dr. Lynne Kenney integrates research and practice from psychology, cognitive science, public health, education, kinesiology, occupational therapy, and speech-language therapy to provide a uniquely actionable perspective on the application of executive function, social-emotional, and sensory-motor skills poised to shift a generation of learners. We spend billions of dollars on academic curriculum, when our time, energy, and resources are better spent on cognitive skill-building, social-emotional learning, phonology, numeracy, physical literacy, and mental health services for all. 

Program Information

Objectives

  1. Understand the neurobiology of learning.
  2. Learn why the achievement GAP impacts all of us.
  3. Understand the development precursors to learning.
  4. Learn what you can do to impact the neurobiological domains of learning and behavior.
  5. Learn about current assessment technologies and tools (not taught in grad school) that answer questions more relevant to learning, mental health, and behavior.
  6. Learn the role of building cognitive and self-regulation skills in the improvement of academic outcomes.
  7. Understand the role of Structured Literacy and Foundational Numeracy in improving academic, social, and behavioral outcomes.
  8. Learn the three things (you were not taught) to screen for if you are working with a student who is anxious or depressed.
  9. Learn an evidence-based assessment, treatment, and intervention methodology to improve learning and behavioral outcomes in your clients/students.

Outline

Part I

  • The Neurobiology of Learning  
  • Impact of Poverty on Brain Development 
  • The Achievement Gap 
  • Academic Progress (We are Behind) 
PART II 
  • Developmental Precursors to Learning 
  • Actions We CAN Take 
  • Improving Fundamental Neurobiological Skills 
PART III 
  • Predict Achievement Better Than IQ 
  • Benefits of Executive Function Skill Development 
  • Co-Existing Condition Matter (A LOT!) 
PART IV 
  • Assessment 
  • Treatment Planning 
  • Progress Monitoring 
  • Building the Bridge to Generalization 

Copyright : 07/20/2021

CBT Strategies for Kids and Adolescents: Supporting Students with ADHD and Anxiety

School’s back in session – but that’s not good news for everyone.

A safe haven for some and a source of significant stress for others, school presents a number of unique stressors  – particularly those with anxiety or ADHD.  And as they navigate their new normal at school, they’ll need more support than ever.  Are you prepared?

Join child and adolescent CBT expert Dr. David Pratt for this compelling 90-minute training designed to set you and your clients or students up for success in the school year

You’ll learn:

  • Why students with anxiety and/or ADHD are especially vulnerable to difficulties re-entering school after a prolonged absence
  • Easy to implement CBT strategies and tools to help your students meet academic and social demands of school
  • And more!

This training is a must-attend for anyone working with school-age kids and adolescents.

Program Information

Objectives

  1. Determine the unique characteristics and challenges that students with anxiety or ADHD have with respect to coping with the academic and social demands of the school environment;
  2. Utilize evidence-based interventions to help the anxious or ADHD student make a positive adjustment to re-entering school subsequent to a prolonged absence due to COVID-19 quarantine. 
  3. Develop interventions for teaching executive functioning skills to children and adolescents with ADHD.

Outline

School Anxiety:  Why Avoidance is not the Solution

  • A problem on a continuum:  From early morning pleas to stay home to chronic absences
  • Common triggers for avoidance
  • 4 functions of school refusal; CBT interventions designed to match each one 
  • Therapist – parent – school cooperation

ADHD:  More Than a “Behavior Problem”

  • 7 executive functioning (EF) skills deficits underlying ADHD
  • Guidance for teachers and parents to teach EF skills 
  • Interventions for motivation, time management, problem solving, emotional self-control, and more

Copyright : 05/21/2020

ADHD in Teens & Young Adults

Dealing with ADHD-related difficulties is tough, especially for young people balancing school, friends, family and thinking about their futures.

Author Dr. Melissa Springstead Cahill developed the mindfulness-based ANCHORED approach, to help teens become more focused, functional and happy, and make every day struggles easier to deal with.

A: Attention and Acceptance
N: Natural Awareness
C: Concentrate on Purpose
H: Happy Homework
O: Open and Organized
R: Recognize, Relax, and Reflect
E: Emotions
D: Determination

Look inside and find:
- Mindfulness exercises
- Worksheets
- Meditation scripts

Improve:
- Executive function skills
- Attention & memory
- Emotions
- Interpersonal relationships
- Ability to cope with stress


Executive Function Difficulties in Adults

Executive function difficulties may not go away with age-and inside you’ll find 52 worksheets, 40 handouts, and dozens of tips to make day-to-day living easier and more productive for adults.

Written by executive function and ADHD expert, Dr. Stephanie Sarkis, this unique resource includes:

  • Proven cognitive-behavioral strategies
  • Exercises to improve short-term memory, organization and focus
  • Techniques to enhance communication and social skills
  • Easy-to-follow instructions for mindfulness meditation
  • Effective accommodations for the workplace and college