
Forefront Psychotherapeutics
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Insightfulmatters.com
Forefront Psychotherapeutics is a new and innovative concept in private practice that merges efficie
Forefront Psychotherapeutics provides psychiatry, psychotherapy, and educational services to people from age 4 to 99.
Operating as usual


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For PRIDE month, we at Smallwood Behavioral would like to celebrate several historical LGBTQIA+ pioneers in medicine and mental health. Some of the most impactful contributions to how we practice medicine today can be attributed to members of this community, and today we highlight the life and works of Dr. Sara Josephine Baker.
Dr. Sara Josephine Baker spent most of the latter part of her life with her partner Ida Alexa Ross Wylie, identifying as a "woman orientated woman." Much of her personal life she kept intensely private, especially in this regard, however, her contributions to medicine were well known and permanently transformed our approach to healthcare.
Dr. Sara Josephine Baker was born in Poughkeepsie, New York in 1873 to a Quaker family. It was in her youth at just sixteen years old that her father and brother both died from typhoid fever, setting her on a course that would completely change history.
Soon after their deaths, Sara turned down a sizeable scholarship to Vassar College in New York to instead study medicine at New York Infirmary Medical College in 1894. It was in 1899 that Dr. Sara opened her own private practice and also began a career in working for the city of New York as a health inspector where she sought to focus on the exponential infant mortality rate in "Hell's kitchen."
"Hell's Kitchen" was considered the worst slum in New York with up to 1,500 children dying weekly. Dr. Sara Baker and a group of nurses began to train parents on how to take care of their children, teaching them proper hygiene and diet models to establish her penultimate belief in how she practiced medicine "preventative care."
"The way to keep people from dying from disease, it struck me suddenly, was to keep them from falling ill. Healthy people don’t die. It sounds like a completely witless remark, but at that time it was a startling idea. Preventative medicine had hardly been born yet and had no promotion in public health work."
— Sara Josephine Baker, Fighting For Life
Dr. Sara Baker went on to invent a baby formula to improve infant health as commercial milk sources were consistently discovered to have harmful contaminants. Infant blindness due to STDs transmitted at the time of birth was another significant challenge that Dr. Baker sought to treat. She went on to create single doses of silver nitrate that could be administered by a mother directly into an infant's eyes. Dr. Baker also worked diligently indirectly of her patients by improving medical communities and schools by pushing for licensure of midwives and by having formal classes taught on preventive healthcare.
By the end of her career as a physician in 1923, Dr. Sara Baker, through her inventions and training of other healthcare workers, reduced infant blindness in New York by 99% and boasted the lowest infant mortality rate in any major American city.
For further reading...
National Institutes of Health. (2015, June 3). Changing the face of Medicine | S. Josephinebaker. U.S. National Library of Medicine. Retrieved June 10, 2022, from https://cfmedicine.nlm.nih.gov/physicians/biography_19.html
Parry, M. S. (2006, April). Sara Josephine Baker (1873–1945). American Journal of Public Health. Retrieved June 10, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1470556/

For Pride month, we would like to speak to LGBTQIA+ mental well-being in order to lessen the stigma that comes with discussing our mental health and to promote the importance of seeking professional help.
The LGBTQIA+ community has significantly higher rates of negative mental health outcomes compared to straight-identifying populations. While only 5.6% of Americans identify within the community, this is approximately 18 million adults. Of those adults, almost one-third self-report engaging in substance abuse. Additionally, members of the LGBTQIA+ community are statistically three times more likely to experience mental health conditions such as depression, anxiety, and PTSD.
Understanding when to seek therapy can be a difficult process, however, it is never the wrong time to speak to a mental health professional. People seek therapy for many reasons, from helpful advice to a helping hand, or someone to vent to, if you believe speaking to a therapist helps, you are right.
🌈 🌈
Happy Pride Month to all LGBT people! 🏳️🌈

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Laura Kobar MC, LPC
Laura Kobar, MC, LPC
Laura Kobar has a Masters in Clinical Mental Health Counseling from Arizona State University as well as a Masters degree in Exercise Endocrinology with a Minor in Sport Psychology. She is a Licensed Professional Counselor who utilizes a variety of approaches to create a supportive and safe environment for clients. Laura is a professional member of the American Counseling Association and a board-certified member of the National Board of Certified Counselors.
Laura’s education and professional background in both the mind and the body offers a unique and effective approach to counseling. She is a certified yoga instructor and has combined her love of fitness and mindfulness in support of athletic-orientated clients.
Laura has extensive experience working with children, teens, and adults who suffer from anxiety, depression, disruptive behaviors, relationship challenges, self-esteem, ASD, ADHD, and trauma. She tailors her interventions to the specific needs of her clients, empowering them to find their own inner strengths and to help them learn effective tools to make positive changes in their lives.

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