Dr. Ermshar & Associates, Specialized Psychological Services

Dr. Ermshar & Associates, Specialized Psychological Services Dr. Annette Ermshar is a clinical psychologist with specialty in neuropsychology and forensic psychology. She has over 20 years of experience.

Annette Ermshar, Ph.D., MSCP, ABPP is a licensed clinical psychologist (PSY 18549), with specialization in neuropsychology and forensic psychology. Dr. Ermshar received her doctorate in clinical psychology at Loma Linda University, an American Psychological Association (APA) Accredited Doctoral Training Program in Clinical Psychology. She completed an APA Accredited predoctoral internship in clinical psychology at Hutchings Psychiatric Hospital, a state hospital in New York. She received specialized training in Bipolar Disorder, substance abuse disorders, child/adolescent development, schizophrenia, dual diagnosis, neuropsychology, and forensic psychology. Dr. Ermshar completed a postdoctoral fellowship in Forensic Psychology at Patton State Hospital, the largest forensic state hospital in California. She has also completed a Postdoctoral Master of Science degree in Clinical Psychopharmacology at California School of Professional Psychology, Alliant International University. Dr. Ermshar is Board Certified in Forensic Psychology through the American Board of Professional Psychology (ABPP) and is one of less than 300 ABPP Diplomates in Forensic Psychology in the United States. She is also a Fellow of the American Academy of Forensic Psychology (AAFP) and a member of the National Register of Health Service Providers in Psychology. Dr. Ermshar is an Associate Professor at the California School of Forensic Studies at Alliant International University, where she teaches doctoral level students studying clinical forensic psychology. Dr. Ermshar is currently on the Panel of Medical Experts for San Bernardino County Juvenile Court. Dr. Ermshar is on the medical staff of a psychiatric hospitals (Las Encinas Hospital in Pasadena), and is also at a general medical/surgical hospital with a psychiatric facility (Huntington Hospital in Pasadena). Dr. Ermshar has previously acted as the Clerkship/Practicum Training Director at Patton State Hospital, where she trained and supervised doctoral candidates in clinical and forensic psychology. She was on the medical staff at Patton State Hospital for over 14 years, providing clinical treatment for severe psychiatric illnesses as well as psycholegal treatment for issues such as restoration of competency to stand trial, restoration of sanity, and reduction of risk for recidivism. Dr. Ermshar specializes in forensic psychology, neuropsychology, and clinical/diagnostic psychological assessment and evaluation. She has given numerous invited addresses, seminars, and workshops to psychologists and attorneys and is published in the area of forensic psychology. Dr. Ermshar has served as an expert witness in numerous court cases within Federal Court, California Superior Courts, and California Juvenile Courts. Her consultation and expert testimony experience includes addressing legal questions pertinent to mental disability, competence to stand trial, mental state at the time of offense, risk assessment, developmental disorders, neuropsychological functioning, cognitive ability, psychological/emotional damages, s*x offenses, syndrome evidence, memory and suggestibility, and various other criminal and civil forensic evaluations. Dr. Ermshar is an expert in alternative sentencing and provides court-mandated treatment (i.e., treatment for restoration of competency to stand trial, managing behaviors for risk reduction, s*x-offender-specific treatment) in an alternative sentence treatment-based environment. Dr. Ermshar also provides psychotherapy and specializes in the treatment of individuals in the corporate and entertainment industries, bipolar and psychotic spectrum disorders, anxiety disorders, substance abuse disorders, gambling, s*xual addictions, and other behavioral addictions, personality disorders (including antisocial and borderline personality disorders), autism spectrum disorders, and adolescent development. As a neuropsychologist, Dr. Ermshar conducts both adult and child/adolescent neuropsychological, educational, and cognitive evaluations to assist in Individual Education Program (IEP) needs, neuropsychological treatment, and diagnostic clarification of neurodevelopmental issues. She also conducts two specialized neurocognitive therapies: cognitive rehabilitation (cognitive retraining) and neurofeedback. Dr. Ermshar has also provided numerous seminars, workshops, and trainings for the entertainment industry on issues related to mental health. She has been an expert consultant in television and media with guest appearances for Warner Bros. Television and CU@USC. She has also served as a consultant/expert for Fox News Television and provides consultation to screenwriters and producers in motion picture and television on the topics of mental health, neuropsychology, and the criminal mind. Dr. Ermshar is currently on the Board of Directors for Division 5 of the California Psychological Association as well as on the Board of Directors for Pepperdine University, the Pasadena Symphony and Pops, and the Los Angeles Master Chorale.

Stuck in Trauma:Have you or someone you know experienced a   and feel emotionally or energetically stuck in life as a re...
02/18/2026

Stuck in Trauma:

Have you or someone you know experienced a and feel emotionally or energetically stuck in life as a result? of traumatic experiences often have resiliency and coping strategies to manage such adverse events, and the presence of more positive experiences in their lives can counterbalance the more difficult times. Although there are some forms of trauma that can be overwhelming the body and mind, cause recurrent reminders of the event, and leave the person feeling as though all experiences after the incident are overshadowed by the traumatic event. In fact, lingering trauma effects can create a sense of tunnel vision in which the individual interprets all experiences through a lens of the unique traumatic experience. When the trauma is not properly or effectively processed, it essentially rewires the brain and influences behavioral and thought patterns, and can even cause an individual to somewhat regress in their emotional functioning.

Additionally, the presence of unresolved trauma may manifest as a part of your identity, it can disrupt emotional growth, and can result in the individual resorting to old or ineffective coping methods that cause problems with , mood, work/school efforts, and sense of self. Particularly when the trauma occurs early in life, the individual may experience halts and delays in emotional development. In other words, the emotional maturity of an individual exposed to a traumatic experience can be affected, they may demonstrate arrested psychological development, or become “stuck” in the state and emotional response that was present at the time of the trauma. In a real-life scenario, a young adult with exposure to physical abuse by a family member during childhood could, in turn, engage in volatile and relationships made up of manipulation and unfair treatment toward others because of underlying insecurities, low self-esteem, feelings of unworthiness, and cognitive distortions about feeling as though they are deserving of pain, suffering, and chaotic interpersonal relationships. Based on this example, the young adult exhibits childlike behaviors in approaching relationships perhaps because their emotional maturity was halted to the time of the traumatic experiences, and the trauma remained integrated into their sense of self without resolve or further processing. It is important to acknowledge that any significant experience that a person deems as traumatic can impact the ability to manage , cope with stressors, and interact with other people. Another example often observed in our daily lives is witnessing an individual who is chronically agitated, irritable, easily frustrated, pessimistic, sarcastic, and does not easily warm up to or trust other people. This can be a sign of an individual who has chronically struggled with the effects of a traumatic experience, and such effects have infiltrated their mood, perspectives, and views of self.

On a positive note, an individual can work through the trauma with proper treatment and support, gain insight into the rationales of their behaviors and emotional responses, and find resolutions to with grief, loss, and other significant stressors that are interpreted by the body and mind as traumas. With time, practice, and readiness to process these complex thoughts and feelings, traumatic experiences and your reactions to the event can be reestablished as a less daunting and disturbing process. Therefore, it is highly beneficial to address the difficult life experiences safely with support and professional help as needed, and you can learn to become “unstuck” from a life overshadowed by trauma.

Multitasking, Friend or Foe? Multitasking is the process of moving quickly between different tasks without losing focus....
02/06/2026

Multitasking, Friend or Foe?

Multitasking is the process of moving quickly between different tasks without losing focus. In our culture, it is often deemed as a desirable quality because it can lead to productivity and achievement-based goals. Business leaders, restaurant workers, and parents alike pride themselves in being able to multitask, such as answering emails while organizing a space, fulfilling orders and doing customer services simultaneously, or taking care of household chores while also meal prepping. In fact, some people feel a sense of pleasure and contentment in being able to efficiently use their time to complete multiple things at once. From an objective standpoint, multitasking is not necessarily good or bad, instead it depends on its usefulness to the individual. For those who function well with distractions, which are inherent with multitasking, this approach can be rewarding and effective. However, among others who find multitasking to be a risky habit because of the potential costs involved in the process, it can be ineffective and counterproductive.

We have all tried multitasking at some point, and in some cases, it seems inevitable or most appropriate for a situation. Alternatively, there are also times when it can cause more harm than good. Let’s look at the pros and cons of multitasking, starting with the reported benefits with multitasking. First, paying attention to and staying busy with multiple tasks at once can deter boredom and make good use of breaks, particularly when faced with a repetitive task. Additionally, by engaging in several things at a time, the individual can make progress and feel as though they avoid procrastination. Further, multitasking may serve as a way to increase resilience, adaptability, and flexibility by preparing for real-life scenarios when the individual must manage and cope with multiple tasks at the same time. Continue reading on the blog! https://www.drannetteermshar.com/multitasking-friend-or-foe/

We’re proud to announce the promotion of Charlotte Sohl to Director of Executive Support Services at Dr. Ermshar & Assoc...
01/19/2026

We’re proud to announce the promotion of Charlotte Sohl to Director of Executive Support Services at Dr. Ermshar & Associates.
Charlotte exemplifies professionalism, sound judgment, and quiet excellence in everything she does. Her leadership, discretion, and ability to keep complex operations running seamlessly make her an invaluable part of our practice. We are fortunate to have her, grateful for her continued dedication, and excited to see her thrive in this well-earned role. Congratulations, Charlotte—we truly love having you on our team. ❤️

There are many neurological differences in brain functioning that have traditionally been identified or labeled as   or ...
01/15/2026

There are many neurological differences in brain functioning that have traditionally been identified or labeled as or . For instance, ADHD, anxiety disorders, Autism Spectrum, Bipolar Disorder, Cerebral Palsy, concussions, Depression, Down Syndrome, dyslexia, epilepsy, OCD, PTSD, schizophrenia, stroke, and Tourette’s syndrome all represent differences in neurological functioning. Unfortunately, the preconceived social model of disability tends to pathologize people for these differences, categorize them as “abnormal,” and thus foster a culture of judging, discriminating, or ostracizing those who do not fit into the majority. Given the ever-growing presence of individuals with neurological differences among us, it is more important than ever to evolve our understanding of these differences.

The term “neurodiversity” was coined by an Australian sociologist, Judy Singer, in 1998. Neurodiversity is a concept that describes a broad range of diverse people who have different ways of perceiving, learning, processing, and thinking. Individuals with neurological differences are not broken or impaired, and may or may not require treatment or interventions. If required, with support and accommodations for their unique needs, individuals can thrive and succeed. The term neurodiversity has gained momentum in the neuropsychology field because it fosters and supports inclusion rather than a negative connotation of being separate from the “majority” group.

When we perceive our brains as being part of a continuum of functioning, a paradigm shift emerges as to how we conceptualize mental and cognitive functioning. For instance, Spectrum Disorder is described on a broad continuum with varying degrees of social ability ranging from a fully adaptive skill set to a range of social limitations. Similarly, brain functioning can also fall on its own spectrum or continuum and represents human functions at varying degrees. Just as biological and cultural differences exist, brain differences can similarly understood to encompass “neurologically diverse brains” for people who are “differently abled.”

There are several benefits to shifting our perspective on neurological or brain differences. First, by removing the labels of “disability” versus “normal”, it allows for increased connection and inclusion. It also allows for an increased focus on individual strengths rather than weaknesses or limitations, and it encourages companies to integrate those who have differences in brain functions. For example, traditional job interviews assess individuals based on strong communication skills, eye contact, emotional intelligence, and confidence. A neurodiverse individual may score lower in those categories, yet have other strengths and abilities which may prove to be an asset to a business because of their ability to see and process things differently. Imagine a community or society which supports acceptance, , and collaboration among all. While diversity is a hot topic these days, it is my hope that neurodiversity becomes a more understood household term that recognizes individuals for their differences and unique ‘abilities’ and strengths.

“It’s not that diamonds are a girl’s best friend, but it’s your best friends who are your diamonds.”— Gina Barreca ⭐️
01/09/2026

“It’s not that diamonds are a girl’s best friend, but it’s your best friends who are your diamonds.”
— Gina Barreca
⭐️

As we welcome 2026, we wish you peace, balance, and emotional well-being in the year ahead. Thank you for allowing us to...
01/02/2026

As we welcome 2026, we wish you peace, balance, and emotional well-being in the year ahead. Thank you for allowing us to be part of your journey.

With gratitude,
Dr. Ermshar and Associates

NYE 2025. Cheers to 2026!
01/01/2026

NYE 2025. Cheers to 2026!

Fun December events, with my favorite person .    ❤️  ❤️
12/22/2025

Fun December events, with my favorite person . ❤️ ❤️

Evaluating Children in an Academic Setting:Within the field of psychology, is neuropsychology, which studies the relatio...
12/17/2025

Evaluating Children in an Academic Setting:

Within the field of psychology, is neuropsychology, which studies the relationship between brain function, and the interplay of behaviors, thoughts, and emotions. Neuropsychological assessment is often useful in evaluating in academic settings by gathering and analyzing academic and neurocognitive functioning in order to better understand their strengths as well as areas where they are not achieving ideal performance. Psychological assessment and neuropsychological testing can offer a roadmap to best navigate and improve your child’s academic, social, and emotional needs by understanding the ways in which they think, act, and cope. For instance, students may qualify for individualized academic or testing accommodations based on test findings, which allows the individual to demonstrate their best and true capacity. Additionally, questions and concerns about the possible impact of prior athletic concussion or mild head injury can be addressed through neuropsychological testing in order to direct neurocognitive rehabilitation and retraining and to assist in optimizing personal achievements.

Assessment evaluations are also designed to assess an individual’s areas of strength, including easily overlooked or non-traditional abilities, including frontal lobe functioning. Executive functioning originates in the frontal lobe and represents a person’s ability to plan, organize, complete tasks, and monitor or self-regulate behavior in order to reach goals. It also includes impulse control and conceptually applying problem-solving skills, all of which are part of “higher order” cognitive skills. Performance across executive functioning tasks may reveal unidentified differences in learning and functioning that become barriers to success. To illustrate this point, for example, absence seizures are brief, sudden lapses in attention that can look like inattention often seen in , despite its medical and neurological basis. Further, neuropsychological testing can identify splinter strengths. For example, verbal intelligence can be a strength while non-verbal intelligence can be an underdiagnosed area of weakness, often referred to as a non-verbal learning disability (NVLD). NVLD often conceptualized as dysfunction in social abilities, motor skills, fluid reasoning, inferential thinking, mathematics, and visuospatial/organizational skills, and may be undetected throughout school years. Therefore, a comprehensive assessment can confirm or rule-out various contributing factors regarding current functioning and abilities, and help to identify both barriers to success and tools to optimize functioning.

In addition to assessing for neurocognitive functioning, there is also a scientifically supported treatment to aid in cognitive and emotional enhancement. Do you or someone you know struggle with focusing, controlling thoughts, or regulating mood? is a mental health tool and brain training method that helps to regulate the brain and assist with enhancing cognitive performance. Complex brain systems learn from experiences and require feedback; by receiving feedback, the brain is better able to self-organize and self-improve. This safe and effective method can help individuals learn how to rebalance by quieting brainwaves related to low performance, or increasing brainwaves related to optimal brain function. Take time this summer to enhance your brain and your mind.

The holiday season is upon us which brings busier schedules, more traffic, holiday preparations, and subsequently, the n...
12/10/2025

The holiday season is upon us which brings busier schedules, more traffic, holiday preparations, and subsequently, the need for more self-care habits. According to a recent poll by the American Psychiatric Association, almost 1 in 3 Americans expects to be more stressed this holiday season when compared to last year. In anticipation of another holiday season, increased -care and planning is important to ensure a smooth and joyous holiday season. The goal is to both enjoy the holidays while also maintaining good mental health with minimal stress.

From a practical standpoint, there are the typical tips such as planning ahead, organizing, creating and sticking to a budget, and allowing adequate time for completing all related tasks and responsibilities. Also, a change of scenery by going outdoors can help shift our mindset from feeling stuck or unmotivated indoors, to appreciating nature, sunshine, and fresh air. But you may be asking, “what else can I do?”. While budgeting, planning, and making to-do lists can be useful tools for getting through the holiday season, revisiting how to prioritize mental health is even more important.

From a mental health perspective, the holidays can represent a period of conflicting emotions, including feeling excited, nostalgic, and happy, while also feeling overwhelmed, anxious, and drained. While each individual has unique circumstances and experiences that contribute to their own holiday emotions, there are many common themes that contribute to our mental health. Specifically, some holiday stressors include finances, strained family relationships, travel, and expectations for hosting, gift-giving, and creating the “perfect” holiday ambiance or . Whatever your holiday stressors may be, here are some mental health tips to consider.

It is helpful to set intentions for how to spend the holiday season. For example, intentionally choosing to be present and engaged while with and will make the best of the quality time together. This means reducing distractions and limiting the multi-tasking in order to try to be more fully present in the moment. When we are too frenzied, we miss the moments of ‘joy’ in the season.

Set boundaries with people who do not align with your goal of a stress-free holiday. This means establishing personal rules for how to interact with the difficult people in your life by advocating for your well-being, and learning to say “no” or gracefully decline any excessive demands from them that may contribute to your stress. Setting is an act of self-love to protect you, help you stay true to your goals, and limit the unwarranted stress from people we may have conflict with.

For many people, the holidays are a reminder of loss, loneliness, and grieving. If this is true for you, take the time to reflect and process your feelings. This can lead to a refocus on what really matters in this moment, what is in your control, and what you are still grateful for.

Since there is often an underlying expectation to do things better, bigger, and grander than each prior holiday season, it is a good reminder to modulate expectations and revisit the intrinsically valuable aspects that make the holiday season special. Let’s shift to focusing on quality time with loved ones, being more thoughtful, engaging in more meaningful conversations, and finding shared interests with others.

Lastly, holiday stress can be curbed by engaging in full acceptance of who we are and who we are not, meaning trying not to be something or someone we are not. As human beings, we are perfectly imperfect. The best we can do is to accept all the things that make us who we are. By accepting all of our own strengths and our shortcomings, we do not need to chase after trying to be someone else, trying to fill the gaps in our lives with holiday things, or looking for ways to distract from who we truly are. If you tend to be more introverted, do not try to cram every holiday party into your schedule. If you are very regimented in your diet and exercise, do not feel pressured to eat and drink all that is offered at every event. Do not bend who you are in order to fit the season.

In the spirit of this holiday season, let’s stay focused on the positive qualities of this time of year, stay mindful of our own mental health needs, take time to think about and respect the mental health needs of others, and show kindness when it looks like someone else is struggling. From my home to yours, may we all experience the magic of the season. “Christmas will always be as long as we stand heart to heart and hand in hand.” – Dr. Seuss

Women, Bias, and Double Standards Women have endured obstacles that are unique to and inherent with being female. Over d...
12/03/2025

Women, Bias, and Double Standards

Women have endured obstacles that are unique to and inherent with being female. Over decades of social change, women have gained access to many rights, roles, and opportunities that traditionally used to be reserved for their male counterparts. For instance, women have been granted more equal opportunities as business owners, executives, mentors, coaches, and other leadership roles compared to historical standards from even fifty years prior. There is also significantly more presence of females in male-dominated industries and professions like sports, politics, science industries, and companies. Likewise, there have also been shifts in traditional roles typically expected to be fulfilled by females, such as men who are full-time parents, caregivers, and who maintain the household duties, while more women are now the primary income for their household. These monumental shifts in gender roles have shown notable progress from the former limited conceptualizations of female roles and capabilities. Nonetheless, research and social observations have found that biases and double standards continue to persist about women in several domains.

With regard to bias, this represents an opinion, feeling, or inclination that is typically a preconceived notion or unreasoned. A double standard is a set of principles or morals that is applied differently or more strictly to one specific group of people or circumstances. These factors may be unintentionally learned and applied to women, and yet they reinforce the between beliefs and perceptions of men versus women. Some everyday examples would be to reference your boss without gender to an unknown individual, and a majority of the public assumes your boss is male. Additionally, a young girl with strong opinions can be referred to as bossy, whereas a male with the same characteristic can be referred to as assertive. An adolescent female may be told by an adult that she will make a good mother someday, and in contrast, an adolescent male is more commonly associated with potentially being a successful businessman. These contrasts can continue through adulthood such as assuming that a woman’s primary life goal is to have children, and a man’s primary life goal is to make money and be a provider. In the social and occupational domains, a leader viewed as strong and proactive is commonly associated with male figures, whereas these same traits exhibited by a woman may be perceived as overly demanding or unruly. There are also numerous double standards commonly applied to women, such as being expected to be confident yet not arrogant, take pride in yourself yet stay humble, compliant yet not too passive, assertive yet not too bold, take care of others but do not let yourself go, prioritize oneself yet not too self-centered, strong but not too overpowering, physically attractive yet stay modest, exhibit s*x appeal yet not too revealing, and engage in self-care yet not too over indulgent. These conflicting standards make it difficult to navigate the socially acceptable norms compared to being true to oneself without shame, guilt, or disingenuous actions.

From a research perspective, there are inherent biases against women with regard to leadership roles and executive work positions. For instance, a study wrote a fictitious biography about a CEO and the related success of the company. For the sake of the study, the bio had no mention of a name or gender, and participants were asked whether they thought the CEO was male or female. A total of 96% of participants assumed the CEO was male. Next, the two identical bios were assigned as either male or female, given to two new groups of participants, and they were asked to rate the CEO according to several leadership qualities. The female CEO bio was rated higher on both “agentic” and “communal” qualities, suggesting that people perceive that a female must have overcome more barriers to become CEO’s, and thus are more competent leaders than their male peers. In sum, in spite of the bias that women are not assumed to be in managerial or executive work roles, those who are may be perceived as very capable with strong leadership qualities.

These themes in note the importance of continuing to evolve the preconceived notions about women’s expectations, roles, and capabilities. In the workplace, women may be met with some resistance or discomfort regarding others’ biased perceptions based on gender roles. Women have overcome odds for decades with increasing social support, and awareness of the ongoing biases can help to break down barriers of the outdated standards instilled upon females across all aspects of life.

✨ Celebrate Generosity This Giving Tuesday ✨Today is more than a day on the calendar - it’s a global celebration of kind...
12/02/2025

✨ Celebrate Generosity This Giving Tuesday ✨

Today is more than a day on the calendar - it’s a global celebration of kindness, compassion, and community. Giving Tuesday invites each of us to pause and ask: How can I make the world a little brighter today?
Generosity isn’t measured only in dollars. It’s reflected in the way we show up for one another -through the causes we support, the connections we nurture, and the small everyday actions that say “you matter.”

💙 If you’re able, consider giving to a charity or nonprofit that aligns with your values. Every contribution, big or small, fuels important work and strengthens the communities we care about.

💙 And if giving financially isn’t possible, generosity can still shine through.
Take a moment today to offer a little extra warmth to the people who serve and support you -your barista, delivery driver, teachers, healthcare workers, administrative staff, local volunteers, or anyone who makes your day run a bit smoother. A sincere thank you, a kind conversation, or a thoughtful gesture goes further than we often realize.
Giving Tuesday reminds us that kindness is contagious and that we all have something meaningful to give.

Let’s celebrate generosity in all its forms today.
Together, we can make a difference - one small act at a time!

Address

2400 Mission Street
San Marino, CA
91108

Opening Hours

Monday 8:30am - 6:30pm
Tuesday 8:30am - 6:30pm
Wednesday 8:30am - 6:30pm
Thursday 8:30am - 6:30pm
Friday 8:30am - 6:30pm

Telephone

+16264217201

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