Are You OnCourse? Our Blog

Articles to keep you up to date and OnCourse!

Photo of Dr. Russ Buford

Welcome to Dr. Russ Buford!

OnCourse Cayman would like to introduce our new Psychologist, Dr. Russ Buford.

Dr. Buford is licensed as a Psychologist–Doctoral Level in the Cayman Islands.  He received training at The University of Houston in the USA where he is licensed as a Psychologist in Arizona and North Carolina.  Dr. Buford is also a Health Service Provider – Psychologist (HSP-P) in North Carolina and is registered with the National Register of Health Service Psychologists in the USA.  Dr. Buford brings experience as a faculty member at Clemson University and University of Houston – Clear Lake. He has also specialized in behavioral health consultation in primary care practices, clinical leadership in intensive outpatient programs, and athletic performance consultation.  

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answer the test with a pink pencil

New Assessment Services

Psycho-Educational and Psycho-Legal Assessment Services Available


In addition to the wide range of Psychological diagnostic assessments available, OnCourse Cayman offers a range of Psycho-Educational and Psycho-Legal Assessment Services, such as testing school readiness or evaluating court matters.

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Psychological testing the cute little girl

Intro to Psychological Assessment for Parents: What to Expect

Often I get questions from parents and other caregivers who are inquiring about assessments in our practice.  Most commonly, an assessment has been suggested by an individual working with their child, and parents are left scratching their heads wondering about what this means and what the benefits are.  In this blog post, I will seek to answer some of these questions and clear up confusion.

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Group Therapy sessions in a room

Fall 2019 Group Therapy Programs!

OnCourse Cayman is proud to announce THREE new Group Therapy Programs this Fall!

These specialized groups include:

  1. Teen Power Tools for Life EAP Group
  2. Overcoming Trauma EAP Group
  3. DBT Adult Skills Training Groups

The Equine-Assisted Psychotherapy (EAP) programs focus respectively on helping teenagers build life skills and gaining insight on overcoming trauma, while being surrounded by horses. Dialectical Behavioural Therapy (DBT) is a talking therapy that identifies thinking patterns and helps manage emotions. Learn more about each Group Therapy Program offered:

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Parents arguing at Christmas

Divorce and the Holidays

For the past few weeks, we have been giving tips to help the holidays remain a time of happiness and cheer.  As a psychologist who works with many children and adolescents, I often hear about divorce.  Youths often discuss verbal sparring of parents and caregivers, which can become especially problematic on the holidays.  Or, I hear about the anxiety and fear of these fights occurring.

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Holiday depression and winter season anxiety

Grief and the Holidays

Last week, we discussed dealing with difficult personalities around the holidays.  This week, we will be focusing on grief during the holiday season.  Grief comes in many forms.  Some folks may be experiencing the holidays following the passing of a dear loved one.  Some people (like me) are far away from their loved ones.  Some individuals grieve or become lonely because they do not have the stereotypical family or experiences featured on the overabundance of holiday commercials shown this time of year.  When it comes to grief, experts recommend: Read more

Santa Claus sitting on floor and looks frustrated

Dealing with Difficult Personalities During the Holidays

Ahh, the holidays.  Christmas trees, Santa, Reindeer, the Three Wise Men, Snowmen, etc….

This time of year is supposed to be one of happiness, family, and festivity.  However, it can also be one of sadness, loneliness, and depression.  The holidays can be extremely difficult for a number of reasons.  For the next few weeks, we will be highlighting some helpful tips for getting through this season of cheer. Read more

A collage of two pictures of land and sea

Growing Pains of Change

When my good friend and colleague Dr. Bodden asked me if I would like to contribute to our blog, I spent some time thinking about what I would like to discuss.  I have a lot of thoughts and a lot of opinions!  After thinking over topics for some time, I decided to discuss something close to home.  Dr. Bodden’s most recent blog post referencing embracing opportunities felt like the perfect jumping off point for this current blog post I am sharing.

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Hope with yellow gold ribbons on hands

Suicide Prevention Awareness

September is Suicide Prevention Awareness Month.  Did you know:

  1. Worldwide there is 1 death by suicide every 40 seconds
  2. Suicide is the third leading cause of death for individuals aged 15-44 years old
  3. In Cayman , a PAHO report examining 848 students indicated that 22.6% of students had thought about suicide, with 57.9% of those youth considering a plan of how they would attempt suicide.

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First birthday celebration theme with cupcake candle

OnCourse Cayman Turns 1!

We are proud to announce that we turned one on 31st July 2018! What an exciting year it has been! Thank You to our Clients, Colleagues and Supporters who have helped us to grow and develop our business and services in the past year! We are dedicated to providing the Cayman community with the best care possible.

We are the Private Practice of Clinical Psychologist, Dr. Alexandra Bodden. We offer Therapy and Psychological Testing for Children, Teens and Adults, Corporate Trainings and Workshops and Personal Development sessions with Horses!

Men’s Health – What is Your ‘Check Engine’ Light?

We are designed to make, fix, create, provide, compete and win.  Many of us treat winning as evidence of strength magnified by normatively nice “things” or results.   Providing for our loved ones naturally follows when we compete well, sustained by rugged individual strength.  Chinks in the armor of performance are weakness, prompting us to lower our shoulders against the wall, push harder and find a way to make things happen.  This is our lot.  This is what we do as men.  This orientation to success and hard work has sustained relationships and cultural norms for millennia.

What happens when we protect this norm more than we protect our work tools?  In any line of work, men like tools, whether it is IT infrastructure, a band saw, a boat, or a truck.  We monitor mechanical limitations and maintain them in the most cost-efficient ways available to ensure that we can continue to compete and provide without interruption.

What happens when our striving for success exceeds biological limitations?  What happens when the weathering inside our bodily systems and cells collides with additional work responsibilities, unexpected delays, or roadblocks to obtaining a permit or closing a deal?  What happens when weathering collides with physical changes around 40?  Do we avoid the low-hanging fruit; decrease alcohol, stop smoking?  Do we implement preventative maintenance strategies to improve cardiovascular fitness with running, swimming, cross-training, pilates or yoga?  More often than not, we ignore these hassles and push harder into the same strategies to manage stress that worked in our 20s when we had less weathering, fewer skills, less understanding, fewer opportunities and fewer responsibilities to others in our growing spheres of influence.

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Two doctors holding a heart with a stethoscope.

Mind Your Heart – Heart Health Month

Stress and change go hand in hand when our resources don’t create predictability.  Sometimes change happens too quickly, sometimes not quick enough, or sometimes change never stops. Our initial response is usually to stop or avoid some aspect of continuous change.  We experience this stress in our mind, our body and our heart.

Among the many ways to manage continuous change, during Heart Awareness Month we here at OnCourse invite you to focus on your heart as well as your brain.  As it turns out, one of the most effective ways to reduce stress and feeling overwhelmed is to learn how to access the intelligence of year heart.  We do this by shifting your heart rhythms that in turn send a different neural message to the brain.

As psychologists, we implement simple, practical, empirically supported techniques to teach alignment between the heart, physiologically not simply metaphorically, and the brain.  As you consider this shift, please recall a time when that deep physical sense that what we want, or are being asked to do, is probably not the best option or even possible right now. This lack of alignment, or incoherence, provokes somatic and emotional anxiety that we call stress.  Without active intentional skills to generate coherence between our heart and our brain, passive insight rarely makes us feel better. Coherence in our thoughts and actions and physiological responses allows our heart, mind, emotions and choices to align and work together harmoniously toward our own goals and shared needs.

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Men’s Health – What is Your ‘Check Engine’ Light?

We are designed to make, fix, create, provide, compete and win.  Many of us treat winning as evidence of strength magnified …

Two doctors holding a heart with a stethoscope.

Mind Your Heart – Heart Health Month

Stress and change go hand in hand when our resources don’t create predictability.  Sometimes change happens too quickly, …

Photo of Dr. Russ Buford

Welcome to Dr. Russ Buford!

OnCourse Cayman would like to introduce our new Psychologist, Dr. Russ Buford. Dr. Buford is licensed as a Psychologist–Doctoral …