Posts

panic attack therapy anxiety

I work with people who just can’t stop worrying. They tell me about the awful panic attacks they have, which can feel devastating. Many show up in the emergency room, only to be told there is nothing wrong. Being stuck in the panic loop stinks, but you can learn how to manage it so it doesn’t take over your life. The body doesn’t lie; when it shouts, you have to listen—but maybe in a whole new way.

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the gift of resentment

What on earth would I mean by the gift of resentment? What are the signals that your boundaries are being tested, crossed or outright ignored? What feelings or emotions might you notice when this is occurring? How might you consistently and accurately judge when you need to clarify, remind, or set a firmer boundary?

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confabulation

Is it narcissism or confabulation? It can be a difficult to tell these two apart as distinguishing sarcasm and “humorously delivered” criticism. Is a person deliberately lying when they confabulate? Here’s a quick definition of confabulate.

In the formal version, confabulate means to talk, with roots found in the words ‘fable’ and ‘fabulous.’ In the world of psychiatry, it means to fabricate imaginary experiences as compensation for loss of memory. This is common in alcohol induced dementias aka Korsakoff syndrome (a type of dementia often associated with alcohol abuse), but it also has been observed in cases of Alzheimer’s disease and frontotemporal dementia.

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why is assertiveness important

“I hate confrontation.”

That is what I hear at least once a day in my therapy practice. And it is usually from women. I wish I could give every woman who thinks this a short lesson on assertiveness, which is often what they mistake for confrontation or conflict. It does not mean you must alter a quiet demeanor, become bold and brassy, or the even worse expression— “a real ball breaker.” Why is assertiveness important? First you have to understand what assertiveness actually means.

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talk therapy

What better time than the start of a new year to make change that can positively affect the rest of your life? Let’s assume you have made that brave decision, and talk therapy is part of your plan. What do you expect when you are expecting talk therapy? If you want to know how I do it, read on.

People that have never experienced talk therapy often feel a tad apprehensive about getting started. There are lots of reasons. Some wonder if it will do any good at all, and others have the odd fear they won’t be able to ‘do it right.’ Some people simply don’t know how it proceeds or what is expected of them, and they are anxious about that. Still others believe they will receive all the instructions from the therapist about how to change and be on their way—with no real understanding of the courage, persistence, and work that real change takes. And some believe a pill is the answer.

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talk therapy

It’s pretty standard knowledge that you go to therapy to change something. But changing a way of thinking or a behavior we don’t like is just not that easy, is it? And it is especially difficult to change our reactions to other’s mayhem. If it was we’d all do it and be on our merry way. Let me share three signs you need therapy.

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mind reading

Is Mind Reading Destructive?

There is a myth that says “If you love me, then you’ll know what I need.” This is called mind reading. Is mind reading destructive? Sometimes. When it is, it keeps you on the hook for a destructive, repetitive communication pattern. Here’s the skinny.

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Trust issues

I read a Facebook comment recently that plaintively asked “Why is it so hard for us to talk about our emotions?” In light of the recent and tragic suicides of Kate Spade and Anthony Bourdain, I thought about this question. It begged the following question. Have you ever had your emotions minimized or dismissed altogether?

I experienced this recently, and it made me feel sort of expendable, like what I was contributing really wasn’t all that important. It can make you question whether that is true, and undermine your self esteem, as well as your sense of belonging. Now I’m not depressed, but if you are depressed, this only confirms the heaviness you already feel, and the sense that you really don’t matter. Here are eight reasons why emotions have low value in our culture.

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healthy boundaries

In addition to my degree in clinical social work, I have a masters degree in public health. We prevent. That’s what public health is about. In this post I want to help you see the hidden costs of poor boundaries, and prevent those costs for yourself. First you need to understand that prevention is often invisible unless you first look at the prevented costs. Here’s an example of that.

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dreams

Lots of research and theories exist on dreaming and why we do it. They are all theories at this point, as brain research is still in its infancy. Heck, we don’t even understand the purpose of sleep! Recently, however, I’ve been studying one school of thought in particular. It intrigues me because it just makes sense. First, a little story.

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