Sexual health problems within a relationship are very complex to sort out. It helps to have a sort of matrix or template you can overlay on any particular issue. This may help you pinpoint the real issue of concern more accurately. The six principles of a healthy sexual relationships I offer here are meant to serve in that capacity. They are taken from Doug Braun-Harvey’s work from the Harvey Institute in San Diego, California (see resources below).
“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.
As therapist, here are six things I want you to know. Some could be considered general life truisms, but they are also things that will help you progress more quickly if you choose to enter 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.
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.
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.
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.
Your children are like so much wet cement according to Time Magazine, in that they are impressionable at an early age. Your words and actions make impressions that will ‘harden’ over time and guide their sense of identity. A large portion of our job as parents is to guide, shape and correct them. When shaping behaviors, it is important to guard how much you criticize vs praise those you love. The same thing applies to your partner. Is complaining your habit? So what is the magic ratio?
Lies come in two large categories. One is to save face and the other is manipulation. You could also call these categories white lies and strategic lies. I’m primarily interested in self-deception, which comes under the heading of saving face. Or maybe hiding, or disguising, your true face, into one you believe is acceptable. Read more
Money fights are a hot spot I am asked about frequently by couples. Money has a lot to do with power in relationships. Here’s an example.
PAGE RUTLEDGE, LCSW, CHt | Anxiety Therapy
5006 Randall Parkway (close to UNCW)
Wilmington, NC 28403
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