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    5 Steps to Improving Depression

    May 20, 2019

    Depression is one of the most common mental illnesses in the United States with about 16.2 million adults reporting a depressed episode in the past year. If you’re experiencing sadness, loss of interest, apathy, hopelessness, shame and/or guilt, a sense of worthlessness, thoughts of dying or suicidal thoughts, and/or urges to isolate or withdraw from […]

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    5 Steps to Improving Depression

    Depression is one of the most common mental illnesses in the United States with about 16.2 million adults reporting a depressed episode in the past year. If you’re experiencing sadness, loss of interest, apathy, hopelessness, shame and/or guilt, a sense of worthlessness, thoughts of dying or suicidal thoughts, and/or urges to isolate or withdraw from others, you may be experiencing a depressive episode. Here are some things to do that may help:

    1. Be in the moment: Mindfulness is the process of being aware in the present moment without judgment. Research has shown that practicing mindfulness over time has many interpersonal and mental health benefits, including an improvement in depression and anxiety. Here is a simple exercise that will promote mindfulness: Take a quiet moment, get relaxed, and inhale through your nose to the count of four. Now exhale out your mouth to the count of four. Take a moment and notice what is happening to your body. Are you noticing any changes to your abdomen? You may notice that your belly rises with each inhale and falls with each exhale. Can you stay with that sensation for a few seconds? It is common to get distracted during this exercise. If that happens, just gently bring your mind back to the rise and fall of the belly. Once you have stayed with the breath for a few minutes, check in with yourself and notice how you are feeling physically and emotionally.

    2. Extend compassion to yourself: Have you ever noticed the voice of the inner critic inside your head? We tend to be our greatest critic. We often see ourselves through distorted glasses, noticing only our weaknesses and failures and filtering out anything positive. Would you talk to a family member or friend the way you talk to yourself? When you notice your inner voice being critical…stop….take a deep breath….and say something to yourself that you would say to a friend or loved one. Over time, your efforts to cultivate kindness and self-compassion will aid in your healing.

    3. Turn outward: One of the biggest challenges to depression is the tendency to isolate and close off to others. The medial prefrontal cortex (mPFC) is highly active in individuals with depression. The mPFC is considered the “me” section of the brain because it is where we process information about ourselves in relation to our past experiences and future expectations. When it is in hyperarousal, we tend to stew over our past and worry about the future. The solution: look for something that requires you to think outside of yourself. Call a friend or loved one to see how they are doing. Find opportunities to help in your neighborhood or community. Brainstorm ideas to serve others and follow through with at least one idea.

    4. Journaling: Research has shown that individuals who journal daily tend to have improved emotional and physical health. Set a timer for 15-20 minutes and allow your mind to dump all its thoughts and feelings on the paper without regard for what or how it is stated. Many people report feeling a sense of relief once they have participated in this exercise consistently over 5-7 days.

    5. Talk to a professional: When we have a fever or sore throat, we don’t hesitate to go see our doctor. Why is it when we feel depressed or anxious, we feel it is a sign of weakness to seek out a therapist? Therapy provides a safe, nonjudgmental, and compassionate place to share your deepest concerns and research shows that the therapeutic relationship is a fundamental part of the healing process.

    If you think you would benefit from speaking with a therapist, please feel free to reach out to me. I would be happy to talk with you about your needs and the ways therapy can help you.

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    Filed Under: Depression

    Is it Possible to Rebuild Trust After an Affair?

    May 7, 2019

    For many couples, the discovery of a spousal affair is the ultimate betrayal. And yet, the betrayal by one does not necessarily decrease the love of either party for the other. When you still love someone but the trust has been significantly damaged, is it possible to mend the relationship? Can marriages be rebuilt after […]

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    Is it Possible to Rebuild Trust After an Affair?

    For many couples, the discovery of a spousal affair is the ultimate betrayal. And yet, the betrayal by one does not necessarily decrease the love of either party for the other. When you still love someone but the trust has been significantly damaged, is it possible to mend the relationship? Can marriages be rebuilt after an affair?

    Dr. Janis Spring is a clinical psychologist and author of After the Affair: Healing the Pain and Rebuilding Trust When a Partner Has Been Unfaithful and How Can I Forgive You? The Courage to Forgive, the Freedom Not To. Through her work she has found that relationships can become even stronger after such a betrayal, provided the couples take some crucial steps.

    Take Responsibility for the Pain Caused

    Many unfaithful spouses are overcome with guilt and, because of it, urge their partners to put the deed behind them so they can move on and heal. This is a mistake, and one certainly not fair to the other spouse.

    According to Dr. Spring, the offender must take responsibility and “bear witness” to the pain they have caused rather than defend or deflect their actions. This step is vital before the couple can begin the healing process.

    Avoid Cheap Forgiveness

    Sometimes, in an effort to save a marriage, the wronged partner quickly forgives the cheater before he or she has had a full chance to feel their anger and hurt. Spring calls this “cheap forgiveness” and warns that it can set up a marriage for future infidelities.

    The behavior, she has noticed, is prevalent among individuals who are more afraid of being alone than staying in an unhealthy relationship with an unfaithful partner. But, cheap forgiveness essentially lets the cheater off scott-free and sends a message that the behavior is okay.

    Shared Responsibility

    There are some situations where, even when only one person has strayed, both parties share guilt. While the unfaithful person has to take responsibility, own up to their guilt, and allow their partner to vent, the wronged party must also acknowledge their own role. What led to feelings of emotional distance and isolation? Did their own behavior cause their spouse to stray?

    Shared responsibility is necessary for healing and true intimacy.

    Let Go

    Once full responsibility is taken and grieving has happened, it is now time for both parties to “let it go” and begin coming back together. A couple has no chance of rebuilding trust if the wronged partner is going to hold onto the resentment and use it against their spouse in future situations.

    Above all else, Spring advises that rebuilding trust after an affair takes time. Each couple is different. While some may feel closure after six months, others may need a year or year and a half to fully come together. Some couples may find they need the guidance of a therapist to move through their issues. But the important thing is that both parties remain committed and do the work.

    If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

    Filed Under: Couples/Marriage

    5 Signs That You Might be Struggling with Anxiety

    May 3, 2019

    It’s normal to feel anxious from time to time. Perhaps you get a bit nervous speaking in front of people or going on a job interview. But for some people, anxiety becomes a frequent and forceful occurrence that completely takes over their lives. Since anxiety comes in many forms, for instance panic attacks, phobias and […]

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    5 Signs That You Might be Struggling with Anxiety

    It’s normal to feel anxious from time to time. Perhaps you get a bit nervous speaking in front of people or going on a job interview. But for some people, anxiety becomes a frequent and forceful occurrence that completely takes over their lives.

    Since anxiety comes in many forms, for instance panic attacks, phobias and social anxiety, it can often be difficult to tell if what you’re experiencing is “normal” or has crossed the line into a mood disorder.

    If you are experiencing any of the following symptoms, you may want to speak with a counselor who can help you cope with your anxiety.

    Excessive Worry

    General anxiety disorder (GAD), the broadest type of anxiety, is characterized by excessive worry. People with GAD worry too much about everyday things, both big and small. But what constitutes “too much worry?”

    With GAD, people are plagued with persistent, anxious thoughts most days of the week. This anxiety can become so overwhelming it interferes with their daily life. If you are worrying to a degree that you have trouble doing daily tasks and are suffering with your emotions, it may be time to speak with a therapist.

    Trouble Sleeping

    Sleep issues such as falling asleep or staying asleep have been associated with a myriad of health conditions, both physical and psychological. It’s normal for people to have trouble sleeping from time to time. Perhaps you find yourself tossing and turning before a big job interview or giving a presentation.

    However, if you find yourself night after night lying awake, anxious about specific problems (such as relationship problems or financial difficulties), or even about nothing in particular, it may be a sign of an anxiety disorder.

    Muscle Tension

    Anxiety disorders can often be accompanied by persistent muscle tension. Do you find yourself clenching your jaw or balling your fists throughout the day? You may have lived with this chronic muscular tension for so long you don’t even realize it anymore. While exercise can help relax muscles, therapy will get to the root cause of the anxiety.

    Digestive Problems

    While anxiety lives in the mind, it is often manifested in the body through chronic digestive problems, such as irritable bowel syndrome. Our guts are very sensitive to emotional and psychological stress. Unfortunately, digestive upset can often make a person feel even more anxious.

    Panic Attacks

    Panic attacks can be a frightening experience. You are suddenly gripped with an overwhelming feeling of dread and fear. These are often accompanied by physical symptoms such as shortness of breath, racing heart, dizziness, and profuse sweating. Though not everyone who has an anxiety disorder will experience panic attacks, but those that do live in constant fear.

    Anxiety disorders keep people from living a joyful and fulfilling life. Luckily there is help. A therapist can assist in uncovering the root cause of the anxiety and offer tools to cope.

    If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

    Filed Under: Anxiety

    How to Get the Most Out of Couples Therapy

    April 23, 2019

    As a therapist, I often have a front row seat to relationship miracles. Well, okay, there are no miracles really. The fact is “fixing” a relationship takes work. It takes two people wanting it to work and then putting in the effort. Having said that, I have seen couples go from nearly ending it to being back in […]

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    How to Get the Most Out of Couples Therapy

    As a therapist, I often have a front row seat to relationship miracles. Well, okay, there are no miracles really. The fact is “fixing” a relationship takes work. It takes two people wanting it to work and then putting in the effort.

    Having said that, I have seen couples go from nearly ending it to being back in love, and liking and respecting each other.

    Couples therapy can be a powerful change agent, there is no doubt about it. But what allows some couples to make it while others don’t? The couples I have seen recover from marital issues and form an even stronger union have all had certain things in common.

    Here are some ways you and your partner can get the most out of couples therapy and set yourselves up for success.

    1. Commit

    Many couples view therapy as a last-ditch effort, which makes it all the more important to go all-in and commit to the process entirely. And even if therapy is your first attempt to salvage the relationship, it’s important that both parties give it their best effort.

    This means even if nothing else has worked, and even if you’re both at each other’s throats most of the time, you leave any Bottom of Form defensiveness, criticism, contempt, or stonewalling at the door. These will only impede any progress that may be made.

    1. Be Open Minded

    It’s common to be skeptical of therapy if you have no experience with it. It’s also common to feel skeptical that your particular problems or issues are too big to be overcome. While there are no guarantees in life, my professional experience has shown me that most relationship issues are solvable. But if you believe that they aren’t, you’re setting yourself up for failure right at the outset.

    Real change requires an open mind.

    1. Do Your Homework!

    You don’t spend money and time on college to NOT do any of your homework. The same goes for couples therapy!

    During your sessions, your therapist will help facilitate respectful and effective communication and give you tools to get the same results at home. But it is up to YOU to use these tools at home.

    Your relationship will not be “fixed” every Tuesday from 4:15 to 5:00 pm, it will be fixed from the work you both do on your own time. The point of therapy is to learn how to navigate obstacles and conflict as they arise in everyday life outside of the therapist’s office.

    Couples therapy is a wonderful resource that helps many couples overcome challenges. If you’re willing to commit to the process, have an open mind, and do the homework, you and your partner have an excellent chance of creating a healthy and respectful relationship.

    If you are looking for a couple’s therapist, I’d be happy to speak with you. Let’s talk and see if I might be a good fit for the both of you.

    Filed Under: Couples/Marriage

    4 Subtle Signs of Trauma: When You’re Dealing with More Than You Think

    April 18, 2019

    When you think about someone experiencing trauma, incidents such as a violent or sexual assault or a terrible car accident might come to mind. But there are other, subtler forms of trauma that can negatively affect our lives and hinder our relationships. Emotional trauma is often overlooked and minimized, and we may think we’ve “gotten […]

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    4 Subtle Signs of Trauma: When You’re Dealing with More Than You Think

    When you think about someone experiencing trauma, incidents such as a violent or sexual assault or a terrible car accident might come to mind. But there are other, subtler forms of trauma that can negatively affect our lives and hinder our relationships.

    Emotional trauma is often overlooked and minimized, and we may think we’ve “gotten over” some emotional pain that we’ve simply buried, and not dealt with. A break up, being passed over for a promotion at work or even a simple but negative childhood experience can cause emotional trauma. Read on to see if you recognize any of these four subtle signs of trauma in yourself.

    Overwhelm

    Anxiety and stress may develop in the aftermath of trauma, causing you to feel overwhelmed in numerous ways. You might feel out of control, like there is too much to do, or that people in your life are taking up too much of your time and attention. If you often feel as though your life has become unmanageable, this could be a sign that you have some unresolved emotional trauma.

    Overreacting

    Emotional overreactions are a common symptom of trauma. A victim of trauma might redirect their overwhelming emotions towards others, such as family and friends. Because these undealt with emotions are always bubbling under the surface, any incident that brings feelings forward can unleash these pent-up emotions. If you can recall times when you’ve overreacted, and perhaps have even been surprised at your own reactions, this may be a sign of trauma.

    Shame

    It’s not uncommon for people suffering from emotional trauma to have feelings of shame and self-blame. If you have feelings of shame because of a traumatic event, you may devalue yourself or see yourself as weak. You might feel a stigma from what you endured, and this may prevent you from admitting that you may be traumatized, or prevent you from seeking help.

    Daydreaming

    Another subtle sign of trauma is “zoning” or “spacing out.” You might feel disconnected from others or have difficulty staying present in social situations. Emotional trauma can cause you to slow down internally, numbing your emotions or causing you to feel exhausted. Because of the trauma you experienced, you may be averse to the expression of painful emotions, so you turn those emotions off. As you withdraw, your relationships with others suffer, causing you further psychological pain.

    If these signs seem familiar and you believe you may be suffering from trauma, help is available. A caring, licensed professional trained in trauma treatment can help. Take the first step by giving me a call today, and let’s set up a time to talk.

    Filed Under: Trauma / PTSD

    Hello world!

    September 6, 2018

    Welcome to WordPress. This is your first post. Edit or delete it, then start writing!

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    Hello world!

    Welcome to WordPress. This is your first post. Edit or delete it, then start writing!

    Filed Under: Uncategorized



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    18830 Stone Oak Parkway #104
    San Antonio, TX 78258

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