New Fathers and Their Mental Health

Welcoming a new child into the family is a time of great excitement and joy. But it can also be a time of stress, especially with the first child, since you’re entering into an entirely new experience. Most attention is placed on the mother and child, which is certainly understandable. Still, the new father has many new responsibilities and emotions to deal with as well, which can sometimes lead to confusion, irritability, anxiety, or depression. Up to 18% of new fathers experience generalized anxiety, OCD, or PTSD during the first year of a new baby’s life, so it’s important to take steps to protect your mental health.

Pressures on new fathers

Society and new fathers themselves place a lot of pressure on new dads. Fathers feel a powerful desire to protect and provide for the mother and child, and this is a very important part of a man’s healthy emotions. But it can lead to fear, anxiety, and worry, especially if the family is going through some financial stress or if the family lives in a less-than-safe neighborhood. A father can find himself ruminating on possible future problems, like “What if I lose my job?” or “How will we pay for college?” Future fears stoke current anxiety.

Babies can be expensive, too, with the cost of diapers, doctor appointments, clothing, and other baby necessities. A father might find himself worrying about how they will make ends meet, increasing the feeling of pressure to find more ways to provide.

The father may also feel like he doesn’t know anything about babies and is afraid to do something wrong. A mother’s bond with the baby can be very strong because she has been carrying the child in her womb for over nine months and breastfeeding can increase that sense of attachment. Fathers can feel left out or unable to address a child’s needs and may just hand the child to the mom when the baby starts to cry. This further instills in the father a feeling of helplessness and lack of bonding. Some may fathers start to feel that their baby doesn’t want to be with them, leading to a cycle of negative thoughts that can create distance between a father and child.

Changes in the home

We have all heard of postpartum depression (PPD), which describes the depression that can come upon new mothers due to drastic hormonal changes and the pressures of caring for a new baby. Paternal postnatal depression (PPND), which can affect 1 in 10 fathers and affects half of the fathers whose wives are experiencing PPD, is less well known. So if your wife is experiencing depression, there is a strong possibility it will affect you, as well.

The household now revolves around the baby, as it should in the beginning. The baby needs constant care and doesn’t sleep through the night. You will need to share chores, and the time that you used to be able to spend with your spouse will all but disappear, or will have to be shared with the baby. Oftentimes, people will fuss over the mother and child, almost forgetting the father.

A new father can feel lonely, resentful, or taken for granted during the early months of a child’s life. Recognizing these feelings can then make the father feel guilty for thinking of himself rather than being thankful and joyful, and putting his new family first.

Addressing these issues

Although men are generally less willing to talk about their feelings, one of the most important steps in addressing these new-father emotions is to discuss them. Share with your partner how you are feeling, without accusing or blaming her. She is undoubtedly going through some strong emotions herself, many of them linked to her hormones realigning after the birth. She probably has already shared them with you, so take time to discuss yours, as well, in a manner that says “we’re in this together, honey!” This can help you find ways to support each other through this exciting but sometimes challenging time.

Connect with other new fathers in a support group. You may be fortunate to find an older man who can mentor you, as well, but remember that former generations had a different view of fatherhood. Take the good advice that he can give, as his wisdom will help you, but remember that it is important to address your emotions and not ignore them, which was the expectation of men in the past.

Work to bond with your baby. Skin-on-skin contact is very important for the baby’s emotional and physical development. Hold your baby against your chest, both of you shirtless, and let your baby hear and feel your heartbeat.  Both you and the baby will feel a strengthening of your bond. Talk to your baby so he or she will come to know your voice. Don’t immediately turn the baby over to the mother when your child begins to cry; find ways of soothing your child yourself. Unless the child is hungry and is nursing, you are just as capable of soothing a crying baby as the mother is.

Take on some baby chores, giving your wife a break and furthering your baby-bond. Changing diapers isn’t the most fun activity, but there are ways to make diaper changing an adventure and fun.

Take time for yourself, too. Don’t completely give up a fun hobby or time with friends, even if you may not be able to do it as much as you used to. You are still you, and you need to nurture yourself sometimes to be stronger for your family.

Consider getting help

Big changes are not easy. Even when you expect to feel overjoyed, it can still be hard. Recognize that it’s normal to feel this way if your emotions are mild, and you can manage them by applying these helpful suggestions.

But if you are feeling a strong sense of depression, worry, anger, or thoughts of harming yourself or others, seek immediate help from a nearby mental health professional who specializes in PPD and PPND. Call or text 988 any time, 24/7, for mental health crisis support, especially concerning self-harm or violent feelings.

If you are in the New York City area and want help sorting out your emotions as a new father, reach out to me to see how I can help you.

Posted in General Self Help, Postpartum Depression | Tagged , , , , | Comments Off on New Fathers and Their Mental Health

Resolving Money Conflicts in Your Marriage

Money is one of the most common conflicts that can crop up in marriage and many couples say it is their most challenging relationship issue. Fortunately, there are very effective ways to resolve such conflicts and bring you and your partner into alignment around the subject of money and spending. It’s important not to let resentment build up.

Personality differences

Conflicts can arise when one of you feels the other is overspending or should be doing something to increase income. This could be a difference in upbringing or personality. One of you might have been raised in a home where money was always tight and reserved for necessities. Seeing your spouse spend money on something you think is frivolous may bring up deep-seated feelings of financial instability. These feelings might generate fear or anger that you may not even be aware of. These negative feelings then get directed toward your spouse, who may have an easier-going attitude toward money.

Maybe you are a planner and saver, with a big dream for a major future purchase, but your partner believes in enjoying life in the here and now and wants to take family trips or buy extras to enjoy in the present. You may be risk-averse while your spouse is open to riskier investments, which can also cause conflict.

Or maybe one of you works and the other stays home with the kids, and the worker feels like the stay-at-home parent doesn’t appreciate how hard it is to financially support a family.

 Financial realities

Personality differences are probably always going to be present, but there could also be serious financial circumstances that need to be addressed, for instance:

  • Household expenses may exceed household income
  • A growing family’s needs may be outpacing income growth
  • An extended family member may need financial help; one partner is willing to help, and the other one is concerned that family finances will be affected
  • Too much pre-marital debt (ex., college debt)      
  • One or both spouses may be out of work
  • One of the spouses may have a serious spending problem or a gambling problem
  • Only one partner handles the money, leaving the other partner in the dark about the family’s financial picture

Addressing money conflicts

Some of these differences can be more easily addressed, while others may need deeper healing with the help of a trained counselor or therapist. But either way, resolution always begins with communication. Have a fair and frank discussion about your attitude towards money and what you see for your future.

  • What did your parents teach you about money? Was money an issue in your home when growing up?
  • What is your attitude towards spending? What is your attitude towards saving? What is your experience with budgeting?
  • What are your financial goals? Do you have future plans or dreams for major purchases?
  • What fears do you have around money?
  • How would you answer the question “What is money for?”

Healing money conflicts

Having honest conversations about money and spending should help you understand each other and the attitudes that fuel your behavior. Once you understand each other’s perspective, consider some next steps:

  • List absolute essential expenses (debt, utilities, mortgage, insurance) and essential expenses that have wiggle room. For instance, food is essential, but is too much money being spent on meals out or junk food? The kids need clothes, but do they need the most expensive sneakers?
  • List important expenses that might not be absolutely essential. For instance, extra-curricular activities are important, but are there less expensive, equally fun options?
  • Create a budget, listing income and essential expenses first, then evaluate what is left for other expenses.
  • Discuss what changes may need to be made. You may be surprised to discover you don’t really have a financial problem; you just have a perception of a financial problem. This is great news! Discuss how much should go into savings and how much should be budgeted for “fun money” – spending that will make your family’s life more enjoyable.
  • If you find you have to “tighten the belt,” consider getting professional advice for some financial strategies: pay down debt, refinance your mortgage if rates drop, or make other major financial changes. Your bank or your tax accountant may be able to help you or may be able to direct you to low-cost financial planners.
  • Develop a plan for the two of you to sit together and talk about the financial picture on a monthly or quarterly basis so that both of you are aware of the family’s financial situation.
  • Promise to talk to each other (and do so lovingly) if one of you starts to feel stressed about money again, so that no anger or resentment can grow and take hold.

A therapist can help

When both spouses are emotionally healthy and want a resolution, these steps can help lessen the stress of money . But sometimes, if there are deep-seated fears that are based on an experience of poverty or financial instability in childhood, if there is a gambling problem, or if a partner is driven to spend, then it is critical to reach out to a therapist in your area who is experienced in helping people with these issues.

If you are in the New York City area, give me a call to see how I can help you. Therapy is an effective tool for helping people understand their history and how it affects their thoughts and behaviors. This knowledge is power. When you know why you do what you do, you are empowered to make the changes necessary to feel more in control.

Posted in Couples Therapy | Tagged , , , , | Comments Off on Resolving Money Conflicts in Your Marriage

Is Your Perfectionism Causing Your Anxiety?

Perfectionism and anxiety have an interesting link. Walking around NYC, you may see people who look as if they are perfect. From cars and clothes to addresses and jobs, they may all look perfect. The problem begins when you start comparing yourself to the version of them that you see.  

In some people, perfectionism can lead to anxiety, while in others, anxiety can lead to perfectionism. What is this anxiety/perfectionism cycle, and how can you break it?

Understanding the cause of perfectionism

Perfectionism may have many causes, including events from childhood through adulthood. For instance, if you were raised in a family in which everyone was measured by their success in school or sports, you might feel the need to drive yourself too much to be approved or loved. If you made a mistake early in your career that caused you embarrassment or even the loss of a job, you may feel the need to be perfect to avoid another similar occurrence. Maybe a mistake in a relationship in the past has made you feel like you have to be perfect and never make another mistake in your relationships.

But the fact is, we are human. We make mistakes. And sometimes other factors out of our control may contribute to a mistake or an imperfect result. Since nothing is ever truly perfect, your drive for that perfection is never fulfilled, thus creating feelings of anxiety, low self-esteem, a feeling that you are a failure, and sometimes other mental health disorders such as obsessive-compulsive behaviors, eating disorders, and depression. Anxiety could also have developed first from those factors and then led to perfectionism in an attempt to mitigate the anxiety by eliminating the chance of the failure ever happening again – unfortunately worsening the anxiety rather than mitigating it.

Breaking the cycle

Whatever the underlying cause, it is clear that this cycle needs to be broken and there are many approaches we can take that can help.

Some methods we can consider are:

  • Cognitive behavioral therapy to help you identify negative thought patterns and develop better coping methods
  • Psychodynamic therapy if the causes of the anxiety and/or perfectionism seem to be rooted in a history of thoughts, relationships, and behavior patterns that need to be gently explored to resolve unconscious responses that trigger current mental health issues
  • Mindfulness, which will help you become aware of how you are reacting, so that you can remain present in the moment rather than heading into a cycle of “what ifs”
  • Exposure and response prevention therapy to help you face uncertainty in small doses and learn to manage imperfection and become comfortable with it

If you live in the New York City area, reach out to see how I can help you learn to reduce the need to be perfect and embrace life in its surprising and sometimes pleasant imperfections. If you aren’t in the NYC area, reach out to a trained therapist near you who has experience with your particular needs.

Posted in Anxiety | Tagged , , , , | Comments Off on Is Your Perfectionism Causing Your Anxiety?

Creative Outlets to Ease Stress

Did you know that adding a little creativity to your life can help ease stress? You do not need to be an artist – you don’t even need to show anyone your projects. But studies have shown that creative expression has many mental health benefits: promoting relaxation, distracting from negative thoughts, providing a sense of self-expression, and giving you a feeling of control over your creation.

The goal is not to try to create something perfect. That would defeat the purpose of relaxation and add another layer of stress. No, the purpose is to just let go of expectations and allow yourself to have some fun, create something beautiful, or maybe something ugly or boring, if that’s what appeals to you at that moment. Just relax, express, and have fun.

There are so many creative outlets to choose from. Let’s review a few.

Writing/journaling

Maybe you’re a gifted writer, storyteller, or poet, or maybe you just want to blow off steam. If writing appeals to you, start with maybe five minutes a day of journaling or brainstorming an idea about a story or poem. Gradually, you may find during the day that your mind turns toward thoughts of writing, providing pleasant thoughts throughout the day.

Painting/drawing

Both painting and drawing draw a person into the creative process, helping them leave the world behind and enter an almost meditative state, as your attention is focused on your creation. If you don’t feel creative enough to draw or paint something original, try an adult coloring book or even a paint-by-number set.

Dancing

Movement is proven to help with mood by releasing endorphins, which are natural mood lifters. Whether you dance around the living room to your favorite tunes, join a swing dance club, or take ballroom dancing with a loved one, movement is beneficial both physically and emotionally.

Crafts

There are so many crafts to choose from, whether you choose textiles (knitting, weaving, sewing), woodworking (carving, whittling), clay (ceramics, turning on a wheel), paper crafts (scrapbooking, card making), or jewelry making, the options are almost endless! Take a walk through a craft store and just pick up what appeals to you.

Music

This could include playing an instrument, music composition, going to concerts, or developing music appreciation. Music has also been shown to have a very positive effect on the brain. Playing an instrument is proven to help structure the brain in an orderly manner and aids in memory retention. Music appreciation combined with dancing or movement like tai chi offers double the benefits.

Cooking/baking

Cooking and baking are wonderful outlets because you get to eat your creation! I encourage you to choose healthy options, foods that support physical and mental health.

Gardening

Growing things – whether outdoors or indoors – is very soothing and healing, as you nurture life in living things. Plants also inhale carbon dioxide and exhale oxygen, so houseplants make indoor air healthier. The beauty of green growing things and a bouquet of flowers that you grew yourself can offer a sense of satisfaction.

Photography

Photography forces you to focus on something outside of yourself (literally!). Since you are looking for stress relief, pick objects to focus on that build positive feelings in you and create an atmosphere of peace and tranquility.

Clearly, there are many creative outlets, so if you’re looking to ease stress, turn off the cell phone and computer screens and pick up a creative activity. If you are having trouble determining what to do or if you feel you need a little help addressing stress or other emotional issues, and you’re in the New York City area, reach out to see how I can help you take your first steps to developing habits that can help you handle stress with ease.

Posted in Stress Reduction | Tagged , , , , | Comments Off on Creative Outlets to Ease Stress

My Spouse Has ADHD, and I Feel Like I Am Parenting My Spouse

When we think of ADHD, we usually think of children. However, studies show that, while symptoms may decrease in adulthood, only 15-35% of children with ADHD completely outgrow the full disorder. So if you have a spouse with ADHD symptoms, you are not alone.

In any committed relationship, each person loves the other for who he or she is – both strengths and weaknesses, virtues and flaws.  But over time, some personality traits can begin to rub the wrong way. This can be even more true when one spouse has ADHD. In such cases, couples counseling and cognitive behavioral therapy (CBT) can be very effective.

ADHD symptoms

People with ADHD exhibit difficulty with “executive function” and self-regulation, which help the brain manage information, make decisions, and plan ahead. This difficulty can vary in degree, but some symptoms may include:

  • Forgetfulness, distractedness or hyperfocus, and inability to complete tasks
  • Interrupting conversations or abruptly changing subjects
  • Not listening or forgetting what was just said
  • Difficulty concentrating
  • Compulsive behavior or dysregulated emotions
  • Difficulty seeing other points of view
  • Hyperactivity or lack of motivation

Sometimes depression and anxiety can include some of these behaviors. Therefore, a mental health professional should properly evaluate your spouse to determine the root of the issue. In my counseling practice in New York City, I have found that once we determine the underlying issue, a proper treatment plan can be developed. We can greatly improve or even resolve many issues.

How your spouse’s ADHD affects you

If your spouse is showing symptoms of ADHD, you may feel like you’re parenting your spouse, doing many things for him or her, taking on a heavier load of household chores and responsibilities, and always having to follow up to make sure your spouse has done his/her part.

This can leave you feeling physically and emotionally exhausted, lonely, unappreciated, and even resentful. You may begin to forget why you fell in love with your spouse and begin to overlook all the wonderful traits that your spouse still has, because you’re overwhelmed by the ADHD traits that are making your life more difficult.

You may find yourself doing most things for your spouse, like making appointments and constantly reminding him/her about them, paying the bills, finishing chores your spouse was supposed to do, and even talking to your spouse like a parent to a child.

This can lead to unintended consequences for your spouse, including learned helplessness, becoming dependent on you to do everything, and forgetting or not developing necessary skills every adult should have. In addition, your spouse, who is an adult, may begin to develop resentment towards you, realizing that you’re treating or talking to him/her like a child. This can lead to marital conflict.

What we can do together

An ADHD-affected marriage has the same challenges as any marriage: learning proper communication skills, creating boundaries, defining expectations, learning how to focus on the good, and growing together rather than apart. When the main difficulty is ADHD, I often suggest couples therapy as well as therapy for the ADHD-affected partner to help him or her develop different behavioral patterns and thought processes. This can benefit the non-affected spouse as well, particularly if the problem has been going on for a while and that partner has developed a set of negative thoughts and reactions that need to be unlearned. But couples therapy is always an important part of the healing process.

As you learn better communication methods, discover or rediscover your own unique strengths, and remember what you love in each other, you will strengthen your marriage, put healthy strategies into place, and be able to look forward together with hope and joy.

Posted in Couples Therapy, General Self Help | Tagged , , , , | Comments Off on My Spouse Has ADHD, and I Feel Like I Am Parenting My Spouse

In Survival Mode? Let’s Talk!

Stress seems to be the norm in our modern world, but it is possible to learn techniques to help you cope. Chronic stress threatens your mental and physical health. In our modern, stressful world, people need to learn how to manage and de-escalate stress and live a more peaceful life. Some people are able to do this effectively by reading a book or following good advice from a friend, but in my years of practice as a psychotherapist in New York City, I have found that the most long-lasting and life-changing results occur when a person spends a little time working with a therapist.

What stress does to you

Your stress may be caused by interpersonal issues, such as marital problems, concern for your children, difficult people at work, or an elderly parent needing frequent care. Your job may be stressful by nature, such as with medical personnel or other first responders. Or you may have past experiences that keep being triggered. Whatever the cause, the body responds the same way.

During an acute stress situation, such as a near-collision on the road, your body reacts immediately to keep you safe. Your hypothalamus in the brain prompts the adrenal glands to release the hormones adrenaline and cortisol. They make your heart beat faster and blood pressure rise, and they surge energy to your body to react quickly – the “fight or flight” response. When the danger has passed, all things should return to normal, physiologically. But if you are in a continual state of stress, the hormones and organs involved do not get to calm down, causing a cascade of problems throughout your body.

Physical responses may include:

  • Cardiovascular problems, including chest pain, racing heart, palpitations, high blood pressure
  • Digestive system problems, such as irritable bowel, weight gain or loss, and ulcers
  • Clenching the jaw or grinding teeth, body aches
  • Headaches, migraines, dizziness, shaking
  • Weakened immune system, including arthritis, fibromyalgia, and rashes
  • Reproductive system issues, such as frequent infections, irregular periods, infertility, and loss of libido
  • Sleep problems, which can include both extremes: exhaustion due to lack of sleep, as well as low energy leading to excessive sleep

Psychological and behavioral responses may include:

  • Anxiety
  • Irritability
  • Depression
  • Panic attacks
  • Addiction, or other compulsive behaviors
  • Eating disorders
  • Brain fog or poor memory

What a therapist can do for you

Overcoming stress requires a multi-pronged approach. In my practice, I utilize both psychodynamic therapy as well as cognitive behavioral therapy, as I deem necessary, upon discussing with my clients their particular needs.

Psychodynamic therapy is a deep and sensitive exploration of problems and issues that may affect your behaviors, usually starting in one’s childhood or youth. The process helps demystify the reasons behind why you do what you do, why you react the way you react. This can be a truly freeing experience for clients as they finally begin to see how they can take control of their thoughts and master their own responses.

Cognitive therapy is a more concrete approach. I work with my clients to identify automatic thoughts and develop techniques to rewire unhealthy, habitual thoughts and behaviors through self-talk practices and journaling, relaxation and mindfulness techniques, and positive thinking and self-affirming statements. Some people may start here, while others may benefit from psychodynamic therapy first.

As the therapy work progresses and new outlooks become possible, the patient and I work together to form new life habits, including exercise, healthy food choices, fostering healthy friendships, and developing outside interests that bring joy.

As patients progress from a state of constant stress and a feeling of helplessness to a more enhanced state of confidence, they gain more control over their thoughts and behaviors, and hope for the future. If you’re in the NYC area, contact me for an evaluation to see how I can help you.

Posted in Stress Reduction | Tagged , , , , | Comments Off on In Survival Mode? Let’s Talk!

Bullied in Childhood?

Bullied as a child? You’re not alone. Many people share your experience. One longitudinal study following more than 1,200 children into adulthood found that about a third of the children experienced bullying. Many of the victims of bullying carried the effects of the experience into their adult years.

Here in my NYC office, I help clients process bullying that they experienced and build the strength to move forward. The experience of childhood bullying can range in intensity, as can the long-term effects. However, it does not always follow that the worst experiences caused the worst problems. We are all different, and we have other life experiences that can ease or exacerbate the wounds of childhood. The good news is that adult survivors of childhood bullying can find the help they need to break free from the effects of these adverse childhood experiences.

Effects of childhood bullying

When children experience bullying, they internalize negative messages about themselves at a very tender age. The presence of other supportive and loving people in their lives can mitigate the negative messaging. However, depending upon their personalities and other life experiences, these negative messages may become embedded long-term and result in health issues and emotional behaviors rooted in these now-subconscious beliefs.

Some health problems that may be rooted in bullying include anxiety, depression, low self-esteem, eating disorders, headaches and migraines, insomnia, poor stress management among others.

People who have been bullied sometimes develop a deep sensitivity towards the sufferings of others. This may be a result of remembering their own feelings from childhood. Others can experience a sense of detachment from their own feelings, perhaps because they felt no one cared about them, or perhaps to protect themselves from more hurt.

Some adult survivors of bullying become disconnected and isolated, not trusting people. Others feel a tremendous need to be liked and to be accepted by others.

Some develop a submissive, passive personality, while others are hypervigilant, ready to defend themselves aggressively (verbally or physically) against any perceived insult or injury.

These behaviors find their roots in a feeling of powerlessness and low self-esteem, messages that the bullies ingrained into your head in childhood. These messages need to be rewired, and these lies need to be dispelled. Doing so will improve your emotional and physical health, improve your relationships, and relieve you from the weight of your childhood trauma.

Becoming free from childhood bullying

Some adult survivors of bullying continue to experience the bullying with the mind and heart of their inner child. In therapy, we work to help you reexamine your past experiences with the mind and heart of an adult. In therapy, we explore your unique history and the various experiences that have impacted your life. This will help you understand the connection between past experiences and your own emotional and physiological responses today.

When you are able to review your childhood experiences, recognize the hurting child who is still experiencing them, and reevaluate them from an adult perspective, you will begin to be able to let go of the grieving and powerless child’s perspective and replace it with the perspective of a healthy adult.

Bullying is a statement on the bully, not on you. As a child, you could not understand that, but as an adult, you can. Allowing the bully to continue to hurt you means they still have power over you, even after all these years. They may be old and lazy now, they may be in prison, or they may have turned into a great person who regrets being mean as a child. Whatever their fate, they have no right to hold power over you anymore.

How therapy can help

Once you begin to uncover your automatic thoughts by recognizing their roots, you can begin to reclaim control over your own emotions, thoughts, reactions, and triggers by rewiring them in healthy ways. This is where cognitive behavioral therapy can be very helpful.

There are a variety of techniques that can help you positively retrain your automatic thoughts and reactions. We will customize them to what works best for you. These include relaxation exercises, mindfulness homework, self-talk practices, positive thinking, and journaling, to name a few.

Reframing your core beliefs about yourself based on the reality of your self-worth will help you change old habits of thought, develop a healthy self-love, and build self-confidence. On this strong foundation, you can strengthen relationships and empower yourself to navigate your future towards success and inner peace. Find a good therapist near you to help you reach your true potential. If you’re in the NYC area, reach out to me to see how I can help.

Posted in General Self Help | Tagged , , , , | Comments Off on Bullied in Childhood?

App Therapy – Can AI Be a Good Therapist?

Technology that interacts with humans, such as Artificial Intelligence (AI), is developing at an accelerating rate, causing many people to wonder – or worry – that it may replace many jobs currently held by humans. What could happen to the economy when robots and AI replace human workers? This is a very real concern, and it may be surprisingly near. But can AI replace a good therapist? Can a computer program provide effective counseling? I don’t think so.

We are each so very different. Our life experiences, current environment, and personalities are so complex that there could be a seemingly infinite combination of inputs that have created your personality, your set of needs, your strengths, and your weaknesses. No machine is as complex as the human brain or the human soul. It takes another human being to understand, provide compassion, and help someone heal and blossom.

What technology can do

Technology is undoubtedly helpful in some ways. Individuals can find AI services, apps, or online resources that can help them in their first steps of emotional healing or stress reduction. Just as some people find significant relief from mild-to-moderate symptoms through the help of a support group, either in person or online, some people may find helpful suggestions or life-hacks that give them exactly what they need to improve their issues through AI. I encourage people to look into some phone apps or AI-driven services that help in areas such as:

  • Mindfulness
  • Sleep improvement
  • Stress relief
  • Positive thinking
  • Meditation or relaxation
  • Lifestyle changes (better eating habits, quitting smoking, etc.)

Some of these apps and services use AI to fine-tune your experience, customizing the app to your particular needs. These can be very helpful, alone or as a support to traditional therapy. But while there are also apps that attempt to provide depression help and talk therapy, I strongly urge people with serious problems not to depend on these apps for relief. You need an experienced therapist to help with more serious mental health concerns, trauma, or long-term struggles.

What technology can’t do

AI cannot pick up on the nuances of your unique situation that a sensitive, experienced therapist can. An app can’t provide the empathy and compassion that you need when addressing deep-seated issues. Technology can’t provide the human interaction that we have evolved to need in order to thrive. In fact, many therapists and counselors, including myself, have dealt with an increasing number of clients whose modest mental or emotional health issues have become amplified into much more serious conditions due to the isolating effect of the internet, smartphones, and social media.

Science is only just beginning to research the effects that cell-phone use and the internet have had on our mental health, as well as on our physical health and the cognitive health of young people. Both the online content and the hardware itself, along with the energy that it puts out, are being implicated in sudden declines in our mental and physical health, especially in the young. These are very serious concerns.

Additionally, some concerns have been raised by the Federal Trade Commission (FTC) and other government officials regarding the privacy of health information and compliance with HIPAA laws. Even if your health data is not shared, there is the added concern that your contact information could be.

These are just a few of the concerns that I have about AI therapy apps and other online therapy options. Some of my clients utilize apps to help them apply lifestyle changes that we discuss in therapy – for instance, using a positive thinking app or a gratitude app. I am personally thankful that such tools exist to help my patients apply what we have discussed in therapy, thus speeding their recovery. But I cannot recommend replacing a good therapist with an app. I am very concerned that people who are in great need of counseling will go too long without the help they need, worsening their condition.

If you feel you need help addressing issues such as anxiety, depression, trauma, relationship issues or other emotional or mental health concerns, please find a good counselor near you who is an expert in the issues that you are experiencing. If you’re in the New York City area, please reach out to see how I can help you.

Posted in Therapy | Tagged , , , , | Comments Off on App Therapy – Can AI Be a Good Therapist?

When You Need a New Therapist

As a psychotherapist in New York City, I help individuals, couples, and those struggling with infertility with their psychological or emotional challenges. My orientation is in both cognitive behavioral and psychodynamic practices, which help foster a safe and secure environment while my clients develop self-awareness and the motivation to make changes. I have found that these methods are successful for many people. But there is more to a good therapist than his or her expertise and methods. In order for you to experience the most benefit from your therapy, you need the right fit of the therapist’s skills, your particular needs, and how you work together. 

Signs that the therapist is right for you

In a nutshell, your therapist is right for you if you feel comfortable and you are seeing improvement. Of course, it often takes a little while to see noticeable improvement. However, after a few sessions, some progress should be taking place, if not in feeling better then at least in starting to understand what is behind the issues that are fueling your emotional or mental distress. 

Some signs that you and your therapist are a good match are:

  • You feel comfortable being fully honest with your therapist
  • You feel fully accepted, not judged
  • The challenges that your therapist may suggest to you, even though difficult, seem to make sense and are appropriate
  • The goals of the suggestions or challenges are explained, not dictated without being clarified
  • Your therapist is not giving excessive advice but rather is helping to guide you in finding the root causes and helping you find your own answers and develop helpful strategies
  • You are seeing improvement or can see how the process will soon lead to improvement 

These are all good signs that your therapist is a good fit for you in your healing and growth process. 

Signs that it’s time for a change

When you begin with a new therapist, allow for a brief breaking-in period as you come to understand each other. Your therapist can use this time to evaluate what methods may help you best. You likely came to your first session with questions and expectations. Hopefully, your therapist took time to interview you, get a foundational understanding of you and what you may need, and explain to you his or her methods. If you did not take these steps at the beginning, you might quickly discover that your therapist is not a good fit.

Sometimes, even if you’ve been working with a therapist for a while and all has gone well, a time may come to make a change. Some signs that it may be time to find another therapist may be:

  • You feel dissatisfied or discouraged, or you consistently leave therapy sessions feeling worse
  • You feel misunderstood, bored, unchallenged, or “not being heard”
  • You don’t see any improvement at all, or perhaps you did see improvement before but things have stalled
  • Your personalities don’t “click” or you don’t feel comfortable or safe
  • Your therapist is doing too much talking or is sharing too much personal information
  • Your therapist is telling you what to do, rather than guiding you to find the answers yourself so that the change comes from within
  • You are becoming too dependent on the therapist, feeling like you can’t live without him or her
  • The therapist does not have the expertise you need
  • What worked before doesn’t work now since you have progressed and your therapist doesn’t have a broad enough “toolbox” to find the right tool to help you in this next phase 

If you are only just beginning to feel like things aren’t working, speak up. Advocate for yourself. Let your therapist know how you’re feeling and give him or her a chance to make adjustments. There is much to be said for maintaining a long-standing relationship with someone who has helped you up until now. However, sometimes it is just time to move on.

How to make a switch

A good therapist can tell when a client is not benefitting from his or her help. At that time, they should recommend a switch. But sometimes you need to take the initiative. 

Unless you feel unsafe with the counselor, don’t just cancel future appointments and go elsewhere. Tell your therapist that you feel like you have reached an end to how he or she can help you and now you would like to explore other avenues. Thank them for the work they have done up to now (even if it was just a few sessions). It is reasonable to say “I just don’t think it’s a good fit” or “I want to look into a different approach.” A good therapist will understand and encourage you in your next phase. 

If you are looking for a new therapist and you are in the New York City area, give me a call. I spend time in the first session getting to know my clients and helping them know me so that we can make sure it’s a good fit from the start.

Posted in Therapy | Tagged , , , | Comments Off on When You Need a New Therapist

Taking a Workday Break Outside for Your Physical and Mental Health

More and more evidence is showing that going outside, even if just for a short time, is tremendously beneficial, not only to our physical health but to our mental health as well. As a psychotherapist in New York City, I often encourage my clients to include outside exercise, or even just being out in the sunlight, as part of their regimen for healing and well-being. 

I think most of us realize that getting regular exercise is beneficial to one’s physical health. Our bodies were not designed to sit all the time. What many of us forget, however, is that our bodies and minds are interconnected. Any steps we take to improve our physical health will improve our mental health, and the reverse is also true. Fortunately, being outside helps both body and mind simultaneously.

Just as we were not made to sit for most of our waking hours, we were not made to be inside. We need to be out in the sun for our bodies to produce vitamin D, a critical chemical that impacts many functions in our bodies.

The benefits of sunshine to your mental health

Sunlight can improve mood by increasing the production of serotonin, often called “the feel-good chemical.” A boost in serotonin can decrease symptoms of depression and anxiety. It can treat seasonal affective disorder (SAD), a form of depression that often occurs with decreased sunlight in the winter.

If you have trouble sleeping, this may be a sign that you need more sunlight. Sunlight affects your body’s internal clock; light tells the body to wake up. Too much light at night can confuse the body about when to sleep. Natural light regulates melatonin, which in turn regulates sleep. Disrupted sleep patterns can also negatively affect mental health. This is another reason why getting out into the sun is so important.

Vitamin D is necessary to help our bodies absorb other nutrients, such as calcium and phosphorus, which in turn are necessary for strong bones and teeth. Vitamin D is a critical component in supporting our immune system and helping us fight illness. It can also help stimulate the production of nitric oxide, which can widen blood vessels, lower blood pressure, and potentially decrease the risk of heart attacks and stroke.

It doesn’t take a lot of sunlight to start noticing a difference. Exposing yourself to direct sunlight on your arms and face for even 15 minutes a few times a week is sometimes enough for people to see their mood improve. It’s important to be outside, in that glass can filter out some of the beneficial rays that your body needs. Sunblock also filters out critical components of sunlight that create vitamin D, therefore, take your sun exposure in small enough doses so as not to burn and damage your skin. If you expect to be out for a while or at a beach or other very sunny location, use sunscreen liberally.

The benefits of nature to your mental health

More and more science is demonstrating that being in nature has additional benefits beyond sunshine and fresh air. The benefits from sunshine are magnified and expanded when we experience nature. Allow yourself to enjoy the green, the sound of the birds and squirrels, and the feel of the breeze. Interacting with nature enables you to take in the benefits that nature provides.

For instance, if you are walking in one of the many parks we have in NYC with headphones on, listening to a podcast without noticing the nature around you, you may get sunlight and exercise, but you won’t experience the added benefits of the natural environment. It would be the equivalent of walking along a busy street – good, but not as good as exposing yourself to all that nature encompasses.

One study demonstrated the benefits of this by comparing a group that walked along a busy road and a group that walked in a grassland scattered with trees. While both experienced the same physiological benefits, brain scans showed that the group that was in nature had a significant decrease in the activity of the part of the brain responsible for ruminating and negative emotions. Nature really makes a difference!

The deepening of connections with people

As you take your brief break from the office, consider inviting someone along. Make sure it is someone with whom you can have a positive conversation, or who will be okay with spending time walking in silence. Silence allows us to experience nature with all our senses. It is also an underutilized way to deepen a relationship when experiencing something together. So choose someone who is not going to gossip or talk about office politics. Feel free to suggest this to your walking companion as a guideline: no negative talk, and let’s enjoy nature in silence part of the time. I bet you’ll find others who want this as much as you do!

If you can take an outside break in the middle of the day, even just a few times a week, you will find yourself returning to the office refreshed, your general mood improved, and possibly sleeping better. If you’re in the NYC area and would like to learn more about how to add a nature walk to your regular schedule, or if you feel you need some help with stress, anxiety, depression, or other mental or emotional health issues, please feel free to reach out to me.

Posted in General Self Help | Tagged , , , , | Comments Off on Taking a Workday Break Outside for Your Physical and Mental Health