People often have pervasive worry and obsessing without realizing it. Long-term anxiety can lead to panic attacks and depression. Although anxiety can be a waxing and waning disorder it is very treatable through a combination of treatment modalities. Cognitive therapy with or without medication is extremely helpful.
• Shortness of breath
• Out of body feeling
• Fear of dying and numbness or tingling in hands and feet
Obsessing, worry, automatic thoughts and “sticky brain thoughts” are often present with or without an individual’s knowledge. In children and adolescents, this may take the form of anxiety and worry about academic, athletic, and social performance.
Some common anxiety disorders are; Panic Disorder, Generalized Anxiety Disorder, Post Traumatic Stress Disorder, Obsessive Compulsive Disorder and in children Separation Anxiety Disorder, Over Anxious Disorder and School Phobia.
If you are Anxiety that are distressing, please schedule an appointment for an assessment today.
Depression stems from various sources such as; hereditary, biological (hormone imbalance), chemical imbalance, life issues and chronic worry. Many people have underlying other disorders or multiple disorders affecting their problems such as; Bipolar, Poly Substance Abuse and Anxiety Disorders. Some people will need medication, Cognitive Behavioral Therapy, or a combination of treatment modalities
According to the DSM-V, a manual used to diagnose mental disorders, depression occurs when you have at least five of the following nine symptoms at the same time:
• a depressed mood during most of the day, particularly in the morning
• fatigue or loss of energy almost every day
• feelings of worthlessness or guilt almost every day
• impaired concentration, indecisiveness
• insomnia or hypersomnia (excessive sleeping) almost every day
• markedly diminished interest or pleasure in almost all activities nearly every day
• recurring thoughts of death or suicide (not just fearing death)
• a sense of restlessness — known as psychomotor agitation — or being slowed down — retardation
• significant weight loss or gain (a change of more than 5% of body weight in a month)
If you are experiencing any distressing symptoms please make an appointment today.
Personal Injury and Federal Workers Compensation
ADHD is characterized by difficulties in three core areas: Inattention, Impulsivity and Hyperactivity, per the DSM-5 diagnostic criteria. However, there are other common features seen that are not included the criteria, including problems with emotional regulation, working memory and reward systems.
Grief and Loss Counseling
The process of adapting to a loss can dramatically change from person to person, depending on his or her background, beliefs, relationship to the person who’s passed, and other factors.
Common symptoms of grief can be physical, emotional or social.
A few common symptoms in these categories are:
• Crying and sighing
• Loss of appetite
• Difficulty sleeping
• Feelings of sadness and yearning
• Feelings of worry or anger
• Feelings of frustration or guilt
• Feeling detached from others
• Self-isolation from social contact
• Behaving in ways that are not normal for you
Every person grieves differently. Whatever your personal symptoms are, grief and loss counseling have been proven to help.
If you are experiencing grief-related thoughts, behaviors, or feelings that are distressing, please make an appointment today.
Parenting and Co-Parenting
Behavior or Conduct Problems in Children
Oppositional Defiant Disorder
When children act out persistently so that it causes serious problems at home, in school, or with peers, they may be diagnosed with Oppositional Defiant Disorder (ODD). ODD usually starts before 8 years of age, but no later than by about 12 years of age. Children with ODD are more likely to act oppositional or defiant around people they know well, such as family members, a regular care provider, or a teacher. Children with ODD show these behaviors more often than other children their age.
Examples of ODD behaviors include
• Often being angry or losing one’s temper
• Often arguing with adults or refusing to comply with adults’ rules or requests
• Often resentful or spiteful
• Deliberately annoying others or becoming annoyed with others
• Often blaming other people for one’s own mistakes or misbehavior
Conduct Disorder (CD) is diagnosed when children show an ongoing pattern of aggression toward others, and serious violations of rules and social norms at home, in school, and with peers. These rule violations may involve breaking the law and result in arrest. Children with CD are more likely to get injured and may have difficulties getting along with peers.
Examples of CD behaviors include
• Breaking serious rules, such as running away, staying out at night when told not to, or skipping school
• Being aggressive in a way that causes harm, such as bullying, fighting, or being cruel to animals
• Lying, stealing, or damaging other people’s property on purpose
How to avoid conflict:
• Do not use sarcasm
• Do not raise your voice or yell
• Stay calm while talking
• Engage in dialogue and negotiation only
• Do not intimidate
• Acknowledge the role of previous experiences and people as part of the elements that can lead to conflict
• If the conversation escalates, separate yourself from the situation
• Take some time to think about how the conflict began
• Try to determine the true source of the conflict and work this through your mind
• Once you have determined solutions to the conflict, contact the other party to meet
• Establish a calm state
• Engage in dialogue and negotiation
• Try to avoid raising your voice in the conversation
• Try to avoid sarcasm in the conversation
• If the conversation escalates, separate yourself from the situation
• Your goal should be to resolve the conflict
Family & Divorce Mediation
Family & Divorce Mediation is an alternative process to help parties find solutions to issues such as child custody and the separation of assets.
No, a mediator is a neutral third party who does not work for the court system or the parties involved in the mediation. The mediator assist parties in developing a mutual agreed plan that parties can present to court that helps move cases forward.
We can help alleviate the chronic stress and anxiety you’re living with by reducing the feelings of depression and helping you enjoy life more.
If you are dealing with issues as LBGTQ individual please make an appointment today.
Couples Therapy/ Marital and Pre-Marital Therapy
Relationships need a lot of work. Even the most perfect relationships take effort. The goal of therapy when it comes to your relationship is to help you learn to cope and discover communication barriers that negatively affect your relationship. You also learn how to view things from the other side so you and your partner can more effectively communicate and compromise.
Please make an appointment today if you are having any relationship issues.
• Jet lag
• Sleep apnea
• Sleep paralysis
• Restless legs syndrome
• Chronic fatigue syndrome
• Circadian rhythm disorder
• Seasonal affective disorder (SAD)
Occasionally, sleep disorders are linked to your diet. For instance, if you have a high caffeine intake or consume caffeine late in the day, you may have a hard time falling or staying asleep.
Sleep is your body’s time to reset, produce hormones, and metabolize nutrients. Without proper sleep, you have a higher risk of developing chronic conditions, including cardiovascular disease. Plus, poor sleep can affect your work, mood, and personal relationships.
Because poor sleep quality is so detrimental to your quality of life, We encourage you to come in for a sleep disorder evaluation if:
• It’s difficult to fall or stay asleep at night
• You fall asleep while sitting upright or while driving
• You regularly feel tired or groggy throughout the day
• You have difficulty focusing or concentrating at work or school
• You can’t regulate your sleep because of your work schedule, like if you work nights
Please make an appointment today if you are experiencing any sleep disturbance.