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Featured Articles

» Mental Health Library » Featured Articles
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Karen Rose Molenda, M.A., LMFTRe-Commitment in Midlife Marriage: A Letter to Couples, Part III
By Karen Rose Molenda, M.A., LMFT
If you and your partner decide that having reflected on your past and having developed plans to reconstruct your present you wish to commit to re-envisioning your future together, my heart and my respect reach out to you. One of the greatest tasks for individuals in midlife is to re-envision their marriage. I want you to understand that you and your partner will feel at times like a small boat being tossed about on a very large sea--seeing neither the land you left nor the land you hope to settle. I want you to understand and accept that you are far from being solely responsible for the burdens weighing on your marriage at this time of your life, and to value that in critical ways you and other contemporary couples face more challenges than ever before experienced in marriage. See full article


Patti Geier, LCSWThe Dark Side of Prescription Drugs
By Patti Geier, LCSW
A great deal has been written about alcoholism and drug addiction over the last two decades. However, information regarding prescription drug abuse and addiction only seems to surface when someone famous has a problem and needs treatment or dies. Historically, prescription drug addiction has been the most underreported drug abuse problem in the nation (National Institute of Drug Abuse). It is also the least understood. Addiction to and withdrawal from prescription drugs can be more dangerous than other substances because of the insidious nature of these drugs. Two types of the most commonly abused drugs are opioids and benzodiazepines. Opioids are generally used to control pain. Benzodiazepines, or tranquilizers, are used to manage anxiety. See full article


Patti Geier, LCSWCouple Therapy for Lesbians and Gay Men: The Basics
By Patti Geier, LCSW
I recently received a call from a woman who was interested in couple therapy. She and her partner were planning a wedding and thought it would be a good idea to have pre-marital counseling "to iron out a few problems." After a few months in treatment, they agreed that the work they accomplished benefited them as a couple and as individuals. They felt ready to begin the next chapter in their lives. I offer this example because it is so different from what I usually see. In my work with couples I have found---whether they are lesbian, gay, or straight---that by the time the couple comes to treatment, they are unable to talk to each other without fighting. Communication has broken down and their relationship is tense, volatile, and destructive. See full article


Patti Geier, LCSWThe Truth About Lesbian Bed Death
By Patti Geier, LCSW
A couple concerned about the lack of sexual desire and activity in their relationship, came to see me for a consultation. They had been living together for two years, loved each other and had no problem being affectionate. Sex, however, seemed to have fallen by the wayside after the first year. The couple had been avoiding the issue, but once it was raised, they realized they needed help. I offer this example because the couple happens to be heterosexual. What is Lesbian Bed Death? Lesbian bed death is a term coined by sociologist, Pepper Schwartz in her book, American Couples (1983). Although her methodology was challenged and her results questioned, the term Lesbian Bed Death became a catchphrase that is still used today. Does Lesbian Bed Death Really Exist? Lesbian Bed Death is a misnomer, if not a myth. See full article


Maxine Sushelsky, LMHCSelf Care Tools For Transitions: A Mental Health Perspective
By Maxine Sushelsky, LMHC
Transitions challenge us on all levels—physical, mental, emotional, interpersonal, and spiritual. You might feel physically fatigued, unusually energized, or alternating between these two states. Your thoughts may be in overdrive, or you might feel mentally stalled. A myriad of feelings are likely to surface, including depression, sadness, loss, disappointment, fear, anxiety, anger, excitement, and hope. You might feel different around various people in your life; you might notice people treating you differently. You might want or expect different things from your relationships than in the past. On a spiritual level, you might find yourself questioning or changing your religious or spiritual beliefs. I’d like to provide some tools for taking care of yourself from a mental health perspective. See full article


Maryann B. Schaefer, Ph.D.Optimism and Health
By Maryann B. Schaefer, Ph.D.
How many times has someone said that you have a bad attitude, which pushes people away? How many times have you read that your attitude can impact on your physical health, as well as the quality of your life? There is a growing body of research which examines the effect your attitude has on your health, your sense of well-being, and even on your longevity? Some studies have revealed that individuals who view events through a prism of optimism generally have a more positive sense of their own well-being, are less likely to experience anxiety, are less prone to depression, and live longer and healthier lives. See full article


Debra Milinsky, LCSWCoping with Stress and Change
By Debra Milinsky, LCSW
Life is a problem-solving process... Even under the best of circumstances adjusting to changes and transitions are sometimes overwhelming, exceeding a person's usual ability to cope and adapt. Learning to anticipate responses and consequences, and to acknowledge and manage disappointments as these arise, are hallmarks of maturity and cornerstones of resilience. Troubling emotional and physical symptoms are more likely to develop when changes are unexpected, occur simultaneously, or are unremitting without opportunities for recovery and repair. In some cases, these stressful circumstances and experiences can trigger bouts of clinical depression or severe anxiety, which can upset relationships and impair performance at work or school. See full article


Maxine Sushelsky, MA, LMHCTransitions at Midlife
By Maxine Sushelsky, MA, LMHC
Midlife can be a time of upheaval and uncertainty. People might find themselves re-evaluating everything--themselves, their relationships, their careers. They often feel a sense of regret for paths not taken or parts of themselves never developed. They might feel a desire to pursue these discarded paths or explore undeveloped parts of themselves. Past trauma, hurts or other memories might surface or re-surface. People often find themselves drawn to new and unexpected ideas, interests, careers, or ways of being. For example, a person who has been goal-oriented or achievement-oriented for the first part of their adult life, at midlife might feel drawn to engaging in creative work or doing things simply for enjoyment without worrying about achieving a particular outcome. See full article


Abby Caplin, MD, MAThe most important question you should ask yourself if you are living with chronic illness, and three steps you need to take...
By Abby Caplin, MD, MA
People often feel intimidated when they visit their doctor. After all, doctors have worked hard: an undergraduate degree filled with science prerequisites, four years of medical school, then three to ten more years of grueling subspecialty training, often in world-renowned hospitals. They know so much about the human body and have studied for years. And of course they are so busy... Why shouldn’t people feel intimidated? The truth is that doctors do have a knowledge base and a relatively common standard of medical practice to which they adhere. But each person is unique, and illness is uniquely expressed in each individual. See full article


Terry Tempinski, PhDAnxiety: Friend or Foe?
By Terry Tempinski, PhD
We have all known the experience of being anxious, worried, and even panicked. While these symptoms can become overwhelming and debilitating, the good news is, generally speaking, anxiety is not difficult to treat. Let me explain. No one likes to be anxious. I am here to help you appreciate your anxiety as a very good friend who is trying to call your attention to a source of inner turmoil. Typically, anxiety is not difficult to treat because it is only a symptom. Its exploration in the course of psychotherapy offers clues as to the source of the problem, and once that cause is understood, and the work of resolving the underlying cause begins, the anxiety tends to remit. See full article


Karen Wulfson, LMFTGoing Home Again: Family Communication Tips for Adults
By Karen Wulfson, LMFT
You're an adult now - really you are! Your employer thinks you're an adult. Your friends have no doubts about your age and adulthood. You pay your bills, maintain a busy calendar, negotiate your rent or mortgage, and accomplish other "adult" tasks. And - most of the time - you actually believe you are an adult... Then the phone rings, there's a knock at the door or you are in the process of honorably fulfilling that adult responsibility - a visit to your parents, grandparents, aunts, uncles, cousins or other extended family members - and suddenly you seem to shrink to small-child stature. See full article


David Poles, LMHC, CRC, LADC1Learning Resiliency
By David Poles, LMHC, CRC, LADC1
In my work at SECAP (St. Elizabeth’s Medical Center in Brighton, MA) and in my private practice at Newton Counseling Center, I often teach patients and clients the importance of becoming resilient. I believe that resiliency is a life skill that all of us need to learn. Those with addictions and those without addictions need to be able to bounce back from adversity. The following is a handout that I often use to teach the concept of resiliency. See full article


Dr. Jeanette RaymondFour Ways To Stop Your Anger From Making You Impotent!
By Dr. Jeanette Raymond
The fantasy of warm, exciting but familiar sex had been shattered. The carefully planned romantic dinner topped off with sex had been destroyed. Dan’s wife fussed about the restaurant, killing his desire. Like an awkward stranger riding home in the same car with Cherie, Dan let out long frequent sighs of exasperated frustration. Indignation boiled up inside him, but he didn’t say a word. Back home every noisy exaggerated movement was calculated to highlight his sense of martyrdom. Weary of the tension between them Cherie cuddled up to Dan in bed that night. She wanted to feel close to her husband again. Sex was the best way of making up, feeling good and repairing the breech. See full article


Keith York, Marriage and Family TherapistNewsflash For Men: 3 Ways A Woman Can Save Your Life!
By Keith York, Marriage and Family Therapist
I’ve written a lot about what women want from men, to help men understand what makes a strong foundation of an Extraordinary Relationship: what only you as a man can bring to the table and what women are crying out for. Now, becoming aware of the deeper significance of what I call an Extraordinary Relationship, and the "What’s In It For Me?" factor, deserve equal attention. Transforming yourself into a man who is able to get what he wants in life, love, and relationship will certainly make you and your partner happy, but it can also save your life. What if I told you that what’s in it for you is not only a great sex life and a loving companion, but a longer, healthier life that you can’t get any other way? It’s true! Here’s how… See full article


Ondina Nandine Hatvany, MFTHow Pleasure Can Be a Much Better Motivator Than "I Should"
By Ondina Nandine Hatvany, MFT
So what happened to the New Year Resolutions to lose that weight, go to the gym, and stop eating sugar? Or did you not even bother with resolutions this year because you didn’t want to set yourself up for failure? Who does? I was talking about all of the above with my client, Mary, who came to me for food, weight, and body image issues last year. I asked her if she was interested in trying something different, body image psychology, for weight loss. She said “Yes!” She was tired of her “excess weight” and poor body image. So I suggested she try a more right brain approach that would not only be more pleasurable but also most likely more successful. See full article


Michelle Bohls, Certified Imago Relationship TherapistThe Rudder
By Michelle Bohls, Certified Imago Relationship Therapist
Any new couple begins their journey heading into uncharted waters. Because each of you is 100% unique and no one has ever existed who is just like you, there is no map for what a life between two unique people will look like. However, like any journey, you probably know where you want to land.... at happily-ever-after, right? A rudder is a part of the boat's steering system. A slight adjustment to the rudder and the boat turns to adjust its course. When steering you want to be conscious of the rudder so that you remain on course. Did you know that when sailing, if you are even just one degree off course, it can lead you to being thousands of miles off course in a very short period of time? There is one relationship dynamic that will always knock you off course. See full article


Terry Tempinski, PhDDepression Doesn't Lie: What are the Causes of Depression?
By Terry Tempinski, PhD
One of the things I continue to be impressed with despite my 30 years of practice is how harsh we are toward ourselves when we are struggling in some way emotionally. It is really striking when you stop to think about it. Our response to our struggles is much kinder and wiser when we encounter physical problems. When we have a toothache, we swiftly get ourselves in to see the dentist. A bad cold? We try to get some antibiotics, drink fluids, and lay low. But depressed? Oh my!?! I am well aware that no one goes to see a psychologist without many months of trying to overcome whatever is ... See full article


Joan E. Shapiro, LCSW, BCDCutting & Self Mutilation
By Joan E. Shapiro, LCSW, BCD
Cutting refers to an odd behavior characterized by self mutilation by razor blade, knife, stapler, or some similarly sharp object. The wounds are usually not life threatening, and can be, for example, fine shallow cuts where blood is produced and physical pain is felt. Cutting is usually practiced alone and secretly. Depending on the patient, the cuts are either left to heal, or may be renewed. Cutters, usually young females, will attempt to hide the practice by wearing clothing over the cuts. See full article


Nancy Colier, LCSWAnd not But: Celebrating Contradiction in Relationship
By Nancy Colier, LCSW
Nature abhors a vacuum, or so they say. Similarly, it seems that human beings abhor contradiction, particularly in the context of intimate relationships. People attempt to package their feelings as positive or negative, believing that contradictory feelings cannot and should not co-exist. In approaching their relationships, people use the word but to connect their contradictory feelings, as if the positive wipes out the negative and vice versa. In fact, for a relationship to succeed, and not but must be the approach we take when linking the inconsistent feelings that are at the heart of all relationships. See full article


Dr. Lynn MargoliesDoes Your Teenager Want To Get Caught?
By Dr. Lynn Margolies
Travis was 15. He'd always been a good kid – no trouble – unlike his brothers. His parents saw him as the perfect child. That's why it was jolting and perplexing to his parents that this semester he started breaking rules, getting into trouble, and seeming downright provocative. Travis was recently caught drunk after being at friends' houses – and engaging in risky and dangerous activities. He recently remarked to his father, "I can't wait to get my dirt bike. Then I'll be able to go anywhere I want and go scary-wild!" Travis' dad was shocked by this comment and angry that Travis seemed to be purposely and intentionally rebelling. What should his parents do? See full article


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