Depression
Doing While You're Depressed
Depression Can Make Even Basic Tasks, From Getting Out Of Bed To Going To Therapy, Seem Impossible. I frequently see patients with depression struggling with immobilization and feeling stuck in my NYC therapy practice. When you’re depressed, it’s often hard to even do the basics. With depression, you can feel hopeless, sad and numb. All of these things can make getting out of bed, brushing your…
Oct 12, 2017
13 Ways "13 Reasons Why" Expands The Conversation On Teens And Mental Health
"13 Reasons Why" Can Be A Jumping-Off Point To Discuss Real Issues Facing Teens. As an NYC therapist who works with teens, I couldn’t ignore the polarized response to the depiction of teens, mental health and suicide in Netflix’s show 13 Reasons Why. The show centers around high school junior Hannah Baker who leaves thirteen tapes to thirteen people, explaining what led up to the day she killed…
Aug 14, 2017
Yes, People Do Change (Just Not Everyone): An NYC Therapist's Thoughts On Change
In Therapy, The Issue Of Change Is Both Complex And Essential. As a NYC therapist and a human who believes in growth, I can’t imagine an issue of more concern to me than change. My ideas about change can be broken down into a three-part thesis: People change. The world changes. People can change themselves and the world.On the one hand, these seem like simple and self-apparent statements, but the…
Jul 20, 2017
Depression Therapy: The Pain Is Gone, But What's Next?
The Work Isn’t Finished After Depression. Much of the focus of depression therapy is on alleviating the pain that dominates your life. During depression, pain takes over in a way that creates a sort of linear existence. Things that hurt less, you do; things that hurt more, you avoid. Because of this, emotional pain drives your consciousness when you are dealing with depression.But, what do you do…
Jun 29, 2017
Therapy For Cutting: How To Talk With Your Teen And Help Them Talk About What They Are Feeling
Often when parents seek therapy for teens who are struggling with depression or anxiety, they are also looking for therapy for cutting. Cutting is when someone is takes an object such as a knife (dull or sharp), scissors, a paper clip or another sharp object and cuts themselves with it to create a painful but releasing sensation. Cutting falls into the category of self-harm behaviors, which also…
Feb 09, 2017
Bone-Chilling Loneliness In Teens
Why Bone Chilling Loneliness?. Bone-chilling loneliness is a phrase I’ve been thinking about recently in my NYC therapy practice as a way to categorize depression. I prefer the phrase because it gets to the heart of the lows that someone with depression feels. The term and diagnosis depression are so prevalent in both psychotherapy and popular culture that we’re almost not fazed anymore.In many…
Nov 29, 2016
When It Comes To Asperger’s, Does Diagnosis Matter?
With Therapy for Asperger's, a Conundrum. A common conversation that I have in my NYC therapy practice concerns Asperger’s. Many people wonder if they have Asperger’s or if their parent or spouse does. There are people whose life matches the diagnosis of Asperger's, more or less. Some find that discovery a relief and some find it an annoyance. Many find the diagnosis–whether a formal or informal…
Sep 29, 2016
The Big Antidepressants Question
As a psychotherapist, I often confront the debate about using medication to treat depression and anxiety in my NYC therapy practice. It is a big question.There’s a perception at times that because we practice a non-diagnostic approach, are critical of the medical model and express concern about how antidepressants and other psychiatric medications are marketed that we’re anti-medication. Not only…
Sep 22, 2016
"We Got This": A Conversation On Pain And Intimacy In An NYC Therapy Practice
I met Rachael six years ago, in the early stages of working to expand Tribeca Therapy into a group practice. She has a quality that is difficult to describe, but known well to everyone on our staff and certainly to her patients. I asked her some questions about this in an attempt to better understand her ability to connect with patients who are in pain.Matt: You have a remarkable ability to…
Aug 25, 2016
Beyond The DSM And Diagnostic Language In Therapy
I recently began thinking about the DSM-5 and the language we use in my NYC therapy practice after listening to a Philosophy Bites podcast with Dr. Steven E. Hyman. In the podcast, Hyman discusses the limitations he sees in the “rigid and arbitrary” boundaries set up in the DSM between what is considered “healthy” or normal and what is a mental illness.In oncology, for example, the line between…
Aug 18, 2016
Therapy for depression: A collective therapist conversation on the limits of words
We’ve been continuing our series of conversations, this one exploring the construction of depression: the ways those seeking therapy talk about their experiences, the many meanings of the word and the ways that depression is so often insufficient as a term to capture these experiences.Matt: It's probably the case that therapy for depression is the single most common reason a prospective therapy…
Jul 05, 2016
Suicidality in Therapy: Why Those Most in Need Often Get the Least Support
Suicide is a loaded issue, even within the therapy community. Sulome Anderson's article in The Atlantic, "How Patient Suicide Affects Psychiatrists" addresses numerous issues therapists struggle with. Anderson invokes this issue of the undesirable therapy patient in a very personal way. The author’s friend, Margaret, had numerous suicide attempts, self-harming behaviors, and was constantly in and…
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