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  • Home
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  • Services
    • Prenatal and Postpartum Therapy
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  • Patient Info
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    • Useful Therapeutic Apps
    • Patient Portal
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How to cope with anxiety

8/16/2022

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By: Olivia Remes • TEDxUHasselt | May 11, 2017
"Anxiety is one of most prevalent mental health disorders, with 1 out of 14 people around the world being likely affected. Leading up to conditions such as depression, increased risk for suicide, disability and requirement of high health services, very few people who often need treatment actually receive it. In her talk “How to cope with anxiety”, Olivia Remes of the University of Cambridge will share her vision on anxiety and will unravel ways to treat and manage this health disorder. Arguing that treatments such as psychotherapy and medication exist and often result in poor outcome and high rates of relapses, she will emphasise the importance of harnessing strength in ourselves as we modify our problem-coping mechanisms. Olivia will stress that by allowing ourselves to believe that what happens in life is comprehensive, meaningful, and manageable, one can significantly improve their risk of developing anxiety disorders."
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Why We All Need to Practice Emotional First Aid

9/10/2019

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By Guy Winch, Ted Talk
"​We'll go to the doctor when we feel flu-ish or a nagging pain. So why don't we see a health professional when we feel emotional pain: guilt, loss, loneliness? Too many of us deal with common psychological-health issues on our own, says Guy Winch. But we don't have to. He makes a compelling case to practice emotional hygiene — taking care of our emotions, our minds, with the same diligence we take care of our bodies."
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The Power of Setting Meaningful, Achievable Goals

5/3/2019

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Setting meaningful goals can help manage symptoms of anxiety and depression. By setting meaningful goals, you eliminate feelings of being lost or stagnant in life and create a clear path for achieving your goals. This clear path and your connection to the "why" will help you stay motivated by keeping your focus on achieving such a meaningful goal. You'll have the ability to visualize your success. 
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The first step to overcoming procrastination: Know thyself

7/5/2018

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By: Dr. Drew Appleby
Do you have a procrastinator personality?

Procrastination is one of the most damaging characteristics that students display because it robs them of good grades and prevents them from maintaining productive and healthy relationships with their teachers, families and friends. Procrastination can have both external (e.g., situations involving work overloads) and internal causes (e.g., personality characteristics).
The following six procrastinator personalities identified by Sapadin (2012) in her book "How to Beat Procrastination in the Digital Age: 6 Unique Change Programs for 6 Personality Styles" are examples of the internal causes that can fuel procrastination. I highly recommend Sapadin’s book because it provides thinking, speaking and action strategies tailor-made for each of the six personality styles designed to help students lessen their tendency to procrastinate. If you are a procrastinator, these six descriptions will help you to know thyself better, the action strategies from Sapadin’s book will teach you how to be true to thyself, but it will be your responsibility to just do it.

​Here are the six styles. Do you recognize yourself in one or more than one?

The perfectionist believes that her value as a human being is at stake every time she undertakes a task. The world is an all-or-nothing place for the perfectionist, which means that if the project she is working on fails, or is not the best, then she is a failure too. Her greatest fear is that she will not measure up to her own expectations or the expectations of others, a belief which may have its origin in a parent who looked at the 98 percent on her term paper and asked what happened to the other 2 percent. Procrastination allows the perfectionist to postpone completing an assignment because if it’s not complete, it can’t be judged.

The dreamer yearns for an easy, painless and nonthreatening life. When the world disrupts this dream by presenting difficult challenges, the dreamer retreats into his mind, creating an ideal world in which he is a "special" person who does not have to play by the same rules as everyone else. This dream is very comforting, but it also creates damaging academic, occupational and social/romantic consequences by producing late assignments, unfinished tasks and broken promises.

The worrier has an overpowering need to feel safe, but pays a high price for this feeling. Her most fearsome foes are risk and change, which paralyze her because she fears they will push her outside of her narrow comfort zone. Expecting the worst, she creates a stream of negative “what ifs” that predispose her to assume that taking an action will produce a disastrous outcome. The worrier has "better safe than sorry" tattooed on her soul. Hence, worriers experience less joy and fun in their lives than most other people; but they believe it is an acceptable price to pay for feeling safe.

The crisis-maker creates lots of drama in his life by waiting until the last minute to get things done. He under-reacts to situations that provide plenty of time to work by saying, "I don’t work well until I really start to feel the pressure," and then over-reacts with great frenzied bursts of activity just before the deadline. This burn-the-candle-at-both-ends strategy may work for the young, but over time it will fail because it will become harder and harder to transform yourself into superman/woman with jolts of adrenaline and caffeine.

The defier harbors a deep resentment toward authority, and has learned that the safest way to rebel is to use passive aggressive techniques. When asked to perform a task, a defier will almost always say “sure, I can do that,” but then “forgets” to do what he promised. This strategy provides the defier with a sense of power over others, but unfortunately it often leaves the important people in his life feeling betrayed, manipulated and/or used. When this strategy produces its inevitable negative consequences (e.g., failing a course), the defier consoles himself by thinking that this is the inevitable price he must pay if he wants to do things his own way.

The pleaser is always busy, so it doesn’t seem like she is procrastinating. Her focus, however, is not so much on getting her work done, but on pleasing others so they will like her. There is really no problem with that strategy unless she gets distracted from focusing on her own obligations. Pleasers may think they can do it all, yet, over time, they lose the balance between school and fun, work and leisure, and the professional and the personal. Soon she is disappointing not only those she wants so desperately to please, but also herself by producing mediocre work and making up excuses to explain why her work is late.
​
Do you recognize yourself in one or more of these descriptions? If your answer is yes, then you have taken the first step in a journey that can transform you into a happier and more productive person. But don’t forget that this journey has the following three parts: 
  • Know thyself.
  • Be true to thyself, and then.
  • Just do it today, not tomorrow.
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It's Time To Take The Mental Health Of Mothers Seriously

5/9/2018

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By: Kate Rope
The Myths
  • We are just talking about depression. Experts now understand that women experience a range of symptoms and disorders that include anxiety, OCD, panic disorder, and post-traumatic stress disorder. And some of the most common symptoms—such as rage and anxiety—look nothing like the sad woman on the hospital brochure for PPD.
  • We are just talking about the postpartum period. Half of all PMADs develop during pregnancy. And treating them in pregnancy lowers the chance that a woman will experience a disorder after pregnancy. Plus, a woman can experience these conditions any time in the 12 months after giving birth.
  • This is your fault. Nope. This is a medical condition, and—while the cause of these conditions is not well understood—experts do know that the hormonal fluctuations that occur during and after pregnancy leave some women susceptible to developing them. And there are other risk factors—such as financial stress, poor social support, a history of trauma or a mood disorder or anxiety disorder—that can increase the likelihood that a woman will develop a PMAD. But anyone can develop one.
  • You don’t love your baby. Women with PMADs are no different than any other mothers in how much they love their children. They just have a medical condition that means the beginning of motherhood is a much greater struggle than it needs to be.
  • You just have to get through it. These conditions do not resolve on their own without treatment. You should have whatever support you need to feel strong, and there are risks to moms and babies when these conditions go untreated.
  • The only treatment is drugs that you cannot take during pregnancy or breastfeeding. Actually, one of the most effective treatments for anxiety is cognitive behavioral therapy (CBT) and there are many other kinds of psychotherapy that are effective. There are also supplements and medications that can be used safely during pregnancy and breastfeeding under the care of an experienced clinician.
  • You are a danger to your baby. You have probably heard stories of women who have harmed themselves or their babies. Though rare, these tragedies get a lot of media attention and often the media assumes a mother has postpartum depression. In fact, the majority of these rare events occur when a woman is suffering from untreated postpartum psychosis, an extremely rare but treatable psychiatric emergency in which a woman experiences a break from reality and may believe things that are not true or see and hear things that are not there.

The Facts
  • Some 15 to 21 percent of women will have depression or anxiety during pregnancy.
  • Eighty percent of women will have the “baby blues”—a period of mood swings, weepiness, and feeling overwhelmed in the first two weeks after giving birth. When symptoms go beyond two weeks there is a chance she is experiencing a perinatal mood or anxiety disorder (PMAD)
  • One in seven women will experience a PMAD with symptoms that affect their day-to-day functioning anytime in the year after giving birth.
  • About the same number of women who have adopted a baby will experience post-adoption depression.
  • One to two in 1000 women will experience postpartum psychosis (which often shows up in the first four weeks after delivery). Very few of those women will harm themselves or their children. But there is a risk they could, so postpartum psychosis requires immediate medical care.
  • All of these conditions have effective treatments that work surprisingly quickly. With the right care, you can feel so much better in a relatively short period of time.

​What This Means: That becoming a mother is a stressful event. In fact, pregnancy itself is actually considered a “stressor” in the medical literature. Struggle is going to be part of the process. It’s like labor and delivery. It is a tremendous physical and emotional undertaking to bring a person into the world. We accept that physical pain and other medical complications can be part and parcel of making and birthing a human being. Why do we think our brains would get away Scott-free? That doesn’t make sense.
Read more about the importance of taking maternal mental health seriously
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The Gift and Power of Emotional Courage

2/14/2018

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By: Dr. Susan David, TED Talks  
​"Psychologist Susan David shares how the way we deal with our emotions shapes everything that matters: our actions, careers, relationships, health and happiness. In this deeply moving, humorous and potentially life-changing talk, she challenges a culture that prizes positivity over emotional truth and discusses the powerful strategies of emotional agility."
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How Exercise Shapes You, Far Beyond the Gym

8/15/2017

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By: Brad Stulberg
"When I first started training for marathons a little over ten years ago, my coach told me something I’ve never forgotten: that I would need to learn how to be comfortable with being uncomfortable. I didn’t know it at the time, but that skill, cultivated through running, would help me as much, if not more, off the road as it would on it.

Research shows that, if anything, physical activity boosts short-term brain function and heightens awareness. And even on days they don’t train — which rules out fatigue as a factor — those who habitually push their bodies tend to confront daily stressors with a stoic demeanor. While the traditional benefits of vigorous exercise — like prevention and treatment of diabetes, heart disease, stroke, hypertension, and osteoporosis — are well known and often reported, the most powerful benefit might be the lesson that my coach imparted to me: In a world where comfort is king, arduous physical activity provides a rare opportunity to practice
 suffering.

What’s remarkable and encouraging about these studies is that the subjects weren’t exercising at heroic intensities or volumes. They were simply doing something that was physically challenging for them – going from no exercise to some exercise; one need not be an elite athlete or fitness nerd to reap the bulletproofing benefits of
 exercise.

The truth, cliché as it may sound, is this: When you develop physical fitness, you’re developing life fitness,
 too."
Full Article on Benefits of Exercise
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The Importance of 'Being There' for Yourself

8/15/2017

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By: Azriel ReShel
"We seem to do it naturally for others, but what does it mean to do it for ourselves? For me, holding space means becoming the container to experience myself; to grow, to feel, to express, to test out, to live. It is being present, treating yourself with care, consideration, kindness, compassion and love. Hearing the needs of your body and mind, feeling your emotions, and listening to the yearning of your soul. It’s a way of being, a lifestyle, a profound choice and a stand you take. It’s not a belief system, but is rather a way of being with yourself and meeting your own needs. This can be lifesaving in intimate relationships, where we can ruin a good thing by trying to make the other meet all our needs. We spend every minute of the day with ourselves. How much of it is good, supportive, and kind?"

Click on the link below to read a more in-depth description on 9 examples of how you can shape your life for the purpose of 'being there' for yourself. 

9 steps to holding space for yourself:
​1. Embracing your imperfection
2. Saying no
3. Developing boundaries.
4. Communing with yourself
5. Listening
6. Reaching for support
7. Being authentic
8. Being a good parent to yourself
9. Developing supportive rituals
Read Full Article on 'Being There' for Yourself
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How To Be Mindful When You Are Angry

7/8/2017

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By David Gelles, NY Times
"Anger is a natural, life-affirming emotion. It lets us know when a boundary has been crossed, when our needs are not being met, or when someone we care about is in danger. But when misdirected, anger can harm our physical health and our relationships. Being mindful of anger means not suppressing, denying or avoiding it and also not acting out in harmful ways. Instead, connect with the direct experience of the anger, and then decide what action you want to take.” — Jessica Morey, executive director of Inward Bound Mindfulness Education"

Here is a list of points that Ms. Morey suggests when processing anger: 

Recognize and respect that anger is happening. It’s part of the human experience.

Stop fueling the anger: Cut off the stories about how you were wronged or why your anger is justified. Instead, shift your attention to the body.

What part of your body is not feeling angry? Your feet? Your back? The breath at the tip of your nose? Are there any sensations in your body that feel neutral, even pleasant? What else is happening around you? Are there any neutral or pleasant sounds you can attend to?

Rest your attention on these sensations for a few minutes, allowing yourself to find some calm. If your mind wanders back into thinking about the anger-producing situation, come back to these neutral sensations.

Investigate the anger more directly. Where do you feel it? Is it in your chest? Your hands? Your jaw? What does the anger feel like? How do the sensations of anger change as you pay attention to them? Do any other emotions show up underneath the anger?

Explore the information this anger has for you. What is its message? What does it need? Was a boundary crossed?

Reflect on how you could skillfully respond to what is making you angry. What would be the most helpful response right now?

Finally, commit to taking whatever skillful action is needed without doing any harm — whether it’s a walk, a nap or a direct, difficult conversation.

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How to Meditate

7/8/2017

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By David Gelles, NY Times
"Meditation is a simple practice available to all, which can reduce stress, increase calmness and clarity and promote happiness. Learning how to meditate is straightforward, and the benefits can come quickly. Here, we offer basic tips to get you started on a path toward greater equanimity, acceptance and joy. Take a deep breath, and get ready to relax."

​Click below for a list of guided meditation and mindfulness exercises. 
How to Meditate
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Well-Illustrated: Childbirth

5/25/2017

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By JESSICA ZUCKER and RYAN ALEXANDER-TANNER, New York Times
Many times holding rigid or high expectations of pregnancy, delivery, or the postpartum period can lead to symptoms of distress. Click below to see more illustrations on how there is no "wrong or right" way to having a baby. 
View More Illustrations on Expectations of Childbirth
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We Need To Stop Saying Postpartum Depression Is The Same As Depression

5/25/2017

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By: Stephanie M. Bucklin
"When Karen Papajohn first came home from the hospital with her infant son, AJ, she felt numb. “I kept wondering why I didn’t feel the same ‘joy’ and ‘happiness’ of welcoming this precious gift into my life as my husband did,” she wrote in a survivor story on Jenny’s Light, a perinatal issues website. Amongst other things, Papajohn was sleep-deprived, overwhelmed, and exhausted.


But she wasn’t depressed—instead, Papajohn was suffering from postpartum depression, a condition that is distinct from major depressive disorder. While the many of the symptoms are similar (sad mood, restlessness, poor concentration), PPD isn’t merely an extension of depression, as a recent review published in Trends in Neurosciences confirms. It involves distinct changes to the brain, which suggest that PPD is a separate biological disease, and may even require distinct treatment..."

Read More About Postpartum Depression
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We Are Wired to Be Outside

2/18/2017

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By: Florence Williams, National Geographic
"When we get closer to nature—be it untouched wilderness or a backyard tree—we do our overstressed brains a favor.... Our brains aren’t tireless three-pound machines; they’re easily fatigued. When we slow down, stop the busywork, and take in beautiful natural surroundings, not only do we feel restored, but our mental performance improves too."

"A large study found less death and disease in people who lived near parks or other green space—even if they didn’t use them. Researchers s
uspect that nature works primarily by lowering stress. Compared with people who have lousy window views, those who can see trees and grass have been shown to recover faster in hospitals, perform better in school, and even display less violent behavior in neighborhoods where it’s common. Such results jibe with experimental studies of the central nervous system. Measurements of stress hormones, respiration, heart rate, and sweating suggest that short doses of nature—or even pictures of the natural world—can calm people down and sharpen their performance." 
​
Read More: This Is Your Brain On Nature
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Postpartum Depression: The Worst Kept Secret

2/18/2017

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By: Dr. Andrea Chisholm
"Having a baby is one of the happiest times in life, but it can also be one of the saddest.
​

For most new mothers, the first several days after having a baby is an emotional roller coaster ride. Thrilling moments of happiness and joy are abruptly interrupted by a plunge into moments of depressive symptoms including weeping, anxiety, anger, and sadness. These “baby blues” usually peak in the first two to five days after delivery, and in most women, go away as quickly as they came.


Except sometimes they don’t go away...."
Read More About Postpartum Depression Causes and Treatment
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3 Reasons To Let Yourself Feel Your Emotions

11/23/2016

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By Jennifer Rollin, MSW, LGSW
"From the time that we are children, many of us are told things such as, “don’t cry,” or “there’s nothing to be sad about.” As a culture we are often taught that we should try to avoid unpleasant emotions at all costs. Thus, for many the primary impulse when they are experiencing unpleasant emotions is to try to escape from their feelings, whether it is through alcohol, drugs, restricting food, binging, workaholism, busyness, compulsive sex, or a variety of other self-harming behaviors.
​
However, I believe that it is far healthier to “lean into” your experiences of pain, rather than trying to numb your emotions. The following are three reasons that it is important to allow yourself to process and experience your feelings."
Read the 3 Reasons To Let Yourself Feel Your Emotions
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10 Essential Tips for Long-Term Love 

11/23/2016

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By Dr. Roni Beth Tower, ABPP
"A romantic relationship can be easily recognized by its intense and sometimes irrational driving force of emotion. Passion fuels our behavior, guides or distorts thoughts, changes physical and chemical functioning, and alters lives. 

The romance might begin with a “coup de foudre," or the lightning bolt that we think of as love at first sight. The attraction can seem to have no earthly reason or explanation, and may appear to emanate from another planet, lifetime, or dimension. It could be the sort of experience that compels someone to abruptly stand up in the middle of a meeting and follow an invisible beam pointing to a person standing across a room.
​
Romantic love can also arise more slowly, building on a firm foundation of friendship. A base of shared history allows reason to remain in control for at least an initial critical period. It doesn't matter how you found your perfect partner; you typically know when he or she has arrived—and the rest is in the details. 

But you must tend to these details to make your relationship flourish. These 10 strategies will help you nourish and sustain a close, romantic relationship."

​
Read More About the 10 Essential Tips for a Long-Term Relationship
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Be Kind To Yourself

11/7/2016

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By The Scene
Two best friends wrote down the things they don't like about their own bodies. They are now going to say these comments out loud, but direct them to each other. Why do we say things to ourselves that we wouldn't ever say to (or think about) our best friends? Be a best friend to yourself.
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What Is Depression?

9/24/2016

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Helen M. Farrell, animation by Artrake Studio
"Depression is the leading cause of disability in the world; in the United States, close to ten percent of adults struggle with the disease. But because it’s a mental illness, it can be a lot harder to understand than, say, high cholesterol. Helen M. Farrell examines the symptoms and treatments of depression, and gives some tips for how you might help a friend who is suffering."
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Chronic Stress Changes The Structure Of Your Brain

9/10/2016

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By Sharon Horesh Bergquist, MD
​Stress can be helpful for small bursts of energy or productivity. However, chronic stress can be damaging to the body and can even change the structure of your brain. Learning how to manage your stress (versus stress controlling your life) is critical for your well-being. Research consistently shows that exercise and meditation are excellent ways on managing and decreasing stress. Additionally, regularly engaging in exercise and meditation have been shown to increase the size of parts of your brain that are responsible for improving memory. Click below for a quick video animation on how stress affects your brain. 

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The Truth Behind Happiness

8/24/2016

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by Dr. Robert Waldinger 
"What keeps us happy and healthy as we go through life? If you think it's fame and money, you're not alone – but, according to psychiatrist Robert Waldinger, you're mistaken. As the director of a 75-year-old study on adult development, Waldinger has unprecedented access to data on true happiness and satisfaction. In this talk, he shares three important lessons learned from the study as well as some practical, old-as-the-hills wisdom on how to build a fulfilling, long life."
​

Robert Waldinger is a psychiatrist and the Director of the Harvard Study of Adult Development, one of the most comprehensive longitudinal studies in history. 
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Do You Have a Habit of Blaming Others?

7/30/2016

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By Brene Brown
We're all guilty of blaming others. Here's a short and funny video offering an explanation as to why we might quickly jump to blaming others when something goes wrong. She explains that blaming is a temporary discharge of anger, which is different and less effective than holding others accountable and being vulnerable enough to express our own feelings. 
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Does the fear of failure hold you back?

7/19/2016

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Billionaire CEO of Spanx, Sara Blakely, shares how her father taught her to deal with failure. She says, "failure for me became not trying versus the outcome." Click below to watch a portion of her interview regarding the impact of failure on her success...  
Watch Video About The Fear of Failure
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Heavy social media use can lead to depression 

7/12/2016

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by Amit Chowdhry​​
Do you find yourself spending a lot of time on social media? Have you ever noticed that it can negatively impact your mood? Research is consistently showing that there is a direct relationship between social media usage and depression. More specifically, research is showing that the more time spent on social media or frequency of visits may increase a person's likelihood of experiencing depressive symptoms. Continue reading to learn how social media can lead to depressive symptoms... 
Read More About Impact of Social Media on Depression
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What is stopping you from making social connections?

7/9/2016

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by Robin Shreeves
"Scruffy hospitality means you’re not waiting for everything in your house to be in order before you host and serve friends in your home. Scruffy hospitality means you hunger more for good conversation and serving a simple meal of what you have, not what you don’t have. Scruffy hospitality means you’re more interested in quality conversation than the impression your home or lawn makes. If we only share meals with friends when we’re excellent, we aren’t truly sharing life together." 
Read More About Happiness and Social Connectedness
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Dealing with a Breakup

7/2/2016

1 Comment

 
by Suzanne Lachmann, Psy.D. 
Romantic relationship breakups are difficult to deal with and usually involve grieving the loss of your loved one. Here are 7 stages of breakup grief that a person can experience in the process of letting go...
Read More about the seven stages of grieving a breakup
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​SANDRA RODRIGUEZ-SIUTS, PH.D., LLC 

9590 E Ironwood Square Drive, Suite 210
Scottsdale, AZ 85258
Phone: (480) 473-5411
Fax: (480) 436-6900
© Copyright 2023 Sandra Rodriguez-Siuts, Ph.D. - All Rights Reserved
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