If therapy were to be truly successful how would you know, what would change? Looking at scaling questions i.e. PHQ 9 and GAD 7 I will ask patients depending where they score; how would you know if you were able to move just one increment beyond where you are? In the foregoing paragraph I've hinted at some of my approach to goal-setting. Oftentimes it emerges from being able to identify old belief systems that are causing a present experience of failure. Unwanted emotions often arise from toxic belief systems. All and all the transformation or abandonment of these beliefs needs to be organic, emerging from the patient. What I like to do is to model some possibilities, and working collaboratively create new scripts that result in more satisfying emotional outcomes.
People that overall seem to have a smoother ride through life are served by having an adaptive flexibility. In short, they have a variety of methods that can be brought to bear to life's challenges. Being short-suited, they tend to overplay the limited emotional management skills in situations where they don't fit. To the point, "if all you have is a hammer, every problem looks like a nail." Our skill sets for managing interpersonal relationships often hearken back to the years of our upbringing. We learn what it means to be a man or a woman, what to expect if people disagree, how to handle conflict, what to expect if I need help etc. These habits tend to be reenacted in every situation that is resonant with this past energy.
Although I have worked many years alone, supervision gives me the opportunity of better evaluating my own perspectives and effectively targeting my treatment course.
Depression often causes people to feel sad, empty, or hopeless, and can cause a lack of interest in life. It can also affect a person's thinking patterns and physical health.
Anxiety can mean nervousness, worry, or self-doubt. Anxiety disorder is a mental health disorder that entails excessive, repeated bouts of worry, anxiety, and/or fear.
Persisting health conditions causing significant barriers to daily functioning as well as discrepancies in how society responds to disabilities. Can impact people’s thoughts, feelings, and behaviors and lead to feelings of isolation, uncertainty, and helplessness.
Involves a person sacrificing their needs to meet the needs of others. Their thoughts and actions center on a significant other, spouse, friend, or relative. Becomes an issue when relationships are unbalanced and unhealthy.
Relying on others to an unhealthy degree. May manifest as submissiveness, clinginess, or fear of being alone. Generally stems from a lack of self-efficacy, making people feel unable to make simple decisions or express disagreement.
Self-esteem is the degree to which a person feels confident, valuable, and worthy of respect. Feeling low self-esteem can influence overall well-being and be linked to anxiety and/or depression.
Borderline Personality Disorder
Borderline personality disorder (BPD) is characterized by persistent instability in relationships, extreme emotional reactions, and chronic fear of abandonment. People with this may also tend to be moody, experiencing a lot of high highs and low lows.
Abuse/Survivors of abuse
Abuse includes any significant mistreatment along the lines of psychical, emotional, sexual, verbal, and neglect. Survivors of abuse may experience negative thoughts and feelings, flashbacks, distrust of others, social withdrawal, self-harm, and increased likelihood of developing mental health and substance abuse issues.
Engaging repeatedly in excessive behavior despite harmful consequences. People experiencing compulsion often feel unable to control behavior, which can interfere with daily life and relationships. Not uncommon for them to also experience anxiety and depression.
Family Systems Therapy
Mindfulness-Based Cognitive Therapy
The Gottman Method
certified alcohol and drug counselor
Post graduate training via Gestalt Institute of New York
NJ, LCSW, 44sc00577400
DrewUniversity BA, Hunter College School of Social Work,
It has now been nearly 30 years since I left graduate school. Though much time has passed, I remain in total awe and deep respect of the many people that have come through my doors. How could it be otherwise, for changing yourself is the hardest work that anyone could do. Princes and paupers have sat in my presence facing the challenges common to people in general. All of us go through a process of learning our place, leaving us with a host of beliefs that both smooth and roughen the edges of our relationships with the world in general. It has been my privilege to walk the paths of my patient's lives drawing attention to things unseen, observing the roots they've tripped across, and forging a new pathway ahead. The tools of my work come from a mixture of Gestalt therapy and CBT, but are always modified to the particular needs of my patients.
5 church st., North Branch, 08822, NJ