Navigating Gender Norms in LGBTQ+ Relationships: How Couples Therapy Can Help

Navigating Gender Norms in LGBTQ+ Relationships: How Couples Therapy Can Help

By Tiffany Hooton, LMFT.

In today’s world, many queer couples are creating relationships that challenge traditional gender roles and expectations. However, even the most liberated among us can still struggle with shaking off the unconscious pressure of societal norms that creep into our relationships. Whether it's about who initiates intimacy, managing household tasks, gender presentation, or covert expectations around emotional expression. As a result, these unspoken scripts about how people "should" behave in relationships can lead to confusion, tension, or misunderstandings that leave partners feeling frustrated, especially when we don’t realize they’re there. That’s why exploring how these norms impact LGBTQ+ partnerships can be so important (and why couples therapy can be a powerful space for healing, connection, and growth). 

A Pep Talk for Days When Therapy is a Struggle

A Pep Talk for Days When Therapy is a Struggle

by Andrew Kravig.

Starting therapy is a brave decision. It means you're choosing to face challenges head-on, work through pain, and seek a healthier, more fulfilling life. But anyone who’s been in therapy knows—it’s not always easy. Real growth takes time, and two of the most important ingredients in that process are committing to do the work and consistency.

We live in a world that rewards quick fixes, fast results, instant gratification, and “life hacks.” But therapy doesn’t work that way. It’s not about getting answers overnight. It’s about learning to understand yourself, change patterns that don’t serve you, and build a more solid foundation for the future. That takes time, and it takes effort. The progress you make may be slow at times, but that doesn’t mean it’s not working.

Why We Procrastinate (And How to Outsmart Ourselves)

Why We Procrastinate (And How to Outsmart Ourselves)

by Tiffany Hooton, LMFT.

Let’s be honest: if procrastination were an Olympic sport, most of us would be gold medalists. We all know the drill—you sit down to write that report due tomorrow, and suddenly, it’s absolutely essential to clean out your sock drawer, reorganize your spice rack, doomscroll,  and check if your cat needs a new Instagram post. Sound familiar?

Procrastination is a sneaky beast. It wears many disguises and often pretends to be “taking a break” or “waiting for the right moment.” But the truth is, it usually ends with us waiting until the eleventh hour, muttering regrets into a cup of stale coffee, or, worse, feeling crappy about ourselves, squashed under the weight of our own anxiety.

So why do we put ourselves through this Sisyphean torture? And more importantly, how can we do something different? Let’s take a look at some of the biggest culprits behind procrastination, and how to fight back (without defenestrating your laptop, or yourself, in the process).

Holding Steady: A Trans Man’s Guide to Navigating Uncertain Times

Holding Steady: A Trans Man’s Guide to Navigating Uncertain Times

By Andrew Kravig

 

If you’re anything like me, you’ve probably looked around lately and felt the weight of it all pressing in. The news cycle feels relentless. Policies targeting trans people seem to sprout up overnight. One day, I’m planning my week around a normal routine — work, gym, maybe brunch with friends — and the next, I’m reading about a new bill threatening access to gender-affirming care in a state I used to call home.

 

Being a trans man in uncertain times isn’t new, but it is exhausting. So how do we navigate it all — the headlines, the microaggressions, the family dinners where we’re still misgendered, the internal pressure to keep showing up when it feels like the ground keeps shifting?

 

I don’t have all the answers, but I’ve picked up a few strategies that have helped me stay grounded when everything feels unstable.

Grounding When Anxiety Visits

Grounding When Anxiety Visits

by Wanda Diep, LCSW

An acute bout of anxiety is anything but cute. In the moment, you might feel intense dread, an indescribable feeling like something terrible is going to happen. Plus, there are the body sensations of sweating, tunnel vision, lightheadedness, shallow breathing, and feeling frozen in place.

The good news is, you’ll be ok. The bad news is, you don’t know that in the moment.

I wrote out some of the common ways I help my clients deal with intense anxiety they might experience when out in their daily life.

Different things may work for you and your nervous system. One person’s clean, white, empty room is another person’s pile of pillows in a dark room with a comfort TV show and sparkling water to distract them. Here are a few steps to try, and then you can personalize them for yourself.

From Survival to Softness: Lessons from The Body Is Not an Apology, Rest Is Resistance, and How to Keep House While Drowning

From Survival to Softness: Lessons from The Body Is Not an Apology, Rest Is Resistance, and How to Keep House While Drowning

by Brianna Patti.

“It can be easier to believe resting is simply about retiring to your bed when you are tired instead of beginning the messy process of deconstructing your own beliefs and behaviors that are aligned with white supremacy and capitalism. You must be committed to studying how training under the abusive teachings of dominant culture has you bound and limited. This is healing work. This is justice work. When we are aligned against the ideas of the oppressive culture, we understand we didn’t arrive on Earth to be a tool for a capitalist system.”

― Tricia Hersey, Rest Is Resistance: A Manifesto

Like many therapists, I have a very long list of books that I try to keep up with. This job benefits from constant learning, and I get really excited when a client mentions something that’s directly related to what I’ve read recently. If you’re under the capitalistic spell of hustle culture, body shame, and/or a sense of disappointment about the aesthetics of the clutter in your home, stick with me on this one. 

Understanding Grief: Beyond the Five Stages

Understanding Grief: Beyond the Five Stages

by Sara Stanizai, LMFT

There’s a common, half-joking sentiment that therapists and their clients think “everything is trauma.” I tend to think that everything is grief.

What if power imbalances, trauma, depression, relationship struggles, differentiating from your family, self-esteem, or anything else that brings you therapy was actually related to grief? If you boil down a lot of our pain, it often contains some part of the grieving process. We struggle to adjust to changes and loss in one form or another. And yet, grief is often treated as a mysterious syndrome that we try to avoid but know we can’t.

This isn’t to downplay the extremely painful loss of a loved one. But on a much, much smaller scale, we are often experiencing a version of grief every time we lose something.

Life is Hard, Be Kind: Acceptance & Commitment Therapy for When You Don't Know What to Do.

Life is Hard, Be Kind: Acceptance & Commitment Therapy for When You Don't Know What to Do.

by Tiffany Hooton, LMFT

It seems that every day the ongoing trainwreck that is the current sociopolitical landscape brings me one uneasy step closer to embracing Doomerism - which, if you’ve been lucky to avoid the word, refers to an excessively pessimistic and fatalistic worldview. This may seem a somewhat problematic position for someone working in the mental health field, who is, ostensibly, tasked with assisting others to climb out of their own despair, anxiety, and doubt, but it nonetheless brings into sharp focus the various moral, ethical, and existential dilemmas many of us are grappling with on daily basis:

How do we continue living in an environment that appears to be fundamentally hostile to life? How do we reconcile a belief in human rights and dignity with the reality that a portion of everything you earn funds the very bombs used to destroy the lives of innocent people abroad? How do we protect the communities we care about when we ourselves are powerless? How do we behave morally while engaging in an immoral system?

And, while I certainly don’t know the answer to those questions, I do know that these are moments which challenge us - to reflect, to listen, to act. For people who find themselves frustrated with injustice, mired in feelings of powerlessness, and fearful of the future, this can mean slowing down, learning to regulate their emotions, and getting connected with their values. Below, I’ll share a few tools to do just that:

Banned Words, Trans Lives, and the Stakes of Being “Illegal”

Banned Words, Trans Lives, and the Stakes of Being “Illegal”

by Andrew Kravig

 

Every single day, we hear folks talking about how these are “unprecedented times.” Which is true, of course. These times do feel overly “unprecedented.”  But what does that mean? What does it actually mean, as a lived experience, to chart an existence in a world where there is not an instruction manual or reliable guideposts to help you navigate?

Navigating Inter-cultural Relationships: You Are More Than a Partner

Navigating Inter-cultural Relationships: You Are More Than a Partner

by Sara Stanizai, LMFT

All relationships are inter-cultural. 

We all carry our own personal, familial, cultural, national, spiritual, and other contexts with us as we try to connect with each other. 

Some of these differences are more recognizable than others. While these relationships are often rich in love and learning, they can also present unique challenges that require open communication, empathy, and a keen understanding of power dynamics. 

As a licensed marriage and family therapist and a student of Relational Life Therapy, I often draw upon the principles of RLT to help couples navigate these complexities. 

Burnout and Depression: How to Manage When the World Is Chaos

Burnout and Depression: How to Manage When the World Is Chaos

by Andrew Kravig, AMFT

 

The world can feel like a hellscape right now. That might be putting it mildly. This year (is it only March??) has left many of us feeling overwhelmed, helpless, and exhausted. Everywhere you look there is chaos: the ongoing challenges of climate change, political instability, social injustices, threats of authoritarianism around the globe, handling the constant barrage of news alerts about the next big crisis. Oof. It’s easy to feel as though the world is spiraling out of control. And when combined with the weight of our everyday, personal struggles, we can often find ourselves depleted, utterly drained, both mentally and emotionally. This feeling is something we call often burnout, and especially when paired with depression, it can easily crush our ability to function and stay regulated.

But there are some ways to navigate through these difficult times, rebalance yourself, and perhaps reclaim some energy, so that you can foster your well-being. “Thriving instead of striving” is how my eighth grade Health Class teacher used to put it. (Looking back, she might have known a few things. I should have paid more attention.)

Navigating Self-Care in Tumultuous Times: A Guide for LGBTQ+ Individuals

Navigating Self-Care in Tumultuous Times: A Guide for LGBTQ+ Individuals

To All My Queers  <3

 by Andrew Kravig, AMFT

I don’t know about you, but right now the world around me can feel overwhelming. This day and age can feel impossible as LGBTQ+ individuals, facing societal challenges and discrimination, on top of our daily personal struggles. In such tumultuous times, self-care becomes more than just a luxury; it becomes a vital tool for maintaining emotional, mental, and physical health. But how can LGBTQ+ people prioritize their well-being in a world that sometimes feels hostile? Here are some practical and empowering ways to navigate self-care while honoring your unique identity.

How To Know A Green Flag In Therapy When You See It

How To Know A Green Flag In Therapy When You See It

by Brianna Patti, AMFT

Starting therapy can feel a bit intimidating. With all the different types of therapy and advice floating around, it’s normal to feel confused about what you’re walking into. You might wonder, "What exactly is therapy? Why do some people need it? And how do I know if it’s actually helping me?" These are great questions with nuanced answers. Let’s dive into what therapy is, what it isn’t, and how to tell if it's working for you.

Living with Obsessive-Compulsive Disorder

Living with Obsessive-Compulsive Disorder

Living with Obsessive-Compulsive Disorder OCD can feel like a small, personal hell. Even folks without an OCD diagnosis can find themselves caught in obsessive or compulsive cycles that feel maddening to escape. No matter the severity of your struggle with obsessions or compulsions, learning how to navigate and manage them can be life-changing.  

Here are some tips for managing OCD, from a therapist who has been there

What to do When Low Moods Last Longer Than Normal

What to do When Low Moods Last Longer Than Normal

It seems like a lot of people are using the internet to diagnose themselves. And it’s a great resource - people should have access to information that is relevant to their health. One of the problems with this deluge of information, however, is that it doesn’t take everyone’s personal experience into account. And before you know it, you could have a list of diagnoses that can do more harm than good.

So how can you tell the difference between regular low moods, and chronic depression?

Experiencing low moods is a natural part of life, but when these feelings persist longer than usual, it can impact various aspects of your life. Understanding how depression and prolonged low moods affect you is essential for managing your mental health. How do these feelings influence personal care, friendships, relationships, work life, and overall happiness. What can you do about it to help yourself, and when will seeing a therapist be helpful?

Five Ways to Unhook from Anxious Thoughts

Five Ways to Unhook from Anxious Thoughts

Has this ever happened to you? You’re sitting at home deliberating over whether to put on your shoes and see some friends for a night out. Maybe you should just cancel. All it would take is a text, “Sorry, can’t make it. Have a headache. :(” The temptation to climb in bed and hide under the covers grows enormous. All you can think about is that weird thing you said last week in front of a new acquaintance. Or that mistake you made at work. Or the big project that’s due next week. You’re definitely going to blow it. Your friends probably don’t really care about seeing you anyway.

But there’s another part of you, too. The part of you that loves your friends. That knows self- isolating will only make things worse. So why do we do this to ourselves? Why do we choose to opt out of things when that’s not really what we want? And, more importantly, what can we do about it when our anxious thoughts commandeer our behaviors, steering us away from what truly matters?

This is where cognitive defusion, a cornerstone of Acceptance and Commitment Therapy (ACT), comes in. Cognitive defusion helps us “unhook” from anxious thoughts by creating space between us and the mental chatter. Instead of fighting or believing every thought, we learn to observe them with curiosity and let them come and go without being controlled by them.

Are Family Roles for Life?

Are Family Roles for Life?

By Sara Stanizai.

In my previous post, we explored how childhood dynamics shape our adult relationships, identifying common roles such as the Hero Child, Scapegoat Child, and Lost Child. Understanding these roles is the first step toward healing our relationships, but the real work lies in transforming these ingrained patterns into healthier relational dynamics.

Maybe you resonated with one or more of these roles. But now what?

What do you do when you feel stuck in these relationship patterns from your family?

According to Relational Life Therapy, understanding and using the basic concepts of the Adaptive Child, Wounded Child, and Wise Adult can help guide your journey toward healthier relationships.

Heroes, Scapegoats, and Lost Ones: How Childhood Dynamics Shape Adult Relationships

Heroes, Scapegoats, and Lost Ones: How Childhood Dynamics Shape Adult Relationships

By Sara Stanizai

It might be a therapy cliche, but our family roles profoundly shape who we become as adults.

I’ve been thinking a lot about this (and sharing with my clients) especially recently. I’m making my way through a certification and training with my therapy hero, Terry Real, an LCSW and the founder of Relational Life Therapy (RLT).

In our trainings, he sheds light on the specific roles children often adopt within their families of origin. These roles—such as the Hero Child, the Scapegoat Child, and the Lost version of each of these—can have lasting effects on our behaviors and relationships as we navigate adulthood.

This especially resonates as I run the Eldest Daughters group and do more research on the impact of birth order on our mental health. It’s never as cut and dry as eldest/middle/youngest/only.

Understanding these roles can help us identify patterns in our romantic relationships, friendships, and professional lives, providing a pathway to healing and personal growth that we may not find in traditional therapies.

Which one are you?

No Contact: Navigating the Decision to Cut Ties

No Contact: Navigating the Decision to Cut Ties

Like many pop psychology terms, people really throw around the idea of “going no contact.” It can be tempting to cutting ties with someone in your most heated moment — and it’s true, it can ultimately be beneficial to move on with your life.

But if you value community care, and wanting to do right by the people in your life, it can be confusing to figure out when and if it’s the right decision, and how to ethically do it.

What does going no contact actually mean and how can it help or harm you? How do you know if it’s the right decision for you? Have you truly done all you can - and should you?

What is Trauma-Informed Therapy?

What is Trauma-Informed Therapy?

The phrase “trauma-informed” is being thrown around all over the internet, but what does it actually mean?

Being trauma-informed goes beyond simply acknowledging the existence of trauma and its effects on mental health. Trauma-informed therapy is an actual approach to care that revolves around specific core principles. What a skilled therapist does with those principles, and how they implement them in the therapy room, will vary.

How we generate trust, safety, choice, collaboration and empowerment for our clients depends on what you have experienced in the past and what you might need now. (It’s those. Those are the principles.) This involves a deliberate and thoughtful approach to therapy that influences every choice we make as a therapist, both in session and when setting up our practice.

If you’re seeking therapy or if you’re a therapist yourself, it’s crucial to understand this concept so that you know how therapy works — and if it’s working for you.