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.

"Therapy never worked for me": CBT isn't enough for neurodivergent clients seeking long-term healing

"Therapy never worked for me": CBT isn't enough for neurodivergent clients seeking long-term healing

Most of my clients have been to therapy before. Many have tried therapy several times over their life, but they never felt it was that helpful or they found it difficult to find a therapist who was a good fit. There are plenty of reasons why this might be the case, and this post aims to explore one of the main offenders: a very common type of therapy practiced is CBT, and using CBT alone may not be a great choice for neurodivergent brains. 

Therapy Tools for Processing Childhood Trauma

Therapy Tools for Processing Childhood Trauma

No matter how hard parents work to offer the “perfect” childhood, traumatic events are all-too-skilled at finding their way into our life experience, like speed bumps in our path. And maybe they aren’t just bumps… maybe they feel like giant, icy mountains that we will never be able to scale or summit.

Trauma from our childhood can linger and have damaging effects on our adult lives, whether that effect is great or small. Addressing and healing from that trauma is often an essential step towards living a full, functional life as an adult.

Finding Hope and Healing with Couples Therapy and The Gottman Method

Finding Hope and Healing with Couples Therapy and The Gottman Method

When love starts to fade, communication breaks down, and trust feels damaged beyond repair, it's easy to lose hope. In the midst of conflict and pain, it can feel as though the bond you once shared has been irreparably broken. But there is a way through the darkness. It's a path that requires courage, patience, and a willingness to change. Couples therapy, especially the research-backed Gottman Method, provides the tools and support you need to rebuild a strong, healthy partnership. It offers a lifeline in the storm, a beacon of hope that your relationship can not only survive but thrive once again. By focusing on strengthening the four pillars of a successful relationship – friendship, shared meaning, conflict management, and emotional connection – the Gottman Method offers a roadmap to healing and recovery. It equips couples with the skills and insights to break destructive patterns, rebuild trust, and create a partnership based on respect, understanding, and mutual support.

Benefits of Choosing a Neurodivergent Therapist

Benefits of Choosing a Neurodivergent Therapist

When it comes to your mental health, the importance of finding the right therapist cannot be overstated. Finding someone who gets your life and empathizes with your goals can be tricky if your life doesn’t look mainstream, which is the case for most of our neurodivergent clients. Plus, you deserve excellent clinical care! A shortcut to finding a therapist that is a great fit is looking for neurodivergent affirming therapists, who are often therapists who are neurodivergent themselves. Neurodivergent therapists bring a unique perspective to the therapeutic relationship, offering a myriad of benefits for both neurodivergent and neurotypical clients.

Embracing Self-Discovery in Neurodiversity

Embracing Self-Discovery in Neurodiversity

Getting to know yourself and learning how your brain works can be a tricky journey, especially when it comes to neurodivergent experiences like ADHD. There is so much information online, but it’s hard to tell what’s a trustworthy source, and some sources seem to directly contradict others, making it quickly overwhelming. If you find yourself wondering, "How do I know if I have ADHD? Do I need to see a professional or can I diagnose myself?" this post is for you, written from a neurodiversity-affirming perspective.

Breaking the Doom Spending Cycle

Breaking the Doom Spending Cycle

It’s 2024- even on a good day, there’s a lot to feel anxious about. There’s the big picture: global warming, pandemic, human rights violations, inflation, uncertain job futures- and that’s not even considering individual stressors like difficult jobs or strained relationships.

We all feel anxiety sometimes and we all have different ways to cope with it. For some of us, we like to get a little spendy: enter doom spending. Whether it's impulsively buying items online or constantly seeking comfort in retail therapy, doom spending can become a harmful coping mechanism. In this post, we'll explore the connection between anxiety and doom spending, and more importantly, discuss healthy coping strategies to break free from this cycle.

Exploring Stimming in Adults: Understanding, Normalizing, and Supporting Neurodivergence

Exploring Stimming in Adults: Understanding, Normalizing, and Supporting Neurodivergence

Stimming, short for self-stimulatory behavior, is a term commonly associated with neurodivergent individuals, including ADHD and autistic adults.

But what is it, actually? And- does it serve a purpose?


By de-pathologizing and normalizing stimming, we can better understand its benefits for the nervous system and overall mental health. It’s super important to support/encourage stimming for those who find it helpful, and explore how affirming therapists can support ADHD adults in various aspects of their lives.

Managing Rejection Sensitive Dysphoria in Your Relationship

Managing Rejection Sensitive Dysphoria in Your Relationship

You may be familiar with the term Rejection Sensitive Dysphoria (RSD). It’s not gender dysphoria or being a highly sensitive person. If you spend any time on mental health channels on social media, you know these words can all start to sound the same.

What is Rejection Sensitive Dysphoria?

Rejection Sensitive Dysphoria (RSD) is an emotional response to the perception of rejection or criticism, which can be more intense for individuals with ADHD or certain neurodivergent traits.

It goes without saying, then, that RSD can have a huge impact on relationships. It can manifest as hypersensitivity, fear of abandonment, and emotional volatility. Unfortunately, these can easily be confused with attachment issues, personality disorders, even abuse. It is crucial for partners to recognize that RSD is not a character flaw but a neurobiological response.

Rejection sensitive dysphoria can significantly impact relationships, causing emotional turmoil and strained connections. However, with understanding, communication, and a few proactive strategies, managing RSD within your relationship is possible.

Disenfranchised Grief: When Loss is Not Acknowledged

Disenfranchised Grief: When Loss is Not Acknowledged

Grief, although often misunderstood, is the natural response to loss.

It’s the name we give to the cluster of emotional, physical, and mental changes we go through when we lose someone or something. The first thing you might think of is someone passing away.

However, there are many, many forms of loss. Some of these instances, when grief goes unnoticed or invalidated, lead to a phenomenon known as disenfranchised grief.

Disenfranchised grief occurs when the loss experienced by an individual is not acknowledged or supported by society, limiting their ability to mourn openly or privately.

The concept of disenfranchised grief was originally coined by Kenneth Doka in his book Disenfranchised Grief: Recognizing Hidden Sorrow. He describes three ways in which grief can be disenfranchised, or disconnected. As you navigate your own relationship to grief, I hope learning about these can be helpful.

How Can a Couples Therapist Help Me Navigate the Decision of Divorce?

How Can a Couples Therapist Help Me Navigate the Decision of Divorce?

Deciding whether or not to pursue a divorce is a deeply personal and often difficult decision. You may get conflicting messages from friends, family and even yourself. And most of those people don’t have to live with your decision.

Plus, you and your spouse may also be processing the grief of losing the marriage you thought you had, possible anxiety and depression from living in an unhappy relationship for an extended period of time, and even possibly some relational trauma from ongoing conflicts that have taken their toll.

So when people have opinions about your marriage, it can be especially stressful.

It’s understandable that you may vacillate between feeling like couples therapy is something you must do, and wanting to avoid looking too closely at this painful topic.

Fortunately, couples therapists are equipped with the skills and expertise to guide you through this challenging process. A couples therapist can assist you in making an informed decision about divorce. By working collaboratively with a therapist, you can gain clarity, explore your options, and ultimately find the path that is right for you and your relationship.

And when you choose a private practice therapist, it’s all done privately. No sharing your data with large companies and no sending records to insurance. I’m just saying.

Birth Order and Sibling Mental Health: Insights from a Marriage and Family Therapist

Birth Order and Sibling Mental Health: Insights from a Marriage and Family Therapist

Every time I take an informal poll on my social media, I get the same response. Middle kids have it worst. Youngest kids have it worst. Eldest kids have it worst.

Once in a while, someone will acknowledge that a different sibling has it hardest in the family. It’s usually the middle child making the concession.

Birth order has a great potential impacton our well-being and relationships not only within the family - but these same dynamics can play out in any group or organization we’re a part of. Those organizations are also a great opportunity to rewrite some of the narratives that have followed us from childhood.

Does ADHD Qualify as Neurodivergent?

Does ADHD Qualify as Neurodivergent?

Neurodivergent refers to individuals whose neurological development and functioning are atypical, differing from what society considers as "typical.”

It’s important to note that while the word “normal” is a misnomer, what it literally means is that society is “normed” on this one experience. So the neurotypical experience and way of thinking and operating is considered the mainstream, and anyone who differs (which is a lot, if not most of us) is rarely considered.

ADHD falls under this category as it involves a variety of differences in attention, impulse control, and hyperactivity. It's important to remember that neurodivergent conditions like ADHD come with a unique set of strengths and challenges, and embracing neurodiversity promotes inclusivity and understanding.

What Makes Private Practice “Private?” What to Consider When Looking for a Therapist

What Makes Private Practice “Private?” What to Consider When Looking for a Therapist

I think therapists forget how hard it is for the average person to find and select a therapist.

We spend a lot of our time with colleagues. We have a strong network of therapists we refer to and trust. Many of us even have our own therapist with whom we are in regular contact.

The average person, however, doesn’t know where to start, what to ask, or even where to look. That is, if therapists even return their calls.

(Side note: At Prospect Therapy we make every effort to get back to you within 3 business days at the most, often sooner. Weekends don’t count.)

In many respects, private therapy practices are the Rolls Royce of mental health care.

I don’t mean slow moving and reserved for old money. Although it can be that.

What I mean is, somewhere along the way, having a private, dedicated therapist available to you became a luxury.

With insurance rates getting higher and coverage getting lower, with big tech companies leaking protected health information and client data, and with mental health apps trying to use chat features and guided meditations to replace a therapeutic relationship, private practice can seem like a clunky, expensive option.

And with all the choices available now, it may not be the option for you.

By understanding the advantages of private practice, individuals can make informed decisions to support their mental health journey. Let's delve into the valuable reasons why private practice psychotherapy services provide a secure and confidential environment for your personal growth.