4 When couples
run into trouble, it is usually involves finding themselves in
repetitive patterns of behavior, such as anger and withdrawal,
that might blow over for the moment, but then seem to keep
coming back. When working with couples, the goal is to get
to recognize these patterns, as they are happening, and to
then find ways to create changes within these cycles, allowing
for the intimacy and connection to come through.
4 Depression We
sometimes gets confused with sadness. But patients report
that there are important differences between the two.
Depression typically involves feelings of emptiness or
or numbness - what patients describe as an absence of
feelings, along with the feelings themselves. While people
in depression may also feel such things as guilt or anger,
they sometimes report that they are not sure why
they are feeling this way.
is a normal reaction to stressful or fearful situations.
We all need anxiety to warn us, and to motivate us.
Anxiety can become a problem when we can't identify
the source of the problem: we feel anxious, but don't
know why. Or when the anxiety is itself frightening or
and pain that lasts a significant length of time is often
draining, frustrating, and can come along with various
other problems over time, such as stress, anxiety and
depression. It can impact work, school and important
relationships. It's important to be aware of our feelings
in these situations. And to take care of ourselves and to
adjust to changing needs.
call it a trauma when there is an event or series of
events that feels overwhelming. Sometimes images and
memories, or nightmares, about these events can keep
coming back after the event itself has passed. Sometimes
there are other efects related to original trauam effects
that can intrude. These may include anger, numbness, guilt,
flashbacks or social withdrawal.
4 Sometimes patients
find that they are experiencing a series of difficulties
in one significant relationship, or sometimes in multiple
relationships. They may struggle to understand why these
kinds of things appear to keep happening. I work within the
therapeutic relationship to help patients come to an understanding
of their own patterns of relating. And to see what kinds of
changes can be made to improve their social world.