Therapy Blog
I work to keep my therapy blog updated with the latest innovations and ideas in the field of psychotherapy and the latest news about my practice. I also contribute to other The Foresight Psychological Institute blogs including regarding Therapeutic Tutoring, Psych testing, and Leadership Coaching. Please note that all advice and self-help offered is not a substitute for consulting with a professional.
Why Nervous-System Regulation Often Comes Before Insight
The short version: Insight work asks you to think clearly about painful material, and that is hard to do when your nervous system is flooded or shut down. Stress research shows that even mild, uncontrollable stress can rapidly reduce the prefrontal functions you need...
Telehealth Across State Lines: What Changes and What Doesn’t
The short version: When therapy moves to telehealth across state lines, the legal and logistical details change, and the therapy itself does not. What changes is which state’s rules apply (the state where you are sitting during the session), whether your...
What a Fitness-for-Duty Evaluation Actually Assesses
The short version: A fitness-for-duty evaluation does not ask whether someone is mentally healthy in general. It asks whether, right now, the person can safely and effectively perform the essential functions of a specific job, with or without accommodation. The...
Therapy vs. Coaching: How I Decide Which Fits a New Client
The short version: I decide by asking what is driving the problem and what the person wants to do about it. If the main issue is distress, a diagnosable condition, or a pattern that keeps repeating, I recommend talk therapy. If the person is stable and capable and the...
Court-Ordered Parent–Teen Therapy: Rebuilding the Relationship
When a family court orders or recommends that a parent attend therapy together with their teenager, both people usually walk in carrying something heavy. The parent may feel hurt, judged, or anxious about losing the relationship. The teen may feel angry, guarded, or...
Why “High-Functioning” Often Means “Undertreated”
The short answer: "High-functioning" describes how someone looks from the outside, not how they feel on the inside. Because their work, grades, and relationships stay intact, other people miss the symptoms, the person explains them away, and clinicians often treat...
Court-Ordered Co-Parenting Therapy: What to Expect
If a judge, guardian ad litem, or your attorney has said that you and your child's other parent need co-parenting therapy, you probably have mixed feelings about it. Many parents arrive frustrated, skeptical, or worried that therapy will become one more place to...
Driving Phobia Treatment: CBT & Exposure Therapy
For some people, the fear shows up as a tight chest on the highway on-ramp. For others, it's a detour of twenty extra minutes to avoid a bridge, or asking a spouse to drive "just this once" for the third year in a row. Driving phobia, sometimes called driving anxiety...
Long-Distance Relationship Therapy: Managing and Enjoying Love From Afar
Practical, evidence-based support for long-distance couples and long-distance marriages — delivered virtually, nationwide. Long-distance relationships get a bad reputation they often don't deserve. In my practice, I work with couples who are dating long-distance,...
Perfectionism and Its Link to Anxiety and Burnout
Perfectionism · Anxiety & Burnout High standards aren't the problem. It's the specific flavor of perfectionism, the fear of ever falling short of them, that quietly drives anxiety and burns people out. 9 min read · Anxiety & Performance-Related...
