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    The Healing Power of Nature

    August 3, 2022

    One only needs to read a few lines from poets such as Frost, Wordsworth, and Thoreau to recognize the love for and connection to nature human beings have always had. Nature stirs our souls and imagination and brings beauty to our everyday lives. But it turns out, nature also brings a slew of benefits to […]

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    The Healing Power of Nature

    August 3, 2022

    One only needs to read a few lines from poets such as Frost, Wordsworth, and Thoreau to recognize the love for and connection to nature human beings have always had. Nature stirs our souls and imagination and brings beauty to our everyday lives. But it turns out, nature also brings a slew of benefits to our mental and physical health.

    The Many Benefits of Spending Time in Nature

    Research is now clearly indicating that spending time outdoors can have a positive impact on our health. Whether you bike, hike, or simply sit under a tree enjoying the sights and sounds, time in nature has shown to reduce stress, slow heart rate, improve pain, lower cortisol, and stimulate the immune system by boosting the production of natural killer cells that fight disease and infection.

    In addition, time outside means time in the sun, and THAT means getting a nice boost of vitamin D, which can do everything from preventing disease, make our bones and teeth stronger, and improve our mood.

    Give Ecotherapy a Try

    Ecotherapy, which is also sometimes referred to as nature therapy, is a practice in the emerging field of ecopsychology. The idea behind this practice is that many modern people, whether they are aware of it or not, feel a massive disconnect from the natural world. When you think about it, our ancestors spent hundreds of thousands of years living WITH nature, feeling it under their bare feet, being outside, ebbing and flowing with the shifts in seasons.

    But today, most of us are only connected to a digital device. Ecotherapy gets us away from our screens and out into the beauty of the natural world. Many clinicians, including myself, believe that the earth has a natural ability to balance us. When we get back in touch with the systems of nature, we can experience improved mental health.

    If you are feeling out of sorts and like the idea of trying ecotherapy, you can simply spend more time outside. If you would like someone to help you reconnect with nature, please get in touch with me. I am a big proponent of nature therapy and use it in my practice.

    SOURCES:

    • https://www.psychologytoday.com/us/blog/how-healing-works/202103/the-healing-power-nature
    • https://www.goodtherapy.org/learn-about-therapy/types/econature-therapy
    • https://www.natureandforesttherapy.earth/about/the-practice-of-forest-therapy

    Filed Under: Anxiety, Depression, General

    The Mental Health Benefits of Having a Pet

    May 5, 2022

    People with mental and physical disabilities have been using service animals and emotional support animals for decades. According to the Americans with Disabilities Act (ADA), under Titles II and III, a service animal “is any dog specifically trained to do work or perform tasks for the benefit of an individual with a disability including a […]

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    The Mental Health Benefits of Having a Pet

    May 5, 2022

    People with mental and physical disabilities have been using service animals and emotional support animals for decades. According to the Americans with Disabilities Act (ADA), under Titles II and III, a service animal “is any dog specifically trained to do work or perform tasks for the benefit of an individual with a disability including a physical, sensory, psychiatric, intellectual or other mental disability.”

    But it’s not just trained service animals that can help us cope with life’s challenges, all pets seem to have the ability to calm us, center us, and just make us feel all around better about being on the planet.

    Indeed, there are many mental health benefits of having a pet, and here are some of them:

    Petting Reduces Stress

    Your dog or cat may love when you pet them, but it turns out it’s equally beneficial to you as well! Rhythmic petting has been shown to release oxytocin, the hormone related to stress and anxiety relief. Once this is released your blood pressure and cortisol levels will decrease and you’ll feel much better.

    You Don’t Feel Alone

    The only thing worse than actually being alone, is feeling alone when we’re around other people. So often we can be with friends and loved ones, yet feel totally disconnected.

    But when we spend time with our pets, we feel like we’re with true companions. They make us feel happy, safe and secure. Perhaps it’s because they don’t judge us and love us unconditionally that allows us to connect in a way that is often not possible with other human beings.

    Pets Help Us Be More at Peace

    It’s hard for most people to be completely in the moment. We’re either regretting the past or worrying about the future. But when we engage with our pets, it helps us take our minds off of any negative stressors and focus them on the adorable fluffball in front of us.

    They Help Your Body Release Feel Good Chemicals

    When your dog rolls around on his back or your cat rubs her head under your chin, you can’t help but smile. And when you smile, your body releases serotonin and dopamine, which are nerve transmitters associated with calmness and happiness.

    Don’t have a pet of your own at home? You can still gain these benefits by volunteering at a shelter. There are many animals out there alone who would love your companionship, and you’ll feel great in the process.

    If you or a loved one is interested in exploring mental health treatment, please contact me today. While I’m not fluffy and don’t have a tail, I would be happy to speak with you about how I may be able to help you.

    Filed Under: General

    Positive Psychology: Gratitude

    April 6, 2022

    Gratitude to improve your mood

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    Positive Psychology: Gratitude

    April 6, 2022

    Positive Psychology: Gratitude

    Positive Psychology is the science of well-being. It focuses on skills that foster good feelings and resilience. One of the most powerful and impactful area of positive psychology is the practice of gratitude.

    Gratitude is defined as a sense of wonder, thankfulness, and appreciation for life. It consisted of 2 related steps:

    1. Acknowledging the goodness that is present in our life.
    2. Recognize that the source of these blessings lies at least in part outside our selves.

       

    Research shows that regular gratitude practice impacts both our psychology and bodies. First, gratitude has been shown to “ decrease rates of depression and stress, while enhancing positive mental states such as joy, optimism and tranquility”(Paquette, 2018). Second, people who regularly practice gratitude, have overall improved physical health, stronger immune systems, and reduced rates of stress-related illnesses. Third, our brains change structurally and chemically in ways that increase well-being.

    Jonah Paquette, Psy.D.(2018) suggests a good place to start is to start noticing positive occurrences in our daily lives. The “Three Good Things” technique is a simple way to start a gratitude practice. You will need a few sheets of paper or a notebook and a pen/pencil for this exercise. 

    Three Good Things

    Instructions: Before bed each night for 2 weeks

    1) Write down three things that went well that day. They can be little or big things, there is no right answer. Example: I had a restful day off and feel relaxed.

    2) Explain why you think this happened and or your contribution to the event. Example: I had a restful day because I kept the TV turned off and did not check my work email.

    Try to challenge yourself not to repeat an entry over the next 2 weeks.

    Shifting to a Gratitude Mindset

    Once you feel comfortable noticing good things in your life, change your journal entries to reflect what you are grateful for, and explain your reasoning. This subtle adjustment adds a deeper meaning to your practice. It widens the “goodness” in your life to include an acknowledgment of an external source of goodness and an experience of being thankful. This shift deepens the positive impact on your mood and physical health.

    References and resources:

    The Happiness Tool Box by Jonah Paquette, Psy.D. 2018 PESI Publishing and Media, Eau Claire, WI.

    https://greatergood.berkeley.edu/

    Be Well,

    Dr. Marsh

    Pamela Marsh, Psy.D. is a licensed clinical psychologist at Marsh Psychology Group, in Huntington Woods, Michigan. She can be reached at pmarsh@marshpsychologygroup.com

    Filed Under: Anxiety, Depression, General, stress, Uncategorized

    5 Ways to Effectively Manage Anxiety

    February 4, 2022

    If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While […]

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    5 Ways to Effectively Manage Anxiety

    February 4, 2022

    If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While anxiety can feel debilitating, there are ways you can manage it.

    Slow Your Breathing

    When we feel anxious, our breathing becomes quicker and shallower. This way of breathing, in turn, makes us feel even more anxious. It’s a vicious cycle.

    When you feel the anxiety start to come on, start to focus on your breath and begin to slow it down. Breathe in slowly and deeply for a count of 4, hold for a count of 4, then exhale slowly for a count of 4. Repeat this cycle three to five times until you feel yourself begin to calm.

    Limit Caffeine 

    Drinking or eating anything with caffeine in it can exacerbate your anxiety. Studies have even shown that caffeine can trigger an anxiety attack, so try and avoid or greatly limit consumption.

    Exercise

    Studies have shown that just 20 minutes of exercise can reduce symptoms of anxiety. Not only does exercising make you feel good about yourself, it actually floods your body with feel-good endorphins, which can totally turn your mood around.

    Make a List

    One of the worst parts of feeling anxiety is the feeling that you are out of control. One simple exercise to turn this around is to make a to-do list of small, easy-to-manage tasks. Crossing these tasks off your list will actually empower you and make you feel in control again.

    Remind Yourself of Reality

    When the plane of a nervous flyer hits turbulence, that nervous flyer must remind themselves that the plane is okay, and it is just a normal occurrence to hit turbulence. People who experience anxiety may also have to remind themselves that they are actually okay when an anxiety attack comes on. Simply tell yourself that you are experiencing anxiety but that you are, basically, okay, you are not going to die.

    It can also be very beneficial to talk to someone about your anxiety issues. A therapist will be able to offer more tools and advice on how to cope and manage your anxiety.

    If you or someone you love suffers from anxiety and would like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

    Filed Under: Anxiety, General

    How to Navigate Challenging Life Transitions

    May 29, 2021

    When we’re young, life transitions are fun and empowering. We go from crawling to walking, walking to running. We start with training wheels but soon no longer need them. As we age we graduate into higher grades and become more independent. But as adults, life transitions can feel not so fun and far from empowering, […]

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    How to Navigate Challenging Life Transitions

    May 29, 2021

    When we’re young, life transitions are fun and empowering. We go from crawling to walking, walking to running. We start with training wheels but soon no longer need them. As we age we graduate into higher grades and become more independent.

    But as adults, life transitions can feel not so fun and far from empowering, because life transitions can often include loss: loss of a job, a marriage, and loved ones. During these life transitions, we can feel out to sea, completely at the mercy of the tides that seem to be tossing our lifeboat around.

    If you are feeling stressed and overwhelmed right now because you are facing one or more life transitions, here are some ways you can navigate these choppy waters:

    Slow Down

    Have you noticed that the pace of life has picked up? Most likely your heartbeat and breathing have also picked up as a response. It’s time to slow down.

    As simple as it may sound, slow, deep breaths are a powerful way to tell your body that everything is okay. Right now, your body is in “fight or flight mode,” as you subconsciously, and maybe even consciously, feel you are being attacked. Making time each day to be still, away from the noise and chaos to breathe deeply and slowly, will slow down your heart rate and make you feel calm and peaceful.

    Embrace Uncertainty

    I know, it seems completely counterintuitive if not downright impossible. But when we surrender control and embrace the unknown, with an almost scientific curiosity about outcomes, we feel positive emotions (curiosity, wonder) instead of negative emotions (lost, out of control).

    Acknowledge the Cycles of Life

    Someone once said, “This too shall pass.” Life, like weather, has seasons. While you may feel stuck right now and like nothing is going the way you hoped or planned, recognize the truth, which is, this too shall pass. Transitions are just that, an uncomfortable bridge from one part of life to the next.

    Fall Back on Traditions

    Rites of passage have been used for thousands of years in all cultures to help people transition from one place in life to another. It’s time to call upon this ancient wisdom of our ancestors and empower ourselves.

    Rites of passage put us in the driver’s seat. We can acknowledge that things MUST change because we intuitively understand that the human journey is all about facing challenges and becoming new versions of ourselves.

    Life, such as it is, throws us curve balls and sadness and things that cast fear and doubt into our vision. This is natural and no one escapes.

    But there ARE ways to navigate these challenges. Try these three tips. And if you’d like additional help along your journey, please get in touch with me.

    SOURCES:

    • https://www.psychologytoday.com/us/blog/fulfillment-any-age/201703/10-ways-make-it-through-your-life-s-transitions
    • https://chopra.com/articles/9-ways-to-navigate-loss-change-and-transition
    • https://duckduckgo.com/?q=rites+of+passage+modality+for+life+challenges&atb=v142-1&ia=web&iai=r1-1&page=1&sexp=%7B%22biaexp%22%3A%22b%22%2C%22msvrtexp%22%3A%22b%22%7D

    Filed Under: General, Telehealth

    The Amazing Benefits of Meditation

    April 15, 2021

    There are plenty of things that occur in our daily lives that cause us stress: commuter traffic, hassles at work, and tension in our personal relationships to name just a few. If we don’t find healthy ways to deal with this stress, it can fester, eventually causing anxiety, depression, and even health issues such as […]

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    The Amazing Benefits of Meditation

    April 15, 2021

    There are plenty of things that occur in our daily lives that cause us stress: commuter traffic, hassles at work, and tension in our personal relationships to name just a few. If we don’t find healthy ways to deal with this stress, it can fester, eventually causing anxiety, depression, and even health issues such as hypertension and heart disease.

    One of the best ways to beat stress is through mindfulness meditation. This practice helps train you to keep your attention “in the now.” By training your mind to stay in the present moment, you stop it from ruminating on all of the things that bring you stress. While it can be challenging in the beginning, many practitioners of meditation receive amazing benefits:

    A Better Night’s Sleep

    If you’re someone who suffers from a lack of sleep, you know how it can affect your mood and ability to focus clearly. Research has found that in adults diagnosed with sleep disturbances, meditation improves the quality of sleep obtained each night.

    Lowers Stress Levels

    Studies have also found that mindfulness meditation can reduce the cortisol levels produced in the body. Cortisol is a stress hormone. When levels of cortisol remain high, it can negatively impact your health.

    Decreases Loneliness in Older Adults

    Many older adults experience loneliness and isolation due to the loss of their spouse combined with an inability to lead an independent social life. One study found that an 8-week mindfulness-based stress reduction (MBSR) program decreased loneliness and related pro-inflammatory gene expression in seniors.

    These are only a handful of the many benefits of practicing meditation.

    Getting Started with Meditation

    Starting a meditation practice does not have to feel overwhelming and it doesn’t require you to make big lifestyle changes. It simply requires you to dedicate 10-20 minutes each day in your practice.

    You may want to look for group meditation classes in your local area to get a feel for how it works. There are also plenty of guided meditations online to choose from.

    The biggest thing to remember is that it is called a meditation practice for a reason: you won’t get it “right” right out of the gate. And truthfully, there is no right or wrong. There is only a desire and intent to let go of the chatter in your mind and focus on the present moment. That’s it. Once you get the hang of things, you too can experience some amazing benefits.

    Filed Under: Anxiety, Depression, General

    How to Find the Right Therapist in Your Town or City

    April 14, 2021

    It’s a new year and many of us have committed to making changes that will allow our best selves to shine through. And in most instances, we know exactly how to get the help we need to facilitate this change. For instance, if we want to get into good physical shape, we know to head […]

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    How to Find the Right Therapist in Your Town or City

    April 14, 2021

    It’s a new year and many of us have committed to making changes that will allow our best selves to shine through. And in most instances, we know exactly how to get the help we need to facilitate this change.

    For instance, if we want to get into good physical shape, we know to head to our local gym and get help from a personal trainer. If we want to eat better to prevent disease, we ask our doctor to refer us to a licensed nutritionist.

    And when we want to work on our mental and emotional health, we know we should seek support from a licensed mental health counselor. But finding the right one can seem overwhelming to many and stop them from getting the help they need.

    With this in mind, here are some tips on finding the right therapist in your local town or city:

    Ask for Personal Recommendations

    There was a time the topic of mental health was considered taboo. But luckily those days are behind us and many people are now open to seeking therapy. You may very well have a friend or family member who has or currently is working with a therapist they love.

    Ask Your Doctor

    If you already have a good relationship with a doctor, dentist, or anyone in the medical field who honors your confidentiality, they are a great resource to tap into about a mental health professional referral since they are connected to many people in the medial field.

    Use Your Insurance Company

    If you happen to be one of those lucky individuals with an insurance company that has a stellar customer service department, you might want to ask them to suggest a therapist in your network whom they have vetted.

    Do an Internet Search

    If you have no one you can personally ask, then you will need to perform an internet search for therapists in your local area. One of the best places to start your search is a website called Psychology Today. This site has a comprehensive list of therapists from around the country. To be listed on here requires a minimum of professional qualifications. In other words, a therapist cannot be listed on this site unless and until they can prove they have a legitimate advanced degree in their discipline and an up-to-date professional license or certification.

    The beginning of the year offers all of us so much potential. Let this year be the year you deal with any issues you may be having so you can begin to live your best life!

    If you live in the area and would like to explore treatment options, please reach out to me. I would be more than happy to discuss how I may be able to help.

    SOURCES:

    • https://psychcentral.com/blog/10-ways-to-find-a-good-therapist#1
    • https://www.psychologytoday.com/us/blog/freudian-sip/201102/how-find-the-best-therapist-you
    • https://psychcentral.com/blog/how-to-choose-the-right-therapist-for-your-child#1

    Filed Under: General

    The Caregiver’s Guide to Self-Care

    April 12, 2021

    Are you acting as a caregiver to a loved one? Maybe your elderly parent or a spouse or child that is battling a serious illness? According to womenshealth.gov, 36% of Americans provided unpaid care to another adult with an illness or disability in 2012, and that number has almost certainly climbed as the baby boomer […]

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    The Caregiver’s Guide to Self-Care

    April 12, 2021

    Are you acting as a caregiver to a loved one? Maybe your elderly parent or a spouse or child that is battling a serious illness?

    According to womenshealth.gov, 36% of Americans provided unpaid care to another adult with an illness or disability in 2012, and that number has almost certainly climbed as the baby boomer population continues to age.

    Acting as a caregiver to another is definitely a labor of love, but it can also take a physical, mental and emotional toll on a person. When you focus all of your energy on the needs of other people, it is entirely too easy to put your own needs on the back burner.

    Do You Have Caregiver Burnout?

    Here are some of the most common signs of caregiver burnout:

    • Uncharacteristic irritability and impatience
    • Poor sleep
    • Forgetfulness
    • Somatic symptoms, such as headaches and gastrointestinal distress
    • Changes in appetite
    • Turning to substances to self-medicate
    • Lack of interest in friendships and hobbies
    • Thoughts of harming oneself or the person being cared for
    • Increased illness
    • Anxiety and/or depression

    With so many people relying on caregivers, it’s important that these people learn to take good care of themselves!

    Here are some ways you can begin practicing self-care so you don’t experience burnout:

    Get More Sleep

    The quantity and quality of sleep you get each night will have a huge impact on how you feel physically, mentally and emotionally. Stress can make it hard for us to get good sleep, so don’t make it any harder.

    Avoid caffeinated beverages after 2 pm as well as using any digital screens at night. The blue light emitted from these devices messes with our sleep cycle. You may also want to use room-darkening curtains to make your bedroom dark in the morning so you don’t awaken too early.

    Get Plenty of Exercise

    All of the stress, tension, and balled-up emotions need to go somewhere, or you’re likely to become sick yourself. Exercise is a great way to work all of this… “stuff” out of you. As a bonus, your body releases endorphins after a good workout, and these chemicals give your mood a nice boost.

    Eat Right

    Your instinct may be to reach for sugary comfort foods but you need to stay healthy and strong. Opt for protein and healthy fats along with some organic produce.

    Ask for Help

    While everyone around you may refer to you as “superhuman,” the truth is, you’re just human, and you can’t handle everything by yourself ALL of the time. Ask people to help you provide care once or twice a week so that you may have a little bit of time for yourself.

    Talk to Someone

    If you are dealing with your own depression and anxiety, it’s important that you speak with someone who can offer coping strategies.

    If you or someone you know is a caregiver that could use someone to talk to, please feel free to be in touch. I would be more than happy to discuss how I may be able to help.

     

    References:

    • https://www.psychologytoday.com/us/blog/click-here-happiness/201812/self-care-12-ways-take-better-care-yourself
    • https://psychcentral.com/lib/caregiver-burnout-the-importance-of-self-care/
    • https://www.psychologytoday.com/us/basics/caregiving

    Filed Under: General

    Keys to Successful Therapy

    April 10, 2021

    Cognitive therapy has been shown over the years to be incredibly effective at helping people recognize and change their behaviors. But, as much potential as therapy has for every individual, some people seem to have success with therapy while others don’t. Some of this stems from what the individuals’ expectations were going into therapy, some […]

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    Keys to Successful Therapy

    April 10, 2021

    Cognitive therapy has been shown over the years to be incredibly effective at helping people recognize and change their behaviors. But, as much potential as therapy has for every individual, some people seem to have success with therapy while others don’t.

    Some of this stems from what the individuals’ expectations were going into therapy, some from how much effort they gave, and some from whether or not there was a good personality fit between patient and therapist.

    If you’re thinking of exploring therapy and want to ensure your journey is successful, here are some things to keep in mind:

    An Evidenced-Based Approach

    The American Psychological Association defines an evidence-based practitioner as someone who integrates their (1) clinical expertise with (2) available/relevant psychological science and (3a) the client’s values and (3b) cultural context to guide the intervention. This means your therapist should be using proven techniques in a way that jive with your values, preferences, and needs. It’s not about them and what they bring to the table, it’s about what they have to offer and how they can offer it so you might be positively impacted.

    A Solid Partnership

    It’s important to shop around to find the right therapist for you. Ideally, you want someone who you feel comfortable opening up to and someone you trust to listen and offer guidance. You also want to know your therapist is competent and has your best interests at heart. And finally, you’ll want to have open communication so you can always be sure you are on the same page as far as your “story” and how well the interventions are working.

    An Appreciation for the Process of Change

    We live in an instant gratification society. We want what we want and we want it NOW. In many instances, we can get what we want quickly. But this isn’t true for real change.

    For therapy to be successful, you MUST be realistic about the process. It is not linear, and it is not quick. This is particularly true if you are dealing with complex, long-term problems. This doesn’t mean you can expect to be in therapy for the rest of your life or even many, many years. It simply means you must appreciate the reality of what you can expect and how quickly.

    If you are interested in exploring treatment options, please get in touch with me. I’d be happy to discuss how I may be able to help.

    Filed Under: General

    4 Reasons to Start Therapy in 2021

    January 30, 2021

    If you’re like most people, you brought in the new year with a list of resolutions. And if you’re like most people, all of those resolutions have one goal: to better your life in some way. Whether that is through eating right, working out, learning a new language or decluttering your home office, resolutions are […]

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    4 Reasons to Start Therapy in 2021

    January 30, 2021

    If you’re like most people, you brought in the new year with a list of resolutions. And if you’re like most people, all of those resolutions have one goal: to better your life in some way. Whether that is through eating right, working out, learning a new language or decluttering your home office, resolutions are made to help us live our best lives.

    In all of these instances (health, weight loss, decluttering) therapy can help.

    You see, most people believe mental health therapy is something you seek when there is a major crisis; when we need help navigating depression or anxiety; when we’re going through a big transition, or when our marriage is on the verge of collapse.

    And while therapy can absolutely help with all of these scenarios, it offers numerous benefits you may not have thought of:

    Therapy Can Boost Physical Health

    Different therapy protocols have been shown to improve different physical symptoms associated with stress. This includes a reduction in migraines, digestive upset, better appetite and improved sleep.

    Builds Self-Awareness

    Many of us think we are running our lives when really, our lives are being run by subconscious programming from early childhood. Therapy helps clients understand where feelings, beliefs and behaviors really come from. Through treatment, individuals can become more self-aware and empowered to take responsibility for the lives they are creating. In this way, THEY create their lives instead of their lives being something that is happening TO them.

    Explore Hidden Desires

    Of course, self-awareness also means becoming aware of your passions and desires. Many people spend a majority of their life doing what others want instead of what THEY want. And many people simply don’t KNOW what they want in life.
    Therapy can help you become an archeologist of sorts, digging into your heart, mind and soul to uncover what it is you value, love, desire, need and want.

    Therapy Helps You Reach Goals

    It’s the new year and we all have new goals that we are hoping to reach. Well, therapy can help you reach those goals!
    A trained therapist can help you set achievable goals as well as help you outline the micro steps you’ll need to take to get there. They can also then act as coach and cheerleader, supporting your efforts to reach your goals.
    Yes, therapy is something that you can turn to for depression, addiction, and help with your crumbling relationships. But therapy can help with so much more. If you’d like to explore treatment options in the new year, please get in touch with me.

    SOURCES:

    • https://psychcentral.com/blog/benefits-of-therapy-you-probably-didnt-know-about#1
    • https://www.goodtherapy.org/benefits-of-therapy.html
    • https://www.betterhelp.com/advice/therapy/six-benefits-of-therapy/

    Filed Under: General

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    26711 Woodward Ave. Suite 306
    Huntington Woods, MI 48070

    (248) 860-2024
    info@marshpsychologygroup.com

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    info@marshpsychologygroup.com
    (248) 860-2024

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