About the Practice

Counseling for Women’s issues such as depression, anxiety, post traumatic stress disorder, post partum depression, childhood sexual abuse, domestic violence and elderly issues.

What is Post-Traumatic Stress Disorder, or PTSD?

PTSD is an anxiety disorder that some people get after seeing or living through a dangerous event.
PTSD can cause many symptoms that can be grouped into three categories:

1. 1. Re-Experiencing Symptoms
   1. Flashbacks - reliving the trauma over and over, including physical symptoms like a racing heart or sweating
   2. Bad dreams
   3. Words, objects, or situations that are reminders of the event can also trigger re-experiencing.
2. 2. Avoidance symptoms:
   1. Staying away from places, events, or objects that are reminders of the experience
   2. Feeling emotionally numb
   3. Feeling strong guilt, depression, or worry
   4. Losing interest in activities that were enjoyable in the past
   5. Having trouble remembering the dangerous event.
3. 3. Hyperarousal symptoms:
   1. Being easily startled
   2. Feeling tense or "on edge"
   3. Having angry outbursts.

Hyperarousal symptoms are usually constant, instead of being triggered by things that remind one of the traumatic event. They can make the person feel stressed and angry. These symptoms may make it hard to do daily tasks, such as sleeping, eating, or concentrating.

*Information from National Institute of Mental Health (NIMH)

What are the symptoms of depression?

Even with treatment People with depressive illnesses do not all experience the same symptoms. The severity, frequency and duration of symptoms will vary depending on the individual and his or her particular illness.

Symptoms include:

• Persistent sad, anxious or "empty" feelings
• Feelings of hopelessness and/or pessimism
• Feelings of guilt, worthlessness and/or helplessness
• Irritability, restlessness
• Loss of interest in activities or hobbies once pleasurable, including sex
• Fatigue and decreased energy
• Difficulty concentrating, remembering details and making decisions
• Insomnia, early–morning wakefulness, or excessive sleeping
• Overeating, or appetite loss
• Thoughts of suicide, suicide attempts 
• Persistent aches or pains, headaches, cramps or digestive problems that do not ease

How can I help myself if I am depressed?

If you have depression, you may feel exhausted, helpless and hopeless. It may be extremely difficult to take any action to help yourself. But it is important to realize that these feelings are part of the depression and do not accurately reflect actual circumstances. As you begin to recognize your depression and begin treatment, negative thinking will fade.

To help yourself:

• Engage in mild activity or exercise. Go to a movie, a ballgame, or another event or activity that you once enjoyed. Participate in religious, social or other activities.
• Set realistic goals for yourself.
• Break up large tasks into small ones, set some priorities and do what you can as you can.
• Try to spend time with other people and confide in a trusted friend or relative. Try not to isolate yourself, and let others help you.
• Expect your mood to improve gradually, not immediately. Do not expect to suddenly "snap out of" your depression. Often during treatment for depression, sleep and appetite will begin to improve before your depressed mood lifts.
• Postpone important decisions, such as getting married or divorced or changing jobs, until you feel better. Discuss decisions with others who know you well and have a more objective view of your situation.

Remember that positive thinking will replace negative thoughts as your depression responds to treatment.

How can I help a friend or relative who is depressed?

If you know someone who is depressed, it affects you too. The first and most important thing you can do to help a friend or relative who has depression is to help him or her get an appropriate diagnosis and treatment. You may need to make an appointment on behalf of your friend or relative and go with him or her to see the doctor.

Encourage him or her to stay in treatment, or to seek different treatment if no improvement occurs after six to eight weeks.
To help a friend or relative:

• Offer emotional support, understanding, patience and encouragement.
• Engage your friend or relative in conversation, and listen carefully.
• Never disparage feelings your friend or relative expresses, but point out realities and offer hope.
• Never ignore comments about suicide, and report them to your friend's or relative's therapist or doctor.
• Invite your friend or relative out for walks, outings and other activities. Keep trying if he or she declines, but don't push him or her to take on too much too soon. Although diversions and company are needed, too many demands may increase feelings of failure.
• Remind your friend or relative that with time and treatment, the depression will lift.

*Info from the National Institute of Mental Health (NIMH)