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Ask A Therapist: Is It OK To See More Than One Therapist At A Time?

Q: Is it okay/appropriate to see more than one psychotherapist at the same time?  After all, we sometimes have more than one massage therapist!  Just wondering about your take on this.

A: In general, I recommend having a primary individual psychotherapist who is “in charge” of treatment. That being said, there are situations where it may be appropriate and helpful to work with additional therapists simultaneously.  If you and your therapist desire additional interventions that are outside of your primary therapist’s specialties then your therapist may refer you to another therapist for specific interventions, like EMDR or neurofeedback, for example.

It’s also appropriate and often recommended to have additional therapists for different treatment modalities, like group, marriage, or family therapy. In marriage counseling or family therapy the client is actually the “marriage” or the “family” instead of the individuals. I hope this helps answer your question. Feel free to write again with more specific details about your situation.

Take good care of yourself!

Julie Hanks, LCSW

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Ask A Therapist: Can Dream Journals Be Helpful in Understanding Weird Dreams?

Q: Having weird dreams and therapist is questioning if they are happening because i could be repressing  internal battles. My new therapist is having me keep a “Dream Journal.” Freud has said that “dreams are the royal road to the unconscious mind.” I’m wondering if you think that this could be helpful/not helpful/why would she be having me keep one, and how many people here are keeping a dream journal???

Click arrow below to listen to my response.

[powerpress]

Take good care of yourself!

Julie Hanks, LCSW

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I Feel Like A Failure. Am I Depressed?

I just feel like there’s nothing I can do right. All I want is to be good at something, but there is always someone better than me. I’ve cut myself hundreds of times because I just hate myself so much. I’ve tried to lose weight and lost it, and then gained it back. I’m so mad at myself for gaining it all back, I’m mad at myself for  not being able to show people what I can do when it matters. I feel like a loser. I get angry all the time too, and have no patience with people.  I’ve always told myself to never lose  hope, and right now I have no hope. Sometimes I pray at night, hoping I’ll die in the night and not wake up in the morning. I’ve told my Mom that I want to see a therapist and need help, but she took it as a joke. I don’t know who to turn to and I don’t know what to do with life (15 year old female teen).

A: Thank you for writing in for help. It sounds like you have an illness called major depression. While I can’t diagnose you in this forum, you do need to be seen and evaluated by a physician or mental health therapist ASAP.  How brave of you to reach out to your mom for help, and I’m sorry she didn’t take you seriously. Did you tell your mom about the depth of your hopelessness, your self-harm, and how much you hate yourself? Please reach out to her again and be completely honest with her about the depth of your despair so she can feel the urgency. Sometimes parents don’t know how to handle a child’s emotional pain. Please go to her again and tell her in firm way, “Mom, I need to see a therapist as soon as possible. I am very depressed, I’m hurting myself, and having thoughts of wanting to die. I’m scared and I need your help. Please take me to the doctor or therapist.” 

If your mom doesn’t understand depression or mental illnesses, you may want to have her read some of the resources on PsychCentral so she has a deeper understanding of what you’re going through. If your mom still doesn’t respond to you, please reach out to a school counselor or another trusted relative for help. There is help and treatment for the symptoms that you’re describing. Please continue to be persistent so you can get the help you need.

Take good care of yourself!

Julie Hanks, LCSW

 

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Why Am I More Awkward Socially Now?

This isn’t really a question about me, its kind of people in general (or well maybe it is just me, I dont know)….
So, ever since I started high school I have felt more awkward and stressed out about people than ever.  I think that’s normal though, right?

Anyway, its weird because before high school, I actually had less friends than I do now.  Why do I feel more awkward when now I have more friends? You should probably know that I now go to a high school for the arts, and everyone at my new school is super nice and accepting.

So… How do I get to be less awkward? Does everyone get awkward in high school? What changed between 8th and 9th grade that is making me so self-conscious?

A: Thanks so much for writing in! You bring up excellent questions and I’m very impressed that you’re so in touch with you internal experiences and feelings — that will be a great asset as a performer/artist. Did you go through any other family or life changes before starting high school? There may be several explanations for your feelings of awkwardness for you to consider.

You’re describing feelings that I often hear in my practice from new college students who have largely based their identity on being the best and most accomplished in their high school. In college, they are surrounded by hundreds of bright and talented students which challenges their sense of identity and worth. I wonder if this same phenomenon has happened for you, only in high school instead of college? High schools with a specific focus tend to attract highly motivated and talented students, like colleges. While fellow student are accepting and nice, they are also your “competition,” and their talents may feel more threatening to you than what you experienced with your jr. high school peers.

Attending a high school for the arts may also lead you to feel more emotionally vulnerable and unsure of yourself. Artistic creation and expression require you to access different aspects of your emotional experiences and that may be leading to feeling more awkward. As a performing songwriter, I can relate to feeling more vulnerable when I am “putting myself out there” creatively.

Big life transitions like changing schools tend to make everyone feel a bit more anxious and self-conscious. Moving on to high school is the next step toward adulthood, requires more homework, more responsibility, and new social situations and that may take some time to get used to. I suggest talking with your parents about your feelings, or consider talking to a school counselor. What you’re experiencing doesn’t sound out of the ordinary for a life transition. If your awkwardness doesn’t go away in a month or so, please consider talking to a therapist to help you get to the emotional root of what your experience and to look into the possibility that you’ve developed an anxiety disorder.

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Join Julie Hanks for Live Facebook “Ask The Therapist” Q&A

The holiday season can bring out the best…and the worst in all of us, and in family relationships. Here’s your chance to get FREE advice to help you during the holidays and those cold winter months.

I’m excited to be participating in PsychCentral.com’s Ask the Therapist Live Facebook Q & A event with Dr. Marie Hartwell-Walker. We will both be available to answer YOUR mental health and relationship questions

When: Wed. Dec. 21st at 5:30-6:30PM MST

Where: Ask The Therapist Facebook Group.

Click here to attend and get event details

Send your question to PsychCentral’s Ask The Therapist column anytime here

 

Cialis vs Viagra it is old dispute between two similar medicines which stand by the way almost equally. but here not a task how to decide on a choice and to start using one of them. Viagra vs Cialis much kontsentrivany cialis which is on sale in the form of powder and we use it as required emergency. but nevertheless what harm they neninut especially if the birch costs.

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Ask a Therapist: My In-Laws Hate Me (& the feeling is mutual)


Q:
My in-laws hate me and the feeling is mutual. How do I handle the situation without alienating my husband or making him feel torn? We’ve been dealing with it for a couple years & it’s HARD. Any advice?

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Psych Central’s Live FB Event to Feature Julie Hanks

Julie Hanks, LCSW will be among 4 therapists from PsychCentral.com‘s “Ask the Therapist” column answering your mental health and relationship questions in a first ever international LIVE Facebook event this Saturday, Feb. 26.

Julie Hanks, LCSW

Here’s what to do to participate in this rare event:

1) “Like” PsychCentral on Facebook

2) Visit PsychCentral FB page this Saturday, Feb. 26 between 2-5 PM MT

3) Post your relationship and mental health questions & get advice from 4 different therapists.

Julie is the newest therapist to join the “Ask the Therapist” team on Psych Central — the Internet’s largest and oldest independent mental health and psychology network.

Visit Julie’s Psych Central profile and see her Q & A’s

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Ask A Therapist: Should I Move To Be With Girlfriend?

I don’t know what I want in life. My girlfriend of 4 and a half years moved back to Houston because she hated it here in California. I initially told her I was going to go with her, but as time moved closer, I faltered and we agreed I would stay for a month here to think about it. I Didnt want to do it because i still thought we had a chance here and I didn’t want to go back to Houston. It’s been about a month, and she is telling me to make a decision or we will have to break up. I love her, and I don’t know why this is so hard for me to make a decision. I want her to be in my life, but I don’t want to go back to Houston. It sounds trivial, but I can’t make a decision. How can I overcome this?

A: I have more questions than answers for you. Why did she move in the first place? Why do you not want to move to Houston? How committed are you to the relationship? Watch my video response below to get the full answer…

Take good care of yourself!
Julie Hanks, LCSW

Cialis vs Viagra it is old dispute between two similar medicines which stand by the way almost equally. but here not a task how to decide on a choice and to start using one of them. Viagra vs Cialis much kontsentrivany cialis which is on sale in the form of powder and we use it as required emergency. but nevertheless what harm they neninut especially if the birch costs.

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Ask A Therapist: How Do I Talk To My Parents About ADHD?

I’m not sure where to start. I am a 14 year old freshman in high school and I have been constantly noticing that I might have ADHD or something, I can’t pay attention and am always confused along with other symptoms. Anyways I’m not completely sure how I would bring this up with my parents to get help. I’m afraid they are going to laugh at me and tell me I’m useless like they always do. What’s the best way to ask someone for help in a situation like that?

A: Thank you for writing in. If you’re not comfortable talking to your parents about your concerns, you may want to talk with a school counselor or your physician to see if they can help you bring up your concerns to your parents. Watch the entire answer in the video below…

Take good care of yourself!
Julie Hanks, LCSW

Cialis vs Viagra it is old dispute between two similar medicines which stand by the way almost equally. but here not a task how to decide on a choice and to start using one of them. Viagra vs Cialis much kontsentrivany cialis which is on sale in the form of powder and we use it as required emergency. but nevertheless what harm they neninut especially if the birch costs.

More