How long does it take to recover from infidelity? how Couples Therapy and Marriage Counseling can help
Healthy Relationships

Infidelity Can Take 2-5 years to Recover, Research says

Written by herecounseling

When you’ve been betrayed by someone you trusted deeply, everything you thought you knew about your relationship, and even yourself, can feel shattered. The pain isn’t something you just “get over.” It lingers in your body, in your thoughts, in your sleep. You may be asking: How long will it hurt like this?

What Percentage of Couples Recover from Infidelity?

If you’re wondering ‘how long to recover from infidelity’ or ‘what percentage of couples recover from infidelity,’ research shows timelines of 2-5 years, with couples therapy improving success rates to 57%.

Most people don’t realize it, but healing from infidelity typically takes anywhere from two to three years. And even then, the process isn’t linear. Some days feel manageable, others knock the wind out of you. The timeline depends on several factors: the type of betrayal, whether the partner takes responsibility, and whether there’s therapeutic support. We see couples who face infidelity often in our Pasadena Office, and we have experienced firsthand the couples who are able to recover and those who struggle with having the conversation. And we want to share with you our thoughts from our over 10 years of experience in Pasadena, as well as the outcomes of the research on this topic.

In this article, we’ll walk through what really happens after the discovery of an affair, why it hurts so much, what influences your healing pace, and how therapy can offer a path forward, whether you stay in the relationship or not.

Why Infidelity Hurts So Much (And Why It Feels Like Trauma)

When someone you trust betrays you, it doesn’t just “hurt.” It shatters something inside. Many people describe infidelity as a kind of emotional earthquake; the ground you stood on suddenly breaks apart, and you’re left wondering what was ever real.

It’s not just the cheating that hurts. It’s the lies. The rewriting of history. The erosion of safety. Infidelity, whether emotional, physical, or both, strikes at the foundation of your sense of self, your attachment, and your ability to trust again.

That’s why the pain lingers. That’s why your mind keeps replaying conversations or checking phone records. And that’s why, even if your partner says “I’m sorry,” your body might still feel frozen, triggered, or anxious.

You’re not being dramatic. You’re responding to trauma.

Infidelity Recovery Timeline: How Long Does It Take?

Healing from infidelity is a deeply personal journey, but research provides some timelines to guide you. With couples therapy, recovery typically takes 2-3 years, offering a 57% success rate for staying together. Without therapy, it often stretches to 3-5 years or more, with only a 20% success rate. Below, we explore these paths to help you find clarity and hope.

Factors That Shape Your Healing Timeline

Healing after infidelity isn’t just about getting over what happened. It’s about processing it, emotionally, cognitively, somatically, and making meaning out of the chaos. Several things can shape how long that takes:

Was this a one-time betrayal or a repeated pattern?

A single disclosure is painful. But when the betrayal was hidden for years or happened again and again, the healing may need to go deeper.

Has the unfaithful partner taken real accountability?

Recovery begins when there’s truth-telling, not defensiveness. If your partner minimizes, blames you, or avoids questions, healing can stall.

Are you both getting support?

Individual or couples therapy can dramatically affect the pace and depth of healing. Doing this alone is not only exhausting — it can keep you stuck in cycles of blame and confusion.

Are you working through prior wounds too?

If you or your partner has unresolved trauma, attachment wounds, or trust issues from the past, the affair may reopen older pains and require a layered healing approach.
There’s no “normal” response to betrayal. But the more resourced, supported, and emotionally honest the healing space is, the more room there is for actual repair.

Discovering infidelity is an emotional tsunami.

The pain is raw, the betrayal cuts deep, and you’re left reeling in a storm of emotions. You might feel anger burning through you, sadness weighing you down, or confusion clouding every choice. Questions swirl endlessly:

  • Why did this happen?
  • Can I ever trust again?
  • Is our relationship even worth saving?
  • How long will it take to heal from infidelity?

Countless couples have faced this heartbreak, and I’ve seen it firsthand. It’s hard. In my practice in Pasadena, CA, I’ve seen couples struggle with even coming in to couples therapy to address it in my office. One partner feels raw and exposed, and the other is terrified to hear just how angry the other is. It takes a lot of courage and care to come in and begin to talk about it.

Right now, you might wonder if your entire relationship was a lie. Maybe you blame yourself or search for signs you missed. The ache hits hard—every glance at your partner stings. Infidelity doesn’t just break trust; it shatters your security, your self-worth, and the story you built together. Sleep slips away, conversations turn explosive, and the future feels uncertain.

You ask, “How could they do this to me?” while your partner might grapple with guilt or shame, wondering, “Can I fix this? Will they let me try?”

What you need most is clarity, support, and hope that this pain won’t last forever. Healing is possible, but it’s personal—there’s no universal timeline. Some couples turn to couples therapy (also known as marriage counseling or couples counseling) as a lifeline through the chaos. Others rely on their own strength, choosing to go it alone.

Both paths can work, but they differ in pace, process, and outcomes. In this article, we’ll explore these two journeys—couples therapy and no therapy—offering a glimpse into the emotional landscape of rebuilding after betrayal, backed by research to guide you.

The Stages of Healing from Infidelity

Healing doesn’t happen all at once. It comes in waves, and it tends to follow a few emotional phases, especially if therapy is involved. These stages aren’t steps you tick off — they’re experiences that overlap, return, and reshape you.

1. Discovery & Shock (First few days to 3 months)

This is the moment everything changes. Whether it was a confession or a discovery, this stage is marked by emotional chaos — disbelief, numbness, panic, rage. Your nervous system may be in survival mode. It’s normal to feel disoriented, struggle to sleep, and question everything.

2. Grief & Search for Meaning (1 to 6 months)

You start asking: Why did this happen? Was it me? What does this mean about us? You may demand details, obsess over timelines, or compare yourself to the other person. It’s all part of trying to regain control. This stage can be intense and recurring, especially if there’s gaslighting, half-truths, or unclear communication.

3. Establishing Safety (3 to 9 months)

This is where boundaries are drawn. Maybe passwords are shared. Or contact with the affair partner ends. Maybe space is needed. Regardless, safety is emotional, not just logistical — it’s about rebuilding a sense of “I’m okay here.” For many, this phase marks a turning point toward stabilization, though it can take time.

4. Rebuilding or Releasing (6 months to 2+ years)

Some couples choose to stay and begin the work of rebuilding. Others realize that staying means betraying themselves. Both paths require courage. Both deserve support. This phase often includes deeper therapy, structured rebuilding, or navigating separation in a conscious, supported way.

5. Integration & Redefinition (1.5 to 5 years)

If you stay together, this is where a new relationship slowly forms. Not a return to the past — but something more honest, more awake. If you part, this is where healing becomes personal — reclaiming trust in yourself, your instincts, and love again. You might not feel fully “over it,” but you’ll notice that it no longer runs your life.

Couples Therapy After Infidelity vs. No Therapy

When infidelity strikes, you face a choice: seek couples therapy or navigate recovery solo. Both demand courage and time, but their success rates and experiences vary widely. Couples therapy often boosts recovery odds, with studies showing lower divorce rates and faster healing—thanks to professional guidance and structure. Going without therapy can work, but it’s tougher, longer, and less certain, with higher risks of divorce due to miscommunication and lack of support. Let’s dive into each path, imagining you and your partner trying to mend what’s broken.

The Couples Therapy Pathway: A Quicker way to Heal from Infidelity

Success Rate: 57%
Timeline: 2-3 Years

Couples therapy provides a guided path—a space where a professional helps you rebuild step by step. Research shows it typically takes 2-3 years, often leading to stronger bonds and better outcomes.

1. Deciding to Seek Couples Therapy

The affair’s out, and you’re lost in shock. You book that first couples therapy session, nervous but hopeful. Walking in feels raw, but there’s a chance for clarity.

2. Early Sessions: A Safe Space for Raw Emotion

You sit apart, barely meeting eyes. The therapist draws out your pain—your hurt, your rage. Your partner shares their regret. It’s messy, but contained. You feel heard, even if trust is far off.

3. Unpacking the Affair: Facing the Why

Months pass, and you dig into the roots. Was it a gap between you—intimacy, attention—or their own struggles? It hurts to uncover this, but it’s a step toward prevention. You argue, you cry, but you move forward.

4. Rebuilding Trust: Small Steps, Big Effort

Trust builds slowly. Your partner shares openly—phone access, honest answers. You learn to voice your needs. Some days feel hopeful; others, doubt lingers. Progress shows.

5. Emotional Healing: Letting Go and Coming Closer

A year or two into couples therapy, the pain softens. You reconnect—tentative laughs, fragile intimacy. Setbacks hit, but therapy guides you through. Forgiveness or acceptance emerges.

6. Long-Term Growth: A New Chapter

After 2-3 years, you’re a team again. Your bond is deeper, communication stronger. It was hard, but worth it.

What the Research Says on Recovery with Couples Therapy:

  • 43% Divorce Rate for Revealed Infidelity: Couples in couples therapy have a 57% chance of staying together (Marin et al., 2014).
  • 33% Recovery Rate by Therapy’s End: One-third feel fully healed post-therapy (Atkins et al., 2005).
  • 75% Success Rate with Gottman Method: This approach excels in early trials (Gottman & Silver, 2013).

couples therapy in pasadena and los angeles. Marriage Counseling Pasadena

Schedule a Couples Consult Call

Struggling with the uncertainty, the anger, and loss after infidelity? We help couples recover from ruptures like infidelity.

We’ll start by creating a clear understanding of the rupture in your relationship, and create a plan to address the situation and move toward healing.

It’s time for your relationship to heal. Reach out and schedule a consultation with one of our couples therapists in Pasadena this week:

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The No-Therapy Pathway: Extending the timeline of healing infidelity

Success Rate: 20%
Timeline: 3-5 Years or More

Choosing to heal without couples therapy relies on your resilience and resources. It can take 3-5 years or longer, with greater challenges and lower success rates due to the lack of expert support.

1. Deciding to Go It Alone

Couples therapy isn’t an option—cost or comfort—and you commit to fixing it yourselves. It’s just you two, facing the wreckage, hoping love holds.

2. Emotional Turmoil: No Filter, No Guide

Early on, it’s chaos. Anger flares, tears fall. Your partner explains, but it’s shouting or silence. Without a mediator, you’re stuck in loops.

3. Communication Struggles: Finding Words in the Dark

Talking is tough—questions feel like attacks. They defend, you withdraw. You want progress, but the path’s unclear.

4. Trial and Error: Piecing It Together

You try books or forums, set rules—no secrets, more check-ins. Sometimes it clicks; often, it fails. It’s draining, but you persist.

5. Slow Progress: Two Steps Forward, One Back

Years in, wounds scar. Trust grows through effort—small wins. Talking gets easier, but setbacks test you. It’s slow going.

6. Potential Outcomes: Healing or Breaking

After 3-5 years, you might stand stronger—or apart. Some heal; others falter. Resentment can linger without help.

What the Research Says about Recovery without Couples Therapy:

  • 80% Divorce Rate for Secret Infidelity: Hidden affairs spike divorce odds (Marin et al., 2014).
  • Recovery Often Exceeds 2-3 Years: Solo healing stretches longer (Affair Recovery).

Comparison of Recovery Paths

Recovery AspectWith TherapyWithout Therapy
Success Rate57-75%20%
Timeline2-3 years3-5+ years
Divorce Rate43%80% (secret affairs)

Quick facts on Healing From Infidelity

  • Couples Therapy Might Suit You If: You need structure or expert help to rebuild trust faster.
  • No Therapy Might Work If: You’re tough, talk well, and have support—but expect a longer road.

Couples therapy offers a 2-3-year shot at a stronger bond, with over half surviving. Solo healing might take 3-5 years, with more uncertainty but real potential. It’s messy, but doable. Grab what you need—a therapist, a friend, this article—and trust brighter days await.

What If the Affair Was Emotional, Not Physical?

Many people think infidelity has to involve sex to count. It doesn’t. Emotional affairs can be just as painful, sometimes even more.

Why? Because emotional betrayal often involves a deeper level of intimacy. Secrets. Vulnerability. Longing that should’ve been reserved for the partner.

If your partner was confiding in someone else, fantasizing about a life with them, or developing a connection that excluded you, it’s natural to feel betrayed, even if nothing “physical” happened. The pain is real. And it deserves space to be processed.

See our Couples Therapists

How Couples Therapy Works: Exploring Restoration Couples Therapy and the Pursue-Withdraw Pattern

If you’re considering couples therapy (or marriage counseling/couples counseling), understanding how it works can help you decide if it’s right for you. Below, we explore Restoration Couples Therapy, a specialized approach for infidelity recovery, and the pursue-withdraw pattern, a dynamic that therapy can address.

Restoration Couples Therapy: Rebuilding Through Empathy and Accountability

Restoration Couples Therapy is a tailored form of couples counseling designed to heal infidelity by focusing on identifying the couple’s pain cycle and creating a peace cycle. Here’s how it unfolds:

  • Creating a Safe Space: The therapist fosters a neutral environment where both partners can share openly—your pain, their guilt—without judgment.
  • Processing the Betrayal: Guided discussions help you explore the affair’s emotional impact. The betrayed partner voices hurt; the unfaithful partner learns its depth.
  • Accountability and Transparency: The unfaithful partner commits to honesty—answering questions, showing consistency—to rebuild trust.
  • Rebuilding Intimacy: Over time, the therapist introduces ways to restore connection, helping you rediscover closeness.
  • Long-Term Healing: Tools like better communication prevent future betrayals, strengthening your bond.

This approach excels in infidelity recovery by addressing trust and emotional safety directly.

Is Couples Therapy Right for You?

Whether you choose couples therapy, marriage counseling, or couples counseling, approaches like Restoration Couples Therapy offer a structured way to heal from infidelity in 2-3 years. Going it alone is possible but often takes 3-5 years with more risks. The decision is yours—healing is a journey, and whether with a therapist or on your own, brighter days are within reach.

couples therapy in pasadena and los angeles. Marriage Counseling Pasadena

Start Couples Therapy for Infidelity Today

Here Counseling provides couples therapy in Pasadena, CA for couples who have experienced infidelity, addiction, or separation.

Right now, you’re worried where your relationship is headed. You’re up at night, and your relationship is filled with both heated conflict and icy distance. As difficult as this is, you worry it could get worse. You wish you had help to move past this intolerable pain.

You can create good, honest dialogue in your relationship again. Our licensed and pre-licensed couples therapists have the experience and training to help you. We understand what it takes to heal and create a plan for success in your relationship. Reach out to us below.

Request appointment
If you have a PPO plan you may receive partial reimbursement for our services according to your out-of-network benefits. We are not in-network with insurance panels or Medi-Cal, in order to provide immediate and responsive care to our clients.

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See our Pasadena Therapists

Frequently Asked Questions about Recovering from Infidelity

How Long Does It Take to Heal from Infidelity with Couples Therapy?

Healing from infidelity with couples therapy typically takes 2-3 years, focusing on processing betrayal, rebuilding trust, and improving communication. Research like Marin et al. (2014) shows therapy accelerates recovery, with many couples emerging stronger.

What Is the Infidelity Recovery Timeline?

The infidelity recovery timeline spans 2-5 years: 2-3 years with therapy (stages like shock, grief, and rebuilding) versus 3-5+ years without. Factors include therapy involvement and partner commitment.

What Percentage of Couples Recover from Infidelity?

About 57% of couples recover from infidelity and stay together, per Marin et al. (2014), rising to 75% with methods like Gottman Therapy. Therapy boosts success, while secret affairs lead to 80% divorce rates.

What to Expect in Couples Therapy After Infidelity

In couples therapy after infidelity, expect sessions building safety, processing grief, and restoring trust over 6-12 months initially. Using EFT or Gottman methods, you’ll gain tools for empathy and preventing relapses.

Does Couples Therapy Work After Cheating?

Yes, couples therapy works after cheating, with 57-75% success rates in rebuilding relationships (Marin et al., 2014; Gottman). It addresses trauma and communication, far outperforming unassisted recovery (20% success).

How Long to Recover from Infidelity?

Recovery from infidelity takes 2-5 years: shorter (2-3 years) with therapy focusing on trust rebuilding, longer without. Success reaches 57%, influenced by disclosure and emotional work.

How Long Does It Take to Get Over Infidelity?

Getting over infidelity takes 2-5 years, with initial grief easing in 1-6 months and full healing in 1-3 years via therapy. Patience and commitment are key, per studies showing 57% recovery rates.

Citations

Marin, R. A., et al. (2014). Couple and Family Psychology, 3(1), 1-12. DOI:10.1037/cfp0000012

Atkins, D. C., et al. (2005). Journal of Consulting and Clinical Psychology, 73(1), 144-150. DOI:10.1037/0022-006X.73.1.144

Gottman, J. M., & Silver, N. (2013). What Makes Love Last? ISBN:9781451608489

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Neurology, Podcast, Somatic Exercises

[VIDEO] Pelvic Floor Issues? The Truth About How to Heal Trauma

Written by herecounseling

Pelvic floor therapy targets the muscles, ligaments, and connective tissues that support your pelvic organs—think bladder, bowels, and reproductive system. These structures play a starring role in everyday functions like urination, digestion, and even sexual health. Problems here can affect anyone, regardless of gender, and can throw a wrench into your quality of life. In a recent interview, Dr. Rachel Daof, a pelvic floor physical therapist at Pelvic Model Physical Therapy, sat down with Dr. Connor McClenahan to unpack this essential yet often overlooked topic.

What Pelvic Floor Therapy Can Do for You

Pelvic floor therapy tackles a surprising variety of issues that might be disrupting your daily routine. Dr. Daof sums it up with a memorable phrase: “We help with pee, poo, and pleasure.” Here’s a closer look at the common challenges it addresses:

  • Urinary Incontinence: Ever leak a little when you cough, sneeze, or hit the gym? That’s more common than you might think.
  • Bowel Dysfunction: Struggles like constipation or fecal incontinence can be tough to talk about, but they’re treatable.
  • Pelvic Pain: Discomfort in the genital, anal, or lower abdominal areas can stem from muscle tension or injury.
  • Sexual Health Challenges: Pain during intimacy, erectile dysfunction, or premature ejaculation can all tie back to pelvic floor issues.

These problems don’t discriminate—they can affect people of all ages and genders, often triggered by things like childbirth, trauma, or even prolonged stress. The good news? They’re not something you have to just live with.

Pelvic Floor Therapy is About Safety

At Pelvic Model Physical Therapy, the treatment process is all about creating safety. It starts with a conversation—a detailed chat about your symptoms and history. Dr. Daof stresses that consent is non-negotiable: “We make sure patients are comfortable with every step.” Depending on what you’re dealing with, the next phase might involve an internal exam to check how those pelvic muscles are functioning. Don’t worry—these are done with care and always with your boundaries in mind.

From there, the team crafts a plan tailored just for you, targeting any weaknesses or tightness in the pelvic floor. “We want them to feel safe in our environment, with our presence, and with the manual therapy,” Dr. Daof explains. That sense of safety isn’t just a bonus—it’s what’s actually required for the muscles and nervous system to elongate and heal.

Pelvic Guarding and Kegel Exercises

Dr. Daof uses a simple yet powerful analogy to illustrate why pelvic floor issues often go beyond a lack of strength: imagine trying to clench your fist tightly for hours on end. Eventually, the muscles tire out, becoming so fatigued that they can no longer contract effectively, even if you want them to. This is similar to what happens with an overly tight or hypertonic pelvic floor. When these muscles are chronically tense—whether from stress, poor posture, or overcompensation—they lose their ability to relax and then contract properly. It’s not a matter of weakness but rather a state of exhaustion or dysfunction.

This is why Kegel exercises, which focus on strengthening through repeated contractions, often fall short or even worsen the problem. For many, the pelvic floor doesn’t need more tension; it needs release, retraining, and balance to restore its natural function. This points to the need to relax, elongate and understand the chronic tension we carry.

Emotional History Impacts Pelvic Floor Muscles

Here’s where it gets interesting: your pelvic health isn’t just about muscles—it’s tied to your emotions, too. Dr. Daof points out that experiences like childhood shame or trauma can show up years later as physical issues. Imagine a kid taught to “hold it in” because of strict rules or embarrassment. Over time, that habit can turn into chronic muscle tension down below.

That’s why pelvic floor therapy often takes a holistic approach, sometimes teaming up with psychotherapists to tackle both the physical and emotional sides of healing. It’s not just about fixing a symptom—it’s about understanding the whole picture to get lasting results.

Create Safety and Healing

If any of this sounds familiar—whether it’s a little leak or a nagging pain—know that you’ve got options. Pelvic floor physical therapy can make a real difference, and there’s no reason to let embarrassment keep you from getting help. Dr. Daof and her team are here to guide you with expertise and compassion.

We believe emotional and physical healing are 2 sides of the same coin. The pain you experience creates an emotional stamp that’s felt by both your internal world of relationships and self, as well as your body’s muscular and nervous system. Whichever side of the tunnel you approach it – whether with a psychotherapist or with a pelvic floor therapist – we know the healing is worth reaching out.

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ADHD, Neurology, Podcast

[VIDEO] Shatter ADHD Myths: How to Use Brain Mapping to Unlock the Science of Attention

Written by herecounseling

Brain Mapping and Neurofeedback at Vital Brain Health

What’s Happening Under the Hood

The brain is more than just the seat of our thoughts—it’s a dynamic organ where hardware (neural structures) and software (thought patterns) interact. At Vital Brain Health, advanced tools like EEG-based brain mapping and neurofeedback allow clinicians to peek into this hardware, revealing how brain waves and regions influence behavior. Brain mapping involves placing a cap with sensors on the scalp to record electrical activity over 20 minutes—10 with eyes open, 10 with eyes closed—creating a “movie” of the brain at rest. This isn’t about static images like an MRI; it’s about function, showing how areas fire and connect in real time. Neurofeedback builds on this by training the brain to adjust those patterns, using visual feedback (like a Netflix show that distorts when waves go off-track) to encourage healthier rhythms.

Why It Matters

Understanding the brain’s wiring offers a new lens on struggles like focus, anxiety, or emotional regulation. Rather than seeing these as personal failings, they can be viewed as biological responses—sometimes to stress, sometimes to inherited tendencies. This approach doesn’t just label issues; it provides a roadmap for change, empowering individuals to work with their brain’s natural plasticity.

The Neurology Behind ADHD-Like Focus Issues

Beyond the Label: What’s Really Going On

ADHD is often diagnosed through behavioral checklists—16 questions about focus or impulsivity—but this surface-level approach misses the deeper story. Neurologically, attention relies on the prefrontal cortex, which handles planning, impulse control, and sequential thinking (e.g., “Do A, then B”). Under stress or trauma, blood flow shifts away from this region to the amygdala and limbic system, prioritizing survival over organization. This can manifest as fast brain waves in the prefrontal cortex slowing down, or the amygdala over-firing, keeping someone in a reactive, high-arousal state. For a child, this might look like outbursts or distraction; for an adult, it’s losing track of tasks. The catch? These symptoms mimic ADHD but may stem from entirely different causes—like a tough life transition or chronic anxiety.

State vs. Trait: How Focus Issues Evolve

A “state” is a temporary reaction—like struggling to focus during a stressful week—while a “trait” is a wired-in tendency, shaped by prolonged experience. When stress persists (think post-COVID isolation or a family crisis), neurons fire together repeatedly, strengthening pathways that favor reactivity over focus. Over time, the prefrontal cortex might become “sluggish,” less efficient at sending inhibitory signals to calm the limbic system, while the amygdala stays on high alert. This isn’t a permanent flaw—it’s an adaptation that can be reframed and retrained.

Reframing the Struggle

Instead of “I can’t focus because I’m broken,” try: “My brain’s in a high-arousal state, reacting to something real.” This shifts blame from character to context. For example, a child labeled ADHD might have a prefrontal cortex overwhelmed by a traumatic move, not a disorder. Recognizing this opens doors to targeted solutions beyond medication—like addressing the root stress or using neurofeedback to boost prefrontal efficiency.

Practical Takeaway

If focus feels off, check your arousal level. Too drowsy or too wired (shaky, restless)? Both tank attention. Try a quick reset: a brisk walk if you’re sluggish, or a minute of slow breathing if you’re amped up. It’s not about forcing focus—it’s about tuning your brain’s engine.

Shared Trauma and Its Impact on the Brain

The Collective Experience

Trauma isn’t always personal—it can ripple through families or communities. Take a city hit by wildfires: homes lost, schools gone, cafes erased. This collective shock disrupts everyone’s sense of safety, sending limbic systems into overdrive. The amygdala ramps up, scanning for threats, while the prefrontal cortex dials back, reducing patience and impulse control. A parent might snap more easily, a child’s tantrums might spike—not because they’re “bad,” but because their brains are syncing to a shared stress signal. Post-COVID lockdowns showed this too: isolation and fear spiked arousal levels, leading to a surge in ADHD-like symptoms and medication shortages.

The Neurological Ripple Effect

In these scenarios, the brain’s wiring reflects the group dynamic. Hypervigilance—seen in fast “lambda waves” at the back of the head—might drive constant scanning, even in safe settings. This isn’t voluntary; it’s the visual cortex over-connecting to the amygdala, creating a feedback loop of alertness. For a family, this might mean everyone’s on edge, amplifying each other’s reactivity. It’s a collective “buzz” that can persist, turning a temporary state into a trait if unchecked.

Reframing the Impact

Rather than “Why are we all falling apart?” consider: “Our brains are carrying a shared load.” This perspective reduces guilt—parents aren’t failing, kids aren’t defiant; they’re adapting to a shaken world. It’s a call to see behavior as a signal, not a sentence.

Practical Takeaway

Break the buzz with a collective pause. A family walk, a silly game, or even a group deep-breath session can lower arousal across the board. It’s not about erasing trauma—it’s about giving everyone’s brain a moment to recalibrate together.

How Relationships Wire Our Brain

The Social Synapse

Our brains are built for connection. The prefrontal cortex doesn’t just manage tasks—it relies on relationships to regulate emotions and behavior. A child’s meltdown often eases with a calm adult nearby because their brain “borrows” that stability, a process tied to mirror neurons—cells that mimic others’ states. But if those systems are offline (e.g., less right-brain activity), bonding can feel elusive, even with effort. A parent might nurture tirelessly, yet the child struggles to connect—not due to lack of love, but a difference in wiring.

From Parent to Child, Spouse to Spouse

This wiring starts early and never stops. A preoccupied parent—say, distracted by a phone—might leave a child’s prefrontal cortex without that external “shushing” signal, letting limbic reactivity run wild. In adults, a stressed partner’s withdrawal can trigger the same loop in their spouse. Over time, these interactions shape traits: a child’s self-regulation might falter without consistent co-regulation, or an adult’s anxiety might spike without a steady anchor. It’s not blame—it’s biology.

Rewiring Through Neurofeedback

Here’s the hope: neurofeedback can shift these patterns. By placing sensors over key regions (like an overactive amygdala), clinicians guide the brain to slow its waves—think 900-1000 reps in a 20-minute session, all while watching a show. Over weeks, this builds a new trait: less reactivity, more calm. It’s like teaching a jittery cat to trust safety, compressing years of change into months.

Reframing Connection

Swap “They’re distant because they don’t care” with “Their brain might need help feeling safe.” This fosters patience and curiosity—maybe it’s not rejection, but a wiring hiccup you can address together.

Practical Takeaway

Boost your brain’s social wiring with daily check-ins—a quick chat with a friend or loved one. If connection feels strained, try co-regulation: sit quietly together, syncing breaths. Small moments can rewire big patterns.

Strategies for Change

  • Understanding Your Baseline
    The Yerkes-Dodson law—a bell curve of arousal vs. performance—shows optimal focus lies in the middle. Too low (drowsy), and you’re foggy; too high (manic), and you’re scattered. Brain mapping reveals your baseline—say, a fast-firing thalamus inherited from a parent, pushing you toward high arousal. Knowing this helps you target the real issue.
  • Breaking the Loop
    For rumination—linked to the anterior cingulate, the brain’s “Chihuahua” that won’t stop chewing—distraction works wonders. When stuck on “Did I mess up?” write it down, then shift to a tactile task (e.g., folding laundry). It’s not avoidance—it’s giving your brain a new toy.
  • Leveraging Neurofeedback
    Available in-office or via at-home sensors, neurofeedback targets specific waves (e.g., slowing fast alpha for anxiety). After 40 sessions over four months, many see 30-50% improvement—focus sharpens, reactivity fades. It’s a game-changer for stubborn traits.
  • Embracing Collective Support
    Share your journey—tell a friend, “I’m working on my focus.” Their encouragement can co-regulate you, amplifying progress. You’re not alone; your brain thrives with others.

Your Brain, Your Potential

Focus issues, shared trauma, and relational wiring aren’t defects—they’re your brain doing its job, shaped by experience. Whether it’s a prefrontal cortex on pause, a community reeling, or a connection needing a boost, you’re not stuck. Tools like brain mapping and neurofeedback, paired with simple reframes, reveal a truth: your brain’s adaptable, and you’ve got the keys. Start small—tune your arousal, lean on others, explore your wiring. You’re not fixing a flaw; you’re unlocking potential. What could change if you saw your brain as a partner, not a problem

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Managing emotions, Podcast

How to Best Choose a Therapist: 3 Essential Tips to Ensure the Right Fit for Success

Written by herecounseling

Choosing the right therapist can feel overwhelming, especially when you’re already facing personal challenges. However, knowing how to choose a therapist and understanding what to look for in a therapist can simplify the process. Drawing from expert insights by Dr. Connor McClenahan, director of Here Counseling, this guide highlights three essential qualities—availability, authenticity, and helpfulness—to help you find a therapist who’s the perfect fit for your needs. Let’s explore these qualities and practical tips to ensure your therapy journey is supportive and effective.

What to Look for in a Therapist:

Your therapist should be…

1. Available

When figuring out how to choose a therapist, availability is a top priority. You need someone who’s accessible when you need them most. Dr. McClenahan emphasizes this, saying, “You really want to know that when you pick up the phone, somebody is going to respond to you.” A therapist who’s available ensures you’re not left waiting during critical moments.

  • Why it matters: Delays in scheduling or responses can increase feelings of frustration or isolation. A therapist who prioritizes availability shows they value your time and mental well-being.
  • How to spot it: Look for therapists who reply promptly to inquiries and offer appointments within a reasonable timeframe. For instance, Here Counseling aims to respond within a day or two and schedule sessions within a week.

Choosing a therapist who’s available means you’ll feel supported from the start, making it easier to begin your healing process.

2. Real

Another critical aspect of what to look for in a therapist is authenticity. You want someone genuine—someone who connects with you on a human level. Dr. McClenahan notes that clients need “somebody who’s real,” highlighting the importance of a therapist’s ability to empathize and relate.

  • Why it matters: Studies show that the “goodness of fit” between you and your therapist strongly predicts therapy’s success. An authentic therapist builds trust, creating a safe space for you to share openly.
  • How to spot it: Seek therapists who are approachable and transparent. Many, like those at Here Counseling, offer profiles with blog posts or videos to help you gauge their personality before meeting.

An authentic therapist fosters a meaningful connection, which is vital when deciding how to choose a therapist you can rely on.

3. Helpful

When considering what to look for in a therapist, helpfulness is non-negotiable. Therapy isn’t just about talking—it’s about growth. Dr. McClenahan explains that a helpful therapist knows “what it takes to actually heal and grow in a therapy room,” using proven methods to guide you forward.

  • Why it matters: A helpful therapist goes beyond listening; they equip you with tools to tackle challenges like anxiety or relationship struggles. This focus on results makes therapy worthwhile.
  • How to spot it: Look for therapists trained in evidence-based approaches, such as cognitive-behavioral therapy (CBT) or psychoanalysis. At Here Counseling, therapists tailor these methods to your unique goals.

Choosing a therapist who prioritizes helpfulness ensures your sessions lead to real, lasting progress.

Practical Tips for How to Choose a Therapist

Beyond these core qualities, here are some actionable steps to refine your search for the right therapist:

  • Check credentials: Confirm the therapist is licensed and experienced in areas relevant to your needs, like depression or trauma.
  • Schedule a consultation: Many therapists offer an initial chat to assess fit. Use this to ask questions and test your comfort level.
  • Read reviews: Client feedback or recommendations from friends can reveal a therapist’s strengths and style.

These steps can boost your confidence in finding a therapist who aligns with what to look for in a therapist for your situation.

Why Here Counseling Simplifies Choosing a Therapist

Wondering how to choose a therapist without the guesswork? Here Counseling makes it easier. They provide a care coordinator to match you with a therapist based on your needs, plus detailed therapist profiles with videos and posts to preview their approach. This process reflects their commitment to availability, authenticity, and helpfulness—everything you should look for in a therapist.

Start Looking Today

Deciding how to choose a therapist doesn’t have to be daunting. By focusing on availability, authenticity, and helpfulness, you can find someone who supports your growth. Ready to take the next step? Contact Here Counseling to connect with a therapist who embodies these qualities and start your path to healing.

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Anxiety, Podcast

Young Adults Need to Feel Strong: Why “Vibey” Therapists are Unhelpful, and Tips to Find a Good One for Your Young Adult

Written by herecounseling

Navigating mental health as a community college student is no small feat. At Pasadena City College (PCC), where about 24,000 students—fresh-faced high school grads, career switchers, and everyone in between—chase their dreams, the mental health team works overtime to keep up. Dr. Andrea Bailey, Faculty Lead and Clinical Director, compares her job to running a small city’s mental health system, juggling limited resources and a dizzying array of student needs.

But here’s the kicker: therapy alone isn’t enough. This article dives into why trauma thrives without communal support, the traps of “vibey” therapists that can trip up young adults, and how to spot a therapist who’ll actually help you grow.

Trauma’s Roots: Where Community Falls Short

Trauma doesn’t hit like a lightning bolt—it’s more like a slow burn. Dr. Bailey explains that after big events, like wildfires or political chaos, students don’t flood the counseling center right away. They lean on their communities first—friends, family, campus buddies. But when those ties weaken or dissolve, the fallout creeps in months later, driving up demand for therapy. This delay reveals something big: mental health isn’t just about what’s in your head. It’s tied to the people around you.

In today’s world, where stable communities—think tight-knit families or neighborhood crews—are fading, students end up relying on therapists to fill the void. Dr. Bailey’s point is clear: therapy can patch you up, but it’s communal support that keeps you steady. Without it, trauma festers, and young adults, already figuring out who they are, feel the weight even more.

The Trap of “Vibey” Therapists: Why Good Vibes Aren’t Enough

Ever met a therapist who’s all warm fuzzies but no substance? Dr. Bailey calls them “vibey therapists”—the ones who nail the cozy vibe but don’t push you to grow. For young adults, this can be a real stumbling block. Drawing from Abigail Shrier’s Bad Therapy, here are three common pitfalls of this approach and how they mess with students:

  • Fostering Dependence Over Independence
    These therapists might leave you hooked on their affirmations, like you’re a plant that can’t grow without constant watering. Young adults, who are supposed to be learning how to stand on their own, end up needing a session just to face a bad grade or a fight with a roommate.
  • Turning Struggles Into Identities
    Too much focus on feelings without a game plan can glue you to your pain. Dr. Bailey hears students say, “I am my anxiety,” like it’s their whole personality. For young adults shaping their futures, this can lock them into a victim mindset instead of pushing them past it.
  • Prioritizing Comfort Over Challenge
    If therapy feels like a hug fest with no tough questions, it’s not doing its job. Young adults need to stretch their wings—avoiding hard stuff keeps them fragile, not ready for the real world’s curveballs.

These traps don’t just stall you—they can backfire, making resilience harder to build. Shrier’s critique hits home: therapy that’s too soft can turn growing pains into permanent scars, especially for students at a crossroads.

Finding the Right Therapist: Tips That Work

So, how do you dodge the “vibey” trap and find a therapist who’s legit? It’s like picking a workout buddy—you want someone who’ll cheer you on but also call you out when you’re slacking. Dr. Bailey’s got some solid advice. Here are three tips to know if a therapist’s a good fit:

  • They Challenge You (But Not Too Hard)
    A great therapist listens, gets you, then nudges you forward. If you’re just venting every week with no progress, it’s too vibey. Look for someone who sparks action.
  • They’ve Walked the Walk
    Ask if they’ve been in therapy themselves. A therapist who’s faced their own stuff won’t lean on you to feel useful. For young adults, this means less risk of a weird, clingy vibe and more focus on your growth.
  • You Feel Seen, Not Babied
    You should leave a session feeling understood but not pampered. If they’re handing you tools or a fresh angle—not just nodding and smiling—you’ve got a keeper. It’s about moving forward, not wallowing.

These pointers help you zero in on therapy that builds you up, not just props you up.

Therapy Plus Community

Therapy’s a tool, but it shines brightest alongside real community—friends, clubs, a campus crew. At PCC, Dr. Bailey’s team pushes students to plug into campus life, because healing sticks when you’re not alone. For young adults, dodging “vibey” therapists and chasing solid support—both in and out of the counseling room—can turn a rough patch into a launchpad. In a world that’s shaky at best, that’s worth figuring out.

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Managing emotions, Podcast

[VIDEO] How to Escape the Pursue-Withdraw Trap in Your Relationship

Written by herecounseling

You’re in a relationship where every argument feels like you’re on a treadmill to nowhere. One of you chases for connection, while the other retreats into silence. This is the pursue-withdraw pattern, and it’s not just frustrating; it’s emotionally exhausting.

What is the Pursue-Withdraw Pattern?

The pursue-withdraw pattern is a common dynamic in relationships where one partner (the pursuer) seeks more interaction, validation, or resolution during conflicts, while the other (the withdrawer) feels overwhelmed and tends to retreat or disengage.

John Allan Whitacre, AMFT, describes this vividly: “One person is going to stop at a rock and basically sit there and say, ‘Let’s just stop entirely. Let’s act like it didn’t happen.'” Here, the withdrawer might feel they’re not good enough or fear being criticized, leading to a retreat from interaction.

On the other hand, the pursuer, feeling neglected or anxious, might push for engagement, as Whitacre explains, “Another person may have been waiting all day at work to basically attend to their internal to-do list,” indicating a desire for resolution or closeness.

Pursue-Withdraw Pattern Causes Couples to Fight

The Emotional Toll: When one partner withdraws, seeking solitude or disengagement from the conflict, the other often feels abandoned or unloved, leading to a cycle of blame and retreat that can deepen the rift between you. This pattern becomes a repetitive dance where neither feels truly heard or understood.

Heightened Anxiety: This pattern isn’t just about disagreement; it’s about survival mode in your relationship. “We need to be able to fall back when life gets hard,” says Dr. Connor McClenahan, highlighting how this dynamic can turn a partner into a source of stress rather than support, escalating anxiety for both. The pursuer might feel desperate for reassurance, while the withdrawer feels overwhelmed by the demand for closeness, creating a vicious cycle of increasing tension.

Connection and Identity is at Stake

Loss of Connection: Every cycle of pursue and withdraw chips away at the trust and intimacy you’ve built. “They’re both longing for safety,” Whitacre notes, but instead of finding it in each other, partners can feel increasingly isolated, even when they’re together. This lack of connection can lead to a profound sense of loneliness within the relationship.

Identity and Self-Worth: “I’m not good enough, so I need to retreat,” Whitacre describes the internal narrative of the withdrawer. Meanwhile, the pursuer might feel, “I need you. Where are you?” This dynamic can leave both questioning their value in the relationship and to each other. Over time, this can erode self-esteem and the belief in the relationship’s potential for happiness and fulfillment.

Awareness Breaks the Pursue-Withdraw Pattern

Awareness is Key: “Especially on the front end. A lot of my work with couples is just helping them notice when they are coping,” Whitacre shares. Recognizing these roles you play can be the first step to breaking free from them. It’s about seeing the pattern for what it is—a defense mechanism rather than a personal attack or disinterest.

Communication Over Reaction: Instead of reacting out of hurt or fear, Whitacre pushes for understanding underlying needs. “What are you really trying to say to them?” he asks, encouraging couples to speak to their true feelings rather than their immediate frustrations. This shift can transform heated arguments into moments of vulnerability and connection.

The Healing Power of Therapy: “There actually is an opportunity to choose to either react to your feelings or respond to them,” Whitacre suggests. Couples therapy can provide a safe space to explore these dynamics, learn new communication skills, and rebuild the connection. It’s about slowing down the interaction, allowing each partner to express what’s beneath the surface—fears, desires, and hopes.

A New Beginning as a Couple

The pursue-withdraw pattern doesn’t have to define your relationship. By confronting this cycle head-on, you can transform your partnership from one of survival and stress to one of mutual support and understanding. This podcast episode isn’t just about identifying a problem; it’s about offering a lifeline to couples caught in this loop, giving them the tools to reconnect, re-engage, and rediscover each other in healthier, more loving ways.

Imagine replacing those moments of withdrawal with gentle requests for space or understanding, and those moments of pursuit with compassionate invitations for closeness. By learning to communicate your needs without the baggage of past patterns, you can begin to build a relationship based on mutual respect, empathy, and love. If you’re ready to step off that treadmill, it’s time to start rewriting your relationship story, one conversation at a time.

Couples therapy with John Allan Whitacre, AMFT
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Anxiety, Podcast, Somatic Exercises

[VIDEO] Somatic Therapist on How to Harness the Miraculous Power of Memory and Motion

Written by herecounseling

Arianne MacBean, a somatic therapist with a profound background in dance education and choreography, helps people with trauma and anxiety to create change using their bodies. On the surface, this idea sounds trivial, yet as Arianne explains, the body is absolutely central in any process of healing. Arianne shared her unique journey from leading dance workshops for veterans to becoming a somatic psychotherapist, illustrating how movement and memory can catalyze deep emotional and psychological healing.

How veterans heal trauma through movement

Arianne’s work began with veterans through “The Collective Memory Project,” where she combined writing and movement to help veterans process their memories. “We were dealing with memory making as a relational process,” Arianne explains. “It changes as you tell it and share it.” This initiative was not just about dance but about using movement as a medium to externalize and reinterpret personal experiences. Veterans found themselves in a space where their memories could be shared, reshaped, and witnessed by others, leading to profound moments of vulnerability, healing, and sometimes, performance on stage alongside professional dancers.

Moving from dance to therapy

The transition from dance educator to therapist was driven by Arianne’s realization of the deep therapeutic impact her workshops had. She noticed that moving memories physically allowed for an emotional release that talking alone could not achieve. “What we were doing was incredibly evocative, provocative, emotional, vulnerable, and healing,” Arianne recounts. This insight led her to pursue further skills in somatic psychotherapy, where she could formally integrate these practices into healing processes.

How Somatic Therapy Works

Arianne describes how, in therapy sessions, she encourages clients to embody their emotions or memories physically. “It’s a kind of embodied way of processing experience,” she notes. For example, she recounts a session where a client with an autoimmune condition physically took on a posture from a painful memory, leading to significant emotional shifts. This method isn’t about escaping discomfort but about engaging with it in a controlled, therapeutic setting, which can lead to acceptance and eventual relief.

The process allows for a re-experiencing of trauma in a safe environment, where the body’s memory can be explored and reframed. “It’s about feeling change, not just thinking it,” Arianne adds, emphasizing the emotional and bodily release that somatic therapy facilitates.

Somatic therapy exercises actually involve two people: you and the therapist

One of the key takeaways from Arianne’s discussion is the human connection in therapy. By sharing and mirroring physical expressions, both therapist and client connect on a primal, empathetic level. “I do a lot of movement with them too; I mirror what they’re doing,” Arianne shares, highlighting how this practice fosters an environment where healing can occur not just through distance or professional detachment but through shared human experience.

3 Somatic Therapy Exercises

Arianne suggests simple exercises for those dealing with panic or pain:

  • Acknowledge the Sensation: Recognize the pain or panic as a signal, not an enemy. “Hello, anxiety,” she suggests as a way to acknowledge rather than fight the feeling.
  • Breathe Into It: Instead of breathing away from the discomfort, breathe into it, sending your breath to where you feel the pain or anxiety. “It’s about inhaling and exhaling into the sensation,” she explains.
  • Re-center in the Present: Remind yourself of your current safety and environment, grounding yourself back to the present moment. “You’re here, you’re okay,” she reassures.

Arianne MacBean’s journey from the stage to the therapy room highlights a beautiful synergy between art and healing. Her work underscores the potential of somatic practices in psychological therapy, offering hope and new methods for those seeking to heal from deep-seated traumas or chronic conditions through the power of their own bodies. Her approach not only transforms personal narratives but also invites everyone to rethink how we engage with our emotions and memories, fostering a space where healing is both an individual and communal journey.

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couple fights can stop with restoration therapy
Healthy Relationships

Is Couples Therapy Covered by Insurance? How to Leverage your Insurance for a Healthy Relationship

Written by herecounseling

In the journey of a relationship, couples therapy can be a lighthouse, guiding partners back to calm waters. However, one of the most common concerns is whether this potentially life-changing investment is financially viable, specifically, whether insurance will cover some or all of the costs. Let’s explore the nuances of insurance coverage for couples therapy, how to make the most of your insurance plan, and why investing in couples therapy might just be worth every penny.

Understanding Insurance Coverage for Couples Therapy

  • Traditional Health Insurance: Couples therapy is often not covered by standard health insurance plans because “relationship issues” are not classified as a medical condition. Insurance typically covers treatments for diagnosed mental health disorders, not preventive or relational counseling unless there’s a specific diagnosis at play.
  • Employee Assistance Programs (EAPs): Some employers offer EAPs, which might include short-term counseling sessions, including couples therapy. This is often limited to a few sessions but can be a starting point for addressing relationship issues.
  • Medicare: Medicare Part B can cover family counseling, which includes couples therapy, but there are stipulations. The counseling must be provided by a behavioral health care provider, and one partner must have a qualifying mental health condition.
  • Affordable Care Act (ACA): While the ACA mandates mental health coverage as an essential benefit, couples therapy isn’t usually included unless tied to a mental health diagnosis.

In-Network vs. Out-of-Network:

  • In-Network: If your therapist is in-network, you’ll generally pay less out-of-pocket. Coverage might include copayments or coinsurance after meeting your deductible.
  • Out-of-Network with PPO Plans: Preferred Provider Organization (PPO) plans offer more flexibility. You can see therapists outside your insurance network but might pay more:
    • Out-of-Network Benefits: Check your policy for any coverage for out-of-network providers. You might be eligible for partial reimbursement if you submit claims yourself.
    • Superbills: Some therapists provide a “superbill” which you can submit to your insurer for reimbursement. This document outlines the services rendered, which can be used to claim part of your expenses.

Understanding Deductibles and Coinsurance:

  • Deductibles: This is the amount you pay out-of-pocket before your insurance begins to cover costs. If your plan has a $1,000 deductible, you’ll need to spend this amount before insurance kicks in.
  • Coinsurance: After your deductible, coinsurance is the percentage of costs you’re responsible for. For example, with 20% coinsurance, if a session costs $200, you’d pay $40, and insurance would cover $160.

How to find your insurance information

  • Review Your Policy: Your insurance policy’s documentation should outline what mental health services are covered, including therapy. Look for sections on mental health or behavioral services.
  • Contact Your Insurer: Direct questions to your insurance provider. Ask about:
    • Coverage for marriage or couples counseling specifically.
    • CPT codes related to therapy (e.g., 90847 for family psychotherapy).
    • Deductibles, copayments, coinsurance, and any session limits.
  • Therapist’s Role: Discuss coverage with your potential therapist. They might have insights or can help with billing or providing superbills for reimbursement.

The Cost of NOT Investing in Couples Therapy

When couples stand at the crossroads of deciding whether to invest in therapy, the financial aspect can feel like a heavy burden. The cost of sessions can loom large, especially when finances are already stretched thin between household expenses, children’s needs, or personal debts. It’s a moment of vulnerability where the fear of spending on something that might not yield immediate results can be paralyzing. Yet, this decision is not just about the immediate outlay; it’s about investing in the future of your relationship, your emotional health, and the well-being of your family.

Consider the cost of not investing in couples therapy. Without intervention, small issues can fester into significant conflicts, potentially leading to separation or divorce. The financial implications of divorce are enormous, not just in legal fees which can run into tens of thousands of dollars, but also in the indirect costs like splitting assets, alimony, child support, and the adjustment to single-income living. Beyond the financial aspect, the emotional toll on both partners and any children involved can be immeasurable, leading to years of therapy or other healing mechanisms that might have been mitigated or avoided with timely intervention.

Moreover, the absence of professional guidance might mean enduring a strained or unhappy relationship for years, which affects not only your mental health but also your productivity at work, physical health due to stress, and the overall quality of life. The cost of living with unresolved issues can manifest in numerous ways, from missed career opportunities due to personal turmoil to health care expenses from stress-related ailments. In this light, the cost of couples therapy might seem like a drop in the ocean compared to the potential long-term expenses of not addressing relationship issues. Here’s why investing in therapy could be one of the best financial decisions you make:

  • Relationship Longevity: Therapy can address issues before they lead to separation or divorce, which are far more costly both emotionally and financially.
  • Improved Communication: Learning to communicate effectively can save countless hours of conflict and misunderstanding in the future.
  • Mental Health Benefits: By resolving relationship stress, individual mental health can improve, potentially reducing other healthcare costs.
  • Preventive Care: Like any preventive health measure, investing in relationship health can prevent more severe issues down the line.
  • Quality of Life: A healthier relationship contributes to better overall life satisfaction, which is priceless.

Financial Considerations:

  • Sliding Scale Fees: Many therapists offer a sliding scale based on income, making therapy more accessible.
  • Short-Term vs. Long-Term: While the upfront cost might seem high, think in terms of long-term savings from avoiding divorce, legal fees, or the cost of ongoing individual therapy due to unresolved relationship issues.
  • Insurance Utilization: Even partial coverage can significantly reduce the financial burden, making therapy more viable.

In conclusion, while couples therapy might not always be directly covered by insurance, understanding your policy, exploring all available benefits, and considering the long-term value can make this investment worthwhile. Remember, the goal isn’t just to save money but to enrich your life through a healthier, more fulfilling relationship. If you’re considering couples therapy, take the time to explore your insurance options thoroughly, and don’t hesitate to ask for help in navigating these waters. Your relationship’s health might just be the most significant investment you make.

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Woman receives therapy for depression in pasadena and los angeles and feels confident and hopeful
Managing emotions

Suicidal Ideation is Actually a Cry for Needed Change: Hope

Written by herecounseling

Suicidal ideation is isolating. People with suicidal ideation often constantly battle thoughts about death and dying. Managing these feelings alone is tough, and it becomes an even heavier burden when we don’t discuss them. Society doesn’t teach us to openly talk about suicidal ideation. Yet locking away these thoughts only deepens the loneliness and pain.

The truth is, suicidal ideation is more common than we think. Yet it doesn’t have to be something we carry alone. Rather than seeing these thoughts as something to be ashamed of, we can begin to recognize them as a signal that something in our lives needs an immediate change. It’s a call for help, an invitation to reach out, and an opportunity to reclaim our lives with the right support.

In this blog we’re going to help you see suicidal ideation in a different way: as a way of crying out for care – a cry that needs to be expressed. We’ll talk about what suicidal ideation really is, why it’s important to talk about it, and how therapy can help you navigate these thoughts with compassion and hope.

What Is Suicidal Ideation?

Suicidal ideation is when you are experiencing intrusive thoughts about wanting to die. Suicidal ideation can range in intensity and look different for everyone. For example, you might feel like you don’t want to be alive but you have no concrete plan for actually making that happen. Or you might have very active suicide ideation with a detailed plan as to when, where, and how you will act on the idea. Having thoughts about wanting to die often doesn’t mean you actually want to die. Rather it’s a sign that something is wrong in your life that needs to change.

“I’m so afraid to talk about suicidal thoughts”

There are a lot of fears around sharing these thoughts with other people. You fear that someone will misunderstand you or escalate the issue to the police. You’re worried that expressing yourself might worsen the situation instead of improving it.

One of our therapists Dr. Jeff Chan puts it this way:

“Thoughts of ending your life can feel overwhelming and frightening. It’s common to worry that others might judge you or that having these thoughts means something is deeply wrong. But it’s important to know that suicidal thoughts are often a symptom of intense pain, not necessarily a desire to die.

Most of the time, we don’t want to end our lives—we just want the pain to stop, and it feels like there’s no other way out. Talking about these thoughts, especially with someone who cares, can help take away some of their power and open the door to finding ways to heal the pain at the root of it all. We’re here to help figure that out together.”

What To Do If You’re Experiencing Suicidal Ideation

  • Seek support from a friend or family member: The first step to take is to let someone know. You can start by sending a text to a trusted loved one, saying something like: “This is really hard for me to say but I’m having painful thoughts and it might help to talk. Are you free?” This is a vulnerable step. Yet it is important for the people in your life to know how you are feeling inside.
  • Contact a Therapist: Reaching out to a therapist and setting up an appointment can provide you a sense of hope knowing that you have something on your calendar that will help. Therapy is a safe place to talk openly and freely about what you have been feeling.
  • Call or text the Suicide Crisis Line: Call or text 988 to reach the Suicide & Crisis Lifeline. If you’re not sure who to tell yet, you can start by talking to the lifeline number to find support and safety there.

Consider making a plan of who you can talk to when suicidal ideation feels overwhelming.

When you get the right care for suicidal ideation, everything changes

Suicidal ideation is a signal that something in your life needs to change, and with the right support, you can begin to make those changes. By breaking the silence and reaching out for help, you’re taking the first step towards healing.

As Dr. Connor McClenahan explains,

“When we talk about suicide ideation, we begin to experience safety and hope. There are many people like you who experience this, and when we can talk about it—that’s when we find healing.”

Healing starts with a conversation. When the cry is only internal, it can feel chaotic and overwhelming. By sharing your thoughts with a safe person, you open the door to new possibilities. You begin forging a path forward that’s defined by hope, not pain.

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IBS and anxiety create a firestorm that needs to be calmed down, soothed
Anxiety, Managing emotions, Neurology

IBS and Anxiety: How to soothe your gut using your mind

Written by herecounseling

IBS and anxiety can negatively impact some of the most meaningful and connecting moments in life. It can turn a casual get-together or date sour. People who experience IBS can constantly worry about having another attack. Agoraphobia is common too – the fear of leaving home. It’s understandable why people who experience IBS issues experience heightened anxiety around everyday situations. 

People with IBS can sometimes feel powerless, like the best they can do is avoid food triggers.

Yet one of the main causes of the inflammation of the gut is your brain.

We’re going to look at the link between anxiety and the gut so you can understand your body better. You’ll learn how anxiety impacts your gut and how to listen to your gut’s activity as a signal. My hope is that by learning to pay attention to yourself in a new way, you’ll be able to not only avoid difficult IBS symptoms, but to learn how to soothe anxiety and feel more like yourself.

The gut is connected to the brain? How? Why??

First of all, all parts of the body have a bi-directional connection with the brain. In fact, the purpose of the brain is to receive input from the entire body, make sense of it contextually, then relay a response that changes the body. The reason the gut-brain connection often needs special explanation is because it’s hard for us to think of the gut as a part of the body that would need connection with the brain. Isn’t the purpose of the gut kind of passive? Don’t we just digest food there? Why would it need to be connected with the brain?

There are 2 reasons worth exploring.

First, what we eat tells us a lot about our environment.

When we’re full, for example, it’s a signal that our bodies are safe, we have what we need. When we’re hungry, that’s contextual information too. We can extend this to how our bodies feel when we eat certain foods. All of this is good information that should impact our intuition about our environment, something the brain is always trying to grasp. 

But there’s a second reason for the connection as well:

The gut needs context to do its job well.

Imagine, for example, you have a 16oz steak you’re trying to digest (something that requires significant blood flow and energy), and suddenly you need to run from a threat. If the gut didn’t know there was a threat, it would continue to try to digest the steak and you would be unable to run. But since your brain is connected to your gut, your gut receives a signal to stop digesting (and in some cases to vomit or defecate) so you could use that blood and energy for your heart, lungs, and muscles. In contrast, when you feel safe, you’re surrounded by loved ones, and you eat a satiating meal, your brain tells your gut it’s time to dig in.

In this way your mental state – ideally a result of your intuition of your current environment – impacts the permeability, blood flow, gut microbiome composition, and digestive enzyme composition… and vice versa.

There are 2 main pathways by which your brain and gut interact: a hormonal pathway and a neural pathway. Both pathways are bi-directional, meaning that the activity of the gut impacts your brain, and also that the activity of the brain impacts the gut.

The cortisol pathway: stoking the fire

The hypothalamus-pituitary-adrenal axis (HPA axis) is the hormonal highway between your brain and your gut. The hypothalamus’ job is to keep your body in homeostasis – to keep things in rhythm. When you wake up in the morning, like clockwork your hypothalamus signals to your pituitary to produce adrenaline to get your body moving. Your adrenal glands in turn release cortisol. Your gut has cortisol receptors that signal to the gut that it’s time to move around. This signal changes the composition of your gut biome, your gut biome’s permeability, and blood flow. 

Cortisol, over time, creates a leaky gut that is vulnerable to IBS episodes.

The vagal pathway: dousing the fire

Your body also needs a way to soothe itself and return to normal. This is the job of your vagus nerve, which signals for your body to slow back down. If cortisol is like gasoline on the fire, then your vagus nerve is like cooling water that helps the gut return to normal. The vagus nerve is part of your parasympathetic nervous system, which is the way your body returns to safety and calm. 

The vagus nerve runs down past your heart, lungs, and gut. When you see something sweet or comforting, you might feel an opening sensation in your chest and put a hand over your heart. You might take a deep breath and say “awww”.  This wonderful sensation is your vagus nerve signaling for your heart, lungs, and gut to open up and slow down. 

When your gut receives the vagus nerve signal, lots of things change. The vagus nerve signal:

  1. Starts an anti-inflammatory process in your gut
  2. Slows the cortisol signal
  3. Enforces a stronger gut barrier (decreases gut permeability)

The vagus nerve signal builds a strong gut environment that protects you from IBS episodes.

What an IBS episode looks like inside: Anxiety as a firestorm

When your body is in extreme and prolonged states of stress, high cortisol levels keep the gut in an inflamed state, leading to chronic changes in the gut microbiome and difficulty processing food. This puts the gut – and brain – in a fragile position, or a high “allostatic load”: the cumulative burden of multiple stressors. In this fragile state, any additional stressor can set off a spiral much like a spark will ignite a dry pile of hay. 

An additional stressor could be anything: an inflammatory food, or a psychological or environmental stressor, or a combination of all three. While the trigger may be like a spark that starts the fire, the real issue is not the spark itself. The real issue is the spiral – the firestorm – left unmitigated.

When your body gets anxious, it usually has methods to calm back down.

We call this self-regulation. It’s like a fire hose that stops the emotional mind from getting overwhelmed. We might think of a person who is able to take a deep breath when they feel stressed, or to reassure themselves of a positive outcome when they are auditioning. This calming ability happens in our frontal lobes. The orbital frontal cortex and our anterior cingulate helps us soothe ourselves by bringing to mind soothing experiences from our past. We quite literally pull into mind a comforting memory, perhaps a parent rubbing our backs when we’re scared. For someone with a panic disorder or IBS, this frontal lobe circuitry isn’t strong enough to combat the flames of anxiety. 

Thus, in an IBS episode, anxiety creates inflammation in the gut either directly or via the HPA axis. In turn, the gut sends a stress signal back to the brain that there’s a problem. If not soothed, this signal triggers the HPA axis, and we release more cortisol into the gut. The changes in our levels of cortisol change our brains as well. When in a panicked state, our frontal lobes shut down in order to get to immediate safety. When this happens, our ability to soothe ourselves is inaccessible.  It’s as if the raging fire destroys the few available fire hoses. 

IBS and anxiety create a firestorm that needs to be calmed down, soothed

When our level of stress passes a certain point, we are unable to stop the spiral: the fire will simply exhaust itself. For those who experience IBS, this is a familiar emotional place: the depressing surrender to an uncontrollable experience. 

So what can you do? How to stop the firestrom of anxiety and heal IBS

It’s common for people with IBS to simply avoid triggers. This often means making a list of foods that trigger an attack and avoiding the list as much as possible. Yet, if we think about IBS as a complex neurological pattern that doesn’t simply originate in the gut, but in the relationship between the brain and the gut, then we can start to think about healing in a different way.

1. Create a calmer baseline

Part of the reason certain foods are triggering is the fragility of your gut – the baseline level of functioning that exists. Earlier we referred to this as the “dry bed of hay” that is ready for a match to send it up in flames. What would it mean to have less fragile intestine? Part of what creates fragility in the gut is chronic stressors, or high allostatic load. Elevated cortisol changes our entire physiology. In a real way, anxiety is not simply a “feeling” that impacts IBS – it’s a bodily state.

As such, our blood flow, immune response, inflammation of gut lining, and even our gut microbiome change dramatically when cortisol is present. When our bodies are in chronic stress, our gut cannot heal. The gut stays in this permeable, inflamed, stressed state. Healing our gut doesn’t simply mean avoiding triggers, it means increasing the times when we are completely relaxed and safe. The “safe feeling” we get when we sit down to talk with a trusted friend, when we meditate or pray, or when we receive a long hug, is an indication of our physiology returning to a soothing baseline. That state is what your gut needs to reduce baseline inflammation and restore your microbiome.

2. Grow your Self-Awareness

While some triggers may be food-related, other triggers may be contextual. When looking back at recent attacks, we can wonder about larger contexts that might have created a higher cortisol response. It’s highly possible that attacks are due as much to your emotional state as the foods you eat. 

If you are unaware of the cause of your anxiety, you are also unable to self-soothe. To use our fire analogy, a lack of self-awareness is akin to having a fire department that has headphones in. It can’t hear the bells going off until they reach a deafening level; until it’s too late. However, when we’re aware of our anxiety, we’re able to self-soothe before the fire starts raging. We can calm ourselves down, helping the vagus nerve to send signals to our gut that we’re safe. 

Self-awareness isn’t an intellectual, but an empathetic effort.

Sometimes we can think of self-awareness as a cold process similar to cartography. For example, if we could just chart out our anxieties we could keep them in control. The real process is much more emotional. Heinz Kohut describes the process of self-awareness as “empathic inquiry”. This means visualizing, leaning in, and coming close enough to the emotions for us to feel their pain. This is a difficult and sometimes scary process to encounter alone. Often we don’t have the perspective to see ourselves. Sometimes we are simply too defended against our own pain to really feel it. 

Yet our brains are meant to heal with empathy. Remember those self-soothing frontal-lobe areas we mentioned earlier? (Orbital-frontal cortex and the anterior cingulate) Those pathways aren’t just there by default. When we’re very young, the empathy and soothing we receive by our caregivers become etched in our brains. These early interactions are the pathways that we rely on throughout life to self-soothe. 

Your self-soothing ability can grow. When we increase our self-awareness, our empathy for our the anxious and unsafe feelings grow. That empathy is like a fire department that can respond to a fire with soothing water before it begins to rage. 

3. Reduce Chronic Anxiety

It’s been demonstrated that even momentary times of calm and peace can be overshadowed and outweighed by stressors. When we’re exposed to a stress, or multiple stressors, the injection of cortisol into your system takes a while to subside. This is called allostatic load. The moments of deep breathing or mindfulness you practice throughout the day are important, but they sadly don’t outweigh the internal stress that can keep you in a high-cortisol state. 

What’s the solution? Often the biggest stressors we carry are internal beliefs that impact our entire outlook on life. There is a relationship between early traumatic experiences and later IBS symptoms. This is because like a tea bag in hot water, our childhood experiences color and impact everything we experience. Resolving IBS means experiencing the relief of working through your anxiety. Anxiety is a signal that needs attention and understanding in order to resolve. 

IBS and Anxiety: You can heal your gut

We have therapists who can help you reduce chronic anxiety. Identifying triggering foods is important, but can only get you so far. The stressor that most aggravates IBS is often not specific foods, but the chronic stress and anxiety that creates a fragile gut lining. Resolving and reducing anxiety physiologically allows your gut to repair the gut lining so you can be resilient.

Reducing anxiety impacts your everyday life. Not only does it help your gut, but helps your relationships, your job performance, your sleep, and your enjoyment of life. What would it be like for you to experience freedom from anxiety? How different would your day be today if you had more peace? We want to help you get there. Contact one of our therapists who specializes in anxiety. Schedule a free consultation and see how we can help you.

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This client addressed anxiety to heal IBS issues:

My gut wrenched as I lifted myself from the bathroom floor. I looked in the mirror at my face. It was covered in hives. The hives went down my neck. I lifted my shirt to find my entire torso was covered in hot, red, itching hives. Internally, my stomach was tied in knots. What was happening to me? I had no history of allergies. I didn’t eat anything out of the ordinary. And yet I had just spent to last hour on the toilet.

I had traveled to the desert to facilitate a leadership retreat. I pulled up to the AirBnB where we would all be staying, set out the chips and guacamole, and people began arriving. That’s when my scalp started itching. I ignored that until I began to feel a stabbing pain in my stomach and ran to the bathroom. The people I was there to lead filled the time. Finally I mustered the strength to come out of the bathroom and ask for help. They ended up driving me to the emergency room.

When I returned home, my doctors were perplexed. The allergy tests, MRI’s, scopes, bloodwork and exams showed nothing.

Two months later, I traveled to visit family for Christmas. The night after our Christmas family dinner, I woke at 2am with hives and pain in my stomach so intense I lost consciousness. My family called an ambulance and I spent three days recovering in the hospital. 

Over two years, this happened six times, all of them during a flight or visit with family. Finally, after numerous visits to doctors, I saw a therapist. Over the course of several months, we were able to explore each of these events. We began to pay attention to what my gut was signaling to me. It became clear that my body was dealing with anxiety that I had been repressing for years, anxiety I had become numb to.

Under the care of my therapist, I’ve been able to go on trips again without attacks. I am actually able to feel my anxiety now, rather than becoming crippled by it.

Today, I see my gut pain as one way that I can tell that I’m getting anxious. When my stomach begins to tighten up, I pay attention to what could be causing anxiety. In the past, my gut had to “shout” to get my attention that something was wrong. After therapy, my gut only has to tighten a little and I respond by caring for myself and asking for help.

– Anonymous Client
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