Persistent depressive disorder, or PDD, is a long-lasting form of depression in which low mood continues for years rather than appearing only in separate episodes. It was previously known as dysthymia or dysthymic disorder. For adults, persistent depressive disorder generally involves a depressed mood for most of the day, more
Feeling emotionally numb can be confusing, especially when life on the outside looks mostly normal. You may still work, answer messages, spend time with people you care about, and handle daily responsibilities while feeling strangely disconnected inside. Emotional numbness can happen for many reasons. Stress, trauma, depression, grief, burnout, anxiety,
The cost of therapy can feel like another uncertainty when you are already carrying anxiety, grief, relationship pain, trauma, or emotional exhaustion. Clear information can help you understand your options and decide what level of support feels realistic. In Spokane, private-pay individual therapy generally costs between $100 and $200 for
Being close to someone who feels emotionally unavailable can be confusing. They may be caring and affectionate at times, then become distant when a conversation turns serious or the relationship asks for more vulnerability. You may wonder whether they are afraid, uninterested, overwhelmed, or unable to meet you emotionally. Understanding
Most private-pay therapists in California charge around $150 to $250 for a standard individual appointment, and the full range runs from about $100 to $400 per session. Rates may be higher in Pasadena, San Diego, and the San Francisco Bay Area. You can see our own therapy fees for a
If you’ve had a traumatic experience, the silence before sleep can feel scary You know the feeling all too well. The dread starts to creep in as the sun sets. You know at some point you are going to have to turn off the lights, put your phone down, and
Many people come to therapy carrying pain that is not only personal. Their inner world may also be shaped by family expectations, cultural messages, immigration stress, religion, racism, gender roles, community belonging, or the quiet pressure to survive in more than one world. Internal Family Systems therapy, often called IFS,
You can be skilled, prepared, and deeply committed, yet still feel blocked when pressure rises. For some people, performance problems are not about a lack of talent or discipline. They show up as freezing, overthinking, panic, muscle tension, self-doubt, or a sudden loss of connection to something they usually know