NEFESH: The International Network of Orthodox Mental Health Professionals
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Showing Results 201 - 240 (387 total)
Is ADHD Necessarily a Problem?
Author: Yehuda Lieberman, LCSW
May 19th, 2021

Dear Therapist: My primary care physician recently told my husband that he thinks he has ADHD. My husband never had that diagnosis as a child, though I am not sure that means anything because he had a lot of different issues going on as a kid and that may have slipped through the cracks. Baruch Hashem he is doing fine now but has had trouble staying on track, specifically in work related areas. The doctor would like to prescribe him med …
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Childhood OCD Treatment and Disclosure
Author: Yehuda Lieberman, LCSW
May 19th, 2021

Dear Therapist: About a year ago, our 9-year-old daughter started to engage in compulsive rituals.  She would have 1 specific ritual (such as checking that her heart was still beating) for a few weeks and then switch to a different ritual.  Right now, her specific ritual is sniffing is an unusual way.  This was/is not interfering with her performance at school or home, and she seemed happy overall, but we decided to take her to a p …
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Social Anxiety at Work...at Work
Author: Yehuda Lieberman, LCSW
May 19th, 2021

Dear Therapist: After multiple failures at work, I finally realize that my feelings of being intimidated by people and being anxious to speak my mind has been something that has gotten in my way all of my life. I wind up staying in my corner and not engaging or communicating with the people I am supposed to. The issue is that someone presented me with a great job opportunity which I accepted and will start next week. I really don't want to b …
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Adult ADHD
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: My primary care physician recently told my husband that he thinks he has ADHD. My husband never had that diagnosis as a child, though I am not sure that means anything because he had a lot of different issues going on as a kid and that may have slipped through the cracks. Baruch Hashem he is doing fine now but has had trouble staying on track, specifically in work related areas. The doctor would like to prescribe him medication, b …
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Stress and Insomnia
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am 43 years old and consider myself a healthy person Baruch HaShem. Recently I began having trouble sleeping. Sometimes falling asleep, but also waking up in middle of the night and not being able to fall back asleep. My doctor said there is nothing wrong with me physically and it is stress related. We have indeed been having some difficulty with our teenage daughter recently. At this point I am winding up tired throughout the d …
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Preventative Mental Healthcare
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am an avid reader of this column and have found it very informative. I think it is interesting that so many of the questions are focused on disorders. People are asking what to do when they are struggling with a mental health issue. In general, I find that people do not think of "mental health" until something goes wrong. I imagine that just as with physical health there are things one can do to stay in shape and keep healthy to …
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Get Angry with Me!
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: As someone who has recently began mentoring struggling teens, I had a question that I hope you can shed light on. There is one very angry kid who comes from a difficult background, and he is not only tough in how he talks to others but also gets angry if someone talks to him in a nice and calm way. It is surprising that the kid seems to react better when someone talks down to him and is very direct, over someone who talks to him n …
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Teenage Smoking and Confidentiality
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Our 14-year-old son has been seeing a therapist for a few months on the advice of his yeshiva. Recently my husband discovered that he has started smoking. It was disappointing and confusing to us that our son told us that his therapist has known for a while that he was smoking. I am very disappointed that the therapist didn't deem this information important enough to share with us, his parents. I would like to hear your option on …
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Informal Therapy
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I appreciate the tremendous service you provide to our community both in your practice and by clarifying and explaining so many mental health issues through this column. My daughter (age 13) was recently referred to therapy by her school principal due to concerns about her behavior. She insists my daughter must go in order to remain in school. My daughter is refusing to go. I am wondering if I can ask a therapist to meet my daught …
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Abrupt Therapy Termination
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Hi, I look forward to your column each week because you always have such insightful answers and opinions.
My therapist recently terminated my therapy with her. My psychiatrist as well has abruptly ended my treatment. I was not informed of the reasons as to why they stopped seeing me, and they did not give me closure either. I was wondering if this is a common thing for therapists and doctors to do. I was also wondering if I …
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Efficacy of Teletherapy
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Some providers are doing much more therapy via teletherapy these days. While it started during the pandemic it still seems to have become more common even after things have opened up. I would appreciate if the panelists can share their perspectives on therapy effectiveness in this mode of communication. What are the pros and cons of Zoom therapy versus in person? Are there specific areas such as attachment styles etc. that are bet …
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Camp Anxiety Disclosure
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am a teenaged girl, popular, with a lot of personality, if I do say so myself. I’m the kind of girl who is the life of the party, and enjoys making the fun for the group, trying to make sure all are included at the same time. I applied for a staff position at a camp that is very excited to have me but got stuck on the application itself. I have a mild case of anxiety and am prescribed Zoloft. (They asked for addi …
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Suicidal Ideation
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Something has been bothering me for a while and I finally feel like I need to reach out for advice. I have these thoughts that get stuck in my head and no matter what I do I can't seem to get rid of them. For example, I feel like I might do something dangerous and no matter what I do I can't shake that thought or feeling. I never actually do anything, but I am really worried that one day I might. There are a lot of things that I a …
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Waking Up to Anxiety
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am someone who has occasionally had trouble with my moods. I have gotten help in the past with anxiety and depression. While I am currently doing really well, I still have a rough time in the morning. I wake up with a lot of anxiety and it takes time for me to get out of bed. Once I get out of bed I generally do ok and have a good day. There are no noticeable "triggers” for me in the morning so there is no obvious reason t …
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My Freeloading Brother
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: My 27-year-old brother has become very stuck in his life and dependent on my sisters and me. He should be fully capable of getting a job, getting married, and moving forward with life. Instead, he has come to completely rely on his siblings for everything.(Our parents are sweet people but older and not so involved.) He sleeps in my sister's basement and eats the meals by us. He will occasionally get a job, but it never lasts …
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Looking for Better Relationships
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Hi! I am a 22-year-old boy and I recently started reading The Couch and I really find it interesting and helpful. I think that even if a question is not directly related to me, I can still learn a lot from the answers.  I went through some struggles as a teenager but with awesome parents and rabbeim I got through it, and I am doing really well. I was in a yeshiva in Israel the last two years and just got back to Ame …
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Why Can't I Be Happy?
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am not a happy person. Is there a way to change that? That is honestly my whole question. I am pretty much fine in every way, I have a good husband, healthy frum kids, a decent job, we have decent parnassah, are part of a nice kehilla, etc.. Yes, I have the stresses of every frum family but nothing major. With all that said I am a pretty moody and cynical person. If I am being fully honest, I always have been …
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Post-Traumatic Video Stress
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am a 17-year-old girl who has had no psychological issues in the past. A few months ago, someone I know thought it would be a good idea to show me a very violent video clip. I can't go into details but basically it involved a real video of someone being killed. Seriously I don't know why a person would show that to someone. I understandably freaked out initially and was very traumatized. I pretty much got over it, but it still k …
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Does My Son Have Asperger's?
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am wondering if you can guide us where to turn regarding some challenges that we are having with my 7-year-old son.  While it is hard to write everything that we notice, he is basically having problems with friends.  For example, he has a hard time getting the concept that someone can play with him one day and then play with a different kid the next day. He also is very into trains and will talk about it as well as its …
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Laypeople Advising Professionals
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Hi, I work with bochurim in the community and am often involved during crises as well.  I would like to know the panel’s opinion on having a doctor prescribe a fast-acting anti-anxiety medication such as Xanax or Klonopin for someone who is usually doing well but occasionally has severe bouts of anxiety? Some people have told me that just knowing they have that option, that the pills are there if they need them, can hel …
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My Bullying Co-Worker
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist:  I recently started a new job which I was very excited about. Things started well enough but there is another woman who has chosen to make my life miserable. I believe she feels threatened by me because we have a similar position (though I don't think her job is in jeopardy at all). She never misses a chance for a nasty comment be it to coworkers or even managers. I tried to have a discussion with her about it, but she totall …
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What's the Therapy Process?
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: Our daughter experienced a significant trauma when she was in seminary last year. It had been suggested a few times, both by her school and once she came home, that she go for treatment. For whatever reason she refused. She now approached us that she would like to speak to someone about what she experienced and saw. We read this column regularly and would like to hear your recommendation regarding what is the best type of approach …
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School to Work Adjustment
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: I am a 22-year-old former yeshiva bochur. I have always struggled in yeshiva and never did well. I recently made the decision together with my parents and rov to find a job.  I was able to find a job that keeps me busy, will teach me an important industry, and has a lot of growth potential. I also have a chavrusa daily. Surprisingly,  I have found the adjustment to this new stage in life to be very difficult. I am workin …
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Is My Wife Milking Her Illness?
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: My wife was diagnosed with a serious illness a few years ago. While she was sick of course the entire focus of myself, our friends, and our extended families was to give her room and support and help her in every way possible. All we wanted was for her to able to be completely taken care of so that the only thing she needed to be busy with was getting better.  Meals, housekeeping, mother's helpers, and so much more were provi …
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My Impersonal Parental Relationships
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: As a teenage boy I am going through lots of ups and downs. Throughout this period there is one particular issue that is getting worse and worse. That is my parents. As it stands now, I cannot "open up" to them about anything personal in my life. Whether it is about friends, family, teachers, or anything that is personal, I find it practically impossible to speak to my parents (though I do find it easier to speak about personal iss …
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Can My Therapist be Irreligious?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Our 21-year-old son has been struggling for a while and would like to begin therapy. He is pretty insistent that he wants to only see a non-frum or not Jewish therapist. It is hard to get a straight answer from him as to why he is so insistent on this. It's a shame that he is so adamant about this at a time when there are so many qualified therapists that are bnei torah. Being that he is 21 he can pretty much go to whoev …
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My Wife Feels Controlled
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I got married a few months ago and everything is amazing, I just have one problem. My wife's older sister who got married a few years before us is married to an extremely uptight and controlling person. My wife was specifically looking for someone laid back, relaxed, easygoing, and nonopinionated after witnessing what her sister is putting up with. I definitely fit the description. However, any time I do voice my op …
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Keeping Up with the Joneses
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Many years ago, we moved to what was then a quiet neighborhood. We were excited to live in a less developed part of town away from the hustle and bustle. Since then, a lot of other people have taken advantage of the large properties and built fancy houses here. While our neighbors are all wonderful people, the standard of living is very high, much different than when we moved in. We are starting to feel the pressure and as our kid …
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My Husband's Therapy is Hurting Our Marriage
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you for the wonderful education that you provide for our community.  My husband is currently in therapy for mental health issues that he unfortunately brought into the marriage. I am in therapy as well, dealing with terrible trauma that these issues caused. I believe that my husband's therapist has helped him greatly in some areas, but does not have a clear understanding of some of the other areas and how they impact th …
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OTD Friend
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I have a friend that went off the derech and I think I can be a mashpia on him. I've texted him a few times and called him once in a while but he always ignores me. I'm just curious does he think I'm invading his privacy and I should stop calling or he just is embarrassed of his new lifestyle and I should keep calling him in order to mechazek him?   Response: I obviously don’t know what it …
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How Do I Forgive?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I was recently treated very hurtfully by a relative. This relative had known confidential information about me, and the way he treated me left me feeling betrayed, and I lost the trust in our relationship. This was especially painful as I had invested a lot in this relationship, and really wanted to be close with this family member. I would like to have a good relationship once again with him, but every time I think of him, I …
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Inappropriate Touching
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you so much for your informative column. Once again, the importance of being diligent regarding the emotional and physical safety of our children has been hammered home. I was hoping that based on your years of experience as clinicians you could offer some guidance and advice as to what we as parents and members of a community should do to best protect our children?   Response: It is indeed unfortunate—in fact tra …
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My Job Trauma
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I had a terrible experience with my first job. I had been looking forward to this career and had high expectations but things really did not work out well. I had a very hard time with my boss who had a strong personality and we clashed. I only lasted 3 months before we realized it was time to move on. I had wanted to leave sooner but he actually convinced me to stay. I think he felt he could get me to buy into his way of thinking …
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Inflated Ego or Self-Esteem?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you so much for your weekly column. I was wondering if you could explain the difference, as you see it, between self-confidence and gayva. Self-confidence is considered, certainly by psychologists, as a good thing while gayva is considered the worst of all middos. I understand that they are different but would be interested in hearing how you define the difference and at what point does something cross fr …
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Is My Student Depressed?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I am a teacher in a high school and am writing regarding a girl in one of my 11th grade classes. Some of the other staff think she should be sent for therapy because "she doesn't seem happy." She is a girl who is shy and introverted. I know her mother and she is also quite shy.  She has friends but is quiet in big groups. She does well in groups of 2 or 3. She isn't very happy in school because learning is a st …
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My Father's Unlicensed Exposure Therapy
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: When I was a teenager, I developed a severe phobia. I don’t think it is relevant to be more specific as to what it was. What matters is that my father learned a lot about it, got a lot of books and workbooks, and took it upon himself to help me work through it. The best method he said is a CBT approach called “exposure therapy.” This led to him pushing me very hard to be in the exact situations that were making m …
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Why Do I Always PANIC?!?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I have always been jealous of those who are able to keep calm when everything around them is in crisis. There are some people who it seems no matter what is going on around them are able to keep cool, stay rational, and make sound decisions. I always tend to panic and do exactly the wrong thing. Is this just a personality type that you are born with or is this something you can develop? If it is something you can really become goo …
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Man-Made Mental Illness?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you so much for the column, I really enjoy it each week. I would like to know what the panelists think of the following:
Of course, there are real mental illnesses that exist and those that suffer from them should obviously get the help and support that they need. But I feel like many of the people "suffering from mental illness" are suffering from man-made problems based on the expectations of our society. For instance …
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My In-Laws Make Us Pay
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: My husband and I are married for ten years, we have 6 beautiful children. BH our expenses for tuition, healthcare and rent are significant. We should be able to make it to the end of the month without an issue since we are both working. However, that rarely happens. My husband grew up in a home where both his parents worked full time but never budgeted or thought about the future. Now, in their mid-70’s the financial situati …
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Infertility Depression
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I have been married for a long while with no children. There is a possibility that we will never be able to have children. Recently I have been extremely depressed about it, although still functioning through daily life. I do not feel therapy can help such an awful emotional situation but my wife disagrees. Who does the panel side with?   Response: I’m sorry that you are going through this difficult situation. Unfortuna …
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