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The Couples Counseling Multiverse: Communicating Across Realities

The Couples Counseling Multiverse: Communicating Across Realities

Relationships are made up of two completely different people. It does not matter if you have similar opinions, dealt with similar life traumas, or agree on everything. You are two different people that experience the world two completely different ways.

On some level, we know this. We recognize that our partners are different from us. But what we often fail to realize is that they are not just different. They have a completely different reality. Understanding this can go a long way toward helping you communicate with each other.

You Are The Protagonist of Your Own Reality – and So Are They

No one exists in this world except for you. If you think about consciousness as a concept, the way our minds see the world is the way only *our* minds see the world. As far as our consciousness is concerned, the universe only exists as long as we can perceive it. Our brains are what create reality.

But while our brains create our reality, our partner’s brains create their reality. They process emotions differently when they do. They experience events differently when they do. Their mind works differently than ours.

There is a word for this in the field of philosophy: Qualia. It is the idea that many or all of our experiences in life are subjective, and so two people – even if they are looking at the same color or seeing the same event – are actually seeing it the exact same way.

A more modern example might be to consider it like a multiverse. Our partner exists in our universe, and we exist in theirs, but we are not in the same universe, because we are not perceiving the world the same way our partner is, and vice versa.

Communicating Through Our Different Experiences

Once we understand that our partners are experiencing a different reality, we can then understand why it is often so hard for us to understand their point of view and see why they feel the way they do.

Most of us do not spend nearly enough time trying to see things from our partners’ perspective. But even when we do, most of us try to understand our partner by picturing our partner in the world as *we* see it. We do not take the time to imagine their reality. We only imagine our reality and try to figure out how our partner feels based on the way we see them.

Couples Counseling Improves Perspective and Communication

Part of the couples counseling process is to address exactly this: to know our partner’s feelings, beliefs, and perspective so intimately, that we can actually rethink how our partner sees the world and truly live in their shoes. We try to understand each partner’s emotions, traumas, needs, and experiences so well that we can actually see our own world and reality differently.

We may never really be able to see the world the exact way our partner does, but if we can at least understand that they have their own reality and take steps to learn more about what that reality is like, we can start communicating with our partners in ways that are more emotionally healthy and with greater love and care.  

From Shyness to Social Anxiety: Navigating the Challenges of Peer Interactions in Tweens

From Shyness to Social Anxiety: Navigating the Challenges of Peer Interactions in Tweens

Shyness and social anxiety are not the same thing. Many people can be shy and/or introverted, but still not struggle with any significant anxieties or fears when faced with social interaction – nor the symptoms that may exist with children that have social anxiety, such as fear of being judged.

But while shyness is not a synonym of social anxiety, they can be related and interact. This can be especially true for preteens and teens. Many children and young people show signs of shyness without the social anxiety, but can potentially develop social anxiety as a result of some of the challenges that teens and tweens face socially.

Young People and Social Development

Younger children are trying to learn their social place and navigate the world. They’re developing not only their social skills, but their coping skills. They’re trying to understand themselves and how others see them. They are also surrounded by children that are still developing in their maturity.

This can lead to situations where children are judged or bullied because of their shyness. They may appear awkward or “weird” to others in their peer group. This can lead to situations where a child’s shyness becomes something more – something where the way their peer group responds to their shy interactions ends up leading to the development of social anxiety.

As parents and caregivers, we want to make sure that we’re helping our kids navigate these struggles. That means paying attention to the difference between the two, working on ways to build confidence, and helping children maintain a positive self-image.

How to Tell the Difference Between Shyness and Social Anxiety

Both shyness and social anxiety can present in very similar ways. Often, it is the smaller details that make it easier to tell them both apart.

Shyness:

  • Child may have and be satisfied with a few close friends.
  • Child may not express themselves socially, but be capable of being present.
  • Child may “warm up” to some people and be less shy with them.

Social Anxiety:

  • Child looks and acts fearful in social situations.
  • Child may actively avoid them, or show extreme discomfort.
  • Child may describe worry, fear of being judged, and fear of embarrassment.

Many people also assume that social anxiety is related to introversion. While that may be true at times, social anxiety can also occur in the extroverted. That is because anxiety is what holds them back socially, not a desire for being alone. If anything, the presence of social anxiety indicates a desire for social situations that is more common of extroverts, not introverts.

Taking Steps to Prevent Shyness from Becoming Social Anxiety

If your child already displays signs of social anxiety, a child therapist can help. Working with your child, they can develop their social skills and self confidence, while also addressing some of the child’s negative self-talk.

But if your child is just shy, this is still an age where it is useful to try to support your child socially in ways that help prevent social anxiety from forming. Social anxiety can impact self-esteem, friendships, the ability to obtain social support, and the social experiences that can help them later in life. Preventing this can be beneficial for their long term development.

How to Support Shy Tweens and Prevent Social Anxiety Development

Therapy for children and teens can help young people that are struggling with shyness. Therapists know how to support children with skill straining, coping, and relationship development. But parents can also help prevent shyness from turning into social anxiety by:

  • Helping Them Create a Core Group of Friends – Social support is one of the most powerful tools for building confidence and coping with social stressors. If your shy child doesn’t want to interact with many kids, see if you can connect them with a few friends they truly appreciate, and then encourage them to build on those relationships. This can help give them the social support they need to withstand awkwardness.
  • Let Them See You – Seeing you socially can help them socially. They learn to navigate some of the complexities of relationships and understand more about how to maintain conversations by watching how you interact with others in your life. It helps to normalize the experience and make it seem less foreign or fear inducing.
  • Teach Social Skills – Your child may not desire to be that social, but they still need to learn social skills. Talk with them, play with them, and teach them how to talk to others so that they’re ready if a situation presents itself.
  • Build Their Self Image – Make sure that you are always working on building their self-esteem and self-image. It is one of the most effective ways to help your child be resilient in the face of any negativity or emotional discomfort.

Shyness is not at all guaranteed to become social anxiety. But the experiences that young people have while shy can still affect them. Learning how to address these issues head on can help, and – if you find that your child has developed social anxiety – speaking with a therapist in Brooklyn can provide added support that your child may need.

5 Self Care Tips Backed by Science

5 Self Care Tips Backed by Science

As a society, we are starting to at least acknowledge and recognize the importance of self-care. Each of us needs to learn to take time out of our day to care for ourselves. Not only does self-care make us happier, but it also makes us better parents, better lovers, and better friends. Self-care, in that sense, isn’t just about the self. The more we care for our own mental health, the more we can give others our whole self.

Still, for better or worse, self-care is an industry. Many companies try to offer products and services with the claim that they’ll help you feel better about yourself. In a sense, they’re not wrong. Anything you do for yourself can help you regenerate your energy levels and protect yourself from being overwhelmed. But what does the science say about self-care?

Self-Care That is Supported by Science

Anything that refreshes you and gives you back a sense of health and wellness is worth considering. But there are absolutely some activities that are supported by science. These include:

  • Sleep – More than anything, if you can find time to sleep restfully, you are going to instantly feel more energized and emotionally/psychologically healthy. The chemicals in your brain that affect mood and wellbeing are all directly impacted by sleep. Sleep longer and better, and you’ll feel much more refreshed.
  • Exercise – Physical activity also can be directly linked to sleep. There are countless reasons for this. Exercise affects our production of “Good mood” hormones. It “burns off” extra energy to tired your body (which ultimately tires your mind) and improves cognitive functioning, among many other benefits.
  • Healthy Eating – You’ll notice that many of these are about having a healthier mind and body, and that’s because there is a direct link between how your body feels and how your mental health feels. Healthy eating is another example. Filling your body with vitamins and minerals while avoiding things that make your body feel worse (like fried foods) helps to nourish your brain in ways that improve psychological health and emotional wellness.
  • Moments of Silence – Life can often feel very overwhelming. One way to address this is to take a few moments of silence – with NO technology – to sit and allow your mind to tire out and refresh. Sometimes, all you need for self-care is to literally do nothing in silence so that you can process everything around you and let it melt away.
  • Journaling – The diaries that many of us kept when we were younger are actually backed by science. Journaling is very healthy form of self-expression that evidence shows reduces cognitive burden, enhances cognitive ability, and helps us process life’s events.

Other forms of self-care may not be backed by science, but are still beneficial. For example, doing your nails and hair, dressing nicely, and performing other activities that you enjoy can be amazing forms of self-care. They may not be highly researched, but self-care is a very individual experience. Just be sure to assess how you feel when it’s over to know if these are activities that work for you.

Are We Still Grieving and Affected by The Pandemic?

Are We Still Grieving and Affected by The Pandemic?

The pandemic, at least as far as the government is concerned, is officially over. Though the virus is still circulating, and many of us still wear masks or allow the COVID-19 to affect our decisions (for example, attending a packed event), many others have moved on, and the government programs that were initially designed to help provide resources and reduce society’s risks have all ended.

It has now been over three years. For many, life has moved on. Many people are going back to work, spending time with many friends, and taking fewer precautions than they did before. But while it’s easy to see how life has gone back to normal, a question remains: is it still affecting us, even now?

No Time to Cope – The Fast Pace of Life

  • Many of us lost people during the pandemic.
  • Many of us remember what it was like to live in fear.
  • Many of us developed habits, like drinking alcohol, that still continue to this day.
  • Many of us still worry that we or someone we love could be ill at any moment.
  • Many of us lost friendships, relationships, or trust in ways that haven’t come back.

The pandemic may be “over” on a government level. It may even be over as far as our own personal precautions (though not for everyone). But one way that it is not over is that we, both here in New York and as a country, have never really had an opportunity to grieve. We haven’t been given an opportunity to process trauma. We haven’t been able to recognize all that has been lost, from time with friends to our children’s education. We haven’t had many chances to examine how the stress has affected us.

Some of us have been able to move forward. But many others are still struggling with minor and major issues, including anxiety, depression, and grief, that we haven’t had an opportunity to process. We may be forced into a situation where we have to pretend like life is back to normal, but those 1, 2, and 3 years that were dramatically altered by the pandemic can still cause very real, longstanding issues even today.

Getting Help for Pandemic Stress

It’s okay to still be affected by the pandemic. It’s okay to have emotional and psychological issues that developed as a result of this lost, stressful time. Here in NYC, where the early part of the pandemic hit us all incredibly hard, it is understandable that we still have little things that may be affecting us as a result of those challenging times.

If you feel like you are still affected, let Flourish Psychology help. Our therapists understand your struggles, and we’re here to help you adjust and feel more closely aligned with your pre-pandemic self – or better. Contact us today to get started.

Major Depressive Disorder vs. Persistent Depressive Disorder – Understanding Symptom Differences

Major Depressive Disorder vs. Persistent Depressive Disorder – Understanding Symptom Differences

There is more than one type of depression, according to the diagnostic manual that therapists and psychologists in Brooklyn use to diagnose depression. As we review your symptoms and try to gain a better understanding of your struggles, we’re often looking at both subtle and clearer differences between these disorders in order to determine how to effectively treat them.

Major depressive disorder (MDD) is a more urgent, more powerful form of depression with symptoms considered to be severe. Persistent depressive disorder (PDD) is a “milder” but no less problematic form of depression. It was previously referred to as “Chronic Depression” or “Dysthymia.” These conditions have many similarities, and it is possible to cycle in between the conditions – showing symptoms of major depression at times, and persistent depression at others – but they are distinctive conditions.

Diagnostic Differences

Before we get into the symptomatic differences between the two conditions, let’s talk about the diagnostic ones. Persistent depressive disorder can only be diagnosed if the patient has struggled with it for over one to two years depending on the patient’s age. It is the term for a low level of chronic depression that is essentially constant throughout the day and night.

Though the symptoms are considered less severe compared to MDD, their long term presence puts patients at higher risk for self-harm the longer they struggle with it. Major depression, on the other hand, can be diagnosed in as little as two weeks and “episodes” are often severe in nature, which makes treating it more urgent.

Symptomatic Differences Between MDD and PDD

It’s easy to say “less severe than major depression” or “low level of depression.” But because depression is always a struggle, it important to identify what “less severe depression” means.

Both PDD and MDD will have feelings of helplessness, negative self-talk, loss of interest in pleasurable activities, and depressed mood. But what makes them different is the following:

  • Function – Patients with PDD are typically able to function in some form with most of their daily tasks. They may not be able to give activities their full energy, or enjoy those activities, or focus as easily as those without depression. But they can typically go to work, address some of their family’s needs, and take care of a pet. Their ability to function may be compromised, but they are capable of it. Patients with Major Depressive Disorder often find depression so debilitating, it dramatically interferes with their ability to function.
  • Intensity – Patients with persistent depression will describe a low mood and feeling “down.” They may show changes in appetite, sleep, energy, and concentration, but they are more capable of pushing through it with a bit of effort. Patients with major depressive disorder typically are *extremely* sad or down to the point of being overwhelmed by it. Engaging in daily tasks feels nearly impossible, and in some cases may not be possible. They feel impaired by their condition with more persistent thoughts of self-harm.

While someone with PDD may feel “low” and unhappy or passionless and tired throughout the day, a patient with MDD could, depending on the severity of their symptoms, be unable to even leave their bed. Despite MDD being more severe, however, it should be noted that chronic depression can both cycle into MDD at times, and also lead to significant life alterations that cause people to consider self-harm in the future, especially as they no longer experience joy for such a long period of time.

Patients with PDD also may experience what is sometimes called “Double Depression.” These are more severe forms of depression that resemble MDD that come at different times or after different triggers. These periods of “Double Depression” can increase the risk of self-harm considerably. But they may not qualify as MDD because they may not last the requisite two weeks or display all of the same symptoms.

How Does Recognizing These Two Different Conditions Affect Treatment

Therapy for depression – both MDD and PDD – can be very similar. Both benefit from many of the same therapeutic techniques, such as CBT. Both benefit from treatment from an experienced therapist. Both respond well to professional intervention. Many of the same techniques are used as well, such as cognitive restructuring and behavioral activation.

However, there are differences as well. First, duration and frequency of therapy may change. MDD may require more immediate and frequent meetings to help address the episode in the moment and reduce the risk of worsening symptoms. PDD may benefit from ongoing treatment that helps continue to address its symptoms over time.

In addition, In MDD, CBT often focuses on identifying and challenging negative automatic thoughts and cognitive distortions that contribute to the development and maintenance of depressive symptoms. The emphasis is on modifying maladaptive thinking patterns during acute episodes and targeting specific negative thoughts related to the current episode. In PDD, cognitive restructuring may also be utilized, but the focus is broader and may involve addressing deeply ingrained negative beliefs and schemas that contribute to the chronic nature of depressive symptoms.

Similarly, in MDD, CBT may include specific techniques to recognize early warning signs of relapse and develop coping strategies to prevent future depressive episodes. In PDD, since the condition is chronic, relapse prevention may involve ongoing monitoring and management of symptoms to minimize their impact and prevent exacerbations.

While the therapy techniques are similar, the way that they are approached is different.

If you feel like you’re struggling with depression, contact Flourish Psychology in Brooklyn today to learn more.

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