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  • Our Treatments
    • Teen Online Therapy
    • Trauma Treatment
      • Treatment for Trauma and Abuse
      • Childhood Trauma
      • Emotional Abuse
      • Domestic Abuse
      • Sexual Abuse
      • Psychological Trauma
      • Physical Abuse
    • Depression Treatment
      • What Is Depression?
        • Depression in Women
        • Depression in Men
        • Depression in Teens
        • Depression in Older Adults
        • Signs and Symptoms of Depression
        • Causes of Depression
        • Types of Depression
        • Major Depressive Disorder
        • Persistent Depressive Disorder
        • Prenatal and Postpartum Depression
        • Treatment-Resistant Depression
      • Depression and Co-Occurring Mental Health Conditions
        • Depression and PTSD
        • Depression vs. Anxiety
        • Trauma and Depression
      • The Best Treatment Options for Depression
        • Therapy for Depression
        • Medication for Depression
        • Online Therapy for Depression
        • Exercise for Depression
        • Holistic Approaches to Treating Depression
        • 10 Self-Care Tips for Managing Depression
      • How to Support Loved Ones With Depression
      • How Does Depression Differ Between Populations?
      • Depression Relapse Prevention
    • Bipolar Treatment
      • Bipolar I Disorder
      • Bipolar II Treatment
      • Cyclothymic Disorder (Cyclothymia)
      • What Is Rapid Cycling Bipolar Disorder?
    • Anxiety Treatment
      • Panic Disorder & Panic Attacks
      • Social Anxiety Disorder
      • Generalized Anxiety Disorder
    •  ADHD
    • Schizophrenia Treatment
    • Psychosis
    • Self-Harm
      • Suicidal Thoughts
    • Anger Treatment
      • Anger Management Issues
      • Anger Management Issues in Relationships
      • Road Rage in Adults
      • Workplace Anger
      • Chronic Anger Issues
      • Conduct Disorder
      • Rage Disorder
      • Oppositional Defiant Disorder
      • Intermittent Explosive Disorder
      • Displaced Anger
      • Suppressed Anger
      • Passive-Aggressive Behavior
    • Outpatient Mental Health Treatment for Pregnant Women
    • Outpatient Mental Health Treatment for Veterans
  • Mental Health
    • Obsessive Compulsive Disorder
      • OCD Symptoms
      • Obsessive-Compulsive Disorder Risk Factors
      • OCD Exposure Therapy
      • Living With OCD: OCD Coping Strategies and Support
    • Seasonal Affective Disorder
      • Seasonal Depression Relief: SAD Coping Strategies
      • Seasonal Depression Treatment
    • Somatic Symptom Disorder
      • Somatic Symptom Disorder vs Conversion Disorder
      • Somatic Symptom Disorder Symptoms
      • Causes of Somatic Symptom Disorder
      • Treatment Approaches for Somatic Symptom Disorder
      • Coping With Somatic Symptom Disorder
    • Eating Disorders
      • Anorexia Nervosa
      • Bulimia Nervosa
      • Eating Disorder Symptoms
      • Binge Eating Disorder
    • Psychosomatic Disorders
      • Psychotherapy for Psychosomatic Disorders
      • Medication Management in Psychosomatic Disorders
      • Living With Psychosomatic Disorders
      • Psychosomatic Disorder Treatment Programs
      • Mind-Body Therapies in Psychosomatic Disorder Treatment
    • Adjustment Disorders
      • Adjustment Disorder Coping Strategies
      • Adjustment Disorder Treatment
      • Types of Adjustment Disorders and Support Options
    • Dissociative Identity Disorder
      • Symptoms of Dissociative Identity Disorder
      • Treatment Approaches for Dissociative Identity Disorder
      • Causes & Risk Factors of Dissociative Identity Disorder
      • DID Co-Occurring Disorders
    • Narcissistic Personality Disorder
      • Causes of Narcissistic Personality Disorder
      • Narcissistic Personality Disorder Symptoms
      • Narcissistic Personality Disorder Impact on Relationships
    • Sleep Problems in Adults
      • Insomnia in Adults
      • Nightmares in Adults
      • Sleep Paralysis in Adults
      • Oversleeping & Hypersomnia in Adults
      • Restlessness in Adults
      • Nighttime Anxiety
      • Parasomnias in Adults
      • Daytime Fatigue & Low Energy in Adults
      • Sleep Disruption in Adults
    • Thought-Related & Cognitive Symptoms in Adults
      • Racing Thoughts in Adults
      • Memory Problems & Brain Fog in Adults
      • Dissociation in Adults
      • Intrusive Thoughts in Adults
      • Indecisiveness in Adults
      • Disorientation & Confused Thinking in Adults
      • Overthinking & Rumination in Adults
      • Stress-Induced Forgetfulness
      • Processing Difficulties
      • False Memories
      • Disturbing Mental Imagery
      • Loss of Objectivity
      • Compromised Judgment Under Stress
      • Black and White Thinking
      • Compulsive Mental Checking in Adults
      • Catastrophic Thinking in Adults
      • Interruptions in Thought Processes
      • Paranoid Thoughts in Adults
      • Distorted Sense of Time in Adults
    • Emotional & Behavioral Symptoms in Adults
      • Mood Swings in Adults
      • Irritability in Adults
      • Crying Spells in Adults
      • Self-Destructive Behavior in Adults
      • Emotional Numbness in Adults
      • Impulsivity in Adults
      • Perfectionism in Adults
      • Excessive Guilt & Shame in Adults
      • Emotional Overreactions in Adults
      • Trauma-Related Emotional Flashbacks
      • Hopelessness in Adults
      • Difficulty Expressing Emotions
      • Anhedonia in Adults
      • Chronic Dissatisfaction
      • Excessive Self-Criticism in Adults
      • Hypomania Symptoms in Adults
      • Avoiding Responsibilities in Adults
      • Self-Isolation After Arguments in Adults
    • Social & Interpersonal Difficulties in Adults
      • Social Withdrawal in Adults
      • Jealousy & Insecurity in Adults
      • Controlling Behavior in Adults
      • Approval-Seeking Behavior in Adults
      • Trouble Trusting Others in Adults
      • Conflict Avoidance in Adults
      • Fear of Abandonment in Adults
      • People-Pleasing Behavior in Adults
      • Codependency in Adults
      • Fear of Rejection in Adults
      • Overcompensating in Adult Relationships
      • Social Comparison in Adults
      • Oversharing in Adults
      • Over-Apologizing in Adults
      • Avoiding Eye Contact in Adults
      • Distrust of Authority in Adults
      • Fear of Intimacy in Adults
      • Refusal to Ask for Help in Adulthood
      • Feeling Like a Burden in Adulthood
    • Physical & Stress-Related Symptoms in Adults
      • Skin Picking in Adults
      • Heart Palpitations & Anxiety in Adults
      • Nausea from Stress or Anxiety
      • Headaches Related to Stress & Anxiety in Adults
      • Chronic Fatigue in Adults
      • Panic Attacks in Adults
      • Stress & Emotional Eating in Adults
      • Loss of Appetite in Adults
      • Hypervigilance in Adults
      • Muscle Tension & Trembling in Adults
      • Dizziness Under Stress
      • Stress-Related Urination
      • Shifts in Sexual Desire in Adults
      • Stress-Induced Sweating
      • Restlessness & Anxiety
      • Bruxism in Adults
      • Low Immunity in Adults
      • Paresthesia Related to Stress
      • Nervous Fidgeting in Adults
  • Our Approaches
    • Cognitive Behavioral Therapy (CBT)
    • Trauma-Focused Therapy
    • Online Talk Therapy
    • Exposure Therapy for Anxiety
    • Mindfulness Therapy
    • Humanistic Therapy
    • Dialectical Behavior Therapy (DBT)
    • EMDR Therapy
    • Emotion-Focused Therapy
    • Transcranial Magnetic Stimulation (TMS)
    • Telehealth for Mental Health
      • How to Prepare for Your First Teletherapy Appointment
      • Technology Barriers in Telehealth Treatment
      • How Effective Is Teletherapy for Severe Mental Illness?
      • How to Get a Psychiatric Evaluation Online
    • Somatic Therapy for PTSD & Anxiety
    • Narrative Therapy for Trauma Recovery
    • Internal Family Systems Therapy
    • Art Therapy for Emotional Expression
    • Mindfulness-Based Cognitive Therapy
    • Acceptance and Commitment Therapy
    • Psychodynamic Therapy
  • Cost
    • Payment Options
    • Using Insurance to Cover Mental Health Treatment
      • Aetna
      • Blue Cross Blue Shield
      • Cigna
      • ComPsych
      • Employers Health Network (EHN)
      • First Health Network
      • Halcyon
      • HMC HealthWorks
      • Magellan
      • Kaiser
      • Optum
      • UMR
  • Our Facilities
    • California
      • San Juan Capistrano – CA
    • Virginia
      • Arlington – VA
      • Falls Church – VA
    • Washington
      • Green Lake – WA
      • Bellevue – WA
  • Resources
    • Blog
    • Mental Health Assessments
    • Downloadable PDF’s
      • Teen Outpatient Programs
      • Adult Outpatient Programs
    • Your Legal Rights in Mental Health Treatment
      • Virginia: Emergency Custody Orders and Temporary Detention Orders
      • Washington Crisis Intervention, Court-Ordered Treatment, and Patient Rights
      • California: Involuntary Commitment, Psychiatric Holds, and Legal Protections
      • Community Treatment Orders (CTOs)
      • Confidentiality in Telehealth: Is Virtual Therapy Secure?
      • Patient Confidentiality: HIPAA and Mental Health Treatment
      • The Role of Case Managers in Virtual Mental Health Programs
      • Employment Law and Mental Health: Your Rights in the Workplace
      • Your Rights in Psychiatric Hospitalization
      • Can Employers Discriminate Based on Mental Health?
      • Parental Mental Health and Custody Battles
      • Clinical Negligence in Mental Health
    • How to Approach a Loved One About Mental Health Treatment
      • When Someone Refuses Help: Resistance to Treatment
      • Panic Attack Intervention Tips for Adults
      • Helping Adults in Abusive Relationships
      • PTSD Interventions for Adults
      • How to Recognize Psychosis in Adults
      • Helping Adults With Severe Depression
    • Family Guide: Joining the Treatment Process
      • Crisis Situations: How to Support a Loved One
      • Setting Boundaries With Someone Having Treatment
      • Supporting Your Spouse With Severe Mental Illness
      • What to Say to Someone in a Mental Health Crisis
      • Talking to Children About a Parent’s Mental Health Condition
      • Financial Planning for Mental Health Treatment
      • Recognizing Co-Dependency: When Support Becomes Enabling
      • Encouraging a Loved One to Stay in Therapy
      • How to Support a Veteran Struggling With Mental Health
    • Innovative Treatments in Mental Health Care
      • What Is Neurofeedback Therapy?
      • What Is Transcranial Magnetic Stimulation? And Does It Work?
    • Resources for Professionals
      • Building a Mental Health Action Plan for Your Workplace
      • Human Resource’s Role in Workplace Mental Health
      • Supporting Employees After Mental Health Leave: Creating a Reentry Plan
      • How Leaders Can Promote Mental Well-Being in the Workplace
      • Supporting Mental Health in High-Stress Professions
      • Mental Health Breakdown at Work
    • Referrals: Confidentiality and Mental Health Referrals
      • Case Workers: Referring Clients for Residential or Outpatient Care
      • How to Refer a Client for Psychiatric Evaluation
      • Coordinating Care in Mental Health Treatment
      • How to Talk to Your Employer About Extended Leave for Mental Health
      • Court-Appointed Mental Health Treatment Referrals
      • Mental Health Referrals From Crisis Hotlines
      • Mental Health Referrals From First Responders
      • Mental Health Referrals From Social Workers
      • Mental Health Referrals From Lawyers
      • Mental Health Referrals From Insurance Case Managers
      • Hospital Mental Health Referrals
      • Mental Health Referrals From Therapists
      • Mental Health Referrals From Probation Officers
      • Mental Health Referrals From Universities
      • Mental Health Referrals From Urgent Psychiatric Care
      • Mental Health Referrals From Interventionists
      • Mental Health Referrals From Pastoral Care
      • Mental Health Referral From Life Coaches
      • Mental Health Referrals From Disability Services
      • Mental Health Referrals From Domestic Violence Centers
      • Employee Assistance Program Mental Health Referrals
      • Mental Health Referrals From Urgent Care Clinics
      • VA Mental Health Referrals: Veteran Affairs Therapy Programs
      • Mental Health Referrals From MAT Physicians
      • Mental Health Referrals From Primary Care Doctors
      • Mental Health Referrals From Child Protective Services
      • Community Mental Health Referrals: From Referral to Recovery
    • Self-Help: How to Build a Self-Care Routine for Mental Wellness
      • Exercise and Mental Health
      • Journaling for Mental Health
      • Grounding Techniques for Anxiety and Panic Attacks
      • Cognitive Behavioral Therapy Techniques You Can Try at Home
      • Mindfulness and Meditation for Stress Reduction
    • Preparing for Mental Health Treatment: Types of Treatment Plans
      • Graduating from an Outpatient Program: Creating a Long-Term Mental Health Plan
      • When to Step Down From PHP to IOP
      • Partial Hospitalization Programs vs. Intensive Outpatient Programs
      • Benefits of Combining Telehealth with In-Person Outpatient Treatment
      • Signs You May Need a Higher Level of Care
      • How to Transition from Inpatient to Outpatient Care: A Step-By-Step Guide
      • How to Set Mental Health Goals During Treatment
    • Mental Health Assessment and Diagnosis for Adults
      • Psychological Testing
      • Personality Assessments
      • Cognitive Assessments
    • Antidepressants: What They Are and How They Work
      • Selective Serotonin Reuptake Inhibitors (SSRIs)
      • Fluoxetine: How Prozac Works and What It Treats
      • Sertraline (Zoloft): What Is Sertraline Used For and How Does It Work?
      • Citalopram: How Celexa Works
      • What Is Escitalopram?
      • What Is Paroxetine?
      • Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
      • Effexor XR in Mental Health Treatment
      • Cymbalta: What Is Duloxetine?
      • Desvenlafaxine for Mental Health Treatment
      • Tricyclic Antidepressants for Adult Mental Health
      • Wellbutrin in Mental health
      • Mirtazapine (Remeron) in Mental Health Treatment
      • Trazodone for Mental Health Treatment
    • Antipsychotic Medications for Adults
      • What Are Second-Generation Antipsychotics?
      • Risperidone (Risperdal) for Mental Health
      • What Is Quetiapine (Seroquel) Used For?
      • What Is Zyprexa? Olanzapine’s Uses, Benefits, and Side Effects
      • What Is Aripiprazole (Abilify) Used for in Mental Health?
      • Lurasidone and Mental Health
      • What Is Clozapine and What Does It Treat?
      • Typical Antipsychotics for Mental Health
    • Mood Stabilizers For Adults
      • Lithium for Adult Mental Health: What Is Lithium Used For?
      • Depakote for Mental Health
      • Treating Mental Health Issues With Lamotrigine (Lamictal)
      • Carbamazepine for Mental Health
    • Anti-Anxiety Medications for Adults
      • What Are Benzodiazepines and How Do They Work?
      • Lorazepam for Mental Health
      • Clonazepam (Klonopin): What Is Klonopin?
      • Valium for Mental Health
      • What Is Xanax?
    • Stimulants for Mental Health
      • Adderall for Mental Health
      • The Complete Guide to Vyvanse
      • Ritalin for ADHD
      • Concerta for Adults
    • Sleep Aids for Adults
      • Trazodone for Sleep
      • Benefits and Side Effects of Temazepam (Restoril)
      • Zolpidem (Ambien) for Adults
      • Eszopiclone (Lunesta) for Insomnia
    • Mental Health Conditions in Veterans
      • How to File a VA Claim for Mental Health Conditions
      • Post-Traumatic Stress Disorder (PTSD) in Veterans
      • Traumatic Brain Injury and Mental Health in Veterans
      • Military Sexual Trauma (MST) in Veterans
      • Veterans with Co-Occurring Disorders
      • Veterans and Anxiety Disorders
      • Veterans and Depression
      • Veteran Suicide Prevention
      • Transitioning to Civilian Life
      • The Role of Peer Support Groups for Veteran Mental Health
      • Top Evidence-Based Therapies for Veterans
        • CBT for PTSD in Veterans
        • EMDR Therapy for Trauma and PTSD in Veterans
        • Group Therapy for Veterans
      • Telehealth Therapy for Veterans
      • Holistic Mental Health Treatments for Veterans
      • Anger and Irritability in Veterans
    • Guide to Perinatal Mental Health
      • Are Antidepressants Safe During Pregnancy?
      • Baby Blues vs Postpartum Depression
      • Cognitive Behavioral Therapy for Postpartum Depression and Anxiety
      • Holistic Approaches to Mental Health During Pregnancy
      • Dealing With Isolation and Loneliness in Pregnancy
      • OB-GYN Referrals for Perinatal Mental Health Care
      • How Partners Can Support Perinatal Mental Health
      • Early Warning Signs of Perinatal Anxiety in Expecting Mothers
      • How to Recognize Perinatal Bipolar Disorder During Pregnancy
      • What Is Perinatal Depression? Causes, Signs, and Treatment
      • Perinatal OCD: When Intrusive Thoughts Become Distressing
      • What Is Postpartum Anxiety?
      • Postpartum Psychosis: Symptoms and Emergency Support
      • Anger and Irritability During Pregnancy
      • Pre-Existing Mental Health Disorders and Pregnancy
      • Can You Have PTSD After Childbirth?
      • Risk Factors for Mental Illness During Pregnancy
      • Screening Tools for Perinatal Mental Health
      • Self-Care Tips for Managing Perinatal Depression
      • Finding Support Groups for Pregnant Women With Depression
      • Talking to Your OB-GYN About Mental Health
      • Mental Health in Teen Pregnancy: What to Know
      • Best Therapy Options for Perinatal Mental Health
    • Understanding Anxiety: Triggers, Warning Signs, and Long-Term Effects
      • Top Breathwork and Grounding Techniques for Immediate Anxiety Relief
      • Daily Anxiety Journal Template
      • What Is High Functioning Anxiety?
      • Somatic Experiencing for Anxiety
    • Adult Attachment Disorder
      • Anxious Attachment Style in Adults
      • Avoidant Attachment Style in Adults
      • Codependency: Signs and Causes of Codependent Relationships
      • Complex PTSD and Attachment Issues
      • Disinhibited Social Engagement Disorder (DSED)
      • Disorganized Attachment in Adults
      • Secure Attachment in Relationships
      • Reactive Attachment Disorder (RAD)
      • Adult Attachment Interventions
      • Attachment Styles and Perfectionism
      • Attachment Styles in the Workplace
      • Raising Securely Attached Kids
      • Avoidant Attachment and Ghosting
      • Limerence Attachment
      • Synchrony in Infant Development
      • C-PTSD and Dismissive Avoidance: Attachment Trauma
      • Abandonment and Attachment Issues
      • Family Enmeshment
      • How to Heal Attachment Styles
      • Institutional Care and Attachment Issues
      • The Attachment Internal Working Model Explained
      • Dating Someone With Avoidant Attachment
      • Dating a Fearful Avoidant Partner
      • Developmental Disorders and Attachment Trauma
      • Attachment Problems in Relationships
      • Eating Disorders and Attachment Trauma
      • Therapeutic Alliance
      • Dismissive Avoidant vs. Fearful Avoidant Attachment
      • Early Maladaptive Schemas in Attachment Theory
      • Insecure Attachment Style in Relationships
    • What Is Borderline Personality Disorder (BPD)?
      • Borderline Personality Disorder vs. Bipolar Disorder
      • What Causes BPD?
      • How Borderline Personality Disorder Affects Relationships
      • Best Treatment Options for Borderline Personality Disorder
      • Types of Borderline Personality Disorder
    • What Is Horticultural Therapy?
      • Horticultural Therapy for Depression and Anxiety
      • Designing a Horticultural Therapy Space
      • Therapeutic Gardening Activities for Groups
      • Using Nature-Based Mindfulness for Stress Reduction
      • Horticultural Therapy for Trauma Recovery
    • What Is a Mental Breakdown?
      • Top Causes of Mental Breakdowns
      • Coping With Post-Breakdown Shame and Self-Loss
      • How to Prevent a Nervous Breakdown
      • Physical Signs of a Mental Breakdown
      • Men and Nervous Breakdowns
      • Mental Breakdown Recovery Guide
      • Religious and Existential Mental Breakdowns
      • How Sleep Deprivation Can Trigger a Mental Breakdown
      • When to Seek Professional Help for a Mental Breakdown
      • Mental Breakdown Triggers in Women
  • About
    • Our Clinical Foundation
    • In The Press
    • Meet The Team
    • Client Outcomes 2024
  • Our Treatments
    • Teen Online Therapy
    • Trauma Treatment
      • Treatment for Trauma and Abuse
      • Childhood Trauma
      • Emotional Abuse
      • Domestic Abuse
      • Sexual Abuse
      • Psychological Trauma
      • Physical Abuse
    • Depression Treatment
      • What Is Depression?
        • Depression in Women
        • Depression in Men
        • Depression in Teens
        • Depression in Older Adults
        • Signs and Symptoms of Depression
        • Causes of Depression
        • Types of Depression
        • Major Depressive Disorder
        • Persistent Depressive Disorder
        • Prenatal and Postpartum Depression
        • Treatment-Resistant Depression
      • Depression and Co-Occurring Mental Health Conditions
        • Depression and PTSD
        • Depression vs. Anxiety
        • Trauma and Depression
      • The Best Treatment Options for Depression
        • Therapy for Depression
        • Medication for Depression
        • Online Therapy for Depression
        • Exercise for Depression
        • Holistic Approaches to Treating Depression
        • 10 Self-Care Tips for Managing Depression
      • How to Support Loved Ones With Depression
      • How Does Depression Differ Between Populations?
      • Depression Relapse Prevention
    • Bipolar Treatment
      • Bipolar I Disorder
      • Bipolar II Treatment
      • Cyclothymic Disorder (Cyclothymia)
      • What Is Rapid Cycling Bipolar Disorder?
    • Anxiety Treatment
      • Panic Disorder & Panic Attacks
      • Social Anxiety Disorder
      • Generalized Anxiety Disorder
    •  ADHD
    • Schizophrenia Treatment
    • Psychosis
    • Self-Harm
      • Suicidal Thoughts
    • Anger Treatment
      • Anger Management Issues
      • Anger Management Issues in Relationships
      • Road Rage in Adults
      • Workplace Anger
      • Chronic Anger Issues
      • Conduct Disorder
      • Rage Disorder
      • Oppositional Defiant Disorder
      • Intermittent Explosive Disorder
      • Displaced Anger
      • Suppressed Anger
      • Passive-Aggressive Behavior
    • Outpatient Mental Health Treatment for Pregnant Women
    • Outpatient Mental Health Treatment for Veterans
  • Mental Health
    • Obsessive Compulsive Disorder
      • OCD Symptoms
      • Obsessive-Compulsive Disorder Risk Factors
      • OCD Exposure Therapy
      • Living With OCD: OCD Coping Strategies and Support
    • Seasonal Affective Disorder
      • Seasonal Depression Relief: SAD Coping Strategies
      • Seasonal Depression Treatment
    • Somatic Symptom Disorder
      • Somatic Symptom Disorder vs Conversion Disorder
      • Somatic Symptom Disorder Symptoms
      • Causes of Somatic Symptom Disorder
      • Treatment Approaches for Somatic Symptom Disorder
      • Coping With Somatic Symptom Disorder
    • Eating Disorders
      • Anorexia Nervosa
      • Bulimia Nervosa
      • Eating Disorder Symptoms
      • Binge Eating Disorder
    • Psychosomatic Disorders
      • Psychotherapy for Psychosomatic Disorders
      • Medication Management in Psychosomatic Disorders
      • Living With Psychosomatic Disorders
      • Psychosomatic Disorder Treatment Programs
      • Mind-Body Therapies in Psychosomatic Disorder Treatment
    • Adjustment Disorders
      • Adjustment Disorder Coping Strategies
      • Adjustment Disorder Treatment
      • Types of Adjustment Disorders and Support Options
    • Dissociative Identity Disorder
      • Symptoms of Dissociative Identity Disorder
      • Treatment Approaches for Dissociative Identity Disorder
      • Causes & Risk Factors of Dissociative Identity Disorder
      • DID Co-Occurring Disorders
    • Narcissistic Personality Disorder
      • Causes of Narcissistic Personality Disorder
      • Narcissistic Personality Disorder Symptoms
      • Narcissistic Personality Disorder Impact on Relationships
    • Sleep Problems in Adults
      • Insomnia in Adults
      • Nightmares in Adults
      • Sleep Paralysis in Adults
      • Oversleeping & Hypersomnia in Adults
      • Restlessness in Adults
      • Nighttime Anxiety
      • Parasomnias in Adults
      • Daytime Fatigue & Low Energy in Adults
      • Sleep Disruption in Adults
    • Thought-Related & Cognitive Symptoms in Adults
      • Racing Thoughts in Adults
      • Memory Problems & Brain Fog in Adults
      • Dissociation in Adults
      • Intrusive Thoughts in Adults
      • Indecisiveness in Adults
      • Disorientation & Confused Thinking in Adults
      • Overthinking & Rumination in Adults
      • Stress-Induced Forgetfulness
      • Processing Difficulties
      • False Memories
      • Disturbing Mental Imagery
      • Loss of Objectivity
      • Compromised Judgment Under Stress
      • Black and White Thinking
      • Compulsive Mental Checking in Adults
      • Catastrophic Thinking in Adults
      • Interruptions in Thought Processes
      • Paranoid Thoughts in Adults
      • Distorted Sense of Time in Adults
    • Emotional & Behavioral Symptoms in Adults
      • Mood Swings in Adults
      • Irritability in Adults
      • Crying Spells in Adults
      • Self-Destructive Behavior in Adults
      • Emotional Numbness in Adults
      • Impulsivity in Adults
      • Perfectionism in Adults
      • Excessive Guilt & Shame in Adults
      • Emotional Overreactions in Adults
      • Trauma-Related Emotional Flashbacks
      • Hopelessness in Adults
      • Difficulty Expressing Emotions
      • Anhedonia in Adults
      • Chronic Dissatisfaction
      • Excessive Self-Criticism in Adults
      • Hypomania Symptoms in Adults
      • Avoiding Responsibilities in Adults
      • Self-Isolation After Arguments in Adults
    • Social & Interpersonal Difficulties in Adults
      • Social Withdrawal in Adults
      • Jealousy & Insecurity in Adults
      • Controlling Behavior in Adults
      • Approval-Seeking Behavior in Adults
      • Trouble Trusting Others in Adults
      • Conflict Avoidance in Adults
      • Fear of Abandonment in Adults
      • People-Pleasing Behavior in Adults
      • Codependency in Adults
      • Fear of Rejection in Adults
      • Overcompensating in Adult Relationships
      • Social Comparison in Adults
      • Oversharing in Adults
      • Over-Apologizing in Adults
      • Avoiding Eye Contact in Adults
      • Distrust of Authority in Adults
      • Fear of Intimacy in Adults
      • Refusal to Ask for Help in Adulthood
      • Feeling Like a Burden in Adulthood
    • Physical & Stress-Related Symptoms in Adults
      • Skin Picking in Adults
      • Heart Palpitations & Anxiety in Adults
      • Nausea from Stress or Anxiety
      • Headaches Related to Stress & Anxiety in Adults
      • Chronic Fatigue in Adults
      • Panic Attacks in Adults
      • Stress & Emotional Eating in Adults
      • Loss of Appetite in Adults
      • Hypervigilance in Adults
      • Muscle Tension & Trembling in Adults
      • Dizziness Under Stress
      • Stress-Related Urination
      • Shifts in Sexual Desire in Adults
      • Stress-Induced Sweating
      • Restlessness & Anxiety
      • Bruxism in Adults
      • Low Immunity in Adults
      • Paresthesia Related to Stress
      • Nervous Fidgeting in Adults
  • Our Approaches
    • Cognitive Behavioral Therapy (CBT)
    • Trauma-Focused Therapy
    • Online Talk Therapy
    • Exposure Therapy for Anxiety
    • Mindfulness Therapy
    • Humanistic Therapy
    • Dialectical Behavior Therapy (DBT)
    • EMDR Therapy
    • Emotion-Focused Therapy
    • Transcranial Magnetic Stimulation (TMS)
    • Telehealth for Mental Health
      • How to Prepare for Your First Teletherapy Appointment
      • Technology Barriers in Telehealth Treatment
      • How Effective Is Teletherapy for Severe Mental Illness?
      • How to Get a Psychiatric Evaluation Online
    • Somatic Therapy for PTSD & Anxiety
    • Narrative Therapy for Trauma Recovery
    • Internal Family Systems Therapy
    • Art Therapy for Emotional Expression
    • Mindfulness-Based Cognitive Therapy
    • Acceptance and Commitment Therapy
    • Psychodynamic Therapy
  • Cost
    • Payment Options
    • Using Insurance to Cover Mental Health Treatment
      • Aetna
      • Blue Cross Blue Shield
      • Cigna
      • ComPsych
      • Employers Health Network (EHN)
      • First Health Network
      • Halcyon
      • HMC HealthWorks
      • Magellan
      • Kaiser
      • Optum
      • UMR
  • Our Facilities
    • California
      • San Juan Capistrano – CA
    • Virginia
      • Arlington – VA
      • Falls Church – VA
    • Washington
      • Green Lake – WA
      • Bellevue – WA
  • Resources
    • Blog
    • Mental Health Assessments
    • Downloadable PDF’s
      • Teen Outpatient Programs
      • Adult Outpatient Programs
    • Your Legal Rights in Mental Health Treatment
      • Virginia: Emergency Custody Orders and Temporary Detention Orders
      • Washington Crisis Intervention, Court-Ordered Treatment, and Patient Rights
      • California: Involuntary Commitment, Psychiatric Holds, and Legal Protections
      • Community Treatment Orders (CTOs)
      • Confidentiality in Telehealth: Is Virtual Therapy Secure?
      • Patient Confidentiality: HIPAA and Mental Health Treatment
      • The Role of Case Managers in Virtual Mental Health Programs
      • Employment Law and Mental Health: Your Rights in the Workplace
      • Your Rights in Psychiatric Hospitalization
      • Can Employers Discriminate Based on Mental Health?
      • Parental Mental Health and Custody Battles
      • Clinical Negligence in Mental Health
    • How to Approach a Loved One About Mental Health Treatment
      • When Someone Refuses Help: Resistance to Treatment
      • Panic Attack Intervention Tips for Adults
      • Helping Adults in Abusive Relationships
      • PTSD Interventions for Adults
      • How to Recognize Psychosis in Adults
      • Helping Adults With Severe Depression
    • Family Guide: Joining the Treatment Process
      • Crisis Situations: How to Support a Loved One
      • Setting Boundaries With Someone Having Treatment
      • Supporting Your Spouse With Severe Mental Illness
      • What to Say to Someone in a Mental Health Crisis
      • Talking to Children About a Parent’s Mental Health Condition
      • Financial Planning for Mental Health Treatment
      • Recognizing Co-Dependency: When Support Becomes Enabling
      • Encouraging a Loved One to Stay in Therapy
      • How to Support a Veteran Struggling With Mental Health
    • Innovative Treatments in Mental Health Care
      • What Is Neurofeedback Therapy?
      • What Is Transcranial Magnetic Stimulation? And Does It Work?
    • Resources for Professionals
      • Building a Mental Health Action Plan for Your Workplace
      • Human Resource’s Role in Workplace Mental Health
      • Supporting Employees After Mental Health Leave: Creating a Reentry Plan
      • How Leaders Can Promote Mental Well-Being in the Workplace
      • Supporting Mental Health in High-Stress Professions
      • Mental Health Breakdown at Work
    • Referrals: Confidentiality and Mental Health Referrals
      • Case Workers: Referring Clients for Residential or Outpatient Care
      • How to Refer a Client for Psychiatric Evaluation
      • Coordinating Care in Mental Health Treatment
      • How to Talk to Your Employer About Extended Leave for Mental Health
      • Court-Appointed Mental Health Treatment Referrals
      • Mental Health Referrals From Crisis Hotlines
      • Mental Health Referrals From First Responders
      • Mental Health Referrals From Social Workers
      • Mental Health Referrals From Lawyers
      • Mental Health Referrals From Insurance Case Managers
      • Hospital Mental Health Referrals
      • Mental Health Referrals From Therapists
      • Mental Health Referrals From Probation Officers
      • Mental Health Referrals From Universities
      • Mental Health Referrals From Urgent Psychiatric Care
      • Mental Health Referrals From Interventionists
      • Mental Health Referrals From Pastoral Care
      • Mental Health Referral From Life Coaches
      • Mental Health Referrals From Disability Services
      • Mental Health Referrals From Domestic Violence Centers
      • Employee Assistance Program Mental Health Referrals
      • Mental Health Referrals From Urgent Care Clinics
      • VA Mental Health Referrals: Veteran Affairs Therapy Programs
      • Mental Health Referrals From MAT Physicians
      • Mental Health Referrals From Primary Care Doctors
      • Mental Health Referrals From Child Protective Services
      • Community Mental Health Referrals: From Referral to Recovery
    • Self-Help: How to Build a Self-Care Routine for Mental Wellness
      • Exercise and Mental Health
      • Journaling for Mental Health
      • Grounding Techniques for Anxiety and Panic Attacks
      • Cognitive Behavioral Therapy Techniques You Can Try at Home
      • Mindfulness and Meditation for Stress Reduction
    • Preparing for Mental Health Treatment: Types of Treatment Plans
      • Graduating from an Outpatient Program: Creating a Long-Term Mental Health Plan
      • When to Step Down From PHP to IOP
      • Partial Hospitalization Programs vs. Intensive Outpatient Programs
      • Benefits of Combining Telehealth with In-Person Outpatient Treatment
      • Signs You May Need a Higher Level of Care
      • How to Transition from Inpatient to Outpatient Care: A Step-By-Step Guide
      • How to Set Mental Health Goals During Treatment
    • Mental Health Assessment and Diagnosis for Adults
      • Psychological Testing
      • Personality Assessments
      • Cognitive Assessments
    • Antidepressants: What They Are and How They Work
      • Selective Serotonin Reuptake Inhibitors (SSRIs)
      • Fluoxetine: How Prozac Works and What It Treats
      • Sertraline (Zoloft): What Is Sertraline Used For and How Does It Work?
      • Citalopram: How Celexa Works
      • What Is Escitalopram?
      • What Is Paroxetine?
      • Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
      • Effexor XR in Mental Health Treatment
      • Cymbalta: What Is Duloxetine?
      • Desvenlafaxine for Mental Health Treatment
      • Tricyclic Antidepressants for Adult Mental Health
      • Wellbutrin in Mental health
      • Mirtazapine (Remeron) in Mental Health Treatment
      • Trazodone for Mental Health Treatment
    • Antipsychotic Medications for Adults
      • What Are Second-Generation Antipsychotics?
      • Risperidone (Risperdal) for Mental Health
      • What Is Quetiapine (Seroquel) Used For?
      • What Is Zyprexa? Olanzapine’s Uses, Benefits, and Side Effects
      • What Is Aripiprazole (Abilify) Used for in Mental Health?
      • Lurasidone and Mental Health
      • What Is Clozapine and What Does It Treat?
      • Typical Antipsychotics for Mental Health
    • Mood Stabilizers For Adults
      • Lithium for Adult Mental Health: What Is Lithium Used For?
      • Depakote for Mental Health
      • Treating Mental Health Issues With Lamotrigine (Lamictal)
      • Carbamazepine for Mental Health
    • Anti-Anxiety Medications for Adults
      • What Are Benzodiazepines and How Do They Work?
      • Lorazepam for Mental Health
      • Clonazepam (Klonopin): What Is Klonopin?
      • Valium for Mental Health
      • What Is Xanax?
    • Stimulants for Mental Health
      • Adderall for Mental Health
      • The Complete Guide to Vyvanse
      • Ritalin for ADHD
      • Concerta for Adults
    • Sleep Aids for Adults
      • Trazodone for Sleep
      • Benefits and Side Effects of Temazepam (Restoril)
      • Zolpidem (Ambien) for Adults
      • Eszopiclone (Lunesta) for Insomnia
    • Mental Health Conditions in Veterans
      • How to File a VA Claim for Mental Health Conditions
      • Post-Traumatic Stress Disorder (PTSD) in Veterans
      • Traumatic Brain Injury and Mental Health in Veterans
      • Military Sexual Trauma (MST) in Veterans
      • Veterans with Co-Occurring Disorders
      • Veterans and Anxiety Disorders
      • Veterans and Depression
      • Veteran Suicide Prevention
      • Transitioning to Civilian Life
      • The Role of Peer Support Groups for Veteran Mental Health
      • Top Evidence-Based Therapies for Veterans
        • CBT for PTSD in Veterans
        • EMDR Therapy for Trauma and PTSD in Veterans
        • Group Therapy for Veterans
      • Telehealth Therapy for Veterans
      • Holistic Mental Health Treatments for Veterans
      • Anger and Irritability in Veterans
    • Guide to Perinatal Mental Health
      • Are Antidepressants Safe During Pregnancy?
      • Baby Blues vs Postpartum Depression
      • Cognitive Behavioral Therapy for Postpartum Depression and Anxiety
      • Holistic Approaches to Mental Health During Pregnancy
      • Dealing With Isolation and Loneliness in Pregnancy
      • OB-GYN Referrals for Perinatal Mental Health Care
      • How Partners Can Support Perinatal Mental Health
      • Early Warning Signs of Perinatal Anxiety in Expecting Mothers
      • How to Recognize Perinatal Bipolar Disorder During Pregnancy
      • What Is Perinatal Depression? Causes, Signs, and Treatment
      • Perinatal OCD: When Intrusive Thoughts Become Distressing
      • What Is Postpartum Anxiety?
      • Postpartum Psychosis: Symptoms and Emergency Support
      • Anger and Irritability During Pregnancy
      • Pre-Existing Mental Health Disorders and Pregnancy
      • Can You Have PTSD After Childbirth?
      • Risk Factors for Mental Illness During Pregnancy
      • Screening Tools for Perinatal Mental Health
      • Self-Care Tips for Managing Perinatal Depression
      • Finding Support Groups for Pregnant Women With Depression
      • Talking to Your OB-GYN About Mental Health
      • Mental Health in Teen Pregnancy: What to Know
      • Best Therapy Options for Perinatal Mental Health
    • Understanding Anxiety: Triggers, Warning Signs, and Long-Term Effects
      • Top Breathwork and Grounding Techniques for Immediate Anxiety Relief
      • Daily Anxiety Journal Template
      • What Is High Functioning Anxiety?
      • Somatic Experiencing for Anxiety
    • Adult Attachment Disorder
      • Anxious Attachment Style in Adults
      • Avoidant Attachment Style in Adults
      • Codependency: Signs and Causes of Codependent Relationships
      • Complex PTSD and Attachment Issues
      • Disinhibited Social Engagement Disorder (DSED)
      • Disorganized Attachment in Adults
      • Secure Attachment in Relationships
      • Reactive Attachment Disorder (RAD)
      • Adult Attachment Interventions
      • Attachment Styles and Perfectionism
      • Attachment Styles in the Workplace
      • Raising Securely Attached Kids
      • Avoidant Attachment and Ghosting
      • Limerence Attachment
      • Synchrony in Infant Development
      • C-PTSD and Dismissive Avoidance: Attachment Trauma
      • Abandonment and Attachment Issues
      • Family Enmeshment
      • How to Heal Attachment Styles
      • Institutional Care and Attachment Issues
      • The Attachment Internal Working Model Explained
      • Dating Someone With Avoidant Attachment
      • Dating a Fearful Avoidant Partner
      • Developmental Disorders and Attachment Trauma
      • Attachment Problems in Relationships
      • Eating Disorders and Attachment Trauma
      • Therapeutic Alliance
      • Dismissive Avoidant vs. Fearful Avoidant Attachment
      • Early Maladaptive Schemas in Attachment Theory
      • Insecure Attachment Style in Relationships
    • What Is Borderline Personality Disorder (BPD)?
      • Borderline Personality Disorder vs. Bipolar Disorder
      • What Causes BPD?
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      • Mental Breakdown Recovery Guide
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      • How Sleep Deprivation Can Trigger a Mental Breakdown
      • When to Seek Professional Help for a Mental Breakdown
      • Mental Breakdown Triggers in Women
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      • What Is Depression?
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    • Obsessive Compulsive Disorder
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      • Somatic Symptom Disorder vs Conversion Disorder
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      • Symptoms of Dissociative Identity Disorder
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      • Causes & Risk Factors of Dissociative Identity Disorder
      • DID Co-Occurring Disorders
    • Narcissistic Personality Disorder
      • Causes of Narcissistic Personality Disorder
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    • Sleep Problems in Adults
      • Insomnia in Adults
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    • Thought-Related & Cognitive Symptoms in Adults
      • Racing Thoughts in Adults
      • Memory Problems & Brain Fog in Adults
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      • Intrusive Thoughts in Adults
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      • Disorientation & Confused Thinking in Adults
      • Overthinking & Rumination in Adults
      • Stress-Induced Forgetfulness
      • Processing Difficulties
      • False Memories
      • Disturbing Mental Imagery
      • Loss of Objectivity
      • Compromised Judgment Under Stress
      • Black and White Thinking
      • Compulsive Mental Checking in Adults
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      • Interruptions in Thought Processes
      • Paranoid Thoughts in Adults
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    • Emotional & Behavioral Symptoms in Adults
      • Mood Swings in Adults
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      • Crying Spells in Adults
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      • Excessive Guilt & Shame in Adults
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      • Trauma-Related Emotional Flashbacks
      • Hopelessness in Adults
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      • Anhedonia in Adults
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      • Excessive Self-Criticism in Adults
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      • Avoiding Responsibilities in Adults
      • Self-Isolation After Arguments in Adults
    • Social & Interpersonal Difficulties in Adults
      • Social Withdrawal in Adults
      • Jealousy & Insecurity in Adults
      • Controlling Behavior in Adults
      • Approval-Seeking Behavior in Adults
      • Trouble Trusting Others in Adults
      • Conflict Avoidance in Adults
      • Fear of Abandonment in Adults
      • People-Pleasing Behavior in Adults
      • Codependency in Adults
      • Fear of Rejection in Adults
      • Overcompensating in Adult Relationships
      • Social Comparison in Adults
      • Oversharing in Adults
      • Over-Apologizing in Adults
      • Avoiding Eye Contact in Adults
      • Distrust of Authority in Adults
      • Fear of Intimacy in Adults
      • Refusal to Ask for Help in Adulthood
      • Feeling Like a Burden in Adulthood
    • Physical & Stress-Related Symptoms in Adults
      • Skin Picking in Adults
      • Heart Palpitations & Anxiety in Adults
      • Nausea from Stress or Anxiety
      • Headaches Related to Stress & Anxiety in Adults
      • Chronic Fatigue in Adults
      • Panic Attacks in Adults
      • Stress & Emotional Eating in Adults
      • Loss of Appetite in Adults
      • Hypervigilance in Adults
      • Muscle Tension & Trembling in Adults
      • Dizziness Under Stress
      • Stress-Related Urination
      • Shifts in Sexual Desire in Adults
      • Stress-Induced Sweating
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      • Low Immunity in Adults
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  • Our Approaches
    • Cognitive Behavioral Therapy (CBT)
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    • EMDR Therapy
    • Emotion-Focused Therapy
    • Transcranial Magnetic Stimulation (TMS)
    • Telehealth for Mental Health
      • How to Prepare for Your First Teletherapy Appointment
      • Technology Barriers in Telehealth Treatment
      • How Effective Is Teletherapy for Severe Mental Illness?
      • How to Get a Psychiatric Evaluation Online
    • Somatic Therapy for PTSD & Anxiety
    • Narrative Therapy for Trauma Recovery
    • Internal Family Systems Therapy
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    • Your Legal Rights in Mental Health Treatment
      • Virginia: Emergency Custody Orders and Temporary Detention Orders
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      • Community Treatment Orders (CTOs)
      • Confidentiality in Telehealth: Is Virtual Therapy Secure?
      • Patient Confidentiality: HIPAA and Mental Health Treatment
      • The Role of Case Managers in Virtual Mental Health Programs
      • Employment Law and Mental Health: Your Rights in the Workplace
      • Your Rights in Psychiatric Hospitalization
      • Can Employers Discriminate Based on Mental Health?
      • Parental Mental Health and Custody Battles
      • Clinical Negligence in Mental Health
    • How to Approach a Loved One About Mental Health Treatment
      • When Someone Refuses Help: Resistance to Treatment
      • Panic Attack Intervention Tips for Adults
      • Helping Adults in Abusive Relationships
      • PTSD Interventions for Adults
      • How to Recognize Psychosis in Adults
      • Helping Adults With Severe Depression
    • Family Guide: Joining the Treatment Process
      • Crisis Situations: How to Support a Loved One
      • Setting Boundaries With Someone Having Treatment
      • Supporting Your Spouse With Severe Mental Illness
      • What to Say to Someone in a Mental Health Crisis
      • Talking to Children About a Parent’s Mental Health Condition
      • Financial Planning for Mental Health Treatment
      • Recognizing Co-Dependency: When Support Becomes Enabling
      • Encouraging a Loved One to Stay in Therapy
      • How to Support a Veteran Struggling With Mental Health
    • Innovative Treatments in Mental Health Care
      • What Is Neurofeedback Therapy?
      • What Is Transcranial Magnetic Stimulation? And Does It Work?
    • Resources for Professionals
      • Building a Mental Health Action Plan for Your Workplace
      • Human Resource’s Role in Workplace Mental Health
      • Supporting Employees After Mental Health Leave: Creating a Reentry Plan
      • How Leaders Can Promote Mental Well-Being in the Workplace
      • Supporting Mental Health in High-Stress Professions
      • Mental Health Breakdown at Work
    • Referrals: Confidentiality and Mental Health Referrals
      • Case Workers: Referring Clients for Residential or Outpatient Care
      • How to Refer a Client for Psychiatric Evaluation
      • Coordinating Care in Mental Health Treatment
      • How to Talk to Your Employer About Extended Leave for Mental Health
      • Court-Appointed Mental Health Treatment Referrals
      • Mental Health Referrals From Crisis Hotlines
      • Mental Health Referrals From First Responders
      • Mental Health Referrals From Social Workers
      • Mental Health Referrals From Lawyers
      • Mental Health Referrals From Insurance Case Managers
      • Hospital Mental Health Referrals
      • Mental Health Referrals From Therapists
      • Mental Health Referrals From Probation Officers
      • Mental Health Referrals From Universities
      • Mental Health Referrals From Urgent Psychiatric Care
      • Mental Health Referrals From Interventionists
      • Mental Health Referrals From Pastoral Care
      • Mental Health Referral From Life Coaches
      • Mental Health Referrals From Disability Services
      • Mental Health Referrals From Domestic Violence Centers
      • Employee Assistance Program Mental Health Referrals
      • Mental Health Referrals From Urgent Care Clinics
      • VA Mental Health Referrals: Veteran Affairs Therapy Programs
      • Mental Health Referrals From MAT Physicians
      • Mental Health Referrals From Primary Care Doctors
      • Mental Health Referrals From Child Protective Services
      • Community Mental Health Referrals: From Referral to Recovery
    • Self-Help: How to Build a Self-Care Routine for Mental Wellness
      • Exercise and Mental Health
      • Journaling for Mental Health
      • Grounding Techniques for Anxiety and Panic Attacks
      • Cognitive Behavioral Therapy Techniques You Can Try at Home
      • Mindfulness and Meditation for Stress Reduction
    • Preparing for Mental Health Treatment: Types of Treatment Plans
      • Graduating from an Outpatient Program: Creating a Long-Term Mental Health Plan
      • When to Step Down From PHP to IOP
      • Partial Hospitalization Programs vs. Intensive Outpatient Programs
      • Benefits of Combining Telehealth with In-Person Outpatient Treatment
      • Signs You May Need a Higher Level of Care
      • How to Transition from Inpatient to Outpatient Care: A Step-By-Step Guide
      • How to Set Mental Health Goals During Treatment
    • Mental Health Assessment and Diagnosis for Adults
      • Psychological Testing
      • Personality Assessments
      • Cognitive Assessments
    • Antidepressants: What They Are and How They Work
      • Selective Serotonin Reuptake Inhibitors (SSRIs)
      • Fluoxetine: How Prozac Works and What It Treats
      • Sertraline (Zoloft): What Is Sertraline Used For and How Does It Work?
      • Citalopram: How Celexa Works
      • What Is Escitalopram?
      • What Is Paroxetine?
      • Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
      • Effexor XR in Mental Health Treatment
      • Cymbalta: What Is Duloxetine?
      • Desvenlafaxine for Mental Health Treatment
      • Tricyclic Antidepressants for Adult Mental Health
      • Wellbutrin in Mental health
      • Mirtazapine (Remeron) in Mental Health Treatment
      • Trazodone for Mental Health Treatment
    • Antipsychotic Medications for Adults
      • What Are Second-Generation Antipsychotics?
      • Risperidone (Risperdal) for Mental Health
      • What Is Quetiapine (Seroquel) Used For?
      • What Is Zyprexa? Olanzapine’s Uses, Benefits, and Side Effects
      • What Is Aripiprazole (Abilify) Used for in Mental Health?
      • Lurasidone and Mental Health
      • What Is Clozapine and What Does It Treat?
      • Typical Antipsychotics for Mental Health
    • Mood Stabilizers For Adults
      • Lithium for Adult Mental Health: What Is Lithium Used For?
      • Depakote for Mental Health
      • Treating Mental Health Issues With Lamotrigine (Lamictal)
      • Carbamazepine for Mental Health
    • Anti-Anxiety Medications for Adults
      • What Are Benzodiazepines and How Do They Work?
      • Lorazepam for Mental Health
      • Clonazepam (Klonopin): What Is Klonopin?
      • Valium for Mental Health
      • What Is Xanax?
    • Stimulants for Mental Health
      • Adderall for Mental Health
      • The Complete Guide to Vyvanse
      • Ritalin for ADHD
      • Concerta for Adults
    • Sleep Aids for Adults
      • Trazodone for Sleep
      • Benefits and Side Effects of Temazepam (Restoril)
      • Zolpidem (Ambien) for Adults
      • Eszopiclone (Lunesta) for Insomnia
    • Mental Health Conditions in Veterans
      • How to File a VA Claim for Mental Health Conditions
      • Post-Traumatic Stress Disorder (PTSD) in Veterans
      • Traumatic Brain Injury and Mental Health in Veterans
      • Military Sexual Trauma (MST) in Veterans
      • Veterans with Co-Occurring Disorders
      • Veterans and Anxiety Disorders
      • Veterans and Depression
      • Veteran Suicide Prevention
      • Transitioning to Civilian Life
      • The Role of Peer Support Groups for Veteran Mental Health
      • Top Evidence-Based Therapies for Veterans
        • CBT for PTSD in Veterans
        • EMDR Therapy for Trauma and PTSD in Veterans
        • Group Therapy for Veterans
      • Telehealth Therapy for Veterans
      • Holistic Mental Health Treatments for Veterans
      • Anger and Irritability in Veterans
    • Guide to Perinatal Mental Health
      • Are Antidepressants Safe During Pregnancy?
      • Baby Blues vs Postpartum Depression
      • Cognitive Behavioral Therapy for Postpartum Depression and Anxiety
      • Holistic Approaches to Mental Health During Pregnancy
      • Dealing With Isolation and Loneliness in Pregnancy
      • OB-GYN Referrals for Perinatal Mental Health Care
      • How Partners Can Support Perinatal Mental Health
      • Early Warning Signs of Perinatal Anxiety in Expecting Mothers
      • How to Recognize Perinatal Bipolar Disorder During Pregnancy
      • What Is Perinatal Depression? Causes, Signs, and Treatment
      • Perinatal OCD: When Intrusive Thoughts Become Distressing
      • What Is Postpartum Anxiety?
      • Postpartum Psychosis: Symptoms and Emergency Support
      • Anger and Irritability During Pregnancy
      • Pre-Existing Mental Health Disorders and Pregnancy
      • Can You Have PTSD After Childbirth?
      • Risk Factors for Mental Illness During Pregnancy
      • Screening Tools for Perinatal Mental Health
      • Self-Care Tips for Managing Perinatal Depression
      • Finding Support Groups for Pregnant Women With Depression
      • Talking to Your OB-GYN About Mental Health
      • Mental Health in Teen Pregnancy: What to Know
      • Best Therapy Options for Perinatal Mental Health
    • Understanding Anxiety: Triggers, Warning Signs, and Long-Term Effects
      • Top Breathwork and Grounding Techniques for Immediate Anxiety Relief
      • Daily Anxiety Journal Template
      • What Is High Functioning Anxiety?
      • Somatic Experiencing for Anxiety
    • Adult Attachment Disorder
      • Anxious Attachment Style in Adults
      • Avoidant Attachment Style in Adults
      • Codependency: Signs and Causes of Codependent Relationships
      • Complex PTSD and Attachment Issues
      • Disinhibited Social Engagement Disorder (DSED)
      • Disorganized Attachment in Adults
      • Secure Attachment in Relationships
      • Reactive Attachment Disorder (RAD)
      • Adult Attachment Interventions
      • Attachment Styles and Perfectionism
      • Attachment Styles in the Workplace
      • Raising Securely Attached Kids
      • Avoidant Attachment and Ghosting
      • Limerence Attachment
      • Synchrony in Infant Development
      • C-PTSD and Dismissive Avoidance: Attachment Trauma
      • Abandonment and Attachment Issues
      • Family Enmeshment
      • How to Heal Attachment Styles
      • Institutional Care and Attachment Issues
      • The Attachment Internal Working Model Explained
      • Dating Someone With Avoidant Attachment
      • Dating a Fearful Avoidant Partner
      • Developmental Disorders and Attachment Trauma
      • Attachment Problems in Relationships
      • Eating Disorders and Attachment Trauma
      • Therapeutic Alliance
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Cycles of the Passive-Aggressive Man: How to Recognize the Different Stages

Home » Cycles of the Passive-Aggressive Man: How to Recognize the Different Stages

Table of Contents

Carolina Barnum
Published: 01/14/2026 | Updated: 01/14/2026
Authored by: Carolina Barnum, B.A.
Edited by: Jordan St. Pierre, LCSW

Key Takeaways

  • Passive-aggressive behavior in men follows a predictable six-stage cycle that creates destructive relationship patterns.
  • Men often develop passive-aggressive tendencies due to childhood experiences in which direct expression of anger was punished or discouraged.
  • Recognizing the early stages of passive-aggressive behavior can help break the cycle before it escalates to more damaging levels.
  • With self-awareness and professional support, men can learn healthier ways to express their needs and emotions.
  • Mission Connection provides specialized treatment for passive-aggressive patterns and related anger issues through evidence-based approaches, including CBT, DBT, and individual therapy.

The Hidden Signals of Passive-Aggressive Behavior in Men

Contrary to popular belief, passive-aggressive behavior isn’t simply being passive and then aggressive in alternating moments. It’s the simultaneous expression of aggression behind a facade of passivity—a man agreeing to help with household responsibilities while intentionally doing them poorly, or saying “whatever you want” while silently resenting the choice made. 

Men exhibiting passive-aggressive patterns often appear cooperative on the surface while harboring unexpressed frustration underneath. This contradiction creates a particularly toxic dynamic, as partners struggle to address problems the passive-aggressive person refuses to acknowledge. 

Common manifestations include being chronically late to events a partner values, “forgetting” commitments, using sarcasm to express displeasure, or withholding affection as punishment—all while maintaining plausible deniability of any hostile intent. These behaviors rarely appear in isolation; they form part of a predictable cycle that, left unaddressed, tends to intensify over time.

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We treat anxiety, depression, trauma, and bipolar disorder using evidence-based approaches like CBT, DBT, mindfulness, and trauma-focused therapies. Designed to fit into daily life, our services provide consistent support without requiring residential care.

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The 6 Distinct Stages of Passive-Aggressive Behavior

While clinical literature describes various models of passive-aggressive patterns, the following six-stage conceptual framework offers a practical way to understand how these behaviors typically unfold in relationships.

Stage 1: Masked Resentment – The Internal Trigger

The cycle begins internally, often invisibly to others. A perceived slight, criticism, or request triggers feelings of anger, inadequacy, or resentment in the passive-aggressive man. Unlike those who express frustration directly, he experiences these emotions as threatening or unacceptable. 

Rather than acknowledging these feelings even to himself, he buries them beneath a veneer of compliance or indifference. During this stage, the man might outwardly agree to requests or appear unbothered while building resentment internally. 

Stage 2: Silent Resistance & Withdrawal

As unexpressed resentment builds, the passive-aggressive man begins withdrawing emotionally or physically. Communication becomes minimal, with responses limited to one-word answers or noncommittal grunts. Emotional connection diminishes as he creates psychological distance, often leaving his partner confused about what changed.

This withdrawal serves multiple purposes psychologically. It protects the man from engaging with uncomfortable emotions while punishing the partner by withholding connection. The withdrawal itself becomes a form of expressing displeasure without having to state feelings or take responsibility for them directly.

Stage 3: Deliberate Inefficiency & Procrastination

As the passive-aggressive cycle progresses, behavior shifts from withdrawal to active sabotage disguised as incompetence. The man may agree to complete tasks, but perform them so poorly or slowly that the partner eventually gives up asking. 

This “deliberate inefficiency” allows him to express anger through non-performance while maintaining the appearance of cooperation.

Example of deliberate inefficiency as a passive-aggressive tactic where household tasks are performed poorly to express hidden resentment.
A classic example is a man who loads the dishwasher incorrectly despite multiple demonstrations, resulting in dishes that need rewashing. 

Procrastination becomes another weapon in the passive-aggressive arsenal during this stage. By repeatedly delaying promised actions, whether paying bills, scheduling appointments, or completing household projects, he creates genuine stress and inconvenience for his partner while maintaining plausible deniability about any malicious intent.

Stage 4: Subtle Sabotage & Indirect Obstruction

When passive-aggression escalates to stage four, the behaviors become more actively harmful. The man may begin to “forget” important events, miss deadlines that matter to his partner, or make subtle comments designed to undermine his partner’s confidence or relationships with others. 

This sabotage is calculated to cause distress while maintaining the facade of innocence. These behaviors might include “misplacing” documents needed for an important meeting, “accidentally” scheduling conflicting events on a day when his partner needs support, or making ambiguous comments that could be interpreted as either supportive or undermining. 

Plausible deniability remains critical—each action can be explained away as a simple mistake rather than as intentional harm.

Stage 5: Denial & Blame Shifting

When confronted about passive-aggressive behaviors, the cycle enters perhaps its most destructive phase. Rather than acknowledging the pattern, the man vehemently denies any hostile intent and blames his partner. “You’re too sensitive” or “You’re imagining things” become common refrains, making the partner question their own perception of reality.

This gaslighting aspect of passive-aggression can be profoundly damaging to a partner’s mental health and self-confidence over time. The passive-aggressive man may even rewrite history, claiming events happened differently than they did or that agreements were never made. 

This distortion of reality serves to protect his self-image as a “nice guy” while allowing him to express his anger indirectly.

Stage 6: Temporary Compliance & Reset

The final stage of the cycle involves a period of apparent improvement that rarely lasts. When the relationship appears threatened, or the partner reaches a breaking point, the passive-aggressive man temporarily abandons the problematic behaviors and becomes attentive, helpful, and communicative. This creates hope that genuine change has occurred.

Unfortunately, this compliance phase typically ends once the immediate threat to the relationship subsides. Without addressing the underlying issues, the man inevitably returns to passive-aggressive patterns when new triggers arise.

Why Men Develop Passive-Aggressive Patterns

Man withdrawing emotionally through silent treatment as a result of childhood conditioning against direct expression of anger.
Understanding the roots of passive-aggressive behavior provides crucial context for addressing these patterns. 

Childhood Experiences That Shape These Behaviors

Many men who develop passive-aggressive tendencies grew up in homes where expressing anger directly resulted in punishment, abandonment, or escalation to violence. Children raised with messages like “big boys don’t cry” or “don’t talk back” learn quickly that certain emotions are dangerous to express.

A boy who learned that showing anger resulted in loss of connection with caregivers develops an unconscious fear of his own emotions. Without models for healthy expression of frustration, he develops alternative ways to show displeasure that maintain the appearance of compliance. 

These early adaptations become deeply ingrained patterns carried into adult relationships, operating largely below the level of conscious awareness.

Fear of Direct Conflict Expression

At the core of passive-aggressive behavior lies a profound fear of conflict. For many men, confrontation feels threatening, not just to relationships, but to their very sense of self. 

This fear isn’t simply about avoiding uncomfortable conversations; it stems from a deep-seated belief that expressing anger directly could lead to catastrophic outcomes like abandonment or loss of control.

When a man hasn’t developed the emotional vocabulary to name and process feelings of frustration, disappointment, or resentment, these emotions don’t simply disappear. Instead, they seek alternative channels for expression that feel safer but ultimately cause more relationship damage. 

The Role of Cultural Expectations About Male Anger

Cultural messages about masculinity create a paradoxical bind for many men. On one hand, traditional masculinity often associates manhood with dominance and aggression. 

On the other hand, contemporary social norms increasingly reject aggressive behavior as unacceptable. Caught between these conflicting expectations, many men struggle to find appropriate outlets for natural feelings of anger or frustration.

Without models for assertive (rather than aggressive or passive) communication, many men default to passive-aggressive patterns as a compromise that allows them to express displeasure while maintaining their self-image as non-aggressive. 

Breaking this pattern requires developing a new understanding of healthy assertiveness that doesn’t compromise ethical values.

Recognizing When You’re Caught in the Passive-Aggressive Cycle

Physical & Emotional Symptoms to Watch For

Passive-aggressive dynamics create distinctive physical and emotional symptoms for both the man engaging in these behaviors and his partner. Men caught in passive-aggressive patterns often experience chronic tension, sleep disturbances, and digestive issues as unexpressed emotions create physiological stress. 

For partners, common symptoms include chronic anxiety, emotional exhaustion, and a sense of walking on eggshells. The constant vigilance required to navigate unpredictable responses depletes mental resources, often leading to symptoms resembling depression. 

Common Thoughts & Feelings When Dealing With Passive-Aggression

Recognizing passive-aggressive dynamics often begins with noticing particular thought patterns and emotional responses that characterize these interactions. 

For partners, thoughts frequently center around confusion (“I don’t understand what just happened”), self-doubt (“Maybe I am overreacting”), and frustration (“Why won’t he just say what he really means?”). These thoughts create a cognitive maze with no clear exit.

For men engaging in passive-aggressive behavior, common thoughts include feeling victimized (“She’s never satisfied no matter what I do”), resentful (“I do everything she asks and still get criticized”), and fearful of confrontation (“If I say how I really feel, it will just make things worse”). These thoughts reinforce the cycle by justifying continued indirect expression of anger.

These emotional and cognitive patterns serve as vital warning signs that a passive-aggressive cycle may be operating. Recognizing these signs creates the opportunity to choose different responses rather than continuing the destructive dance.

The Trap of Becoming Reactive

One of the most insidious aspects of passive-aggressive dynamics is how they trigger reactive responses that make the target appear to be the problem. When faced with ongoing indirect resistance, partners naturally become increasingly frustrated and more direct in their communication. 

This escalation can make the partner appear demanding or controlling, shifting focus away from the passive-aggressive behavior that triggered the reaction. 

Psychologists call this the “passive-aggressive conflict cycle,” a predictable pattern in which unexpressed anger in one person triggers expressed anger in another, which in turn justifies further passive-aggression.

Breaking Free From Passive-Aggressive Cycles at Mission Connection

At Mission Connection, we understand that passive-aggressive patterns aren’t simply “bad behavior.” They’re complex emotional habits, often rooted in childhood experiences in which the direct expression of anger felt unsafe. 

Our clinical team specializes in helping men develop the emotional awareness and communication skills needed to express needs directly rather than through indirect resistance and sabotage.

Welcoming therapy environment at Mission Connection where men learn healthy communication skills to overcome passive-aggressive behavior patterns.
Mission Connection’s flexible outpatient and telehealth options allow you to receive comprehensive care while maintaining your daily responsibilities.

Through evidence-based therapies like Cognitive Behavioral Therapy and Dialectical Behavior Therapy, we help clients identify the triggers that initiate passive-aggressive cycles, develop healthier ways to process and express frustration, and rebuild trust in relationships damaged by these patterns. 

We also offer support for partners caught in passive-aggressive dynamics, helping them establish healthy boundaries and make informed decisions about their relationships. Whether you’re a man recognizing these patterns in yourself or a partner seeking clarity, our compassionate team provides a judgment-free environment for healing.

Change is possible. With the proper support, you can develop authentic communication skills that transform your relationships.

Start your journey toward calm, confident living at Mission Connection!
Call Today 866-833-1822.

Frequently Asked Questions (FAQs)

Is passive-aggressive behavior always intentional?

No, passive-aggressive behavior typically operates below the level of full conscious awareness. Most men engaging in these patterns aren’t deliberately plotting to cause distress; they’re operating from deeply ingrained emotional habits developed early in life. The man might genuinely believe he’s being cooperative while his partner experiences his behavior as obstructive. 

Can a person change their passive-aggressive tendencies?

Yes, with commitment and appropriate support, passive-aggressive behavior patterns can be transformed. The healing process typically involves developing emotional awareness, learning to tolerate the discomfort of direct communication, and practicing assertiveness skills. With consistent effort and professional support, many couples report noticeable improvements over time.

How can I tell if I’m being passive-aggressive myself?

Self-recognition requires unusual honesty. Common signs include frequently feeling misunderstood despite never directly expressing needs, experiencing resentment after agreeing to requests, procrastinating on tasks critical to others, or noticing patterns of compliance followed by subtle sabotage. 

Pay attention to disparities between what you say and what you actually do—these gaps often indicate unexpressed feelings finding indirect outlets.

How does Mission Connection help men with passive-aggressive patterns?

Mission Connection offers comprehensive treatment options, including individual therapy, group therapy, and telehealth services for men struggling with passive-aggressive behavior and related anger issues. 

Our evidence-based approaches, such as CBT and DBT, help clients develop emotional awareness, identify triggers, learn direct communication skills, and address underlying causes such as unresolved trauma or fear of conflict. We create personalized treatment plans that fit your lifestyle while building sustainable coping mechanisms.

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