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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 (ACT)
    • 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
    • Mental Health Interventions: 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 Symptoms
      • 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 Outcome Study
  • Get Started
  • 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 (ACT)
    • 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
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Home | Boundaries or Avoidance? Taking a Closer Look at a Defining Mental Health Trend

Boundaries or Avoidance? Taking a Closer Look at a Defining Mental Health Trend

Hayley Snelling
Published: 05/26/2026 | Updated: 05/26/2026
Authored by: Hayley Snelling, Dip. Couns.
Edited by: Jemma Strain, B.S. Psychology

Table of Contents

woman working at desk on laptop after overcoming avoiding responsibilities in adults

“Protecting my peace.” “Setting boundaries.” “Cutting off negativity.” These phrases have become part of everyday conversations in relationships, especially online.

And while healthy boundaries can support emotional safety and strengthen relationships, sometimes what looks like boundary setting may actually be emotional avoidance in disguise. The difference can be difficult to spot, especially when therapy language, self-protection, and conflict avoidance begin overlapping.

In this blog, we take a closer look at setting boundaries in relationships, emotional avoidance, and how to tell when boundaries become emotional walls.

Why Boundary Conversations Have Become So Common in Relationships

Boundary conversations have become increasingly common in modern relationships. But why has this shift happened?

Several factors have contributed to the growing focus on boundaries in relationships, including:

  • Therapy language becoming mainstream: As mental health discussions become more common, many adults are becoming more aware of unhealthy relationship patterns and may use therapy language in relationships to communicate their emotional needs.
  • Greater focus on emotional safety: In the past, many people were encouraged to “keep the peace” at the expense of their own comfort. However, boundary conversations can help adults express their needs instead of bottling up frustration.
  • Social media: Boundary discussions are now common online, including conversations around toxic boundary culture, where boundaries may be used as tools for avoidance, control, or manipulation.

Modern relationship psychology places greater emphasis on:

  • Communication.
  • Mutual respect.
  • Emotional safety.

As a result, many adults are more open about discussing what feels acceptable, supportive, or emotionally healthy within relationships.

However, it’s important to understand the difference between healthy boundaries and emotional avoidance.

What Healthy Relationship Boundaries Look Like

People often hear the word boundaries and imagine walls that keep others out. In some ways, this belief is true – they are designed to keep people at an emotionally comfortable distance.

But healthy boundaries are not necessarily a bad thing. In fact, they can strengthen relationships while also protecting your emotional well-being. Healthy boundaries help:[1]

  • Protect your physical and emotional safety.
  • Encourage respectful communication.
  • Clarify responsibilities within the relationship.
  • Safeguard your self-respect.
  • Separate your emotions from your partners.

Setting boundaries in relationships may involve physical limits, such as asking your partner not to look through your phone without permission. Other boundaries are emotional, such as recognizing that you are responsible for your own feelings, while your partner is responsible for theirs. This can help prevent emotional over-responsibility.

Overall, healthy boundaries can strengthen connections while respecting your own needs. However, boundaries can sometimes shift into emotional avoidance without people fully realizing it.

What Emotional Avoidance Looks Like

Emotional avoidance happens when someone distances themselves from vulnerability or emotional closeness. It’s not always intentional, either.

Someone may genuinely want closeness, yet still push their partner away because emotional intimacy feels overwhelming or risky.[2] Emotional distancing behaviors may include:

  • Emotionally shutting down during conflict.
  • Withdrawing from or ghosting a partner after disagreements.
  • Avoiding emotionally difficult conversations.
  • Difficulty expressing feelings.
  • Suppressing emotions.
  • Push-pull dynamics, where someone wants closeness but withdraws when it begins to feel emotionally uncomfortable.

Because emotional avoidance is often unintentional, the line between self-protection and withdrawal can sometimes become blurred. This raises an important question: When do boundaries stop protecting us and start becoming emotional walls?

Why Does the Line Between Healthy Boundaries and Emotional Avoidance Become Blurred?

Setting boundaries in relationships can sometimes feel confusing. Yet, healthy boundaries communicate what a person finds acceptable and what happens if a line is crossed. Essentially, they act as a guide for relationship interactions.

Sometimes, emotional protection can gradually turn into emotional avoidance disguised as boundaries. This can happen for several reasons, including:[2][3]

  • Fear of intimacy: A fear of vulnerability may lead someone to use boundaries to keep partners at a distance, rather than communicate openly.
  • Trauma responses: People with a history of trauma may find expressing their needs difficult because vulnerability feels unsafe. As a result, they may withdraw when emotionally triggered.
  • Emotional overwhelm: A person may pull away because conflict or strong emotions feel too overwhelming to manage in the moment.
  • Therapy language: Phrases like “I need my space” may sound healthy, but can still shut down communication.
  • Needing safety: If limits aren’t clearly communicated, withdrawing from a partner may feel protective, even when the other person doesn’t understand what went wrong.

It’s important to remember that emotional avoidance is often unintentional and may develop as a coping strategy. At the same time, boundaries and avoidance can coexist. For example, someone may genuinely need space while avoiding deeper communication.

When Boundaries Become Emotional Walls

It can sometimes be hard to tell the difference between a healthy boundary and emotional avoidance in relationships. The following examples show how differently the two can appear in everyday situations.

Boundaries vs Emotional Avoidance

Scenario 1: You and your partner are arguing, and you feel overwhelmed.
Healthy boundary: “I want to talk about this, but I’m feeling overwhelmed right now. Can we pause and come back to it tomorrow?”
Emotional avoidance: “I’m done talking about this.”

Scenario 2: Your partner wants to talk about the future of your relationship.
Healthy boundary: “I know this conversation matters to you, but I’m not ready to make long-term plans yet. I’d rather take things one step at a time.”
Emotional avoidance: You joke about something else to avoid the conversation.

Scenario 3: After spending the weekend together, you realize you need some time alone to recharge.
Healthy boundary: “I love spending time together, but I need a little time to myself this week to recharge and catch up on a few things.”
Emotional avoidance: You ignore their messages for several days without explanation.

As these examples show, healthy boundaries protect your well-being while still allowing communication and connection. Emotional avoidance, however, tends to shut conversations down and create emotional distance instead of understanding.

While healthy boundaries strengthen relationships, emotional avoidance weakens connections.

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How Emotional Avoidance Affects Relationships

Setting boundaries in relationships can support:

  • Healthy communication.
  • Emotional safety.
  • Connection.

However, unhealthy boundary setting or overusing emotional boundaries can create emotional distance instead. For example, emotional avoidance may contribute to several relationship difficulties, including:[4][5][6]

  • People becoming emotionally distant: Avoiding vulnerability can weaken intimacy and connection.
  • Communication shutdowns: Conflict avoidance in relationships may prevent difficult conversations from happening, leading to misunderstandings and disconnection over time.
  • Building unresolved conflict: When difficult conversations are repeatedly avoided, resentment and frustration can quietly build until emotions spill over.
  • Partners no longer feeling emotionally safe: When emotions are consistently hidden, partners may begin to feel disconnected or misunderstood.

How to Create Healthier Relationship Communication Boundaries

Although boundaries are often easier to establish early on, it’s never too late to create healthier communication patterns together.

The following tips may help you create healthier boundaries and communicate more openly in relationships:[1]

Tip 1: Know What You Want

It’s difficult to communicate your needs if you aren’t fully aware of them yourself. It may help to reflect on how you feel within the relationship.

For example, are there situations where you feel dismissed, overwhelmed, or uncomfortable? Or are there behaviors that cross a line for you emotionally?

Tip 2: Talk to Your Partner About Your Boundaries

Choosing the right moment can help both of you feel calmer and less rushed. It may also help to think through what you want to say beforehand. Even writing a few points down can help you define what it is you wish to express.

Using “I” statements can express how you feel without sounding overly blaming or defensive. It’s also important to be clear, because vague communication can easily lead to misunderstandings.

Tip 3: Enforce Boundaries

Even in healthy relationships, people may accidentally cross boundaries at times. If this happens, calmly explain what upset you and what you need moving forward. You may also need to explain what will happen if the behavior continues.

For example, if your partner regularly talks over you, you might say, “I feel hurt when I’m interrupted. If it keeps happening, I’m going to take a break from the conversation for a while.”

Setting boundaries in relationships can strengthen communication, emotional safety, and connection. However, if communication patterns feel difficult to change on your own, professional support may help.

Find Support for Adults In Building Healthy Boundaries

At Mission Connection, we believe healthy boundaries play an important role in emotional well-being and relationship health. 

We provide a safe, supportive space where adults can explore their relationship patterns, reflect on their boundaries, and develop healthier ways of connecting with others. Through evidence-based therapy, psychoeducation, and practical coping strategies, we help adults build self-awareness, strengthen communication skills, and move toward healthier relationships. 

Mission Connection offers a variety of flexible outpatient treatment programs, including in-person, virtual telehealth, and a hybrid option that combines in-person and virtual care.

Get started online or call us at 866-833-1822 to learn more about how we can support you in building healthier communication, stronger boundaries, and more connected relationships. 

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References

  1. Reid, S. (2026, April 23). Setting healthy boundaries in relationships. HelpGuide.org. https://www.helpguide.org/relationships/social-connection/setting-healthy-boundaries-in-relationships
  2. Fritscher, L. (2025, November 13). Fear of intimacy: signs, causes, and coping strategies. Verywell Mind. https://www.verywellmind.com/fear-of-intimacy-2671818
  3. Pedersen, T. (2024, March 27). Understanding the push-pull dynamic in relationships. Psych Central. https://psychcentral.com/relationships/ways-to-overcome-a-push-pull-dynamic-in-your-relationship
  4. Gould, W. R. (2025, October 7). Understanding avoidant attachment in relationships. Verywell Mind. https://www.verywellmind.com/what-is-avoidant-attachment-in-relationships-8600201#toc-how-avoidance-affects-relationships
  5. Nash, J. (2026, February 20). How an avoidant attachment style affects mental health. PositivePsychology.com. https://positivepsychology.com/avoidant-attachment-style/#avoidant-attachment-in-relationships-7-signs
  6. Rusnak, K. (2026, May 11). Flooding and conflict avoidance. The Gottman Institute. https://www.gottman.com/blog/flooding-and-conflict-avoidance/

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