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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
    • 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
      • 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
    • 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
      • 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
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    • What Is Horticultural Therapy?
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      • 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
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      • What Is Depression?
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      • What Is Rapid Cycling Bipolar Disorder?
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      • Conduct Disorder
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    • Outpatient Mental Health Treatment for Pregnant Women
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  • Mental Health
    • Obsessive Compulsive Disorder
      • OCD Symptoms
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    • Somatic Symptom Disorder
      • Somatic Symptom Disorder vs Conversion Disorder
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    • Eating Disorders
      • Anorexia Nervosa
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      • Adjustment Disorder Coping Strategies
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    • Dissociative Identity Disorder
      • 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
      • Nightmares in Adults
      • Sleep Paralysis in Adults
      • Oversleeping & Hypersomnia in Adults
      • Restlessness in Adults
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      • 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
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      • Interruptions in Thought Processes
      • Paranoid Thoughts in Adults
      • Distorted Sense of Time in Adults
    • Emotional & Behavioral Symptoms in Adults
      • Mood Swings in Adults
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      • Crying Spells in Adults
      • Self-Destructive Behavior in Adults
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      • Impulsivity in Adults
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      • Excessive Guilt & Shame in Adults
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      • 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
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      • Bruxism in Adults
      • Low Immunity in Adults
      • Paresthesia Related to Stress
      • Nervous Fidgeting in Adults
  • 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
    • Art Therapy for Emotional Expression
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    • Acceptance and Commitment 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
    • 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
      • 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
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Is Seasonal Depression Normal? SAD Explained

Home | Is Seasonal Depression Normal? SAD Explained

Table of Contents

Carolina Barnum
Published: 10/15/2025 | Updated: 10/15/2025
Authored by: Carolina Barnum, B.A.
Edited by: Ashley Pena, LCSW
An illustration of a person looking out a window at fall or winter weather, representing the connection between seasonal changes and mood

Key Takeaways

  • Mild seasonal mood changes, often called the “winter blues,” are common, but Seasonal Affective Disorder is a diagnosable form of depression that goes far beyond temporary sadness.
  • SAD causes recurring depressive symptoms each year, including fatigue, loss of interest, changes in sleep and appetite, and social withdrawal, making daily life difficult to manage.
  • Biological factors like reduced sunlight, lower serotonin and vitamin D levels, and disrupted melatonin production play a major role in triggering SAD symptoms.
  • Effective treatments exist, such as CBT tailored for SAD, light therapy, and lifestyle adjustments, helping individuals manage symptoms and improve quality of life each season.
  • Mission Connection Healthcare offers specialized treatment for seasonal depression, including individual therapy, group support, and evidence-based approaches to help you thrive through every season.

Understanding Seasonal Affective Disorder: More Than Winter Blues

As days grow shorter and temperatures drop, many people notice changes in their mood and energy levels. You might feel a bit more tired, prefer staying home, or crave comfort foods. These mild shifts are common, often called the “winter blues”, and usually don’t significantly impact your life.

Seasonal Affective Disorder, however, is something different. SAD is a form of depression that follows a recurring seasonal pattern. While most people with SAD experience symptoms beginning in late fall or early winter, the condition goes far beyond feeling a little down about cold weather or shorter days.

With SAD, the seasonal changes trigger genuine depression that interferes with your ability to function normally. You might have days where getting out of bed feels impossible, where you pull back from people, lose focus at work, or no longer enjoy the things that once made you happy. All of this can point to a mental health condition that is treatable.

Understanding that SAD is a legitimate form of depression, not a character weakness or something you should simply “push through,” is the first step toward getting help. Effective treatments exist, and you don’t have to spend every fall and winter feeling this way.

Mission Connection: Outpatient Mental Health Support Care

Mission Connection offers flexible outpatient care for adults needing more than weekly therapy. Our in-person and telehealth programs include individual, group, and experiential therapy, along with psychiatric care and medication management.

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.

Start your recovery journey with Mission Connection today!

Is Seasonal Depression Normal?

Many people wonder whether their seasonal mood changes are normal or indicate something more serious. While mild seasonal mood variations are common and expected, Seasonal Affective Disorder is a recognized mental health condition that affects many adults.

Experiencing SAD doesn’t mean something is wrong with you. It’s a real medical condition caused by biological factors that changes how your brain responds to seasonal shifts in daylight. You’re not weak, lazy, or overreacting if you struggle significantly during certain seasons.

If you’ve noticed that you experience depressive symptoms during the same season for two or more consecutive years, and these symptoms resolve when the season changes, you may have SAD. The key difference between normal seasonal mood changes and SAD lies in severity and impact. If your symptoms significantly interfere with your daily life, affecting your work performance, relationships, self-care, or overall functioning, it’s time to seek professional support rather than simply waiting for spring.

Illustration of a young woman sitting in a chair indoors, looking sad and reflective, with a glass of water and a phone on the table beside her, while snow falls outside the window.
Seasonal Affective Disorder is a legitimate form of depression that follows predictable seasonal patterns, not a personal weakness or something to simply endure alone.

Common Symptoms of Seasonal Affective Disorder

Persistent Low Mood and Loss of Interest

The hallmark of SAD is depression that begins around the same time each year. You experience persistent sadness, hopelessness, or emptiness that lasts most of the day, nearly every day. Activities and hobbies that bring you joy during other seasons suddenly feel pointless or overwhelming. It’s a pervasive loss of interest that colors everything.

Sleep Changes and Fatigue

Unlike typical depression, which often involves insomnia, SAD frequently causes hypersomnia, excessive sleeping. You might sleep ten or more hours per night yet still feel exhausted during the day. Getting out of bed feels nearly impossible. Beyond excessive sleep, SAD creates profound fatigue that makes even simple tasks feel exhausting, and this exhaustion persists regardless of how much you sleep.

Increased Appetite and Weight Changes

SAD often brings intense cravings for carbohydrates and comfort foods. You might find yourself constantly reaching for bread, pasta, sweets, or other starchy foods. This is a pronounced increase in appetite that often leads to weight gain, which then contributes to negative feelings about yourself.

Difficulty Concentrating and Social Withdrawal

SAD impairs your ability to focus, make decisions, or think clearly. You might struggle to complete work projects that would normally be straightforward or find yourself unable to follow conversations. As SAD progresses, you may increasingly isolate yourself, canceling plans with friends and preferring to stay home alone even when you know a connection would help.

What Causes Seasonal Depression?

While researchers continue studying SAD’s precise mechanisms, several biological factors contribute to seasonal depression. Reduced sunlight exposure during fall and winter affects your brain’s production of serotonin, a neurotransmitter that regulates mood. Lower serotonin levels contribute to depression.

Additionally, decreased daylight disrupts your production of melatonin, a hormone that regulates sleep-wake cycles. This disruption throws off your circadian rhythm, your body’s internal clock, making it difficult to maintain normal sleep patterns and energy levels. Your body also produces less vitamin D during months with limited sunlight, which may play a role in depression.

The combination of these biological changes creates conditions for depression to develop in susceptible individuals. SAD isn’t caused by your attitude toward winter or lack of willpower; these are physiological responses to environmental changes that some people experience more intensely than others.

Effective Treatment Approaches for SAD

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy has proven highly effective for treating Seasonal Affective Disorder. CBT adapted specifically for SAD helps you identify and change negative thought patterns related to winter and seasonal changes. You learn to recognize how thoughts like “I can’t handle another dark winter” or “Everything is pointless until spring” contribute to depression.

Your therapist helps you challenge these thoughts and develop more balanced perspectives. You also learn behavioral strategies to counteract SAD’s tendency to make you withdraw and hibernate. CBT for SAD is typically delivered over several weeks, providing you with skills that remain effective season after season.

CBT may provide longer-lasting benefits than other treatments because you learn coping strategies that you can apply each year when symptoms typically begin, potentially preventing full depressive episodes.

A therapy session showing someone learning CBT techniques for managing seasonal depression, with a therapist providing supportive guidance.
Cognitive Behavioral Therapy teaches specific skills to manage negative thoughts about seasonal changes and encourages behaviors that counteract depression’s pull toward isolation and inactivity.

Light Therapy

Light therapy involves exposure to bright artificial light that mimics natural sunlight. You sit near a special light box that emits bright light, typically for 20 to 30 minutes each morning. The light helps regulate your circadian rhythm and may boost serotonin production, addressing some of SAD’s biological underpinnings.

Many people notice improvement within one to two weeks of consistent light therapy use. While light therapy effectively manages symptoms during the season, it requires daily use throughout fall and winter. When combined with therapy, particularly CBT, light therapy can be even more effective.

Behavioral Activation and Lifestyle Modifications

Behavioral activation helps you slowly bring back activities that add joy, purpose, or a sense of accomplishment, even when depression makes you want to withdraw. With your therapist, you’ll plan specific activities and practice following through, even on tough days.

Lifestyle changes can make a big difference too. Getting outside during the day, even when it’s cloudy, helps reset your body’s rhythm. Exercise, especially outdoors, boosts energy and lifts mood. Keeping a steady sleep routine, eating balanced meals, and staying connected with people who care about you all help ease SAD symptoms and support recovery.

Mission Connection Healthcare: Year-Round Support for Seasonal Depression

A welcoming therapy environment at Mission Connection, designed to provide comfort and support for those seeking help with seasonal depression.
Mission Connection Healthcare provides compassionate, specialized treatment for Seasonal Affective Disorder, helping you develop skills to manage symptoms and thrive through every season.

Living with Seasonal Affective Disorder doesn’t mean resigning yourself to months of struggle each year. At Mission Connection Healthcare, our therapists specialize in evidence-based treatments for SAD, including Cognitive Behavioral Therapy specifically adapted for seasonal depression patterns.

Our individual therapy programs help you understand your unique seasonal patterns and develop personalized strategies to manage symptoms. We work collaboratively to identify the thoughts, behaviors, and situations that worsen your depression, then build practical skills you can use year after year to prevent or minimize seasonal episodes.

Group therapy for seasonal depression offers a connection with others who understand the challenge of managing recurring seasonal symptoms. These groups reduce isolation, provide mutual support, and create accountability as you practice new coping strategies throughout the changing seasons.

We recognize that SAD requires proactive treatment beginning before symptoms typically emerge. Our therapists help you develop prevention plans, teaching you when and how to implement coping strategies as seasons change, potentially stopping depression before it fully develops.

With both in-person and telehealth options available across California, Virginia, and Washington, we make treatment accessible even during difficult seasons when leaving home feels overwhelming. Many clients find telehealth particularly helpful during the winter months when SAD symptoms make in-person appointments challenging.

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Frequently Asked Questions (FAQ)

When should I seek treatment for seasonal depression?

If you’ve experienced depressive symptoms during the same season for two consecutive years, or if your symptoms significantly interfere with your daily functioning, relationships, or work, seek professional evaluation. Early treatment is more effective and can prevent worsening depression.

How is SAD different from regular depression?

SAD follows a predictable seasonal pattern, typically beginning in fall or winter and resolving in spring or summer. This pattern repeats year after year. Regular depression can occur at any time and doesn’t follow seasonal cycles. However, SAD is a form of depression and shares many of the same symptoms.

Should I start treatment before my symptoms begin?

Starting treatment before your typical symptom onset can be highly effective. Beginning therapy in early fall helps you develop and practice coping skills before depression fully develops, potentially preventing or significantly reducing symptom severity.

Does Mission Connection provide treatment for Seasonal Affective Disorder (SAD)?

Yes. Mission Connection offers outpatient programs that support adults experiencing Seasonal Affective Disorder. Our services include evidence-based therapies such as CBT and DBT, mindfulness practices, group sessions, and psychiatric care with medication management when needed. We also guide clients on lifestyle changes and coping strategies to help reduce SAD symptoms. With both in-person and telehealth options, our programs are designed to fit into daily life while providing consistent support during the toughest months.

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