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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
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Home | Passive-Aggressive Behavior in Adults: Examples & Characteristics

Passive-Aggressive Behavior in Adults: Examples & Characteristics

Carolina Barnum
Published: 10/17/2025 | Updated: 07/08/2026
Authored by: Carolina Barnum, B.A.
Edited by: Ashley Pena, LCSW

Table of Contents

A woman sitting apart from her coworkers in an office, avoiding eye contact as a sign of passive-aggressive behavior in the workplace

Key Takeaways

  • Passive-aggressive behavior in adults involves expressing anger, frustration, or resentment indirectly through actions such as silent treatment, sarcasm, procrastination, guilt trips, and backhanded compliments instead of honest communication.
  • Common characteristics of passive-aggressive behavior include withdrawal, disguised criticism, intentional forgetfulness, hostile humor, and moodiness that create confusion and tension in relationships.
  • Passive-aggressive behavior can appear in workplaces, marriages, friendships, and families, where it often damages trust, increases conflict, and prevents problems from being resolved directly.
  • Passive-aggressive patterns often develop from fear of confrontation, learned communication habits, childhood experiences, or situations where people feel unable to express their feelings openly.
  • Mission Connection Healthcare helps clients understand the causes of passive-aggressive behavior and build practical skills for direct, honest communication in a supportive environment.

What Does Passive-Aggressive Behavior in Adults Look Like?

Passive-aggressive behavior expresses anger indirectly through silent treatment, backhanded compliments, sarcasm, deliberate procrastination, and sulking, all designed to register displeasure without saying it outright. The gap between words and actions is the giveaway: someone insists they are fine while slamming doors, leaving you confused about whether you imagined the hostility.

While these behaviors may seem minor, they can create ongoing frustration and strain in personal and professional relationships. If passive-aggressive communication is affecting your relationships, professional support can help uncover the underlying causes and teach more effective ways to communicate. 

Mission Connection Healthcare provides evidence-based outpatient treatment that helps adults build emotional awareness, improve interpersonal skills, and develop healthier relationship patterns through flexible in-person and virtual care.

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!

What Are Common Characteristics of Passive-Aggressive Behavior?

Passive-aggressive behavior can be subtle, making it difficult to identify and address effectively. These behaviors typically involve a disconnect between what someone says and what they actually do. 

The underlying message often contradicts the stated intentions, creating confusion and frustration for those on the receiving end.

1. Silent Treatment & Withdrawal

One of the most recognizable passive-aggressive behaviors is the silent treatment, which is deliberately ignoring someone or minimizing communication as punishment. 

This behavior goes beyond needing space after an argument; it’s a calculated withdrawal of emotional presence meant to cause distress. Someone using this tactic might physically remain in the space but become emotionally unavailable, answering questions with one-word responses or avoiding eye contact.

2. Backhanded Compliments & Subtle Insults

These verbal jabs disguised as praise are hallmark examples of passive-aggressive communication. Statements like “You’re so brave to wear that outfit” or “I wish I could just relax about my work quality like you do” contain criticism veiled thinly as compliments. 

The passive-aggressive individual maintains plausible deniability. They can always claim they meant well if challenged. These seemingly innocent remarks often leave recipients feeling confused and hurt, unsure whether they’ve been complimented or criticized. 

3. Deliberate Procrastination & “Forgetting”

Deliberately failing to complete tasks or fulfill obligations represents another common passive-aggressive behavior. This might include consistently “forgetting” to perform household chores, submitting work assignments late, or neglecting responsibilities that matter to others. 

What distinguishes this from simple forgetfulness is the pattern and selectivity. The person reliably remembers things important to them but “forgets” what matters to others.

4. Sarcasm & Disguised Hostility

Sarcasm becomes a passive-aggressive weapon when it’s consistently used to express negative feelings without taking ownership of them. Comments like “Nice of you to finally join us” or “Sure, that’s a great idea…if we want the project to fail” deliver criticism under the guise of humor. 

When confronted, the person can easily dismiss concerns with “I was just joking” or “You’re too sensitive,” effectively gaslighting the recipient into questioning their own perceptions.

5. Sulking & Moody Behavior

A person sulking might sigh heavily, slam doors, or display visibly negative body language while insisting, “I’m fine” when asked what’s wrong. This forces others to either ignore obvious distress or repeatedly probe for information the person is unwilling to share directly.

This behavior effectively makes others responsible for addressing the passive-aggressive person’s unstated feelings. The emotional burden shifts to those around them, who must either walk on eggshells or exhaust themselves trying to decode the unspoken grievance. 

Consider seeking professional guidance if you find yourself unable to change despite consistent efforts, or if your relationships continue to suffer from communication problems. In addition to understanding behaviors and support strategies, many clinics also use best physiotherapy practice management software solutions to streamline documentation, scheduling, and patient care in multidisciplinary treatment settings.

A woman sitting alone at her desk with tense body language, displaying signs of passive-aggressive behavior at work 
Sulking represents another common passive-aggressive tactic where someone communicates displeasure through exaggerated negative mood rather than words.

4 Examples of Passive-Aggressive Behavior in Different Relationships

1. At Work: Missed Deadlines & Quiet Sabotage

The workplace provides fertile ground for passive-aggressive behavior, particularly when direct confrontation with authority figures feels risky. 

Common examples include deliberately missing deadlines while claiming to be “swamped,” withholding important information from colleagues, making undermining comments in meetings, or providing minimal effort while technically fulfilling requirements. 

These behaviors allow employees to express frustration or resentment without directly challenging management.

2. In Marriage: The Cold War of Silent Resentment

Intimate relationships often bear the brunt of passive-aggressive communication patterns, with spouses using subtle tactics to express unresolved anger. 

This might include deliberately neglecting household responsibilities they know matter to their partner, using physical intimacy (or its withdrawal) as punishment, or making financial decisions without consultation. 

The close nature of marriage makes these behaviors particularly damaging, as they erode the trust and emotional safety that are important for relationship health.

3. With Friends: Gossip & Behind-the-Back Criticism

Friendship circles often experience passive-aggression through indirect communication channels. Rather than addressing concerns directly with the person involved, someone might spread gossip, make subtle digs during group gatherings, or exclude specific friends from activities. 

Social media has created new avenues for this behavior, with passive-aggressive individuals posting vague status updates or pointed memes clearly aimed at specific people without naming them.

4. In Families: The Guilt Trip Master

Upset parents guilt-trip daughter while avoiding direct eye contact, demonstrating passive-aggressive behavior
Statements like “after all I’ve done for you” reflect weaponized guilt in passive-aggression.

Family relationships often feature sophisticated passive-aggressive tactics developed over decades of interaction. Parents might use guilt as a weapon through statements like “After all I’ve done for you…” or “I guess I’ll just sit here alone on the holiday,” rather than directly requesting time or attention. 

Holiday gatherings frequently showcase family passive-aggression, with relatives making loaded comments about life choices, parenting styles, or career paths. These criticisms are often delivered with a thin veneer of concern (“I’m just worried about you…”) that makes them difficult to challenge without appearing overly sensitive.

Transform Your Communication Patterns with Mission Connection

A calm and welcoming therapy room at Mission Connection Healthcare outpatient facility 
With our commitment to quality care and evidence-based methods, Mission Connection partners with you to create lasting change.

Passive-aggressive behavior thrives in silence, but it loses its grip the moment you name it. Spotting the silent treatment, sarcasm, or guilt trips in yourself or others is the start. From there, honest words replace hidden resentment, and your relationships at work and at home grow steadier and more genuine.

At Mission Connection Healthcare, we work with adults ready to trade indirect habits for clear, honest communication. Our therapists use Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Emotion-Focused Therapy in flexible day, evening, and weekend sessions that fit your life. Reach out to us today, and together we will take the first step toward lasting change.

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

Frequently Asked Questions (FAQs)

What is the root cause of passive aggressiveness?

Passive-aggressive behavior typically develops from fear of confrontation, childhood experiences where direct expression was punished, or perceived power imbalances in relationships. 

Many people learned early that expressing anger directly led to rejection or conflict, making indirect methods feel safer. 

How can I tell if my behavior is passive-aggressive or just conflict-avoidant?

The key difference lies in whether you’re indirectly expressing negative feelings. Conflict avoidance means simply sidestepping difficult conversations without hostility, while passive-aggression involves subtle punishment or retribution, like deliberately procrastinating on tasks, giving backhanded compliments, or using the silent treatment. 

Ask yourself: “Am I just avoiding an issue, or am I finding ways to express anger without acknowledging it?” The presence of disguised negativity indicates passive-aggression.

Does passive-aggressive behavior only happen in romantic relationships?

No, passive-aggressive communication occurs across all relationship types. In workplaces, it manifests as missed deadlines and withheld information. Among friends, it appears through gossip and social exclusion. Family patterns often feature guilt trips and backhanded criticism.

How long does it take to change passive-aggressive communication habits?

Changing entrenched communication patterns typically requires consistent effort over months rather than weeks. The timeline depends on how long you’ve used these patterns, their origins, your motivation for change, and if you’re working with a therapist. 

Progress often happens in stages, and inconsistency is normal and doesn’t indicate failure; recognize progress rather than expecting immediate perfection.

Can Mission Connection Healthcare help with passive-aggressive behavior patterns?

Yes, Mission Connection Healthcare specializes in evidence-based therapy that addresses passive-aggressive communication. Our therapists use various approaches, including CBT, DBT, and Emotion-Focused Therapy, to help clients understand the roots of their indirect communication patterns and develop healthier alternatives. We offer flexible scheduling with appointments available during the day, in the evenings, on weekends, and virtually to fit your life.

Making your mental health a priority has never been so easy. We offer flexible schedules during the day, in the evening, and on weekends, so you can find the perfect time for you.

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