How to Set Healthy Boundaries
Relationships can only be healthy when both people have the space to be themselves and maintain their personal integrity. Sadly, many people find themselves in relationships, romantic and otherwise, with people who do not respect boundaries and feel entitled to have their needs met regardless of the other person’s. These people most likely grew up in households that were unsafe and unstable, and where there was a constant invasion of personal boundaries.
If you can relate, chances are you have a hard time creating healthy boundaries to create the life experience you wish to have. Here are some ways you can begin to do so:
Identify Your Limits
You can’t set boundaries unless you discover where it is you personally stand. You’ll need to take a bit of time to recognize what you can and cannot tolerate. What makes you happy and what makes you feel uncomfortable and stressed? Only until you have made these discoveries can you move on to the next steps.
Don’t Be Shy
People who have similar communication styles are easy to engage with. These people will quickly understand what your new barriers are. But people who have a different cultural background or personality may not easily understand your boundaries. With these people, it’s important to be very clear and direct.
Pay Attention to Your Feelings
People who have a hard time setting boundaries don’t often allow themselves to acknowledge their own feelings because they’re usually too busy worrying about everyone else’s.
You’ll need to start recognizing how people make you feel in order to know whether your new boundaries are being crossed or not. When you’re with someone, make mental notes, or even jot down in a journal how that interaction made you feel.
If, after spending time with someone, you feel anger or resentment, this is a sign that the person may be overstepping your boundaries. Reiterate to this person what your boundaries are. If they continue to disrespect you and them, you will want to cut yourself away from further interactions.
Make Self-Care a Priority
Put yourself and your needs first. This may feel strange and even somehow wrong if you’ve spent your entire life taking care of others. Give yourself permission to feel your feelings and get what you need to feel happy and well.
Speak with Someone
If you’ve spent an entire life with a sense of low self-worth, you may find setting boundaries quite difficult. In this case, it’s important to speak with a therapist that can help you discover where these feelings are coming from and how to change your thought patterns and behavior.
If you’d like to explore therapy, please get in touch with me. I would be happy to help you on your journey toward self-care.
The Best Medicine is a Treadmill: How Daily Exercise Can Treat Depression
According to the Centers for Disease Control and Prevention, about 9% of American adults live with depression. It’s also worth mentioning that a major depressive episode is the leading cause of disability for Americans between the ages of 15 and 44.
Antidepressants are commonly prescribed to treat people with moderate or severe depression. And while these drugs do offer some relief, they often come with some pretty nasty side effects such as:
headaches
nausea
trouble sleeping
dizziness
diarrhea
weakness and fatigue
anxiety
stomach upset
dry mouth
sexual problems such as low sex drive, erectile dysfunction, or ejaculation problems
trouble urinating
fast heart rate
sweating
memory problems
fatigue
weight gain
That’s quite a list.
The obvious problem is these side effects can make someone who is depressed feel even worse. But there is some good news.
Exercise Helps Beat Depression NaturallyStudies on exercise and depression are conclusive: Not only does exercise treat depression, it can also prevent it. In fact, researchers from Duke University found exercise to be as effective as medicine.
Exercise not only increases blood flow to the brain, it also releases endorphins, which are the body’s own natural antidepressants. Exercise also releases other neurotransmitters, like serotonin, which lift mood.
The really good news is, it only takes moderate exercise three times a week to reap the antidepressant benefits. You don’t have to train for a marathon or a triathlon to feel better.
Here are a few exercise ideas to get you started:
Walk Your DogTake your dog(s) for a half hour walk around the neighborhood. Not only will your body release endorphins but your dog’s health will also benefit from routine exercise.
Go for a Bike RideFamily bike rides are a great way to bond and get a good workout at the same time. If the weather doesn’t permit outdoor biking, a stationary bike is a good investment.
SwimSwimming is one of the absolute best total body exercises. As a bonus, the steady movements through water also has a naturally calming effect.
Walk at LunchGrab a few friends and/or colleagues on your lunch break and go for a half hour walk.
Exercise doesn’t have to be hard or complicated. Whatever form you like, commit to doing that at least three times a week and see if you don’t start to feel better.
You may also want to speak with a therapist, who can help you navigate your emotions and offer tools for coping.
If you’d like to explore talk therapy, please get in touch with me. I would be more than happy to discuss how I may be able to help.
Autism Spectrum Disorder (ASD) is a developmental disorder that results in repetitive behaviors, social interaction and communication challenges, as well as challenges with sensory processing. The word “spectrum” is aptly used to reflect that symptoms can vary greatly, from mild to severe, across different individuals.
In a study by the Centers for Disease Control and Prevention (CDC), 1 in 59 U.S. children were identified as having ASD. The earlier the disorder is diagnosed, the sooner a child can be helped through treatment interventions.
ASD Symptoms
The symptoms of Autism Spectrum Disorder include:
- Trouble with basic human communication. This can include a lack of responsiveness during social interactions, abnormal use of gestures, eye contact or facial expressions and a difficulty understanding relationships.
- Repetitive behaviors and interests that can include specific movements or spoken phrases, a need for routine, intense interest in specific objects or topics, and either low or high levels of sensitivity to sensory environment (sights, sounds, smells).
- Symptoms present early in childhood and cause “clinically significant impairment in social, occupational, or other important areas of current functioning.”
Diagnosing ASD
As stated earlier, it’s important that ASD be diagnosed as early as possible to reduce the symptoms of autism and improve the child’s quality of life. There is no medical test for autism. Instead, diagnosis is based on observing the child. Trained professionals are usually able to diagnose autism by speaking with the child and asking questions of parents and other caregivers.
The American Academy of Pediatrics recommends that children be screened for developmental disorders before the age of three. Under federal law, any child that is suspected of having a developmental disorder is able to get a free evaluation.
Here are some possible red flags for autism spectrum disorder that the Centers for Disease Control has identified:
- Not reacting to his or her name by the age of 12 months.
- Not acknowledging objects to show interest by 14 months.
- Not playing “pretend” games by 18 months.
- Isolating themselves and not making direct eye contact.
- Getting upset by minor changes to routine.
- Repetitive motions such as spinning in circles, rocking their body or flapping their hands.
If your infant or toddler has shown any of these symptoms and you have concerns about their development, it’s important that you bring them to your family physician for evaluation. If you are not satisfied with what the pediatrician is telling you in response to what you are observing in your child's behavior, you may want to get a 2nd opinion free of charge from the local Regional Center a state and federal agency that specializes in developmental disorders. They have a mandate to help your child with an army of specialists who are ready to work with your child. Their belief is that if they start working with your child while still an infant, then your child will have a better chance of being caught up in their cognitive and motor skills by the time they reach pre-school, kindergarten or elementary school. While there is no cure for Autism Spectrum Disorder, there are different styles of behavioral therapy that can lesson symptoms and improve the child and their family’s quality of life.
SOURCES:
https://www.psychologytoday.com/us/conditions/autism-spectrum-disorder
https://www.psychiatry.org/patients-families/autism/what-is-autism-spectrum-disorder
https://psychcentral.com/autism/

When we’re young, we’re taught how to share and play well with others. Somehow as adults, these early lessons don’t always translate into building and maintaining loving relationships.
But, it’s never too late to learn new life skills, and creating healthy relationships is one of the best skills you can have. The following are the essential relationship elements of a lasting love. If you can master these, you will set yourself up to experience a wonderful relationship for the rest of your life.
Create Trust and Mutual Respect
Even the most loving of relationships is going to be put to the test every once in a while. All couples experience ups and downs and the stress of every day life. The key is to not take that out on each other.
Create a safe environment in your relationship where each of you can speak honestly and freely. Never interrupt or yell or belittle the other person. Should things get too heated, step back, and wait until things cool off.
Don’t Judge
“For better or for worse.” If you’re married, those are the words you agreed to. If you’re not married, you still made a choice to partner with another human being who has flaws and quirks just like you.
It’s important to accept your partner and not judge them too harshly. This doesn’t mean you have to like everything they do, and it doesn’t mean you can’t remind them every once in awhile that they need to scoop the cat litter as well.
But it does mean that you should try and be as compassionate as possible. Compassion is the opposite of judgement and it allows you to be open and fully connect with the ones you love.
Make Time for Each Other
It’s far too easy to get busy and neglect the relationship. Many couples get to the point where they become more like roommates than a romantic couple. Don’t allow this to happen. Be sure to make time each week to check in with each other and reconnect.
Be Responsible for Your Feelings
No one can “fix us” or make us all better. We must heal ourselves from old wounds and scars (and we all have those!). Our partners should be there to support us in becoming whole, but ultimately it is our responsibility to heal, not theirs.
These guidelines can help you and your love stay a positive force in each other’s lives. But let’s face it, sometimes life can come at us and before we know it, the relationship is on the rocks. At times like these, it can be very helpful to speak with a couple’s therapist who can guide you through the rough patch and get you reconnected.
If you and your partner would like to explore treatment options, please get in touch. I would be happy to discuss how I may be able to help.

Stress Management
Everyone encounters stress during their lives at one point—never-ending bills, demanding schedules, work, and family responsibilities—and that can make stress seem inescapable and uncontrollable. Stress management skills are designed to help a person take control of their lifestyle, thoughts, and emotions and teach them healthy ways to cope with their problems.
Find the Cause
The first step in stress management is identifying your stressors. While this sounds fairly easy—it’s not hard to point to major changes or a lot of work piling up—chronic stress can be complicated, and most people don’t realize how their habits contribute to their stress. Maybe work piling up isn’t from the actual demands of your job, but more so from your procrastination. You have to claim responsibility for the role you play in creating your stress or you won’t be able to control it.
Strategies for Stress Management
Once you’ve found what causes your stress, focus on what you can control. Eliminate the realistic stressors and develop consistent de-stressing habits. Instead of watching TV or responding to texts in bed after work - take a walk, or read a book. Maintaining a healthy diet, exercising regularly, and getting enough quality sleep, will ease feelings of stress and help you relax.
Also, make a conscious effort to set aside time for yourself and for relaxation. Alone time can be whatever you need it to be. Some people like doing activities such as tai chi, yoga, or meditation, but you can also treat yourself to something simple, like taking a bubble bath, listening to music, or watching a funny movie. Photo by nikko macaspac on Unsplash
We are living through some of the most stressful times in recent history. With the global pandemic raging on, many of us are still worried about our own health and the health of our loved ones, especially our older friends and family members.
Many of us have also been hit with financial burdens. Some have lost jobs and others have had to close their businesses. How will the mortgage and bills get paid?
To make an already bad situation worse, a lot of us are still experiencing lockdown and quarantine. Many are working from home for the first time and still, others are unable to travel and be with loved ones.
This has left a majority of people feeling alone and isolated when they are already feeling they are most vulnerable.
The Link between Isolation and Drug Use
During stressful circumstances, it is a natural tendency for people to turn to drugs and alcohol as a way of coping. A study reported in the American Journal of Epidemiology found there was a 25% increase in alcohol consumption in the weeks following 9/11.
The stress and isolation of the current pandemic are putting those people who are prone to addiction at great risk. Virtual cocktail hours are now officially a thing. But how many of those cocktail hours end when the computer is shut off?
Human beings are social creatures. When you take our ability to be social away, it can lead to depression and anxiety. Even people who have no history of addiction are at risk of developing a drinking or drug problem during the pandemic as a way of coping with social isolation.
When coping with stress, it can be hard to self-monitor our behaviors, but it is incredibly important for our overall health and well-being. If you suspect you have been drinking or using any drug more than you should at this time, it’s important to be honest about that.
Ask yourself a few questions:
Has cocktail hour started earlier or gone later than usual lately?
Does the bottle of wine that used to last 3 days barely last one night?
Do you ever feel like you SHOULD cut down on your drinking or other drug use?
Have you noticed you’re thinking about drinking or using drugs more and more?
Have loved ones commented on the amount you’ve been drinking?
It’s important that you are honest with yourself at this time. And if you answered yes to one or more of these questions, it’s important that you get some help.
Many treatment centers remain open during this time. You may also want to think about speaking with a mental health counselor. If in-person sessions are not available, find a provider who offers telehealth solutions. This means you can receive treatment online.
Times are tough for everyone right now. You are not alone. If you are turning to drugs and alcohol to deal with the stress and isolation, please get the help you need.
SOURCES: