Adult Friendship Recession: How to Make Friends When Mental Health Isolation Has Set In

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Marcus, a 38-year-old software engineer in Denver, Colorado, did the math one Sunday afternoon and the result startled him. He had not had a one-on-one conversation with a friend, in person, that lasted longer than thirty minutes, in nearly fourteen months. He had a wife he loved, two kids he adored, colleagues he liked, and … Read more

Boundary Setting With Difficult Family: Estrangement, No-Contact, and Mental Health Outcomes

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Maya, a 34-year-old graphic designer in Portland, Oregon, sat in her therapist’s office holding a wedding invitation she had not opened. Her younger sister was getting married in Charleston in six months, and Maya already knew she would not attend. The decision had taken three years of family estrangement therapy to reach. Her father, a … Read more

Boundary Setting With Difficult Family: Estrangement, No-Contact, and Mental Health Outcomes

Free stock photo via Pexels

Maya, a 34-year-old graphic designer in Portland, Oregon, sat in her therapist’s office holding a wedding invitation she had not opened. Her younger sister was getting married in Charleston in six months, and Maya already knew she would not attend. The decision had taken three years of family estrangement therapy to reach. Her father, a … Read more

Career Change and Mental Health: Identity Crisis, Vocational Counselling, and Successful Transitions

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Rachel, a 41-year-old corporate attorney in Chicago, sat in her office at 11 p.m. on a Tuesday and realized she could not remember the last day she had felt anything other than tired. She had spent fifteen years climbing to senior associate at a top-fifty firm. Her billables were strong. Her reviews were excellent. Her … Read more

Career Change and Mental Health: Identity Crisis, Vocational Counselling, and Successful Transitions

Free stock photo via Pexels

Rachel, a 41-year-old corporate attorney in Chicago, sat in her office at 11 p.m. on a Tuesday and realized she could not remember the last day she had felt anything other than tired. She had spent fifteen years climbing to senior associate at a top-fifty firm. Her billables were strong. Her reviews were excellent. Her … Read more

Staying Well After Treatment Ends: Building a Long-Term Mental Health Maintenance Plan That Actually Works

The Quiet Fear After the Final Session You have done the work. Weekly therapy sessions for months. Maybe medication management with a psychiatrist. Perhaps an intensive outpatient program or a partial hospitalization stay when things got really bad. You have learned coping skills you never knew existed. You have confronted painful truths. You have spent … Read more

Staying Well After Treatment Ends: Building a Long-Term Mental Health Maintenance Plan That Actually Works

The Quiet Fear After the Final Session You have done the work. Weekly therapy sessions for months. Maybe medication management with a psychiatrist. Perhaps an intensive outpatient program or a partial hospitalization stay when things got really bad. You have learned coping skills you never knew existed. You have confronted painful truths. You have spent … Read more

Heat Therapy for Depression: Sauna Studies, Hyperthermia Trials, and What Actually Works

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Hannah, a 41-year-old librarian in Madison, Wisconsin, walked into her psychiatrist’s office in February with a printout of a 2016 JAMA Psychiatry paper. She had read about the Charles Raison hyperthermia trial three times and wanted to know whether the local Finnish-style sauna at her gym counted as a reasonable substitute. Her depression had partially … Read more

Heat Therapy for Depression: Sauna Studies, Hyperthermia Trials, and What Actually Works

Free stock photo via Pexels

Hannah, a 41-year-old librarian in Madison, Wisconsin, walked into her psychiatrist’s office in February with a printout of a 2016 JAMA Psychiatry paper. She had read about the Charles Raison hyperthermia trial three times and wanted to know whether the local Finnish-style sauna at her gym counted as a reasonable substitute. Her depression had partially … Read more