NEFESH: The International Network of Orthodox Mental Health Professionals

School to Work Adjustment

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am a 22-year-old former yeshiva bochur. I have always struggled in yeshiva and never did well. I recently made the decision together with my parents and rov to find a job. I was able to find a job that keeps me busy, will teach me an important industry, and has a lot of growth potential. I also have a chavrusa daily. Surprisingly, I have found the adjustment to this new stage in life to be very difficult. I am workin …

What's the Therapy Process?

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Our daughter experienced a significant trauma when she was in seminary last year. It had been suggested a few times, both by her school and once she came home, that she go for treatment. For whatever reason she refused. She now approached us that she would like to speak to someone about what she experienced and saw. We read this column regularly and would like to hear your recommendation regarding what is the best type of approach …

My Bullying Co-Worker

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I recently started a new job which I was very excited about. Things started well enough but there is another woman who has chosen to make my life miserable. I believe she feels threatened by me because we have a similar position (though I don't think her job is in jeopardy at all). She never misses a chance for a nasty comment be it to coworkers or even managers. I tried to have a discussion with her about it, but she totall …

Laypeople Advising Professionals

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Hi, I work with bochurim in the community and am often involved during crises as well. I would like to know the panel’s opinion on having a doctor prescribe a fast-acting anti-anxiety medication such as Xanax or Klonopin for someone who is usually doing well but occasionally has severe bouts of anxiety? Some people have told me that just knowing they have that option, that the pills are there if they need them, can hel …

Does My Son Have Asperger's?

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am wondering if you can guide us where to turn regarding some challenges that we are having with my 7-year-old son. While it is hard to write everything that we notice, he is basically having problems with friends. For example, he has a hard time getting the concept that someone can play with him one day and then play with a different kid the next day. He also is very into trains and will talk about it as well as its …

Post-Traumatic Video Stress

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am a 17-year-old girl who has had no psychological issues in the past. A few months ago, someone I know thought it would be a good idea to show me a very violent video clip. I can't go into details but basically it involved a real video of someone being killed. Seriously I don't know why a person would show that to someone. I understandably freaked out initially and was very traumatized. I pretty much got over it, but it still k …

Why Can't I Be Happy?

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am not a happy person. Is there a way to change that? That is honestly my whole question. I am pretty much fine in every way, I have a good husband, healthy frum kids, a decent job, we have decent parnassah, are part of a nice kehilla, etc.. Yes, I have the stresses of every frum family but nothing major. With all that said I am a pretty moody and cynical person. If I am being fully honest, I always have been …

Looking for Better Relationships

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Hi! I am a 22-year-old boy and I recently started reading The Couch and I really find it interesting and helpful. I think that even if a question is not directly related to me, I can still learn a lot from the answers. I went through some struggles as a teenager but with awesome parents and rabbeim I got through it, and I am doing really well. I was in a yeshiva in Israel the last two years and just got back to Ame …

My Freeloading Brother

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: My 27-year-old brother has become very stuck in his life and dependent on my sisters and me. He should be fully capable of getting a job, getting married, and moving forward with life. Instead, he has come to completely rely on his siblings for everything.(Our parents are sweet people but older and not so involved.) He sleeps in my sister's basement and eats the meals by us. He will occasionally get a job, but it never lasts …

Waking Up to Anxiety

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am someone who has occasionally had trouble with my moods. I have gotten help in the past with anxiety and depression. While I am currently doing really well, I still have a rough time in the morning. I wake up with a lot of anxiety and it takes time for me to get out of bed. Once I get out of bed I generally do ok and have a good day. There are no noticeable "triggers” for me in the morning so there is no obvious reason t …

Suicidal Ideation

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Something has been bothering me for a while and I finally feel like I need to reach out for advice. I have these thoughts that get stuck in my head and no matter what I do I can't seem to get rid of them. For example, I feel like I might do something dangerous and no matter what I do I can't shake that thought or feeling. I never actually do anything, but I am really worried that one day I might. There are a lot of things that I a …

Camp Anxiety Disclosure

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am a teenaged girl, popular, with a lot of personality, if I do say so myself. I’m the kind of girl who is the life of the party, and enjoys making the fun for the group, trying to make sure all are included at the same time. I applied for a staff position at a camp that is very excited to have me but got stuck on the application itself. I have a mild case of anxiety and am prescribed Zoloft. (They asked for addi …

Efficacy of Teletherapy

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Some providers are doing much more therapy via teletherapy these days. While it started during the pandemic it still seems to have become more common even after things have opened up. I would appreciate if the panelists can share their perspectives on therapy effectiveness in this mode of communication. What are the pros and cons of Zoom therapy versus in person? Are there specific areas such as attachment styles etc. that are bet …

Abrupt Therapy Termination

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Hi, I look forward to your column each week because you always have such insightful answers and opinions.
My therapist recently terminated my therapy with her. My psychiatrist as well has abruptly ended my treatment. I was not informed of the reasons as to why they stopped seeing me, and they did not give me closure either. I was wondering if this is a common thing for therapists and doctors to do. I was also wondering if I …

Informal Therapy

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I appreciate the tremendous service you provide to our community both in your practice and by clarifying and explaining so many mental health issues through this column. My daughter (age 13) was recently referred to therapy by her school principal due to concerns about her behavior. She insists my daughter must go in order to remain in school. My daughter is refusing to go. I am wondering if I can ask a therapist to meet my daught …

Teenage Smoking and Confidentiality

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: Our 14-year-old son has been seeing a therapist for a few months on the advice of his yeshiva. Recently my husband discovered that he has started smoking. It was disappointing and confusing to us that our son told us that his therapist has known for a while that he was smoking. I am very disappointed that the therapist didn't deem this information important enough to share with us, his parents. I would like to hear your option on …

Get Angry with Me!

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: As someone who has recently began mentoring struggling teens, I had a question that I hope you can shed light on. There is one very angry kid who comes from a difficult background, and he is not only tough in how he talks to others but also gets angry if someone talks to him in a nice and calm way. It is surprising that the kid seems to react better when someone talks down to him and is very direct, over someone who talks to him n …

Preventative Mental Healthcare

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am an avid reader of this column and have found it very informative. I think it is interesting that so many of the questions are focused on disorders. People are asking what to do when they are struggling with a mental health issue. In general, I find that people do not think of "mental health" until something goes wrong. I imagine that just as with physical health there are things one can do to stay in shape and keep healthy to …

Stress and Insomnia

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: I am 43 years old and consider myself a healthy person Baruch HaShem. Recently I began having trouble sleeping. Sometimes falling asleep, but also waking up in middle of the night and not being able to fall back asleep. My doctor said there is nothing wrong with me physically and it is stress related. We have indeed been having some difficulty with our teenage daughter recently. At this point I am winding up tired throughout the d …

Adult ADHD

Author: Yehuda Lieberman, LCSW

November 18th, 2021

Dear Therapist: My primary care physician recently told my husband that he thinks he has ADHD. My husband never had that diagnosis as a child, though I am not sure that means anything because he had a lot of different issues going on as a kid and that may have slipped through the cracks. Baruch Hashem he is doing fine now but has had trouble staying on track, specifically in work related areas. The doctor would like to prescribe him medication, b …

Self-Esteem Revisited

Author: Yehuda Lieberman, LCSW

November 22nd, 2017

Dear Therapist: I am a young adult with anxiety and I constantly beat myself with mistakes that I make. I was wondering if you can please give me insight on how to deal with it. I'm a bit impulsive. Ex: I spent a bit too much on food recently and now I'm upset that I don't have any money left for more important things that I need. I think very bad thoughts that are not letting me move on in life. I get very tense and have negative thoughts like & …

Engagement Anxiety

Author: Yehuda Lieberman, LCSW

November 22nd, 2023

Dear Therapist: My son is engaged and has become very panicky about if he made the right decision. Initially we figured it was nerves but it has persisted. He can't really point out any major concerns about the girl but he also is very worried about getting married. More like he feels something is "missing." He acknowledges that he is very anxious but says that he doesn't know if that's just fear or his intuition telling him there is something wr …

Medication and Dating Revisited

Author: Yehuda Lieberman, LCSW

November 22nd, 2023

Dear Therapist: As a teenager our son saw a therapist for a while due to some burnout/depression. Baruch Hashem with some adjustments to his yeshiva life and the help he received he is doing amazing and has been for a while. He is still on a low dose of medication which has worked well for him. When he tried going off, he relapsed and our consensus is that it's best for him to stay on it for now. Now that he is starting shidduchim he is very nerv …

What is the Processing Process?

Author: Yehuda Lieberman, LCSW

November 22nd, 2023

Dear Therapist: I have a pretty basic question about therapy, and I am hoping you can answer it for me. I went through something difficult recently and a few people have told me I should go to therapy so that I could “process” it. I have heard that word from a couple of people and no one has really been able to tell me what exactly that means. What does it mean to “process” something? To talk about it? I have been talking …

Teen Overspending

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: We brought up our children simply and we tried to keep them pretty sheltered. Baruch Hashem many are married and have turned out well. One of our teenage boys has decided he was deprived and has now gone completely the opposite way where he says he needs everything he didn't have. Clothes, scooters, electronics, nothing bad per se, but definitely not how he was raised. We have been discussing with his rabbeim where to dr …

Tantrums! Aarrgghh!!!

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: My 7-year-old daughter seems to have an unusual temper. I understand it's normal for a kid that age to have tantrums but this is something else. She seems to have actual rage. It is also kind of hard to predict what sets her off. Sometimes she goes to school without a fuss and sometimes she will insist she isn't going and it turns into a huge fight. The "switch" seems to turn off as quickly and unpredictably. What works with …

Overspending Husband

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: My husband and I have a wonderful marriage baruch Hashem. We share the same goals and are overall very much on the same page. One area where we keep having arguments is regarding finances. I am much more of a saver and a planner and he has an attitude of "we will figure it out." This is the kind of thing that keeps coming up again and again in our marriage and we just don't seem to have a path that works things out. …

Obsessive Praying

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: I have been struggling for many years with my davening. Many times, I feel that if I only put enough emotion and feeling into my davening, I can get the results that I want. The problem is that forcing myself backfires. It's hard to concentrate on the meaning of the words when trying to create feelings. In my case, I wind up worrying all day about my relationship with Hashem, if I am a good person, and if I am a proper maamin …

Breaking News: Parents Embarrass Their Teenage Kids!

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: I'm curious to hear what the panelists have to say about the following: What is the correct approach that a parent should take when a child expresses their embarrassment about their parents, their parents clothing, cars, house etc.... For example, my teenagers will say, "What you’re wearing is so outdated," "Our house is so messy," "Ma, you can't wear this," "Please pick me up from school in our nicer car …

My Angry, Abusive Brother

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: I have a middle-aged younger brother who lives a depressed, resentful, lonely, unemployed life. My mother, an almanna, has a heart of gold and would do anything to help him. Yet, he gets extremely angry at her when they speak on the phone, and expresses deep resentment to her, which is similar to how he connected with our father a"h. He thinks she favors me over him, among other gripes. On the rare occasion that he visi …

Dating Rejection Trauma

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: Around a year ago my son was far along in a shidduch and at a late stage the girl said no. He was devastated at the time which we thought was normal. But it is now a while later and his dating has really suffered from it. He is constantly procrastinating when shidduchim are redt to him and he is an anxious mess when he dates. After every date he agonizes about his decision and, in my opinion, has said no to some very nic …

My Son is Being Left Back!

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: It is becoming clear that we are going to need to have our son who is now in 3rd grade go back to 2nd grade after Succos. He is too far behind and we can't provide the support that is necessary to help him maintain grade level. I am not sure how to break this news to him and how to help him so that this will not scar him emotionally or socially. Please advise us how to do this in the most painless way possible. Thank you …

Marriage Intrusion?

Author: Yehuda Lieberman, LCSW

November 25th, 2024

Dear Therapist: I am worried that my daughter who just went to seminary is spending way too much time at her newly married sister's home. I think she is missing out on the full experience and the chance to make new friends. I am more concerned that it isn't good for my shana rishona couple to have someone in the house all the time. Both my daughters say that I am over reacting and it's not a big deal. I would appreciate your opinion and …

Mixing In to My Son's Relationship

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
My son is a great boy, kind, sincere, and easygoing. He recently got engaged, and baruch Hashem the kallah seems like an excellent girl.One thing I’ve noticed over the years is that he can be a little absent-minded. He forgets small things sometimes. But now that he’s engaged, I’ve seen a few moments where he forgot to follow up on something he told his kallah, or didn’t realize how something innocent mi …

I didn't Sign Up for This...Marriage?

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
My wife and I have been married five years, baruch Hashem, and we have two wonderful children. When we got engaged, her plan was to become a social worker, and she was also doing some photography on the side. That played a big part in how I understood her goals. Soon after the chasuna, she stopped college, and within a year she stopped photography too. She’s been working a part-time remote job since then, but now she’ …

Social Anxiety

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
My wife has close friends, and she isn’t shy. But I notice that she avoids big events. Simchos, Shabbos meals with new people, even shul. She will come up with an excuse not to go. She doesn’t say it’s anxiety, just that it’s “too much,” or that she’s not in the mood. She always has been like this to a degree, but it is getting worse recently.Is it possible to be a sociable person but still struggle with cer …

Chronic Fatigue

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I’ve been feeling really off physically for a long time, beyond regular tired. My whole body hurts some days, or just feels heavy, like I’m walking through water. I’ve seen doctors, done blood work, they always say nothing’s wrong or just say “maybe it's stress.”This isn’t just stress. I crash after normal things like taking the kids to the park or making Shabbos and it’s not normal tired. I also don’t look s …

Motor Tics, OCD, and Anxiety

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
Thank you for your informative and insightful column. I am reaching out for guidance regarding my 15-year-old daughter, who has been experiencing motor tics for several years. The tics have followed a fluctuating course, typically appearing for a period of time and then resolving for several months. There have been intervals of up to six months without any symptoms, followed by sudden recurrences, often in connection with iden …

My Wife Insists that I See a Therapist!

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I am 54 years old, the owner of a successful business, and I give a nightly shiur. I grew up in a difficult home and developed OCD and anxiety before my bar mitzvah. In those days, there was no treatment for this. I married a wonderful girl, but our marriage was greatly impacted by my emotional problems. At my wife's insistence I made my rounds to many therapists, but my symptoms never went away. I fin …

Differing Martial Issue Resolution

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I’m someone who likes to talk things through when something’s bothering me—it helps me process and feel closer. But my husband just goes quiet, moves on quickly, or just says “it’s fine.” He’s not cold or mean, he just doesn’t really do the whole talking-about-feelings thing.I’m trying not to push, but I also sometimes feel alone and that things are unresolved. Is this a normal difference in personality, or s …

Childhood Fears

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I’m writing about my 6-year-old son, who started his second year of school. He’s usually a happy, easygoing kid, and last year went well overall.But since school started, he’s been refusing to go in the mornings and sharing strange fears—like the bus getting lost, getting in trouble, or even the police showing up. When he gets anxious, he becomes really upset and hard to calm down. He also seems to misinterpret things …

Self-Esteem and Comparison

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I’ve been feeling something lately that I’m not even sure how to put into words. I have a sibling who I’m close with, and I do care about them a lot. But when I hear about all the good things going on in their life — whether it's their job, their social life, or how smoothly everything seems to go, I sometimes walk away from our conversations feeling frustrated or not good enough.I don’t want to feel this way, and I …

Marriage Ambivalence

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I got married recently, baruch Hashem, and overall things are good. My wife and I get along well, I’m happy to be building a life with her, and I’m grateful for what I have. But at the same time, I’ve been feeling stuck lately.Before marriage, I felt like I was really growing—in learning, in personal development, in self-awareness. I had space to think, dream, and work on myself. Particularly, when I was in Y …

Teaching Anxiety

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
I am a girl that has been teaching for a few years now. Before I go into the classroom, I often feel symptoms of anxiety. It usually starts before I even leave for work and continues until I’m actually in the classroom. Once I’m there, the anxiety lessens, but it doesn’t go away completely.Now that it’s summer break, I’m barely feeling any anxiety at all. But when I think about going back to work, I still feel that fa …

Therapy and Language Challenges

Author: Yehuda Lieberman, LCSW

November 26th, 2025

Dear Therapist:
My son is in his early teens and has been struggling emotionally for a while now. We’re considering therapy to help with his anxiety and frustration, but there’s an added complication—he also has a language delay and has trouble expressing himself clearly, especially when it comes to his emotions.He’s intelligent and very sensitive, but when something’s bothering him, he often can’t find the words to explain it. I …

Should I Seek Therapy Simply for Accountability?

Author: Yehuda Lieberman, LCSW

November 28th, 2024

Dear Therapist: Is there a benefit to using therapy just for accountability? I pretty much know what I need to do but I push things off a bit and I find that it helps for me to have someone that I check in with weekly to keep me on my game. I have done therapy in the past for deeper issues but I feel like at this point it's more about taking action. I am considering resuming therapy but mostly just for the goal of being accountable to someone. Pu …

Self-Esteem Revisited Again

Author: Yehuda Lieberman, LCSW

November 28th, 2024

Dear Therapist: I enjoy your weekly responses and I think that it has provided me with a lot of insight into my own life. My question is: How would you define self-esteem? Is it the same thing as self-confidence? Is it something that someone can build on their own or must they be born and raised with? I understand that everyone might have a slightly different definition but I think I would appreciate hearing all of your perspectives on this. Than …

Eating Disorder Group Therapy

Author: Yehuda Lieberman, LCSW

November 2nd, 2017

Dear Therapist: Our daughter unfortunately suffers from an eating disorder. One of the things the doctor is recommending is “group therapy”. We have a number of concerns regarding this. First off, the people in the group will, presumably, be just as sick or worse than she is. We don’t want her to get any ideas that she doesn’t have already. Secondly, we are worried that she will meet people there and people will find out a …

Can I Force Someone Into Treatment?

Author: Yehuda Lieberman, LCSW

November 30th, 2017

Dear Therapist: What options are there for someone who clearly needs treatment but refuses to get it? I am currently involved with two cases where the person has serious issues that are affecting themselves and their families but won’t go for help. In one case the person is so depressed they barely leave the house for anything and won’t even hear of it. In the other case the person thinks there is nothing wrong with them but the …

What's the Right Amount of Anxiety?

Author: Yehuda Lieberman, LCSW

November 6th, 2023

Dear Therapist: I have always considered myself a healthy person and have never been diagnosed with any kind of mental health issue. Recently, due to the current events in Eretz Yisroel, I have this feeling of uneasiness that follows me around all day. I can't say I'm anxious but I certainly don't feel like my regular self. I feel more "alert" when I am walking down the street, considering travel plans, or even dropping my kids off at school …

Enough Therapy Already?

Author: Yehuda Lieberman, LCSW

November 6th, 2023

Dear Therapist: Thank you for this forum and for your time and advice. Our son's school recommended that our 7-year-old be evaluated for behavioral issues at the end of last school year and that he may benefit from some extra help during summer vacation. We had him evaluated privately and paid privately for the sessions that he is receiving and b”H have seen improvement in his overall behavior and his ability to follow instru …

The Stonewalling Therapist

Author: Yehuda Lieberman, LCSW

November 6th, 2023

Dear Therapist: When I asked my fifteen-year-old daughter’s therapist questions about what was being addressed in therapy and why we needed to continue, she was evasive, making it clear that it wasn’t my place to know and there was no reason for me to be involved. I was quite baffled and rattled. It just didn’t make sense to me at all that I was not being included as an important team member. But I put aside my troubled feelings …

Somatic Symptom Disorder

Author: Yehuda Lieberman, LCSW

November 8th, 2017

Dear Therapist: Our teenage son has always been a bit of a complicated personality but he does well socially and academically. Recently we have noticed a trend where he keeps on asking to go to the doctor because of different things that are bothering him physically. My husband and I recently calculated that he has had 6 separate issues in the last year or so. Only once was there actually something wrong (strep); the other times the doctor …

My Unstable Parents

Author: Yehuda Lieberman, LCSW

November 9th, 2018

Dear Therapist: My parents are very controlling, critical, self-centered and emotionally unstable (they may possibly have personality disorders). One of my sisters recently started disconnecting by minimizing her interactions with my parents. My parents are very hurt and angry and are trying many tactics to change my sister's behaviors (which includes badmouthing her to rabbanim). I come from a large family and all of the children are married. We …

Marital Communication

Author: Yehuda Lieberman, LCSW

November 9th, 2018

Dear Therapist: I have been married for almost a year. Overall things are good. The problem is that whenever my husband and I have a disagreement he will completely shut down. For example, I didn't appreciate that he came home really late the other night and I told him so but instead of discussing it he got all offended and basically avoided me for 2 days. I get the impression that he thinks that I am never allowed to be upset at him or justified …

Children and Israeli Terror

Author: Yehuda Lieberman, LCSW

October 12th, 2023

Dear Therapist: Could you please share advice on dealing with younger children who are struggling with the news from Eretz Yisroel. Of course, we are preventing them from seeing any images, but they have inevitably heard some of the horrible details, particularly about kidnapped children r'l. Any advice you can have to help them deal with this terrible situation more effectively would be helpful. Response: I think that I speak f …

Is the Social Work Profession For Me?

Author: Yehuda Lieberman, LCSW

October 18th, 2017

Dear Therapist: Thank you for taking your time each week for this column. I have found it to be very enlightening and educational. I am 33 years old and not finding fulfillment in my current occupation. I am considering going back to school to obtain a degree in social work. I have always been interested in helping people and people seem to gravitate to me when they need help solving a problem. I am curious as to what type of person you think mak …

Affordable Quality Orthodox Therapists--Myth or Reality?

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I have a question which I hope you can help me with: I'm looking for a new therapist, one that is in-network and takes my insurance. I'm doing a ton of research, calling up therapists, clinics etc...but I keep bumping into the money issue. I just hung up with yet another therapist that didn't work out, and I'm honestly feeling helpless, hopeless and demoralized. Is this how the system is g …

Is My Husband COVID-Phobic?

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: My husband has been taking COVID very seriously. Although he is young and has no health conditions, he basically isolated completely for the first few months of the pandemic. He spends a lot of time online "researching" the illness and spends a lot of time discussing and analyzing it. At the end of the summer, when we had gone so long without seeing any serious illness, he started relaxing a little and going out (with a mask). He …

Headaches--Physical or Psychological?

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I am writing to ask for some clarification as to the extent that stress or other psychological issues can cause physical problems. Basically, I have not been feeling well for a while, mostly with very bad headaches. I have been to a doctor and a specialist who both are saying that there is nothing they can see that is wrong and it must be that I am stressed out. They suggested I go to counseling which I am looking into. I guess my …

Classroom Orphans

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: As a 3rd grade rebbe sometimes I have children in my class who have lost a parent r’l. I wonder if in such cases I should avoid using the word totty or mommy during class to avoid hurting the child. Is this something that is helpful or perhaps avoiding it is just something that is not realistic and unfortunately it is something they will live with all their lives? Response: Your sensitivity to oth …

Who is a Narcissist?

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I find the letters and responses to the Couch very informative. Would it be possible for the panelists to share advice on how to detect narcissistic behaviors? I had an awful experience with a narcissistic individual and tried so hard to make it work. However, if I would have been aware of the classic signs of narcissists, I would have realized early on that it would not work. Narcissists are very charismatic people that are …

Psychiatric Dating

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: My son has struggled with a kind of constant but not so severe depression for a while. He has a lot of trouble moving forward, being productive, and is often just down. He is at the age where he should be starting shidduchim and many of his friends are dating. He has been working with a therapist and had been getting better but recently is not doing as well. His therapist has suggested that he see a psychiatrist to possi …

Do I Need a Therapist or a Coach?

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I am considering hiring a therapist for work purposes. I bh don't feel the need for therapy in my personal life but someone suggested seeing a therapist to help me/coach me in my management position. Basically, even if I am doing well can this help me perform even better? Perhaps it would be a good idea for our bottom line if we hired someone for the company to motivate employees and help manage workplace issues. What ca …

Summer to School COVID Transition

Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: As the school year hopefully begins, I am somewhat concerned about my elementary school children who have not been on a regular structure/schedule since Purim. I wonder if there is any advice you can give us on how to manage the transition back to normalcy? Or maybe it's nothing and the kids will bounce right back into it? Also, are there any signs we should look out for that would indicate an issue? Response: I&r …

Teacher Abuse Revisited

Author: Yehuda Lieberman, LCSW

October 25th, 2017

Dear Therapist: When I was a young boy in high school I was treated horribly by an English teacher. For whatever reason he would pick on me constantly, always pointing out when I didn't know something (I was not a good student so this was pretty often). He would embarrass me in front of the entire class and called me a "shoyta". It was a very bad tekufa in my life but I survived. Fast forward 20 years and I BH have a wonderful family with childre …

I'm Being Bullied on the Bus

Author: Yehuda Lieberman, LCSW

October 25th, 2018

Dear Therapist: I am an 8-year-old boy. There is an older boy who beats me up and bothers me every day on the bus. He is bigger than me and if I ignore him he just acts worse. There is nothing the Yeshiva can do because there is no teacher on the bus. I really worry about it a lot and I don't like going to school anymore (although it is true that I really like it once I get there). My parents said I can write to you to ask you for advice. …

Marriage and Siblings

Author: Yehuda Lieberman, LCSW

October 25th, 2018

Dear Therapist: My younger sister (20 years old) got married last year. Although I am happy that she doesn’t have to deal with shidduchim any more, I am struggling with my own emotions about it. My sister was in seminary and already decided she was going to date when she came home. She “asked me” permission to date when I came to visit her that year—but only because my father told her she should. Then, when she came home s …

Night Terrors

Author: Yehuda Lieberman, LCSW

October 25th, 2018

Dear Therapist: My very bright, mature, lovable, happy 5-year-old son has begun to experience what I have been told is called "night terror". He is a very happy child during the day, definitely with a more intense personality, but very healthy and well-adjusted and extremely bright. At night, he will wake up in terror, screaming, cowering in the corner, looking at me or my husband with terror, eyes opened wide, with real fear...and then a few min …

Grief and Dating

Author: Yehuda Lieberman, LCSW

September 12th, 2023

Dear Therapist: I am a teacher who has stepped in to offer support to a former student of mine who has recently lost her father. She is currently of shidduchim age and the family is anxious for her to begin dating. They feel that she should "move forward" and have been exerting significant pressure on her to begin. I was wondering if you can give me some guidelines as to when that would be considered healthy. I imagine it isn't just a time thing …

Keep Up With the Joneses?

Author: Yehuda Lieberman, LCSW

September 12th, 2023

Dear Therapist: I live in a neighborhood/community where there is a big emphasis on money. It is a young neighborhood where people are just starting work, and some are making serious money and throwing it around. So there has recently become this pressure to “keep up with the Joneses.” I have a salaried job and al pi derech hateva I am not going to become a millionaire any time soon. This was always ok with me, and I didn&rs …

Father-Son Relationship

Author: Yehuda Lieberman, LCSW

September 12th, 2023

Dear Therapist: I am not much of a letter writing type of guy, but I will give it a shot. I have been hearing from my wife, and now from my son’s rebbe that I need to work more on developing a better relationship with my teenage son. It isn’t that we have a relationship, it’s that we just don’t seem to connect. I know I am not the most expressive person in the world and though that doesn’t seem to be a problem with m …

My Husband's Secret Therapy

Author: Yehuda Lieberman, LCSW

September 13th, 2017

Dear Therapist: My husband recently revealed to me that he has been going to therapy for the last 6 months. I had no idea that he was going or that anything was wrong. I thought we BH had a good marriage and were doing well raising our family. When I asked him why he is going he says there are certain things he wanted to discuss with someone but refuses to tell me what they are. He won't even tell me the name of the person he is seeing. I am comp …

Anxiety Or Concern...Which Is It?

Author: Yehuda Lieberman, LCSW

September 19th, 2017

Dear Therapist: I have struggled with anxiety all my life. I spent a few years in therapy and BH have it under control to the point where is doesn't severely impact my life like it used to. My question is it ever appropriate for me to be anxious or should I always be working on trying to remain calm. I hear people say that some anxiety is good but I wonder if that applies to someone like me. Even regarding the Yemei Hadin I wonder if the yirah th …

Everyone Thinks I should be Married...Aside from Me!

Author: Yehuda Lieberman, LCSW

September 21st, 2018

Dear Therapist: I am an older year old single bochur who is learning in yeshiva. I have been told I am picky, unable to make a commitment, lazy, unambitious and many other diagnoses and labels. Many people have suggested that I “speak to someone” (meaning a therapist) in order to resolve the major issues I must have if I am not married at the old age of 28. I think I have just not yet met the right person. Thoughts? Response: Y …

Autism Effects on a Family

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapist: Our 7-year-old son has always been challenging. He is a challenge behaviorally and has a difficult time getting along with his siblings and his friends. On the advice of our pediatrician, we had him evaluated and we got a diagnosis of Autism Spectrum Disorder. Now we have a name to the problem and are working on figuring out our best approach for treatment. As we are approaching yom tov and will be spending it together with famil …

Wrong Therapist?

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapist: We recently acceded to our daughter’s request to begin seeing a psychologist weekly. This is related to some eating disorder and body image issues. Without going into the specifics we were given a bad recommendation by a friend as to which psychologist to send to. This psychologist clearly did not share our values and we believed she would not be appropriate for our impressionable teenage daughter. So we switched her to a d …

My Wife's Depression

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapist: My wife suffers from major depressive disorder and has for many years. Most of the time it is kept under control with medication but every so often will flare up into a severe depression. She has currently been suffering from a depressive bout for the past month and a half. She is working with a psychiatrist and therapist to get better. Part of her depression is that she doesn't want to do anything but sit at home all day. Sittin …

The Inflexible Child

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapist: My 10-year-old son is smart and personable. He does great in school both academically and socially and is an all-around great kid. He is emotionally pretty mature for his age and can be pretty independent and self-reliant. He is, however, often very inflexible. He has a few foods that he likes and that's it. A few shirts and that's it. Same with general schedule and routine (i.e. he has a rough time moving out of his room f …

Fear of Marriage

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapist: This might seem like a shidduch question, but I'm posing it here, as it dips into the mental health arena. In my experience with singles seeking to remarry, a barrier that presents itself repeatedly is fear. Many have had personal experiences of heartache and betrayal; they have experienced the pain of relationships falling apart. These experiences are a perfect breeding ground for fear to take hold, and possibly fester into a di …

Why is Camp Scaring My Child?

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapist: What is it with camps scaring the wits out of kids. How come all the scary plays, Holocaust stories, and color war breakouts. Granted my kids are a bit sensitive but do I need to have them come home from day camp all terrorized? Are these things appropriate? Are my kids just wimps? Can these types of things negatively impact kids? Response: …

Bad Business

Author: Yehuda Lieberman, LCSW

September 26th, 2019

Dear Therapists, My husband keeps on making bad investments and losing money. He borrows money to try and invest and now he has lost other people’s money. He is totally out of touch with reality vis-à-vis his business ability, complete oyalam hadimyon, but it doesn’t "pas" for him to work for someone else or get a regular job. I am at my wits’ end. Please suggest how to talk some sense into him. Response: I’m …

Peer Pressure and Self-Esteem

Author: Yehuda Lieberman, LCSW

September 28th, 2017

Dear Therapist: Can you please give me some good guidelines on how to deal with peer pressure? I am very affected by what the people around me are doing. I don't know if it's that I'm afraid of people getting angry with me or I need to be the center of attention. I think that that is my most difficult challenge and if I could just not be afraid to be different I would be a much better person. Response: Most often, issues with peer pr …

Balancing Differing Needs in a Family System

Author: Yehuda Lieberman, LCSW

September 6th, 2017

Dear Therapist: Our 19-year-old son is sadly no longer shomer torah umitzvos. This is a tremendous source of pain and turmoil for the entire family. My wife and I are trying very hard to do what is best for him in accordance with the guidance we are receiving from Rabbonim and professionals. With lots of thought and hard work, we are slowly working on repairing our relationship with our son. Our question is regarding our other children. While the …

My Daughter Wants to Ditch Her Friend

Author: Yehuda Lieberman, LCSW

September 6th, 2024

Dear Therapist: My 14-year-old daughter is a kind soul. She is always nice to everyone and has many friends. She approached my husband and me recently and said she realizes that there is a friend of hers who is not a good influence on her and she doesn't think she should be spending time with her. I think her concerns are valid. She asked us for guidance about how to go about distancing herself from the relationship. Our daughter is not really th …

What is Career Counseling?

Author: Yehuda Lieberman, LCSW

September 6th, 2024

Dear Therapist: I am 27 years old and have been having a hard time choosing a job and career. I tried some jobs but found them boring because I really wasn't given anything to do. I also can't tell if I just haven't found the right job for me or I just didn't really get good opportunities. How can I figure out what I would be most interested in and what I would be best at? What is best approach to this? Is there a test or evaluation that yo …

My Brother Needs Premarital Counseling

Author: Yehuda Lieberman, LCSW

September 6th, 2024

Dear Therapist: My brother has never really been that socially savvy. He has no official diagnosis as far as I know of but he has struggled in the past socially a bit. He recently got engaged and I am a bit nervous about how he will do in marriage. What would be the best way to prevent any issues and deal with them before they become a real problem? Is there any type of premarriage counseling or guidance that you recommend? Even a book that you t …

Homesickness

Author: Yehuda Lieberman, LCSW

September 6th, 2024

Dear Therapist: My 7th grade daughter is in sleepaway camp for the first time and is very homesick. Do you think it is better to try and talk to her by phone every day and send her packages etc.? Or is it better to just leave it and let her figure it out. Does calling her more than once a week actually make it worse or is this a good way to support her? What other recommendations would you have for dealing with homesickness? Thank you for yo …

Israel Anxiety

Author: Yehuda Lieberman, LCSW

September 6th, 2024

Dear Therapist: My son is scheduled to go to Eretz Yisroel to learn next year. He had a difficult high school experience but has grown tremendously over the last 2 years. The yeshiva in Eretz Yisroel is a great opportunity for him to keep growing. He is, however, extremely nervous about the whole security situation. As I write this, Haniyeh ym"s was just killed and things again look like they could escalate. It's always back a …

Major Decisions...No Problem; Minor Ones...Well...

Author: Yehuda Lieberman, LCSW

September 6th, 2024

Dear Therapist: I have some trouble making decisions. I am not really talking about big decisions like getting married or what yeshiva to send my kids to. I actually do ok with that. It is the smaller things like where to go for Shabbos and what suit to buy and things like that which take up way too much time in my life and occupy my thoughts too much. I just go back and forth and back and forth, and it can be almost comical. It can wind up being …

Passive-Aggressive Mother

Author: Yehuda Lieberman, LCSW

September 7th, 2018

Dear Therapist: I have always had a difficult relationship with my mother. I always blamed myself. As I get older, with the help of some friends, I can realize some of the issues. It is impossible to have a normal conversation with her. It’s like she won’t say straightforward what she means, and nothing gets resolved. For example, I can tell she is angry and something I did upset her, but she denies it but then seems to ignore me for …

Is My Daughter Ruining Her Sister's Marriage?

Author: Yehuda Lieberman, LCSW

September 7th, 2018

Dear Therapist: My daughter has just left for a year of seminary in Eretz Yisroel. I am concerned about the amount of time she is spending in her just married, shana reshona, sister’s house. She has only been in Yerushalayim the last few weeks but, by all accounts, she is spending way too much time there. I know it's early but I want to deal with this before it becomes an issue. This doesn't seem to bother either of my daughters but I …