Author: Chaim Neuhoff, Ph.D.

December 28th, 2016

Question: I am a tenth grade Rebbe in a local mesivta. I am concerned that one of the bochurim in my shiur may have OCD. He is a very good bochur and does very well, but is shy and seems very anxious about his grades. I noticed recently that he spends a very long time putting on ( and taking off) his teffilin. At least 10 minutes. He is constantly adjusting them during davening. He also takes a very long time davening. How do I know the differenc …
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Author: Chaim Neuhoff, Ph.D.

May 14th, 2017

   Question:   I am wondering if you can help with the following question that I frequently wonder about. Why is there more of a need for therapists today than a generation or two ago? Somehow we managed fine in the past. I am not, chas v'shalom, against therapists, especially those who follow Da'as Torah. I am just seeking to understand.
Very intriguing question, one that deserves serious coverage. For the purpose …
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Author: Chaim Neuhoff, Ph.D.

June 3rd, 2021

Question: 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 am doing a ton of research, calling up therapists and clinics, 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 going to work? Is mo …
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Author: Chaim Neuhoff, Ph.D.

November 13th, 2017

Question: I am an older teenager. Can you please explain to me why some people have such a hard time waking up in the morning? This is something I constantly struggle with and I never am able to beat it. Oversleeping is something that is constantly getting in the way of my aliyah. It also really annoys my parents and rabbiem.  I wouldn't say it just has to do with going to sleep late because I have friends who go to sleep really late and sti …
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Author: Chaim Neuhoff, Ph.D.

March 8th, 2021

Question: My sister has a difficult time with her 2 of her children. They are socially awkward, struggle in school and seem to me to be very anxious. Whenever they go through something difficult, she seems to quickly find a "medical" related reason why whatever is happening is happening. One time it's strep, one time PANDAS, or Lyme disease or whatever else. She runs around from doctor to doctor getting all sorts of treatments for them.  Non …
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Author: Chaim Neuhoff, Ph.D.

May 22nd, 2018

Question: The time has come in my life for me to make a parnassah to support my family. I am having a difficult time choosing what career path I would like to take and what field I want to get involved in. I am generally not a person that has a hard time making up his mind but I can’t seem to settle on something that I think I would be good at and interested in. Someone mentioned that therapists are trained in career counseling so …
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Author: Chaim Neuhoff, Ph.D.

January 14th, 2019

 Question: My sister-in-law sees an unlicensed therapist. This concerns me and I asked my sister-in-law about it who assured me that the therapist has very solid training and good results and she is happy with her. This doesn't sound right or ethical to me, but I am not sure what to do, if anything. I would appreciate the thoughts of the panel members.    It is impossible to comment on your sister-in-law as well as o …
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Author: Chaim Neuhoff, Ph.D.

March 9th, 2018

Question: I am a teenage girl who bh has many things going for her; I have a great, loving family, plenty of friends, good grades and all in all I am very happy. I do suffer from trichotillomania (I pull out my hair). But just to make it clear those that don't know would not be able to tell, My friends know and really don't think it to it, it really has no effect on my life. Do you think it is necessary to go for therapy or do whatever it ta …
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Author: Chaim Neuhoff, Ph.D.

July 18th, 2018

Based on a Shiur from Rabbi Eliyahu Brudny  Tisha B’av, as we all know, is a tremendous paradox. It is simultaneously a Yomtov, a fast-day, and a Yom Avel that all somehow go hand in hand. We sit on the floor like Availim and then, based on the Pasuk of "Koro Aloi Moed", we omit several sad parts of davening  including lamnatzeiach, tachanun, or tzidkoscha tzedek.  This is such a rare occurrence to have su …
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Author: Chaim Neuhoff, Ph.D.

March 14th, 2018

בס"ד Remarks of the Novominsker Rebbe (Rabbi Yaakov Perlow) at the recent MHP Agudah conference, November 2017. Words of introduction from Rabbi Chaim Dovid Zwiebel ברשות the Rebbe שליט"א and ברשות the wonderful people who have gathered today. You are dedicated professionals who continue on a daily basis to make such a tremendous difference on our communities and on the world around us. When I was growing up, this idea of Mental …
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Author: Chaim Neuhoff, Ph.D.

February 21st, 2018

Question: My mother-in-law has been fighting a very serious illness for the last few years. At this time the doctors say that they have no more treatments to offer her. I don't think my husband really accepts the implications of this. My children have always had a close relationship with their grandmother and are always asking when she is going to get better. We have been very positive throughout this but now I am not sure how to approach it with …
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Author: Chaim Neuhoff, Ph.D.

April 5th, 2021

Question: I am wondering if therapy can help a person who is in a difficult situation that can’t be changed. I understand if someone is depressed with life therapy can help them feel better but if someone is dealing with a reality that is bad is there a point of going to therapy? I understand the question is broad, but I would prefer not to go into my own personal details. Either way there are many such examples, financial, familial, medica …
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Author: Chaim Neuhoff, Ph.D.

July 4th, 2018

I wanted to share excerpts from this New York Times article by Clay Routledge.  It touches on many important themes including the role of meaning, community, contributing, family, and religion.   I touched on some of these themes in the following blogposts.   https://nefesh.org/ChaimNeuhoff/footsteps-ii.html.  Related to the loneliness and despair of those who have left Orthodoxy.    https://nefesh.org/ChaimNeuhoff/a …
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Author: Chaim Neuhoff, Ph.D.

January 3rd, 2018

Remarks of Rav Yehoshua Eichenstein at the recent MHP Agudah conference, November 2017.   Words of introduction by Rav Elya Brudny I would like to introduce Rav Yehoshua Eichenstein who you soon will have the זכות of interacting with. I was first introduced to Rav Eichenstein as a 15-year-old 12th grader. At that time, I was learning פרק מרובה in Rav Pam’s Shiur at Torah Vodaas. In those years, Yeshiva ended in June and we …
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Author: Chaim Neuhoff, Ph.D.

December 24th, 2017

Question: I am worried about how my husband interacts with our children. Most of the time he is great but when he is stressed out he can really be difficult. He yells a lot and on occasion hits (potches) the children. He says there is nothing wrong with that and that it was never considered wrong for a father to potch and is part of chinuch. I think it's horrible and will ruin the children emotionally. Can you please settle this issue for us.&nbs …
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Author: Chaim Neuhoff, Ph.D.

January 4th, 2017

Question: I was involved in a car accident two months ago. Although I fractured my arm I am  boruch hashem okay. The driver of the other car was more seriously hurt and needed surgery. My friends tell me I am “traumatized” and that I talk about the accident too much. I think it's normal to be shaken up by going through such an experience. I do have trouble falling asleep at night but I don't know if it's related to …
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Author: Chaim Neuhoff, Ph.D.

April 30th, 2017

Social Anxiety and Shyness in children: When is it a problem?   When observing children, what often appears as social anxiety, is, in fact, age-appropriate behavior without necessitating too much concern from parents.  See below for some distinctions between ordinary shyness and social anxiety.    Leah Stern is concerned about her 6-year-old daughter, Chanala.  When Mrs. Stern meets a friend in public, Chanala hides behin …
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Author: Chaim Neuhoff, Ph.D.

December 12th, 2020

Question: The unfortunate reality is that marijuana use is becoming increasingly less taboo in society. This has been driven home by the recent vote in NJ to legalize its use. Until recently it never would have crossed my mind as something I need to worry about with my children. However, with its increased prevalence in society, I am starting to wonder if this is something I need to discuss with my kids? Do you think this is something I should ha …
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Author: Chaim Neuhoff, Ph.D.

March 26th, 2018

Question: I took my first cigarette in 9th grade. I have been smoking steadily for the past 15 years. If I am honest I realize that it is a big health risk but that doesn’t seem to motivate me to stop. I guess I kind of “want to want” to stop. It certainly would make my wife and parents happy.  My question is 1. Do you have any suggestions as to how to become more motivated to quit? 2. Are there any specific methods th …
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Author: Chaim Neuhoff, Ph.D.

October 16th, 2017

   Question: 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 makes a good therapist? What personal qualities would indicate that someone might make a good therapist? Are th …
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Author: Chaim Neuhoff, Ph.D.

November 17th, 2024

Question: As a teenager our son saw a therapist for a while due to some burnout/slash 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  …
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Author: Chaim Neuhoff, Ph.D.

May 6th, 2021

Question: 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 possib …
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Author: Chaim Neuhoff, Ph.D.

January 16th, 2023

Question: I am dating a girl who disclosed to me that she has been seeing a therapist for the last year. She seems like a good girl and she said the things she went to therapy for are not significant. She gave me permission to speak directly with her therapist and signed a form allowing me to do so. My question/concern is how reliable will the information I get from the therapist be? Can you give me some advice on what type of questions to ask an …
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Author: Chaim Neuhoff, Ph.D.

May 29th, 2018

Question: I would like to get your opinion on something that has been bothering me for a long time. I am afraid to do hagba (lifting the Torah scroll). I have only done it once in my life ( with a really small Sefer Torah). I should be strong enough but I just have such a fear that I will drop it. I will usually duck out of shul when it’s time for hagbah so that the Gabbai won’t approach me for it and if I do get asked I always r …
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Author: Chaim Neuhoff, Ph.D.

November 30th, 2018

Words of Chizuk from Rav Yeruchem Olshin Shlita Publicized with permission   ברשות the חשובע עולם:   First, I understand that you all take care of Jewish patients. Your work is about helping our brothers as the רמב"ם writes (Matnas Aniyim 10:2)  כל ישראל כאחים הם. This concept is not just an isolated רמב"ם. It is also a גמרא in Daf Bais of מגילה: The Chachamim made it easy for the villa …
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Author: Chaim Neuhoff, Ph.D.

April 21st, 2017

  בס"ד These notes are an attempt to summarize the remarks of Rav Reuven Feinstein during a question-and answer session with mental health professionals. This meeting took place ב ניסן תשע"ז in Staten Island. Please consider any mistakes to be mine.   Before answering the specific שאלות, I’d like to make an introductory comment. There is a fundamental distinction between the work of a secular mental health profess …
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Author: Chaim Neuhoff, Ph.D.

February 1st, 2017

These notes are based on Rav Brudny’s remarks at the recent Agudah conference for Mental Health Professionals. Please consider any mistakes to be mine.       I was officially invited to this conference to teach, as a הבאה ללמד. But when speaking to such an audience it is הבאה ללמד ונמצא למד. This Chabura deals with the tremendous pain and dysfunction out there. It is always an opportunity for gro …
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Author: Chaim Neuhoff, Ph.D.

August 23rd, 2017

בס"ד Below are my notes of Rav Feldman's lecture to Orthodox Mental Health Professionals which took place in New York City during the summer of 2016. Rav Feldman has approved this version. All rights reserved. The lecture and subsequent Q and A covered the following topics: A Torah approach to Psychology, Validating feelings, Homosexuality, Kibud Av Vaeim, Families in distress, and Hitting children.    A Torah Approach to Psycho …
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Author: Chaim Neuhoff, Ph.D.

April 23rd, 2018

Question: Our daughter has recently asked us to see (and pay for) a therapist. She says that her reasons for this are because she feels empty, without direction in life and is not finding fulfillment. She is 22 years old, has never had any issues before, had no major difficulties in life, has a good job and has always done well. My husband and I have always felt that she could be a little more sincere with her yiddishkeit. She does ever …
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Author: Chaim Neuhoff, Ph.D.

March 14th, 2022

Question: Purim in my family is always a struggle. It is a very short day and everyone has their things that they want (need?) to do. My husband has his Rov, his family, his friends, and his boss that he needs to stop by. I have my family which requires a few different stops and of course the kids have rebbiem and morahs and friends that they want to see. Last year the day turned really stressful with a big fight between my hu …
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Author: Chaim Neuhoff, Ph.D.

November 4th, 2017

Wanted to invite all to a unique conference designed to address this very issue on various levels. See the attached photo for the full program as well as the letter below.     Dear Colleagues, We would like to take this opportunity to invite you to a unique conference that will iy"H take place on November 23-24 at the Agudah Convention in Stamford, Connecticut. The overall goal of this conference is to …
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Author: Chaim Neuhoff, Ph.D.

January 18th, 2022

Question: Thank you so much for your informative column. Once again, the importance of being diligent regarding the emotional and physical safety of our children has been hammered home. I was hoping that based on your years of experience as clinicians you could offer some guidance and advice as to what we as parents and members of a community should do to best protect our children?       There is much to say on this topic. One year …
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Author: Chaim Neuhoff, Ph.D.

December 10th, 2018

Question: We have a wonderful daughter who is back from seminary, happily working and doing very well BH, but here is the concern...  While my daughter was in high school she started taking on more and more chumras and started becoming more and more frum and shtark. It affected her relationship with her friends, how she dressed, what she ate, (or didn't eat), her sleep, her davening, her ability and confidence in he …
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Author: Chaim Neuhoff, Ph.D.

August 7th, 2018

Question: 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.   This is a good question. You are …
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Author: Chaim Neuhoff, Ph.D.

February 15th, 2017

Question: I am the mother of a growing family, kh, and like most women today, my income is essential. Perhaps my husband is learning and I am the primary breadwinner. Or perhaps my husband is working, but his income covers basics while mine pays the tuition.  Either way, the pressure that I am feeling to increase my income as more of my children enter school is crushing. The truth is that I am not cut out to be a working mother. Far fro …
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Author: Chaim Neuhoff, Ph.D.

July 18th, 2023

Question: I have heard rumblings about an issue and would like to give you an opportunity to clarify it for us. Can you please explain what is "parental alienation" which I understand to mean is when a therapist instructs a client to breakoff contact with a parent. Is this something that frum therapists do? How common is something like this? Is this ever actually clinically necessary, and even if it is do you consult rabbonim on something li …
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Author: Chaim Neuhoff, Ph.D.

December 22nd, 2016

Question: This past summer I had an anxiety attack. It came as a surprise because last year I was depressed but at the beginning of the summer I made it my business to get out of the rut. And since then I’ve been very busy going to classes and having a very small business which allows me to express myself. I’ve been in therapy for about a year now and I really feel like I’m on the road to recovery, being emotionally aware and st …
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Author: Chaim Neuhoff, Ph.D.

October 15th, 2018

Question: 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 minut …
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Author: Chaim Neuhoff, Ph.D.

September 28th, 2022

Question: Here is a question I've been troubled by for a while. Many times, people will send their kid or spouse to therapy, but the kid or spouse is somewhat in denial or confused. They may see reality in a twisted way or be somewhat lying to themself or only see their side of the picture due to their emotional/mental health issue. When they sit and talk to the therapist, they are only giving over that twisted picture of real …
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Author: Chaim Neuhoff, Ph.D.

May 24th, 2023

Question: We have an 11 yr. old son who has been bullying his younger siblings for years. He is an intense child with a low self-esteem. He threatens them, bribes them, belittles them, embarrasses them, annoys them, and physically hurts them. He needs everything to go his way. We've spoken to him time and again about his behaviors and he's aware of what he's doing and that it’s not ok. We've punished and threatened and explained. He do …
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