NEFESH: The International Network of Orthodox Mental Health Professionals
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Showing Results 1 - 40 (252 total)
Duration of Therapy
Author: Yehuda Lieberman, LCSW
June 16th, 2022

Dear Therapist: I don't know if this is a fair question, and I am sure it varies greatly depending on the situation, but can you please give your opinion as to what the average length of time in therapy should be for someone? In my case specifically I am not referring to trauma or a serious mood disorder rather social and generalized anxiety (though please feel free to address other disorders as well). When I called around, I got very varied answ …
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Balancing Childrens' Needs
Author: Yehuda Lieberman, LCSW
June 16th, 2022

Dear Therapist: ​ Our 9-year-old daughter was recently diagnosed with juvenile diabetes. This has been very difficult adjustment for her and she is having a very hard time sticking to the diet and medication regimen that she has been prescribed. She also has been complaining a lot of the unfairness of it all. We have a large family and this has also caused some friction between her and her siblings and we are struggling to maintain the balance …
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My Son Is Overbearing
Author: Yehuda Lieberman, LCSW
May 26th, 2022

Dear Therapist: ​Our 20-year-old son recently returned home from a year learning in Israel. He is boy who struggled a lot in his teens both academically and religiously. Baruch Hashem, he seems to have had an excellent year of growth, he likes his rabbeim and has learned a lot about being a mentsch, though he still has a way to go. He is very proud of his year and some new concepts and ideas he has learned. The yeshiva has an emphasis on emotio …
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OCD or Kefira
Author: Yehuda Lieberman, LCSW
May 26th, 2022

Dear Therapist: ​My daughter has always been an all-around healthy 17-year-old . She does tend to have anxiety but it’s always been kept in check. Lately though she’s become a shell of herself. She’s had trouble eating and sleeping and is not herself. We’ve tried very hard to get to the root cause of her distress. Finally she confided that she’s been having intrusive thoughts of kefira type themes. She’s horr …
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Recommended Therapist or Available Therapist
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: ​Thank you very much for your informative column, I look forward to reading it weekly. I recently began looking for a therapist for my teenage daughter. The primary issue I think is her mood and she seems to me to be depressed. I did my research about the best therapists available for the problem we are dealing with. Unfortunately, all the more experienced therapists who were recommended are not available and have long waiting l …
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My Husband or My Therapy: Should I Have to Choose?
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: ​I am interested in starting to see a therapist. Mostly because I have a high amount of pressure and stress in my life and think it could be helpful to have a neutral person to share with weekly. My husband has had a hard time with this idea and says he feels hurt that I need to discuss things with a therapist and that I can't share them with him. He says he will be frustrated that there is someone that hears more about my life …
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Am I Anxious and Depressed, or Just Unmotivated?
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: I struggle a lot with motivation. I have studied a lot of psychology on my own and have a good understanding of how to deal with negative emotions. I can deal with sadness and anxiety and stop them from interfering with my life but I still just don't feel energized and motivated. It is easy for people to tell me that I should "just do it" but I think that emotions are necessary for us to be driven and I just don't seem to have tha …
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Anxiety or Language Issue?
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: Our 13-year-old daughter is a very sweet girl who is not the best academically but overall does well.  She is however pretty quiet in general, seems slightly anxious and seems to have trouble really expressing herself. For example she has a hard time describing the details of a story and usually will just talk in short sentences and will answer a question with a word or two. We are considering therapy for her but someone rece …
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Filling My Father's Shoes
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: My father, who was a very choshuve rov was recently niftar. I was asked (pushed) to take over his position. I have another position that I am very happy with but I feel that it is important for me to continue in his footsteps and keep the kehilla that he worked so hard to build alive. So, I accepted the request to take over and an announcement was made that I will take over in a few months. I have bee …
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Can Therapy Really Help Me?
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: People have told me in the past that I need to go to therapy. However, I am an extremely practical and logic-based person and I am skeptical that therapy actually helps people. If I had statistics that 70/80% of people had significant improvement through therapy that would make me much more likely to spend the money. As of now I am not convinced. Does the panel agree that until proven otherwise my position is the correct one in th …
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Angry Teenager
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: I have a 13 year old son who has been having these anger outbursts. He has always been a pretty good kid but since his bar mitzvah has been getting really angry with his parents and siblings. He has been physical with his siblings and talks with a lot of chutzpah to his parents, especially his father. His rabbeim say he is doing well in school and there hasn't been much of a change in his life other than the added responsibilities …
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Problematic In-Laws
Author: Yehuda Lieberman, LCSW
May 11th, 2022

Dear Therapist: My husband has a mental health issue, which is b"h under control, with the help of therapy and a lot of support. With incredible siyata dishmaya, we were able to repair the damage it caused to our relationship. However, because of his issues, which started in his parents' house at a young age, I have a very bad relationship with my husband's parents. They are aware of the issue and have been incredibly unsupportive. In fact, …
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Infertility Depression
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I have been married for a long while with no children. There is a possibility that we will never be able to have children. Recently I have been extremely depressed about it, although still functioning through daily life. I do not feel therapy can help such an awful emotional situation but my wife disagrees. Who does the panel side with?   Response: I’m sorry that you are going through this difficult situation. Unfortuna …
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My In-Laws Make Us Pay
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: My husband and I are married for ten years, we have 6 beautiful children. BH our expenses for tuition, healthcare and rent are significant. We should be able to make it to the end of the month without an issue since we are both working. However, that rarely happens. My husband grew up in a home where both his parents worked full time but never budgeted or thought about the future. Now, in their mid-70’s the financial situati …
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Man-Made Mental Illness?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you so much for the column, I really enjoy it each week. I would like to know what the panelists think of the following:
Of course, there are real mental illnesses that exist and those that suffer from them should obviously get the help and support that they need. But I feel like many of the people "suffering from mental illness" are suffering from man-made problems based on the expectations of our society. For instance …
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Why Do I Always PANIC?!?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I have always been jealous of those who are able to keep calm when everything around them is in crisis. There are some people who it seems no matter what is going on around them are able to keep cool, stay rational, and make sound decisions. I always tend to panic and do exactly the wrong thing. Is this just a personality type that you are born with or is this something you can develop? If it is something you can really become goo …
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My Father's Unlicensed Exposure Therapy
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: When I was a teenager, I developed a severe phobia. I don’t think it is relevant to be more specific as to what it was. What matters is that my father learned a lot about it, got a lot of books and workbooks, and took it upon himself to help me work through it. The best method he said is a CBT approach called “exposure therapy.” This led to him pushing me very hard to be in the exact situations that were making m …
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Is My Student Depressed?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I am a teacher in a high school and am writing regarding a girl in one of my 11th grade classes. Some of the other staff think she should be sent for therapy because "she doesn't seem happy." She is a girl who is shy and introverted. I know her mother and she is also quite shy.  She has friends but is quiet in big groups. She does well in groups of 2 or 3. She isn't very happy in school because learning is a st …
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Inflated Ego or Self-Esteem?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you so much for your weekly column. I was wondering if you could explain the difference, as you see it, between self-confidence and gayva. Self-confidence is considered, certainly by psychologists, as a good thing while gayva is considered the worst of all middos. I understand that they are different but would be interested in hearing how you define the difference and at what point does something cross fr …
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My Job Trauma
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I had a terrible experience with my first job. I had been looking forward to this career and had high expectations but things really did not work out well. I had a very hard time with my boss who had a strong personality and we clashed. I only lasted 3 months before we realized it was time to move on. I had wanted to leave sooner but he actually convinced me to stay. I think he felt he could get me to buy into his way of thinking …
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Inappropriate Touching
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: 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?   Response: It is indeed unfortunate—in fact tra …
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How Do I Forgive?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I was recently treated very hurtfully by a relative. This relative had known confidential information about me, and the way he treated me left me feeling betrayed, and I lost the trust in our relationship. This was especially painful as I had invested a lot in this relationship, and really wanted to be close with this family member. I would like to have a good relationship once again with him, but every time I think of him, I …
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OTD Friend
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I have a friend that went off the derech and I think I can be a mashpia on him. I've texted him a few times and called him once in a while but he always ignores me. I'm just curious does he think I'm invading his privacy and I should stop calling or he just is embarrassed of his new lifestyle and I should keep calling him in order to mechazek him?   Response: I obviously don’t know what it …
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My Husband's Therapy is Hurting Our Marriage
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Thank you for the wonderful education that you provide for our community.  My husband is currently in therapy for mental health issues that he unfortunately brought into the marriage. I am in therapy as well, dealing with terrible trauma that these issues caused. I believe that my husband's therapist has helped him greatly in some areas, but does not have a clear understanding of some of the other areas and how they impact th …
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Keeping Up with the Joneses
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Many years ago, we moved to what was then a quiet neighborhood. We were excited to live in a less developed part of town away from the hustle and bustle. Since then, a lot of other people have taken advantage of the large properties and built fancy houses here. While our neighbors are all wonderful people, the standard of living is very high, much different than when we moved in. We are starting to feel the pressure and as our kid …
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My Wife Feels Controlled
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: I got married a few months ago and everything is amazing, I just have one problem. My wife's older sister who got married a few years before us is married to an extremely uptight and controlling person. My wife was specifically looking for someone laid back, relaxed, easygoing, and nonopinionated after witnessing what her sister is putting up with. I definitely fit the description. However, any time I do voice my op …
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Can My Therapist be Irreligious?
Author: Yehuda Lieberman, LCSW
March 15th, 2022

Dear Therapist: Our 21-year-old son has been struggling for a while and would like to begin therapy. He is pretty insistent that he wants to only see a non-frum or not Jewish therapist. It is hard to get a straight answer from him as to why he is so insistent on this. It's a shame that he is so adamant about this at a time when there are so many qualified therapists that are bnei torah. Being that he is 21 he can pretty much go to whoev …
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My Impersonal Parental Relationships
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: As a teenage boy I am going through lots of ups and downs. Throughout this period there is one particular issue that is getting worse and worse. That is my parents. As it stands now, I cannot "open up" to them about anything personal in my life. Whether it is about friends, family, teachers, or anything that is personal, I find it practically impossible to speak to my parents (though I do find it easier to speak about personal iss …
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Is My Wife Milking Her Illness?
Author: Yehuda Lieberman, LCSW
November 18th, 2021

Dear Therapist: My wife was diagnosed with a serious illness a few years ago. While she was sick of course the entire focus of myself, our friends, and our extended families was to give her room and support and help her in every way possible. All we wanted was for her to able to be completely taken care of so that the only thing she needed to be busy with was getting better.  Meals, housekeeping, mother's helpers, and so much more were provi …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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