Author: Yehuda Lieberman, LCSW

February 22nd, 2024

Dear Therapist: I have a friend who has a very serious problem with her shalom bayis. Her husband started going to therapy to try to help the marriage. She has a very long list of complaints against her husband, but she admits that she also has faults and she's not innocent. When I asked her why she doesn't go to therapy she told me she can't even think of it. She had gone for a lot of therapy in her late teens/early twenties  …
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Author: Yehuda Lieberman, LCSW

December 25th, 2023

Dear Therapist: Thank you for your weekly column. I am involved in a drop-in program that helps "kids at risk." I am wondering on your opinion on sending younger teenagers with behavior issues to therapy. We have sent them in the past - with limited results. I'm not sure if most of them are really ready for any type of serious therapy. Wouldn't our time and energy be best invested in getting them a mentor and offering other types of support? Some …
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Author: Yehuda Lieberman, LCSW

February 7th, 2019

Dear Therapist: My wife has been diagnosed with anxiety and depression. She has been seeing a therapist who has been treating her using cognitive behavioral therapy. She has not made that much improvement and our family doctor suggested she see a psychiatrist. The psychiatrist is recommending that she take medication to help with this. However, her therapist is strongly discouraging taking medication and is adamant that she has the strength with …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: 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 o …
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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 …
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Author: Yehuda Lieberman, LCSW

February 8th, 2017

Dear Therapist: I am a pre-school Morah in the local Yeshiva. There is a boy in my class who never talks above a whisper. This has been going on since the beginning of the school year. While the parents insist that the child is just shy I am convinced that this is more than that. Can you please give me an idea of where the line is between shyness and a more serious problem? I would also appreciate any strategies you can suggest in convincing the …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: My 30-year-old daughter had suffered from anxiety for a long time. After a course of psychotherapy was not successful, she began seeing a psychiatrist and started taking an anti-depressant (which is also supposed to help for anxiety). This was very life enhancing for her and she has really thrived since then. Recently she says that new research has shown that antidepressants really don’t work, and it is all a “placebo& …
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Author: Yehuda Lieberman, LCSW

August 14th, 2023

Dear Therapist: I have been told for a while by others that I have "perfectionistic" tendencies. I am bh doing very well but I do have a significant amount of stress in my life. I struggle with the idea of "perfectionism" being a bad thing. Shouldn't we always be looking for growth, excellence, and to be the best we have to be? What is the difference between healthy and unhealthy perfectionism and how does one tell the difference?   …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: There has been a lot of talk on the risk/reward of opening the economy vs continuing the quarantine. There has been a lot of mention of the significant mental health issues that could arise both directly from extended quarantine as well as from the economic impact that maintaining the shutdown has on people’s finances. While you may not be public health experts or epidemiologists, I was hoping you could share your educated o …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: I have heard that COVID-19 illness can have effects on mental health. Based on your knowledge and experience is there any truth to this? If yes, how can someone prevent and/or deal with this appropriately?    Response: Your question is a bit unclear. I don’t know whether you are referring to possible physical side effects that can medically adversely affect the brain, or if you are referring to the psychological ef …
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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 …
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Author: Yehuda Lieberman, LCSW

May 8th, 2024

Dear Therapist: My spouse has the interesting issue where he just refuses to go to the doctor for a well checkup. He is pushing 45 and probably hasn't been by a doctor in 15 years. When he is sick etc. he will go to an urgent care or a PA and take care of it, but that is pretty much it. He claims he is healthy and doctors just find issues. He seems ok but at this point I wonder if he is just nervous and so he is avoiding it. Do you have any sugge …
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Author: Yehuda Lieberman, LCSW

June 14th, 2018

Dear Therapist: I am a 19-year-old bachur in a top yeshiva. I have tremendous emotional difficulties: anxiety, panic attacks, obsessive looping, and depression. I also struggle with trauma and an unhealthy childhood. While I was skeptical of therapy, I decided to give it a try. I saw a highly recommended therapist for 8 months and found it to be a disappointing experience.  While it helped me gain clarity about myself and a brilliant underst …
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Author: Yehuda Lieberman, LCSW

June 14th, 2017

Dear Therapist: I have tremendous anxiety from the news, especially nowadays when there are so many videos of terror attacks and other terrible things. I saw a video of a terror attack and I think about it all the time. I had this problem a few years ago but it didn't bother me again until recently. Whenever I go to Manhattan I am so afraid of something terrible happening. Please give me advice on how to deal with this.   Response: There are …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: I am a bocher who has a lot of friends in shidduchim and one of my best friends is about to start. Now this friend went through a very rough childhood and his father was very abusive physically, emotionally, and spiritually. His parents never really got along and they went to family therapy. Now from what I see that wasn't enough and I think there is a lot more he needs to work on before ent …
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Author: Yehuda Lieberman, LCSW

February 22nd, 2024

Dear Therapist: What advantages and disadvantages come with receiving therapy in person versus using an online platform? If a therapist offers both options, which should I choose? I would assume that in person would be more effective but sometimes maybe it would be easier to share through a screen? Aside from convenience, are there any other factors that I should be taking into consideration when choosing a venue for psychotherapy?   Respons …
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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 …
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Author: Yehuda Lieberman, LCSW

May 16th, 2019

Dear Therapist: I am a sixteen-year-old girl, and I hope you can help me with my struggle.  I will go straight to the point.  I feel extremely uncomfortable in my skin; I feel very blown up and fat.  I know that maybe that's not how I look, but this is how I feel.  I badly want to be (super) thin.  My family thinks and says I am thin.  Whenever I go hungry I don't have this uncomfortable pit in my stomach.  Yet …
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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 …
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Author: Yehuda Lieberman, LCSW

January 9th, 2025

Dear Therapist: My 5th grade boy does not seem to be able to discern between playful teasing and really being bullied. When his friends tease him, his reaction is way out of proportion, which only leads to more problems with his friends because they find his reaction so overblown. My son doesn't seem to get it and complains to me that he is being "bullied." How can I help him see the difference, and get along better with his friends?   Respo …
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Author: Yehuda Lieberman, LCSW

February 15th, 2023

Dear Therapist: As a rebbe I am often asked to make recommendations for what type of help is best for a bochur. When a child or teenager is struggling socially (but otherwise a pretty normal kid), what type of help is best for him? Is it social skills training? Help with social anxiety? Or is he just maybe an introvert that is best left alone? I know that you can't answer for a child you never met but I am wondering if you could give so …
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Author: Yehuda Lieberman, LCSW

February 15th, 2023

Dear Therapist: As a high school teacher, I often have the opportunity to speak to my students on a one-on-one basis. I would love guidance on differentiating between a teenager going through regular ups and downs and needing some advice and a listening ear, and a girl who is struggling in a way that warrants professional help. Additionally, in your experience is there a way to get the girl on board to get the help she needs if she does not want/ …
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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 …
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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 …
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Author: Yehuda Lieberman, LCSW

August 2nd, 2017

Dear Therapist: 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 i …
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Author: Yehuda Lieberman, LCSW

February 13th, 2024

Dear Therapist: Thank you so much for your weekly insights. I am looking for some help due to a loss in my family and I was offered a support group by a local organization. I am also considering a private therapist. Can you please explain the differences and benefits of one over the other? Do you have an opinion as to which is better in this situation?    Response: I’m sorry that you lost someone close to you. Of course, it’ …
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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 …
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Author: Yehuda Lieberman, LCSW

July 18th, 2019

Dear Therapist: Our 11-year-old son is going to sleepaway camp for the first time this summer. While he is excited about this he has always had difficulty adjusting to new situations and environments. Meaning he has a bit of an anxious personality. That being the case we are wondering if you have any advice as to how to "prevent" homesickness? What can we do to best prepare him for his first sleepaway experience? I also wonder what you think of …
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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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Author: Yehuda Lieberman, LCSW

March 31st, 2020

Dear Therapist: It can be sad to see all the different issues people are facing in the area of mental health. I wonder if, lekavod Purim, you could each share a short success story from your practice about how someone was able to reach their goals and enhance their lives?   Response: To preserve confidentiality, I cannot refer to specifics. However, I think that most therapists would agree that their successes tend to make all their work wor …
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Author: Yehuda Lieberman, LCSW

July 18th, 2019

Dear Therapist: A few months ago, I bought out my partner who I started my business with. B’H things have gone better than I could have ever imagined. Recently, however, I have become very overwhelmed trying to stay on top of the growth of the company. I have mentioned to some friends and family how I have been feeling and I am met with a lot of flak for complaining about something that is a positive thing. I understand that, but the fact …
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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 …
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Author: Yehuda Lieberman, LCSW

July 12th, 2017

Dear Therapist: 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 potches the kids. 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?   R …
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Author: Yehuda Lieberman, LCSW

March 31st, 2020

Dear Therapist: Our 20-year-old son insists that no one understands him. This is not in a bitter way; rather he seems to think that everything about him is so deep and complex that no matter how we respond he still thinks we don’t get it. We have been extremely patient with him and spent a lot of time listening and validating but, for whatever reason, he still thinks we just can’t understand him. He will give lengthy ha …
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Author: Yehuda Lieberman, LCSW

February 12th, 2025

Dear Therapist: I was wondering what ideas you would suggest for enhancing communication in a marriage. This is for a couple that has good shalom bayis and is looking to work on it. Somehow although things are going well, when disagreements happen it is the same thing over and over. So, it seems that although there is a discussion, these issues are not resolved.  I don't think in this case therapy is really on the table but perhaps …
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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 …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: Our 10-year-old daughter has been complaining of headaches and stomachaches.  This seems to happen whenever something is going on in her life, particularly when there are changes such as school starting, camp, and around yom tov time when there is a change in schedule. We discussed it with her pediatrician who said there is nothing medical going on. She suggested that we begin by having a conversation with her about what it m …
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Author: Yehuda Lieberman, LCSW

May 19th, 2021

Dear Therapist: After multiple failures at work, I finally realize that my feelings of being intimidated by people and being anxious to speak my mind has been something that has gotten in my way all of my life. I wind up staying in my corner and not engaging or communicating with the people I am supposed to. The issue is that someone presented me with a great job opportunity which I accepted and will start next week. I really don't want to b …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: I am writing in regard to some of the questions that have come up in the column recently as to when there is an indication of a mental health issue for a bochur or child. I once heard that a good measure of evaluation is if the problem is happening across the board at home, school and camp that would be a sign that professional intervention is needed. If the child is fine at home and elsewhere and only having a problem in yes …
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Author: Yehuda Lieberman, LCSW

February 7th, 2018

Dear Therapist: I boruch Hashem have two very wonderful young boys, ages 9 and 7. They fight a lot. I find that I am constantly refereeing their fighting. Part of me wants to just let them deal with it themselves but they wind up coming and crying to me at some point. I have no idea how I am supposed to judge and arbitrate 15 disagreements a day.  Please give me some tips on how to manage this.   Response: You presented your concern ver …
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