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 14th, 2023

Dear Therapist: My son (19) hasn't been productive for a long time. He has been in therapy for two years and it hasn't really made much of a difference. He gave me permission to speak to his therapist who basically agreed that he hasn't made much progress and that the most important thing for him is to be productive but he just isn't moving forward. The therapist himself said he considered stopping with him but is hesitant to do so if my son does …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: I experienced a lot of serious trauma as a teenager. Now, years later I still suffer greatly from it. Someone recommended "ketamine assisted psychotherapy." I was wondering what your opinion of this is and if you would recommend it.   Response: Hallucinogenics have recently become increasingly popular, both in general and in conjunction with therapy. Specifically, with regard to trauma therapy various drugs with hallucinogeni …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: I appreciate your weekly column and have learned a lot from it. I had a question regarding what type of evaluation you would recommend for a child who has shown a significant reduction in grades from one year to the next. This is for a child coming out of 3rd grade who has no major other history of issues. Someone suggested a speech therapist for a language eval, others are saying a neuropsych eval, and yet others are recomme …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: Our daughter (she is 17 years old and a bit moody) has recently begun complaining to us that we don't understand her and that we have no relationship with her. This seems to be a common teenage complaint but she is being very persistent that this is a problem. To be honest I can't say that she doesn't have something of a point, but I don't believe that the fault lies completely with us. We are seeking advice from a few sources but …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: I have always been a bit of an anxious person, particularly when it comes to my health and the health of my family. For a while I was pretty obsessive and was constantly going to doctors "just to make sure" I was ok. Any little ache or pain I made an appointment and had it looked at. At some point in my life, I realized that I was making myself (and my doctors) crazy and I learned to control myself, essentially learning to ignore …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: My family has gone through several major challenges over the past few years, including losing a close relative due to Covid as well as a series of other challenges. Now bh it seems that life has finally settled back to normal, but it feels hard for me to relax out of emergency mode because that's where I've been for so long. I feel like part of me is just waiting for the next challenge to arrive. How can I help myself get the …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: I enjoy reading your column and value your insights. We are making a decision regarding whether to allow our 18-year-old son to be a counselor in camp this year. This is something he very much wants to do and there are aspects I think he will be good at it. However, he struggles a lot with responsibility throughout the year. He is notoriously unreliable, has trouble waking up in the morning, and you can't count on him for anything …
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Author: Yehuda Lieberman, LCSW

June 29th, 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?   …
0 comments

Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: My son (19) hasn't been productive for a long time. He has been in therapy for two years and it hasn't really made much of a difference. He gave me permission to speak to his therapist who basically agreed that he hasn't made much progress and that the most important thing for him is to be productive but he just isn't moving forward. The therapist himself said he considered stopping with him but is hesitant to do so if my son does …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: I feel like my life is like Murphy’s law. Whatever could go wrong has. I have trouble with parnassah, trouble with my health, and difficulty with my children. I have worked so hard on all these things but to no avail. At this point I would take just one of them being better. Things just seem really bleak, and they have been for a while. A therapist wouldn’t convince me that things are better than they are, and it …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: Thank you so much for your informative column. I really enjoy it, especially as I am currently in school for social work. My younger brother was recently diagnosed with autism “spectrum” disorder. I think my parents always had a hard time with him and they seem relieved that they found a “name” for his issues. I am worried because I really don’t see that much that is wrong with him and I am concerned …
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Author: Yehuda Lieberman, LCSW

June 29th, 2023

Dear Therapist: I am facing a dilemma and I am turning to you for advice. I am, baruch Hashem, a mother of many boys, most of whom are married. When I married off my sons, I bought their kallas basic standard gifts and jewelry. Most of my daughters-in-law were thrilled with the gifts I bought them. Some were happy with the gifts as they were and some went so far as to ask me if I could just leave …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: Thank you for your informative and interesting column. I've been in therapy for several months and still have a very hard time opening up to my therapist. I started seeing a therapist for anxiety and we've been working on other things as well, such as self-esteem. I did not have the support I needed in the past which contributes to my fear of judgment from her. This is an issue for me in general; not just in therapy. I don't find …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: I have a 12-year-old son who has always been a bit of the “weaker” sort. Always been very needy, very fragile, as well as academically challenged. He always seems to want more and more attention from mommy and daddy and spends at least 3-4 weeks a year home sick (really sick not faking it). It seems like it is just the personality that he was born with. As he gets older, I am becoming more and more concerned about his …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: I know this is more of a shidduch question, but I would love to hear the perspectives of mental health professionals on this. BH I am getting engaged and I am excited. I am so grateful that I got everything I wanted (and much more). At the same time as so much excitement, I am also really nervous, it's such a huge decision and even though I spoke it over with my parents and mentors, I still just feel how huge it is. I feel like wh …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: My 18-year-old son is currently seeing a therapist which was recommended by his rosh reshiva. Even though we are paying for the therapy our only interaction with the therapist is to arrange for payment. My son doesn't want us to speak to the therapist and when we have called the therapist, he doesn't want to speak to us either. How are we supposed to help our son if we have no idea what is going on with him? It also seems very unf …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: Ever since I can remember I have had disturbing dreams. Even now as an adult I find that I have these vivid nightmares almost every night. It’s gotten to a point where it’s kind of out of hand and I am wondering if this means something is wrong with me? Is there something I can do to make this stop? Would therapy help with something like this? I’d appreciate any guidance you could give me. Thanks.   Response …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: 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 d …
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Author: Yehuda Lieberman, LCSW

April 18th, 2023

Dear Therapist: There is so much talk about the mental health issues that many are facing. Lekovod the simcha of Purim can you please share some of the good news? Where have you seen success, and what has inspired you, as to how both individuals and the tzibur have made strides in the area of mental health? Thank you! Ah Freilichin Purim!   Response: Our society does tend to focus on problems rather than on …
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Author: Yehuda Lieberman, LCSW

February 15th, 2023

Dear Therapist: For many years I was in a relationship with a very challenging family member.  There were very compelling reasons why I was unable to set appropriate limits in this relationship and therefore made the choice to just swallow, give in and avoid confrontations.  It's quite a few years later now and even though I am a pretty positive person I started to feel worse about these very trying years. I realized that I need help pr …
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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: I had a question I hoped you could help me with. My 11-year-old son is a bit moody. Usually when he is able to talk to me about what is bothering him, we work through it, he does really well and feels better. The problem is it takes a while for him to finally open up. He first says he doesn't want to talk about it and it takes a while for me to get it out of him. Then when he finally does, he usually feels better right away. The i …
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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

January 19th, 2023

Dear Therapist: My 15-year-old son has always been a bit shy and nervous. Not the bravest kid, he doesn't really take chances or challenge things. BH, he is a good kid and is doing well in mesivta. His 2 older brothers have struggled a lot with their yiddishkeit. Our son now would like to go to therapy to help him be calmer and more confident.  A lot of his worries have a frumkeit aspect to it. He seems to look up to his …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: 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 …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: We are writing this out of deep frustration in the hope that you will have some guidance for us. Our 16-year-old son has become rebellious and has been out of yeshiva the whole year. He seemingly spends his days and nights getting into trouble and living completely not like a mensch. He keeps crazy hours,  dresses strange, has very few friends. and in general, is not being matzliach. My husband and I pride ours …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: I'm a thirty-year-old wife and mother who's been recommended for therapy by my rov to address trauma and a difficult childhood. I am concerned about some obstacles that I think will come up—and that I have heard from others—and am curious if the panelists have any solutions.  Being that the average session time is 45-50 minutes, how is it feasible to get anywhere in therapy? It takes a good fifteen minut …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: I was advised to see a therapist for our son for a certain issue. When getting the referral we were told that a specific therapist is a mumcheh in this area. The issue is that he lives in our neighborhood and davens in our shul. We don’t really have anything to do with him personally but my son is very uncomfortable with the idea that he would bump into him. Our question is if you think this is a concern? …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: Our 18-year-old daughter was prescribed medication for depression and we think that it makes a real difference for her. Unfortunately, she starts and stops taking it pretty much whenever she wants. We have discussed this with her therapist but get the sense that the therapist doesn't want to waste the whole session talking about medication compliance. That being said we are concerned that this might be unhealthy for her and certai …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: We live in a small neighborhood where everyone knows each other and gets along very well. Recently two families that we know and are friendly with became embroiled in a serious machlokes with each other. I do not think the specific details are necessary to share and I want to protect confidentiality but this is not an issue that someone just didn't get shlishi. It is hard to figure out what is actually even the trut …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: I have been hesitant to write for a while because this is not a scenario that most people deal with. My son, who has always had mental health issues, was recently diagnosed with psychosis - the doctors say most likely he has some form schizophrenia. This is not so shocking to us because, like I said, he has been struggling for a while. We are hopeful that with the right treatment he will be able to live a full and productive life …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: I'm in my early fifties, married with children and grandchildren. Problem is I'm still trying to figure out who I am. I don't have good self-esteem and not sure of my opinions. I don't express my emotions, maybe I don't trust them. You can even see in my walk that I am nervous/not confident (at least I think so). I grew up in a house without shalom bayis. What can I do now, at this stage of life, to help myself? Thank yo …
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Author: Yehuda Lieberman, LCSW

January 19th, 2023

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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Author: Yehuda Lieberman, LCSW

January 19th, 2023

Dear Therapist: I'm in my low thirties and my oldest children are now in their early teens. Due to increased awareness and education, my friends and I focus on parenting with more positivity, empathy, validation, communication, and emotional awareness than the previous generation. Our parents expected more from us than we expect from our children, and we usually had to do what was right even if we didn't feel like it. Recently, I'm noticing a dis …
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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

November 17th, 2022

Dear Therapist: My spouse and I went for marriage counseling for a while for some issues with someone who seemed to be a very competent therapist. The therapist seemed to understand how to breakdown the issues and attempt to work on resolutions. However, some things didn't seem to be adding up right. For example, the therapist left off a few sessions at some very crucial points, leaving us feeling very vulnerable and with a lot of raw emotions ex …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: Is it possible for someone who never had ADHD to get it for the first time as an adult? I have recently started having trouble just staying focused on work as well as paying attention during shuirim and concentrating in davening. I have never had this issue before and was an excellent student all through yeshiva. My chavrusah actually recently made an offhand comment about how "ADD" I am and it really got …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: There was someone close to my family who died last year. She was someone I was close with and trusted and did something that hurt me terribly. This is not the forum to go into details, but this was a tremendous avlah and I don’t think anyone would disagree. Since this happened shortly before she was niftar and I didn’t really have the full understanding of what she did until after she was already go …
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Author: Yehuda Lieberman, LCSW

November 17th, 2022

Dear Therapist: I would like to thank you for this insightful column that so many gain from weekly.  As a mesivta rebbe I occasionally need to send a bochur to therapy when I feel that his struggles may be mental health related and baruch Hashem I have generally had good experiences. There is a question that comes up that I would like to hear your opinion on. When are a bochur’s struggles or lack of motivation in le …
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