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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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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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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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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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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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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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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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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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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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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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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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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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

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 …
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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 …
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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 …
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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 …
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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

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 …
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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 …
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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

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 …
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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

May 19th, 2021

Dear Therapist: About a year ago, our 9-year-old daughter started to engage in compulsive rituals.  She would have 1 specific ritual (such as checking that her heart was still beating) for a few weeks and then switch to a different ritual.  Right now, her specific ritual is sniffing is an unusual way.  This was/is not interfering with her performance at school or home, and she seemed happy overall, but we decided to take her to a p …
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Author: Yehuda Lieberman, LCSW

May 19th, 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 med …
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Author: Yehuda Lieberman, LCSW

May 19th, 2021

Dear Therapist: I recently read an article describing different people who should be seeing a therapist. I have a good friend whom I feel matches the description in the article. The more I think about it the more I honestly think he could benefit from seeing one. The problem is being a 21-year-old and being told by your close friend that you should be seeing a therapist isn't the most pleasant experience. How as a friend am I able to convey over …
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Author: Yehuda Lieberman, LCSW

May 19th, 2021

Dear Therapist: My 13-year-old daughter is an intense child. She puts a lot of pressure of herself academically and school is a big deal for her. All of her friends are going to (overnight) camp this summer and initially she had us register her as well. She is now insisting that she wants to stay home for the summer and "relax." She says she works hard all year, and she just wants a chance to have nothing to do. It is interesting that it doe …
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Author: Yehuda Lieberman, LCSW

May 19th, 2021

Dear Therapist: I recently went out with a boy who disclosed on the 3rd date that he was seeing a therapist for depression. He said he had struggled on an off with depression since he was a teen and had sometimes taken medication for it. It turned out that the shidduch didn’t work out for other reasons, but I was really confused as to how to deal with that information. I liked him and he seemed like a perfectly normal boy, wh …
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Author: Yehuda Lieberman, LCSW

May 19th, 2021

Dear Therapist: My daughter was encouraged by her principal to see a therapist.  She has been misbehaving in school recently, nothing serious really, but the principal suggested it. She has gone through a lot as my wife was niftar 4 years ago, though she says she is fine and doesn't really seem different than the other girls in her class. They are all a tough bunch.  I mean she is a teenage girl so who can really tell what sta …
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Author: Yehuda Lieberman, LCSW

March 24th, 2021

Dear Therapist: We live in a duplex and are friendly with our neighbors. We do however have different parenting styles. Recently our 9-year-old daughter has become very friendly with the young girl next door. She spends hours on end there and seems to enjoy being there much more than home. I kind of see where she is coming from as there are practically no rules and not much in the way of supervision either. There is no moderation and things that …
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Author: Yehuda Lieberman, LCSW

March 24th, 2021

Dear Therapist: Overall, my husband and I—married for ten years with five wonderful children—have beautiful shalom bayis,. We have a loving relationship and bring harmony and happiness into our home on a day-to-day basis. The problem is when we have something to work through. When I do something or say something that upsets my husband he totally shuts down and becomes handicapped at communicating. He is not overall an emotio …
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Author: Yehuda Lieberman, LCSW

March 24th, 2021

Dear Therapist: 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.&nbs …
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Author: Yehuda Lieberman, LCSW

March 24th, 2021

Dear Therapist: I'm looking for some direction about something that I've been thinking about for a while. Maybe you can help. Often, I struggle with thoughts and feelings that make it hard for me to get through my day and I think I have felt like this since I was a teen. Feeling this way has affected my relationships at work, with my kids and my siblings. My current state has even put pressure on my relationship with my husband. It&rsqu …
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Author: Yehuda Lieberman, LCSW

March 24th, 2021

Dear Therapist: I would like to know the panel’s opinions regarding video games. I have heard that it is possible to become addicted to video games and I am not sure how this could be possible considering there is nothing the person is taking into their body like nicotine or alcohol. I understand that there are more productive ways that I can be spending my time but it seems that there is a tendency now to turn everything into an addiction. …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: I am looking for advice on how to deal with bullying in school on the elementary school level. I have found a lot of conflicting opinions on it. There are those that emphasize standing up to the bully, others ignoring the bully, and those that say neither works. A lot of warnings about how having the child who is being bullied change his/her behavior is "blaming the victim" and that how can you really expect a young kid to stick u …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: I am aware of someone who is emotionally unhealthy and demonstrates real negative verbal abuse such as constantly putting others down/bad name calling, explosive reactions, and ignoring and not caring about others’ needs.  This person is completely incapable of raising children and constantly lashing out at them and destroying them to pieces. 
I am very concerned for these children and the negative effects th …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: Our 26-year-old daughter recently went through a time where she was down. We didn’t think much of it and she appeared to get better but then showed some troubling behaviors. On the advice of our rov, we brought her to a psychiatrist. We are also still on a waiting list to see a therapist. The psychiatrist believes that she has bipolar disorder and is giving her medication for that. Our question is, does it make a difference …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: A well-known educator recently spoke out strongly against "labeling" a child. Even if a child has a mental health issue and is receiving services, we must make sure he/she is not labeled. The remark struck a chord with me as 2 of my children are currently in therapy one for behavioral issues and one for anxiety. While the idea of not labeling a child sounds nice in theory, I am not sure how to put it in practice. At the end of the …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: As there has been an increase in mental health awareness in the community I am noticing that people can be somewhat quick to point out what they believe are mental health issues in others. I see this particularly when it comes to personality disorders, more specifically Borderline Personality and Narcissistic Personality. I see these terms get thrown about and I am hoping you can clarify for the readership. Are personality disorde …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: My son’s yeshiva has been putting some pressure on me and my wife to send him for therapy. The primary reason for this seems to be because he has been getting in trouble at school. Not serious trouble but being disruptive in class. My son has a great personality and is a leader, so I am sure that this is partly why the focus is on him. The yeshiva is insistent that he should be seen by a therapist because they assume that th …
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