Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: My husband and I are struggling with our 23-year-old son. There is a certain amount of instability to him where he is constantly changing his mind. For example, one day he is all into learning and is talking about staying in learning for a long time after he gets married and a few weeks later he is talking about leaving yeshiva now and going to work. When it comes to shidduchim he changes significant pieces of what he is …
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Author: Yehuda Lieberman, LCSW

March 1st, 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 1st, 2021

Dear Therapist: My daughter, who is a young adult and therefore has the autonomy to make her own decisions regarding medication, opted to take medication for depression.  This in spite of the fact that as her mother I know her better than a doctor who spent 10-12 minutes interviewing her and over 40 minutes interviewing me at the initial appointment (after having been told the opposite is what would happen).  Said doctor diagnosed my da …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: I live in a home that is not a healthy happy environment. I feel my parents have trouble providing for me emotionally. They are not abusive in any way, but I never received any validation, affection, healthy communication etc. growing up. I recently hit this stage where I woke up from a “bubble” and started realizing and processing how difficult the situation really is and how much I am lacking in my life as a result. …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: 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 sho …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: I have never been the most ambitious guy but I have a decent job and make a living. What I find recently is that it is really hard for me to stay motivated. I’ll do ok for a few days and then (usually mid-week) I hit a wall and just can’t seem to push myself to get anything done. Initially I thought it would pass but it’s becoming a pattern that repeats itself. My life is actually pretty full so it’s not li …
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Author: Yehuda Lieberman, LCSW

March 1st, 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’m on medication (citolophram) for minor depression, so minor that I “lived” for 20 years with it always wanting to go for help, but never being desperate. My parents put me on meds with the guidance of a qualified top psychiatrist although I was going into shidduchim. It wasn’t even a discussion; medication was the best option for me along with regular therapy and that’s what we did. I could have st …
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Author: Yehuda Lieberman, LCSW

March 1st, 2021

Dear Therapist: Is an eating disorder something that primarily is an issue for women/girls? I am concerned about my teenage son’s eating habits. I try and get him to eat more but he doesn't want to. When is there a cause for concern and how can I get him to eat more?   Response: Treatment centers and resources for eating disorders do seem to cater more to women than to men. This may be due to various factors. Traditionally, social cult …
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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

October 23rd, 2020

Dear Therapist: 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'm doing a ton of research, calling up therapists, clinics etc...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 g …
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Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: My husband has been taking COVID very seriously. Although he is young and has no health conditions, he basically isolated completely for the first few months of the pandemic. He spends a lot of time online "researching" the illness and spends a lot of time discussing and analyzing it. At the end of the summer, when we had gone so long without seeing any serious illness, he started relaxing a little and going out (with a mask). He …
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Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I am writing to ask for some clarification as to the extent that stress or other psychological issues can cause physical problems. Basically, I have not been feeling well for a while, mostly with very bad headaches. I have been to a doctor and a specialist who both are saying that there is nothing they can see that is wrong and it must be that I am stressed out. They suggested I go to counseling which I am looking into. I guess my …
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Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: As a 3rd grade rebbe sometimes I have children in my class who have lost a parent r’l. I wonder if in such cases I should avoid using the word totty or mommy during class to avoid hurting the child. Is this something that is helpful or perhaps avoiding it is just something that is not realistic and unfortunately it is something they will live with all their lives?    Response: Your sensitivity to oth …
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Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I find the letters and responses to the Couch very informative. Would it be possible for the panelists to share advice on how to detect narcissistic behaviors? I had an awful experience with a narcissistic individual and tried so hard to make it work. However, if I would have been aware of the classic signs of narcissists, I would have realized early on that it would not work. Narcissists are very charismatic people that are  …
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Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: 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 possi …
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Author: Yehuda Lieberman, LCSW

October 23rd, 2020

Dear Therapist: I am considering hiring a therapist for work purposes. I bh don't feel the need for therapy in my personal life but someone suggested seeing a therapist to help me/coach me in my management position. Basically, even if I am doing well can this help me perform even better? Perhaps it would be a good idea for our bottom line if we hired someone for the company to motivate employees and help manage workplace issues. What ca …
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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

August 13th, 2020

Dear Therapist: I am a 15-year-old bochur in what many consider a choshuve mesivta. I consider myself a nice person. Perhaps I am a bit shy. I am often the subject of “sharfe” lines by the bochurim in yeshiva. There is a mehalech in the yeshiva of everyone trying to show how sharf and quick and smart they are, and for whatever reason I am the punching bag. Maybe cuz I’m an out of town …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: A year ago, my 20-year-old daughter told me she wants to speak to psychologist because she’s feeling anxiety. She insisted on speaking only to the top and most expensive ones. My husband is in chinuch and we don’t have an extra dollar but I don’t let money get in the way of necessities and over the past year and a half shelled out over 10 grand. My daughter never had any trauma and she doesn’t dis …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: A friend of mine who recently sat shiva made a comment to me about how some people were so helpful and supportive and others not so much. As professionals I was wondering if you could give your suggestions on how to properly be menachem avel and be supportive of those who have suffered a loss?   Response: Every person mourns differently. According to the Kübler-Ross model, there are official …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I’m 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, famili …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I have a younger sister (age 24) who I care about very much. She had a rough childhood as far as being picked on in school and since she is a nonconformist got in a lot of trouble. Her relationship with my parents has also been very up and down with a lot of negativity and hurt feelings. She has a small part-time job that she gets no satisfaction from. To me she is clearly depressed and she admits as much. She is very smart and no …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: We had been having some difficulties with our 7 year old son through the beginning of the school year. He had just been very angry and chutpahdik. In general he seems to have trouble expressing what is bothering him and seems to act out instead. Over the 3 months in which he was not going to school there was a noticeable change in his behavior for the better. My husband and I looked at each other one day and it hit us how well he …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: One of my teenagers is busy with "streaks." It seems that that is the only way he feels he shteigs. He will be very occupied, lemoshol, that he hasn't missed davening in “x” amount of days. Then when he misses he will completely fall apart and miss minyan for days at a time. It seems to be all or nothing for him. It is unclear to me exactly how much, but this mehalech does seem t …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: We have just been informed that my daughter's (13) sleep-away camp will not be opening this summer. She had a miserable few months because of the quarantine and lock-down and was so hoping for camp. Our family is in the city and there may be day-camps open, but the experience is not close to comparable.  She is now devastated. What can we tell her? How will she get past this?    Response: I know that your concerns a …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I have gone through a lot the past few months and after reading this column thought that it would be a good idea to see a therapist to help me deal with my issues. I thought it would be a simple process but when I contacted a respected local therapist, she told me that I would need to see her twice a week and she also recommended that my family go through a regimen of weekly therapy sessions. That’s quite a lot, not to menti …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: Friends of mine have often commented that I don’t trust anyone. I never really took it seriously but since I got married and my husband has also mentioned it I have started to see it may be a pattern. He pointed out that even with my so called friends I don’t really get close to them and trust them. How would I know if this is an issue and how would it be addressed?   Response: To respond, I think that we can look …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I am a 17 year old girl in a mainstream school, who has been through "tons" of therapy in my life. Language/speech therapy, O.T., P.T., Social skills—you name it. I have never gotten a clear diagnosis, but upon reading your article (January 25,2019) and then recently reading a book by Yated columnist Rivka Schonfeld, it appears to my parents and I that I really fall under the category of Non Verbal Learning Disability, being …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I have been estranged from my brother for 8 years. This happened as a result of a financial issue where I felt he had cheated me. I got some bad advice at the time regarding how I should deal with it and that led to all the issues. There were mistakes made on both sides and we have been locked in. I’m not going to kid myself; there was a lot of nasty lashon horah and machlokes on my part but also on his. Recently when I was …
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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

August 13th, 2020

Dear Therapist: My wife works as a nurse in a local New Jersey hospital. Needless to say she has been working very hard and endured a lot over the last 6 weeks. She has seen a lot off suffering and death unfortunately. She has worked tirelessly as an advocate for hospitalized patients and their families but has not always been successful. She acknowledges that she might need some counseling when this is all over but says now is not the time &ldqu …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I am writing to see if you have any suggestions regarding our 17-year-old son. In general, he hasn’t been doing awesome over the last year. He has a particularly tenuous relationship with his mother while he does a little better with me. This period of quarantine has been particularly difficult. I guess I can break down the issue into a couple different questions. He is not really functioning on a normal schedule, waking up …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: I am a 24 year old married man. Since I remember I've been an extremely chilled and settled person. However, since the world turned upside down, I have been experiencing severe anxiety; I don't have an appetite, I am extremely weak and have many other symptoms of a person going through panic attacks. There is a lot for me to worry about unfortunately, primarily financially, but I have always dealt with stress well. What is happeni …
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Author: Yehuda Lieberman, LCSW

August 13th, 2020

Dear Therapist: On a regular week, in normal times, I have so much on my plate. Now I am expected to care for my infant (no babysitter), keep house (no cleaning help), work from home, entertain my kids, and be in charge of their homeschooling. This while my husband is also expected to work full time from home. When I hear people talk about how this time offers us opportunities to learn with our children, quality time, etc., I wonder what I a …
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Author: Yehuda Lieberman, LCSW

March 31st, 2020

Dear Therapist: We live out of town and do not get a chance to see much of our extended family that often. A highlight of our year is the Yomim Tovim where we travel to our children. The thought of being home all alone for Yom Tov is just so sad for me. Baruch Hashem I get along with my husband but I was so looking forward to Yom Tov with the delicious grandchildren. I know that there are people that are sick and that in comparison this is not su …
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Author: Yehuda Lieberman, LCSW

March 31st, 2020

Dear Therapist: I am currently in self isolation on my doctor’s recommendation due to being exposed to COVID-19. Unfortunately, many others are currently  in the same situation and many more will be in the coming weeks. I am basically alone in my room (so as not to expose the rest of my family) for at least another 5 days. Others I know need to remain in their homes with their families. What advice and guidance can you give me and othe …
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Author: Yehuda Lieberman, LCSW

March 31st, 2020

Dear Therapist: Any suggestions with coping for the tremendous amount of stress that coronavirus is adding to our lives? The constant stream of contradictory information from doctors, the hysteria of the media, and the genuine concern regarding what seems to be a serious problem is undeniably taking up alot of emotional space in my life.  Any recommendations?   Response: As far as specific information regarding COVID-19 is concerned, yo …
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Author: Yehuda Lieberman, LCSW

March 31st, 2020

Dear Therapist: My son started dorming in an out of town yeshiva this year. While he had tremendous growth in ruchniyus during the year, I am worried that his personality has been affected somewhat. He appears much more quiet and serious than his former care-free and humorous self. My husband says that this is a normal stage that bochurim go through when trying to find where they stand in the balance between a rigorous be …
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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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