Symptoms of depression can be subtle. You can feel bored, tired, stuck, lack motivation, drive and direction. There is not always crying or even depressed mood. Sometimes it's just a flat lined feeling or an indifference. I have treated all kinds of depressive disorders and all the varying levels of the mood disorders. Most people that come in for treatment, however, have had therapy before and are in need of something with more substance and a treatment that is more effective overall.

Anxiety: Anxiety disorders are closely linked to the depressive disorders in that some of the symptoms overlap. Anxiety can look like a driven individual, someone in constant motion. Without the ability to regulate mood however, this fast paced life can feel empty and void of meaning. Patients often feel a combination of both depression and anxiety. Their lives then are an organized reaction to these feelings inside.

Trauma: Long lasting effects of trauma are not determined by the intensity of the event, rather how it was handled and dealt with. Was there a supportive environment? Were there people that listened? And did the trauma feel understood and processed? Often times the 'trauma' turns into what happened after the tragedy or what didn't happen. Time does not heal trauma.

Marital/Relationship issues: Any struggle in childhood will produce trouble areas in ones life. This shows up the most in relationships. A person who knows themself well and has had time with their struggle will be equipped to navigate any relationship. The picture, otherwise, is one reacting in relationships, uncertain, uneasy, angry and often scared.

Parenting: The role of a parent has so much growth potential. Everyone can grow or feel overwhelmed and crazy, most of us vacillate between the two states of being! The idea is to hold steady and to be clear about what is yours emotionally/psychologically and what is your child's. Therapy can assist in problem solving family issues but also get at the root of the problem.

Work struggles: Work life often resembles family life in a dynamic way. This means work relationships can often feel like family ones. Similar feelings come up and old conflicts emerge. When we have processed our early life experience, we are less likely to play those things out at work. Conflicts of all kinds are just opportunities to grow. There are no short cuts to personal growth.

Life transitions: Transitions hold so much promise but also involve so much grief. Often times patients in transitions are surprised at all the feelings that get stirred up, feelings that need to be managed and understood. Transitions are a symbol of life's flow. Life is always changing and requiring different things from us. Life transitions shine bright this very complicated process.