Counseling Blog | LGBTQ+ Couples & Individuals

August 9, 2020 by Alan Zupka

Therapy vs. Antidepressants – Which One is Better?

If you are someone who has been experiencing depression, you may recognize that you need help, but you may be confused as to what therapies will work best for you.

In today’s world, where there seems to be a pill to treat pretty much everything, many people assume that a prescribed antidepressant is the best option for them. In fact, a psychiatric review by R. Kathryn McHugh, MD of McLean Hospital in Belmont, MA, found that the bulk of individuals in need of depression and/or anxiety treatment preferred pharmacological interventions to psychological at a ratio of 3:1.

From the study: “The past 10 years have seen a substantial increase in the prescription of antidepressant medications, which surpassed all others as the most commonly prescribed class of medication in the US in 2005.”

Other studies over the years have shown the advantages of skipping drugs altogether and opting instead for psychotherapy. Much of this stems from the fact that commonly prescribed antidepressants often come with a list of nasty side effects, which is not something someone suffering from depression needs to deal with.

Is One Option Better Than the Other

The short answer to that question is no. When it comes to mental health and well-being, a one-size-fits-all approach simply doesn’t work.

In my experience helping patients over the years, I have found that a good majority of them can get a handle on their depression symptoms through talk therapy without the need to prescribe any medications. Then again, there have been those clients whose symptoms were so severe, medications were required at first to help them manage. Over time and through cognitive-based therapies, we were able to eventually ween them of the drugs.

My best piece of advice would be to find a therapist you feel comfortable with and let them evaluate you to see if you are a candidate for drug therapy or not. You can then work with them to get your symptoms under control and eventually learn some tools and techniques to naturally help you cope while at the same time uncovering where the depression stems from.

If you are suffering from depression and confused about which form of therapy is right for you, let’s talk. I would be happy to discuss how I may be able to help.

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August 3, 2020 by Alan Zupka

Are You a Man Suffering from Suicidal Thoughts? Therapy Can Help You

According to the American Foundation for Suicide Prevention, men die by suicide more than 3x as often as women. In fact, white males accounted for 69.67% of suicide deaths in 2018.

Those are startling statistics. But what’s the reason behind these numbers? Well, according to a recent Substance Abuse and Mental Health Services Administration (SAMHSA) survey, the number of men who seek treatment for depression is far lower than the number of women who seek out guidance.

Some mental health experts believe that certain cultural and social norms, as well as rigid views of masculinity, most likely prevent many men from seeking help. Men also have a much more difficult time trusting, opening up, and communicating their feelings.

Mental health issues also tend to manifest much differently in men than women, resulting in issues going ignored and untreated. Men often either don’t recognize they are in emotional pain or take a “walk it off” attitude toward it. This leads to unprocessed emotions building and building until the man may act out and commit violence against himself or someone else.

Therapy for Suicidal Thoughts

Should you or someone you know be experiencing thoughts of suicide, it is critically important that you seek help. While a high level of risk requires hospitalization or intense in-patient out-patient treatment, those not currently in a high-risk crisis can be successfully treated through psychotherapy.

Therapy offers a safe space for men to open up and admit they are hurting and need help. There is no judgment, only compassion, and guided healing. A focus of this therapy will be to address the factors that led to thoughts of suicide, ways to resist the urge to self-harm, and creating a plan that includes coping strategies to address suicidal thoughts should they recur.

Your therapist will also determine whether you may benefit from prescription medications, which are sometimes necessary as a temporary aid to cognitive behavioral therapy.

You don’t need to suffer alone. And seeking help does not make you weak. It actually makes you very strong. If you have had thoughts of harming yourself, please reach out to someone. You may contact me and I would be very happy to discuss what therapy offers in more detail and how I might be able to help.

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July 26, 2020 by Alan Zupka

Is Social Media Bad for Your Mental Health?

Have you been feeling a bit low lately, but you can’t quite put your finger on why? It may have something to do with your social media habits. According to a recent study, social media use can increase depression and loneliness.

For years people have suspected that social media use might have an ability to negatively impact our mental well-being. After all, it’s hard not to feel inadequate or jealous when looking at photos of people whose lives seem so much more perfect than ours. But now research is actually making a definitive link between spending time on Instagram, Facebook and Twitter and a sense of loneliness and isolation.

It May be Time for a Social Media Detox

I encourage my clients to take a social media detox every now and then to gain a more positive sense of reality. They often report back to me that the detox offered some amazing and unexpected benefits such as:

Improved Self-Esteem

When you take a break from comparing yourself to other people, you can start to look at how great you and your own life really are.

New Interests and Hobbies

When you spend less time trying to get that social approval in the form of ‘likes’, ‘retweets’, and ‘upvotes’, you suddenly find you have a lot of time on your hands for other things.

Improves Your Mood

Trading in online friendships for real face-to-face ones makes us feel more grounded and connected to people. This can drastically improve our mood and sense of well-being.

Better Sleep

Many people are on their mobile phone in bed, checking their social media accounts. The blue light from these devices disrupts our sleep pattern. When we put these devices away, we inevitably sleep better.

Able to Enjoy the Moment More

I am a big proponent of daily mindfulness. By being present in our lives, we feel an increased sense of peace and joy. That’s priceless.

So how do you perform a social media detox?

Follow these 4 steps:

Temporarily deactivate your accounts. Don’t worry, you can reactivate them again in the future should you choose.
Remove all Social Media Apps and notification pathways from your devices.
Use a web filtering tool to block social media sites. (Why tempt yourself?)
Be prepared for some withdrawal symptoms and have other activities ready to replace the void.

If you follow these steps and take a break from social media, chances are you will find you feel a whole lot better!

July 19, 2020 by Alan Zupka

Is Telehealth the Future of Therapy?

As a result of the Coronavirus pandemic, many therapists have had to quickly pivot and offer their clients online sessions in an effort to help them to continue to make progress while at the same time abide by the social distancing guidelines to flatten the curve.

While it seems our country and the rest of the world are slowly opening back up, many of us have learned something very important during this crisis: telehealth offers clients something very valuable, and that is therapy on THEIR terms. It’s really not so surprising that telehealth is currently a $6 billion industry that is expected to reach $20 billion by 2025.

Here are just some of the benefits of “virtual therapy”:

Privacy

Traditionally, many people, especially those that live in smaller towns and cities, refuse to seek help from a therapist for fear people will find out. With telehealth, a patient can receive help from the comfort and privacy of their own home. This can be particularly helpful for therapists who treat teens and young adults who go to the same school/college and can feel ashamed of seeking professional help.

Telehealth is a Time Saver

Not many of us ever feel we have enough time in the day to accomplish all that we need to. You will find your clients will appreciate telehealth because it saves them having to deal with traffic, scheduling in possible long drive times, and looking for parking.

Flexibility

I have found in my own practice that those clients who often require my services the most are the ones that are overworked and often have scheduling conflicts. Telehealth helps you to offer clients timeslots outside of regular hours that you may not normally have available.

Clients Show Up on Time

Therapists benefit from telehealth as well. In any given month, many clients may show up late to an appointment. When a session can begin with the simple mouse-click, timeliness is greatly improved.

Cost Savings

Online therapy means a therapist can run their practice without the need of a front desk staff or paying for office space each month. This extra revenue can greatly impact their life.

These are only a handful of the benefits telehealth offers to both providers and patients. And while it will be a bit more time before clients and therapists fully embrace online therapy, the future looks bright.