Therapy is often misunderstood. Thanks to movies, social media, and cultural stereotypes many people have a skewed idea of what therapy actually involves. Some think it’s just getting advice, others believe it’s only for people in crisis, and many assume that talking about problems will make them worse. These misconceptions can prevent people from seeking the support they need. Let’s set the record straight and debunk some of the most common myths about therapy. 

Myth #1: Therapy Is Just Advice-Giving

Reality: Therapy is not about someone telling you what to do or offering quick-fix solutions. Instead, it’s a collaborative process where you and your therapist work together to explore your thoughts, emotions, and behaviors. The goal is to help you gain a deeper understanding of yourself, uncovering patterns and barriers that may be holding you back. Through this process, your therapist provides personalized tools, strategies, and insights tailored to your unique situation. By gaining self-awareness you can make choices that align with your values and goals, giving you tools and empowering you to create meaningful change in your life.

Myth #2: Therapy Is Just Like Talking to a Friend or Family Member

Reality: While talking to a friend or family member can offer emotional support, therapy is a distinct, professional process that brings specialized training, techniques, and expertise to the conversation. Unlike casual discussions, therapy provides a safe and structured environment where you can explore your thoughts and emotions in depth, without fear of judgment. Therapists are skilled at helping you identify patterns, develop effective coping strategies, and navigate complex feelings, all while keeping your best interests at the forefront. While friends and family can offer support, therapy offers expertise and objectivity that lead to deeper insight and lasting change. Additionally, because therapy is removed from your personal relationships, it creates a unique space to focus solely on yourself. This allows for authentic self-exploration, free from concerns about how your thoughts or feelings might impact others, while also receiving unbiased feedback from a trained professional.

Myth #3: Talking About Things Doesn’t Really Change Anything 

Reality: In a society where we often seek quick fixes like pills, potions, procedures, or special tools, it’s easy to overlook the power of talking things through. Therapy isn’t just about venting or recounting difficult experiences, it’s about creating understanding and learning new ways to approach life’s challenges. By discussing your thoughts and emotions with a trained professional, you gain clarity, insight, and a deeper understanding of yourself. This process helps you identify patterns, develop coping strategies, and ultimately find healthier ways to navigate difficult situations. Therapy also provides powerful tools, techniques, and strategies tailored to your unique needs.

Beyond the emotional benefits, there’s a growing body of research showing how therapy can physically change the way the brain processes information. Studies suggest therapy can reduce the reactivity of the amygdala, the brain’s center for fear and stress, leading to a calmer response to triggers. It can also increase activity in the frontal lobe, which is responsible for decision-making, problem-solving, and emotional regulation. This shift creates a better balance between the amygdala and frontal lobe, promoting healthier emotional responses. These brain changes are not just theoretical, they’re supported by scientific evidence demonstrating how therapy can help regulate stress hormones like cortisol, lower stress levels, and increase resilience. It can also boost the production of feel-good hormones like serotonin and oxytocin, improving mood and fostering connection. Additionally, therapy has been shown to enhance immune function, reduce inflammation, and improve sleep contributing to better overall physical health. Talking things through in therapy isn’t just about managing emotions, it’s a powerful tool for healing that impacts both the mind and body. With research supporting its lasting effects, therapy can be a crucial step toward healing, growth, and overall well-being.  

Myth #4: Talking About Problems Makes Them Worse

Reality: Avoiding difficult emotions doesn’t make them go away, in fact, it often makes them stronger. Therapy provides a safe space to face and manage distressing thoughts and emotions skillfully, helping to reduce their intensity and frequency over time. Just like we learn to read, drive a car, or develop skills for our jobs, understanding how to navigate our emotions and thoughts effectively is something we must learn and practice. Simply experiencing emotions doesn’t mean we automatically know how to manage them, but with guidance and repetition, we can build the skills to handle them in a healthier way. By understanding and working through challenges, you gain greater control over them, rather than feeling controlled by them.

Myth #5: Therapy Is Only for People in Crisis

Reality: While therapy can be essential for those experiencing severe distress, it’s not just for crisis situations. Many people seek therapy to address everyday challenges such as managing stress, gaining clarity, or building healthier habits. Therapy is a space where you can develop new skills and approaches to navigate life’s ups and downs. Just as we learn new skills to tackle everyday tasks, therapy can help you manage life’s challenges with more ease and resilience. You don’t have to wait until things feel unmanageable to benefit from therapy.

Myth #6: Therapy Is a Never-Ending Process

Reality: Therapy isn’t meant to last forever. It’s designed to provide you with tools to navigate life’s challenges independently. Just like a doctor helps treat an illness or injury with the goal of recovery, therapy supports emotional and mental well-being by helping you build lasting skills. People engage in therapy for as long as they find it helpful and are working toward their goals, whether that means a short-term focus on a specific issue or longer-term support for deeper personal growth.

Myth #7: If I’m Strong, I Should Handle Things on My Own

Reality: Seeking therapy isn’t a sign of weakness, it’s a sign of self-awareness and strength. Just like a doctor conducts lab work and physical exams to diagnose what’s happening in the body before recommending treatment, therapy helps us understand what’s happening in our minds and bodies, how it affects us, and how to manage it effectively. We aren’t born knowing how to navigate difficult emotions or unhelpful thoughts, these are skills we must learn just like reading, driving, or mastering a profession. Therapy provides a space to develop those skills, giving us the tools to process experiences, respond in healthier ways, and ultimately improve our mental and emotional well-being.

Therapy: A Space for Growth, Not Just “Fixing” Problems 

Therapy isn’t about someone telling you how to live your life. It’s about helping you uncover patterns, explore possibilities, and develop skills that empower you to live in alignment with your values. Whether you’re navigating a difficult time or simply want to understand yourself better, therapy can be a transformative tool for growth. If you’re considering therapy and want to learn more, contact Dr. Oren at 775-525-8100 today to explore how therapy can support your journey. 

This post Debunking Common Myths About Therapy: What It Really Is (and Isn’t) first appeared on Dr. Yelena Oren | Licensed Psychologist and is written by Dr. Yelena Oren

Living with a chronic medical condition can impact nearly every aspect of daily life from physical health to social relationships and mental well-being. Managing ongoing symptoms, navigating treatment plans, and coping with uncertainty often takes a significant emotional toll. What many people don’t realize is that chronic illness and mental health are interconnected. Addressing both is essential for improving overall well-being.

The Emotional Impact of Chronic Illness 

Chronic illnesses such as diabetes, heart disease, chronic pain, autoimmune disorders, or cancer is a long-term health condition that requires ongoing management. While physical symptoms are often the primary focus of treatment, the emotional impact can be just as significant. Many people with chronic illnesses experience feelings of grief, frustration, anxiety, or sadness as they adjust to life with their condition. The unpredictability of symptoms, changes in lifestyle, and concerns about the future can lead to chronic stress, depression, and anxiety. Additionally, physical symptoms themselves such as fatigue, pain, or sleep disturbances can negatively impact mood, creating a cycle that feels hard to break. 

How Chronic Illness Affects Mental Health

Living with a chronic condition can bring unique mental health challenges, including: 

• Grief and loss: Adjusting to a new reality after receiving a diagnosis or experiencing a change in physical abilities can trigger feelings of grief. 
• Anxiety about the future: Managing an unpredictable condition can lead to worry about symptom flare-ups, long-term health outcomes, or the ability to maintain independence. 
• Depression and hopelessness: Persistent pain, fatigue, or limitations in daily functioning can contribute to feelings of sadness or hopelessness over time. 
• Social isolation: Physical limitations or medical appointments can lead to social withdrawal, which may intensify feelings of loneliness or disconnection. 

Supporting Your Mental Health While Managing Chronic Illness

Although chronic illness presents unique challenges, there are effective strategies for protecting and improving your mental well-being:  

• Acknowledge Your Emotions
  It’s normal to feel a range of emotions when living with a chronic illness. Allow yourself space to grieve losses, feel frustrated, or worry about the future. Acknowledging these emotions rather than pushing them aside is a vital step toward emotional processing and healing.
• Prioritize Rest and Energy Management
  Chronic illness often comes with physical fatigue or limitations. Learning to pace yourself, rest when needed, and honor your body’s limits can help reduce feelings of overwhelm and burnout. Simple adjustments like breaking tasks into smaller steps or using energy-saving strategies can make a meaningful difference.
• Stay Connected
  Social support is a powerful buffer against the emotional toll of chronic illness. Whether it’s leaning on friends, family, support groups, or online communities, having people who understand and offer support can help reduce feelings of isolation.
• Address Negative Thought Patterns
  Chronic illness can sometimes lead to self-critical or hopeless thoughts (e.g., I’ll never feel like myself again or I’m a burden to others). Acceptance and Commitment Therapy (ACT), Cognitive-behavioral therapy (CBT) and other therapeutic approaches can help challenge these unhelpful thought patterns and develop a more compassionate inner dialogue.
• Seek Professional Support When Needed 
  Therapists who specialize in chronic illness can help you navigate the emotional challenges that come with your condition. Therapy can provide tools to manage anxiety, depression, grief, and uncertainty ultimately improving your overall quality of life. Some therapeutic approaches commonly used for chronic illness include: 

• Acceptance and Commitment Therapy (ACT): Encourages acceptance of difficult experiences while helping you live in alignment with your values. 
• Cognitive Behavioral Therapy (CBT): Helps individuals reframe negative thoughts and develop effective coping strategies for anxiety, depression, and a range of mental health concerns. 
• Cognitive Behavioral Therapy for Chronic Pain (CBT-CP): Helps individuals reframe negative thoughts and develop effective coping strategies for pain and discomfort. 
• Mindfulness-Based Interventions: Promote awareness and grounding techniques to reduce stress and enhance overall well-being. 

Moving Forward

Living with a chronic medical condition can be incredibly challenging, but it doesn’t have to define your entire life. By acknowledging the emotional impact, seeking support, and adopting healthy coping strategies, it is possible to find balance and meaning even in the face of ongoing health challenges.

If you’re navigating the challenges of living with a chronic medical condition and it’s impacting your mental health, know that support is available. Therapy can provide you with practical tools to manage the challenges, reduce distress, and regain a sense of control. If you’re ready to take the next step toward feeling more empowered in your health journey, don’t hesitate to reach out to Dr. Oren at 775-525-8100. Together, you can work toward finding balance, improving coping strategies, and reclaiming a sense of control in your life. You don’t have to face this alone help is here. 

Learn More: Expert Advice and References

• Anxiety and Depression Association of America (ADAA) 
  Explores the link between chronic illness and mental health, including the increased risk of depression, anxiety, and related disorders. 
  https://adaa.org/understanding-anxiety/chronic-illness-disease-anxiety-depression 
• Johns Hopkins Bloomberg School of Public Health 
  Discusses the intersection of mental health and chronic disease, highlighting the increased prevalence of depression and anxiety among individuals with chronic illnesses. 
  https://publichealth.jhu.edu/2021/the-intersection-of-mental-health-and-chronic-disease
•  Mayo Clinic 
  Provides practical tips on living well with chronic conditions, including stress management strategies and improving overall well-being. 
  https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/pain-and-depression/faq-20057823  
  https://www.mayoclinicproceedings.org/article/S0025-6196(16)30182-3/fulltext
•  National Institute of Mental Health (NIMH) 
  Offers comprehensive information on the connection between chronic illnesses and mental health, including strategies for coping and treatment options. 
  https://www.nimh.nih.gov/health/publications/chronic-illness-mental-health 

This post Mind-Body Connection: Coping with the Mental Health Effects of Chronic Illness and Finding Support first appeared on Dr. Yelena Oren | Licensed Psychologist and is written by Dr. Yelena Oren

Life can be challenging, and sometimes the weight of those challenges feels too heavy to bear alone. Whether it’s a friend, family member, or colleague, knowing how to offer support during tough times can make a big difference. While you can’t always solve someone else’s problems, your presence, empathy, and encouragement can be a lifeline. This newsletter aims to provide practical ways to help others navigate difficult moments, offering them the support they need while also taking care of yourself in the process.

Catching the Subtle Signs That Someone Might Be Struggling

Behavioral Signs

Avoidance and Withdrawal

• Isolating from family, friends, or social activities
• Avoiding responsibilities or previously enjoyed activities
• Difficulty maintaining work or school performance
• Neglecting personal hygiene or self-care

Changes in Daily Functioning

• Irregular sleep patterns (sleeping too much or too little)
• Significant changes in eating habits (over-eating or under-eating)
• Increased use of substances (alcohol, drugs, nicotine)
• Engaging in reckless or impulsive behaviorsIsolating from family, friends, or social activities
• Avoiding responsibilities or previously enjoyed activities

Emotional Reactivity and Mood Instability

• Frequent irritability or anger outbursts
• Heightened sensitivity to stress or criticism
• Excessive crying or emotional numbness
• Sudden mood swings

Cognitive and Thought-Related Symptoms

• Difficulty concentrating or making decisions
• Persistent negative thoughts or excessive worry
• Expressing hopelessness or feeling worthless
• Rumination or obsessive thinking patterns

Compulsive or Self-Destructive Behaviors

• Engaging in self-harm (cutting, burning, etc.)
• Repetitive behaviors (compulsions, checking, counting)
• Risk-taking or self-sabotaging actions
• Verbalizing thoughts of self-harm or suicide

Heightened Anxiety or Hypervigilance

• Avoiding certain places, people, or activities due to fear
• Constantly checking surroundings or feeling “on edge”
• Difficulty relaxing or unwinding

Interpersonal Struggles

• Increased conflicts with family, friends, or coworkers
• Difficulty maintaining relationships
• Acting withdrawn or disconnected in conversations

Physical Signs

• Persistent fatigue or low energy
• Sleep disturbances (insomnia or excessive sleep)
• Muscle tension or aches
• Headaches or migraines
• Skin issues (acne, eczema, hives)
• Chest tightness or discomfort
• Changes in appetite (increased or decreased)
• Unexplained weight loss or gain
• Gastrointestinal issues (nausea, diarrhea, constipation)
• Hypervigilance (feeling constantly on edge)
• Startle response or jumpiness
• Numbness or tingling

Emotional Signs

• Persistent sadness or low mood
• Excessive worry or fear
• Irritability or frequent frustration
• Feeling overwhelmed or hopeless
• Difficulty experiencing pleasure
• Mood swings or emotional instability
• Excessive guilt or self-criticism
• Feeling disconnected or emotionally numb
• Increased sensitivity to rejection or criticism
• A sense of emptiness or lack of purpose

Recognizing the signs that someone is struggling is the first step in offering meaningful support. Behavioral, physical, and emotional changes can all indicate that someone is going through a tough time, even if they haven’t explicitly said so. By being mindful of these signs, you can approach them with understanding and empathy, creating an environment where they feel safe and supported to share their struggles.

Recognizing the signs that someone is struggling is the first step in offering meaningful support. Behavioral, physical, and emotional changes can all indicate that someone is going through a tough time, even if they haven’t explicitly said so. By being mindful of these signs, you can approach them with understanding and empathy, creating an environment where they feel safe and supported to share their struggles.

Effective Ways to Offer Support 

1. Initiate a conversation

• Choose an appropriate time and setting: Find a quiet, private space where you both feel comfortable and there are minimal distractions. Timing is important, so choose a moment when the person is not already overwhelmed or in crisis.
• Approach with empathy and non-judgment: Be kind and non-judgmental. Express genuine concern for their well-being without making assumptions or offering immediate solutions.
• Use open-ended questions: Ask open-ended, non-confrontational questions like, “How have you been feeling lately?” or “I’ve noticed you seem a bit down. How are things going?” This allows the person to open up on their terms.
• Listen actively: Listen with full attention, maintaining eye contact, and showing empathy through body language. Avoid interrupting or rushing to offer advice, as it’s important they feel heard.
• Normalize their experience: Acknowledge their feelings without minimizing or trying to solve them, e.g., “That sounds really tough.” Remember, you do not need to solve or change their feelings. Validation is letting someone know that their emotions make sense based on what they’re going through, even if you don’t fully understand or agree with them. It’s like saying, “I get why you feel this way” or “Your feelings are understandable.” Validation helps people feel heard and supported, which can make them feel less alone in their emotions.
• Share your experience: If you feel comfortable and it’s relevant, share what you did when you felt this way.
• Offer your support: Let them know you’re there for them. You might say something like, “If you ever want to talk or need anything, I’m here for you.”
• Respect boundaries: Be mindful of their comfort level. If they are not ready to talk, respect their space and let them know you’re available when they are.
• Offer resources: If appropriate, suggest professional resources like therapy or helplines. You could say, “If you ever feel like talking to someone more, there are professionals who can help.”
• Follow up: Check in with them after the conversation to show continued support. This helps reinforce that you care and are available for future support.
  
  By approaching the conversation with care, patience, and empathy, you can create a space that encourages them to seek help they need.

2. Offer practical help

• Assist with daily tasks: Offering help with tasks like grocery shopping, cooking meals, or helping with household chores can alleviate stress.
• Accompany to appointments: Going with the person to therapy sessions, medical appointments, or support groups can offer emotional support and make the experience feel less overwhelming.
• Offer transportation: Helping with transportation to and from appointments or errands can be especially valuable if the person is feeling overwhelmed, anxious, or lacks the resources.
• Provide reminders: Gently reminding them about appointments, taking medication, or practicing coping skills can ensure they stay on track with their mental health care.
• Encourage healthy routines: Offering support to create and maintain routines, such as suggesting a regular sleep schedule or encouraging physical activity, can be especially helpful.
• Listen and provide emotional support: Offering a listening ear without judgment, helping them process their emotions, and providing reassurance when needed.
• Be patient and flexible: Understanding that there may be days when they are too fatigued or overwhelmed to engage and adjusting expectations accordingly.
• Offer respite care: If the person is a caregiver or parent, helping with childcare or offering time for them to rest can be incredibly valuable.
  
  The key is to tailor the help to the individual’s needs and preferences, and to do so in a way that maintains person’s autonomy and dignity while offering practical support.

Help Without the Burnout: How to Take Care of Yourself While Helping Others

Supporting others, whether friends, family members, or colleagues, is a noble and rewarding endeavor. However, in the process of caring for others, it’s easy to neglect your own well-being. If you find yourself frequently caring for others, it’s crucial to recognize that your own mental, emotional, and physical health is just as important. Here’s how to look after yourself while helping others.

1. Set Boundaries
   One of the most important things you can do for both yourself and the people you’re helping is to set clear boundaries. It’s tempting to say “yes” to every request or offer help beyond your limits, but overcommitting can lead to burnout. Determine what you can reasonably offer without sacrificing your own well-being. This will allow you to give your best without overextending yourself.
2. Recognize Your Own Needs
   It’s essential to stay aware of your own needs while you focus on helping others. Pay attention to your emotional, mental, and physical state. Are you feeling drained? Are you experiencing frustration or emotional exhaustion? Taking time to acknowledge and address your own feelings ensures that you are not suppressing your needs while supporting others.
3. Practice Self-Care
   Self-care isn’t just a buzzword. Taking care of yourself doesn’t only mean getting enough sleep or eating nutritious foods, though these are important. It also includes activities that replenish you, whether that’s reading, going out for a walk, enjoying hobbies, meditating, or hanging out with friends or family. Carve out time in your day to nurture yourself and recharge.
4. Seek Support
   Helping others can be emotionally taxing, and sometimes you may need someone to lean on too. Don’t hesitate to seek support from a friend, family, therapist, or support group. Sharing your thoughts and feelings with others who understand can provide relief and prevent you from feeling isolated.
5. Manage Stress Effectively
   Helping others through difficult situations can generate significant stress. To manage this effectively, develop strategies to cope with stress. Techniques like mindfulness, breathing exercises, and journaling can help you process difficult emotions and maintain a sense of calm.
6. Don’t Neglect Your Social Life
   Helping others should not isolate you. Engage in social activities that bring joy and connection. Whether it’s spending time with friends, attending social events, or simply relaxing with loved ones, maintaining your social life will keep you balanced and help you maintain perspective.
7. Know When to Step Back
   Sometimes, the best way to help is by knowing when to step back. If the situation is overwhelming or the person you’re helping is not responding positively, it’s okay to take a break. This allows you to re-center yourself before re-engaging. Stepping back isn’t a failure, it’s a way to preserve your energy and mental health for the long term.
8. Reflect on Your Efforts
   It’s easy to get caught up in the daily routine of helping others, but it’s important to take a moment to reflect on the impact you’re making. Recognize your efforts and give yourself credit for the positive difference you are making in others’ lives. This can also help prevent feelings of burnout or frustration when things don’t go as planned.

Helping others is rewarding, and it’s essential to take care of yourself along the way. By recognizing your own needs, setting boundaries, practicing self-care, and seeking support you can continue to help others without losing sight of your own well-being. Remember, you can’t pour from an empty cup – taking care of yourself ensures that you can continue to be there for others.

Final Thoughts

Supporting a friend or colleague who’s going through a tough time takes kindness, empathy, and patience. By being attentive to the signs, offering a compassionate ear, providing support, and gently guiding them toward professional help, you can make a meaningful difference in their healing process. Remember, the power of support lies in the small, consistent actions we take. Reach out to someone today, whether through a simple text, a heartfelt conversation, or helping them take the next step towards getting help they need. Your support could be the turning point they need. Just as important, don’t forget to prioritize your own well-being while offering support to others – self-care is key to sustaining your ability to help.

Keep spreading those PAWSitive vibes!

Reference

This article was written by Dr. Yelena Oren and originally published in the March 3, 2025 Nevada PAW newsletter.

For more information on the Nevada PAW Society and the great work they do, visit their website at https://www.nevadapawsociety.org

This post The Power of Support: Helping Others Through Tough Times first appeared on Dr. Yelena Oren | Licensed Psychologist and is written by Dr. Yelena Oren