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Houston Psychiatry Tips

Your Family Psychiatrist is a trusted resource for individuals searching for mental health answers in the Houston area. Here we cover a wide range of topics such as how to find a psychiatrist and the benefits of psychotherapy. Our articles help you understand mental illness, substance abuse treatment, and what to expect when working with licensed mental health professionals. 

Klonopin vs Xanax

7/17/2025

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Klonopin and Xanax pills

Klonopin (clonazepam) and Xanax (alprazolam) are both benzodiazepines used to treat anxiety and panic disorders. While they work in similar ways, they differ in how quickly they start working, how long they last, and how likely they are to cause dependence and withdrawal. Choosing the right medication depends on several factors including symptom type, treatment goals, and medical history.

FDA-Approved Uses
Klonopin and Xanax are both approved by the U.S. Food and Drug Administration (FDA), but for slightly different conditions.
  • Klonopin is approved for:
    • Panic disorder
    • Seizure disorders (e.g., absence seizures, Lennox-Gastaut syndrome)
  • Xanax is approved for:
    • Generalized anxiety disorder (GAD)
    • Panic disorder, with or without agoraphobia

Both are also commonly prescribed off-label for other anxiety-related conditions, including social anxiety and sleep disturbances.

Duration of Action and Onset
One of the key differences between Klonopin and Xanax is how long their effects last.
  • Klonopin is a long-acting benzodiazepine. It begins working within about 1 hour and can last 6 to 12 hours. Its half-life (the time it takes the body to eliminate half the drug) ranges from 20 to 60 hours, which means it stays in your system longer and may provide more consistent symptom relief.
  • Xanax is a short-acting benzodiazepine. It starts working within 30 to 60 minutes and typically lasts 4 to 6 hours. Its half-life is around 11 hours, meaning it wears off more quickly and may require more frequent dosing throughout the day.

With these differences, Klonopin may be better suited for patients needing long-term, steady relief while Xanax is often used for sudden or acute anxiety episodes.

Mechanism of Action
Both Klonopin and Xanax enhance the effects of a calming brain chemical called gamma-aminobutyric acid (GABA). By increasing GABA activity, these medications reduce the overactivity in the brain that causes anxiety, panic, and muscle tension. Although they work through the same process, the speed and duration of their effects differ, which can influence a doctor’s decision about which to prescribe.

Side Effects
Like all medications, Klonopin and Xanax can cause side effects. Many are similar because both are benzodiazepines.

Common side effects of both include:
  • Drowsiness
  • Dizziness
  • Fatigue
  • Impaired memory
  • Trouble concentrating
  • Poor coordination
  • Dry mouth

Some side effects are more likely depending on the medication’s timing and duration.
  • Klonopin may cause prolonged sedation or grogginess, especially in the morning even if taken at night. Because of its long half-life, it may lead to steady but subtle cognitive slowing in older adults.
  • Xanax may cause more noticeable sedation soon after taking a dose. It wears off quickly with some patients experiencing rebound anxiety. This is where symptoms return worse than before when the drug wears off.

Risk of Dependence and Abuse
Both medications carry a risk of dependence when used regularly. Xanax tends to have a higher abuse potential.
  • Xanax acts quickly and strongly which can make it feel more rewarding to some. This increases the chance of psychological dependence. Its short duration also leads to a higher risk of withdrawal symptoms which can begin within hours of a missed dose. Withdrawal may include anxiety, insomnia, irritability, shaking, or, in rare cases, seizures.
  • Klonopin, with its slower onset and longer duration tends to cause a more gradual withdrawal process. While still habit-forming, it may be less likely to cause intense cravings or severe withdrawal symptoms when tapered under medical supervision.

With these risks, both drugs are classified as Schedule IV controlled substances in the United States.

Safety Warnings
Both Klonopin and Xanax carry serious warnings and should only be taken under close medical supervision.
  • Black box warning (highest FDA warning): Combining either medication with opioids can result in extreme sedation, slowed breathing, coma, or death.
  • Do not stop suddenly when taken regularly. Abrupt discontinuation can lead to dangerous withdrawal symptoms including seizures. Tapering should always be done slowly with medical guidance.
  • Avoid alcohol. Combining benzodiazepines with alcohol increases sedation and risk of overdose.
  • Use caution in elderly adults. Both medications can increase the risk of falls, confusion, and memory problems.
  • Not for long-term use. These medications are typically prescribed short-term unless other options have failed.

When to Consider Each Medication
While both medications can be helpful, one may be more appropriate than the other depending on the individual situation.

Klonopin may be a better choice if:
  • You need steady symptom relief throughout the day
  • You experience panic attacks regularly and unpredictably
  • You’ve had issues with rebound anxiety from shorter-acting medications
Xanax may be a better choice if:
  • You need fast relief for occasional panic attacks
  • Your anxiety is short-term or situation-based
  • You are taking the medication only as needed rather than on a schedule

Conclusion
Klonopin and Xanax are both effective treatments for anxiety and panic when used correctly. They share a similar mechanism of action but differ in how long they last, how quickly they work, and how likely they are to cause dependence or withdrawal. Klonopin’s long duration may be more helpful for ongoing anxiety, while Xanax’s fast relief is often used for acute episodes.

Both medications have significant risks if misused and are not recommended for long-term use without close medical supervision. If you’re struggling with anxiety or panic symptoms, speak with a local psychiatrist.
​
Stress and anxiety medication
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Anxiety Tics Explained

7/14/2025

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Woman with Anxiety Tics
Understanding and Overcoming the Mind-Body Connection
When 14-year-old Emily started blinking excessively during her final exams, her parents chalked it up to allergies. As time passed, the blinking turned into shoulder shrugs, grunts, and occasional jerky movements which all worsened when she was stressed. After months of concern, a visit to a psychiatrist revealed a surprising discovery: anxiety-related tics.

Emily's story is not uncommon. Many people experience involuntary movements or sounds known as tics, especially during times of high stress or anxiety. These tics can range from subtle muscle twitches to noticeable vocal outbursts, and they often go undiagnosed.

What Are Anxiety Tics?
Tics are sudden, repetitive, non-rhythmic movements or vocalizations that can be difficult or impossible to control. They can occur in the context of several conditions, but many are linked to stress and anxiety.

While tics are most often associated with Tourette Syndrome, they can also be stress-related or transient, especially in children and teens.

Examples of Motor Tics:
  • Eye blinking
  • Facial grimacing
  • Shoulder shrugging
  • Head jerking
  • Arm movements

Examples of Vocal Tics:
  • Throat clearing
  • Sniffing
  • Humming
  • Grunting
  • Repeating certain words or phrases

Are Anxiety Tics Common?
Yes. According to the CDC, approximately 1 in 50 children in the U.S. has a tic disorder with many cases connected to anxiety or emotional distress.

A 2021 study published in JAMA Neurology found that stress is one of the most frequently reported triggers. The same study noted a rise in stress-induced tic behaviors in adolescents following the COVID-19 pandemic, especially among girls.

Tics aren’t limited to children. Adults with generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or panic disorder may also experience tics as part of their symptoms.

What Causes Anxiety Tics?
The exact cause of anxiety tics isn't fully understood, but researchers believe it's a combination of neurological, genetic, and psychological factors.

1. Neurological Sensitivity
The brain circuits that regulate movement and emotion, basal ganglia and dopamine pathways, are often overactive in individuals with tics. Stress can increase this activity which makes the body more reactive.

2. Anxiety and Overarousal
Anxiety puts the body in a state of "fight or flight." This heightened arousal increases muscle tension and sensitivity which can make tics worse or create them.

3. Genetics
Tics and anxiety often run in families. If a parent or sibling has experienced them, the risk is higher.

4. Psychological Stress
Major life changes, school pressure, family conflict, or trauma can trigger or worsen tics. Many children experience their first tics during times of high emotional stress.

How Are Anxiety Tics Diagnosed?
There is no single test for anxiety tics, but a thorough evaluation by a psychiatrist or neurologist can help determine the cause and rule out other conditions like:
  • Tourette Syndrome
  • Chronic Tic Disorder
  • OCD
  • Autism Spectrum Disorder (ASD)
  • ADHD
  • Functional Neurological Symptom Disorder

The psychiatrist may ask:
  • When did the tics begin?
  • Do they change over time?
  • Are they worse in stressful situations?
  • Do you feel relief after the tic?
  • Are there any other symptoms?

It’s also important to assess for co-occurring conditions. Up to 50% of people with tics also have ADHD, and up to 40% have anxiety or OCD according to the Tourette Association of America.

Are Anxiety Tics Permanent?
In many cases, no. Anxiety-related tics are often temporary, especially in children. With the right treatment and emotional support, they tend to fade or resolve over time.

If left untreated, they can worsen or become part of a more chronic condition.

Treatment Options for Anxiety Tics
Treatment is available and effective. A combined approach involving both psychiatric care and therapy often leads to the best outcomes.

1. Cognitive Behavioral Therapy (CBT)
CBT is the gold standard for anxiety and related tics. It helps patients:
  • Identify and reduce triggers
  • Learn relaxation techniques
  • Challenge unhelpful thought patterns
  • Practice Habit Reversal Training (HRT) to manage tics

In fact, the Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to reduce tic severity by 30–50% in multiple studies.

2. Medication Options
If tics are interfering with school, work, or relationships, medications can be helpful. Options include:
For Anxiety:
  • SSRIs (e.g., sertraline, fluoxetine)
  • Buspirone
  • Hydroxyzine (for short-term use)
For Tics:
  • Guanfacine (also treats ADHD and anxiety)
  • Clonidine (especially for children)
  • Risperidone or aripiprazole (used for more severe or chronic cases)

Medication is not always necessary, but in moderate to severe cases, it can significantly improve quality of life.

Supplements for Anxiety Tics
Some people prefer natural options, especially as a first step. While not a substitute for medical care, the following supplements have shown promise:
  • Magnesium: May reduce muscle tension and tics; often used before bedtime
  • L-Theanine: Found in green tea, promotes calmness
  • Omega-3 fatty acids: Supports brain health and mood regulation
  • Vitamin B6: Important for nervous system function

Always consult your psychiatrist before starting supplements, especially if you’re already taking medications.

Natural Strategies for Managing Tics
Here are a few simple things that can make a big difference:

1. Mindfulness and Meditation
These practices help calm the nervous system and improve awareness of physical sensations. Apps like Calm, Headspace, and Insight Timer can guide beginners.

2. Regular Exercise
Physical activity reduces anxiety and channels energy in a healthy way. It also promotes better sleep.

3. Sleep Hygiene
Poor sleep can make tics much worse. Stick to a consistent bedtime, reduce screen time at night, and keep the bedroom cool and quiet.

4. Avoiding Triggers
Caffeine, video game overstimulation, and sugar may increase tic frequency in some people. Keeping a journal can help track patterns.

5. Supportive Environments
Children with anxiety tics do best in calm, predictable environments. Praise efforts, not outcomes, and avoid drawing attention to the tics.

Working with a Psychiatrist and Counselor
Managing anxiety tics is not a one-person job. It takes a team approach, and that starts with the right professionals.

Why a Psychiatrist Matters:
  • Diagnoses the root cause (e.g., anxiety vs. neurological)
  • Provides medication if needed
  • Coordinates care with therapists and primary care providers

Why a Counselor Matters:
  • Provides a safe space to talk about fears, frustrations, or bullying
  • Offers strategies to manage anxiety in daily life
  • Helps the entire family system adjust and support healing

The combination of medication and therapy is often more effective than either alone.

A Message of Hope
Tics can be frustrating, embarrassing, and scary, but they are manageable. Emily, the teenager from the beginning of this article, began therapy, worked with a child psychiatrist, and started a small dose of guanfacine. Within three months, her tics had reduced by 80%, and she felt more confident at school.

Thousands of children, teens, and adults just like her experience anxiety-related tics and recover.

If you or your child is experiencing tics that may be linked to anxiety, don’t wait. The earlier you seek help, the better.

At Your Family Psychiatrist, we offer psychiatric evaluations and treatment plans for children, teens, and adults with anxiety, tics, and other mental health concerns. Our collaborative care model ensures you get comprehensive support from a caring team of professionals.

Request your appointment online today.
Anxiety tics and fear
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Does Ketamine Show-Up on a 12 Panel?

7/11/2025

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Ketamine injection
If you’re thinking about starting ketamine treatment for depression, anxiety, or suicidal thoughts, you might have questions about how it shows up on drug tests, especially if you have to take drug tests for work, legal reasons, or medical procedures. One common question we hear from patients is, “Does ketamine show up on a 12-panel drug test?”

What Is a 12-Panel Drug Test?
A 12-panel drug test is a common type of urine drug screening used by employers, legal systems, rehab centers, and medical providers. It screens for 12 different types of drugs or drug classes.

Here’s what a standard 12-panel test usually checks for:
  1. Amphetamines (e.g., Adderall)
  2. Barbiturates
  3. Benzodiazepines (e.g., Xanax, Valium)
  4. Cocaine
  5. Marijuana (THC)
  6. Methadone
  7. Methamphetamines
  8. Opiates (e.g., heroin, morphine)
  9. Phencyclidine (PCP)
  10. Propoxyphene (a pain medication)
  11. MDMA (Ecstasy)
  12. Tricyclic Antidepressants (TCAs)
  13. Possibly Buprenorphine (becoming more common)

Ketamine is not typically included on a standard 12-panel drug test. It can be detected if the test is specially designed to look for it, such as in expanded panels or when specifically requested.

Will Ketamine Show Up on a Drug Test?
Most standard drug screens do not test for ketamine unless the test is customized to include it. In workplace or routine legal settings, ketamine is usually not part of the drug testing panel. Some advanced or expanded drug panels, such as 14-, 16-, or 18-panel tests might include it.

Detection window for ketamine in urine:
  • Ketamine can usually be detected in urine for 2 to 4 days after use.
  • In chronic use or high-dose scenarios, it may be detected for up to 2 weeks.

If you're concerned about drug testing and are using ketamine as part of a prescribed treatment plan, it's important to tell your employer or testing agency in advance (if needed), and have documentation from your provider.

Can Ketamine Cause a False Positive?
While rare, ketamine may cause a false positive for PCP (phencyclidine) due to the chemical similarities between the two substances. This is most likely to happen on older or less specific urine drug tests.

If a false positive occurs, a GC/MS (gas chromatography/mass spectrometry) confirmatory test will clarify the results and show the difference between ketamine and PCP. These confirmatory tests are highly accurate and typically follow any positive result from an initial screen.

Is Ketamine Safe?
Ketamine was first approved in the 1970s as a surgical anesthetic. In recent years, it has been used in much lower doses to treat mental health conditions, especially when traditional antidepressants have failed.

That said, ketamine is not risk-free. Potential side effects include:
  • Dissociation (feeling disconnected from reality or the body)
  • Dizziness or nausea
  • Increased blood pressure
  • Headaches
  • Temporary anxiety or confusion

When used medically and under supervision, psychiatric oversight, the risk of serious side effects is low.

Ketamine also has the potential for misuse or addiction. In clinical settings, dosages are controlled and patients are carefully monitored. Clinics ensure that ketamine is used safely and only for appropriate mental health indications.

Why Is Ketamine Used for Mental Health?
Ketamine is different from most other psychiatric medications. It acts on NMDA receptors in the brain instead of the serotonin or dopamine systems like many antidepressants.

This different mechanism allows ketamine to work much faster than traditional medications, often in hours or days, rather than weeks.

Ketamine has shown powerful results in treating:
​
1. Treatment-Resistant Depression
According to research from the American Journal of Psychiatry, about 60-70+% of patients with treatment-resistant depression experience significant improvement after ketamine treatment.

2. Suicidal Thoughts
One of ketamine’s most impressive benefits is its ability to rapidly reduce suicidal thinking. In a 2020 study published in JAMA Psychiatry, patients receiving ketamine reported a significant drop in suicidal thoughts within 24 hours of their first dose.

3. Anxiety
While ketamine is not officially FDA-approved for anxiety, growing research supports its benefit for conditions like generalized anxiety disorder and social anxiety. One study from Neuropsychopharmacology showed that patients with social anxiety disorder experienced long-lasting relief after a single dose.

Is It Worth the Risk?
Mental health conditions like depression, suicidality, and anxiety can be life-threatening. For patients who haven’t responded to traditional treatments, ketamine offers a new and promising path forward.

Benefits of Ketamine Therapy:
  • Rapid improvement in mood
  • Reduction of suicidal thoughts
  • Improvement in quality of life
  • Increased motivation and energy
  • May reduce the need for long-term hospitalization or ER visits

Over 80% of patients with treatment-resistant depression see some improvement with ketamine, according to multiple clinical trials. When combined with psychotherapy (known as ketamine-assisted therapy), the benefits can be even greater and longer-lasting.

Key Takeaways
  • Ketamine does not show up on a standard 12-panel drug test, but it may appear on expanded drug panels.
  • It can occasionally cause a false positive for PCP, though confirmatory testing can clarify this.
  • Ketamine is used under medical supervision for treatment-resistant depression, suicidal thoughts, and anxiety.
  • Research shows 60-80+% of patients improve, often within hours to days.
  • Risks include dissociation, nausea, dizziness, and, in rare cases, psychological dependency.
  • Ketamine therapy should always be guided by a trained medical provider or psychiatrist.

Mental health treatment is deeply personal. For many patients, ketamine offers hope after years of frustration. While it’s not the right fit for everyone, it has changed and even saved many lives.
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Psychiatrist is Such a HARD Word to Spell

7/10/2025

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Psychiatrist is hard to spell
Let’s face it: Psychiatrist is not an easy word to spell. It has a silent “p,” an unexpected “ch,” and just enough vowels to throw anyone off. In fact, it’s such a tricky word that it’s one of the more commonly misspelled Google searches by people trying to get help. Ironically, even the word “misspell” is one of the most misspelled words in the English language.

Here’s the real problem: spelling errors can actually get in the way of finding accurate mental health care. If you type the wrong thing into a search engine, you might end up clicking on irrelevant websites, outdated resources, or giving up altogether. 

Why Does It Matter If People Misspell "Psychiatrist"?

You might think a misspelling is no big deal. Autocorrect will fix it, right? Not always. While search engines have improved, many people still get different results depending on how they type a word. That means patients looking for help with depression, anxiety, ADHD, bipolar disorder, or OCD might not find a qualified psychiatrist, especially if they’re typing something closer to “sikeatrist.”

That’s important, because according to the National Alliance on Mental Illness (NAMI):
  • 1 in 5 U.S. adults experience mental illness each year.
  • Nearly 60% of adults with a mental health condition don’t receive treatment.
  • Delays in treatment average 11 years from symptom onset to intervention.

​If the first step to getting help is looking for a psychiatrist and you spell the word incorrectly, it might just delay getting that help.

The 20 Most Common Misspellings of “Psychiatrist”

Below are some of the most frequently searched or mistyped versions of the word psychiatrist. If you’ve ever typed one of these, you’re in good company:
  1. sychiatrist
  2. sikeatrist
  3. psycologist (that’s a whole different profession although also spelled wrong)
  4. psycitrist
  5. sikatrist
  6. sykiatrist
  7. phsychiatrist
  8. psykaitrist
  9. psyhiatrist
  10. psychitrist
  11. psykatrist
  12. sykatrist
  13. psychyatrist
  14. psycheatrist
  15. psyciatrist
  16. physiatrist (a real profession—but different!)
  17. psyhciatrist
  18. psychistrist
  19. psytrist
  20. siciatrist

Many of these are understandable. The confusion between a psychiatrist and a psychologist is also common, especially because they sound similar but have different training and roles. Psychiatrists are medical doctors who can prescribe medication. Psychologists often focus on therapy and assessments but don't typically prescribe.
getting help when you need it

Why Is Psychiatrist So Hard to Spell?

Let’s take a quick look at the word itself. “Psychiatrist” comes from Greek:
  • Psyche = mind
  • Iatros = healer

​The word literally means “healer of the mind.” Beautiful, right? Unfortunately, “psyche” is one of those words that start with a silent “p” and ends with letters that aren’t pronounced how they look. Add in “-iatrist” (which looks nothing like it sounds), and you’ve got a word that trips up even English majors.

Is It Really a Big Deal?

Surprisingly, yes. While the internet is getting smarter, people still report frustration when looking for mental health professionals online. A 2022 Pew Research study found that 41% of Americans looking for mental health support online felt overwhelmed by the number of confusing or irrelevant results.

Many patients search things like:
  • “sikeatrist near me”
  • “do I need a sychiatrist”
  • “find a sikatrist for depression”

Without strong search engine optimization (SEO), legitimate psychiatrists might not appear in these results, especially if their websites don’t account for common misspellings.
calming drink to focus on getting help

What Can Be Done?

  • Mental Health Clinics Can Optimize for Misspellings
    Believe it or not, websites like YourFamilyPsychiatrist.com often account for misspellings behind the scenes using SEO tools, alternate keyword phrases, and metadata. That means if someone searches for “siciatrist Houston,” they’ll still find a qualified psychiatrist.
  • Better Public Awareness
    School health classes, social media influencers, and even TV shows are starting to emphasize mental health. By teaching what a psychiatrist is and how to spell it, people become more comfortable seeking help.
  • More Compassion Toward Ourselves
    If you’ve ever looked up “psykologist for anxiety” or “phsychyatrist,” don’t feel bad. What matters is you took a step toward healing.

Don’t Let Spelling Get in the Way of Healing

Mental health is too important to be blocked by a tricky word. Whether you’re dealing with depression, anxiety, trauma, ADHD, or anything else, the first step is reaching out. If that step involves spelling "psychiatrist" wrong, who cares? You're still taking action and that counts.

So next time someone says, “I don’t even know how to spell that,” just smile and say:
“You don’t have to spell it right. You just have to start.”
happy to have gotten mental health help
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What Causes OCD to Get Worse?

7/10/2025

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Handwashing OCD
Obsessive-Compulsive Disorder (OCD) is a mental health condition that causes unwanted thoughts (obsessions) and repetitive behaviors (compulsions). For some people, symptoms stay the same over time. For others, OCD can get worse. Understanding what makes OCD more severe can help you or a loved one manage symptoms more effectively.

How Common Is OCD?
OCD affects about 2.3% of people during their lifetime, according to the National Institute of Mental Health. While it can begin in childhood, symptoms often become more noticeable in late adolescence or early adulthood. For many, symptoms can fluctuate depending on stress, lifestyle, and treatment.

1. Medication Causes of Worsening OCD
Some medications can unintentionally make OCD symptoms worse, especially if they impact brain chemistry related to serotonin, dopamine, or anxiety.
  • Stopping medication too early: People often feel better and stop taking their medication, but this can lead to a rebound in symptoms.
  • Incorrect medication: Not all antidepressants are equally effective for OCD. SSRIs like fluoxetine (Prozac), fluvoxamine (Luvox), and sertraline (Zoloft) are FDA-approved for OCD and can be quite effective. If a person is on a medication that targets depression but not OCD like Bupropion (Wellbutrin), symptoms may persist or worsen.
  • Starting stimulants: ADHD medications like Adderall or Ritalin can occasionally worsen OCD symptoms in some patients, especially if OCD was previously undiagnosed.

Tip:
Never stop or change psychiatric medication without speaking to your doctor. Your psychiatrist can help tailor the medication plan to reduce obsessions and compulsions effectively.

2. Behavioral and Lifestyle Triggers
Certain behaviors or habits can make OCD worse, even if they're not intentional.
  • Avoidance behaviors: Avoiding things that trigger obsessions may feel like temporary relief, but it strengthens the OCD cycle over time.
  • Reassurance-seeking: Constantly asking for reassurance about obsessions may reinforce the need for compulsions.
  • Poor sleep: Chronic sleep deprivation can worsen anxiety and increase the frequency of obsessive thoughts.
  • Excess caffeine or alcohol: These substances can trigger anxiety and reduce impulse control, both of which worsen OCD symptoms.

Statistic: One study found that between 76% and 82% of OCD patients had at least one other mental health condition like anxiety or depression.

3. Age and Hormonal Changes
OCD symptoms can fluctuate depending on age and hormonal changes.
  • Childhood onset: Symptoms often begin between ages 8 and 12 or in the late teens. Early intervention improves outcomes.
  • Puberty: Hormonal shifts may intensify intrusive thoughts or rituals.
  • Pregnancy and postpartum: Women may experience new or worsening OCD symptoms during and after pregnancy, especially intrusive thoughts related to harm or contamination.
  • Menopause and aging: Hormonal changes and life transitions can sometimes cause a reappearance of previously controlled OCD symptoms.

Important: OCD in different life stages may look different. A psychiatrist experienced in treating OCD across the lifespan can adjust therapy and medication based on age and hormonal influences.

4. Major Life Stressors and Events
Stress is one of the most well-known causes of OCD symptom flare-ups.
  • Loss of a loved one: Grief can trigger overwhelming compulsions or the return of intrusive thoughts.
  • Job or school stress: Pressure and unpredictability can make routines harder to manage, leading to more compulsive behavior.
  • Relationship conflict: Fear of abandonment, disapproval, or guilt can heighten OCD obsessions.
  • Trauma or abuse: Traumatic events are linked with more severe OCD symptoms and earlier onset.

Research shows that stressful life events often precede an increase in OCD symptoms, with some studies suggesting a 44–60% increase in severity following a major stressor.

5. Poor or Incomplete Treatment
OCD is a chronic condition, but it is highly treatable. The key is the right combination of strategies.
  • Inadequate therapy: OCD often responds best to a specific kind of therapy called Exposure and Response Prevention (ERP), which not all counselors provide.
  • No therapy: Relying on medication alone is less effective. Studies show that combined treatment with therapy and medication yields the best outcomes.
  • Lack of follow-up: Skipping follow-up appointments can lead to medication issues, missed signs of worsening symptoms, or incomplete recovery.

6. Co-Occurring Conditions
OCD often overlaps with other mental health diagnoses, which can complicate treatment if not properly addressed:
  • Depression can lower motivation to resist compulsions.
  • Generalized Anxiety Disorder (GAD) can increase obsessive thinking.
  • Tics or Tourette Syndrome may occur with OCD, especially in children.
  • Autism Spectrum Disorder (ASD) may lead to repetitive behaviors that resemble compulsions.

Treating co-occurring conditions can dramatically improve OCD outcomes.

When to Seek Help
If your OCD symptoms are becoming more frequent, interfering with work, relationships, or your peace of mind, it's time to seek professional help.

Questions to ask your psychiatrist include:
  • Are my current medications helping my OCD or making it worse?
  • Is there a better therapy option, like ERP, that I haven’t tried?
  • Could my life stressors or health conditions be worsening my symptoms?
  • Should I be tested for other conditions like ADHD, anxiety, or depression?

Treatment Outlook
The good news: OCD is treatable. With the right combination of therapy, medication, and lifestyle changes, most people experience significant improvement. Some even achieve full remission.
  • SSRI medications can reduce OCD symptoms by 40–60+% in many patients.
  • ERP therapy has shown a 60–85% response rate, especially when practiced consistently.
  • Newer options like transcranial magnetic stimulation (TMS) and ketamine therapy are being explored for treatment-resistant cases.

Summary
OCD can worsen due to a range of factors including biological, emotional, and environmental, but it doesn’t have to stay that way. Understanding the causes of symptom flare-ups is the first step toward effective care.
OCD Brain
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DMDD vs ODD

7/9/2025

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ODD child being defiant
Disruptive Mood Dysregulation Disorder and Oppositional Defiant Disorder
Disruptive Mood Dysregulation Disorder (DMDD) and Oppositional Defiant Disorder (ODD) affect many children and teens. They both involve behavioral issues like irritability and aggression, but they have important differences in mood symptoms, duration, and treatment needs. Being informed will help parents and caregivers get accurate diagnoses and effective treatment.

Here we explain the diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‑5), presents key statistics, compares the two conditions, suggests questions to ask your psychiatrist, describes treatment options, and outline complications if left untreated. 

What Is Disruptive Mood Dysregulation Disorder (DMDD)?
​

Disruptive Mood Dysregulation Disorder (DMDD) is a mental health condition characterized by severe temper outbursts and chronic irritability and anger in children. It was added to the DSM-5 in 2013 to differentiate these symptoms from pediatric bipolar disorder.

DSM-5 Criteria for DMDD
To be diagnosed with DMDD, a child must multiple of the following:
  1. Severe temper outbursts (verbal rages or physical aggression) that are grossly out of proportion in intensity or duration to the situation.
  2. Outbursts occur on average three or more times per week.
  3. The mood between outbursts is persistently irritable or angry, observable by others.
  4. Symptoms have been present for at least 12 months, with no symptom-free period lasting longer than 3 months.
  5. Occurs in two or more settings (e.g., home, school, peers) and is severe in at least one.
  6. The diagnosis should be made between ages 6 and 18, and onset must have occurred before age 10.
  7. There has never been a distinct period lasting more than one day with manic or hypomanic symptoms.
  8. Symptoms are not due to another mental disorder, medical condition, or substance use.
  9. If the child is over 6, their development level must be consistent with this diagnosis.

Prevalence and Statistics for DMDD
  • DMDD affects roughly 2% to 5% of children.
  • A 2014 study reported a 3.2% prevalence among general pediatric populations.
  • Boys are diagnosed at slightly higher rates than girls.
  • Up to 63% of children with DMDD also have ADHD, and 55% may have an anxiety disorder.

What Is Oppositional Defiant Disorder (ODD)?

Oppositional Defiant Disorder (ODD) is characterized by a pattern of angry, irritable mood, argumentative behavior, and deliberate defiance lasting at least six months.

DSM-5 Criteria for ODD
To be diagnosed with ODD, a child must exhibit at least four of the following symptoms:

Angry/Irritable Mood:
  • Often loses temper
  • Is often touchy or easily annoyed
  • Is often angry and resentful

Argumentative/Defiant Behavior:
  • Often argues with authority figures
  • Actively defies or refuses to comply with requests
  • Deliberately annoys others
  • Blames others for mistakes

Vindictiveness:
  • Has been spiteful or vindictive at least twice in the past six months

Additional criteria:
  • The behavior pattern lasts at least six months.
  • Occurs more frequently than in typical children of the same age and developmental level.
  • Clinically significant distress or impairment in functioning at home, school, or with peers.
  • Symptoms cannot be exclusive to another mental health or medical condition.

Prevalence and Statistics for ODD
  • ODD affects approximately 3.3% of children worldwide.
  • In the U.S., 2–16% of youth meet criteria at some point.
  • Boys are more likely to be diagnosed than girls before age 12 but rates even out in adolescence.
  • About 40–60% of children with conduct disorder first had ODD.
  • ODD frequently co-occurs with ADHD (~50%), anxiety disorders (~30%), and depressive disorders (~20%).
child temper tantrum
Key Differences Between DMDD and ODD
​

While DMDD and ODD share overlapping symptoms like irritability and defiance, they are distinct in critical ways:

Mood vs Behavior
  • DMDD features prolonged irritability and chronic angry mood between temper outbursts.
  • ODD focuses on defiance and argumentative behavior toward authority figures. Intense mood symptoms are not essential.

Age of Onset & Duration
  • DMDD is diagnosed between ages 6 and 18, with symptoms starting before age 10, lasting at least 12 months.
  • ODD requires a minimum duration of 6 months; onset is usually in early childhood, and it may start after age 10.

Nature and Frequency of Outbursts
  • DMDD: Frequent temper outbursts (≥3 times per week) with persistently irritable mood.
  • ODD: Temper loss and irritability occur, but not as consistently or severely; the focus is on defiant behavior.

Impairment and Settings
  • Both can occur in multiple settings, but persistent negative mood between outbursts is unique to DMDD.
  • ODD often causes problems in authority relationships; DMDD also leads to emotional exhaustion and family conflict.

Self-Awareness
  • DMDD children often do not realize the intensity of their mood outbursts.
  • Children with ODD may or may not see their actions as problematic. They resist authority but might not feel intensely irritable between episodes.

Common Comorbidities
  • DMDD: More likely seen with ADHD, anxiety, and depression.
  • ODD: Often co-occurs with ADHD, and may progress to conduct disorder if untreated.

Questions to Discuss with Your Psychiatrist

Clear communication with a psychiatrist helps ensure the right diagnosis and treatment strategy. Consider the following questions and answers to share with your psychiatrist:
  1. What is the primary concern: chronic irritability or consistent defiance?
  2. How many temper outbursts occur weekly, and how long have these behaviors lasted?
  3. Is the mood persistently irritable between outbursts, or does it normalize?
  4. In how many settings (home, school, with peers) do these behaviors occur?
  5. Are there symptoms of ADHD, anxiety, or depression as well?
  6. Are temper outbursts or defiant behaviors impacting daily life more?
  7. Can therapy alone help, or is medication needed?
  8. What’s the plan to involve parents and if needed, the school?
  9. What are expected outcomes and next steps?

Treatment Options

DMDD Treatment
  • Psychotherapy
    • Cognitive‑Behavioral Therapy (CBT): Focus on emotional self-awareness, coping, and problem-solving.
    • Parent-Training Programs: Teach consistent discipline and positive behavior reinforcement.
    • Anger Management: Offers tools for calming down during an outburst in real-time.
  • Medication
    • SSRIs (e.g., sertraline, fluoxetine) can reduce irritability and mood swings.
    • Mood Stabilizers (lithium, valproate) help decrease severity of outbursts.
    • Low-dose neuroleptics (risperidone, aripiprazole) may be used in severe cases.
  • School and Environmental Support
    • Behavior plans, break times, and emotional regulation spaces.
    • Clear expectations and consistent routines.
    • Coordination with teachers and staff.
  • Lifestyle and Support Strategies
    • Regular sleep, exercise, and balanced nutrition.
    • Stress-reduction techniques such as deep breathing.

ODD Treatment
  • Behavioral Therapy
    • Parent Management Training (PMT): Helps parents respond effectively to defiant behavior.
    • Social Skills Training: Improves peer relationships and conflict resolution.
  • Family Therapy
    • Enhances family communication and interactions.
  • Cognitive-Behavioral Therapy (CBT)
    • Teaches problem-solving and emotion regulation.
  • Medication (if needed)
    • ADHD treatment if present.
    • Mood stabilizers or neuroleptics when impulsivity or aggression is severe and other options aren’t sufficient.
  • School-Based Interventions
    • Individualized support plans, teacher collaboration, and positive behavior rewards.
girl child screaming
​Complications If Untreated
​

DMDD
  • High risk for developing depression or anxiety during teen years.
  • Increased educational disruption, peer conflict, and potentially future mood disorders.
  • Family stress, strained relationships, and impaired quality of life.
ODD
  • Elevated chance of progression to conduct disorder or antisocial personality disorder.
  • Risk of family conflict, school suspension, truancy, and poor academic performance.
  • Increased likelihood of substance use or involvement in risky behaviors.

Untreated DMDD and ODD both negatively impact academic achievement, social development, and emotional health well into adulthood.

Shared and Unique Considerations
  • Early Detection & Intervention: Leads to better long-term outcomes.
  • Comorbid Conditions: ADHD, anxiety, and learning issues amplify challenges and require integrated care.
  • Family and School Involvement: Behavioral conditions in youth are best managed when environmental supports are coordinated.
  • Medication Monitoring: Medications can help but require ongoing oversight for side effects and development.
  • Therapy and Skills-Building: Crucial for developing emotional regulation and social strategies.

Summary Comparison
​
DMDD involves prolonged anger and mood volatility between frequent temper outbursts. It's diagnosed by age 18, with symptoms starting early. Treatment focuses on mood management, behavioral therapy, and possibly medication.

ODD focuses on habitual defiance, argumentativeness, and bitterness, with a six-month symptom timeframe. Treatment emphasizes behavior modification, parent training, and addressing any coexisting conditions.

What to Do Next

If you suspect DMDD or ODD in a child or teen:
  1. Schedule an appointment with a child & adolescent psychiatrist.
  2. Gather symptom information: frequency, level of impairment, and triggers.
  3. Encourage open communication from the child about how they feel.
  4. Discuss specific concerns with the psychiatrist and ask pre-prepared questions.
  5. Be open to therapy and school-coordinated plans. Medication may be recommended.
  6. Follow the treatment plan and attend scheduled follow-ups to measure progress.

Key Takeaways
  • DMDD involves constant irritability plus frequent temper outbursts.
  • ODD focuses on defiant and vindictive behavior toward authority figures.
  • Both conditions can be severe if untreated, but they respond best to early, integrated treatment.
  • Diagnosis requires careful evaluation by a qualified mental health professional.
  • Involvement of parents and educators enhances successful outcomes.
Angry boy child with DMDD
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Contamination OCD

7/8/2025

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Contamination OCD droplet
When Clean Doesn’t Feel Clean Enough

Imagine washing your hands once, then again and again and still feeling like you missed something. You avoid touching door handles, shaking hands, or even hugging loved ones, because of an overwhelming fear of germs or “contamination.”

This is what life can feel like for someone with Contamination OCD, a specific and common form of Obsessive-Compulsive Disorder. While many people may joke about being a “clean freak,” the reality of Contamination OCD is far from funny. It’s exhausting, emotionally draining, and can take over someone’s entire life.

Let’s take a closer look at this condition including what makes it unique, how common it is, and what treatment options can help people feel normal again.

What Is Contamination OCD?

Obsessive-Compulsive Disorder (OCD) is a mental health condition made up of two parts:
  • Obsessions: unwanted, intrusive thoughts or fears
  • Compulsions: behaviors done to relieve the anxiety caused by those thoughts

In Contamination OCD, the obsession usually involves a fear of germs, dirt, illness, or being “infected” in some way. The compulsion is typically something like excessive washing, cleaning, or avoiding certain objects, people, or places.

For example, someone might:
  • Wash their hands dozens of times a day
  • Avoid public places like bathrooms, hospitals, or grocery stores
  • Clean surfaces repeatedly, even when they look spotless
  • Change clothes multiple times a day
  • Feel uncomfortable touching objects others have touched

These behaviors aren't just habits. They’re driven by fear, and they interfere with daily life.

How Common Is Contamination OCD?

Contamination OCD is one of the most common subtypes of OCD.
  • OCD affects about 2–3% of people worldwide, and contamination fears are present in up to 50% of those cases.
  • That means 1 in 100 people may have contamination-related OCD.

These numbers may be higher as many people suffer in silence or don’t recognize their symptoms as OCD.

Contamination OCD became even more noticeable during the COVID-19 pandemic when fears around germs became part of daily life. For some, this triggered new OCD symptoms. For others, it made existing symptoms worse.

What Makes Contamination OCD Unique?

Contamination OCD isn’t just about being neat or clean. People with this condition often know their fears are irrational, but the anxiety is too powerful to ignore.

What makes it different from normal worries or cleanliness:
  • Intrusive Thoughts: You can’t stop thinking about germs or getting sick
  • Time-Consuming Behaviors: Hand-washing or cleaning can take hours 
  • Avoidance: You may stop doing things you enjoy because of fear
  • Guilt or Shame: People often feel embarrassed about their rituals and hide

Contamination OCD can also extend beyond germs. Some people feel "contaminated" by bad energy, certain people, or moral “impurities.” For example, someone may feel the need to wash if they hear a disturbing story or see something unpleasant on the news.

How Is Contamination OCD Diagnosed?

​A psychiatrist can diagnose OCD by asking questions about your thoughts, behaviors, and how they affect your life.

You do not need to have every symptom. If your thoughts or behaviors are causing distress, anxiety, or interfering with your day, it’s worth having an evaluation. There is no blood test or brain scan for OCD, but a trained professional can spot the signs quickly.

How Is Contamination OCD Treated?

Contamination OCD is treatable. With the right approach, people can experience major relief, even full recovery.

1. Cognitive Behavioral Therapy (CBT)
Specifically, a method called Exposure and Response Prevention (ERP) is the gold standard for OCD.
  • Exposure means slowly facing the feared object (like touching a doorknob).
  • Response prevention means resisting the urge to wash or avoid it.

Over time, your brain learns that the fear was false and the anxiety fades.

2. Medication
Many people benefit from medications called SSRIs (Selective Serotonin Reuptake Inhibitors) such as fluoxetine (Prozac), sertraline (Zoloft), or fluvoxamine (Luvox). These medications help reduce the intensity of obsessive thoughts and make therapy more effective.

In more severe cases, psychiatrists may prescribe a combination of medications.

3. Support and Education
Learning more about OCD and connecting with others who have it can help reduce shame and build confidence. Support groups, educational websites, and books can be great tools.

Living with Contamination OCD

If you or someone you know has Contamination OCD, it's important to remember:
  • You’re not “crazy” or broken. Your brain is just wired to overreact to certain fears.
  • You’re not alone. Many highly successful people including celebrities and professionals live with OCD.
  • You can get better. With treatment, many people go on to live full, productive, and joy filled lives.

You don’t have to live your life avoiding the world out of fear. With the right support, that sense of constant worry can be replaced by peace and freedom.

At Your Family Psychiatrist, we work with patients of all ages to understand their OCD, reduce their anxiety, and build a life that doesn’t revolve around fear.

Request your appointment online today and take back control from contamination OCD.
getting clean with contamination ocd
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Anxiety Butterflies in Stomach

7/7/2025

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anxiety butterflies in stomach
Why You Feel That Sinking Feeling and What You Can Do
Have you ever had an important meeting, a first date, or an upcoming test that made your stomach feel like it was twisting? That fluttering, uneasy sensation is often called “butterflies in the stomach.” It’s a real physical reaction that happens when you feel anxious or nervous, and you’re definitely not imagining it.

What causes this feeling? Why does your stomach respond to your emotions? Most importantly, what can help when the anxiety feels like too much?

As psychiatrists, we see this connection all the time.

Let’s break it down.

The Brain–Gut Connection: Why Your Emotions Show Up in Your Stomach
Your brain and your gut are constantly talking to each other through a powerful communication system called the gut-brain axis. This connection helps explain why emotions can cause real, physical symptoms in your digestive system.

At the center of this communication is the vagus nerve which is the longest cranial nerve in the body. It acts like a highway between your brain and major organs like your stomach

When you feel anxious:
  • Your brain goes into “fight or flight” mode.
  • The vagus nerve sends signals down to your gut.
  • Your body slows digestion and diverts energy to muscles and alertness.
  • You get that fluttering, uneasy, sometimes nauseous sensation - butterflies.

In some people, this signal is stronger or more sensitive. That’s why some feel just a little jittery, while others feel actual stomach pain, nausea, or even diarrhea when they’re nervous.

Why Anxiety Feels So Uncomfortable
Anxiety is a normal human emotion, but when it becomes too intense or too frequent, it can affect how your mind and body function.

Common stomach-related symptoms of anxiety include:
  • “Butterflies” or fluttering
  • Upset stomach
  • Nausea
  • Cramping
  • Bloating or gassiness
  • Urge to go to the bathroom

These symptoms can make anxiety worse by creating a cycle: you feel nervous, your stomach reacts, you worry more because of the stomach pain, and the anxiety increases.

Over time it can lead to chronic stomach issues, like irritable bowel syndrome (IBS), frequent nausea, or loss of appetite.

What Can Help?
If you're dealing with frequent anxiety and stomach discomfort, know that you're not alone and there are ways to feel better.

1. Relaxation Techniques
Practices like deep breathing, mindfulness, and meditation can help calm the nervous system. These techniques activate the parasympathetic system (the opposite of fight-or-flight) which helps your stomach relax.

2. Physical Activity
Exercise, even light movement like walking, reduces stress hormones and promotes digestive health. It can also help release pent-up energy from anxiety.

3. Therapy
Cognitive Behavioral Therapy (CBT) is one of the most effective tools for anxiety related stomach issues. It helps you understand how your thoughts affect your body and teaches you how to interrupt the anxiety cycle.

​4. Diet and Gut Health
Some foods can irritate an already sensitive stomach. Avoiding caffeine, highly processed foods, and carbonated drinks during high-stress times can help. Probiotics may also support gut balance though results vary from person to person.

Additional natural strategies to treat a nervous stomach can be found here.

Are Medications Helpful?
Yes, medication can be a helpful tool, especially when symptoms are interfering with daily life.

A psychiatrist may prescribe:
  • SSRIs (selective serotonin reuptake inhibitors) – These increase serotonin, a chemical that helps regulate both mood and digestion.
  • Beta-blockers – These can reduce the physical symptoms of anxiety like a racing heart or shaky hands.
  • Short-term anti-anxiety medications – In certain situations, fast-acting medications may be used under close supervision.

Not everyone needs medication, but for some people, it can make a big difference.
Your stomach symptoms are not all in your head. Anxiety has very real physical effects, and psychiatrists are trained to help you treat the problem at its root, not just mask the symptoms.

When Should You See a Psychiatrist?
If you’re experiencing any of the following, it may be time to talk with a professional:
  • Ongoing stomach issues with no clear medical cause
  • Frequent anxiety, panic attacks, or trouble relaxing
  • Anxiety that interferes with sleep, relationships, or daily activities
  • Feelings of dread or nervousness that don’t go away

You don’t have to live with constant stomach pain or that sinking feeling in your gut. Many patients are surprised how quickly symptoms improve once they get the right diagnosis and support.

At Your Family Psychiatrist, we specialize in helping people understand these symptoms, get the right treatment, and feel like themselves again. Whether your anxiety shows up in your mind or your stomach, we’re here to help.

Request your appointment online today.
where stomach pain happens
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Vyvanse for Binge Eating

7/6/2025

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Binge eating food
Understanding How This FDA-Approved Medication Can Help
Imagine feeling stuck in a cycle of overeating, where you're consuming large amounts of food in a short period of time in secret, followed by shame, guilt, or regret. This isn’t just about having a "cheat day" or loving dessert. For many people, it's something much more serious. It's called Binge Eating Disorder (BED), and it's the most common eating disorder in the United States.

The good news? There is treatment, and one of the most effective options is a medication called Vyvanse.

What Is Binge Eating Disorder?
Binge Eating Disorder is a mental health condition that involves repeated episodes of eating unusually large amounts of food, often very quickly, even when not hungry. Afterward, people feel upset, guilty, or out of control. Unlike bulimia, there is no regular purging (vomiting or over-exercising) afterward.

Symptoms of Binge Eating Disorder:
  • Eating large amounts of food in a short period (often within 2 hours)
  • Feeling a lack of control during episodes
  • Eating until uncomfortably full
  • Eating alone due to embarrassment
  • Feeling disgusted, depressed, or guilty afterward

If you or someone you care about relates to these symptoms, you are not alone. According to the National Alliance for Eating Disorders, about 3.5% of women and 2% of men experience BED in their lifetime.

Vyvanse: FDA-Approved for Binge Eating Disorder
Vyvanse (lisdexamfetamine dimesylate) is the first and only medication FDA-approved to treat moderate to severe Binge Eating Disorder in adults. It was originally approved in 2007 for ADHD, but in 2015, the FDA also approved it for BED after strong clinical trial results.

It is not a weight loss drug, although some people may experience weight loss while taking it. Vyvanse is designed to reduce binge episodes, not act as a diet pill.

How Does Vyvanse Work?
Vyvanse is a stimulant medication, which means it increases activity in certain areas of the brain, especially those related to attention, impulse control, and reward.

It works by affecting two important brain chemicals:
  • Dopamine (linked to motivation and reward)
  • Norepinephrine (involved in energy, attention, and focus)

People with BED often describe feeling “out of control” during a binge. Vyvanse helps by improving impulse control, decreasing food cravings, and reducing the urge to binge. It does not take away normal appetite. It simply helps people pause, think clearly, and make healthier decisions about food.

What Does the Research Say?
Vyvanse was studied in two large clinical trials that led to its FDA approval for BED. The results were impressive.

Study Highlights:
  • Participants had significantly fewer binge days per week after taking Vyvanse.
  • Up to 50–70% of people taking Vyvanse saw a meaningful reduction in binge episodes.
  • Many participants also showed improved quality of life and reduced feelings of distress around eating.

Vyvanse is not a cure, but it has helped thousands of adults regain control over their eating behaviors and reduce the emotional pain caused by BED.

What to Expect When Taking Vyvanse for Binge Eating
Vyvanse is taken once daily in the morning, either with or without food. Your doctor will usually start you at a low dose and increase it slowly until you find the most effective and well-tolerated amount.

Patients often report:
  • Feeling more in control around food
  • Less obsession with thoughts of eating
  • Decreased number of binge episodes
  • Less emotional distress related to eating habits

You may notice improvement within the first 1–2 weeks, though full benefits are often seen by week 4–6+.

Vyvanse is usually one part of a broader treatment plan, which may also include counseling or therapy to address emotional and behavioral patterns related to food.

Common Side Effects
Like all medications, Vyvanse comes with potential side effects. Most are mild to moderate and often improve with time or dose adjustments.

Most Common Side Effects:
  • Decreased appetite
  • Dry mouth
  • Insomnia
  • Increased heart rate
  • Anxiety or restlessness
  • Nausea

Less Common but Serious Side Effects:
  • Increased blood pressure
  • Mood swings or irritability
  • Rare risk of addiction or misuse (especially in people with a history of substance use)

It’s important to have regular check-ins with your psychiatrist to monitor side effects and track your progress.

Who Should Not Take Vyvanse?
Vyvanse is not recommended for individuals who:
  • Have a history of heart disease or high blood pressure that’s not controlled
  • Have an overactive thyroid
  • Have glaucoma
  • Are taking certain antidepressants called MAOIs
  • Have a history of stimulant misuse or addiction without close medical supervision

Your psychiatrist will need to review your medical history and current medications to determine if Vyvanse is a safe option for you.

Vyvanse vs. Other Options
While Vyvanse is currently the only medication FDA-approved for BED, it’s not the only way to treat binge eating. Many people also benefit from:
  • Cognitive Behavioral Therapy (CBT)
  • Nutritional counseling
  • Support groups
  • Other medications, such as topiramate, naltrexone, or SSRIs, though these are used off-label

Vyvanse has the strongest evidence and official approval for treating BED, making it a preferred choice when symptoms are moderate to severe.

Binge Eating Disorder can feel isolating, but it is treatable. Vyvanse offers an effective option for reducing the frequency and intensity of binge episodes, allowing many people to regain control over their eating and improve overall mental health.

If you’re in the Houston area and looking for a psychiatrist to help determine if Vyvanse is right for you, our clinic is here to help. We take the time to understand your unique story, rule out other conditions, and create a treatment plan that works.
weight loss plan
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How Long Does it Take to Become a Psychiatrist

7/5/2025

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Psychiatrist in Training
Training, Specialties, and What Psychiatrists Really Do
If you’ve ever wondered, “How long does it take to become a psychiatrist?”, the short answer is, a long time. There’s a good reason for that. Psychiatrists are medical doctors who specialize in mental health, meaning we study both the brain and the body. Our training includes diagnosing mental illnesses, providing therapy, prescribing medications, and understanding how physical health and mental health are connected.

Step-by-Step: Education and Training to Become a Psychiatrist

1. Bachelor’s Degree (4 Years)
Before medical school, future psychiatrists must complete a 4-year college degree. Most students major in something related to science or psychology, but any major is acceptable as long as medical school prerequisites are completed.

2. Medical School (4 Years)
After college, students enter medical school to earn their MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) degree. Medical school lasts another 4 years. During this time, students study anatomy, pharmacology, diseases, and treatments, and gain clinical experience in hospitals and clinics. Here the focus is becoming a well-rounded doctor first.  Expect to do surgical, pediatric, ob/gyn, family medicine, and other similar rotations.  While there will be aspects of mental health learning in every rotation, the focus is developing the student into someone prepared to enter advanced, specialty training.  

3. Psychiatry Residency (4 Years)
After graduating from medical school, new doctors begin a psychiatry residency, which is a paid, hands-on training program that lasts 4 years. Pay is typically $40,000-65,000 per year and the pay differential is mostly related to local cost of living. You can't negotiate it. During residency, you focus specifically on psychiatry, learning how to diagnose and treat conditions like:
  • Depression
  • Anxiety
  • Bipolar disorder
  • Schizophrenia
  • PTSD
  • ADHD
  • Personality disorders
  • Substance use disorders

Residents often work 50–80 hours per week, treating patients in hospitals, emergency rooms, outpatient clinics, and even correctional facilities.  There is no overtime pay.

Total time to become a general psychiatrist: 12 years after high school.

Optional: Fellowship Specialties in Psychiatry (1–2 Extra Years)

Some psychiatrists choose to complete a fellowship after residency. This is specialized training in a specific area of psychiatry, which usually lasts 1–2 additional years. Below are the most common specialties and what they involve.

1. Child and Adolescent Psychiatry (2 Years)
Child and adolescent psychiatrists specialize in treating patients ages 3–17. Mental health in children often looks different than in adults, and early intervention can make a lifelong difference.

These psychiatrists treat conditions such as:
  • ADHD
  • Autism Spectrum Disorder
  • Anxiety and depression in children
  • Oppositional and conduct disorders
  • School refusal and bullying-related stress
  • Childhood trauma and attachment issues

Training includes working closely with families, schools, pediatricians, and therapists. It also involves learning how to modify treatments to suit a child’s developmental stage.

Total time: 14 years (4 college + 4 med school + 4 residency + 2 fellowship)

2. Geriatric Psychiatry (1 Year)
Geriatric psychiatrists specialize in working with older adults, usually age 65 and above. As people age, they may face unique mental health issues due to physical illness, memory loss, or isolation. The ability to metabolize medications decreases.

Geriatric psychiatrists treat:
  • Alzheimer’s disease and other dementias
  • Depression linked to aging or chronic illness
  • Late-onset anxiety or psychosis
  • Coping with loss of independence or bereavement
  • Medication management in older bodies with complex conditions

They often work in nursing homes, hospitals, memory clinics, or private practice.
Total time: 13 years

3. Addiction Psychiatry (1 Year)
Addiction psychiatrists focus on treating patients with substance use disorders, including alcohol, opioids, stimulants, and other drugs. They understand how addiction affects both the brain and behavior, and they treat the underlying mental health issues that often come with addiction.
​
They help with:
  • Detox and withdrawal management
  • Medication-assisted treatment (like Suboxone or Vivitrol)
  • Dual diagnoses (e.g., depression and substance use)
  • Therapy for relapse prevention
  • Harm reduction strategies and recovery support

These psychiatrists often work in rehab centers, hospitals, VA clinics, or outpatient programs.

Total time: 13 years

4. Forensic Psychiatry (1 Year)
Forensic psychiatrists work at the intersection of psychiatry and the law. They evaluate individuals involved in legal cases and may testify in court as expert witnesses.
​
They perform assessments related to:
  • Criminal responsibility (e.g., insanity defense)
  • Competency to stand trial
  • Risk assessments for violence
  • Mental health evaluations in prisons
  • Child custody or abuse investigations

Their work often involves writing legal reports and working closely with attorneys and judges.

Total time: 13 years

5. Consultation-Liaison Psychiatry (1 Year)
Also known as psychosomatic medicine, this specialty focuses on mental health in medically ill patients. These psychiatrists are often found in hospitals and collaborate with doctors from other specialties like cardiology, oncology, or surgery. Usually other specialties consult or request assistance from the Consultation-liaison psychiatrist.  

They treat patients who are:
  • Coping with serious medical diagnoses like cancer
  • Experiencing depression or anxiety due to chronic illness
  • Struggling with adherence to treatment plans
  • Experiencing delirium or medication side effects

This field is especially helpful in improving whole-person care in complex medical settings.

Total time: 13 years

6. Neuropsychiatry (1–2 Years)
Neuropsychiatrists specialize in patients with neurological and psychiatric overlap, often caused by brain injury, stroke, epilepsy, or neurodegenerative diseases.

They treat:
  • Traumatic brain injury (TBI) with behavioral changes
  • Parkinson’s disease and mood symptoms
  • Seizures and psychosis
  • Memory loss with mood disturbance
  • Complex cases involving both neurology and psychiatry

These specialists often work in academic centers or with neurologists on difficult-to-diagnose cases.

Total time: 13–14 years

Becoming a psychiatrist requires at least 12 years of education and training after high school. Many go on to complete another 1–2 years of fellowship training to specialize in areas like child psychiatry, addiction, or geriatrics.

Why does it take so long? 
Mental health is complex. As psychiatrists, we’re trained not only to diagnose and treat emotional distress, but also to understand the medical, psychological, and social factors that influence a person’s well-being.

If you’re considering seeing a psychiatrist, know that you’re not alone, and the person you’re meeting has spent over a decade learning how to help people just like you.

If you’re looking for a board-certified psychiatrist in Houston for yourself or a loved one, we’re here to help. Request your appointment online today and take the first step toward feeling better.
Mental health specialist
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Celebrities with OCD: You are NOT Alone

7/4/2025

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David Beckham OCD
Understanding Obsessive-Compulsive Disorder and the Many Faces It Can Have
When people think of Obsessive-Compulsive Disorder (OCD), they often imagine someone who washes their hands too much or arranges things perfectly. OCD is far more complex and more common than most people realize.

As a psychiatrist, I work with people from all walks of life who struggle with OCD including students, nurses, parents, CEOs, and celebrities. It’s important to know that having OCD doesn’t mean you’re weak or damaged. In fact, many highly successful and creative individuals have lived with OCD and learned to manage it.

Let’s take a look at some well-known celebrities who have publicly shared their experiences with OCD, learn some unique statistics, and explore why treatment works.

OCD by the Numbers

  • OCD affects about 2–3 million adults in the U.S. every year. That’s over 1 in 100 people.
  • Symptoms often begin in childhood or adolescence, but many people don’t get diagnosed until adulthood.
  • On average, people wait 11 years from the onset of symptoms before seeking treatment.
  • OCD is often underdiagnosed
  • With proper treatment, including therapy and sometimes medication, 60–70% of people see significant improvement.

Celebrities with OCD: Proof That It Doesn’t Define You
Many public figures have bravely spoken out about their experiences with OCD. Their stories show that OCD can affect anyone, no matter how famous, talented, or successful.

🎬 Actors & Actresses
  • Leonardo DiCaprio
    The Oscar-winning actor has openly discussed his struggles with OCD since childhood, including stepping on sidewalk cracks and repeating actions. He portrayed Howard Hughes, a man with severe OCD, in The Aviator, bringing authenticity to the role through his own experiences.
  • Charlize Theron
    The actress has mentioned her obsession with order and symmetry, saying that she feels deeply anxious when things are out of place.
  • Megan Fox
    The Transformers star has spoken about contamination fears and a strong fear of germs, particularly related to public restrooms and utensils in restaurants.

🎤 Musicians
  • Justin Timberlake
    He revealed he has both OCD and ADD. He has shared that he needs things to be arranged a certain way and that it affects his routine and environment.
  • Camila Cabello
    The singer opened up about intrusive thoughts and mental compulsions, especially during stressful periods.  She is a proponent of counseling and how therapy helped her understand and manage OCD.

⚾ Athletes
  • David Beckham
    The soccer legend has talked about his obsessive need for symmetry and order, such as aligning soda cans perfectly and arranging clothes by color.
  • Michael Phelps
    The Olympic swimmer has shared that obsessive rituals around training and performance were part of his life. 

📺 TV Personalities & Comedians
  • Howie Mandel
    Perhaps one of the most vocal celebrities with OCD, Mandel has described living with intense germ-related fears and compulsive handwashing. He’s also helped reduce stigma through interviews and public awareness campaigns.
  • Lena Dunham
    The Girls creator and actress has written about her experiences with obsessive thoughts and compulsive rituals and how she uses therapy and medication to manage her symptoms.
  • Marc Summers
    The former host of Double Dare was diagnosed with OCD and later made a documentary about his experiences to raise awareness.

📚 Authors & Creatives
  • John Green
    Best-selling author of The Fault in Our Stars and Turtles All the Way Down has been very open about intrusive thought loops and fear-based obsessions. His writing has helped many young readers see themselves reflected.

OCD Looks Different in Everyone
OCD doesn’t always involve cleaning or checking. It can include:
  • Relationship OCD (ROCD) – Obsessing about whether you love your partner “enough”
  • Harm OCD – Intrusive thoughts about causing harm to yourself or others
  • Religious OCD (Scrupulosity) – Fears about sinning or being morally wrong
  • Contamination OCD – Fear of germs, chemicals, or bodily fluids
  • Symmetry OCD – Needing things to feel “just right” or balanced

The thoughts are usually unwanted and distressing, and the compulsions don’t bring joy. They bring temporary relief followed by more anxiety.

Treatment Can Be Life-Changing
Many of the celebrities above have emphasized one key message: OCD is treatable.

Effective treatment often includes:
  • Cognitive Behavioral Therapy (CBT) – Specifically Exposure and Response Prevention (ERP) which teaches people how to tolerate intrusive thoughts without performing rituals.
  • Medication – Often SSRIs like fluoxetine (Prozac) or sertraline (Zoloft) which can reduce the intensity of symptoms.
  • Supportive Counseling – To address the shame, frustration, or isolation that often accompanies OCD.

In more severe cases, other options like ketamine, TMS (transcranial magnetic stimulation), or intensive outpatient programs can be helpful.

You Are Not Alone
OCD doesn’t make you weak. It makes you human. The celebrities mentioned above are just a few examples of highly successful people who have lived full lives with OCD.

If you find yourself constantly battling distressing thoughts, performing mental or physical rituals, or feeling like your mind is stuck on repeat, it may be time to reach out.

You don’t have to live trapped in your own thoughts. There is help. There is hope. With the right treatment, you can get your life back.

If you or someone you love is struggling with OCD, request your appointment online today. At Your Family Psychiatrist, we help children, teens, and adults find freedom from obsessive-compulsive disorder with compassionate, evidence-based care.
Olympic Athletes with OCD
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The Autism Creature: A Deep Connection Through a Simple Doodle

7/1/2025

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What is the Autism Creature?
Early in 2021, a user named @acmeiku drew a minimalist, four-legged figure in MS Paint with a head twice the size of its body, two big, blank eyes, and a quiet “TBH” sentiment attached. That simple doodle quickly found a home among autistic individuals online. By early 2022, the “Autism Creature” (also called the “TBH” or “Yippee” Creature) had gone viral on Tumblr, gaining over 12,000 notes and spreading into memes, artwork, and deeply personal stories.

At first glance, it seems oddly expressionless, almost emotionless. But that neutrality is its power. It became a blank canvas, a “paper doll” that people could personalize. Some added a party hat and confetti to express happiness. Others placed it in chaos to show sensory overwhelm. One Reddit user said people “just thought it was the ‘Yippee’ thing” that resonated . The unassuming character allowed for projections of lived experience, and that is why it became a symbol for autism.
Understanding Autism
Why Did the Autism Creature Resonate?
The appeal of the Autism Creature stems from its authentic origin. It didn’t come from clinicians or global nonprofits. It was born from the autistic community itself. Its creator, @acmeiku (also known as princestarangel on Tumblr), wasn’t trying to be a spokesperson, just a person sharing honest thoughts. That sincerity struck a chord.

The phrase “TBH” doesn’t just mean “to be honest.” It set a tone of self-expression, a safe space for the imperfect, unfiltered truth. In a world where so many autistic individuals learned to mask their emotions, hiding anxiety, the creature whispered: “It’s okay to just be.”

The Many Faces of the Autism Creature
On social media, the creature evolved into countless variations. One popular thread involved pairing it with Among Us characters, carrying them, poking them, or wearing one as a hat. In other memes, confetti rains down; in others, the creature trembles under sensory overload. The central idea remained. It’s a mirror for feelings like social anxiety, hyperfocus, sensory chaos, and even quiet joy .

These posts became more than jokes. They were shared diaries. Each variation spoke without words: this is how I feel today. It’s what makes the creature emotionally potent despite its simple appearance.
The Autism Yippee
Benefits: Community, Meaning, Advocacy
1. A Community Voice
The Autism Creature offered a shared visual language. No lecture needed. Its variations said, I feel like that too. For those who felt isolated or misunderstood, seeing their experience mirrored created social bonds and lifted loneliness.

2. A Tool for Authenticity
With “TBH” as the mantra, the creature sanctioned authentic expression. Users tiptoeing between over-sentimentality and cold neutrality found a middle ground where feelings were allowed without dramatization .

3. An Advocacy Symbol
Because it came from the community, the creature shaped how others, including neurotypical allies, perceived autism. It moved beyond stereotypes of autism as always sad or always serious. Some even say it helps foster empathy among non-autistic viewers.

4. Resilience Framed as Joy
Many representations celebrate hyperfixation, novel routines, and sensory delight, not just struggles. One autism resource site calls it a “celebration of autistic joy”. That shift is powerful. Autism isn’t only about dealing with challenges. It’s also about celebrating differences.

Criticisms and Drawbacks
As beloved as it is, the Autism Creature isn’t universally accepted. Some individuals feel uncomfortable.
  • Dehumanizing Label: A few say calling it a “creature” can feel alienating or infantilizing.
  • Lack of Emotional Depth: Its neutrality sometimes misses the intense feelings behind autism or leads critics to say it perpetuates a “flat affect” stereotype.
  • Commercial Exploitation: Worries have arisen about brands grabbing the figure for profit, without empowering the community itself .
  • Not Universal: No image can capture the range of autism. Some say its simplicity is its limit, others feel it’s too cutesy and oversimplified .
Picture
The Autism Creature in Cultural Context
Though the creature is new, it reflects age-old themes. European folklore featured changelings which were missing children replaced by emotionless, unresponsive beings. Modern scholars link these myths to early interpretations of autism. The Autism Creature reclaims that narrative, portraying difference as authenticity, not alienation.

It’s also part of the neurodiversity movement, which challenges the medical model of autism as a disorder to be fixed. When the creature says “TBH, this is me,” it steps into demand acceptance on its own terms.

Why the Creature Works: A Human Psych Perspective
The power of simple symbols can’t be underestimated. Think of the rainbow flag, the peace symbol, or even emojis. They allow collective expression with a few strokes. The Autism Creature is similar. Its neutrality invites projection. It taps into shared experiences without imposing interpretation.

For autistic individuals who experience sensory overload, social masking, or meltdowns, this gemstone of expression creates connection where words might fail. Its expressive blankness says: Pick your own emotion today. Any of them is okay.

The Autism Creature Today: Where It Lives
You’ll still find the creature across Tumblr, Reddit, TikTok, and Instagram. Many autistic artists continue to reinterpret it in styles from pastel watercolors to bold pixel art. Even audio inspired by it like “Yippee!” sound clips have been adapted into short, expressive videos. Autism-centered events, like virtual meetups, sometimes feature the creature as a mascot in promotional art. Advocates share memes in support groups: “Me in a noisy room.” “Me when I need a break.”

While it hasn’t made its way into mainstream textbooks or official logos, it thrives in the grassroots where identity is lived and expressed daily.

Final Thoughts: A Symbol of Honest Being
The Autism Creature may still be evolving but here’s what’s already clear:
  • It empowers autistic individuals to say, “This is real me.”
  • It builds community around empathy, not pity.
  • It expands the understanding of autism beyond stereotypes.
  • It reminds us all that even quiet, neutral appearances can hold deep meaning.

Like any symbol built by a community, it’s not perfect. Some embrace it. Some push back. Its impact is undeniable. In a world full of noise, this simple figure offers a place to just be and to say with honesty, I matter.
Autism Information
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Understanding Autism: Identification, Support, & Care

7/1/2025

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Autism Specialist in Houston
When Sarah’s 8-year-old son, Daniel (anonymized), started having daily meltdowns at school, she wasn’t sure where to turn. Teachers described his behavior as “agitated and aggressive,” but Sarah saw something different. Daniel wasn’t trying to be difficult. He was overwhelmed, frustrated, and anxious. After visiting an autism specialist at a nearby clinic, Sarah finally received answers that changed the course of their lives.

What Is Autism?
Autism, or Autism Spectrum Disorder (ASD), is a neurodevelopmental condition that affects how a person communicates, behaves, and interacts with others. According to the CDC, about 1 in 36 children in the United States has been diagnosed with autism. While autism is considered a developmental disability, many individuals with ASD have unique strengths alongside their challenges.

The term “spectrum” means that autism presents differently in each person. Some individuals may have mild difficulties in social situations, while others may experience more significant challenges such as speech delays, difficulty with emotional regulation, or sensory sensitivities.

Common Signs of Autism
Recognizing the signs of autism early can lead to better outcomes through timely intervention. Here are some common symptoms that may indicate a need for evaluation by an autism specialist:
  • Difficulty with eye contact
  • Delayed speech or language skills
  • Repetitive movements (e.g., hand-flapping, rocking)
  • Strong reactions to changes in routine
  • Limited interest in peers or social interactions
  • Intense focus on specific interests
  • High levels of frustration or anxiety

In children and adults alike, agitation, aggression, or over-eating may also be coping mechanisms for sensory overload or communication difficulties.
Autism Brain
The Role of an Autism Specialist
Autism specialists are professionals trained in the evaluation and treatment of individuals with ASD. At an autism clinic or center, specialists may include psychiatrists, psychologists, speech-language therapists, occupational therapists, and/or behavior analysts.

A comprehensive evaluation may include:
  • Standardized diagnostic testing
  • Developmental history
  • Observation of social and communication behaviors
  • Parent and teacher interviews

After the diagnosis, a specialist helps develop a personalized care plan that may involve behavioral therapy, educational support, social skills training, and when appropriate, medication.

Can Medication Help with Autism?
While there is no medication that cures autism, certain medications can help manage associated symptoms such as:
  • Irritability and aggression
  • Hyperactivity or impulsivity
  • Anxiety
  • Sleep disturbances
  • Obsessive behaviors
  • Over-eating and weight gain

A study published in Pediatrics found that up to 64% of children with ASD are prescribed at least one psychiatric medication to help manage symptoms.

Common medications include:
  • Risperidone and aripiprazole for irritability and aggression
  • SSRIs for anxiety or repetitive behaviors
  • Stimulants or non-stimulants for attention and focus
  • Melatonin or other mild sedative for sleep disturbances

​At our Houston-area autism clinic, our board-certified psychiatrists work closely with families to ensure medication decisions are carefully weighed and continually monitored.
Autism Center in Houston
Services Offered at an Autism Therapy Clinic
A high-quality autism therapy clinic offers more than just diagnosis. It provides ongoing services tailored to each individual’s needs. These may include:
  • Behavioral therapy (ABA) to reduce challenging behaviors and teach life skills
  • Occupational therapy to improve coordination, sensory processing, and daily living skills
  • Speech therapy to support language and communication
  • Social skills groups to build peer relationships
  • Parent training to help families support development at home

Clinics that specialize in ASD often also provide services for co-occurring conditions such as ADHD, anxiety, or developmental delays.  We are happy to refer you to autism therapy centers nearby to manage this aspect of care.  

Emotional Impact on Families
Parents of children with autism often experience high levels of stress. According to Autism Speaks, nearly 1 in 5 parents of children with ASD report symptoms of depression. Accessing the right care early, through a trusted autism specialist or center, can greatly reduce family stress and improve quality of life for everyone involved.

Sarah’s journey with Daniel didn’t end at the diagnosis. Through consistent therapy, a customized treatment plan, and medication for his severe agitation, Daniel began to thrive. His meltdowns became less frequent, and his confidence grew. Sarah credits the team at the local autism clinic for helping her son find his voice.
Kids with Autism getting help
When to Seek Help
If you or someone you love is showing signs of autism, don’t wait to get help. Early diagnosis and intervention lead to the best outcomes. Whether you’re facing aggression, anxiety, frustration, or uncertainty, a qualified autism specialist can guide you toward the right services and support.

Your Family Psychiatrist: An Autism Clinic You Can Trust
At Your Family Psychiatrist in Houston, Texas, we offer compassionate and evidence-based care for individuals on the autism spectrum. Our clinic provides medication management and referrals for comprehensive services. We understand the emotional and practical challenges of navigating an autism diagnosis.
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Call us today to schedule a consultation and learn more about how we can support your family.
Autism Clinic in Texas
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Finding the Right Therapists for Women

6/19/2025

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Strong Woman in Therapy

Introduction to Mental Health


Women are nearly twice as likely as men to experience depression, according to the National Institute of Mental Health. One well-known type of depression is postpartum depression which occurs after childbirth. Studies show that about 1 in 8 women experience symptoms of postpartum depression. Without support, this condition can affect both the mother’s health and the child’s development. Addressing women's mental health is crucial to ensure women receive the care and support they need to meet their challenges.

In addition to postpartum concerns, women are more likely to struggle with body image issues and eating disorders. Social pressures, media influence, and hormonal changes all play a role. According to the National Eating Disorders Association, up to 20 million women in the United States will experience an eating disorder at some point in their lives. These conditions can be serious but are treatable with proper mental health care. When therapy is focused on women's issues, it can be even more effective. Therapy for women can include a specialized form of psychotherapy that addresses gender-specific challenges like gender roles, societal pressures, reproductive health, trauma, and discrimination. Topics like trauma, family planning, gender roles, and relationships are often easier to discuss with a clinician who understands the importance and impact.

Mental health is just as important as physical health, but it’s often overlooked when it comes to women’s specific mental health needs. Emotional well-being affects every part of life, from relationships to work to physical health. For women, taking care of mental health may require specialized support due to the unique challenges.

Mental health care for women should be personalized. Every woman’s experiences are different. Not all women face the same challenges or require the same approach. Effective care means recognizing these differences and adjusting the treatment plan accordingly. Options may include talk therapy, medication, or lifestyle changes tailored to specific goals and needs.

Finally, a safe and supportive environment is essential. Women need to feel heard and respected in order to open up about difficult symptoms like sadness, irritability, or emotional numbness. At our clinic, we create a judgment-free space where women can speak honestly and receive care from trained mental health professionals who listen and support without stigma.
Houston therapist for women

Understanding Mental Health Issues

Mental health problems can affect anyone, but women often experience them in ways that are shaped by their life circumstances. While conditions like anxiety, depression, and post-traumatic stress occur in both men and women, the causes, symptoms, and challenges can look very different.

Women are more likely than men to be diagnosed with anxiety and depression. According to the Anxiety and Depression Association of America, nearly one in three women will experience an anxiety disorder at some point in her life.  Stress from caregiving roles, financial strain, or balancing work and family can all contribute to worsening mental health. Societal expectations, such as the pressure to “have it all together” or to always care for others first, often make it harder for women to speak up about their struggles.

In many cases, women’s mental health is also affected by trauma, including intimate partner violence and sexual harassment. The National Coalition Against Domestic Violence reports that 1 in 4 women in the U.S. have experienced severe physical violence by an intimate partner. Experiencing trauma can increase the likelihood of developing a mental health condition. Therapy is most effective when the provider understands how trauma, cultural expectations, and gender role stereotypes can affect a woman’s mental well-being. A therapist or psychiatrist with this kind of knowledge can help women feel validated, safe, and understood.

Understanding women’s mental health isn’t just about treating symptoms. It’s about improving overall health. Mental health and physical health are deeply connected. For example, untreated depression has been linked to increased risks of heart disease and other chronic illnesses. When mental health improves, women often experience better sleep, energy, relationships, and physical wellness.
Therapist in Houston

Mental Health Challenges

Women face a wide range of mental health challenges that can affect how they feel, think, and live. Some of the most common concerns include low self-esteem, body image issues, and eating disorders. These problems often start early and can continue into adulthood, especially when reinforced by media, social comparisons, or cultural expectations about how women should look or behave.

Many women also carry emotional burdens like shame, guilt, and self-doubt. These feelings can develop from past experiences, societal pressure, or relationships that don’t support their emotional needs. Therapy offers vital support for women dealing with emotional, psychological, and physical issues to help them navigate challenges. Left untreated, these negative emotions can lead to depression, anxiety, or unhealthy behaviors. Individual therapy provides a safe space to explore and overcome these feelings.

One of the main goals of therapy for women is empowerment. A trained therapist doesn’t just help identify what’s wrong. They help women take control of their mental health and build a more confident, fulfilling life. Therapy can focus on setting boundaries, rebuilding self-worth, and learning to manage stress in healthy ways.

Experienced mental health professionals can also teach coping strategies and stress management techniques that are specifically tailored to women. Whether it’s learning how to say no, managing anxiety in high-pressure environments, or finding work-life balance, these tools can make a big difference.

Fear of judgment, unequal opportunities, and past trauma can weigh heavily on a woman’s mental state. Therapy can help address these complex issues with compassion, validation, and practical tools for healing. Women deserve mental health care that understands their experiences and supports their growth. With the right guidance, they can move beyond pain and discover strength they may not have realized they had.
Pregnant mother with depression in Houston

Postpartum Depression and Motherhood

Postpartum depression is one of the most common health conditions affecting women after childbirth. It goes beyond the "baby blues" and can include deep sadness, anxiety, mood swings, and trouble bonding with the baby. According to the CDC, about 1 in 8 women report symptoms of postpartum depression within the first year after giving birth.

Becoming a mother is a major life transition. While it can bring joy, it also brings new responsibilities, exhaustion, and emotional changes. Many women feel overwhelmed, guilty, or uncertain, especially if their expectations of motherhood don’t match reality. These emotional struggles are normal, but when they become intense or persistent, professional mental health support is essential.

Treatment for postpartum depression should always be personalized. Some may benefit from therapy, others may need medication, and many find the best results from a combination of both. The goal is to help women feel like themselves, connect with their baby, and gain confidence in their role as a mother.

Houston body image counseling

Body Image and Self-Esteem

Many women struggle with body image concerns, which can have a powerful impact on their mental health. Feeling unhappy with the way one looks can lead to low self-esteem, anxiety, depression, and even disordered eating. These issues often begin at a young age and are made worse by constant exposure to unrealistic beauty standards in magazines, movies, and social media.

Society sends strong messages about what a woman’s body "should" look like. From a young age, girls are taught to compare themselves to images that are often edited or filtered. As a result, many women grow up feeling that they aren’t good enough, physically or emotionally. These beliefs can become deeply rooted and hard to change without support.

Therapy offer a safe space to work through these issues. Mental health professionals can help women identify where negative beliefs about their bodies come from and how those beliefs affect their self-esteem. Through guided conversations, women can begin to challenge harmful thoughts and replace them with healthier, compassionate thoughts.

A key part of women’s therapy is learning to develop a positive relationship with the body, not based on appearance but on self-respect and acceptance. This can be a gradual process, but it often leads to greater confidence and emotional balance.

Eating healthy women counselor

Eating Disorders and Disordered Eating

Eating disorders are serious mental health conditions that affect how a person relates to food, body image, and self-worth. They often reflect deeper emotional pain or an attempt to cope with stress, trauma, or low self-esteem. Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder. Each can have severe physical and emotional consequences if left untreated.

Some women may not meet the full criteria for an eating disorder but still engage in disordered eating like skipping meals, overexercising, or constant dieting. These behaviors can be signs that something is wrong emotionally. In many cases, disordered eating becomes a coping mechanism for dealing with anxiety, depression, trauma, or loss of control.

Therapy should focus on promoting healthy eating habits and helping women build a positive relationship with their bodies. This may involve challenging harmful beliefs, setting realistic goals, and learning new ways to manage stress and emotions without turning to food. With the right support, women can recover from eating disorders and rediscover confidence, balance, and self-respect.
Female therapy in houston

Mental Health Care and Treatment Options

No two women are exactly alike, and mental health treatment must reflect that. Effective care addresses not just the symptoms, but also the personal history, environment, and emotional goals of each patient.

Treatment options for any mental health concern in women can include a mix of therapy, medication, and lifestyle changes. For some women, talking with a licensed therapist is enough to help reduce symptoms and regain emotional balance. Others may benefit from medications to help quickly manage depression, anxiety, or mood swings that have become severe. Simple lifestyle adjustments like improving sleep, nutrition, or exercise habits can also support mental health and boost recovery.

Celebrating women's mental health

Overcoming Mental Health Stigma

For many women, one of the biggest obstacles to seeking help is the stigma around mental health. Society often sends the message that women should be strong, selfless, and able to handle everything without asking for help. As a result, some women may feel embarrassed or ashamed to admit they’re struggling.

Mental health concerns should never be met with shame or judgment. Conditions like depression, anxiety, postpartum struggles, and eating disorders are medical issues, not personal failings. Just like physical health conditions, they deserve professional treatment and compassionate support.

Therapy is not only about managing illness. It’s about building emotional resilience, improving relationships, and feeling better daily. Women’s therapy should always take place in a safe, supportive environment where patients feel free to be themselves. When that trust is present, real healing and growth can begin.

If you or someone you care about is struggling with mental health challenges, we’re here to help. At Your Family Psychiatrist, we provide compassionate, personalized care for women in Houston and surrounding areas. Our team of experienced mental health professionals understands the unique challenges women face, and we offer a range of treatment options including therapy, medication, and holistic care in a safe, judgment-free environment.


Female Therapy Symbol
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Top Houston CBT Therapists for Effective Counseling

6/14/2025

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Therapist demonstrating CBT therapy

​Looking for Cognitive Behavioral Therapy (CBT) in Houston?

​Learn how Houston CBT can help manage anxiety, depression, and other mental health challenges effectively.
​

Key Takeaways

  • Cognitive Behavioral Therapy (CBT) is an effective and tailored treatment for anxiety and depression by focusing on altering negative thought patterns and improving coping mechanisms.
  • CBT typically involves fewer sessions compared to other therapies.
  • The versatility of CBT allows it to benefit a wide range of individuals, and it can be integrated into comprehensive treatment programs for various mental health issues.
Person contemplating the benefits of CBT

Is Cognitive Behavioral Therapy Right for You?

Cognitive Behavioral Therapy (CBT) has long been recognized as an effective treatment for a variety of mental health issues, notably anxiety and depression. CBT is not a one-size-fits-all solution. It is tailored to meet the unique needs of each individual, making it a versatile option for many.

When struggling with anxiety or depression, it often feels like you are misunderstood, overwhelmed, or stuck in cycles of self-doubt and intrusive thoughts. Recognizing how it feels to be undervalued or emotionally drained is an important step toward seeking support and healing.

CBT is particularly beneficial for managing mood disorders or anxiety. It helps individuals handle their emotional responses to stress. For instance, CBT offers strategies for dealing with anticipatory anxiety, like worrying about a work presentation or exam. Reframing negative thoughts helps break the cycles of anxiety and low self-esteem.

Ultimately, CBT leads to healthier emotional lives by preventing anxiety through restructuring negative thoughts. Reflecting on whether this approach aligns with your personal needs and goals is essential. If persistent negative thoughts and emotional responses are a struggle, CBT might help you find joy.
​

Understanding Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) helps individuals understand the connection between their thoughts, emotions, and behaviors. Unlike therapies that focus on the past, a cognitive behavioral therapist uses goal-oriented and solution-focused therapies addressing current problems by modifying thought patterns. This makes CBT effective for those seeking tangible results quickly. Many people wonder how well behavioral therapy works in achieving these results.

CBT’s structured process involves key steps:
  • Identifies specific issues.
  • Collaborate with therapists to question thoughts and adjust behaviors, fostering healthier mental states.
  • Learn techniques like journaling, mindfulness practices, and objective thoughts.

CBT usually requires fewer sessions compared to other therapies and treatments. These sessions are highly structured to focus on specific challenges and clear goals. For instance, clients might engage in activities that help them articulate thoughts and emotions more clearly.​

Overall, cognitive behavioral therapy is effective for treating various mental health conditions, including anxiety, depression, and OCD. CBT's effectiveness is supported by extensive research.
​

How Cognitive Behavioral Therapy Works in Houston

A CBT therapist in Houston engaging with a client during a session.
In Houston, Cognitive Behavioral Therapy (CBT) is customized to meet diverse mental health needs. The process includes:
  • An initial assessment, where the therapist and client discuss specific challenges and goals.
  • A personalized approach to ensure each session is relevant and effective.
  • Counseling sessions typically ranging from five to twenty.

Identifying and Challenging Negative Thought Patterns
One foundational aspect of Cognitive Behavioral Therapy (CBT) is identifying and challenging negative thought patterns. Clients work with therapists to discuss moments of anxiety and distress, pinpointing the negative thoughts contributing to these feelings. This process is crucial.

Negative thoughts can lead to negative feelings and unhelpful behavior. For instance, self-critical thoughts might cause guilt and procrastination. In CBT, clients learn to recognize these thoughts and understand how they feel.

Therapists guide clients through reality-checking their thoughts by comparing them with evidence. This method helps clients question the validity of negative thoughts and replace them with more realistic, positive ones. Continuously practicing this technique significantly improves self-esteem, self confidence, and supports personal growth while helping to heal.

Developing and Practicing Coping Skills
Another critical component of CBT is developing and practicing coping skills essential for managing anxiety and difficult emotions. CBT includes strategies such as:
  • progressive muscle relaxation
  • visualization
  • mindfulness
  • journaling 

These techniques help clients stay present and manage stress levels.

Regular reviews of goals and progress during CBT sessions allow therapists to adjust the approach as needed to help clients cope, ensuring therapy remains effective and aligned with the client’s evolving needs.
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Homework assignments are often incorporated into CBT to reinforce new skills. These assignments might include:
  • Practicing relaxation techniques
  • Journaling about daily stressors
  • Engaging in mindfulness exercises 

Consistently practicing these skills helps clients build a robust toolkit for managing mental health and enhancing overall well-being.
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Essential CBT Techniques and Strategies

One of the foundational CBT techniques is cognitive restructuring, where clients learn to identify, challenge, and replace negative thoughts with more balanced and constructive alternatives. This process empowers individuals to shift their thinking.

Another essential strategy is exposure therapy, which is particularly effective for anxiety. In this approach, clients gradually and safely face situations or triggers that cause distress to build confidence and reduce avoidance behaviors. Mindfulness and relaxation techniques such as deep breathing and progressive muscle relaxation are also commonly used in cognitive behavioral therapy to help clients manage difficult emotions in the moment.
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CBT therapists often incorporate solution-focused approaches which encourages clients to recognize their strengths and use them to achieve specific, meaningful goals. By practicing these cbt techniques, clients develop healthier ways of thinking, feeling, and responding to life’s challenges.
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Who Can Benefit from CBT in Houston?

A diverse group of people discussing the benefits of CBT in a supportive environment.
Cognitive Behavioral Therapy (CBT) is incredibly versatile, benefiting children to adults. In Houston, CBT assists various groups, including:
  • Individuals
  • Families
  • Couples
  • Parents
  • Children

This broad applicability underscores CBT’s importance in addressing diverse mental health needs. 

For individuals with bipolar disorder, CBT is a vital complementary treatment. It helps manage symptoms, enhances medication adherence, and improves social and occupational functioning. CBT can also help improve social skills which are important for interpersonal and occupational functioning. Identifying early warning signs of mood episodes facilitates timely interventions.

Benefits of CBT for Different Concerns
The benefits of Cognitive Behavioral Therapy (CBT) extend beyond treating anxiety and depression.

​​CBT is effective for conditions like insomnia and chronic pain. Even individuals without a diagnosed mental health condition can benefit from CBT as it aids in stress management and overall well-being. This broad application makes CBT a valuable tool for anyone seeking to improve their mental health.

Research using fMRI scans has shown that CBT can lead to measurable changes in brain activity, especially in areas related to emotion regulation like the amygdala and prefrontal cortex.  It literally helps rewire your thinking.
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Integrating CBT into Comprehensive Treatment Programs

Integrating Cognitive Behavioral Therapy (CBT) into comprehensive treatment programs enhances their effectiveness for various mental health issues. For instance, Trauma Focused-CBT specifically treats trauma and traumatic experiences for those in PTSD treatment program. This specialized CBT ensures individuals dealing with trauma receive targeted support.

Acceptance and Commitment Therapy (ACT) is another modality integrated into comprehensive treatment programs. ACT focuses on various concerns, providing flexibility in treatment approaches. By combining different CBT modalities, therapists offer a holistic treatment approach, ensuring interventions are tailored to individual needs.​

Integrating CBT into comprehensive treatment programs underscores its versatility and effectiveness. Whether addressing trauma, substance abuse, or other mental health issues, CBT offers a structured yet flexible framework for achieving positive outcomes.

Finding a Qualified CBT Therapist in Houston

Finding the right cognitive behavioral therapist in Houston is a vital step toward addressing mental health concerns. When searching for a CBT therapist, it’s important to look for a licensed professional with specialized training and experience in cognitive behavioral therapies. Many therapists in Houston offer a range of services, including individual therapy, group sessions, and specialized approaches like dialectical behavior therapy, commitment therapy, or play therapy for children.

To ensure the best fit, consider therapists who have experience working with clients facing concerns similar to yours.  Your Family Psychiatrist currently has 2 therapists well-trained in CBT.
​
The first meeting can help you determine if the therapist’s experience and personality align with your needs, setting the stage for a supportive and effective healing journey. By choosing a qualified and compassionate cognitive behavioral therapist, you take an important step toward improved mental health.
​

Booking Your First CBT Session in Houston

Booking your first Cognitive Behavioral Therapy (CBT) session in Houston is straightforward. Therapists typically operate by appointment. You can schedule your CBT therapy appointment either in-person or online, depending on your preference and convenience.​

In-person sessions take place at our Houston office, providing a comfortable and supportive safe space.

​During your first session:
  • You will discuss specific challenges and goals with your therapist.
  • This initial conversation helps tailor the therapy to your unique needs.
  • It sets the stage for effective and personalized treatment.
Person booking their first CBT session

Contact and Support


In addition to therapy, there are numerous support groups and online resources that can offer encouragement and information. Organizations such as the National Alliance on Mental Illness (NAMI) and the Substance Abuse and Mental Health Services Administration (SAMHSA) provide valuable resources for individuals and families navigating mental health and substance abuse challenges.​

Taking the first step to seek help is a sign of strength and self-care. Whether you choose to connect with a therapist, join a support group, or simply reach out for information, you are moving toward a healthier, more fulfilling life. Remember, you don’t have to face these challenges alone. Support, healing, and connection are within reach in Houston.
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Frequently Asked Questions

What is Cognitive Behavioral Therapy (CBT)?
Cognitive Behavioral Therapy (CBT) is a structured, goal-oriented form of talk therapy that focuses on the relationships between thoughts, emotions, and behaviors to enhance mental health. It aims to equip individuals with the tools to address and modify unhelpful thought patterns for better emotional well-being.

Who can benefit from CBT?
CBT can benefit a diverse range of individuals, including those experiencing anxiety, depression, bipolar disorder, or anyone seeking effective stress management strategies. Its applications extend beyond clinical diagnoses which makes it a valuable resource for many.

How does CBT work?
CBT works by identifying and challenging negative thought patterns while equipping individuals with coping skills to address current problems. This structured, evidence-based approach promotes practical solutions for better mental health.

How do I book a CBT session in Houston?
To book a CBT session in Houston, schedule an appointment with a therapist either in-person or online. During your first session, you will discuss your specific challenges and goals.​

What should I expect during a CBT session?
You should expect to collaborate with your therapist to identify and challenge negative thoughts, develop coping mechanisms, and establish goals for enhancing your mental well-being.
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