If you’re an athlete or just love sports, you probably spend a lot of time training your body. You stretch. You lift weights. You practice your swing or your shot. You push yourself to get stronger and faster. But there’s one part of your game that you might be forgetting: your mind.


That’s where a sports therapist comes in.


Sports therapists aren’t just for professional athletes. Whether you’re a high school athlete, a weekend warrior, a college player, or just trying to stay locally competitive, a sports therapist can help you perform better, recover faster, and enjoy your sport more.


Think about it this way: the reigning MLB champions, the Houston Astros, have a full-time sports therapist on staff. Why? Because even the best athletes in the world need help staying mentally strong, focused, and motivated. If therapy can help them reach the top of their game, just imagine what it could do for you.


Let’s explore all the ways a sports therapist can support you.

1. Mental Skills Training: Strengthening the Mind Behind the Muscles
​Playing sports isn’t just about physical ability. Mental strength can make or break your performance. Think about the pressure of taking the final shot in a basketball game, standing on the pitcher’s mound with bases loaded, or needing a perfect routine in gymnastics to qualify for finals. In those moments, your thoughts matter just as much as your skills.


A sports therapist can teach you important mental skills like:

• Goal-setting: Learning how to set clear, realistic, and motivating goals can give your training more direction and purpose.
• Visualization: This technique helps you mentally rehearse your performance, which can build confidence and reduce anxiety.
• Relaxation and stress management: Deep breathing, mindfulness, and other tools can help calm your nerves before or during a competition.
• Focus and concentration: Therapists help you stay present in the moment, blocking out distractions that can throw you off.
• Positive self-talk: How you speak to yourself matters. Therapists can help you develop a more encouraging and confident inner voice.

Example: Have you ever watched a Texas Christian University (TCU) baseball game? Their hitters all seem calm and confident when they step up to the plate. That’s no accident. Many of them work with the same sports therapist to develop a consistent mental approach to each pitch. They’ve trained their minds to stay focused, no matter the pressure.

2. Performance Enhancement: Unlocking Your Full Potential
Have you ever felt like something is holding you back, even when you’re training hard and doing everything right? Maybe you freeze up during games, lose motivation, or struggle with confidence. These invisible barriers can stop you from reaching your full potential.


A sports therapist can help you identify what’s going on mentally or emotionally that might be getting in your way. Maybe it’s fear of failure, pressure from adults, or comparing yourself too much to teammates. Whatever it is, your therapist can work with you to:

• Recognize and manage performance anxiety
• Understand how your thoughts affect your results
• Build confidence in high-pressure moments
• Learn new ways to stay motivated, even during tough seasons

Example: Have you ever heard of the "yips"? It’s a real thing—a sudden and mysterious loss of ability in athletes, especially in sports like golf or baseball. A pitcher who suddenly can’t find the strike zone, or a golfer who can’t make a short putt, might be experiencing the yips. It’s not a physical problem—it’s mental. A sports therapist can help athletes work through the fear, anxiety, and self-doubt that lead to these moments.

3. Injury Rehabilitation: Healing Your Mind as You Heal Your BodyInjuries are part of almost every athlete’s journey. Whether it’s a torn ACL, a broken wrist, or chronic pain that won’t go away, being sidelined can be incredibly frustrating. You might feel angry, depressed, or even question whether you’ll ever play again.


A sports therapist helps you manage these emotions. They don’t treat your physical injury.  That is your doctor or physical therapist’s job. But they can help you:

• Cope with the sadness, stress, or anxiety that often comes with injury
• Stay mentally strong during rehab
• Maintain a positive outlook even when progress is slow
• Rebuild confidence when returning to play

Example: Let’s say you’ve just injured your knee and can’t play for six months. You’re watching your teammates continue without you. You feel left out, unmotivated, and afraid you’ll fall behind. A sports therapist can help you process these feelings, stay connected to your team, and stay mentally ready for your comeback.

4. Team Building: Helping You and Your Teammates Work Better TogetherSports are rarely a solo activity. Whether you play baseball, basketball, football, soccer, or volleyball, your team’s success depends on how well you all work together. That means communication, trust, and shared goals are just as important as talent.

Sports therapists can work with entire teams to:

• Improve communication on and off the field
• Build mutual respect and trust among teammates
• Help resolve conflicts before they turn into bigger problems
• Strengthen team identity and culture

Example: Think about a football team where the players don’t trust each other, argue on the sidelines, or ignore the coach. That team isn’t going to win many games, no matter how talented they are. A sports therapist can step in and lead workshops or group sessions to improve team dynamics and help everyone get on the same page.

Team therapy can also include things like leadership training for captains, strategies for improving morale, and goal-setting sessions that involve the whole squad.

5. Career Transitions: Navigating Big Changes in Your Sports Journey
What happens when your sports career changes, or even ends?

This can be one of the hardest challenges an athlete faces. Maybe you’re graduating high school and not going on to play in college. Maybe you’re leaving college sports behind and aren’t going pro. Or maybe you’re aging out of a recreational league and wondering what’s next.


Sports therapists help athletes navigate these big life changes by:

• Exploring new roles in sports (coaching, mentoring, officiating)
• Finding new sources of purpose and identity
• Dealing with the grief or sadness that comes with letting go of a big part of your life
• Planning for the future while honoring your athletic past

Example: Imagine you’ve played basketball since you were six years old. It’s been part of your identity for most of your life. Now, at 22, you’re finishing college and know you won’t be playing competitively anymore. That transition can be emotional and even scary. A sports therapist can help you figure out how to keep sports in your life—maybe through coaching or joining an adult league—while also finding new passions and goals.

Sports Therapy Isn’t Just for Pros—It’s for You Too
You don’t have to be a professional athlete to benefit from sports therapy. Whether you’re on your school team, play in a local league, or just enjoy staying active, your mind plays a huge role in how you perform and how much you enjoy your sport.


Here’s a quick recap of how a sports therapist can help:

• Teach you mental strategies to perform under pressure
• Help you break through mental blocks or slumps
• Support your emotional recovery from injuries
• Improve your team’s communication and chemistry
• Guide you through tough transitions, like leaving a sport or changing roles

You train your body to get better. Why not train your mind, too?


If you’re serious about taking your game—or your joy in the game—to the next level, consider reaching out to a licensed sports therapist. It might be the smartest play you ever make.

Ready to Learn More?
Many schools, colleges, and athletic clubs now have sports therapists available. If not, talk to your coach, doctor, or counselor about getting connected with one in your area. You don’t need to be in crisis to benefit—just having someone in your corner can make a big difference in how you perform and how you feel.


The best athletes know that strength comes from both the body and the mind. With the right support, you can unlock both.

​Attention Deficit Hyperactivity Disorder, or ADHD, is a neurological disorder that affects millions of people worldwide. This disorder can be characterized by inattention, impulsivity, and hyperactivity, which can make it difficult for individuals to function in their daily lives. Although ADHD is typically diagnosed in childhood, it can also be diagnosed in adulthood. If you or a loved one may have ADHD, seeking treatment can be life-changing.  Give us a call for a thorough evaluation.  In this article, we will discuss the top 10 reasons why you should get treatment for ADHD.

1. Improve academic or work performance 

One of the most common reasons people seek treatment for ADHD is to improve their academic or work performance. The symptoms of ADHD can make it difficult for individuals to focus and concentrate, leading to poor performance in school or at work. However, with proper treatment, individuals with ADHD can learn coping mechanisms and strategies to help them stay focused and productive.

2. Enhance interpersonal relationships 

ADHD can also impact interpersonal relationships, particularly in romantic relationships and friendships. People with ADHD may struggle to communicate effectively, remember important dates or events, or prioritize tasks. This can lead to frustration and misunderstandings between individuals. Treatment for ADHD can help improve communication skills, increase the ability to remember important details, and prioritize tasks, leading to stronger and healthier relationships.

3. Reduce impulsivity 

Impulsivity is a common symptom of ADHD, which can lead to impulsive decisions and behaviors. This can include anything from impulsive spending to engaging in risky behaviors, such as substance abuse or unsafe sexual practices. Seeking treatment for ADHD can help individuals learn to manage their impulses and make more thoughtful decisions.

4. Decrease anxiety and depression 

Individuals with ADHD are at a higher risk for developing anxiety and depression. This is partly due to the challenges of managing the symptoms of ADHD, as well as the potential for negative feedback from others. Seeking treatment for ADHD can help individuals manage their symptoms, which can lead to a decrease in anxiety and depression.

5. Improve sleep 

ADHD can also impact sleep, with individuals often struggling to fall asleep or stay asleep. This can lead to fatigue and other negative consequences, such as poor academic or work performance. Treatment for ADHD can help individuals learn coping mechanisms to improve sleep habits, leading to better overall health and wellness.

6. Increase self-esteem 

The challenges of managing ADHD can take a toll on an individual's self-esteem. Seeking treatment for ADHD can help individuals learn to manage their symptoms and develop coping mechanisms, which can increase self-esteem and confidence.

7. Improve physical health 

Untreated ADHD can have negative impacts on overall physical health, with individuals often struggling with higher blood pressure, obesity, and sleep issues. Poor time management leads to more frequent use of fast food, neglecting gym time, and getting stuck longer at the office.  Seeking treatment for ADHD can help individuals manage these symptoms, leading to better overall health and wellness.

8. Learn coping mechanisms 

Individuals with ADHD can learn valuable coping mechanisms through treatment, which can be useful throughout their lives. Coping mechanisms can include anything from meditation and mindfulness to cognitive-behavioral therapy. Learning coping mechanisms can help individuals manage their symptoms and lead a more fulfilling life.

9. Decrease risk of substance abuse 

Individuals with ADHD are at a higher risk for substance abuse, as they may turn to drugs or alcohol as a way to manage their symptoms. Seeking treatment for ADHD can help individuals learn alternative coping mechanisms, which can decrease the risk of substance abuse.

10. Improve overall quality of life 

Finally, seeking treatment for ADHD can improve overall quality of life. By learning to manage symptoms and developing coping mechanisms, individuals with ADHD can lead a more fulfilling life, with better academic or work performance, stronger relationships, and better overall health and wellness.

In conclusion, seeking treatment for ADHD can be life-changing. It can improve academic or work performance, enhance interpersonal relationships, reduce impulsivity, and decrease the odds of other mental health conditions.  Call us today at 281-849-4080.

A few years ago, I sat across from a patient named Marcus (name anonymized). He was a 32-year-old veteran who had returned home from deployment overseas. Though the war was behind him, something inside him didn't adjust well. He had trouble sleeping, flinched at loud sounds, and avoided crowds. “I feel like I left part of myself over there,” he told me. “And I don’t know how to get it back.”

Marcus wasn’t alone. In fact, patients like Marcus walk into my office every week.  While some are from military backgrounds, other patients have never held a weapon. Many are survivors of accidents, childhood abuse, sexual assault, natural disasters, or even toxic workplaces. The one thing they all have in common? The lingering effects of trauma.

Post-Traumatic Stress Disorder, or PTSD, is a condition where your brain keeps reacting like danger is still present but long after the threat is gone. And while PTSD has existed for generations, it’s clear that we’re seeing more of it today than ever before. Why?

Let me walk you through what I’ve seen in my work, and what the research shows. It’s not just about wars or violence. PTSD is becoming more common because of a perfect storm of social, medical, and cultural changes. Let’s explore why.

1. We Finally Know What to Look For
Decades ago, people with PTSD were often misdiagnosed or not diagnosed at all. Soldiers returning from war were told they had “shell shock” or “battle fatigue.” Survivors of abuse were told to “just move on.” But today, we know that trauma can leave deep scars on the mind, just as real as any broken bone.


Healthcare providers are now trained to recognize symptoms like nightmares, flashbacks, emotional numbness, and constant alertness. We know PTSD can affect children and adults, men and women, survivors of combat and survivors of neglect. Because we know more, we see more and we’re finally calling it what it is.

2. Less Time to Heal
Imagine two soldiers: one returns home in the 1940s on a ship that takes weeks to cross the ocean. He’s surrounded by fellow soldiers, sharing stories and decompressing.  The other returns today on a five-hour flight, is home by dinner,  and is expected to pick up right where he left off.  No time to process. No time to grieve.


That’s not just happening in the military. All around us, people are expected to bounce back fast. Someone is assaulted on a Friday night, and by Monday morning they’re back at work. A child witnesses a car accident, and by the next day, they’re expected to perform well in school. Our fast-paced world gives little room for emotional recovery.


In the past, communities rallied around each other after hardship. Today, we’re often left to suffer silently, buried under expectations and deadlines.

3. A World Filled with Trauma
When my parents were growing up, news came once a day. Now, we get alerts in real-time: school shootings, bombings, hurricanes, social unrest.  Each headline feels personal.  Each video hits like a punch to the chest.


Even if you weren’t there, just watching the footage can cause distress. This is called vicarious trauma. We may not have been in the disaster zone, but we feel like we were. And for people already under stress, this can tip the scales into PTSD.


Social media also plays a role. Graphic content is shared widely and quickly, often without warnings. For young people especially, this nonstop exposure can wire the brain to expect danger, even when safe.

4. Trauma Isn’t Always One Big Thing
Another shift is how trauma happens. In the past, it was often a single, shocking event. But more and more, I see patients who have endured chronic trauma.


People like Eva, who grew up in a household where yelling and fear were daily occurrences or Jordan, who endured years of being bullied at school. These aren’t “one-time” events, but they stack up over time, wearing down the brain’s ability to cope.


This kind of long-term trauma can be just as damaging as war or disaster. But because it happens slowly, it’s often harder to recognize until the symptoms explode.

5. More Survivors of Sexual Trauma Are Speaking Up
Sexual assault is one of the leading causes of PTSD, especially for women. And sadly, the number of reported cases has increased, especially on college campuses and within vulnerable communities.


Part of this rise is due to greater awareness. More people feel empowered to come forward, and that’s a good thing. But it also means we’re uncovering just how widespread this trauma is.


Behind each statistic is a real person like a young woman I treated after her assault during freshman year. She couldn’t sleep. She avoided certain streets on campus. She blamed herself. But through therapy, she began to understand.  This wasn’t her fault. Her symptoms made sense. And she could heal.

6. We’re All More Stressed Out
You don’t need a disaster to feel overwhelmed. Chronic stress alone like poverty, job loss, or family instability can weaken the brain’s defenses.


Think about the pressure young people face today: social media comparisons, cyberbullying, fear of missing out, constant pressure to succeed. Adults are juggling long hours, economic fears, and caregiving at the same time. All this builds a background level of tension.


When something traumatic happens on top of all that, the brain is already stretched thin. It’s like having a small cut then getting hit in the same spot. You hurt longer. You bleed more. And healing is harder.

7. The Health System is Changing: The Good and Bad
We’ve seen big changes in healthcare over the past few decades. Some of these changes have opened the door for more people to get help, especially with substance use or mental illness, but they’ve also left gaps.


For example, when institutions for the mentally ill were shut down (a process called deinstitutionalization), many people were left without stable care. They ended up in jails, on the streets, or in unsafe environments—where new trauma could occur.


The opioid epidemic has also brought many people into treatment who had never been diagnosed with trauma before. We’re now realizing that for many of them, addiction started as a way to cope with pain they couldn’t name like PTSD.

So What Can We Do?
The fact that PTSD is more common today doesn’t mean we’re weaker. It means we’re finally paying attention. And while the increase is concerning, there’s also reason for hope.


More than ever before, people are talking about mental health. More are seeking treatment. More are getting better. We now have therapy methods that work like EMDR (Eye Movement Desensitization and Reprocessing), cognitive processing therapy, and medications that can calm the overactive parts of the brain.


Support groups, online communities, and crisis services are more available than ever. And if you’re reading this and wondering whether you might have PTSD—you are not alone.

A Final Thought: You Deserve to Heal
I’ll never forget what Marcus said to me after six months of therapy. He looked me in the eye and said, “I still remember what happened. But now it doesn’t control me.”


That’s what healing looks like. Not forgetting, but moving forward. Not being “tough enough to ignore it,” but being brave enough to face it.


If you’ve experienced something that left a mark, whether recently or years ago, you don’t need to go through it alone. PTSD is real. Treatment is real. And recovery is possible.


At Your Family Psychiatrist, we’re here to listen without judgment. Whether it’s your first time asking for help, or you’ve been struggling for years, there is hope. Your story matters. And we’re ready to help you write the next chapter.

​Prozac, also known as fluoxetine, is a type of antidepressant medication that is commonly used to treat depression, anxiety, and other mental health disorders. It is one of the most popular and widely prescribed antidepressants on the market today and has been in use since the 1980's. While Prozac has proven to be effective for many people, there are also some drawbacks to using this medication. In this article, we will explore the pros and cons of Prozac (fluoxetine) in more detail.


Pros of Prozac:

1. Proven effectiveness: Prozac is a widely studied and tested medication that has been shown to be effective in treating depression, anxiety, and other mental health disorders. It is part of a group of medications called selective serotonin reuptake inhibitors (SSRI's), which work by increasing the levels of serotonin in the brain. Serotonin is a neurotransmitter that is associated with feelings of well-being, peacefulness, and happiness. By increasing the levels of serotonin in the brain, Prozac can help to alleviate symptoms of depression and anxiety.
2. Fewer side effects: Compared to other types of antidepressants, Prozac is known for having fewer side effects. This is because it is a relatively new medication that has been developed specifically to target the serotonin system in the brain. Some of the common side effects of Prozac include nausea, insomnia, and sexual dysfunction. However, these side effects are usually mild and most tend to go away over time.  Talk with your physician if sexual dysfunction occurs.  There are possible solutions to this including changing medications or adding other medications to counteract this affect.  Prozac also has fewer withdrawal symptoms than many other mental health medications.
3. Long-term safety: Prozac has been in use for over 30 years and has a well-established safety record. Prozac is FDA approved for Major Depressive Disorder or Depression in as young as age 8.  No other medication is FDA approved for depression in children this young. This means that it can likely be used safely over the long-term to manage chronic depression and anxiety.
4. Easy to use: Prozac is available in tablets, capsules, and oral solution to help with ease of administration.  It is also sometimes used 1x/week, but talk to your Houston psychiatrist if this is something you are interested in.  Not all dosages are designed for weekly use. This makes Prozac easy to use and convenient for people who are managing their mental health symptoms.
   
   
   

Cons of Prozac:

1. Slow onset of action: One of the drawbacks of Prozac is that it can take several weeks to start working. Some will see benefit in the first 48 hours, but there is a wide range or response times.  This means that people who are experiencing severe depression or anxiety may need to wait a while before they start feeling better. This slow onset of action can be frustrating for some people, and may lead them to discontinue the medication prematurely.  Talk with your psychiatrist about faster options if needed.
2. Sexual dysfunction: One of the most common side effects of Prozac is sexual dysfunction. This can include decreased libido, difficulty achieving orgasm, and erectile dysfunction. For some people, these side effects can be severe enough to interfere with their quality of life.  Many mental health medications can affect sexual functioning (increased or decreased).  Psychiatrists at Your Family Psychiatrist regularly engage in questions about sexual functioning.  These questions will not be met with shame or judgement.  We have heard it all before.  
3. Interaction with other medications: Prozac can interact with some other medications, including over-the-counter medications and herbal supplements. This means that people who are taking Prozac need to be careful about what other medications they are taking and should always consult with their healthcare provider before starting any new medications.
   
   
   

In conclusion, Prozac is a widely used and effective medication for managing depression, anxiety, and other mental health disorders. While it has many benefits, there are also some drawbacks to using this medication. People who are considering Prozac should carefully weigh the pros and cons before starting treatment, and should always work closely with their healthcare provider to ensure that they are using the medication safely and effectively.

Starting therapy can be a daunting experience for many individuals. Despite the potential benefits of therapy, such as improved mental health and well-being, the thought of opening up to a stranger about one's deepest emotions and vulnerabilities can feel overwhelming. In this article, we will explore some of the reasons why starting therapy can be scary.


Fear of being judged
One of the main reasons why starting therapy can be scary is the fear of being judged. Many individuals worry that their therapist may view them as weak or flawed for seeking help. This fear can be particularly strong for individuals who have grown up in cultures or families that stigmatize mental health issues or therapy. However, it is important to remember that therapists are trained to provide a non-judgmental and empathetic space for their clients. They are there to help individuals work through their challenges and provide support, not to judge them.


Fear of vulnerability
Opening up about one's deepest emotions and vulnerabilities can be scary. Many individuals worry that they may be too emotional or that they may become overwhelmed during therapy sessions. Others may feel uncomfortable with the idea of being vulnerable with a stranger. However, it is important to remember that vulnerability is a normal part of the therapeutic process. Therapy is a safe and supportive space for individuals to explore their emotions and experiences without judgment.


Fear of the unknown
Starting therapy can be scary because it is often an unknown experience. Individuals may feel anxious about what to expect during therapy sessions, how to open up to their therapist, or whether therapy will be helpful. This fear can be particularly strong for individuals who have never been to therapy before or who are not familiar with the therapeutic process. However, it is important to remember that therapy is a collaborative process between the therapist and the client. The therapist will work with the individual to set goals and determine the best approach for their needs.


Fear of change
Many individuals are afraid of change, even if it means making positive changes in their lives. Starting therapy can be scary because it often means confronting difficult emotions and experiences that may have been avoided or ignored in the past. The therapeutic process can be challenging, as it requires individuals to examine their thoughts, behaviors, and emotions and make changes where necessary. However, it is important to remember that therapy can be a transformative and empowering experience. By confronting their challenges and working through them with the support of a therapist, individuals can make positive changes in their lives and improve their mental health and well-being.


Fear of the stigma
​There is still a stigma surrounding mental health issues and therapy in some communities. Many individuals worry that seeking therapy may be perceived as a weakness or that it may be used against them in the future. This fear can be particularly strong for individuals who are in professions or social circles that do not view mental health issues or therapy favorably. However, it is important to remember that seeking therapy is a sign of strength and self-awareness. It takes courage to confront one's challenges and seek support when needed.


In conclusion, starting therapy can be scary for a variety of reasons. The fear of being judged, vulnerability, the unknown, change, and stigma are all common concerns for individuals considering therapy. However, it is important to remember that therapy is a safe and supportive space for individuals to explore their emotions and experiences without judgment. By seeking therapy, individuals can make positive changes in their lives, improve their mental health and well-being, and gain the tools and skills to navigate life's challenges. If you are considering therapy, it is important to remember that you are not alone and that seeking help is a sign of strength and self-awareness.

​Panic attacks are characterized by sudden and intense feelings of fear, anxiety, and discomfort. During a panic attack, individuals may experience a wide range of physical symptoms, including shortness of breath, palpitations, dizziness, sweating, and chest pain. Chest pain is one of the most common symptoms experienced by individuals during a panic attack, and it can be a source of significant distress and concern.


Chest pain during a panic attack is often described as a tightness or pressure in the chest that may feel like a heart attack. This sensation can be frightening and can exacerbate feelings of anxiety and panic. However, it is important to note that chest pain during a panic attack is not usually a sign of a serious medical condition.


So, why do panic attacks cause chest pain?


There are several reasons why panic attacks can cause chest pain. The first reason is related to the physical symptoms of anxiety. During a panic attack, the body's fight or flight response is activated, triggering the release of stress hormones such as adrenaline and cortisol. These hormones can cause physical changes in the body, including an increased heart rate, rapid breathing, and muscle tension. This can lead to chest pain, as the muscles in the chest become tense and constricted, making it difficult to breathe and causing discomfort.


Another reason why panic attacks can cause chest pain is related to the psychological symptoms of anxiety. During a panic attack, individuals may experience intense feelings of fear, dread, and impending doom. These feelings can trigger a range of physical sensations, including chest pain. The fear of having a heart attack or other serious medical condition can also exacerbate the physical symptoms of anxiety, leading to chest pain and other discomfort.


In addition to the physical and psychological symptoms of anxiety, panic attacks can also cause chest pain due to hyperventilation. Hyperventilation is a common symptom of panic attacks, and it occurs when individuals breathe too quickly or deeply. This can lead to an imbalance in oxygen and carbon dioxide levels in the body, causing symptoms such as dizziness, lightheadedness, and chest pain.


It is important to note that chest pain during a panic attack is usually not a sign of a serious medical condition. However, if you are experiencing chest pain or discomfort, it is always a good idea to seek medical attention to rule out any serious underlying health issues.  Heart attacks can cause similar symptoms which is why patients with panic attacks often are diagnosed first in the emergency room.


In conclusion, chest pain is a common symptom experienced by individuals during a panic attack. This discomfort can be caused by a range of physical and psychological factors, including muscle tension, hyperventilation, and feelings of fear and anxiety. While chest pain during a panic attack can be distressing, it is usually not a sign of a serious medical condition. If you are experiencing chest pain or discomfort, it is important to seek medical attention to rule out any underlying health issues and to find ways to manage and reduce the symptoms of anxiety.

What is psychodynamic psychotherapy?
Ever wondered - Why do I become more like my mom or dad even though I am doing everything I can to avoid it?  Why am I attracted to partners with the same problems? According to psychodynamic theory, early life experiences in relationships shape the way that we interact with others for the rest of our lives. The familiar is comforting to us, so we unknowingly repeat the past. Avoidance of the past can paradoxically lead to repeating it. Until we break the cycle, the past may continue repeating itself.  Psychodynamic psychotherapy (also called psychoanalysis) looks for patterns from the past (for example early family relationships) that persist into our present. 


You and your therapist examine present relationships and how they compare to past relationships. The therapist’s job is to understand the relational dynamics happening in session and help change the dynamic which can help break the cycle. Clients learn to stop avoiding distressing thoughts, feelings, and sensations and learn to sit in discomfort, something that psychodynamic therapy has in common with mindfulness based therapies like Acceptance and Commitment Therapy (ACT). The theory is that when we learn to recognize internal conflicts, we can also learn to deal with them in healthy ways, which will lessen symptoms. 


What does psychodynamic theory look for? 
Psychodynamic theory looks for uncomfortable feelings and thoughts that lead to avoidance. According to psychodynamic theory, uncomfortable thoughts and feelings are pushed down and can lead to symptoms in our bodies. Our bodies struggle to bring these conflicts to the surface and thus into our awareness. Examples of possible bodily symptoms are muscle aches, headaches, stomach pain, and loss of feeling in arms and legs or less commonly in other body parts. 


What makes psychodynamic theory different from other theories in treatment?
What makes psychodynamic therapy special is that it focuses on deep-seated issues in order to alleviate symptoms rather than focusing only on the symptoms themselves. This makes psychodynamic therapy more typically long-term. The theory focuses on creating greater, long-term change rather than what are perceived as short-term and surface-level changes via cognitive, behavioral, or solution-focused therapies. 


What can I expect and who benefits from psychodynamic psychotherapy?
Some favorite interventions utilizing psychodynamic therapy involve dream work, art therapy, describing fantasies, and exploring themes and symbols. These types of activities are thought to awaken unconscious content and bring forth important information about inner conflicts and family dynamics. If you enjoy abstract thinking, fantasies, and being creative, you may feel drawn to psychodynamic therapy. 


Psychodynamic therapy has been shown to be helpful in managing depression, anxiety including panic disorder, somatoform disorder, eating disorders, personality disorders including borderline personality disorder, and substance-related disorders

​Ketamine has been in use as an anesthetic and sedative in operating and emergency rooms for the last 40+ years. More recently, studies have demonstrated its effectiveness in mental health, most notably in patients with chronic, treatment-resistant conditions like anxiety, depression, PTSD, and chronic pain. Ketamine Assisted Psychotherapy (KAP) is an emerging treatment in psychiatry and psychotherapy.  It combines the medicinal effects of ketamine with therapy in a state that better allows you to access difficult emotions and memories.  

Ketamine is the only current psychedelic substance approved by the Federal Drug Administration (FDA). The effects of Ketamine can lead to relief of everyday distressing emotional, physical, and mental states. Ketamine is thought to be helpful therapeutically as the psychedelic effects lead to non-ordinary state of consciousness where fear of difficult feelings, thoughts, and sensations are lessened.  This can allow for more advanced therapy to occur.

Ketamine shows promise in clinical studies for rapid symptom reduction for individuals with treatment-resistant depression including a reduction in suicidal thoughts.  The rapid reduction of symptoms stands out against common psychiatric medications that require weeks for full effect and traditional talk therapy, which can take months for significant symptom reduction.  Ketamine is considered a NMDA receptor antagonist, but some theorize that ketamine works by encouraging neuroplasticity (neuronal growth). 

Ketamine assisted psychotherapy takes place in the office under the care of dedicated, trained staff. Psychiatrists analyze patient fitness for ketamine: individuals with chronic heart issues, hyperthyroidism, uncontrolled hypertension, among others, should not take ketamine. It is important to disclose all over-the-counter and prescription medications to staff to avoid interactions. Studies that focus on ketamine often utilize a treatment plan that begins with approximately six sessions in the first 2-4 weeks and then tapered maintenance sessions.  Treatment that involves therapy will typically include being in the clinic for 2-3 hours.

The optimal dosage and modality (oral, intramuscular) are determined based on the ketamine experience by the patient and assessment by the psychiatrist. Therapists working with clients will reassure, validate, and deeply listen to each patient while anchoring the KAP session. In this safe environment, the patient is able to engage with the effects of ketamine and begin the journey to long term change.

While some clinics focus on providing ketamine intravenously in a medical setting, we believe long term change better occurs when combining ketamine with counseling in a more relaxed setting.  Accessing and addressing our trauma, frustrations, and emotions that hold us back can better allow for change to occur.

Common side effects are: out of body experience, increased heart rate and blood pressure, dizziness, nausea, and sedation. These side effects typically dissipate within a few hours. Patients in ketamine treatment are not safe to drive for approximately 12 hours, thus must leave the office with a designated driver. 

Ketamine treatment is for patients who have tried psychiatric medications or are looking for another option for treatment-resistant depression and other disorders. Ketamine, however, is not the only alternative. Other options for treatment-resistant depression include transcranial magnetic stimulation (TMS) and electroconvulsive therapy (ECT). Symptom alleviation may not be permanent, and may require further ketamine treatments. 

If you believe you may be a candidate for Houston ketamine assisted psychotherapy, contact our office at 281-849-4080 for a psychiatric consultation. 

Regular and consistent sleep patterns are an important aspect of children’s mental wellness. During sleep, children’s minds process information from daily experiences and stressors. Regular and consistent sleep can lead to greater self regulation and less likelihood for behavioral issues resulting from tiredness and sleepiness.

In short, when children are rested, they feel calmer, less anxious, and more in control of their emotions and responses. Restful activities combined with routines are more likely to lead to good sleep hygiene. The steps to creating a successful nighttime routine include consistency, a calm environment, connection, and preparation for potential hiccups. 


Routine
Create a bedtime routine that includes the routine essentials but also incorporates calming activities. Bedtime routines optimally begin 1-2 hours before sleep, but can take less time once the routine is internalized. This window of time prepares the child for rest both emotionally and physically. Create a bedtime poster with your child, list the activities (written or drawn), and discuss why each step in the routine is important for the child’s health and wellness.

Increase self-efficacy by asking your child how he/she feels after they complete each task. For children who become distracted or are overwhelmed easily, following the steps on the chart will keep them on task and organized. Include options and privileges. For example, when kindergartner Caroline completes her bedtime routine, she may choose one of three calming bedtime activities: story time, coloring, or playing with a fidget toy. Watching electronics at bedtime should be avoided as the graphics, colors, movements, and sounds will activate the brain leading to restlessness rather than rest. 


Environment
Create a calm environment at the start of the bedtime routine. Dim the lights or switch from overhead lighting to lamps. Close the blinds or curtains. Turn on calm music. The child’s sleep area should be as uncluttered as possible in order to decrease distractions and anxiety. Include favorite stuffed animals in their bed.

Select a corner or area of the room in which the child has easy access to calming toys and books. Include comfortable seating, whether a floor pillow, rocker, beanbag chair or tent. Create physical boundaries by naming what rooms/areas of the house are within or off limits during the bedtime routine. 


Connect
Finish the routine with a short mindfulness or loving-kindness exercise to promote a calm mental state for sleep. Ask your child to list three people he/she is grateful for or list one thing that went surprisingly well today.  


Recite a mantra: “ I feel calm in my body. I feel calm in my mind. I feel calm in my heart.” Whatever your activity, take this moment to connect with your child. Caregiver connection, even for short periods, enables co-regulation between parent and child. 


Hiccups
When routines are interrupted, behavior changes due to dysregulation can result. Factors like hunger and tiredness can lead to outbursts or hyperactivity. Introduce a calming activity before beginning the bedtime routine. Explain to your child that calming activities, as moments for self regulation, are neither privilege nor punishment, but essential for healthy emotional regulation development.

​When your child is dysregulated, attune yourself by bringing your body to their level, using an even and calm tone, and looking them in the eyes. If your child is unable to focus on you, touch them gently, for example by lightly touching their arms. “I see that you have a lot of energy. It is time to sleep. Let’s take a few minutes to calm down with a quiet activity.” Narrating behavioral issues without shame will make the child feel seen by the caregiver and also help the child recognize behaviors and triggers over time. 


When nightmares and specific fears add to bedtime anxiety, try these strategies. Take your child with you as you check around their room for common fears like monsters, spiders, or snakes. Keep it lighthearted. This will validate the child’s fears and show that their safety and wellbeing are important to you. Reframe fears by asking your child if there is anything interesting or likable about the thing they fear. Name exceptions to fears. Ask your child: “What about you could be scary to the monster?”

​Your local librarian can recommend books about common fears. For example, Seaver the Weaver by Paul Czajak and Verdi by Janell Cannon impart child-like struggles upon a spider (Czajak) and a snake (Cannon). When monsters acquire human-like qualities, children’s fears deflate as children recognize that all things, even monsters, have fears. 

At this time, about 63% of Americans are part of the labor force.  Many employers offer programs designed to promote wellness and connect individuals with treatment options.  In addition, they promote the ability to handle and reduce stress. 
 
The CDC (Centers for Disease Control) reports that 1 in 5 adults (18 and older) reported suffering from mental illness in 2016.  Additionally, 71% reported headaches, feelings of being overwhelmed, or anxiety, all overt symptoms of stress. 
 
Mental health disorders are also closely linked to other physical conditions like heart disease, diabetes, and muscular problems.  Treating the physical and mental disorders separately will cost two to three times more than treating those without combination issues.  By combining the treatment plans, the savings could amount to $37 billion to $67 billion each year.  This means employers can reduce health care costs across the board and have healthier employees.
 
Further, the CDC says that employees with a high risk of depression had the highest health cost during a three year period following the initial assessment.  This includes others at risk from smoking and obesity.  Depression will affect performance at least 20% and affects cognitive abilities about 35%.  However, of those who report moderate depression only 57% receive treatment and for those with severe depression only 40%.
 
Excess stress and other mental health issues translates to negatively affecting:

• Job performance
• Productivity
• Interactions with other employees
• Communication
• Physical issues
• Functionality

 
Especially when mental and physical treatment plans are combined, employer sponsored wellness programs have proven beneficial to both the company and the employees.  Through a combined plan:

• Communications can be combined using the structures already in place
• Social networks become available
• Programs and policies are united
• Offering incentives for healthy behaviors
• Employers can track progress

 
As an employer you have some options.

• Offer self-assessment mental health tools
• Establish clinical screenings by qualified mental health professionals with clinical referrals as appropriate.  These can be free to the employee or offered at a reduced cost.
• Reduce co pays on depression medications
• Programs for lifestyle changes
• Host in-office programs to discuss stress reduction techniques
  • Breathing exercises
  • Meditation
  • Mindfulness
  • Focus improvement
• Treat disrespectful comments or actions as you would any other form of prejudice or discrimination
• Provide managers and supervisors with the tools to identify signs of stress and depression
• Give employees the opportunity to voice opinions

 
There are a number of insurers who provide plans to help implement a mental health program.  This can include videos, emails, education and other initiatives to help management and employees deal with the issues in the workplace.