Four Steps to Repair Your Relationship With the H-E-A-L Technique

Posted on by Dr Mark Parisi

Real, lasting relationships are NOT what you see in romance movies. There is a reason the movies only last a few hours—a real relationship cannot stay at that gushy, melt-your-heart level for much longer than that. A true relationship is based on the ordinary. The relationships that are built to withstand the everyday, routine life are the ones that are the strongest. The H-E-A-L technique can help repair a relationship as well as build and maintain relationships that you want to work every day of your life.

Step1. Hear—It has been said to that you should listen twice as much as you speak, but this only works if you are really trying to hear what your partner is saying. Try to fully understand your partner’s state, which includes body language and facial expression in addition to the words being said. Be present in conversations, and make sure you are communicating. Lack of communication is a huge relationship killer.

Step 2. Empathize—Not all problems need solutions. Sometimes it is best to just be there for someone and let them know you understand where they are coming from. Giving a solution can sometimes come across as judgment, according to Dr. Greenberg of Psychology Today. Really try to put yourself in your partner’s place. If you can understand why he or she would feel a certain way, your response to those feelings will likely be more positive.

Step 3. Act—Do not get caught in a negative cycle. If there is problem, address it. Take action to discuss and fix any issues that are troublesome. If you are constantly fighting about the same thing, there hasn’t been any resolution. It is important to remember that couples fight. You don’t always have to agree or see eye to eye on every issue to be in love. However, it is important to be respectful and understanding of each person being unique and having their own ideas. No one is perfect. Be accepting of that in others and yourself and always work to make yourself and the relationship better.

Step 4. Love—Love, love, love, and love some more. Make special effort to help your partner feel loved. Do not take one another for granted and never forget the special moments from your relationship. Take time to reminisce. Talk about the good qualities and feelings that make that person special to you.

Remember that relationships take work. There are some moments that may feel like the love story on TV, but those are the rarity. You have to choose to put in the effort to find happiness in the ordinary, but the good part, it is worth it.

Dr. Parisi and his staff of marriage and family therapists in Chicago offer affordable counseling that can help you use the H-E-A-L technique as well as many others (See this post to avoid relationship problems) to make a healthy and lasting relationship.

Greenberg, M. (2013). Four steps to relationship repair with the H-E-A-L technique. Psychology Today.

What is Psychological Testing and how do I know If I Need it?

Posted on by Dr Mark Parisi

Psychological tests are standardized tests used to measure characteristics, feelings, beliefs and skills. These tests are also used to measure the presence of certain mental health conditions such as depression, anxiety, stress, substance use, or other personality characteristics. A standard psychological assessment includes an interview with a mental health practitioner and a psychological test. Testing can be completed independently or can be administered by a psychologist. Generally tests are given to help gather thorough and complete information in order to understand a problem more in depth and are used as a guide for treatment. These tests measure an individual’s performance at a specific point in time. Psychological tests help understand general behaviors or trends, but its important to note that these tests do to predict future actions, thoughts, feelings or behaviors.

A thorough assessment of an individual will first include a medical examination to rule out possibilities of medical illnesses. After ruling out medical illnesses or diseases, your medical provider may refer you to a psychologist for further assessment and testing. Typically a medical health care provider will make a referral for psychological testing if they believe it is beneficial. It is also common for doctors, teachers, and social workers to make referrals for further psychological testing.

Psychologists administer psychological testing for a wide variety of reasons. There are many psychological tests available and each measures different attributes. There are aptitude tests that help to identify learning disabilities and there are tests that evaluate if a client is experiencing an emotional disorder. Other tests measure personality traits. For example, if an individual is having problems with personal relationships or interpersonal skills there are tests available that help to identify personality traits that might contribute to the problem. Testing helps to provide valuable information and insight in understanding issues while also identifying individuals strengthens.

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, and Wilmette.

Common Side Effects of Psychotropic Medication

Posted on by Dr Mark Parisi

Side effects are very common to experience when taking psychotropic medication. Everyone responds differently to medication and has a different experience while taking these drugs. Your age, health, and the type of medication taken are all factors that contribute to the side effects that you might experience. Side effects typically dissipate after several days or weeks and can be managed successfully. Immediately report any unusual or severe side effects to your doctor as your doctor can help manage and adjust your medications accordingly. Below is a list of common side effects for psychotropic medications.

Side Effects of Antidepressants:

Normally antidepressant side effects are relatively mild and dissipate within several days, however there are circumstances where side effects can be severe. Report any side effects to your treatment of depression to your medical professional immediately.

• Headaches

• Nausea

• Sleeplessness or drowsiness

• Agitation

• Sexual problems

• Dry Mouth

• Constipation

• Bladder issues

• Blurred vision

 

Side Effects of Antipsychotics:

Side effects of antipsychotic medications can range from mild to severe. Long-term use of typical antipsychotic medications may lead to a disorder called tardive dyskinesia (TD). TD causes uncontrollable muscle movements or spasms. This disorder is less common among individuals who take the newer atypical antipsychotic medications, however consult your doctor immediately if you experience any side effects.

• Drowsiness

• Dizziness

• Weight gain

• Blurred vision

• Rapid heartbeat

• Rigidity

• Muscle spasms

• Restlessness

• Tremors

• Sensitivity to the sun

• Skin rashes

• Menstrual problems for women

 

Side Effects of Mood Stabilizers:

There are several different medications used to treat bipolar disorder and they can cause different side effects. (Reference the side effects of antidepressant medication and antipsychotic medications). Mood stabilizers such as lithium and anticonvulsant medications are more commonly used.

• Excessive thirst

• Loss of coordination

• Frequent urination

• Blackouts

• Seizures

• Slurred speech

• Irregular heartbeat

• Hallucinations

• Changes in vision

• Itching/rashes

• Swelling

• Changes in weight

• Nausea, stomach pain, vomiting

• Loss of appetite

 

Side Effects of Antianxiety Medications:

Anxiety is treated with antidepressants, benzodiazepines, and beta-blockers. The more common side effect for benzodiazepines is drowsiness. Other side effects can include:

• Upset stomach, nausea

• Drowsiness

• Dizziness

• Blurred vision

• Headache

• Confusion

• Nightmares

• Nervousness

• Lightheadedness

• Trouble sleeping

 

Common side effects from beta-blockers include:

• Fatigue

• Cold hands

• Dizziness

• Weakness

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, and Wilmette.

What are the Different Types of Psychotropic Medication?

Posted on by Dr Mark Parisi

There are many different types of psychotropic medications. Below is a list of the more popular medications along with the disorder and symptoms (and here are some of their side effects) they treat.

Depression:

Depression is treated with antidepressant medications. Antidepressants help to balance chemicals that are in our brains that affect our mood. These chemicals are called neurotransmitters and they affect our mood and emotions. These neurotransmitters are called serotonin, norepinephrine, and dopamine. The more common antidepressants are called selective serotonin reuptake inhibitors (SSRIs). Some examples are:

  •  Fluoxetine (Prozac)
  •  Citalopram (Celexa)
  •  Sertraline (Zoloft)
  •  Paroxetine (Paxil)
  •  Escitalopram (Lexapro)

 

Other types of antidepressants are serotonin and norepinephrine reuptake inhibitors (SNRIs). SNRIs are similar to SSRIs. SSRIs and SNRIs are popular because they do not cause as many side effects as other types of antidepressants. Other antidepressant medications include tricyclics, tetracyclics, and monoamine oxidase inhibitors (MAOIs). For some people, tricyclics, tetracyclics, or MAOIs may be the best option dependent on their circumstances and needs.

Schizophrenia and other Psychotic Disorders:

Schizophrenia and other psychotic disorders are treated with antipsychotic medications. The older antipsychotic medications are called “typical” while the newer antipsychotic medications are referred to as “atypical” antipsychotic medication. These medications treat psychotic symptoms such as hallucinations and delusions.

‘Typical’ Antipsychotic medication:

  •  Chlorpromazine (Thorazine)
  •  Haloperidol (Haldol)
  •  Perphenazine (generic only)
  •  Fluphenazine (generic only)

 

‘Atypical’ Antipsychotic Medication:

  •  Risperidone (Risperdal)
  •  Clozapine (Clozaril)
  •  Olanzapine (Zyprexa)
  •  Quetiapine (Seroquel)
  •  Ziprasidone (Geodon)
  •  Aripiprazole (Abilify)
  •  Paliperidone (Invega)
  •  Lurasidone (Latuda)

 

Bipolar Disorder:

Bipolar disorder, also called manic-depressive disorder, is treated with mood stabilizers. At times it can be appropriate to treat bipolar disorder with antipsychotic medications or antidepressants, along with a mood stabilizer. Lithium is one of the most common mood stabilizers and is very effective. Anticonvulsant medications are sometimes used as mood stabilizers as they were found to help control mood. For some people this might work better than Lithium.

Anxiety:

Anti-anxiety medications, antidepressant, and beta-blockers all treat anxiety symptoms. Some of the commonly know disorders include OCD, PTSD, Panic disorder, Social Phobia, and Generalized Anxiety. Benzodiazepines are commonly used to treat anxiety and start working faster than antidepressants. Beta-blockers can also be used to treat anxiety as these medications help to control some of the physical symptoms of anxiety such as sweating and shaking. These medicines can help keep physical symptoms under control.

  •  Clonazepam (Klonopin)
  •  Lorazepam (Ativan)
  •  Alprazolam (Xana)

 

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, and Wilmette.

How Do I Know When Psychotropic Medication Might Help Me?

Posted on by Dr Mark Parisi

Psychotropic medications are used to treat severe and disabling mental health disorders. They treat disorders such as schizophrenia, bipolar disorder, major depression, and anxiety. These disorders often cause serious debilitating symptoms that interferer with daily activities. Unfortunately psychotropic medications do not cure these disorders, however they can provide a significant amount of relief for disabling symptoms and they can help people live healthy and happy lives. There are so many options when it comes to the types medication treatment. With help from a medical practitioner you can find the right kind of medication for you. This may take several attempts, as finding the right type of medication is often a trial and error process.

It’s not always easy to know when to seek help from a doctor or a medical practitioner. Making the decision to take psychotropic medication involves recognizing you have a serious issue that affects the overall quality of your life and interferes with your daily functioning. People come to the decision after careful consideration of all of their options. For example, consider what other treatments you have tried in the past and the symptoms you would like to treat. Research suggests that for certain issues a combination of medication along with psychotherapy often leads to the best results for certain disorders. For other issues psychotherapy may be the best option. Again its important to discuss all of these options with your health care provider and consider what you have tried in the past. After having considered all your options, medication might be your best course of treatment. The decision to take medication is very serious because of the serious side effects you can experience. It is important to remember, that these medications work differently for individuals and finding the right one for is a process. It may take several trials before you find the correct type and dose.

The best resource for information regarding psychotropic medication (and its side effects) is your doctor and other medical professionals. Seek consultation from your doctor prior to taking any medication so they can rule out other possible health conditions that might affect your tolerance towards certain medications. Your doctor can provide you with the appropriate knowledge and referrals for other medical professionals that can assist you in this process, such as a psychiatrist or psychiatric nurse practitioners as they also prescribe psychotropic medication. Talking with your doctor is a good first place to start as they can educate you on your options and who can help. Before taking psychotropic medications consider your unique circumstances and treatment options. Doing your own research is helpful before going to speak with a medical professional so you can arm yourself with the appropriate questions. It is also important to consider your goals, the symptoms you would like to treat, and length of treatment that is required. After determining that medication is the best approach its important to maintain your treatment plan and take your medication as prescribed. Inform your mental health practitioner and anyone else who is a part of your treatment team, such as your psychotherapist, of any side effects that you are experiencing. Finding the correct medication is a process and it can take up to several weeks or even months to find the correct type for you. Once you have found the correct medication, maintain and manage your medication based on your doctor’s recommendations.

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, Evanston, and Wilmette.

What Should I Expect in Psychotherapy?

Posted on by Dr Mark Parisi

It’s normal to feel a little nervous or anxious when you first being psychotherapy. The first few sessions might even feel a little uncomfortable or awkward. It’s not necessarily easy to meet someone new for the first time and begin sharing your personal thoughts and feelings. But remember, as you continue in therapy you will feel more and more comfortable and at ease with discussing your issues. Your psychotherapist is specially trained and experienced in building rapport and helping you reach your goals. Every psychotherapist’s style and approach will vary, however there are some universal aspects to psychotherapy.

Throughout psychotherapy you will develop a trusting therapeutic relationship with your therapist. During this time you will have the opportunity to work on your challenges and to look deeply at your personal values and choices. Therapy is a collaborative process between you and your therapist. The more you are willing to invest yourself in this process the more impact it can have in your life. You and your therapist will explore your issues and problems through discussion. Some of your sessions may focus on your internal thought patterns, feelings, and body sensations in order to gain an understanding of different aspects of who you are and how you think. During your time in therapy you will learn to pay attention to your experiences without judgment in order to better understand how your mind works.

Your therapist may want to initially start off by gathering personal information and a history about your family, health, and education as well as administer some type of assessment or test. It is normal to begin therapy with an assessment as these tools help gather information and get an in depth understanding of your issue. The outcome of the assessment often assists the therapist in determining the best course of action for your treatment and will help guide your sessions.

Your psychotherapist will then help to clarify and educate you regarding the problem you are experiencing. After clarifying your problems, you will work together to find resolution to your issue. It is not uncommon for treatment to include other providers such as a psychiatrist. For example if you are receiving psychotherapy from a psychologist, they may refer you to a health care provider who can prescribe you medication if they believe you may benefit from it.

It is important to understand that therapy will be a challenging endeavor and often takes time and commitment. Therapy often leads to a deep personal understanding, and significant and long lasting change. You may find yourself thinking and behaving differently. In addition to this transformation you will learn new skills to help you cope with future issues and challenges.

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, Evanston, and Wilmette.

What Should I Expect During My First Visit to a Behavioral Health Clinic?

Posted on by Dr Mark Parisi

It is common that your provider ask that you to come in several minutes early to your first appointment in order to fill out the required paperwork. A typical session can last anywhere from 45-60 minutes long so plan accordingly. During the first session your therapist may also cover the logistics of therapy, such as confidentiality, scheduling, cancelation policies, and fees. Plan your payment in advance. Prior to your first session determine whether you will be paying out-of-pocket for your services or if you will be using your health insurance plan. Some private health insurance companies may cover mental health services such as psychotherapy, but others do not. Before you begin therapy you should check your policy to see what is covered and what provider accepts your coverage. Insurance companies vary in terms of services they cover and some mental health disorders are not covered at all. Double-check with your provider in advance in order to help you plan your payment.

Conduct your research a head of time and prepare a list of questions you might have for your provider. Be prepared to share information about yourself and the issues you would like to address. Your therapist most likely will begin by ask you a series of questions to help identify what problem you would like to work on. They may begin with a simple question such as, “What brings you here today?” Be as clear as possible regarding your goals and what you would like to accomplish during your time in therapy. It is not uncommon to begin therapy with some type of assessment. These assessments help gather information and guide the course of therapy. Prepare to discuss your health, education, culture, and family circumstances. During the information gathering process your provider may recommend further psychological testing or suggest a medical examination to rule out possible medical issues.

Once your provider gathers a full history, you will work together to develop a treatment plan and establish goals. This process is collaborative and your commitment and dedication is important. After several sessions you should have a clear understanding of your issue and your treatment plan. This plan should include your goals and how you will work towards accomplishing these goals.

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, Evanston, and Wilmette.

How Do I Know Which Type of Counseling or Style of Psychotherapy is Right for Me?

Posted on by Dr Mark Parisi

The type of psychotherapy or counseling that is best for you is largely dependent on your individual preferences and needs. There are certain techniques and approaches that are more helpful than others when dealing with specific types of problems and your therapist will be knowledgeable in those approaches. For example, panic disorder is typically treated with various forms of controlled exposure therapy as research suggests it is most effective in treatment. Arm yourself with knowledge and research about the best type of therapy pertaining to your issue. This can be helpful in narrowing down what type or style of counseling is best for you.

Psychotherapists typically use an evidence-based practice and approach towards treating psychological problems. Evidence-based practice is the integration of the best available research along with the mental health practitioner’s clinical expertise, in the context of the individual’s characteristics, culture, and preferences, (American Psychological Association, 2014). Therapists consider these factors when selecting the type of therapy for treatment. They use their knowledge in research regarding the appropriate techniques to use for a specific issue and determine what the best course of treatment is based on their past experiences treating other patients and integrate your personal preferences, character and values, (APA Policy Statement, 2005).

There are many different theoretical approaches to psychotherapy and practicing psychotherapists usually draw on one or more of these theoretical perspectives to help them understand their client’s problems. The theoretical perspective of your psychotherapist will affect what goes on in therapy. For example, therapists who utilize a cognitive-behavioral approach may assign you tasks to complete or ask that you practice a new skill outside of therapy. Where as a therapist who uses a psychoanalytic approach might focus on talking in depth about your past and present memories, thoughts, and emotions rather than doing specific tasks. Most therapists combine components from several different styles of psychotherapy and blend different approaches to tailor treatments to their clients needs.

The relationship you have with your therapist is an important one and evidence suggests that development of a good relationship between a therapist and client actually predict better outcomes in therapy. Integrated throughout therapy should be efforts from the therapist to establish a genuine, nonjudgmental, and trusting therapeutic relationship. The therapeutic relationship that is created between you and your therapist is a valuable one and this relationship can act as a catalyst to help facilitate change. After you have determined that your therapist is experienced, skilled, and knowledgeably, a good indicator of whether the type of counseling is right for you would be your comfort level working with your therapist. Most importantly, remember psychotherapy is a process. It takes time, commitment, and effort.

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, Evanston, and Wilmette.

How Do I Know Which Mental Health Professional Is Right for Me and How Do I Select the Right One?

Posted on by Dr Mark Parisi

More and more evidence has proven that psychotherapy can help with a wide range of psychological issues. Once you have decided that you would like assistance from a mental health professional it can be a little difficult to know which mental health professional is best for you. There are many options and factors to consider when making this decision and selecting the best choice.

First consider the problem you would like to solve. In order to identify the best form of treatment it is important to identify the problem first. A thorough evaluation and assessment is a necessary first step in identifying mental health related issues. These assessments are usually called mental status exams or diagnostic evaluations. These help your provider get a better understanding of what the problem is and how it is affecting you personally. Assessment tools can be helpful by gathering important information such as health history, family history, and education, along with other cultural and social factors. This information is important for mental health professionals to know in order to determine the best course of action.

Second, it is important to determine what the best course of treatment is for your identified problem. For some issues medication might be the best approach and for other issues psychotherapy or a combination of the two is highly recommended. It is all dependent on your specific needs. For example, if you need to work with someone who can prescribe medication, a psychiatrist may be a good mental health care provider for you. If you are having marital issues, a marriage and family therapist might be a good option as they can provide psychotherapy for couples. You might even work with both a psychiatrist and a therapists depending on the issue. It’s normal to have a treatment team when dealing with complex mental health and emotional issues. Typically a good indicator of a good match will include a mental health professional with experience treating other individuals who have experienced a similar issue. A good way to determine how much experience they have is simply by asking.

Regardless of which mental health care professional you initially see they will have knowledge of the treatment options that are available for you, as well as knowledge of your identified mental health condition. They can help educate you on your best options. The best option will most likely be different for each individual depending on his or her circumstances. Most mental health professionals can provide treatment for a wide range of issues and have had extensive training and experience in treating these issues. Ask your mental health care provider what their history or experience is in treating issues similar to the one you are experiencing.

Last, consider your finances, personal preferences, culture, values, and character. Mental health providers and clients work together and the right match is important. Once you have determined that the provider you are working with has the correct credentials, background, and competence, consider your level of personal comfort with the provider and their approach towards treatment. Establishing rapport and trust is a critical aspect of treatment. Choose someone who you feel comfortable and safe with.

Contact Dr. Parisi for low cost therapy in Chicago, Mt. Prospect, and surrounding areas including Des Plaines, Arlington Heights, Schaumburg, Barrington, Hinsdale, Skokie, Lincolnwood, Park Ridge, Evanston, and Wilmette.

What is the Difference Between the Various Types of Behavioral Healthcare Providers?

Posted on by Dr Mark Parisi

Psychiatrist: An individual who has obtained an M.D. degree and has completed postdoctoral specialty training in mental and emotional disorders. A psychiatrist is able to prescribe medications for mental and physical health needs, (American Psychiatric Association, 2014). Medical doctors can also prescribe medication for mental health conditions, however it’s important to note that they have not had as much extensive training in diagnosis and treatment of mental health disorders. It is more common for a psychiatrist to prescribe medications for mental health related conditions as they have specialized training in these conditions. Some psychiatrists provide psychotherapy in addition to medication as treatment for mental health disorders. Some refer clients to other mental health providers for psychotherapeutic services, as it is normal for individuals who require such services to work with a team of mental health care providers.

Psychologist: An individual with a doctoral degree in psychology from an organized, sequential program in a regionally accredited university or professional school, (American Psychological Association, 2014). Psychologists focus on clinical practice, obtain thousands of hours of clinical experience, and can enter into a private practice. They provide services such as psychological assessments, testing, and psychotherapy. Psychologists receive specific training in diagnosis, research, and psychotherapy. They work independently or within a group setting and provide a wide range of services.

Marriage & Family Therapist: An individual with at least a Master’s degree or higher, who specializes in providing psychotherapy to individuals of all ages, couples, families, and groups for a wide range of mental health conditions. These therapists must obtain thousands of hours of direct clinical experience and supervision. They also receive extensive training in diagnosis, research, and psychotherapy. Clinical Social Workers – Clinical social workers complete a Master’s degree in social work (M.S.W.) and carry the LCSW title if they are able to practice psychotherapy (Licensed Counselor of Social Work). Most programs require these professionals to go through direct clinical experience and focuses on teaching principles of social work and psychotherapy.

Psychiatric Nurse – Psychiatric nurses are trained as registered nurses (R.N.) and then receive specialized training in psychiatry and some forms of psychotherapy. Psychiatric nurses in most states may also prescribe the same kinds of medications that a psychiatrist can.

Licensed Professional Counselor – A Master’s level professional in mental health or a related field who is specially trained to provide psychotherapy. License requirements vary from state to state. They are trained to work with individuals, families, and groups to treat mental health, behavioral, and emotional conditions. Other – There are many behavioral health care providers. Each state governs the license requirements and these guidelines are intended to protect the public by limiting those persons qualified to practice to those defined by the state laws. A good way to determine which health care provider is best for you is to consider your unique circumstances and needs along with the health care providers experience, credentials, and background.

See our website for an overview of our providers and contact us.