Psychiatry & TMS Blog

Sudden life changes have a way of throwing everything off. One moment things feel normal, and the next you’re trying to adjust to something new, whether it’s a job change, a breakup, a health issue, or even something positive that came faster than expected. It’s not...

It sounds a little backwards at first. You get a promotion, move into a new home, start a relationship, have a baby; these are all things you wanted. Things you were excited about. So when you start feeling overwhelmed, anxious, or just off, it can be confusing....

Most of us are used to stress. A busy week, a tough conversation, a big life decision, those things come and go, and usually we find our way back to baseline. But sometimes, something shifts. You’re still going through your day, still doing what needs to get done, but...

A lot of people come in thinking, “I think I have anxiety” or “I feel depressed lately,” especially after something big has happened in their life. And sometimes that’s true, but not always. There’s a category of stress responses that sits right in the middle, and it...

Behavioral Health vs Mental Health Professionals often use the terms interchangeably. In practice, behavioral health usually emphasizes patterns of actions and skills that respond well to therapy and structured supports. Mental health often points to conditions with...

If Transcranial Magnetic Stimulation (TMS) hasn’t led to meaningful improvement by session 20, I carefully reassess coil position, motor threshold, and dosing, and, if tolerated, increase settings to a clearly therapeutic level. At this point, I also encourage adding...

Behavioral Activation is a practical form of behavioral therapy that focuses on what you do, not just what you think or feel. The first steps in this approach are often much smaller and more manageable than people expect. Practical First Steps in Behavioral Activation...

As a psychiatrist, I like behavioral activation because it is practical and concrete. It is not about waiting until you magically feel better. Instead, it focuses on gently changing what you do, even when your mood is low, and trusting that your emotions will...

What Other Techniques Do You Do With CBT? CBT often overlaps with other therapeutic approaches, each contributing unique strengths: Dialectical Behavior Therapy (DBT): Focuses on emotional regulation and mindfulness. Exposure Therapy: Helps people gradually face and...

How Long Should a CBT Session Last?  Therapy takes time and consistency. In most cases, meaningful progress begins after six to twelve months of regular sessions, usually every one to two weeks. For more complex cases—such as trauma recovery—therapy may extend over...