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Seeking Help This Summer?

5 Steps to Find the Right Mental Health Provider

For many reasons, the summer can be just the right time to seek out mental health care. For children and adults who are in school, classes and extracurriculars tend to scale back, allowing for more flexibility with scheduling . Mental health providers often have more openings in the summer, as their existing clients go on vacation or change up their routines. And, sometimes, clients simply have more mental space to reflect upon their experiences and what they’d like to change. If you are seeking help this summer, consider these five steps to find the right mental health provider for you:

  1. Define your objective. What do you really need? A therapist to help you manage the stress of a new job or new relationship? Someone who does family therapy that can help you all adjust to the loss of a loved one? A psychologist to evaluate your child because something seems to be holding them back at school? Once you know the kind of help you need, you can start to look for someone who specializes in those areas. Psychology Today has a great therapist finder that can help you search for the right provider.
  1. Consider your money and time. You could find the perfect therapist who ticks all of the boxes you created above, but if they don’t line up with your finances and availability, you’ll be back to square one. If you’re looking for someone who takes your insurance, you can either call their customer service line or go on their website to find providers who are “in network.” Other providers may be considered “out of network” but can still provide you with a superbill so that you can submit to your insurance and utilize your out-of-network benefit or work towards meeting your deductible (this is true for us at the Center). If you’re only available on certain days or times, be sure to ask if the therapist has consistent openings that work with your schedule. 
  1. Location, location, location. While many mental health providers now offer telehealth appointments, some clients prefer to meet in person, at least some of the time. Consider how far you’d like to drive if you will be meeting in person. If you are looking for someone to see you virtually, you may still have to find someone who is licensed in the state where you reside and where you’ll be located when you meet for appointments. There are some exceptions to this for licensed psychologists who are authorized to practice telepsychology in multiple states through PSYPACT (list of providers: https://psypact.gov/page/Directory). The Center has several psychologists who are able to see clients in the 40+ states that participate in PSYPACT—colored dark blue on the map: https://psypact.gov/page/psypactmap. When you see a psychologist with PSYPACT, you can meet virtually from anywhere, such as your residence, a vacation home, or your dorm room at college, as long as you are still located in one of the approved states.
  1. Reflect on other elements. Some clients like to talk with therapists who share a similar faith or have other interests. Be aware of your own values and any non-negotiables you might have. You may even be able to enter some of these factors into the search engine you’re using. When you go in for your first session, be sure to mention the reasons why you came to see that particular provider.
  1. Meet the individual you’ve selected. How does the therapist fit with you and anyone else you’ve brought to the session? While it’s normal to feel some discomfort while talking about difficult issues, it’s important to consider whether or not you feel uncomfortable with the therapist. Like any other relationship, trust is an essential element of mental health treatment. If you don’t feel the clinician is a good fit for you or your child, you can try another session or two or ask for a referral to another provider.

The mental health providers at the Center are here to provide you or a loved one with therapy or assessment services this summer. Call 215-491-1119 to schedule an appointment!

Understanding and Navigating Mild Cognitive Impairment (MCI)

Mild Cognitive Impairment (MCI), also known as Mild Neurocognitive Disorder (MND),is a condition that leads to subtle but noticeable changes in thinking skills such as memory, thinking, attention, language, reasoning abilities, and more. While these changes can be concerning, they are not severe enough to significantly impact daily functioning (e.g., driving, managing finances/medication, bathing, dressing, toileting, etc.). Individuals with MCI may find that they forget recent conversations or appointments, but they can still carry out everyday tasks independently

MCI can show up in two main forms:

  1. Amnestic MCI, which primarily affects memory. Individuals may begin to forget important details, such as conversations or recent events.
  2. Non-amnestic MCI, which impacts other cognitive functions like decision-making, planning, and judgment. People with this type of MCI might struggle with tasks like organizing their home or managing finances.

What Causes MCI?

The exact cause of MCI is not fully understood, but it is believed that in some cases, MCI may signal an early stage of a neurodegenerative disease. However, not everyone diagnosed with MCI will progress to dementia, and other factors, such as lifestyle and genetics, can influence its development.

How is Age Related to MCI?

MCI is more commonly noticed in individuals over the age of 50, but it can appear earlier or later. As people age, some cognitive changes are typical, but MCI represents a noticeable decline beyond normal aging.

Is There Medication for MCI?

While there is no cure for MCI, medications can sometimes be used to help manage symptoms. Cholinesterase inhibitors, such as donepezil, galantamine, or rivastigmine, are commonly prescribed. These medications may help slow the decline in memory and thinking abilities. However, it’s essential to consult with a healthcare provider to evaluate all current medications.

Factors That May Influence the Progression of MCI

Certain factors may increase the risk of MCI progressing to dementia, such as diabetes, high blood pressure, obesity, smoking, depression, and lack of mental or physical activity. Eating a balanced diet, getting enough sleep, and reducing alcohol intake are also beneficial.

What to Do After Diagnosis

Individual:

  1. Stay active with mentally stimulating activities and physical exercise.
  2. Use reminders like calendars and lists to help with memory.
  3. Engage in social activities, spend time with family, friends, or neighbors.
  4. Communicate with your medical team for optimal healthcare.
  5. Consider talking with a mental health professional to navigate the emotional impact of the diagnosis.

Family:

  1. Offer help as needed, while encouraging independence.
  2. Discuss care preferences and plans (i.e., living conditions, live-in/hired support, etc.).
  3. Attend doctor appointments together for better understanding and support.
  4. Consider joining a caregiver support group.
  5. Don’t forget to care for yourself.

Helpful Resources near Doylestown, PA:

Doylestown Health Dementia-Friendly Initiative: Offers a Memory Café and educational programs. Click here to learn more.

Bucks County Area Agency on Aging: Provides information on services such as transportation, country resources, community social and recreational activities, legal services, and more. Find  out more here.

Visiting Angels Doylestown: Provides in-home care and respite for caregivers. Discover more here.

Moving Forward: A diagnosis of MCI is not the end—it is a chance to plan, seek support, and continue to enjoy life. Use available resources and stay connected with your loved ones.

If you or a loved one are concerned about possible mild cognitive impairment, consider contacting us, The Center for Neuropsychology & Counseling, to schedule a neuropsychological evaluation. This assessment can help clarify the nature of the changes, guide treatment planning, and support informed next steps.

When Should I Seek Therapy Services for OCD?

Obsessive Compulsive Disorder (OCD) is characterized by obsessions and compulsions. Obsessions are intrusive and unwanted thoughts, images, or urges that occur repeatedly and feel outside of one’s control, whereas compulsions are mental or behavioral actions that an individual will engage in to reduce distress caused by obsessions. OCD can result in a great deal of impairment and can negatively impact one’s life.

For a number of different reasons, those who experience symptoms of OCD can go years without seeking therapy services and this can result in symptoms worsening over time. A statement I often hear from clients is, “I wish I received help sooner.” Oftentimes, those with OCD can respond to obsessions and compulsions in an ineffective manner, accidentally reinforcing their symptoms and leading to even more distress or impairment.

With appropriate treatment, individuals can learn how to identify and respond to their symptoms in an effective way, living a happy and healthy life despite their OCD diagnosis.

If you are currently experiencing symptoms of OCD and considering whether or not it is time to seek treatment, please consider the following questions to help guide your decision.

Frequency

  • How often are you experiencing obsessions or compulsions? Are your symptoms worsening or occurring more frequently over time?

Duration

  • How long do you find yourself getting caught up in thoughts or engaging in behaviors to find some form of relief? Do you feel like your days revolve around trying to get rid of your discomfort or distress? Are you missing out on activities or time with loved ones?

Intensity

  • How intense or distressing are your obsessions and compulsions? Does the severity of your thoughts or behaviors make it hard to do things or cause you to lose interest in activities that you have once found enjoyable?

Pervasiveness

  • Do you experience symptoms in more than one setting? Are all aspects of your life being impacted?

If you answered “yes” to any of the above questions, you may benefit from treatment for OCD. Please call the Center to find out more information about the services we offer and to begin your journey in finding relief from your symptoms.

If you are questioning if you have OCD, please also read our article, “Recognizing Different Presentations of Obsessive-Compulsive Disorder” for more information.

Resilience During Times of Stress and Uncertainty

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8 Tips for Surviving the Holidays

Many believe the holidays to be a time of joy, laughter, and good food. But, so often the reality is that you’re overwhelmed, tired, and extremely on edge. In order to successfully navigate your holiday to-do list, try these 8 steps:

  1. Take a deep breath in and out. Repeat as needed. As stressful circumstances pop up (family conflict, extra bills, bad weather), remember to take a moment for yourself to just breathe deeply. Count in through your nose to 5 and out through your mouth to 5.
  2. Consider your values. What matters most to you this time of year? Getting your shopping done early? Spending time with certain friends or families? Certain religious or spiritual observations or rituals? Whatever it is, be sure to keep your focus on the main things you value.
  3. Prioritize. Consider what must get done versus what “should” get done. Maybe your house does not need to look like a spread from Home and Garden, or your gifts do not need to resemble individual works of art. Figure out which things you are hoping to get to that are really just extra sources of stress, and agree to let them go.
  4. Plan. Look at your calendar. Which weeks are the busiest and when do you have time to address cards or buy gifts or help out in the community? Write down possible days on which to accomplish various activities and what you will do each day to reach your goals. Also, consider delegating some of your tasks to friends and family who can help.
  5. Talk with your loved ones. Maybe your partner’s favorite part of the holidays is watching a movie with you on New Year’s Eve. Maybe you have a fun tradition with a friend or your kids. Prioritize and plan for those things your loved ones hold especially dear this time of year.
  6. Set boundaries as needed. In order to preserve your sanity, you will have to say “no” to certain demands. Perhaps you’ll need to plan to see different friends or family members on different days or weeks. Maybe you usually host a holiday, but a new job or baby is making it difficult to do so. Give yourself the flexibility you need to do what’s best for you.
  7. Practice gratitude. Even in the messy moments of life (wine on the carpet again?), there is always something to be grateful for: food to eat, a place to gather, people with whom to share your life. Share your thankful spirit with those around you.
  8. Remember that nothing is perfect. No holiday meal, family event, or season will be picturesque and devoid of spills, tears, or melted candles. But, in the end, it is how we overcome difficult circumstances and support one another through hard times that truly matters.

STRESS LESS: EVERYDAY TIPS TO PROMOTE WELLNESS

Feeling overwhelmed by the weight of daily pressures? You’re not alone. As stress levels soar in our fast-paced lives, understanding its origins and impacts is more crucial than ever.

The stress response is a natural reaction to a perceived threat, or demand, that is rooted in the body’s central nervous system (CNS). The short-term activation of the CNS is beneficial, equipping us to respond to what comes across our paths. In the optimal amounts, stress may be positively associated with learning and high performance in areas like sports and work. However, repeated and prolonged stress can lead to less positive outcomes including the development and/or exacerbation of many mental and physical conditions, including depression and anxiety, among others.

So how does one begin to differentiate between good stress (“eustress”) and bad stress (“distress”), and how does one manage it? If the following symptoms are relatable, you might be experiencing prolonged stress response.

  • Frequent/chronic physical symptoms (e.g., headaches, chest pain, stomach upset, sleeping problems, recurrent illness)
  • Increased difficulty with emotion regulation
  • Withdrawal from social supports and activities
  • Things feel out of control/inability to relax OR numbness/autopilot mode
  • Exhaustion

However, addressing your stress may be easier than you think and workable into your ongoing routines…

  • Get enough sleep daily (children: 9-13 hours; teens: 8-10 hours; adults: 7-9 hours)
  • Balanced diet
  • Regular, consistent exercise
  • Breathing techniques (Box Breathing, Belly Breathing)
  • Social support
  • Boosting positive affect (e.g., happiness, joy, contentment, enthusiasm) by scheduling in time for pleasurable activities on a regular basis. (Note: these may vary from person to person, so find what works best for you).

If you continue to feel overwhelmed and run down by stress, consult with a mental health provider. The psychologists and therapists at The Center are well-equipped to support clients through whatever life brings.