Expert Care for the Full Spectrum of Behavioral Health Conditions

This may point toward a mood disorder. We encourage you to explore the sections on Understanding Depression and Persistent Depressive Disorder.

This experience is common in anxiety disorders. We suggest reading about Generalized Anxiety Disorder and Panic Disorder.

These challenges are central to neurodevelopmental conditions. Learning more about ADHD could provide valuable clarity.

Significant shifts in mood are a key feature of certain mood disorders. We recommend reviewing the information on Bipolar Disorder and Cyclothymic Disorder.

This points toward the impact of trauma. Please explore the section on Understanding Trauma-Related Disorders, including PTSD.

This cycle of thoughts and behaviors is a hallmark of OCD. We encourage you to read the section on Obsessive-Compulsive Disorder.

Struggles with control can be a sign of a substance use disorder or a behavioral addiction. You may find helpful information in the sections on Support for Substance Use Disorders, Navigating Behavioral Addictions, or Understanding Eating and Feeding Conditions.

This experience is central to social anxiety. We suggest reviewing the information on Social Anxiety Disorder.

Difficulties with connection and communication are common. Exploring the section on Understanding Relationship and Attachment Issues may be a helpful next step.

It can be difficult to know what is typical development versus a sign of a deeper issue. We recommend reviewing our sections on Pediatric-Specific Conditions and For Family, Children & Caregivers.

The mind and body are deeply connected. We suggest you explore the section on Understanding Somatic Symptom and Related Conditions.

Persistent sleep issues can significantly impact your mental health. Reviewing the section on Understanding Sleep-Wake Conditions could offer some insight.

Therapy is not just for crises; it's also a powerful tool for personal growth. The section on Building a Vision for Your Future in our New Patient FAQ may resonate with you.

Major Depression is more than just feeling sad; it's a persistent weight that can drain the color from your life, making things that once brought you joy feel like a chore. It can feel like being stuck in a deep pit, watching the world go on around you without being able to join in. If this sounds familiar, please know you are not alone. Our compassionate providers are experienced in helping patients find a path forward from depression.

Common Symptoms or Things to Look Out For:

• Persistent sadness or emptiness
• Loss of interest in previously enjoyed activities (anhedonia)
• Sleep disturbances (insomnia or hypersomnia)
• Changes in appetite or weight
• Fatigue or loss of energy
• Feelings of worthlessness or excessive guilt
• Difficulty concentrating or making decisions
• Psychomotor agitation or retardation
• Thoughts of death or suicide

Bipolar Disorder can feel like being on an emotional rollercoaster you can't get off of. It's characterized by significant shifts in mood, swinging between the lows of depression and the highs of mania or hypomania. At Televero Health, we specialize in creating personalized treatment plans to help you manage these shifts and regain control.

Common Symptoms or Things to Look Out For:

• Episodes of abnormally elevated mood and energy
• Decreased need for sleep without feeling tired
• Racing thoughts or flight of ideas
• Increased talkativeness or pressured speech
• Grandiose beliefs or inflated self-esteem
• Increased goal-directed activity or restlessness
• Excessive involvement in risky pleasurable activities
• Periods of depression alternating with elevated mood
• Irritability during manic episodes
• Impaired judgment and social functioning

Sometimes, depression doesn't feel like a deep pit, but like a constant, low-hanging gray cloud that never seems to lift. This chronic form of depression, known as Dysthymia, involves a depressed mood for more days than not for at least two years. Our team helps patients address these long-term symptoms to find lasting relief and a renewed sense of well-being.

Common Symptoms or Things to Look Out For:

• Depressed mood for most of the day, more days than not
• Poor appetite or overeating
• Insomnia or hypersomnia
• Low energy or fatigue
• Low self-esteem
• Poor concentration or difficulty making decisions
• Feelings of hopelessness
• Chronic course with symptoms persisting for years
• Functional impairment less severe than major depression

Cyclothymic Disorder is a milder form of bipolar disorder with numerous periods of hypomanic (elevated mood) and depressive symptoms that persist for at least two years but are not severe enough to meet the criteria for a full episode. Our providers can help you understand these patterns and find strategies for stability.

Common Symptoms or Things to Look Out For:

• Mood swings between mild depression and hypomania
• Periods of normal mood lasting less than two months
• Symptoms present for at least two years (one year in children)
• Less severe than full manic or depressive episodes
• Unstable and reactive mood
• Periods of increased energy and decreased need for sleep
• Periods of lowered mood, energy, and motivation

For many, the changing seasons bring on a predictable pattern of depression. It's more than just "winter blues"—it's a clinical condition that can significantly impact your energy, mood, and daily life. Our providers at Televero Health can help you develop strategies to manage these seasonal shifts effectively.

Common Symptoms or Things to Look Out For:

• Depression that begins and ends during specific seasons
• Winter pattern: fatigue, hypersomnia, overeating, weight gain
• Increased craving for carbohydrates
• Social withdrawal or "hibernation" behavior
• Complete remission during other seasons (typically summer)
• Pattern must repeat for at least two years

PMDD is a severe form of premenstrual syndrome (PMS) with significant mood symptoms that interfere with daily life in the week or two before menstruation. Our team provides compassionate care to help manage these cyclical and distressing symptoms.

Common Symptoms or Things to Look Out For:

• Mood swings, irritability, or anger occurring before menstruation
• Marked anxiety, tension, or feelings of being "on edge"
• Depressed mood, hopelessness, or self-deprecating thoughts
• Decreased interest in usual activities
• Difficulty concentrating
• Fatigue or lack of energy
• Changes in appetite or food cravings
• Sleep disturbances
• Feeling overwhelmed or out of control
• Physical symptoms (bloating, breast tenderness, etc.)
• Symptoms improve within a few days after menses begins

DMDD is a childhood condition characterized by severe, recurrent temper outbursts and a persistently irritable or angry mood between outbursts. Our pediatric specialists work with children and families to develop effective behavioral strategies and support.

Common Symptoms or Things to Look Out For:

• Severe, recurrent temper outbursts (verbal or behavioral)
• Temper outbursts grossly out of proportion to situation
• Outbursts inconsistent with developmental level
• Irritable or angry mood between outbursts
• Symptoms present in multiple settings
• Onset before age 10
• Diagnosis not made before age 6 or after age 18
• Persistent symptoms (present for 12+ months)

Anxiety is a normal human emotion, but for some, it can grow from a small worry into a constant, overwhelming presence. Generalized Anxiety Disorder (GAD) is characterized by excessive, uncontrollable worry about various things. It can feel like your mind is always scanning for the next threat, leaving you exhausted and on edge. Our therapists are skilled in evidence-based techniques to help you quiet the noise and regain a sense of calm.

Common Symptoms or Things to Look Out For:

• Excessive worry about multiple events or activities
• Difficulty controlling worry
• Restlessness or feeling keyed up or on edge
• Easily fatigued
• Difficulty concentrating or mind going blank
• Irritability
• Muscle tension
• Sleep disturbance (difficulty falling or staying asleep)
• Worry that is out of proportion to actual risk
• Significant distress or impairment in functioning

A panic attack can be one of the most frightening experiences a person can have—a sudden, overwhelming wave of fear that comes out of nowhere. Panic Disorder occurs when you experience recurrent, unexpected panic attacks and live with a persistent fear of having another one. At Televero Health, we help patients understand their triggers and develop powerful coping skills to manage panic and reduce fear.

Common Symptoms or Things to Look Out For:

• Recurrent unexpected panic attacks
• Sudden surge of intense fear reaching peak within minutes
• Palpitations or accelerated heart rate
• Sweating, trembling, or shaking
• Shortness of breath or feeling of choking
• Chest pain or discomfort
• Nausea or abdominal distress
• Feeling dizzy, unsteady, lightheaded, or faint
• Fear of losing control or "going crazy"
• Fear of dying
• Persistent concern about additional attacks
• Avoidance behavior related to attacks

Social Anxiety Disorder is more than just shyness. It's an intense, persistent fear of being watched and judged by others. This fear can be so strong that it causes you to avoid social situations, impacting your relationships and professional life. We provide a safe, supportive space to build confidence and navigate social settings with greater ease.

Common Symptoms or Things to Look Out For:

• Marked fear or anxiety about social situations
• Fear of negative evaluation or judgment by others
• Fear of showing anxiety symptoms that will be humiliating
• Social situations almost always provoke fear
• Avoidance of feared social situations
• Anticipatory anxiety before social events
• Post-event rumination about performance
• Recognition that fear is excessive or unreasonable
• Significant distress or impairment in functioning

A specific phobia is an intense, persistent fear of a clearly discernible object or situation (e.g., flying, heights, animals, needles). While the person may recognize the fear is out of proportion, the anxiety feels very real and can lead to avoiding important activities. Our team can help you gradually and safely overcome these fears.

Common Symptoms or Things to Look Out For:

• Marked fear about a specific object or situation
• The phobic object/situation almost always provokes fear
• Active avoidance of phobic object/situation
• Fear out of proportion to actual danger
• Fear persisting for 6+ months
• Significant distress or impairment in functioning
• Common phobic stimuli include: animals, natural environment (heights, storms), blood-injection-injury, situations (flying, elevators)

Agoraphobia is a fear and avoidance of places or situations that might cause you to panic and feel trapped, helpless, or embarrassed. This often involves a fear of leaving home or being in crowds. We work with patients to expand their world again, one safe step at a time.

Common Symptoms or Things to Look Out For:

• Fear of two or more of the following situations: using public transportation, being in open spaces, being in enclosed places, standing in line or being in a crowd, or being outside the home alone
• Fear that escape might be difficult or help unavailable
• Active avoidance of feared situations
• Need for a companion to accompany in feared situations
• Fear out of proportion to actual danger

While often associated with children, adults can also experience a developmentally inappropriate and excessive fear or anxiety concerning separation from important attachment figures. Our providers offer strategies to manage this distress and foster a greater sense of security and independence.

Common Symptoms or Things to Look Out For:

• Recurrent excessive distress when anticipating or experiencing separation
• Persistent and excessive worry about losing attachment figures
• Persistent and excessive worry that an event will lead to separation
• Persistent reluctance or refusal to go out, away from home, to school, or elsewhere
• Persistent and excessive fear of being alone without attachment figures
• Repeated nightmares involving the theme of separation
• Repeated complaints of physical symptoms when separation occurs

Trauma can leave a lasting impact, making you feel unsafe in the world long after the event has passed. Post-Traumatic Stress Disorder (PTSD) can develop after experiencing or witnessing a terrifying event, causing symptoms like flashbacks, nightmares, and severe anxiety. Our trauma-informed therapists use specialized approaches to help you process these experiences and reduce their power over your daily life.

Common Symptoms or Things to Look Out For:

• Exposure to actual or threatened death, serious injury, or sexual violence
• Intrusive memories, nightmares, or flashbacks about the trauma
• Intense psychological distress at exposure to trauma cues
• Physiological reactions to trauma reminders
• Avoidance of trauma-related thoughts, feelings, or reminders
• Negative alterations in cognitions and mood (e.g., negative beliefs, distorted blame)
• Feelings of detachment or estrangement from others
• Irritable behavior and angry outbursts
• Hypervigilance and an exaggerated startle response

Acute Stress Disorder involves symptoms similar to PTSD, but it occurs in the immediate aftermath of a traumatic event, lasting between three days and one month. Early intervention with our supportive providers can help prevent the development of long-term PTSD.

Common Symptoms or Things to Look Out For:

• Exposure to actual or threatened death, serious injury, or sexual violence
• Intrusion symptoms (recurrent memories, dreams, flashbacks)
• Negative mood (inability to experience positive emotions)
• Dissociative symptoms (altered sense of reality, amnesia)
• Avoidance symptoms
• Arousal symptoms (sleep disturbance, irritability)
• Duration: 3 days to 1 month after trauma exposure

Sometimes, a specific life stressor—like a job loss, a major move, or a relationship ending—can trigger emotional or behavioral symptoms that are more intense or prolonged than expected. This is known as an Adjustment Disorder. Our therapists can provide support and tools to help you navigate these challenging life transitions.

Common Symptoms or Things to Look Out For:

• Emotional or behavioral symptoms developing within 3 months of an identifiable stressor
• Distress that is out of proportion to the severity of the stressor
• Significant impairment in social, occupational, or other important areas of functioning
• Symptoms are not representative of normal bereavement
• Once the stressor terminates, symptoms resolve within 6 months

OCD can feel like being trapped in a loop of unwanted thoughts (obsessions) and feeling an overwhelming urge to perform certain actions (compulsions) to find relief. You may logically know the fears are excessive, but the anxiety is powerful and real. Our providers work with you to understand this cycle and develop effective, evidence-based strategies to reduce its power over your life.

Common Symptoms or Things to Look Out For:

• Obsessions: Recurrent, persistent thoughts, urges, or images experienced as intrusive and unwanted that cause marked anxiety or distress. Common themes include contamination, harm, symmetry, or forbidden thoughts.
• Compulsions: Repetitive behaviors (e.g., washing, checking, ordering) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform in response to an obsession, aimed at preventing anxiety or a dreaded event.
• The obsessions or compulsions are time-consuming (take more than 1 hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Body Dysmorphic Disorder is a condition where you can't stop thinking about one or more perceived defects or flaws in your appearance—a flaw that to others is either minor or not visible at all. This preoccupation can feel all-consuming and cause severe emotional distress. Our team provides a safe, non-judgmental space to address these concerns and help you see yourself with more compassion and clarity.

Common Symptoms or Things to Look Out For:

• Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
• Performance of repetitive behaviors (e.g., mirror checking, excessive grooming, skin picking, reassurance seeking) or mental acts (e.g., comparing one's appearance with that of others) in response to the appearance concerns.
• The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
• Frequent comparisons of one's appearance with that of others.

Hoarding Disorder is distinct from simply being messy. It involves a persistent difficulty discarding or parting with possessions, regardless of their actual value, because of a perceived need to save them. The thought of letting go of an item can cause significant distress. We help individuals understand the emotional attachments behind the hoarding and develop new skills for managing their belongings and living space.

Common Symptoms or Things to Look Out For:

• Persistent difficulty discarding or parting with possessions, regardless of their actual value.
• This difficulty is due to a perceived need to save the items and to distress associated with discarding them.
• The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromises their intended use.
• The hoarding causes clinically significant distress or impairment in social, occupational, or other important areas of functioning (including maintaining a safe environment for self and others).

Trichotillomania is the recurrent, irresistible urge to pull out hair from your scalp, eyebrows, or other areas of your body, despite trying to stop. For many, it is a way of dealing with negative or uncomfortable feelings, such as stress, anxiety, or boredom. Our providers can help you identify the triggers and develop alternative coping strategies.

Common Symptoms or Things to Look Out For:

• Recurrent pulling out of one's hair, resulting in hair loss.
• Repeated attempts to decrease or stop hair pulling.
• The hair pulling causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
• An increasing sense of tension immediately before pulling out the hair or when attempting to resist the behavior.
• Pleasure, gratification, or relief when pulling out the hair.

Excoriation Disorder involves recurrent, compulsive picking at one's skin, leading to skin lesions and tissue damage. Like hair-pulling, this behavior is often a mechanism to cope with stress or other difficult emotions and can feel outside of one's control. We offer compassionate support to help you manage these urges and promote healing.

Common Symptoms or Things to Look Out For:

• Recurrent skin picking resulting in skin lesions.
• Repeated attempts to decrease or stop skin picking.
• The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
• Tension before picking or when attempting to resist the urge.
• A sense of relief or gratification during or after picking.
• Avoidance of social situations due to skin lesions.

ADHD is a condition related to the brain's self-management system. It can feel like your mind has too many tabs open at once, making it hard to focus, stay organized, and control impulses. It is not a matter of willpower, but of brain wiring. Our specialists provide comprehensive assessment and treatment to help children and adults with ADHD develop skills and thrive.

Common Symptoms or Things to Look Out For (Inattention):

• Fails to give close attention to details or makes careless mistakes
• Difficulty sustaining attention in tasks or play
• Does not seem to listen when spoken to directly
• Does not follow through on instructions and fails to finish tasks
• Difficulty organizing tasks and activities
• Avoids tasks requiring sustained mental effort
• Loses things necessary for tasks or activities
• Easily distracted by extraneous stimuli
• Forgetful in daily activities

Common Symptoms or Things to Look Out For (Hyperactivity and Impulsivity):

• Fidgets or taps hands/feet or squirms in seat
• Leaves seat when remaining seated is expected
• Runs or climbs when inappropriate (restlessness in adults)
• Unable to play or engage in leisure activities quietly
• "On the go" or acts as if "driven by a motor"
• Talks excessively
• Blurts out answers before questions completed
• Difficulty waiting turn
• Interrupts or intrudes on others

Autism is a neurodevelopmental difference in how a person perceives and interacts with the world. It can involve challenges in social communication and interaction, alongside focused interests and repetitive behaviors. We provide affirming care that honors the unique strengths of autistic individuals while offering support for their specific challenges.

Common Symptoms or Things to Look Out For:

• Social communication/interaction deficits:
  • Deficits in social-emotional reciprocity
  • Deficits in nonverbal communicative behaviors
  • Deficits in developing, maintaining, and understanding relationships
• Restricted, repetitive patterns of behavior:
  • Stereotyped or repetitive motor movements, use of objects, or speech
  • Insistence on sameness, inflexible adherence to routines
  • Highly restricted, fixated interests of abnormal intensity
  • Hyper- or hypo-reactivity to sensory input
• Symptoms present in early developmental period
• Symptoms cause significant impairment in functioning

A specific learning disorder involves persistent difficulties in learning key academic skills like reading, writing, or math, despite having normal intelligence. It can be incredibly frustrating to feel like you're trying your best but not getting the same results as your peers. Our team can help with assessments and strategies to support learning and build confidence.

Common Symptoms or Things to Look Out For:

• Persistent difficulties in reading (dyslexia): Inaccurate or slow word reading, difficulty understanding meaning of what is read, spelling difficulties.
• Difficulties in mathematics (dyscalculia): Difficulty with number sense or memorization of math facts, inaccurate or slow calculation.
• Writing difficulties (dysgraphia): Poor handwriting, difficulty organizing written expression.
• Academic skills are substantially and quantifiably below those expected for the individual’s chronological age.

Communication disorders involve persistent difficulties in understanding or using language and speech. This can make it challenging to express yourself or connect with others. We provide care for a range of these conditions, helping to build skills and improve social functioning.

Common Symptoms or Things to Look Out For:

• Language Disorder: Difficulty acquiring and using language, limited vocabulary, limited sentence structure.
• Speech Sound Disorder: Persistent difficulty with speech sound production, making it hard to be understood.
• Childhood-Onset Fluency Disorder (Stuttering): Disturbances in the normal fluency of speech, such as sound repetitions or prolongations.
• Social (Pragmatic) Communication Disorder: Difficulty with the social use of verbal and nonverbal communication, like understanding sarcasm or the back-and-forth of conversation.

An intellectual disability involves significant limitations in both intellectual functioning (reasoning, learning, problem-solving) and in adaptive behavior, which covers many everyday social and practical skills. Our approach focuses on providing supportive care to enhance adaptive functioning, build skills, and improve quality of life for individuals and their families.

Common Symptoms or Things to Look Out For By Severity Level:

• Deficits in intellectual functions confirmed by both clinical assessment and individualized, standardized intelligence testing.
• Deficits in adaptive functioning that result in failure to meet developmental and sociocultural standards for personal independence and social responsibility.
• Severity levels (Mild, Moderate, Severe, Profound) are determined by adaptive functioning, not IQ scores alone, and indicate the level of support required.

This condition involves a marked impairment in the development of motor coordination. For a child, this can manifest as clumsiness or difficulty with tasks like tying shoes or playing sports, which can impact their self-esteem and participation in activities. We offer supportive therapies to help improve coordination and build confidence.

Common Symptoms or Things to Look Out For:

• Motor skill acquisition and execution substantially below expectations for age.
• Clumsiness, as well as slowness and inaccuracy of performance of motor skills.
• Delays in developmental motor milestones (e.g., sitting, crawling, walking).
• Difficulty with fine motor coordination (e.g., handwriting, using scissors).
• Poor performance in sports or other activities requiring coordination.
• Motor difficulties significantly interfere with academic achievement or daily activities.

Tics are sudden, rapid, recurrent, nonrhythmic motor movements or vocalizations. It is important to understand that these are involuntary, not intentional behaviors. Our providers can help with behavioral therapies and medication when needed to manage tics and reduce their impact on daily life.

Common Symptoms or Things to Look Out For:

• Tourette's Disorder: Presence of multiple motor tics AND one or more vocal tics for more than a year.
• Persistent (Chronic) Tic Disorder: Either motor tics OR vocal tics (but not both) have been present for more than a year.
• Provisional Tic Disorder: Tics have been present for less than one year.
• Tics may wax and wane in frequency and severity over time.
• Tics often increase during periods of stress or excitement.

Trauma can leave a lasting impact, making you feel unsafe in the world long after the event has passed. Post-Traumatic Stress Disorder (PTSD) can develop after experiencing or witnessing a terrifying event, causing symptoms like flashbacks, nightmares, and severe anxiety. Our trauma-informed therapists use specialized, evidence-based approaches to help you process these experiences and reduce their power over your daily life.

Common Symptoms or Things to Look Out For:

• Exposure to actual or threatened death, serious injury, or sexual violence
• Intrusion symptoms: Recurrent, involuntary distressing memories, traumatic nightmares, or flashbacks.
• Avoidance: Persistent avoidance of thoughts, feelings, or external reminders associated with the trauma.
• Negative alterations in cognition and mood: Negative beliefs about oneself or the world, distorted blame, persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame), and feeling detached from others.
• Alterations in arousal and reactivity: Irritable behavior and angry outbursts, reckless or self-destructive behavior, hypervigilance, exaggerated startle response, and problems with concentration or sleep.

While PTSD often results from a single traumatic event, Complex PTSD can arise from prolonged, repeated trauma, such as ongoing abuse or neglect in childhood. The effects can be more pervasive, impacting not just your sense of safety but also your self-concept, your ability to regulate emotions, and your relationships. Our providers are experienced in addressing these deep-seated challenges with specialized, compassionate care.

Common Symptoms or Things to Look Out For:

• All core PTSD symptoms plus:
• Emotional Dysregulation: Severe and persistent emotional reactivity or emotional numbing.
• Negative Self-Concept: Pervasive feelings of worthlessness, shame, guilt, and failure.
• Disturbances in Relationships: Persistent difficulties in sustaining relationships and in feeling close to others.

This is a rare but serious condition in which an infant or young child doesn't establish healthy attachments with parents or caregivers, typically due to a history of severe neglect or abuse. A child with RAD may seem withdrawn, emotionally unresponsive, and reluctant to seek or accept comfort. Our pediatric specialists work with children and their families to build trust and foster secure attachments.

Common Symptoms or Things to Look Out For:

• A consistent pattern of inhibited, emotionally withdrawn behavior toward adult caregivers.
• Minimal seeking or responding to comfort when distressed.
• Minimal social and emotional responsiveness to others.
• Limited positive affect.
• Episodes of unexplained irritability, sadness, or fearfulness during non-threatening interactions with adult caregivers.
• A history of experiencing a pattern of extremes of insufficient care.

Resulting from similar circumstances as RAD, DSED presents differently. Instead of being withdrawn, a child with DSED may be overly familiar with strangers, actively approaching and interacting with unfamiliar adults without the normal caution a child would show. This also requires specialized, attachment-focused care which our providers can support.

Common Symptoms or Things to Look Out For:

• A pattern of behavior in which a child actively approaches and interacts with unfamiliar adults.
• Reduced or absent reticence in approaching and interacting with unfamiliar adults.
• Overly familiar verbal or physical behavior (that is not consistent with culturally sanctioned and age-appropriate social boundaries).
• Diminished or absent checking back with adult caregiver after venturing away, even in unfamiliar settings.
• Willingness to go off with an unfamiliar adult with minimal or no hesitation.
• A history of experiencing a pattern of extremes of insufficient care.

When a pattern of drinking becomes difficult to control and negatively impacts your health and relationships, it may be a sign of Alcohol Use Disorder. We provide compassionate, non-judgmental support to help you understand your relationship with alcohol and work toward your personal goals, whether that involves moderation or abstinence.

Common Symptoms or Things to Look Out For:

• Alcohol often taken in larger amounts or over a longer period than was intended.
• A persistent desire or unsuccessful efforts to cut down or control alcohol use.
• A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
• Craving, or a strong desire or urge to use alcohol.
• Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
• Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
• Tolerance (a need for markedly increased amounts of alcohol to achieve intoxication or desired effect).
• Withdrawal symptoms (such as sweating, rapid pulse, insomnia, anxiety) or alcohol is taken to relieve or avoid withdrawal symptoms.

This condition involves a problematic pattern of opioid use—including prescription pain relievers or other substances—that leads to significant impairment or distress. Our medical team understands the complexities of opioid dependence and provides evidence-based treatment, including medication-assisted options, to support recovery.

Common Symptoms or Things to Look Out For:

• Opioids are often taken in larger amounts or over a longer period than was intended.
• A persistent desire or unsuccessful efforts to cut down or control opioid use.
• A great deal of time is spent in activities necessary to obtain the opioid, use the opioid, or recover from its effects.
• Craving, or a strong desire or urge to use opioids.
• Continued opioid use despite having persistent or recurrent social or interpersonal problems.
• Tolerance, as defined by either a need for markedly increased amounts of opioids to achieve intoxication or desired effect, or a markedly diminished effect with continued use of the same amount of an opioid.
• Withdrawal, as manifested by either the characteristic opioid withdrawal syndrome or opioids are taken to relieve or avoid withdrawal symptoms.

For some individuals, cannabis use can become problematic, leading to a loss of control and negative impacts on daily life, responsibilities, and health. If you feel that your cannabis use is no longer in your control, our providers can help you develop strategies to cut back or quit in a supportive environment.

Common Symptoms or Things to Look Out For:

• Cannabis is often taken in larger amounts or over a longer period than was intended.
• There is a persistent desire or unsuccessful efforts to cut down or control cannabis use.
• A great deal of time is spent in activities necessary to obtain cannabis, use cannabis, or recover from its effects.
• Craving, or a strong desire or urge to use cannabis.
• Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by its effects.
• Tolerance and/or withdrawal symptoms are present.

This condition involves the problematic use of stimulants, such as amphetamines or cocaine, leading to significant impairment. Our clinical team offers comprehensive treatment plans to address the physical and psychological aspects of stimulant dependence and support a path to recovery.

Common Symptoms or Things to Look Out For:

• Stimulants taken in larger amounts or over a longer period than was intended.
• A persistent desire or unsuccessful efforts to cut down or control stimulant use.
• A great deal of time is spent in activities necessary to obtain, use, or recover from the stimulant.
• Craving, or a strong desire or urge to use stimulants.
• Continued stimulant use despite having persistent or recurrent social or interpersonal problems.
• Tolerance and/or withdrawal symptoms are present.

Nicotine is a highly addictive substance, and quitting can be incredibly difficult even with a strong desire to do so. We view tobacco use as a treatable addiction, not a moral failing, and our providers can support you with behavioral strategies and medication options to help you quit successfully.

Common Symptoms or Things to Look Out For:

• Tobacco is often taken in larger amounts or over a longer period than was intended.
• There is a persistent desire or unsuccessful efforts to cut down or control tobacco use.
• A great deal of time is spent in activities necessary to obtain or use tobacco.
• Craving, or a strong desire or urge to use tobacco.
• Continued tobacco use despite having persistent or recurrent physical or psychological problems likely to have been caused or exacerbated by tobacco.
• Tolerance and/or withdrawal symptoms (such as irritability, anxiety, difficulty concentrating, increased appetite) are present.

Gambling Disorder involves persistent and recurrent problematic gambling behavior that leads to significant distress or impairment. It's more than just a habit; it's an impulse-control issue that can have serious consequences. Our therapists can help you understand the triggers and regain control.

Common Symptoms or Things to Look Out For:

• Needs to gamble with increasing amounts of money in order to achieve the desired excitement.
• Is restless or irritable when attempting to cut down or stop gambling.
• Has made repeated unsuccessful efforts to control, cut back, or stop gambling.
• Is often preoccupied with gambling.
• Often gambles when feeling distressed (e.g., helpless, guilty, anxious, depressed).
• After losing money gambling, often returns another day to get even ("chasing" one's losses).
• Lies to conceal the extent of involvement with gambling.
• Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
• Relies on others to provide money to relieve desperate financial situations caused by gambling.

While gaming is a common hobby, it can become problematic when it leads to significant impairment or distress in a person's life. Internet Gaming Disorder is characterized by a loss of control over gaming, where it takes priority over other life interests and activities despite negative consequences. We can help individuals and families find a healthier balance.

Common Symptoms or Things to Look Out For:

• Preoccupation with internet games.
• Withdrawal symptoms when internet gaming is taken away.
• Tolerance—the need to spend increasing amounts of time engaged in internet games.
• Unsuccessful attempts to control participation in internet games.
• Loss of interest in previous hobbies and entertainment as a result of, and with the exception of, internet games.
• Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of participation in internet games.

While not yet a formal diagnosis, problematic social media use is a growing concern. It can be characterized by a compulsion to check and engage with social media that negatively impacts mood, self-esteem, and real-world relationships. Our therapists can help you explore these patterns and develop a healthier relationship with technology.

Common Symptoms or Things to Look Out For:

• Excessive time spent on social media platforms that interferes with daily responsibilities.
• Withdrawal symptoms like anxiety or irritability when unable to access social media.
• Using social media to escape from or modify negative moods.
• Continued excessive use despite negative consequences on relationships or well-being.
• Negative self-evaluation and mood resulting from social comparison.

Anorexia Nervosa is a serious eating disorder characterized by an intense fear of gaining weight and a distorted body image, leading to a significant restriction of food intake and dangerously low body weight. It is not a lifestyle choice but a complex medical condition that requires compassionate, specialized care. Our multidisciplinary team is here to provide that support.

Common Symptoms or Things to Look Out For:

• Restriction of energy intake leading to significantly low body weight.
• Intense fear of gaining weight or becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.
• Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.
• Subtypes: Restricting type (weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise) and Binge-eating/purging type.
• Physical signs can include: amenorrhea (loss of menstrual period), lanugo (fine, soft hair), bradycardia (slow heart rate), hypotension (low blood pressure), and hypothermia.

Bulimia Nervosa involves a distressing cycle of binge eating—consuming a large amount of food while feeling a lack of control—followed by compensatory behaviors to prevent weight gain, such as self-induced vomiting, misuse of laxatives, or excessive exercise. Our providers help patients break this cycle and develop a healthier relationship with food and their body.

Common Symptoms or Things to Look Out For:

• Recurrent episodes of binge eating (eating a large amount of food in a discrete period with a sense of lack of control).
• Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
• The binge eating and compensatory behaviors both occur, on average, at least once a week for 3 months.
• Self-evaluation is unduly influenced by body shape and weight.
• Physical signs can include: dental erosion, parotid gland enlargement (swollen cheeks), and calluses on knuckles from self-induced vomiting.

Binge-Eating Disorder is characterized by recurrent episodes of eating large quantities of food, often very quickly and to the point of discomfort, while feeling a loss of control. Unlike Bulimia, these episodes are not followed by compensatory behaviors, but they are associated with significant distress. We offer support to help understand the triggers for bingeing and develop healthier coping mechanisms.

Common Symptoms or Things to Look Out For:

• Recurrent episodes of binge eating with a sense of lack of control.
• Binge-eating episodes are associated with three (or more) of the following: eating much more rapidly than normal; eating until feeling uncomfortably full; eating large amounts of food when not feeling physically hungry; eating alone because of feeling embarrassed by how much one is eating; feeling disgusted with oneself, depressed, or very guilty afterward.
• Marked distress regarding binge eating is present.
• The binge eating occurs, on average, at least once a week for 3 months.
• Is not associated with the recurrent use of inappropriate compensatory behavior as in bulimia nervosa.

ARFID is an eating disturbance that involves a persistent failure to meet appropriate nutritional needs. Unlike anorexia, it is not driven by a fear of gaining weight, but rather by a lack of interest in eating, avoidance based on the sensory characteristics of food (texture, smell, etc.), or a concern about aversive consequences of eating (like choking or vomiting). Our team can help address the underlying factors and support nutritional rehabilitation.

Common Symptoms or Things to Look Out For:

• An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs.
• Associated with one (or more) of the following: significant weight loss, significant nutritional deficiency, dependence on enteral feeding or oral nutritional supplements, or marked interference with psychosocial functioning.

This condition is characterized by recurrent episodes of night eating, either by eating after awakening from sleep or by excessive food consumption after the evening meal. It is often associated with morning anorexia and a belief that one must eat in order to fall asleep. Our providers can help address the sleep and mood components often linked to this syndrome.

Common Symptoms or Things to Look Out For:

• Significant evening hyperphagia (consuming 25% or more of daily calories after the evening meal).
• Awakenings from sleep with the urge to eat.
• Awareness and recall of night eating episodes.
• Morning anorexia (lack of appetite for breakfast).
• The pattern occurs for at least 3 months and causes significant distress.

While not yet a formal diagnosis in the DSM-5, Orthorexia is a term for an obsession with "healthy" or "pure" eating that begins to cause significant distress or impairment. A desire to eat well becomes a rigid, all-consuming fixation that can ironically lead to nutritional problems and social isolation. We can help you find a more flexible and truly healthy relationship with food.

Common Symptoms or Things to Look Out For:

• Excessive preoccupation with eating "healthy" foods.
• Rigid avoidance of foods believed to be "unhealthy" or "impure."
• Emotional distress when self-imposed dietary rules are broken.
• Progressive elimination of entire food groups.
• Self-esteem becomes overly reliant on adherence to the diet.
• Social isolation due to dietary restrictions.

Pica involves the persistent eating of non-nutritive, non-food substances (like soil, paper, or paint chips) for at least one month. This behavior is inappropriate for the individual's developmental level and is not part of a culturally supported practice. Our medical team can assess for underlying causes and provide support.

Common Symptoms or Things to Look Out For:

• Persistent eating of non-nutritive, non-food substances.
• The eating behavior is inappropriate to the developmental level of the individual.
• The behavior is not part of a culturally supported or socially normative practice.
• Can lead to significant medical complications.

Rumination Disorder is the repeated regurgitation of food for at least one month. The regurgitated food may be re-chewed, re-swallowed, or spit out. This behavior is not due to a gastrointestinal or other medical condition and requires clinical attention to address.

Common Symptoms or Things to Look Out For:

• Repeated regurgitation of food after eating.
• Food may be re-chewed, re-swallowed, or spit out.
• Not due to an associated gastrointestinal or other medical condition.
• Does not occur exclusively during the course of another eating disorder.
• Can lead to malnutrition or weight loss.

Enuresis, commonly known as bed-wetting, is the repeated voiding of urine into bed or clothes after the age when bladder control is expected (typically age 5). It's important for parents to know that this is a common developmental issue, not a behavioral choice, and it can cause significant stress for a child. Our team offers supportive behavioral strategies to help children and families manage this condition.

Common Symptoms or Things to Look Out For:

• Repeated voiding of urine into bed or clothes, whether involuntary or intentional.
• The behavior occurs at least twice a week for at least 3 consecutive months or causes clinically significant distress.
• Chronological age is at least 5 years (or equivalent developmental level).
• Not attributable to the physiological effects of a substance (e.g., a diuretic) or another medical condition (e.g., diabetes, spina bifida, a seizure disorder).
• Types: Nocturnal only (during sleep), Diurnal only (during waking hours), or both.

Encopresis is the repeated passage of feces into inappropriate places, such as clothing or on the floor, after the age when bowel control is expected (typically age 4). This is often involuntary and can be related to chronic constipation. It can be a source of shame for a child and stress for a family, and we provide compassionate medical and behavioral support to address it.

Common Symptoms or Things to Look Out For:

• Repeated passage of feces into inappropriate places (e.g., clothing, floor), whether involuntary or intentional.
• At least one such event occurs each month for at least 3 months.
• Chronological age is at least 4 years (or equivalent developmental level).
• The behavior is not attributable to the physiological effects of a substance (e.g., laxatives) or another medical condition except through a mechanism involving constipation.
• May be associated with constipation and overflow incontinence, or it may occur without constipation.

Functional constipation refers to difficult, infrequent, or incomplete defecation where no underlying medical illness can be identified. Psychological factors, such as stress or a history of painful bowel movements, can often contribute to this condition. Our team can help address the behavioral and psychological components in coordination with your primary care provider or a gastroenterologist.

Common Symptoms or Things to Look Out For:

• Straining during defecation.
• Lumpy or hard stools.
• Sensation of incomplete evacuation.
• Sensation of anorectal obstruction/blockage.
• Manual maneuvers needed to facilitate defecation (e.g., digital evacuation, support of the pelvic floor).
• Fewer than three spontaneous bowel movements per week.
• Symptoms cause significant distress or impairment.

Insomnia is the frustrating experience of not being able to fall asleep, stay asleep, or getting non-restorative sleep, even when you have the chance. It can feel like your mind won't turn off at night, leading to exhaustion and difficulty functioning the next day. Our providers can help you address the underlying causes and develop effective strategies for better sleep.

Common Symptoms or Things to Look Out For:

• Difficulty initiating or maintaining sleep, or early-morning awakening with inability to return to sleep.
• The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning.
• The sleep difficulty occurs at least 3 nights per week and is present for at least 3 months.
• The sleep difficulty occurs despite adequate opportunity for sleep.
• Daytime consequences include fatigue, attention/concentration problems, and mood disturbance.

This condition is more than just being tired; it's a state of excessive sleepiness even after getting a full night's sleep (7 hours or more). You might struggle with "sleep inertia," a feeling of grogginess and confusion upon waking that is difficult to shake. We can help investigate the causes and manage the significant impact this can have on your daily life.

Common Symptoms or Things to Look Out For:

• Excessive daytime sleepiness despite a main sleep period of at least 7 hours.
• Prolonged main sleep episodes (more than 9 hours per day) that are non-restorative.
• Difficulty being fully awake after abrupt awakening (sleep inertia).
• Symptoms occur at least 3 times per week for at least 3 months.
• The hypersomnolence causes significant distress or impairment in functioning.

Narcolepsy is a neurological condition characterized by recurrent, overwhelming urges to sleep or actual "sleep attacks" during the day. In some forms, it can also involve cataplexy—a sudden loss of muscle tone triggered by strong emotion. Our medical team can provide diagnosis and ongoing management for this complex condition.

Common Symptoms or Things to Look Out For:

• Recurrent periods of an overwhelming need to sleep, lapsing into sleep, or napping within the same day.
• Cataplexy (in some types): sudden, brief loss of muscle tone, often triggered by emotions like laughter or surprise.
• Sleep paralysis: a temporary inability to move or speak while falling asleep or upon waking.
• Hypnagogic/hypnopompic hallucinations: vivid and sometimes frightening dream-like experiences at the beginning or end of sleep.
• Disrupted nighttime sleep.

These disorders involve a disruption of sleep due to abnormal breathing, most commonly Sleep Apnea. While a sleep study with a medical specialist is often required for diagnosis, the resulting fatigue, daytime sleepiness, and mood changes are significant behavioral health concerns. Our team can work collaboratively with your other doctors to help you manage the mental health impacts of these conditions.

Common Symptoms or Things to Look Out For:

• Obstructive Sleep Apnea: Snoring, witnessed pauses in breathing, or gasping during sleep; daytime sleepiness or fatigue.
• Central Sleep Apnea: Episodes of breathing cessation during sleep without respiratory effort, often leading to frequent awakenings.
• Sleep-Related Hypoventilation: Decreased respiration during sleep leading to elevated carbon dioxide levels and low blood oxygen.

This group of disorders involves a persistent misalignment between your internal body clock (circadian rhythm) and the sleep-wake schedule required by your environment. It can feel like you're permanently jet-lagged. Whether you're a "night owl" forced into an early-bird world (Delayed Sleep Phase) or dealing with the impact of shift work, we can help you develop strategies to cope.

Common Symptoms or Things to Look Out For:

• A persistent or recurrent pattern of sleep disruption that is primarily due to an alteration of the circadian system.
• The sleep disruption leads to excessive sleepiness, insomnia, or both.
• The sleep disturbance causes clinically significant distress or impairment.
• Types include: Delayed Sleep Phase Type, Advanced Sleep Phase Type, Irregular Sleep-Wake Type, and Shift Work Type.

Parasomnias are a group of sleep disorders that involve undesirable physical events or experiences that occur while you are falling asleep, sleeping, or waking up. These can include sleepwalking, sleep terrors, and nightmare disorder. These events can be distressing for both the individual and their family, and our team can help diagnose and manage them.

Common Symptoms or Things to Look Out For:

• Non-REM Sleep Arousal Disorders: Recurrent episodes of incomplete awakening from sleep, usually during the first third of the sleep period, accompanied by either sleepwalking or sleep terrors.
• Nightmare Disorder: Repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that usually involve efforts to avoid threats to survival, security, or physical integrity.
• REM Sleep Behavior Disorder: Repeated episodes of arousal during sleep associated with vocalization and/or complex motor behaviors that may be dream-enacting.

This condition involves a persistent or recurrent delay in, or absence of, ejaculation during sexual activity. We understand this can cause significant distress for both individuals and their partners, and our providers offer a confidential space to explore and address these concerns.

Common Symptoms or Things to Look Out For:

• Marked delay in ejaculation or infrequency/absence of ejaculation during partnered sexual activity.
• The symptoms have persisted for a minimum duration of approximately 6 months.
• The symptoms cause clinically significant distress in the individual.

Erectile Disorder is the persistent or recurrent inability to achieve or maintain an erection sufficient for satisfying sexual activity. It is a common medical condition that can be influenced by both psychological and physical factors. Our team provides discreet and effective treatment to address this concern.

Common Symptoms or Things to Look Out For:

• Marked difficulty in obtaining an erection during sexual activity.
• Marked difficulty in maintaining an erection until the completion of sexual activity.
• Marked decrease in erectile rigidity.
• The symptoms have persisted for a minimum duration of approximately 6 months and cause clinically significant distress.

This condition is characterized by a persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase. It's important to know that this is a valid health concern, and you are not alone in experiencing it. Our providers offer a safe and validating environment to explore treatment options.

Common Symptoms or Things to Look Out For:

• Marked delay, infrequency, or absence of orgasm.
• Markedly reduced intensity of orgasmic sensations.
• The symptoms have persisted for a minimum duration of approximately 6 months and cause clinically significant distress.

This involves a persistent lack of, or significantly reduced, sexual interest and arousal, which causes personal distress. This can manifest as a lack of sexual thoughts or fantasies and reduced desire to initiate sexual activity. Our compassionate team can help you explore the underlying factors and work toward improving your sexual well-being.

Common Symptoms or Things to Look Out For:

• Absent/reduced interest in sexual activity.
• Absent/reduced sexual/erotic thoughts or fantasies.
• Reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.
• Absent/reduced sexual excitement/pleasure during sexual activity.
• Absent/reduced responsive desire.
• Absent/reduced genital or nongenital sensations during sexual activity.

This condition involves persistent or recurrent difficulties with vaginal penetration during intercourse, marked pain during penetration, or intense fear or anxiety about such pain. We approach this sensitive issue with the utmost care, coordinating with other medical specialists when necessary to provide comprehensive support.

Common Symptoms or Things to Look Out For:

• Persistent or recurrent difficulties with vaginal penetration during intercourse.
• Marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts.
• Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration.
• Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration.

This is characterized by persistently or recurrently deficient (or absent) sexual or erotic thoughts or fantasies and desire for sexual activity, which causes significant personal distress. Our providers can help you explore the psychological and relational factors that may be contributing to this condition in a confidential setting.

Common Symptoms or Things to Look Out For:

• Persistently or recurrently deficient/absent sexual/erotic thoughts or fantasies and desire for sexual activity.
• The symptoms have persisted for a minimum duration of approximately 6 months.
• The symptoms cause clinically significant distress in the individual.

This involves a persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately one minute following vaginal penetration and before the individual wishes it. This common and treatable condition can cause significant distress, and our providers can help with both behavioral strategies and medical options.

Common Symptoms or Things to Look Out For:

• A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it.
• The symptoms must be present for at least 6 months and be experienced on almost all or all occasions of sexual activity.
• The symptoms cause clinically significant distress in the individual.

Gender Dysphoria refers to the clinically significant distress a person may feel due to a marked incongruence between their experienced or expressed gender and the gender they were assigned at birth. Our approach is not to treat the identity, but to alleviate the distress. Televero Health is committed to providing a safe, respectful, and affirming space for transgender and gender non-conforming individuals to explore their identity and receive supportive care.

Common Symptoms or Things to Look Out For:

• A marked incongruence between one’s experienced/expressed gender and assigned gender, of at least 6 months’ duration.
• A strong desire to be of the other gender or an alternative gender different from one’s assigned gender.
• A strong desire to be treated as the other gender or an alternative gender.
• A strong conviction that one has the typical feelings and reactions of the other gender or an alternative gender.
• The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.

It can be incredibly challenging for a family when a child's behavior includes a persistent pattern of anger, irritability, arguing, and defiance toward authority figures. This goes beyond typical childhood stubbornness and can disrupt family life and school performance. Our providers work with children and their parents to develop strategies that improve communication and reduce conflict.

Common Symptoms or Things to Look Out For:

• A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months, exhibited with at least one individual who is not a sibling.
• Angry/Irritable Mood: Often loses temper; is often touchy or easily annoyed; is often angry and resentful.
• Argumentative/Defiant Behavior: Often argues with authority figures; often actively defies or refuses to comply with requests or rules; often deliberately annoys others; often blames others for their mistakes or misbehavior.
• Vindictiveness: Has been spiteful or vindictive at least twice within the past 6 months.

IED is characterized by recurrent behavioral outbursts representing a failure to control aggressive impulses. These outbursts can be verbal (tantrums, arguments) or physical and are grossly out of proportion to the provocation. Individuals often feel a sense of relief during the outburst followed by remorse or regret. Our team can help develop skills for managing these powerful impulses.

Common Symptoms or Things to Look Out For:

• Recurrent behavioral outbursts representing a failure to control aggressive impulses.
• Verbal aggression (e.g., temper tantrums, tirades, verbal arguments) or physical aggression toward property, animals, or other individuals, occurring twice weekly, on average, for a period of 3 months.
• Three behavioral outbursts involving damage or destruction of property and/or physical assault involving physical injury against animals or other individuals occurring within a 12-month period.
• The magnitude of aggressiveness expressed during the recurrent outbursts is grossly out of proportion to the provocation or to any precipitating psychosocial stressors.
• The recurrent aggressive outbursts are not premeditated and are not committed to achieve some tangible objective.

Conduct Disorder in children and adolescents involves a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated. This pattern of behavior is more severe than typical misbehavior. We provide structured therapeutic interventions to address these challenging behaviors.

Common Symptoms or Things to Look Out For:

• Aggression to People and Animals: Often bullies, threatens, or intimidates others; often initiates physical fights; has used a weapon that can cause serious physical harm; has been physically cruel to people or animals.
• Destruction of Property: Has deliberately engaged in fire setting with the intention of causing serious damage; has deliberately destroyed others' property.
• Deceitfulness or Theft: Has broken into someone else's house, building, or car; often lies to obtain goods or favors or to avoid obligations; has stolen items of nontrivial value.
• Serious Violations of Rules: Often stays out at night despite parental prohibitions; has run away from home overnight at least twice; is often truant from school.

Pyromania is an impulse-control disorder characterized by the deliberate setting of fires to relieve tension or achieve gratification. It is distinct from arson for monetary gain or other reasons and is rooted in a fascination with fire. This is a serious condition that requires specialized clinical attention.

Common Symptoms or Things to Look Out For:

• Deliberate and purposeful fire setting on more than one occasion.
• Tension or affective arousal before the act.
• Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts.
• Pleasure, gratification, or relief when setting fires or when witnessing or participating in their aftermath.
• The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one's living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment.

Kleptomania is the recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. The act of stealing is preceded by a feeling of tension and followed by a sense of pleasure or relief. Our providers can help address the underlying impulse-control issues.

Common Symptoms or Things to Look Out For:

• Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value.
• Increasing sense of tension immediately before committing the theft.
• Pleasure, gratification, or relief at the time of committing the theft.
• The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination.
• The items are often given away, discarded, returned, or hoarded.

Borderline Personality Disorder is a condition characterized by a pervasive pattern of instability in interpersonal relationships, self-image, and emotions, along with marked impulsivity. Life can feel like an intense emotional storm, making it difficult to maintain a stable sense of self and connection with others. Specialized therapies like Dialectical Behavior Therapy (DBT) can be very effective, and our providers are here to offer skilled, compassionate support.

Common Symptoms or Things to Look Out For:

• Frantic efforts to avoid real or imagined abandonment.
• A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
• Identity disturbance: markedly and persistently unstable self-image or sense of self.
• Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).
• Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
• Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours).
• Chronic feelings of emptiness.
• Inappropriate, intense anger or difficulty controlling anger.
• Transient, stress-related paranoid ideation or severe dissociative symptoms.

This condition is characterized by a pervasive pattern of disregard for and violation of the rights of others that begins in childhood or early adolescence and continues into adulthood. It is a complex condition that requires specialized therapeutic approaches, which our clinical team is equipped to provide.

Common Symptoms or Things to Look Out For:

• Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.
• Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure.
• Impulsivity or failure to plan ahead.
• Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
• Reckless disregard for safety of self or others.
• Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations.
• Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

Avoidant Personality Disorder involves a pervasive pattern of social inhibition, feelings of inadequacy, and an extreme sensitivity to negative evaluation. This is more than shyness; it is a deep-seated fear of rejection that can lead to avoiding work, school, and social activities that involve significant interpersonal contact. We provide a safe therapeutic space to build self-esteem and confidence in social situations.

Common Symptoms or Things to Look Out For:

• Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval, or rejection.
• Is unwilling to get involved with people unless certain of being liked.
• Shows restraint within intimate relationships because of the fear of being shamed or ridiculed.
• Is preoccupied with being criticized or rejected in social situations.
• Is inhibited in new interpersonal situations because of feelings of inadequacy.
• Views self as socially inept, personally unappealing, or inferior to others.
• Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.

This condition is characterized by a pervasive and excessive need to be taken care of, which leads to submissive and clinging behaviors and fears of separation. This can make it difficult to make decisions or act independently. Our therapeutic approach focuses on fostering self-confidence and empowering individuals to build greater autonomy.

Common Symptoms or Things to Look Out For:

• Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others.
• Needs others to assume responsibility for most major areas of his or her life.
• Has difficulty expressing disagreement with others because of fear of loss of support or approval.
• Has difficulty initiating projects or doing things on his or her own (because of a lack of self-confidence).
• Goes to excessive lengths to obtain nurturance and support from others.
• Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself or herself.
• Urgently seeks another relationship as a source of care and support when a close relationship ends.
• Is unrealistically preoccupied with fears of being left to take care of himself or herself.

It's important to distinguish OCPD from OCD. While OCD involves unwanted obsessions and compulsions, OCPD is a pervasive pattern of preoccupation with orderliness, perfectionism, and control, at the expense of flexibility and efficiency. These traits are ingrained in one's personality. We can help individuals find more flexibility and reduce the distress that this rigid pattern can cause.

Common Symptoms or Things to Look Out For:

• Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost.
• Shows perfectionism that interferes with task completion.
• Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships.
• Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values.
• Is unable to discard worn-out or worthless objects even when they have no sentimental value.
• Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things.
• Adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes.
• Shows rigidity and stubbornness.

This condition involves a pervasive pattern of grandiosity (in fantasy or behavior), a constant need for admiration, and a lack of empathy. Our clinical team approaches this complex condition with structured, evidence-based therapies designed to increase insight and improve interpersonal functioning.

Common Symptoms or Things to Look Out For:

• Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents).
• Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
• Believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people.
• Requires excessive admiration.
• Has a sense of entitlement.
• Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own ends).
• Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
• Is often envious of others or believes that others are envious of him or her.
• Shows arrogant, haughty behaviors or attitudes.

Schizophrenia is a serious mental illness that affects how a person thinks, feels, and behaves. It is characterized by thoughts or experiences that are out of touch with reality (psychosis), disorganized speech or behavior, and decreased participation in daily activities. With consistent, comprehensive treatment including medication and therapy, management and recovery are possible.

Common Symptoms or Things to Look Out For:

• Two or more of the following for a significant portion of a one-month period: Delusions, Hallucinations, Disorganized speech, Grossly disorganized or catatonic behavior, or Negative symptoms (e.g., diminished emotional expression).
• Significant functional impairment in work, interpersonal relations, or self-care.
• Continuous signs of the disturbance persist for at least 6 months.
• Often includes cognitive impairment in attention, working memory, and executive function.

Schizoaffective disorder is a chronic mental health condition characterized primarily by symptoms of schizophrenia, such as hallucinations or delusions, and symptoms of a mood disorder, such as mania or depression. This requires a careful and integrated treatment approach, which our medical team is experienced in providing.

Common Symptoms or Things to Look Out For:

• An uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with the primary symptoms of schizophrenia.
• Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode during the lifetime duration of the illness.
• Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness.

This is a type of psychotic disorder where a person holds one or more firmly-held false beliefs (delusions) for at least one month. Outside of the impact of the delusion(s), functioning is not markedly impaired and behavior is not obviously bizarre or odd. Treatment focuses on managing the delusions and any related distress.

Common Symptoms or Things to Look Out For:

• The presence of one or more delusions with a duration of 1 month or longer.
• Criterion A for schizophrenia has never been met (e.g., no significant hallucinations, disorganized speech, or negative symptoms).
• Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired, and behavior is not obviously bizarre or odd.
• Subtypes include: Erotomanic, Grandiose, Jealous, Persecutory, and Somatic.

This condition involves a sudden, short-term episode of psychotic behavior, such as delusions or hallucinations. By definition, the episode lasts at least one day but less than one month, with an eventual full return to the previous level of functioning. It is often a response to a very stressful event.

Common Symptoms or Things to Look Out For:

• Presence of one or more of the following symptoms: Delusions, Hallucinations, Disorganized speech, Grossly disorganized or catatonic behavior.
• Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.
• Can occur with or without marked stressors, or with postpartum onset.

Schizophreniform disorder includes symptoms identical to schizophrenia but is differentiated by its duration. An episode of the disorder lasts at least one month but less than six months. If symptoms persist beyond six months, the diagnosis is often changed to schizophrenia. Early and effective treatment is key.

Common Symptoms or Things to Look Out For:

• Two or more of the following, each present for a significant portion of time during a 1-month period: Delusions, Hallucinations, Disorganized speech, Grossly disorganized or catatonic behavior, Negative symptoms.
• An episode of the disorder lasts at least 1 month but less than 6 months.

While classified as a personality disorder, Schizotypal Personality Disorder is considered part of the schizophrenia spectrum. It involves a pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships, as well as by cognitive or perceptual distortions and eccentricities of behavior, but without overt psychosis.

Common Symptoms or Things to Look Out For:

• Ideas of reference (incorrect interpretations of casual incidents).
• Odd beliefs or magical thinking that influences behavior.
• Unusual perceptual experiences, including bodily illusions.
• Odd thinking and speech (e.g., vague, circumstantial, metaphorical).
• Suspiciousness or paranoid ideation.
• Inappropriate or constricted affect.
• Behavior or appearance that is odd, eccentric, or peculiar.
• Lack of close friends or confidants other than first-degree relatives.
• Excessive social anxiety that does not diminish with familiarity.

Major Neurocognitive Disorder, commonly known as Dementia, involves a significant decline in one or more cognitive areas (like memory, attention, or language) from a previous level of performance. This decline is severe enough to interfere with a person's independence in everyday activities. Our team provides support for patients and their families navigating this challenging condition.

Common Symptoms or Things to Look Out For:

• Evidence of significant cognitive decline from a previous level in one or more cognitive domains.
• The cognitive deficits interfere with independence in everyday activities (e.g., at a minimum, requiring assistance with complex instrumental activities of daily living, such as paying bills or managing medications).
• The cognitive deficits do not occur exclusively in the context of a delirium.

Mild Neurocognitive Disorder is characterized by a modest, noticeable cognitive decline from a previous level of functioning. Unlike Major Neurocognitive Disorder, this decline does not yet interfere with a person's capacity for independence in everyday activities, though tasks may take more effort or require compensatory strategies. Early assessment and intervention can be key.

Common Symptoms or Things to Look Out For:

• Evidence of modest cognitive decline from a previous level in one or more cognitive domains.
• The cognitive deficits do not interfere with capacity for independence in everyday activities (e.g., complex instrumental activities of daily living such as paying bills or managing medications are preserved, but greater effort, compensatory strategies, or accommodation may be required).

Alzheimer's Disease is the most common cause of dementia, involving a gradual and progressive decline in memory, thinking, and reasoning skills. We provide care and support for individuals with Alzheimer's and their families, focusing on managing symptoms and maximizing quality of life.

Common Symptoms or Things to Look Out For:

• Insidious onset and gradual progression of impairment in one or more cognitive domains.
• Memory impairment is typically the earliest and most prominent symptom.
• Progressive decline in language function, visuospatial skills, and executive function.
• Personality and behavioral changes may include apathy, depression, anxiety, agitation, and wandering.
• Decline in activities of daily living.

This type of cognitive impairment is caused by cerebrovascular disease, such as one or more strokes, which disrupt blood flow to the brain. The onset can be more abrupt than Alzheimer's and the decline often occurs in a "stepwise" fashion, with periods of stability followed by sudden drops in function. Coordinated medical and behavioral care is essential.

Common Symptoms or Things to Look Out For:

• Cognitive deficits are temporally related to one or more cerebrovascular events.
• Evidence of cerebrovascular disease from history, physical examination, and/or neuroimaging.
• Often presents with slowed processing speed, impaired executive function, and attention deficits.
• May follow a stepwise deterioration pattern.

Dementia with Lewy bodies is a progressive neurocognitive disorder characterized by specific core features, including fluctuating cognition, recurrent and well-formed visual hallucinations, and parkinsonian motor symptoms (like tremors and rigidity). Managing this condition requires specialized psychiatric expertise.

Common Symptoms or Things to Look Out For:

• Fluctuating cognition with pronounced variations in attention and alertness.
• Recurrent visual hallucinations that are typically well-formed and detailed.
• Spontaneous features of parkinsonism.
• Suggestive features include REM sleep behavior disorder and severe sensitivity to antipsychotic medications.

A traumatic brain injury can lead to persistent cognitive deficits that impact memory, attention, executive function, and personality. Our team can help manage the behavioral and emotional consequences of a TBI as part of a comprehensive recovery plan.

Common Symptoms or Things to Look Out For:

• Evidence of a traumatic brain injury with loss of consciousness, posttraumatic amnesia, disorientation, and/or neurological signs (e.g., seizures).
• The neurocognitive disorder presents immediately after the TBI or after regaining consciousness and persists past the acute post-injury period.
• Commonly affects attention, executive function, learning, and memory.

The use of certain substances or medications can cause cognitive impairment that persists even after the period of intoxication or withdrawal has ended. Our team can help assess the impact of substance use on cognitive functioning and support recovery.

Common Symptoms or Things to Look Out For:

• The cognitive deficits are temporally related to the use of a substance.
• The impairment persists beyond the usual duration of intoxication and acute withdrawal.
• Commonly associated with prolonged use of alcohol, sedatives, or hypnotics.

It is crucial to distinguish Delirium from Dementia. Delirium is an acute and fluctuating disturbance in attention, awareness, and cognition that develops over a short period (hours to days). It is a direct physiological consequence of another medical condition, substance intoxication or withdrawal, or medication effect, and it requires immediate medical attention.

Common Symptoms or Things to Look Out For:

• A disturbance in attention and awareness.
• The disturbance develops over a short period of time, represents a change from baseline, and tends to fluctuate in severity during the course of a day.
• An additional disturbance in cognition (e.g., memory deficit, disorientation, language, visuospatial ability, or perception).
• Evidence from the history, physical examination, or laboratory findings that the disturbance is a direct physiological consequence of another medical condition, substance intoxication or withdrawal, or exposure to a toxin.

This condition involves one or more physical (somatic) symptoms that are very distressing or result in significant disruption of daily life. While the physical symptoms are real, the core issue is the excessive and disproportionate thoughts, feelings, and behaviors regarding those symptoms. Our team can help you manage both the physical distress and the related anxiety.

Common Symptoms or Things to Look Out For:

• One or more somatic symptoms that are distressing or result in significant disruption of daily life.
• Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of the following:
  • Disproportionate and persistent thoughts about the seriousness of one’s symptoms.
  • Persistently high level of anxiety about health or symptoms.
  • Excessive time and energy devoted to these symptoms or health concerns.

Formerly known as hypochondriasis, this disorder is characterized by a preoccupation with having or acquiring a serious illness. Individuals with this condition have no or very mild somatic symptoms, but experience high anxiety about their health and are easily alarmed by their health status. We provide support to help manage this health-related anxiety.

Common Symptoms or Things to Look Out For:

• Preoccupation with having or acquiring a serious illness.
• Somatic symptoms are not present or, if present, are only mild in intensity.
• There is a high level of anxiety about health, and the individual is easily alarmed about personal health status.
• The individual performs excessive health-related behaviors (e.g., repeatedly checks his or her body for signs of illness) or exhibits maladaptive avoidance (e.g., avoids doctor appointments and hospitals).

Conversion Disorder involves experiencing one or more symptoms of altered voluntary motor or sensory function—such as paralysis, weakness, or non-epileptic seizures—where clinical findings show an incompatibility between the symptom and recognized neurological or medical conditions. This is a complex mind-body condition that requires specialized clinical care.

Common Symptoms or Things to Look Out For:

• One or more symptoms of altered voluntary motor or sensory function.
• Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.
• The symptom or deficit is not better explained by another medical or mental disorder.
• The symptom or deficit causes clinically significant distress or impairment.

This diagnosis applies when psychological or behavioral factors adversely affect a pre-existing medical condition, for example, by interfering with treatment or constituting a health risk. For instance, severe anxiety might exacerbate asthma. Our approach involves coordinating with your other medical providers to provide integrated, holistic care.

Common Symptoms or Things to Look Out For:

• A medical symptom or condition (other than a mental disorder) is present.
• Psychological or behavioral factors adversely affect the medical condition in one of the following ways:
  • The factors have influenced the course of the medical condition.
  • The factors interfere with the treatment of the medical condition.
  • The factors constitute additional well-established health risks for the individual.
  • The factors influence the underlying pathophysiology, precipitating or exacerbating symptoms or necessitating medical attention.

Factitious Disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick, or by self-injury. A key feature is the absence of obvious external rewards (like financial gain). The behavior is also present even when no one is observing. This condition requires careful and compassionate clinical intervention.

Common Symptoms or Things to Look Out For:

• Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.
• The individual presents himself or herself to others as ill, impaired, or injured.
• The deceptive behavior is evident even in the absence of obvious external incentives.
• The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
• Can also be "Imposed on Another," where an individual falsifies illness in another person (child, adult, or pet).

This condition involves one or more physical (somatic) symptoms that are very distressing or result in significant disruption of daily life. While the physical symptoms are real, the core issue is the excessive and disproportionate thoughts, feelings, and behaviors regarding those symptoms. Our team can help you manage both the physical distress and the related anxiety.

Common Symptoms or Things to Look Out For:

• One or more somatic symptoms that are distressing or result in significant disruption of daily life.
• Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of the following:
  • Disproportionate and persistent thoughts about the seriousness of one’s symptoms.
  • Persistently high level of anxiety about health or symptoms.
  • Excessive time and energy devoted to these symptoms or health concerns.

Formerly known as hypochondriasis, this disorder is characterized by a preoccupation with having or acquiring a serious illness. Individuals with this condition have no or very mild somatic symptoms, but experience high anxiety about their health and are easily alarmed by their health status. We provide support to help manage this health-related anxiety.

Common Symptoms or Things to Look Out For:

• Preoccupation with having or acquiring a serious illness.
• Somatic symptoms are not present or, if present, are only mild in intensity.
• There is a high level of anxiety about health, and the individual is easily alarmed about personal health status.
• The individual performs excessive health-related behaviors (e.g., repeatedly checks his or her body for signs of illness) or exhibits maladaptive avoidance (e.g., avoids doctor appointments and hospitals).

Conversion Disorder involves experiencing one or more symptoms of altered voluntary motor or sensory function—such as paralysis, weakness, or non-epileptic seizures—where clinical findings show an incompatibility between the symptom and recognized neurological or medical conditions. This is a complex mind-body condition that requires specialized clinical care.

Common Symptoms or Things to Look Out For:

• One or more symptoms of altered voluntary motor or sensory function.
• Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions.
• The symptom or deficit is not better explained by another medical or mental disorder.
• The symptom or deficit causes clinically significant distress or impairment.

This diagnosis applies when psychological or behavioral factors adversely affect a pre-existing medical condition, for example, by interfering with treatment or constituting a health risk. For instance, severe anxiety might exacerbate asthma. Our approach involves coordinating with your other medical providers to provide integrated, holistic care.

Common Symptoms or Things to Look Out For:

• A medical symptom or condition (other than a mental disorder) is present.
• Psychological or behavioral factors adversely affect the medical condition in one of the following ways:
  • The factors have influenced the course of the medical condition.
  • The factors interfere with the treatment of the medical condition.
  • The factors constitute additional well-established health risks for the individual.
  • The factors influence the underlying pathophysiology, precipitating or exacerbating symptoms or necessitating medical attention.

Factitious Disorder is a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick, or by self-injury. A key feature is the absence of obvious external rewards (like financial gain). The behavior is also present even when no one is observing. This condition requires careful and compassionate clinical intervention.

Common Symptoms or Things to Look Out For:

• Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception.
• The individual presents himself or herself to others as ill, impaired, or injured.
• The deceptive behavior is evident even in the absence of obvious external incentives.
• The behavior is not better explained by another mental disorder, such as delusional disorder or another psychotic disorder.
• Can also be "Imposed on Another," where an individual falsifies illness in another person (child, adult, or pet).

All relationships have challenges, but sometimes conflict, dissatisfaction, or a sense of disconnection can become persistent and overwhelming. Whether with a partner, family member, or friend, relationship distress can significantly impact your well-being. Our therapists can help you improve communication, navigate conflict, and foster healthier connections.

Common Symptoms or Things to Look Out For:

• Persistent relationship conflict
• Communication difficulties
• Trust issues
• Maladaptive relationship patterns
• Emotional dysregulation in relationships

Challenges in the parent-child relationship can be a source of significant stress for the entire family. These issues can range from communication breakdowns and boundary-setting difficulties to more significant conflict. We provide a supportive space for parents and/or children to address these dynamics and work toward a more positive and secure relationship.

Common Symptoms or Things to Look Out For:

• Parenting challenges
• Difficulty forming or maintaining secure attachments
• Problems with boundary setting
• High levels of conflict or communication breakdown

When communication and interaction patterns within a family become negative or stuck, it can impact everyone's mental health. Therapy can help family members understand these dynamics, improve how they relate to one another, and resolve conflicts in a healthier way. We offer support for families navigating these complex issues.

Common Symptoms or Things to Look Out For:

• Persistent relationship conflict between family members
• Communication difficulties
• Trust issues
• Enmeshment or disengagement among family members

Separation and divorce are major life transitions that often bring a wave of difficult emotions and practical challenges, including grief, stress, and co-parenting issues. Therapy can provide crucial support during this period of adjustment, helping you navigate the changes and build a new path forward.

Common Symptoms or Things to Look Out For:

• Adjustment difficulties during relationship transitions
• Maladaptive relationship patterns post-separation
• Emotional dysregulation (e.g., anger, sadness, anxiety) related to the separation
• Challenges with co-parenting and blended family dynamics

All relationships have challenges, but sometimes conflict, dissatisfaction, or a sense of disconnection can become persistent and overwhelming. Whether with a partner, family member, or friend, relationship distress can significantly impact your well-being. Our therapists can help you improve communication, navigate conflict, and foster healthier connections.

Common Symptoms or Things to Look Out For:

• Persistent relationship conflict
• Communication difficulties
• Trust issues
• Maladaptive relationship patterns
• Emotional dysregulation in relationships

Challenges in the parent-child relationship can be a source of significant stress for the entire family. These issues can range from communication breakdowns and boundary-setting difficulties to more significant conflict. We provide a supportive space for parents and/or children to address these dynamics and work toward a more positive and secure relationship.

Common Symptoms or Things to Look Out For:

• Parenting challenges
• Difficulty forming or maintaining secure attachments
• Problems with boundary setting
• High levels of conflict or communication breakdown

When communication and interaction patterns within a family become negative or stuck, it can impact everyone's mental health. Therapy can help family members understand these dynamics, improve how they relate to one another, and resolve conflicts in a healthier way. We offer support for families navigating these complex issues.

Common Symptoms or Things to Look Out For:

• Persistent relationship conflict between family members
• Communication difficulties
• Trust issues
• Enmeshment or disengagement among family members

Separation and divorce are major life transitions that often bring a wave of difficult emotions and practical challenges, including grief, stress, and co-parenting issues. Therapy can provide crucial support during this period of adjustment, helping you navigate the changes and build a new path forward.

Common Symptoms or Things to Look Out For:

• Adjustment difficulties during relationship transitions
• Maladaptive relationship patterns post-separation
• Emotional dysregulation (e.g., anger, sadness, anxiety) related to the separation
• Challenges with co-parenting and blended family dynamics

Suicidal ideation refers to thinking about, considering, or planning suicide. These thoughts can range from a fleeting consideration to a detailed plan. It is a sign of extreme distress, not a character flaw, and it is a critical signal that immediate support is needed. If you are experiencing these thoughts, please know that help is available and you do not have to go through this alone.

If you are in crisis or having thoughts of harming yourself, please call or text 988 to reach the Suicide & Crisis Lifeline, or call 911 for immediate emergency services.

Common Symptoms or Things to Look Out For:

• Talking about wanting to die or to kill oneself.
• Looking for a way to kill oneself, such as searching online or buying a gun.
• Talking about feeling hopeless or having no reason to live.
• Talking about feeling trapped or in unbearable pain.
• Passive Suicidal Ideation: Thoughts about wanting to be dead or not wanting to live, without specific plans to end one's life.

A suicide attempt is a self-injurious act committed with at least some intent to die. It is a medical emergency. Any action taken with the intent to end one's life requires immediate intervention from emergency services.

If you or someone you know has made a suicide attempt, call 911 or go to the nearest emergency room immediately.

Common Symptoms or Things to Look Out For:

• Self-inflicted, potentially lethal injuries.
• Extreme risk-taking behaviors with an indifference to survival.
• Any behavior performed with the intent to die.

NSSI is the act of deliberately harming your own body, such as cutting or burning yourself, without any suicidal intent. It is often a way to cope with or express overwhelming emotional pain, to feel a sense of control, or to punish oneself. While not a suicide attempt, it is a sign of significant distress that requires compassionate, professional help to develop safer coping strategies.

If you are struggling with the urge to self-harm, please reach out for help. You can call or text 988 to connect with the Suicide & Crisis Lifeline for immediate support.

Common Symptoms or Things to Look Out For:

• Engaging in self-inflicted cutting, burning, scratching, or other forms of tissue damage.
• The behavior is not undertaken with the intent to die.
• The behavior is often preceded by feelings of tension or distress and followed by a sense of relief or release.

This category includes high-risk behaviors that are undertaken with a reckless disregard for personal safety but not necessarily with clear suicidal intent. These actions can still be life-threatening and are often a sign of underlying distress, impulsivity, or a diminished sense of self-worth. Addressing the root cause of these behaviors is a key part of therapy.

If you are engaging in behaviors that feel out of control and put your safety at risk, please reach out. Call or text 988 to connect with someone who can help immediately.

Common Symptoms or Things to Look Out For:

• Extreme and persistent risk-taking behaviors.
• A pattern of placing oneself in dangerous situations.
• An indifference to personal safety and potential consequences.

Life is full of changes, and even positive ones can bring stress. An Adjustment Disorder occurs when the emotional or behavioral symptoms you experience in response to a specific life stressor—like a new job, a move, financial hardship, or relationship changes—are more intense than what would normally be expected. Therapy is a powerful tool for developing coping skills and building resilience during these challenging times.

Common Symptoms or Things to Look Out For:

• Emotional or behavioral symptoms developing within 3 months of an identifiable stressor.
• Distress that is out of proportion to the severity or intensity of the stressor.
• Significant impairment in social, occupational, or other important areas of functioning.
• Symptoms can include depressed mood, anxiety, or a disturbance of conduct.
• The stress-related disturbance does not meet the criteria for another mental disorder and is not merely an exacerbation of a preexisting one.

Caring for a loved one is a profound act of love, but it can also bring enormous emotional and physical strain. It is common for caregivers to experience feelings of burnout, guilt, resentment, and anxiety. It is essential to have a confidential space to process these feelings and care for your own well-being. We are here to provide that support for you.

Common Symptoms or Things to Look Out For:

• Feeling overwhelmed or constantly worried.
• Feeling tired most of the time.
• Getting too much sleep or not enough sleep.
• Gaining or losing weight.
• Becoming easily irritated or angry.
• Losing interest in activities you used to enjoy.
• Feeling sad, hopeless, or isolated.

Grief is a natural and deeply personal response to loss. There is no right or wrong way to grieve, and the process is not linear. While grief is not a disorder, it can become overwhelming and lead to complications like depression. Therapy provides a safe, compassionate space to process your loss, honor your feelings, and navigate a path forward.

Common Symptoms or Things to Look Out For:

• Intense sorrow, pain, and rumination over the loss.
• Feelings of emptiness and longing.
• Anger, guilt, or blame related to the loss.
• Difficulty accepting the death.
• Social withdrawal or feeling disconnected from others.
• If symptoms are severe and persistent, it may indicate Complicated Grief or Major Depression.