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Cindy Perryman, Marriage and Family Therapist

(360) 797-9741

  • Home
  • PRN365 Staff
  • Online booking
  • Mental health topics
  • Insurance Inquiries
  • PRN365 Directory

mental health topics

Depression Symptoms

Depression is a common mental health disorder characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities. It can also cause a range of physical and emotional symptoms.

Common symptoms of depression include:

  • Persistent feelings of sadness, hopelessness, and worthlessness
  • Loss of interest in activities that were previously enjoyable
  • Changes in appetite and weight
  • Difficulty sleeping or oversleeping
  • Loss of energy and increased fatigue
  • Difficulty concentrating and making decisions
  • Restlessness or agitation
  • Feelings of worthlessness or guilt
  • Thoughts of death or suicide

If you are experiencing some or all of these symptoms, it is important to seek help from a mental health professional or medical profesional. Some of these symptoms may also be related to a medical condition, so be sure to contact your medical provider. is a treatable condition and with the right treatment, many people can recover and lead fulfilling lives.

Managing Depression Symptoms

Depression is a common mental health disorder that can affect people of all ages and walks of life. It is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities that were previously enjoyable. Depression can also cause physical symptoms such as fatigue, changes in appetite, and difficulty sleeping or concentrating.

If you or someone you know is struggling with depression, it is important to seek help. Here are some tips for managing depression:

1.  Talk to a mental health professional: A therapist or counselor can help you identify the root causes of your depression and develop coping strategies.

2.  Practice self-care: Taking care of your physical and emotional well-being is crucial for managing depression. This can include getting enough sleep, eating a healthy diet, and participating in activities that bring you joy.

3.  Stay connected with others: Support from loved ones can be a powerful tool in managing depression. Reach out to friends and family, or consider joining a support group.

4.  Exercise regularly: Exercise has been shown to improve mood and reduce symptoms of depression. Aim for at least 30 minutes of moderate intensity activity, such as brisk walking or cycling, at least three times a week.

5.  Find healthy ways to cope with stress: Stress can exacerbate depression, so finding healthy ways to cope with stress is important. This can include techniques like deep breathing, meditation, or yoga.

It is important to remember that managing depression takes time and effort, and it may not always be easy. But with the right support and treatment, it is possible to live a happy, fulfilling life. If you or someone you know is struggling with depression, don't hesitate to reach out for help. 


Some of these sysmtpms may also be related to a medical condition, so be sure to contact your medical provider.

CBT Therapy for Depression

Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to help individuals identify and change negative thoughts and behaviors that contribute to their depression. CBT focuses on the present and the ways in which an individual's thoughts and behaviors impact their emotions and actions.

During CBT, a therapist works with the individual to identify patterns of negative thinking and behavior and to develop strategies for changing them. For example, an individual who has a tendency to think negatively about themselves may be encouraged to challenge these negative thoughts and to focus on the evidence that supports a more balanced and positive view of themselves.

CBT also helps individuals develop new coping skills and techniques for managing stress and difficult emotions. This may include techniques such as relaxation techniques, problem-solving strategies, and mindfulness practices.

Overall, CBT is a highly effective treatment for depression and has been shown to be effective in reducing symptoms of depression in a relatively short period of time. It can be an especially useful treatment for individuals who are seeking a more active, hands-on approach to managing their depression and improving their overall well-being.

Anxiety Symptoms

Anxiety is a common mental health disorder that can affect people of all ages. It is characterized by feelings of worry, nervousness, and fear that are excessive and often irrational. Anxiety can interfere with daily activities and quality of life, and it is important to recognize the signs and seek treatment if necessary.

Symptoms of anxiety may include:

  • Persistent worry or fear about everyday situations
  • Difficulty sleeping or problems with concentration
  • Physical symptoms such as increased heart rate, dizziness, or shortness of breath
  • Feelings of restlessness or being on edge
  • Difficulty controlling or reducing worry
  • Avoiding certain situations or activities due to anxiety

It is important to remember that everyone experiences anxiety differently, and the severity of symptoms can vary. If you are experiencing any of these symptoms on a regular basis, it is important to speak with a mental health professional or medical professional.  Some of these symptoms may also be related to a medical condition, so be sure to contact your medical provider. They can help you understand and manage your anxiety, and develop coping strategies to improve your quality of life. 

Managing Anxiety Symptoms

Anxiety can be a normal and even helpful emotion, alerting us to potential dangers and helping us to stay focused and motivated. However, when anxiety becomes chronic or overwhelming, it can interfere with daily life and well-being. If you are struggling with anxiety, there are steps you can take to manage it and improve your overall mental health.

  1. Identify the cause of your anxiety: Try to identify what triggers your anxiety, such as specific situations or thoughts. Understanding the cause of your anxiety can help you develop strategies to manage it.
  2. Practice relaxation techniques: There are many relaxation techniques that can help reduce anxiety, including deep breathing, progressive muscle relaxation, and meditation. Find a technique that works for you and practice it regularly.
  3. Exercise regularly: Exercise can help reduce stress and improve mood. Aim for at least 30 minutes of moderate-intensity activity, such as brisk walking, most days of the week.
  4. Get enough sleep: Lack of sleep can contribute to anxiety. Aim for 7-9 hours of sleep per night and establish a consistent sleep schedule.
  5. Eat a healthy diet: A balanced diet that includes plenty of fruits, vegetables, and whole grains can help improve mood and reduce anxiety. Avoid caffeine and alcohol, which can worsen anxiety.
  6. Connect with others: Spending time with friends and loved ones can help reduce feelings of isolation and improve overall well-being.
  7. Seek professional help: If your anxiety is causing significant distress or interfering with your daily life, consider seeking help from a mental health professional. Therapy and medication can be effective treatments for anxiety.

Remember that managing anxiety takes time and effort, and it is okay to ask for help. By taking steps to manage your anxiety, you can improve your overall mental health and quality of life.

CBT for Treating Anxiety Symptoms

Cognitive-behavioral therapy (CBT) is a type of therapy that focuses on the connection between thoughts, feelings, and behaviors. It is a highly effective treatment for anxiety and has been shown to be effective in numerous research studies.

CBT works by helping individuals identify and change negative thought patterns and behaviors that contribute to their anxiety. It teaches individuals to recognize and challenge irrational thoughts and to replace them with more realistic and positive ones. It also helps individuals learn coping skills, such as relaxation techniques and problem-solving strategies, to manage their anxiety in a healthy way.

CBT typically involves weekly sessions with a trained therapist, who will work with the individual to set goals and develop a treatment plan. It may also include homework assignments, such as keeping a journal or practicing relaxation techniques, to help individuals apply what they have learned in therapy to their daily lives.

Overall, CBT is a highly effective treatment for anxiety and can help individuals manage their anxiety and lead a more fulfilling life.-

PTSD Symptoms

Prolonged Exposure Therapy for PTSD

Prolonged Exposure Therapy for PTSD

Post-traumatic stress disorder (PTSD) is a mental health condition that can develop after an individual experiences a traumatic event, such as a natural disaster, car accident, or violent attack. It is characterized by a range of symptoms that can affect an individual's thoughts, feelings, and behaviors.

The primary symptoms of PTSD can be grouped into four categories:

  1. Intrusive thoughts: These are unwanted memories or thoughts related to the traumatic event that can come to mind unexpectedly and can be distressing. These may include flashbacks, which are vivid and intense memories of the event that feel as if they are happening in the present.
  2. Avoidance: People with PTSD may avoid situations or activities that remind them of the traumatic event. This can include avoiding people, places, or activities that may trigger memories of the event.
  3. Negative changes in thoughts and feelings: PTSD can cause changes in an individual's thoughts and feelings, such as feeling detached from others, difficulty experiencing positive emotions, and difficulty trusting others.
  4. Changes in physical and emotional reactions: People with PTSD may experience changes in their physical and emotional reactions, such as being easily startled or feeling anxious or on edge. They may also have difficulty sleeping or concentrating.

If you or someone you know is experiencing symptoms of PTSD, it is important to seek help from a mental health professional or medical professional. Some of these sysmtpms may also be related to a medical condition, so be sure to contact your medical provider. Options for PTSD include therapy, medication, and self-care strategies. With the right treatment, it is possible to manage the symptoms of PTSD and improve quality of life.

Prolonged Exposure Therapy for PTSD

Prolonged Exposure Therapy for PTSD

Prolonged Exposure Therapy for PTSD

Prolonged exposure therapy (PE) is a type of cognitive-behavioral therapy that is specifically designed to treat post-traumatic stress disorder (PTSD). It is a highly effective treatment for PTSD that has been shown to be effective in numerous research studies.

PE is based on the idea that individuals with PTSD have a pattern of avoiding thoughts, feelings, and situations that are related to the traumatic event. This avoidance serves to maintain and reinforce the PTSD symptoms, as it prevents individuals from processing and coming to terms with the traumatic event.

During PE, individuals are gradually and systematically exposed to the thoughts, feelings, and situations that they have been avoiding. This is done in a structured and gradual way, with the support of a trained therapist. The goal of PE is to help individuals process the traumatic event, reduce their avoidance behaviors, and learn new coping skills.

PE typically involves weekly sessions with a trained therapist and includes weekly homework assignments. It is a highly effective treatment for PTSD and can help individuals recover and lead fulfilling lives.

Therapy for PTSD

Prolonged Exposure Therapy for PTSD

Positive Psychology

Post-traumatic stress disorder (PTSD) is a mental health disorder that can occur after experiencing or witnessing a traumatic event, such as a natural disaster, a car accident, or military combat. It is characterized by persistent and distressing symptoms, such as flashbacks, avoidance behaviors, and difficulty regulating emotions.

There are several evidence-based treatments for PTSD that have been shown to be effective in helping individuals recover and manage their symptoms. These treatments include:

1.  Cognitive-behavioral therapy (CBT): CBT is a type of therapy that focuses on the connection between thoughts, feelings, and behaviors. It can help individuals identify and change negative thought patterns and behaviors that contribute to their PTSD.

2.  Prolonged exposure therapy (PE): PE is a type of CBT that is specifically designed to treat PTSD. It involves gradually and systematically exposing individuals to the thoughts, feelings, and situations that they have been avoiding in order to help them process the traumatic event and learn new coping skills.

3.  Eye movement desensitization and reprocessing (EMDR): EMDR is a type of therapy that involves the use of eye movements or other forms of bilateral stimulation to help individuals process and integrate traumatic memories.

4.  Medications: Antidepressants and other medications may be used to help manage the symptoms of PTSD, such as anxiety and depression.

It is important to note that the most effective treatment for PTSD may vary from person to person and may involve a combination of therapies. It is important to work with a mental health professional and medical provider to determine the best treatment plan for your individual needs. 

Positive Psychology

Motivational Interviewing

Positive Psychology

Positive psychology is the scientific study of what makes life most worth living. It is a branch of psychology that focuses on the positive aspects of human experience, such as happiness, well-being, and fulfillment. Positive psychology is concerned with understanding and fostering the conditions that allow individuals and communities to thrive.

Positive psychology differs from traditional psychology, which has often focused on mental illness and dysfunction. Instead, positive psychology seeks to understand and promote the factors that contribute to optimal functioning and well-being.

Some key areas of study in positive psychology include:

  • Happiness and well-being
  • Positive emotions and character strengths
  • Resilience and coping with adversity
  • Meaning and purpose in life
  • Positive relationships and social connections

Positive psychology research has led to the development of various interventions and practices that can help individuals and communities improve their well-being and happiness. These interventions can include activities such as gratitude journaling, mindfulness meditation, and acts of kindness.

Overall, positive psychology is a valuable field that can help individuals and communities lead more fulfilling and satisfying lives.

Motivational Interviewing

Motivational Interviewing

Motivational Interviewing

Motivational interviewing is a counseling style that helps individuals identify and change behaviors that may be harmful or unhealthy. It is a collaborative, goal-oriented approach that is designed to help individuals increase their motivation to make positive changes in their lives.

Motivational interviewing is based on the idea that individuals have the internal motivation to change, but may need help in identifying and accessing that motivation. The therapist helps the individual explore and resolve ambivalence about making changes, and encourages the individual to take small steps towards change.

During a motivational interviewing session, the therapist will ask open-ended questions and listen actively to the individual's responses. The therapist will also use reflective listening, which involves repeating back what the individual has said in a non-judgmental way, to help the individual explore their thoughts and feelings about making changes.

Motivational interviewing can be used to help individuals make a wide range of positive changes in their lives, such as quitting smoking, reducing alcohol consumption, increasing physical activity, and improving relationships. It is a highly effective treatment for a variety of mental health and addiction issues.

Managing Type 1 Diabetes

Motivational Interviewing

Motivational Interviewing

Mental health counselors can play a valuable role in supporting clients with type 1 diabetes by providing emotional support and guidance for managing the challenges of the condition.

One way that mental health counselors can support clients with type 1 diabetes is by helping them cope with the emotional and psychological challenges associated with the condition. This may include issues such as stress, anxiety, and depression. Mental health counselors can also help clients develop healthy coping strategies and identify and address any negative thoughts or behaviors that may be impacting their ability to manage their diabetes.

Additionally, mental health counselors can work with clients to develop strategies for managing the daily demands of type 1 diabetes, such as monitoring blood sugar levels, administering insulin, and making healthy lifestyle choices. This may include helping clients set goals, develop a plan for managing their diabetes, and identify any barriers to successful management.

Mental health counselors can also provide support and guidance for individuals with type 1 diabetes as they navigate the social and relational challenges of the condition. This may include helping clients communicate with loved ones about their diabetes, navigate relationships with healthcare professionals, and find support within their community.

Overall, mental health counselors can be an invaluable source of support and guidance for individuals with type 1 diabetes, helping them cope with the emotional and psychological challenges of the condition and develop strategies for successful management.

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