Drinking Alcohol Can Make Your Medication Ineffective

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

321px-Red_Wine_GlasShe’s a twenty year old college student majoring in social work. She works part time at a bakery to supplement her income and lives at home with mom. Her father has been out of the picture since she was eleven. She’s been taking a highly-prescribed antidpressant (a selective serotonin reuptake inhibitor) which has been hailed as one of the most effective medications for depression, for the past year. Before that, she was on another medication, and before that others. She reports that they seem to work for a month or so, then stop working.

Continue reading… »

Top 5 Dangers Of Being A Perfectionist

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

999295_29470621Whether you can’t tolerate your own faults or others’, demanding perfection can poison your life.

Here are the top 5 dangers:

Continue reading… »

How To Survive A BBQ, Party, Or Other Work Event

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

1299806_22026527Some people love office parties. They can’t get enough of socializing with the people they work with all day, even that picky person in accounting.

Others genuinely care about the people we work with, but when we come home at the end of the day, we want to spend time with family and friends. We want to do something that has nothing to do with work whatsoever.

Going to an office party is something we “have” to do, a duty or chore. We make an appearance for the sake of office politics.

For the shy, private person, or one with social anxiety, though, office parties and events are a nightmare. Aside from using your anxiety-management techniques such as breathing exercises and visualizations, what can you do to get through the next office bash?

Some simple tips:

1. Help out. If it’s a non-catered affair, offer to help set up, serve beverages, clean up. If it’s a catered party, offer to hand out name-tags, compose the invitations, do the decorations, get involved in the organization, make phone calls, etc.

2. Invite one or more people to travel to and/or from the event with you. Offer to pick them up and/or take them home if you’re driving.

3. Unless it’s a formal event, offer to be the photographer. Bring a real camera if you have one, rather than a phone. Bring a tripod, if possible, too. The camera is a great prop and conversation starter. You become “the photographer” and people relate to you in this capacity.

4. Ask if pets are allowed. Bring your dog, parrot, or chameleon.

5. If you’re brave, wear a truly ridiculous mask and/or a costume. Walk in and say, “Hey, who sent me that email saying this was a costume BBQ?” (Someone I know did this a long time ago, as a joke. We all laughed, and she became the star of the event. Most of the employees barely knew her name before.)




10 Incredible Quotations About The Power Of Your Thoughts

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

1113685_34682217You have power over your mind – not outside events. Realize this, and you will find strength.

— Marcus Aurelius

Man’s mind is his very essence. Wherever your thoughts are, that is where you are – all of you.

— Rebbe Nachman of Breslov

What we achieve inwardly will change outer reality.

— Plutarch

Guard your thoughts very carefully, because thought can literally create a living thing.

— Rebbe Nachman of Breslov

Change your thoughts and you change your world.

— Norman Vincent Peale

Once you replace negative thoughts with positive ones, you’ll start having positive results.

— Willie Nelson

The truth is that stress doesn’t come from your boss, your kids, your spouse, traffic jams, health challenges, or other circumstances. It comes from your thoughts about these circumstances.

— Andrew Bernstein

Think good and it will be good.

— Yiddish saying

The soul becomes dyed with the color of its thoughts.

— Marcus Aurelius

Except our own thoughts, there is nothing absolutely in our power.

— Rene Descartes



A Collaborative Approach To Pediatric Depression, Anxiety

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

miri compressedWe’re following up with pediatric occupational therapist Miriam Manela, who specializes in behavioral issues, whom we interviewed earlier in the week.

Tell us more about how you collaborate with mental health professionals.

Sure, I’ll give you an example. Recently I worked with a social worker in private practice. We worked together with a client I’ll call Jake. Jake is sixteen and in a special ed school. He’s challenged by learning disabilities and social delays.

He was very depressed and suicidal, making threats of killing himself. He gets very angry and either shuts down, which presents as not talking, or moaning and complaining repeatedly. He also has anxiety.

The social worker has been working with Jake on

Continue reading… »

Helping Children’s Emotions & Behavior With OT Miriam Manela

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski
miri compressed

Photo by Andre Reichmann

Pediatric occupational therapist Miriam Manela specializes in helping children and their families with behavioral issues. Occupational therapy may be utilized as part of a multi-disciplinary treatment plan or on its own to help with a broad spectrum of behavioral, emotional, and mental health-related issues.

Welcome, Miriam.

You work with many children with emotional and behavioral issues. The issue we’d like to start with, one that seems to be on the rise in children, is anxiety.

From the perspective of occupational therapy, is there a difference between anxiety in adults and children?

Yes, in adults you feel that anxious energy and you know that it’s not what adults should feel like. In children, you feel that anxious energy, and you may think, “Oh, this is just “kid” energy—they’re just being kids.”

So, it’s not always so easy to diagnose anxiety. Obviously a mental health professional will use specific diagnositic criteria.

From my perspective as an OT, behaviors are a manifestation of whatever is going on in the child’s whole system, not just his mind or emotions. If a child is biting an object or his nails, a psychotherapist might see this as a symptom of anxiety. I would evaluate the child differently than a psychologist would.

Continue reading… »

Thirteen Easy Ways To Give Yourself A Break

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

525200_73544751Have you been working hard on yourself, mind, body, and soul? Therapizing? Talking? Discussing? Meditating? Self-assessing? Introspecting? Exercising? Volunteering? Self-esteeming? Motivating?


Now, give yourself permission to take a break.

By the way, the idea for this post and nine of these ideas on this list were given to me by a client with bipolar disorder. And most of them are low-cost or free.

Continue reading… »

Traditional Wisdom & Depression

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

595702_14433699A God in Therapy post:

In our previous post, we ask: Can faith and belief prevent depression?

Today, we ask: Is it possible that faith and belief can help with existing depression?

And, is a traditional technique for helping heal depression relevant, today?

Over two hundred years ago, the great Jewish teacher and mystic, Rebbe Nachman of Breslov, explained that you can’t think two thoughts at the same time. He tells us that we have the power to choose our thoughts, and not be victims of them. Therefore, if you introduce a positive thought, the negative thought goes away because your brain cannot focus on both.

Psychology seems to agree. Learning how to replace negative, unhealthy thoughts

Continue reading… »

Can Faith & Belief Help Prevent Depression?

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

107023_5283A God in Therapy Post

Many traditional psychological theories posit: Depression is really anger turned inwards.

But is it true?

Continue reading… »

Three Tips To Help Calm Your Anger

By Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

831837_79977773disgruntlement point, n the point at which an internal or external trigger becomes unmanageable and a behaviorally explosive reaction may occur

Feelings of anger can be like steam from a teakettle. If the steam hole (that makes the whistle) is blocked, the steam will still need to be released from somewhere. It might be the spaces between the lid and the kettle, but if there is no other release, the whole kettle will explode.

If you can’t manage to channel your anger in a positive manner, or dissipate it entirely by removing the boiling kettle from the heat source, your anger might explode into more than one area of your life. People you love, colleagues, even strangers might have to deal with dark moods, yelling, and worse.

Sometimes, you might end up holding in these unpleasant feelings, which causes very real physical symptoms, like chest pains, headaches, insomnia, and more.

I use the term disgruntlement point to help clients identify the point at which they need to redirect or re-frame. If anger is an issue for you and the people you’re close to, there are three areas of awareness that can help.

Continue reading… »

Therapy Revolution
Check out the book!
Therapy Revolution: Find Help, Get Better, and
Move On without Wasting Time or Money
by Richard Zwolinski, LMHC, CASAC & C.R. Zwolinski

Subscribe to this Blog:

Or Get a Single, Daily Email (enter email address):

via FeedBurner

Recent Comments
  • Starr: My ex was narcissistic his Facebook is plastered with s*utty women. That’s all his friends.
  • Maggie: The first time I read about narcissism I cried for days, I felt extreme relief and never felt guilty again. I...
  • Veritas1919: Methadone is the most dangerous opioid on the market, but Andrew Kolodny and those that support his...
  • Quinn Pestinger: I’ve been in treament for nearly 16 years, for Chronic Paranoid Schizophrenia. I’ve been...
  • Eugenia: Stigma is real and many people are out fighting against it. With so many people being stigmatized, mental...
Subscribe to Our Weekly Newsletter

Find a Therapist
Enter ZIP or postal code

Users Online: 12240
Join Us Now!