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  • Jim Piffath

    Counseling for Individuals, Couples & Families

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    What is Mindfulness-Based Cognitive Therapy?

    December 31, 2019

    You’ve probably heard of mindfulness meditation, but what exactly is Mindfulness-Based Cognitive Therapy (MBCT)? This form of therapy uses mindfulness practices like breathing exercises and meditation to help clients break free of negative thought patterns. What Can MBCT Treat? MBCT was first developed to prevent individuals who were struggling with repeating episodes of depression and anxiety from […]

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    What is Mindfulness-Based Cognitive Therapy?

    You’ve probably heard of mindfulness meditation, but what exactly is Mindfulness-Based Cognitive Therapy (MBCT)? This form of therapy uses mindfulness practices like breathing exercises and meditation to help clients break free of negative thought patterns.

    What Can MBCT Treat?

    MBCT was first developed to prevent individuals who were struggling with repeating episodes of depression and anxiety from relapsing. Studies have found MBCT to be very effective at helping people with major depressive disorder who have experienced at least 3 instances of depression in their life. This therapy approach may also be helpful in improving the symptoms of depression in those with disease and physical illness, such as cancer and traumatic brain injuries.

    How Does Mindfulness Help Depression?

    You may think that meditation is something only monks or yoga masters do, but everyday people are reaping the major mind and body benefits through mindfulness meditation. Depressed people suffer rumination, that is they become stuck in mental patterns. They often mistake their rumination for problem-solving, but in reality, rumination prolongs a negative mental state.

    Meditation works by disrupting the mental process of rumination. When you focus your mental attention on the present moment, you cannot ruminate. While it’s hard for any person to completely stop the mental process of rumination, it’s our choice whether or not we engage with it. Meditation helps us “just say no.”

    How to Find an MBCT Therapist

    MBCT is usually held in group sessions once weekly for 2-hours each. The meditations and breath work will be led by your therapist. He or she will not only lead you in these techniques but also the fundamentals of cognition, such as the relationship between your thoughts and how they make you feel. Your therapist will also most likely give you homework to practice the breathing and meditation techniques you’ve learned that week.

    An MBCT therapist is a cognitive behavioral therapist who will have had additional training in mindfulness-based practices and techniques and is able to teach these to others. Beyond looking for these specific credentials, you’ll also want to find a therapist you feel comfortable working with. After doing a bit of research for qualified therapists in your area, get on the phone and talk to a few to see who you may like working with the best.

    If you or someone you know may be interested in exploring MBCT, please reach out to me. I’d be happy to discuss how I may be able to help.

    Filed Under: Anxiety, Depression, General, Issues for Women, New Mother, Self-Esteem

    Coping with the Holidays After Loss

    December 26, 2019

    For many people, the holidays are about spending time with loved ones. But for those who have suffered a recent loss, the holidays can be painful and isolating. Here are some ways you can cope with the holidays after a loss: Recognize You are Not Alone It’s easy to feel as though you are the […]

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    Coping with the Holidays After Loss

    For many people, the holidays are about spending time with loved ones. But for those who have suffered a recent loss, the holidays can be painful and isolating.

    Here are some ways you can cope with the holidays after a loss:

    Recognize You are Not Alone

    It’s easy to feel as though you are the only one experiencing great pain during the holiday season. Everywhere you turn, people seem to be happy, putting up decorations, buying gifts and making holiday plans. It’s important to recognize the truth right now, and that is that you are not alone. There are people all over the world who have experienced loss, some perhaps very recently.

    Honor Your Pain

    No one expects you to feel joyful and in the holiday mood right now, so don’t feel as though you must pretend for others’ sake. It is very important that you honor whatever emotions you may be experiencing, whether it’s sadness, anger, regret or a combination.

    Take Your Time

    The holidays are usually a busy time for people. There is much to accomplish and many events to host and/or attend. You do not have to keep your normal schedule this year. You simply will not have the mental or emotional stamina for it. So take the time you need. If you don’t feel like attending many (or any) events this year, that is fine. People will understand.

    Help Others in Need

    One of the worst parts about losing a loved one is the feeling that we no longer have any control over our lives. Loss makes us feel helpless. One way to fight this feeling is to help others who are in need. As a bonus, connecting with others who are hurting can often be a salve on our hearts as well.

    When Don’t These Guidelines Apply?

    If you have children, it’s important to understand that they are looking to you right now to know what life will be like from now on. To a child, the loss of a parent or sibling can frighten them terribly. Though you may not at all feel like celebrating the holidays, doing so helps your child know that life does go on and that there is space in your life to feel joy along with sadness.

     

    If you have experienced loss and would like to explore grief counseling, please be in touch. You don’t have to suffer alone.

    Filed Under: Depression, General, Grief

    Mass Shootings: How to Talk to Your Kids

    November 29, 2019

    After the tragedy at Columbine High School in Littleton, Colorado in 1999, certainly no one could imagine that over the next 20 years, 200 more school shootings would occur. In the first 79 days of 2018 alone, there were 12 school shootings, compared to 9 over the entire year of 2017. Sadly, school shootings are […]

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    Mass Shootings: How to Talk to Your Kids

    After the tragedy at Columbine High School in Littleton, Colorado in 1999, certainly no one could imagine that over the next 20 years, 200 more school shootings would occur. In the first 79 days of 2018 alone, there were 12 school shootings, compared to 9 over the entire year of 2017. Sadly, school shootings are becoming an epidemic in the United States. As the nation struggles to find a solution to the violence, our kids’ safety and security hang in the balance.

    How you talk to your kids about these tragedies varies by age and per individual child, but it’s important to take note that both the American Psychiatric Association and the American Academy of Pediatrics recommend avoiding the topic with children under 8. Kids under 8 have difficulty telling if the violence they’re watching at the movies or on TV is real or fantasy, which can cause great fear and anxiety. For this same reason, experts also recommend that children under 11 avoid watching the news entirely. At this young age, children’s brains have not yet developed enough to cope with violent tragedies, and exposure to these realities can be damaging psychologically.

    For children over the age of 8, or if you believe your child might hear about the incident from others, first summarize the event in a single sentence. Keep in mind that your child will use your words to tell the story to themselves in their head, so choose your words carefully. What you say should also reflect your family’s beliefs and values. Speak in a calm and matter-of-fact tone of voice, as your emotional reaction will have a long lasting impact on your child, more so than your words. Children will have a lot of questions so try to stay focused on positives, such as the people that helped and the support of the community.

    For pre-teens and teens, start by asking what they know. Ask how they feel, and listen carefully to what they say. If they don’t want to talk about it, that’s okay too.

    Your child may want to do something to help. Discuss what you can do together to help the victims’ families, the school, or the community. Volunteering can help us cope with tragedy as we feel the positive effects of contributing and doing good for people in need.

     

    If you or your child are struggling to cope emotionally because of an incident of mass violence, a licensed mental health professional can help. Call my office today so we can schedule an appointment to talk.

    Filed Under: Trauma / PTSD

    3 Reasons to Stay Single (At Least For a While) After a Breakup

    November 16, 2019

    “Try, try again…” “Dust yourself off and start all over again…” “Get right back on that horse…” These are just some of the common phrases we use to support the idea that trying something after it didn’t go so well the first time is a good idea. And in many instances, this is the right […]

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    3 Reasons to Stay Single (At Least For a While) After a Breakup

    “Try, try again…”

    “Dust yourself off and start all over again…”

    “Get right back on that horse…”

    These are just some of the common phrases we use to support the idea that trying something after it didn’t go so well the first time is a good idea. And in many instances, this is the right attitude. But there is something to be said about taking a break after a breakup.

    When you’ve ended a difficult marriage or relationship, you may feel like putting yourself back out there and start dating again. But here are some reasons why it’s best to stay single for a while:

     

    You Need to Process

    The longer and bigger the relationship, the more events and feelings you’ll need to process. Dating is a great distraction from your feelings, and that is exactly why you need to remain single for a while. It’s important to process all of your feelings regarding the relationship and the breakup. Ignoring your feelings will only cause them to fester.

     

    You Need to Learn

    Every heartbreak in life is an opportunity to learn a valuable lesson. Now is the time for you to think about what went wrong in the relationship and why? What was your part in it? What could you have done better? How will you choose your next partner based on your experiences?

    Failure to truly understand your relationship history will only cause you to make the same exact mistakes.

     

    You Need to Grow

    You can either bring an excessive amount of emotional baggage to your next relationship, or you can bring a new version of you that is whole and healthy and vital. Now is the time to nurture yourself and your passions. What hobbies have you been ignoring because of your broken relationship? Have you been wanting to take a night class? Learn a new language or travel more? The more time you spend on yourself now to grow as a human being, the more you will have to offer that next Mr. or Mrs. Right.

     

    Breakups are never easy, but they are often a part of life. The key is to not rush into the next relationship but take some time to reflect on the one that just ended. What can you learn and how can you grow?

    Filed Under: Couples/Marriage, Issues for Women, Self-Esteem

    6 Ways that Alcohol Makes Depression Worse

    October 29, 2019

    A great many alcoholics are also suffering from major depression. Because alcohol can feed our brain’s serotonin receptors, it can make someone feel good for a short amount of time. But eventually the person crashes and feels even worse than they did before. And this vicious cycle continues and is, unfortunately, very hard to break […]

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    6 Ways that Alcohol Makes Depression Worse

    A great many alcoholics are also suffering from major depression. Because alcohol can feed our brain’s serotonin receptors, it can make someone feel good for a short amount of time. But eventually the person crashes and feels even worse than they did before.

    And this vicious cycle continues and is, unfortunately, very hard to break without asking for professional help.

    The Chicken or the Egg Theory

    Both alcoholism and depression are psychiatric illnesses that cause distress and impair a person’s ability to function. It is not surprising at all that these two diseases are linked, but which tends to come first?

    Researchers have found that alcoholism doubled a person’s risk of developing depression. In fact, the analysis indicated that alcoholism was more likely to cause or worsen depression than depression was likely to cause or worsen alcohol use/misuse.

    6 Ways That Alcohol Can Worsen Depression

    1. Alcoholism can eventually lead to isolation, which exacerbates depression. Humans are social creatures and we can become very depressed when left alone for too long.
    2. Alcoholism also leads to poor economic outcomes, as is common with the loss of a job. Chronic financial stress can cause or worsen depression symptoms.
    3. Alcoholism can trigger health crises that can lead to or worsen depression. Fatty liver disease, heart disease and diabetes are just a few of the chronic illnesses linked with alcohol abuse.
    4. Alcohol can cause brain or metabolic changes that can lead to depression. For instance, alcohol can mess with a person’s endocrine system and the resulting hormonal imbalance can worsen their depression symptoms.
    5. Alcohol is a depressant. While it can make you feel “happier” initially, it eventually worsens the depression.
    6. Alcohol impairs judgement and increases impulsivity. This can lead to poor behavior and negative consequences that lead to or worsen feelings of depression.

    The bottom line is alcohol abuse and depression are a dangerous combination. And unfortunately, this combination can be self-reinforcing and incredibly hard to break. Anyone who is feeling depressed and has a tendency to abuse alcohol should speak with a therapist to get their symptoms under control. A therapist will be able to offer coping strategies as well as refer you to a local addictive treatment center.

    If you or a loved one are interested in exploring cognitive behavioral treatment, please be in touch with me. I would be happy to discuss how I may be able to help.

    Filed Under: Addiction, Depression

    5 Free Ways to Improve Your Mental Health

    October 15, 2019

    When we talk about our mental health, we’re talking about much more than a clinical diagnosis. Your mental health also refers to your psychological well-being. Having a healthy psychological well-being means you’re able to better manage your emotions as well as your mood. Every day presents its unique challenges, and a healthy mental state can […]

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    5 Free Ways to Improve Your Mental Health

    When we talk about our mental health, we’re talking about much more than a clinical diagnosis. Your mental health also refers to your psychological well-being. Having a healthy psychological well-being means you’re able to better manage your emotions as well as your mood. Every day presents its unique challenges, and a healthy mental state can help you take challenges in stride.

    1. Positive Affirmations

    Repeating an affirmation can help you create a positive mental outlook that will be a driving force in your life. Use a search engine to look up “positive affirmations” and you’ll find several ideas of words and phrases that resonate with you, and things you struggle with. You can also try searching for something more specific, such as “positive affirmations for women” or “positive affirmations to improve self esteem”.

    Repeat your phrase or phrases during meditation, either out loud or in your mind. Repeating affirmations or mantras during consistent meditation practices can help you overcome negative self-talk, which will greatly improve your mental health.

    2. Gratitude

    Practicing gratitude will sharpen your attention towards the positive aspects of your life. By focusing on what’s good, you’ll start to notice and appreciate other positive things in your life. Gratitude is more than just a feeling; it is a choice. By choosing to be grateful, you can keep your mind distracted from negative thoughts.

    3. Eat Healthy

    Eating healthy is a vital part of positive mental health. Eating a balanced diet of fruits, vegetables, lean protein and whole grains will slowly release energy into your bloodstream, creating a consistent level of energy that won’t leave you feeling tired or sluggish. Eating healthy will also provide a mental boost because you’ll feel good about your healthy food choices.

    4. Sunshine

    Sunshine is a great way to boost your mood. Put on some comfortable walking shoes and take a leisurely walk around your neighborhood, or a local park. Exposure to sunlight will help your brain release serotonin which will boost your mood, and help you feel more calm and focused.

    5. Get Some Sleep

    A good night’s sleep is a vital part of a healthy lifestyle. When you’re well rested, you’re naturally energized. Regular sleep also boosts your immune system as well as your cognitive and mental health.

     

    You have the power to improve your mood. By making some healthy additions to your daily routines, you can develop regular habits that will improve your overall mental well-being.

    Are you having trouble staying positive or managing your moods? A licensed mental health professional can help you find better coping strategies, and offer additional support and guidance to help you live a more balanced life. Call my office today, and let’s schedule a time to talk.

    Filed Under: General

    5 Subtle Exercises to Calm Anxiety in Public

    October 1, 2019

    According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days. When anxiety strikes, the world around us can become a sort of funhouse, only not that much […]

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    5 Subtle Exercises to Calm Anxiety in Public

    According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days.

    When anxiety strikes, the world around us can become a sort of funhouse, only not that much fun. It’s important to be able to self-soothe in these instances. But how can you calm an anxiety attack subtly when you’re out in public?

     

    Breath Work

    As soon as you feel the anxiety coming on, focus intently on your breathing and nothing else. Begin to take slow… deep breaths. Inhale for a slow count of three… hold for a count of three… and exhale for a count of three. Slow deep breaths send a signal to our body that we are not under attack and everything is okay.

     

    Talk to Yourself

    In your mind, remind yourself that you are having an experience but that you are NOT that experience. While you feel that something is wrong, remind yourself that you are actually safe and all is well.

     

    Visualize

    Think of something that calms you. This may be your childhood bedroom or your grandparent’s home. It could be your favorite beach or your own bathtub. Simply put yourself IN that space. Use your full imagination to feel yourself there and allow the calm to settle over you.

     

    Carry Lavender Oil

    Keep a small vile of lavender oil in your purse or pocket and inhale its scent. You can even rub some between your finger and then rub on your temples to calm down.

     

    Practice Listening Meditation

    If you’ve never tried listening meditation, I highly recommend it for everyone. But it can be especially beneficial when you are feeling anxious, and here’s why. Listening requires you to stop thinking. Try it now. Stop reading and instead listen to all of the ambient sounds there in the room with you, outside the door and window.

    What do you hear?

    Let your sense of hearing grow and grow, picking up more subtle sounds. The buzz of the lights overhead… the noise of the ice maker… a bee at the window… your dog’s collar down the hall…

    It’s actually a very fun exercise to do. And in order to REALLY GIVE SOUND YOUR FULL ATTENTION, you can’t think while listening. It’s a bit like trying to juggle while standing on your hands, it simply cannot be done.

    Much of our anxiety comes from our anxious thoughts. It’s our reptilian brain trying to keep us alive by alerting us to all of the dangers around us. But when we meditate, this mind chatter goes away.

     

    When an anxiety attack comes on, life can feel unbearable. The next time this happens to you in public, try one or more of these techniques.

    And if you’d like to speak with someone about your anxiety, please get in touch. I’d be happy to explore treatment options.

    Filed Under: Anxiety

    Why Did I Feel Fine Yesterday? The Causes of Depression

    September 13, 2019

    With 322 million people suffering with depression worldwide, it’s not surprising to learn that in America, depression is among the most common mental disorders. The cause of depression is often simplified as a chemical imbalance in the brain, but the reality is that the disease is far more complicated. Scientific research has yet to completely […]

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    Why Did I Feel Fine Yesterday? The Causes of Depression

    With 322 million people suffering with depression worldwide, it’s not surprising to learn that in America, depression is among the most common mental disorders. The cause of depression is often simplified as a chemical imbalance in the brain, but the reality is that the disease is far more complicated. Scientific research has yet to completely understand the biology of depression. According to the National Institute of Mental Health, depression is caused by a combination of genetic, biological, environmental and psychological factors.

    What Causes Depression?

    The disease of depression is the complicated combination previously described; this disease gives you the predisposition to fall into a depression after having experienced a negative external event. For example, getting fired from a job might send one person into a deep depression, while another simply bounces back after experiencing the initial sadness and disappointment.

    Many experts in the cognitive behavioral field believe that depression is caused by, and worsens, with distorted negative thinking. The emotions you experience during an episode of depression are created by negative thoughts and perceptions. Your feelings will result from the meaning you attach to those thoughts. If you eliminate distorted, negative thoughts, you will find it easier to cope with the negative event that triggered your depression.

    Why Did I Feel Fine Yesterday?

    If you felt fine yesterday, but today feel depressed and hopeless, distorted thinking may be to blame. As an example, let’s say you woke up late and had to rush to work. This put you in a bad mood, and you started thinking distorted negative thoughts. “I’m always late. I’m a loser. My boss is going to be angry at me all day. He probably hates me anyway. I’m going to get fired.” As the day goes on, every event will be processed through this negative filter, causing you to feel worse.

    Cognitive Behavioral Therapy

    Cognitive Behavioral Therapy is a form of psychotherapy that helps you challenge negative patterns of thought. By challenging these thoughts, you can improve your mood. For example, “I’m always late.” This is an overgeneralization. More than likely, you have not been late that often. If this is something you want to change, you can alter your schedule and habits to become more punctual.

    Depression is a complicated illness, and as such is best managed by comprehensive treatment. If you’re suffering from depression, a licensed therapist can help you understand your mood disorder and develop strategies to cope with and improve your symptoms. Together, we can develop a plan for you to create the life you want to live. Give my office a call today, and let’s schedule a time to talk.

    Filed Under: Depression

    The Best Medicine is a Treadmill: How Daily Exercise Can Treat Depression

    August 28, 2019

    According to the Centers for Disease Control and Prevention, about 9% of American adults live with depression. It’s also worth mentioning that a major depressive episode is the leading cause of disability for Americans between the ages of 15 and 44. Antidepressants are commonly prescribed to treat people with moderate or severe depression. And while […]

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    The Best Medicine is a Treadmill: How Daily Exercise Can Treat Depression

    According to the Centers for Disease Control and Prevention, about 9% of American adults live with depression. It’s also worth mentioning that a major depressive episode is the leading cause of disability for Americans between the ages of 15 and 44.

    Antidepressants are commonly prescribed to treat people with moderate or severe depression. And while these drugs do offer some relief, they often come with some pretty nasty side effects such as:

    • headaches
    • nausea
    • trouble sleeping
    • dizziness
    • diarrhea
    • weakness and fatigue
    • anxiety
    • stomach upset
    • dry mouth
    • sexual problems such as low sex drive, erectile dysfunction, or ejaculation problems
    • trouble urinating
    • fast heart rate
    • sweating
    • memory problems
    • fatigue
    • weight gain

    That’s quite a list.

    The obvious problem is these side effects can make someone who is depressed feel even worse. But there is some good news.

    Exercise Helps Beat Depression Naturally

    Studies on exercise and depression are conclusive: Not only does exercise treat depression, it can also prevent it. In fact, researchers from Duke University found exercise to be as effective as medicine.

    Exercise not only increases blood flow to the brain, it also releases endorphins, which are the body’s own natural antidepressants. Exercise also releases other neurotransmitters, like serotonin, which lift mood.

    The really good news is, it only takes moderate exercise three times a week to reap the antidepressant benefits. You don’t have to train for a marathon or a triathlon to feel better. Here are a few exercise ideas to get you started:

    Walk Your Dog

    Take your dog(s) for a half hour walk around the neighborhood. Not only will your body release endorphins but your dog’s health will also benefit from routine exercise.

    Go for a Bike Ride

    Family bike rides are a great way to bond and get a good workout at the same time. If the weather doesn’t permit outdoor biking, a stationary bike is a good investment.

    Swim

    Swimming is one of the absolute best total body exercises. As a bonus, the steady movements through water also has a naturally calming effect.

    Walk at Lunch

    Grab a few friends and/or colleagues on your lunch break and go for a half hour walk.

    Exercise doesn’t have to be hard or complicated. Whatever form you like, commit to doing that at least three times a week and see if you don’t start to feel better.

    You may also want to speak with a therapist, who can help you navigate your emotions and offer tools for coping. If you’d like to explore treatment options, please get in touch with me. I would be more than happy to discuss how I may be able to help.

    Filed Under: Depression

    4 Ways to Improve Communication in Your Relationship

    August 21, 2019

    If you’re reading this blog post, chances are you and your significant other have hit a snag in the relationship. Maybe you’re spending less time with each other and you’ve grown apart. Or maybe you do little else than argue these days. All relationships go through their ups and downs. No matter the good intentions […]

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    4 Ways to Improve Communication in Your Relationship

    If you’re reading this blog post, chances are you and your significant other have hit a snag in the relationship. Maybe you’re spending less time with each other and you’ve grown apart. Or maybe you do little else than argue these days.

    All relationships go through their ups and downs. No matter the good intentions of the individuals or how in love you were when the relationship began, it is completely natural for a relationship to take a hit every now and then.

    In some ways, these trials can be a good thing. Much like you need to break down muscle to build it up stronger than it was before, many relationships can be strengthened by challenges, provided your communication is healthy.

    Here are some ways to improve communication in your relationship:

    1. Recognize the Change

    It’s important to be open and honest with yourself and each other. Don’t deny that something has changed in your relationship, admit it openly. You may also need to recognize that each of you has changed over the years. None of us stays the same. Our wants, needs, passions, annoyances, etc. change as we mature and grow as people. People can usually accommodate this change as long as they admit it has happened.

    2. Validate Each Other’s Feelings

    There are two words that are very powerful in communication, “Yes, and…” Effective communication is not about one person being right and the other wrong. Often, both people are right and allowed to feel their feelings. Try not to attack the other person or get them to compromise on issues. Instead, focus on simply being heard and hearing the other person.

    3. Be Ready to Change

    If you want to improve your communication as a means to get the other person to change their ways, you are really thinking about this communication thing all wrong! Good communication is not about winning an argument. This is not a debate class. Your goal is to better share your thoughts, feelings, ideas, hopes and struggles with each other. Don’t be so focused on getting the other person to change and focus more on how your own behavior could change.

    4. Breathe

    Managing your emotions is one of the most important skills when it comes to interpersonal interaction. How often are you ready to blow when you and your spouse or partner are speaking to each other? How does the communication breakdown once you or your partner have become emotional?

    When communicating with your partner, or anyone, should you feel your emotions rise, stop, take a slow, deep breath, and let it out. Taking this moment is important and will help you not to say something you’ll regret or that will escalate the situation.

    None of us are perfect. All we can do is try to be the best versions of ourselves we can be for ourselves and our loved ones. By following these communication tips you will be able to strengthen your relationships.

    Filed Under: Couples/Marriage

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    3881 Ten Oaks Rd, Ste 2A
    Glenelg, MD 21737

    (443) 520-1005
    jpiffath.lcpc@gmail.com

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    Ellicott City, & Western Howard County

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    Jim Piffath, LCPC
    jpiffath.lcpc@gmail.com | (443) 520-1005

    Counseling services in Glenelg, Columbia,
    Ellicott City, and Western Howard County

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