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  • Jim Piffath

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    Am I Sad or Depressed?

    May 12, 2023

    Into each life a little rain must fall is a way of saying every one of us will experience sadness in our lifetime. It is completely normal and natural. But there are some people who feel something deeper and darker than sadness, and they may feel this way despite there being no triggering event such […]

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    Am I Sad or Depressed?

    May 12, 2023

    Into each life a little rain must fall is a way of saying every one of us will experience sadness in our lifetime. It is completely normal and natural. But there are some people who feel something deeper and darker than sadness, and they may feel this way despite there being no triggering event such as the loss of a loved one. 

    So how can we tell the difference between sadness and depression?

    Sadness versus Depression: The Real Difference?

    As I just mentioned, sadness is a normal reaction to a difficult event in our life. We may feel sad because of a breakup or from losing a loved one or from leaving our friends after graduation. In other words, we feel sadness about something.

    Depression, on the other hand, affects not only our emotions but also how we act and perceive the world. Depression does not require a triggering event. In fact, when we’re depressed, we tend to feel upset about any- and everything.

    Depression clouds our entire lives. When we’re depressed, nothing feels as enjoyable or worthwhile as it once did. In short, we simply feel less alive.

    Symptoms of Depression

    To be diagnosed with depression, an individual must be diagnosed with at least five of the following common symptoms for a continual duration of at least two weeks:

    • An irritable or depressed mood 
    • A decreased interest in once enjoyable activities
    • Changes in weight or appetite
    • Changes in our sleep patterns
    • Feeling sluggish most days; having a lack of energy and motivation
    • Feelings of worthlessness
    • Trouble focusing or concentrating
    • Suicidal ideation

    If you or a loved one are experiencing depressed, it is very important to reach out for help from a trained mental health therapist. Depression robs you of your life, purpose and happiness, but there are strategies to break free and find joy once again.

    I would be happy to discuss some treatment options with you. Please give my office a call.

    SOURCES:

    https://www.healthline.com/health/depression/depression-vs-sadness

    https://screening.mhanational.org/content/am-i-depressed-or-just-sad/

    https://www.psychologytoday.com/us/blog/the-squeaky-wheel/201510/the-important-difference-between-sadness-and-depression

    Filed Under: Depression, sadness

    Why Most People Misunderstand Depression

    March 16, 2023

    Of all the words in the English language, depression must be one of the most misunderstood. Why does this term seem to confuse so many people? Why is its real meaning so hard to grasp? It is because the term has two starkly contrasting meanings, depending on who is using it. Among clinicians, the term […]

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    Why Most People Misunderstand Depression

    March 16, 2023

    Of all the words in the English language, depression must be one of the most misunderstood. Why does this term seem to confuse so many people? Why is its real meaning so hard to grasp? It is because the term has two starkly contrasting meanings, depending on who is using it.

    Among clinicians, the term depression is used to describe a debilitating syndrome that robs people of their energy, memories, ability to concentrate, love and experience joy. This is not just an emotional state, but a physical one that impacts specific regions of the brain. Depression actually lights up the brain’s pain circuitry, inducing a state of suffering that can become debilitating.

    Beyond this, depression is actually neurotoxic, meaning the disorder can eventually lead to the death of neurons in critical memory and reasoning areas of the brain, including the hippocampus and prefrontal cortex. Simply stated –  depression causes brain damage.

    Colloqiual Usage

    Confusion abounds when the term ‘depression’ is used by people in everyday conversation, however. In these instances, they usually are referring to something far less serious or clinical. In fact, most people use the term as a synonym for mere sadness or being slightly upset.

    For instance, you will often here people make comments such as, “I was so depressed when Starbucks dropped its pumpkin spice latte,” or “Oh my God, I just ripped a whole in my favorite pair of jeans. I am like, so depressed right now.” No, you’re not, you’re bummed, pretty disappointed in fact, but you are certainly not depressed. These kinds of disappointments, while frustrating, are simply a part of life.

    But ripped jeans and discontinued menu items have little effect on our ability to function, and the feelings of disappointment and annoyance rarely last for very long. A friendly word from a loved one or a hug is generally all that’s needed to get over the perceived “crisis.”

    In contrast, clinical depression often persists for months, and no amount of friendly support from loved ones is enough to make it any less debilitating.

    Time for New Language?

    And that is where the confusion lies, and why many people simply don’t understand the true ramifications of clinical depression. It is also why those who suffer from depression are met with relative indifference when they open up to friends and family about their condition.

    The sad reality is that, because of this profound confusion, many depressed patients are expected to simply “snap out of it” by their friends and family. No one would ever take this attitude with someone suffering from cancer or kidney disease; the admonition is equally offensive and inappropriate in the case of clinical depression.

    Perhaps it is time to come up with a new term to describe the symptoms of clinical depression. By using new language, more people might understand the disease and show more compassion toward individuals suffering from it.

    If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

    Filed Under: Depression

    Coping with Seasonal Affective Disorder

    March 13, 2023

    Seasonal Affective Disorder, or SAD, is a major depressive disorder that occurs during the same season each year. Also known as the “winter blues,” SAD typically comes on in the fall and winter, when the light is diminished. SAD is believed to affect nearly 10 million Americans and is four times more common in women […]

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    Coping with Seasonal Affective Disorder

    March 13, 2023

    Seasonal Affective Disorder, or SAD, is a major depressive disorder that occurs during the same season each year. Also known as the “winter blues,” SAD typically comes on in the fall and winter, when the light is diminished.

    SAD is believed to affect nearly 10 million Americans and is four times more common in women than men. Many people experience symptoms that are severe enough to affect their quality of life.

    Though not everyone will experience the same symptoms, here are some of the most common:

    • Feelings of sadness and hopelessness
    • A change in appetite and developing a craving for sweet or starchy foods
    • Weight gain
    • A drop in energy level
    • Decreased physical activity
    • Fatigue
    • Difficulty concentrating
    • Irritability
    • Avoidance of social situations
    • Thoughts of suicide

    Treatments

    If you suffer from SAD, here are some ways you can alleviate your symptoms:

    Light Boxes

    By far the greatest relief, according to research, comes from the use of lightboxes. Lightboxes emit high-intensity light between 2,500 to 10,000 lux. Compare this to a normal light fixture that emits only 250 to 500 lux.

    Lightboxes closely mimic the sun’s natural rays, helping our brains produce the right amount of neurotransmitters that are responsible for mood.

    Depending on the severity of your symptoms, you may only need to use the lightbox for 30 minutes once a day. For more severe symptoms, people have found relief by using the box for long periods of time and can often feel true relief in as little as two weeks.

    Some insurance providers will cover the cost of lightboxes, but not all do, so be sure to speak with your provider.

    Exercise

    While it may feel counterintuitive, if not downright impossible, to get up and get moving when you’re feeling depressed, exercise is one of the best ways to improve your mood. Exercise not only reduces stress and tension, but it releases those feel-good endorphins. Studies have also found that one hour of aerobic exercise outdoors (even if the sky is overcast) has the same positive effect on mood as 2.5 hours of using a lightbox.

    Eat Well

    It’s common to turn to junk food when you’re feeling the winter blues. High-sugar foods tend to give us a temporary boost in energy levels and mood. But then we come crashing down and feel even worse. A better choice is to eat a balanced and nutritious diet, opting for complex carbohydrates like sweet potatoes and whole grains.

    Speak with a Therapist

    If your symptoms are very severe, and if you are having any thoughts of harming yourself, then it is important to speak with a therapist who can help you navigate your depression and offer coping tools.

    If you or a loved one are currently suffering from SAD and would 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, Women's Issues

    October is National Depression & Mental Health Screening Month

    November 14, 2022

    October is National Depression and Mental Health Screening Month, a time when clinicians and their communities come together to spread awareness and combat mental illness. By working together, we can all promote the importance of mental health screenings while reducing the stigma associated with mental health illnesses.  Common Symptoms of Depression The following are some […]

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    October is National Depression & Mental Health Screening Month

    November 14, 2022

    October is National Depression and Mental Health Screening Month, a time when clinicians and their communities come together to spread awareness and combat mental illness. By working together, we can all promote the importance of mental health screenings while reducing the stigma associated with mental health illnesses. 

    Common Symptoms of Depression

    The following are some of the most common symptoms of depression. If you or someone you love has been experiencing one or more of these nearly every day for at least two weeks, it’s a sign you or they may be suffering from depression:

    • Persistent sadness or anxiety
    • Feeling hopeless
    • Irritability
    • Loss of interest in hobbies 
    • Decreased energy or fatigue
    • Becoming more and more isolated
    • Difficulty concentrating, remembering, or making decisions
    • Difficulty sleeping
    • Loss of appetite
    • Thoughts of death or suicide

    What Clinicians are Doing

    It’s common for people battling depression to feel worse during the holidays. That’s one reason why the month of October was chosen as the awareness month; because it gives people plenty of lead time to get help before the festivities hit.

    During this time, many clinicians, hospitals, and mental health facilities will either reduce or completely waive the fees for mental health screenings. This makes it far easier for those individuals who believe they may be suffering from depression to receive an affordable and accurate diagnosis.

    What Can You Do?

    If you or someone you love is suffering from depression, it’s important to get screened. After your screening, a qualified practitioner will discuss a treatment plan with you that may include talk therapy, medication, or a combination of the two.

    If you are someone who has recovered from depression, it’s a wonderful idea to share your journey with others if you feel comfortable doing so. Often when people are struggling with their own darkness, knowing someone has walked through to the other side and is living once again in the light, can offer hope and encouragement.

    If you or someone you love is interested in speaking with a trained therapist, please reach out to me. I would be happy to discuss how I might help.

    SOURCES:

    • https://www.naccho.org/blog/articles/national-depression-and-mental-health-screening-month-provides-opportunities-for-local-health-departments
    • https://www.rtor.org/2020/10/08/national-depression-and-mental-health-screening-month/
    • https://www.chconline.org/october-is-national-depression-and-mental-health-screening-month/

    Filed Under: Depression, mental health awareness

    Here’s How Social Isolation Affects Your Health

    October 13, 2022

    Many of us experienced social isolation during the recent pandemic. And none of us will deny that those days and weeks were very hard. Thankfully, the pandemic is over, and life for the majority of us has returned to normal. But for some people, social isolation didn’t go away; it is a part of their […]

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    Here’s How Social Isolation Affects Your Health

    October 13, 2022

    Many of us experienced social isolation during the recent pandemic. And none of us will deny that those days and weeks were very hard. Thankfully, the pandemic is over, and life for the majority of us has returned to normal.

    But for some people, social isolation didn’t go away; it is a part of their “normal” existence.

    Common Causes of Social Isolation

    There are a variety of circumstances that cause people to be isolated from others, or to choose to isolate themselves:

    • An abusive relationship – People in toxic relationships often choose to avoid contact with friends and family because they wish to hide their reality from others.
    • Grief – It is common to isolate oneself after losing a loved one. This is particularly true for many seniors who have lost many loved ones and friends.
    • Mental health issues – Anxiety, depression and low self-esteem can often result in a desire to isolate oneself from the rest of society.
    • Physical challenges – Those with limited mobility or other physical challenges may decide life is easier and safer at home.

    The Effects of Social Isolation on Your Health

    We know there is a strong mind-body connection. How we feel emotionally effects how we feel physically. Studies are now revealing how social isolation can negatively impact our health. Here are just some of the effects on your health:

    • Reduced immune function
    • Trouble sleeping (which leads to inflammation and a disruption of hormones)
    • Poor cardiovascular health
    • Poor cognitive function
    • Greater chance of stroke
    • Decreased wound healing
    • Increased risk of dementia
    • Higher risks of premature mortality

    Coping With Social Isolation

    If you are isolated from others for any reason, it is important to recognize you may be suffering mentally, emotionally, and/or physically. Here are some ways you can cope with the situation:

    • Practice self-care
    • Get outside
    • Reconnect with hobbies and interests
    • Get help

    If you would like to speak to someone about your anxiety or depression caused by isolation as well as the reasons for the isolation, please reach out to me. I offer online therapy for those who feel more comfortable accessing help from home.

    SOURCES:

    https://publichealth.tulane.edu/blog/effects-of-social-isolation-on-mental-health/

    https://www.webmd.com/mental-health/social-isolation-mental-health

    https://www.medicalnewstoday.com/articles/isolation-and-mental-health

    Filed Under: Anxiety, Depression, online therapy

    Healthy Food & Emotional Regulation

    September 24, 2021

    Are you an emotional eater? When you’re feeling stressed, do you find yourself ordering in pizza? When something sad happens, do you drown your grief in sugar? If so, you’re not alone. A majority of people deal with the challenges of life by turning to their favorite comfort foods. The trouble is, these foods are […]

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    Healthy Food & Emotional Regulation

    September 24, 2021

    Are you an emotional eater? When you’re feeling stressed, do you find yourself ordering in pizza? When something sad happens, do you drown your grief in sugar? If so, you’re not alone. A majority of people deal with the challenges of life by turning to their favorite comfort foods.

    The trouble is, these foods are only a temporary fix. They fill a void, and in the case of sugar, give our mood a boost. But then we come crashing down again and may even experience shame and guilt for having binged on food we know is not good for us. This can lead to a vicious cycle of more emotions, more eating, more emotions, more eating. This cycle can ultimately lead to weight gain and even the development of certain chronic diseases like heart disease and type 2 diabetes.

    Your Brain on Comfort Foods

    We are what we eat is a very true sentiment, especially when it comes to our brain. When life throws us challenges, we need our brain to work optimally so we can figure out the best way to deal with our circumstances or to process emotions. The trouble with reaching for comfort foods is, they are actually harmful to your brain.

    Think of your brain like the engine in a car. You wouldn’t put frozen lattes in your gas tank because you know your car needs the right kind of fuel to run well. Your brain also needs the right kind of fuel. Your brain requires high-quality foods that are loaded with vitamins, minerals and antioxidants. These nutrients nourish your brain and protect it from oxidative stress.

    Did you know that studies have shown a direct link between a diet high in refined sugars and impaired brain function? And even a worsening of symptoms such as depression?

    The bottom line is, while your instinct in the moment may be to reach for those processed comfort foods, do your best to make better food choices. It will be hard at first, but good habits can be formed over time. Your brain will thank you.

    SOURCES:

    • https://www.healthline.com/health/emotional-eating
    • https://www.health.harvard.edu/blog/nutritional-psychiatry-your-brain-on-food-201511168626
    • https://wholebodyhealingeugene.com/2021/02/09/food-and-feelings-heal-your-emotional-relationship-with-food/

    Filed Under: Depression, Nutrition

    Mental Health Habits for 2021

    September 10, 2021

    We live in a society that seems obsessed with physical health and weight loss. A majority of people have tried one or more diets to lose weight. People join gyms, juice, and take supplements, all in an effort to optimize their physical health. Sadly, most people don’t give their mental health a second thought. The […]

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    Mental Health Habits for 2021

    September 10, 2021

    We live in a society that seems obsessed with physical health and weight loss. A majority of people have tried one or more diets to lose weight. People join gyms, juice, and take supplements, all in an effort to optimize their physical health.

    Sadly, most people don’t give their mental health a second thought.

    The problem is, no matter how good you look in a bathing suit or how “ripped” you may be, or how low your cholesterol is if you aren’t mentally healthy, your life is negatively impacted.

    In the age of Coronavirus, when many of us are dealing with health and financial struggles, the stress can really take a toll on our mental health. With this in mind, here are some good mental health habits to practice in 2021 and beyond:

    Practice Gratitude

    Gratitude is like a magic bullet when it comes to mental health. Too often, when we are feeling negative emotions, we deny our full reality, that is to say, we deny all of the wonderful things that are present in our life. Be sure to take realistic stock in your life each day and feel grateful for the people, events, and things in your life that bring you joy and happiness. And be sure to share your gratitude with others!

    Value Yourself

    The only thing worse than dealing with grief, sadness, and stress, is doing so while devaluing your own self-worth. Be sure to treat yourself as kindly as you do your loved ones. See the good in you and practice self-care and self-compassion every day.

    Lose Control

    Most of us cling to the idea that we can control every single facet of our lives. It’s just not true. This desire for full control brings with it a sense of anxiety. Make this year the year you finally let go of needing to control everything.

    Surround Yourself with Positive People

    Toxic people are bad for our mental health. It’s time to cut ties with those who bring you down in order to make room for people who will support you.
    Along with these habits, you may want to consider speaking regularly with a mental health counselor, who can help you navigate any issues you may be dealing with and provide coping techniques.

    If you’d like to explore treatment options, please get in touch with me. Let’s discuss how I can help you make 2021 your best year yet!

     

    SOURCES:

    • https://psychcentral.com/blog/mental-health-hygiene-habits#1
    • https://psychcentral.com/blog/5-best-practices-for-maintaining-good-mental-health#1
    • https://psychcentral.com/blog/what-is-good-mental-health#1

    Filed Under: Adolescents/Teens, Anxiety, Depression

    The Truth About Perfectionism

    August 30, 2021

    We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist. But as human beings, we can never reach a state […]

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    The Truth About Perfectionism

    August 30, 2021

    We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist.

    But as human beings, we can never reach a state of perfection because we will always be a work in progress. Perfection indicates a finality – a finished product – but we as humans are always growing and changing.

    What is Perfectionism?

    Many people view perfectionism as a positive attribute. They believe the more “perfect” they are, the more success they will have in life.

    Perfectionism is NOT the same thing as always doing your best. It is important that we always do our best. By doing so, we can experience healthy achievements and growth. But perfectionism takes this concept to the extreme.

    People with perfectionist tendencies often have self-defeating thoughts and/or behaviors that actually make it HARDER to achieve their goals. Perfectionism also can make the individual feel stress, anxiety, and depression.

    Signs to Look For

    Most human beings, from time to time, will strive for perfectionism in some aspect of their life. As an example, that “perfectly moist chocolate cake” I mentioned earlier got that way because the person who baked it was trying to get everything JUST RIGHT as a gift for someone’s birthday.

    But there are those people who are “full-time” perfectionists. They strive for perfection in all aspects of their life.

    Here are some signs you may be a perfectionist:

    • You don’t like to attempt tasks or activities unless you feel you can complete them perfectly.
    • You are end-oriented, meaning you focus little on the process of creating or learning something and put all of the emphasis on the outcome.
    • You cannot see a task as having been completed unless it meets your perfectionist standards.
    • You tend to procrastinate because you don’t like starting a task until you know you can perfectly complete it.
    • You tend to take far longer completing tasks than others. This can be problematic at work.

    Getting Help

    Again, perfectionism is not the same thing as doing your best. It is a condition whereby the individual is almost incapable of feeling joy or pride at what they accomplish because in their own minds, they are never quite good enough.

    If you believe you may have traits of perfectionism and it is causing you stress, there are things you can do to change your behavior so you can live a healthier and happier life.
    If you’d like to explore treatment options, please reach out to me.

    SOURCES:

    • https://cogbtherapy.com/cbt-blog/2014/7/9/stop-perfectionism-be-happy-with-good-enough
    • https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism/overcome
    • https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism

    Filed Under: Anxiety, Depression

    Benefits of a Mental Health Day from Work or School

    August 16, 2021

    We’ve all had those days when the alarm goes off and we lie in bed, feeling depleted of our energy, and maybe even our good mood. We think to ourselves, “I’m not really sick, but I just need a break from real life today.” While taking a sick day is common when you are feeling […]

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    Benefits of a Mental Health Day from Work or School

    August 16, 2021

    We’ve all had those days when the alarm goes off and we lie in bed, feeling depleted of our energy, and maybe even our good mood. We think to ourselves, “I’m not really sick, but I just need a break from real life today.” While taking a sick day is common when you are feeling physically unwell, what’s not as common – but perhaps should be – is taking a mental health day when you are feeling mentally and emotionally unwell.

    Now many, if not most, companies do offer their employees personal days with no questions asked. But many people save these days for what seems like real-life emergencies. They feel guilty if they use one of these days to simply rest and relax their mind.

    The truth is, taking a mental health day from work or school can be extremely important for your overall well-being. It can help you avoid burnout, improve your mood, help you get some much-needed rest, and rejuvenate you so you can tackle “real life” once again.

    Signs It’s Time for a Mental Health Day

    So how do you know when you are really in need of a mental health day and when you’re just feeling a bit lazy and unmotivated?

    Stress

    You’ve been feeling overwhelmed and irritable.

    You Just Feel… Off

    Sometimes we don’t feel like ourselves, but we can’t quite put our finger on what’s wrong. We know we feel anxious and like the world is a bit too much. This is a sure sign you need a break.

    Getting Sick More Often

    Are you dealing with a cold that “just won’t go away?” When we are stressed, our immune systems become compromised, and it’s harder for us to fight off the common cold.

    The bottom line is you should never feel guilty for taking some time for your mental health. I encourage you to take a mental health day every once in a while. Sometimes it’s the absolute best thing we can do for ourselves.

    And if you find a mental health day didn’t quite do the trick, you may have more going on in your life that requires more hands-on treatment. If you like the idea of speaking with someone about whatever is bothering you, please get in touch with me so we can discuss treatment options.

    SOURCES:

    • https://aaptiv.com/magazine/take-mental-health-day
    • https://health.clevelandclinic.org/is-taking-a-mental-health-day-actually-good-for-you/
    • https://www.healthline.com/health/mental-health/how-to-take-a-mental-health-day

    Filed Under: Anxiety, Depression, General

    What is Social Anhedonia?

    August 16, 2021

    When you boil life down to its very essence, you’ll find what’s left is a series of human emotions. All of the experiences in our life come with emotion, whether it’s joy, sadness, anger, or anxiety. That’s why so many people choose to do everything they can to avoid situations that bring pain and only […]

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    What is Social Anhedonia?

    August 16, 2021

    When you boil life down to its very essence, you’ll find what’s left is a series of human emotions. All of the experiences in our life come with emotion, whether it’s joy, sadness, anger, or anxiety. That’s why so many people choose to do everything they can to avoid situations that bring pain and only focus on those experiences that offer them pleasure.

    How different life would be if we weren’t able to feel the pleasure that human experiences offer us. Some people, however, go through life not being able to feel pleasure. These people suffer from what’s called anhedonia.

    What is Social Anhedonia?

    Anhedonia is a term used to describe a condition where someone is unable to enjoy the good or pleasurable things in life. Physical anhedonia describes when someone cannot experience pleasure from physical sensations such as the taste of food or the loving caress of a partner.

    Social anhedonia describes someone who cannot experience the joy of human companionship. 

    Of the two disorders, social anhedonia is far more common. Though having said that, it’s important to point out that social anhedonia is not the same as introversion, shyness, or social anxiety. Instead, social anhedonia describes a condition where the person’s ability to feel pleasure and enjoyment from social interactions is diminished or totally missing.

    Some of the most common symptoms of social anhedonia are:

    • Social withdrawal
    • Lack of relationships
    • Reduced emotional responses
    • Depression
    • Poor social adjustment
    • Decreased overall positivity
    • Monotone or flat vocal expression

    Causes and Treatment Options

    At the root of anhedonia is often depression, though not everyone who experiences social anhedonia is depressed. Unfortunately, many prescription medications for depression can actually cause anhedonia. 

    Other risk factors for developing anhedonia include:

    • A family history of schizophrenia or depression
    • A traumatic or stressful event
    • A history of neglect or abuse
    • A chronic illness that impacts your quality of life
    • A major and sudden illness
    • Disordered eating

    If you believe you or a loved one may be suffering from social anhedonia, it’s important to make an appointment with your healthcare provider to determine if your symptoms are the result of some type of vitamin deficiency or a thyroid disorder. 

    If everything checks out physically, then it’s important to begin working with a mental health therapist. He or she can develop a customized treatment plan that will focus on what is called “behavioral activation interventions.” I have found in my own practice that by prompting clients to take external actions and focus on savoring or noticing positive experiences, healing can occur, and it can become more commonplace to feel joy from social interactions. In addition, if you are suffering from depression and your social anhedonia is a result, that can be addressed through therapy as well.

    If you or a loved one are not enjoying life to the fullest and would like to explore treatment options, please be in touch with me.

    SOURCES:

    https://www.goodtherapy.org/blog/Indicators-of-Social-Anhedonia

    https://www.healthline.com/health/depression/anhedonia#causes

    https://www.psychologicalscience.org/publications/observer/obsonline/why-some-people-get-little-pleasure-from-social-interaction.html

    Filed Under: Depression

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

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

    Convenient to Glenelg, Columbia,
    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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