Tag Archive: couples

Jan 21

Lucky Marriage

Lucky Marriage - Ivan

What is a lucky marriage? Last week we were talking to a man who has had a year of challenges in his marriage. Ivan is a thoughtful and articulate man we have been seeing for about a year, and during that time the subject of his marriage has come up many times. He suggested that …

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Jul 23

Friends and Family Don’t Understand – Bipolar Communication Problems


Sometimes those without the challenges of bipolar neurochemistry simply “don’t get it” – how moods can shift abruptly and dramatically, and often without warning, or with subtle hints of the mood shift about to confront you  – and at what might be the slightest trigger a sudden onslaught of  overwhelming sensations due to hypersensitivity to stimuli, someone chewing can sound …

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Jun 11

Seeing the Other – Kelsey

“I see you.” That is one of the many profound concepts in one of my favorite movies, Avatar. “I see you.” For those of you who haven’t seen the movie, “I see you,” is the greeting of the Na’Vi, which expresses a sense of being aware of being seen by another.* Whoa. To be seen …

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Feb 27

Helping Your Spouse

You have gotten help for your depression. You have seen a therapist or psychiatrist and spent long hours working to understand and improve your situation. Your spouse, who has been there for you during this process, has not. And now you are confronting the almost inevitable realization that he, or she, is really uncomfortable in …

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May 22

Cling Less and Love More

Right in the midst of working with a young woman who has been struggling with how to accept the possibility that a new relationship might have to end (her boyfriend is still caught up in thoughts and feeling evoked by his ex, who sounds like the kind of intense woman who can easily trap a …

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Apr 25

The Big Fight

How is it that so many couples end up having knock down, drag out fights?  How can seemingly rational people end up saying things that just don’t make any sense? Several people that I’ve seen recently have told me a similar story.  As in every relationship, they have had certain long-standing issues in their relationships, …

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Apr 03

New Spouse by Friday

I’ve been working with a very successful attorney who has been struggling to find a way of staying in his marriage for a couple of years. The heart of the problem is that his wife had a serious health problem (which is now resolved), but through the process of dealing with this health problem she  became depressed and …

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Mar 10

Creative Tension

I was inspired to write today’s post after watching a video sent out by a colleague as her “Valentine’s Day gift” to a group of mental health professionals interested  in women’s issues. The video was from the TED series (strongly recommended) and had to do with the challenge of having a long-term passionate relationship. The …

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Mar 06

Hot Button Issues in a Relationship


Dealing with a partner with emotional or psychological issues is tricky. We spent some time today trying to figure out an approach that would work for one woman and her partner. This is what we came up with. It may help you if you are navigating in turbulent waters in your relationship. The link will …

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Feb 24

Mistrust in Action

I was talking to one of my clients, a very bright and wonderful woman, mother of a delightful young girl, and usually one of my favorite people. This visit, however,  I began to experience the cycle of mistrust. When she came in I was in a good mood, I smiled and said hello. She looked …

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Feb 17

The “Pause” Button

Do you know the feeling of desperate urgency in a conversation with a close friend or romantic partner? The sense that you have to defend yourself from attack, or make a very important point? This feeling is often a signal that it is a good time to use the “pause” button in the conversation. The “pause” button …

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Jan 26

The Cycle of Disappointment

Today’s post revolves around the universal desire to find one or more other people who is perfectly attuned to our needs, and the resulting cycle of disappointment. A woman we have seen for years continually experiences a strong sense of disappointment and loss because her highly anxious mother was never really able to be attuned …

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Jan 11

Mismatched Energy

The wife of one of the people I work with sent me a short note saying that her husband was energized (not quite hypomanic), and she was finding it hard to cope with his constant animation and enthusiasm. It got me thinking about scale and how we constantly change the way we talk based on …

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Jan 09

Body Work

Several months ago a young attorney who I have been seeing for a couple of years came in and, reluctantly, told me that he and his wife had not had sex for the past year. It took two or three months to get him to consider going for couples counseling.  I found a therapist who …

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Jan 04

Who’s to Blame?

“Is it my fault?” This is one of those questions that seems to easily dominate conversations between people in a romantic relationship who are having trouble getting along. It is also a question that is usually impossible to answer (who decides? what standards do you use?) and quite unhelpful. I was talking with a recently …

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Jan 04

Relationship Fear

I have been working with a couple of young women who seem to be unable to move beyond a recently ended relationship with a young man.  In both cases, there’s no question that the young man is coming back, and yet their thoughts keep turning back to trying to analyze the failed relationship, wondering what …

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Dec 27


For most of us there is nothing more important than the quality of our closest relationships. In sometimes frustrating ways, many of us notice that our close relationships seem to follow familiar patterns. Attachment theory derives from the work of John Bowlby, who observed that separated infants would go to remarkable lengths (crying, clinging, frantically searching) …

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Dec 03

To Tell or Not – Part 1

One of the hottest topics on our forum, and one that led to a request for a blog post ,is the topic of whether or not to tell someone about your moods, particularly if you have a mood diagnosis. For mostly historical reasons, this issue is especially a concern for people with bipolar mood variations …

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Dec 01

A Little Romance

This week we spent some time with a couple of people who, in different ways, have become “addicted” to romantic relationships. One is a man in his early 40’s. The other is a woman in her early 30’s. They are quite different in terms of personalities, but there are some very strong similarities in terms of their childhood and …

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Nov 26

Family Scapegoat

I had a conversation with two women today about their relationship with their husbands and children. They often find themselves feeling scapegoated for things that go wrong in the household. While I was talking with them, I recalled many other women who have described similar experiences. I started to wonder how this happens, and what …

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