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	<title>Tamara A. Monell MS, LMHC, NCC Psychotherapist-Psicoterapeuta</title>
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		<title>Tamara A. Monell MS, LMHC, NCC Psychotherapist-Psicoterapeuta</title>
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		<title>Counseling Services for all ages</title>
		<link>http://tamaramonell.com/2010/07/04/counseling-services-for-all-ages/</link>
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		<pubDate>Sun, 04 Jul 2010 07:35:21 +0000</pubDate>
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				<category><![CDATA[Mental Health]]></category>

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		<description><![CDATA[Work with autism, depression, bereavement, anxiety, OCD, anger management, divorce domestic violence, abuse, trauma, etc.  Services are professional, confidential and available in spanish or english. Available by chat, email video conference telephone conference , in-home, in-office , beach, park etc&#8230; Call for schedule today. I take an holistic approach in my treatment planning and invite all who are [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tamaramonell.com&blog=2051817&post=2488&subd=tamonell&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<p>Work with autism, depression, bereavement, anxiety, OCD, anger management, divorce domestic violence, abuse, trauma, etc.</p>
<p> Services are professional, confidential and available in spanish or english.</p>
<p>Available by chat, email video conference telephone conference , in-home, in-office , beach, park etc&#8230; Call for schedule today.</p>
<p>I take an holistic approach in my treatment planning and invite all who are interested in  beginning a new path to peace and happiness.</p>
<p>Contact me today I accept cash, money order personalchecks, credit cards and major insurances.</p>
<p>Call to schedule your session today! 786.287.0837</p>
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		<title>Healthy Mouth, Healthy Body? The Impact of Teeth, Breath, &amp; Gum Problems</title>
		<link>http://tamaramonell.com/2010/03/20/healthy-mouth-healthy-body-the-impact-of-teeth-breath-gum-problems/</link>
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		<pubDate>Sun, 21 Mar 2010 00:10:43 +0000</pubDate>
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				<category><![CDATA[Mental Health]]></category>

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		<description><![CDATA[This content is selected and controlled by WebMD&#8217;s editorial staff and is brought to you by Listerine. Next Article: Skip to Article Content Healthy Mouth, Healthy Body? The Impact of Teeth, Breath, &#38; Gum Problems Your Mouth, Your HealthFind out which health conditions are related to gum disease and mouth problems. Is Your Mouth Stressed [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tamaramonell.com&blog=2051817&post=2431&subd=tamonell&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<div>This content is selected and controlled by WebMD&#8217;s editorial staff and is <a href="http://www.webmd.com/www/brought-to-you-by">brought to you by</a> Listerine.<span id="more-2431"></span></div>
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<h5>Next Article:</h5>
<p><a href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/stress-teeth#article">Skip to Article Content</a></p>
<ul>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/default.htm">Healthy Mouth, Healthy Body? The Impact of Teeth, Breath, &amp; Gum Problems</a></li>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/slideshow-teeth-gums">Your Mouth, Your Health</a>Find out which health conditions are related to gum disease and mouth problems.</li>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/stress-teeth">Is Your Mouth Stressed Out?</a>From teeth grinding to sore gums, see how stress affects your mouth.</li>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/plaque-on-teeth">The Dangers of Dental Plaque</a>Plaque threatens more than your teeth. Find out what else is at risk.</li>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/gum-disease-diabetes">The Diabetes-Oral Health Connection</a>Why taking care of teeth and gums is even more important if you have diabetes.</li>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/gum-disease-health">6 Ways Oral Hygiene Improves Health</a>How brushing and flossing can protect against heart disease, memory loss, and more.</li>
<li><a title="Go to next article" href="http://www.webmd.com/oral-health/healthy-mouth-and-body-9/dental-health-for-kids">Caring for a Toddler&#8217;s Teeth: 7 Tips</a>Strategies for protecting your child&#8217;s oral health.</li>
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<h2>How Stress Affects Your Oral Health</h2>
<p>WebMD Medical Reference</p>
<p>Reviewed By <a href="http://www.webmd.com/brunilda-nazario">Brunilda Nazario, MD</a></p>
</div>
<div>
<p>Excess stress may give you a headache, a stomachache, or just a feeling of being &#8220;on edge.&#8221; But too much stress could also be doing a number on your mouth, teeth, gums, and overall health.</p>
<p>The potential fallout from stress and anxiety that can affect your oral health includes:</p>
<ul>
<li>Mouth sores, including canker sores and cold sores</li>
<li>Clenching of teeth and teeth grinding (bruxism)</li>
<li>Poor oral hygiene and unhealthy eating routines</li>
<li>Periodontal (gum) disease or worsening of existing periodontal disease</li>
</ul>
<p>So how can you prevent these oral health problems?</p>
<h3>Mouth Sores</h3>
<p>Canker sores &#8212; small ulcers with a white or grayish base and bordered in red &#8212; appear inside the mouth, sometimes in pairs or even greater numbers. Although experts aren&#8217;t sure what causes them &#8212; it could be immune system problems, bacteria, or viruses &#8212; they do think that stress, as well as fatigue and allergies, can increase the risk of getting them. Canker sores are not contagious.</p>
<p>Most canker sores disappear in a week to 10 days. For relief from the irritation, try over-the-counter topical anesthetics. To reduce irritation, don&#8217;t eat spicy, hot foods or foods with a high acid content, such as tomatoes or citrus fruits.</p>
<p>Cold sores, also called fever blisters, are caused by the Herpes simplex type 1 virus and are contagious. Cold sores are fluid-filled blisters that often appear on or around the lips, but can also crop up under the nose or around the chin area.</p>
<p>Emotional upset can trigger an outbreak. So can a fever, a sunburn, or skin abrasion.</p>
<p>Like canker sores, fever blisters often heal on their own in a week or so. Treatment is available, including over-the-counter remedies and prescription antiviral drugs. Ask your doctor or dentist if you could benefit from either. It&#8217;s important to start treatment as soon as you notice the cold sore forming.</p>
<h3>Teeth Grinding</h3>
<p>Stress may make you clench and grind your teeth &#8212; during the day or at night, and often unconsciously. Teeth grinding is also known as bruxism.</p>
<p>If you already clench and grind your teeth, stress could make the habit worse. And, grinding your teeth can lead to problems with the temporomandibular joint (TMJ), located in front of the ear where the skull and lower jaw meet.</p>
<p>See your doctor and ask what can be done for the clenching and grinding. Your dentist may recommend a night guard, worn as you sleep, or another appliance to help you stop or minimize the actions.</p>
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		<title>Types of Mental Illness</title>
		<link>http://tamaramonell.com/2010/03/20/types-of-mental-illness/</link>
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		<pubDate>Sun, 21 Mar 2010 00:09:02 +0000</pubDate>
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				<category><![CDATA[Mental Health]]></category>

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		<description><![CDATA[There are many different conditions that are recognized as mental illnesses. The more common types include: Anxiety disorders: People with anxiety disorders respond to certain objects or situations with fear and dread, as well as with physical signs of anxiety or nervousness, such as a rapid heartbeat and sweating. An anxiety disorder is diagnosed if the [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tamaramonell.com&blog=2051817&post=2427&subd=tamonell&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<p>There are many different conditions that are recognized as mental illnesses. <span id="more-2427"></span>The more common types include:</p>
<ul>
<li><strong><a href="http://www.webmd.com/anxiety-panic/default.htm">Anxiety</a> disorders:</strong> People with anxiety disorders respond to certain objects or situations with fear and dread, as well as with physical signs of anxiety or nervousness, such as a rapid heartbeat and sweating. An anxiety disorder is diagnosed if the person&#8217;s response is not appropriate for the situation, if the person cannot control the response, or if the anxiety interferes with normal functioning. Anxiety disorders include generalized anxiety disorder, post-traumatic <a href="http://www.webmd.com/balance/stress-management/">stress</a> disorder (<a href="http://www.webmd.com/anxiety-panic/guide/post-traumatic-stress-disorder">PTSD</a>), obsessive-compulsive disorder (OCD), panic disorder, <a href="http://www.webmd.com/anxiety-panic/tc/social-anxiety-disorder-topic-overview">social anxiety</a> disorder, and specific <a href="http://www.webmd.com/anxiety-panic/specific-phobias">phobias</a>.</li>
<li><strong>Mood disorders:</strong> These disorders, also called affective disorders, involve persistent feelings of sadness or periods of feeling overly happy, or fluctuations from extreme happiness to extreme sadness. The most common mood disorders are <a href="http://www.webmd.com/depression/default.htm">depression</a>, <a href="http://www.webmd.com/bipolar-disorder/guide/hypomania-mania-symptoms">mania</a>, and <a href="http://www.webmd.com/bipolar-disorder/default.htm">bipolar</a> disorder.</li>
<li><strong><a href="http://www.webmd.com/schizophrenia/guide/mental-health-psychotic-disorders">Psychotic disorders</a>:</strong> Psychotic disorders involve distorted awareness and thinking. Two of the most common symptoms of psychotic disorders are hallucinations &#8212; the experience of images or sounds that are not real, such as hearing voices &#8212; and delusions &#8212; false beliefs that the ill person accepts as true, despite evidence to the contrary. <a href="http://www.webmd.com/schizophrenia/default.htm">Schizophrenia</a> is an example of a psychotic disorder.</li>
<li><strong>Eating disorders:</strong> Eating disorders involve extreme emotions, attitudes, and behaviors involving <a href="http://www.webmd.com/diet/tc/healthy-weight-what-is-a-healthy-weight">weight</a> and food. <a href="http://www.webmd.com/mental-health/anorexia-nervosa/default.htm">Anorexia</a> nervosa, <a href="http://www.webmd.com/mental-health/bulimia-nervosa/">bulimia</a> nervosa and binge eating disorder are the most common eating disorders.</li>
<li><strong>Impulse control and <a href="http://www.webmd.com/mental-health/alcohol-abuse/tc/alcohol-and-drug-problems-topic-overview">addiction</a> disorders:</strong> People with impulse control disorders are unable to resist urges, or impulses, to perform acts that could be harmful to themselves or others. Pyromania (starting fires), kleptomania (stealing), and compulsive gambling are examples of impulse control disorders. Alcohol and <a href="http://www.webmd.com/drugs/index-drugs.aspx">drugs</a> are common objects of addictions. Often, people with these disorders become so involved with the objects of their addiction that they begin to ignore responsibilities and <a href="http://www.webmd.com/sex-relationships/guide/default.htm">relationships</a>.</li>
</ul>
<p>Other diseases or conditions, including various <a href="http://www.webmd.com/sleep-disorders/default.htm">sleep</a>-related problems and many forms of <a href="http://www.webmd.com/alzheimers/guide/alzheimers-dementia">dementia</a>, including <a href="http://www.webmd.com/alzheimers/default.htm">Alzheimer&#8217;s</a> disease, are sometimes classified as mental illnesses because they involve the brain.</p>
<ul>
<li><strong>Personality disorders:</strong> People with personality disorders have extreme and inflexible personality traits that are distressing to the person and/or cause problems in work, school, or social relationships. In addition, the person&#8217;s patterns of thinking and behavior significantly differ from the expectations of society and are so rigid that they interfere with the person&#8217;s normal functioning. Examples include <a href="http://www.webmd.com/mental-health/antisocial-personality-disorder">antisocial personality disorder</a>, obsessive-compulsive personality disorder, and paranoid personality disorder.</li>
</ul>
<p>Other, less common types of mental illnesses include:</p>
<ul>
<li><strong><a href="http://www.webmd.com/mental-health/mental-health-adjustment-disorder">Adjustment disorder</a>:</strong> Adjustment disorder occurs when a person develops emotional or behavioral symptoms in response to a stressful event or situation. The stressors may include natural disasters, such as an earthquake or tornado; events or crises, such as a car accident or the diagnosis of a major illness; or interpersonal problems, such as a <a href="http://children.webmd.com/kids-coping-divorce">divorce</a>, death of a loved one, loss of a job, or a problem with substance abuse. Adjustment disorder usually begins within three months of the event or situation and ends within six months after the stressor stops or is eliminated.</li>
<li><strong>Dissociative disorders:</strong> People with these disorders suffer severe disturbances or changes in memory, consciousness, identity, and general awareness of themselves and their surroundings. These disorders usually are associated with overwhelming stress, which may be the result of traumatic events, accidents, or disasters that may be experienced or witnessed by the individual. Dissociative identity disorder, formerly called multiple personality disorder, or &#8220;split personality&#8221;, and depersonalization disorder are examples of dissociative disorders.</li>
<li><strong>Factitious disorders:</strong> Factitious disorders are conditions in which physical and/or emotional symptoms are created in order to place the individual in the role of a patient or a person in need of help.</li>
<li><strong>Sexual and gender disorders:</strong> These include disorders that affect sexual desire, performance, and behavior. Sexual dysfunction, gender identity disorder, and the paraphilias are examples of sexual and gender disorders.</li>
<li><strong>Somatoform disorders:</strong> A person with a somatoform disorder, formerly known as psychosomatic disorder, experiences physical symptoms of an illness even though a doctor can find no medical cause for the symptoms.</li>
<li><strong><a href="http://www.webmd.com/brain/tic-disorders-and_twitches">Tic disorders</a>:</strong> People with tic disorders make sounds or display body movements that are repeated, quick, sudden, and/or uncontrollable. (Sounds that are made involuntarily are called vocal tics.) <a href="http://www.webmd.com/mental-health/tc/tourettes-disorder-topic-overview">Tourette&#8217;s syndrome</a> is an example of a tic disorder.</li>
</ul>
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		<title>WELCOME</title>
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		<pubDate>Wed, 06 Jan 2010 22:46:04 +0000</pubDate>
		<dc:creator>tamaramonell.com</dc:creator>
				<category><![CDATA[Mental Health]]></category>
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		<description><![CDATA[Thank you for visiting Tamara Monell&#8217;s site. You have made a wise choice to seek assistance from a professional when you need it the most. Good luck on your journey of improvement and growth as this is a new beginning to a new and better you! *Free 20 minute phone email or chat consultation for all new [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tamaramonell.com&blog=2051817&post=1164&subd=tamonell&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<p><strong><em>Thank you for visiting Tamara Monell&#8217;s site. You have made a wise choice to seek assistance from a professional when you</em></strong><strong> <em>need it the most. Good</em> <em>luck on your journey of improvement and growth as this is a new beginning to a new and better you!</em></strong></p>
<p>*<strong><em>Free 20 minute phone email or chat consultation for all new clients- 1.888.464.3646 Personal Code# 03834780 Mon-Fri. 8-7pm Sat &amp; Sun 8-6pm.  Free monthly seminars in 2010 so call to make your reservations today! </em></strong></p>
<p><strong><em>For chat and email contact me at <a href="http://www.liveperson.com/tamara-a-monell">www.liveperson.com/tamara-a-monell</a></em></strong></p>
<p><strong><em>*NOW ACCEPTING NEW PATIENTS IN ALL OF SOUTH FLORIDA WITH PRIVATE INSURANCE SO CALL TODAY! 786-287.0837</em></strong></p>
<p><strong><em>Services are also available in Spanish.</em></strong></p>
<p><strong>Mission Statement</strong></p>
<p><span style="color:#ffffff;">Tamara assures and provides access to services and support to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. Tamara has established standards to ensure effective and culturally competent care to promote prevention and recovery. Tamara is focused on promoting established policies, promoting self-determination, protecting human rights and supporting mental health training and research. Tamara&#8217;s mission is being accomplished by working in partnership with other state agencies, individuals, families, providers and communities.</span></p>
<p><strong><em>Most insurances are accepted. You may also pay with money order, cash &amp; personal checks. Credit card payment can be made through PayPal after I email you the invoice.  Tamara will be happy to provide you with a detailed statement that you can submit directly to your insurance company.  She can do all the paperwork, wait for their reimbursement, and bill you the difference; if any between that and the fee.</em></strong></p>
<p><strong><em>Looking to improve your focus, increasing productivity and learn healthy ways to relax? Mental Coaching services are also available!</em></strong></p>
<p><strong><em><span style="color:#33cccc;">Check out the therapeutic interventions page for more information on the different types of treatments available. Tamara uses use drawing, as well as arts and crafts projects,  &amp; cognitive-behavioral therapy (CBT) when treating many of her clients, however cases are assessed on an individual basis and may require other forms of therapeutic interventions to meet client&#8217;s needs.</span></em></strong></p>
<p><strong><em>*Make sure you visit the site daily for updates, free services and discounts available throughout the year.</em></strong></p>
<p><strong><em>Services are available in both Spanish &amp; English. </em></strong>Tamara ayuda a los clientes a sentir paz, tomar conciencia del bien estar,  identificar áreas en tu vida que uno necesita mejorar, y apoyarte cuando tomas decisiones para alcanzar un mejor bienestar. Tamara quiere hacer la experiencia en la terapia para sus clientes muy creativa y divertida. No solo se practica terapia de hablar pero actualizar y hechos son lo que permite el cliente mejorar.   </p>
<p><strong><em>Professionals are licensed &amp; insured. Policy #0421351349</em></strong></p>
<p><span style="color:#ff0000;"><strong><em> </em></strong><strong><em>*Please be advised that the information provided on this site is meant to complement and not replace any advice or information from a health professional. This website does not host any form of advertisement.</em></strong></span></p>
<p><strong><em> </em></strong><strong><em>Office Hours Mon-Fri 8-7pm. Sat. &amp; SYn 8-6pm. Hours are by appointment and include evenings and weekends.<br />
COPYRIGHT 2010 </em></strong></p>
<p><strong><em> </em></strong></p>
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		<title>Let&#8217;s Talk &amp; Walk -Psychotherapy Services</title>
		<link>http://tamaramonell.com/2009/11/14/lets-talk-walk-psychotherapy-services/</link>
		<comments>http://tamaramonell.com/2009/11/14/lets-talk-walk-psychotherapy-services/#comments</comments>
		<pubDate>Sun, 15 Nov 2009 03:57:52 +0000</pubDate>
		<dc:creator>tamaramonell.com</dc:creator>
				<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Treatment & Recovery]]></category>

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		<description><![CDATA[Share your feelings while you get fit. Psychotherapy services $85.00-130.00. Depending on the hours &#38; availability. *Lunch time &#38; Afternoon hours are usually preferred by clients and availability may limited therefore price is higher. West Palm Beach &#38; outside of South Florida will require addition fee due to distance and location. Please call for rates (*TRAVEL FEES ARE INCLUDED [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tamaramonell.com&blog=2051817&post=931&subd=tamonell&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<p>Share your feelings while you get fit.</p>
<p>Psychotherapy services $85.00-130.00. Depending on the hours &amp; availability. *Lunch time &amp; Afternoon hours are usually preferred by clients and availability may limited therefore price is higher. West Palm Beach &amp; outside of South Florida will require addition fee due to distance and location. Please call for rates</p>
<p>(*TRAVEL FEES ARE INCLUDED IN PRICE)</p>
<p>Private home/office/outdoor services are available: Call for rates!</p>
<p>*Call to book an appointment and change your life today! 786.287.0837</p>
<p>SERVICES ARE ALSO AVAILABLE IN SPANISH.</p>
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		<title>Mental Health and Psychotherapy</title>
		<link>http://tamaramonell.com/2009/11/06/mental-health-and-psychotherapy/</link>
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		<pubDate>Sat, 07 Nov 2009 00:28:11 +0000</pubDate>
		<dc:creator>tamaramonell.com</dc:creator>
				<category><![CDATA[Mental Health]]></category>
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		<description><![CDATA[Psychotherapy is often used either alone or in combination with medications to treat mental illnesses. Called &#8220;therapy&#8221; for short, the word psychotherapy actually involves a variety of treatment techniques. During psychotherapy, a person with a mental illness talks to a licensed and trained mental health care professional who helps him or her identify and work [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=tamaramonell.com&blog=2051817&post=917&subd=tamonell&ref=&feed=1" />]]></description>
			<content:encoded><![CDATA[<p>Psychotherapy is often used either alone or in combination with <a href="http://www.webmd.com/content/article/60/67150.htm">medications</a> to treat mental illnesses. <span id="more-917"></span>Called &#8220;therapy&#8221; for short, the word psychotherapy actually involves a variety of treatment techniques. During psychotherapy, a person with a <a href="http://www.webmd.com/mental-health/default.htm">mental illness</a> talks to a licensed and trained mental health care professional who helps him or her identify and work through the factors that may be triggering their illness.</p>
<h3>How Does Psychotherapy Help?</h3>
<p>Psychotherapy helps people with a mental disorder:</p>
<ul>
<li>Understand the behaviors, emotions, and ideas that contribute to his or her illness.</li>
<li>Understand and identify the life problems or events &#8212; like a major illness, a death in the family, a loss of a job, or a <a href="http://children.webmd.com/kids-coping-divorce">divorce</a> &#8212; that contribute to their illness and help them understand which aspects of those problems they may be able to solve or improve.</li>
<li>Regain a sense of control and pleasure in life.</li>
<li>Learn coping techniques and problem-solving skills.</li>
</ul>
<h3>Types of Therapy</h3>
<p>Therapy can be given in a variety of formats, including:</p>
<ul>
<li><strong>Individual:</strong> This therapy involves only the patient and the therapist.</li>
<li><strong>Group:</strong> Two or more patients may participate in therapy at the same time. Patients are able to share experiences and learn that others feel the same way, and have had the same experiences.</li>
<li><strong>Marital/couples:</strong> This type of therapy helps spouses and partners understand why their loved one has a mental disorder, what changes in communication and behaviors can help, and what they can do to cope.</li>
<li><strong>Family:</strong> Because family is a key part of the team that helps people with mental illness get better, it is sometimes helpful for family members to understand what their loved one is going through, how they themselves can cope, and what they can do to help.</li>
</ul>
<h3>Approaches to Therapy</h3>
<p>While therapy can be done in different formats &#8212; like family, group, and individual &#8212; there are also several different approaches that mental health professionals can take to provide therapy. After talking with the patient about their disorder, the therapist will decide which approach to use based on the suspected underlying factors contributing to the condition.</p>
<p>Different approaches to therapy include:</p>
<p><strong>Psychodynamic Therapy</strong></p>
<p>Psychodynamic therapy is based on the assumption that a person is mentally ill because of unresolved, generally unconscious conflicts, often stemming from childhood. The goal of this type of therapy is for the patient to understand and cope better with these feelings by talking about the experiences. Psychodynamic therapy is administered over a period of three to four months, although it can last longer, even years.</p>
<p><strong>Interpersonal Therapy</strong></p>
<p>Interpersonal therapy focuses on the behaviors and interactions a patient has with family and friends. The primary goal of this therapy is to improve communication skills and increase self-esteem during a short period of time. It usually lasts three to four months and works well for <a href="http://www.webmd.com/depression/default.htm">depression</a> caused by mourning, relationship conflicts, major life events, and social isolation.</p>
<h3>Approaches to Therapy continued&#8230;</h3>
<p>Psychodynamic and interpersonal therapies help patients resolve mental illness caused by:</p>
<ul>
<li>Loss (<a href="http://www.webmd.com/balance/tc/grief-and-grieving-topic-overview">grief</a>)</li>
<li>Relationship conflicts</li>
<li>Role transitions (such as becoming a mother, or a caregiver)</li>
</ul>
<p><strong>Cognitive-Behavioral Therapy</strong></p>
<p>Cognitive-behavioral therapy helps people with mental illness to identify and change inaccurate perceptions that they may have of themselves and the world around them. The therapist helps the patient establish new ways of thinking by directing attention to both the &#8220;wrong&#8221; and &#8220;right&#8221; assumptions they make about themselves and others.</p>
<p>Cognitive-behavioral therapy is recommended for patients:</p>
<ul>
<li>Who think and behave in ways that trigger and perpetuate mental illness.</li>
<li>With mild-to-moderate depression as the only treatment or in addition to treatment with <a href="http://www.webmd.com/depression/depression-medications-antidepressants">antidepressant</a> medication</li>
<li>Who refuse or are unable to take antidepressant medication.</li>
<li>Of all ages who have mental illness that causes suffering, disability, or interpersonal problems.</li>
</ul>
<h3>Therapy Tips</h3>
<p>Therapy works best when you attend all of your scheduled appointments. The effectiveness of therapy depends on your active participation. It requires time, effort, and regularity.</p>
<p>As you begin therapy, establish some goals with your therapist. Then spend time periodically reviewing your progress with your therapist. If you don&#8217;t like your therapist&#8217;s approach or if you don&#8217;t think the therapist is helping you, talk to him or her about it and seek a second opinion if both you and your therapist agree, but don&#8217;t discontinue therapy abruptly.</p>
<h3>Tips for Starting Therapy</h3>
<p>Here are some tips to use when starting therapy for the first time:</p>
<ul>
<li>Identify sources of <a href="http://www.webmd.com/balance/stress-management/">stress</a>: Try keeping a journal and note stressful as well as positive events.</li>
<li>Restructure priorities: Emphasize positive, effective behavior.</li>
<li>Make time for recreational and pleasurable activities.</li>
<li>Communicate: Explain and assert your needs to someone you trust; write in a journal to express your feelings.</li>
<li>Try to focus on positive outcomes and finding methods for reducing and <a href="http://www.webmd.com/balance/stress-management/stress-management-relieving-stress">managing stress</a>.</li>
</ul>
<p>Remember, therapy involves evaluating your thoughts and behaviors, identifying stresses that contribute to your condition, and working to modify both. People who actively participate in therapy recover more quickly and have fewer relapses.</p>
<p>Also, keep in mind, therapy is treatment that addresses specific causes of mental illness; it is not a &#8220;quick fix.&#8221; It takes longer to begin to work than medication, but there is evidence to suggest that its effects last longer. Medication may be needed immediately in cases of severe mental illness, but the combination of therapy and medicine is very effective.</p>
<p>WebMD Medical Reference</p>
<div>
<div>Reviewed by <a href="http://www.webmd.com/amal-chakraburtty">Amal Chakraburtty, MD</a> on February 09, 2009</div>
</div>
<div>© 2009 WebMD, LLC. All rights reserved.</div>
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