COVID-19: Teletherapy & Resources

As a result of the COVID-19 virus, PCS is now providing teletherapy by phone or video for individuals, couples, and families. We want to continue supporting our current Arizona clients and welcome new clients who are looking for a safe alternative to in person therapy.

Approaching 2020 with Open Arms and Hearts

Do you ever wonder what you can tangibly do to get ahead for the New Year? As I reflect on 2019, I think back to many moments during the year that included positive growth, hardship, connection, and loss. I started a life changing internship (Thank you PCS!), while continuing to take classes and work on my Master’s program at ASU. I moved to a new state away from my family and friends. I lost and gained friendships. I felt homesick and leaned on others. With all of this, I will be the first to tell you that I was not prepared for much of what 2019 threw at me! While being unprepared might have served a wonderful purpose (as I grew immensely as a person), I continue to embrace the importance of being present, grounded and mindful when looking forward and taking on new challenges and A NEW YEAR!

Here are some tips for starting your New Year on the right foot:

  1. Reflect (with Self-Compassion): It is important to begin with self-reflection about how you showed up in the last year for yourself and for others. What went well? What could be better? If 2019 felt like a hard year, this is especially important. Giving yourself compassion for the hardships endured or where things fell short allows you to open the door to change for the coming year.
  2. Compassion for others: As you grow your compassion for self, extend this to others.
  3. Get Grounded and Set Intentions: What do you wish to be different for your New Year? This could look like creating a mental or physical list of what you want to accomplish or change. Even if you had a spectacular year, we can always push ourselves!
  4. Get Specific: How will you act on these intentions?
  5. Seek Support and Connection: We are not meant to do this all alone. There are people who will support you in your efforts to create change in your life. Seek these people out and watch the team effort unravel positive growth.
  6. Appreciation and Gratitude: Studies have shown that showing gratitude positively effects one’s social and psychological well-being. Showing your gratitude will also allow your connections to grow.

From all of us at PCS, we wish you a joyful and prosperous New Year!

Article by Kaitlyn Beckham, BA, Intern

Kaitlyn is a Master of Counseling student at Arizona State University graduating in May 2020. She enjoys working with adults who have experienced trauma, as well as those who struggle with anxiety, depression, relationship issues and self-esteem issues.

Everyone Struggles in Relationships. Why?

Everyone struggles in relationships, especially with their intimate partners. Some people struggle a great deal and can see patterns showing up over and over again in relationship after relationship.

Why is this? What makes relationships so difficult and why do we see the same challenges showing up over and over?

Recent research has looked at relationship difficulties through the lens childhood adversity and asked the question “what is the impact of childhood abuse, neglect, and trauma on our relationships?” No one has a perfect childhood. I thought I did… until I started looking deeper and asking myself hard questions. In all my years at PCS, I am yet to meet someone who emerged from childhood entirely unwounded. And do I see my childhood issues playing out in my marriage? You bet I do!

We have learned a lot in the past 20 years about the lasting impact of adverse childhood experiences (ACEs). The ACE Study, conducted in the late 1990s, startled the medical world by showing conclusively that different forms of childhood trauma, alone or in aggregate, increase the risk of many major mental health and physical health problems—by up to 5 or 10 times (or more!). The study called out specifically the risk associated with ten childhood risk factors: physical abuse, emotional abuse, sexual abuse, emotional neglect, physical neglect, and living in a home with domestic violence, alcohol or drug abuse, depression or mental illness, divorce/separation/death of a parent, or incarceration.

Having any of these risk factors in your childhood was found to raise your risk of physical, emotional, and/or psychological problems later in life. And it doesn’t seem to matter how often bad things happened or how bad they were—it simply doesn’t take much to wound a child. Relatively few of us can claim to have none of these risk factors.

Fortunately, many of us are able to adapt to some forms of abuse and bounce back without much consequence—our resilience can offset the risks. However, having four or more of these factors may exceed a child’s ability to adapt and may interfere with the child’s emotional, psychological, neurological, and physical development and may lead to substantial problems in life. 

We now understand that childhood adversity multiplies your risk for developing addiction, chronic depression, suicidality, smoking, IV drug use, domestic violence, criminality, and teenage pregnancy. Childhood abuse, neglect, and trauma also dramatically increase the risk of diabetes, obesity, heart disease, cancer, stroke, sexually transmitted diseases, and premature death. And not surprisingly, they also increase the risk of failure in the workplace and failure in relationships.

So, what is it about childhood adversity that messes with our ability to have happy relationships as an adult? Here the research has been very illuminating as well.

Studies have shown that kids who have been traumatized may grow up to be adults who need to be perfectionistic, having learned that anything less than perfect behavior less brings abuse or neglect. They may be prone to anger–anger that may become a personality trait or lead to domestic violence. They may be sensitive to negative emotions and highly reactive when triggered. They may have an anxious attachment to others– worried about losing important relationships or unwilling to get close in the first place. They may not tolerate stress very well, becoming controlling, aggressive, or shutting down altogether. It is not surprising that these traits would make it difficult to be successful in relationship (just ask my husband!).

Interestingly, research has also shown that people who live through aversive childhoods tend to be more resilient—to have more grit, that is, a better ability to bounce back from difficulties. So curiously, while childhood adversity seems to set us up to have difficulty in our intimate relationships, it also makes us more able to weather and overcome the challenges that we create. 

Perhaps we can have a bit more compassion for ourselves and our partners if we remember that the lingering effects of childhood adversity and trauma can cast a shadow over our intimate relationships. While it does not give us an excuse to misbehave, the tough parts of childhood (which we likely had no control over) continue to influence our way of looking at the world and the choices we make, day in and day out. 

So, what can we do? Fortunately, there is growing evidence that trauma-informed therapy techniques can help to heal the wounding that happened to us when we were children. Treatments such as EMDR, somatic experiencing, and psychodrama (among many others) can effectively address the pain of childhood neglect, abuse, and adversity. This may allow us to become healthier, happier adults, and thereby pave the way for us to have healthier intimate relationships.

Article by Dr. Rck Isenberg, MD, LAC

What is the PCS Intensive Treatment Program?

“Participating in a PCS Intensive Treatment Program is an opportunity each of us have longed for, yet avoided. In 8 days and 68 hours your story has time to unfold and be received by a team of compassionate professionals whose primary purpose is to create a safe and equally challenging environment. The treatment process involving 35 hours of individual therapy brings an appreciation and understanding for the journey you have lived, including the detours, and offers the discovery of the journey awaiting you.”

– Dr. Marcus Earle, PCS Clinical Director

How it all begins…The Murray Method

Preparatory Workshop

The preparatory workshop begins your PCS Intensive Treatment Program.  Each group member shares their reason for participating in the intensive, is introduced to our treatment model, and begins constructing a few key elements of their treatment process.  Once the ice is broken, the workshop facilitator presents a framework from Marilyn’s Murray’s work called the Scindo Syndrome.  The presentation sets the stage for much of the work to come, offering a way of understanding how the difficult and disturbing experiences in our early life shapes how we think, feel, and behave.  It outlines what we strive for at PCS:  to become a Healthy Balanced Person intellectually, spiritually, emotionally and physically.  The Scindo Syndrome, along with the Circles of Intimacy, Responsibility, and Impact, provide the foundational scaffolding that the coming work can build.  Not only does it help a person organize and understand their own story, but it also illustrates how we are similar to the others in the group (and in the world).  This preparatory workshop is where the first homework assignments are given.  The assignments include exercises such as the Trauma Egg, Genogram and Scindo Syndrome drawings to encourage clients to explore and identify what has shaped their thoughts, their feelings — their lives. These exercises guide clients to discover what is underneath even if they are uncertain what motivates their behaviors that ultimately led them to PCS.

Concluding Group

The Concluding Workshop on Saturday mornings is the final piece of the intensive program; a space to celebrate the integration of the Healthy Balanced Adult with the client’s Original Feeling Child (the “child” they are at the core).  Clients share with one another their strongest “ah-hah” moments of the week, along with their Trauma Eggs, and their “Child” drawings.  In their final moment, clients reaffirm their gratitude for the group work and the gains they achieved during their time at PCS.

Not Just Mental Health

As part of the intake process, Dr. Rick Isenberg completes a comprehensive medical history to identify significant symptoms and illnesses, along with self-care practices, substance use, and compulsive behaviors which may impact the treatment process.  Our physical well being is entwined with our emotional and relational health.

The PCS Intensive Treatment Program is not just about mental health

Interestingly, for some, the medical history may even identify symptoms, or ailments that point toward an underlying emotional issue that may be unknown to the client. We look for these clues and follow them backwards to see what we find. We also look for medical conditions that may contribute to the client’s emotional issues (like diabetes, sleep apnea, hypothyroidism) that are either not yet diagnosed, or neglected and need to be treated. 

As part of the initial assessment, Dr. Isenberg also reviews the ACE Questionnaire with the client.  This tool looks at adverse childhood experiences and allows PCS to help the client put psychological and medical problems in a family/historical perspective. Dr. Isenberg also administers a neurocognitive screening assessment that helps to identify brain skills that may be lagging. It is important to have our brains working at their best, so we provide tools to allow our clients to buff up brain performance. When our brains work better, life is better. 

How Your Team is Assembled

After the client has filled out the registration materials for the intensive program, they will be required participate in a phone prescreen session with one of our team members. Not only does the prescreen ensure that PCS will be an appropriate fit for the client, but it also assists in selecting the individual and/or couple’s therapists assigned to each program with the background information provided. Every schedule includes at least one EMDR therapist. However, clients who are coming to work on trauma or other related concerns could find two or three therapists that utilize EMDR in their sessions. We also look at the other therapy modalities that would be beneficial for the client such as SE, CBT, DBT & EFT to help in the process of building a schedule for each individual or couple.

Clients who are interested in the intensive program but are on a strict budget can have the opportunity for interns, as well as licensed associate counselors (LAC) to be assigned to reduce the cost of their program. The advantage of having a large team of over 25 therapists allows flexibility in the selection of a client’s team and provides the ability to choose appropriate lower cost therapists while still receiving the full benefits of the process. 


EMDR, SE, EFT, ETC. – What is EMDR?

Eye Movement Desensitization and Reprocessing (EMDR) is a trauma therapy developed by psychologist Dr. Francine Shapiro.  Dr. Shapiro made the chance observation that eye movements can reduce the intensity of disturbing thoughts when she noticed her own stress reactions diminished when her eyes swept back and forth as she walked through a park.

EMDR involves recalling a stressful past event and “reprogramming” the memory in the light of a positive, self-chosen belief, while using rapid eye movements to facilitate the process.  EMDR (Eye Movement Desensitization and Reprocessing) incorporates elements of cognitive-behavioral therapy with bilateral eye movements or other forms of rhythmic, left-right stimulation.  One of the key elements of EMDR is “dual stimulation.”  During treatment, a person is asked to think or talk about memories, triggers, and painful emotions while simultaneously focusing on his/her therapist’s moving finger or another form of bilateral stimuli.  Other forms of external stimuli that may be used in EMDR therapy include bilateral tactile sensations and sounds (e.g. alternating hand taps or a chime that pans back and forth from ear to ear).

How Does EDMR Therapy Work?

At the time of a traumatic event, strong emotions may interfere with our ability to completely process the experience and the moment becomes “frozen in time.”  Recalling the traumatic event may feel as though the person is reliving the event all over again because the images, smells, sounds, and feelings still exist and can be triggered in the present.  When activated, these memories cause a negative impact on our daily functioning and interfere with the way we see ourselves and our world, and how we relate to others.

EMDR therapy appears to directly affect the brain by “unfreezing” the traumatic memories, allowing them to be resolved.  Over time, the disturbing memory and associated beliefs, feelings, sensations become “digested” or processed until the event is able to be thought about without reliving it.  The memory is still available, but it is less upsetting. 

The exact mechanism for the effectiveness of EMDR is unknown.  It appears that using rapid eye movement relieves the anxiety associated with the trauma so that the original event can be examined for a more detached perspective. This is somewhat like watching a movie of what happened.  This enables a person to access positive ways of reframing the original trauma (reprocessing), and to release the body’s stored negative emotional charges around it (desensitization).  Some experts have noted that the eye movements during EMDR might be similar to what occurs naturally during dreaming or REM (Rapid Eye Movement) sleep.  It may be thought of as a physiologically-based therapy that allows a person to see material in a new and less distressing way.  Others believe it reactivates parts of the brain that were “shut down” as a coping mechanism.  In this way, cognitive reorganizing takes place, allowing the negative, painful emotions to give way to more resolved, empowered feelings.


What is Somatic Experiencing (SE)?

Somatic Experiencing was developed by Dr. Peter Levine and is practiced all over the world as an intervention to resolve trauma. Dr. Levine theorized that trauma is not necessarily about an event, but about what happens after the event, at the physiological and biological level. How our nervous system responds, how those around us respond, how we recall the incident and the ultimate meaning we give to the experience will determine our chance of resolving trauma in the moment or increase the likelihood of experiencing PTSD in the future.

SE recognizes that trauma is a natural part of life. Trauma is not a disease or an anomaly. Its effects do not mean a life sentence or permanent incapacitation. Instead, trauma can be viewed as an injury to the autonomic nervous system with the understanding that our bodies have an innate capacity to return to a regulated state of being.  

SE is a short term, holistic and naturalistic approach that encourages mastery, empowerment, self-direction and resiliency. SE focuses on “sensate” or “felt sense” of the body by recognizing and accessing physical sensations, imagery and motor patterns to renegotiate trauma through physiological channels of the autonomic nervous system – from brain stem to limbic system. The body remembers everything even if the brain cannot access certain experiences and unlike traditional therapies, SE brings sensory experience to the foreground while supporting thought, feeling and emotion in the background.  

How Does Somatic Experiencing Work?

SE is a body oriented approach to renegotiate trauma. It involves grounding, orienting, noticing the felt sense of the body and tracking with curiosity how it experiences activation and then de-activation. With the support of a trained therapist, we can touch into the nervous system, mind and body and prepare for a reparative action. This “pendulation” of pleasant, unpleasant and neutral sensations increases our range of resiliency and facilitates nervous system regulation. We enter the “here and now” instead of being stuck in the “there and then.” We become able to recognize and express instinctive responses to threat. Expanding a person’s tolerance of bodily sensations facilitates their trust in the body’s wisdom and capacity to heal itself by uncoupling incomplete and undischarged bio-electric circuits. Symptoms diminish in strength and frequency when the cycle of discharge that have been fueling the symptoms of unresolved trauma are released. Discharge my take the form of flushing, muscle contraction/release, yawning, deep breathing, sweating, tears as well as other somatic responses.

Humans often thwart the natural mammalian instinct for fight, flight, freeze or collapse because we filter our experiences through the frontal cortex, thereby minimizing our “animal” instinct.  For example, if a child cries we often attempt to sooth by telling them “Don’t cry, everything is fine.” This shuts down energetic discharge. Patients often experience shaking coming out of surgery. Instead of allowing an individual to discharge energy caused by a traumatic experience (cutting, being tied down, having a mask over one’s face) they are often given warm blankets or medications to dull the sympathetic nervous system. When individuals fidget, we tell them to stop. We manage to stop energetic discharge throughout our day. Our sedentary lifestyles and cultural beliefs disconnect us from the body. If our natural, self-protective responses are not completed, this energy does not discharge and we are at risk of our nervous system getting “stuck on” or “stuck off.” We may not feel safe in our own bodies and so we “numb” with substance addictions (using alcohol or drugs) or with process addictions (gambling, sex, shopping, work, etc.) By bypassing the thinking brain and accessing the nervous system we can reclaim the body’s ability self-regulate.

Mindfulness

Living Without Awareness = Impulsiveness and Mood Dependent Behaviors.

What is Mindfulness? Mindfulness has been described as “paying attention in a particular way: on purpose, in the present moment, and nonjudgmentally.” Mindfulness is the practice of being completely aware of what you are doing in the moment, when you are doing it. It is you being in control of your mind, instead of your mind being in control of you.

Mindfulness is about: learning to maintain awareness of your mind, body, and surroundings. It is about staying in the present moment and noticing when your mind drifts into the past or future. It is learning to enjoy life in the here and now. Finally, it is about finding and connecting with one’s sense of self. When you are aware of what you are experiencing, you can make the choice to change or accept it, thus decreasing your suffering.

Benefits of Mindfulness: Mindfulness increases awareness. It allows us to be completely connected to our environment, reduce stress, and improve our overall well-being. Studies show that practicing mindfulness can reduce blood pressure, increase the immune system function, relax muscles, improve quality of sleep, and increase focus and concentration.

Why Learn Mindfulness?

Mindfulness skills help you to tolerate distress, that is, tolerating emotions and situations that feel intolerable; riding your intense emotions (urge surfing) rather than doing things to shut them off or distract from them, OR from engaging in self-destructive behaviors.

Mindfulness skills help you to regulate your emotions. The more skilled you are at noticing and identifying your emotions, the better chance you have of being able to adjust their intensity. If you are aware of what you are feeling you can change emotions you want to change, OR you can choose to stay with the feelings, knowing you are in control.

Mindfulness skills help you to be more effective in interpersonal situations. Increased awareness helps you decide when and how to make decisions about dealing with people and setting boundaries and limits, i.e. “asking for what you want” and “saying no”. Maintaining healthy relationships (or ending destructive ones!) requires the ability to be able to connect with your emotions and to be able to keep them in check if you want to.

Relapse Prevention: (e.g. relapse to undesirable mood states–depression, anxiety, anger, etc.–or impulsive/unwanted/self-destructive behaviors). Mindfulness teaches you how to recognize and disengage from emotion mind at times of potential relapse. Inability to do so may result in a downward spiral, and eventually, the onset of relapse. To avoid this, you must be able to disengage from emotion mind, bring in reasonable mind, and find wise mind. This will allow you to process mood related information in ways that are less likely to provoke relapse. Awareness of the patterns of thoughts, feelings, and body sensations that characterize relapse-related mind states is an essential first step in recognizing the need for corrective action.

Nutrition Makes A Difference

Taylor Aasand, MPH, RDN, our registered dietitian (RDN), conducts nutritional assessments of the complete diet of clients; including foods, beverages, supplements and medications that could influence medical status.  The dietitian also takes note for any special dietary patterns, food allergies, and religious beliefs that affect intake.

The RDN provides education around the link between nutrition and mental health, emphasizing that the brain and body must be adequately nourished and hydrated to do intensive therapy.    Some clients benefit from additional dietary services depending on a medical diagnosis or an eating disorder or disordered eating history.  The client and dietitian work together to develop a more structured dietary plan for their programming that may include planned meals, grocery lists, challenging food fears and rules, and body attunement exercises to help clients meet their individual nutrition goals.

All this allows PCS to help the team assigned to understand the client more comprehensively and provides additional avenues for intervention. The complete Wellness Assessment allows us to recommend changes in bad habits and lifestyle that may lead to a healthier life, better brain performance, and easier recovery from the addiction, depression, trauma (etc.).

Working Together

We enjoy talking about you. The PCS Intensive Treatment Program is a team approach model.  During your intensive over 7 professionals focus their attention on how best to facilitate discovering those issues inhibiting personal and relationship growth.  The case manager assigned to you communicates with your primary therapist before, during, and after your program while monitoring treatment process.  Through notes, emails, and conversations your individual and group therapists continue to update one another of how best to promote change and growth.  The Wednesday staffing offers a unique opportunity for reviewing your process, with you present, by our entire team of over 25 therapists. 

To learn more about the PCS Intensive Treatment Program, please contact our office at 480-947-5739 where our Intensive Coordinators can supply more information and start you on the journey to discovering a better you.

Building Upon Stonewall

It’s 2:00 pm on the hottest day of the year and I am watching the men lay brick in the full sun, building a second story on the building next door. As I watch them labor and sweat, I am reminded, in this Pride Month, that the rights and freedoms I enjoy today—being able to marry the man I love and live openly as a gay man—were built on the backs of a generation of men and women who labored and fought for the right to live without discrimination. I owe a lot to those courageous people, many of whom stood in the Stonewall riots of 50 years ago– many of whose names line the walls of AIDS memorials across the country.

Pride Month is a time to honor the victories and sacrifices of the past and to look forward to the challenges of the future. For this is not an easy time to be LGBTQ in our society. Regressive forces are pushing back. This is a time to rally in support of the rights of the next generation.

PCS stands with the LGBTQ community. We acknowledge the enduring spirit of this community that was once considered a mental illness. We stand against bigotry, conversion therapy, and the denial of transgender rights. We support those who remain closeted out of fear of retribution and those who struggle with their faith. We support those living with HIV/AIDS and those who have lost dear ones to the plague. We stand with those who feel alone, different, bullied, abandoned, and afraid. We help them heal.

At PCS, we affirm the value and uniqueness of every individual and strive to help everyone celebrate and live fully in their authentic selves.

Brick by sweaty brick. This is how we have reached this day and this is how, together as advocates and allies, we will build a future for the next proud generation.

– Article by Dr. Rick Isenberg

Embracing Sex Addiction

“The essence of recovery is embracing and growing from our mistakes and missteps rather than avoiding pain and discomfort.”

My recovery from sex addiction started when I was 28.  I was fortunate to participate in a group my father organized consisting of therapists and clergy.  It was during one of these meetings a group member divulged his struggle with sex addiction which prompted me to tell my story, one I had hidden until then.  This took place just after joining PCS and may have saved my career. The term sex addiction fit.  My behavior felt consuming, my efforts to stop failed, real and potential consequences were not a deterrent, marriage and a loving and compassionate wife did not stop the behavior, and no amount of will power could stop the energy which continued to well up inside of me, leading me to “act out.”   I am aware as I write this how inadequate words are to express the churning of guilt, shame, and fear I was experiencing.  

I moved into recovery and while the support and therapy helped me stop the behavior it is clear to me now the internal struggle continued to percolate.  We had children, immersed ourselves in parenting and building relationships with other families.  Business grew at a steady pace, but then exploded as our children reached their teen years.  This turned out to be terrible timing, and I began to lose myself in work.  It took time, but eventually the stress and disconnect from relationships brought back that which had never fully left and I began acting out again.  Thankfully, I eventually summoned the courage to disclose to my wife.  Individual and couples therapy resumed, and I reached out for support in ways I had not previously done.

Soon after this Doug Braun-Harvey provided an in-service training for our PCS therapists.  I found it resonated with me and began questioning whether labeling myself as a sex addict was a way to hide from some erotic conflict I was uncomfortable facing.  His six principles of sexual health proved helpful in my journey.  They are:

  1. Consent
  2. Nonexploitation
  3. Protected from STI’s and unintended pregnancy
  4. Honesty
  5. Shared Values
  6. Mutual Pleasure.

I found these principles began to shift my perspective on my sex addiction and created a different internal dialogue which in turn influenced how I shared with others.  I embraced a gentler and more compassionate view of self.  Around this time I stumbled upon Dr. Daniel Sumrok’s phrase, “Ritualized Compulsive Comfort Seeking.”  Dr. Sumrok believes what we label as addiction is a normal childhood response to adverse childhood experiences.  This perspective generated another question, had I simply developed a distorted, intimacy blocking relationship with my sexuality born from challenges in my childhood?  The answer was clearly yes, but where did this leave the “sex addict?”  

Would I discard the term sex addiction, no.  Currently, I find it helpful to embrace myself as an addict.  Not as a way of negatively labeling or pathologizing myself, but to respect and honor that which comforted me through the challenges of growing up. This ongoing change toward increased self-compassion is progressively shifting how I view my past and present-day choices.  Integrating my addiction recovery, trauma work, and the six principles of sexual health serve to broaden my recovery and support a gentler approach to self.  I desire to continue affirming, as an adult, I now have choices and resources I could not grasp as a child.  I am striving to develop a relationship with my wife which is safe, consensual, nonexploitive, and mutually fulfilling.  Recovery is a becoming; I hope you agree. 

Article by Marcus Earle, PhD, LMFT, CSAT, S-PSB

“Why Can’t She Just Get Over It!?” Betrayal Trauma and the Hurt That Can Keep On Hurting.

In working with couples where sex addiction has blown up the trust and emotional safety in a relationship, recovery and healing can be an extremely long road.  For individuals who discover that the person they love most in the world—and who are likewise supposed to love them back—has betrayed them through sexual acting out, it can feel like their world has been shattered. 

The person they thought their husband, or wife, or life partner was…what they thought “was so” about their life and their marriage/relationship…how they knew to trust…what they make this betrayal mean about them and their own worthiness and attractiveness…and what their life will be like in the future…all of this has been dramatically and traumatically altered.

The couples who choose to do the work required to begin the long journey of healing may find their way to PCS and to my office.  Most betrayed partners (I’ll say “wife” in this case) experience symptoms of Post-Traumatic Stress Disorder (PTSD) severe enough to meet criteria for this disorder.  Those symptoms can last a very long time—meaning many months, even many years—and are influenced by a variety of factors. 

One factor that can significantly affect a betrayed partner’s healing process is “discovery.” Discovery means what is says…that the betrayed partner literally discovers that his/her partner has acted out sexually.  This can be a one-time event, but more often than not, there are multiple subsequent discoveries over months (even years) that can hurt just as much, if not more, than the first.  These subsequent discoveries are like cuts to an open wound, reinjuring the site of the wound, damaging whatever bit of healing that may have begun, and substantially extending the time that healing might occur.

If you are a sex addict and have betrayed your partner, but you are in recovery and doing “your part,” you might feel that that after 6 months, 1 year, or 2 years, etc., “It’s been long enough!” and that your partner should be ready to “Just get over it!”  Or, you might say, “Honey, let’s put it behind us and just move on!”  If that describes you, please know that there is a part of her that would love nothing more than to be able to do just that!  Unfortunately, with sex addiction, the wounding is almost never a one-time discovery, and the pain can continue to get triggered.  The last thing she needs is to feel criticized or shamed by her partner for “how long” it’s taking her to heal. 

What she needs most from you now is to feel heard, understood, reassured; for there to be concrete evidence that you are faithful and working your recovery; and that you are accessible, responsive, and engaged in the relationship.  If you struggle with providing the empathy your partner needs, then reach out to your therapist for help.  Seek out a clinician who specializes in Partner Betrayal Trauma to help educate you.  Talk with other couples who are further along in their recovery to learn about their journey. Participate in a support group such as Recovering Couples Anonymous (RCA). There is light at the end of tunnel, but whether and how quickly you get there depends on how much of a true and patient partner you can now be to your wife.

Patience is bitter, but its fruit is sweet.

― Aristotle

Article by Gloria Gilbert, PhD

The 5 Loves

Intimacy. When I talk about this concept with clients, the common assumption is that I’m talking about sex.  While sex, ideally, will involve intimacy, many of the people I work with have rarely experienced intimacy and sex together.  In fact, many people come to realize they haven’t experienced intimacy anywhere in their lives. For the purposes of this very condensed piece on intimacy, let’s define it as a genuine connection between or among people.  A connection that might include vulnerability, honesty, closeness, warmth, understanding, safety, and satisfaction. It’s important to note, these connections don’t just occur in the type of intimacy or love that involves romance, sex, and partnership.  Expanding our understanding that we can have meaningful experiences of love in other types of relationships will help us to improve the most important one . . . the relationship with ourselves.  

We’re taking a page from Aristotle when we talk about The Four Loves (Greek forms of love).  Let’s first talk about Eros, the most highly coveted and sought after of all the loves.  Movies, stories, songs all suggest that once we get that one special Eros love, we will be all good. Basically, our job is over. We might have the idea that once we find the right romantic partner, we will finally be happy in our lives because this person will fulfill all of our emotional needs, intellectual curiosities, interests, passions, and desire for fun.  Unfortunately, it doesn’t work out this way. People get stuck in a cycle of finding “love” when it is really romance they are seeking. Then after the newness wears off, they are left disappointed, dissatisfied, bored, or on the other end of it, feeling rejected. I suppose this could be because some people are “just a bad match” or that “It just wasn’t meant to be.”  On the other hand, it may be because some of us weren’t able to show up with intimacy skills. We weren’t able (or willing) to be vulnerable with emotion, tolerate closeness, receive/provide warmth, or be honest about who we are and express it. Consequently, the relationship couldn’t take the next deeper step where romance fades off a bit so that a deeper, more expansive committed love can emerge.  So what do we do when we’re caught in a cycle of so desperately wanting love, but continue to either find ourselves in a string of failed relationships, or so fearful of being rejected that we don’t put ourselves out there. Some therapists will say, “Start with the lowest hanging fruit.” Fortunately, Aristotle gave us three additional fruits or loves to explore and they are all within our reach.

To begin, we have Agape — which is mission based or charitable love. Consider, in life, what makes your heart break or motivates you to give your time or resources to a cause without strings attached. Think about how you desire to help people in a genuine way and when you accomplish this are left with a feeling of serenity. Simply put, Agape love helps you develop a positive sense of self-worth and closeness in the world.

Storge — This love speaks to belonging in the family. Immediately, this concept may lose some of us if we feel disconnected from our family, come from a family wrought with issues, or believe family is the reason we struggle with love in the first place. The good news is that the expression of this form of intimacy isn’t limited to the family we are related to. We can find and develop this love in a group or community where we feel a sense of belonging.  These groups are defined by shared interests, common goals or values and can involve a little or a lot of investment. Exploration of Storge can be had in many areas including art/creativity, music, academics, sports, hobbies, gaming, crafts, service projects, and recreation. One of the reasons Greek organizations exist in universities/colleges is to offer a transitional family with common academic or cultural characteristics; sororities and fraternities, especially when they include an Agape foundation, provide a sense of belonging, safety, and community for young adults leaving the nest. Notably, in Storge love, the level of talent or role in the group is not what makes this love deeper or more meaningful, it is the person’s genuine participation in the shared interest. If you happen to be a person who has a supportive and loving family, the nudge is still there to intentionally foster Storge. If you overlook this love because “It’s always been there,” you risk losing intimacy in life by becoming too dependent on one or two people. Also, if you have written off family or certain members, you may be selling short your own ability to love with a humble Agape spirit, achieve some healing, and experience more Storge than you once believed was possible.

Philia — This is the reciprocal love of close friends.  Intimate friendship involves a commitment to generously invest in one another’s lives with the intent of helping each other to mature in honesty, humility, and discretion. Deep friendship offers comfort through tough times and an expectation that each will challenge the other if one drifts from professed goals and values. Intimate friends don’t criticize character flaws but instead work together to explore healthy alternatives.  They stay informed on important issues in each other’s relationships and investments. Simply put, they challenge and encourage each other to be the best they can be. Certainly, this love is not actualized in quantity, but in quality.

Ideally, if it is a personal goal, the aforementioned loves can prepare you for Eros or romantic/sexual love.

Of course, what makes the cultivation of any of the four loves challenging is if we lack love of self.  The good news is that we don’t have to acquire one before the other; we actually need to develop them simultaneously. Also, we can’t forget that without knowing and loving self we will continue to repeat intimacy-blocking patterns in all forms of love. Reason being, if we have not defined who we are, we have little chance of becoming ourselves in the world, regardless of the type of love we desire.  While all four of these loves challenge and foster personal growth, healthy investment in self-love, and continual maturing of identity, it is Eros that often challenges us most. It is the loving partnership that most clearly strives for a sense of oneness. As such, it requires a clear sense of self along with the intimacy skills of humility, assertiveness, transparency, clear boundary-setting, empathy and compassion. It is not self-sacrificing but rather requires integrating self with another.  This cannot be achieved while hiding, disowning or failing to communicate a clear sense of self. If a person invests in Eros love, they must continue to define “me” or risk losing their identity.

Factors such as lifestyle and life stage can negatively impact the growth of oneness if individual goals and cultivating shared goals within the partnership are taken for granted. Therefore, it is really up to each partner to invest in who they are (personal values, interests, strengths, vulnerabilities, passions, and missions) so they can offer more to the relationship and not become helpless or entitled. In Eros love, each partner promotes intimacy by really valuing how the other cares for their own physical, emotional, mental, spiritual, and sexual well-being.

Lastly, self-love can be hard to come by if a person has a long history of self-destructive behaviors that have blocked intimacy in relationships. The good thing is, we all have equal potential in the present to value ourselves and to feel as good about what we have to offer the world. Theoretically, one’s true worth and ability to attract healthy connection with others depends upon who they are being now, not on their possessions, surface appearance, or past. Now, this does not mean we benefit from attempting to forget, minimize, or justify our past harmful actions. Quite the opposite, a greater sense of knowing and loving self can actually come from owning what we have carried out in real life to hurt real people. Accepting that we are more loveable when we are not perfect is a great goal! In this humble space, we can connect with others as our authentic selves and not as actors.  We can believe that no person can truly be satisfied in relationships without intimacy.

So ask yourself: What relationships am I neglecting to strengthen or pursue? What is keeping me from experiencing real intimacy? How might I learn to be more authentic and vulnerable with others?

Article by Sam Hardwig, MA, LPC

Sex Addiction: An Ineffective Painkiller

As a therapist at Psychological Counseling Services (PCS) in Scottsdale, I see clients from all over the country who share the ineffective practice of numbing emotional pain with sex addiction. They come to PCS for our Intensive Outpatient Program (IOP), and at intake report a common theme – I don’t like what I’m doing, but I can’t stop it, because nothing else works to soothe anxiety, depression, stress, fear, anger – nothing else works to soothe the pain. 

As we sit across each other establishing goals for the week, I feel the heaviness of the pain inside them. I can feel the frustration of the theme that runs through their body and mind; the theme of failure, loneliness, and loss. I begin to type in their words, “get sober from sex addiction,” “prevent future relapses,” or “learn healthier ways to cope.” Sometimes I can see a part of them wanting to snatch the words back, like Linus fighting Lucy for his blanket. 

Sometimes I see another part, a deeper part, who has done it long enough to know that what was supposed to numb the pain is only making the pain worse. That part has tallied the losses; the marriages, the jobs, and the friends. That part wants to shred the blanket in a million pieces and for good. 

Clients will often explain that sex addiction isn’t like alcohol or drugs — it’s not like you can just avoid the liquor aisle at the grocery store, or the bar, or the friends you used to do drugs with. Sex and sexual triggers are everywhere. Clients talk about the difficulties of going to malls where they face women in underwear with wings on their backs, and half-naked teens in sepia-toned ads on the storefronts where their kids want to buy blue jeans. Another overwhelming narrative from clients in terms of escalation or relapse involves the internet. 

Since the early 1990’s, internet pornography has redefined the culture by creating a readiness aspect to sexual content that didn’t exist before. As of 2015, the amount of content, including chat rooms, webcam sites providing live encounters, and downloadable apps (the list is endless) with access to casual sex, has exploded, making it difficult for addicts to establish, much less maintain sobriety. 

Seeking Real Intimacy

People have trouble hearing the word “sex addiction” without grimacing at the term. The public perception is that the individual is more of an ass**** than an addict.

Internally, I see something different. I see individuals who long to connect, yet fear vulnerability and the risk it takes for healthy intimacy. Typically, they have a history of abuse, abandonment, and/or neglect — and have difficulty trusting that a significant other won’t replicate what has occurred in their past. Sex can “feel” like intimacy, which makes it easy for the addict to believe he or she is connecting to another human being. 

Real intimacy, however, involves the richness of building history with a partner, working through struggles and hardship together, and experiencing joy. “Faux” intimacy catches up when the connection only reinforces the loneliness and emptiness the individual had at the start. It’s a “cheap solution,” and the addict on some level knows this.

The pattern that typically plays out in the sex addiction cycle, involves numbing the pain through the sexual act, feeling shame and self-loathing for “acting out,” followed by a period of attempting to resist the behavior. The point of no return is different for every client. It can be the moment when yet another affair is discovered by the addict’s significant other, it can be the moment a boss discovers pornography on an addict’s work computer, or it can be the addict saying no more. 

While the preference would be the addict initiating treatment rather than an external forcing it, there is at least an opportunity for the addict to do life differently when he or she enters therapy. 

For *Wayne, *Tom, *Jason and *Karen, their reasons for signing up for an IOP at PCS varied.

Wayne had been sober from alcohol for 25 years, and then started having affairs a year into his second marriage. He “got caught” a year ago, and since then has kept relapsing. He would say that his wife was the reason he sought treatment; however, he admitted he had never felt peace in his entire life, and needed to know what that felt like before he died. 

Karen was similar to Wayne in that she had been sober from alcohol for over 20 years, but lost her sobriety from sexual addiction four weeks prior to coming to PCS. She and her husband almost divorced three years ago, and he told her if she relapsed that would be it. After her relapse, he struggled to pull the trigger on the marriage. He listened as she described her desire to go deeper in her therapy, in order to get to the root of her behaviors, and decided to give the marriage a chance.

Jason entered therapy after his girlfriend broke up with him. He had spent most of his teenage years isolating and using pornography and masturbation to cope with the pressures of growing up. Now in his early-20’s he reported his life was going nowhere and he didn’t know how to stop. All three had resistances to therapy, but deep-down wanted to change. 

Tom was a different story. He entered therapy to try and end his fourth affair, saying, “I’m in love with this girl, but I don’t know. Maybe I need to let her go and try and love my wife. I don’t really want to, but my wife wants me to try, so here I am.” 

Wayne (age 55): Married, father of 2 adult children

When I met with Wayne for our second session, he shuffled around the couch and told me he was pissed at my colleague he named, “Alligator Shoes.” I tried to track his grievances, but by then he had moved on to wanting to punch yet another of my co-workers. It appeared he had been called on the carpet for flirting with a female visiting professional by buying her a box of cookies. In his view, he was merely saying, “thank you,” for an affirmation she offered him after one of his sessions. His therapeutic team, however, noticed a trend in the behavior, which linked to his tendency to groom women “innocently” before embarking onto a less innocent sexual encounter. In fact, his list of encounters were several pages long, and some involved unprotected sex, which was a health hazard to himself and his wife who had spent years trying to love him. He told me he was ready to run right now. I told him he could run anytime. I honestly didn’t want him to run, but I had to give him the opportunity. I had to allow him to make the choice of recovery for himself. He then spat out, “Well then you’re going to have to change my schedule. I can’t meet with any female therapists alone, because I guess I can’t be trusted.” I let him know that I thought he might benefit more from learning how to cope with the anxiety of being around female therapists and learning how to resist seeking affirmation from them. I then remembered his referring therapist sharing that Wayne was a “runner” and an “avoider,” and he wouldn’t be surprised if he left. Wayne took some deep breaths and this time he stayed. 

Karen (age 37): Married mother of 3 children (ages 9–15)

Karen was introduced to sex by an older male cousin at the age of 10. He brought her to his friends and per her report, they “messed around” with her. She had difficulty seeing that as abuse, because in her view, she enjoyed the feeling of being touched. She described a household where her father held a gun to her mother’s head in front of her and her siblings. She also recalled several instances of her father beating her mother, and seeing her mother taken to the hospital. For Karen, sex became the one thing in her young life that felt good. She used masturbation to calm herself down, to relieve fear and tension, and to escape the turmoil in her household. Masturbation also allowed Karen to take control in an environment where she had none. 

As she grew into her teenage years, sex was a way to feel attractive and popular. She continued using sex for attention and comfort well into her 20’s and 30’s. Compounded with alcohol, she crossed the line at work, and lost several jobs as a result. While part of her longed to have the simplicity of deep intimacy with her spouse and stability for her children, Karen had difficulty coping with her even deeper feeling of worthlessness.

In Psychodrama Group therapy, Karen volunteered to play the protagonist and worked on the scene where her father held a gun to her mother’s head. She realized for the first time, how painful her childhood really was, and admitted she felt suicidal most of her life. She expressed fear that if she allowed herself to begin feeling this pain, that it would somehow swallow her whole, and she wouldn’t survive it. After all, she had spent years “keeping it together” by telling herself it wasn’t that bad, and then soothing the pain with sex. At that moment, she wanted to go back and stop feeling, but at the same time, she knew there was so much more.

Jason (age 23): single with a girlfriend

Jason’s family system was infiltrated with a long list of high-achieving, outwardly successful grandparents, parents, and siblings. As the youngest of 7 children, he felt his “competition” was near-impossible to beat. Doctors, lawyers, business owners — all the outward signs of success. His parents were well into their 40’s when he was born, and the bigger part of him felt as if he was an after-thought in life. By his own admission, he believed he was spoiled and entitled, and since there was not much demanded of him, Jason felt there was likely not much expected of him either. When he was 12, he recalled hanging out with a friend who discovered his father’s stash of Playboy magazines and hid them in the back of his house. That was Jason’s introduction to what would become a pattern of using pornography and masturbation to ease his fears and escape from the pressures of reaching a bar of expectation he felt he had no chance of achieving. As he worked on his family Genogram, he realized that while his family was outwardly successful, they lacked emotional availability and connection. For the first time he began to challenge the definition of success. 

Tom (age 46): Married father of 4 kids (ages 6-18).

Tom finished up a text as we began session, and then handed his phone to me and said, “Isn’t she beautiful?” His wife had accompanied him from the West Coast, and while not doing the program herself, decided to be with her husband during his IOP. She was sitting in the lobby reading a book, as her husband shared a photo of his affair partner. I attempted to begin a Trauma Egg with Tom, which comes from the work of Marilyn Murray (PCS Consultant) and helps the client organize significant disturbing events in their lives, uncovering how they felt, how they coped, what message they internalized, and what they needed or wanted instead. It’s an effective tool designed to uncover the underlying causes of addictive behaviors. Tom stated he had no memory of his childhood, but was able to recall current turmoil with his father, as they ran a business together. 

His face reddened as he described the ways in which his father belittles him and undermines him in business. He angrily relayed how his father will take money from the business, and then deny ever doing it. When I asked him how he dealt with it, he explained that he has tried to talk to his father, but nothing changes. When we looked at ways he could communicate and set boundaries with his father, Tom laughed, “There’s nothing I can do. I just have to deal with it.” Tom felt powerless in his relationship with his father, yet powerful in his ability to have affairs. In that realm, no one told him how it was going to be. When Tom was asked to consider how his wife pays the price for that dynamic, he acknowledged the possibility, but in all honesty didn’t want to change it. He was hoping we could figure out a way to teach his wife to stop complaining. 

Progress Notes:

Wayne: Wayne stayed for two weeks individually, and then decided to do a couples’ intensive with his wife for an additional week. The man who was ready to run on day 3 of his first week was breathing differently on the last day of his third week. They both wanted to process the pain of his last affair, an affair that endured longer than other encounters, and continued to burn inside his wife. As she processed with EMDR, he witnessed her grief. He was able to be present as she expressed her sadness and built empathy for her during the process. They both felt like they got to a place of deep intimacy, and Wayne felt the peace he had longed for.

Karen: Karen learned how to conquer the heaviness of her shame and feelings of worthlessness, by continuing to share her story with her group. This process allowed her to demystify what she previously deemed shameful and humiliating. Instead of judging her, the group acknowledged her pain, and allowed her to feel for the first time that she was human, just like them. Instead of hiding in shame, Karen began to own her shortcomings from a healthy adult perspective. She had a long road ahead in repairing her relationship, but felt hopeful at the prospect.

Jason: Jason learned healthy tools to help him cope with pressure and anxiety, and achieved a level of sobriety for some time. He began extending himself socially, and felt less isolated and withdrawn. His girlfriend had been on the fence since he began treatment, and a few months after his IOP she ended their relationship. He managed it initially, but loneliness prompted a relapse in his pornography use. He stayed in therapy and was able to successfully recover from the relapse. Through the growth and the life experience, he realized adult life is going to involve struggle, loss, and pain. For the first time, he felt ready to challenge himself to stay sober during the next inevitable disappointment. 

Tom: Tom decided to go against the encouragement of his therapeutic team and continued to contact the “beautiful woman” whose pictures filled his phone. On his last day, he expressed disappointment that he felt the same; he had difficulty connecting how his decision to maintain the problematic behavior was likely the cause. The shift that did occur involved his wife. Tom went back to the West Coast, while his wife stayed and did her own IOP. She had a difficult time facing the reality of her situation; however, she allowed herself to feel the pain, and in doing so, left PCS with the feeling of empowerment and serenity.

In the end, Wayne, Karen, Jason, and many more clients, began to learn that the best painkiller is to learn how to sit with the pain, face it, and work through it. Soothing it with sex addiction ensures the singular guarantee of more pain.

*Clients names and information have been changed in order to protect their confidentiality.

Article by Cristine Toel, MA, LPC, S-PSB

Discovering Love

This is not a story of finding love in all the wrong places, nor is it going to be an intellectual discussion on love and how to define it. For me, love has been a challenging concept, and I am certain its understanding has alluded me. This story lacks the detail to fully describe a life lived, but instead provides a glimpse of a lengthy journey to discover love.

I think as a child I thought love took the form of a new toy, bike, or book I was immersed in. In my family I heard my parents say they loved me, at times they expressed it through hugs, but mostly love took the form of action. My dad acted on his love for us by providing financially and creating opportunities for family vacations. My mom communicated her love through cooking, she made great meals, and keeping the house organized and clean. I knew my dad loved his work, but I am not sure I ever heard my mom express what she loved doing. I learned love is primarily what you do for others and yet this still did not seem to fully embody the idea of love.

Entering my teen years unfolded yet other dimensions of love. Strong feelings for young women developed. I also found myself drawn to print images of women. I learned that my feelings toward other women, once expressed and acted on would fade with time. On the other hand, my attraction to print images persisted and I kept searching for more. The idea of love became confusing. A love for playing sports continued to develop and oddly enough, growing up in Arizona, snow skiing was where I found myself most comfortable. There was always something about being in the middle of a steady snow and the stillness it created.

My sophomore year in college proved to be magical for me. This is when I first met Robin who is now my wife. This first encounter went beyond the physical attraction, touching something deeper in me, I felt completely drawn and in love with her. Soon after there was an encounter, what I call God, that shifted my perspective and created a sense of feeling loved much like I felt with Robin. Later, in my junior year in college, psychology and religion sparked a love for learning about people, relationships, and God. I continued to find being outdoors in nature and allowing my senses to take in all that surrounded me, somehow, resulted in feeling full and loved. Was it possible that I was now beginning to understand love?

Well from here, it was five years of graduate school in Marriage and Family Therapy, at least I was studying love and relationships. Then I found myself working, loving it, but perhaps loving the way it fed my ego. In work, I loved accomplishing, hearing how well I was doing, and clients telling me how much they appreciated my help. When I failed to help clients, it triggered a deep hidden insecurity. Next was the experience of having children. The birth of our children 27 and 25 years ago created a whole new space and depth to my understanding of love. Just listening to them breath while they were sleeping fostered a connection I did not fully understand. For the first 10 years of their lives, work took a back seat as my focus shifted to their needs. Unfortunately, I did not pursue intimacy with Robin in the same way and as the children became more independent, work beckoned me back. As I reflect, it was easier to work and help others than it was to risk acting on my love for my wife and children by becoming more vulnerable with them.

Truth is, I did not fully understand vulnerability. Not until the past three years of my life, I am now 57, have the circumstances of my life taught me love is found through facing my challenges, my shame, my insecurities, and my arrogance. I am facing the reality I am not in control of my destiny. My judging of those closest to me and the resulting distance it created was not as well hidden as I imagined. Sadly, it took more than one life lesson over the past three years to focus my attention. These lessons came to me in my marriage, with my children, my family of origin, professionally, and with my friends. My universe was telling me it was time to change. I am grateful I ultimately paid attention to the resulting hopelessness, confusion, anger and began reaching out to others with greater honesty and vulnerability. This is when I began to let others in, as a sense of helplessness led me to reach out to others for help. Only as I began living more truthfully, with greater self-awareness, and acceptance of my own powerlessness have I found the ability to begin loving myself. In this space I have begun to reach out to my wife, children, and friends and vulnerably love them. Love them for who they are with a willingness to listen, extend the conversation, and support them without my agenda. I am finding this quiets the tension in me, my defenses let down, and I can be more fully involved with those most important to me – I can love. Equally important, I am finding more compassion deep inside of me for those marginalized in our society.

This time of year, we focus on love in the form of cards, dinners, flowers, and other romanticized versions of it. Perhaps love is found in our relationship with self and others as we courageously visit the memories, experiences, and conversations we have long avoided. I believe this is where we discover our tremendous capacity to love.

Article by Dr. Marcus Earle, Clinical Director

A Key for Relationship Satisfaction: Emotion Skills

An abundance of research demonstrates the association between emotion skills and relationship satisfaction. Emotion skills can be defined as the ability to identify, manage, and express emotions. Emotion skills offer the ability to genuinely express your emotions, identify with your partner’s emotions, and to improve one’s ability to tolerate distress.

Emotions cannot damage relationships; rather, emotional expression can be helpful (via promoting connection) or harmful (via promoting distance). Lack of emotional expression decreases ability to be genuine with self and others. Research shows that interactions with others unable to self-regulate causes stress. Likewise, people unable to use healthy patterns of emotion regulation find close relationships to be uncomfortable, and they avoid such relationships.

If you have ever told your partner, “at least…,” “it could have been worse,” or “look at the bright side” following their expression of pain, you might benefit from increased emotional skillfulness. Though rooted in good intentions, these types of expressions minimize pain and turn others off to continued expression. Those truly comfortable tolerating their partner’s pain might respond with an invitation, such as, “that sounds painful, can you tell me more about that?” Other types of unhealthy expressions of emotions (aggression, avoidance) can trigger opposition from others, increasing interpersonal conflict and decreasing interpersonal support.

If you’d like to start increasing your emotion skills, consider self-disclosure, “I feel” statements, use of feelings words, perspective taking, reflections, identifying one thing you can empathize with, and validate. Invite your partner into emotional conversations and into an improved relationship.

Article by Dr. Catherine Asber-Lowrey, Psy.D.

 

“The discomfort and fear of remaining emotionally vulnerable and engaged tempts me to find the familiar comfort of isolation and managing on my own.” – Dr. Marcus Earle, PCS Clinical Director

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