Couples counseling is most effective when rooted in specialized training and a systemic perspective. Marriage and Family Therapists (MFTs) bring a distinct approach to relational therapy, considering the intricate dynamics of family systems, attachment patterns, and relationship influences. At Spilove Psychotherapy in Bryn Mawr, PA, we’re proud to offer affordable couples therapy led by skilled MFT Interns under expert supervision. Learn how this unique training and collaborative care can transform your relationship journey. Click below to explore what sets MFTs apart and how our therapy services can support you and your partner in building a deeper connection.
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ADHD is often stereotyped as hyperactive boys unable to sit still, but for many women, it’s a silent struggle that goes undiagnosed for years. Instead of hyperactivity, ADHD in women often manifests as inattentiveness, emotional dysregulation, or perfectionism—symptoms that are easily misinterpreted as laziness or moodiness.
Societal expectations and cultural norms further complicate recognition, as women with ADHD work tirelessly to mask their struggles, often at the cost of burnout and mental exhaustion. From managing family responsibilities to meeting career demands, the toll of undiagnosed ADHD can feel overwhelming.
Learn how ADHD presents differently in women and why awareness and proper diagnosis are crucial for breaking the cycle of shame and self-doubt.
Parenthood is a beautiful, challenging experience that reshapes every aspect of life—including your partnership. Sleepless nights, endless to-do lists, and the demands of raising children often leave little room for the connection you once cherished. But it doesn’t have to stay that way.
At Spilove Psychotherapy, we help couples reignite their bond, balance parenthood and partnership, and navigate life’s challenges together. Ready to strengthen your relationship for the benefit of your family?
Click here to explore how couples counseling can help.
Is your relationship feeling distant, challenging, or stuck? Whether you're navigating life transitions, longing to rekindle intimacy, setting boundaries, or exploring new dynamics like Ethical Non-Monogamy, couples therapy can help you reconnect and thrive.
At Spilove Psychotherapy, we specialize in affordable couples counseling in Bryn Mawr, Philadelphia, and online throughout Pennsylvania and New Jersey. Ready to take the next step?
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It never feels good enough when it comes to food decisions and our minds are always racing. We want to feel like we are making the right decision but we always end up back in the same cycle of punishing our bodies, feeling shameful and moody, and ultimately are left feeling negative about ourselves. It doesn’t have to be this way. We don’t have to live in society's food ‘rules, ’ feel guilty, shameful, or confused about food any longer. There is another way!
At times, all of us have eaten a bit, or a lot more than is comfortable in our bodies. Holidays, celebrations or sometimes mindless eating in front of the TV can leave us feeling overly full. For some, this way of eating is more common and happens more frequently than we’d like. The new DSM-V, the Psychiatric Association’s manual on diagnosis, has created a diagnosis under the eating disorder umbrella called Binge Eating Disorder or BED. Whether you meet the criteria for this disorder, for bulimia, anorexia, or you just find yourself overly stuffed at times, these tools can be helpful:
It helps to look at your behavioral patterns. Some people find themselves eating excessive sweets, some are more geared towards fats or starches. Some people with emotional eating tendencies excessively eat any kind of meal including vegetables. See if you can find a pattern in your binge choices.
Are there any types of foods that you’d never consider in a binge or never feel the need to over-eat? In a recent session, a client was relaying the guilt and shame he felt after a binge. He reported that he doesn’t usually allow pastries in the house, but was feeling strong recently and thought it’d be okay. He found himself finishing off the pastries he had in one sitting. Upon further investigation into what foods he was allowing himself to eat regularly, the client determined that he felt very satisfied when he ate waffles and allowed himself to eat waffles multiple times per week. I asked him if he ever binges on waffles. He was shocked when he thought about it and said that – no – he never binges on waffles. Ok, great, so there’s no waffle binging going on, but how does that help? Follow me here.
What foods do you consider safe? In an attempt to be healthy, lose weight, or just get control over your food choices, you may be very rigid or restrictive about what you allow yourself to eat on a regular basis. Perhaps your choices look benign enough like chicken and veggies multiple times per week. Write down what you’ve eaten over the past 3 days to 1 week or track your food for a week. What do you notice?
Take those same meal journals and notice what you don’t have there. If we consider all the food groups: protein, fat, starch, veggies, fruits and dairy – are there any food groups missing? Are there lots of repeated meals without much variety?
Try adding a portion or 2 of the foods you don’t allow yourself to eat and some of the most common foods you binge on to your regular meal schedule. I know this might seem counter-intuitive. Our society tells us to resist, have discipline, diet harder, avoid sugars and carbs and fats and this may be the only voice you’ve ever heard that encourages these things, but just give it a try for a month or even a week and see what happens. If you are on the anti-carb kick, but then you find yourself binging on carbs, try adding a normal amount of carbs to each meal and see what your body craves after a while.
Food is part of life! It’s nourishing and delicious and sensual. When we restrict ourselves from eating foods we love, we may lose weight in the short run, but this does not happen without consequence. Our animalistic nature, our Id, it craves pleasure and passion and vigor. If we force ourselves to live inside a rigid box of rules around food and body, we will always desire to break free and stepping outside of that box causes immense shame and fear. I am not telling you to overeat or teaching you how to binge differently, but what I am suggesting is that you try to take the power out of the foods that haunt you.
If you regularly binge on entire cartons of ice cream, see what happens when you have a cup every night for a week. What emotions come up when you eat it? Can you journal about them and bring them into your therapist? What do you find yourself craving after that week of glorious freedom with ice cream?
If you live near The Main Line of Philadelphia or West Chester and want to learn more about binging and how to quit, or you’re not sure where to find support for your feelings around food, you’re not alone. Please feel free to contact me at 610.314.8402 – I’d be happy to help you find support.
I know, I know, it sounds TERRIFYING! Yes, I'm serious - you will not die from eating food in a restaurant ... I PROMISE! It might FEEL like you'll die, it might seem like you'll gain a hundred pounds just from eating the food that is cooked for you back in that kitchen you can't see.
As my friend and colleague, Natalie says, "there aren't calorie ninja's back in the kitchen adding calories to your food"! I understand the fear - I get that allowing somebody else to prepare your food is giving up control in a way that might not feel safe for you just yet. Here's the rub, though - even though it might be hard to admit, I KNOW you want to be able to participate in experiences that involve food. You WANT to be social. You want to hang with your friends while they get frozen yogurt or try the food at the new cafe. You want to live your life again... it's just that ED forbids it. Here are some helpful tips for you to get more comfortable with dining out:
When you find yourself feeling fear about eating in a restaurant, it's sort of like a phobia - a very heightened anxiety around something specific. The way to deal with and cure this type of phobia is through exposure - WITHOUT - re-traumatizing yourself. So you don't want to push yourself to take it all on without practicing and getting comfortable with various aspects of it first.
Use affirmations - they are wonderfully helpful ways to rewire your brain!
You might want to enlist the help of your therapist, friend or family member. Tell them some food options that you consider safe. Start small.
Your support team member could either get you food from a restaurant or give you food that they made without you present. Or if you need to start even smaller, you could watch them make your meal so you know it's safe. Eat with them. Notice your feelings. Use anxiety reduction and grounding techniques. Keep breathing and do your best. Keep practicing this step until your anxiety stays below a 7 on a 0-10 scale with 10 being the worst anxiety you've felt and 0 being no anxiety at all.
Once you get comfortable with eating meals made by others, up the ante. If you're still not ready for restaurant dining, try getting take-out or try eating foods you didn't see being prepared. Use an affirmation like "This food is safe and nourishing; I am safe and I can eat this food". Make sure you start off each experience with some breathing and relaxing techniques so that you don't associate fear with the experience.
If noise bothers you, choose a restaurant that's quieter or a time of day that's less intense like lunch. See if you can get a table that's against a wall, in a corner or in a quieter area of the restaurant. This reduces over-stimulation and feelings of vulnerability.
In earlier recovery, it's helpful to have a plan. If you know which restaurant you'll be going to, look up their menu online. Work with your therapist or dietician to determine which menu item you'll be selecting. Most restaurants have portions that are significantly larger than the exchanges on your meal plan. If this is the case, you could anticipate eating half the meal. One tip is to ask for a to-go box at the beginning of the meal so that you can put half away for later and just focus on what's on your plate.
This experience is hard enough, don't add to it by going with someone who doesn't "get it" or tries to sabotage your recovery. Some therapists or dietitians will conduct sessions at the restaurant with you so that you can talk through it as it's happening. If that's not an option, or you're ready for the next step, choose a member of your support group who understands your recovery. Let them know the plan beforehand and maybe come up with a code word in case you need to abandon the mission.
Keep taking those deep belly breaths and know that this is just one meal. One meal won't make you fat. If you notice yourself starting to get overwhelmed or anxious, just come back to your breath. While you're eating, try to focus the conversation on something else like the weather, the new movie just out or anything fun. Take a sip of water, feel your feet. You got this!!
This experience is not just about today or next week. You are engaging in this exercise so that you can enjoy your life - so that you can HAVE a life! Spending all your time in isolation, feeling lonely, not participating in social events is no way to live. Remember that you are doing this so that you can be happy and free of your eating disorder.
One day at a time
One meal at a time
One bite at a time
You CAN recover!! Recovery from an eating disorder is not a linear process. It goes all over the place, it's messy at times and sometimes you need to take 5 steps backward so that you can get good 2 steps forwards. Even one success is worth celebrating, so give yourself credit for EVERYTHING you do right.
If you're still feeling anxious about dining out and you'd like some support, I'd be happy to schedule a time to help you reach your goals. Contact me now at 610.314.8402 to learn more about how to dine out with an eating disorder. Please feel free to share this post with anyone who is looking for help with eating and body issues.
Good luck and enjoy!!
If you have any questions or need support, please feel free to call me at 610.314.8402 for a free 15 minute phone consultation.
Please comment below and tell us your story!
When you’re working on your recovery from an eating disorder, the grocery store can send you into a panic. Here are some tips to help you cope with grocery shopping in West Chester, Pa:
Before you even head to the grocery store, get grounded. Get your nervous system regulated and mindfully notice where your emotions are, especially anxiety. Visualize your shopping trip in entirety. Imagine yourself successfully choosing foods that fit right with your recovery and getting through the store successfully without panic. This trains your brian and helps it to practice the event in actuality.
Make a list. Look through your kitchen and see what you have. Notice if you’re out of one of your staples like your favorite cereal. Think about the exchanges in your food plan: protein, starch, fat, fruit, vegetables and dairy. What are you in the mood for this week? Will this be the week to branch out a bit and try that turkey melt you’ve been hankering for since you had it at that diner weeks ago? If so, jot down the ingredients on your list.
Create a list that is full, yet manageable. Make sure you have staples and perhaps a few extra things that you could freeze if you don’t end up eating them. Shoot for at least 3 items from each food group.
Don't go too hungry or too full - it will mess with your ability to make good choices.
When you get to the store, take a deep breath, take a sip of water and give yourself a time frame to shoot for. Grocery shopping shouldn’t take more than an hour and should probably take at least 15 minutes.
Go through the aisles in order from one side of the store to the other – if possible. If you notice yourself getting overwhelmed, get re-centered by taking a few deep breaths. Remember you can leave at any time.
It is easy to get overwhelmed, so when in doubt, stick to your list. Don’t get side-tracked reading labels. If a new brand or food looks interesting to you, just grab it. If you notice yourself fretting about which item to choose, take a deep breath, and grab the one that your inner child wants.
If you’re newer in recovery, limit yourself to 1-2 challenge foods for that trip. You don’t want to get too many and then sabotage later.
This does not need to become an activity that takes up your entire day. If you’re overwhelmed and you don’t get to your entire list, that’s ok. Try to make sure you’ve at least grabbed the basics, then scadaddle. There’s always next time.
When you’re in recovery from an eating disorder, the grocery store is no joke. Give yourself a reward like a hot bath, an hour with your favorite book or a new yummy smelling candle.
In case you’re overwhelmed by the grocery list, here’s simple generic example list that you can print out and circle items on, then fill in some specifics for your preferences:
Dairy:
cereal
Meat:
Fruit: 3 types
Veggies: 3 types
Condiments
Nut butter
Canned food:
Frozen food:
Baked items:
I hope you've found this helpful. If you're still feeling overwhelmed, feel free to give me a call, I'd be happy to help. 610.314.8402. If you have any more tips or comments, please comment below :)
Thanksgiving can be about gratitude and joy for some and for others’, it’s extremely stressful – especially if you’re dealing with or in recovery from an eating disorder. Here are some things you can do:
Remind yourself that this is just one day out of the year and it won’t make or break you. Give yourself permission to eat foods that you like. BREATHE and know that you are doing the best you can.
BEFORE you leave your house. What grounds you? Do something that feels very grounding for you and set an intention to keep checking in with yourself during the day. One of my favorite ways to get grounded is to ask myself “Where are your feet?” – then look down at them; wiggle my toes, feel my feet on the floor or in my shoes. When I do that, I can rest assured that right here, in this moment, I am safe. In this moment, where my feet are, I am okay. Here are some other examples of grounding activities:
Prayer and meditation
Yoga
Coloring mandala’s or other coloring
Going for a walk
Make a list: of anxieties, gratitude’s or plans, etc.
Have a bit of a plan for the day – perhaps write it down in the morning.
Journaling
Do your best to eat meals at the normal times you usually eat them. So instead of skipping breakfast and going to Thanksgiving hungry, eat your normal breakfast. When you get to your event, check in to your hunger cues – on a scale of 0-10, with zero being extremely starving, 5 is having a light sense of satisfaction – being neither hungry nor full and ten being the most stuffed you’ve ever experienced. How hungry are you? Aim for letting yourself empty out to a 2-3 before eating a meal. See if you can stop eating at a 5-7. Once you are hungry, rather than grazing on all the different foods, make a plate. Allow yourself to put at least a little bit of each food you love on the plate or foods you’d like to try. Skip the foods that don’t interest you much. Sit down and really savor the foods you chose. Check in with your hunger and satiety signals a few times while you eat your plate. Once you are satisfied, tell yourself that you can have more when you are hungry again and follow through. Making a practice of using hunger and satiety cues is extremely helpful in finding balance with food.
People tend to project their OWN food and body issues onto others’. So if you notice yourself engaged in a conversation with someone who’s trying to talk you in or out of eating or commenting on your body, take a step back. Check in with yourself and see what YOU NEED, rather than what this person is trying to get you to do. Saying you need to use the bathroom is always an easy out to give yourself some time and space to check back in with yourself and get grounded. Take some deep breaths, splash some water on your face and ask yourself what you need in that moment to take care of yourself before you leave the bathroom. Here are some examples of things you can say to people who are pushing you: “No, thank you”
“I’m okay right now”
“Yes, I’m going to enjoy this food right now”
“I’m not hungry”
“I’ll let you know when I’m ready for ...”
“I’d rather not discuss my body with you”
Practice saying these boundaries out loud BEFORE the holiday, so that when you’re in the moment, they flow easily and effortlessly.
If you notice yourself getting overwhelmed, come prepared with an exit strategy. Here are some examples:
Playing outside with the kids (or adults)
Going into another room for a breather
Taking a walk with a trusted person
Making a phone call to someone from your support group
Taking a time out to journal or color
Going for a drive
Enlist a member of your support group to be ‘Holiday Buddies’ to practice what I call ‘Book Ending’: Have a few agreed upon times you with check-in with one another throughout the day – perhaps before, during and after. You could plan to call or text one another to report how things are going. If you don’t hear from your buddy, shoot them a text to see what’s going on. In this way you have another person who has your best interest in mind to be accountable to. This practice is also helpful in getting your mind off yourself and your own difficulties.
If you’re feeling social anxiety, focus on what you can do to help. Be it washing dishes, entertaining the kids, setting the table, taking out the trash – if you make it your mission to help out as much as possible, you’ll find yourself busy and this can really diffuse social awkwardness and anxiety.
Trust your body to make up for any ‘mistakes’ you may make. One day, one meal, one bite at a time. This day will not make or break you. Try to turn it over and enjoy as much as possible.
