Struggling to find a couples therapist within your budget? Discover the benefits of working with a graduate-level Marriage and Family Therapy (MFT) intern. These therapists-in-training are highly supervised by seasoned experts and bring a wealth of systemic, relational insight to their work.
At Spilove Psychotherapy, our MFT interns are guided by licensed professionals, ensuring top-quality care for your relationship. With advanced training in systems theory and tools like genograms, they help uncover and address deep-rooted patterns in your relationship. Ready to strengthen your connection? Explore how affordable couples therapy can help your relationship thrive in Philadelphia, Bryn Mawr, or online in Pennsylvania. Click to learn more!
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?
Click to read more and discover how therapy can reignite connection and support your relationship journey.
Feeling stuck after the election? Racing thoughts, tightness in your chest, and a lump in your throat might be signs of black-and-white thinking—an all-or-nothing mindset that can trap us in negativity. Explore how this cognitive pattern affects post-election processing and learn practical strategies to find balance, heal emotional dysregulation, and embrace the power of “and.”
Click to read Black and White Thinking in the Post-Election Era - And the Mindset of Healing.
Despite what society, the world, your family, or even you, yourself, has been told about eating disorders there are unfortunately so many misconceptions. You can be intensely restricting and obsessively over exercising and still think you are too big to have an eating disorder. You could also be restricting or binging and still show up in a body that is considered ‘normal’ or ‘overweight.’ You can be purging daily and your labs could still come up normal.
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.
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