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.
What if ‘the most wonderful time of year’ brings nothing but holiday anxiety? What if you feel overwhelmed and stressed during this season, rather than joyous like society tells us? And what if you don’t feel or want to be that cheerful this year? Well, I am here to tell you that this is completely natural.
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!
College sounds so glorious at the start – getting away from parents and rules, living on your own or with friends, getting to party all night or just being able to do whatever you want WHENEVER you want. It’s gona be AMAZING!!
And then you get your syllabi! The work starts to pile up. You’re exhausted and strangely malnourished even though you think you’re eating alright. You’ve watched the sun come up one too many times this week and your body is starting to give out.
I know you love your smart-phones and nifty electronic apps that can do all sorts of fancy things, but the problem is they can be too neatly tucked away and forgotten about. Like vegetables in the vegetable drawer, if you don’t see your schedule, you will forget it’s there and it will get moldy! So a nice big calendar that has whole months you can look at, all at once - that's what you need.
This means papers, tests, essays, projects – things you need to actually hand in - to the teacher. Write each assignment in the date that it is due. Select your pink highlighter (or any color, really, this is just an example). HIGHLIGHT each TURN IN task in pink.
THAT is your target due date. So for example, if the paper is due on Tuesday the 15th, your target due date is Friday, the 11th. Here’s the rule I implemented for myself that worked very well through grad school: IF I finish my assignment by Friday the weekend BEFORE it’s due, THEN I can play and relax the rest of the weekend. If not, I target Saturday to finish it, then I can play Sunday, etc. I made my target due dates the weekend before so it gave me time during the week to edit or catch up on any other assignments, readings, etc and not feel like I was rushing to get the assignment done.
Once you've plugged in these due dates, target dates and reading assignments, you’ve got your priorities scheduled and color coded.
One of my favorite high school teachers told us as seniors that if we just made college our “9-5 job”, we’d be successful. What she meant was this: when you are in high school, you have a structure GIVEN to you. You must be awake by a certain time and go through each class at a certain time and be home by a certain time (typically). So when college freshmen enter school, it can sometimes look like a free-for-all and people who are pre-disposed to anxiety or depression can find themselves struggling to keep up because of a lack of structure. So you can look at it this way:
Work on your assignments and reading and classes from 9-5 every week-day, even when you’re not in class. Get your stuff done before it’s due, that way your evenings and weekends can be fun times for parties, relaxing with Netflix or hanging with friends.
You’ll find, as you move into adulthood, that ‘work’ is never done. So, if you don’t contain your work into ‘work-time’ and contain your free time into ‘play time’, then you’ll never truly be able to relax and never truly be focused on work.
For some extroverts, play-time comes naturally and easily. They enjoy socializing in the hall of the dorm, on campus, at frat parties, etc. For others’, it may provoke anxiety and insecurity. If you’re introverted or shy or haven’t been exposed to many social situations that you feel comfortable in college can be a difficult experience. Here are some tips on finding ‘your people’ and your version of play time.
For more information, contact me now at 610.314.8402
Your body feels jittery and like you want to crawl out of your skin. Your heart races, your mind goes a million miles a second and you can't sleep. Sometimes, you just wish you could find a little peace - a little reprieve from this constant state of feeling charged up. Anxiety, social anxiety and panic are such difficult things to have to deal with. The good news is that there's hope and some sure fire things you can do to help calm your nervous system.
Getting grounded, as in, feeling your feet on the earth rather than in your head - starts with your intention at the beginning of each day. The things that help people feel grounded can be different for everyone, so you need to find things that work for you. The first place to start is to think about what you can do each morning, upon awakening that will help you get centered and begin your day with a peaceful intent. Some mindfulness meditation could be helpful, reading from a daily book of inspirational readings, praying, doing some deep breathing, singing, chanting, walking or exercising in a mindful way - these are a few ideas you can begin with.
A Deep Breath of Life by Alan Cohen
The Language of Letting Go by Melody Beattie
Our bodies find comfort in repeating the same actions on a regular basis. You will be teaching your body that every morning, you find peace through grounding and it will set you up to stay grounded and calm through the rest of your day.
wake
go to comfortable spot in home designated to meditation
light a candle or incense
drink warm lemon water
read from daily inspirational book
say a few simple prayers for help with staying calm through the day
set timer for 5 minutes
practice deep belly breathing for 5 minutes while focusing on flame of candle
After breathing, spend 5 minutes making a gratitude list
blow out candle and go for a 15-minute walk
Something as simple as this can really get your day off to a great start.
As you go about your day, when you notice your anxiety rising, come back to the breath you started with at the beginning of your day.
This is a tip I learned a while back that always seems to help. As yourself "where are my feet right now?" and then look down at them and see them there on the earth. Wiggle your toes a bit and feel them moving around in your sock. Acknowledge that right now, in this moment, your feet are right there and they are safe, therefore you are safe. When you start to feel panic and your thoughts race, remember to ask "where are your feet?"
caffeine is addictive and it's very activating. If you are trying to eliminate anxiety, you might want to consider eliminating caffeine. Many people will say that they use caffeine to help them find energy throughout the day and keep them going. Well, it's a catch 22 because when we use caffeine, our bodies use cortisol to help regulate our adrenal glands. When we over tax this part of our systems, it leaves us depleted and more tired than we started. Therefore, if we eliminate caffeine, we may be a tired for a few days while detoxing, but after your body adjusts, you will find that you have more energy and that you sleep better.
A large part of mental health when dealing with anxiety is getting a good amount of sleep. When we sleep, our bodies do a lot of healing. Our organs do their cleansing, our hormones rebalance and we are able to function more effectively during waking time. Also, dreaming is very important for our psyches to process material from our conscious and integrate it with our subconscious.
target bedtime for the same time every night
eliminate all electronics from the bedroom
reserve your bed for sleeping and sexual activity only - don't do work in bed
if you are having trouble falling asleep, get up after 15 minutes and do something non-electronic for 15 minutes, then go back to bed and try to sleep again
create a wind-down routine for the last hour before bed
For more information on sleep hygiene contact me at TiffanySpilove@yahoo.com
Here are some proven techniques to help your body and mind relax:
Tighten every muscle in your body. Start with your head. Tense up your face, your jaw, your eyes, your neck. Tense up your shoulders, your chest muscles, your stomach, your biceps, make fists as tight as you can. Tense up your butt muscles, your thighs, your calves, your ankles, your feet and your toes. Keep all these parts of your body as tense as possible and keep them tensed up for a full 60 seconds. Then release. This tense and release will help your body reduce anxiety symptoms.
Put one hand on your belly and the other on your chest. Take a deep breath in and try to push your belly hand all the way out with the breath into your diaphragm. Inhale slowly to 4 counts, then hold for 4 counts, then release slowly for 4 counts and repeat. When you practice breathing slowly, it will help to slow down your heart rate, thus reduce anxiety.
Any kind of bi-lateral stimulation can help reduce anxiety. Here are some examples: walking, biking, shifting weight back and forth from one foot to the other, tapping your thighs alternately. Some others: drumming, swimming, scanning your eyes from one side of the horizon to the other, back and forth. The butterfly hug is an EMDR technique where you hook your thumbs together so that your hands form a figure that looks like a butterfly. Put your hands on your chest and tap alternatively around your collar bone area. This is a great way to self-soothe or find relaxation in times of stress. Here's a video on how to do a different version of a butterfly hug.
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.
