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.
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.
You might be thinking in yourself, “ok, so my therapy sessions have been canceled, what do I do now?” Or maybe you were thinking of beginning therapy, but due to the current circumstances you feel that you have to, yet again, place your mental health on the back burner. Well, technically that is not the case, you can in fact continue your mental health care or begin your journey via telehealth!
Effective communication is based more on how you say things rather than on what you actually say. A conversation can go very well or wind up in a lot of anger and upset, depending on the communication style used. Our means of communication impacts all facets of life.
Your breath is both a complicated and conveniently simple process that weaves together the communication between your body and mind. Linked to your nervous system, your breath has the capabilities of keeping you alive, soothing your body and mind and increasing energy. Your breath holds a wealth of resources for you. All you have to do is attend to it. Here’s some ways to access its usefulness.
"We cannot love others until we love ourselves"
by Mikala Morrow, Villanova Graduate Counseling Intern
This saying has been a cliché statement that has been thrown around as a way to encourage self-care or even used as a convincing statement to those who find it hard to love themselves. What does this statement truly mean?
It means that someway, somehow we must find, within us, love. This must mean that love is an innate ability and we all possess the ability to love ourselves without the assistance of others.
Personally, I do not believe this to be true. Can we truly have an innate ability to love ourselves without any help from others? If we truly cannot love others until we love ourselves, we have to be able to love ourselves without help, right? Which comes first, the chicken or the egg? Which comes first, our innate ability to love? Or is love taught to us from our caretakers, partners, peers or a higher power?
What if, “We cannot love others until we love ourselves” becomes “We cannot love ourselves and others until we have been loved.” My argument is that in order to learn to love others, we must first be loved. We must learn how to love and what love is.
Imagine a child who is neglected by their caretaker. This child never truly learns love. Instead, to them, love means neglect. Later on in life when meeting new people, how will they love them? If all this older child has known is that love is neglectful, they too will neglect those that they love.
Compare the first child with someone who has a loving caretaker who has shown interest in who they are. This child will grow up with the idea that love is showing interest in others and will love in this way. These examples may not be true for all, but it is something to think about. The child in the first scenario may
learn somewhere how to truly love but this will not come as easily as the child in the second scenario.
We need to learn what love looks like towards us and we also need to learn how we love. We may love by giving others gifts or our time. We may show our love through compliments or by offering a shoulder to cry on. We all have a unique way to show love. In order to practice our ways of loving, we need people around us to accept our love. If our unique way of showing love is rejected, we learn that we are not good at loving, or our way of loving is wrong.
Let’s say you show love with your time but your partner becomes annoyed and tells you they just want space. Your way of loving has been pushed away. We need other people around us to affirm the way we love. While the statement, “We cannot love others until we love ourselves” has a good message at the core, it can be damaging for those who have never learned how to love themselves.
We all need love whether it is from other humans on earth (maybe even from a pet) or a supernatural love. Then we can truly love others’ authentically and comfortably.
Mikala has an intensely compassionate and unique way of connecting with you to help you identify and express your feelings and your deepest sense of self. She is persistent and encouraging in the face of hopelessness and despair. She especially loves working with women to provide tools to alleviate anxiety and depression. Mikala has a wealth of experience and is skilled in the mental health field working with domestic violence, food & body issues and addiction. If you're struggling to tolerate your emotions and you're looking for a guide to help you get to know yourself better, give her a call now at 570-412-4516.
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.
is a very special place to live. If you already live here, you know how unique this place is - if you don't live here, you are in for quite a treat. The suburban area to the west of Philadelphia has been referred to as The Main Line because of the main train line that connects Philadelphia to all the beautiful towns built up along the train tracks: Lower Merion includes Overbrook, Merion, Bala Cynwyd, Wynnewood, Narberth, Ardmore, Bryn Mawr and Rosemont. Further out we have Radnor, Villanova, Wayne, St. Davids, Berwyn, Paoli, Malvern, Exton and Frazier. Each town is unique and has it’s own spin on charm.
seems harder than it should be. With Bryn Mawr's Graduate School of Social Work close by, Villanova University, Rosemont College, Saint Joseph's University, Widener, Immaculata, Cabrini, Ursinus and not to mention University of Pennsylvania, Swarthmore and LaSalle, we have so many talented therapists, social workers and counselors. So, how do you find the therapist who knows just how to help you manage your post-traumatic stress symptoms? How do you find the counselor you can click with and trust to guide you through an evidence-based method of healing your past traumatic memories? Choosing a therapist is a very personal decision. You can have three great therapists, but if you don’t feel safe with them, what’s the point? If you are looking for a counselor, psychologist, life coach or therapist - I'd like to help you find someone who can help.
When you have PTSD, there are only a few ways of treating your symptoms that have been studied and proven to effectively reduce or eliminate symptoms. Those nightmares you’ve been dealing with, the heightened startle response, hypervigilance, and avoidance of triggering situations – those are the things that get in the way of your life. These are the issues you’ll want to be sure your therapist knows how to help you manage and heal, not just talk about. One of the top researched methods for eliminating these symptoms is a method called Eye Movement Desensitization and Reprocessing (EMDR).
EMDR has been studied and proven as an evidence-based treatment method. You can learn more about EMDR and how it works here. Here is a short explanation: when we have traumatic memories, the memories tend to get stuck on one side of the brain and our body tries to heal it by re-playing it over and over, but it stays stuck. EMDR is a technique that stimulates each side of the body alternately while the patient processes the traumatic material. This technique helps the brain move the traumatic memory from one side of the body through to be able to process it so it’s not stuck on a loop any longer. You can find therapists who are trained and certified to utilize EMDR by going on the EMDRIA.org website or asking people who know therapists in the area. Think about asking friends who have or know therapists, your doctor or someone at your school. Therapists that come highly recommended and are known to work with PTSD through EMDR methods are a good way to make sure they have a good reputation.
Type into Google your town and the issue you are looking for help with. For example, "Bryn Mawr and PTSD" or "Rosemont and Trauma" and see what comes up. In the top listings that come up in your search, you will hopefully see some links to therapists that specialize in your particular need and are trained in EMDR.
What you will most likely see is a result that links to a Psychology Today profile for therapists in your area that have indicated these specialties. Psychology Today is a great site that is most commonly used for therapists to post their profiles and for clients to find a therapist nearby. It’s very helpful that you can refine your search by specialty. The unfortunate thing is that therapists can indicate that we specialize in as many topics as we'd like. Although a therapist might indicate that they specialize in PTSD, if it's really something we know a lot about, we obtain specialized training in evidence-based methods specifically for PTSD and we will often note areas we are trained in on our websites, so don’t stop with Psychology Today, make sure you read through the clinician’s website as well.
Check out the websites of potential therapists. If you are looking for help with flashbacks and the website you are visiting talks a bunch about flashbacks, that's a great sign! If you are looking for help with a heightened startle response and you're on a website that doesn't mention this symptom, you might want to keep looking.
Some therapists offer a free 15-minue phone consultation which is a great service and an excellent opportunity for you to interview your potential trauma therapist. You are going to be spending a good amount of time and finances on effective therapy, it is very important that you find the right fit for you.
1. What methods do you use to treat PTSD?
2. How do you help your clients manage overwhelming emotions while they work on traumatic memories?
3. What do you do to treat the symptoms versus the root of the problem?
4. How long does it usually take before your clients start to see relief from their symptoms?
5. How effective are the methods you use?
6. Given my specific set of symptoms and needs, do you think you can help me and have you helped many others’ with my specific symptoms before?
In an ideal world, you would find a therapist who has special training and expertise in the methods that show the best results and someone who has tons of experience working with eating disorders and trauma. Unfortunately, this is not an ideal world. So you'll need to search a bit further. You'll be searching for someone that you connect with, who you feel comfortable talking to, someone who will be honest with you and you'll know you can be honest with them.
I hope this helps you in your search for the right therapist on the Main Line of Philadelphia. If you want some tools to help now, sign up for my newsletter to get some tips and tools for managing PTSD and eating disorders. If you are still feeling stuck, feel free to call me at 610.314.8402 for a free 15 minute phone consultation. I am available to listen to what's happening and help direct you to the right person. If you are looking for help with eating disorders or PTSD, you can read more about how I can help here.
Here are some tips you might find helpful when working with clients with Eating Disorders, or Disordered Eating:
1. Find a registered dietician who specializes in Eating Disorders. It is important that your belief systems and theirs align when working together to treat a client. For example, most people in the eating disorder recovery field believe that there are no "bad" foods and we work with clients to neutralize food. However, some people believe in "abstinence" from certain foods or food groups. When I am looking for a dietician, I make sure that they're not of the school of thought to tell my clients to restrict food groups as it would go against the work we are doing clinically.
2. Buy large desk calendar and different stickers and create a behavior chart for meals and snacks well done according to their meal plan. Celebrate successes elaborately!
3. If age appropriate, work with parents on making "no Foods bad". Everyone in the family can join in on recovery by coming together to share with all food groups.
4. If age appropriate, look into the Maudsley Method for re-feeding process.
5. Work with your client to create an art project around beautiful people, models, actresses, friends or family and others in Pinterest or print outs who are not super skinny. Process what they find beautiful about these people. Encourage clients to post up these images on their wall so that they get used to seeing ideal beauty images and other than emaciated models.
6. Make a list of all clients fear foods and safe foods and medium foods and use CBT to debunk myths of fear foods.
7. Eat 'normal meals' together in session - especially with fear foods - exposure therapy.
8. Find studies that show that whatever fear foods are - are not 'bad' i.e. - sugar is not as evil as everyone says.
9. Use ego state work to find out which 'parts' in clients psyche are telling them not to eat and have conversations with them using Gestalt Chair Work.
10. Use the books Life Without Ed by Jenni Schaefer as a guilde book, everyone involved should read and the book 8 Keys to Recover from an Eating Disorder by Carolyn Costin can be used for treatment and interventions as well.
11. The therapist can have client draw their body in the size and shape she believes it's in, then have therapist actually trace clients body and process the difference.
12. If there's one body part the client is upset about like their waist, have client draw what they believe is their waist size, then use a string to measure (not using numbers) the actual size and trace THAT onto the paper and process the difference.
Hope this helps!!
What else do you use as interventions for clients? Please comment below!! As always, if you have any questions or concerns, please contact me at 610.314.8402 or through www.TiffanySpilove.com
