Better Mental Health: Princeton Counseling Service

Professional, caring counselors for the challenging times in your life.

The Hidden Toll of Vicarious Trauma on Caregivers and First Responders

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Vicarious trauma, also called secondary trauma, is a type of post-traumatic stress disorder (PTSD) that occurs when people absorb the emotional weight of others’ distress. First responders, therapists, healthcare workers, and caregivers are especially vulnerable, but anyone consistently exposed to others’ suffering can be affected. As with other forms of PTSD, understanding the root of the issue and getting appropriate help is critical. 

Signs and Symptoms of Vicarious Trauma 

Symptoms of vicarious trauma mirror those of other forms of PTSD, such as intrusive thoughts, heightened anxiety, irritability, difficulty sleeping, or emotional numbness. Over time, these symptoms start to affect both personal and professional life. 

Why Does It Happen?

Empathy is essential for those in a position of helping others, but continuous exposure to trauma can overwhelm emotional boundaries. Without an adequate strategy for dealing with these experiences, the brain and body can respond as though the trauma is personal. 

Treatment for Vicarious Trauma

Trauma therapy is a powerful tool for addressing vicarious trauma. Simply recognizing it as a real condition can address any feelings of shame or weakness. Practices like mindfulness, grounding exercises, and cognitive behavioral techniques can help. Additionally, it’s important to have a strong support system and prioritize self-care throughout your career. 

Therapy for Local Caregivers and First Responders

Vicarious trauma is a serious concern, but recovery is possible thanks to trauma-informed mental health professionals who provide specialized therapy for caregivers and first responders. Are you in need of some extra support? Reach out today to learn how a trauma therapist from our team can help you! 

Filed Under: Anxiety

4 Ways to Improve Self Esteem When You Have Depression

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Depression and low self-esteem are two sides of the same coin. While low self-esteem leaves people vulnerable to depression, depression can absolutely destroy self-esteem.

But, though low self-esteem may be deeply rooted, there are things you can do to improve it, even if you are suffering from depression.

1. Start Your Day with Positivity

It’s important you start each day positively. Doing so will help your mind to habitually recognize good, especially the good in yourself. So, surround yourself with positivity in the form of music, books, calendars, computer wallpaper, etc. You can even sign up to a service that will send you funny memes or cute animal videos each day. Feeling good at the beginning of the day will set a tone and help you be positive throughout.

2. Analyze and Correct Negative Thinking

Negative thinking is the catalyst for both low self-esteem and depression. The more one thinks negatively, the less able they are to see themselves and the world around them in an accurate light. Soon, the negative thoughts are on a loop like an old record that keeps skipping, causing the same lyric to play over and over again.

The first thing that is needed is the ability to analyze your own thoughts. When a self-critical thought occurs, ask yourself three questions:

  • Is there any evidence to support this thinking?
  • Would people that know me say that my thought is true?
  • Does having this thought make me feel good or bad about myself?

Once you realize there is no evidence to support your thought, that your friends and family would disagree with your thought, and that your thought makes you feel bad about yourself, it’s time to replace that thought. Not with a vague affirmation, but with factual and meaningful self-statements.

For example, perhaps you have taken on a project at work, and currently you find yourself feeling overwhelmed. Your thoughts may currently sound like, “Why did I say I could handle this? I never finish things on time.” You will now replace that thought with a positive factual thought, something simple like, “I’m doing better at this job everyday and am continuing to make progress.”

A healthy self-esteem is not about being perfect or thinking you’re perfect when you’re not. No one is. A healthy self-esteem is about acknowledging your strengths and accepting your weaknesses and realizing you’re like everyone else – human and beautifully flawed.

3. Treat Yourself Well

Though you may feel you don’t deserve it, by treating yourself, you will send positive messages to your subconscious mind that you ARE worth it. Consider taking yourself out to a nice lunch, buy yourself that sweater you’ve been eyeing, or go get a relaxing massage. You don’t even have to spend money; show yourself you’re worth it by spending time reading a book, going for a walk in nature, or doing anything that inspires you.

4. Seek Positive Support

You want to surround yourself with people who celebrate your strengths, not your weaknesses. This can include seeking the positive support of a therapist who can work with you on analyzing and replacing negative thought patterns. When we don’t have an accurate self-perception, it can help to get a new perspective from an objective third party.

Increasing your self-esteem isn’t easy, but if you practice these tips, you will be able to chip away at the negative self-talk every day.

Need help with your self-esteem? If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help. 

Filed Under: Self-Esteem

6 Questions to Ask a New Therapist

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Starting individual therapy is a big step toward better mental health. But finding the right personal therapist to accompany you on your self-betterment journey isn’t just about availability—it’s about fit. Asking the right questions at your first appointment can help you feel confident that you made the right choice. This selection is a good place to start! 

What to Ask During Your First Therapy Session

Before you dive into sharing your story, take the opportunity to learn about your therapist’s approach and experience. Here are six valuable questions to guide that first conversation: 

  1. What’s your experience working with clients in my situation? 

  2. What therapeutic approaches do you use most often? 

  3. How do you typically structure sessions? 

  4. What are your expectations for your clients during the therapy process? 

  5. How do you track progress or know if therapy is working? 

  6. Are there any topics you don’t feel qualified or comfortable to discuss? 

These questions can reveal how your therapist communicates, what tools they use, and whether their style feels like a match for your goals and comfort level. You don’t need to feel chemistry immediately, but a sense of safety and mutual understanding is key. 

Choosing the Right Personal Therapist Matters

You don’t have to settle for the first person who can see you. In fact, it’s perfectly normal to “interview” a few therapists before choosing one. A good fit helps you open up and trust the process of individual therapy. If a therapist can’t answer your questions clearly or makes you feel uncomfortable, it’s okay to keep looking. 

Start the Conversation That Could Change Your Life

Ready to connect with a personal therapist who meets you where you are? We have options. Reach out today to find the right individual therapy provider for your needs! 

Filed Under: questioning

Therapy for Men: Breaking the Stigma and Finding the Right Therapeutic Fit

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Despite growing awareness, many men still face stigma when it comes to seeking therapy. Cultural messages often suggest that men should “tough it out,” suppress their emotions, or solve problems alone. But emotional resilience isn’t about ignoring struggles; it’s about facing them with courage. Specialized therapy for men offers a nuanced space to explore thoughts and feelings without judgment and develop tools for real growth. 

Common Mental Health Challenges Men Face

Men experience a wide range of emotional and psychological concerns, but they’re often underreported or misidentified. Some common men’s issues addressed in therapy include: 

  • Career stress and identity confusion 

  • Difficulty expressing emotions 

  • Relationship or communication challenges 

  • Substance use and anger issues 

  • Depression, anxiety, or trauma-related symptoms 

These challenges may present as withdrawal, irritability, or physical complaints, making them easy to overlook or dismiss. 

What Therapy for Men Looks Like

Effective therapy for men recognizes that one size doesn’t fit all, but many men benefit from a goal-oriented, action-based approach. They may be seeking strategies to tackle relationship issues or stress in the workplace. They may simply want a judgment-free space to safely process anger, vulnerability, or past trauma. Whether you’re facing a specific issue or simply feeling “off,” therapy with a men’s issues therapist can help you reconnect with your values, improve emotional regulation, and build healthier relationships. 

Take the First Step Toward Real Change

There’s nothing unmanly about wanting to feel better, communicate more clearly, or live more fully. Contact us today to connect with a men’s issues therapist who will hear you out and help you walk a path that honors both your mental health and your masculinity. 

Filed Under: stigma

Here’s Why Psychiatric Medication Is Best Combined With Therapy

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When it comes to treating mental health conditions, the main options are professional therapy or taking medication. Many people wonder which they should try. But the truth is, combining both often leads to better outcomes. Psychiatric medications can stabilize brain chemistry, while therapy helps you develop long-term emotional and behavioral strategies. This dual approach supports both symptom relief and deeper, long-term healing—something that medication or therapy alone may not achieve. 

Benefits of Combining Medication Management With Therapy

Medication management is the term for administering psychiatric medications and monitoring results to achieve the best possible outcome. Medication alone can be useful when fast results are needed, reducing acute symptoms like panic, insomnia, or deep depression. However, a combination of medication and therapy leads to: 

  • Greater self-awareness – Therapy helps you understand the root causes behind the symptoms you’re experiencing. 

  • More skill-building – Therapy teaches coping tools that remain effective long after your treatment ends 

  • Better adherence to treatment – Clients in therapy are more likely to stay consistent with medication routines. 

  • Long-term stability – Together, therapy and medication management create a stronger foundation for relapse prevention. 

While medication addresses the biological side of mental health, therapy addresses the psychological and social factors. This balanced approach is particularly effective. 

Who Oversees Medication Management?

Medication management is typically handled by a psychiatrist, psychiatric nurse practitioner, or primary care provider with experience in mental health. With many practices, your therapist can coordinate care with your prescribing provider to ensure your treatment plan is cohesive and effective. 

It All Starts With a Comprehensive Plan

You don’t have to choose between therapy and medication at our practice. We favor an integrative model for those struggling with their mental health. Contact us today to talk about a treatment plan that includes both compassionate therapy and professional medication management designed around your needs! 

Filed Under: brain

ADHD Awareness: It’s More Than Being “Lazy” or “Disorganized”

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Attention-Deficit/Hyperactivity Disorder (ADHD) is often misunderstood, despite the numerous resources on the topic. Many people still associate the symptoms with general hyperactivity or chalk them up to being forgetful or lazy. This misunderstanding can be especially harmful to children and teens, who internalize criticism and may already struggle with self-esteem. In reality, ADHD is a neurodevelopmental condition that affects attention, impulse control, emotional regulation, and executive functioning. The distinction matters because ADHD isn’t a choice or a flaw—it’s a brain difference that deserves proper support. 

The Daily Struggle of Having ADHD

The symptoms of ADHD can vary from person to person, with some being more active and impulsive while others might be more distant and distractible. Generally, though, the condition will include: 

  • Difficulty starting or finishing tasks 

  • Emotional reactivity or mood swings 

  • Trouble following multi-step instructions 

  • Constant mental or physical restlessness 

  • Forgetfulness that impacts work or relationships 

These symptoms can interfere with daily life, but they may not always be detrimental. In fact, many people—especially women—go undiagnosed for years because their ADHD looks more like general anxiety or simple disorganization. 

How ADHD Therapy Can Help

Working with a therapist who specializes in ADHD can be life-changing. Therapy can help you better understand how your brain works, build structure around your daily life, and reduce the shame that so often accompanies this condition. ADHD therapy may include: 

  • Executive functioning strategies 

  • Emotional regulation tools 

  • Coaching-style support for routines 

  • Reframing unhelpful beliefs about motivation and success 

It all starts with understanding your condition. Whether you’re recently diagnosed or have lived with undiagnosed ADHD for years, help is available at our practice. Reach out today to speak with a therapist who understands ADHD and can help you build strategies for real progress! 

Filed Under: mental health awareness

Tips for Parents: Talking to Your Teen About Mental Health

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Teens today face overwhelming pressure, from academics and social media to identity struggles and anxiety about the future. It’s no surprise that rates of depression, anxiety, and other mental health challenges are on the rise among adolescents. Parents and caregivers play a crucial role in supporting a teen’s emotional well-being, but knowing how to talk about mental health isn’t always easy. Try these tips from top family therapy providers! 

Starting the Mental Health Conversation With Your Teen

Understand that this is a difficult topic to talk about, especially if you’ve never brought it up before. There may be intense feelings involved that can’t be accurately explained. Be patient, and when an opportunity arises… 

  • Pick the right moment – Talk during casual moments like car rides or walks, not in the heat of conflict. 

  • Use open-ended questions – Ask how they’re feeling, what’s been hard lately, or if they’ve felt anxious or down. 

  • Validate, don’t fix – Acknowledge their feelings instead of jumping straight to advice. 

  • Be honest about your own experiences – Normalize mental health struggles by sharing your own stress or therapy journey. 

  • Offer support, not surveillance – Let them know you’re there to help, not judge or monitor. 

It’s okay if your teen doesn’t open up right away. What matters is creating a safe space where they know you’re ready to listen whenever they are. 

How Family Therapy Can Help

You don’t have to figure it out alone. Resources like family therapy or parent-child therapy can provide guidance for approaching emotionally charged conversations. Furthermore, a specialized teen therapist can help you and your child improve communication, build trust, and develop coping strategies for everyone involved. At our practice, we often help families like yours with adolescent struggles. If you’re concerned about your teen’s mental health, reach out today to speak with a family therapist experienced in teen therapy. 

Filed Under: mental health awareness

Exploring the Effects of Physical Activity on Mental Health

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Exercise might be the last thing you feel like doing when you’re depressed or anxious, but did you know that physical activity can have a powerful effect on mental health? It’s true! The connection between mental health and physical exercise is deeply rooted in how movement affects the brain’s chemistry, structure, and overall health. Even light or moderate activity can make a noticeable difference in your mood and energy levels. 

How Exercise Supports Mental Health

Before continuing, it’s important to note that we’re not saying you need to be a fitness enthusiast. This is more about finding sustainable ways to move your body that support emotional wellness. Physical activity has been proven to: 

  • Boost mood – Exercise releases endorphins and serotonin to reduce anxiety and improve overall mood. 

  • Improve sleep – It regulates circadian rhythms and promotes more restful sleep. 

  • Enhance focus – Increased blood flow to the brain supports executive function. 

  • Build confidence – Achieving physical goals can boost self-esteem. 

  • Reduce stress – Lower cortisol levels improve the body’s ability to cope with stressors. 

While exercise isn’t a substitute for therapy, it’s an effective complement to mental health treatment. It gives the brain a break, encourages mindfulness, and helps you reconnect with your body. With all those benefits, it’s no wonder people keep recommending it! 

You Don’t Have to Do It Alone

If you’re already dealing with depression, anxiety, or crippling stress, getting started with a new exercise routine can feel overwhelming. But don’t worry—you don’t have to do it alone. A therapist can help you build motivation and create realistic goals as part of this journey, and we’re here to help. Reach out today to schedule a session and see for yourself how therapy and movement can work together to support your mental health! 

Filed Under: exercise

6 Signs You May Be in an Abusive Relationship

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Abuse in relationships often begins as a whisper before growing to a roar. Over time, control, fear, and emotional harm escalate, leaving individuals unsure if what they’re experiencing is abuse. If something feels wrong but you can’t quite name it, you may be experiencing a form of abuse. Recognizing the signs is a critical first step toward protecting yourself. If you are not in immediate danger, relationship counseling may be in order; however, not every relationship can be saved. 

Abusive Relationships Take Many Forms 

Abuse doesn’t always involve physical violence. Emotional manipulation, threats, isolation, and financial control are also forms of abuse. It’s important to trust your instincts and pay attention to patterns that leave you feeling unsafe, diminished, or trapped. Six common signs of an abusive relationship include: 

  1. Constant criticism, belittling, or attempts to make you feel worthless 

  2. Isolation from family, friends, or support networks 

  3. Control over finances, schedules, or major decisions 

  4. Threats of harm to you, themselves, or loved ones 

  5. Unpredictable anger or emotional outbursts followed by blame 

  6. Gaslighting or denying your reality to make you question your sanity 

If you see yourself in these patterns, know that you are not alone—and you deserve better. Relationship therapy, either by yourself or with your partner, can help you explore your experiences and determine a plan for moving forward. Reaching out may feel scary, but it is a powerful step toward reclaiming your independence and peace of mind. 

We’re Here for You 

Whether you’re still deciding what to do or ready to take action, therapy can give you the clarity, strength, and tools you need to move forward. Let us support you! Schedule a consultation today to explore therapy options at our practice, including relationship therapy, and don’t second-guess yourself any longer. 

Filed Under: toxic relationship

Postpartum Depression: Symptoms, Causes, and Treatment Options

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Bringing a new baby into the world is a gift, but for many new mothers, the postpartum period is overwhelming. One of the things you might be up against is postpartum depression, or PPD—a serious mental health condition that goes beyond the “baby blues.” Unlike temporary mood swings, postpartum depression can last for weeks or months and significantly affect a parent’s ability to function. The good news is that therapy for new mothers offers specialized support for those struggling with this condition. 

Symptoms of Postpartum Depression to Recognize

Recognizing the symptoms early is critical. Postpartum depression may include persistent sadness, feelings of guilt or worthlessness, difficulty bonding with the baby, extreme fatigue, and changes in appetite or sleep. In severe cases, thoughts of self-harm may occur. 

Postpartum Depression Cause and Risk Factors

There’s a lot that goes into being a parent, and especially a mother. Hormonal changes, lack of sleep, a previous history of depression, and the stress of new responsibilities are all common triggers. Social isolation and limited support increase the risk of postpartum depression, making maternal mental health a priority during this stage of life. 

Effective Treatment Options for PPD

Therapy for new mothers, particularly thought-focused methods like mindfulness and Cognitive Behavioral Therapy (CBT), has been shown to improve mood and coping skills. In some cases, medication may also be recommended. Support groups and lifestyle changes, such as improved sleep and nutrition, can also be important parts of recovery. 

Get the Help You Deserve

Postpartum depression is treatable; you only need to reach out. If you or someone you love is struggling, connect with our team today. Therapy for new mothers with a therapist who specializes in maternal mental health can make all the difference in your life!

Filed Under: Depression