blog, change, fear, growth, los angeles, therapy, westlake village Tanya Samuelian blog, change, fear, growth, los angeles, therapy, westlake village Tanya Samuelian

Growth Mindset

Our minds have such an ability to influence our lives. It's amazing how powerful our minds and our thoughts can be; how we look at the world shapes our own world.

"Growth mindset" (a term coined by Carol Dweck of Stanford University) is marked by a self-belief that your intelligence is malleable and never set in stone. As Ellen DeGeneres once said, "It's failure that gives you the proper perspective on success. When you take risks, you learn that there will be times when you succeed and there will be times when you fail. Both are equally important." Researchers have found that children who are encouraged to view failure as an opportunity for growth faired much better than children who had parents who reinforced the notion that failure is always 'bad.'

People with a growth mindset believe that intelligence is malleable, expandable, and never fixed. They also believe that you can learn and grow from mistakes or setbacks.

Failure and success are two sides of the same coin. Previous research has found that growth mindset also boosts resilience, positive emotions, and someone's ability to bounce back quickly from the agony of defeat. With practice, a growth mindset helps you let go of failure's disappointment and move on to new challenges. 

On the flip side, those with a "fixed mindset"—who believe that their intelligence and abilities are less fluid—tend to beat themselves up and get stuck by dwelling on failures. A fixed mindset is also linked to a lack of self-compassion, in which failure can create a demotivating downward spiral of hopelessness and low self-esteem.

This is especially important for parents of younger children when teaching kids how to respond to setbacks in ways that are encouraging rather than discouraging. Nourishing a growth mindset can give youngsters a set of coping skills that could last a lifetime. I encourage teachers and parents to help children learn to pay more attention to their mistakes in a way that opens up growth mindset opportunities. Glossing over mistakes or shying away from a constructive dialogue about the importance of short-term failure as a pathway to long-term success can undermine someone's potential growth.


If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment here!


This article is for informational purposes only, even if and to the extent that it features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment and should never be relied upon for specific medical advice. Full article on Psychology Today.

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Feeling Blue? It could be Seasonal Affective Disorder...

Seasonal affective disorder (SAD) is one of the few ailments that is on a clock: It usually begins in October, and people who suffer from it usually feel the full effects in January and February. We also know that it’s more common for people living in places that get less sunlight during the winter and it’s more common in women than men, according to psychologists and researchers.

Traditionally, SAD is treated with antidepressant medication or light therapy, but there has been recent piloting towards a new approach using cognitive behavioral therapy (CBT), looking at the effects of CBT method on reducing negative thought patterns for people with SAD, using the Socratic method to interrupt negative thought patterns and make way for more mood-neutral thoughts, while simultaneously focusing on behavior and helping people to make slight shifts in their habits.

Here are a few questions to consider.

Q

What is seasonal affective disorder?

A

Seasonal affective disorder is a type of clinical depression that commonly occurs in the fall and winter months and typically resolves in the spring and summer. While it can take any seasonal pattern, the fall/winter type is overwhelmingly the most common. The only thing that makes it different from garden-variety depression is the seasonal pattern that it follows.

Because of their similarities, SAD is often misdiagnosed as depression. It sometimes takes a few years for people who have this pattern to recognize that it’s a pattern, and that it’s tied to the seasons.

Q

What are the most common symptoms?

A

Because we’re diagnosing depression when diagnosing SAD, we look for at least five of the nine diagnostic symptoms of depression. We’re diagnosing a depression that follows a seasonal pattern, meaning we’re looking for depressive symptoms that are present much of the day, almost every day, for at least two weeks. The hallmark symptoms of depression are:

  1. Feeling consistently down for most of the day or nearly every day.

  2. A loss of interest in the things that would have otherwise been enjoyable, such as social activities that previously would have brought a sense of enjoyment or pleasure.

  3. Feeling overwhelmingly tired or experiencing low energy.

  4. Inability to hold attention and focus or experiencing difficulty in concentrating.

  5. Feeling worthless or hopeless.

  6. Issues with sleep. Either too little or too much. In winter depression, we tend to see hypersomnia or sleeping too much. In most cases, the individual sleeps for at least an extra hour a day compared to the spring or summer. Some patients may sleep ten to even fourteen hours a day and are still tired. It’s not restorative sleep that we’re seeing. A minority of patients, on the other hand, experience insomnia.

  7. Changes in appetite or weight. This could be either wanting to eat a lot more or a lot less than usual. In winter depression, it’s usually wanting to eat more, and it’s usually carbohydrate-rich foods. Either sugars, starches, or both. With this, we typically see weight gain with an increased appetite or weight loss with a decreased appetite.

  8. Agitation often accompanied by feelings of guilt and shame.

  9. In extreme cases, thoughts of death or suicide.

Individuals can be diagnosed with SAD when they’re experiencing five of these symptoms, which need to include the first and/or second symptom.

These are not momentary symptoms; rather, they are pervasive for at least a couple of weeks. On average, it’s estimated to be five months of the year in a major depressive episode. It’s a lot of time to spend in depression, in terms of the cumulative toll that it could take on a person’s life.

Q

Whom does it affect most?


A

Similar to depression, there is a pronounced gender difference for those affected by SAD. Depression in general is two times more common in women than in men, and data suggests seasonal depression is even more common in women than in men. When we look at its prevalence, we’re looking at a single snapshot in time. And we’ve found that most cases occur in young adults, typically in their twenties to thirties. We’re not entirely sure why it occurs in this age range, though, since these studies don’t follow people over time. One theory is that SAD becomes less prevalent as people age, because they learn how to cope with it or possibly move to places that don’t have winters that are as harsh.

Q

How does SAD differ from depression? For individuals who have been previously diagnosed with depression, does that put them at an increased risk of developing SAD?

A

It’s estimated that up to 10 to 20 percent of recurrent depression cases follow a seasonal pattern. This is generally the course of depression, in which a depressive episode tends to return over time, with periods of time without depression between the episodes.

For SAD patients, there are unfortunately very few studies that have tried to look at the long-term trajectory of the disorder. So we don’t have a coherent idea of its outlook. We’ve tried contacting people we knew who had SAD in the past to learn about their experience and see where they’re at today, and we’ve found mixed long-term courses. A lot of them continue to experience SAD episodes every winter. Others become more subclinical, where they used to have full-threshold SAD, and now they may just have the winter blues. Some develop a completely nonseasonal course where they still have depressive episodes but it’s not tied to the seasons. And others fully remit, where they don’t have depression, seasonal or otherwise, moving forward.

In terms of how SAD differs from depression, there is a strong correlation of SAD with latitude in the United States. The farther you are from the equator, the more cases you’ll find. It is estimated that 9 percent of those people who live in Alaska suffer from SAD, compared with 1 percent of those who live in Florida. For most people—at least in the northern United States—SAD slowly begins in October. People often report an increase in their symptoms after the end of daylight saving time and experience their symptoms in full effect in January and February. It is in these two months that we find the largest proportion of SAD patients in a full major depressive episode.

Another strong link is photo period, or length of daylight. Photo period is the strongest predictor of when symptoms start in any given year for someone who has seasonal affective disorder, as well as how severe the symptoms are on a given day. The number of hours from dawn to dusk determines your photo period. We believe that photo period is what explains the onset of this disorder and can determine how bad symptoms may be on any particular day.

Q

What is the traditional approach to treating SAD?

A

Light therapy was the first line of treatment developed specifically for SAD patients. It was developed at the National Institute of Mental Health under Norman Rosenthal. He was a psychiatrist who moved from South Africa to Bethesda, Maryland, to work at the National Institute of Mental Health, and he experienced SAD symptoms. He was interested in learning more about it, and seeing if others experienced similar symptoms. He put an ad in The Washington Post, asking whether anyone experienced depression in the fall and the winter, and the lab phone rang constantly for weeks at a time. They had a huge response from people who thought they had the symptoms. They brought them they seemed to follow. From this, they developed light therapy as a form of treatment.

With light therapy, the goal is to give people a very bright dose of light, first thing in the morning, to simulate an early dawn. In theory, we’re trying to jump-start a sluggish biological clock, so that circadian rhythms go back to a normal phase as if they’re in the summer, when these people are feeling good. The devices tested in clinical trials are 10,000 LUX, which is the same intensity of light from the sky at sunrise. We block out the UV rays since they’re not necessary for an antidepressant response. We’ve found that prescribing patients to sit in front of 10,000 LUX for at least thirty minutes a day is what it takes for the treatment to be effective in people who have SAD. That said, similar to finding the right antidepressant, it can be a bit of a trial-and-error process. We try to find that sweet spot of exactly how many minutes a day and at what time or times of the day it’s most effective for the patient. The optimal benefit from light therapy must be determined on an individual basis so we can balance any side effects they may experience in response to the light.

The same drugs that are effective in treating nonseasonal depression—particularly SSRIs like fluoxetine/Prozac—have been tested for SAD with a good outcome in placebo-controlled studies. There is one drug that’s FDA-approved specifically to prevent SAD, which is Wellbutrin Extended Release. There was a large multisite study—with the GlaxoSmithKlein drug—completed a few years ago with over 1,000 SAD patients. The study compared putting people on the Wellbutrin Extended Release versus a placebo, and the participants started the treatment early in the fall when they weren’t yet having their symptoms, and the study followed them into the winter. The researchers found fewer relapses on the drug than with the placebo, which led to the FDA approval of the medication. Either bright-light therapy or antidepressant medication are typically used in treating SAD.

Q

How can cognitive behavioral therapy be used to treat SAD?

A

There is an extensive body of research demonstrating that CBT is an effective talk therapy for people with depression. There have also been a lot of clinical trials showing that it worked as well as antidepressant medications for improving depression. Additionally, when you follow people over time, after they’re treated to remission using CBT versus treated to remission using antidepressant medications, there are fewer relapses and recurrences among those treated with CBT than those treated with antidepressant medication.

Q

Recommendations?

A

Resist the urge to self-diagnose and self-treat. Seek evaluation from a qualified person who can figure out once and for all if it’s SAD or if it might be something else, including a depression that’s not following a seasonal course. And know that there are treatment options out there that are effective, including light therapy, antidepressant medications, and cognitive behavioral therapy. So there are reasons to be optimistic that one of these interventions will be helpful in terms of improving your experience.



This article is for informational purposes only, even if and to the extent that it features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment and should never be relied upon for specific medical advice. View the full article here: https://goop.com/wellness/how-to-treat-seasonal-affective-disorder/


If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment here!

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Relationship Pitfalls to be Aware Of

I think it’s safe to say, everyone loves love, whether you’re all about commitment or prefer to fly solo. The initial stages of a relationship can have you feeling like you’re on cloud 9 - the excitement, the butterflies, the attention, you know the feeling! However, once the “honeymoon" phase” has worn off and some time has passed, reality kicks in and certain relationship pitfalls can land you in hot water if you don’t know how to navigate them.

Making a relationship last for the long haul can be incredibly difficult! People naturally evolve and change and, unfortunately, sometimes, they aren’t able to do it together. That said, relationships are a choice and, while severing ties can be healthy in many instances, if you’re both in it to win it, playing for keeps can still be done.

Here are some relationship landmines to steer clear of on the path to forever.

Living in Absolute Certainty

Certainty is the end of a good relationship in most cases. Certainty leads to taking people for granted and that leads to increased friction and, ultimately, a break may occur.

Acknowledging and accepting change is important (even if it leads to the end of a relationship). It will help you appreciate your significant other more and see them as someone to continue to fight for.

Pointing Fingers

The secret to a healthy and long-lasting love is actually somewhat simple, but it requires each party to being fully accountable for their role. When it comes to conflict, couples often focus on how their significant other has wronged or hurt them. The sooner people learn that the only thing they can change is themselves, the better off they’ll be.

Without work from both sides it is almost impossible to fix a relationship. Getting couples to see the problem as something they both created, and not just making it about the other person, is one of the first aspects of relationship I attempt to change.

Ignoring Love Languages

Knowing the little things that your partner responds to - touch, words of affirmation, quality time, thoughtful acts, etc. — is pretty crucial in keeping things healthy and happy over time.

 The language you most respond to is also the vehicle in which you express your love. If you don’t know what the other person responds to, you give what you want. In doing so, however, you slowly lose understanding of your partner, which can lead to a disconnect.

Attacking Each Other Instead of the Problem

If you continuously attack each other, you’re slowly stripping your partner of their dignity. Put your issues on the table and keep your focus on that. If you just throw a bandage on top of a dirty wound, it’s not going to heal correctly or fully. It’s when you pour the antiseptic solution on the wound that it’s purified and can heal well.

For instance, lack of communication is a popular pitfall in long-term relationships. It’s not about ‘We don’t know how to communicate’; What they should be asking is, ‘What did we lose in the communication process?’ and ‘When did I stop feeling safe?’ It gets deeper and what is actually lost is safety.

At the end of the day, relationships — no matter how healthy or peaceful — are work. You have to be game to put your all in if you’re running toward the finish line.

Relationships are not 50/50, they should be 100 percent. Always bring 100 percent of yourself.

If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!

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Why You Need To Know Your Partner's Love Language

Knowing a partner’s love language just might save a relationship. The idea behind this psychology is that every individual has a different way that they give and receive love. Dr. Gary Chapman, #1 New York Times Bestseller, The Five Love Languages: How to Express Heartfelt Commitment to Your Mate, argues that these ways can be divided up into 5 simple categories:

  1. Acts of Service

    If your #1 Love Language is “Acts of Service,” you feel most loved and appreciated when your partner thinks about what they can do to ease the responsibilities that are weighing on you. Hearing “let me help you with that” or “I already took care of it” is most exciting to you. Laziness, failure to perform their share of chores, or being unthoughtful with how they can help you are all easy ways for you to feel unappreciated and unloved.

  2. Word of Affirmation

    If your #1 Love Language is “Words of Affirmation,” actions do not speak louder than words. Unsolicited compliments make you feel secure and happy in your relationship. Hearing “I love you” on a regular basis is important to you, and helps you to believe you are loved. Hearing the reasons behind why they love you is icing on the happy-relationship cake. Insults are not easily forgotten and not hearing enough words of affirmation will make you feel unloved.

  3. Quality Time

    Having your partner’s undivided attention is the time when you feel most appreciated. Distractions during quality time or postponing dates can make you feel like you aren’t important to your partner. Scheduling the time to be together is crucial to the success of your relationship.

  4. Receiving Gifts

    If this is your #1 language, don’t question your character. It actually has more to do with the thought behind the gift than the gift itself. You appreciate the thoughtfulness behind gift giving (whether it’s a grand birthday present or bringing home your favorite magazine from a trip to the drugstore). All gifts, whether small and daily or big and grand, remind you how much you matter to your partner and how much thoughtfulness and effort they think you’re worth. Missed birthdays or thoughtless gifts are your relationship nightmare because it makes you feel like your partner doesn’t care about you.

  5. Physical Touch

    This isn’t just about intimacy — holding hands, hugging, or pats on the back make you feel loved and cared for. Physical closeness is directly related to emotional closeness for you, and neglect can be destructive to the relationship. A hug can lift your mood or take away your insecurities.

So why is knowing your partner’s love language so crucial to the success of your relationship?

It will help you and your partner feel more appreciated.

If you’re an “Acts of Service” person dating a “Words of Affirmation” person, your partner might shower you with compliments and “I love you”s every day, but you would spend the relationship not feeling truly appreciated because they never offer to run errands or do the dishes. Understanding your partner’s love language will help you discern how they show their love, so that you do feel loved and appreciated, knowing the way in which they give their love is different than yours.

It will allow you to communicate your needs more.

Understanding that they do other things out of love, and that they just have a different love language, will help you to communicate, “it makes me feel appreciated when you clean the kitchen,” or “I feel loved when you hold my hand.”

It will show you and your partner what you both should do without being asked.

Knowing your partner is a “Physical Touch” person will make you more thoughtful about holding their hand in public or hugging them when they’re down, and you will be able to understand the meaning and importance behind these little acts that, for you, would otherwise be insignificant. Your partner will be more conscious about what they can do to show you how much they appreciate and love you. When you and your partner both know how the other gives appreciation and wants to receive appreciation, it makes for more thoughtful decisions and efforts that make you and your partner both feel loved and valued.

If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!

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This New Year, Get Back to Basics and Create Your Own Definition of Self Care

When your wellness routine—AKA the rituals and habits you embraced to make your life better—is stressing you out, things need to change. And for so many people this year, the line between constructive self-care and pure anxiety trigger (as in, just another thing on your already-jammed to-do list) became blurrier than ever before. In 2019, it’s time to simplify, simplify, simplify. And get that wellness-loving mojo back.

In the age of social media, the pressure people feel to engage in performative wellness creates anxiety, self-doubt, and depression. The industry boom—and the staggering number of new fitness, food, and lifestyle options to choose from—is partly to blame. New data shows that since 2015, the global wellness industry has grown 12.8 percent, from $3.7 trillion to $4.2 trillion. That increase is reflected in myriad new and expanded companies, products, and trends—which means more decisions to make. And when people have more choices than they’ve ever had in history, and whenever you have a lot of choice, it can be overwhelming.

So, make 2019 the year when you get real about what’s doable on a daily basis. The indications are there already— “staying in is the new going out” has been a trend for a while, and bonding over the desire for a simpler life has become a national pastime.

Basically, this new wave of self-care involves reclaiming your time. While opting out of all social media likely isn’t going to happen for most of us in 2019, a back-to-basics wellness revamp is a chance to get back to what made you fall in love with self-care to begin with.

If you live in the Los Angeles/Westlake Village area and are interested in therapy, I invite you to contact me via email at: tanyasamuelianmft@yahoo.com . I provide a complimentary consultation. Contact me now to see if we might be a good fit to work together! Or book your appointment now!

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