Addressing Intimacy Issues Through Couples Therapy

couple fighting

Medically Reviewed by Mark Hrymoc, M.D., Chief Medical Officer, double-board certified in General & Addiction Psychiatry Intimacy is a cornerstone of healthy relationships, yet it’s one of the most common areas where couples struggle. Whether due to emotional disconnection, stress, past trauma, or evolving relationship dynamics, intimacy issues can significantly impact satisfaction and closeness between partners. Fortunately, couples therapy—and in some cases, sex therapy—can provide effective pathways to healing. These therapeutic approaches help couples understand the root causes of their challenges, improve communication, and rebuild trust and connection. Understanding Intimacy: More Than Just Physical Connection Intimacy encompasses emotional closeness, physical affection, vulnerability, and shared trust. When intimacy breaks down, it can manifest as a lack of sexual connection, emotional withdrawal, or persistent conflict. Research by Johnson et al. (2021) found that emotional and physical intimacy are deeply interconnected, and difficulties in one area often influence the other. While intimacy issues …

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The Benefits of Nature for Mental Health

man chilling in nature

Medically Reviewed by Mark Hrymoc, M.D., Chief Medical Officer, double-board certified in General & Addiction Psychiatry Spending time in nature has long been considered restorative, but only recently have scientists begun to fully understand how powerful outdoor environments can be for mental health. Whether it’s a walk in the park, a hike in the mountains, or simply sitting under a tree, engaging with natural spaces can lead to measurable improvements in mood, stress reduction, and overall emotional well-being. In a time when anxiety, depression, and burnout are increasingly common, nature offers a low-cost, accessible, and evidence-based way to support psychological health. Exposure to Nature Reduces Stress and Anxiety One of the most well-documented benefits of nature is its ability to reduce stress. Time spent in green spaces is associated with lower levels of cortisol, the body’s primary stress hormone. A 2010 study by Park et al. found that individuals who …

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The Role of Sleep in Managing Depression

Medically Reviewed by Mark Hrymoc, M.D., Chief Medical Officer, double-board certified in General & Addiction Psychiatry Sleep and depression are closely linked, with each significantly influencing the other. Poor sleep can worsen depressive symptoms, while depression can interfere with the ability to fall asleep or stay asleep. Understanding how sleep and mood interact offers powerful insights for managing depression. When sleep is optimized, it can serve as a foundational element in emotional regulation and psychological recovery. Conversely, chronic sleep disturbances can undermine even the most effective treatment plans, making sleep hygiene a critical component of mental health care. How Depression Affects Sleep Patterns Depression often disrupts the body’s natural sleep-wake cycle, or circadian rhythm. People with depression may struggle with insomnia, waking frequently during the night, or experiencing early-morning awakenings that leave them feeling unrested. Others may experience hypersomnia, or excessive sleeping, without feeling refreshed. According to the National Sleep …

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How to Deal with Negative Self-Talk

Medically Reviewed by Mark Hrymoc, M.D., Chief Medical Officer, double-board certified in General & Addiction Psychiatry Negative self-talk is a common yet harmful internal dialogue that can significantly impact mental health. It involves critical, self-defeating thoughts that erode self-esteem and reinforce anxiety, depression, and self-doubt. These internal messages often become automatic, repeating themselves over time and shaping how we perceive ourselves, our abilities, and our worth. Learning to recognize and reframe negative self-talk is a crucial step in building emotional resilience and supporting overall well-being. What Is Negative Self-Talk? Negative self-talk includes the internal narratives that are overly critical, pessimistic, or self-sabotaging. Examples include thoughts like “I’m not good enough,” “I always mess things up,” or “No one cares what I have to say.” These thoughts are often rooted in cognitive distortions, such as black-and-white thinking, catastrophizing, or personalizing. According to Beck’s cognitive model of depression, these patterns can create …

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Choosing Between a Psychiatric Mental Health Nurse Practitioner (PMHNP) and a Psychiatrist for Medication Management in Los Angeles

Mental Health Center in Los Angeles logo

Medically Reviewed by Mark Hrymoc, M.D., Chief Medical Officer, double-board certified in General & Addiction Psychiatry by Janel Te’o, M.A.  When navigating mental health care in Los Angeles, patients often face the choice between consulting a psychiatrist or primary care physician, but a Psychiatric Mental Health Nurse Practitioner (PMHNP) is also an option for diagnosis and medication management. Both professionals offer valuable services, but their backgrounds and approaches differ. Understanding these differences can help patients make informed decisions tailored to their needs. This blog post explores why a Nurse Practitioner with the PMHNP credential might be a better option than a psychiatrist, and vice versa, with a focus on mental health care services in the Los Angeles, California area. Understanding the Roles: PMHNP vs. Psychiatrist Psychiatric Mental Health Nurse Practitioner (PMHNP) A PMHNP is an advanced practice registered nurse with specialized training in psychiatric and mental health care. They hold …

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