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Rachel has conflict every day. She takes conflict as a personal assault. Her thinking is rigid and emotions are not managed. She blames others and never cares if she harms people or acts in lawless ways. In fact, she is among the more than 70% of people with antisocial personality disorder (ASPD) who can be found in prisons and substance abuse clinics. With someone who…

By now, you may have heard the excitement about esketamine as a breakthrough new drug for treatment resistant depression. Some people call it a game changer in the treatment of depression. One of the benefits seems to be that it quickly resolves symptoms of suicidality. Esketamine is now an FDA approved medication for treatment resistant depression (depression that doesn’t respond to…

“I love my partner. We are happy, but I am cheating on him.” This statement makes no sense to most of us. People who cheat are in bad marriages, right? Well, not necessarily. Yes, a bad marriage can be incentive to cheat, but people in happy marriages cheat too. And the reasons for this might…

Are you growing apart? There are markers to indicate if this is the case. I recently watched a couple at a restaurant. They never spoke or interacted. One of them was on texting through most of the dinner. They looked extremely unhappy, bored and distance. How do couples get to this stage of emotional distance? Is there a…
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