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– a clinical psychologist explains why it’s worth the effort

The percentage of Americans seeking mental health treatment nearly doubled between 2004 and 2022, with almost a quarter of the population reporting that they saw a mental health care professional in 2022.

This surge in help-seeking has many potential explanations. The pandemic, along with other external stressors, led to unprecedentedly high rates of anxiety and depression across all age groups.

Yet the majority of Americans with a mental health condition are not receiving adequate treatment or any treatment at all.

People who are pondering getting help face a lot of decisions with little information about how to navigate the system available to them.

As a licensed clinical psychologist and director of clinical training for a clinical psychology program at the University of Montana in Missoula, I spend a lot of time thinking about how to increase folks’ access to treatment. I also field a lot of practical questions that people have about the process.

It’s a difficult landscape to navigate, particularly when there is a nationwide shortage of mental health care providers.

Recognizing when to seek help

Mental health conditions – technically diagnoses or disorders – are defined by either feeling distress or experiencing impairment in one or more areas of your life.

If you seek out mental health treatment, a diagnosis is often required for you to receive services. You should seek out professional advice as a first step. Clinicians make diagnostic determinations based on the Diagnostic and Statistical Manual of Mental Disorders, currently in a revised, fifth edition. Finding adequate mental health care amid a nationwide shortage of mental health professionals is tricky, but not impossible.

Getting a diagnosis

Mental health practitioners include, but are not limited to, psychologists, social workers, counselors, psychiatric nurse practitioners, and psychiatrists. Many people start with a referral to one of these providers through their primary care provider.

There are clear differences between these professions in terms of training and scope of practice, but all require licensure. The best way to check if a practitioner’s license is valid or if they have had misconduct actions is to do a search for your jurisdiction, the profession (such as psychiatrist), plus “license lookup” or “license verification” to be directed to your state’s official licensure site.

The training of mental health professionals is vastly different within this broad category. Psychiatrists, psychiatric nurse practitioners, and some psychologists (in states that allow it) are trained in prescribing medications for mental health conditions. Counselors and social workers typically hold a master’s degree that is focused on understanding human well-being, methods of psychotherapy, and providing treatment. Psychologists typically hold a doctorate degree and have additional, specialized training in psychological assessment, research, and supervision.

The right specialist for you might be determined by your specific needs, such as an assessment or medication, but pragmatic issues are often key factors.

Paying for therapy

If you are one of the 92.1% of Americans who are fortunate to have health insurance, by law you should receive coverage for therapy that is comparable to what you would receive for medical or surgical procedures. However, mental health care is still difficult to access in many parts of the U.S.

Exact coverage may depend on your deductible, whether the therapist is in- or out-of-network, and the therapist’s rates. Ethical guidelines for all of these professions dictate that a therapist should let you know about their rates, expected course of treatment, and your rights as a client as soon as possible in the therapy process. Not all therapists accept Medicare or Medicaid, unfortunately; these plans often reimburse providers at lower rates than private insurance companies.

Often, the number of sessions that are covered by insurance is determined by your diagnosis. Your therapist should always be able to tell you the diagnosis that you have and what they have submitted to your insurance company. It’s important to know that many mental health care providers are limited in the types of insurance that they take, if they do so at all. Check with your health care plan to see your exact coverage for mental health services, including more complex situations such as inpatient hospitalization or long-term treatment.

Many communities have excellent school-based health centers for youth and certified community behavioral health centers for all ages. These useful resources often provide “one-stop shopping” for health care and can sometimes provide therapy services on a sliding fee scale. The first community health centers in the U.S. launched nearly 60 years ago and still provide crucial medical services, including mental health care.

What to expect in a session

The exact type of therapy you receive depends on several factors: your diagnosis, your therapist’s specialized training, your goals for treatment, and your preferences.

Research indicates that certain treatments are particularly effective for some specific diagnoses. Pay attention to what treatment specialty your therapist provides: Some offer specific approaches such as cognitive behavioral therapy, psychodynamic psychotherapy, or dialectical behavior therapy.

Regardless of the specific type of therapy you receive, you can expect to be asked a lot of questions about your thoughts, behaviors, and feelings. Information about your past challenges and successes can help to clarify the goals for treatment. Knowing when you started feeling distressed, how it’s affecting your life, and what you would like to be different are all important in helping your therapist to formulate a treatment plan.

Some of the things that you talk about in therapy are likely to be painful or difficult, and it’s not uncommon for you to sometimes feel worse in therapy than you felt before. This is because a lot of people have pushed away emotionally challenging aspects of their lives before coming to therapy. Coming to terms with these experiences by sharing them with your therapist is most often beneficial.

Using medication alongside conventional therapy

Medication and psychotherapy are often used in combination with one another. If the person prescribing your medication and your therapist are two different people, you’ll be asked to sign a release of information for each of them so that they can coordinate your treatment.

For example, you may meet with a psychiatrist just a few times each year, but a weekly therapy session may give your therapist insight into how you are responding to medication on a more timely basis.

Certain conditions may particularly benefit from the combination of therapy and medications. For instance, major depression, obsessive-compulsive disorder (OCD), and panic disorder often have better outcomes with combined treatment. Sometimes, the steps that people need to take in order for therapy to be effective, such as gradually confronting feared situations for those with OCD, are more approachable for people who are also taking effective medication.

Research has long established that having one mental health diagnosis increases the risk of having another one; for example, people who have attention-deficit/hyperactivity disorder, or ADHD, are frequently also diagnosed with other conditions such as anxiety, depression and substance use disorder. Situations where people have more than one diagnosis may also be best treated through a combination of psychotherapy and pharmacotherapy.

Finding the right fit

Several research studies have indicated that the quality of the therapy relationship based on the client’s feeling of connectedness is an important factor in treatment outcome.

If you don’t feel that there’s a great match between what you need and what your therapist is offering, you should keep looking for a better fit.

According to the World Health Organization (WHO), more women are affected by depression than men. This pattern is seen in countries around the world, including the United States.

Cross-national and cross-cultural studies have indicated that the prevalence of depression among women is higher at any given time than among men. This pattern does not seem to have many exceptions.

Why is that? Biological differences between men and women, like hormones, explain part of it. These are examples of sex differences. But social factors between men and women (gender differences) may play a bigger role. For instance, women, in general, experience more stress than men, and research has shown that social stress is a main cause of depression.

But new research that I’ve conducted with my colleague Maryam Moghani Lankarani suggests that men might be more vulnerable to depression caused by stressful events.

Why are More Women Depressed than Men?

Researchers have defined stress as any major change to the status quo (existing balance) that may potentially cause mental or emotional strain or tension. These stressful life events can include marriage, divorce, separation, marital reconciliation, personal injury or illness, dismissal from work, or retirement.

Men are more likely to have depressive episodes following work difficulties, divorce, and separation. Women, on the other hand, are more sensitive to conflict, serious illnesses, or death happening in their close social network. In fact, research suggests that most of the stressful events that cause depression among women are related to their close social network, such as romantic and marital relationships, child-rearing, and parenting.

Research suggests that compared to men, women tend to ruminate (the technical term for “overthinking”) more about stressors and have negative thoughts that cause depression. And at least one study suggests that this explains the gender difference in the prevalence of depression. Rumination can make stress worse, and unfortunately, it is more common among women.

These findings suggest that psychosocial causes of depression may be at least partially gender-specific, and that these disparities are rooted in different life conditions – social inequalities – that men and women experience. And, in general, women tend to experience greater social inequality and social stress, and therefore depression, than men.

The gender gap in depression is largest in countries with the highest gender inequalities. Gender difference in the burden of depression is highest in the countries where women and men differ more in access to resources and social equity.

And that, oddly, might explain why men might be more susceptible to the depression-inducing effects of stress. They aren’t as used to dealing with it.

Men are more vulnerable to the effects of stress over time

In new research, my colleague Maryam Moghani Lankarani and I found that stressful life events are more likely to predict depression in men than in women.

In fact, men are more susceptible to the depression-inducing effects of each additional stressor over long-term periods.

We looked at data from a nationally representative study that examined how psychological factors affect the physical and mental health of individuals over time.

We studied the effects of stressful life events that men and women reported at the beginning of the study on their rates of depression 25 years later. We found that the effect of each life stressor on the risk of clinical depression was 50 percent stronger for men than for women.

These findings correspond with a study we published in late 2015 that showed white men may be most vulnerable to the effect of stress on depression, possibly because they have a lower exposure to stress compared to any other demographic group.

It’s possible that cumulative exposure to stress may build resilience or habituation to stressors. In other words, people who cope with stress all the time can get used to it.

So the social group exposed to the lowest stressors (living the most privileged life) may at the same time be most vulnerable to each additional stressor. They have not learned to cope with stress as effectively as those who experience it more.

This is potentially the cost of living an easier, and therefore, less stressful life.

Men who experience depression may not seek care

Men may also be vulnerable to the effects of stress because they may perceive depression as a weakness. They may also define talking about emotion and seeking help for an emotional problem, such as depression, as a weakness. This is especially the case in developing countries where traditional gender roles are more strongly endorsed.

These beliefs strongly shape the behaviors of men who are in need of mental health care, and make men vulnerable when stress and emotional problems happen. All these result in men ignoring depression when it develops, and avoiding care when needed, not to look weak.

This also partially explains why more men with depression kill themselves (particularly white men) than women with depression.

Gender influences our risk of depression in various ways. It determines our risk of exposure to adversity. It changes our vulnerability to stress. And it can also determine what resources we’ll be able to access to cope with stress or depression.

From the breakup of a relationship to losing a loved one, people are often told to find “closure” after traumatic things happen.

But what is closure? And should it really be the goal for individuals seeking relief or healing, even in these traumatic times of global pandemic, war in Ukraine, and mass shootings in the U.S.?

Closure is an elusive concept. There is no agreed-upon definition for what closure means or how one is supposed to find it. Although there are numerous interpretations of closure, it usually relates to some type of ending to a difficult experience.

As a grief expert and author of “Closure: The Rush to End Grief and What It Costs Us,” I have learned that the language of closure can often create confusion and false hope for those experiencing loss. Individuals who are grieving feel more supported when they are allowed time to learn to live with their loss and not pushed to find closure.

Why did closure become popular?

Closure is entrenched in popular culture not because it is a well-defined, understood concept that people need, but rather because the idea of closure can be used to sell products, services, and even political agendas.

The funeral industry started using closure as an important selling point after it was criticized harshly in the 1960s for charging too much for funerals. To justify their high prices, funeral homes began claiming that their services helped with grief, too. Closure eventually became a neat package to explain those services.

In the 1990s, death penalty advocates used the concept of closure to reshape their political discourse. Arguing that the death penalty would bring closure for victims’ family members was an attempt to appeal to a broader audience. However, research continues to show that executions do not bring closure.

Still today, journalists, politicians, businesses, and other professionals use the rhetoric of closure to appeal to people’s emotions related to trauma and loss.

So what is the problem with closure?

It is not the mere presence of closure as a concept that is a problem. The concern comes when people believe closure must be found in order to move forward.

Closure represents a set of expectations for responding after bad things happen. If people believe they need closure in order to heal but cannot find it, they may feel something is wrong with them. Because so many others may tell those grieving they need closure, they often feel pressure to either end grief or hide it. This pressure can lead to further isolation.

Privately, many people may resent the idea of closure because they do not want to forget their loved ones or have their grief minimized. I hear this frustration from people I interview.

Closure frequently becomes a one-word description of what individuals are supposed to find at the end of the grieving process. The concept of closure taps into a desire to have things ordered and simple, but experiences with grief and loss are often longer-term and complex.

If not closure, then what?

As a grief researcher and public speaker, I engage with many different groups of people seeking help in their grief journeys or looking for ways to better support others. I’ve listened to hundreds of people who share their experiences with loss. And I learn time and again that people do not need closure to heal.

They can carry grief and joy together. They can carry grief as part of their love for many years. As part of my research, I interviewed a woman I will call Christina.

Just before her 16th birthday, Christina’s mom and four siblings were killed in a car accident. Over 30 years later, Christina said that people continue to expect her to just “be over it” and to find closure. But she does not want to forget her mother and siblings. She is not seeking closure to their deaths. She has a lot of joy in her life, including her children and grandchildren. But her mom and siblings, who died, are also part of who she is.

Both privately and as a community, individuals can learn to live with loss. The types of loss and trauma people experience vary greatly. There is not just one way to grieve, and there is no time schedule. Furthermore, the history of any community contains a range of experiences and emotions, which might include collective trauma from events such as mass shootings, natural disasters, or war. The complexity of loss reflects the complexity of relationships and experiences in life.

Rather than expecting yourself and others to find closure, I would suggest creating space to grieve and to remember trauma or loss as needed. Here are a few suggestions to get started:

• Know people can carry complicated emotions together. Embrace a full range of emotions. The goal does not need to be “being happy” all the time for you or others.

• Improve listening skills and know you can help others without trying to fix them. Be present and acknowledge loss through listening.

• Realize that people vary greatly in their experiences with loss and the way they grieve. Don’t compare people’s grief and loss.

• Bear witness to the pain and trauma of others in order to acknowledge their loss.

• Provide individual and community-level opportunities for remembering. Give yourself and others freedom to carry memories.

Healing does not mean rushing to forget and silencing those who hurt. I believe that by providing space and time to grieve, communities and families can honor lives lost, acknowledge trauma, and learn what pain people continue to carry.

Nancy Berns Professor of Sociology

A new year brings both hopes and anxieties. We want things to be better for ourselves and the people we love, but worry that they won’t be, and imagine some of the things that might stand in the way. More broadly, we might worry about who’s going to win the election, or even if our world will survive.

As it turns out, humans are wired to worry. Our brains are continually imagining futures that will meet our needs and things that could stand in the way of them. And sometimes any of those needs may be in conflict with each other.

Worry is when that vital planning gets the better of us and occupies our attention to no good effect. Tension, sleepless nights, preoccupation, and distraction around those very people we care for, worry’s effects are endless. There are ways to tame it, however.

As a professor of medicine and population and quantitative health sciences, I’ve researched and taught mind-body principles to both physicians and patients. I’ve found that there are many methods of quieting the mind and that most of them draw on just a few straightforward principles. Understanding those can help in creatively practicing the techniques in your everyday life.

Our Brains Sabotage the Happier Present Moment

We’ve all experienced moments of flow, times when our attention is just effortlessly absorbed in what we are doing. And studies carried out in real time confirm an increase in happiness  when people can focus attention on what they are doing, rather than when their minds are wandering. It may seem odd then that we leave our minds to wander for something like half the day, despite the happiness cost.

The reason can be found in the activity of linked brain regions, such as the default mode network, that become active when our attention is not occupied with a task. These systems function in the background of consciousness, envisaging futures compatible with our needs and desires and planning how those might be brought about.

Human brains have evolved to do this automatically; planning for scarcity and other threats is important to ensure survival. But there’s a downside: anxiety. Studies have shown that some people prefer electric shocks to being left alone with their thoughts. Sound familiar?

Our background thinking is essential to operating in the world. It is sometimes the origin of our most creative images. We suffer from its unease when, unnoticed, it takes over the mental store.

Mindfulness, the practice of observing our mind’s activity, affords both real-time insight into this default feature of the mental operating system and a capacity to self-regulate it.

That is confirmed by studies showing increased attention regulation, working memory, and awareness of mind wandering that develop after only a couple of weeks of mindfulness training. Imaging studies, similarly, show that this kind of training reduces default mode activity and enriches neural connections that facilitate attentional and emotional self-regulation.

Evolution Prioritizes Survival Over Happiness

This default to planning is part of our evolutionary history. Its value is evident in the effortless persistence and universality with which it occurs. Mind-body programs like yoga and mindfulness are indicative of the yearning many people have to be in the happier present moment.

How we use our attention is central to our emotional well-being, and many mind-body programs are based on training our minds to be more skillful in this way.

Mindfulness training, for example, asks students to direct their attention to the sensations of breathing. And while that may seem easy, the mind resists tenaciously. So, despite repeated resolve, a person finds that, within seconds, attention has effortlessly defaulted to planning daydreams.

Just recognizing this feature is progress.

In those moments when you do manage to notice these thoughts with some detachment, their dogged concern with past and future becomes clear. And planning’s semi-vigilant (“What could go wrong here?”) orientation also becomes clear.

We begin to notice that this hoping, comparing and regretting is often concerned with family and friends, job and money – themes of relationship, status and power that are central to the survival of tribal primates. All set against the background knowledge of our passing.

Our Bodies Take Notice

Traditional meditation teachings attribute our everyday unease to the bodily tightening that naturally accompanies the possibility of loss, failure and unfulfilled dreams embedded within this narrative. It’s a tension that is often unnoticed in the midst of managing everyday demands, but its background discomfort sends us looking for relief in something more pleasant like a snack, a screen, a drink or a drug.

Mindfulness makes us more aware of these preoccupations and reorients attention to the senses. These, by their nature, are oriented to the present – hence the almost clichéd “being in the moment” idiom.

So, when you notice yourself tense and preoccupied with anxious thoughts, try shifting your attention to the sensations of your breathing, wherever you notice it in your body. Bodily tension naturally dissipates with the shift in focus, and a feeling of greater calm follows. Don’t expect attention to stay there; it won’t. Just notice that attention goes back to worries, and gently return it to breathing.

Try it for just a couple of minutes.

Other Mind-body Programs Use Similar Principles

It would be nearly impossible to design studies comparing all the techniques that cultivate mindfulness. But my more than four decades of experience as a practitioner, clinician and researcher of several popular mind-body programs suggests that most techniques use similar principles to recover the present moment.

Yoga and tai chi, for example, direct attention to the flow of sensations accompanying the sequence of movements. In contrast, systems such as cognitive therapy, self-compassion, prayer, and visualization counter the ambient narrative’s unsettling tone with more reassuring thoughts and images.

Just a little practice makes this universal mental tendency, and your ability to shift it, more apparent in the midst of activities. The reduced arousal that results means that stress-related hormones dissipate, allowing feel-good ones like serotonin and dopamine to be restored in the brain as the happier here and now becomes woven into the fabric of everyday life.

1. James Carmody Professor of Medicine and Population Health Sciences, UMass Chan Medical School

Jacek DebiecAssistant Professor / Department of Psychiatry; Assistant Research Professor / Molecular & Behavioral Neuroscience Institute, University of Michigan



Americans are becoming more anxious about their safety, health, finances, politics and relationships, a new online poll from the American Psychiatric Association finds. Compared to the results of a similar poll a year earlier, 39 percent of adults in the U.S. are more anxious today than they were a year ago.
As a psychiatrist and neuroscientist, I believe studies and polls like these help to identify individual and group vulnerabilities. They may provide clues for providing better clinical practice, implementing more effective public policies, and designing research projects that yield a better understanding of the causes of anxiety and better treatments.
Although anxiety is rising across all age groups and demographic categories, there are notable distinctions between certain groups.
For example, millennials are more anxious (especially about finances) than Gen-Xers or baby boomers – though boomers’ overall anxiety increased more than the other age groups. Women reported a greater increase in overall anxiety in all dimensions than men, and non-Caucasians’ overall anxiety rose faster in the preceding year than did Caucasians. Sometimes, anxiety occurs without clearly defined worries or awareness, suggesting the poll may have only captured part of a rise in adult Americans’ anxiety levels – and those adults’ anxiety may be affecting children and teenagers too.

While this poll was not designed to detect or diagnose anxiety disorders or pathological anxiety, it does indicate that people are perceiving greater potential danger to many elements of their well-being.

Anxiety is a lower-grade version of a fear response. Severe instances of fear – such as actual direct threats of pain, injury or death – can cause very real physical reactions, including a release of stress hormones into the bloodstream and changes in heart rate and blood pressure, as the body prepares to react rapidly.
Anxiety-triggered physiological responses are slower to develop, but can last longer. Rather than being caused by an immediate threat, it can happen as people adapt to changing situations, such as visiting new countries, starting a different job or experiencing major life transitions such as marriage, parenthood and aging. Often, anxiety dissipates as a person becomes more familiar with the new situation. Short-term and mild-to-moderate anxiety states are adaptive as they increase our alertness and prepare us for new challenges.
Although our genetic makeup controls much of our fear and anxiety responses, recent studies also implicate our social environment. Children are especially sensitive to their caretakers’ emotional states, which means that if more adults are more anxious, the same is true for kids.
But if it lasts, anxiety, like fear, can bring long-lasting physiological changes such as prolonged muscle tension, chronic high blood pressure and sleep disorders. Some groups may be particularly vulnerable to long-term anxiety, such as people with physical or cognitive limitations that make it hard to adapt to new situations.
For others, worrying can become so overwhelming that a person does not focus on other important areas of life issues such as work, school or relationships. An especially anxious person may become excessively sensitive to minor concerns, which may be manifested by overreacting or avoiding people or situations that are not dangerous.
Although regular exercise, relaxation, healthy eating and time with friends and family are all known to reduce anxiety, these fixes may not be sufficient. To quote Martin Luther King Jr., given the social nature of anxiety, “We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly affects all indirectly.” This suggests that addressing actual threats and communicating carefully about perceived ones can have a beneficial impact on anxious Americans.

Proven Hacks: How to Build Unbreakable Self-Confidence (57 characters)

Building self-confidence is a transformative journey that profoundly influences your mental health, self-esteem, social interactions, and overall well-being. Feeling confident empowers you to embrace new challenges, foster healthy relationships, and achieve your aspirations.

Yet, for many, low self-confidence acts as a formidable obstacle, fostering self-doubt and undermining self-efficacy. If you’re on a quest to enhance your self-confidence and cultivate a robust self-esteem, you’ve found your starting line.

This guide will navigate you through effective strategies to bolster your confidence and self-assurance, paving the way for a more rewarding life.

Self-confidence transcends mere self-perception; it shapes your interactions with others and your approach to the world. It’s a cornerstone of your personality, social life, and performance in various life domains. By integrating simple yet impactful self-help techniques into your daily life, you can commence the journey to heightened self-confidence and improved mental health.

We will delve into the top hacks to elevate your confidence, ranging from fostering a positive self-dialogue to consistently challenging yourself.

1. Cultivate a Positive Self-Dialogue

Practice Positive Self-Talk

Cultivating a positive self-dialogue is an essential step in building self-confidence. Positive self-talk involves replacing negative and critical inner voices with supportive and encouraging ones. This practice can significantly impact your mental health, self-esteem, and overall confidence.

To start, become aware of your inner dialogue and identify instances of negative self-talk. Ask yourself if you would speak to a friend in the same critical manner you sometimes use with yourself.

If not, it’s time to make a change.

One effective strategy is to challenge and replace negative thoughts with positive or neutral ones. For example, if you think, “I won’t be able to cope with this situation,” reframe it as “I am coping quite well, given everything else that is going on. This situation is stressful, but it will pass.”.

Positive affirmations can also be a powerful tool. Repeat positive statements to yourself, such as “I am doing well,” or “I am capable of handling this challenge.” These affirmations can help shift your mindset to a more optimistic and supportive one. Additionally, surround yourself with positive influences, including people and media, to reinforce this positive self-talk.

For a quick assessment of your mental well-being, check out the TheraConnect Mental Health Quiz.

Embrace Your Strengths

Embracing your strengths is another key aspect of cultivating a positive self-dialogue. Recognizing and acknowledging your strengths can boost your self-confidence and self-esteem.

Make a conscious effort to identify what you are good at and what you have achieved. Accept compliments graciously and reflect on them positively.

This helps to reinforce a positive self-image and encourages you to build on your strengths rather than focusing on your weaknesses.

Practicing gratitude is also beneficial. Focus on the things you are grateful for, which can help shift your attention from negative thoughts to positive ones.

Keeping a gratitude journal or simply taking a moment each day to reflect on the good things in your life can make a significant difference in how you feel about yourself and your abilities.

By combining the practice of positive self-talk with an emphasis on your strengths, you can create a more supportive and encouraging inner dialogue. This will help you feel more confident, motivated, and capable of tackling the challenges that come your way.

2. Set Achievable Goals

Breaking It Down

Setting achievable goals is a fundamental step in building self-confidence. When goals are too broad or unrealistic, they can lead to frustration and disappointment, which can further erode your self-confidence. To avoid this, it’s essential to break down larger goals into smaller, manageable tasks.

This approach makes the goal-setting process less overwhelming and more achievable.

Using the SMART goal framework can be highly effective. SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound. For example, if your goal is to improve your physical health, a SMART goal might be: “I will engage in a 30-minute walk, three times a week, for the next six weeks.” This goal is clear, measurable, achievable, relevant to your health, and has a specific timeframe.

Breaking down goals also helps in identifying and leveraging your strengths and weaknesses. By understanding your core values and inherent strengths, you can align your goals in a way that maximizes your chances of success. Additionally, being honest about your weaknesses allows you to plan around potential pitfalls, which can further boost your self-confidence and self-respect.

Celebrate Small Victories

Celebrating small victories is essential for maintaining motivation and building self-confidence. Achieving smaller goals releases a sense of accomplishment and boosts your self-esteem. Each completed goal serves as proof of your capability, chipping away at negative self-beliefs and reinforcing the idea that you are competent and capable.

Recognizing and celebrating these small wins helps to create a positive feedback loop. As you achieve each goal, you build momentum and confidence, which in turn motivates you to set and achieve even more challenging goals. This cycle of achievement and celebration reinforces your self-confidence, making it easier to tackle larger and more complex goals over time.

Moreover, celebrating small victories helps shift your focus away from perceived flaws and toward your strengths and abilities. This positive focus enhances your overall self-image and encourages you to continue striving for improvement and growth.

3. Challenge Yourself Regularly

Step Out of Your Comfort Zone

Challenging yourself regularly is a powerful way to build self-confidence and boost your self-esteem. One of the most effective methods to achieve this is by stepping out of your comfort zone.

When you engage in activities that push you beyond what you are accustomed to, you demonstrate to yourself that you are capable of more than you thought possible.

Simple acts like trying a new recipe, taking yourself to a coffee shop or lunch alone, or starting a conversation with a stranger can be significant steps. These small challenges help you realize that you can handle situations that initially seem daunting, thereby increasing your confidence and self-assurance.

For instance, taking on a task that makes you feel nervous, such as public speaking or acting in front of an audience, can be incredibly empowering. Even if it feels uncomfortable at first, the sense of accomplishment you feel after overcoming your fear can be transformative.

It teaches you that stress and challenges are opportunities for growth rather than threats to your well-being.

Learn New Skills

Learning new skills is another excellent way to challenge yourself and enhance your self-confidence. Engaging in activities that expand your horizons, such as learning a new language, taking a dance class, or mastering a new hobby, can significantly boost your self-esteem.

When you embark on learning something new, you are not only acquiring a new skill but also proving to yourself that you are capable of learning and adapting. This process reinforces your self-efficacy and makes you more confident in your ability to tackle new challenges. Reflecting on past successes, such as times when you learned a new skill, can also remind you of your capabilities and reinforce your self-worth.

Moreover, the act of learning itself can be highly rewarding. It keeps your mind engaged, provides a sense of accomplishment, and opens up new opportunities.

Whether it’s through online courses, workshops, or self-study, the process of learning new skills is a continuous reminder of your potential and capabilities, further enhancing your self-confidence and overall mental health.

Conclusion

In conclusion, building self-confidence is a journey that requires consistent effort and a positive mindset. To summarize, cultivating a positive self-dialogue through positive self-talk and embracing your strengths is essential. Setting achievable goals and celebrating small victories helps to build momentum and reinforce your capabilities.

Challenging yourself regularly by stepping out of your comfort zone and learning new skills can significantly boost your self-confidence and self-esteem.

Remember to practice self-care, build positive relationships, and work on a growth mindset to support your confidence journey. Acknowledge your achievements, speak positively to yourself, and minimize negative thoughts. By incorporating these strategies into your daily life, you can develop a healthier self-image, improve your mental health, and live a more confident and fulfilling life.

Take the first step today, and watch your self-confidence grow over time.

Today, we’re not just observing World Mental Care Day—we’re taking action. If you’ve felt helpless against anxiety, this is your permission to reclaim control gently.

Forget vague resolutions. Here are the practical steps you can start today with ease.

Physical Symptoms of Anxiety

Anxiety isn’t just a mental challenge—it’s a physical takeover. A rapid heart rate, shallow breathing, and muscle tension are all signs that your body’s panic response is taking control.

Today, on World Mental Care Day, the most effective action you can take is to equip yourself with an immediate, physical tool to interrupt that spiral before it takes over. You don’t need a resource; you need your breath.

For a quick assessment of your mental well-being, check out the TheraConnect Mental Health Quiz.

The 60-Second Anchor Technique

This simple technique is designed to physically slow your heart rate and signal to your nervous system that you are safe. Commit to practicing it for 60 seconds, three times today:

1. Inhale (4 Seconds): Slowly draw a deep breath in through your nose, counting to four. Focus on filling your belly, not just your chest.
2. Hold (4 Seconds): Gently hold the breath in for a slow count of four.
3. Exhale (6 Seconds): Slowly release the breath through your mouth, extending the count to six. This longer exhale is key to calming your body.

Repeat this cycle until 60 seconds have passed. This deliberate action shifts control from your sympathetic (fight-or-flight) nervous system back to your parasympathetic (rest-and-digest) system.

Start right now. Give yourself this 60-second gift of immediate control.

Your First Virtual Therapy Session: What to Expect and How to Prepare

Starting therapy is a significant, brave step toward better mental health. If you’ve chosen a convenient online platform like TheraConnect, you might wonder how a virtual session works—and if it’s truly effective. The good news? Preparing for your first video meeting is easier than you think, and its effectiveness is backed by research.

This guide covers everything you need to know about your first virtual therapy session: from tech checks to what questions to expect, ensuring you walk in (or log on!) feeling confident.

What Makes Virtual Therapy Effective?

Before diving into preparation, it’s helpful to know that virtual therapy (or telehealth) is proven to be just as effective as in-person therapy for most common mental health concerns, including anxiety, depression, and stress management.

The key benefits of the virtual model are:

• Accessibility: You can connect with specialized Mental Care Professionals regardless of location.
• Comfort: You attend the session from your most comfortable, safe space (your home).
• Consistency: Scheduling is often more flexible, reducing the likelihood of missed appointments.

Phase 1: Preparation—4 Steps to Log-In Success

A successful virtual session starts before the screen lights up. Use this checklist to ensure your environment is optimal for vulnerability and focus.

1. Test Your Tech

Your focus should be on the session, not the connection.

• Internet: Ensure your Wi-Fi signal is strong. Consider using a wired connection if possible.
• Hardware: Use a computer or tablet rather than a phone for a larger screen and better video stability. Test your microphone and camera 15 minutes before the session starts.
• Platform Access: If using TheraConnect’s proprietary portal, log in early to ensure your credentials work.

2. Create a Sacred, Private Space

The effectiveness of therapy hinges on confidentiality.

• Privacy: Choose a room where you can close the door. Use headphones or earbuds to prevent your therapist’s voice from being overheard. If privacy is an issue, consider sitting in your car or a quiet private office.
• Comfort: Keep a glass of water, tissues, and a notepad nearby. Wear comfortable clothes.

3. Know Your Goals (The 3-Minute Summary)

The first session is primarily an assessment, but having a short summary prepared can help you utilize your time efficiently.

• Be Ready to Summarize: Have a 2-3 sentence answer prepared for the question, “What brings you to therapy right now?” (e.g., “I’m struggling with chronic anxiety that affects my sleep, and I need tools to manage work stress.”)
• Goal List: Write down 1-3 specific, achievable goals (e.g., “Reduce panic attacks to once a month,” or “Feel more confident setting boundaries”).

4. Turn Off Notifications

Completely silence your phone and computer notifications. Even a small ping can break your concentration and disrupt a moment of deep vulnerability. Your therapist needs your full, uninterrupted attention.

Phase 2: What to Expect in Your First Session

The first 45-60 minutes are not about solving your biggest problems; they are about establishing trust and history.

1. The Intake Process (The Paperwork Part)

The therapist will start with the necessary administrative and ethical groundwork. They will review:

• Confidentiality: A detailed explanation of who they can talk to (generally, no one) and the legal exceptions (harm to self or others, or mandated reporting).
• Logistics: Their cancellation policy, fee structure, and how they handle scheduling.

2. The Relationship History

Expect the therapist to take a detailed history of various aspects of your life. This gives them context for your current struggles.

• Personal History: Basic background information (family, job, education).
• Symptom History: When did your current struggle begin, how frequently does it happen, and what have you tried to do about it?
• Mental Health History: Have you been in therapy before? Have you received a diagnosis?

3. Setting the Tone: The Collaborative Agreement

Remember that therapy is a collaboration. Your therapist is not just listening; they are evaluating the best approach.

• Ask Questions: Do not be afraid to ask your therapist about their experience, their approach, or their therapeutic modality (e.g., “Do you practice CBT or focus more on trauma?”).
• Manage Expectations: You won’t leave with all the answers, but you should leave with a sense of connection and hope. The goal is simply to determine if you feel this person is the right fit for your journey.

Next Steps: Trusting the Process

If you felt a good connection, book your next 1-2 sessions immediately to maintain momentum. If you didn’t connect, that’s okay! Therapy is highly personal. TheraConnect provides access to a diverse network of professionals, and finding the right fit is part of the process.

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In today’s fast-paced world, feelings of chronic anxiety and stress are widespread. Fortunately, advancements in telehealth have made support more accessible than ever before. Choosing online counseling for anxiety offers powerful advantages that traditional, in-person therapy often can’t match.

Here are the top five benefits of using virtual therapy to manage your mental health.

1. Unmatched Convenience and Accessibility

Online counseling removes two of the most significant barriers to starting therapy: time and travel. You eliminate the commute, the time spent in a waiting room, and the need to arrange childcare. This accessibility means you can schedule sessions during a lunch break, before work, or even late in the evening, making consistent therapy a reality.

2. Comfort in Your Own Environment

For many people dealing with anxiety, leaving the house, especially during a peak panic or highly stressful day, can be difficult. Virtual therapy for stress allows you to attend sessions from the place where you feel safest and most comfortable: your home, your office, or a quiet space. This sense of security can lead to deeper, more honest conversations sooner than in an unfamiliar clinic.

3. A Wider Pool of Specialists

If you live in a rural area or have a niche mental health need, finding a local specialist can be nearly impossible. Online platforms like TheraConnect.net connect you with licensed therapists across your state (or even country, depending on licensing laws). This significantly increases your odds of finding a provider specializing in your exact condition, whether it’s generalized anxiety disorder, social phobia, or health anxiety.

4. Easier Integration into Daily Life

A key part of anxiety management is practicing coping skills in real-world scenarios. With online counseling, your therapist can work with you in the environment where your stress occurs. For instance, you can take a session right before or after a stressful meeting, making it easier to process the feelings and integrate new relaxation techniques immediately.

5. Consistency and Reliability

Consistency is crucial for therapeutic progress. When travel is challenging, the weather is bad, or schedules unexpectedly shift, an in-person appointment is often cancelled. With online therapy, the barrier to attendance is low. This high level of reliability ensures your therapeutic momentum isn’t broken, leading to more predictable and positive outcomes in managing your anxiety and stress.

If you’re ready to find accessible, high-quality care, explore how online counseling for anxiety can fit into your life today.

Overwhelmed by Choices? 5 Steps to Finding Your Perfect Online Therapist

Starting therapy is a huge, positive step, but finding the right online therapist can be overwhelming. Many give up, not knowing where to start or how to vet a provider.

Finding the right online therapist is the most crucial factor for success. It’s about fit, specialization, and logistics. Use this structured, 5-step guide to simplify your search and connect with the professional who can best help you achieve your mental health goals.

Step 1: Define Your Needs and Non-Negotiables

Before you even open a directory, you need a clear picture of what you’re looking for. This saves you hours of scrolling and filtering.

A. Identify the Specialty

Therapists are not one-size-fits-all. What is the primary issue you want to address?

Action: Write down 2-3 specific topics you want to discuss (e.g., “grief related to job loss” or “managing social anxiety”).

B. Set Logistical Boundaries

Online therapy offers flexibility, but you need to align with a therapist’s schedule and payment model.

• Cost: What is your budget per session? Will they accept your insurance, or are they out-of-network?
• Availability: Do you need evening or weekend appointments? Only search for those who offer times that genuinely work for you.
• Cultural Fit: Do you prefer a therapist who shares a specific cultural, religious, or racial background? Filter accordingly.

Step 2: Use Filters, Directories, and Referral Networks

Now that you know what you need, use the powerful filtering tools available on platforms like TheraConnect and other reputable directories.

• Platform Filters: Use keywords like “CBT,” “Trauma,” or “LGBTQIA+” to narrow the list. Filter by insurance provider first.
• Check Credentials: Look for the letters after their name (e.g., Psy.D., Ph.D., LMFT, LCSW). This confirms they are licensed.
• Read Their Profile: A good profile will clearly state the therapist’s therapeutic modalities (e.g., Dialectical Behavioral Therapy (DBT), Psychodynamic, Eye Movement Desensitization and Reprocessing (EMDR)). If you defined your needs in Step 1, you can quickly assess if their approach matches your issues.

Step 3: Vet the Credentials and Licensing

This is the non-negotiable step for safety and quality. Unlike life coaching or mentorship, licensed therapy is regulated.

• Verify Licensure: Every licensed mental health professional is registered with a state board. Search the therapist’s name on their State Licensing Board website to confirm they are in good standing. This is public information and gives you peace of mind.
• Ensure Telehealth Authorization: Confirm that the right online therapist is licensed to practice in your current state. Virtual therapists cannot legally provide care across state lines unless they hold multiple state licenses or the states have reciprocity agreements.

Step 4: Prepare and Ask Interview Questions

Think of the initial consultation or first few minutes of the first session as a brief job interview—you are the employer. You need to ensure the therapeutic alliance (the bond between client and therapist) is strong.

Here are essential questions to ask during a brief introductory call or the start of the first session:

Crucial Indicator: Pay attention to how they answer. Are they non-judgmental, warm, and clear? Do you feel listened to and understood?

Step 5: Trust Your Gut (The “Fit” Check)

You can have the most qualified therapist in the world, but if the personal chemistry isn’t right, the sessions won’t be effective. The therapeutic alliance is the biggest predictor of success.

After the first session, ask yourself these three critical questions:

1. Do I feel heard? Did they actively listen, or did they interrupt or talk about themselves?
2. Do I feel safe? Did they clearly establish boundaries and respect my vulnerability?
3. Do I feel challenged (in a good way)? Do I feel like I learned something new, or that they offered a perspective I hadn’t considered?

If the answer to the first two questions is “Yes,” you’ve likely found a great fit. It can take 2-4 sessions to fully settle in, but if you feel strongly disconnected after the first meeting, it’s okay to move on. Your mental health is worth finding the perfect mat

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