Anyone is alone when no one else is around, but sometimes we feel alone in a crowd or with loved ones nearby. Often depression tells us things that aren't really true about our relationships with other people. Depression may be telling you that being alone is the safest way to be, or that isolation is all that you deserve, or that it is the only option you have. There is help to combat the cycle of mental and physical isolation that depression can make us crave.
How long have you been sad? Do you know what you are sad about, or is it just a general attitude about life now? Can you remember a time when life was actually happy? Depression colors our world blue, but there are so many other colors to appreciate. Talk to someone who can help you repaint your world in a new palette of colors.
Going nowhere? Can you identify with the basketball player who can’t find a clear pass to another teammate and can’t move without receiving a penalty, so he goes around and around with one foot planted - but gets nowhere? If you feel like you are stuck in one place mentally or physically and can’t move without being penalized, you may be depressed. The great news is that another perspective can help. Reach out. We would love to help get you moving in a better direction.
Depression is often misunderstood. Those who are depressed feel that deeply. We feel isolated and sad and we are sure no one else feels this way or understands, even though we usually know in the back of our minds that it can’t really be true. Look for others who can help clear up the misunderstandings, because sometimes we are even misunderstanding ourselves.
Are you invisible? Does it feel like you are not seen or heard? Can it be both a comfort and a frustration at times? Usually we aren’t as invisible as depression makes us feel we are, but being on display can be more uncomfortable than being invisible. How do you find your comfortable place? There are people who have worked hard to become a safe person who can help you feel visible and comfortable.
Being depressed feels like being under a lot of pressure. It is even part of the word: depressed. When you are depressed, it can be difficult to identify accurately where the pressure is coming from. Is it from outside or inside yourself? Often being under something heavy is not a very good position from which to get a good perspective on our situation. Help often comes from someone who can see a bigger picture. Ask for help.
Anxiety and worry can take over your life. Sometimes, a brain suffering from depression grabs onto an idea as it spins around inside your head - and won't let go. If you are so anxious that your muscles are often sore, or you can't relax no matter what you try, or your stomach hurts but you aren't sure why, it may be your depression talking. Ask for help to let go without falling, to stop the cycle of fear and anxiety.
Do you feel like you are yelling in a room full of people with earplugs in? They might smile at you, or pat you on the head, or nod like they agree with whatever you are saying, but they don’t really hear you? Maybe no one even looks at you. Depression makes difficult situations even worse. It colors our perspective and says it is your fault. Ask for help to see things without the voice of depression interfering with your communication.
Nothing gets you excited anymore. Everything just seems like the same old thing. There doesn’t seem to be much of a point to cleaning dishes that will just get dirty again, or mowing the lawn for it simply to grow again, or going to another day of work or school where nothing gets any better. Even though you used to enjoy these things (or at least some of them), there is no joy in it now. Depression stole the joy. Want to find joy and satisfaction in life again? Talk to us. We want to help.
Anger can be a secret product of depression. It might not just be that you have a bad temper. Have you been angry for a long time and there doesn’t seem to be a source for it - you get angry at anything and everything? Or maybe you have unexplainable bouts of sudden anger. Then you are confused and sad, and angry that you are confused and sad. Tell someone who can help about what you are experiencing. It isn’t hopeless.
Paranoia is the irrational and persistent feeling that people are out to get you. It may be a general feeling of not being safe, or it may be coming from a specific source. Depression often makes us feel that our things or ourselves are unsafe when that is completely untrue. Don’t live in fear when you can get help to fight back and feel safe again.
How long has it been since you felt strongly about anything? Numbness can be a safe place for a little while after something exhausting or traumatic. But living in numbness for long periods of time is not good for anyone. It isn’t healing after a while. It is probably depression. When we are still wrapped in a thick wool winter blanket and it is summertime, we need help to safely come back out into the warm weather. Ask for help.
In a world where everyone else seems to have a map or GPS, you feel left out. You aren’t sure where to go to get to where you want to be. You might not even know where you want to be anymore. Depression takes us into the back streets and drops us off where there aren’t any signs or signals. We would like to help you figure out where you are and where you want to go. We aren’t going to make the decisions for you, but we can help.
Fear is a terrible state to live life in. It limits where you can go, what you can do, and who you can do anything with. If you experience chronic, persistent fear, it may be a symptom of depression. Depression is treatable. Push back at the fear. Ask for help and expand your limits.
Stagnant water stinks after awhile. It takes on the temperature of the air around it and isn’t refreshing or appealing. Is depression making your life feel like it is standing still, a little smelly, and becoming less appealing day by day? Ask for help. Find the water source that adds movement back to your life so it can be refreshing and appealing again.
Comprehensive Behavioral Health can help you understand ADHD symptoms and learn how they relate to day-to-day life for both children and adults. Individuals with ADHD may struggle with any number of tasks on a daily basis, but with the proper treatment, they can better understand and manage their symptoms. CBH offers treatment for ADHD in the DMV metro area, including Bethesda, Arlington, and Winchester.
Attention deficit hyperactivity disorder creates symptoms related to inattention, hyperactivity or impulsivity. Inattentive symptoms of ADHD include difficulty focusing and disorganization. Hyperactive or impulsive ADHD symptoms include fidgeting, interrupting others and talking without stopping. Individuals with ADHD may have one main category of symptoms or a combination of all three.
The behavior symptoms associated with ADHD can make certain structured tasks difficult for children. These factors often go hand-in-hand with school avoidance — a common situation in which children and teenagers feel anxious or fearful toward schooling. Addressing the underlying symptoms of ADHD can help individuals increase their well-being, making school into a learning environment again rather than a challenge they encounter every day.
About 8.4 percent of children experience symptoms of ADHD, making it one of the most common mental conditions among children. Around 2.5 percent of adults also have ADHD. ADHD can be identified using diagnostic assessments, scales and the individual’s history.
An effective ADHD treatment plan has two elements:
CBH offers telemedicine services to individuals across Maryland, and Virginia. You or a loved one may qualify for insurance coverage under our care. Please contact our office to find out if we take your plan.
Schedule an Appointment for You or Your Child
At Comprehensive Behavioral Health, we nurture a compassionate environment where you can receive care without judgment. We understand that managing the symptoms of ADHD can be difficult, and we want you to feel at ease at our practice. Please contact our office online or call 703-812-4642 to schedule an appointment. Our team serves children, adolescents and adults in the Washington D.C., metro area including Arlington, Bethesda and Winchester.
Individuals with Autism Spectrum Disorder experience symptoms to different degrees and have varying levels of function. Our team has extensive training and experience working with individuals with autism.
The autism spectrum encompasses a range of traits and symptoms that impact how someone sees the world and other people. Autism spectrum disorder characteristics include:
Every person with autism spectrum disorder faces unique challenges. For example, while some individuals with autism have learning difficulties, others have problems only with socialization.
As you can see, many of the traits associated with autism don’t cause harm on their own. However, they can make it harder to function in society and everyday life. When someone has severe symptoms of autism, they can have difficulty with speaking or becoming independent. Autism spectrum disorder can also cause behavioral challenges that interfere with healthy development in children.
The experienced care team at CBH offers multiple forms of therapy for autism spectrum disorder that help patients live satisfying lives, including:
We may also address any accompanying symptoms or conditions the patient experiences. For instance, individuals with autism can develop anxiety or depression due to the difficulties they face. Our team will provide additional treatments as needed to promote each patient’s well-being.
Bipolar disorder causes changes in mood, behavior, energy and focus. With help from the professionals at CBH, you can manage these symptoms and live a more fulfilling life. We offer therapy and treatment for bipolar disorder in a supportive setting.
An individual with bipolar disorder goes through phases of intense emotions and behavior changes. You can categorize these mood episodes into three types based on their symptoms:
Individuals who have severe mood episodes can also experience delusions or hallucinations that match their mood at the time.
Bipolar disorder can impact many aspects of a person’s life. Mood episodes of all levels of severity can get in the way of daily function. Depressive symptoms lower energy levels and make it difficult to think or concentrate. While some individuals with bipolar disorder have manic episodes only, the symptoms can still result in dangerous behaviors. Accompanying conditions and symptoms like anxiety and headaches can create more complications. Bipolar disorder treatment can increase quality of life for many individuals.
Our multidisciplinary team offers bipolar disorder treatments such as:
Depression affects 16.2 million American adults and 3.1 million American teenagers. Even though mental health awareness is growing within society, depression can still be a lonely and isolating struggle. At CBH, we strive to help individuals through medication and therapy manage their symptoms and leave their depression behind.
Depression is a mood disorder that causes persistent sadness, fatigue, hopelessness and loss of interest. Individuals who are struggling with this condition can experience some or all of the symptoms associated with it. Many factors can cause depression, including genetics and trauma. In some cases, another mental or physical health disorder can result in someone developing depression. Different forms of this condition can even have triggers related to childbirth and the seasons.
When you have undiagnosed depression, it can be hard to tell if you have a legitimate condition. Some individuals with depression worry that they don’t have an illness but just an overreaction to sad feelings. If you’ve experienced symptoms for two weeks or longer, you could receive a diagnosis of depression. Individuals who have depression find that their mood and low energy interfere with their daily functioning. For example, you might notice yourself getting less work done or sleeping for a shorter or longer time than usual.
We encourage anyone who feels that they may need help to come to us for behavioral health services and depression treatment. Our experts can diagnose and treat your symptoms in a judgment-free environment. Whether you have depression or a combination of disorders, we can find a solution together.
Treatment for depression at CBH includes the following services:
Obsessive-compulsive disorder (OCD) causes uncontrollable habits and feelings that interfere with daily living. If you think you have OCD, you’re not alone — around one in 100 American adults has the disorder. At CBH, we offer obsessive-compulsive disorder therapy and treatment in a supportive environment.
When someone has OCD, they experience repeating obsessions (thoughts) and compulsions (behaviors) they can’t control. The obsessions caused by OCD create anxiety that urges the person to do an action. They may check a locked door, count items or order and arrange things. A person with OCD spends at least one hour every day thinking about their obsessions or performing compulsions.
Most individuals develop OCD symptoms as teenagers or young adults. We don’t know the exact cause of this disorder, but it seems to have a connection to environment and genetics. Trauma may also trigger the issues associated with OCD.
OCD symptoms can interfere with work, school and relationships. Since individuals with OCD spend so much time on their uncontrollable obsessions and compulsions, they have less time for other activities. In some cases, they can’t make it to important functions, like social activities or their job. The individual can become so consumed by their obsession and/or compulsion that it triggers anxiety unless they complete their ritual. Some compulsions, such as excessive hand-washing, can even cause medical issues like skin problems.
The stress caused by OCD can also result in the development of additional mental health problems. Some individuals with OCD have a tic disorder that causes them to make uncontrollable movements or vocal noises. They can also have depression, anxiety disorders or substance abuse disorders.
CBH provides the following treatments for patients dealing with OCD:
Panic disorder is a distinct form of anxiety. While most anxiety disorders cause panic attacks, these attacks have clear triggers. When panic disorder causes an attack, it doesn’t have a clear reason for happening. The panic attacks become a panic disorder when they cause an individual to change their behavior or feel anxious about future attacks.
A panic attack causes many severe and uncomfortable symptoms, including:
While panic attacks don’t pose any physical danger, they can affect a person’s well-being, and these symptoms tend to cause additional stress.
The unpredictable nature of the attacks caused by panic disorder makes the person with the condition fear having more of them. As a result, they can experience anxiety symptoms or develop additional anxiety disorders. Many individuals with panic disorder have agoraphobia because they create an association between their attacks and specific locations. Some begin to avoid certain places or objects out of fear of triggering an attack. Someone with panic disorder also has a high chance of developing depression or medical problems.
We specialize in addressing behavioral health conditions like panic disorder — we’ll work to ensure that you can have a more fulfilling life with our panic disorder therapy and treatment. Our mental health team addresses the condition using two approaches:
When trauma affects you long after it happens, you could have post-traumatic stress disorder (PTSD). If you think you have this condition, the team at CBH can help. Our PTSD psychiatrists can evaluate your symptoms and help you find a treatment that improves your well-being.
Individuals who deal with traumatic events or experiences can develop PTSD. This disorder causes symptoms like anxiety and intrusive memories of the trauma. Some of PTSD’s effects have an obvious link to the event. For example, you can have flashbacks, nightmares or unwanted memories of what happened. Meanwhile, other symptoms of PTSD change behavior. They include unconscious actions like avoidant behavior, sleeping problems and irritability.
The issues associated with PTSD can get in the way of daily functioning and cause distress. PTSD treatment can help you:
CBH uses cognitive behavioral therapy (CBT) and its variants to relieve symptoms. The types of therapy we offer to patients with PTSD include:
Some of our patients with PTSD also receive antidepressants to manage their symptoms. Your psychiatrist will discuss whether they recommend them.
We love Dr. Nene and others at CBH. They've been great for us!
We are grateful to have received the mental health care we need for our family member. We have been to many places where they don't get to know their patients. The staff and the doctor were so kind and caring.
Thank you for giving me a shoulder to cry on and an ear to listen.
CBH is such a personable practice and the staff really care about your needs!