Gender Dysphoria

What is Gender Dysphoria?


Gender Dysphoria  – Just unhappiness or related to Identity of Self and Self-Esteem?

Gender Dysphoria  is an extreme sense of discomfort or anxiety regarding a disconnect between the sex they were born with and assigned and the gender identity they’re most comfortable with presenting. It can cause anxiety and depression, along with feelings of being “trapped” in a body they don’t identify with. It is important to note that this disorder does not refer to the mere fact of identifying as transgender, which is not a psychiatric disorder. Gender Dysphoria refers to the specific distress some people feel surrounding their gender, which is not the case for all transgender people. This distinction is important because it helps clinicians remove some of the historic stigma around these feelings. However, there still exists a deep seeded stigma around gender in society, so Gender Dysphoria is believed to be extremely underreported, which presents a difficulty for both clinicians and patients. Understanding what gender dysphoria looks like in children, teens, and adults can help you realize if someone close to you is struggling with this disorder.

Gender Dysphoria in Children


Children often present this disorder through their words and actions. Expression of a strong desire to be a gender other than one that aligns with their sex at birth and a strong desire to have the physical features of the opposite sex are good initial indicators parents and clinicians may be able to identify. Children may also express a strong preference for clothes, toys, and games typically utilized by children of the opposite gender or may reject clothes, toys, and games typically associated with their own sex assigned at birth. Further, while children often naturally play between gendered roles, a child with Gender Dysphoria may show a strong preference for their preferred gender in make-believe play. It is important to note that while these may be potential indicators of a disorder, or more likely a future one, they can also be standard behaviors of children, who can be fairly unaware of the roles genders occupy in society, and may not progress to feelings of anxiety or depression.

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Gender Dysphoria in Adolescents


As children grow into adolescence, they become more aware of their bodies and how they present to others. They also typically gain more control over that presentation through clothing choices and friend group selection. As such, teens with Gender Dysphoria may often choose to present in a typical gender style that differs from their sex assigned at birth. They may express a very strong desire to be, or at least be treated as, a different gender than assigned. Further, teenagers may express the desire to remove or enhance parts of themselves they see as not aligning with the gender they truly feel. All of these feelings can come with anxieties, fears, or depressive beliefs about themselves or the people they love (and how those people may or may not feel about them). It is also important to highlight that the stigma surrounding gender can make it extremely hard to talk about or seek help for, which is particularly dangerous for people with Gender Dysphoria as it is a disorder associated with higher rates of suicide.

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Gender Dysphoria in Adults


Gender Dysphoria can occur at any age, but it often begins in adolescence or childhood. The signs for Gender Dysphoria in Adults are somewhat similar with Gender Dysphoria in Adolescents: they may often choose to present in a typical gender style that differs from their sex assigned at birth. They may express a very strong desire to be, or at least be treated as, a different gender than assigned. Further, adults may express the desire to remove or enhance parts of themselves they see as not aligning with the gender they truly feel.

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How We Treat


At Resilience DBT & Eating Recovery Gender Dysphoria has been successfully treated and resolved in children, adolescents, and adults. The earlier the better. We treat Gender Dysphoria  individual, group, and family therapy in our DBT Programs for Mood/Anxiety Disorders and in our Eating Disorder and Body Image Track.

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Bipolar Disorder

What is Bipolar Disorder?


Bipolar disorder, formerly known as manic depression, is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).

During a manic phase, someone might feel overly happy and have lots of energy, ambitious plans, and a lot of fast, vibrant thoughts. They might talk quickly, become easily agitated, and engage in risk-taking behavior, such as spending sprees, unsafe sex, or reckless driving.

During a depressive phase, someone might feel very sad, indifferent, or hopeless, coupled with a lack of energy. They may have difficulty sleeping, eat poorly, and have difficulty concentrating. In severe cases, thoughts of death or suicide may occur.

There are several types of bipolar disorder, each defined by the pattern of mood swings. These include:

  • Bipolar I Disorder: Defined by manic episodes that last at least seven days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes also occur, typically lasting at least two weeks.
  • Bipolar II Disorder: Defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
  • Cyclothymic Disorder: Defined by periods of hypomanic symptoms as well as periods of depressive symptoms lasting for at least two years (one year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
  • Other Specified and Unspecified Bipolar and Related Disorders: Defined by bipolar disorder symptoms that do not match the three categories listed above.

The exact cause of bipolar disorder isn’t known, but a combination of genetics, environment, and altered brain structure and chemistry may play a role. Bipolar disorder often appears in the late teens or early adult years, but it can occur in children as well as older adults.

Bipolar disorder is a lifelong condition, but mood swings and other symptoms can be managed with a treatment plan that typically includes medication and psychotherapy. If you think you or someone else might have bipolar disorder, please consult with a healthcare professional. They can provide a diagnosis and help create a treatment plan that fits the individual’s needs.

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What Risk Factors are Associated With Bipolar Disorder?


There are several risk factors that can contribute to the onset of bipolar disorder:

  • Genetics: Bipolar disorder tends to run in families. Researchers have identified certain genes that may be involved, although it appears that no single gene is responsible for the disorder. Instead, several genes acting together are likely to contribute to a person’s risk.
  • Brain Structure and Function: Brain scans have shown that people with bipolar disorder may have differences in the structure or activity of certain parts of the brain, particularly those involved with emotion regulation and executive function.
  • Stress and Traumatic Events: Stressful life events, such as a death in the family, a breakup, physical, sexual or emotional abuse, or other trauma can trigger an initial episode in people prone to bipolar disorder.
  • Substance Abuse: Substance misuse, particularly of drugs with mood-altering effects, can trigger episodes and may also exacerbate the course of the illness.
  • Age and Gender: Bipolar disorder typically develops in late adolescence or early adulthood. However, it can occur at any age. Both males and females are equally likely to develop this disorder.

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How We Treat


Resilience DBT & Eating Recovery is a team of Outpatient Eating Disorder Therapists in New Jersey, Florida, and Maryland. Our therapists are ready and equipped with clinical services to provide healing.

At Resilience DBT & Eating Recovery, we have helped individuals of all ages with a variety of mental health concerns. We can provide you with a unique program for persistent depressive disorder treatment.

Our therapists have experience in a variety of treatment modalities such as DBT, CBT, CBT-E, Family-Based Therapy, and Expressive Arts Therapies. This allows us to provide you with a tailored approach to your persistent depressive disorder treatment. Persistent depressive disorder will look different from person to person which means that your treatment plan will have differences.

If you find yourself in need of persistent depressive disorder treatment, the staff at Resilience DBT & Eating Recovery is here to support you. We recognize that individuals living with persistent depressive disorder are at a high risk for developing other mental health concerns, which is why we will investigate for other mental health concerns.

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Persistent Depressive Disorder

What is Persistent Depressive Disorder?


Persistent depressive disorder is a mental health that was previously known as dysthymic disorder. Individuals who are living with persistent depressive disorder have been struggling with a depressed mood for the majority of days, for a minimum of two years (American Psychiatric Association, 2013).

According to the American Psychiatric Association, individuals who are living with persistent depressive disorder experience at least two of the following when they are feeling depressed:

  • Poor Appetite, or over eating behaviors
  • Insomnia or hypersomnia
  • Low energy or fatigue
  • Low self-esteem
  • Poor concentration, or difficulty making decisions
  • Feeling hopelessness

This means that individuals who experience persistent depressive disorder will have differences among their symptoms.

Additionally, those who are living with this mental health concern do not experience a period of more than 2 months without having a depressed mood or the other symptom’s discussed (American Psychiatric Association, 2013). Lastly, the symptoms associated with persistent depressive disorder are not the result of other mental health concerns such as bipolar disorder, schizophrenia, or the use of drugs and alcohol (American Psychiatric Association, 2013).

Individuals who are living with persistent depressive disorder often begin to experience symptoms at a young age, such as during their childhood (American Psychiatric Association, 2013). For those who do begin to experience symptoms before they turn 21, they are known to be at a higher risk for developing personality disorders such as borderline personality disorder (American Psychiatric Association, 2013). Additionally, individuals living with persistent depressive disorder are at a higher risk of developing a comorbid disorder with an anxiety disorder or a substance abuse disorder (American Psychiatric Association, 2013).

An additional difference that can be found among individuals living with persistent depressive disorder is the severity of the mental health concern. For example, the National Institute of Mental Health estimates that 49.7% of individuals experience severe symptoms, 32.1% experience moderate symptoms, while 18.2% experience mild symptoms. This demonstrates additional differences that can be found among individuals living with this disorder.

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What Risk Factors are Associated With Persistent Depressive Disorder?


Research has been able to identify factors and experiences that can leave someone at a higher risk of developing persistent depressive disorder. One of the risk factors is if the individual lost their parents or were separated from their parents in their childhood (American Psychiatric Association, 2013).

Individuals who are living with an anxiety disorder, or conduct disorder are also known to be at a higher risk for persistent depressive disorder (American Psychiatric Association, 2013).

It is believed that individuals who are living with persistent depressive disorder are more likely to have a first-degree family member living with the same mental health concern (American Psychiatric Association, 2013).

Research has shown that there may be a biological component to this disorder, indicating that areas such as the prefrontal cortex and amygdala have been implicated in this disorder (American Psychiatric Association, 2013).

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Who Can Be Affected By Persistent Depressive Disorder?


The National Institute of Mental Health estimates that approximately 1.5% of Americans were living with persistent depressive disorder in the past year. Research indicated that approximately 1.9% of females were living with persistent depressive disorder, while 1.0% of men were living with the same concern (Body image, n.d.).

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How We Treat


Resilience DBT & Eating Recovery is a team of Outpatient Eating Disorder Therapists in New Jersey, Florida, and Maryland. Our therapists are ready and equipped with clinical services to provide healing.

At Resilience DBT & Eating Recovery, we have helped individuals of all ages with a variety of mental health concerns. We can provide you with a unique program for persistent depressive disorder treatment.

Our therapists have experience in a variety of treatment modalities such as DBT, CBT, CBT-E, Family-Based Therapy, and Expressive Arts Therapies. This allows us to provide you with a tailored approach to your persistent depressive disorder treatment. Persistent depressive disorder will look different from person to person which means that your treatment plan will have differences.

If you find yourself in need of persistent depressive disorder treatment, the staff at Resilience DBT & Eating Recovery is here to support you. We recognize that individuals living with persistent depressive disorder are at a high risk for developing other mental health concerns, which is why we will investigate for other mental health concerns.

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Premenstrual Dysphoric Disorder

What is Premenstrual Dysphoric Disorder?


Premenstrual Dysphoric Disorder, also known as PMDD, occurs when women experience a set number of mental health and physical health symptoms the week of their menses and find that the symptoms improve and/or resolve in the following week. Premenstrual Dysphoric Disorder can often be confused with premenstrual syndrome, commonly referred to as PMS. It is important to note that premenstrual dysphoric disorder is more severe than PMS, and can have a stronger impact on a person’s life.

Symptoms that can be associated with PMDD include mood swings, irritability, depressed mood and hopelessness, anxiety, decreased interest in enjoyable activities and hobbies, poor concentration, lethargy, changes in appetite, sleep disturbances, and feeling overwhelmed (American Psychiatric Association, 2013). Physical changes that may occur include breast tenderness or swelling, joint and muscle pain, weight gain, and bloating (American Psychiatric Association, 2013).

The symptoms that a woman experiences will cause distress in their life. They can interfere with responsibilities such as work, school, and children. Additionally, it can lead to turbulence within their relationships.

For an individual to receive a diagnosis of a premenstrual dysphoric disorder, their symptoms need to be present for two months (American Psychiatric Association, 2013).

Women who struggle with premenstrual dysphoric disorder may struggle with additional mental health concerns. The most commonly reported concern with PMDD is a major depressive episode (American Psychiatric Association, 2013). Other concerns that may occur include depression and anxiety (Office of Women’s Health, n.d.).

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Who Struggles With Premenstrual Dysphoric Disorder?


Premenstrual Dysphoric Disorder is estimated to affect 5% of women who are of childbearing age (Office of Women’s Health, n.d.). It is estimated that 1.8-5.8% of women struggle with PMDD for 12 months (American Psychiatric Association, 2013).

Risk factors that are associated with PMDD include a history of stress, trauma, and seasonal changes (American Psychiatric Association, 2013). Additionally, women who use oral contraceptives regularly are at a lower risk of experiencing Premenstrual Dysphoric Disorder (American Psychiatric Association, 2013).

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What Does Treatment for Premenstrual Dysphoric Disorder Look Like?


Before you can receive a diagnosis of premenstrual dysphoric disorder, your physician will likely ask you to track your symptoms. This allows them to make sure that you are experiencing the correct symptoms at the right time of your menstrual cycle.

It is believed that the naturally occurring chemical in our brain called serotonin may play a role in the presence of symptoms of PMDD (Office of Women’s Health, n.d.). Because of this, one of the treatment options for PMDD includes antidepressants that change the levels of serotonin you naturally have (Office of Women’s Health, n.d.). Another common recommendation is for women to take oral contraceptives if they were not already (Office of Women’s Health, n.d.).

Women who struggle with physical symptoms can talk to their physician about over-the-counter pain medications such as Ibuprofen and Aspirin (Office of Women’s Health, n.d.).

Since one of the risk factors associated with PMDD is stress, your physician will likely discuss changes that you can make to manage your stress in a healthy manner. This can include relaxation techniques such as yoga, meditation, and deep breathing. This can also be an opportunity for you to return to any hobbies or activities that you have enjoyed in the past, or try new ones that you may have had an interest in.

Additionally, you may be encouraged to make healthy changes to your exercise routine and diet. Changes to your diet could include reducing your salt and sugar intake can help improve symptoms (Office of Women’s Health, n.d.)

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How We Treat


Resilience DBT & Eating Recovery are a team of Outpatient Eating Disorder Therapists in New Jersey, Florida, Maryland. Our therapists are ready and equipped with clinical services to provide healing.

When it comes to premenstrual dysphoric disorder treatment, your physician will likely talk to you about a variety of options including antidepressants, birth control, and learning new stress management strategies.

At Resilience DBT & Eating Recovery, we can provide you with premenstrual dysphoric disorder treatment that focuses on stress management. Our treatment approaches focus on using Dialectical Behavioral Therapy which has a strong focus on coping skills. This includes mindfulness, distress tolerance, emotion regulation, interpersonal effectiveness, and middle path.

DBT skills can help you with more than your premenstrual dysphoric disorder symptoms. These skills have been found to help with anxiety, mood swings, impulsiveness, anger management, unhealthy thought patterns, and improving relationship patterns.

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Major Depressive Disorder

What is Major Depressive Disorder?


Major depressive disorder is believed to be one of the most common mental health concerns among Americans. Major depressive disorder is commonly referred to as depression. When we look at major depressive disorder through a clinical lens, there are a set of symptoms that need to be met for someone to be diagnosed with major depressive disorder.

The American Psychiatric Association provides the following symptoms as criteria for major depressive disorder:

  • Five or more of the following symptoms need to be present during the same two-week period, one of which needs to be either a depressed mood or loss of interest in pleasurable activities:
    • Depressed mood most of the day, more days than not. This can be self-reported, or observed by others
    • Having a noticeable decrease in an interest in pleasurable or enjoyable activities more days than not
    • Having a significant weight loss or gain without an intentional change in diet or exercise routine
    • Insomnia or hypersomnia more days than not
    • Psychomotor agitation nearly every day, this would be noticeable by others
    • Fatigue or loss of energy more days than not
    • Feeling worthless, or having inappropriate feelings of guilt more days than not
    • Having a noticeable decrease in your ability to concentrate, or feeling indecisive more days than not
    • Having recurrent thoughts of death, recurrent suicidal ideation without developing a plan, a suicide attempt, developing a plan for suicide, or attempting suicide
  • The symptoms that the individual is experiencing is having a significant impact on their daily life including their social life, occupation and other important areas in their life
  • The symptoms that the individual is experiencing are not due to substance use, or a separate medical concern
  • The symptoms are not the result of another mental health concern
  • The individual has never experienced a manic or hypomanic episode

It is important to understand that there will be individual differences among a person’s experienced symptoms, the number of symptoms they are having, the severity of the symptoms, and the age that they began to struggle with major depressive symptoms. As an example, one person may have a history of suicidal ideation with a developed plan, while another person could have no history of suicidal concerns. Both of these scenarios are serious concerns, and should receive the same level of compassion.

There are a variety of specifiers that can be added onto the diagnosis that can be used to describe unique aspects of what the individual is experiencing. As an example, someone may find themselves feeling restless or tense which would mean that they are experiencing anxious distress in addition to their other major depressive symptoms.

Who Struggles With Major Depressive Disorder?


Anyone can find themselves struggling with major depressive disorder. The American Psychiatric Association reported that approximately 7% of adults living in the U.S. are living with major depressive disorder. Research has shown that the rates of individuals living with major depressive disorder is higher among individuals who are between the ages of 18-29 years old when compared to other age groups (American Psychiatric Association, 2013).

After reviewing a variety of research studies, we can definitively say that women have higher rates of major depressive disorder when compared to men (Navneet & Abdijadid, 2022). It is believed that the rates among women are impacted by the differences in hormones, effects of childbirth, and different life stressors that women face(Navneet & Abdijadid, 2022).

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How We Treat


Resilience DBT & Eating Recovery are a team of Outpatient Therapists in New Jersey, Florida, Maryland. If you or a loved one suffers from major depressive disorder, we are here to help.

The good news is that individuals who are looking for major depression treatment will likely find a variety of treatment options available to them. We have learned that the most effective treatment for major depressive disorder is a combination of medication, psychotherapy, and lifestyle changes.

Major depressive disorder treatment is available for you at Resilience DBT & Eating Recovery. We work with individuals of all ages, with a range of mental health concerns including major depressive disorder.

Our therapists use evidenced based practices when providing major depression treatment. This means that we use strategies and interventions that have been clinically shown to be effective at treating the symptoms associated with major depressive disorder. Our staff can provide you with a better understanding of the factors that contribute to depression, and support to learn to manage your symptoms. Our goal is to help you learn to live your life in a healthy and sustainable way.

If you have found yourself struggling with a depressed mood, loss of interest in enjoyable activities, or have had suicidal ideation, we encourage you to reach out for help. You are not alone, and the staff at Resilience DBT & Eating Recovery can provide you with the support and encouragement needed to begin to heal.

Health Risks Associated With

Major Depressive Disorder


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There are a variety of factors that are known to increase a person’s risk of developing major depressive disorder. One of which would be adverse childhood experiences including physical abuse, verbal abuse, sexual abuse, and neglect (American Psychiatric Association, 2013). Those who have a history of more than one adverse childhood experience are at an even higher risk.

Major depressive disorder rates are higher among individuals who are divorced, separated, and widowed (Navneet & Abdijadid, 2022).

There is a genetic component to major depressive disorder. Individuals who have a first-degree family member, such as a parent or a sibling, who are living with major depressive disorder, are at a higher risk themselves (American Psychiatric Association, 2013).

Individuals who are living with other mental health concerns such as substance abuse disorders, anxiety disorders, and borderline personality disorder are at risk for developing major depressive disorder (American Psychiatric Association, 2013). Additionally, individuals who have chronic or disabling medical conditions are also at an increased risk for major depressive disorder (American Psychiatric Association, 2013).

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Mood Disorders

Treating Depression


Depression is a mental health concern that millions of Americans live with every day. Some may be able to cope with their symptoms as they arise, while others need the support of medication and therapy to manage their symptoms. Over recent years, we have seen programming in our communities to provide education and resources regarding depression. While this has been a step in the right direction, there is still work to be done.

Types of Depression


Some may be surprised to learn that there are several forms of depressive disorders. There are several differences that can be observed within the various depressive disorders. This can include when an individual begins experiencing symptoms, the symptoms themselves, the severity of the symptoms, and the impact that the symptoms have on the person’s daily life.

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BIPOLAR DISORDER

While bipolar disorder is not considered a depressive disorder, depressive episodes are one aspect of symptoms associated with bipolar I and bipolar II disorders. Depressive episodes for bipolar disorder include a depressed mood most days, decreased interest in enjoyable activities, unintended weight loss, sleep disturbances, and fatigue (American Psychiatric Association, 2013). Individuals will experience at least 5 depressive symptoms over a two-week period. With bipolar disorders, individuals need to experience manic or hypomanic episodes in addition to depressive episodes.

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MAJOR DEPRESSIVE DISORDER

Major depressive episodes may be one of the more commonly recognized depressive disorders. Individuals who live with major depressive disorder can experience a variety of symptoms including a depressed mood most days, decreased interest in enjoyable activities, unintended weight loss, sleep disturbances, and fatigue (American Psychiatric Association, 2013). These symptoms will occur within the same two-week period and have a significant impact on the person’s day to day life. The key difference between this and bipolar disorder is that there are no manic or hypomanic episodes.

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PERSISTENT DEPRESSIVE DISORDER

Persistent depressive disorder is characterized by the presence of a depressed mood, more often than not, for two years. Symptoms can include poor appetite or overeating, insomnia or hypersomnia, fatigue, low self-esteem, poor concentration, and feelings of hopelessness (American Psychiatric Association, 2013). Individuals with persistent depressive disorder are not without their depressive symptoms for more than 2 months.

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POSTPARTUM DEPRESSION

Postpartum depression can develop while a woman is pregnant, or within the first four weeks of her postpartum period. The American Psychiatric Association reported that 3-6% of women will experience a major depressive episode during the discussed time frame (American Psychiatric Association, 2013). These symptoms will resemble depressive episodes associated with other depressive disorders.

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PREMENSTRUAL DYSPHORIC DISORDER

Women who struggle with premenstrual dysphoric disorder will experience a minimum of five symptoms the week before their monthly menses. Once a woman begins her menses, her symptoms will reduce significantly, or resolve until her next cycle. Symptoms included with this disorder are mood swings, irritability or anger, depressed mood or feelings of hopelessness, and anxiety (American Psychiatric Association, 2013). Additionally, women will have one or more of the following symptoms; decreased interest in pleasurable activities, lethargy, poor concentration, appetite changes, sleep disturbances, feeling overwhelmed, or physical symptoms such as breast tenderness or joint pain (American Psychiatric Association).

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SEASONAL AFFECTIVE DISORDER

Individuals who struggle with seasonal affective disorder find that their experience with depressive episodes correlates to the seasons. For example, the individual may struggle with depressive episodes in the fall or winter, and find that they have few to no depressive symptoms during the spring and summer. Seasonal affective disorder can affect individuals who live in areas with fewer hours of sunlight more when compared to areas with more sunlight throughout the day.

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How We Treat


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Resilience DBT & Eating Recovery are a team of Outpatient Therapists in New Jersey, Florida, Maryland. Our therapists are ready and equipped with clinical services to provide healing for a variety of mental health concerns.

If you find yourself searching for depression treatment, we encourage you to speak with a Resilience DBT & Eating Recovery representative. We have worked with individuals of all ages and backgrounds with a variety of mental health concerns, including various forms of depression.

Our therapists are trained to use a variety of therapeutic approaches that can be effective for depression treatment. This includes DBT, CBT, CBT-E, Family-Based Therapy, and Expressive Arts Therapy. We recognize that everyone has unique life experiences that impact their mental health, which is why we feel it is most effective to tailor your depression treatment to your mental health needs. We encourage you to ask for the help and support you deserve in your path to mental wellness.

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