Dr. Karen C. Tillman
Licensed Clinical Psychologist

 

 

My philosophy:

Psychotherapy can be a highly effective tool for resolving any number of concerns, but the most precious gift which therapy can give is the development of inner resources which can be relied upon for a lifetime.

My approach:

My goal is to work with you in order to fully identify and understand your concerns. Once this is accomplished, we will continue to work together to determine the course of treatment which appears most appropriate for you. We will discuss various therapeutic approaches (e.g. cognitive-behavioral vs. psychodynamic) and decide on the approach (or combination of approaches) that both you and I feel will help you best to resolve your concerns. We will also set treatment goals and regularly assess our progress.

I see the following clients:

-Children
-Adolescents
-Adults
-Families
-Couples

Individuals seek my help for a variety of reasons. I have listed my clients' most frequently stated concerns below. For a more detailed explanation of these problems, please see the "reasons people seek help" page. Clients typically are:

-having difficulty with their mood (depression, bipolar disorder)

-feeling very worried or anxious

-having trouble expressing anger constructively

- struggling with life transitions (school changes, graduations, job changes, family change, death)

-desiring help with personal or professional relationships

-having difficulty with their children/spouse

-feeling trapped in their job or are dealing with job loss

- having difficulty adjusting to school/making friends

-wanting to improve their ability to cope with stress

-feeling confused about negative/self defeating thoughts and behaviors

- desiring to understand how their childhood experiences affect current functioning

- experiencing painful/confusing emotions

-suffering from low self-esteem

-dealing with symptoms of ADHD

 

 

 



 

 My Approach


 


Reasons People Seek Help

There are many reasons why people seek help. These reasons include the following:

FEELINGS OF NERVOUSNESS/ANXIETY
Problems related to anxiety are very common and include symptoms such as restlessness, difficulty relaxing, problems sleeping, trouble concentrating, excessive worry and tension, distress related to social situations, and feelings of self-doubt. Anxiety problems can also cause physical symptoms including sweating, pounding heart, feelings of shortness of breath, and trembling. For more information on anxiety please click on the following link:
information about anxiety

DIFFICULTY REGULATING MOOD (e.g. depression)
Problems with mood are also common and can be characterized by some of the following symptoms: feeling depressed, diminished interest in everyday activities, social withdrawal, sleeping too much or sleeping too little, feelings of hopelessness or helplessness, eating too much or eating too little, loss of energy, difficulty concentrating, and frequent thoughts of death or dying. Other symptoms related to mood problems include distinct periods of abnormally elevated, expansive or irritable mood. For more information on mood disorders please click on the following link:
information about depression

PROBLEMS COPING WITH STRESS:
Stress can often be the result of exposure to difficult life events (e.g. relationships ending, divorce, problems with/ loss of a job, loss of a loved one, serious accidents, or being a victim of a violent attack or natural disaster). Significant stress can also be related to specific developmental events (e.g. going to school, leaving the parental home, getting married, becoming a parent, failing to obtain occupational goals, or retirement). These and other events make some feel that getting back to "normal life" is "impossible." For more information on dealing with stress please click on the following link:
information about stress

TROUBLED RELATIONSHIPS:
It is very common for individuals to experience difficulty in their relationships. Parents and children frequently have trouble with communication and often there is disagreement over discipline. It is also quite common for spouses and partners to have serious and persistent areas of concern in their relationships. Relational problems also can arise between employer and employee, adult children and their parents, students and teachers, etc.

DIFFICULTY CAUSED BY SYMPTOMS OF ADHD
Many individuals find it extremely difficulty to pay attention at school or work. People who are coping with problems related to attention often report symptoms such as failure to pay close attention to detail, difficulty organizing tasks, being easily distracted, or forgetfulness. Others may feel that they are too impulsive or hyperactive. These people report symptoms which include feeling "driven like a motor," fidgeting, talking excessively, having difficulty awaiting their turn, and having difficulty engaging in quiet leisure activities. For more information on ADHD please click on the following link:
information about ADHD

DIFFICULTY COPING WITH MEDICAL ILLNESSES:
Physicians often refer their patients to psychologists . Their patients are often coping with one of the following issues: adjustment to medical conditions, chronic pain, chronic fatigue, smoking cessation, chronic illnesses that affect the family, etc. Illness often results in emotions such as anger, depression and fear. Taking care of our physical health includes understanding how illnesses are affecting our emotional experiences and if necessary making behavioral changes to ensure well being.

DESIRE TO FOCUS ON WELL-BEING & HAPPINESS:
There are reasons individuals enter into therapy other than trying to resolve a concern. Some people want to enhance their understanding of themselves and their relationships in order to maximize the joy and meaning in their lives.

 

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