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Assessments & Consulting
One time assessments, mental health evaluations and consulting for therapists
Frequently Asked Questions
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Who We Work With:
• Children and Adolescents: Struggling with anxiety, depression, school stress, peer issues, or behavioral challenges.
• Adults: Managing life transitions, work stress, relationship difficulties, trauma, or long-standing mental health issues.
• Families: Seeking support for improving communication, managing conflict, or navigating difficult transitions.
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Item descriptionChildren go through a lot of developmental changes, and it’s normal for them to have ups and downs. However, there are certain behaviors and signs that might indicate your child is struggling emotionally or psychologically, and therapy could help them better cope with their feelings and challenges. Early intervention is key to preventing long-term issues, and therapy can provide children with a safe space to express their emotions and learn healthy coping skills.
Common Signs Your Child May Need Therapy:
• Frequent Mood Swings or Irritability: If your child is often angry, frustrated, or seems to have trouble controlling their emotions (e.g., having regular temper tantrums or intense outbursts), it might be a sign they need help managing their feelings.
• Withdrawal or Isolation: If your child suddenly stops playing with friends, withdraws from family activities, or avoids social situations, it may indicate feelings of sadness, anxiety, or depression.
• Excessive Fear or Worry: If your child has frequent nightmares, refuses to go to school, or is overly fearful of things that seem manageable (e.g., being away from you or going to bed), they may be experiencing anxiety or fear that they need help addressing.
• Regressive Behaviors: Sometimes, children revert to earlier behaviors when they’re stressed or anxious, such as bedwetting, thumb sucking, or regressing in their speech or potty training. These behaviors can be signs of emotional distress.
• Physical Complaints: Unexplained headaches, stomachaches, or other physical complaints without a medical cause can sometimes stem from emotional or psychological stress.
• Difficulty in School or Social Settings: If your child is struggling in school, either academically or socially, and their behavior is affecting their ability to concentrate or interact with others, therapy can help address these challenges.
• Changes in Appetite or Sleep Patterns: If your child is eating or sleeping far more or less than usual, it can be a sign of anxiety, depression, or other emotional struggles.
• Aggressive or Violent Behavior: If your child is exhibiting aggressive behaviors, such as hitting, kicking, or throwing things, or if they’re bullying others, they may need therapy to help manage and understand their emotions.
• Extreme Sensitivity to Criticism: A sudden or noticeable increase in sensitivity to feedback or a lack of confidence could indicate underlying anxiety or low self-esteem.
• Difficulty Separating from Parents: If your child experiences extreme distress when separating from you (e.g., clinging to you or having tantrums when you leave), this may be a sign of separation anxiety or deeper emotional concerns.
• Trauma or Loss: If your child has experienced a traumatic event, such as the loss of a loved one, a move, or an accident, they may need support to process their feelings and learn how to cope with the changes.
• Changes in Behavior or Routine: Sudden changes in behavior, such as becoming withdrawn, aggressive, or overly anxious, can indicate that your child is struggling with something emotionally or psychologically.
• Persistent Feelings of Hopelessness or Sadness: If your child is frequently expressing feelings of sadness, hopelessness, or saying things like “I don’t like myself,” it may indicate depression or emotional distress.
If you notice any of these signs, it’s important to seek help sooner rather than later. Children often have difficulty expressing their emotions verbally, so they may act out or experience physical symptoms instead. Therapy can help your child better understand their feelings, build resilience, and develop healthier ways to cope with life’s challenges. Early intervention can provide them with lifelong tools for emotional well-being and ensure they get the support they need during a critical developmental time.
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Common Signs Your Teen May Need Therapy:
• Persistent Sadness or Depression: If your teen is feeling hopeless, down, or “empty” for an extended period, or if they have lost interest in activities they once enjoyed, it could indicate depression.
• Extreme Mood Swings: Significant shifts in mood, ranging from intense irritability to periods of deep sadness or euphoria, might suggest an underlying emotional issue.
• Withdrawal from Social Interaction: A teen who withdraws from friends, family, or activities, or isolates themselves for extended periods, may be struggling with emotional distress or depression.
• Changes in Eating or Sleeping Habits: Sudden changes in appetite, weight, or sleep patterns (either sleeping excessively or experiencing insomnia) can be signs of depression or anxiety.
• Academic Decline or Loss of Motivation: A drop in school performance, a lack of interest in academic pursuits, or a sudden disinterest in previously valued activities could signal mental health struggles.
• Self-Harm or Risk-Taking Behavior: Engaging in self-harm (such as cutting or burning) or dangerous behaviors (like substance abuse, reckless driving, or unsafe sexual activity) often indicates emotional pain or an underlying mental health issue that requires professional attention.
• Excessive Anxiety or Worry: If your teen is constantly anxious, worrying excessively about school, social situations, or the future, it may point to an anxiety disorder.
• Difficulty Managing Emotions: If your teen has trouble managing strong emotions such as anger, frustration, or sadness, leading to outbursts, it may indicate issues with emotional regulation or mental health.
• Significant Changes in Behavior: Noticeable changes in behavior, like increased irritability, withdrawal, or moodiness, especially when these changes are out of character for your teen, could signal deeper emotional issues.
• Trauma or Loss: If your teen has experienced a traumatic event—whether it’s a death in the family, bullying, abuse, or a major life transition—they may need therapy to process these emotions in a healthy way.
• Expressions of Hopelessness or Suicidal Thoughts: Any signs of suicidal thinking or talk of death must be addressed immediately. If your teen expresses feelings of hopelessness or mentions suicide, seek professional help immediately.
If you notice any of these signs or behaviors, it’s important to take them seriously. Mental health therapy can offer your teen the tools to better understand and manage their emotions, develop healthier coping strategies, and begin the healing process. Reaching out for help early can prevent issues from escalating and provide your teen with the support they need to thrive.
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Item descriptionAs adults, life can bring a variety of challenges—work stress, relationship difficulties, major life transitions, or past trauma—that may affect our mental health. While it’s normal to feel stressed or down from time to time, certain signs indicate it may be time to seek therapy for support. If you are noticing persistent emotional struggles, therapy can help you better manage your mental health and improve your overall well-being.
Common Signs You May Need Therapy:
• Persistent Feelings of Sadness or Depression: If you find yourself feeling hopeless, overwhelmed, or “empty” for weeks or months, or if these feelings are interfering with your daily life, you may be dealing with depression.
• Chronic Anxiety or Worry: If you feel constantly anxious, worried, or fearful, especially about things that aren’t as threatening as they seem, you may be experiencing anxiety that could benefit from professional support.
• Difficulty Coping with Stress: If everyday stressors feel unbearable, and you find it difficult to cope with work, relationships, or responsibilities, therapy can help develop healthier ways to manage these pressures.
• Avoiding Responsibilities or Isolating Yourself: Withdrawing from friends, family, or work, or avoiding responsibilities can be a sign that you’re struggling emotionally. Isolation can also exacerbate feelings of sadness or loneliness.
• Significant Changes in Sleep or Appetite: Noticeable changes in eating or sleeping habits (e.g., insomnia, excessive sleeping, overeating, or not eating) can be signs of depression or anxiety and are important to address.
• Substance Use or Self-Destructive Behavior: Relying on substances (alcohol, drugs, food, etc.) to cope with stress, emotions, or trauma, or engaging in other risky behaviors like reckless spending or unsafe sexual activity, can signal the need for therapeutic intervention.
• Difficulty Managing Emotions: If you find yourself losing control over your emotions—experiencing intense anger, irritability, or frustration over small things—it may indicate underlying emotional distress or struggles with emotional regulation.
• Strained Relationships: If you are experiencing ongoing conflict, communication breakdowns, or emotional disconnection in your relationships (whether romantic, familial, or social), therapy can help improve these dynamics.
• Trauma or Unresolved Past Issues: If you’ve experienced trauma (such as abuse, loss, or significant life stressors) and find it hard to move past it, therapy can help you process these emotions and heal from the impact of trauma.
• Lack of Interest in Activities or Hobbies: Losing interest in things you once enjoyed, or feeling like nothing brings you joy, can be a sign of depression, especially if this lack of motivation is prolonged.
• Low Self-Esteem or Self-Doubt: If you’re struggling with feelings of inadequacy, guilt, or worthlessness, therapy can help you build self-esteem and address any negative self-talk or unhelpful beliefs.
• Difficulty Adjusting to Major Life Changes: Life transitions, such as divorce, a job change, the birth of a child, or a move, can be emotionally taxing. If you are struggling to adapt, therapy can provide strategies for navigating these changes more smoothly.
• Suicidal Thoughts or Self-Harm: If you have thoughts of hurting yourself or others, or have engaged in self-harm, it’s crucial to seek immediate professional help. Suicidal thoughts are a serious sign of emotional distress that require urgent attention.
If any of these signs resonate with you, it’s important to know that you’re not alone—and that help is available. Seeking therapy is a powerful first step toward understanding your emotions, building coping skills, and taking control of your mental health. You deserve to feel well and supported, and therapy can provide the tools to help you feel more balanced, confident, and resilient in the face of life’s challenges.
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Family therapy can be incredibly helpful for families experiencing challenges that affect the overall well-being of each member. If your family is struggling with communication, unresolved conflict, or emotional distance, family therapy can provide a safe space for everyone to express their feelings, improve relationships, and find solutions together.
Family therapy is particularly beneficial for families with children or adolescents who are dealing with mental health struggles like anxiety, depression, or behavioral issues. It’s also useful when navigating major life changes, such as divorce, grief, a move, or the blending of families.
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• Increased Conflict: Frequent arguing or tension between family members, whether it’s between parents or between parents and children.
• Communication Breakdown: Difficulty talking openly and honestly with one another, leading to misunderstandings or emotional withdrawal.
• Emotional Distress: A family member (especially a child or teen) showing signs of anxiety, depression, anger, or withdrawal that affect the entire household.
• Changes in Behavior: Noticing significant changes in a child or adolescent’s behavior (e.g., acting out, withdrawing from family, academic decline, or sudden mood swings).
• Difficulty Navigating Transitions: Major life events like a divorce, the death of a loved one, a new sibling, or moving to a new home can create tension and confusion within the family.
• Coping with Trauma: If a family member has experienced trauma (such as abuse, a car accident, or loss of a family member), therapy can help address the emotional impact on the entire family.
• Parenting Challenges: Struggling with how to manage a child’s or teen’s behavior, especially when traditional methods don’t seem to work, can benefit from a unified family approach.
Meet the Team
Interested in Scheduling a time with us?
We're here to make your health a top priority. Schedule your appointment today and let our compassionate team guide you on a path to wellness.
Resources
Apps & Websites for Mental Wellness:
Headspace https://www.headspace.com/ [headspace.com]
Headspace offers guided meditation and mindfulness exercises to help reduce stress, anxiety, and improve sleep. It’s a great tool for beginners and offers a range of programs tailored to different mental health needs.
Calm https://www.calm.com/ [calm.com]
Calm is a popular app that provides meditation, sleep stories, breathing exercises, and relaxing music. It’s designed to help users reduce anxiety, improve sleep quality, and cultivate mindfulness.
The National Alliance on Mental Illness (NAMI) https://www.nami.org/ [nami.org]
•NAMI offers a wealth of resources and articles on mental health conditions, advocacy, and ways to support loved ones. They also have specific resources for individuals with mental health conditions and their families.
.Verywell Mind https://www.verywellmind.com/ [verywellmind.com]
Verywell Mind is an educational site with articles on managing mental health, understanding different disorders, and improving emotional well-being. Their content is written by mental health professionals and is easy to understand.
NJ Mental Health Resources:
New Jersey Division of Mental Health and Addiction Services (DMHAS) https://www.state.nj.us/humanservices/dmhas/ [state.nj.us]
The DMHAS provides comprehensive information on mental health services in New Jersey, including access to local treatment providers, resources for crisis support, and behavioral health programs across the state.
NJ 211 (Mental Health & Addiction Services) https://www.nj211.org/ [nj211.org]
NJ 211 offers free, confidential, 24/7 information and referral services for individuals in need of mental health, addiction, or crisis support. You can search for services by county or specific need.
PerformCare New Jersey https://www.performcarenj.org/ [performcarenj.org]
PerformCare is a managed care organization that provides behavioral health and addiction services for children and adults in New Jersey. They also offer a helpline for crisis intervention and resource referral.
Need More Resources?
https://www.apa.org/topics/crisis-hotlines
https://www.nj.gov/njparentlink/hotlines/
https://nj211.org/sites/default/files/documents/2020-03/hotlines-helplines-covid19.pdf
Crisis Lines, Hot Lines and Help Lines
If you or someone you know is in immediate danger and experiencing a mental health crisis, you can call 911 or go to the nearest Emergency Room.
Hunterdon County Crisis: 908-788-6400
Warren County Crisis: 908-454-5141
Somerset County Crisis: 908-526-4100
Crisis Text Line (NJ-specific text number)- Text “HELLO” to 741741
This free, confidential texting service allows individuals to reach out for support in times of emotional distress. Available 24/7, it connects people to trained crisis counselors for help with anxiety, depression, trauma, and more.
The New Jersey Mental Health Cares Helpline-Phone: 1-866-202-HELP (4357)
This statewide helpline offers free, confidential support, including mental health referrals, crisis counseling, and assistance navigating behavioral health services.
988-If you need to talk, the 988 Lifeline is here.
At the 988 Suicide & Crisis Lifeline, we understand that life's challenges can sometimes be difficult. Whether you're facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, our caring counselors are here for you. You are not alone.
2NDFLOOR Text or Talk 24/7 at 1.888.222.2228
2NDFLOOR is a confidential and anonymous helpline for New Jersey’s youth and young adults. We are here to help you find solutions to the problems that you face and we are available 24/7 365 days a year
Join the team
Are you a licensed therapist looking to work with kids, teens and adults in NJ? Join the Refined Minds Team to provide meaningful treatment to those in need. We offer flexible schedules & the ability to choose your own hours.
Click the link below to apply today!