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3.10.2025

Younger men are turning to testosterone therapy in hopes of boosting mood and muscles. But there are risks of harm.

I have thought for quite awhile that testosterone replacement would become part of standard healthcare for men over 50 (post andropause: declining testosterone levels in men equal to menopause for women), stated matter-of-factly here. However, young men using it for mood elevation is a new development. And certainly not recommended.
 “Historically, testosterone therapy was thought to increase the risk of prostate cancer and heart attack. Recent clinical trials have provided strong evidence against this. Yet most of the safety studies on TRT have been conducted on older men whose testosterone levels have declined. Younger men, particularly those under 30, have not been widely included.
The side-effects and potential long-term health risks for older men can be quite different from those faced by younger men. This means that the effects of TRT use in young men are still uncertain and until longer-term safety studies are performed, many dangers may not yet be known.”

Read here Article 



 

Why Do Women Orgasm?

Still a mystery, but the scientific evidence is evolving.

 

 

5 Common Mistakes Therapists Make with Estranged Parents, 

Joshua Coleman, Ph.D.

1) Blaming the parent. While it’s potentially forgivable that the general populace doesn’t yet know that a decent and dedicated parent can become estranged, there’s no excuse for a therapist failing to know that. Many therapists, without evidence, assume that the parent is the primary cause of an estrangement and as a result, perpetuate feelings of shame and guilt.
2) Not helping the parent acknowledge the legitimate complaints of the adult child. Some therapists believe that it’s their job to support the parent no matter how problematic their behavior. In doing so, they fail to challenge the parent’s behavior that either led to the estrangement or continues to perpetuate it.
3) Giving bad advice. It’s not uncommon for therapists to encourage estranged parents to be overly assertive or confrontive with their estranged adult children. This advice imagines that the parent has more power and influence than they commonly do once an estrangement is in place. Therapists with this orientation fail to recognize that being more assertive and confrontive with an estranged adult child typically worsens, rather than betters the parent’s situation. It causes the adult child to feel hurt or misunderstood and to further their resolve to keep their distance.
4) Failing to understand the power of a letter of amends to the estranged adult child. The road to a potential reconciliation almost always starts with the parent’s acknowledgment of their past mistakes, however small. Therapists who don’t help their clients find the kernel of truth in the estranged child’s complaints miss a critical and often necessary opportunity for repair.
5) Being too reassuring. It’s common that not only friends but therapists are overly reassuring about the chance for a future reconciliation: “They’ll be back;” “They’ll remember all that you’ve done for them;” “It’s just a phase.” While sometimes those predictions are accurate, no one knows for sure if or when an estrangement will end. False reassurance is no assurance at all. Better to help the client practice radical acceptance and self-compassion.



2.07.2024

Hardwiring for Happiness

by Rick Hanson

I share this classic TED talk yearly. I was fortunate to hear him speak a few years back on meditation, the brain processes, and how we can rewire/change our negative thinking patterns.

500 Days in Prison


The Seven Laws of Pessimism

"If life is better than ever before, why does the world seem so depressing?"






1.13.2024

January 2024
“I hate pictures of myself.” OK, screw that. In five years, I will look back and love this photo and think of how great I looked here.
Turning the calendar year, I want to take a minute to appreciate my many, many blessings:
Fam - two cute kids (😘), hard-charging parents, the kindest in-laws, my favorite tio & primos.
I think I have the best friends in the world. Most of us go back decades together.
My colleagues are always there for me: golden wisdom & skilled expertise. It’s not always easy to build a support system. Smart, smart peeps!
Lastly, I love my work (clients & community) and the people that share their experiences with me. Such an honor.



 What To Do With Emotions

Say No To Police Profanity

Male Caregivers




7.12.2023

On Bullying



The latest research on bullying has some helpful takeaways.

1) Bullying exists in all cultures; this informs the likelihood that bullying serves a purpose for human development and evolution.
2) Administrative sit-downs between both parties (victim/bully) do not work; in fact, they make matters worse.
3) Bullying pays off. We see it on social media, in athletes, politicians, and celebrities.
4) 80% of bullying happens in front of others, suggesting it's performative.
5) Workplace bullies feel entitled, as if they deserve more. They score lower in honesty and humility than the average person.
6) Bullies cycle through targets.
7) Females bully for resources (mates).
8) Bullying can be learned from parents; winner take all mentality.
9) Long-term effects of bullying include altered expression of genes and compromise our immune response for decades.
10) Solutions lie in a "carrot and stick" approach: punishment and seduction towards better behavior.


2.05.2023



"I won't assume anything about you based on immutable characteristics.
I respect the cultural values of my clients and their families.
I believe in teaching children to accept their bodies.
I believe in empowering my patients and helping them find agency.
I welcome clients who wish to integrate their faith into counseling.
I will treat you as a whole person. I will explore underlying and complex issues you face as an individual.
I believe in working collaboratively with parents and helping families build stronger connections.
I do not judge people for their personal medical decisions."

courtesy of thetruthfultherapist.org





1.25.2023

This is how the human brain works: we have evolved to fear the worst and remember all the bad things to protect ourselves and the future of our species. We ruminate on the prior fails and fire/wire all threat response memory. Knowing this, we can hack our hardwire and find a way to embellish the positive experiences (truly embed them!) and minimize or dissipate those harmful and disturbing encounters.

1.07.2023

The greater the love, the greater the grief. Monday was the one year anniversary of Chris's passing. I was reminded that his suffering ended that day, so I survived the day with less sorrow. Chris didn't go around with a bumper sticker on his car that said, "Family First." He just did it. He didn’t draw attention to himself about how devoted he was to our family. He just did it. Day in and day out, he never faltered in giving the most that he could each and every day. He didn’t brag or boast. He had disdain for people who did that. My favorite story that I heard after Chris passed was from Japheth, our "bumper guy." He told me that Chris was his only client that sat in the car all the while work was being done. Just sort of...participating. There is no love without loss. My husband loved Christmas...Christmas music. He loved the beginning of summer. He loved the smell of night air that reminded him of Vista in the wayback days. He loved good fruit. He loved a great meal. He was scuba certified and he jumped out of an airplane via parachute maybe 50 times. He didn’t mention these things often but I believe he released himself to the next world having gotten the most out of the marrow. Because I loved him so much, I don’t think he deserved what he got in the end. The ugly monster of cancer. Another friend sent me the quote from C.S. Lewis: "You don't have a soul. You are a Soul. You have a body." Chris absolutely had his faith in The Great Spirit. If there is a heaven, I know he is there. Measure twice. Cut once. Honorable.