She stood in my office—calm, composed, successful. A full-time professional, mother of three, and community volunteer. On the outside, she had it all together. But her voice trembled when she said, “I feel like I’m failing, and no one sees it.”

As a psychiatrist serving women in Houston, I hear this story more often than you might think. May is Women’s Mental Health Month, and it’s not just a time to raise awareness—it’s a time to give women permission to put themselves on their own priority list.

This article is for you. The women doing everything for everyone else but rarely pausing to ask: How am I, really?

The Invisible Weight Women Carry
Women are twice as likely as men to experience anxiety and depression. They’re more vulnerable to eating disorders, postpartum depression, and trauma-related conditions. And yet, so many minimize their symptoms—telling themselves they should be grateful, that it’s “just stress,” or that they’ll feel better when life slows down.

In reality, many women are carrying emotional loads that go unspoken:

• Trying to meet impossible standards of parenting or appearance.
• Managing households, careers, and caregiving roles simultaneously.
• Navigating relationship stress while ignoring their own needs.
• Battling hormonal shifts that influence mood, energy, and sleep.

In Houston, we serve a diverse population of women—entrepreneurs, teachers, engineers, healthcare workers, mothers—and the common thread is this: most of them have been taught to endure before they’ve been taught to heal.

A Patient’s Story: Resilience and RecoveryLet me tell you about Alejandra (anonymized), a 36-year-old teacher in Houston. She came to my office after years of battling what she described as “high-functioning anxiety.” No one saw her panic attacks, her sleepless nights, or her obsessive over-preparing. She simply “powered through.”

But Alejandra hit a wall after her second child was born. The anxiety escalated, and depression followed. She cried at stoplights. She lost interest in things she used to love. She said, “I’m scared to tell anyone because they’ll think I’m weak.”

What Alejandra needed wasn’t judgment—it was a treatment plan. We created one together, and within weeks, she began to feel lighter, more in control, more her. Therapy, support, and sometimes medication can be life-changing tools—not signs of failure, but proof of courage.

Mental Health Is Physical Health

It’s not “just in your head.” Mental health is intimately connected to your physical well-being.

• Chronic stress can trigger headaches, gastrointestinal issues, and high blood pressure.
• Depression and anxiety can disrupt sleep, eating habits, and immune function.
• Hormonal fluctuations—during menstruation, pregnancy, or menopause—can amplify emotional distress.

​In our Houston clinic, we take a whole-person approach. That means understanding not only what you're feeling, but how your lifestyle, hormones, history, and environment are contributing to it.

This is not a one-size-fits-all process. What works for one woman may not work for another. That's why we personalize care and build strategies that match your values, goals, and biology.

Direct, Strategic, Results-Driven
Let’s be clear: this is not just about venting. It’s about results.

As a psychiatrist, I believe in direct communication, strategic problem-solving, and taking action. You don’t have time to waste. If your mental health is affecting your relationships, work, or self-worth, you need a plan—and a partner in that plan.

In Houston, our clinic delivers results-focused mental health care tailored specifically to women. That means:

• Structured assessments to get clarity on your symptoms.
• Evidence-based treatments, including therapy and medication when appropriate.
• Lifestyle interventions to improve energy, sleep, and stress regulation.
• Accountability and check-ins to make sure you’re actually improving—not just “getting by.”

You can’t solve what you won’t face. But once you face it, we’ll build a strategy to move forward—efficiently, confidently, and with purpose.

Let This Month Be Your Turning Point
May is Women’s Mental Health Month. That’s not just a box on the calendar—it’s an invitation to check in with yourself.

• Are you constantly overwhelmed?
• Are you emotionally exhausted?
• Are you functioning on the outside but silently struggling inside?

You’re not alone. You’re not weak. And you don't need to be stuck.

As Your Houston Psychiatrist, I encourage every woman reading this to stop normalizing burnout and start prioritizing well-being. Your mental health deserves the same attention as your physical health, your career, and your family.

There is strength in asking for help. There is clarity in getting a diagnosis. There is hope in creating a plan. And there is power in taking the first step.

In our Houston practice, we’ve helped hundreds of women just like you regain their sense of control, peace, and confidence. You don’t have to suffer in silence, and you don’t have to figure this out alone.

Let this May be the month you reclaim your mental health.

Request your appointment online today.

Addiction psychiatrists play a pivotal role in the healthcare system, addressing the complex interplay of mental health disorders and substance misuse. In a world where addiction continues to be a pressing issue, addiction psychiatrists are on the front lines, offering specialized care to individuals struggling with substance use disorders. This comprehensive exploration delves into the multifaceted responsibilities of addiction psychiatrists, highlighting their expertise in diagnosing, treating, and preventing addiction while emphasizing the significance of their compassionate approach and the impact they make on individuals, families, and communities.

I. Definition and Scope of Addiction Psychiatry
Addiction psychiatry is a subspecialty within the field of psychiatry that focuses on the diagnosis, treatment, and prevention of substance use disorders. Addiction psychiatrists are medical doctors who have completed specialized training to understand the complexities of addiction, including its physiological, psychological, and social aspects. Their expertise extends beyond merely managing the symptoms of addiction; they delve deep into the root causes and provide comprehensive, evidence-based treatments tailored to individual needs.

II. Diagnosing Substance Use Disorders
One of the fundamental responsibilities of addiction psychiatrists is to accurately diagnose substance use disorders. Through thorough assessments, which may include interviews, psychological evaluations, and laboratory tests, they identify the specific substance(s) involved and assess the severity of the addiction. Utilizing established criteria from diagnostic manuals such as the DSM-5, addiction psychiatrists ensure precise diagnosis, enabling them to formulate effective treatment plans.

III. Creating Individualized Treatment Plans
Once a diagnosis is established, addiction psychiatrists develop individualized treatment plans that cater to the unique needs of each patient. These plans often encompass a combination of pharmacological interventions, psychotherapy, and behavioral therapies. Pharmacotherapy, including medications like antabuse, buprenorphine, and naltrexone, helps manage cravings and withdrawal symptoms, promoting successful recovery. Additionally, addiction psychiatrists work with counselors to employ evidence-based psychotherapies like cognitive-behavioral therapy (CBT) and motivational enhancement therapy (MET) to address the psychological aspects of addiction and assist patients in developing coping strategies.

IV. Addressing Co-occurring Mental Health Disorders
Substance use disorders frequently co-occur with mental health conditions such as depression, anxiety, and trauma-related disorders. Addiction psychiatrists are adept at recognizing these dual diagnoses and implementing integrated treatments that simultaneously address both addiction and mental health issues. By providing comprehensive care, they improve the overall well-being of their patients, addressing the interconnected nature of addiction and mental health.

V. Preventing Relapse and Promoting Long-Term Recovery
Preventing relapse is a critical aspect of addiction psychiatry. Addiction psychiatrists work closely with patients to identify triggers, develop relapse prevention strategies, and foster a supportive environment conducive to recovery. Through ongoing therapy sessions, support groups, and family involvement, they empower individuals to maintain their sobriety, equipping them with the skills and resilience needed to navigate life's challenges without resorting to substance use.

VI. Collaboration with Multidisciplinary Teams
Addiction psychiatrists collaborate extensively with other healthcare professionals including psychologists and addiction counselors. This multidisciplinary approach ensures holistic care, addressing not only the medical and psychological aspects of addiction but also the social and environmental factors that contribute to substance abuse. By working as part of a team, addiction psychiatrists enhance the overall effectiveness of treatment interventions, leading to improved outcomes for their patients.

Conclusion
The role of an addiction psychiatrist is multifaceted, encompassing diagnosis, treatment, prevention, and advocacy. Their dedication to understanding the intricate relationship between mental health and substance use disorders enables them to provide comprehensive, compassionate care to individuals facing addiction. By addressing the biological, psychological, and social dimensions of addiction, addiction psychiatrists contribute significantly to the well-being of their patients, fostering hope and promoting lasting recovery. Through their expertise, empathy, and unwavering commitment, addiction psychiatrists make a profound impact on the lives of individuals, families, and communities, ultimately shaping a healthier, more resilient society.  If you need an addiction psychiatrist in the Houston area, give us a call at 346-202-7570.

Image Rehearsal Therapy (IRT) is a treatment approach for individuals who experience recurrent nightmares. This therapy technique was first introduced by Barry Krakow, MD, and colleagues in the late 1990s. The goal of IRT is to reduce the frequency and intensity of nightmares by helping individuals to rewrite the script of their nightmares through the use of mental imagery and visualization.

IRT involves several stages, including education about nightmares and the IRT process, identifying the content and themes of the nightmares, and creating alternative endings to the nightmares. The therapy may be conducted individually or in a group setting, and typically lasts for 8 to 12 sessions.

During the initial phase of IRT, the therapist educates the individual about the nature of nightmares and their impact on sleep quality and overall functioning. The therapist also explains the IRT process and how it can help to reduce the frequency and intensity of nightmares.

Next, the individual is asked to keep a dream diary or a nightmare log. This allows them to track the frequency and content of their nightmares. The therapist will use this information to help the individual identify the themes and content of their nightmares.

In the next phase of IRT, the individual is asked to choose one nightmare that they would like to work on. The therapist will help the individual to create a detailed description of the nightmare, including the sensory details and emotions that are associated with it.

Once the nightmare has been identified and described, the individual is asked to create a new ending to the nightmare. This is done through the use of mental imagery and visualization. The individual is asked to imagine a different outcome to the nightmare, one that is more positive and less frightening.

The new ending should be detailed and specific, and should include sensory details and emotions. The individual should practice visualizing the new ending to the nightmare several times a day, preferably before going to bed.

Finally, the individual is asked to rehearse the new ending to the nightmare in their mind just before going to sleep. This is done to reinforce the new ending and to help the individual feel more confident and in control.

Research studies have shown that IRT can be an effective treatment approach for individuals with recurrent nightmares. One study found that IRT was more effective than other therapies, such as Imagery Rehearsal Therapy without the cognitive component or Relaxation Therapy. Additionally, a meta-analysis found that IRT was effective in reducing the frequency and intensity of nightmares in both children and adults.

IRT is a non-invasive and relatively simple therapy technique that can be effective in reducing the frequency and intensity of nightmares. However, it is important to note that IRT may not be appropriate for everyone. Individuals with severe mental health issues or a history of trauma may require more intensive therapy approaches.
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In conclusion, Image Rehearsal Therapy is a treatment approach for individuals who experience recurrent nightmares. The therapy involves education about nightmares and the IRT process, identifying the content and themes of the nightmares, and creating alternative endings to the nightmares through the use of mental imagery and visualization. IRT is a non-invasive and relatively simple therapy technique that can be effective in reducing the frequency and intensity of nightmares. However, it may not be appropriate for everyone, and individuals with severe mental health issues or a history of trauma may require more intensive therapy approaches. If you are experiencing recurrent nightmares, it is important to seek professional help to determine the best treatment approach for you.

It has been found that there is a strong correlation between the power of positivity and its effect on exercise. The way you think during your exercise can impact the workout and your overall health. Positivity can boost your self-awareness and assessment of your progress during exercise. Through positivity, one may be able to achieve one's fitness goals, and increase one's overall happiness. Positivity during exercise can also improve self-esteem for individuals struggling with body image and confidence. There are many techniques one can implement into their exercise routine to improve positivity and exercise outcomes.

A way to bring positivity to your exercise is to take a moment of mindfulness before beginning the workout. During this moment, try to tune out the negative comparisons or harsh thoughts you commonly have while exercising. Bring your attention to your fitness goals and your motivation for achieving these goals. Instead of comparing your exercise routine or body image to those around you, focus on using positive self-talk to improve your fitness accomplishments. Establishing on-going positive self-talk can be done through making encouraging, positive statements towards yourself throughout the exercise routine. For example, if you are lifting a heavier weight than usual; say to yourself "I am strong and powerful". Consistent positive self-talk can convince your body and mind that you can complete a difficult workout, increase your endurance or even lift heavier weights. Staying positive can be difficult, yet through using self-talk you are able to encourage yourself while staying motivated.  

Another way to bring positivity to your exercise is through challenging your negative thoughts experienced during the workout. When experiencing negative thoughts, ask yourself why you are feeling this way. By self-reflecting on these thoughts and identifying the root cause of them you are giving yourself an opportunity to change them into positive thoughts. Negative thoughts can be changed into positive thoughts through using positive self-talk and taking a moment of mindfulness. By changing negative thoughts into positive thoughts while exercising, you are able to turn around the exercise to benefit your overall health and mood.

Visualization strategies can also be helpful.  Hone your thoughts and eyesight directly on the weights and visualize your success.  Focus your breathing in tune with exerting force.  See the success before it happens.  While this may be a more advanced skill, it can be quite helpful.

If you are consistently struggling with positivity, gaining the support of a mental health therapist can be helpful. Cognitive Behavioral Therapy can help individuals shift their thoughts from negative to positive while focusing on developing coping mechanisms to decrease stress. A therapist can also help you get to the root cause of the negative thoughts, while providing support and guidance to heal. Cognitive Behavioral Therapy has benefits of increasing self-esteem and developing rational thought patterns to improve positivity. Shifting your thoughts and using positivity while exercising can improve fitness outcomes as well as mood and overall happiness. 

The impact COVID-19 had on socialization is immeasurable.  As a society we experienced a lost sense of community due to being unable to effectively socialize. Health guidelines including social distancing and quarantining prevented the spread of COVID-19, yet took an emotional toll on many individuals. Being isolated from friends, family, and everyday routine is extremely difficult for humans. Socialization is a basic human need that helps ward off feelings of loneliness, sharpens cognitive skills, and increases one's sense of happiness and well-being. Although COVID-19 is still around, restrictions have lifted to effectively socialize with others and continue on with our daily routines. For some, this is an exciting time but for others this can prompt social anxiety and worry about health and safety. Improving one's comfort with socialization post COVID-19 is important to increase overall wellbeing. 

      One way to increase your comfort level with socialization post COVID-19 is to practice your social skills. This can be done through continuing daily conversations with those you feel comfortable with. Make an effort to practice your listening skills by asking open-ended questions and paying attention to what is said while being friendly. If you feel awkward during these conversations, know that this is a normal feeling experienced by many. Something to keep in mind is your social limits.  These may have changed since before COVID-19. If at one point you were able to socialize for 4 hours and are now drained after an hour, reflect on this and try to find plans that fit your social limits. Avoid taking on too many social tasks all at once since your ability to manage social events has been reduced. Practicing self-care through journaling, exercising, or watching a relaxing television show is recommended to decrease stress after socialization. 

      Another way to increase your comfort level with socialization post COVID-19 is to address any safety concerns you may have surrounding social interactions. Although having these conversations can be awkward, it is important to have conversations to ensure everyone is on the same page. It is better to understand what will go on at the event than to arrive and be surprised that others are handling things differently than you. Keep in mind that it is acceptable to make suggestions or negotiate plans when you do not feel comfortable or safe. Doing so will allow others to know your concerns and provide support to minimize them. 

      If you are avoiding socialization and experiencing anxiety that is impacting your daily routine, it is time to seek the help of a mental health professional. With the help of a therapist, one can identify the root cause of the anxiety and develop coping strategies for when you are in difficult situations. Re-entering the world of socialization can create feelings of panic or anxiety.  You are not alone. 

Cognitive Behavioral Therapy, often known as CBT, is a form of psychotherapy that explores the connection between thoughts, feelings, and behaviors. It is used to treat a variety of mental health disorders and aims to decrease stress by helping individuals identify problematic thought patterns and subsequently develop positive thoughts, feelings, and behaviors. CBT helps individuals learn to change their perception, mood, and behaviors while viewing challenging situations in a new way. During the psychotherapy process, the counselor and client work together to create treatment goals and desired outcomes with a focus of gaining control of the client's thoughts. 

How Can Cognitive Behavioral Therapy Help? 
      Cognitive Behavioral Therapy helps individuals learn to recognize their distorted thinking patterns that often create dysfunction in their daily lives. Once these thought patterns are identified, the counselor helps the client reevaluate the thoughts in light of reality while gaining an understanding of behaviors with the goal to develop problem-solving skills. Development of problem-solving skills and coping mechanisms are essential in the healing process as this will allow the client to deal with difficult situations while taking care of their emotional wellbeing. New habits can relieve mental health symptoms and allows the client to think and act in a more beneficial way. 

Who Would Benefit from Cognitive Behavioral Therapy? 
      Everyone can benefit from Cognitive Behavioral Therapy, including individuals with a desire to identify, articulate, and change thoughts in the workplace. Even those that aren't experiencing a mental health disorder can find ways to improve their life with CBT.  Some clients in sales will utilize it to help with sales techniques. 

CBT involves techniques of getting frequent feedback, learning ways to calm the mind, and practices skills learned in therapy to promote positive behavioral change and growth. Through challenging underlying assumptions and distinguishing between facts and unhelpful thoughts, you can engage in Cognitive Behavioral Therapy to improve your mental health today.