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Digging Out of a Therapy Rut

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Digging Out of a Therapy Rut

Therapy has been a part of Katerina Kelly’s weekly routine since elementary school, when a teacher suggested counseling for the 8-year-old.

At the time, Katerina’s autism was affecting their ability to manage time, make decisions and socialize. And for many years, the therapist seemed helpful. But once college rolled around, things changed.

“I always left counseling feeling either worse than I started — or numb,” said Mx. Kelly, 29, who lives in Natick, Mass, and uses they/them pronouns.

The skills that Mx. Kelly’s therapist had taught her in childhood weren’t translating as well now that she was older. In other words, they had hit a rut — the therapy, and the therapist, were not producing the desired results.

A therapy rut can feel disheartening, but it doesn’t have to end your pursuit of better mental health. We asked psychologists how to identify whether you’ve reached a sticking point and what to do about it.

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If you’ve hit a rut, you may feel as if your therapy sessions have stalled or become unhelpful, said Jameca Woody Cooper, president of the Missouri Psychological Association.

You may be emotionally disconnected from your therapist or less trusting of their plan. Perhaps you’re uncomfortable and tense during therapy, or you’ve started to dread or miss appointments, Dr. Woody Cooper added.

A rut can translate into “increased irritability while you’re in session, or a feeling of being misunderstood,” she said.

There are many reasons a rut can happen, the experts said:

  • You’ve made as much progress as you can in therapy at this time.

  • You would benefit from a different therapist or approach.

  • You need a new therapy goal.

  • You don’t need sessions as frequently as you did in the past.

  • Your expectations aren’t aligned with those of your therapist.

  • You’re not ready to explore past trauma or a difficult issue.

Mx. Kelly had experienced some of these roadblocks in her relationship with her childhood therapist.

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“When I did try to bring up new things I was told we could work on it in the ‘next session,’ but that never came to be,” they said. “I hit a point where I started feeling so low.”

So Mx. Kelly began searching for a new therapist — it took more than six months, but they found someone who took their insurance and was a better fit.

If you’re feeling stuck, your therapist will ideally sense it too, said Regine Galanti, a therapist in Long Island who specializes in treating anxiety with exposure therapy.

“When I’m having the same conversations for more than two weeks in a row — that makes my warning bells start to go off,” she said.

That’s when it’s time to re-evaluate a client’s therapy goals, she added.

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Don’t jump the gun by quitting therapy after one or two unproductive sessions, experts said.

“It’s unfortunately not uncommon to occasionally have a therapy session that feels like a dud,” said Alayna Park, an assistant professor of psychology at the University of Oregon.

But if after three or four sessions you feel like you haven’t learned any new coping skills or gained a better understanding of your problem, then it’s time to speak up, either during the session or in an email.

Dr. Park suggested a few ways to kick off the discussion: “I feel like my progress has stalled,” or “I would like to transition to learning new or different coping skills,” or simply: “I feel like I’m in a therapy rut.”

It’s also valuable to ask your therapist how many sessions you might need, what your progress ought to look like and how your therapist is measuring it, said Bethany A. Teachman, a professor of psychology and the director of clinical training at the University of Virginia.

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Although it can make some people feel uneasy to voice their concerns, the experts said, a good therapist will not get angry or annoyed.

“Good therapy empowers patients” to do hard things, Dr. Teachman said.

If you’ve talked with your therapist about your concerns and nothing has changed, you may want to consider taking a break.

Stepping away can offer “a sense of agency, and time to evaluate if the current therapeutic relationship is the correct one,” Dr. Woody Cooper said.

During this break, you can take time to think about your feelings and behavior, explore different types of therapy or try out another therapist, she added.

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Annie Herzig, an author and illustrator who lives in Fort Collins, Colo., decided to take a step back after a few months of seeing a new therapist, when she hadn’t noticed any improvement in her mood.

Ms. Herzig, 43, finally sent her therapist an email saying she wasn’t getting what she needed from their sessions.

Taking time away was helpful — Ms. Herzig found a different therapist who she has now been seeing for four years.

“I feel energized at the end,” Ms. Herzig said of their sessions together. “Even if I cry my eyes out.”

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Common vitamin may influence brain aging in ways scientists didn’t expect

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Common vitamin may influence brain aging in ways scientists didn’t expect

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Higher levels of vitamin C were linked to healthier brain structure in older adults, suggesting a potential role for nutrition in brain aging.

That’s according to new research from Japan, published in the journal PLOS ONE.

The observational study included 2,044 participants living in Hirosaki City, Japan, who were originally included in a study exploring dementia and heart disease risk. The average age was 69, and 61% of them were female.

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The researchers measured the participants’ vitamin C levels using blood samples and performed MRI scans to calculate the volume of gray matter and white matter in their brains.

Even after accounting for external factors like age, smoking habits, diabetes and other lifestyle behaviors, they found that those with lower vitamin C levels appeared to have lower brain tissue volumes and weaker structural network patterns.

Higher levels of vitamin C levels were linked to healthier brain structure in older adults, suggesting a potential role for nutrition in brain aging. (iStock)

Our study demonstrates that older adults with higher blood levels of vitamin C tend to have better-preserved brain structure (gray matter) and stronger connections within the default mode network (DMN), a crucial brain network involved in memory and cognitive function,” Tomohiro Shintaku, MD, PhD, assistant professor in the Department of Radiology Graduate School of Medicine at Hirosaki University, told Fox News Digital.

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“While diets rich in vitamin C are known to lower the risk of cognitive decline, our study is the very first to demonstrate a direct association between actual blood plasma vitamin C levels and the structural connectivity of the DMN,” he added.

This network is often affected by conditions such as Alzheimer’s disease and depression, according to the researchers.

The researchers measured the participants’ vitamin C levels using blood samples and performed MRI scans to calculate the volume of gray matter and white matter in their brains. (iStock)

The vitamin C measurement was more accurate than studies that relied on dietary estimates, the researchers noted.

“What I found most fascinating is that we could detect such clear associations between a single nutritional factor (vitamin C) and large-scale brain networks in a robust cohort of over 2,000 older adults,” Shintaku said. “It highlights how significantly our everyday dietary habits might impact brain structure.”

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The study underscores the importance of obtaining vitamin C from the daily diet, as humans cannot synthesize it on their own, the researchers noted.

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“Our findings suggest that maintaining optimal vitamin C levels through a healthy diet — rich in citrus fruits, berries, tomatoes and green leafy vegetables — could be a simple yet powerful way to support brain health as we age,” Shintaku said.

Those with lower vitamin C levels appeared to have lower brain tissue volumes and weaker structural network patterns. (iStock)

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The study did have some limitations, the researchers noted. 

“Because our study is observational and cross-sectional, we can only show an association, not a cause-and-effect relationship,” Shintaku told Fox News Digital. “Other limitations include relying on a single blood measurement per participant.”

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Other external factors, such as dietary intake, body mass index and socioeconomic variables, could have played a role in the outcomes.

Also, the link was relatively modest compared to established risk factors like high blood pressure and blood sugar, the researchers noted.

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Findings from other, larger studies, including UK Biobank research with more than 9,000 people, suggest that vitamin C is just one of several factors that may influence brain health.

Because the participants were almost all older Japanese adults, the findings may not be generalized to other populations.

“It is best viewed as a signal that vitamin C status may be one piece of a much larger brain-health picture.”

“This study found an association between higher plasma vitamin C levels and MRI markers of brain health, including gray matter volume and connectivity in the default mode network, which is involved in several cognitive functions,” Dung Trinh, MD, an internal medicine physician and founder of the Healthy Brain Clinic, commented to Medical News Today.

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“That said, the study does not prove that vitamin C prevents cognitive decline or that taking supplements will improve brain health. It is best viewed as a signal that vitamin C status may be one piece of a much larger brain-health picture.”

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TV news anchorman reveals he has Alzheimer’s during final night helming broadcast

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TV news anchorman reveals he has Alzheimer’s during final night helming broadcast

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Veteran New York news anchor Bill Ritter revealed Friday that he has been diagnosed with early-stage Alzheimer’s disease, bringing an end to his more than two-decade run behind the WABC-TV anchor desk.

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Ritter, 76, who has anchored the station’s 6 p.m. newscast in New York City since 2001, revealed during Friday’s Eyewitness News broadcast that it would be his final night anchoring the program.

“After a series of tests, my doctors have told me I have Alzheimer’s,” Ritter said during the broadcast.

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“It’s early-stage Alzheimer’s, and they say the treatments I’m getting are keeping it at bay, for now,” he continued. “But there is no guarantee, because there’s no cure yet for Alzheimer’s.”

Veteran New York news anchor Bill Ritter announced that he has been diagnosed with early-stage Alzheimer’s disease and is stepping away from the WABC-TV anchor desk. (Linda Rosier/NY Daily News Archive via Getty Images)

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“So, unless someone finds an amazing cure, and soon, tonight will be the last newscast I anchor,” he added.

According to ABC7, Ritter joined WABC-TV in 1998 after an extensive journalism career that included work at the Los Angeles Times, local television stations in California and positions with ABC News.

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He began anchoring the station’s 11 p.m. Eyewitness News broadcast in 1999 and was added to the flagship 6 p.m. newscast in 2001. He also anchored the station’s 5 p.m. broadcast for several years.

Bill Ritter has anchored WABC-TV’s 6 p.m. newscast in New York City since 2001. (Heidi Gutman/Disney via Getty Images)

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ABC7 reported that Ritter will remain with the station in a new role focused in part on reporting about Alzheimer’s disease and other neurological conditions, as well as their impact on patients and families.

“For decades, Bill Ritter has covered and led New Yorkers through the stories that matter most,” WABC-TV General Manager Marilu Galvez said in a statement.

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“A defining presence at ABC7, he has done so with exceptional insight, integrity and, most of all, heart, earning the love and respect of viewers and colleagues alike,” she continued.

“While he is stepping away from daily anchoring, he will continue to be an integral part of our ABC7 family, including sharing personal updates and providing resources to help others impacted by Alzheimer’s better understand the disease and the resources available to them.”

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Bill Ritter, Eyewitness News Anchor, WABC-TV, speaks onstage at the ROAR Forward Summit at Hearst Tower on November 19, 2024 in New York City. (Craig Barritt/Getty Images for Hearst)

“Bill is strong, brilliant, and resourceful, and we look forward to his continued reporting on Eyewitness News,” Galvez added.

New York City Mayor Zohran Mamdani responded to Ritter’s announcement by wishing the veteran broadcaster and his family “strength in the days ahead.”

“For decades, Bill Ritter has been a trusted presence in New Yorkers’ homes, helping us make sense of the news that shape our city,” Mamdani wrote on X. “

“His courage in sharing his Alzheimer’s diagnosis will help countless families facing the same challenge feel less alone,” he continued. “Wishing Bill, his loved ones, and everyone affected by Alzheimer’s strength in the days ahead.”

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Ritter’s colleagues also reacted to his announcement.

ALZHEIMER’S RISK SLASHED BY EATING MORE OF ONE COMMON FOOD, STUDY SUGGESTS

WABC-TV reporter Lucy Yang paid tribute to Ritter’s professionalism and dedication during his decades-long career at the station.

“For decades, I’ve reported for his show and even filled in, anchored w him,” she posted on X. “He never gave less than 110% I salute you. I thank you. And I will pray for you.”

Lee Goldberg, the station’s chief meteorologist, said Ritter’s influence would continue long after he stepped away from the anchor desk.

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“He preaches be kind, take care of each other, & we’re all in this together,” Goldberg said on X. “Now, in addition to doing these things for himself & his loving family, he’ll build on his legendary legacy by helping millions who share his battle.” 

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“You’re a saint, and my hero @billritter7,” he added. “Love you.”

Ritter also noted during the broadcast that his father died of Alzheimer’s disease in 1998 after battling the illness for years.

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Divorcees and widowed share concerning mental health trait, researchers find

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Divorcees and widowed share concerning mental health trait, researchers find

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Divorcees and the widowed may face a higher risk of death than those who are still coupled up, a new study reveals.

Researchers in Norway analyzed long-term national health data to weigh mortality risk among those who were divorced, ended situations where they lived with a partner or became widowed.

The study, published in the journal BMJ Public Health, looked at three groups of about 20,000 people each, from 1984 to 2019, who were married or living with a partner at the time.

ONE TOXIC BEHAVIOR KILLS RELATIONSHIPS, LEADING HAPPINESS EXPERT WARNS

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During the next wave of the study, these individuals were categorized into three groups: still married or cohabiting, divorced or moved out and widowed. Death records were then checked through January 2020, according to a press release.

Divorces or breakups were consistently linked with higher mortality across all study waves compared to couples who stayed together. (iStock)

The researchers used statistical models to gauge whether this relationship loss was associated with death later.

Divorces or breakups were consistently linked with higher mortality across all groups compared to couples who stayed together. This was the case even after accounting for factors such as age, gender, health habits, self-rated health and loneliness.

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Being widowed was also linked to about a 14% higher mortality risk, though the association was strongest in the earliest period studied.

During the second study period, the link between breakup and mortality was stronger, with a statistically significant association observed only among women.

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Although this research displays an association between living alone and mortality risk, it does not define a direct cause, the team acknowledged.

The link between breakup and mortality was stronger and found to be statistically significant only among women, the second study period revealed. (iStock)

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The authors commented that these findings “highlight the importance of addressing social disconnection in public health and in clinical practice to reduce preventable mortality.”

M. David Rudd, a University of Memphis professor of psychology and director of the Rudd Institute for Veteran & Military Suicide Prevention, reflected that these findings underscore what has been known for decades.

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“Loneliness has significant and severe consequences for individual physical health and emotional well-being,” said Rudd, who was not involved in the study. “We’re social beings, and relationships are essential to health, happiness and survival.

“These findings are particularly salient during this period of exponentially increasing isolation, secondary to the influential role of digital technologies.”

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Being widowed was also linked to about a 14% higher mortality risk, though the association was strongest in the earliest period studied. (iStock)

While limitations always exist in studies of this kind, Rudd pointed out that this longitudinal research, spanning almost four decades, offers “remarkably important contributions to understanding human behavior.”

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Divorcees and those who are widowed should understand that relationships and social engagement are “critical,” Rudd said. While these relationships don’t necessarily have to be romantic, human connection is important.

“It’s really simple,” he added. “Developing, nurturing and maintaining relationships is critical to health, well-being and happiness.”

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