Depression and anxiety symptoms are common reason teens, adolescents and adults seek treatment. Therapy, the human connection and the support of talking with an experienced therapist helps resolve depression for many. Psychotherapists and psychologists are trained to provide their clients with helpful tools, coping skills and ways to challenge and change the thoughts, feelings and behaviors that may contribute to depression. Understanding the source of the problem or situations that trigger depressive episodes may not always lead to symptom relief. Kim Seelbrede uses an integrative approach when working with depression symptoms that includes: psychodynamic psychotherapy, interpersonal therapy, cognitive therapy, EMDR therapy, focusing-oriented therapy, mindfulness and acceptance. Depression can be complex in nature and include a combination of genetic vulnerability, medical problems and medications, stress and life events and faulty mood regulation by the brain. For some, a combination of psychotherapy and medication offers the safest most comprehensive healing approach. Mood disorders include major depression, seasonal affective disorder, postpartum and situational depression as examples. Sometimes therapy alone is enough to resolve symptoms. A combination of interpersonal psychotherapy and cognitive behavioral therapy, and when appropriate, medication, are effective treatments for depression.
What follows are some types of depression:
- Major Depression
- Bipolar Disorder
- Seasonal Affective Disorder or SAD
- Psychotic Depression
- Postpartum Depression
- Premenstrual Dysphoric Disorder (PMDD)
- Situational Depression
- Atypical Depression
OTHER PROFESSIONAL SERVICES
Individual Therapy, Group Therapy, Relationship Counseling, Consulation, Supervision, EMDR + Adjunctive EMDR Therapy + Online Counseling Sessions
As an integrative psychotherapist, I'm delighted to offer a unique approach to emotional health and healing. My goal is to blend contemporary psychological practices, intuitive guidance and the wisdom of the ancient healing arts. The heart and soul of my approach is to help clients develop insight, self-awareness, self-acceptance, authenticity, self integration, respect for one's body, embodiment, healthy boundaries and self-care practices.
Psychotherapy For Adolescents + Adults
Individual adolescent and adult therapy is provided in my Manhattan office, and depending on client concerns, online using Skype or a HIPPA compliant platform. An initial consultation is the best way to determine if your particular needs and goals can be addressed using short-term or long-term psychotherapy. I have advanced post-graduate training in a variety of helpful techniques such as: EMDR Therapy, Cognitive Behavioral Therapy or CBT, Dialectical Behavior Therapy or DBT, Psychoanalytic Psychotherapy, Interpersonal Psychotherapy, Solution-Focused Therapy, Focusing, Gottman, Emotionally Focused Therapy or
EFT and Mindfulness. After an initial assessment, I will give you my opinion, and together, we can discuss your needs and create a treatment plan. We will also consider the duration of treatment and the approach or combination that will serve your goals. I have expertise in anxiety and mood disorders, addictions, compulsions, eating disorders, relationship problems, sexuality, identity concerns, self-defeating patterns and self-sabbotage, lack of purpose, goal setting, spirituality, family of origin issues, trauma/PTSD, attachment issues, self-esteem, transitions, loss, wellness coaching and an integrative therapy approach that addresses chronic pain and medical challenges.
Coaching, Strategizing + Mentoring
Coaching is not therapy. Coaching clients are goal-oriented individuals who seek results in their lives. Hiring a coach who is skilled to uncover obstacles, as well as guide and support your "best self," is a powerful resource. Having support and guidance as you practice new behaviors can be incredibly helpful. Some individuals seek an expert "strategist" to guide efforts towards growth and change. Coaching unearths the stubborn and often hidden, negative self-concepts that keep people anchored in their present reality. Identifying these unhelpful concepts helps clients move forward. Often, a positive and renewed sense of energy will emerge as soon as one begins the coaching process. Partnering with a life coach can be supportive, encouraging and empowering, and can help clients navigate change, restoring or creating balance and fulfillment. Whether it’s taking control of one's health, losing weight, career issues, focusing on goal-attainment, repairing a relationship, getting "unstuck" or transitioning to a new chapter in life, coaching can provide the needed inspiration and support one desires. Working with a licensed trained psychotherapist can yield exceptional results. Therapists have the necessary skills and tools that can be used when longstanding and resistant patterns interfere with progress. I regularly offer EMDR for blocks and peak-performance enhancement, mindfulness, meditation techniques, solution-focused strategies or cognitive and behavior techniques to my clients, combined with coaching strategies to help "stuck" clients move forward.
Relationship Counseling + Couples Therapy
I've successfully worked with many couples who desire a healthier and more satisfying relationship. I work with many high-functioning couples who would like to enhance their relationship and reestablish intimacy and connection. I also work with individuals at various stages of relationships including: newly-formed relationships, couples seeking pre-marital counseling and guidance, new parents seeking support, those considering separation or divorce and the newly single and ready to date. I draw from attachment-based theory, helping couples understand their own attachment style as well as that of their partner. Clients can learn to communicate their needs and "hear" the needs of their partner, as well as develop a shared vision or goals, learn acceptance and compassion for self and the other, heal from infidelity and develop new skills. Clients also are guided to identify and de-escalate triggers, address sex and intimacy concerns and understand how the past and family of origin issues may be impacting the relationship in the present. I use my training from The Gottman Institute, as well as Emotionally Focused Therapy or EFT and Non-Violent Communication or NVC to support my work with couples.
EMDR Therapy + Brainspotting
As an EMDRIA-approved, level I + II trained EMDR therapist, I have enjoyed great success with clients using EMDR therapy for a variety of chronic, longstanding difficulties as well as recent traumatic incidents. EMDR psychotherapy can be a stand-alone treatment or integrated into ongoing talk therapy sessions to speed the healing process. As a New York City-based EMDR specialist, I provide trauma resolution for PTSD symptoms, and healing for attachment deficits, developmental traumas, medical trauma and chronic physical and emotional abuse. Additionally, EMDR is an effective therapy for anxiety, obsessions, phobias, compulsions, panic attacks, depression, self-esteem, eating disorders, addictions and more. For individuals with anxiety, emotion regulation problems and in addiction recovery, elements of EMDR therapy can help clients develop and strengthen self-soothing inner resources. A combination of EMDR and coaching is an effective treatment combination for sports and peak performance enhancement and creative and performance blocks. Brainspotting, another technique developed by David Grand, PhD, combined with EMDR psychotherapy is a technique I use to address attachment issues, unresolved trauma, pre-verbal trauma and performance problems.
Consultations + Referrals
I provide consultation sessions that are time-limited and problem or goal-focused. Some individuals and families consult with a mental health professional for educational purposes, a clinical assessment or diagnosis, a second opinion, help with a personal or life challenge, support for a difficult transition or crisis and to obtain resources to other collateral support such as psychiatrists or treatment facilities such as rehabs for addictions and eating disorders. Clinical consultations allow a client, parent or family member to explore concerns, probem-solve with a professional and make decisions or changes in their lives that move them forward when they feel unsupported or "stuck." I am delighted to share my trusted resources to complementary, alternative and conventional medical referrals in New York City and beyond. Consultations are not psychotherapy and can be done long distance using an online service such as Skype, Google, FaceTime or via telephone sessions.
Integrative Therapy, Coaching, Mindfulness, Stress Reduction + Self-Care Practices
My interest in mind-body techniques and complementary medicine has allowed me to journey to some amazing places including workshops and training opportunities. Using my training with the Urban Zen Foundation and my yoga therapy training (RYT 200 + 500 hours), I help clients address anxiety insomnia, stress, trauma and chronic illness using a combination of guided imagery, breathing techniques, body scans, meditation and mindfulness. I've studied aromatherapy and Reiki and still enjoy both, including self-Reiki and Reiki with clients, friends and family. Using the brilliance of neuroplasticity, western psychological theory, and the power of cutting-edge nutrition, yoga therapy, chakra work and other somatic psychotherapies, I truly enjoy helping clients who are open to these techniques heal on many levels. Together we can decide what would work best for your particular needs. Some examples of integrative therapy include: mindfulness training, lifestyle recommendations (nutrition, meditation, exercise, yoga and sleep), boundary work, creative play, journaling, somatic therapy and more.
Supervision + Private Practice Development
I enjoy helping new practitioners such as social workers, marriage and family therapists, licensed professional counselors, licensed mental health counselors and psychologists develop and build their private practices. I am happy to provide clinical supervision for cases, and I especially enjoy helping interested therapists blend mind-body medicine and complementary techniques into their existing psychotherapy practices.
Psychotherapy, Coaching + Consultation Services
- Depression and mood disorders
- Anxiety and compulsive disorders
- Eating disorders, emotional eating and body image issues
- Borderline Personality Disorder BPD
- Adolescents problems (behavioral, emotional, family, academic challenges)
- Marriage, couples, relationship problems
- Celebrity, gifted and talented individuals
- Grief, loss, bereavement, life transitions
- Attention Deficit Disorder (ADD), Attention Deficit Hyperactive Disorder (ADHD)
- Addictions, drug addiction, process addictions, substance abuse, behavioral disorders, alcoholism
- Sexual addiction
- Adult survivors of abuse
- Adult children of alcoholics (ACOA)
- Dissociation, complex PTSD, emotion regulation difficulties
- Childhood, developmental trauma, traumatic events, accidents, medical trauma
- Self-harm, Self-sabatage, self-defeating behaviors
- Self-esteem issues, negative self-concept
- Performance blocks using EMDR therapy
- Surviving and managing relationships with borderline or narcissistic individuals or partners
- Men’s issues, career concerns, sexual difficulties, work/life balance
- Women’s issues, career concerns, transitions, parenting, caretaking, hormone imbalance
- Environmental stressors, crisis management
- Phase of life issues, aging
- Sexual and relationship issues for individuals and couples
- LGBT concerns, alternative lifestyles
- Work, creativity and career issues
- Life purpose, existential, spiritual concerns
- Individual, couples, marital, family, group therapy
- Weekend intensive workshops for couples
- Coordination of services with school, medical practitioners, legal counsel, etc
- Consultation and evaluation for potential in-patient residential treatment
- Parent and new parent education, coaching
- Addiction evaluations, assessments, referrals to medical and allied professionals in New York City and beyond
- Executive coaching
- Peak performance coaching
- Clinical supervision, private practice building business, consulting
- Presentations, workshops
- Mindfulness, meditation instruction, stress management
- Recovery support for individuals including their families
- Self-care, well-being, burnout support and coaching
- Psychodynamic, relational, interpersonal psychotherapy
- Mindfulness, meditation support
- EMDR therapy
- Focusing techniques
- Crisis counseling
- Short-term, goal-oriented therapy
- DBT skills
- Marriage and relationships
- Clinical supervision
- Online via telephone, Skype, FaceTime or a HIPPA compliant service
Helpful information About An Integrative Psychotherapy Practice
Psychodynamic psychotherapy is an evidence-based and active therapy that has a long history and tradition used in both short and long-term treatment. Psychodynamic sessions include the process of increasing self-awareness, encouraging self-expression, understanding conflicts, developing insight into the behaviors of self and other, unearthing unconscious content that can interfere with functioning and understanding patterns and dynamics that may have origins in the past but are played out in the "here and now." This form of therapy uses the relationship between patient and therapist to heal. The interpersonal relationship tends to be the focus of sessions as an active example of other relationships in the patient's life, so that patterns and distress can be "worked through" and not repeated outside of treatment.
CBT or Cognitive Behavioral Therapy
Cognitive Behavioral Therapy focuses on examining and changing maladaptive thoughts and behaviors. CBT tends to be a short-term approach that is highly-effective for many with empirically-tested techniques supporting an increase in skills and a change in behaviors. CBT is an effective solution for a variety of concerns including anxiety, depression and addictions/substance abuse.
DBT or Dialectical Behavior Therapy
DBT was originally developed for the treatment of Borderline Personality Disorder. With time, DBT skills and techniques have been found to be helpful for individuals who struggle in many areas of life including substance abuse, addictions. DBT treatment combines ideas of awareness, acceptance and change from mindfulness with a range of psychological theories. Because DBT skills are practical and can be generalized into many areas of life, DBT can be successfully integrated into treatment plans and used in a variety of treatment settings. DBT uses mindfulness and other skills to help increase emotion regulation, distress tolerance and interpersonal effectiveness with the goal of helping patient's cope, de-escalate, and self-regulate.
Developed in the 1970s by psychologist Dr. Eugene Gendlin at the University of Chicago, Focusing-Oriented Therapy has been taught to hundreds of thousands of people in countries around the world and is considered a humanistic, experiential and person-centered approach to healing. Focusing is non-directive as the therapist guides the client to connect to the "felt sense" which then allows the client to explore troubling emotions and feelings helping them find the answers needed to heal. Focusing can help clients access their own inner wisdom and strengths by inviting the non-judgmental attention to body sensations, inner "knowing," thoughts, feelings and imagery which may come in the form of words or pre-verbal and non-verbal experiences. Experiences and traumas reside in the body and long for attention even when they have not been consciously thought or verbalized. Focusing-Oriented Therapy can support one's own natural healing while increasing insight and awareness, helping clients gain a broader perspective of current and historical circumstances that have created pain, suffering and blockages. The process of focusing also invites individuals to receive a deep sense of knowledge and freedom so that creativity can emerge and generalize to many aspects of one's life. This powerful technique can reduce anxiety and depression, resolve individual and collective traumas, heal feelings of loss and neglect, increase performance skills, improve emotional regulation, increase relaxation, support immune function, support clients with medical and pain issues, support decision-making and more. It is this locating of the felt sense and its shift that causes true psychological change, empowerment, the restoration of self and enhanced well-being.
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy (ACT) gets it name from one of its core messages which is to accept what is out of your personal control, while committing to action that will improve the quality of life. The goal of ACT is to help people create a full and meaningful life even and especially when the stress and pain of life is a challenge. ACT teaches the psychological skills to manage painful feelings and thoughts in an effort to reduce the impact of suffering. Another aim is to help individuals clarify what is important and meaningful, using that awareness to guide, motivate and inspire them to make important changes that will lead to a better life. ACT supports cognitive flexibility in addition to encouraging individuals to observe and allow difficult thoughts feelings, emotions and experiences to simply occur. ACT also helps patients identify concrete short and long-term goals.
Mindfulness is the practice of moment-to-moment awareness of feelings, thoughts and bodily sensations as well as an awareness of the environment and one's surroundings. Mindfulness, as a philosophy, has more recently become a widely-used and helpful practice in the fields of psychology and psychotherapy. Additionally, mindfulness is an empirically-validated practice with data that supports its efficacy and application in a range of clinical and non-clinical settings. A mindfulness practice includes the observation of feelings, emotions and sensations, a non-judgmental presence and the awareness of the present moment.
EMDR is an evidence-based treatment that targets many symptoms and conditions including trauma, negative memories, phobias, fears, anxiety, addictions, compulsions and performance difficulties. Originally used to treat Veterans, EMDR therapy is now one of the most efficient and effective trauma/symptom treatment methods that allows clients to fully heal from their psychological wounds. EMDR can successfully be integrated into psychotherapy sessions. Many clients find EMDR to be more effective than other forms of therapy including CBT and traditional “talk therapy.”
Psychotherapy for Depression
Clinical depression is a complicated condition that can be treated with interpersonal psychotherapy, medication and a collaborative approach to identify the biological and psychosocial factors that may have contributed to a patient's depressive symptoms. Depression can be mild and show up with seasonal changes and it can be debilitating and interfere with activities of daily living, life skills, relationships, employment, hope and may also include the desire to end one’s life. Depression treatment is generally supportive in nature, and may require help with daily structure and coping skills and often requires working with other mental health professionals. Interpersonal psychotherapy, CBT and EMDR therapy can be effective treatments for depressed patients as can antidepressant use, light therapy, vitamin D and supplements.
Psychotherapy for Anxiety
Anxiety symptoms bring many into therapy for the first time. Not all clients experience anxiety in the same way. For some, anxiety is a distress that presents in a specific situation such as performance, public speaking or test-taking. For others, anxiety may be experienced as chronic and ranging from mild to debilitating, including uncomfortable physical symptoms. Anxiety sufferers are best helped by understanding emotional conflicts, environmental and genetic factors with treatment that may include talk therapy, CBT, stress reduction techniques, Somatic Experiencing (SE) and EMDR Therapy to target early trauma, memories and present-day distress.
Trauma Treatment and PTSD
Early trauma and chronic developmental traumas that have impacted a patient's development and attachment relationships are the most difficult to heal. Psychotherapy can help validate the patient's experience, work through any feelings of shame and confusion that may have been internalized, process the traumatic experience or event and help them understand how their current life is impacted by traumatic experiences. Psychotherapy can help individuals identify triggers in daily experiences that create symptoms and contribute to familiar self-defeating patterns and dynamics. While talk therapy can be a good place to begin for some trauma patients, EMDR is the treatment of choice to provide symptomatic relief and truly heal from trauma.
Loss and Bereavement
Losing something or someone is difficult and complicated for many reasons. Loss can include a loved-one, pet, health, job, lifestyle, home, identity, status, and more. Loss, especially when significant to the individual, requires mourning and grieving that loss, experiencing the associated feelings, and eventually, moving forward. Psychotherapy can give the individual a safe place to grieve and feel the sadness. The healing process is different for everyone as is the length of time required to heal.
What happens in therapy?
A number of benefits are available when you engage in the therapy process. Therapy helps people gain relief from unpleasant feelings and thoughts, create more fulfilling and meaningful relationships, and gain more pleasure and control in their lives. Psychotherapy helps clients get to the root of their difficulties and learn ways to become more self-aware, cope with difficult emotions, improve mood, gain control, feel connected to others, develop the skills to handle future problems, and live more fulfilling and satisfying lives. Therapists can provide support, practical problem-solving skills, and enhanced coping strategies for issues such as: troubling patterns and behaviors. a crisis, managing difficult people, internal conflicts, neurosis, life transitions, anxiety, depression, sadness, loneliness self-esteem, relationship problems, unresolved childhood issues, trauma/abuse, grief, stress management, body image issues, eating disorders, feeling lost or stuck, sexuality or identity concerns, addictive behaviors and creative blocks. Many people also find that counselors or psychotherapists can be a tremendous asset to career concerns, managing personal growth, professional relationships, family concerns, marriage issues, parenting challenges, developing healthier habits, connecting to the body, understanding thoughts, feelings and emotions, balancing the stress of daily life and goal-setting. High-achieving, successful individuals often experience emptiness, unhappiness, disappointment, loneliness, stress, anxiety and interpersonal problems which may lead to less than desirable coping solutions such as addictions, alcohol and drug abuse, eating problems and sleep deficits. Therapists can provide a fresh perspective on a difficult problem or help their clients discover helpful solutions. Many lasting benefits can be obtained from personal, couples or group therapy. You can learn more about therapy from the American Psychological Association or APA Learn more here
Therapy and counseling can help clients with the following issues:
- Reframe current life circumstances and gain a different perspective
- Learn to manage difficult work and personal transitions and changes such as marriage, new baby, mid-life problems and aging
- Gain the support needed to get through difficult times such as loss and change
- Learn to feel and live a more authentic life, accept feelings of being “different”
- Develop healthy self-esteem and resolve persistent negative self-states
- Develop healthier coping skills, habits and boundaries
- Have healthier personal and work relationships
- Develop awareness of any repetitive patterns that interfere with success and happiness by understanding how past dynamics interfere with the present
- Manage difficult people personally and professionally
- Develop a path of purpose and life fulfillment
- Heal from past trauma and abuse and process traumatic memories and dissociation
- Increase insight and self-awareness and identify innate strengths
- Improve communication, learn conflict resolution, develop better listening and self-assertion skills
- Address depression, sadness, feelings of despair and isolation
- Learn helpful coping skills for stress, anxiety, phobias and panic attacks
- Relieve stress and insomnia and learn relaxation response
- Manage destructive patterns that include drinking, eating, drugs, addictions and self-harm
- Understand negative and habitual patterns of thinking and behaving
- Resolve writing, creative and other performance blocks
- Mourn losses such as separation, divorce, miscarriage, infertility or the death of a loved-one
- Develop effective parenting skills
- Address problems related to chronic pain, fibromyalgia, autoimmune disorders, medical procedures and diagnoses
- Heal from sexual abuse, emotional/psychological abuse, domestic violence and natural disasters
- Resolve sexual and identity concerns
- Manage feelings of overwhelm, feel more embodied and develop an awareness connection between mind and body, feel more
About Kimberly Seelbrede, LCSW
Kimberly Seelbrede is a New York State licensed psychotherapist, consultant and coach with extensive post-graduate training in Psychodynamic Psychotherapy, EMDR Therapy, Brainspotting, Ego State Therapy, Focusing, Mindfulness, Dialectical Behavior Therapy (DBT), Cognitive-Behavior Therapy (CBT) and specialized Couples Therapy training. Kimberly’s clinical work addresses the following concerns: anxiety, depression, relationships, couples therapy, sex therapy, women's hormone health, family therapy, addictions, recovery support, compulsions, trauma resolution, stress management, relaxation support, performance difficulties, loss, grief, shame, crisis situations and life transitions. Kimberly conducts weekly psychotherapy sessions in her office, or worldwide via phone, Skype or tele-therapy. Kimberly's interests include lifestyle change and transitions, motivation, mindfulness and meditation support, successful communication, professional burnout and managing chronic pain and illness. She conducts intensive couples workshops using Emotionally Focused Couples Therapy or EFT and The Gottman Institute. Kimberly also supervises mental health and allied health professionals in the areas of case consultation, relaxation training, problem solving and the successful integration of alternative therapies into their private practices. Her background in the performing arts has enabled her to develop a special niche and work successfully with talented, creative, high-profile and celebrity clients. She has the ability to connect and understand the unique challenges these individuals face because of their fame and talents. She has a special interest in helping busy professionals find work/life balance and learn to reduce and manage stress. Her post-graduate training in psychiatric and clinical social work, psychology, cutting-edge therapies, the healing arts and yoga therapy, has allowed her to incorporate a broad range of techniques into her therapeutic work with clients.