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Julius Tan Espiritu JR., LMFT is a family therapist in Oceanside, CA specializing in family therapy. Julius Tan Espiritu JR., LMFT is affiliated with SOKYAHEALTH MEDICAL GROUP PC.
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Anxiety
Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.
Some of the specific conditions covered under the general label of anxiety include:
Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.
Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.
Attention Deficit Disorder (ADD/ADHD)
Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most common disorders diagnosed in children. Nine percent of children in the USA have been diagnosed with ADHD. Symptoms, which include hyperactivity and difficulty maintaining focus or paying attention, can last into adulthood for some patients. Boys are four times as likely to be diagnosed as girls, although experts don't know why this is.
There are three main types of ADHD:
When diagnosing ADHD, it is important to rule out other issues that may be causing the symptoms. Seizure disorders, hearing loss, anxiety, and domestic problems are some examples of problems that can cause behaviors similar to those seen with ADHD.
Treatment can include stimulant medications, behavioral therapy to teach patients ways to navigate their world and control symptoms better, and accommodations at school or work. A structured environment (with lots of organization and well-defined rules) seems to help most kids with ADHD function at their best.
ADHD is mainly thought of as a disorder that affects children, but symptoms can last into adulthood for a third to half of those diagnosed. In adults, ADHD has similar symptoms as when it is seen in children: impulsive behavior, difficulty maintaining focus, being easily distracted, or a tendency to fidget. These symptoms can cause problems in a patient's careers and relationships. Additionally, adults with ADHD are at increased risk for substance abuse. Medications can be an important part of treatment for adults, as well as stress reduction techniques and organization skills training. Specialized ADHD coaches can help adults with ADHD manage their symptoms and succeed in all areas of their life.
Borderline Personality Disorder (BPD)
Borderline personality disorder (BPD) is a disorder that causes emotional instability. Once triggered, people with BPD experience more intense feelings that influence how they treat others and themselves. Essentially, people with BPD "hear" amplified emotions at a higher volume and for longer periods of time than those without BPD. Some who have BPD describe "being on the border," often feeling insecure and split between both negative and positive feelings. Mood swings, impulsivity, and insecurity are all hallmark symptoms of borderline personality disorder. No single cause of BPD is known, but it may arise from factors such as:
As BPD is rooted in an unstable sense of self and intense personal emotions, symptoms of BPD may vary between patients. Common symptoms of BPD include:
Borderline personality disorder is diagnosed by a psychologist, psychiatrist, clinical social worker, or other mental health professional. The disorder is a type of "Cluster B" personality disorder, which are chronic conditions characterized by unstable and dysfunctional behaviors that affect one's relationships with others. People with BPD often have co-existing mental conditions, such as depression, anxiety, PTSD, or substance abuse.
Borderline personality disorder is known to develop and become present during adolescence, however, mental health providers rarely diagnose anyone under the age of 18 with BPD. Mental health providers analyze behaviors, family history, and discuss symptoms with their patients, which may lead to a diagnosis using the DSM-5 criteria for BPD.
Borderline personality disorder is treated with psychotherapy and oral medications. Forms of therapy like dialectical behavior therapy (DBT) and cognitive behavioral therapy (CBT) can help people with BPD identify self-destructive attitudes and harmful behaviors, which they may then be able to manage or change. Group therapy is another treatment option which may improve people with BPD's ability to share their emotions and to promote positivity. Psychiatrists may prescribe patients antidepressants and/or anxiety medications such as Prozac (fluoxetine), Wellbutrin (bupropion), and Zoloft (sertraline). Some patients may receive antipsychotic drugs which can help stabilize mood and reduce impulsivity.
With consistent treatment, people with BPD are able to recognize and prevent destructive behaviors and mood swings, typically by changing their patterns of thought. Many people with borderline personality disorder are able to live successful and healthy lives.
He has a state license in California.
Licensed In: California
Julius Tan Espiritu JR., LMFT is associated with these hospitals and organizations:
Julius Tan Espiritu JR., LMFT appears to accept the following insurance providers: Aetna, Blue Shield of California, AARP, Anthem, Aetna Commercial, Allied Benefits - Aetna Plans, BRMS, AmeriBen and Bakersfield Family Medical Center.
According to our sources, Julius Tan Espiritu JR., LMFT accepts the following insurance providers:
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Mr. Julius Espiritu's specialty is family therapy. His areas of expertise include attachment disorders, borderline personality disorder (BPD), and anger management. He most likely takes Blue Shield, AARP, and Anthem, as well as other insurance carriers.
