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Halle E. Fildes, LPC is a psychologist in Erie, PA specializing in psychology and counseling. Halle E. Fildes, LPC is affiliated with Allegheny Health Network and AHN Behavioral Health Associates.
2501 West 12th Street
Erie, PA 16505
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Depression
Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."
Some common symptoms of depression include:
We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.
Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.
Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.
Eye Movement Desensitization and Reprocessing (EMDR)
Eye Movement Desensitization and Reprocessing (EMDR) is a form of therapy that helps people recover from distress resulting from past trauma. Founded in the late 1980's, EMDR is most commonly associated with post-traumatic stress disorder (PTSD) treatment, although it may treat other mental health conditions as well, such as:
During an EMDR therapy session, patients are encouraged to access upsetting memories and to reprocess them. Reprocessing is achieved by repeated and rapid bilateral (side to side) eye movements, tapping one's chest and face, and auditory and visual stimulation. These techniques can desensitize patients to their traumatic memory. By reframing how a patient interprets a memory, EMDR is believed to weaken the fight-or-flight response and to rebalance the nervous system. For patients with PTSD, EMDR can treat recurring flashbacks and triggers by reducing the hyperarousal response and promoting emotional regulation.
EMDR patients are first asked to identify a specific memory to reprocess, called the ?target event.? Patients can discuss their feelings, sensations, and beliefs about the event, and may share a picture or use descriptive imagery. Therapists usually employ a set of measurements called the Subjective Units of Disturbance (SUD) scale to assess the patient's distress. Later on, therapists and patients may compare the patient's initial SUD score to their score following an EMDR session. Unlike other forms of therapy, EMDR patients are not prompted to analyze and reflect on details of their traumatic memory at length.
With a target event having been selected, therapists may begin the desensitization process. They instruct patients to perform eye movements, body taps, or sounds while capturing the target event in their mind. These techniques are called dual attention bilateral stimulation (BLS) and can help a patient feel calm and aware, while simultaneously invoking the brain's processing system. Patients may continue these techniques until their SUD distress level has decreased. Patients are then asked to derive a positive thought or affirmation about the target event, and to repeat or strengthen it until it feels sincere. A final ''body scan'' is where patients focus on both the target event and positive cognition to evaluate their physical response and identify any remaining distress. If the traumatic incident is not fully processed in one session, patients are asked to contain the memory and to avoid returning to it until their next EMDR session.
EMDR may greatly improve quality of life in people who suffer from latent trauma and adverse life experiences. EMDR may also be effective for those whose prior experience with talk therapy was unsuccessful.
Mental Health Issues
Mental health issues, also referred to as mental health disorders or mental health illnesses, are a wide variety of conditions that impact behavior, emotion, and cognition. There are many different forms of mental health issues, some of which are acute (short-term), while others are chronic. Common mental health issues include:
No single cause of mental health issues exists. Multiple factors may increase one's risk for developing mental health issues, including but not limited to:
Mental health issues are typically diagnosed by a provider like a psychiatrist or a psychologist. These issues are diagnosed through psychological evaluation and talk therapy.
Mental health therapy can be an effective tool in supporting people who are struggling with unwanted feelings, behaviors, or difficult circumstances in their lives. Many forms of therapy are available, including specialized therapies tailored to particular disorders. For many issues, therapists help patients manage their conditions through talk therapy. Other treatments can include medication or stays at a psychiatric facility. Mental health therapy can help people with mental health issues improve their mental and emotional wellbeing.
Halle E. Fildes, LPC is associated with these hospitals and organizations:
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Ms. Halle Fildes specializes in psychology and counseling and practices in Pittsburgh, PA and Erie, PA. She has indicated that her clinical interests include depression and eye movement desensitization and reprocessing (EMDR). Ms. Fildes is professionally affiliated with Allegheny Health Network. Yext reports that she is not accepting new patients.