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Richard Paul Tragasz, L.P.C. is a counselor in Columbia, MO specializing in counseling. Richard Paul Tragasz, L.P.C. is affiliated with BetterHelp.
“While my first career was in the business world, my subsequent careers were being a Lutheran pastor, working as a social worker in child protective services, and being a mental health therapist. I have 24 years of experience in social work and mental health. As a pastor, I have served 5 theologically conservative Lutheran churches in 3 states. My experience as a therapist has mostly been with community mental health clinics that provided services under the auspices of the state department of mental health. At community mental health clinics I provided therapy to clients of all ages, many having the full range of serious mental health issues such as depression, anxiety, trauma from sexual abuse and post -traumatic stress disorder. My experience in community mental health was invaluable in honing my skills as a therapist. At one clinic I was part of the Dialectical Behavioral Therapy team that provided DBT therapy to clients suffering from borderline personality disorder. I believe that psychotherapy is a marvelous thing. It brings healing to people only through words. It is work, and to be successful in therapy one must work harder than the therapist. My therapeutic approach is cognitive behavioral, which means that I help the client to change beliefs that are false (example: "I believe I am worthless due to my history of sexual abuse as a child."), and change behaviors that are unhealthy and which stand in the way of a life that has joy and peace. That means that the key factor in my approach is CHANGE. My successes have been with clients who are willing to do that. I look forward to working with you!”
Connect with this therapist via:
Online messaging - send messages throughout the day as you have time; relax and give yourself opportunity to fully ponder each step of the conversation
Video Visits - connect over video conferencing software for a virtual session -- almost as if you're there in person
Phone Visits - good old-fashioned technology for those who don't want to worry about appearance or who have might have internet bandwidth limitations; a little bit like connecting with an old friend, but with a counselor instead
Instant Message (IM) Visits - real-time chat -- like a phone call, but over text
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Bipolar Disorder
Commonly known as manic-depressive illness, bipolar disorder is a serious mental condition characterized by extreme changes in mood. Individuals with this disorder experience emotional highs, or manic episodes, and lows, or depressive episodes. These episodes are distinct periods that are separate from the moods they may usually feel.
During manic episodes, individuals may:
In contrast, depressive episodes may bring about:
Episodes may be a mixture of both manic and depressive symptoms. In such an episode, individuals with bipolar disorder may feel sad, empty, and hopeless but have a high level of energy at the same time. Sometimes, changes in mood are less dramatic. For example, individuals may feel happy and think everything is fine, but people around them may notice their mood changes. Episodes like this are called hypomania. If an individual is hypomanic and does not receive proper treatment, their condition will likely worsen.
Generally considered a lifetime illness, the disorder begins in the late teen or early adult years. Bipolar disorder has no known cause, but research has shown that it tends to run in families. To diagnose it, a psychiatrist carefully assesses an individual's moods and behavior patterns. They may also be asked to keep a daily record of their moods and other factors that can help with diagnosis and determining the right course of therapy. Counseling is a typical form of treatment, as is a group of medications that can control symptoms, called antipsychotics.
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.
Self-Esteem Issues
Self-esteem is the value one assigns to oneself based on a complex combination of factors such as confidence, identity, sense of belonging, and self-image, among others. Self-esteem plays a critical role in determining one's happiness and overall well-being. Those with a very positive self-perception are considered to have "high" self-esteem, whereas those with negative self-perception have "low" self-esteem. Self-esteem does not dictate one's true intelligence, skills, looks, or accomplishments, although it can undermine one's motivation and opportunities. Successful people can have low self-esteem, and in some cases, that low self-esteem might motivate people to work harder at establishing themselves. Self-esteem is also not a binary scale, but a broad spectrum that people may move up or down throughout the course of their lives.
Humans begin to gain self-esteem in childhood from being cared for by adults and reaching natural milestones such as learning how to tie one's shoes. Self-esteem evolves through adolescence and adulthood, and can change drastically based on one's positive and negative experiences. It's important to develop healthy self-esteem to navigate through challenges, make decisions, and gain motivation to pursue interests.
Self-esteem issues can influence one's emotions, behavior, relationships, and world view. Self-esteem issues frequently arise from low self-esteem. Low self-esteem can be caused by factors such as trauma, caregiver neglect, abuse, bullying, and academic, social, or professional difficulties. Stressful life events such as parental divorce, caregiver conflict, and financial problems may also contribute to low self-esteem. In recent years, researchers have highlighted the influence of social media in negatively impacting adolescents' mental health. Common signs of low self-esteem include:
Excessive self-esteem can also be problematic in that it can hinder one's ability to form relationships with others. People with extremely high self-esteem may appear to be conceited or entitled. Some researchers suggest very high self-esteem can lead people to engage in more risk-taking behaviors. Causes of excessive self-esteem are less well-known, but may include upbringing, personality, and cognitive biases.
Fortunately, self-esteem issues can be readily addressed at any time. Positive self-affirmations recognizing one's own accomplishments can raise low self-esteem. Accepting one's own weaknesses and imperfections can benefit those with both low and high self-esteem. People with self-esteem issues often find therapy is an effective means to improve their self-esteem and mental health. Cognitive behavioral therapy (CBT) can help people with self-esteem issues identify and change destructive patterns of thought. Support groups, family counseling, and antidepressant medication may also help with self-esteem issues.
Maintaining a positive outlook and belief in oneself can go a long way towards forming healthy self-esteem. Developing a strong sense of self can be important for well-being and contributes to overall happiness and success in life.
He has a state license in Missouri.
Licensed In: Missouri
Richard Paul Tragasz, L.P.C. is associated with these hospitals and organizations:
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Mr. Richard Tragasz is a specialist in counseling. Areas of expertise for Mr. Tragasz include anger management, depression, and parenting issues. He is professionally affiliated with BetterHelp. According to BetterHelp, new patients are welcome to contact Mr. Tragasz's office in.
