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 Blogs

Culturally Responsive ADHD Couples Therapy in NYC: Meaning, Shame, and Repair
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Culturally Responsive ADHD Couples Therapy in NYC: Meaning, Shame, and Repair

Being culturally responsive to ADHD means understanding that ADHD doesn’t exist in a vacuum. The way we experience ADHD is shaped by culture, expectations, gender roles, and relationship dynamics. The nature of disability as a cultural construct implies that we might imagine and perhaps create cultures and circumstances in which disability is a non-issue. 

This question sits at the center of my work providing ADHD-informed couples therapy in New York City.

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ADHD Couples Therapy: 10 Communication Tips That Actually Work
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ADHD Couples Therapy: 10 Communication Tips That Actually Work

When one or both partners have ADHD, communication can feel uniquely fragile. Missed cues, emotional reactivity, time blindness, and working-memory overload often create cycles of misunderstanding that look like “conflict” but are really nervous system mismatches.

ADHD couples therapy isn’t about fixing one partner. It’s about designing communication that supports ADHD and relationships in real, practical ways. Below are ten evidence-informed communication strategies I use regularly in ADHD-affirming couples therapy.

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How Does Ketamine Therapy Work? A Clear, Compassionate Guide to What to Expect
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How Does Ketamine Therapy Work? A Clear, Compassionate Guide to What to Expect

If you’ve been exploring new options for depression, anxiety, or treatment-resistant symptoms, you may be wondering how does ketamine therapy work and what actually happens during the process. Ketamine has gained attention for its rapid-acting relief and its ability to support people who haven’t responded well to traditional antidepressants. In this guide, we’ll walk through how ketamine therapy works, what sessions look like, how it affects the brain, and how quickly you may notice changes.

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How to Choose a Trauma Therapist: What to Look For and What Red Flags to Avoid
Nicole Sisti Nicole Sisti

How to Choose a Trauma Therapist: What to Look For and What Red Flags to Avoid

If you’re beginning trauma therapy, you may be wondering what to look for in a trauma therapist and how you can tell whether a clinician is truly equipped to support you. Trauma healing requires safety, attunement, and expertise — and choosing the right therapist can make a meaningful difference in your recovery. In this guide, we’ll walk through what to look for, what trauma-informed therapy includes, and the signs of a therapist who may not be a good fit.

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The Partner In Your Head And The Partner In Front Of You: How Past Attachment Wounds Shape Conflict in Relationships
Nicole Sisti Nicole Sisti

The Partner In Your Head And The Partner In Front Of You: How Past Attachment Wounds Shape Conflict in Relationships

Emotional triggers in relationships happen when present-day interactions activate old emotional wounds, causing us to react to who we fear our partner might be rather than who they actually are. When this happens, we’re often responding to an internal version of our partner shaped by past attachment experiences—not the person standing in front of us.

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Intellectual Bypassing: When Thinking Replaces Feeling 
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Intellectual Bypassing: When Thinking Replaces Feeling 

Intellectual bypassing happens when we rely on thinking, fixing, or problem-solving instead of staying with emotions. In this therapy-informed blog, explore how intellectual bypassing shows up in relationships and couples therapywhy offering solutions can unintentionally create emotional distance, and how meaning, presence, and nervous system awareness deepen connection. Learn how this pattern also affects individuals who intellectualize feelings, and discover why presence before fixing supports healthier emotional regulation, communication, and intimacy.

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Don’t Complicate the Compliment: Boost Your Relationship This Holiday Season
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Don’t Complicate the Compliment: Boost Your Relationship This Holiday Season

The holidays can heighten both connection and stress in our relationships, making it easy to fall into negative patterns. This blog explores a simple but powerful couples-therapy principle: increasing small moments of warmth and appreciation. By focusing on genuine, uncomplicated compliments and building a 5:1 ratio of positive to negative interactions, you can shift the emotional climate of your relationship this season.

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Feeling Stuck? How Ketamine Therapy Helps the Brain Break Free
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Feeling Stuck? How Ketamine Therapy Helps the Brain Break Free

Ketamine-Assisted Psychotherapy (KAP) offers a modern, evidence-based path to healing for those feeling emotionally stuck. In a safe, supportive setting, KAP helps the brain open to new perspectives—fostering emotional flexibility, self-connection, and lasting change.

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