The Exhaustion of Never Being Enough
Getting the Relationship You Both Want (Not Just the One You’ve Settled Into)
Most couples don’t fall apart because they stopped loving each other.
They fall apart because they stopped feeling seen, heard, or safe.
They start walking on eggshells. One shuts down, the other over-functions. Intimacy fades. Conversations turn into silent battles or circular arguments that never resolve anything. Somewhere along the way, the relationship becomes more about surviving than thriving.
But love isn’t supposed to feel like a constant negotiation.
It’s supposed to feel like a partnership.
The truth is, no one teaches us how to do relationships well. We bring our childhood wounds, our unspoken fears, and our unmet needs into our adult relationships and then wonder why things feel so hard.
Healing begins when both people feel safe enough to be honest—not just about what’s not working, but about why they react the way they do.
That’s where the real work begins:
- Understanding your patterns, not just judging them.
- Learning to listen without defending.
- Speaking your truth without shutting the other person down.
- Rebuilding trust, even if it’s been slowly eroding for years.
- Creating connection, not just co-existence.
Couples don’t need more date nights. They need deeper understanding. They need tools to de-escalate conflict, to repair faster, and to show up with vulnerability instead of resentment.
There is a path back to each other. Even if things feel distant. Even if you’ve tried before. Even if you’re not sure it’s possible anymore.
If you’re ready to break the cycle and build the kind of relationship you both deserve, I’d love to work with you.
Through deep subconscious healing and a proven toolbox of strategies, I help couples move beyond surface-level fixes to create real, lasting change. Together, we’ll uncover the hidden patterns driving disconnection—and build stronger communication, deeper emotional safety, and a renewed sense of partnership.
Written by Kellie Hatch, Registered Mental Health Intern #26644
Kellie Hatch’s Website – https://www.naples-therapists.com/
Reauthoring Your Life: The Transformative Power of Narrative Therapy
We are all storytellers. From the moment we begin to make sense of the world, we craft narratives about who we are, what we’re capable of, and what our experiences mean. Yet sometimes, the stories we tell ourselves become limiting—creating boundaries that confine rather than possibilities that liberate.
This is where narrative therapy shines. Developed by Michael White and David Epston in the 1980s, narrative therapy recognizes that we are not our problems, and our problems are not us. Instead, our challenges exist in the narratives we’ve constructed or inherited about ourselves.
Through narrative therapy, we learn to externalize problems—to see them not as inherent character flaws but as stories that can be rewritten. When we say, “Anxiety is affecting my life” rather than “I am an anxious person,” we create space between ourselves and the problem. In that space lies freedom.
The process of reauthoring our lives begins with simple awareness. What stories do you tell yourself about your capabilities, your worth, your future? Once identified, these narratives can be examined, questioned, and ultimately transformed.
Importantly, narrative therapy doesn’t dismiss our struggles but reframes them as opportunities for growth. Every challenge becomes a plot twist rather than an ending. Every setback becomes a chapter rather than the whole book.
By identifying “unique outcomes”—those moments when the problem doesn’t dominate—we discover evidence of alternative storylines already present in our lives. These exceptions form the foundation of new, more empowering narratives.
At Sage & Lore, we believe in the power of story to heal and transform. When you turn the page and write your own story, you quite literally change your life.
What page are you turning today?
Written by Petra Wilkes, Registered Mental Health and Marriage and Family Intern #IMH25031
Yoga and Psychotherapy
In recent years, more people are turning to holistic approaches to improve their mental health. One powerful combination gaining attention is the integration of yoga and psychotherapy. While these two practices may seem unrelated at first glance, they actually complement each other in meaningful and transformative ways.
Traditional talk therapy helps people make sense of their thoughts, emotions, behaviors, and relationships. It offers a safe space to explore past experiences, process trauma, navigate anxiety or depression, and work toward greater self-understanding. But as anyone who has struggled with overwhelming emotions or persistent stress knows, our minds and bodies are deeply connected. What we think and feel doesn’t just stay in our heads, it shows up in our posture, our breath, our muscles, and our nervous system. This is where yoga comes in. Yoga, especially when practiced with awareness, is more than
just exercise. It teaches us to tune into the body, breathe with intention, and notice what’s happening in the present moment. When combined with psychotherapy, yoga can help people move through emotional blocks, ground themselves in the here and now, and develop a deeper sense of self-compassion. It can also be a powerful tool for regulating the nervous system, particularly for those recovering from trauma or living with chronic stress.
In therapy, we often talk about feelings, but many of us struggle to feel those emotions fully—especially if we’ve been taught to suppress or avoid them. Yoga provides a safe and structured way to begin reconnecting with the body, which is often where those emotions are stored. Simple breathing exercises or mindful movement can help bring awareness to areas of tension or numbness, gently inviting us to notice and release what we’ve been holding onto, often without even realizing it. For people living with anxiety, yoga’s emphasis on slow, steady breathing and present-moment awareness can be
grounding and soothing. It helps interrupt the cycle of racing thoughts and allows space for the body to relax, which in turn can support clearer thinking and emotional resilience. For those dealing with depression or grief, the gentle movement of yoga can help awaken the body and mind from a state of stagnation.
Ultimately, combining yoga and psychotherapy is about honoring the wisdom of both the mind and the body. It recognizes that healing isn’t just an intellectual process—it’s also physical, emotional, and even spiritual. Whether you’re working through trauma, managing stress, or simply trying to live more intentionally, this integrative approach can offer a powerful path toward balance and wholeness.
Written by Sophie Gengler, Master’s Level Graduate Student in Mental Health
Fostering Emotional Health in Autism: MFT Strategies Enhanced with ABA Insights
Emotional well-being is foundational for learning, growth, and authentic connection. This is especially true for autistic individuals navigating a world often shaped by neurotypical expectations. Marriage and Family Therapy (MFT) offers relational tools that nurture empathy, communication, and trust. At the same time, Applied Behavior Analysis (ABA) provides data-driven methods to teach adaptive behaviors and track emotional growth.
When MFT and ABA come together, families experience both Heart and Horsepower: deep emotional healing and measurable progress.
Common Challenges & Integrated Solutions
1. Labeling Complex Emotions
Autistic children often recognize basic emotions like “happy” or “mad,” but nuanced feelings—
such as “anxious excitement” or “melancholic calm”—can be harder to identify.
Strategies:
• Feelings Wheel or Chart
Display a chart with both core and secondary emotions; revisit it daily.
• Emotion Journaling
Use drawings, stickers, or emojis to describe their feelings after key moments (e.g.,
school, outings).
• Real-Time Labeling
Gently suggest words when noticing mood shifts:
“I see you got quiet after the lights dimmed—maybe you feel a bit nervous or tired?”
Template: Daily Feelings Journal
| Time | Event | How I Felt (Choose 1–2 words) | Sticker/Drawing |
| 8 AM | Getting ready for school | Tired, nervous | |
| 3 PM | Playdate ended | Sad, calm |
2. Routine Distress
Even minor changes in schedule can be overwhelming, often triggering shutdowns or
meltdowns.
Strategies:
• Visual Schedules with If–Then Cues
Pair expected vs. adjusted plans side by side:
“If snack is at 3:10, then play starts at 3:30.”
• Preview & Practice
Use a short social story or simple role-play:
“Today we’ll eat later—how might our body feel?”
• Flexible Transition Tools
Offer a sensory-friendly bridge, such as music or a fidget toy during unplanned gaps.
3. Social Anxiety & Avoidance
Interpreting social cues on the fly can feel like juggling flaming torches. Many autistic kids
retreat into comfort behaviors to cope.
Strategies:
• Social Stories & Scripts
Create a one-page guide like “How to Join a Circle Game,” with sample phrases.
• Graded Exposure
Start with short, low-pressure interactions (e.g., 5-minute chats with a new peer).
• Peer Buddies
Pair them with a peer who understands their style and offers gentle cues.
Emotional Health Within the Family System
Strained Dynamics
Emotional dysregulation affects everyone. Parents and siblings may feel torn between helping
and helplessness.
Strategies:
• Family Debrief Circles
Everyone shares one feeling and one need.
“I feel overwhelmed; I need a 5-minute break.”
• Siblings as Helpers
Assign age-appropriate roles (e.g., “You can press play on his calm-down song”).
• Safe Space Agreements
Designate a calming corner or pop-up tent for anyone needing quiet.
Template: Family Debrief Notes
| Family Member | Feeling | Need |
| Mom | Frustrated | Quiet break |
| Sibling | Worried | More prep time |
| Child | Tired | Snuggle time |
Caregiver Burnout
The constant vigilance required can lead to exhaustion, guilt, and withdrawal.
Strategies:
• Scheduled Respite
Protect 90 minutes each week for solo time, without explanation.
• Intentional Micro Breaks
Use a 5-minute ritual (tea, stretch, fresh air) with a timer.
• Peer Support
Join nonjudgmental groups to share wins and challenges.
Template: Self-Care Plan
| Day | Micro Break | Respite Time | Support Group? |
| Monday | Tea & window time | 6–7:30 PM | |
| Thursday | Stretch break | — |
MFT Techniques for Emotional Regulation
A. Emotion Coaching in the Family Context
1. Affective Validation
“I can see you’re upset because the game changed.”
Naming the feeling reduces its power and confusion.
2. Emotional Turn-Taking
Use a timer—each person speaks for 60 seconds, no interruptions.
Builds empathy and communication.
B. Circular Communication Styles
• Linking Cause & Effect:
“What did you feel when the timer rang early?”
• Mapping Patterns:
Draw a “Trigger → Emotion → Response” chart to visualize emotional loops.
Template Mapping Patterns:
| Trigger | Emotion | Response |
| Alarm rings | Confusion | Running out of the room |
| Loud sound | Fear | Running away |
C. Emotion-Focused Therapy Techniques
• Safe Approach Drills:
Parents calmly approach with open hands and soft voices to build trust.
• Guided Dialogues:
Use scripts like: “I’m worried when you bolt from the room. Can we think of a better
plan together?”
ABA Contributions That Enhance MFT Work
Functional Behavior Assessments (FBA)
• Track Antecedent → Behavior → Consequence to understand emotional triggers.
• Identify reinforcers—like escape or attention (see template examples)—that may
unintentionally maintain a behavior.
Template: ABC Chart
| Antecedent | Behavior | Consequence |
| Asked to clean up | Screaming/Yelling “no” | Mom walked away |
| Using the bathroom | Yelling “Mom” | Mom comes in to help |
Teaching Emotional Skills with Behavior Protocols
• Differential Reinforcement:
Reward calm “I’m frustrated” or “I need help” statements more than emotional outbursts.
• Prompt Fading:
Gradually remove adult guidance as the child learns emotional vocabulary and self-
regulation.
Data-Driven Progress Monitoring
• Use Visual Charts to plot progress in real-time.
• Set Baseline and Goal Metrics (e.g., reduce meltdowns from 4 to 1 per week).
Template: Weekly Progress Chart
| Day | Meltdowns | Calm Words Used | Coping Tool Used |
| Monday | 2 | “I’m upset” x1 | Stress ball |
Final Thoughts
When MFT’s empathy-based approach joins with ABA’s precision, families gain more than
coping strategies—connection, confidence, and emotional clarity. With the right tools, emotional
health in autism isn’t just a goal—it’s a shared, achievable journey.
Printable Worksheets
1. Daily Feelings Journal- Helps children identify and express their emotions through words
and visuals.
2. Visual Schedule & First–Then Board- Assists in preparing for routine changes and
transitions.
3. Social Story Template- Guides children through social scenarios with step-by-step narratives.
4. Family Debrief Notes- Facilitates open communication about feelings and needs among
family members.
5. Self-Care Plan for Caregivers- Encourages regular self-care practices to prevent burnout.
6. ABC Behavior Chart- Tracks Antecedent, Behavior, and Consequence to understand
behavioral patterns.
7. Weekly Progress Chart- Monitors emotional regulation progress and sets achievable goals.
Written by Johana Calvo, Registered Marriage and Family Therapist Intern

Embracing the Evolving Dynamics of Change: How Change Can Benefit Your Mental Health
When we think about change, it can often evoke a sense of unease. For example, imagine a young child expressing anxiety to their mother, saying, “Oh no, we must move again. I don’t want to go to another new school.” This illustrates the fears many of us feel when faced with unfamiliar situations. Life consists of unexpected shifts, turns, and changes that touch us all. Picture yourself driving your car when it suddenly loses power, stops, and leaves you stranded on the side of the road. It can be frustrating and overwhelming, especially when you realize you need a new car, even though that wasn’t in your plans. It’s important to acknowledge these feelings and understand that change, while challenging, is a part of our journey.
Mental health counselors should be aware of clients’ changes and support them in stepping out of their comfort zones. Change can significantly challenge clients, particularly when it disrupts their everyday routines. Life transitions often affect clients’ established foundations and can reveal their capacity for resilience.
Clients experiencing divorce may face sudden and substantial changes that require adjustment. Mental health counselors frequently encounter clients grappling with the transitions and uncertainties associated with change. Focusing on embracing change rather than resisting it may facilitate personal growth, resilience, and enhanced well-being for clients.
Change can prompt individuals to move beyond their comfort zones and may facilitate personal growth. For example, someone facing a breakup might feel devastated initially but can find opportunities for self-reflection and exploration of new interests.
Job loss is another significant challenge that can create uncertainty. Individuals may experience financial strain but can engage in supportive strategies to cope. New employment opportunities may arise, as I experienced when I was laid off due to a pharmaceutical company’s decisions. Ultimately, job loss can catalyze re-evaluating career goals and pursuing new skills, which lead me to a more fulfilling career path. As counselors, we can create a platform for clients to feel free. Acknowledge your feelings: Feeling anxious, sad, or even scared when facing change is okay. Allow yourself to experience these emotions without judgment.
What are some essential tips for change?
- Implement Incremental Steps: It is advisable to decompose the change into smaller, manageable steps to mitigate feeling overwhelmed, stressed, or anxious. This approach encourages viewing change as an opportunity rather than a threat.
- Self-care is essential during change, as it can improve physical and mental health. Engaging with a mental health counselor trained in cognitive behavioral therapy (CBT) may be beneficial. CBT addresses negative internal beliefs that can arise from life’s unpredictable changes. The objective of this therapeutic approach is to assist clients in replacing negative thoughts with more positive and realistic alternatives. Unhealthy negative behaviors can lead to increased anxiety, worry, and depressive symptoms.
- Emphasize Positive Aspects: It is essential to identify potential benefits and opportunities that may arise from the transition. Change can serve as a significant catalyst for positive transformation. By embracing change, individuals can foster resilience, broaden their perspectives, and ultimately lead a more fulfilling life.
Written by Maxine Martin, Mental Health Graduate Student
Valentine’s Day: Loving Yourself First to Love Others Fully
Valentine’s Day is HERE! Whether you’re spending it with a special someone, or friends, or flying solo, it’s all good! But how can we make this day a great day? Well, we’ve all heard that classic piece of advice: “You shall love your neighbor as yourself” (Rom 13:9). But here’s the kicker—“as yourself.” It’s hard to give love to others if you’re not showing yourself the same care and kindness first. Our mental health plays a huge role in this, and when we neglect it, we can lose sight of who we are and who we love.
So, as we get ready for the big day, why not check in with yourself? How can you feel truly rested and loved? Maybe it’s enjoying a delicious meal, unwinding in a relaxing bath, or getting lost in a good book at your favorite park. The key is to focus on one thing at a time and be
present in the moment.
If you’re spending the day with someone special, remember that it’s not about how much you spend but the quality of the time you share. As the Bible says, “Love cannot result in any harm to the neighbor” (Rom 13:10). It’s all about selfless giving, trust, and open communication in a relationship—these are the building blocks of the love we all seek.
So… let’s make this a day full of love for yourself and others!
Written by Juan Cubillos, Graduate Student in Clinical Mental Health
Embracing Sexual Well-Being: A Guide to Sexual Mental Health
Embracing Sexual Well-Being: A Guide to Sexual Mental Health
Sexual health is an integral part of overall well-being, encompassing physical, emotional, mental, and social dimensions. Yet, discussions around sexual and mental health often remain taboo, leaving many individuals without the knowledge and support they need. This blog aims to shed light on the importance of sexual mental health, offering insights and tips for cultivating a healthy and fulfilling sexual life.
Understanding Sexual Mental Health
Sexual mental health refers to a state of well-being in which an individual experiences positive and respectful relationships, has the ability to enjoy and express their sexuality, and feels free from discrimination, coercion, and violence. It involves:
Self-Esteem and Body Image: Feeling confident and comfortable in your own body.
Communication and Consent: Being able to communicate your needs and boundaries and respecting those of others.
Emotional Connection: Building and maintaining healthy emotional connections with partners.
Healthy Sexual Function: Experiencing sexual activities that are pleasurable and free from dysfunction or pain.
Common Sexual Mental Health Concerns
1. Performance Anxiety
Causes: Fear of not meeting expectations, past negative experiences, and societal pressures.
Impact: Can lead to erectile dysfunction, premature ejaculation, or difficulty achieving orgasm.
2. Body Image Issues
Causes: Media portrayals of “ideal” bodies, societal standards, and personal insecurities.
Impact: Can reduce sexual desire, confidence, and satisfaction.
3. Lack of Desire or Libido
Causes: Stress, hormonal imbalances, relationship issues, mental health disorders.
Impact: Can affect personal well-being and relationship dynamics.
4. Trauma and PTSD
Causes: Past experiences of sexual abuse or assault.
Impact: This can lead to anxiety, avoidance of sexual activity, and emotional distress.
5. Relationship Issues
Causes: Poor communication, unresolved conflicts, lack of intimacy.
Impact: This can create emotional distance and reduce sexual satisfaction.
Tips for Improving Sexual Mental Health
1. Open Communication
Practice Honest Conversations: Discuss your desires, boundaries, and concerns with your partner.
Seek Understanding: Be willing to listen and empathize with your partner’s perspective.
2. Focus on Self-Esteem and Body Positivity
Self-Acceptance: Embrace your body as it is and recognize your unique beauty.
Positive Affirmations: Use positive affirmations to boost your self-esteem and body image.
3. Manage Stress and Anxiety
Mindfulness and Meditation: Practice mindfulness to stay present and reduce anxiety.
Relaxation Techniques: Incorporate relaxation techniques such as deep breathing or yoga into your routine.
4. Seek Professional Help
Therapists and Counselors: Consult with a mental health professional specializing in sexual health.
Support Groups: Join support groups to connect with others facing similar issues.
5. Educate Yourself
Read and Learn: Educate yourself about sexual health and well-being through books, articles, and reputable online resources.
Stay Informed: Keep up to date with the latest research and findings in sexual health.
6. Create a Healthy Lifestyle
Exercise Regularly: Physical activity can boost mood and improve body image.
Balanced Diet: Maintain a healthy diet to support overall well-being.
Adequate Sleep: Ensure you get enough rest to manage stress and maintain energy levels.
Resources for Sexual Mental Health
Books: “Come as You Are” by Emily Nagoski and “The Guide to Getting It On!” by Paul Joannides are excellent resources for understanding sexual health.
Websites: Planned Parenthood and the American Sexual Health Association (ASHA) offer valuable information and resources.
Apps: Apps like “MJoy” and “Rosy” provide educational content and tools for enhancing sexual well-being.
Conclusion
Sexual mental health is a vital component of overall health and happiness. By addressing concerns such as performance anxiety, body image issues, and lack of desire, and by fostering open communication, self-esteem, and professional support, you can enhance your sexual well-being. Remember, everyone deserves a healthy and fulfilling sexual life. Embrace your sexuality, educate yourself, and seek the support you need to thrive.
By prioritizing your sexual and mental health, you can build stronger relationships, boost your confidence, and experience greater satisfaction in all areas of your life.
Written by Jennifer Freel, Registered Mental Health Intern IMH26129
Unlocking Deep Change
How Working with Your Subconscious Mind Can Transform Your Therapy Journey
When it comes to achieving lasting change in therapy, working on a subconscious level is essential. Our subconscious mind is where deeply rooted beliefs, memories, and patterns reside, often influencing our thoughts, emotions, and actions without us even realizing it. While the conscious mind is responsible for logical reasoning and decision-making, the subconscious mind is like a powerful filing system, storing all our past experiences, fears, and core beliefs. Often, these stored beliefs are the very things that hold us back from reaching our goals.
Imagine setting a conscious goal to build self-confidence, but somewhere in your subconscious lies a belief, perhaps from childhood, that you’re “not good enough.” No matter how hard you work on building confidence consciously, this underlying belief may sabotage your progress, leading you back to self-doubt. By working directly with the subconscious, we can identify and reframe these limiting beliefs, allowing you to align your entire mindset with your goals.
Therapies like Rapid Transformational Therapy (RTT) make use of a relaxed, alpha brainwave state to help clients access their subconscious mind. In this state, we can revisit and process experiences that shaped current self-beliefs, seeing them through the wiser lens of adulthood. Updating these beliefs is like decluttering a storage room, creating space for new, empowering perspectives that support your goals.
Working on a subconscious level not only removes mental barriers but also speeds up the therapeutic process. It allows for deep, foundational shifts that reach far beyond surface-level thinking. When subconscious beliefs are in harmony with conscious goals, your path to growth becomes clearer, allowing you to experience greater resilience, self-trust, and authentic change. Embracing this level of inner work means you’re not just reaching your goals—you’re transforming from within, creating a foundation for lasting success and well-being.
Ready to break free from old patterns and unlock true, lasting change? Book a session today and let’s work together to align your subconscious mind with your goals for a more empowered future.
Written by Kellie Hatch, Registered Mental Health Intern #26644
3 Habits Impacting Your Mental Health
Oftentimes, when we think about what could harm our mental health, our minds go to major life events—the loss of a job, the end of a relationship, or the death of a loved one. But small habits that often go unnoticed can also play a major role. Below are three common habits that could be negatively affecting your mental health:
1. Not Getting Enough Sleep
Sleep impacts your mental health in numerous ways—it can affect your cognitive skills, mood, and behavior. As such, failing to get enough sleep can increase your risk of anxiety and depression and make it more difficult for you to focus, solve problems, make decisions, remember things, and control your emotions and impulses. Try sticking to the same sleep schedule, keeping your bedroom cool and dark, and performing a relaxing activity before bed (e.g., taking a warm bath or reading).
2. Being Inactive
In today’s busy world, it can be difficult to find time to exercise, but it’s important to stay active. Not only can exercise improve your physical health, but it can also boost your mental health. In fact, studies have shown that regularly exercising could reduce your risk of depression.
3. Scrolling Through Social Media
Social media can be beneficial—it can help you stay connected to long-distance family and friends and keep up with current events—but research suggests that spending too much time on it can lead to anxiety and depression. To reduce your screen time, try setting a timer, turning off notifications, or deleting apps from your phone.
Start Improving Your Mental Health
In addition to breaking the negative habits described above, one of the best things you can do to boost your mental health is speak to a therapist. Fortunately, you can entrust your care to the skilled team at our practice. Once we’ve learned more about you and any issues you may be experiencing, we’ll be able to provide you with customized advice for how to eliminate negative habits from your life and start implementing more positive ones. Contact us today to schedule your first appointment.
Written by Sherline Herard, Licensed Mental Health Counselor

