• Contact Now Schedule an Appointment

    815 Ritchie Highway Suite 210 | Severna Park, MD 21146
    barbarajborsi@gmail.com | (443) 472-1048

  • Counseling Constructs LLC

    My WordPress Blog

    • Home
    • About
    • Services Provided
      • Cognitive Behavioral Therapy
      • Counseling for Anxiety
      • Counseling for Trauma
      • Therapy for Depression
    • Getting Started
      • FAQs
      • Rates and Insurance
      • Client Forms
      • Appointment Request
    • Resources
      • Mental Health Links
      • Physical Health Links
    • Contact
    • Blog

    Understanding Agoraphobia

    June 20, 2025

    Agoraphobia is an anxiety disorder that causes someone to excessively worry about leaving an environment that they consider to be safe (in many cases, their home). Oftentimes, individuals with this type of anxiety are concerned that they won’t have help available to them when necessary, or that they won’t be able to escape a dangerous […]

    Read More

    Understanding Agoraphobia

    Agoraphobia is an anxiety disorder that causes someone to excessively worry about leaving an environment that they consider to be safe (in many cases, their home). Oftentimes, individuals with this type of anxiety are concerned that they won’t have help available to them when necessary, or that they won’t be able to escape a dangerous or embarrassing situation. Someone who has agoraphobia may fear:

    • Being in an enclosed space (e.g., an elevator or a movie theater)
    • Being in an open space (e.g., a bridge or a parking lot)
    • Standing in line
    • Using public transportation
    • Being in a crowd
    • Getting lost
    • Feeling dizzy
    • Fainting
    • Falling down
    • Not being able to access a bathroom when needed

    Individuals with agoraphobia often need friends and family members to accompany them to public places, which can make it difficult for them to work, run errands, and socialize. And in severe cases, agoraphobia can prevent someone from leaving their home entirely.

    How Is Agoraphobia Treated?

    Agoraphobia treatment varies from one person to another, and if a medical provider diagnoses you with this type of anxiety, they’ll recommend the approach that’s best suited to your needs. Many people with agoraphobia benefit from taking medication and attending counseling, where they can identify triggers and learn coping skills.

    Treating Agoraphobia & Other Anxiety Disorders

    Do you need help managing your anxiety? Contact us today. We have experience treating numerous types of anxiety and we’ll be happy to tell you about our practice, answer your questions, and schedule your first therapy session.

    Filed Under: anxiety disorder

    What Is Anticipatory Grief?

    June 20, 2025

    In many cases, grief occurs when someone has already suffered a loss. But grief can also result from a loss that is impending but hasn’t yet occurred. When this happens, it’s referred to as “anticipatory grief” or “preparatory grief.” Anticipatory grief commonly affects individuals who are expecting to lose someone or something important in the […]

    Read More

    What Is Anticipatory Grief?

    In many cases, grief occurs when someone has already suffered a loss. But grief can also result from a loss that is impending but hasn’t yet occurred. When this happens, it’s referred to as “anticipatory grief” or “preparatory grief.”

    Anticipatory grief commonly affects individuals who are expecting to lose someone or something important in the near future. For example, you may experience anticipatory grief if:

    • You or a loved one were diagnosed with a terminal illness or a progressive condition (e.g., Alzheimer’s disease or multiple sclerosis).
    • You’ve been told that you’ll need to have surgery to remove a body part (e.g., an amputation or a mastectomy).
    • You’re experiencing marital problems that you expect will lead to a divorce.
    • You’ve been told that your unborn child has a congenital disorder.
    • Your adult child is about to move out of the family home.

    Like the other types of grief, anticipatory grief can lead to sadness, irritability, anger, anxiety, fear, guilt, and other intense emotions. However, it’s important to remember that anticipatory grief can also serve a beneficial purpose—it can motivate you to address unresolved issues and process your thoughts and feelings before the event in question occurs.

    Speak to a Therapist

    If you think you may be experiencing anticipatory grief, we invite you to schedule an appointment with one of the skilled therapists on our team who can provide you with the tools and tips you need to move forward with your life. Contact us today.

    Filed Under: Grief

    What Is Complicated Grief?

    June 20, 2025

    It’s normal to experience grief after a loss, such as the death of a friend or family member. In most cases, these emotions gradually improve over time. But if you’re still living with the symptoms of grief months or years later, you may have what’s known as “complicated grief,” “prolonged grief,” “chronic grief,” or “persistent […]

    Read More

    What Is Complicated Grief?

    It’s normal to experience grief after a loss, such as the death of a friend or family member. In most cases, these emotions gradually improve over time. But if you’re still living with the symptoms of grief months or years later, you may have what’s known as “complicated grief,” “prolonged grief,” “chronic grief,” or “persistent complex bereavement disorder.”

    Many people with complicated grief report feeling “stuck” in life. They often find it difficult to get back into their normal routine, and they may have a hard time finding enjoyment in the activities they once loved.  There’s no definitive length of time that must have passed for grief to be considered complicated.

    Who Experiences Complicated Grief?

    Complicated grief can affect anyone. With that said, certain circumstances can make this type of grief more likely to occur. For example, you may have a higher chance of experiencing complicated grief if:

    • You had a close relationship with the individual who passed away (or conversely, if you had a difficult relationship with that person).
    • Your loved one passed unexpectedly or in an especially traumatic way.
    • You don’t have a strong support system.
    • You’re experiencing stress in other areas of your life.
    • You’ve previously experienced depression, post-traumatic stress disorder (PTSD), or separation anxiety.
    • You experienced trauma during childhood (e.g., abuse or neglect).

    Schedule a Therapy Appointment

    If you’re experiencing complicated grief—or any other type of grief—you can rely on our experienced therapists to help you heal from your loss. Contact us today, and one of our compassionate team members can answer your questions and arrange a time for you to attend an initial therapy appointment.

    Filed Under: Grief

    Narcissism vs. Self-Confidence

    June 20, 2025

    Many people throw around the term “narcissist” very casually, using it to describe an individual with high self-esteem rather than one who actually has narcissistic personality disorder. Below, we explain what narcissism is and how it differs from self-confidence. What Is Narcissism? Narcissistic personality disorder is a mental health condition characterized by an excessive need […]

    Read More

    Narcissism vs. Self-Confidence

    Many people throw around the term “narcissist” very casually, using it to describe an individual with high self-esteem rather than one who actually has narcissistic personality disorder. Below, we explain what narcissism is and how it differs from self-confidence.

    What Is Narcissism?

    Narcissistic personality disorder is a mental health condition characterized by an excessive need to feel important and impress other people. Narcissistic individuals often:

    • Have an inflated sense of self-worth
    • Believe that they’re superior to others
    • Feel that they’re entitled to be treated in a special way
    • Fantasize about having success, power, beauty, and intelligence
    • Envy other people’s success
    • Exploit their friends and family members
    • Lack empathy
    • Act like snobs, treating others in a condescending manner

    Interestingly, many people with narcissism internally doubt and criticize themselves, which can cause them to become preoccupied with being admired and knowing what others think about them.

    How Narcissism Differs From Self-Confidence

    It’s important to have a healthy sense of self-confidence, but when does that cross over into narcissism? Self-confident individuals reasonably believe in their own capabilities but also recognize that others have value, too. Narcissists, on the other hand, tend to excessively admire themselves and look at others with disdain.

    Learn More About Narcissistic Personality Disorder

    If you think you might be a narcissist—or if you have a loved one with narcissistic personality disorder—contact us today. We would love the opportunity to help you overcome any struggles you might currently be experiencing.

    Filed Under: self confidence

    Understanding Bipolar Disorder: Causes & Symptoms

    June 20, 2025

    Bipolar disorder (previously referred to as “manic depression”) is a mental health condition characterized by extreme mood swings. Someone’s mood can shift from extreme highs (mania or hypomania) to extreme lows (depression). The frequency of these shifts varies from one person to another. What Causes Bipolar Disorder? Researchers are still trying to determine exactly what […]

    Read More

    Understanding Bipolar Disorder: Causes & Symptoms

    Bipolar disorder (previously referred to as “manic depression”) is a mental health condition characterized by extreme mood swings. Someone’s mood can shift from extreme highs (mania or hypomania) to extreme lows (depression). The frequency of these shifts varies from one person to another.

    What Causes Bipolar Disorder?

    Researchers are still trying to determine exactly what causes bipolar disorder. With that said, studies suggest that this condition may develop due to genetics or physical changes within the brain.

    What Are the Symptoms of Bipolar Disorder?

    Bipolar disorder symptoms vary depending on the type of episode that someone is experiencing. For example, when someone is having a manic or hypomanic episode, they may:

    • Feel euphoric and upbeat
    • Be increasingly self-confident
    • Have more energy than usual
    • Experience racing thoughts
    • Get easily distracted
    • Become irritated more frequently than usual
    • Make poor decisions

    But when someone enters into a depressive episode, they may instead:

    • Feel sad, empty, hopeless, guilty, and worthless
    • Lose interest in the activities they once enjoyed
    • Have unexplained changes in their appetite and weight
    • Feel more tired than usual
    • Sleep too much or experience insomnia
    • Have trouble thinking, concentrating, and making decisions
    • Experience suicidal thoughts

    Experienced Therapists Treating Patients Near You

    If you’ve been diagnosed with bipolar disorder—or if you suspect that you might have this condition—you can turn to our skilled therapists for assistance. Contact us today to schedule a therapy session at a date and time that’s convenient for you.

    Filed Under: bipolar

    8 Organization Tips for People With ADHD

    June 20, 2025

    Attention-deficit/hyperactivity disorder (ADHD) is a type of mental disorder that can cause excessive movement and make it difficult for someone to focus and control their impulses. For many people, ADHD can also make it hard to stay organized—deadlines are missed, projects are started but not completed, and piles of clutter make it impossible to find […]

    Read More

    8 Organization Tips for People With ADHD

    Attention-deficit/hyperactivity disorder (ADHD) is a type of mental disorder that can cause excessive movement and make it difficult for someone to focus and control their impulses. For many people, ADHD can also make it hard to stay organized—deadlines are missed, projects are started but not completed, and piles of clutter make it impossible to find important items.

    Fortunately, there are steps you can take to manage your ADHD and improve your organization skills. If you’ve been diagnosed with ADHD and you regularly find yourself struggling to stay organized, you may want to:

    1. Start using a planner (either a paper calendar or an electronic program).
    2. Leave yourself time for breaks (rather than scheduling something for every hour of the day).
    3. Create weekly, monthly, and yearly chore charts.
    4. Decide where you want to store commonly lost items (for example, if you frequently lose your keys, install a hook near your front door and commit to always leaving your keys there).
    5. Use clear plastic storage bins or labels to keep track of where everything is.
    6. Go through your possessions on a regular basis and decide whether any of them can be donated or thrown away.
    7. Set up automatic payments for bills.
    8. Avoid tackling more than you can handle (for example, rather than trying to keep your entire bedroom clean, commit to making your bed and placing dirty clothes into the hamper each day).

    Find Out More

    If you’ve been diagnosed with attention-deficit/hyperactivity disorder and you struggle to stay organized, we can help. We regularly treat patients with ADHD, and once we’ve learned about your unique situation, we’ll be able to supply you with customized advice on how to better organize your home, your workplace, and other aspects of your life. Contact us today to schedule an appointment with one of the skilled therapists on our team.

    Filed Under: organization

    The Impact of Estrangement on Mental Health

    June 20, 2025

    Have you limited your communication and interactions with a family member, or stopped them entirely? If so, you’re not alone. According to statistics published by Psychology Today, over 25% of the U.S. population is currently estranged from a family member, and more than 43% have experienced family estrangement at some point during their lives. In […]

    Read More

    The Impact of Estrangement on Mental Health

    Have you limited your communication and interactions with a family member, or stopped them entirely? If so, you’re not alone. According to statistics published by Psychology Today, over 25% of the U.S. population is currently estranged from a family member, and more than 43% have experienced family estrangement at some point during their lives.

    In many cases, estrangement is necessary, such as when neglect and abuse have occurred. Many families also become estranged after divorce, incarceration, illness, or death, or due to conflicts. Unfortunately, even if you feel that it’s important to cut off contact with a family member, estrangement can still take a toll on your mental health. For example, estrangement can often lead to:

    • Anxiety
    • Depression
    • Difficulty self-regulating
    • Feelings of rejection
    • Grief
    • Loneliness
    • Reduced self-esteem
    • Stress
    • Trust issues

    Although estrangement can result from a singular event, it often develops over time. Family members may separate, reconcile, and then repeat that cycle over and over again. When this happens, the resulting lack of closure can also impact the involved parties’ mental health.

    Speak to a Therapist

    Estrangement can take quite a toll on our lives, so if you’re currently estranged from a parent, a sibling, a child, or another loved one, it’s important that you prioritize your own mental health and well-being. One of the best things you can do is speak to a therapist. Once you’ve told them about your personal situation, they’ll be able to provide you with customized advice on how to move forward. Contact us today to schedule an appointment with one of the caring therapists at our practice.

    Filed Under: family

    How to Improve the Quality of Your Sleep

    June 20, 2025

    Do you struggle to get a good night’s sleep? If so, you’re not alone. According to the National Heart, Lung, and Blood Institute, about 50 to 70 million Americans have sleep disorders. Unfortunately, failing to get enough high-quality sleep on a regular basis can impact your mood, impair cognitive function, and increase your risk of […]

    Read More

    How to Improve the Quality of Your Sleep

    Do you struggle to get a good night’s sleep? If so, you’re not alone. According to the National Heart, Lung, and Blood Institute, about 50 to 70 million Americans have sleep disorders. Unfortunately, failing to get enough high-quality sleep on a regular basis can impact your mood, impair cognitive function, and increase your risk of developing health conditions like dementia, heart disease, obesity, and strokes.

    So, what can you do to help ensure that you get a good night’s rest? Here are eight tips for how to improve the quality of your sleep:

    1. Wake up at the same time each morning and go to sleep at the same time each night.
    2. Keep your bedroom cool, dark, and quiet.
    3. Incorporate exercise into your daily routine (but be careful to not exercise too close to bedtime).
    4. Avoid taking long naps, especially in the afternoon.
    5. Stop drinking caffeinated beverages at least eight hours before bedtime
    6. Don’t drink alcoholic beverages or consume large meals right before going to sleep.
    7. Avoid watching TV, scrolling on your phone, and using other electronics at bedtime (instead, you might want to try reading a book).
    8. Take steps to reduce stress (for example, meditating or attending therapy).

    Start Enjoying a Better Night’s Sleep

    If you’re ready to take the next step with improving the quality of your sleep, contact us today. Our therapists have extensive experience treating anxiety, depression, and other conditions that can interfere with sleep. When you call, we’ll tell you more about our practice, answer your questions, and schedule a consultation at a date and time that’s convenient for you.

    Filed Under: sleep

    Why Does Exercise Reduce Stress?

    June 20, 2025

    If you’re looking for a way to relieve stress, you’ll want to consider incorporating exercise into your daily routine (with a doctor’s approval). Exercise is renowned for being an excellent stress reliever, but how exactly does it affect stress levels? Exercise can: Increase endorphin production – Your pituitary gland and hypothalamus produce endorphins, hormones that […]

    Read More

    Why Does Exercise Reduce Stress?

    If you’re looking for a way to relieve stress, you’ll want to consider incorporating exercise into your daily routine (with a doctor’s approval). Exercise is renowned for being an excellent stress reliever, but how exactly does it affect stress levels? Exercise can:

    • Increase endorphin production – Your pituitary gland and hypothalamus produce endorphins, hormones that can help reduce your stress, relieve your pain, and boost your mood. Exercise stimulates your body to produce more endorphins, making it a great stress reliever
    • Improve your sleep – Studies show that a lack of sleep can cause someone to feel more stressed. Fortunately, exercise can help you get a better night’s sleep, which can in turn keep your stress levels down
    • Take your mind off your worries – When you’re feeling stressed, it can be hard to think about anything else. But because exercise forces you to focus on your body’s movements, it can serve as a stress-reducing form of meditation.

    If you’re not used to exercising, be sure to start off slow. After all, if you end up injuring yourself, you won’t be able to enjoy any of the stress relief benefits listed above. Also make sure to choose a workout that you’ll enjoy—remember that any physical activity can qualify as exercise, so if you’ll be more likely to stick with a routine that involves dancing rather than jogging, go for it.

    Still Need Help Reducing Your Stress Levels?

    If you’ve tried incorporating exercise into your daily routine but you’re still feeling stressed, you may want to consider speaking to a therapist. Luckily, you can rely on the experienced team at our practice. We understand the toll that stress can take on a person’s life, and once we’ve learned about your specific circumstances, we’ll be able to provide you with customized advice. Contact us today to get started.

    Filed Under: exercise

    What Are the 4 Cs of Addiction?

    June 20, 2025

    Addiction can take many forms—for example, people can become addicted to smoking cigarettes, drinking alcohol, using drugs, gambling, and shopping. But regardless of the type of addiction in question, many members of the mental health community use the “four Cs” to determine whether someone is an addict: compulsion, craving, control, and consequences. 1. Compulsion As […]

    Read More

    What Are the 4 Cs of Addiction?

    Addiction can take many forms—for example, people can become addicted to smoking cigarettes, drinking alcohol, using drugs, gambling, and shopping. But regardless of the type of addiction in question, many members of the mental health community use the “four Cs” to determine whether someone is an addict: compulsion, craving, control, and consequences.

    1. Compulsion

    As someone becomes addicted to something—whether it be a substance or a behavior—they feel increasingly compelled to fulfill that habit. 

    2. Craving

    The compulsion to use a substance or behave in a certain way eventually becomes so intense that it mimics a physical need (e.g., hunger). This powerful, relentless craving may become all-consuming and cause an addict to feel restless, lose their appetite, or have trouble sleeping.

    3. Control

    Many addicts try to avoid the substance or behavior in question. While they may be able to limit usage in the early stages, they eventually lose control over their addiction.

    4. Consequences

    When someone is an addict, they will continue using the substance or performing the behavior in question regardless of the consequences. For example, they will continue fulfilling their addiction despite being aware that doing so could cause them to lose family, friends, their job, or even their freedom.

    Are You Struggling With Addiction?

    If you think you might be an addict, it’s important that you reach out to a professional for help. I have extensive experience treating addiction and can provide you with the personalized care you deserve. Contact me today to learn more about my practice and schedule an initial consultation.

    Filed Under: Addiction

    • « Previous Page
    • 1
    • …
    • 4
    • 5
    • 6
    • 7
    • 8
    • …
    • 21
    • Next Page »


    815 Ritchie Highway Suite 210 Severna Park, MD 21146

    (443) 472-1048 barbarajborsi@gmail.com

    Contact Today

    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

    Counseling Constructs LLC
    barbarajborsi@gmail.com | (443) 472-1048

    A Website by Brighter Vision | Privacy Policy

    • Email
    • Facebook
    • Instagram
    • LinkedIn
    • Twitter