By Becky VanDenburgh, LCSW, Think Well Live Well Counseling & Telepsychiatry If you've ever thought, "Do I need a coach or a therapist right now?", you're not alone, and you're asking a smarter question than most people realize. The words get used interchangeably online all the time, but coaching and therapy are actually two different professions, with different training, different goals, and different rules about what each person is allowed to do for you. As a licensed clini

by Becky VanDenburgh, LCSW, LCAC What Is Empathy, Really? Empathy is the ability to understand what someone else is feeling without taking that feeling on as your own. It's a skill, not a personality trait, which means it can be built, and it can also break down under the wrong conditions. That second part matters more than people realize. Empathy isn't a fixed gift some people have and others don't. Researchers who study clinical empathy in medical students, using a well-va

By Becky VanDenburgh, LCSW, LCAC | ThinkWellLiveWell.co Why Polyvagal Theory changes everything about how we understand anxiety, trauma, and emotional overwhelm. You snap at someone you love over something small. An hour later you’re numb, checked out, unreachable even to yourself. The next day you’re fine, laughing, present, wondering what happened. Here’s what happened: your nervous system shifted states. And if anyone has ever told you to “just calm down” or “stop overre

By Becky VanDenburgh, LCSW, LCAC | Think Well Live Well Counseling and Telepsychiatry | thinkwelllivewell.co You Are Not Broken. Your Brain Just Got Stuck. EMDR therapy, or Eye Movement Desensitization and Reprocessing, is a structured, evidence-based psychotherapy that uses gentle bilateral stimulation to help the brain complete the processing of traumatic memories, reducing their emotional charge and freeing the nervous system from patterns rooted in the past. It is recogni

What Is Teletherapy for Anxiety Treatment? Teletherapy for anxiety treatment is a clinically supervised, technology-mediated psychological intervention that delivers evidence-based therapeutic modalities, including cognitive behavioral therapy (CBT), somatic experiencing, and eye movement desensitization reprocessing (EMDR), through a secure, HIPAA-compliant videoconferencing platform. It eliminates geographic and logistical barriers to mental health care, enabling licensed

The ACT Hexaflex isn't therapy jargon. It's a practical framework for understanding why you're stuck and exactly how to move forward. If you've ever wondered why you keep ending up in the same painful patterns: the same relationships, the same 2 a.m. spirals, the same feeling of being trapped in a version of yourself you don't want to be, the answer probably isn't that you're broken. It's that your nervous system learned to survive in a world that wasn't safe. And it's still

By Becky VanDenburgh, LCSW | thinkwelllivewell.co We have a massive problem in Indianapolis. We are surrounded by "vastness," but it’s the wrong kind. It’s the vastness of endless emails, the sprawling weight of professional expectations, and the suffocating noise of a 24/7 digital leash. It makes your world feel tiny. It makes your skin feel like sandpaper. This isn't just "stress." It is a biological shutdown. When you are in this state, your brain's Default Mode Network t

By Becky VanDenburgh, LCSW | thinkwelllivewell.co What is "The Happiness Trap" and how does ACT help? The Happiness Trap is a psychological cycle where the harder we strive for constant positive feelings, the more we suffer. Rooted in evolutionary biology, our brains are wired for survival (scanning for threats) rather than lasting contentment. Acceptance and Commitment Therapy (ACT) breaks this cycle by developing psychological flexibility. Instead of fighting or suppressin

There is a specific, agonizing exhaustion that comes from living with a nervous system that feels like it’s missing its outer layer of skin. You know the feeling: A minor disagreement feels like a physical blow to the chest. A delayed text message sends you into a four-hour spiral of "what did I do wrong?" You lead teams and manage chaos at work, but the moment you drop your keys at the door, you are at the mercy of a tidal wave of emotion that you can’t "logic" your way out

Childhood Emotional Neglect (CEN) is the "invisible" trauma of what didn’t happen. Unlike overt abuse, CEN is defined by a parent’s failure to respond to a child’s emotional needs. Adults with CEN often struggle with extreme hyper-independence, chronic indecisiveness, and an "apology reflex," frequently feeling like their presence is a burden. Healing involves recognizing these survival strategies as "armor" that is no longer needed and learning that your needs are inherently

M E N T A L H E A L T H · G U I D E Why the “Inner Work” Is the Heart of Healing QUICK ANSWER The difference lies in the approach to healing: a psychiatrist is a medical doctor focusing on biological stabilization and medication management, while a therapist focuses on the “inner work,” psychotherapy to heal trauma and change behavioral patterns. At Think Well Live Well Counseling and Telepsychiatry, we offer a collaborative model where both services are available, ens

And Why It's Keeping You From Your Own Life At some point in our lives, most of us have felt it, that deep, quiet wanting to be chosen. Not just loved, but specifically, deliberately chosen. Seen by someone and decided on. Picked. It shows up in the relationship where you are always waiting for them to fully commit. In the situationship you keep returning to because this time feels different. In the way you edit yourself down to what you think they want, hoping that version f

Instead of following hand movements with your eyes, your therapist uses bilateral tapping (such as alternating taps on each knee, or the Butterfly Hug). Your therapist watches your movements through the camera, controls the pace, and tells you when to stop, exactly as they would in an office. The process, the science, and the results are the same.

What the Purdue Attachment Study Says About Your Marriage — and What to Do About It You know the dance. One of you moves closer, texts more, asks more, needs more. The other pulls back, goes quiet, gets busy, disappears into work or their phone or the garage. The closer one chases. The other retreats further. Round and round it goes, until you’re two people sharing a mortgage and a Netflix password and almost nothing else. If that sounds familiar, you’re not broken. You’re no

I Had a “Good” Childhood—So Why Do I Feel So Empty? Understanding the Invisible Scars of Neglect

It is a specific, heavy kind of loneliness to be married to someone who is physically in the room but emotionally miles away. You know the feeling: you try to share a piece of your day, or worse, a piece of your heart, and you’re met with a blank stare, a sudden "busy" task, or a partner who literally walks out of the room. You feel like you’re doing a "double job," carrying the emotional weight of the entire household while your spouse sits behind an invisible, impenetrable

You know the feeling. You aren’t fighting, and you aren’t even necessarily angry with each other. But as you sit across from each other at dinner, you realize you’ve become strangers who just happen to know each other’s coffee orders. Many couples find themselves living in what can be called an "Invisible Divorce". You’ve become highly efficient co-managers of a household, but the heart of the relationship feels like it’s gone quiet. It’s not just a phase or the "seven-year i

If you’re reading this, you likely know the bone-deep exhaustion I’m talking about. It’s a tightness in your chest, an urge to hide in the bathroom, and the feeling that you are just one passive-aggressive comment away from exploding. I often tell my clients that living in a high-conflict relationship is like having 100 browser tabs open in your brain, all playing different videos at once. You are constantly scanning for threats, trying to predict the next "ignore bomb," or p

If you are navigating a divorce in Indiana and it feels less like a legal process and more like a psychological war zone, you are likely dealing with a high-conflict personality. When a partner exhibits narcissistic traits, such as a profound lack of empathy, a chronic need for admiration, and a "win-at-all-costs" mentality, the traditional advice to "just cooperate for the kids" can feel impossible. At Think Well Live Well Counseling , we understand that divorcing a narci

If I had a dollar for every time someone walked into my office, or logged onto a telehealth session, and said, "I want to feel better, but I can’t talk about what happened," I would be a wealthy woman. But more importantly, if I had a dollar for every time I told them, " That is okay. You don’t have to, " I would be a happy one. There is a pervasive myth in our culture that healing requires a confession. We are taught that to "process" trauma, we must detail every painful, hu