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Emotional Health & Wellness Tips From The Therapy Couch And Other Places

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Kimberly Seelbrede, LCSW, is a New York State licensed psychotherapist and women’s emotional health expert whose work weaves together the science of the mind, the biology of the brain, and the art of holistic integrative wellness. With nearly two decades of clinical experience, she helps women in midlife navigate the profound emotional, hormonal, and identity transitions that often surface during perimenopause and menopause. In addition, she works with couples to improve communication, strengthen emotional intimacy, and navigate changes in sexual health, relationship dynamics, and shared life stressors. She works with men who are experiencing personal and professional crises, life transitions, stress, mood changes, or relationship challenges. Her approach blends evidence-based psychotherapy with holistic mind-body interventions, including EMDR, Internal Family Systems (IFS), Somatic Experiencing® techniques, mindfulness, and lifestyle medicine — to address the full spectrum of emotional, physical, and spiritual wellbeing. Disclaimer: I am a licensed and fully credentialed mental health provider, but I am not a medical doctor. The information provided on this website is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional regarding any medical or health-related concerns, including perimenopause, menopause, hormone therapy, or other chronic medical conditions. Reliance on the content on this site is solely at your own risk.

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The Hidden Grief of Narcissistic Abuse: What Therapists Wish Survivors Knew

We often move through the world unaware of the silent devastations unfolding in others’ private lives. While the heartbreak of divorce or loss may be openly acknowledged, the grief of narcissistic abuse often remains hidden, unnamed, and deeply misunderstood. Survivors may appear composed, articulate, even high-achieving—successful in their careers, steady in their routines. But beneath this curated surface often lies a profound and invisible wound that conventional therapy or casual support systems may overlook entirely.

This isn’t the grief of a conventional breakup. It’s not simply missing a partner or longing for love lost. This is the grief of having your sense of self dismantled, your intuition invalidated, your nervous system chronically flooded, and your reality subtly but systematically denied. Survivors of narcissistic abuse grieve the emotional safety they never had, the years spent self-editing and self-abandoning to keep the peace, and the version of themselves that once trusted freely. It’s a grief made more complicated by confusion, shame, and the slow erosion of identity.

This form of grief is layered, complex, and chronic. And it doesn’t fade just because the relationship ends. In many cases, the real grieving begins after separation, when the trauma bond breaks and the nervous system finally begins to register the magnitude of what it endured. The emotional whiplash—longing mixed with fear, sadness entangled with relief—can feel disorienting, even paralyzing.

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