Well+Being Holistic Mental Health

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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How to Activate Your Vagus Nerve for Better Sleep, Stress Recovery, and Mental Health

As a psychotherapist with advanced training in neuroscience and mind-body medicine, I often hear from my New York City clients that they’re struggling with chronic stress, anxiety, depression, or insomnia. Many of them have already tried everything—from melatonin and prescription medications to meditation apps—but continue to feel stuck in the same frustrating cycle: they can’t sleep, they can’t relax, and they feel chronically depleted.

The long-term impact of disrupted sleep and chronic stress is well documented in both neuroscience and mental health research. And what many of my clients don’t realize is this: the nervous system itself holds the key to deep restoration—and it starts with something as simple and profound as your breath.

What Is Psychophysiologic Insomnia?

You might be surprised to learn that many people suffer from what's called psychophysiologic insomnia, also known as "learned insomnia." This type of sleep disruption often begins with a few stressful nights but soon becomes a habitual pattern where the body starts to anticipate stress at bedtime. The result? Heightened arousal, anxiety, and conditioned sleeplessness.

Many clients turn to medication, and while this can help in the short term, it’s often not a sustainable long-term strategy. In therapy, I focus on evidence-based lifestyle changes to regulate your nervous system and restore the brain’s natural sleep cycles—without dependence on medication.

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