Will I Still Be Myself When I Take Medication

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Will I Still Be Myself When I Take Medication? Answers to Common Concerns

March 24, 2026 | Sasha Hileman, Psy.D. | 3 min. read

Developing Self-Compassion

If you’re considering medication for mental health – whether anxiety, depression, ADHD, or another condition – you might wonder: “Will I still be me?” It’s a common and understandable concern. Medication affects the brain, and the brain is a big part of who we are. Here’s what psychology and science tell us.

Medication Doesn’t Change Your Core Self

Research shows psychiatric medications generally don’t alter personality. They work by correcting chemical imbalances or helping your brain regulate mood, attention, or stress – not by turning you into someone else. You’ll still have the same humor, values, and quirks. The “you” at your core remains intact – it’s just easier to access.

It Can Help You Be More Yourself

Sometimes mental health struggles feel like a fog or weight that makes it hard to express who you really are. Anxiety may make you overly cautious, depression may flatten emotions, and ADHD may make you scattered. Medication doesn’t take away personality; it can help you shine more clearly. Psychologists describe this as “restoring access to yourself,” letting you engage in life with more energy, focus, and emotional balance.

Side Effects Don’t Equal Personality Change

Some medications have side effects – like feeling sleepy, jittery, or emotionally flat at first. This can feel strange and make you question if it’s “changing you.” Usually, side effects fade or can be adjusted with your doctor. The important distinction: side effects are temporary reactions, not a fundamental personality rewrite.

Your Brain is Flexible

Psychology and neuroscience show the brain is highly adaptable – this is called neuroplasticity. Medication can create conditions for positive changes like better mood regulation, reduced anxiety, or improved focus. Pairing medication with therapy, lifestyle changes, and coping strategies enhances these effects. Medication is a tool, not a replacement for the work you do to grow and heal.

Developing Self-Compassion

Involving Yourself in the Process Matters

Feeling in control is key. Being part of decisions – talking to your doctor about goals, side effects, and desired outcomes – ensures medication supports you, not overwhelms you. Tracking how you feel over time helps distinguish helpful effects from unwanted changes.

The Big Picture

Taking medication doesn’t erase who you are – it helps you show up as yourself more fully. Your quirks, humor, and core personality remain intact, and in many cases, medication makes it easier to live in alignment with your true self. Pair it with self-care, therapy, and support, and you’re giving your brain the best chance to help you thrive. Being yourself doesn’t mean being perfect; it means having the tools and clarity to navigate life while staying true to your values, passions, and personality. Medication can be one of those tools.

If you’re considering medication or have questions about how it may impact you, our team at Orchard Mental Health Group is here to help. We’ll work with you to find an approach that supports your goals – so you can feel more like yourself, not less.

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Why Politics Feels So Exhausting – and What You Can Do About It

Home » Blog » Why Politics Feels So Exhausting – and What You Can Do About It

Why Politics Feels So Exhausting – and What You Can Do About It

January 27, 2026 | Sasha Hileman, Psy.D. | 3 min. read

Developing Self-Compassion

You open your phone to check the news. Minutes later, you feel tense, angry, and emotionally drained.

Politics and how we consume it has changed. Social media and 24/7 news cycles are optimized for urgency and outrage. When the brain is repeatedly exposed to conflict-heavy content, the nervous system remains in a state of threat detection, even while sitting on the couch.

Over time, this contributes to chronic stress, anxiety, and emotional exhaustion.

Why It Hits So Hard

Politics today feels personal. Opinions are framed as moral tests, disagreements as character flaws. This keeps the brain’s fight-or-flight system activated, eroding patience, sleep, and focus.

Young adults are particularly affected. Pressure to stay informed, take positions, and respond publicly can turn civic engagement into emotional overload.

Staying Informed Without Burning Out

Set limits on consumption
Decide when and how long you’ll engage with political content and turn off breaking news alerts.

Curate your sources
Choose factual, measured reporting. Sensationalism increases stress without increasing understanding.

Pause before reacting
Not every post requires a response. Protect your emotional energy.

Channel energy into action
Volunteering or community involvement restores agency and reduces helplessness.

Protect relationships
Connection matters more than arguments. Shared humanity buffers stress.

Caring about the world doesn’t require constant vigilance. Balance isn’t apathy, it’s resilience.

If political stress feels overwhelming, Orchard Mental Health offers support for managing anxiety, emotional reactivity, and burnout.

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The Post-Holiday Slump: Why You Feel “Off” After the Festivities End

Home » Blog » The Post-Holiday Slump: Why You Feel “Off” After the Festivities End

The Post-Holiday Slump: Why You Feel “Off” After the Festivities End

January 6, 2026 | Sasha Hileman, Psy.D. | 5 min. read

Developing Self-Compassion

You made it through the holidays. The gatherings are over, the decorations are coming down, and life is supposed to “go back to normal.” So why do so many people feel flat, sad, unmotivated, or emotionally drained once it’s all over?

If you’re experiencing a post-holiday slump, you’re definitely not alone. There are real psychological and biological reasons this time of year feels harder than expected.

The emotional whiplash effect

Holidays create a temporary bubble. Even if they’re stressful, they still bring structure, anticipation, social connection, and a sense of meaning. Your brain gets regular hits of dopamine (anticipation), oxytocin (connection), and novelty. When that bubble pops in January, your nervous system notices.

The sudden shift from stimulation to routine can feel like emotional whiplash. One day your calendar is full of plans, traditions, and food; the next day it’s emails, chores, and dark evenings. That contrast alone can trigger a sense of emptiness or low mood.

Letdown after “survival mode”

Many people don’t realize they’ve been running on adrenaline until it’s gone. During the holidays, you may push through stress, family dynamics, travel, or grief by sheer momentum. Once it’s over, your body finally exhales and exhaustion rushes in. This is your nervous system coming out of survival mode.

Developing Self-Compassion

Loss of structure and meaning

Holidays provide built-in rituals and roles: host, guest, giver, planner. When those disappear, people often feel untethered. Humans thrive on rhythm and purpose, and January can feel strangely empty without them. This is especially true for people who live alone, are grieving, or used the holidays as a rare time of connection.

Seasonal and biological factors

Shorter days and less sunlight affect serotonin and melatonin regulation, which can impact mood, sleep, and energy. Even people without Seasonal Affective Disorder (SAD) can feel more sluggish, foggy, or emotionally sensitive during winter. Add post-holiday sugar crashes, disrupted sleep, and financial stress and you have a perfect storm.

The pressure to “start fresh”

Ironically, the cultural push to be energized, motivated, and goal-oriented in January can make the slump worse. If you feel low while everyone else is talking about “new year, new me,” it’s easy to turn normal emotional recovery into self-criticism.

Developing Self-Compassion

How to support yourself through the slump

Instead of trying to power through or fix yourself, focus on gentle re-regulation:

  • Normalize rest. You don’t need to optimize immediately. Recovery is productive.
  • Rebuild small rituals. Morning coffee walks, weekly check-ins with a friend, or Sunday routines. Structure soothes the brain.
  • Increase light exposure. Natural sunlight or a light box can improve mood and energy.
  • Lower expectations. January is for recalibration, not reinvention.
  • Name your feelings. Sadness, relief, grief, and numbness can all coexist after the holidays.

If motivation feels impossible, start with care, not discipline.

When to seek extra support

If the slump lasts more than a few weeks, interferes with daily functioning, or starts to feel heavy, hopeless, or isolating, it may be more than a temporary dip. Therapy can help you unpack what the holidays stirred up, regulate your nervous system, and create a steadier emotional rhythm moving forward.

If you’re struggling to shake the post-holiday fog or want support navigating this transition, reaching out to a professional at Orchard Mental Health Group may make a meaningful difference. You don’t have to wait until things feel unbearable to get support. 

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Navigating the Emotional Landscape of the Holiday Season

Home » Blog » Navigating the Emotional Landscape of the Holiday Season

Navigating the Emotional Landscape of the Holiday Season

December 17, 2025 | Sasha Hileman, Psy.D. | 5 min. read

Developing Self-Compassion

The holiday season, encompassing celebrations such as Christmas, Hanukkah, Kwanzaa, and others, is often a time of joy, family gatherings, and festive cheer. However, for many, it can also be a period fraught with emotional challenges. The holidays can amplify stress, loneliness, and unmet expectations. Understanding the psychological underpinnings of these experiences can help individuals approach the season with greater compassion and resilience.

One major factor is the pressure of societal expectations. Media and advertisements frequently present images of perfect families, lavish gifts, and harmonious gatherings. This can lead to cognitive dissonance when reality does not match these ideals. For example, individuals dealing with family conflicts or financial strain may experience heightened feelings of inadequacy or disappointment. Research from the American Psychological Association indicates that approximately 38% of people report increased stress during the holidays, often due to these idealized portrayals. To counter this, practice realistic goal-setting. Instead of aiming for perfection, focus on meaningful connections. One simple exercise is to list three small, achievable traditions that bring genuine joy, such as enjoying a quiet evening with hot cocoa or connecting virtually with a loved one.

Loneliness is another common holiday hurdle, especially for those who are single, estranged from family, or grieving. The emphasis on togetherness can make isolation feel more acute. Psychologically, this relates to the innate human need for social belonging, as outlined in Maslow’s hierarchy of needs. Holidays can trigger feelings of exclusion, leading to rumination and depressive symptoms. If this resonates, consider reframing solitude as an opportunity for self-care. Engage in activities that foster self-compassion, such as journaling about positive past memories or volunteering, which can provide a sense of purpose and community. Research shows that acts of kindness release oxytocin, the “bonding hormone,” reducing feelings of loneliness.

Ways to make holiday family gatherings less stressful | HealthPartners Blog

Family dynamics often intensify during the holidays, bringing underlying tensions to the surface. Old patterns of behavior—sometimes rooted in childhood experiences—can resurface, leading to arguments or emotional exhaustion. From a therapeutic perspective, this is an opportunity to apply boundary-setting skills. Communicate your needs clearly in advance, for instance: “I’d prefer to avoid discussing politics this year.” Techniques from cognitive-behavioral therapy (CBT) can be helpful: Challenge negative thoughts such as “They always ruin the holidays” by replacing them with balanced perspectives, like “We have differences, but we can focus on what’s positive.”

Financial stress is another silent stressor, with gift-giving and travel expenses adding up. This can evoke anxiety or shame, particularly when comparing oneself to others. Psychologically, money issues are tied to self-worth, as many internalize societal messages equating spending with love. To mitigate this stress, consider adopting a minimalist approach: Emphasize experiences over material items, such as homemade gifts or shared meals. Budgeting tools can help, but more importantly, discuss expectations openly with family to reduce pressure.

For those celebrating specific cultural or religious holidays, there is an added layer of identity and tradition. Hanukkah, for example, emphasizes light amid darkness, a metaphor for mental health—finding hope during challenging times. Christmas may focus on giving, aligning with prosocial behaviors that can boost well-being. Whatever your tradition, integrate mindfulness practices, such as deep breathing during overwhelming moments, to stay grounded.

If the holidays trigger deeper issues, such as seasonal affective disorder (SAD) or trauma anniversaries, professional support is crucial. Remember, it is acceptable to prioritize your mental health over obligations.

In essence, the holidays are a microcosm of life’s emotional complexities. By acknowledging potential pitfalls and arming yourself with psychological strategies, you can transform the season into one of genuine fulfillment. If you are struggling, reach out—help is available, and you are not alone. Contact Orchard Mental Health Group for an appointment or reach out to your support network if the holidays feel overwhelming. Seeking help is a sign of strength, not weakness.

Please reach out to our team at Orchard Mental Health Group to schedule an appointment to further explore this challenge.

 

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Debunking Therapy Myths: Why Seeing a Therapist Isn’t as Scary as TV Makes It Look

December 8, 2025 | Sasha Hileman, Psy.D. | 5 min. read

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If your idea of therapy comes from TV or TikTok, you’ve probably seen a lot of crying, dramatic breakthroughs, and therapists who seem to have psychic powers. Reality check: real therapy isn’t dramatic or mystical—it’s practical, science-based, and genuinely helpful. It’s not about being “analyzed,” but about understanding yourself better through science, empathy, and collaboration.

Let’s take a closer look at some of the most common misconceptions that stop people from seeking therapy—and what the research actually says.

Myth: Therapy is only for “serious” problems
Reality: Many people assume therapy is only for those in crisis. The truth? Therapy is effective for a wide range of concerns—from managing everyday stress and improving relationships to navigating transitions like starting college or a new job. Seeking support before problems escalate is linked to better mental health outcomes over time.

Myth: Therapy is intimidating and uncomfortable
Reality: Trying something new can feel scary, especially when it involves opening up about your inner world. Research emphasizes that initial discomfort is normal and usually short-lived. Over time, most clients report feeling relief, improved mood, and better problem-solving skills. Like starting a new workout routine, the first sessions may feel awkward, but the benefits accumulate fast.

Myth: Therapists will judge me
Reality: Television often dramatizes therapy with probing questions that make clients
uncomfortable. In reality, therapists are trained to provide a nonjudgmental, supportive space. Studies consistently show that feeling safe and understood is one of the strongest predictors of therapy success.

Myth: Therapy is just talking and doesn’t work
Reality: Yes, therapy involves talking—but it’s talking with a purpose. Techniques from
cognitive behavioral therapy (CBT), mindfulness-based therapy, and other evidence-based approaches help you understand patterns, challenge unhelpful thoughts, and develop practical coping strategies. Research shows therapy can be as effective as medication for many conditions, like depression and anxiety, and often has longer-lasting benefits.

Myth: Going to therapy means you’re weak
Reality: Asking for help is often misperceived as weakness, but psychologists agree it
demonstrates self-awareness and courage. Seeking support is a strength, not a flaw—similar to visiting a doctor for a physical issue.

Myth: Therapy takes forever or is never-ending
Reality: It’s easy to assume therapy drags on for years with no results. In reality, most therapy is goal-oriented and short-term, showing measurable benefits in weeks or months depending on the issue. Some approaches, like CBT, are designed to be brief yet effective.

Myth: Therapy is too expensive
Reality: Cost is a common barrier, but therapy is often more accessible than assumed.
Sliding-scale fees, insurance coverage, employee assistance programs, and community clinics make professional help feasible for many. Exploring options can make therapy realistic.

Myth: Therapy focuses only on the past or childhood
Reality: Therapy isn’t just about digging into old traumas. Modern approaches emphasize current issues, practical coping skills, and future goals, helping you navigate real-life challenges while understanding patterns from the past.

Myth: Therapy doesn’t really work or isn’t necessary if you have friends
Reality: While friends provide support, therapy offers professional, unbiased guidance backed by research. Studies consistently show therapy reduces symptoms, improves coping skills, and enhances overall well-being. It’s a structured, scientifically grounded process—not just an emotional sounding board.

Why Give It a Try

At its core, therapy is about growth, not “fixing.” Whether you’re navigating stress, change, or simply want to understand yourself better, therapy offers tools grounded in science and compassion. Curious about what therapy could look like for you? Reach out to Orchard Mental Health Group—we’re here to help you take that next step, free of myths and full of support.

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