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  • Christine Lillja

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    Is Depression a Disability?

    December 1, 2024

    In many cases, yes, depression can be considered a disability. According to Section 12102(1)(A) of the Americans with Disabilities Act (ADA), a person can be disabled if they have “a physical or mental impairment that substantially limits one or more major life activities.” Under this standard, depression will generally be considered a disability if it […]

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    Is Depression a Disability?

    December 1, 2024

    In many cases, yes, depression can be considered a disability. According to Section 12102(1)(A) of the Americans with Disabilities Act (ADA), a person can be disabled if they have “a physical or mental impairment that substantially limits one or more major life activities.” Under this standard, depression will generally be considered a disability if it substantially affects a person’s daily life. This is determined on a case-by-case basis.

    Common Symptoms of Depression

    Depression symptoms can vary from one person to another but often include:

    • Feeling sad, empty, worthless, guilty, hopeless, anxious, restless, or irritable
    • Being tearful
    • Losing interest in activities once enjoyed
    • Having trouble sleeping or sleeping too much
    • Having a reduced appetite or increased food cravings (along with respective weight loss or gain)
    • Thinking, speaking, or moving more slowly
    • Having trouble focusing, making decisions, and remembering things
    • Having recurring thoughts of death

    When someone is in a depressive episode, they typically experience symptoms like these most of the day, almost every day. While some individuals only go through depression once, many people have numerous episodes throughout the course of their lives.

    Offering Help for Individuals With Depression

    If you’ve been diagnosed with depression or you’re experiencing the symptoms described above, we can help. Our therapists are highly experienced in treating depression and can provide you with the customized, compassionate care you deserve. Contact us today to get started—one of our knowledgeable team members will tell you more about our approach to treating depression, answer your questions, and arrange a time for you to attend an initial consultation.

    Filed Under: Depression

    Benefits of a Mental Health Day from Work or School

    July 22, 2021

    We’ve all had those days when the alarm goes off and we lie in bed, feeling depleted of our energy, and maybe even our good mood. We think to ourselves, “I’m not really sick, but I just need a break from real life today.” While taking a sick day is common when you are feeling […]

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    Benefits of a Mental Health Day from Work or School

    July 22, 2021

    We’ve all had those days when the alarm goes off and we lie in bed, feeling depleted of our energy, and maybe even our good mood. We think to ourselves, “I’m not really sick, but I just need a break from real life today.” While taking a sick day is common when you are feeling physically unwell, what’s not as common – but perhaps should be – is taking a mental health day when you are feeling mentally and emotionally unwell.

    Now many, if not most, companies do offer their employees personal days with no questions asked. But many people save these days for what seems like real-life emergencies. They feel guilty if they use one of these days to simply rest and relax their mind.

    The truth is, taking a mental health day from work or school can be extremely important for your overall well-being. It can help you avoid burnout, improve your mood, help you get some much-needed rest, and rejuvenate you so you can tackle “real life” once again.

    Signs It’s Time for a Mental Health Day

    So how do you know when you are really in need of a mental health day and when you’re just feeling a bit lazy and unmotivated?

    Stress

    You’ve been feeling overwhelmed and irritable.

    You Just Feel… Off

    Sometimes we don’t feel like ourselves, but we can’t quite put our finger on what’s wrong. We know we feel anxious and like the world is a bit too much. This is a sure sign you need a break.

    Getting Sick More Often

    Are you dealing with a cold that “just won’t go away?” When we are stressed, our immune systems become compromised, and it’s harder for us to fight off the common cold.

    The bottom line is you should never feel guilty for taking some time for your mental health. I encourage you to take a mental health day every once in a while. Sometimes it’s the absolute best thing we can do for ourselves.

    And if you find a mental health day didn’t quite do the trick, you may have more going on in your life that requires more hands-on treatment. If you like the idea of speaking with someone about whatever is bothering you, please get in touch with me so we can discuss treatment options.

    SOURCES:

    • https://aaptiv.com/magazine/take-mental-health-day
    • https://health.clevelandclinic.org/is-taking-a-mental-health-day-actually-good-for-you/
    • https://www.healthline.com/health/mental-health/how-to-take-a-mental-health-day

    Filed Under: Anxiety, Depression, General

    The Truth About Perfectionism

    May 28, 2021

    We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist. But as human beings, we can never reach a state […]

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    The Truth About Perfectionism

    May 28, 2021

    We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist.

    But as human beings, we can never reach a state of perfection because we will always be a work in progress. Perfection indicates a finality – a finished product – but we as humans are always growing and changing.

    What is Perfectionism?

    Many people view perfectionism as a positive attribute. They believe the more “perfect” they are, the more success they will have in life.

    Perfectionism is NOT the same thing as always doing your best. It is important that we always do our best. By doing so, we can experience healthy achievements and growth. But perfectionism takes this concept to the extreme.

    People with perfectionist tendencies often have self-defeating thoughts and/or behaviors that actually make it HARDER to achieve their goals. Perfectionism also can make the individual feel stress, anxiety, and depression.

    Signs to Look For

    Most human beings, from time to time, will strive for perfectionism in some aspect of their life. As an example, that “perfectly moist chocolate cake” I mentioned earlier got that way because the person who baked it was trying to get everything JUST RIGHT as a gift for someone’s birthday.

    But there are those people who are “full-time” perfectionists. They strive for perfection in all aspects of their life.

    Here are some signs you may be a perfectionist:

    • You don’t like to attempt tasks or activities unless you feel you can complete them perfectly.
    • You are end-oriented, meaning you focus little on the process of creating or learning something and put all of the emphasis on the outcome.
    • You cannot see a task as having been completed unless it meets your perfectionist standards.
    • You tend to procrastinate because you don’t like starting a task until you know you can perfectly complete it.
    • You tend to take far longer completing tasks than others. This can be problematic at work.

    Getting Help

    Again, perfectionism is not the same thing as doing your best. It is a condition whereby the individual is almost incapable of feeling joy or pride at what they accomplish because in their own minds, they are never quite good enough.

    If you believe you may have traits of perfectionism and it is causing you stress, there are things you can do to change your behavior so you can live a healthier and happier life.
    If you’d like to explore treatment options, please reach out to me.

    SOURCES:

    • https://cogbtherapy.com/cbt-blog/2014/7/9/stop-perfectionism-be-happy-with-good-enough
    • https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism/overcome
    • https://www.goodtherapy.org/learn-about-therapy/issues/perfectionism

    Filed Under: Anxiety, Depression

    Mental Health Habits for 2021

    March 9, 2021

    We live in a society that seems obsessed with physical health and weight loss. A majority of people have tried one or more diets to lose weight. People join gyms, juice, and take supplements, all in an effort to optimize their physical health. Sadly, most people don’t give their mental health a second thought. The […]

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    Mental Health Habits for 2021

    March 9, 2021

    We live in a society that seems obsessed with physical health and weight loss. A majority of people have tried one or more diets to lose weight. People join gyms, juice, and take supplements, all in an effort to optimize their physical health.

    Sadly, most people don’t give their mental health a second thought.

    The problem is, no matter how good you look in a bathing suit or how “ripped” you may be, or how low your cholesterol is if you aren’t mentally healthy, your life is negatively impacted.

    In the age of Coronavirus, when many of us are dealing with health and financial struggles, the stress can really take a toll on our mental health. With this in mind, here are some good mental health habits to practice in 2021 and beyond:

    Practice Gratitude

    Gratitude is like a magic bullet when it comes to mental health. Too often, when we are feeling negative emotions, we deny our full reality, that is to say, we deny all of the wonderful things that are present in our life. Be sure to take realistic stock in your life each day and feel grateful for the people, events, and things in your life that bring you joy and happiness. And be sure to share your gratitude with others!

    Value Yourself

    The only thing worse than dealing with grief, sadness, and stress, is doing so while devaluing your own self-worth. Be sure to treat yourself as kindly as you do your loved ones. See the good in you and practice self-care and self-compassion every day.

    Lose Control

    Most of us cling to the idea that we can control every single facet of our lives. It’s just not true. This desire for full control brings with it a sense of anxiety. Make this year the year you finally let go of needing to control everything.

    Surround Yourself with Positive People

    Toxic people are bad for our mental health. It’s time to cut ties with those who bring you down in order to make room for people who will support you.
    Along with these habits, you may want to consider speaking regularly with a mental health counselor, who can help you navigate any issues you may be dealing with and provide coping techniques.

    If you’d like to explore treatment options, please get in touch with me. Let’s discuss how I can help you make 2021 your best year yet!

     

    SOURCES:

    • https://psychcentral.com/blog/mental-health-hygiene-habits#1
    • https://psychcentral.com/blog/5-best-practices-for-maintaining-good-mental-health#1
    • https://psychcentral.com/blog/what-is-good-mental-health#1

    Filed Under: Adolescents/Teens, Anxiety, Depression

    Healthy Food & Emotional Regulation

    March 9, 2021

    Are you an emotional eater? When you’re feeling stressed, do you find yourself ordering in pizza? When something sad happens, do you drown your grief in sugar? If so, you’re not alone. A majority of people deal with the challenges of life by turning to their favorite comfort foods. The trouble is, these foods are […]

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    Healthy Food & Emotional Regulation

    March 9, 2021

    Are you an emotional eater? When you’re feeling stressed, do you find yourself ordering in pizza? When something sad happens, do you drown your grief in sugar? If so, you’re not alone. A majority of people deal with the challenges of life by turning to their favorite comfort foods.

    The trouble is, these foods are only a temporary fix. They fill a void, and in the case of sugar, give our mood a boost. But then we come crashing down again and may even experience shame and guilt for having binged on food we know is not good for us. This can lead to a vicious cycle of more emotions, more eating, more emotions, more eating. This cycle can ultimately lead to weight gain and even the development of certain chronic diseases like heart disease and type 2 diabetes.

    Your Brain on Comfort Foods

    We are what we eat is a very true sentiment, especially when it comes to our brain. When life throws us challenges, we need our brain to work optimally so we can figure out the best way to deal with our circumstances or to process emotions. The trouble with reaching for comfort foods is, they are actually harmful to your brain.

    Think of your brain like the engine in a car. You wouldn’t put frozen lattes in your gas tank because you know your car needs the right kind of fuel to run well. Your brain also needs the right kind of fuel. Your brain requires high-quality foods that are loaded with vitamins, minerals and antioxidants. These nutrients nourish your brain and protect it from oxidative stress.

    Did you know that studies have shown a direct link between a diet high in refined sugars and impaired brain function? And even a worsening of symptoms such as depression?

    The bottom line is, while your instinct in the moment may be to reach for those processed comfort foods, do your best to make better food choices. It will be hard at first, but good habits can be formed over time. Your brain will thank you.

    SOURCES:

    • https://www.healthline.com/health/emotional-eating
    • https://www.health.harvard.edu/blog/nutritional-psychiatry-your-brain-on-food-201511168626
    • https://wholebodyhealingeugene.com/2021/02/09/food-and-feelings-heal-your-emotional-relationship-with-food/

    Filed Under: Depression, Nutrition

    How to Boost Your Self-Esteem

    March 4, 2020

    What does it mean to have a healthy self-esteem? Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem. But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A […]

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    How to Boost Your Self-Esteem

    March 4, 2020

    What does it mean to have a healthy self-esteem?

    Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem.

    But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A good self-esteem can be the difference between being a happy, resilient individual, able to face life’s challenges head on, and someone who suffers from depression and anxiety and is often overwhelmed with life.

    If you have struggled in the past with self-esteem issues, there are some things you can do to give it a much-needed boost:

    Face the REAL Reality

    Are you someone that generalizes your lack of self-esteem? By that I mean, do you make generalities about yourself such as, “I’m an idiot,” “I’m not pretty enough or smart enough?” The truth is, we all act like idiots from time-to-time, and most human beings on this planet can find someone who is smarter and more attractive than they are.

    If you’re going to work on your self-esteem, you need to first recognize that you often lie to yourself with these generalities. It may be a very convincing lie from your point of view, but it’s still a lie.

    To become familiar with reality, make a list of 10 of your strengths and 10 weaknesses. If you have a hard time coming up with your strengths, think about what others have said about you: you’re a good listener, you are thoughtful, you cook a mean burger.

    When you’re done making this list, you’ll see there are plenty of things you are really good at. And, some of the weaknesses may be things you can absolutely change over time and with some effort.

    Forget About Perfection

    Perfection doesn’t exist. Now you may think all of those Hollywood A-listers that are on the cover of magazines are the epitome of perfection, but even they are air-brushed, photoshopped and have a team of people following them around so their hair is never out of place.

    Stop spending your energy trying to have the perfect face, body, bank account, career, children or relationships. None of that exists. Focus your energy on achieving attainable goals like obtaining your degree and enjoying hobbies.

    Get to Know Your Authentic Self

    We spend so much of our lives comparing ourselves to others that we don’t really take the time to get to know ourselves. Beyond strengths and weaknesses, who are you as a person? What makes you happy or excites you? What hobbies do you enjoy? What kind of brother or sister are you?

    The more you know about yourself, the more chances that you’ll find things out you really like.

    If you would like to speak to someone about your self-esteem issues, please be in touch with me. I’d be happy to discuss how I may be able to help.

    Filed Under: Adolescents/Teens, Depression, Self-Esteem

    How to Boost Your Self-Esteem

    March 4, 2020

    What does it mean to have a healthy self-esteem? Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem. But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A […]

    Read More

    How to Boost Your Self-Esteem

    March 4, 2020

    What does it mean to have a healthy self-esteem?

    Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem.

    But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A good self-esteem can be the difference between being a happy, resilient individual, able to face life’s challenges head on, and someone who suffers from depression and anxiety and is often overwhelmed with life.

    If you have struggled in the past with self-esteem issues, there are some things you can do to give it a much-needed boost:

    Face the REAL Reality

    Are you someone that generalizes your lack of self-esteem? By that I mean, do you make generalities about yourself such as, “I’m an idiot,” “I’m not pretty enough or smart enough?” The truth is, we all act like idiots from time-to-time, and most human beings on this planet can find someone who is smarter and more attractive than they are.

    If you’re going to work on your self-esteem, you need to first recognize that you often lie to yourself with these generalities. It may be a very convincing lie from your point of view, but it’s still a lie.

    To become familiar with reality, make a list of 10 of your strengths and 10 weaknesses. If you have a hard time coming up with your strengths, think about what others have said about you: you’re a good listener, you are thoughtful, you cook a mean burger.

    When you’re done making this list, you’ll see there are plenty of things you are really good at. And, some of the weaknesses may be things you can absolutely change over time and with some effort.

    Forget About Perfection

    Perfection doesn’t exist. Now you may think all of those Hollywood A-listers that are on the cover of magazines are the epitome of perfection, but even they are air-brushed, photoshopped and have a team of people following them around so their hair is never out of place.

    Stop spending your energy trying to have the perfect face, body, bank account, career, children or relationships. None of that exists. Focus your energy on achieving attainable goals like obtaining your degree and enjoying hobbies.

    Get to Know Your Authentic Self

    We spend so much of our lives comparing ourselves to others that we don’t really take the time to get to know ourselves. Beyond strengths and weaknesses, who are you as a person? What makes you happy or excites you? What hobbies do you enjoy? What kind of brother or sister are you?

    The more you know about yourself, the more chances that you’ll find things out you really like.

    If you would like to speak to someone about your self-esteem issues, please be in touch with me. I’d be happy to discuss how I may be able to help.

    Filed Under: Adolescents/Teens, Depression, Self-Esteem

    Is Social Media Bad for Your Mental Health?

    February 7, 2020

    Have you been feeling a bit low lately, but you can’t quite put your finger on why? It may have something to do with your social media habits. According to a recent study, social media use can increase depression and loneliness. For years people have suspected that social media use might have an ability to […]

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    Is Social Media Bad for Your Mental Health?

    February 7, 2020

    Have you been feeling a bit low lately, but you can’t quite put your finger on why? It may have something to do with your social media habits. According to a recent study, social media use can increase depression and loneliness.

    For years people have suspected that social media use might have an ability to negatively impact our mental well-being. After all, it’s hard not to feel inadequate or jealous when looking at photos of people whose lives seem so much more perfect than ours. But now research is actually making a definitive link between spending time on Instagram, Facebook and Twitter and a sense of loneliness and isolation.

    It May be Time for a Social Media Detox

    I encourage my clients to take a social media detox every now and then to gain a more positive sense of reality. They often report back to me that the detox offered some amazing and unexpected benefits such as:

    Improved Self-Esteem

    When you take a break from comparing yourself to other people, you can start to look at how great you and your own life really are.

    New Interests and Hobbies

    When you spend less time trying to get that social approval in the form of ‘likes’, ‘retweets’, and ‘upvotes’, you suddenly find you have a lot of time on your hands for other things.

    Improves Your Mood

    Trading in online friendships for real face-to-face ones makes us feel more grounded and connected to people. This can drastically improve our mood and sense of well-being.

    Better Sleep 

    Many people are on their mobile phone in bed, checking their social media accounts. The blue light from these devices disrupts our sleep pattern. When we put these devices away, we inevitably sleep better.

    Able to Enjoy the Moment More

    I am a big proponent of daily mindfulness. By being present in our lives, we feel an increased sense of peace and joy. That’s priceless.

    So how do you perform a social media detox?

    Follow these 4 steps:

    1. Temporarily deactivate your accounts. Don’t worry, you can reactivate them again in the future should you choose.
    2. Remove all Social Media Apps and notification pathways from your devices.
    3. Use a web filtering tool to block social media sites. (Why tempt yourself?)
    4. Be prepared for some withdrawal symptoms and have other activities ready to replace the void.

    If you follow these steps and take a break from social media, chances are you will find you feel a whole lot better!

    Filed Under: Addiction, Adolescents/Teens, Depression

    Do You Know the Signs of Someone Who is Suicidal?

    January 7, 2020

    According to the American Foundation of Suicide Prevention, over 47,000 people died by suicide in the United States in 2017. In the same year, there were an estimated 1,400,000 suicide attempts. Knowing the signs of suicide is the primary step in preventing someone you know and love from successfully taking their own life. The Warning […]

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    Do You Know the Signs of Someone Who is Suicidal?

    January 7, 2020

    According to the American Foundation of Suicide Prevention, over 47,000 people died by suicide in the United States in 2017. In the same year, there were an estimated 1,400,000 suicide attempts.

    Knowing the signs of suicide is the primary step in preventing someone you know and love from successfully taking their own life.

    The Warning Signs of Suicide

    Hopelessness

    Many individuals who are contemplating ending their own life experience and express feelings of hopelessness.

    Other Strong Emotions

    Suicidal people may also experience and express excessive anger and rage and talk about seeking some kind of revenge.

    Risky Behavior

    People who are thinking about ending their own life start showing signs of risky behavior. Since their lives are not valuable in their own eyes, they may engage in certain behaviors, not caring about the consequences. This can be drinking and driving, experimenting with hard drug use, and spending time in unsafe parts of town.

    Isolation

    Have you noticed your loved one withdrawing from friends and family and isolating themselves more?

    Trouble Sleeping

    Suicidal individuals often experience great anxiety that causes them to suffer from insomnia. Has your loved one been complaining of not sleeping? Are they taking medication for sleep issues?

    The above are warning signs that your loved one may be experiencing a deep depression that needs attention.

    The following are three signs that your loved one needs some help IMMEDIATELY:

    They’ve Come Right Out and Said It

    Your loved one has actually verbalized a desire to harm themselves or kill themselves.

    You’ve Discovered A Plan

    You have somehow come to know that your loved one is actively planning their suicide by stocking pills or getting their hands on a weapon.

    They Have Become Obsessed with Death

    Many suicidal people, especially teenagers, begin talking or writing more and more about death or suicide in a positive light.

    How You Can Help

    Talking to someone you love about suicide can feel uncomfortable. You may be worried that by merely talking about it, you will somehow inspire the act. This just isn’t so.

    Speaking with a loved one who is suicidal allows them to discuss openly their feelings and desire to end their life. Just opening up to someone who is supportive and non-judgmental can assist them in recognizing their need to get some help from a trained therapist.

    For immediate help, please call the toll-free National Suicide Prevention Lifeline at 1-800-273-TALK (8255), which is available 24 hours a day, 7 days a week. All calls are confidential.

    Filed Under: Depression, General, Grief, Issues for Women, Self-Esteem, Teens/Children

    Do You Know the Signs of Someone Who is Suicidal?

    January 7, 2020

    According to the American Foundation of Suicide Prevention, over 47,000 people died by suicide in the United States in 2017. In the same year, there were an estimated 1,400,000 suicide attempts. Knowing the signs of suicide is the primary step in preventing someone you know and love from successfully taking their own life. The Warning […]

    Read More

    Do You Know the Signs of Someone Who is Suicidal?

    January 7, 2020

    According to the American Foundation of Suicide Prevention, over 47,000 people died by suicide in the United States in 2017. In the same year, there were an estimated 1,400,000 suicide attempts.

    Knowing the signs of suicide is the primary step in preventing someone you know and love from successfully taking their own life.

    The Warning Signs of Suicide

    Hopelessness

    Many individuals who are contemplating ending their own life experience and express feelings of hopelessness.

    Other Strong Emotions

    Suicidal people may also experience and express excessive anger and rage and talk about seeking some kind of revenge.

    Risky Behavior

    People who are thinking about ending their own life start showing signs of risky behavior. Since their lives are not valuable in their own eyes, they may engage in certain behaviors, not caring about the consequences. This can be drinking and driving, experimenting with hard drug use, and spending time in unsafe parts of town.

    Isolation

    Have you noticed your loved one withdrawing from friends and family and isolating themselves more?

    Trouble Sleeping

    Suicidal individuals often experience great anxiety that causes them to suffer from insomnia. Has your loved one been complaining of not sleeping? Are they taking medication for sleep issues?

    The above are warning signs that your loved one may be experiencing a deep depression that needs attention.

    The following are three signs that your loved one needs some help IMMEDIATELY:

    They’ve Come Right Out and Said It

    Your loved one has actually verbalized a desire to harm themselves or kill themselves.

    You’ve Discovered A Plan

    You have somehow come to know that your loved one is actively planning their suicide by stocking pills or getting their hands on a weapon.

    They Have Become Obsessed with Death

    Many suicidal people, especially teenagers, begin talking or writing more and more about death or suicide in a positive light.

    How You Can Help

    Talking to someone you love about suicide can feel uncomfortable. You may be worried that by merely talking about it, you will somehow inspire the act. This just isn’t so.

    Speaking with a loved one who is suicidal allows them to discuss openly their feelings and desire to end their life. Just opening up to someone who is supportive and non-judgmental can assist them in recognizing their need to get some help from a trained therapist.

    For immediate help, please call the toll-free National Suicide Prevention Lifeline at 1-800-273-TALK (8255), which is available 24 hours a day, 7 days a week. All calls are confidential.

    Filed Under: Depression, General, Grief, Issues for Women, Self-Esteem, Teens/Children

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    22996 El Toro Road, Suite 107 Lake Forest, CA 92630

    (949) 235-5104 chris@drchriscounseling.com

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    Christine Lillja, Psy.D. Licensed Clinical Psychologist and Licensed Marriage and Family Therapist
    chris@drchriscounseling.com | (949) 235-5104

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