A Brief Introduction to Four Common Counseling Therapy Issues


One in five people experience depression every year. This isn't just "the blues," or feeling down. Depression steals life away from both the persons who struggle with it and their loved ones.

Symptoms of depression can include: sadness, loss of interest in enjoyable activities, weight loss or weight gain, change in appetite, insomnia or excessive sleep, slowed physical movements, agitation, decreased energy or fatigue, feelings of worthlessness, excessive guilt, indecisiveness, an inability to concentrate, and more. Depression can be exacerbated by our busy and time-starved lives, and by the short summers and long, dark winters.


Anxiety is a constant fearful state accompanied by a feeling of unrest, dread, or worry. Anxiety is aroused by a number of factors: External situations (viewing the news, a fast paced lifestyle); physical well being (lack of sleep, blood sugar); learning (parents who were highly anxious); and trauma (situations that caused great pain).

Anxiety symptoms can include:

  • Inability to relax
  • Tense feelings
  • Rapid heartbeat
  • Dry mouth
  • Increased blood pressure
  • Jumpiness or feeling faint
  • Excessive perspiring
  • Feeling clammy
  • Constant anticipation of trouble
  • Constant feeling of uneasiness

Self-image, Self-esteem, or Self-worth

Self-esteem refers to an inner sense of value that gives a person resilience to attacks or criticism. Every person has ideas about their self-worth. Having good self-esteem does NOT mean being proud or having an over-blown "ego."

Low self-esteem can cause: feelings of self-hate, a belief that one is unworthy or incompetent, a refusal to get close to people, a belief that one doesn’t deserve strong or supportive relationships, refusal to trust others, and an inability to accept oneself as special or unique. Your self-esteem is in trouble when you allow others to convince you that you are not valuable or significant.

Poor self-esteem is often the result of prolonged periods of negative feedback in a person’s life. This results in deep wounds and emotional pain.

Relationship Problems (and Loneliness)

We feel more isolated today than ever before.

Fifty percent of all marriages end in divorce. Communication problems, anger, dependency, jealousy, painful personal histories, adultery, and uncertainty about a relationship's future are just a few of the things that can cause serious relationship problems. 

The problem of isolation gets even worse when we work long hours, have moved several times, or when our social support system has left us.


Marc Janoson, Ph.D. has over 30 years experience counseling adults, adolescents, and children. Dr. Janoson offers counseling for such issues as:

  •  Therapy for Depression and Anxiety
  •  Relationship Issues
  •  Anger Management
  •  Grief Counseling
  •  Work and Career issues
  •  Stress Management
  •  Addiction and Recovery
  •  Anxiety and Panic Disorder
  •  Bipolar Disorder
  •  Social Skills Deficits
  •  Autism Spectrum Disorders
  •  Behavioral Challenges
  •  School Concerns 

Dr. Janoson work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support, adolescent  and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they’re striving for.
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