Thinking about this topic, I know we’re heading into murky territory, but I’ve been talking with a ton of guys this season where that big question has come up. I think it’s something about the holiday season that makes us look back on our past year and assess both the good and the bad. Do we look back in happiness and success, or do we look back in regret?

The holidays seem to drudge that question up for a lot of people, because I think a lot of otherwise unhappy people want to be able to make a change for themselves with the new year. Relationships are no different. Many people who are unhappy or unsettled in their current relationships start to ask themselves this question around this time of the year, and start to ask themselves if they need to make a change.
This is one of the most difficult questions to ask -  “do I stay or do I go in my relationship or marriage?” This article is not going to answer that question for you, but it’s been a bring up some points for you to think about.

There are some things that make answering that question easier, such as direct physical abuse, a partner who is mired in substance use, or other immediate response needs. I think those types of things need into serious inquiry into the “do I stay or do I go” question.

But, for a lot of men, they ask this question of themselves out of sheer reactivity and hopelessness. Many kind of choose to stay stuck between a rock and a hard place, and never seek out the help that they need, such as couples counseling. For some, it’s more comfortable. For others, it’s just denial.

A lot of times, the question “do I stay?” really means “ can I continue to deal with the problems that I am experiencing currently?” We often end up blaming our partners and creating a certain storyline about them and our relationship, and how it’s going to hell. If we get stuck in those types of thoughts, we’re toast. A lot of relationships and marriages that can be worked on, aren’t.

For men, it’s a little harder to take a look at the things that we are doing to our partners, and to take responsibility for the negative things that we do to them. I think the “do I stay?” question reflects a little bit of this, as well as “can I continue to deal with the negative emotions that come up inside me?” Sometimes, enough suffering drives people out of their comfort zone, where the pain of a bad relationship had become more than they can sit on.

For the guys who are emotionally avoidant already, the next logical question to start asking is “do I go?”. For men who avoid their emotions, and often avoid conflict situations in general, the desire to end a relationship or marriage is logical. It’s just easier to do it that way, and to start over from scratch. Problems are too difficult to work on in this relationship, you might tell yourself. She’s not open to a change, you might tell yourself as well. Or, this is just too much work, and I’m not up to the task, you might end with telling yourself.

I think the biggest question you need to consider is are you asking yourself if you want to flee the relationship based out of reactivity and emotion, or is this a rational, well-thought-out plan? For a lot of men, it’s acting out of reactivity and impulsivity, and that might work briefly in the short term, but not in long-term. We are bound to have to deal with this dynamic again, whether we get back together with our partner, or develop a new relationship with someone else. It’ll still be there.

And then, there is the “I should stay for the children” dilemma. I see a lot of couples wanting to hang in there, despite really difficult problems, for the sake of the kids. Some drudge through miserable marriages because they don’t want to expose their children to break up or divorce. Many times, it’s these guys who were those children in the past, and don’t want to do to their family what it is their parents did to them.

Really making a commitment to hang in there and work on the relationship issues, especially if you feel strongly about your partner, is really the first step. Identifying whether you’re wanting to end the relationship out of the emotion, or whether this is a well-thought-out plan, is one question that you could consider.

A lot of times, even the most hopeless situations can improve with some emotional connection, but it can be difficult for men to both connect to their feelings and to be able to listen to some of their partner’s issues with them and not want to fix those issues (which women often don’t respond well to, but do when you’re present and listening).

Is your relationship or marriage worth saving? Do you feel strongly enough about it, and about her, to start to do the heavy lifting to get your relationship back on track? Some guys do; others don’t. I’m not going to lie to you: it does take some work. But, your relationship is worth it, isn’t it?

Depression is a problem that affects millions of Americans each year, and many more people are not aware that they may be suffering from it. Fatigue, loss of interest in usual activities, malaise, problems eating and sleeping – these all characterize forms of depression.

Here’s some tips on how to fight depression:

1. Recognize that depression may be what you’re experiencing, and decide to deal with it instead of avoiding it; stay open to feedback from friends or loved ones about what they’re seeing from you.

2. Seek out the help of a trained professional. Talk with your doctor, or seek out a psychiatrist or mental health nurse practitioner who can talk with you about a possible antidepressant medication. You may also benefit from talk therapy, or counseling, to deal with the underlying issues associated with your depression.

3. Get active: engage in moderate physical exercise daily to reduce depressed feelings. This can be difficult when you feel fatigued or disinterested, but it helps.

4. Get Vitamin D/get outdoors: vitamin D helps fight depression.

5. Take Omega-3 fatty acids, either in liquid, capsule or food form (cold water fish). Talk with a physician or a nutritionist about what’s right for you.

6. Get support from friends, family, people close to you.

7. Journal your feelings regularly to see what may be the source of your depression, if there are events or people that trigger your depression.

8. Ask yourself if there are things happening in your life that need attention, or if you are not getting any major needs met in your life at the time. Sometimes, situational depression can be a result of events that stoke depression.

There is help from depression, and some of these tips may assist your recovery. Seek our support from those closest to you, and ask for help from professionals who care.

You may be struggling with depression and not know it. Here are some of the signs to look out for if you suspect you’re dealing with depression:

1. Lack of pleasure in things you usually find pleasing

2. Significant weight loss or gain

3. Feel sad a lot of the time, for prolonged periods of time

4. Feeling unclear, fuzzy or lacking attention; inability to concentrate

5. Irritable, angry or generally unhappy

6. Feeling worthless

7. Excessive guilt

8. Feeling flat or unmotivated

It’s difficult to actually admit that it might be depression that you’re suffering from. Sometimes, we write these symptoms off to other things, such as stress or interpersonal problems we’re dealing with. For men, it’s harder to put the signs of depression together and admit that they’re depressed; culturally, depression implies a sign of weakness or inferiority, so many men who struggle with depression make it worse by hiding it or putting off treatment.

There is help for depression. A combination of antidepressant medications and professional counseling will help. A change in lifestyle, whether that’s more exercise, better sleep, social support, better dieting and nutrition, or investment in more meaningful activities or deeper relationships also ease the pain of depression. Depression is a multi-facted problem, with many possible causes and treatments. But, first, simply admitting that there’s a problem is the first step.

For those who have never been part of the counseling process before, the idea of sharing one’s most intimate self with someone (a therapist), as well as their spouse, is fear-inducing. Many couples come to couples counseling because they want to learn how to better communicate with each other, and lack the trust to be able to breach the topics of the most sensitive issues: sex, money, trust, power. Men have a hard time with relationship counseling. Most would rather enjoy a root canal that have to buy into couples counseling.

But, couples counseling is not as scary as most people think it is. In couples counseling, it is the job of the therapist or counselor to be an impartial and participatory observer, among other things. Many fear that the therapist will take sides, which is understandable yet false. A good couples counselor should be supportive of both sides, and encourage dialogue, awareness and insight for both relationship partners.

Usually, a two-hour intake will include designing a treatment plan, which is based on the agreed upon goals each couple wants to work towards together, completing an in-depth interview, and agreeing on the treatment process with a consent to treatment conversation and paperwork completion.

Couples counseling sessions are designed to identify the blocks and barriers that keep relationship or marriage partners apart and disconnected. Moreso, through insight, greater awareness and ownership, each partner is encouraged to dialogue in a way that is not falling into blaming, avoiding, hurting or any of the other myriad ways couples dysfunctionally interact with each other outside of the counseling office. Goals are set, and weekly homework assignments are given to each couple/partner to work on between sessions. Always, prioritization of quality time together needs to be the foundation, even if there are hurt or angry feelings that need to be communicated about. Couples that maintain their distance will continue to: it’s addictive to want to avoid potential conflicts, especially for many men and people who are conflict-avoidant.

These are a couple of things to think about when considering starting the process of couples counseling. It’s critical that you interview your couples counselor and make sure that the therapist is competent, experienced, compassionate, and, most of all, that you connect with your marriage counselor. Couples counseling is an investment: psychically, financially, chronologically, emotionally. Because you are putting in so much, get a sense that you’ll get out of it what you need to by researching and choosing the right therapist for you.

Why do men in pain hold it in up until the last minute, and then seek out help when the damage has been done? Are men naturally predisposed to pain aversion? What would happen if men were to more proactively seek out mental health counseling or therapy before an otherwise manageable problem ended up destroying them?

Men are beings not socialized to seek out resources and social support the way women do. Women can seek out the comfort and support of friends and family, whereas men tend to hide and obscure their pain in private. A lot of this has to do with the stigmatization of what it means to be a man in our culture. Men are taught, from an early age on, that “real men don’t cry”, and to stuff our emotions and shift into mastery or accomplishment mode to overcome adversity and get things done in the world.

The effect is that problems fester and grow, like mushrooms growing in the dark and dampness of a dead tree. Without light, these problems will get larger, be they marriage problems, work-related issues or general mental health issues.

Depression has many causes, but it gets exacerbated by this effect. Depression can be treated by medications and/or therapy or counseling, but many men succumb to “suffering in silence” and don’t seek it out until facets of their life start to crack at the foundations. They choose to seek pain alleviation when things are bad, and possibly irreparable.

Seeking out a professional counselor for help, and stepping out of denial and stigmatization, are huge tasks for men to do. Often, it’s the bulk of the work just getting there to want help. Seeking out that help proactively is critical in learning the skills needed to learn to help oneself, so that life can get easier, relationships better, and quality of life can be improved.

(Press Release)

13 DAYS OF A MERRY CHRISTMAS…RELATIONSHIP!

Men’s Counselor Jason Fierstein Gives 13 Tips to Help Relationships Survive the Holidays

November 30, 2009- Phoenix, AZ – With the holiday season in full swing, emotions, tempers and tantrums can flare. Jason Fierstein, owner and founder of Phoenix Men’s Counseling, has created 13 humorous but practical tips to help all relationships survive this sometimes tumultuous season.

Tip #1 – Avoid Heat Seeking Land Mines! - Every couple should have a strategy between each other on how to troubleshoot potential road hazards; the father that always criticizes, the perfectionist mother-in-law . Anticipate behavior so you and partner know not be REACTIVE. Remember, alcohol and sugar combined can help set off those land mines.

Tip #2 – Pigskin Planning – Communicate with your partner ahead of time how each social scenario is going to play out. For example, first there will be dinner, then everyone gets up from the table and watches football, then there is an intense discussion of what movie to go see…etc. Let your partner know what to expect so that he/she can anticipate what is going to happen.

Tip #3 – Be A Yes Man – Be a “Yes” man especially if you and your partner are hosting festivities in your home. Be aware that this will be a stressful time for your spouse, girlfriend or partner. Get into customer service mode… you can’t lose with “how can I be of help.”

Tip #4 – Don’t Let Credit Cards Pull Your Sleigh – Have the holiday budget talk with your partner. Sit down and come up with a gift giving strategy. Figure out how much you are going to spend per each person and discuss and agree on the budget before shopping.

Tip #5 – The Holidays Can Gobble You Up – there are so many ways that they holidays can erode good will, just trying to find a parking space in a busy mall, can raise ire and frustration. Allow yourself plenty of time to accomplish the tasks at hand and be mindful of keeping realistic expectations.

Tip #6 – Prevent an FUI – Family Under the Influence – The word libation is a word close to liberation and verbal liberation can cause a lot of family strife. You may get yourself in a verbal situation that can become triggers for old family issues. Make a pact with yourself and your spouse or partner to an alcoholic drink maximum (before drinking begins) and vow to not let others who are drinking push your triggers.

Tip #7 – Does This Dress Make Me Look Fat? – Men need to be sensitive to the fact that a woman’s physical appearance and perceptions are highlighted during the holidays. Be complimentary and sincere…and don’t even think about mentioning any holiday weight gain!

Tip #8 – In Case of An Emergency Break the Glass – have an exit strategy with your partner. A key word, phrase or tug of an ear to let the other know that you are at your family, office or holiday party limit and it is time to go.

Tip #9 – Stay in DMZ (the Demilitarized Zone) – Agree to stay on neutral ground whether with family or co-workers. Don’t ask questions or bring up topics that are going to invite pain or conflict. Remember alcohol exacerbates every situation and often not in a good way.

Tip #10 – Call A Delay of Game – If conflict begins, give yourself five minutes to re-center. Don’t buy into the conflict.

Tip #11 – Saddle Up Your Parenting – if you have children don’t let the kids manipulate you or your spouse or partner.

Tip #12 – Check the Pressure Cooker – check-in with your spouse or partner to make sure the pressure of the holidays isn’t negatively affecting them. Do a status check for depression, loneliness, or despair. Offer help, love and support to offset these attributes.

Tip #13 – Embody Your Inner Jimmy Stewart – “It’s A Wonderful Life” – have an attitude of gratitude, ENJOY family and friends, practice random acts of kindness and remember to CELEBRATE the holiday season.

Jason Fierstein is owner and founder of Phoenix Men’s Counseling which focuses on men’s mental health and relationship and marriage issues. Phoenix Men’s Counseling is located at 668 N. 44^th Street, Suite 300 in Phoenix. For more information, visit www.phoenixmenscounseling.com or call 602-309-0568.

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Divorce tends to be emotionally gut-wrenching for the people who go through it (not to mention those around them). But most couples don’t realize that divorce can also be among the most ruinous financial moves anyone can make.

Sure, you could bet big and lose on a single stock or money manager. Or your small business could go bankrupt, taking your life savings with it. But divorce and the costs that often come with it — from legal bills to the sudden need for an additional residence — affect far more people.

Phoenix Men’s Counseling – some of the benefits!

- Learn better communication with your wife/ girlfriend
- Feel more appreciated
- Get “in sync” again with her
- Break the “suffer in stoic silence” mode
- Generate energy, fun and laughter
- Lower stress and reduce tension
- Less “thinking too much” about your problems – get out of  your head
- Get help for your depression & start feeling better
- Stop avoiding!
- Be more productive on the job
- Cool your angry feelings
- Get the respect you deserve from others

I specialize in working with men who are struggling in all aspects of their lives: in relationships, in work, with money and with self-image and self-esteem issues. I am a therapist that understands the unique and complicated issues that men might not feel comfortable talking about with a general counselor. I work with guys in Phoenix, Scottsdale, Tempe, Chandler and surrounding areas. Give me a call, or e-mail directly through my website to find out more information about my services.