depression

In a Funk or Depressed: Understanding the Difference and Finding Support

In the realm of mental health, it's common to experience fluctuations in mood and energy levels. However, distinguishing between feeling "in a funk" and experiencing depression is essential for seeking appropriate support and interventions. In this blog post, we'll delve into the differences between being in a funk and being depressed, offering insights to help individuals recognize their experiences and access the support they need.

Feeling "In a Funk"

We've all had days where we feel off, unmotivated, or emotionally drained—a state often described as being "in a funk." Being in a funk typically involves:

  1. Temporary Periods: Feeling in a funk is often temporary and may last for a few days or weeks before resolving on its own.

  2. Mild Symptoms: Symptoms of being in a funk are generally mild and may include feeling irritable, lethargic, or uninspired. While unpleasant, these symptoms typically don't significantly impair daily functioning.

  3. Triggered by Circumstances: Being in a funk may be triggered by external factors such as stress, lack of sleep, or minor setbacks in life. It's often a response to temporary stressors or changes in routine.

  4. Responsive to Self-Care: Individuals in a funk may find relief through self-care practices such as getting adequate rest, engaging in enjoyable activities, or seeking support from friends and loved ones.

Experiencing Depression

Depression, on the other hand, is a clinical condition characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities. Some key distinctions between being in a funk and experiencing depression include:

  1. Persistent Symptoms: Depression involves persistent symptoms that last for two weeks or more and significantly impair daily functioning, including work, school, or relationships.

  2. Severity of Symptoms: Symptoms of depression are typically more severe and pervasive than those experienced in a funk, often encompassing a range of emotional, cognitive, and physical symptoms.

  3. Chronic Nature: Depression is a chronic condition that may recur throughout a person's life, requiring ongoing management and treatment to alleviate symptoms and prevent relapse.

  4. Interference with Daily Life: Depression can interfere with various aspects of daily life, including work, school, social interactions, and self-care activities. It may also be accompanied by feelings of worthlessness, guilt, or thoughts of self-harm or suicide.

Seeking Support and Treatment

If you're struggling with feelings of being in a funk or experiencing symptoms of depression, it's essential to reach out for support and treatment. Here are some steps you can take:

  1. Self-Assessment: Reflect on your symptoms and how they're impacting your daily life. Consider whether your symptoms are consistent with being in a funk or if they align more closely with depression.

  2. Reach Out for Support: Don't hesitate to reach out to friends, family, or a mental health professional for support and guidance. Talking about your experiences can help alleviate feelings of isolation and provide perspective on your situation.

  3. Seek Professional Help: If you're experiencing persistent or severe symptoms of depression, consider seeking help from a mental health professional, such as a therapist or psychiatrist. They can provide an accurate diagnosis, develop a treatment plan tailored to your needs, and offer support throughout your recovery journey.

  4. Practice Self-Care: Engage in self-care practices to support your mental and emotional well-being, such as getting regular exercise, eating a balanced diet, practicing mindfulness or relaxation techniques, and prioritizing adequate sleep.

Honoring Your Mental Health

Whether you're feeling in a funk or experiencing symptoms of depression, it's essential to honor your mental health and prioritize self-care and support. By recognizing the differences between these experiences and seeking appropriate help when needed, you can take proactive steps towards healing, resilience, and emotional well-being. Remember, you're not alone, and help is available to support you on your journey toward mental health and recovery.

Symptoms of "Being in a Funk" and How to Navigate Them

Life is a journey filled with ups and downs, and it's normal to experience periods of low mood or feeling "in a funk" from time to time. However, prolonged periods of feeling stuck, unmotivated, or emotionally drained may indicate a deeper issue that warrants attention. In this guide, we'll explore the symptoms of being in a funk, shed light on potential underlying causes, and offer practical strategies for navigating these challenging times with resilience and self-compassion.

1. Persistent Low Mood

One of the hallmark symptoms of being in a funk is a persistent low mood that lingers despite efforts to shake it off. You may find yourself feeling down, irritable, or emotionally numb for an extended period, with little relief from activities or experiences that used to bring you joy.

2. Lack of Motivation

Feeling unmotivated or lacking interest in activities you once enjoyed is another common symptom of being in a funk. You may struggle to find the energy or enthusiasm to engage in hobbies, work projects, or social interactions, leading to a sense of stagnation or apathy.

3. Difficulty Concentrating

Being in a funk can also affect your ability to concentrate and focus on tasks. You may find yourself easily distracted, forgetful, or unable to complete tasks efficiently, which can contribute to feelings of frustration and overwhelm.

4. Changes in Sleep or Appetite

Changes in sleep patterns or appetite can accompany being in a funk. You may experience insomnia or oversleeping, as well as changes in appetite, such as overeating or loss of appetite. These disruptions to your sleep and eating habits can further exacerbate feelings of fatigue and lethargy.

5. Social Withdrawal

Feeling disconnected from others and withdrawing from social interactions is a common symptom of being in a funk. You may find yourself avoiding social gatherings, canceling plans, or isolating yourself from friends and loved ones, which can deepen feelings of loneliness and isolation.

6. Negative Self-Talk

Being in a funk can also lead to negative self-talk and self-criticism. You may berate yourself for perceived failures or shortcomings, engage in self-doubt, or experience feelings of worthlessness or inadequacy.

7. Physical Symptoms

In addition to emotional symptoms, being in a funk can manifest in physical symptoms such as fatigue, muscle tension, headaches, or digestive issues. These physical symptoms may result from the stress and tension associated with feeling emotionally drained or overwhelmed.

Navigating Through a Funk: Practical Strategies

While being in a funk can feel challenging, there are steps you can take to navigate through this period with resilience and self-care:

  1. Practice Self-Compassion: Be gentle with yourself and practice self-compassion. Recognize that it's okay to not be okay and that your worth is not defined by your productivity or mood.

  2. Engage in Self-Care Activities: Prioritize activities that nourish your body and soul, such as getting adequate rest, eating nourishing foods, exercising regularly, and engaging in activities that bring you joy and relaxation.

  3. Reach Out for Support: Don't hesitate to reach out for support from friends, family, or a mental health professional if you're struggling. Talking about your feelings and seeking connection can provide comfort and perspective during difficult times.

  4. Set Small Goals: Break tasks into smaller, manageable goals and celebrate small victories along the way. Focus on progress rather than perfection and be patient with yourself as you work through your funk.

  5. Practice Mindfulness and Self-Reflection: Incorporate mindfulness practices, such as meditation or deep breathing exercises, into your daily routine to cultivate present-moment awareness and reduce stress. Take time for self-reflection to explore underlying thoughts and emotions contributing to your funk.

Embracing Growth Amidst Adversity

While being in a funk can feel overwhelming, it's important to remember that it's temporary and that you have the resilience and strength to navigate through it. By recognizing the symptoms of being in a funk and implementing practical strategies for self-care and support, you can emerge from this challenging period with greater self-awareness, resilience, and compassion for yourself. Embrace the opportunity for growth and self-discovery that comes with navigating through difficult times, and remember that brighter days lie ahead.

Beyond Insomnia: Exploring the Versatility of CBT-I in Treating Sleep and Related Conditions

Cognitive Behavioral Therapy for Insomnia (CBT-I) has emerged as a highly effective and evidence-based treatment for various sleep disorders, offering individuals a path to better sleep and improved overall well-being. While insomnia is the primary target of CBT-I, this therapeutic approach has also shown promise in addressing a range of related conditions and comorbidities. In this blog post, we'll explore the conditions that CBT-I can treat beyond insomnia, highlighting its versatility and potential for transforming sleep and mental health.

Understanding Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is a structured and evidence-based therapeutic approach designed to address the underlying causes of insomnia and improve sleep quality. Unlike sleep medications, which only provide temporary relief, CBT-I targets the root causes of sleep disturbances through a combination of cognitive and behavioral strategies. These strategies aim to regulate sleep-wake patterns, modify unhelpful thoughts and behaviors related to sleep, and promote relaxation and stress reduction.

Conditions That CBT-I Can Treat

While CBT-I is primarily known for its effectiveness in treating insomnia, it can also be beneficial for addressing a variety of related conditions and comorbidities:

  1. Insomnia: CBT-I is considered the first-line treatment for insomnia, with research consistently demonstrating its efficacy in improving sleep onset latency, reducing wake after sleep onset, and enhancing overall sleep quality.

  2. Delayed Sleep Phase Disorder (DSPD): DSPD is characterized by a delay in the timing of the sleep-wake cycle, leading to difficulty falling asleep and waking up at socially acceptable times. CBT-I can help individuals with DSPD gradually shift their sleep-wake schedule to align with their desired bedtime and wake time.

  3. Circadian Rhythm Sleep-Wake Disorders: CBT-I can also be effective for individuals with circadian rhythm sleep-wake disorders, such as shift work disorder or irregular sleep-wake rhythm disorder. By incorporating light exposure, sleep scheduling, and behavioral strategies, CBT-I can help regulate the circadian system and improve sleep timing and quality.

  4. Anxiety Disorders: Anxiety disorders are commonly comorbid with insomnia, with anxiety symptoms often exacerbating sleep disturbances and vice versa. CBT-I addresses the cognitive and behavioral factors contributing to both anxiety and insomnia, helping individuals develop coping strategies and promote relaxation to improve sleep and reduce anxiety symptoms.

  5. Depression: Depression and insomnia frequently co-occur, with insomnia often serving as a risk factor for the development and maintenance of depressive symptoms. CBT-I can be an effective adjunctive treatment for depression, targeting sleep disturbances as a key mechanism of change and improving mood and overall functioning.

  6. Chronic Pain: Chronic pain conditions, such as fibromyalgia, arthritis, or back pain, are often associated with sleep disturbances and insomnia. CBT-I can help individuals with chronic pain develop coping strategies for managing pain-related sleep disturbances and promote relaxation and stress reduction to improve sleep quality.

  7. Substance Use Disorders: Substance use disorders and insomnia frequently occur together, with substance use often serving as a maladaptive coping mechanism for sleep disturbances. CBT-I can be integrated into substance use treatment programs to address sleep disturbances and promote sobriety and relapse prevention.

Cognitive Behavioral Therapy for Insomnia (CBT-I) offers a versatile and evidence-based approach to addressing a wide range of sleep disturbances and related conditions. From insomnia and circadian rhythm disorders to anxiety, depression, and chronic pain, CBT-I has demonstrated efficacy in improving sleep quality and promoting overall well-being. By targeting the underlying cognitive and behavioral factors contributing to sleep disturbances, CBT-I empowers individuals to reclaim their sleep and take control of their mental and physical health. Whether used as a standalone treatment or as part of a comprehensive treatment plan, CBT-I offers hope and relief for those struggling with sleep-related challenges.

The Perfectionist's Paradox: Unraveling the Impact of Rigid Perfectionism on Mental Health

In a world that often glorifies achievement and success, the pursuit of perfection can become a relentless quest fraught with stress, anxiety, and self-doubt. While striving for excellence can be a positive trait, rigid perfectionism—the unyielding pursuit of flawlessness at all costs—can take a significant toll on mental health and well-being. In this blog post, we'll delve into the intricate relationship between rigid perfectionism and mental health, exploring its impact, signs, and strategies for finding balance and self-compassion.

Understanding Rigid Perfectionism

Rigid perfectionism is characterized by excessively high standards, a fear of failure or making mistakes, and an intense need for approval and validation. Unlike adaptive perfectionism, which involves setting realistic goals and striving for improvement, rigid perfectionism is marked by inflexibility, self-criticism, and a relentless drive for unattainable ideals.

Impact on Mental Health

The relentless pursuit of perfection exacts a heavy toll on mental health, contributing to a range of psychological and emotional challenges:

  1. Anxiety: Rigid perfectionists often experience high levels of anxiety due to the fear of making mistakes or falling short of their impossibly high standards. This anxiety can manifest as generalized anxiety disorder, social anxiety, or obsessive-compulsive disorder (OCD).

  2. Depression: The constant pressure to meet unrealistic expectations can lead to feelings of inadequacy, hopelessness, and despair, contributing to depression and low mood.

  3. Burnout: Rigid perfectionism can fuel a cycle of overwork and burnout as individuals push themselves to meet unattainable standards, neglecting self-care and rest in the process.

  4. Impaired Relationships: The rigid and critical nature of perfectionism can strain relationships, leading to conflict, resentment, and feelings of alienation from others.

  5. Reduced Self-Worth: Perfectionists often tie their self-worth to external achievements and validation, leading to a fragile sense of self-esteem that is easily shaken by setbacks or perceived failures.

Signs of Rigid Perfectionism

Recognizing the signs of rigid perfectionism is the first step toward addressing its impact on mental health:

  1. Setting Unrealistic Standards: Perfectionists set impossibly high standards for themselves and others, believing that anything less than perfection is unacceptable.

  2. Fear of Failure: Perfectionists are consumed by a fear of failure or making mistakes, leading to avoidance of new challenges or taking risks.

  3. Self-Criticism: Perfectionists engage in relentless self-criticism, berating themselves for perceived flaws or shortcomings.

  4. Need for Control: Perfectionists often seek to control their environment and circumstances to minimize the possibility of failure or criticism.

  5. Difficulty Accepting Imperfection: Perfectionists struggle to accept imperfection in themselves and others, leading to dissatisfaction and disappointment.

Strategies for Finding Balance

Overcoming rigid perfectionism requires a combination of self-awareness, self-compassion, and practical strategies for change:

  1. Challenge Negative Thoughts: Learn to recognize and challenge negative thought patterns associated with perfectionism, replacing them with more realistic and balanced perspectives.

  2. Set Realistic Goals: Set goals that are challenging yet achievable, allowing room for mistakes and learning along the way.

  3. Practice Self-Compassion: Cultivate self-compassion by treating yourself with kindness and understanding, especially in moments of failure or setback.

  4. Embrace Imperfection: Embrace the idea that perfection is unattainable and that mistakes are a natural part of the learning process.

  5. Seek Support: Reach out to trusted friends, family members, or a therapist who can offer support and guidance as you work to overcome rigid perfectionism.

Rigid perfectionism may promise excellence, but its pursuit comes at a steep cost to mental health and well-being. By recognizing the signs of perfectionism, challenging negative thought patterns, and embracing self-compassion, individuals can find freedom from the grip of perfectionism and cultivate a healthier relationship with themselves and others. Remember, true growth and fulfillment come not from perfection, but from the courage to embrace imperfection and celebrate the journey of self-discovery and growth.

Breaking Through the Clouds: Behavioral Activation Strategies for Overcoming Depression

Depression casts a heavy shadow over millions of lives, sapping energy, dampening spirits, and clouding thoughts with a pervasive sense of hopelessness. While medication and therapy are valuable tools in managing depression, another approach—Behavioral Activation (BA)—offers a promising avenue for breaking free from its grip. In this blog post, we'll explore the transformative power of Behavioral Activation and how its practical strategies can illuminate the path towards recovery and rediscovery of joy.

Understanding Behavioral Activation

Behavioral Activation is a therapeutic approach grounded in the principle that depression is maintained, in part, by patterns of avoidance and withdrawal from rewarding activities. Unlike traditional talk therapy, which delves into the roots of depression, BA focuses on changing behavior patterns to alleviate symptoms and improve mood. By increasing engagement in meaningful and pleasurable activities, individuals can disrupt the cycle of depression and rediscover a sense of purpose and fulfillment.

Key Principles of Behavioral Activation:

  1. Activity Monitoring: The first step in BA involves tracking daily activities to identify patterns of avoidance and withdrawal. By documenting activities and associated mood levels, individuals gain insight into how behavior influences mood and vice versa.

  2. Activity Scheduling: Based on the insights gained from activity monitoring, individuals work with their therapist to develop a structured schedule of rewarding activities. These activities may include hobbies, socializing, exercise, or self-care practices tailored to the individual's interests and preferences.

  3. Gradual Exposure: Behavioral Activation encourages individuals to gradually expose themselves to activities they may have been avoiding due to depression. By breaking tasks into smaller, more manageable steps, individuals can overcome feelings of overwhelm and build confidence in their ability to engage in meaningful activities.

  4. Goal Setting: Setting achievable goals plays a central role in Behavioral Activation. Goals should be specific, measurable, achievable, relevant, and time-bound (SMART), providing a roadmap for progress and motivation.

  5. Behavioral Strategies: BA incorporates various behavioral strategies to reinforce positive changes and reduce the likelihood of relapse. These may include problem-solving skills, assertiveness training, and strategies for managing obstacles and setbacks.

Practical Behavioral Activation Strategies for Depression:

  1. Start Small: Begin with small, achievable activities that bring a sense of pleasure or accomplishment. This could be as simple as taking a short walk, listening to music, or spending time with a loved one.

  2. Create a Daily Routine: Establishing a daily routine provides structure and stability, reducing feelings of aimlessness and inertia. Set specific times for waking up, eating meals, and engaging in activities, even on difficult days.

  3. Focus on Mastery: Incorporate activities that allow you to develop new skills or talents, fostering a sense of mastery and accomplishment. Whether it's learning to cook a new recipe or taking up a creative hobby, embracing challenges can boost self-esteem and confidence.

  4. Cultivate Social Connections: Prioritize social activities that bring joy and connection, even when the urge to isolate is strong. Reach out to friends or family members for support, or consider joining a support group where you can connect with others who understand what you're going through.

  5. Practice Self-Care: Self-care is essential for maintaining emotional well-being during times of depression. Incorporate activities that nourish your body, mind, and spirit, such as meditation, journaling, or pampering yourself with a hot bath or massage.

Depression may dim the light of hope, but Behavioral Activation offers a beacon of possibility and empowerment. By taking proactive steps to engage in meaningful activities and break free from the grip of avoidance, individuals can reclaim their lives and rediscover the joy and vitality that depression has stolen away. Remember, healing takes time and patience, but with the support of Behavioral Activation strategies and the guidance of a skilled therapist, there is hope for a brighter tomorrow beyond the clouds of depression.

Understanding Grief vs. Depression: A Guide to Navigating Emotional Distress

In the realm of human emotion, grief and depression are profound experiences that often intertwine yet remain distinct. Understanding the differences between them is crucial for offering appropriate support and navigating through emotional distress effectively.

Grief: A Natural Response to Loss

Grief is a natural response to loss, encompassing a range of emotions such as sadness, anger, guilt, and relief. It's a process that unfolds over time as individuals adjust to a new reality.

Key Characteristics of Grief:

  1. Intensity Fluctuations: Grief ebbs and flows, with moments of intense sorrow followed by relative calm.

  2. Triggers: Certain events or reminders can trigger waves of grief, bringing back intense emotions associated with the loss.

  3. Social Support: Connecting with friends, family, or support groups is crucial for navigating through grief.

Depression: A Persistent Mental Health Condition

Depression is a mental health disorder characterized by persistent feelings of sadness, hopelessness, and disinterest in life. It often persists beyond the expected mourning period and significantly impairs daily functioning.

Key Characteristics of Depression:

  1. Pervasive Sadness: Depression manifests as a pervasive sense of sadness that extends beyond specific triggers.

  2. Cognitive Symptoms: Depression can cause difficulty concentrating, indecisiveness, and negative thoughts.

  3. Physical Symptoms: Depression may manifest in physical symptoms like fatigue, changes in appetite, and sleep disturbances.

Distinguishing Between Grief and Depression

Key differences help distinguish between grief and depression:

  1. Duration: Grief lessens over time, while depression persists for weeks, months, or even years.

  2. Functioning: Individuals grieving can still engage in daily activities, unlike those with depression, who often struggle to function effectively.

  3. Treatment approach: Professional intervention is often necessary for managing depression, whereas grief may benefit from supportive counseling.

Navigating the Healing Journey

Understanding these differences is crucial for providing appropriate support:

For those experiencing grief:

  • Allow yourself to feel and express emotions without judgment.

  • Seek comfort from your support network.

  • Practice self-care activities to nourish your well-being.

  • Consider seeking professional support if needed.

For those struggling with depression:

  • Reach out to a mental health professional for evaluation and treatment.

  • Explore therapy options to address underlying issues.

  • Consider medication under professional guidance.

  • Prioritize self-care practices for overall well-being.

By understanding the distinctions between grief and depression, we can navigate emotional distress with clarity and compassion. Let's offer empathy and support to those traversing these difficult journeys, guiding them toward healing and renewal.

Daily Behavioral Activation Strategies to Improve Depression and Anxiety

Depression and anxiety can make even basic daily tasks seem daunting. Behavioral activation strategies aim to gradually increase activity and regain a sense of achievement and pleasure in daily life. Here are some simple yet effective behavioral activation strategies you can try every day:

Morning Routines - Start Your Day Right

  • Wake up at a set time each morning, even on weekends or days off. Maintaining a consistent wake-up time helps set your circadian rhythm which can improve mood.

  • Open the blinds/curtains to let in natural sunlight. Sunlight exposure helps regulate serotonin and melatonin levels which affect mood.

  • Make your bed in the morning. Coming home to a made bed can create a sense of order and accomplishment.

  • Eat a nutritious breakfast. Don't skip breakfast - starting your day with a healthy meal gives you energy and stable blood sugar levels.

Self-Care Rituals - Take Time for You

  • Take a shower and get dressed in day clothes. Don't lounge around in pajamas all day.

  • Incorporate exercise into your daily routine, even if it's just a 15-20 minute walk around the block. Regular exercise boosts endorphins and relieves stress.

  • Practice good sleep hygiene. Limit screens before bed, cut back on caffeine, and go to bed and wake up at consistent times. Adequate, quality sleep is crucial for mental health.

  • Do a short mindfulness or meditation session for 5-10 minutes. Use a meditation app if that helps. Meditation relieves anxiety and refocuses your mind.

Productivity Goals - Small Tasks Add Up

  • Make a daily to-do list with 2-3 important but manageable tasks to accomplish. Cross them off as you complete them to feel a sense of achievement.

  • Declutter for 10 minutes a day. Organize part of a room, tackle a junk drawer, or go through old papers. Physical clutter can create mental clutter.

  • Spend time outdoors. Go for a daily walk, sit outside with coffee, garden, or have lunch outside. Sunshine and nature are natural mood boosters.

The key is to start small and be consistent. Over time these daily behavioral activation strategies will boost your mood, motivation, and sense of control. What small steps can you take today?

The Power of SMART Goals for Managing Depression

Living with depression can be a challenging and overwhelming experience. It often feels like an uphill battle, with daily tasks becoming monumental obstacles. In such times, setting and achieving goals might seem like an insurmountable task. However, the concept of SMART goals provides a structured and effective approach to navigate the complexities of managing depression.

SMART is an acronym that stands for Specific, Measurable, Achievable, Relevant, and Time-bound. Applying these principles to goal-setting can make a significant difference in the journey of those grappling with depression.

  1. Specific: When setting goals for managing depression, specificity is crucial. Instead of vague aspirations, define clear and concise objectives. For instance, rather than saying, "I want to feel better," a specific goal could be, "I will engage in a relaxing activity, such as meditation or reading, for 15 minutes each day to alleviate stress."

  2. Measurable: Measuring progress is essential for motivation and a sense of accomplishment. Establish tangible criteria to evaluate your achievements. For example, if your goal is to increase physical activity, set a measurable target like walking for 30 minutes three times a week.

  3. Achievable: While setting ambitious goals is admirable, it's important to ensure they are realistically attainable. Aim for gradual progress rather than overwhelming yourself. Breaking down larger goals into smaller, manageable steps can make the process less daunting. If socializing is a challenge, an achievable goal might be to attend a small gathering for 20 minutes.

  4. Relevant: Ensure that your goals align with your overall well-being and contribute positively to your mental health. Identify aspects of your life that need improvement and set goals that address those specific areas. For instance, if lack of sleep is a concern, a relevant goal could be establishing a consistent bedtime routine to promote better sleep hygiene.

  5. Time-bound: Set a timeframe for achieving your goals to create a sense of urgency and structure. This helps prevent procrastination and fosters a commitment to the process. For instance, if your goal is to develop a new hobby to combat isolation, set a timeframe, such as joining a local club within the next two weeks.

Incorporating SMART Goals into Daily Life: Implementing SMART goals requires commitment and consistency. Here are some practical tips for integrating them into your daily routine:

  • Keep a journal: Document your goals, progress, and setbacks regularly. Reflecting on your experiences can provide valuable insights and motivation.

  • Seek support: Share your goals with trusted friends, family, or a mental health professional. Having a support system can provide encouragement and accountability.

  • Adjust when necessary: Be flexible in adapting your goals based on your evolving needs and circumstances. It's okay to modify or create new goals as you progress.

SMART goals offer a structured and effective framework for managing depression. By setting specific, measurable, achievable, relevant, and time-bound objectives, individuals can break down the overwhelming challenges of depression into manageable steps. Remember, progress may be gradual, but each small achievement is a step towards a brighter, healthier future.


Julie Kolzet, Ph.D.