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From the Blog

Thoughts on therapy, relationships, and getting unstuck.
Man awake in bed at night checking the time, illustrating stress and insomnia

Most of the men I see for sleep problems have already tried the obvious things. They’ve cut back on coffee, bought a better mattress, maybe downloaded a meditation app. None of it has made much difference, because the problem isn’t really the bedroom. It’s the connection between stress and insomnia,

Man looking out a rain-streaked window, illustrating emotional numbness

Why do I feel numb? It’s a question a lot of people ask themselves quietly, because it’s hard to explain to anyone else. Nothing is exactly wrong. You’re getting up, going to work, showing up for the people in your life. But the things that used to register, like a

Man at his desk rubbing his forehead, illustrating irritability in men

If you’ve started asking why you’re always so irritable, you’ve probably also noticed how small your triggers have become. It’s not just the big things anymore. It’s the slow driver in the left lane, the meeting that should have been an email, the question someone asks you twice. A man

Man in his kitchen looking tired and preoccupied, illustrating anger and depression in men

A man I’ll call David came to see me because his wife asked him to. He was clear about it in the first ten minutes: “I’m not depressed. I’m angry. There’s a difference.” He described his week and how his anger kept spilling out. He’d snapped at his son over

Man walking alone down a park path, representing depression in men

Most men who are depressed don’t know they’re depressed. That’s not a character flaw. It’s a direct consequence of how depression actually presents in men — which looks almost nothing like the way it’s typically described. The standard picture of depression is someone who feels profoundly sad, cries frequently, and

Dr. Joe James, psychologist in Bethesda, MD

About Dr. Joe

Joseph W. James, Ph.D. is a licensed psychologist in Bethesda, MD, helping individuals and couples work through anger, trust, and connection.

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