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Faith Crisis/Transition

“Betrayal of any kind is hard, but betrayal of one’s own religion is excruciating. It makes you want to rage and weep. It deposits a powerful energy inside. Eventually, that energy will flow out as either hostility or love. The energy must and will find a form, a shape in our lives.” -Sue Monk Kidd

Whether you call it your “Faith Crisis,” or “Faith Transition,” or others have referred to it as your the “Trial of Your Faith.” Regardless, what do you do now about this “Knowledge Crisis?” Unexpectedly, what you will begin to experience is called cognitive dissonance.  Simply stated, there is an internal conflict trying to make sense of what you thought you believed or had been taught to believe and what you now have discovered to be the actual truth. These can be dangerous encounters with facts followed by a period of “intellectual epiphany.” The word “Crisis” means being in a state of emergency. “Transition” would imply reconstruction or correction. This a defining moment of profound exploration as one chapter closes and a new one begins.

The mental anguish can be overwhelming. Anxiety and depressive symptoms are not uncommon. Difficult questions may arise like, “How can this be true? Maybe you feel like you’re dying inside because of the fear and desperation. You may have feelings of am I safe and should I share this? Do you feel alone, or is doubt clouding your mind? Are the answers you receive causing more uncertainty and bringing up more questions? Your thoughts will race, real concerns about losing friends, family and your community of worship. If these thoughts and feelings become pervasive, they will cripple your mind and squeeze your heart. It can feel gut-wrenching as you struggle with deciding the risk of coming forward with what you’ve learned. In reality, a truth seeking journey has begun. You will realize at some point that what you have learned cannot be unlearned.

Here at Aspire Wellness Clinic we create a safe place for your doubts and questions and embrace the spiritual biodiversity in each client.  There is a real paralyzing fear that many struggle to overcome; but we realize that there is something noble as you break down your beliefs. Feelings of uncertainty, pain, and betrayal often lead to depression. You don’t have to feel alone.  Let us help you to embrace your questions. Courage isn’t enough. There comes a point when the silence is too deafening, your sense of truth and reality may be too fragmented and slippery. The stress, mental fatigue, and fluctuating feelings of disconnection can also trigger other mental health issues previously undiagnosed. If medication is required, we have a psychiatrist who can diagnose and prescribe the appropriate medication for you. However, many times, having a counselor to actively listen, guide you and teach healthy coping skills will psychologically, emotionally and cognitively restore and reinvigorate.



HIV Counseling in Temecula, CA

HIV RibbonHIV related depression, anxiety, stress counseling

When you first heard that you were diagnosed with HIV what was your reaction? Did you feel tainted? Did you fear that you would or could infect others? Quite possibly thoughts have already or will begin to run thru your mind like, “How will I tell people (i.e. friends, partner, spouse, boyfriend, girlfriend, and parents)?” Maybe you are feeling that you will never be able to have a partner again. Do you feel as though you will have to live your life alone? Are people going to begin treating you differently if you tell them you have HIV? Do you feel that you can have a meaningful relationship? Will you have to settle for someone that you would not have because you have HIV? Are you scared, feel betrayed, maybe isolated and alone, possibly vulnerable and numb, or maybe just angry and confused?

You are not alone! In the United States, every 9 1/2 minutes someone is infected with HIV. More than 1.2 million people in the United States are living with HIV and almost 1 in 8 people (12.8%) do not even realize they have been infected.

Do you know where to go or who you can talk to? We are here for you! Whether it is day one or day 365, at the Aspire Wellness Clinic, we will help you wherever you are at in your life. We understand the psychological effect that learning that you have HIV and the stress and anxiety now have on you. We also realize that depression can take over and steal your motivation to connect and cope effectively.

At Aspire Wellness Clinic, we help you understand the psychological impact of not knowing what HIV has done, or is doing to your body. We help educate you about the associated side effects such as anxiety and depression that are caused by these potent HIV medications.  Just as important we will show you how to survive, turn your life back over, and live a better life with HIV. We care, so let us be part of your journey back!

Now that you know we are here, it’s time to reach out and schedule a private session with one of our trained therapists.


ADD & ADHD Treatment in Temecula, CA

ADD & ADHD Treatment in Temecula, CA

ADHD is like a fog in the frontal lobe that gradually becomes a thick cloud in one’s mind, suffocating thoughts and putting pressure on the brain until one can’t think anymore, where one might then want to smash his/her head into something to shatter the buildup. The only way to clear the fog is to stop doing whatever one’s doing completely, or switch tasks, and the fog begins to clear.  This is how some would describe what ADD and ADHD feels like.

What is ADHD?

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most common disorders of childhood and adolescence, with estimates that it affects anywhere from 3% to 10% of school-aged children.  Many of these children continue to experience problems into adulthood. The key to understanding ADHD is that it may not look the same in children and adults.

In children, ADHD is characterized by symptoms of inattention (e.g., easily distracted, difficulty following directions, losing things), hyperactivity (e.g., squirming, difficulty playing quietly, talking excessively), and impulsivity (e.g., difficulty waiting turn, interrupting others).  Depending on the severity of the child’s ADHD, he or she may not initially experience significant problems in school.  Some children are able to compensate until they reach higher grades when classes become more difficult and an inability to be organized and attentive is more likely to lead to academic problems.

While some adults with ADHD may manifest behaviors similar to those seen in children, ADHD tends to look different in adults.  For instance, adults with ADHD may be forgetful, have employment problems, have a low frustration tolerance, exhibit poor organization skills, and be prone to procrastination.  Adults with ADHD are also more likely to have had a history of academic problems, have a higher rate of driving violations, be more likely to engage in risky behaviors, and experience problems with drugs and alcohol than adults without ADHD.

Treatments for ADHD Explained

Once you or your child receives a diagnosis of ADHD you may want to start treatment.  Medication may seem like an easy fix, and while it is effective in helping control ADHD symptoms, it is important to understand that the research has demonstrated that psychosocial (e.g., non-medical) treatment also plays a vital rule in successful management of ADHD symptoms.

If you would like to meet or talk with one of our therapists or our in-house psychiatrist about ADHD and treatment options, call our Temecula, CA offices at (951) 363-3150, or click below to fill out our secure online form.


Medical Weight Loss & Management in Temecula, CA

Introducing CONTRAVE—a new, FDA-approved treatment for weight loss in overweight & obese adults.

Screen Shot 2015-03-12 at 1.16.13 AMCONTRAVE is a combination of two already existing and approved drugs. One is the antidepressant Wellbutrin (bupropion) which is also used by people to quit smoking, and Revia, which is used to treat alcohol and drug addictions. Early studies showed that CONTRAVE had a positive effect on depressed patients.  It is the perfect combination to not only help with weight-management, but overall mental health & wellness.

Clinical trials showed that on average, people lost about 10% of their body weight.  Aspire to Wellness- call for your evaluation with Dr. Ivan Baroya today!

Schedule An Appointment for Weight loss Evaluation & Treatment

If you would like to meet or talk with Dr. Ivan Baroya about an eating disorder, depression, or simply weight loss treatment call our Temecula, CA offices at (951) 363-3150, or click below to fill out our secure online form.



Family Therapy in Temecula, CA

Screen Shot 2015-01-18 at 7.01.30 PMFamily therapy is a type of psychotherapy that helps families or individuals within a family understand and improve the way family members interact with each other and resolve conflicts together. At Aspire Wellness Clinic, we believe this type of therapy strengthens the entire family, allowing each family member to rely on one another to work towards desired family change. The family can be the biggest source of support, comfort, joy and love. At times, it can also be your greatest source of stress and grief. A health crisis, marital struggle, mental illness, work problems or teenage rebellion may threaten to tear your family apart.

At Aspire Wellness in Temecula, CA, we believe family therapy can help your family weather such storms. Family therapy can help patch strained relationships, teach new coping skills and improve how your family works together. Whether it’s you, your partner, a child or even a sibling or parent who’s in crisis, family therapy can help all of you communicate better and develop new behavioral patterns. Working with our clinicians you and your family will examine your family’s ability to solve problems and express thoughts and emotions. You may explore family roles, rules and behavior patterns in order to spot issues that contribute to conflict. Family therapy can help you pinpoint your specific concerns and assess how your family is handling them. Guided by your Aspire Wellness therapist, you’ll learn new ways to interact and overcome old problems. You’ll set individual and family goals and work on ways to achieve them as a family. Starting therapy with an Aspire Wellness therapist can be one of the best things you do when your family is experiencing difficulty. You can begin to heal emotional wounds, come to understand one another better and restore a sense of harmony you may not have felt for a long time.

Knowing When to get Help For Your Family

Importantly, whenever a situation starts to control our lives, affecting our everyday functioning, it is a clear signal we need a neutral perspective. Healthy conflict is a natural part of any relationship; ongoing stress is not. There are several warning signs of undue stress for both children and parents. If your eating habits or sleeping patterns have changed recently or if you feel tired and down most of the time and there is no physical explanation, this could be an indication you are experiencing higher than normal levels of stress. Significant weight gain or loss, anxiousness, irritability and consistent headaches and or stomachaches can also signal a body in overload. If you or your child is abusing alcohol or using drugs, this is a sure sign you need help. Skipping school, failing grades and promiscuous behavior are all good indicators that something is wrong. Whether you are aware or not, the conflicts in your life can seriously affect both your emotional and physical well-being. Unresolved issues can quickly overtake our lives and affect everyone around us. Although we will never be able to completely remove all of life’s many conflicts, often counseling can offer us a new perspective and give us the tools to resolve it in a healthy and acceptable way. Sometimes an impartial voice is all that is needed to clear the way for mutual understanding and a peaceful existence.

Utilizing Counseling to Resolve Family Arguments and Conflicts

Addressing family arguments can be a difficult and challenging event given the number of people and personalities that become involved. Working with your Aspire Wellness Clinic therapist, we recognize that often a family’s patterns of relating to each other and style of communication can be deeply entrenched. Often, roles within the family have been well established with individual members being identified with such labels as “the over-achiever”, “the trouble-maker”, “the peace-maker”, or “the enabler”.

At Aspire Wellness Clinic, we believe resolving family conflict is a two-fold approach. First, is to determine what has caused the current crisis and what family members are prepared to do to reach an acceptable resolution. Throughout this process, the second component of conflict resolution takes place; learning to communicate effectively ensuring there is not any misunderstanding or assumptions that develop

In some situations, families are faced with a specific event that causes a disagreement. This could include how to care fro an aging parent, how to support a couple through a separation, or dealing with a disruptive teen. Common is most families as well, is the existence of previous events that have been left unresolved that contribute to the emotion of the current situation. Your Aspire Wellness therapist is committed to working through these historical issues where individuals are ready to address these painful past events. However, in some instances, counseling reaches a successful resolution when the present concern is addressed.

If you would like to meet or talk with one of our therapists about family counseling call our Temecula, CA office at (951) 363-3150, or  fill out our secure online form.


Treatment for Eating and Body Image Disorders in Temecula, CA

EatingEating disorders are dangerous expressions of food, weight and body image issues experienced by many women and men. Eating and Body Image Disorders can be extremely dangerous because these behaviors are regularly connected with meaningful health complications. When you, or a loved one suffers from an eating and/or body image problem, it is imperative to seek professional help to assist in changing the unhealthy patterns and coping.  If you or someone you know has an eating disorder, contact us at our Temecula, CA offices for help.

Common Eating Disorders

Anorexia Nervosa: A person who suffers from anorexia has extremely low body weight for his/her height and often suffers from an intense fear of gaining weight, often resisting all outside attempts of helping the person achieve a normal body weight. Individuals with anorexia often see themselves as overweight even though they tend to be very thin. They frequently use food or starving themselves as a way of feeling more in control of their life and to ease the pain of difficult emotions. Anorexia can be life threatening and requires immediate professional attention.

eating_disorder_factorsBulimia Nervosa: People who suffer from bulimia present with episodes of binge eating followed by maladaptive techniques of weight control (e.g., vomiting, excessive laxative use, compulsive exercising). Excessive body concerns around weight and shape are also common problems for individuals suffering from bulimia. This behavior is often triggered by low self-esteem, depression or anxiety. Individuals routinely swing between feeling out of control (binging behavior), and then struggling to regain control by returning to their weight loss efforts. Similar to anorexia, the physical and emotional effect of this problem can be devastating, and life threatening and requires immediate professional intervention.

Compulsive Overeating: Compulsive overeating is an extreme consumption of food. It is very emotional in nature and habitually used to fill an empty feeling or used to cope with difficult emotions such as depression, anxiety or daily stressors. Because it is often emotional in nature, the act of compulsive overeating can begin a cycle of increased negative feelings, self blame, and increased feelings of emptiness because the core emotional issues triggering the compulsive overeating are often neglected.

Body Dysmorphic Disorder:  People who suffer from body dysmorphic disorder obsessively focus on perceived flaws that they see with their bodies, even if these flaws are imagined or minor. This obsessive focus on their flaws interferes with their ability to function in a healthy and adaptive way in other areas of their lives. At Aspire Wellness, our goal is to help our clients develop a more adaptive and healthy relationship with food, fitness and overall health. Understanding the root of one’s eating issues is imperative to try and stop the cycle of negative thinking and self-destructive behaviors. By identifying these negative thought and behavior patterns, we help our clients develop more positive relationships with their bodies, food and fitness.


To help someone you suspect has an eating disorder you must ACT immediately.

Ask the person how she/he would know if their food issues were a problem. What would tell her/him that the situation was out of control?

Create a protected atmosphere free from judgment and encourage your friend or loved one to open up about her/his eating disorder. Connect her/him to resources that can help.

Therapy is the treatment of choice for eating disorders. Help your friend or loved one locate a therapist with whom she/he feels comfortable by contacting us at our offices in Temecula, CA.

If your loved one refuses therapy:

Some people fear therapy means they are “broken” and are going to be “fixed” by the therapist. Therapy is actually about getting support and understanding. If your loved one thinks of therapy as a punishment, help her (or him) feel positive by gently pointing out the supportive and collaborative nature of therapy.

If you or someone you know are affected by any of these conditions, we can help.

Schedule An Appointment

If you would like to meet or talk with one of our clinicians about treatment for eating and/or body image disorders call our Temecula, CA office at (951) 363-3150, or click below to fill out our secure online form.


Learn About Counseling & Therapy in Temecula CA

What’s The Difference Between Counseling and Therapy?

Therapy and counseling are words that are often used interchangeably, which is the case at Aspire Wellness. Regardless if you call it therapy or counseling, the experience can be very powerful and life enhancing.  We provide counseling and/or therapy services at our Temecula, CA offices.

Counseling Formats

Aspire Wellness provides short-term and long-term counseling in each of the following treatment formats:


One-on-one therapy to address concerns ranging from temporary problems to complex or life-impacting challenges. Individual counseling helps clients understand and resolve their emotional, behavioral, and/or social issues in a way that increases their self-awareness and self-satisfaction.


When two people join together as part of a marriage or an intimate relationship, various issues and struggles may arise as they strive to attain and maintain satisfaction. Couples counseling and therapy assists couples in negotiating these obstacles. Relationship counseling aimes to increase empathetic understanding, improve effective communication, and provide opportunities for mutual growth.


Families are complex systems where each member can have a strong impact on each of the other members, and on the family as a whole. We aim to help families rebuild the confidence and strength necessary to resolve the unique and complex issues, transitions, and crises that they may face.


Aspire Wellness offers different psychotherapy and counseling groups depending on needs in the community and requests of the clients we serve.

Benefits of Counseling and Therapy

Our counseling and therapy services in Temecula, CA are designed to help individuals address and resolve various concerns, issues, and symptoms. Counseling and therpay intend to promote increased self-awareness, insight, and understanding, thereby enhancing a client’s experience of themselves and others. Thus, not only is counseling effective for helping clients overcome barriers; treatment can also help enhance many positive qualities of an individual’s life, such as increasing self-esteem and compassion and enhancing joy, connection and self-love.

During the course of counseling or therapy, your therapist functions as a support in a way that is different from the support a family member or friend provides. More specifically, although there often is a strong and connected bond, it is not the same type of relationship. This allows for a safe environment where anything can be said. The counselor or therapist is able to provide a client objective support and aid in helping them find constructive ways of coping with stress, negative feelings, and challenges.


At Aspire Wellness, we use an integrative, strength based treatment model to address each individual’s set of unique issues and/or goals. We pull from cognitive-behavioral, interpersonal, systems-focused, and insight oriented approaches to design effective treatment, consultation, and assessment strategies to help our clients.

Why Seek Counseling and Therapy?

People seek counseling/therapy services for all different types of reasons. There is no such thing as a “right” or “wrong” issue that can be discussed in therapy/counseling. In other words, counseling or therapy is a safe environment where a client can discuss anything that they want or need to discuss.

Going to seek the help of a therapist or counselor does not at all mean you are crazy. In fact, the majority of individuals that seek therapy or counseling services are everyday people struggling with everyday, very human problems and issues.


  • Feelings of stress or anxiety
  • Anger management
  • Relationship issues
  • Feelings of depression or sadness
  • Feelings of loneliness
  • Academic or work related pressures
  • Trauma
  • Career concerns
  • Coping with medical issues
  • Sleeping difficulties
  • Eating or body image concerns
  • Problems with attention, concentration and focus
  • Substance abuse and dependence
  • Improving self-esteem
  • Sexual intimacy concerns or questions
  • Concerns about behaviors
  • Concerns about certain emotions
  • Concerns about specific thoughts
  • Desire to increase self understanding and personal insight
  • Enhancement of positive qualities and strengths

Everyone has difficult life experiences and sometimes being able to talk them through and seek the support of a therapist or counselor can make a significant difference.

In addition to helping people with mental health disorders or the challenges/barriers that people face, counseling and therapy are also used by many people simply for life enhancement, self-discovery, and increased self-understanding.

What Do I Need to Know About Counseling and Therapy?

No matter what kind of therapy or counseling you seek, you and your therapist will work together to establish the goals for your therapy and counseling, as well as determine the steps you will take to get there. The relationship between you and your therapist or counselor is a confidential one. Our counselors are very experienced and will explain confidentiality to you in detail during your initial session.

In order for therapy to be effective, you must feel like you and your therapist or counselor are a good fit. This work is kind of like a dance. Sometimes you will groove and sometimes you will step on each other’s feet, so you better do the dance with someone you like, respect, and want to dance with. Finding the right match is perhaps the most important step in the therapeutic process. It often takes a few sessions to know if you feel you have found the right fit. At Aspire Wellness, we are very conscious of the fact that the relationship is an imperative part of the therapeutic journey. If you feel your therapist is not the right fit, please speak with him or her and they will assist you in finding someone more appropriate.

On the whole, you can expect your therapist or counselor to be someone who demonstrates respect, who supports you, who listens attentively and actively, who challenges you to think about things in different ways, who provides honest and direct feedback, who is ethical and who models a healthy and positive relationship experience.

If you would like to schedule an appointment, please call our Temecula, CA office at (951)-363-3150, Option 1 or fill out our contact form by clicking here.


Post Traumatic Stress Disorder (PTSD) Treatment in Temecula, CA

PTSDPost-traumatic stress disorder (PTSD) is a mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event. If you think you are suffering from PTSD contact us at our Temecula, CA offices as soon as you can. The contact information is at the bottom of this page.

Many people who go through traumatic events have difficulty adjusting and coping for a while, but they don’t have PTSD — with time and good self-care, they usually get better. But if the symptoms get worse or last for months or even years and interfere with your functioning, you may have PTSD.

Getting effective treatment after PTSD symptoms develop can be critical to reduce symptoms and improve function.ptsd-injury

Post-traumatic stress disorder symptoms may start within three months of a traumatic event, but sometimes symptoms may not appear until years after the event. These symptoms cause significant problems in social or work situations and in relationships.

PTSD symptoms are generally grouped into four types: intrusive memories, avoidance, negative changes in thinking and mood, or changes in emotional reactions.

Intrusive memories

Symptoms of intrusive memories may include:

  • Recurrent, unwanted distressing memories of the traumatic event
  • Reliving the traumatic event as if it were happening again (flashbacks)
  • Upsetting dreams about the traumatic event
  • Severe emotional distress or physical reactions to something that reminds you of the event


Symptoms of avoidance may include:

  • Trying to avoid thinking or talking about the traumatic event
  • Avoiding places, activities or people that remind you of the traumatic event

Negative changes in thinking and mood

Symptoms of negative changes in thinking and mood may include:

  • Negative feelings about yourself or other people
  • Inability to experience positive emotions
  • Feeling emotionally numb
  • Lack of interest in activities you once enjoyed
  • Hopelessness about the future
  • Memory problems, including not remembering important aspects of the traumatic event
  • Difficulty maintaining close relationships

Changes in emotional reactions

Symptoms of changes in emotional reactions (also called arousal symptoms) may include:

  • Irritability, angry outbursts or aggressive behavior
  • Always being on guard for danger
  • Overwhelming guilt or shame
  • Self-destructive behavior, such as drinking too much or driving too fast
  • Trouble concentrating
  • Trouble sleeping
  • Being easily startled or frightened

Intensity of symptoms

PTSD symptoms can vary in intensity over time. You may have more PTSD symptoms when you’re stressed in general, or when you run into reminders of what you went through. For example, you may hear a car backfire and relive combat experiences. Or you may see a report on the news about a sexual assault and feel overcome by memories of your own assault.

You can develop post-traumatic stress disorder when you go through, see or learn about an event involving actual or threatened death, serious injury or sexual violation.

Doctors aren’t sure why some people get PTSD. As with most mental health problems, PTSD is probably caused by a complex mix of:

  • Inherited mental health risks, such as an increased risk of anxiety and depression
  • Life experiences, including the amount and severity of trauma you’ve gone through since early childhood
  • Inherited aspects of your personality — often called your temperament
  • The way your brain regulates the chemicals and hormones your body releases in response to stres

Risk factors

People of all ages can have post-traumatic stress disorder. However, some factors may make you more likely to develop PTSD after a traumatic event, such as:

  • Experiencing intense or long-lasting trauma
  • Having experienced other trauma earlier in life, including childhood abuse or neglect
  • Having a job that increases your risk of being exposed to traumatic events, such as military personnel and first responders
  • Having other mental health problems, such as anxiety or depression
  • Lacking a good support system of family and friends
  • Having biological (blood) relatives with mental health problems, including PTSD or depression

Kinds of traumatic events

The most common events leading to the development of PTSD include:

  • Combat exposure
  • Childhood neglect and physical abuse
  • Sexual assault
  • Physical attack
  • Being threatened with a weapon

Many other traumatic events also can lead to PTSD, such as fire, natural disaster, mugging, robbery, car accident, plane crash, torture, kidnapping, life-threatening medical diagnosis, terrorist attack, and other extreme or life-threatening events.

Post-traumatic stress disorder can disrupt your whole life: your job, your relationships, your health and your enjoyment of everyday activities.

Having PTSD also may increase your risk of other mental health problems, such as:

  • Depression and anxiety
  • Issues with drugs or alcohol use
  • Eating disorders
  • Suicidal thoughts and actions

Preparing for your appointment

If you think you may have post-traumatic stress disorder, make an appointment with a skilled therapist at our Temecula, CA offices. Here’s some information to help you prepare for your appointment, and what to expect.

What you can do

Before your appointment, make a list of:

  • Any symptoms you’ve been experiencing, and for how long.
  • Key personal information, especially events or experiences — even in your distant past — that have made you feel intense fear, helplessness or horror. It will help your therapist to know if there are memories you can’t directly access without feeling an overwhelming need to push them out of your mind.
  • Take a trusted family member or friend along, if possible. Sometimes it can be difficult to remember all the information provided to you.

What to expect from your therapist

Your therapist is likely to ask you a number of questions. Be ready to answer them to reserve time to go over any points you want to focus on. Your therapist may ask:

  • What are your symptoms?
  • When did you or your loved ones first notice your symptoms?
  • Have you ever experienced or witnessed an event that was life-threatening to you or someone else?
  • Have you ever been physically, sexually or emotionally harmed?
  • Do you have disturbing thoughts, memories or nightmares of the trauma you experienced?
  • Do you ever feel as if you’re reliving the traumatic event, through flashbacks or hallucinations?
  • Do you avoid certain people, places or situations that remind you of the traumatic experience?
  • Have you lost interest in things or felt numb?
  • Do you feel jumpy, on guard or easily startled?
  • Do you frequently feel irritable or angry?
  • Are you having trouble sleeping?
  • Is anything happening in your life right now that’s making you feel unsafe?
  • Have you been having any problems at school, work or in your personal relationships?
  • Have you ever thought about harming yourself or others?
  • Do you drink alcohol or use illegal drugs? How often?
  • Have you been treated for other psychiatric symptoms or mental illness in the past? If yes, what type of therapy was most helpful?

Coping and support

The person you love may seem like a different person than you knew before the trauma — angry and irritable, for example, or withdrawn and depressed. PTSD can significantly strain the emotional and mental health of loved ones and friends.

Hearing about the trauma that led to your loved one’s PTSD may be painful for you and even cause you to relive difficult events. You may find yourself avoiding his or her attempts to talk about the trauma or feeling hopeless that your loved one will get better. At the same time, you may feel guilty that you can’t fix your loved one or hurry up the process of healing.

Remember that you can’t change someone. However, you can contact Aspire Wellness and speak to a qualified therapist who can provide support and teach you appropriate coping methods for managing  your symptoms of PTSD

Schedule An Appointment

If you would like to meet or talk with one of our clinicians about PTSD treatment call our Temecula, CA office at (951) 363-3150, or click below to fill out our secure online form.


Obsessive Compulsive Disorder (OCD) Treatment in Temecula, CA

Screen Shot 2015-03-14 at 12.05.08 PMDid you know the average age of Obsessive-Compulsive Disorder (OCD) onset is 19 years old? Obsessive-Compulsive Disorder, or OCD, is an anxiety disorder and is characterized by recurrent, unwanted thoughts (obsessions) and/or repetitive behaviors (compulsions). Repetitive behaviors such as hand-washing, counting or cleaning are often performed with the hope of preventing obsessive thoughts or making them go away. Performing these so-called “rituals,” however, provides only temporary relief, and not performing them markedly increases anxiety. Research suggests that OCD involves problems in communication between the front part of the brain and deeper structures. These brain structures use a chemical messenger called serotonin. Pictures of the brain at work also show that in some people, the brain circuits involved in OCD become normalized with either serotonin medicines or cognitive behavioral therapy (CBT).

What are the symptoms of OCD?ocd

OCD causes severe anxiety in those affected and involves both obsessions and compulsions that interfere with daily life. Obsessions are persistent ideas, thoughts, impulses or images that are experienced as intrusive and inappropriate and cause marked anxiety or distress. The most common obsessions are repeated thoughts about contamination, repeated doubts, a need to have things in a particular order, aggressive or horrific impulses, and sexual imagery. Compulsions are the individuals attempt to suppress such thoughts or impulses or to neutralize them with some other thought or action. These can include repetitive behaviors, such as hand washing, ordering or checking on things; or mental acts, such as praying, counting, or repeating words silently. If you or someone you know has symptoms of Obsessive-Compulsive Disorder, contact our offices in Temecula, CA to meet with one of our therapists.

What is Hoarding Disorder?

OCD hoardingAlthough Hoarding Disorder used to be considered an OCD-related disorder, it is now thought of as its own separate disorder. Regardless, it can still be effectively treated with techniques similar to, but not entirely the same, as those used for OCD. Hoarding Disorder is defined as the accumulation of, and the failure to discard a large number of possessions that other people would consider useless or of limited value. In addition, living or work spaces are so cluttered that they limit activities for which those spaces were intended. And, significant distress or impairment in functioning is caused by the hoarding behavior. Hoarding Disorder is fueled by four fundamental problems:

  • difficulty with making decisions
  • a need to do things perfectly
  • difficulty organizing
  • behavioral avoidance

Our treatment for hoarding will target these four issues simultaneously.  This disorder can be effectively treated in the clinic setting provided the person with hoarding is willing and able to bring a steady supplies of boxes of their clutter to the clinic so that they can practice addressing the issues inherent to Hoarding Disorder.

At what age does OCD begin?

OCD can start at any time beginning as early as preschool and continuing to adulthood. Age at onset tends to be earlier in males that in females: between ages 6 and 15 years for males and between ages 20 and 29 years for females.

Is OCD inherited?

Research shows that OCD does run in families and that genes likely play a role in the development of the disorder. Genes appear to be only partly responsible for causing the disorder though and it is thought that it is more likely a combination of genetic susceptibility and environmental influences.

How is OCD diagnosed?

There are no laboratory or brain imaging tests to diagnose OCD. The diagnosis is made based on the observation and assessment of the person’s symptoms by a mental health professional.

How effective are treatments for OCD?

Currently, there is only one type of medication that has been shown to be effective in treating Obsessive-Compulsive Disorder (OCD). Serotonin Reuptake Inhibitors (SRIs), including clomipramine, have been shown to reduce symptoms in 40% – 60% of patients with OCD. Cognitive Behavioral Therapy (CBT) has also been shown to be effective. Patients who respond to medication usually show a 40 to 60% reduction in OCD symptoms, while those who respond to CBT often report a 60 to 80% reduction in OCD symptoms.

The Aspire Wellness Program

For admittance at our Temecula, CA offices, we require that the individual is willing to participate in outpatient Cognitive Behavioral Therapy and medication management by our licensed psychiatrists. Each individual admitted to the  Aspire Wellness Clinic program will have a therapist and be receiving medication treatment from our outpatient psychiatrist.

What does the treatment consist of?

The Aspire Wellness Clinic OCD Intensive Treatment Program is a comprehensive program that integrates individual therapy, medication management with psychiatrists who specialize in OCD, and family education and support. The program primarily utilizes daily, individual exposure and response prevention (ERP) therapy to help reduce OCD symptoms. ERP is a form of cognitive-behavioral therapy that is based on the fact that prolonged and direct contact with a fearful stimulus, without engaging in compulsive behaviors or avoidance, can diminish anxiety and other distressing emotions. There is considerable research support for the effectiveness of ERP in significantly reducing OCD symptoms. We believe that there are two (2) major advantages of the program, especially for those who have not responded well to outpatient treatment, are: 1) the treatment is supervised, such that each individual will be doing ERP exercises while being observed to ensure that they are done correctly; and 2) the treatment is intensive, in that these exercises are repeated every day, usually multiple times per day.

Schedule An Appointment

If you would like to meet or talk with one of our clinicians about OCD treatment call our Temecula, CA office at (951) 363-3150, or click below to fill out our secure online form.

In addition, sometimes the therapist and client will mutually agree that a consultation with our in-house psychiatrist, Dr. Baroya, would be beneficial for medication management.


Marriage & Couples Counseling in Temecula, CA

At Aspire Wellness Clinic in Temecula, CA, we believe that the right time to seek marriage or couples counseling is when:Couples-Counseling

  • You are motivated  to learn and apply the skills and tools to have a more healthy, meaningful, and connected marriage or relationship;
  • The moment when you recognize that help is needed, even though the other person doesn’t recognize the need;
  • You have tried working on it, but, you feel “stuck in neutral;”
  • Despite your efforts to change it, you feel emotionally, psychologically, and/or sexually disengaged;
  • Fights often break out, you withdraw emotionally, and/or  you choose to not confront the real issue(s);
  • You want the other person to be”fixed,” they are what is wrong with the relationship;
  • The recurring thoughts that you would be happier with someone else

Does this sound like you? If so, keep reading…

Here at Aspire Wellness Clinic, our therapists recognize that couples face many challenges during the course of their relationship. Most people want to feel loved, appreciated, understood and accepted by their partner, but many people don’t know how to get this or give this to one another and conflict ensues. Other times, outside stresses put strain on a marriage. Career difficulties, extended family involvement, children, finances. When things are not going the way that you had hoped for, this can create strain.

Marriage counseling can help strengthen your ability to communicate effectively with one another around these issues. Marriage counseling can help you understand the underlying issues that are present in your conflicts. It can provide you with the coping skills necessary to deal with issues that are putting a strain on the marriage. It will help you sort through the emotions that make these issues difficult to talk about. Marriage counseling can also help you understand how your childhood impacts how you relate to one another in your adult relationship.

Marriage counseling can help you identify and communicate your needs to your partner as well as help you understand and meet your partners needs. Marriage counseling can help you feel more connected to one another, strengthen your ability to communicate effectively, increase and improve intimacy and create a fulfilling and happy life together.

Sometimes couples see divorce as the only way out of the fight. It does not have to be this way. Marriage takes work and skill. Many people don’t learn the skills necessary for a successful relationship prior to getting married. If you remember why you fell in love, why you came together and want to get back to that, marriage counseling can help make that happen.

Our therapists at Aspire Wellness in Temecula, CA subscribe to five straight forward principles of effective couples therapy:

1) Change your perception of the relationship:

Throughout the therapeutic process, our therapists attempt to help both partners see the relationship in a more objective manner. Also, they learn to stop the “blame game” and instead look at what happens to them as a process involving each partner. They also can benefit from seeing that their relationship takes place in a certain context. Our therapist start this helpful process by collecting “data” on the interaction between the partners by watching how they interact. We then formulate “hypotheses” about what causal factors may be in play to lead to the way the couples interact. At Aspire Wellness Clinic, our focus is on altering the way the relationship is understood, the couple can start to see each other, and their interactions, in more healthier ways.

2) Correct dysfunctional behavior:

Our therapists are effective at couples therapy because we attempt to correct the manner in which the partners actually interact with one another. This means that in addition to helping couples improve their interactions, our therapists also ensure that our clients are not engaging in behaviors that may well cause physical, psychological, or economic harm.  In order to do this, our therapists  conduct a careful psychological assessment to determine whether the couple are, in fact, at risk.  If necessary, our therapists may well recommend, as an example, that one partner be referred to a domestic violence shelter, to a specialized substance abuse rehabilitation center for intensive treatment, or to a specifically designed anger management program at Aspire Wellness. However, it is quite possible that if the risk is not considered to be severe, the couple can benefit from “time-out” procedures to halt the escalation of conflict.

3) Reduce your emotional escapism:

At Aspire Wellness Clinic, our experience has taught us that couples who avoid expressing their intimate feelings put themselves at greater risk of becoming emotionally disengaged and gradually separate. Our therapists help our clients address the emotions and thoughts that they have been reluctant to express to their significant other.  We frequently utilize Attachment-based couples therapy which allows the couples to bring down the proverbial walls and build a bridge so that they can effectively express their needs for closeness.

4) Boost your communication:

At Aspire Wellness Clinic, we believe that being able to communicate is one of  the 3 C’s of intimacy. Our couples therapy sessions focus on helping the partners to communicate more effectively. Building on principles #2 and #3, this communication is not abusive, nor are the partners allowed to berate each other when they do express their true feelings. Quite often, our couples require “coaching” to learn how to speak to each other in a more thoughtful, supportive, and understanding tone. Our therapists also provide the couple with didactic instruction to give them the basis for knowing what types of communication are effective and what types will only cause more conflict.  We teach couples that they can learn how to listen more actively and empathically. However, exactly how to accomplish this step requires that our therapists turn back to their prior assessments they performed early on in treatment.  It is important to realize that couples with a long history of mutual criticism may require a different approach than those who try to avoid conflict at all costs.

5) Highlight your strengths:

To be effective as a couple, our therapists highlight  the strengths in the relationship and strive to cultivate resilience especially as therapy draws to a close.  Because so much of couples therapy involves focusing on problem areas, it’s easy to lose sight of the other areas in which couples function effectively. At Aspire Wellness Clinic, we feel that the point of promoting strength is to help the couple gain more meaningful enjoyment out of their relationship.

If you would like to meet or talk with one of our therapists about marriage and couples counseling call our Temecula, CA office at (951) 363-3150, or click below to fill out our secure online form.