I liked this article. It highlights the fact that change
does not result from a simple decision to change, but rather requires a more
protracted schedule of working on it.
An Orthodox Jewish therapist provides counseling online and in person for the frum community and the world at large
Tuesday, January 15, 2013
Change
Tuesday, January 8, 2013
Wednesday, January 2, 2013
Relationship Tips Video Series
Dear Readers,
I am pleased to announce the launch of my new YouTube
channel, on which I will be posting a video series of my favorite relationship
tips. These are going to be ideas,
approaches, and practical tools that you can use to improve your marriage, and
really just about any other interpersonal relationship as well. I hope you’ll find them helpful, and I
encourage you to post comments or questions on what I’ll be saying. Also, feel free to post questions you’d like
to see addressed in future videos.
Here’s #1 in the series.
Bracha v’hatzlacha!
Rabbi Raffi Bilek
Wednesday, December 26, 2012
How Depression Sees It
Just ran across this article called "How Depression Sees It: The Woman Who Gave Birth in a Tree" which offers an authentic description of what it's like to have depression. Those of us who do not suffer from this illness have a hard time understanding what it's like, which is why articles like this are useful to sensitize us to the anguish of those who do, to help us get it.

Another good resource for this is the acclaimed book Darkness Visible: A Memoir of Madness, by William Styron, in which he takes us through his own experience of severe clinical depression. Both of these make for fascinating reading, and will broaden your mind to gain some insight into what the suffering is really like for people with depression.

Another good resource for this is the acclaimed book Darkness Visible: A Memoir of Madness, by William Styron, in which he takes us through his own experience of severe clinical depression. Both of these make for fascinating reading, and will broaden your mind to gain some insight into what the suffering is really like for people with depression.
Thursday, December 20, 2012
Miscommunication en Masse
The gun control debate that is coming back out of
hibernation as a result of last week’s tragedy is an interesting case in point
from the perspective of a couples therapist. So much of the trouble I encounter
in the therapy room is due to partners addressing the issue on their own mind
instead of the issue on the other’s mind.
John is angry about Marsha’s spending habits; Marsha feels unloved; and
neither one is speaking to the problem that the other sees.
So too in the argument over gun control. The loudest piece of the debate goes like
this: proponents cry for safety and protection for our youth. Opponents point to the second amendment. Proponents insist something needs to be done
before more children are killed. Opponents
point to the second amendment. It is but
two ships passing in the night. People
who are desperate to save children’s lives don’t much care for the supposed
freedom to carry big, scary assault weapons.
People who cling to the right to bear arms don’t seem to have much to
say about children’s safety. And so the
debate hobbles on, neither side addressing the concerns of the other.
Of course, there are those who oppose gun control because
they believe some of the laws being pushed will actually lead to more violence. There are those who support some gun laws
without suggesting that trying to outlaw guns in general is a good idea. But those voices, unfortunately, are the
quiet ones. Instead of meaningful
dialogue between sincere people who want to make the world a better place, we
have large-scale shouting matches between extremists on both sides.
If John could speak to Marsha’s fears and Marsha could
address John’s financial concerns, they would likely see a lot of
progress. That’s often an important part
of the work I do with couples. Now if
only I could get the pro- and anti-gun control groups in a room together…
Wednesday, December 12, 2012
Men Can’t Find Anything in the Refrigerator
It’s true.
Well, at least for a lot of men. It’s just a generalization, I know. But I’m going to use it anyway to make a
point. The point is this: it is wise for
a person to anticipate certain irritating habits in his or her spouse. If you are a woman, you may find it maddening
that your husband can’t find the ketchup when it’s right in front of him. You may even have suspected him of doing it
on purpose sometimes. The fact of the
matter is that this really is a common issue with men. It behooves you to
expect it, so that it won’t bug you as much when it happens, and to recognize
that you’re not the only one who has to deal with it. Ask some of your girlfriends and see. This mindset will go a long way towards
making his handicap less irritating.
For men, I might suggest the same approach as regards
timeliness – many women are less punctual than their husbands (and yes, I know,
it’s certainly not all of them). It is
helpful for men to anticipate this and see it as part of the wifely package.
This is not to say that these matters can’t be worked on and
improved (my ketchup-locating skills have definitely developed since I got
married); just that they ought to be expected for one’s peace of mind and peace
of house.
Wednesday, December 5, 2012
Miss America By Day
I recently finished reading Miss America by Day, by Marilyn Van Derbur. This is by far the best book I have read as far as understanding what a victim of sexual abuse actually goes through, what the trauma is like. There is also lots of useful information, tips, advice, and other great material, but the best aspect of the book is the way she makes the trauma real to all of us. I recommend it to anyone who wants to understand the issue of child sexual abuse better.
Thursday, November 29, 2012
Parenting & Expectations
An article I just wrote for the Jewish Press (in the quarterly mental health insert) is available online here. It discusses how our expectations affect our parenting and how we can help ourselves out of the box that such expectations can create.
Rabbi Noach Orlowek, shlit”a, defines anger as “the distance between expectation and reality.” I think this definition neatly explains much of the parental anger that we moms and dads struggle with as we try to raise superstar children. So much of our anger is the result of our having expectations of our children that are not met. This does not mean that we shouldn’t have expectations of them – only that we should be careful to temper those expectations with a clear picture of reality . . .
Sunday, November 25, 2012
Online Counseling with Humans
“With online counseling, your clients do not have the
ability to learn about you from the frames on your walls, your office décor,
your car in the parking lot, the pictures of your family on your desk, etc.
Therefore, it is all the more important to humanize yourself by telling the
client some information about who you are and what you are about.”
This is from an article
from Thriveworks on building rapport (connection with a client) in
online counseling venues. On the whole I
thought the article was so-so, but it did have some points like the
above that made me think. This goes back
to a
post I wrote a while ago about using the phone vs. Skype, and how there are
innumerable nonverbal messages that a client communicates that the therapist
cannot afford to miss. I guess that’s
true the other way around as well, as pointed out in this quote – in person,
you would learn a lot more about me than you can via Skype (such as, for
example, what shoes I’m wearing, or whether I’m even wearing shoes!).
To this end, I encourage you to read what I wrote in the About Me section, and
feel free to ask if you have any further questions about who I am or what I
do. That's not to say that I will
start telling you the story of my life, but if you have a question, don’t
hesitate to ask!
Sunday, November 18, 2012
Couples Counseling
An interesting point I have recently been reminded of
emphatically while working with couples: the points of dispute brought into the
room are almost never where the juicy stuff lies. (With the couple I am thinking of right now,
those points of dispute were particularly angry ones, too!) The truth is that
it’s really all about the dynamic in the room.
Whatever problems they’ve been having thus far are still ongoing, or
they wouldn’t be in therapy. So I can
watch those problems play out without having to refer to old incidents to make
the point.
What’s more, throwing past incidents at each other – known
in the business as “kitchen sinking” – rarely does more good than harm. It just invites more hurt, defensiveness, and
aggression. (This is something useful
for all of us to keep in mind when we get into arguments with our spouse – or
with anyone – launching repeated accusations over past events will only hinder
the process rather than helping it.
Wednesday, November 14, 2012
Bashert?
Thursday, November 8, 2012
Who Won the Election?
See the full article at OU.org.
Monday, November 5, 2012
Destigmatizing Therapy (continued)
A friend of mine in Houston, Texas contacted me in relation to the
article I published on destigmatizing therapy. She is working with a frum family whose daughter
is suffering some kind of attention disorder.
In order to proceed with therapy, she had to contact the girl's high school,
but the family was reluctant to allow her to do so, since they did not want the
school to learn about their child’s disorder and treatment. It is not clear whether they were doing so
out of embarrassment and shame over their daughter's condition, or out of fear of
potential consequences from the school administration, which itself may have
prejudices and biases regarding mental illness.
This seems to echo the dilemma I brought up in the article,
namely, on one hand a therapist is bound to protect client confidentiality; on
the other hand, the therapist does not want to reinforce the idea that there is
anything to be ashamed about.
Friday, November 2, 2012
What Sandy Took and What She Brought
By Raffi Bilek|
Originally Posted at OU.org
********************************************************************************
If you’re reading this, you probably have power back by now. Or maybe you’re reading this at work. Or maybe you’re one of the lucky ones who never lost power in the superstorm-formerly-known-as-hurricane-Sandy.
And if you’re reading this, you have probably also seen the never-thought-I’d-see-THAT-outside-of-a-Hollywood-blockbuster images that have been flooding the Internet: parts of New York City neck-deep in water; subway tunnels turned into log-flume tracks; 12-foot walls of water smashing into urban hubs. And how about the financial nexus of the world shut down for two straight days (which they tell us hasn’t happened since the ol’ blizzard of 1888)? The presidential campaign derailed days before the election? Pretty incredible.
If you have not been scrambling for hot water and a place to charge your iPhone, you may have had time to reflect on all of this.
To me, it is not just a reminder of how big G-d is, but of how small man is as well. Even the most powerful among us was not able to save NYC from shutdown. No amount of money was able to bring water to the burning houses in Queens. No amount of preparation could keep the airports open. Even folks who are not religious would have to look into the face of nature and admit powerlessness, if only for a time.
We go about our business every day, hardly realizing how much we depend on matters completely outside our control. When the power went out, most people just had to deal. Here in Passaic, Main Street has been completely disabled, including the kosher grocery store; many ran low on basic food supplies, until other supermarkets nearby opened up and got running again. What if they hadn’t? What if this had been an actual hurricane, a category 2 or 3 or 4? We could actually be without food.
For people who are well-off, the thought is hard to imagine. A personal famine in the age of plenty? But if the roads are blocked, if gasoline is inaccessible, if the power in the stores is out – it is a real possibility.
It wouldn’t take much to make such a scenario a reality: a drought; a serious oil embargo; a contagious epidemic – any of these could cripple a city, state, or nation far worse than what has already happened to us this week. We tend to forget nowadays that we still live in a world that runs on environmental processes. We are so detached from the natural world these days that we hardly realize that we still need rain to grow our food! There isn’t yet a laboratory on the planet that can synthesize wheat, or soybeans, or water (and odds are you wouldn’t survive for long on jellybeans and Laffy Taffy).
Our human frailty is brought to the fore in a disaster like this. Which is why it’s also such a great time for community building. We really need each other as people. We forget this too nowadays. We forget that in the long history of mankind, almost no society expected parents to raise children without an entire network of help. We forget that carving out time for friends and neighbors is not a luxury but a necessity to make it through life’s challenges (and that our ancestors, from the Biblical through the rabbinic times, all knew this well).
On the Day After Sandy I watched my neighbors across the street take turns sawing at branches and working on contriving a way to get an extension cord safely from one powerless house across the street to a powered one. We all appreciate the togetherness that comes out of these times; do we remember how much we need it?
The human condition is fragile and uncertain. It seems unlikely that we will ever be able to beat nature – to control the weather, to produce nourishment from inorganic materials, to create life from scratch in the lab. We will just have to live with the constant possibility of powerlessness.
But to recognize that and to cast our lots in with those around us – to recall even in times of prosperity and apparent control that we can’t go it alone – that is a message which ennobles us above all the creatures and forces of which nature is made. For nature is blind, and one beast cannot help another unless it is so commanded by its genetic makeup; but we can offer each other a cup of hot coffee when the power is out, a shelter from the storm, or simply a hug in a time of tragedy. And that is what makes us truly human in the face of a hurricane.
Originally Posted at OU.org
********************************************************************************
If you’re reading this, you probably have power back by now. Or maybe you’re reading this at work. Or maybe you’re one of the lucky ones who never lost power in the superstorm-formerly-known-as-hurricane-Sandy.
And if you’re reading this, you have probably also seen the never-thought-I’d-see-THAT-outside-of-a-Hollywood-blockbuster images that have been flooding the Internet: parts of New York City neck-deep in water; subway tunnels turned into log-flume tracks; 12-foot walls of water smashing into urban hubs. And how about the financial nexus of the world shut down for two straight days (which they tell us hasn’t happened since the ol’ blizzard of 1888)? The presidential campaign derailed days before the election? Pretty incredible.
If you have not been scrambling for hot water and a place to charge your iPhone, you may have had time to reflect on all of this.
To me, it is not just a reminder of how big G-d is, but of how small man is as well. Even the most powerful among us was not able to save NYC from shutdown. No amount of money was able to bring water to the burning houses in Queens. No amount of preparation could keep the airports open. Even folks who are not religious would have to look into the face of nature and admit powerlessness, if only for a time.
We go about our business every day, hardly realizing how much we depend on matters completely outside our control. When the power went out, most people just had to deal. Here in Passaic, Main Street has been completely disabled, including the kosher grocery store; many ran low on basic food supplies, until other supermarkets nearby opened up and got running again. What if they hadn’t? What if this had been an actual hurricane, a category 2 or 3 or 4? We could actually be without food.
For people who are well-off, the thought is hard to imagine. A personal famine in the age of plenty? But if the roads are blocked, if gasoline is inaccessible, if the power in the stores is out – it is a real possibility.
It wouldn’t take much to make such a scenario a reality: a drought; a serious oil embargo; a contagious epidemic – any of these could cripple a city, state, or nation far worse than what has already happened to us this week. We tend to forget nowadays that we still live in a world that runs on environmental processes. We are so detached from the natural world these days that we hardly realize that we still need rain to grow our food! There isn’t yet a laboratory on the planet that can synthesize wheat, or soybeans, or water (and odds are you wouldn’t survive for long on jellybeans and Laffy Taffy).
Our human frailty is brought to the fore in a disaster like this. Which is why it’s also such a great time for community building. We really need each other as people. We forget this too nowadays. We forget that in the long history of mankind, almost no society expected parents to raise children without an entire network of help. We forget that carving out time for friends and neighbors is not a luxury but a necessity to make it through life’s challenges (and that our ancestors, from the Biblical through the rabbinic times, all knew this well).
On the Day After Sandy I watched my neighbors across the street take turns sawing at branches and working on contriving a way to get an extension cord safely from one powerless house across the street to a powered one. We all appreciate the togetherness that comes out of these times; do we remember how much we need it?
The human condition is fragile and uncertain. It seems unlikely that we will ever be able to beat nature – to control the weather, to produce nourishment from inorganic materials, to create life from scratch in the lab. We will just have to live with the constant possibility of powerlessness.
But to recognize that and to cast our lots in with those around us – to recall even in times of prosperity and apparent control that we can’t go it alone – that is a message which ennobles us above all the creatures and forces of which nature is made. For nature is blind, and one beast cannot help another unless it is so commanded by its genetic makeup; but we can offer each other a cup of hot coffee when the power is out, a shelter from the storm, or simply a hug in a time of tragedy. And that is what makes us truly human in the face of a hurricane.
Thursday, October 25, 2012
The Absolute Best Way to Get Your Kids to Do Almost Anything
Another article of mine posted on the OU Life section, this one about parenting: http://www.ou.org/life/parenting/absolute-best-way-get-your-kids-listen-raffi-bilek
Monday, October 22, 2012
Sad, Sad World
This may be old news for those of you more on top of current events, but I just found out about the suicide of 15-year-old Amanda Todd in Vancouver, Canada. She killed herself after suffering sexual abuse at the hands of an anonymous internet user and then being bullied, harassed, and generally mistreated by her peers. The tragedy of the story is too big to be contained.Amanda posted a video on YouTube shortly before she died. You can see it here. (Some may want to avoid viewing this - while it is not explicit, it is not so tzniusdik either.) It is terribly sad, but perhaps it is a good reminder to all of us that we have a lot of work to do in this world - and if you think this kind of thing doesn't happen in the frum world, think again. It is also a good reminder to parents that children and teens need guidance and monitoring around their internet use, and especially around use of social media.
I am working on creating a program for middle schools so that we can avoid exactly this kind of tragedy in the future. It is just too, too sad.
Thursday, October 18, 2012
Post-presentation report
Yesterday’s presentation at ORA went swimmingly. We all gained some valuable information, myself included.
Unrelatedly, another interesting point that came up during the discussion yesterday was the infamous Rambam apparently condoning wife-beating. I referred to questioner to this essay, which I think is a brilliant elucidation of that puzzling statement.
While I was preparing for yesterday’s presentation to ORA earlier this week, I came across this very interesting article about gett refusal in Israel. It’s in Hebrew, and though you can use Google to translate it, I will share with you what I found to be the most interesting points:
- Despite claims that there are thousands of agunot in Israel, the actual number (this is from a 2006 report) is 180.
- Even more interesting is that the number of agunim in Israel is 190.
I brought this up at the presentation and it was suggested to me that the situation in Israel is different because the entire divorce process is bound up with the gett, such that if a woman doesn’t like the terms of the divorce that have been presented and doesn’t want to accept them, the husband is considered “chained.” I.e., it may not be a case of “gett refusal” as much as a case of willingness to divorce but wanting better terms. ORA told me that out of the hundreds of cases they have dealt with, only a handful have been men. Similarly, another organization that works with agunot also told me that in 30 years of working with gett issues, they have only been contacted once by a man whose wife refused to accept the gett.
Tuesday, October 16, 2012
I am presenting in Manhattan tomorrow for ORA, the Organization for the Resolution of Agunot, on domestic violence in the Jewish community. Obviously the problem of husbands refusing to gives their wives a divorce is intertwined with this issue. Should be an interesting discussion!
Friday, October 12, 2012
Therapy Needs Some Therapy
An article of mine was published this week on the OU Life website (unrelated to the fact that I coincidentally posted another article on that site a few days ago). Check it out here. (Note: they chose the title and the accompanying photo, not me!)
Wednesday, October 10, 2012
Marital Satisfaction Survey
Excellent article from a promising new journal: http://www.ou.org/life/relationships/marital-satisfaction-survey-where-do-we-go-from-here-steven-weil/
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