Adjustment Guidance Nagoya Therapist

Adjustment Guidance Nagoya Therapist Native English-speaking psychology practice located in the heart of Nagoya, Japan.

22/09/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/how-to-know-when-a-relationship-is-worth-fighting-for/

Every relationship experiences ups and downs. When things get really bad or have been difficult for a while, deciding whether to leave or stay can be challenging. If your relationship no longer offers growth and support, this may be a temporary breakdown or a sign that it has run its course. A lack of respect and no intimacy make this decision even more complex. It might be helpful to know that most relationships have periods of closeness and distance. It is also natural to feel like giving up if respect and intimacy are lacking. Respect and intimacy are often cited as the foundation of a healthy relationship, but their absence doesn’t always mean the relationship is over. Why and how respect and intimacy faded in the relationship is an important factor in determining if the relationship is worth saving. Prolonged periods of stress, unresolved conflict, or unmet needs can erode intimacy and decrease respect. The key to fixing things is for both partners to be willing to do the work. Both partners need to be honest with themselves about their willingness to do the work to save the relationship.

Something that often surprises the couples I work with is the fact that most relationships require about 6 months of work with at least one partner willing to go first. This means one partner has to make the initial sacrifice and give their partner something meaningful. I always have at least one big ask at the beginning of the therapy process to serve as proof of concept. I mix in one on one sessions and joint sessions to ensure that each partner has space to vent and release anger. Having a private space to express negative feelings is essential. Relearning how to have generosity and patience with each other is a process and achievable. Some couples are able to do this on their own through honest conversation and shared commitment to repairing the relationship, others need support. Whether couples do this on their own or with help, finding common ground is essential. Where are you still functioning as a team? Are you co-parenting, caring for a pet, working towards a shared financial goal? Is there a shared goal worth fighting for?

Are respect and intimacy truly gone, or are they buried under resentment? I find that, with a lot of couples, unpacking resentment and addressing the issues that have created conflict reveals that there is a spark of love underneath the pain. Love isn’t enough on its own, but it can be an excellent motivator in the rebuilding process. With shared goals and love, we have a foundation for rebuilding trust, vulnerability, and emotional safety. All three are necessary for rebuilding intimacy. That is another part of big asks: it gives us space to show that we will do what we commit to doing for each other. These examples of trustworthiness are essential in the process because there will be backslides. Progress is not a straight line because we are unlearning negative automatic responses. As we do the work to change, we also need the grace and understanding that we will make mistakes. We are not going for perfection but rather steady progress.

It is important to note that not every relationship is safe. If communication has become abusive and you’re experiencing manipulation, cohesion, and ongoing betrayal, staying may not be safe or healthy. Fighting for the relationship should never mean sacrificing your emotional or physical well-being. Your safety must come first. If you are safe and have a shared goal, the lack of intimacy and respect is either the beginning of the end or the beginning of the work to repair the relationship. If both partners are willing to do the work, there is hope. If you’re unsure where your partner is, ask them. The ability to talk openly about where the relationship is can often spark a commitment to change. If you’re unsure where you are, talk to someone and explore your feelings. Knowing if you want to do the work is a big part of the process. Even if there are shared values, they might not be enough. Know that you deserve to make a decision that protects and honors your well-being.

Every relationship experiences ups and downs. When things get really bad or have been difficult for a while, deciding whether to leave or stay can be challenging. If your relationship no longer offers growth and support, this may be a temporary breakdown or a sign that it has run its course. A lack....

16/09/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/the-difference-between-stress-burnout-and-depression/

The words stress, burnout, and depression are often used interchangeably, but there are significant differences between the three. Understanding the difference can help us form a plan to reduce stress and burnout or heal from depression. By knowing if we are suffering from stress, burnout, or depression, we can better identify the origin of our struggle. For example, stress is part of our natural alarm system designed to keep us safe. Knowing that, we can examine why the body is telling us we need to be on high alert. Stress often feels like physical tension and comes with racing thoughts, difficulty sleeping, and sleepless nights. Often, stress is a by-product of not trusting ourselves to handle challenging situations and dynamics. Doing the work to understand that you are capable and safe will be a big step towards reducing stress.

Long term stress can turn into burnout, but stress is not the only reason we experience burnout. When we over commit and overextend ourselves, we are more likely to experience burnout. We can experience overexertion in our professional and personal lives by taking on too much. It can be too much time, too many responsibilities, or too much emotional labor. Some key indicators that you are feeling burnout are emotional exhaustion, a sense of detachment, increased pessimism, and physical exhaustion. Doing a self-assessment and asking yourself if you are overextending and then finding places to cut back will help reduce burnout. Stress and burnout can lead to depression, but they are not the only causes.

It is important to address stress and burnout as part of keeping depression at bay. Depression is more than feeling a little down; it is a persistent feeling of hopelessness. Indicators of depression include feeling empty, a lack of interest in life friends and family, as well as feelings of worthlessness. Depression doesn’t always have a clear cause and can lead to thoughts of self-harm. Having someone to talk to can make a big difference when coping with depression. Doing one thing a day that creates hope for the future can also help. Know that you don’t have to do this alone. Getting help can make a significant impact in coping with stress, burnout and depression. You deserve to have more good days than bad.

The words stress, burnout, and depression are often used interchangeably, but there are significant differences between the three. Understanding the difference can help us form a plan to reduce stress and burnout or heal from depression. By knowing if we are suffering from stress, burnout, or depres...

08/09/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/holding-back-a-major-depressive-episode/

If you have ever had a major depressive episode, you are 80% more likely to experience another one. Understanding the four types of major depressive episodes and key indicators that a depressive episode is on the horizon can help us prevent a major depressive episode. The five types of major depressive episodes are melancholic, atypical, psychotic, and persistent. Melancholic depression is marked by a feeling of emptiness, an inability to experience joy, difficulty sleeping, and a persistent feeling of guilt or worthlessness. In contrast, atypical depression is marked by sleeping more than usual, weight gain, an increased fear of rejection or criticism, and ability to feel only fleeting joy when something good happens.

Because when struggling with atypical depression we can often feel joy, this type of depression is often misdiagnosed. Whereas psychotic depression requires immediate medical intervention, those with atypical depression are not in immediate danger. A psychotic depressive episode is marked by visual or auditory hallucinations and delusions. This form is very serious and requires immediate medical treatment because of the increased risk caused by severely impaired decision-making. Both atypical depression and persistent depressive disorder can be long lasting. Persistent depressive disorder (dysthymia) is a chronic depressive disorder that last for two or more years. The severity of symptoms can vary from mild to severe and include low energy, hopelessness, difficulty concentrating, and a persistent feeling of sadness.

Knowing the types of depressive episodes allows us to be aware of early warning signs, such as changes in sleep, appetite, motivation, and energy. Early awareness allows us to act before symptoms escalate. It is also important to build and maintain supportive relationships with friends, family, or a therapist because depression thrives in isolation. Finding the right type of stress management is also key. Exploring mindfulness techniques, journaling, and relaxation practices can help you find the right methods for you. Reducing stress is key to strengthening resilience and managing anxiety before they trigger depression. With awareness, support, and proactive care, it’s possible to hold back a major depressive episode and move toward recovery with greater confidence.

If you have ever had a major depressive episode, you are 80% more likely to experience another one. Understanding the four types of major depressive episodes and key indicators that a depressive episode is on the horizon can help us prevent a major depressive episode. The five types of major depress...

25/08/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/why-is-depression-heavy/

Depression is profoundly physical and feels physically heavy because it is. Depression isn’t just in our minds; it’s in our nervous system, our hormones, our muscles, our entire nervous system. When we talk about depression, we talk a lot about serotonin and dopamine but rarely unpack norepinephrine. Norepinephrine, also known as noradrenaline, is responsible for the regulation of arousal, attention, and cognitive performance. Low levels of norepinephrine cause drowsiness and inattentiveness. Whereas high levels lead to anxiety and distractability. Norepinephrine also controls muscle contractility, which accelerates the onset of muscle fatigue and the feeling of psychical heaviness. Depression also impacts the ability to digest food, sleep, and fight off illness.

Once we understand why depression feels heavy, we can do some practical things to increase our norepinephrine. The most impactful thing we can do is eat foods rich in the amino acid tyrosine and omega-3 fatty acids such as cheese, soybeans, beef, lamb, pork, fish, chicken, nuts, eggs, dairy, beans, pumpkin seeds, and whole grain. Talking with a nutritionist about how to increase these essential nutrients and check to see what other nutritional deficiencies we may have can help replenish our reserves. Taking short cold showers can also help. Bursts of cold water have been shown to increase norepinephrine. Focusing on small changes that can have a big impact on lightening the weight of our depression can allow us to have a slight boost toward breaking free.

I believe that the more we know about the chemical impact of depression, the more empowered we become. If you’ve ever suffered from depression or are struggling now, you know how difficult it can be to make changes. Sometimes new information or a perspective other than our own can provide a tiny spark that can become the light to guide you out of the tunnel of depression. If you are feeling depressed, I promise this is not your forever. We just need to find the right piece of knowledge that speaks to you and creates hope. You’re not alone, and you’re not broken. Depression is a complicated whole mind and body event. It is complex, but it’s also temporary.

Depression is profoundly physical and feels physically heavy because it is. Depression isn’t just in our minds; it’s in our nervous system, our hormones, our muscles, our entire nervous system. When we talk about depression, we talk a lot about serotonin and dopamine but rarely unpack norepineph...

18/08/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/good-anger-vs-bad-anger/

Anger is not inherently good or bad. Like all emotions, it has a purpose. When harnessed and expressed in healthy ways, anger can be a powerful force for change and protection. The key is understanding the difference between good and bad anger. Good anger is constructive, controlled, conscious, and purposeful. It arises in response to injustice, mistreatment, or violation, and it motivates us to act toward resolution or repair. Whereas bad anger is reactive and often destructive. It flares up quickly, sometimes without a clear reason, and it tends to harm rather than heal. It might look like yelling, blaming, name-calling, violence, or silent resentment. Bad anger doesn’t aim to solve problems. Bad anger is more about lashing out rather than creating understanding.

Recognizing the difference between good and bad anger helps us process and express our anger in ways that are constructive. When you first start to feel angry, take a moment before reacting. The first few seconds after you feel anger are crucial. Take a breath and assess and identify the trigger. What exactly made you angry? Was it disrespect, unfairness, feeling unsafe? Get curious, not just furious. Ask yourself: What needs to change? What’s worth speaking up for? Express it clearly and calmly. Use “I” statements, not accusations. Say what you need. Channel it into action. The more your focus is on getting something meaningful and positive as an outcome, the more likely it is that you will experience good anger more often than bad anger.

Anger is neither your enemy nor your master. It’s a signal. A message. A call to pay attention. When you listen to it wisely, anger can help you protect yourself, fight for what matters, and stay true to your values. Good anger is rooted in clarity and courage. Bad anger is driven by fear and chaos. The difference lies in how you hold it and whether you let it consume you, or let it guide you. Anger doesn’t have to burn everything down. Sometimes, it just lights the way.

Anger is not inherently good or bad. Like all emotions, it has a purpose. When harnessed and expressed in healthy ways, anger can be a powerful force for change and protection. The key is understanding the difference between good and bad anger. Good anger is constructive, controlled, conscious, and....

12/08/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/reclaiming-peace-and-letting-go-of-fear/

For a lot of us, it can feel like fear is constantly sitting on our shoulder and whispering in our ear about how dangerous and unsafe life is. A lot of us are stuck in survival mode, and it’s exhausting. But it can change. It doesn’t matter if your fears come from trauma, anxiety, uncertainty, or the sheer weight of being alive right now, you can free yourself from fear’s grip. The first step is to become very specific about what you are afraid of. Fear thrives in vagueness. When we don’t name what we’re afraid of, our brains keep spinning, preparing for every possible danger. Often, the simple act of naming our fear starts to reduce it. Once we know what we are afraid of, we can make a plan to address our specific fear. Over time we will learn that we are capable of conquering the things that scare us.

In addition to knowing that we can overcome our fear and tackle whatever comes our way, we must also create a general understanding that we are safe. This requires us to challenge the story fear tells us. It helps to remember that life is not a series of absolutes, this or that. We are usually in a place of movement; that is to say, not in a static place of success or failure. Fear likes to tell a story of being doomed, and that is rarely the truth. As long as we are alive, we can make changes and improve our outcomes. Owning our personal ability to make changes that will improve our circumstances helps us realize that we are safe and downturns are temporary. This change in perspective will allow us to have a balanced vision of our safety and life.

It is important to not expect yourself to have zero fear because that is generally too big of a leap. Learning to manage and coexist with your fear creates a more resilient change. Know that you are more than your fear. No matter how loud fear becomes, it is not your identity. It’s a passing state. You are so much more than the things you're afraid of. And even if you don’t feel strong today, the fact that you're still here, still searching for peace, still trying reflects your strength. You’re doing better than you think. You deserve to feel safe in your own mind again. Know that you can name and tame your fears and have more good days than bad.

For a lot of us, it can feel like fear is constantly sitting on our shoulder and whispering in our ear about how dangerous and unsafe life is. A lot of us are stuck in survival mode, and it’s exhausting. But it can change. It doesn’t matter if your fears come from trauma, anxiety, uncertainty,.....

04/08/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/overcoming-self-loathing-reclaiming-your-inner-voice/

Self-loathing is more than low self-esteem. It's a deeply ingrained pattern of harsh self-judgment, shame, and often a belief that we're fundamentally flawed or undeserving. It manifests as negative thought loops created by an internal critic that doesn’t just point out our mistakes but attacks our worth entirely. This inner critic is loaded with all of our deepest and longest held insecurities that allow it to hit us where it hurts the most. Self-loathing attacks our well-being and happiness telling us we do are not deserving of the good in our life. This is because self-loathing is rooted in trauma, neglect, criticism, bullying, and internalized negative messages from caregivers, partners, and peers. Over time, we internalize those voices and begin to believe them as truth. But it is not the truth. Everyone is deserving of peace and happiness.

The first step in overcoming these negative narratives and resetting our inner critic is acknowledging where the harshest judgments come from. Also note when the voice is the loudest. Is it after a mistake? When you're alone? When someone compliments you? Once you are aware of when it strikes, you can be prepared to challenging the narrative. Constructive criticism gives us actions points whereas criticism on its own is just negativity. Criticism on its own does not help you grow, it makes you feel bad. Ask yourself if your thoughts are meant to help or meant to make you feel bad? Feeling bad does not serve you. Cruelty does not create growth.

Self-respect plays a big role in growth and big first step towards self-respect is saying no to the things that drain you or trigger negativity. Another is to make and keep a little promise to yourself every day. These small acts of self-respect and love will help you retrain your inner voice to be one that is focused on how to uplift yourself and promote peace. Remember to be kind and patient with yourself. Healing from self-loathing is not quick, and it’s not linear. But every time you choose to question that cruel voice instead of obeying it or treat yourself with respect, you’re taking a powerful step toward wholeness, peace, and well-being. You’re allowed to be a work in progress. You’re worthy of love, happiness, and peace.

Self-loathing is more than low self-esteem. It’s a deeply ingrained pattern of harsh self-judgment, shame, and often a belief that we’re fundamentally flawed or undeserving. It manifests as negative thought loops created by an internal critic that doesn’t just point out our mistakes but attack...

30/07/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/how-to-tell-if-youre-controlling/

If you have come to a place in your life where you are trying to figure out if you’re controlling are not, this indicates that your current way of doing things is not working. Most of us begin to wonder if we’re controlling when a partner complains about our behavior or when people push back on our idea when we’re just trying to be helpful, protective, or organized. But that’s how controlling behavior creeps in. It often happens slowly and is disguised as care or efficiency. A good way to start understanding the difference between care and control is to begin by reflecting on what makes you upset. If it upsets you when people make a decision you wouldn't make, this is a key indicator of a controlling nature. People with a controlling nature often experience others' independent choices as a personal insult, rejection, or threat. It is natural to want your opinions considered, but there's a difference between offering perspective and expecting compliance. If you find yourself repeatedly giving the same advice, getting frustrated when it's not followed, or framing demands as suggestions, you might be controlling rather than helping.

Another indicator of a controlling nature is monitoring others' behaviors and judging if you feel they are doing enough or behaving in an appropriate manner. A indicator of monitoring others' behaviors are thoughts like: "They should know better" or "After everything I've done for them". Feeling owed is a clear indicator that you're trying to control outcomes rather than simply being generous. While generosity and wanting to help are healthy, feeling responsible for managing everyone else's feelings crosses into controlling territory. If you find yourself walking on eggshells, managing information to avoid others' reactions, or feeling like you need to fix everyone's problems, you might be trying to control emotional outcomes. This might also indicate you are in abusive dynamics. Why you are being careful is important. It is quite common for people in abusive dynamics to indicate controlling behavior because they are trying to not trigger their abuser. Abuse survivors have a lot in common with people who have a controlling nature. Both are driven by the need to feel safe.

To successfully differentiate between being an abuse survivor, being in an abusive situation, or having a controlling nature begins with knowing that this isn't about shame. This is about awareness. Most controlling behavior stems from anxiety, past experiences, or genuine care that's become misdirected. The goal is to know what you are trying to prevent. Ask yourself if you are being supportive or being protective of yourself. What happens when you let the people in your life make their own mistakes? Before giving advice, ask yourself: "Is this my decision to make?" Keep in mind that healthy relationships thrive on mutual respect and autonomy. The people you care about need space to be themselves, make their own choices, and even fail sometimes. That's not neglect, that's love. If the people in your life are holding you accountable for their outcomes, that is not healthy. You have the right to feel safe and not be responsible for anyone’s actions or outcomes other than your own. The only person we can truly control in ourselves.

If you have come to a place in your life where you are trying to figure out if you’re controlling are not, this indicates that your current way of doing things is not working. Most of us begin to wonder if we’re controlling when a partner complains about our behavior or when people push back...

15/07/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/moving-forward-after-the-relationship-ends/

The end of a relationship can feel like the bottom has fallen out of your world. Whether it ended abruptly or slowly unraveled over time, break ups are disorienting and heartbreaking. But, while heartbreak is painful, you can reclaim yourself and heal. The first step is to acknowledge the loss and allow yourself to grieve. Even unhealthy relationships are real, as are the emotions, the memories, and what could have been. Sit with the sadness. Allow yourself to feel but be sure you are not rewriting the story. Do your best not to idealize or demonize. Accept the relationship for what it was and embrace the good, the flawed, and the complicated. Healing begins with truth, and truth lives somewhere between fantasy and resentment.

As you let go of resentment and begin to heal, you will naturally begin to reclaim yourself. When we’re in a relationship, our identity often merges with our partner. This is why we often feel like we’ve lost a piece of ourselves after a breakup. Now is time to reconnect with who you are outside of that relationship. Get back in touch with the things you like, revisit hobbies, interests, and parts of yourself that may have faded. Change things up by redefining your daily rituals, change your bedding, rearrange your house or redecorate. Make your living space and life truly your own. Declutter your life and, if it helps, unfollow, block, or mute social media that reminds you of your ex. Set internal boundaries. Keep yourself safe and surround yourself with safe people.

Healing comes easier when we realize that we may not get closure in the way we imagine. They may never apologize. Don’t let their choices dictate your emotional landscape. You can get closure by deciding to stop needing their part of the story to finish yours. You don’t need their permission to move on. Let this by an opportunity to become whoever you want to be. Center yourself and bit by bit you’ll find clarity and healing. You aren’t broken. You are on the way to becoming someone new. Trust that more good days than bad are right around the corner. If you focus on yourself and let go of any expectations of how the other person should behave, you will find your peace.

The end of a relationship can feel like the bottom has fallen out of your world. Whether it ended abruptly or slowly unraveled over time, break ups are disorienting and heartbreaking. But, while heartbreak is painful, you can reclaim yourself and heal. The first step is to acknowledge the loss and a...

30/06/2025

Latest Update to the Adjustment Guidance Blog: https://adjustmentguidance.com/how-to-create-a-personal-culture-of-success/

Success is not just a goal; it’s a set of behaviors and a way of life. While external factors like luck, timing, and connections can influence outcomes, the foundation of long-term success is built from within. Creating a personal culture of success means developing intentional habits, values, and systems that support your growth and keep you aligned with your purpose. This process begins with defining what success means to you. This is because success is deeply personal. For some, it’s financial freedom. For others, it’s creative fulfillment, healthy relationships, or making a meaningful impact. Before you can build a culture of success, you must first define what it looks like for you. Take time to reflect on your values, goals, and the kind of life you want to lead. When your definition of success is rooted in authenticity, your actions will feel more purposeful and sustainable. Once you know what success means to you and the type of life you want to lead, you can begin to incorporate at least one or two activities a day that move you closer to your ideal life.

Having a daily routine that includes habits that propel you forward fosters and reflects a personal culture reinforced by a routine that is success focused. Small, consistent habits have a compounding effect over time. Wake up early if you’re most productive in the morning. Set aside time to read, exercise, reflect, or network. It should be things that move you closer to your goals. It can be whatever supports your vision of success. Habits are the invisible architecture of your life; the more intentional you are, the more aligned your results will be. It’s not just our routines that we need to update but also our social circles. It helps to surround yourself with growth-oriented people. The people you interact with influence your mindset, motivation, and behavior. Build a network of supportive, driven, and honest individuals who challenge you to grow. This doesn’t mean cutting people off, but it does mean being selective about who gets your energy. A personal culture of success thrives in environments of encouragement and accountability.

In addition to changing routines and tightening up your social circle, you need to make learning and adaptability a priority. Success is not a fixed destination, it’s a moving target. To stay on course, adopt a growth mindset. Be curious, ask questions, and treat failure as feedback. Read widely, take courses, seek mentorship, and stay open to change. The most successful people are lifelong learners who continuously evolve with the world around them and take time to time to highlight the small successes along the way. This is important because far too often, we only allow ourselves to feel successful when we hit big milestones. But real success is built on daily progress. Recognize your small wins, honor your effort, and take pride in the journey. This keeps motivation high and prevents burnout. Creating a personal culture of success means aligning your mindset, habits, environment, and relationships with the life you want to build. It’s not about perfection. It’s about purpose, progress, and persistence. When you cultivate this foundation intentionally, success becomes not just what you do, but who you are.

Success is not just a goal; it’s a set of behaviors and a way of life. While external factors like luck, timing, and connections can influence outcomes, the foundation of long-term success is built from within. Creating a personal culture of success means developing intentional habits, values, and...

住所

1 Chome-14-10 Yamada
Nagoya-shi, Aichi
462-0810

営業時間

火曜日 09:00 - 20:00
水曜日 09:00 - 20:00
木曜日 09:00 - 20:00
金曜日 09:00 - 20:00
土曜日 09:00 - 20:00

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