Marika Handakas, PsyD

Marika Handakas, PsyD Dr. Marika Handakas
Psy.D. Clinical Psychology, Immaculata University
M.S.W. Vassar College

Clinical Social Work, Columbia University
Certificate, Psychoanalysis, Institute for Psychoanalytic Training and Research
B.S. Dr. Handakas practices as a clinical psychologist, psychoanalyst, and clinical social worker with more than twenty-five years’ experience working with patients of all ages who present with a wide variety of issues. She completed her doctoral internship at Danville State Hospital where she was appreciated for her compassion for those with chronic and persistent mental illness. Dr. Handakas specializes in patients presenting with issues around sexual orientation, grief and loss, coping with life transitions (divorce, relocation, job loss, etc.), depression, anxiety, body image issues, disordered eating, and relationship issues. Her approach is psychodynamic, humanistic, and cognitive-behavioral; she is trained and qualified to offer multi-session-per-week psychoanalytic treatment as well. Dr. Handakas has teaching experience in higher education, having had faculty positions at Bloomsburg University, Marywood University and the Geisinger Commonwealth School of Medicine, where she coached medical students in communication and interpersonal skills. It is a particular pleasure for Dr. Handakas to present at regional, national and international conferences on her research. She was selected as Chair of her section at the annual meeting of the Association of Psychiatry and Psychology for Adults and Children in Athens, Greece and delivered a presentation on the psychic mechanism of shame which was the subject of her doctoral dissertation. She is particularly intrigued by how unconscious processes drive cognitions and behaviors and uses psychodynamic methods to help her patients uncover the layers of thoughts, fantasies, assumptions and beliefs to reach deeper recesses of the psyche in the service of greater self-understanding and self-efficacy. Her patients learn to rely on her to care, to understand, to be useful, and to be accepting of them as and where they are as they transform into better versions of themselves.

Turn on your sound to hear the call of a pair of bald eagles in a tree on my property. Then watch them soar across the S...
09/21/2024

Turn on your sound to hear the call of a pair of bald eagles in a tree on my property. Then watch them soar across the Susquehanna.

Turn on your sound to hear a pair of bald eagles call as they swoop across the Susquehanna from a tree in my yard.
09/13/2024

Turn on your sound to hear a pair of bald eagles call as they swoop across the Susquehanna from a tree in my yard.

07/21/2024

Because married couples produce 98% of the babies in Japan, local governments have added matchmaking to their list of public services. It cost Adachi about $100 for a two-year plan. She didn’t need that long. - Wall Street Journal, 21 July 2024

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06/30/2024

The task of psychoanalysis, Freud wrote in 1917, is “to prove to the ego that it is not even master in its own house, but must content itself with scanty information of what is going on unconsciously in its mind.”

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06/14/2024

Speak your wisdom or share your pain, empty nesters

06/10/2024

Why Walking Helps Us Think
By Ferris Jabr
September 3, 2014
Photograph by Alex MajoliMagnum
Since at least the time of Greek philosophers, many writers have discovered a deep, intuitive connection between walking, thinking, and writing.Photograph by Alex Majoli/Magnum

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In Vogue’s 1969 Christmas issue, Vladimir Nabokov offered some advice for teaching James Joyce’s “Ulysses”: “Instead of perpetuating the pretentious nonsense of Homeric, chromatic, and visceral chapter headings, instructors should prepare maps of Dublin with Bloom’s and Stephen’s intertwining itineraries clearly traced.” He drew a charming one himself. Several decades later, a Boston College English professor named Joseph Nugent and his colleagues put together an annotated Google map that shadows Stephen Dedalus and Leopold Bloom step by step. The Virginia Woolf Society of Great Britain, as well as students at the Georgia Institute of Technology, have similarly reconstructed the paths of the London amblers in “Mrs. Dalloway.”

Such maps clarify how much these novels depend on a curious link between mind and feet. Joyce and Woolf were writers who transformed the quicksilver of consciousness into paper and ink. To accomplish this, they sent characters on walks about town. As Mrs. Dalloway walks, she does not merely perceive the city around her. Rather, she dips in and out of her past, remolding London into a highly textured mental landscape, “making it up, building it round one, tumbling it, creating it every moment afresh.”

Since at least the time of peripatetic Greek philosophers, many other writers have discovered a deep, intuitive connection between walking, thinking, and writing. (In fact, Adam Gopnik wrote about walking in The New Yorker just two weeks ago.) “How vain it is to sit down to write when you have not stood up to live!” Henry David Thoreau penned in his journal. “Methinks that the moment my legs begin to move, my thoughts begin to flow.” Thomas DeQuincey has calculated that William Wordsworth—whose poetry is filled with tramps up mountains, through forests, and along public roads—walked as many as a hundred and eighty thousand miles in his lifetime, which comes to an average of six and a half miles a day starting from age five.

What is it about walking, in particular, that makes it so amenable to thinking and writing? The answer begins with changes to our chemistry. When we go for a walk, the heart pumps faster, circulating more blood and oxygen not just to the muscles but to all the organs—including the brain. Many experiments have shown that after or during exercise, even very mild exertion, people perform better on tests of memory and attention. Walking on a regular basis also promotes new connections between brain cells, staves off the usual withering of brain tissue that comes with age, increases the volume of the hippocampus (a brain region crucial for memory), and elevates levels of molecules that both stimulate the growth of new neurons and transmit messages between them.

The way we move our bodies further changes the nature of our thoughts, and vice versa. Psychologists who specialize in exercise music have quantified what many of us already know: listening to songs with high tempos motivates us to run faster, and the swifter we move, the quicker we prefer our music. Likewise, when drivers hear loud, fast music, they unconsciously step a bit harder on the gas pedal. Walking at our own pace creates an unadulterated feedback loop between the rhythm of our bodies and our mental state that we cannot experience as easily when we’re jogging at the gym, steering a car, biking, or during any other kind of locomotion. When we stroll, the pace of our feet naturally vacillates with our moods and the cadence of our inner speech; at the same time, we can actively change the pace of our thoughts by deliberately walking more briskly or by slowing down.

VIDEO FROM THE NEW YORKER

The Men Walking Every Block in New York City

Because we don’t have to devote much conscious effort to the act of walking, our attention is free to wander—to overlay the world before us with a parade of images from the mind’s theatre. This is precisely the kind of mental state that studies have linked to innovative ideas and strokes of insight. Earlier this year, Marily Oppezzo and Daniel Schwartz of Stanford published what is likely the first set of studies that directly measure the way walking changes creativity in the moment. They got the idea for the studies while on a walk. “My doctoral advisor had the habit of going for walks with his students to brainstorm,” Oppezzo says of Schwartz. “One day we got kind of meta.”

In a series of four experiments, Oppezzo and Schwartz asked a hundred and seventy-six college students to complete different tests of creative thinking while either sitting, walking on a treadmill, or sauntering through Stanford’s campus. In one test, for example, volunteers had to come up with atypical uses for everyday objects, such as a button or a tire. On average, the students thought of between four and six more novel uses for the objects while they were walking than when they were seated. Another experiment required volunteers to contemplate a metaphor, such as “a budding cocoon,” and generate a unique but equivalent metaphor, such as “an egg hatching.” Ninety-five per cent of students who went for a walk were able to do so, compared to only fifty per cent of those who never stood up. But walking actually worsened people’s performance on a different type of test, in which students had to find the one word that united a set of three, like “cheese” for “cottage, cream, and cake.” Oppezzo speculates that, by setting the mind adrift on a frothing sea of thought, walking is counterproductive to such laser-focussed thinking: “If you’re looking for a single correct answer to a question, you probably don’t want all of these different ideas bubbling up.”

Where we walk matters as well. In a study led by Marc Berman of the University of South Carolina, students who ambled through an arboretum improved their performance on a memory test more than students who walked along city streets. A small but growing collection of studies suggests that spending time in green spaces—gardens, parks, forests—can rejuvenate the mental resources that man-made environments deplete. Psychologists have learned that attention is a limited resource that continually drains throughout the day. A crowded intersection—rife with pedestrians, cars, and billboards—bats our attention around. In contrast, walking past a pond in a park allows our mind to drift casually from one sensory experience to another, from wrinkling water to rustling reeds.

Still, urban and pastoral walks likely offer unique advantages for the mind. A walk through a city provides more immediate stimulation—a greater variety of sensations for the mind to play with. But, if we are already at the brink of overstimulation, we can turn to nature instead. Woolf relished the creative energy of London’s streets, describing it in her diary as “being on the highest crest of the biggest wave, right in the centre & swim of things.” But she also depended on her walks through England’s South Downs to “have space to spread my mind out in.” And, in her youth, she often travelled to Cornwall for the summer, where she loved to “spend my afternoons in solitary trampling” through the countryside.

Perhaps the most profound relationship between walking, thinking, and writing reveals itself at the end of a stroll, back at the desk. There, it becomes apparent that writing and walking are extremely similar feats, equal parts physical and mental. When we choose a path through a city or forest, our brain must survey the surrounding environment, construct a mental map of the world, settle on a way forward, and translate that plan into a series of footsteps. Likewise, writing forces the brain to review its own landscape, plot a course through that mental terrain, and transcribe the resulting trail of thoughts by guiding the hands. Walking organizes the world around us; writing organizes our thoughts. Ultimately, maps like the one that Nabokov drew are recursive: they are maps of maps.

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