Irena Schmidt, MSW, LCSW

Irena Schmidt, MSW, LCSW Individual and marriage counseling Feeling overwhelmed? Want to make changes but not sure where to start? Do things feel out of control?

Finding a good fit with a therapist can play a vital role in getting more of what you want in life. I see myself as someone who guides and facilitates a committed, compassionate and confidential space where we can clarify what is most important to you, and discover the blocks that get in the way of having the life that you want. I work with individuals and couples, teens and adults. I provide a safe, non-judgmental environment, which helps you get to the root of the difficulties that are interfering with love, work, and play - the basic ingredients of a satisfying life. I have been doing therapy for over 8 years. I have been working at River Oaks Hospital and maintaining a private practice. I accept many insurance plans: Medicaid (All the Bayou Health plans), Blue Cross and Blue Shield, Optum and United Heathcare.

10/14/2025

Look up, New Orleans! The will be lit teal tonight for . This light is a symbol of hope for the 1 in 40 people living with OCD.
See it? Snap a photo & tag us with ! OCD Louisiana International OCD Foundation

10/07/2025

OCD Louisiana's 2025 OCD Walk will be held on Sunday Nov. 9 at Washington Square in New Orleans! Looking forward to seeing everyone there!

For more information, or to donate or register, head to : iocdf.org/walknola

10/03/2025

There are books that don’t just land in your hands—they land in your chest. Janet G. Woititz’s Adult Children of Alcoholics is one of those. For many, it reads less like theory and more like biography, like someone secretly observed the hidden rhythms of your childhood and finally dared to name them. It speaks to the strange contradictions of growing up in a home where love and pain coexist, where silence carries as much weight as words, and where you learn to survive in ways that follow you long after you’ve left. This is not a book of blame but of unveiling, a reminder that the echoes of our childhood are not destiny—they are patterns, and patterns can be unlearned.

Here are seven deeply human, scene-woven lessons from Woititz’s work—lessons that read like memories, reflections, and invitations all at once.

1. Walking on Eggshells That Never Break

Imagine a child creeping down the hallway, her small feet barely grazing the carpet, ears tuned like antennas for the sound of a slammed cupboard or the slur in a parent’s voice. She learns early that safety is tied to silence, that stability means predicting moods before they erupt. Years later, as an adult, she still scans rooms for tension, apologizes too quickly, smooths over conflict before it begins. Woititz shows us that this hypervigilance is not a flaw of character but a skill of survival. The work is to recognize the eggshells for what they are—remnants of an old battlefield—and learn to walk free of them.

2. The Ache of Abandonment

Picture a teenager sitting on the porch steps, waiting for a parent who promised to come but never does. The porch light flickers on as the hours stretch long, and the ache of disappointment hardens into a vow: I won’t need anyone. In adulthood, this vow echoes as pushing people away before they get too close, or holding on too tightly to those who stay. Woititz helps us see that this fear of abandonment is not irrational—it is inherited from inconsistency. Healing comes when we dare to risk again, to believe that not everyone will walk away, and that some promises can, in fact, be kept.

3. The Fragile Comfort of Control

A young adult arranges their desk meticulously, color-coding files, lining up pens, keeping everything spotless. It isn’t about neatness—it’s about control, the one thing that felt absent in childhood. Yet when life refuses to follow their script, panic seeps in. Woititz reminds us that control is a fragile fortress. True safety lies not in perfection but in resilience—the ability to bend without breaking. The invitation here is terrifying yet liberating: to loosen the grip, to allow life to flow, and to trust we can handle the unknown.

4. Silence That Cuts Deeper Than Words

In many homes, it wasn’t the shouting but the silence that left its mark. A child learns early that certain things are never spoken: the bottles hidden under the sink, the fights muffled behind closed doors. This silence grows into adulthood, where feelings remain locked inside, where vulnerability feels dangerous. Woititz presses gently: denial may have kept the family intact, but it fractured the self. Breaking the silence—naming the truth, sharing the story—is not betrayal but healing. Speaking becomes the first step in stitching the torn fabric back together.

5. The Mask of Perfection

Imagine a little boy holding up a perfect report card, searching his parent’s tired eyes for a flicker of pride. He grows into a man who builds his worth on achievements—degrees, titles, polished appearances—believing excellence can erase the chaos of his past. But inside, he is weary, terrified of failure, unsure of who he is without the mask. Woititz reminds us that perfectionism is not ambition but armor. The healing work is to lay it down, to be loved not for what we do but for who we are.

6. When Intimacy Feels Like Danger

A partner reaches for your hand, and though you want to take it, your body stiffens. A raised voice—even in play—sparks a rush of adrenaline. For adult children of alcoholics, closeness can feel unsafe because the people who were supposed to love us also caused the most hurt. Woititz urges us to relearn intimacy slowly, to let trust rebuild in small, steady steps. Love, she says, doesn’t have to be chaotic—it can be tender, steady, and safe. The lesson here is both terrifying and hopeful: intimacy is not the battlefield we once knew; it can be a home.

7. The Courage to Rewrite the Script

The most powerful scene is not from childhood, but from adulthood. Picture someone sitting at a kitchen table with a pen in hand, staring at the script they were handed—fear, silence, chaos, self-doubt. And then, with trembling resolve, they begin to cross out lines, to write new ones. This is the heart of Woititz’s work: the past explains us, but it does not define us. The family story we were born into doesn’t have to be the story we live out. Rewriting is messy, slow, and often painful—but it is possible. And in that possibility lies freedom.

In the end, Adult Children of Alcoholics is not just about identifying wounds—it is about recognizing resilience. It helps us see that the ways we’ve survived were once necessary, but they don’t have to remain permanent. It is both a mirror, showing us the inherited patterns etched deep within, and a map, pointing us toward the courage to choose differently. Its truth lingers long after the final page: though we cannot rewrite our childhoods, we can rewrite the story of our lives. And perhaps, that is the bravest inheritance we can leave behind.

GET BOOK: https://amzn.to/4mLTWII
You can find and listen to the audiobook narration using the link above.

09/28/2025

We'll Prescribe You a Cat (original title: The Man Who Was Prescribed a Cat) is a heartwarming and poignant Japanese manga by Syou Ishida. The story follows Sakamoto, a man suffering from severe depression who has become isolated and apathetic. In an unconventional act of therapeutic guidance, his doctor "prescribes" him a cat, a decision that Sakamoto initially resents. The manga chronicles the slow, gentle journey of Sakamoto and the cat, whom he names Fuku. As Sakamoto is forced to care for another living being, the small acts of feeding, cleaning, and simply being present with Fuku begin to break through his isolation and bring him back to a life of connection, purpose, and even moments of genuine joy. It's a beautiful, quiet story about the transformative power of companionship and the unconventional ways healing can unfold.

10 Detailed Key Lessons and Insights

1. Healing often begins with a simple presence. The cat, Fuku, doesn't offer advice or platitudes; its mere living presence in the home forces Sakamoto to engage with the world outside of his own mind. The manga shows that sometimes, the first step to healing is not a grand gesture, but the quiet, comforting reality of another being.

2. Responsibility can be a source of purpose. One of the most difficult parts of depression is the loss of motivation. Taking care of Fuku provides Sakamoto with a vital, external reason to get up each morning. The simple act of providing food and water becomes a new purpose that slowly gives his life meaning.

3. Find joy in small, everyday moments. The manga is filled with charming, minimalist illustrations of the cat's daily life—napping in a sunbeam, chasing a toy, or sleeping in a funny position. The story teaches that true happiness is not found in grand events but in the simple, overlooked moments of peace and delight.

4. You are worthy of unconditional love. One of the most powerful lessons is the way Fuku loves Sakamoto without condition. The cat doesn't care about Sakamoto's career, his mood, or his past; it simply loves him. This constant, uncritical affection helps Sakamoto to slowly rebuild his own self-worth.

5. A routine can anchor you. The cat's needs (feeding, playtime, vet appointments) create a basic routine for Sakamoto. For someone struggling with mental health, this structure can be a vital anchor, providing predictability and a sense of control in an otherwise chaotic emotional state.

6. Breaking isolation is crucial. The cat acts as a bridge back to the outside world. Caring for Fuku requires Sakamoto to interact with a vet, a pet store clerk, and eventually, his own family. This forces him to break his self-imposed isolation and reconnect with others.

7. Empathy and a different perspective are healing. The story is told from Sakamoto's perspective, but we see him slowly learn to empathize with the cat's needs and feelings. This shift in focus from his own pain to the well-being of another is a major step in his recovery.

8. Vulnerability can lead to connection. Initially, Sakamoto is closed off and emotionally distant. As he cares for Fuku, he becomes more vulnerable, openly showing his care and affection. This willingness to be vulnerable is what allows his relationship with the cat to deepen and heal him.

9. Healing is not linear. The manga doesn't show a sudden, miraculous recovery. Instead, Sakamoto's journey is shown as a series of small steps forward, with occasional setbacks. The lesson is that healing is a gradual, patient process that requires acceptance and persistence.

10. Sometimes, the unconventional path is the right one. The doctor's "cat prescription" is far from traditional therapy, yet for Sakamoto, it is exactly what he needed. The book reminds us that healing can come from surprising and unconventional sources, and we should be open to them.

BOOK: https://amzn.to/46omOkh

You can ENJOY the AUDIOBOOK for FREE (When you register for Audible Membership Trial) using the same link above.

http://drgeorginasmith.com/the-truth-about-love-addiction/
09/03/2025

http://drgeorginasmith.com/the-truth-about-love-addiction/

The way we now look at love addiction has changed. Two decades ago, our understanding of love addiction was evolving from what we knew about co-dependency. Back then the two were viewed synonymously. However we now understand that they are not one in the same. Let me further distinguish. “A co-dep...

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