My Approach

I work with individuals, couples, families and groups of all sizes.  I come from a holistic perspective – treating the mind, body and spirit to help restore a sense of balance in life.  We all experience hardships and need help to heal the body, mind, and spirit. I am strongly influenced by my Christian worldview; however, I respect the personal uniqueness and self-determination of each individual and provide both faith-based as well as secular approaches to counseling.

I use a variety of therapeutic tools such as psycho-education, Cognitive Behavioral Therapy, Solution Focused Therapy, Mindfulness, Behavioral Intervention, Motivational Interviewing, and Brief Intervention Therapy.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

My areas of expertise include:

  • Addiction:

    • Is alcohol, substances or an activity like gambling or video gaming negatively impacting your life?  Are your relationships suffering because of the time commitment involved or the change it has on your behavior? Therapy is a proven strategy to help explore factors that might be leading to addiction and relapse.

  • ADHD:

    • Does your child (or you, yourself) have trouble sitting still or keeping focused? There are many holistic approaches that can help improve concentration and manage challenging behaviors both at home and in the classroom.

  • Anger Management: 

    • Is anger standing in your way of relationships, jobs, school, happiness, etc.?  Therapy can help you sort these concerns out and teach new ways of approaching life and reducing anger.

  • Anxiety:

    • Feeling anxious or worried but can’t really pin point a reason why?  Many people with anxiety have excessive and frequent times where they have intense worry or fear about everyday situations.  There are many strategies that can be used to help reduce your feelings of anxiety and worry improving your overall quality of life. 

  • Bipolar Disorder:

    • Bipolar Disorder takes a person from the depths of depression to the heights of mania, sometimes in a single day.  Learning how to recognize the signs of a swing will help to prepare and practice self-care during the depths and peeks of bipolar

  • Chronic Illness and/or Chronic Pain Support::

    • Having chronic illness or pain can often leave people feeling alone, anxious and depressed. Therapy can help explore these feelings and teach new ways to approach life and regain happiness while managing chronic illness and pain.

  • Communication Skills: 

    • Communication skills are so important in all of your relationships – spouse, kids, boss, friends, parents, random people on the street…you name it!  Ever have a hard time saying what you want to say? Feel like people sometimes ignore what you are saying or mishear you and become angry? Though it seems like talking should be easy proper communication is super tough.  Therapy can help teach you new ways to communicate to help you improve your relationships with others around you and leaving you feeling more confident in social situations.

  • Depression:

    • Depression is more than having a bad day or week.  Depression leaves you worn out, cranky and feeling hopeless.  Understanding your depression and pulling from a holistic approach will help you get back to enjoying your life again.

  • Grief and Loss:

    • Loss of a loved one, friend or pet can leave a large hole in our hearts that often never goes away but processing through the loss will help you find a place of peace again.

  • First Responders

    • First Responders understand the critical nature of life and death situations within their community and the importance of providing compassionate support to those they serve. They often experience symptoms of PTSD and Moral Injury. Therapy can help process through incidents that occur and work to return to a sense of calm. 

  • Life Transitions: 

      • Change, change, change.  Moving, new jobs, new babies, empty nests – you name it!  Therapy can help process the loss of the old and help you find your new purpose in this season of life.  

  • Marriage and Family/Relationships:

    • I have a sign hanging in my house that says “love is blind but marriage is a real eye opener!” Marriage requires both parties to make compromises for each other.  Knowing how to find that compromise can be tricky at best.  Therapy offers support and teaches couples ways to understand their partner, improve communication and work out stuck points with the help of an unbiased third party.

  • Military Members, Veterans and their Families:

    • Military and Veteran families live a life that is often not understood.  Military service creates experience unique benefits (and stresses) as a result of the services member’s service.  Therapy can help keep families on the same page even when faced with periods of separation.

  • Moral Injury: 

    • Moral Injury is a relatively new discussion within mental health.  Moral injury is defined as the damage done to one’s moral compass when someone perpetrates, witnesses, or fails to prevent acts that transgress their own moral and ethical values or codes of conduct. Many service members who have struggled with re-integration following military service find that exploring Moral Injury sheds light on pieces missing in their recovery. Thought PTSD has some similar symptoms as Moral Injury they are two separate things.  

  • Pain Management:

    • Many people associate pain management with pain medications but there are many things that can help reduce pain without the use of medications.  Cognitive Behavioral Therapy for Pain, mindfulness, Tapping and lifestyle changes can often have equal (or greater) impact on pain – all with significantly less side effects!

  • Parenting:

    • Parenting is not a spectator sport!  It’s hard work!  Speaking with a mental health professional about parenting challenges does not mean someone is a “bad parent” or that they have “bad kids”. It’s simply means that we live in a busy world that is in constant change and new challenges as a parent will arise daily.  Effective and simple strategies can help change challenging behaviors quickly and help you get back to enjoying more of the time you have with your children.   

  • Sleep, Rest, Relaxation and Stress Management:

    • Busy, busy, busy – that’s the way life often seems.  The negative effects of poor sleep and inadequate rest have significant impact on our physical health.  Do your attempts at self-care seem fruitless?  Take some time to explore ways to reduce your stress and improve your ability to relax and rest – and watch the way it improves your overall health.

  • Trauma and Post-Traumatic Stress Disorder (PTSD):

    • PTSD is often described as a normal response to an abnormal situation.  If you have been exposed to a traumatic event such as war, violence, abuse, or a life threatening accident you may have difficulty processing the trauma and adjusting to a new way of life following that experience.  Thankfully there are many proven strategies to help you get back to living the life you want to live after trauma. 

 
 

© 2020 by Jessica M. Perusse, LCSW-R, CSSW - Come to the Table Counseling LLC

   Website designed by Strategic Sway

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Jessica Perusse LCSW-R CSSW is a  Licensed Clinical Social Worker Psychotherapy "R" Privilege, and Certified School Social Worker with offices located in Camden, NY, USA.  Jessica Perusse LCSW-R CSSW provides counseling, therapy or treatment for  addiction, ADHD, Anger Management, Anxiety, Bipolar Disorder, Child/Adolescent Behavior, Chronic Illness Support, Communication Skills, Depression Grief and Loss, Life Transitions, Marriage Counseling and Family/Relationships, Military Members and their Families, Pain Management,  Parenting, Post-Traumatic Stress Disorder (PTSD), Sleep, Relaxation and Stress Management, Trauma, Veterans and their Families