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Online Therapy in New Jersey

Mind by Design Counseling

endometriosis and mental health help new jersey

Endometriosis and Mental Health:
New Insights & Innovations

Although endometriosis is more commonly known for the chronic pain women experience, recent research has explored links between endometriosis and mental health, specifically endometriosis and depression and anxiety. This research has found higher rates of depression and anxiety in those diagnosed with endometriosis. 

The Role of Hormonal Fluctuations in Endometriosis and Mental Health

Hormonal fluctuations are a key feature of endometriosis and can significantly impact mental health. Estrogen, in particular, plays a crucial role in both the development of endometriosis and mood regulation. Fluctuations in estrogen levels can exacerbate both the physical symptoms of endometriosis and emotional symptoms like mood swings and irritability.

Endometriosis and Depression

The link between endometriosis and mental health includes an emphasis on depression symptoms. Chronic pain and the stress of dealing with a long-term illness can lead to depressive symptoms. Additionally, the hormonal imbalances associated with endometriosis may also play a role in mood regulation, further contributing to the risk of depression.

Endometriosis and Anxiety

Anxiety is another common psychological issue faced by women with endometriosis and mental health issues. The uncertainty and unpredictability of the condition, along with concerns about fertility and chronic pain management, can lead to heightened anxiety levels. Understanding and addressing this link is crucial for improving the overall well-being of those affected.

Genetic Links Between
Endometriosis and Mental Health

Recent studies have begun to uncover potential genetic links between endometriosis and mental health conditions, outside of depression and anxiety due to pain. These findings suggest that there may be common genetic factors that predispose individuals to both endometriosis and mental health issues like depression and anxiety. Understanding these genetic connections is crucial for developing more effective, personalized treatment strategies.

Challenges in Diagnosis & Treatment

One of the major challenges in managing endometriosis is the difficulty in getting a proper assessment and diagnosis. The symptoms of endometriosis can vary widely, and there is often a delay in diagnosis, which can exacerbate the psychological impact the condition has on the individual. Women may feel invalidated, unheard and dismissed if their physician’s aren’t adequately trained and well-versed in identifying and diagnosing endometriosis. Additionally, treatment options are varied and may not be effective for everyone, leading to frustration and increased mental health challenges.

The Role of Therapy for Endometriosis and Mental Health Conditions

Support systems, including counseling and support groups, play a vital role in managing the mental health aspects of endometriosis. These resources provide a space for sharing experiences, offering emotional support, and learning coping strategies. Counseling, in particular, can help address the psychological impact of the condition and improve overall well-being.

Managing Endometriosis-Related
Mental Health Challenges

  • Seek Professional Help:
    Consulting with a mental health professional can provide valuable support and coping strategies. Therapies like cognitive-behavioral therapy (CBT) have been effective in managing chronic pain and common symptoms related to endometriosis and mental health issues.
  • Join Support Groups:
    Connecting with others who are going through similar experiences can be incredibly comforting. Support groups offer a platform to share experiences, tips, and emotional support.
  • Mindfulness and Relaxation Techniques:
    Practices such as meditation, yoga, and deep breathing exercises can help in reducing stress and managing pain.
  • Exercise & Movement:
    Physical activity can boost mood and reduce symptoms of anxiety and depression. It’s important to choose low-impact exercises that do not exacerbate endometriosis symptoms.
  • Attention to Nutrition:
    Some women find relief by avoiding certain foods that trigger their symptoms. This is an important discussion to have with your physician or a nutritionist who is well-versed in nutrition and endometriosis.
  • Educate Yourself & Others:
    Understanding endometriosis and educating those around you can help in managing expectations and reducing stress related to misunderstandings about the condition.
  • Pain Management Techniques:
    Working with healthcare providers to develop effective pain management strategies is crucial. This may include medication, physical therapy, or alternative treatments.
  • Setting Realistic Goals & Expectations:
    Acknowledging and accepting the limitations that endometriosis may impose can help in reducing feelings of frustration and helplessness.

Ready to start Therapy?

If you or a loved one is looking for therapy in New Jersey, reach out & schedule your free consultation call today!

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FAQ's About Therapy in New Jersey

How do I get started as a new client?

New Clients can reach out to us directly via call, text or email here:






What is your cancellation policy?

We ask that clients provide at least 24 hours notice in the event that they need to cancel to avoid the 50% cancellation fee. we understand that life happens and do our best to be flexible & reschedule.

Does my insurance cover my visits?

We provide”Courtesy Billing” for clients who are using the Out-of-network insurance benefits.

Our Insurance Page shares a small blurb about Why We Left Insurance Panels

Do you offer traditional talk therapy?

of course! though we have some unconventional therapy approaches, we are rooted in evidenced based practices. Talk therapy is a major player in the therapy room! See What we Treat and Integrative Services for more information

Is Online Therapy As Effective As In-Person Therapy?

Online therapy is essentially face-to-face counseling, just conducted remotely. Studies show that teletherapy is as effective as traditional counseling. Professional organizations and state governments recognize its benefits and have set regulations for it. However, like any therapy, its success in achieving your goals isn’t guaranteed. It’s important to discuss with your therapist whether teletherapy is working for you.

Can I Change Therapists If I'm Not Happy?

Yes, you can switch therapists to another provider within the practice, or we can provide you a referral if preferred. We want to ensure that your time and effort are well spent, and that you are getting the relief you need, that’s why we work collaboratively with each other in the practice, as well as outside therapists who we know and trust.

How Do I Know If Therapy Is Helping?

You should feel like you’re making progress. Signs it’s working include:

Feeling comfortable talking to your therapist
Your therapist respects boundaries
You’re moving towards your goals
You feel listened to
You’re doing better in life
Your self-esteem is getting better

Is Online Therapy Easy to Use for Non-Tech-Savvy People?

Yes, it’s pretty simple to access sessions. You’ll need basic internet skills, such as opening and visiting the patient link sent to you via email. It’s similar to video chatting like Facetime or Zoom. We can also walk you through it on the phone the first time to ensure a strong connection

What Questions Should I Ask My New Therapist?

Feel free to ask anything. Some good questions are:

  • How often will we meet?
  • What do you specialize in?
  • What experience do you have with my issue?
  • What outcomes can I expect?
  • How will I know I’m progressing?
  • How long do you usually work with clients?
  • How will we set my treatment goals?

How Should I Prepare for My First Session?

Showing up is all that you need to do! But if you really want to get the most out of session, it could help to take some time to think about what you want from therapy. It helps to write down your goals, questions you have or things that you feel are important to share. 

What is the difference between associate therapists & fully licensed therapists?

Our Qualifications:

Our founder, Rebecca Sidoti, is a highly qualified, state-licensed therapist and supervisor with extensive training in anxiety related disorders and innovative treatment such as Ketamine Therapy. Mind by Design Counseling adheres to standards set by the our governing counseling boards.

To see each providers credentials, training and licenses, visit our “Meet the Therapists” Page to learn more.


  • LAC/LSW are therapists who may practice clinical work under the supervision of a fully licensed therapist.
  • LPC/LCSW are therapists who have completed the necessary clinical hours post-graduation under supervision and can practice clinical work independently.

What Geographic Areas Are Served?

Currently, we serve clients in New Jersey and are expanding to other states as telehealth laws evolve. While telehealth offers the convenience of attending sessions from anywhere, state laws require clients to be in-state during their session.

Is Virtual Counseling Suitable for Everyone?

Online therapy might not be as effective for individuals with chronic suicidal thoughts, severe trauma, significant mental health history, or those recently in intensive care. Such cases often benefit more from traditional, in-person counseling. We’ll help you decide if our online services are right for you during your intake and evaluation.

What Equipment is Needed for Online Therapy?

To join a session, log in using the credentials we provide. No downloads are needed. Our platform, compatible with both individual and group sessions, requires:
A computer or mobile device with a webcam and internet access.
We’ll help you test your setup before your first appointment to ensure a reliable connection. iOS users should use the Safari browser for mobile and tablet sessions.

What Questions Will Therapists Ask Me?

It depends on your goals. Expect questions about your thoughts, feelings, relationships, work, school, and health. They’ll ask to understand your therapy goals.

How Do You Keep Client Information Secure?

Security and Confidentiality of Sessions:
Your privacy is crucial to us. We use TherapyNotes, a HIPAA-compliant platform, ensuring secure and confidential teletherapy sessions. This platform’s security features include encrypted video connections, secure data transfers, and encrypted databases, ensuring your information is safe at all times.

What is VRT used for?

we use VRT to support Exposure Therapy, a long standing traditional therapy modality to treat phobias, anxiety and stress. we send a headset directly to your home so you can access VRT from anywhere.

VRT not only helps with exposure therapy for phobias, but is great for ADHD, mindfulness, PTSD and social anxiety.

Unconventional Therapy
for unconventional people

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