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Approach

Her approach is primarily psychodynamic but combines aspects of self-psychology, Dialectical Behavior Therapy, Seeking Safety, mindful self-compassion, and mindfulness. She is particularly interested in the treatment of body image and identity issues as they relate to addiction, as well as treating eating disorders through a social justice lens, as they relate to people of color and the LGBTQ+ community. She is also adept at treating individuals diagnosed with Borderline Personality Disorder and OCD.

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Her grief and loss work is broad, but focuses on motherless daughters, maternal grief and wounding, and emotional abandonment. Jessica also works with individuals who have experienced miscarriage, fertility related issues, post-partum depression, anxiety, and psychosis, as well as post-partum PTSD. She also works with individuals undergoing IVF and who have struggled with women’s health issues, such as Endometriosis and PCOS, as well as individuals who are pregnant and struggling with an eating disorder.

Jessica’s favorite part of being a therapist is guiding each client in their personal transformation and witnessing each step as it is achieved. Jessica will work with the client to identify what is deeply meaningful and important in that person’s life. The client will develop concrete skills to get their needs met directly. Jessica will help the client to develop powerful, inner resources, including self-compassion, emotion regulation techniques, radical self-acceptance, and confidence.

 

As a therapist, Jessica has experience in many levels of care, including residential, partial hospitalization, and intensive outpatient. Jessica brings with her a wealth of experiences, particularly from working at a residential, dual diagnosis facility where she worked as a primary therapist for five and a half years, and also supported the licensed professional services program for nurses, lawyers, and physicians struggling with substance use, eating disorders, and mental health issues.

Image by Inge Poelman

“Without inner change there can be no outer change. Without collective change, no change matters.”

Angel Kyodo Williams

Types of Therapy

Dialectical Behavior Therapy

Dialectical behavior therapy is a comprehensive, evidence-based treatment for borderline personality disorder (BPD). DBT has proven most effective with individuals struggling with borderline personality disorder, substance use disorders, self-harm and eating disorders. DBT focuses on the biosocial theory and focusing on emotions in treatment, a consistent dialectical philosophy, and mindfulness and acceptance interventions. Primary skills include helping individuals to regulate overwhelming emotions, practice distress tolerance, mindfulness, and use interpersonal skills.

Mindful Self-Compassion

Mindful self-compassion was developed by Christopher Germer, PhD and Kristin Neff, PhD. Mindful self-compassion teaches skills of mindfulness, common humanity, and self-kindness, providing a powerful tool for emotional resilience. Mindfulness is a powerful first step to turn towards are suffering with kindness and to acknowledge difficult thoughts and feelings with curiosity and warmth. Self-compassion requires the ability to respond to difficult feelings with kindness, empathy, and understanding so that we can soothe and comfort ourselves. Their research has shown that self-compassion enhances well-being, as well as boosts happiness, reduces anxiety and depression.

Narrative Therapy

Narrative therapy is a collaborative and non-pathologizing approach to therapy. A narrative approach views problems as separate from the individual. It is a way of working that considers the broader context of people’s lives particularly in the various dimensions of diversity including class, race, gender, sexual orientation and ability.

Feminist Psychotherapy

Feminist psychotherapy is a theory that derives its inspiration and wisdom from individuals that have been relegated to the margins— including, European American women; people of color; lesbian, gay, and bisexual people; transgender and gender non-conforming people; displaced workers; people living in poverty; people with disabilities; and immigrants and refugees. It is a theory that not only listens to but privileges the voices and experiences of those who have been defined as “other” by dominant cultures. It is also a politically-informed model that observes human experience within the framework of societal and cultural realities and through the dynamics of power that inform those realities. Feminist therapy does not simply study the “other” to offer a neutral perspective on that experience. Rather, what is inherent in feminist therapy is the radical notion that silenced voices of marginalized people are the sources of the greatest wisdom. 

The Body Positive

The Be Body Positive Model is comprised of five core Competencies including, reclaiming Health, practicing intuitive self-care, cultivating self-love, declare your own authentic beauty, and building community. The competencies establish foundational building blocks that honor individual authority as the primary path to positive change. 

Mindfulness

Pema Chodron says “meditation gives us the opportunity to have an open, compassionate attentiveness to whatever is going on. The meditative space is like the big sky - spacious, vast enough to accommodate anything that arises.”

Psychodynamic Psychotherapy

Focus on the psychological root of emotional suffering. It’s hallmarks of self reflection and examination, and the use of the relationship of therapist and patient to generate change.

Self Psychology

Focuses on the individual’s self image and their primary relationships. It helps individuals understand why they act in a certain way based on their needs. It is considered a branch of psychoanalysis and takes many theories from Freudian psychology and Object Relations theory.  It can be helpful for people struggling with self image and identity issues.

Health At Every Size®

Health at Every Size, or HAES, is a framework for health, wellness and medical care that considers all bodies to be worthy of dignified and respectful care as they exist right now.

The Association for Size Diversity and Health (ASDAH), which owns the trademark for the HAES name, defines it as:

“The Health At Every Size® (HAES®) approach is a continuously evolving alternative to the weight-centered approach to treating clients and patients of all sizes. It is also a movement working to promote size-acceptance, to end weight discrimination, and to lesson the cultural obsession with weight loss and thinness. The HAES approach promotes balanced eating, life-enhancing physical activity, and respect for the diversity of body shapes and sizes.”

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Health at Every Size is a weight-neutral approach to health, which means that “A person’s health status, risk level, or quality of life cannot be assumed based solely on a number on a scale.

Area of Expertise

Women's Health

  • Birth Trauma

  • Fertility Issues

  • Miscarriage

  • Perinatal Issues

  • Postpartum Depression, Anxiety, and Psychosis

  • Endometriosis

  • Maternal Grief and Wounding

  • Motherless Daughters

  • Autoimmune Disorders

Mental Health

  • Borderline Personality Disorders

  • Self-harm

  • Eating Disorders

  • Substance Use Disorders

Eating Disorders

  • Eating Disorders and The LGBTQ+ Community

  • Eating Disorders and Social Justice Issues

  • Eating Disorders and Issues Related to Diversity, Racism, and Oppression

  • Athletes and Dancers

  • The Orthodox Jewish Community

Professionals

  • Nurses, Lawyers, and Physicians that Struggle with Eating Disorders and / or Substance Use Disorders

LCSW, MSL

Jessica C. Lief

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© 2023 by Jessica C. Lief

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