Nancy Lambert, Psy.D

Quick SummaryPassive suicidal thoughts, like wishing you would not wake up, are different from active thoughts about ending your life, and clinicians make that distinction and treat both differently, emphasizing addressing active thoughts quickly. But passive ideation...

Quick SummaryYou may have been told you have bipolar disorder, then schizophrenia, and neither label has made the medications work the way they were supposed to. Schizoaffective disorder sits between mood and thought disorders, and the criteria that separates it from...

Quick Summary Adult ADHD often shows up as emotional overload and irritability that gets mistaken for anxiety or depression, which can lead to years of treatment for the wrong condition. ADHD affects how your brain regulates attention and emotion, making the visible...

Quick Summary OCD spirals can make daily life feel smaller, slower, and harder to manage when intrusive thoughts lead to rituals that temporarily calm anxiety but keep the cycle active. A practical plan starts with understanding the pattern, tracking where OCD is...

Quick Summary Borderline personality disorder, often called BPD, can make emotions feel intense, fast-moving, and difficult to recover from once they build. Many adults with BPD work hard in weekly therapy and still find themselves caught in repeated cycles of...

Quick Summary Early psychosis can begin with changes that look like stress, exhaustion, isolation, drug use, or a difficult life stage. Families often notice these shifts before anyone else does, although the signs can be confusing when they develop slowly. A loved...

Quick Summary Trauma can surface on an unpredictable schedule, even after a long period of stability. For many people, symptoms stay manageable for months or years until a life change disrupts the routines, relationships, and sense of control that helped hold...

Quick Summary Personality disorders are among the most misunderstood conditions in mental health treatment. People with these diagnoses are often told, directly or indirectly, that their condition is untreatable or that they are too difficult for standard programs....

Quick Summary Bipolar disorder is one of the most commonly misunderstood conditions in mental health, and those misunderstandings directly affect treatment decisions. Many people with bipolar disorder spend years in treatment for unipolar depression before receiving...

Quick Summary Weekly therapy works well for many people with depression, but when symptoms stop improving or begin getting worse despite consistent treatment, that plateau can feel confusing and discouraging. In many cases, it reflects a clinical signal that the...

Quick Summary When you are calling for mental health care, the fastest way to help is to describe patterns, risks, and daily functioning in plain language, not to argue about motives. Track a short set of concrete observations over 7 to 10 days so a clinician can...

Quick Summary Step-down care is the bridge between short-term stabilization and long-term, day-to-day stability. You are “ready” when safety is reliable, symptoms are more predictable, and you can follow a plan between sessions. PHP is usually the better step when you...