Symptoms & Conditions
We Support

At Liminal Space Mental Health, we take a whole-person, holistic approach. Together, we’ll explore your unique story, investigate how your body, mind, and spirit impact your well-being, and support you in finding balance.

Anxiety

Anxiety involves persistent worry, fear, or nervousness that can interfere with daily life. It can manifest as generalized anxiety, panic attacks, phobias, social anxiety, or performance anxiety. Anxiety often can linger and persist even when the stressor is gone and without a clear trigger.

Common Symptoms

  • Emotional: Feeling overwhelmed, irritable, restless, apprehensive, fearful, or panicked
  • Cognitive: Constant worry, racing thoughts, difficulty concentrating, fear of losing control, catastrophic thinking
  • Physical: Rapid heartbeat, shortness of breath, sweating, trembling, muscle tension, headaches, GI upset, fatigue, sleep changes
  • Behavioral: Avoiding situations or social interactions, compulsive behaviors, procrastination, seeking reassurance, appetite changes, substance use

Possible Causes

  • Stressful life events or ongoing pressures
  • Past trauma or adverse experiences
  • Chemical imbalances or brain chemistry differences
  • Chronic health conditions
  • Personality traits or learned thought patterns
  • Genetics or family history of anxiety

📌 Note: We do not prescribe benzodiazepines or other controlled substances for anxiety. Please see our Controlled Substance Policy for details.

Depression & Low Mood

Depression is more than sadness—it can disrupt daily routines, relationships, and physical health. It may come in episodes or remain long-term, and it deserves compassionate, comprehensive care.

Common Symptoms

  • Persistent sadness or emptiness
    Loss of interest in activities once enjoyed
  • Changes in sleep or appetite
  • Fatigue and low energy
  • Difficulty concentrating or making decisions
  • Guilt, worthlessness, or hopelessness
  • Physical complaints (headaches, digestive issues)
  • Thoughts of self-harm or suicide (Please seek immediate help if you experience these.)

Possible Causes

  • Biological: brain chemistry, hormones, genetics or family history of depression
  • Psychological: low self-esteem, pessimism, perfectionism
  • Environmental: seasonal mood changes, grief, financial strain, relationship conflict
  • Chronic illness or pain conditions
  • Trauma or abuse
  • Substance misuse

ADHD & Executive Dysfunction

ADHD and Executive Dysfunction can affect attention and focus, organization and planning, time management, working memory, inhibition control, and emotional regulation. These difficulties are real and can impact work, relationships, and daily living.

 Common Symptoms

  • Trouble planning, organizing, or prioritizing tasks
  • Procrastination or difficulty starting tasks
  • Losing focus easily, especially with long or tedious activities
  • Impulsivity and difficulty regulating emotions
  • Forgetfulness or working memory struggles
  • Difficulty adjusting to changes in routine

Possible Causes

  • Neurological differences in areas controlling attention and executive function
  • Genetics (ADHD often runs in families)
  • Trauma and acute stress
  • Unmanaged anxiety, stress, burnout, depression, and bipolar disorder
  • Sleep problems, including insomnia, circadian rhythm disorders, sleep apnea
  • Thyroid problems (hypothyroidism)
  • Eating disorders
  • Certain medications
  • Substance misuse

📌 Note: We do not prescribe stimulant medications for ADHD. Please see our Controlled Substance Policy for details.

Bipolar Disorder

Bipolar disorder is not just mood swings—it involves extreme shifts between emotional highs and lows that can disrupt work, relationships, and daily functioning. These episodes can vary in intensity and frequency, and managing them requires ongoing support and treatment.

Common Symptoms

  • During manic or hypomanic episodes: elevated or irritable mood, increased energy, reduced need for sleep, racing thoughts, rapid speech, impulsive behavior, inflated self-confidence, poor judgement, distractibility
  • During depressive episodes: persistent sadness or emptiness, loss of interest in activities, changes in sleep or appetite, fatigue, difficulty concentrating, feelings of hopelessness, thoughts of self-harm or suicide (Please seek immediate help if you experience these.)
  • Episodes may alternate with periods of normal mood

Possible Causes

  • Biological: brain chemistry imbalances, genetics (often runs in families)
  • Neurological differences in brain structure and function
  • Hormonal changes or disruptions
  • Environmental triggers: major life stress, sleep disruption, substance use
  • Trauma or significant loss
  • Certain medications or medical conditions

Stress and Burnout

Stress and burnout result from prolonged physical, emotional, or mental strain, often from work, caregiving, or life pressures. These conditions are real and can significantly impact physical health, mental wellbeing, relationships, and overall quality of life.

Common Symptoms

  • Persistent exhaustion or fatigue that doesn’t improve with rest
  • Feeling overwhelmed, helpless, or unable to cope
  • Loss of motivation or decreased satisfaction in work or activities
  • Physical symptoms like headaches, muscle tension, or sleep problems
  • Difficulty concentrating or making decisions
  • Withdrawal from responsibilities, social activities, or relationships
  • Increased irritability, cynicism, or emotional numbness

Possible Causes

  • Biological: chronic sleep deprivation, hormonal imbalances, physical illness
  • Psychological: perfectionism, difficulty setting boundaries, people-pleasing tendencies
  • Environmental: work overload, lack of control, unclear job expectations, toxic workplace culture
  • Caregiving responsibilities without adequate support
  • Major life changes or transitions
  • Lack of work-life balance
  • Insufficient rest, recovery, or social connection

📌 Note: Chronic stress and burnout often require lifestyle changes alongside treatment. We can work with you to develop coping strategies and determine if additional support is needed.

Performance Improvement

Performance improvement focuses on optimizing function and effectiveness across work, academics, athletics, performing arts, and daily activities. Challenges with performance can stem from various factors including stress, poor sleep, health conditions, or lack of effective strategies, and addressing them can enhance success and satisfaction.

**Common Areas of Focus**
* Difficulty maintaining consistent energy, motivation, or focus during training or performance
* Trouble with time management, practice consistency, or meeting goals
* Reduced productivity, endurance, or skill execution compared to desired levels
* Poor sleep quality or recovery affecting performance and progress
* Performance anxiety or mental blocks in competitive or high-pressure situations
* Lack of effective strategies for goal-setting, technique refinement, or skill development
* Difficulty managing competing priorities or balancing training with other responsibilities
* Suboptimal habits around nutrition, hydration, exercise, or stress management
* Negative self-perception or self-criticism despite objectively acceptable or good performances
* High-level performers seeking to optimize mindset, mental skills, or approach for peak performance

📌 Note: We focus on evidence-based approaches to support sustainable performance improvement. We do not prescribe stimulants for performance improvement. Please see our Controlled Substance Policy for details.

Controlled Substance Policy

We recognize some clients may benefit from controlled substances such as benzodiazepines, certain sleep agents, or stimulants. However, because of the risk for misuse or harm, Liminal Space Mental Health does not prescribe controlled substances for new or ongoing treatment.

Take the First Step

Request an appointment today to start a collaborative and supportive partnership in your mental health journey.

 

Crisis Information

We do not provide crisis treatment. If you are experiencing a mental health (or other) crisis, please contact:

For life-threatening emergencies.

For 24/7 suicide prevention or behavioral health crisis support.

Visit our page for additional national and Washington-specific resources.