Telehealth Services

We continue to welcome new clients to schedule appointments with the best match within our group. All of our appointments are virtual: care when you need it, on your terms.

At Frey & Associates we have found that both our clients and clinicians genuinely enjoy, and prefer, telehealth services. Why telehealth? Click the button below to learn more about why we provide our services virtually.

Please reach out to see if we can be of help getting you scheduled with one of our clinicians, or if we can connect you to additional resources. We strive to respond to all inquiries as quickly as possible.

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Why Am I Still Tired After Resting? When Sleep Isn’t the Only Kind of Rest You Need

You slept in. You took the afternoon off. Maybe you even had an unusually quiet weekend.

And somehow, you are still tired.

Not simply sleepy—but worn down. Everyday decisions feel harder than they should. Your patience is thinner. Things you normally enjoy sound like one more demand. You may catch yourself wondering, Why am I still tired after resting?

Sometimes the answer is that sleep and physical downtime are only part of what you need. When your mind has been managing pressure for a long time, exhaustion can persist even when your body technically gets a break.

Being Tired Is Not Always About Sleep

Physical fatigue can have many causes, and persistent or unexplained tiredness is worth discussing with a medical professional. But there is also a kind of exhaustion that comes from being mentally and emotionally “on” for too long.

You might be carrying:

  • A constant list of things to remember
  • Worry about what could go wrong
  • Responsibility for other people’s needs or emotions
  • Pressure to appear capable, calm, or productive
  • Difficult feelings that have repeatedly been pushed aside
  • Ongoing uncertainty at work, at home, or in a relationship

Even when you are sitting still, your brain may still be planning, anticipating, monitoring, replaying, and problem-solving. That is not the same thing as restorative rest.

Signs You May Be Emotionally Exhausted

Emotional exhaustion does not always look dramatic. In fact, many people continue going to work, caring for their families, answering messages, and meeting expectations while feeling completely depleted underneath it all.

It may look like:

  • Feeling tired shortly after waking up
  • Becoming overwhelmed by small tasks or decisions
  • Irritability or less patience than usual
  • Difficulty concentrating or remembering things
  • Feeling detached, numb, or unusually unmotivated
  • Procrastinating because you cannot figure out where to begin
  • Wanting time alone, but not feeling restored when you get it
  • Losing interest in things that usually help you feel like yourself
  • Feeling guilty for resting because there is always more to do

This can be especially confusing for people who are used to functioning well under pressure. You may tell yourself that you cannot be burned out because you are still getting things done. But functioning and feeling well are not the same thing.

Why a Day Off May Not Feel Like Enough

A break can help, but it cannot always undo a pattern of chronic stress.

If your day off becomes the time when you catch up on errands, manage household tasks, respond to everyone you missed during the week, or worry about what is waiting for you tomorrow, your responsibilities may have paused—but your internal pressure did not.

Rest can also feel uncomfortable when your nervous system has adapted to urgency. Slowing down may bring up thoughts and emotions that were easier to avoid while you were busy. Some people respond by filling the space again: another task, another show, another scroll, another plan.

That does not mean you are bad at resting. It may mean your mind has not yet received enough evidence that it is safe to stop.

Different Kinds of Rest

The kind of rest you need may depend on what has been draining you.

Mental rest may mean writing things down instead of holding every detail in your head, reducing decisions, or creating time without problem-solving.

Emotional rest may mean being honest about how you feel, spending time with someone who does not need you to perform, or letting yourself stop saying “I’m fine” when you are not.

Sensory rest may mean less noise, fewer notifications, dimmer lighting, or a break from constant input.

Social rest may mean stepping back from relationships that require a lot of effort—or spending time with people around whom you can fully exhale.

Physical rest may include sleep, but it can also mean gentle movement, stretching, eating regularly, or allowing your body to recover without turning recovery into another goal to accomplish.

You do not need to perfectly identify the “right” category. The more useful question may be: What has been asking the most from me lately?

What Can Help When Rest Is Not Fixing the Exhaustion?

Start smaller than your overwhelmed brain tells you to.

1. Reduce one source of invisible effort

Choose something you have been mentally tracking and move it somewhere outside your head. Write down the list. Set the reminder. Ask someone else to own the task. Decide what can remain unfinished.

2. Notice what happens when you pause

When you finally stop, do you feel anxious, guilty, restless, sad, or numb? The feeling that appears may offer a clue about what your busyness has been protecting you from.

3. Stop requiring rest to be productive

Rest does not have to improve you, inspire you, or prepare you to work harder. You are allowed to choose something simply because it is comforting or requires very little from you.

4. Create a true stopping point

Many responsibilities do not naturally end. Pick a time when you are done for the day, even if everything is not done. Your mind may need a clear boundary more than it needs another hour to catch up.

5. Pay attention to how long this has been happening

Occasional exhaustion is part of being human. But if fatigue is persistent, worsening, affecting your daily life, or occurring alongside other physical or emotional changes, consider talking with a medical or mental health professional. You do not have to determine the cause by yourself.

Therapy Can Be a Place to Put Down What You Have Been Carrying

Therapy is not only for moments of crisis. It can also be a place to understand why you feel depleted, identify the pressures that have become normalized, and begin making changes that are realistic for your actual life.

At Frey & Associates, we work with children, teens, adults, and couples throughout Illinois through secure telehealth. Our clinicians help clients navigate anxiety, chronic stress, burnout, life transitions, relationship concerns, and the emotional weight of always having to keep going.

If you are getting enough sleep but still do not feel rested, it may be worth listening to that exhaustion—not as a personal failure, but as information.

You may not need to try harder. You may need support, space, and a different kind of rest.

To learn more about therapy or to be matched with a clinician, contact Frey & Associates.

frey & associates: Offering virtual mental health therapy and counseling across Illinois. Specializing in anxiety, depression, couples counseling, and relationship and health-focused therapy. Virtual therapy offers convenient, accessible mental health support from the comfort of your own space. Our approach is engaging, active, and solution-focused to help clients build lasting change and emotional well-being. Learn more here; book a free consult today.

Copyright © Melissa A. Frey, LCSW 2026. All rights reserved.

Why Is Narcissism Everywhere Right Now?

“Narcissist” has become an internet catch-all word. On social media it often means:

  • Someone selfish

  • Someone who hurt me

  • Someone who didn’t take accountability

  • Someone emotionally unavailable

But clinically, narcissism is more specific than that.

There are three important distinctions people often miss:

  1. Narcissistic traits (very common)

  2. Narcissistic patterns (more pervasive, relationally harmful)

  3. Narcissistic Personality Disorder (NPD) (a diagnosable condition)

Most people who get labeled online fall into category #1 or #2 — not NPD.

What Narcissism Actually Is (Clinically)

At its core, narcissism involves:

  • A fragile sense of self-worth

  • A strong need for admiration or validation

  • Difficulty tolerating criticism

  • Limited empathy (especially when feeling threatened)

  • A tendency to externalize blame

Underneath the grandiosity is often deep insecurity.

That doesn’t excuse harmful behavior. But it explains why reasoning, logic, or emotional appeals often don’t “land.”

If Someone in Your Life Has Narcissistic Traits

You cannot change their personality structure.
You cannot love someone into self-awareness.
You cannot argue someone into empathy.

So self-care becomes about you, not about fixing them.

Here’s what that can look like:

1. Stop Expecting Emotional Reciprocity

If someone consistently struggles with empathy or accountability, adjust your expectations. Grieving that reality is painful—but stabilizing.

2. Strengthen Boundaries

Clear. Simple. Repeated.

  • “I’m not discussing this further.”

  • “That doesn’t work for me.”

  • “I’ll step away if this continues.”

Boundaries are not about convincing them. They’re about protecting your nervous system.

3. Don’t Over-Explain

Over-explaining is often an attempt to be understood. With someone highly defensive, it usually fuels more argument.

Short. Calm. Neutral.

4. Regulate Yourself First

These dynamics are activating. They can make you question yourself.

Grounding practices matter:

  • Pause before responding

  • Take space when needed

  • Check in with trusted outside perspectives

5. Watch for Gaslighting Effects

If you constantly feel:

  • confused

  • self-doubting

  • “too sensitive”

  • responsible for everything

That’s information.

Your nervous system keeps receipts even when your brain tries to rationalize.

The Most Important Reframe

The internet hype focuses on diagnosing them.

Healing focuses on stabilizing you.

Whether someone has narcissistic traits or not, you deserve:

  • Emotional safety

  • Accountability

  • Reciprocity

  • Respect

If those things are chronically absent, the label matters less than the impact.

frey & associates: Offering virtual mental health therapy and counseling across Illinois. Specializing in anxiety, depression, couples counseling, and relationship and health-focused therapy. Virtual therapy offers convenient, accessible mental health support from the comfort of your own space. Our approach is engaging, active, and solution-focused to help clients build lasting change and emotional well-being. Learn more here; book a free consult today.

Copyright © Melissa A. Frey, LCSW 2026. All rights reserved.

How to Feel Better About Your Choices and Avoid Regret

How to Feel Better About Your Choices: how to avoid regret and live a more content and balanced life

Most of us aren’t hard on ourselves because we don’t care — it’s usually the opposite. We care deeply, and when we don’t show up the way we hoped, it sticks with us. We replay moments, second-guess ourselves, and wonder how we could’ve handled things differently.

That discomfort doesn’t mean you did something wrong. It usually means your values were involved.

Acceptance and Commitment Therapy (ACT) offers a helpful way to think about this — one that doesn’t require perfection or pretending the past didn’t happen.

Feeling at Peace and Avoiding Regret Isn’t About Getting Everything Right

ACT reminds us that feeling okay about our actions doesn’t come from never messing up. It comes from living in a way that lines up with what matters to us.

Values aren’t goals you complete.
They’re directions you return to.

You don’t lose your values because you had a rough moment or made a choice you wouldn’t repeat. You just notice — and keep going.

When Things Don’t Go How You Meant Them To

We all have moments where we:

  • react instead of pause

  • say something we wish we’d worded differently

  • avoid a conversation that matters

  • freeze or shut down

  • push when we’re already overwhelmed

That’s not failure — that’s being human.

ACT doesn’t ask you to beat yourself up for those moments. It asks you to acknowledge them without piling on shame, so you can choose what comes next.

The Only Question That Really Matters

Instead of getting stuck in:
“Why did I do that?”
or
“How do I undo this?” or “Will I regret this?”

Try asking:
“What would it look like to respond in a way that fits my values from here?”

That might mean:

  • reaching out to repair

  • naming a boundary

  • choosing honesty over comfort

  • slowing down

  • offering yourself grace and trying again

Small choices still count.

How Regret Softens Over Time and Avoid Future Regret

You don’t build self-trust and avoid regret by never messing up. You build it by knowing that when things don’t go perfectly, you’ll come back to what matters instead of abandoning yourself.

Each time you choose an action that aligns with your values — especially after a hard moment — regret loosens its grip.

You’re not defined by one choice.
You’re shaped by the direction you keep choosing.

A Gentle Close

If something didn’t go the way you wanted, let the next moment reflect who you want to be.

That’s enough.
And it matters more than getting it “right.”

At frey & associates: , we identify what therapeutic modality will work for you and your needs. One evidence based models we use is Acceptance and Commitment (ACT) therapy. This article outlines some of those basic principles. You can find out more about ACT here, and connect with us to get support.

frey & associates: Offering virtual mental health therapy and counseling across Illinois. Specializing in anxiety, depression, couples counseling, and relationship and health-focused therapy. Virtual therapy offers convenient, accessible mental health support from the comfort of your own space. Our approach is engaging, active, and solution-focused to help clients build lasting change and emotional well-being. Learn more here; book a free consult today.

Copyright © Melissa A. Frey, LCSW 2026. All rights reserved.

melissa: welcome fall

As the weather transitions into a new seasons, this shift in the environment can create a sense of renewal and transition as the world prepares for a quieter, more introspective season. The changes in nature can subconsciously remind us of the cycles of life, prompting reflection and new beginnings.

After the busy, outward energy of summer, fall often encourages more inward reflection. As the days shorten and the temperatures drop, people naturally slow down, spend more time indoors, and contemplate the year so far. This quieter time fosters introspection, which can lead to setting new goals, reevaluating habits, or starting new routines.

If you’re feeling a period of reflection, transition, and change this fall, therapy can be a good space to process this  time. Whether you want to set new goals, explore new skills and tools, or begin a new phase of your life, therapy is a wonderful resource to consider.

Copyright © Melissa A. Frey, LCSW 2024. All rights reserved.

Melissa: welcoming spring

Finally, Spring has arrived! Spring, often thought of as as season of renewal, brings fresh air, sun, light, and growth.

In honor of Spring having finally begun in the Midwest, below is a poem by the poet Ava Lemon that so beautifully captures the spirit of the season.

Instructions on Not Giving Up by Ada Limón

More than the fuchsia funnels breaking out
of the crabapple tree, more than the neighbor’s
almost obscene display of cherry limbs shoving
their cotton candy-colored blossoms to the slate
sky of Spring rains, it’s the greening of the trees
that really gets to me. When all the shock of white
and taffy, the world’s baubles and trinkets, leave
the pavement strewn with the confetti of aftermath,
the leaves come. Patient, plodding, a green skin
growing over whatever winter did to us, a return
to the strange idea of continuous living despite
the mess of us, the hurt, the empty. Fine then,
I’ll take it, the tree seems to say, a new slick leaf
unfurling like a fist to an open palm, I’ll take it all.

melissa: meditation and anxiety apps

We often get questions about options for apps that can assist in mindfulness, meditation, and overall anxiety management. To save our clients the leg work, we have a list of resources on this page of our website. I particularly like the app Simple Habit, which has a free version and also an option that allows you to pick a specific stressor or goal paired with a targeted guided meditation. I also like the app Down Dog for free yoga instruction, which can be targeted for the level of yoga and duration of time you’d like to use it for.

With so many options for apps, it can be easy to overlook that there are also a lot of options for mental health and wellness podcasts to listen to as well. We list podcasts this page of our website as well, and there are plenty more that are released and up and coming that can be found, for example, here and here. Lastly, there are additional app reviews and options here and here, should you want to read more! The possibilities are endless- happy listening!

Copyright © Melissa A. Frey, LCSW 2023. All rights reserved. 

mindful moment

warm summer sun by mark twain

Warm summer sun,
Shine kindly here,
Warm southern wind,
Blow softly here.
Green sod above,
Lie light, lie light.
Good night, dear heart,
Good night, good night.

mindful moment

Spring is like a perhaps hand by E. E. Cummings

Spring is like a perhaps hand
(which comes carefully
out of Nowhere) arranging
a window,into which people look(while
people stare
arranging and changing placing
carefully there a strange
thing and a known thing here) and

changing everything carefully

 

melissa: teen mental health and beyond

As more data is being regularly released on the status of mental health of adolescents and teens in the United States, we are becoming more and more aware of the desperate need for services for our young population. The past few years have proven to have a lasting impact on children, teens, adults, older adults, families, marriages, and friendships; nearly every relationship in our lives (including the relationship we have with ourselves) has been impacted by the ongoing stressors we have been experiencing.

What we are learning, over time, is that small steps need to be taken daily to ensure our mental wellness, and ensuring that those in need of therapy and support are able to access these services. While we fall short of providing fully accessible services as a country, for a variety of reasons (insurance, barriers to entry, provider shortages, etc), we do know that we can work within our systems to ensure that we are taking care of ourselves and our families.

We can create safe spaces to open up dialogues about how together we can process stress, heavy emotions, uncertainty, pain, and anxiety. Creating safe spaces means listening without judgment or “fixes,” and focusing how to listen with an empathic heart and open mind. A wonderful resource is The Whole Brained Child, among many other readings. A quick review of “teen mental health” in the Podcast app also brings up a variety of support and options for listening/getting more information- both for parents and their children.

We hear from families all the time, and we are here for your family, as well. If there’s anything we can do to support you, your family, or your children, reach out. If you feel resources are a great place to start, check out books and podcasts. If you feel as though therapy is an option to consider for your family, we can help with that too- either within our office or at another practice.

You can find out more information about the status of mental health within our adolescent and teen populations here, here, here, and here, as well as some action items to consider in supporting the children and teens in your own life. We know it takes a village to raise a family, and we are here to support you.

Copyright © Melissa A. Frey, LCSW 2023. All rights reserved.

mindful moment

The only journey is the one within…

And now we welcome the new year. Full of things that have never been.

-Rainer Maria Rilke

all of us: with gratitude

As this year comes to a close, we are wishing everyone a quiet and restful transition into the new year. We are so honored accompany our clients on their journeys of growth, healing, and wellness. We look forward to continue working with our current clients and welcoming new clients in the upcoming new year.

From all of us at Frey and Associates,

Happy New Year!

Copyright © Melissa A. Frey, LCSW 2022. All rights reserved.

melissa: autumn changes

If you’re like many others, fall often feels like a time of change. The weather becomes cooler, and the days feel shorter. For some, this is a cozy time of reflection; for others, this is a time of an onset of mood symptoms. Whichever camp you are in (or perhaps both), part of embracing the change of seasons is embracing the inevitability of change. Taking care of ourselves can be a bit more challenging when it’s cooler and there are less sunny days. I encourage clients to find one or two simple joys in their daily activities and ensure they get to these joys as though they are on your “to do” list. Sometimes these joys shift as the seasons shift, so ensuring you still have a few “go to” joys is essential. Looking for some ideas? Here are 75 simple joy examples to help get you started.

Wanting to think through fall feels more? You can read more here.

Loving fall and want to know why? You can read more here.

“Is not this a true autumn day? Just the still melancholy that I love—that makes life and nature harmonize.” -George Eliot 

Copyright ©Melissa A. Frey, LCSW 2022. All rights reserved.

mindful moment

Be patient toward all that is unsolved in your heart and try to love the questions themselves, like locked rooms and like books that are now written in a very foreign tongue. Do not now seek the answers, which cannot be given you because you would not be able to live them. And the point is, to live everything. Live the questions now. Perhaps you will then gradually, without noticing it, live along some distant day into the answer.
― Rainer Maria Rilke

melissa: welcome autumn

September Midnight

Lyric night of the lingering Indian summer, Shadowy fields that are scentless but full of singing, Never a bird, but the passionless chant of insects, Ceaseless, insistent.

The grasshopper’s horn, and far-off, high in the maples, The wheel of a locust leisurely grinding the silence Under a moon waning and worn, broken, Tired with summer.

Let me remember you, voices of little insects, Weeds in the moonlight, fields that are tangled with asters, Let me remember, soon will the winter be on us, Snow-hushed and heavy.

Over my soul murmur your mute benediction, While I gaze, O fields that rest after harvest, As those who part look long in the eyes they lean to, Lest they forget them.

– Sara Teasdale

mindful moment

“I don’t mind falling. Every mistake is just a thoughtful decision in disguise. Taking bold steps into the future with purpose and intention is the same thing as watching both of your sleeves being pulled into the threshing machine. Sometimes there’s nothing you can do but watch. And if I stay as open as possible and feel as much as possible and I keep writing about it, I might as well be dashing around on the wet pavement with little to no walking experience. But I want to trust my instincts anyway. Tucking into a ball as you hit the pavement is a superpower. Getting up with a smile on your face is a superpower.”

melissa: what we’re reading

Therapists are almost always reading some sort of therapy book (in the background of their fiction pile), in my experience. We often are asked about books for specific subjects and love offering recommendations, so always ask if you’ve got a topic in mind.

In the meantime, here are some of the books our clinicians are reading now:

All About Love: New Visions by bell hooks

A very accessible book about every facet of love, including a working definition of the action of giving and receiving love.

The Body Keeps the Score by Bessel van der Kolk

The cult following/classic about how the brain, mind, and body are connected in the framework of trauma.

Attached. by Amir Levine and Rachel Heller

Another very accessible book about attachment styles; extremely helpful to understanding one’s own attachment style, independent of any relationship status.

Copyright © Melissa A. Frey, LCSW 2022. All rights reserved.

melissa: mindfulness exercise for painful emotions

As we find ourselves during a particularly difficult time with filled many emotions, I’ve been reflecting on ways in which we can open ourselves up to strong/painful emotions in a structured way. There is a “Gentle Practice for Opening Up to Painful Emotions” that you can find here both recorded and written, depending on your preferred modality.

As the writer of the practice, Rhonda Magee, writes, “Take a moment to pause with all of the news coming at us, especially if you are someone who seeks to move in the direction of the suffering, to work, and to alleviate it, through actions and engagements in the world.”

Remember to seek out support from loved ones, family, and friends as we seek to process the emotions and events we are facing and have faced.

Copyright © 2022 Melissa A. Frey, LCSW. All rights reserved.

mindful moment

Resilience is accepting your new reality, even if it’s less good than the one you had before. You can fight it, you can do nothing but scream about what you’ve lost, or you can accept that and try to put together something that’s good.

-Elizabeth Edwards

 

melissa: musing on resilience

Keep Going – Edgar Guest

When things go wrong, as they sometimes will,
When the road you’re trudging seems all up hill,
When the funds are low and the debts are high,
And you want to smile, but you have to sigh,
When care is pressing you down a bit,
Rest if you must—but don’t you quit.

Life is queer with its twists and turns,
As every one of us sometimes learns,
And many a failure turns about
When he might have won had he stuck it out;
Don’t give up, though the pace seems slow—
You may succeed with another blow.

Often the goal is nearer than
It seems to a faint and faltering man,
Often the struggler has given up
When he might have captured the victor’s cup,
And he learned too late, when the night slipped down,
How close he was to the golden crown.

Success is failure turned inside out—
The silver tint of the clouds of doubt,
And you never can tell how close you are,
It may be near when it seems afar;
So stick to the fight when you’re hardest hit—
It’s when things seem worst that you mustn’t quit.

mindful moment

Dance, when you’re broken open.

Dance, if you’ve torn the bandage off.

Dance in the middle of the fighting.

Dance when you’re perfectly free.

…Sell your cleverness and buy bewilderment.

-Rumi