Balanced Living Psychiatry Balanced Living Psychiatry

Telepsychiatry Available



Dr. Zipperman is offering tele-health appointments for medication management and psychotherapy.

Blog Post: What to do when you’re not sure what to do in Seattle. Is perfectionism holding you back?
This is the time of year that we fall in love with Seattle.  The sun glistens on the lake, mountains are picturesque in the background, bicyclists and joggers abound, and it seems like everyone has a happy dog in tow.  So why is it that when I ask my patients ‘what do you like to do for fun?’ or ‘Are you enjoying the weather?’ sometimes there is a rather long pause. 

Depression is often both the cause and result of isolation and anxiety stops people in their tracks, prevents them from pushing outside of a comfort zone.  Often there is a critical voice that overrides the want of fun, the want to be part of the mass exodus to go outside and enjoy the summer.  People tell themselves, “You don’t know how to do that sport.” “You are too out of shape.” “It won’t be fun.”  “Doing activities alone is sad.”  The critical tone becomes self-defeating and instead of experiencing the invigoration of a hike or a day cycling, people watch others enjoy themselves as they peer out the window.  It doesn’t help that Seattleites are sometimes hard to engage with invitations because they have pre-planned the three months of summer well in advance, packed full every free moment with scheduled outings. After a few shot down spontaneous invitations to their friends, people can lose motivation to try to find adventure buddies.

You have two options when it comes to adventure, 1) wait for the exact perfect scenario where you feel comfortable and adept  2) through caution to the wind and face what it means to be alone or uncoordinated or a little lost.  With option 2, you have the chance to meet new people, have the benefits of endorphins with exercise and the, oh so therapeutic, exposure to fresh air and beautiful scenery.  What is the worst that could happen if you were to try something new?  Feeling awkward.  What is the worst that could happen if you DON’T try something new?  Depression, low self-esteem, isolation.

So here are my top ten suggestions to enjoy the summer fun in Seattle even if you aren’t the Northwest poster-child for being active.

1.The obvious is to get a trail guide either online or in a book and go on a hike.  Just go.  The trails are well marked typically if not a bit crowded.  Get a discover pass and/or Forest Service Parking pass ahead of time. Hear the rustling of the wind in the trees and take pause in front of a tumbling brook.  Your stresses will melt away.  Go by yourself or join a hiking club or meetup.

2. Get a bicycle.  It doesn’t have to be expensive but we have the treasure of the Burk-Gilman Trail at our doorstep.  On the trail,  you will find young, old, fit, not so fit, all sorts.  Go at your own pace.  If you like it, you can join a cycling club. 

       3. Search Groupons for outdoor activities.  Maybe you just need the right idea for what to do and you will find all sorts of novel activities in Groupon form.  Often companies make it easy and inexpensive to take you outdoors and keep you safe. 

       4. Take a class….. REI, KAF adventures, various mountaineering schools, community center classes; ones that cater to beginners.  With a class, you can spend the day kayaking, hiking, backpacking, rock climbing, cycling, soccer, Frisbee … you name it.  Also, you have compadres in a group and you might walk away with new friends.

       5. Check out some meetups.  Again, just go.  What’s the worst that could happen?  You feel awkward but so does everyone else.  Break the Seattle Freeze and contribute to the solution of bringing people together.  Go to and explore groups with common interests, ideally groups who get you outside to get your Vitamin D levels up. 

       6.Take a book or your e-reader to the park and have a date with yourself.  Bring a picnic, water, and sunscreen.  Take Fido if he/she can hang. 

       7. Just go for a walk.  Put one foot in front of the other and walk out the door.  See where it leads you. 

       8. Join a club like Evergreen Mountain Biking Club, Cascade Cyclists, or the Sierra Club.  They will walk you through learning a new activity.

       9.  Invite the friends you have to go try new activities like take a ferry ride, visit a festival or outdoor concert, or go to the dog park.  Don’t wait to be invited, invite someone else or even a few people.  Find friends who are willing to adventure without a lot of advance planning. Being spontaneous is liberating.  Friends can be younger, older, different backgrounds and personalities; just don’t pre-judge folks,  instead find willing partners.

       10. Volunteer!  Pasados Animal Sanctuary, The Zoo, pet adoptions, hiking trail clean up, work at a marathon/bicycle race, coach a sport, volunteer at a festival. There is no better way to feel good than to give of your time and energy towards a meaningful cause.

Don’t delay.  Summer is upon us.  Carpe Diem. 

“Do not be timid or squeamish about your actions.  All life is an experiment”.  Ralph Waldo Emerson

Dr. Z



Blog Post: The Power of to materialize success and well-being.

The power of intention comes from the principle that what is visualized will manifest itself in your life.  If we keep telling ourselves over and over a judgment, it will likely come true.  The automatic thoughts that we 'are not lovable' , 'will never be happy', or 'can't do anything right' are powerful because they undermine self-esteem and also have an almost magical power to insidiously destroy success and happiness.  While negative self talk can sabotage, positive visualizations and mantras, can help us set an intention and empower positive change to occur.

Hindu and Taoist philosophies refer to the third eye as the mind's eye or the sixth chakra, which could be thought of as where setting an intention originates from.  The third eye is the place where creativity and rationalization intersect and the left and right halves of our mind collide.  Focusing on the mind's eye is a form of meditation and the location of the sixth chakra is said to be slightly above and in the middle of our brow line, represented by a passionate indigo blue energy.  Several religions and philosophies speculate the third eye brings wisdom, intuition, vision, and insight. Through this center we reach higher consciousness which in more lay terms could be translated 'telling our minds who's the boss and squelching anxieties to achieve a centered, content state '. 

When we are children our sense of imagination and ability to visualize is unhindered but as adulthood sets in the rational part of our minds, especially in our western, capitalistic culture takes hold.  The rationality kills vision and we become focused less on positive intention and more on tangible measurements of success such as the balance in the checking account, the children's grades, the number on the scale, the hours we need to put in at work to get that promotion, whether we are coupled or not; all of which we believe rationally will lead to happiness and well-being.  What if we did things differently today and utilized what scribes and ancient teachers have concluded, that vision and intention comes first (from our third eye) and the steps to achieving our goals will follow in line to manifest the intention.   

The good news is that the art and power of intention can be taught. 

How to set an intention-

An intention could be defined as directing the mind to an aim, purpose, or plan. The biblical proverb states, without vision the people will perish.  I agree. In order to set an intention, first you must understand that intentions can be big or small, ie. "I want to be a kinder person", " I want peace or happiness", "I want to be healthier", "I want to be able to control my temper", "I want to smile more today", "I want to be productive today" or "spend more quality time with my family".  Before a meeting, you could intend to participate and be open to ideas or when starting school or work, you can intend to focus and learn by being in the moment and not allowing distractions. 

One technique used to come up with an intention, is to free form journal for 10-30 minutes or write a long list of intentions that you want to materialize in your life, then look them over for themes, narrow down and narrow down further.  Perhaps spend a short meditation time focusing on this intention and seeing what visions come to you.  There are several smart phone/computer applications and downloaded audiio tracks that can lead you through short meditations to explore your intention.  Once you have a sense of an intention, then write it down clearly, tell people about it, and take small steps in your day to actualize that aim.  Continue to spend daily meditations visualizing what it would look like for you to reach your intention.  What steps would it take to get there?  What qualities do you see in yourself and in your life if the vision materialized?  Start to pick out mantra's, affirmations, and key words from your meditation time.

When life inevitably gets chaotic and your mind is all over the place with worries, when you feel lost, then bring yourself back to the mantras you created.  Repeat them over and over to yourself and push out the negative self talk and pessimism.  Use the mantras to sooth yourself when you feel discouraged. Be persistent.  Change does not happen overnight, using your mind's eye is a practice. If you persist, watch how you become empowered to choose your reality and have control to manifest your dreams.  So often people have anxiety because there are variables out of their control and that feels uncomfortable.  Trying to control every detail in your life or the people around you is exhausting and unfruitful; instead, set an intention and develop a vision to where you want to go, how you want to be, and then reinforce the vision by speaking it in affirmations and mantras to yourself daily, meditate on it and believe it.    That is the path to a "higher consciousness".

Dr. Zipperman

Blog Post: Why am I so sad? Alternative Treatments for Depression.

As I woke up this morning with my cup of Joe, I contemplated what can I offer today to make this world a better place.  Of course I have a long list of 'to do's' that I am having to set aside in order to focus on this task, some are pressing, but I am a strong believer that I need to practice what I preach.  The art of meditation is the process of interrupting the mindless worries and responsibilities, to quiet our minds and bodies, to focus on one intention.  Yoga is the same sort of endeavor and it is called a practice because it is not always easy to make it happen even for me, it takes P-R-A-C-T-I-C-E.  What better time to start then today?!  So my blog today is part of this practice, to set an intention to help others. 

One of the things that I teach is that giving to others is an excellent way to improve mood and alleviate depression, also create deep fulfillment and well-being which are protective against relapsing back into depression.  I started off this morning on Balanced Living's Facebook page and created a post with a call to action to consider consciously making a plan to give to friends, family, the planet, animals, wherever the heart takes you but the call was for altruism (giving to others at the expense of using some of one's own resources) and philanthropy (moral motivation to do good in this world) . 

Then I thought about today's blog and I started reviewing research articles.  I came across which is an easy to understand synopsis demonstrating that giving to others improves one's degree of happiness.  Also, I thought about one of my favorite books, 'The Happiness Hypothesis'  which explores ancient civilizations, philosophers and common maxims that refer to happiness, looking deeper to see if there are proven truths to be found in common proverbial sayings.  In summation, those references highlight correlations between degree of happiness and meditation, quiet surroundings, the ability to be still in mind and body; also, being a part of a community, spiritual or otherwise and yes, the process of giving to others improves one's degree of happiness. A short commute is also not surprisingly given mention as correlated to happiness. Coming from L.A.,  all I can say is "Amen".

You see, it makes sense from an evolutionary perspective.  We are mammals meant to love and nurture, to commune in order to maximize our shared resources.  Our intellect and character features are in part genetically determined and those traits which increase happiness are propagated because happiness leads to longer lives, better relationships, and improved health.  This is revealed in the fact that men who are married typically live longer than men who are single, in their later years.  Why is that?  It is because elderly men tend to be less likely to engage with friends and community when they are single compared to married men while women who are more naturally prone to look to other women for support, don't have that same pattern.  Creating community and relationships causes us to focus on others and that increases health and happiness.

The black widow is a different creature, she has a set of characteristics which lends itself to a more isolationist way of existing and that works for her but humans are communal creatures.  When we let are dark moods isolate us we become self-absorbed, often we end up in our own head space with circular thinking and negative self-talk.  What if we decided to do things differently today? 

What if we woke up in the morning with gratitude that we have the opportunity to make this world a better place.  Maybe it is helping a coworker move after work, forgiving someone who hasn't asked for it, complimenting the Barista at Starbucks; maybe today you can advocate for animals or mentor the unemployed, or maybe just be patient in the grocery store line.  If you find that giving to others does in fact cause your worries and sad mood to drift away, then use that tool repeatedly, construct your life in a way where time is allotted and scheduled in to give to others.  Also, spontaneously make an effort to meet a need when it presents itself.  After all, some of giving is a matter of self-preservation and self-care because guess what, when you give to others, others will give back to you and you no longer feel so alone. First there must be an action (you give) to have the reaction (you receive) and so many people are feeling morose because they are not receiving enough love in their lives.  Love comes when it is given.   

Now to those who excessively focus on caregiving for others at the expense of tending to their own needs, then I recommend therapy to stay more in balance.  Anything in excess is not a healthy coping skill and more often than not, it is more about avoidance of dealing with one's problems then selflessly  helping others.  Also, there are times when the depression is just too dark and deep to enact these concepts; for those who struggle on that level, reach out for help from a qualified psychologist or psychiatrist who can empower you to return to a place of strength where you can give.

Today, I offer to you a Sanskrit/ Buddhist mantra which can be sung, 'Shanti, Shanti, Shanti' which means peace to mind, body, and soul.  This morning I'm walking the walk, interrupting the 'business' to give to others because after all, I'm hoping the universe will also commune back to me and present me with happiness today.  Let's see together how this goes.    


Dr. Z



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