Balanced Living Psychiatry Balanced Living Psychiatry

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

Blog Post: Rx for Dog

As a psychiatrist who practices from a standpoint of holistic (whole person) care, I am always thinking of interventions that aside from medications and therapy, that can benefit my patients.  After reading a Facebook post by Zach Snow of Marley's Mutts, I thought about the power of dogs to heal emotional wounds, especially when individuals are resistant to reach out for help in the traditional channels of Western medicine.  By writing about this topic, I hope to reach the person who stumbles across my website that might not be in a place to click the 'request a new appt.' button.  Facebook has to me boiled down to a means to follow my beloved animal rescue organizations and certain individual bull dogs/ pit bulls who have become ambassadors for their breeds, having been pulled out of dog fighting and abuse, yet still embodying an indomitable love and patience for humans; in addition to comical personalities that their adoptive parents anthropomorphize through Facebook posts.

The gentleman in the picture below is Zach Snow of Marley's Mutts Dog Rescue, one of the groups I follow on Facebook.  Zach and his team take abused dogs into prisons to help rehabilitate both humans and dogs. He also rescues dogs from shelters and abuse to connect the animals when ready with new forever homes. In the links below, Zach tells his moving story of living as a severe alcoholic, nearly dying from liver failure, but through rescuing Hooch (the red Mastiff below who had his tongue cut out as part of dog fighting) and other neglected dogs, Zach found inspiration for sobriety and a new life. It's a reminder to me of the power of dogs to heal. This is a theme I embrace in my life with my own dog Lucy who is featured on this website. Lucy is always there, patient and generous in her love, to brighten my day.

Even if a person is locked into solitude or despair, seemingly unreachable, a dog can uniquely accept them exactly where they are, for however long it takes, to ever so gently draw them into an emotional connection. And in so doing, heal and strengthen the best parts of the human spirit. Dogs freely give of themselves even when abused, asking so little in return; yet we as a society forget about them in shelters and reach for more medications or other substances to numb, we reach for money and acclaim, status and attention from our partners and friends. We wait for approval from society but it is never really enough because conditional validation by this or that, it only goes so deep and it can be taken away.  What if the true remedy is simply in a set of floppy ears, a wiggly butt, and big brown loving eyes greeting you at the door, showering you with all the approval you need so that you know today, there is a living being who relies on me and who will love me unconditionally, braving the world by my side.

The reality is some can't adopt a dog and/or don't want to take on the responsibility of pet ownership.  I get that.  But you can still share in the uplifting experience of engaging with animals in need by volunteering, donating funds, or in advocacy against destructive practices like bully breed bans. The discrimination against Pit Bulls, Mastiffs, and other similar breeds is based on stereotypes that tear the deep bonds between families and dogs apart, forcing owners to decide between obtaining housing and their pets, leaving animals suffering and lonely in shelters. Those dogs in shelters need a friend to take them on a walk, so if you can't have a pet, you can still be a recipient of their healing powers by volunteering at a shelter or with a rescue agency.

If you already know of this which I speak, don't forget to write your legislators to support bills strengthening animal abuse laws and join in with others to strive to eliminate breed bans which devastate people and animals.  We have to ask ourselves, how do we feel when we are stereotyped and distilled down to a category, a label?  Because a dog has a block head, they are associated with people's fears and biases but the reality is that aggressive dogs are a result of abuse or neglect, improper socialization, and/or irresponsible breeding.  It is not surprising that aggressive people pick dogs to reflect them in the guard dog breeds and then impart to them negative traits. When dogs are given love they reflect back the same, which is in fact the source of the healing. The dogs reflect back our love and amplify it.  As evidenced in Marley's Mutt's stories, dogs like people, can be rehabilitated which helps us remember that there is none of us who is a lost cause.

If you think you have what it takes to bring a dog into your home, think through that commitment first to make sure you are ready and then adopt, don't shop!  Buying expensive puppies, especially at pet stores or from breeders who have not been vetted by agencies that regulate responsible breeding, fuels the rise of puppy mills, a place where dogs are a commodity who's sole purpose is for profit and to that aim, dogs are abused and neglected. There are so many dogs waiting in shelters for a home through no fault of their own, waiting to give of themselves unconditionally.  See if you fall in love with those eyes staring through the links of a kennel, if you don't you can always keep walking.  Plus, puppies are a lot of work and an adult dog gives more, takes less.

Consider adopting a foster animal who has been temperament tested, in that way you can better predict if an animal will fit into your lifestyle.  If you aren't a runner or hiker, don't adopt a sporting breed.  Often times pit bulls and other bully breeds make for mellow, low maintenance pets for people who work outside the home during the day. A foster agency near you can be found at and they can help you decide if you ready for a companion animal and what type of pet would be best suited for you.   

Lastly, read about Hooch pictured below and vote for Hooch as an American Humane Association 'Hero Dog' at .  You can read about Zach Snow at or by following Marley Mutt's Facebook page at .

Michelle Zipperman M.D.


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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