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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: 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



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