Thoughts from the Couch Mental Health Blog

On my blog, I share tips for caring for your mental health.

Justine Carino Justine Carino

How Working Couples Can Share the Invisible Load Without Resentment

When the invisible load begins to spill into every corner of your relationship, it doesn’t mean you’re failing — it means the system you’re using no longer matches the life you’re managing. For many working couples, especially in fast-paced cities like Raleigh, North Carolina, the mental load becomes a quiet strain that shapes communication, intimacy, and connection long before anyone says a word. From remembering school forms and family schedules to doing the behind-the-scenes planning that keeps a household running, one partner often becomes the “default parent” without either person realizing how it happened.

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Justine Carino Justine Carino

Should I Stay or Leave My Marriage? A Real Talk Guide to Moving Through the In-Between

Feeling torn between staying in your marriage or walking away? You’re not alone. Many women find themselves in relationships that feel “not bad enough to leave, but not good enough to feel connected.” This in-between space can be confusing, emotional, and deeply isolating — but it’s also a signal. When the partnership is 51% good and 49% painful, the lack of clarity isn’t a flaw; it’s a sign there’s still something left to explore.

In this guide, we unpack the real reasons this question lingers — the unmet needs, the emotional disconnection, and the silent cycles that slowly erode closeness. Couples therapist insights (including one surprisingly powerful marker: your partner’s scent) reveal how emotional distance shows up long before a major rupture ever does.

Before making a decision, learn the essential questions every couple should ask, what staying can realistically look like, and why clarity comes from intentional reflection — not rushing. Whether you’re seeking hope, direction, or reassurance, this guide offers grounded steps toward emotional clarity and relational safety.

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Justine Carino Justine Carino

Supporting Mental Health for Self-Employed Women

Self-employment offers freedom and flexibility—but it can also bring financial stress, isolation, and emotional strain. As more women choose entrepreneurship, prioritizing mental health becomes essential to long-term success. This article explores the unique pressures self-employed women face and offers practical strategies to manage stress, set boundaries, and build supportive networks that foster both business growth and emotional well-being.

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Justine Carino Justine Carino

The Dangers of Burnout and the Importance of Self-Care for High Achieving Women

Burnout doesn’t just happen overnight—it builds quietly while you’re busy taking care of everything and everyone else. For high-achieving women, it often shows up as exhaustion disguised as productivity, or irritability masked as resilience. In this powerful reflection, we uncover how burnout is more than mental fatigue—it’s a full-body signal that your life needs realignment. From early warning signs to recovery steps, learn how to rebuild your energy, redefine success, and start honoring the life your body and mind have been asking for all along.

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Justine Carino Justine Carino

Preserving Your Mental Health Through the Early Stages of Motherhood

The early days of motherhood can feel overwhelming, filled with joy, exhaustion, and constant change. Hormonal shifts, sleepless nights, and new responsibilities can deeply affect mental health. This post explores practical ways to care for your emotional well-being, recognize early signs of postpartum stress, and build supportive routines that nurture both you and your baby.

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Justine Carino Justine Carino

The Hidden Exhaustion of Always Being Strong as a Working Mom

Being a working mom often means wearing strength like armor — juggling deadlines, emotions, and endless responsibilities. But behind that strength is quiet exhaustion that deserves compassion, not guilt. This post explores how redefining strength through rest, boundaries, and support can help working mothers protect their mental and emotional well-being.

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Justine Carino Justine Carino

Understanding When Anxiety Medication Makes Sense

Feeling like anxiety still has a grip even after therapy, journaling, and self-care? Learn from therapist [Your Name] and psychiatrist Dr. Mona Amini about when anxiety becomes a disorder, how medication can help, and what real healing looks like. Discover the truth about SSRIs, side effects, and finding balance without losing yourself.

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Justine Carino Justine Carino

The Real Impact of Perfectionism on Mental Health

Perfectionism isn’t just about keeping high standards — it’s about carrying invisible weight that drains your peace, joy, and energy. For many high-functioning professionals, perfectionism hides behind packed calendars, color-coded to-do lists, and the constant fear of letting someone down. Instead of motivating you, it chips away at your confidence and fuels anxiety, guilt, and burnout. Left unchecked, it becomes an exhausting cycle of all-or-nothing thinking, unrealistic expectations, and endless “shoulds.” In this blog, we unpack the real impact of perfectionism on mental health, how core beliefs and hidden thinking traps keep you stuck, and simple, science-based shifts that help you reclaim balance. From practicing “80% effort” to loosening the rules that run your life, you’ll learn practical ways to stop over-functioning without lowering your standards. Because you don’t have to be perfect to be enough.

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Justine Carino Justine Carino

The Reality of Being a Self-Employed Mom

Can you really be a present mom and a thriving business owner at the same time? The truth: there’s no perfect balance. But with flexibility, boundaries, and letting go of perfection, it is possible. Here’s how real women are making it work—and why you don’t need a flawless routine to succeed in both motherhood and entrepreneurship.

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Justine Carino Justine Carino

The Real Work-Life Balance Fix for Moms

As a self-employed mom, I know what it’s like to carry the weight of a business and a family at the same time. In this solo episode, I’m breaking down the invisible stressors that so many of us face, decision fatigue, financial pressure, time scarcity, mom guilt and why they leave us feeling burned out, even when everything looks fine on the outside.

If you’re constantly chasing productivity and still feel like it’s not enough, this episode is for you. You will come across honest truths, mindset shifts, and small but powerful ways to care for yourself without losing momentum in your work or at home.

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Justine Carino Justine Carino

Silent Stressors of Self-Employed Moms: Real Solutions for the Guilt and Burnout No One Talks About

As a self-employed mom, I know what it’s like to carry the weight of a business and a family at the same time. In this solo episode, I’m breaking down the invisible stressors that so many of us face, decision fatigue, financial pressure, time scarcity, mom guilt and why they leave us feeling burned out, even when everything looks fine on the outside.

If you’re constantly chasing productivity and still feel like it’s not enough, this episode is for you. You will come across honest truths, mindset shifts, and small but powerful ways to care for yourself without losing momentum in your work or at home.

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Justine Carino Justine Carino

Is Cutting off a Family Member the Right Choice?

Struggling with family tension and wondering if cutting ties is the only way to heal? This blog explores the rise in family estrangement, the emotional toll it takes, and why setting boundaries—not breaking bonds—can offer a healthier path forward. Learn how to protect your peace without losing your roots.

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