expert type icon EXPERT

Dr. Ayelet Hirshfeld

Psychologist

Dr. Ayelet Hirshfeld is a psychologist practicing in Palo Alto, CA. Dr. Hirshfeld specializes in the treatment of health mental problems, and helps people to cope with their mental illnesses. As a psychologist, Dr. Hirshfeld evaluates and treats patients through a variety of methods, most typically being psychotherapy or talk therapy. Patients usually visit Dr. Hirshfeld because they have been experiencing depression, anxiety, stress or anger for a significant period of time and are seeking help. Psychologists may perform a variety of exams and assessments to diagnose a mental condition.

http://www.routledgementalhealth.com/the-emptiness-of-oedipus-9780415608299 Chapter 4: "Variable-length Lacanian analyses and the question of brief analysis" pp. 104-136 RAUL MONCAYO AND AYELET HIRSHFELD

https://www.taylorfrancis.com/books/e/9781136585265/chapters/10.4324%2F9780203157367-9

Chapter 4: Variable-length Lacanian analyses and the question of brief analysis: Raul Moncayo and Ayelet HirshfeldBy RAUL MONCAYO, AYELET HIRSHFELD

"Brief treatment can be viewed as an ideology of the consumer society of late capitalism. Clients are faced these days with an overwhelming variety of brief therapy products aimed at eliminating specifi c phobias, boosting self-esteem, combating depression, eliminating various addictions, and more. Brief therapy responds to a need to increase access to treatment, provide cost-effective treatments within the managed-care culture, and respond to the requests for evidencebased, effi cient, empirically validated treatments (Levenson, 1995)."

Dr. Ayelet Hirshfeld
  • San Jose, CA
  • Lacanian School of Psychoanalysis; Stanford University; California School of Professional Psychology
  • Accepting new patients

Are panic attacks while taking anti depressants normal?

I suggest contacting your psychiatrist as this may be a side effect, how your depression manifests, or combined anxiety & depression. S/he may prescribe a different SSRI such as READ MORE
I suggest contacting your psychiatrist as this may be a side effect, how your depression manifests, or combined anxiety & depression. S/he may prescribe a different SSRI such as Effexor and/or add an anti anxiety medication.

What is the reason for panic attacks?

Is your sister also afraid of leaving the house? Did she experience any trauma recently? I suggest contacting a mental health provider right away, if she is afraid to get out of READ MORE
Is your sister also afraid of leaving the house? Did she experience any trauma recently? I suggest contacting a mental health provider right away, if she is afraid to get out of the house, some will provide treatment at home.

I am feeling very anxious and angry most of the time. What should I do?

I suggest as a first step contacting a psychologist to speak about these recent changes in mood and behavior and/or a psychiatrist for a medication evaluation. Have you experienced READ MORE
I suggest as a first step contacting a psychologist to speak about these recent changes in mood and behavior and/or a psychiatrist for a medication evaluation. Have you experienced any recent stressors? Have you also felt depressed mood? Lastly, I always recommend checking your thyroid to assure no underlying medical condition. Good luck

Can depression medicines cause excessive sleeping?

This can be a potential side effect of the medication or it may be a symptom of the depressive episode itself. I suggest contacting your psychiatrist or PCP for medication adjustment READ MORE
This can be a potential side effect of the medication or it may be a symptom of the depressive episode itself. I suggest contacting your psychiatrist or PCP for medication adjustment and routine blood tests to assure no underlying medical conditions.

Should I take my son to a psychologist to remove the fear of exams from his mind?

It is a fantastic idea to help your son overcome test anxiety with the help of a psychologist.

Good luck!

What is neuropsychology?

A neuropsychologist will evaluate the extent of the injury structurally and functionally and can detect soft signs of injury that are not seen on imaging surveys. Good luck, Dr. READ MORE
A neuropsychologist will evaluate the extent of the injury structurally and functionally and can detect soft signs of injury that are not seen on imaging surveys. Good luck, Dr. Hirshfeld

How can I get over a fear of going to a psychologist?

I would encourage you to share your fear with your psychologist during the initial session. That may lead to a very interesting discussion that perhaps will shed light on other READ MORE
I would encourage you to share your fear with your psychologist during the initial session. That may lead to a very interesting discussion that perhaps will shed light on other significant interpersonal exchanges in your life. Good luck, Dr. Hirshfeld

Do therapists lead therapy sessions or do I?

I encourage you to openly discuss this with your therapist, some forms of therapy are more structured than others and that will allow you to assure there is a good fit with your READ MORE
I encourage you to openly discuss this with your therapist, some forms of therapy are more structured than others and that will allow you to assure there is a good fit with your therapist. Good luck, Dr. Hirshfeld

I think I may be depressed. What do I do?

It is common to experience mood changes following major life changes, such as retirement. During this adjustment process, it often helps to speak with a professional psychologist READ MORE
It is common to experience mood changes following major life changes, such as retirement. During this adjustment process, it often helps to speak with a professional psychologist about your emotions, which in turn often alleviates depression.


Good luck,
Dr. Hirshfeld

Sudden mental fatigue--what can it be?

Noticing burnout signs early on can help in mitigating their impact. I recommend contacting a psychologist and discussing your feelings, Dr. Hirshfeld

At night, thinking prevents me from sleeping. Can I do anything about it?

I recommend contacting a psychologist to help acquire good sleep hygiene habits and allow the space for discussing what it is that keep you up at night in a safe environment, Dr. READ MORE
I recommend contacting a psychologist to help acquire good sleep hygiene habits and allow the space for discussing what it is that keep you up at night in a safe environment, Dr. Hirshfeld

My son watches the same movie over and over

Does your child tend to repeat other activities, for example, does he rehearse songs, stories, is there a lot of repetition in his play? Does he repeat words frequently? If so, READ MORE
Does your child tend to repeat other activities, for example, does he rehearse songs, stories, is there a lot of repetition in his play? Does he repeat words frequently? If so, I would encourage you to contact a child psychologist and address your concern, Dr. Hirshfeld

Meltdowns Behaviour

I suggest contacting a child psychologist to address your concern and discuss safe ways for emotional containment which are likely to reduce the number of meltdowns. Good luck, READ MORE
I suggest contacting a child psychologist to address your concern and discuss safe ways for emotional containment which are likely to reduce the number of meltdowns. Good luck, Dr. Hirshfeld

I'm having some severe chest pain with anxiety. Is this dangerous? What could it be?

I suggest seeing your medical doctor asap. With anxiety, we always need to rule out other medical conditions. Given you experience severe chest pain, checking in with a medical READ MORE
I suggest seeing your medical doctor asap. With anxiety, we always need to rule out other medical conditions. Given you experience severe chest pain, checking in with a medical provider ASAP to assure it is only anxiety will allow to then discuss coping strategies in psychotherapy.

Nightmares stopped but have returned. What can I do?

Yes, it sounds as a great idea to re-engage in therapy. Years have passed, sometimes anniversary reactions are a trigger, sometimes other stressful life events. I highly encourage READ MORE
Yes, it sounds as a great idea to re-engage in therapy. Years have passed, sometimes anniversary reactions are a trigger, sometimes other stressful life events. I highly encourage you to reengage in psychotherapy at this time.

Good luck,
Dr. Hirshfeld

Can I go to a psychiatrist instead of a psychologist?

When we look back we see that in the late 1890's & early 1900's most mental health providers were in fact physicians. Psychoanalysis was invented by a neurologist, Dr. Freud, Lacan READ MORE
When we look back we see that in the late 1890's & early 1900's most mental health providers were in fact physicians. Psychoanalysis was invented by a neurologist, Dr. Freud, Lacan was himself a psychiatrist. Many psychiatrists are psychoanalytically oriented and provide the "talking cure." Therefore, i believe the most important consideration is not whether it is a psychiatrist or a psychologist, but whom you feel more comfortable speaking to, and feel you have established rapport with.

Do psychologists ever have a "time frame" in mind?

That will depend on the orientation of the psychologist & goals of the client for psychotherapy. Generally, it is a case by case treatment course tailored to the unique needs and READ MORE
That will depend on the orientation of the psychologist & goals of the client for psychotherapy. Generally, it is a case by case treatment course tailored to the unique needs and wishes of each client.

Patient privacy when it's a child being seen

Definitely. Child therapy (not adolescents) heavily depends on parental involvement. Psychologists differ in treatment modality - some engage in parent-child therapy, while others READ MORE
Definitely. Child therapy (not adolescents) heavily depends on parental involvement. Psychologists differ in treatment modality - some engage in parent-child therapy, while others in play or talk therapy with the child (depending on their age) with parent collateral meetings. Either way, you will play an integral part in the success of your child therapy. I encourage you to bring up these questions openly when choosing a psychologist, and make sure that you feel comfortable with their approach.

Good luck,
Dr. Hirshfeld

Depression and Alcohol..Chicken or the egg?

I am very happy for your 6 months sobriety. Zoloft or any other SSRI may be helpful, as it sounds you have been self-medicating with alcohol for your long standing anxiety READ MORE
I am very happy for your 6 months sobriety.

Zoloft or any other SSRI may be helpful, as it sounds you have been self-medicating with alcohol for your long standing anxiety and depression. As you probably know, while alcohol actually increases anxiety and depression, Zoloft or other SSRIs alleviate both anxiety and depression. I will encourage you to also reach out to a clinical psychologist as psychotherapy is very helpful for treating anxiety and depression.

Sincerely,
Dr. Hirshfeld

My son has Asperger's Syndrome. How is it treated?

Treatment depends on the theoretical orientation of the provider. Floor time/DIR, has been found to be very helpful in treating Asperger. It will be best to begin by reading about READ MORE
Treatment depends on the theoretical orientation of the provider. Floor time/DIR, has been found to be very helpful in treating Asperger. It will be best to begin by reading about the different approaches, & educating yourself about Asperger. Every child is different, and special in a unique way.

Good luck,
Dr. Hirshfeld