By Jamie C. Williamson, PhD      

Happy couples know a love hack that you can learn: They notice each other’s good intentions and give credit where credit is due.

This simple love hack increases happiness and produces higher levels of relationship wellbeing.

Interestingly, the impact of your partner’s good deeds depends largely on why you think they tried to do something good for you.  We call this an “attribution” of cause.

And, what you see as the cause of their kindness depends mostly on what you look for.

The good news is that you can train yourself to pause, look for the good in your partner, and appreciate their contribution to your relationship wellbeing.

How Giving Due Credit Works 

Let’s say your partner made the bed while you were in the shower. There are four basic casual attributions you could make for this small kindness, and they result from Internal vs External causes and from Stable versus Temporary causes.

My Partner made the bed for me because:

1. …he is kind and routinely finds ways to make my life easier (Internal, Stable attribution)
2. …he is feeling guilty about coming home late last night (Internal, Temporary attribution)
3. …his sister always tells him he should help more with housework (External, Stable attribution)
4. …his first appointment was a Zoom from home, so he just had extra time. (External, Temporary attribution)

People in healthy, satisfying relationships routinely make Internal, Stable attributions (#1 – an admirable character trait) for their partner’s positive acts. These attributions increase happiness about the behavior and promote the relationship’s well-being over time.

People in distressed relationships often make External, Temporary attributions (#4 – a self-serving opportunity) for their partner’s kindness. These attributions diminish happiness about the behavior and erode relationship satisfaction over time.

Pause, Think, and Stay Happy

Let’s consider a grand gesture:  Peter got a work promotion to a larger, new sales territory.  He planned a meet-and-greet trip to Orlando during his first week in the new job, which happened to include his wife Lauren’s July birthday.  With his boss’s permission, he invited Lauren to join him for his stay in Orlando at a luxury hotel, as a surprise birthday gift.  He told Lauren that, although he would be working several hours each day, they could sleep late, have every evening meal together, and Lauren could enjoy well-deserved R&R as a special birthday treat.  He knew that Lauren, a middle school teacher, had the summer off.

Fortunately, Lauren, who looks forward to celebrating her birthday with family and friends every year,  paused to consider alternative reasons why Peter combined a work trip with her birthday celebration.

1. …he is a hard-working man who is motivated to make her happy (an Internal, Stable Attribution)
2. …he planned the trip before he realized it interfered with her birthday, so he just did the best he could to make up for it.  (an Internal, Temporary Attribution)
3. …his clever assistant suggested it was the way to keep both his boss and his wife happy.   (an External, Stable Attribution)
4. …his boss gave permission, so he could pay for her birthday trip with his expense money. (an External, Temporary Attribution)

If Lauren believes that Peter combined his work trip with her birthday gift to save money and reacts through that lens, she will be unhappy with his effort, and they will experience relationship distress.  Lauren won’t hear Peter’s alternative explanations because, in her view, the gift is a convenience to him, not a gift to her at all.

If Lauren believes that Peter combined his work trip with her birthday gift with good intentions, inspired by his work ethic and his dedication to her, she will be happy with his effort to please her, and their relationship will be enhanced.  Lauren won’t see an alternative explanation because she only sees a good deed and gives Peter credit for it.

The Love Hack Learned

Notice when your partner does something good for you and remember that what you see depends on what you look for.

If you look for Internal, Stable causes for your partner’s good deeds, then you will easily see your partner’s admirable character and positive intentions. This will enhance your positive regard for your partner and improve your relationship quality over time.

If you look for External, Temporary causes for your partner’s good deeds,  you will see self-serving motives and make critical interpretations. This will have a negative impact on your happiness and degrade your relationship over time.

I recommend you pause and try this simple, positive Love Hack instead.

Let me know if I can help.

Jamie C. Williamson, PhD is a FL Supreme Court Certified Family Mediator and Member of the Gottman Referral Network, with a Certificate in the Science of Wellbeing and Happiness from the Harvard School of Medicine. She is an owner and partner at Amity Mediation Workshop, a mediation practice specializing in “friendly divorce” mediation and psycho-educational couples counseling. Dr. Jamie speaks frequently on relationship topics and authors the blog “Work it Out”.  You can find her online at amitymediationworkshop.com. 

Reviewed by Michael McManus, MSW LCSW

“Letters to a Young Therapist” by Mary Pipher is an insightful exploration of the complexities of the therapeutic profession. Although this book was published years ago, it still has a wonderful message. In this collection of letters, Pipher, a seasoned psychologist, shares her wisdom and experiences with a younger colleague, offering guidance that transcends the clinical aspects of therapy.

The book is structured as a series of heartfelt letters, each addressing different challenges and realities faced by therapists. Pipher’s writing is both compassionate and candid, making it accessible to both seasoned professionals and those new to the field. She delves into topics such as the importance of self-care, the emotional toll of the profession, and the profound impact of the therapist-client relationship.

One of the standout features of Pipher’s writing is her ability to weave personal anecdotes in with professional insights. She reflects on her own journey, revealing vulnerabilities that resonate with anyone navigating the intricacies of human emotions. This personal touch not only humanizes the profession but also serves as a reminder that therapists are, first and foremost, individuals grappling with their own lives.

Pipher’s style is engaging, and her use of language is both poetic and clear, making complex ideas easy to digest. The book is filled with practical advice, encouraging therapists to embrace their authenticity and remain attuned to their own emotional landscapes while helping others.

Overall, “Letters to a Young Therapist” is more than just a guide for aspiring therapists; it is a meditation on the art of empathy, the necessity of connection, and the transformative power of understanding. Pipher’s reflections serve as a beacon for anyone committed to the healing arts, reminding us that the path of a therapist is as much about personal growth as it is about aiding others. This book is a must-read for anyone in the field of mental health, as well as those interested in the profound dynamics of human relationships.

Michael McManus LCSW is a psychotherapist in private practice in Santa Rosa Beach, Florida.  He and his wife, Angela raised four children and enjoy hiking, reading, yoga, biking and cooking.

Michael can be reached by text or phone at (850) 837-0123 or at psychotherapy30A.com.

By Bridget Sullivan, PA-C, Coastal Skin Surgery and Dermatology, PCB

Fungal and Yeast Infections

Fungal and yeast infections become more common in the summertime due to heat, humidity, and increased sweating. Warm, moist environments allow fungi and yeast to grow quickly on the skin, leading to a variety of infections that often cause irritation, discoloration, and itching. These infections can be uncomfortable, contagious, and affect how your skin looks, so it is important to treat them early.

Examples of these infections:

*Tinea Corporis, also known as ringworm, is caused by dermatophyte fungi. Tinea corporis is contagious and can spread through skin-to-skin contact or shared items like towels and clothing.

Appearance: It appears as circular, red, scaly patches with clearer centers and raised borders, often on the arms, legs, or trunk.

* Athlete’s Foot (Tinea Pedis)

* Jock Itch (Tinea Cruris)

* Yeast infections caused by Candida species.

Appearance: The above three conditions often occur in skin folds or damp areas of the body and appear as red, itchy, and sometimes cracked skin.

*Tinea Versicolor, caused by the yeast Malassezia, typically affects the chest, back, and shoulders. This condition is not contagious but can occur, especially in hot, humid climates.

Appearance: It appears as small, discolored patches, either lighter or darker than the surrounding skin that may be dry or slightly scaly.

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Treatment  

Treatment for fungal and yeast infections typically involves topical prescription strength antifungal creams. In more widespread or stubborn cases, oral antifungal medications may be prescribed.

Tips for Prevention

* Keep the skin dry and clean

* Stay cool; avoid getting overheated

* Wear shoes in public places; shoes/flipflops at the pool, sauna, spa and gym

* Wear breathable fabrics; avoid tight clothing

Early recognition and proper treatment help reduce discomfort, can clear up the infection, and prevent the infection from spreading or recurring. If you notice a rash that does not go away or keeps coming back, talk to your healthcare provider.

During these long hot days of summer, don’t let the heat and skin rashes get you down!

Treatment Options for Thinning Hair: A Comprehensive Guide by a Board-Certified Dermatologist

By Dr. Jessica Clark

Thinning hair is a common concern for many individuals, affecting both men and women as they age or experience certain medical conditions. Fortunately, there are a variety of treatment options available to help combat hair thinning. These treatments range from topical and oral prescriptions to advanced technologies like the Cynosure UltraLaseMD offered at Beach Dermatology Skin Wellness Clinic. This article will delve into the most effective approaches, highlighting their benefits, potential side effects, and how they can help restore thicker, healthier hair.

The first step is diagnosis. Hair loss is not a diagnosis. There are several forms of hair loss, some more serious than others, and some are related to underlying autoimmune disease. Board Certified Dermatologists are physicians who specialize in skin, hair, and nails and not all treatments are appropriate for some disorders. Please get an accurate diagnosis first, which may include blood work depending on your age, sex, and form of hair loss.

• Topical Treatments

Minoxidil: The Gold Standard

Minoxidil (brand name Rogaine) is one of the most well-known and widely used topical treatments for hair thinning and hair loss. It is available over the counter in 2% and 5% concentrations. This medication can also be prescribed orally by your physician. Oral works faster than topical, but there are a few potential side effects to discuss with your doctor.

How It Works: Minoxidil is thought to stimulate hair follicles by increasing blood flow to the scalp, thereby encouraging hair growth. Minoxidil prolongs the anagen (growth) phase of the hair cycle.

Effectiveness: Clinical studies have shown that Minoxidil can slow down hair loss and promote regrowth, particularly in the crown area of the scalp. However, it works best in the early stages of hair thinning and may not be effective for individuals with advanced baldness.

Side Effects: Some users may experience scalp irritation, itching, or redness. In rare cases, unwanted facial hair growth can occur, especially if the product spreads to areas of the face. Pet owners need to be cautious, as it can be dangerous to animals.

Other Topical Options

Ketoconazole Shampoo: Often used for its anti-inflammatory properties, ketoconazole is a topical that may help address scalp inflammation, a potential contributor to hair thinning. It is available in prescription and over-the-counter strengths.

Corticosteroids: Topical steroids are only appropriate for autoimmune forms of hair loss and are sometimes prescribed for people with alopecia areata, an autoimmune condition that causes hair loss in small, round patches or lichen planopilaris that can cause severe permanent loss if not caught early. Topical steroids can reduce inflammation and encourage hair regrowth in these cases.

Compounded prescriptions: Today, several compounding pharmacies have expanded our options and combine prescriptions like minoxidil, finasteride, and spironolactone topically plus or minus other nutrients that have been proven to support hair growth.

Exosomes: The new kid on the block. The science here is pretty exciting!! Topical serums that contain exosomes, which are cellular messengers to tell your hair growth to “Turn on!!” As of summer of 2025, this will be the new wave of products that produce stellar results. They are pricey, but the results are undeniable. There are a few reputable brands, the most popular right now is Plated, and they are going to start to be employed by themselves but even better in combination with oral and laser therapies. Early studies show 100% of participants are happy with results when adding exosomes to their hair loss regimens. At Beach Dermatology Skin Wellness Clinic, we are so excited about this science that we just placed our first order, as this may replace some of our older treatment options soon!

2. Oral Medications

Finasteride: A Proven Option for Patients

Finasteride (brand name Propecia) is an oral medication that has been shown to be effective in treating male and female pattern baldness.

How It Works: Finasteride works by inhibiting the enzyme 5-alpha reductase, which converts testosterone to dihydrotestosterone (DHT), a hormone linked to hair follicle shrinkage in genetically predisposed individuals. By reducing DHT levels, finasteride can help slow hair loss and promote regrowth.

Effectiveness: Research has shown that finasteride can significantly improve hair density and slow down the progression of hair thinning in men with androgenetic alopecia (male-pattern baldness). However, it’s most effective when started early in the process of hair loss.

Side Effects: Some men may experience sexual side effects, such as reduced libido or erectile dysfunction. These side effects are rare and typically resolve after discontinuation of the medication.

Dutasteride: A Stronger Alternative to Finasteride

Dutasteride (brand name Avodart) is a medication similar to finasteride but works by inhibiting both types of 5-alpha reductase. This makes it more potent in reducing DHT levels.

Effectiveness: Dutasteride may offer a greater benefit for men with severe androgenetic alopecia who do not respond well to finasteride. This medication is first line for lichen planopilaris and frontal fibrosing alopecia, both much more serious forms of hair loss.

Side Effects: Similar to finasteride, dutasteride may cause sexual side effects, though these are rare and reversible.

Spironolactone: An Option for Women

Spironolactone (brand name Aldactone) is an oral medication that can be effective in treating female-pattern hair loss (androgenetic alopecia) in women. It works by blocking androgen receptors, reducing the effect of male hormones (androgens) on hair follicles.

Effectiveness: Spironolactone is particularly useful for women who experience hair thinning due to hormonal imbalances, such as those related to polycystic ovary syndrome (PCOS). It may take several months to see noticeable results.

Side Effects: Spironolactone can cause hormonal side effects, including menstrual irregularities and breast tenderness. It’s not recommended for pregnant women due to the risk of birth defects.

Oral vitamins like Nutrafol and Viviscal: The jury is still out. These products seem to help minimally over time but are very expensive. Most patients do not see results from “hair vitamins” but small studies show some evidence that they can help when used in addition to other treatments. Most dermatologists feel that the prescriptions above are much more effective and significantly less costly over time. Insurance will often cover the prescription options whereas vitamins are out of pocket.

3. The Cynosure UltraLaserMD: A Revolutionary Approach

For individuals seeking non-invasive treatments, Cynosure UltraLaserMD offers a promising option in the fight against thinning hair. This advanced technology utilizes advanced laser technology as a clinically proven method to stimulate hair growth.

How It Works

The Cynosure UltraLaserMD uses light at specific wavelengths to penetrate the scalp and stimulate the hair follicles. This process enhances cellular metabolism and blood flow to the hair follicles, promoting hair regrowth.

Effectiveness

Clinical studies suggest that laser treatment can increase hair density and the thickness of individual hair strands. It’s most effective for individuals with early to moderate stages of hair thinning. Results typically begin to appear after several weeks of treatment, with continued improvement over time.

Advantages: One of the key benefits of the Cynosure UltraLaserMD is its non-invasive nature. There is no downtime, making it an ideal option for those who prefer to avoid side effects or invasive procedures. It is also painless and the appointment takes less than 30 minutes.

Side Effects: The risks associated with laser treatment are minimal. Some individuals may experience mild scalp irritation or a slight tingling sensation during treatment, but these side effects usually resolve quickly.

Who Should Consider It?

Cynosure UltraLaserMD is particularly effective for individuals with androgenetic alopecia or telogen effluvium (temporary hair shedding) and can be used as a standalone treatment or in conjunction with other therapies such as minoxidil or finasteride. It’s also an excellent option for patients who prefer a non-chemical solution.

4. Combining Treatments for Optimal Results

In most cases, combining multiple treatments offers the best results. For instance, using minoxidil for topical stimulation, finasteride for internal DHT reduction, and Cynosure UltraLaserMD for enhanced follicle stimulation can work synergistically to slow hair loss and promote regrowth. Most forms of hair loss need long-term treatment. We used to have no options. Now we have many options, but most forms of hair loss need maintenance treatment for the rest of your life to maintain results. There are some patients that are very severe, or have had hair loss for many years and they may need to consider a hair transplant to get meaningful results. We now have a full hair transplant clinic across the hall at Coastal Plastic Surgery that is amazing for patients with severe loss or scarring, but even those patients need to continue maintenance treatments to protect their investment and continue to keep fragile hair follicles healthy.  The most important thing is to tailor the treatment plan to the individual’s unique needs and consult with a board-certified dermatologist to determine the most appropriate regimen.

Thinning hair can be a distressing concern, but today’s array of treatments offers hope for those looking to restore their hair’s volume and thickness. Topical treatments like exosome serums and minoxidil, oral medications like finasteride and spironolactone, and innovative technologies like the Cynosure UltraLaserMD laser can all contribute to improving hair health. It’s important to consult a dermatologist to determine the most suitable treatment based on the cause and severity of hair thinning.

Contact Beach Dermatology at (850) 238-8511or visit their website at www.beachskinclinic.com to learn which of these options might be best for you.

About the Author:

Dr. Jessica Clark is a board-certified dermatologist specializing in hair loss treatments, including both medical and advanced technological interventions. With over 10 years of experience, Dr. Clark is dedicated to providing personalized care to patients seeking effective solutions for thinning hair.