David Tzall, Psy.D

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Feeling stuck in old patterns can be deeply discouraging. You can genuinely want change and still find yourself repeatin...
03/02/2026

Feeling stuck in old patterns can be deeply discouraging. You can genuinely want change and still find yourself repeating the same thoughts, habits, or emotional cycles. That doesn’t mean you don’t care. It often means something is driving the behavior beneath the surface.

Addiction and substance use are frequently connected to stress, pain, trauma, anxiety, and the need for relief. Therapy can help you understand the pattern, identify what triggers it, and build healthier ways to cope, without shame and without judgment.

Change is possible, especially when you don’t have to do it alone.

A deep breath won’t solve everything, but it can change what happens in the next moment.When you’re anxious or overwhelm...
02/27/2026

A deep breath won’t solve everything, but it can change what happens in the next moment.

When you’re anxious or overwhelmed, your nervous system moves into fight-or-flight. Intentional breathing is one of the fastest ways to signal safety to the body and create a small pause between the feeling and the reaction. That pause matters. It’s often where better choices live.

If you want a simple reset: inhale slowly through your nose for four counts, hold for two, exhale for six. Repeat three times.

Living with anxiety or depression can be exhausting in a way other people don’t always see. The constant worry, tension,...
02/25/2026

Living with anxiety or depression can be exhausting in a way other people don’t always see. The constant worry, tension, or fatigue can make it hard to focus, rest, or even enjoy the things you usually care about.

If you’ve been telling yourself you should be able to “snap out of it,” please know this: mood symptoms are not a character flaw. They’re a real experience that deserves support. Therapy can help you understand what’s driving the overwhelm, identify patterns that keep you stuck, and build tools that make daily life feel more manageable again.

You don’t have to carry it alone.

02/23/2026

I recently sat down with Her Campus to talk about a Gen Z routine I’m hearing about more and more: waking up extra early to “get ahead,” be more productive, or create a slower, more intentional morning.

My perspective is simple: routines are only helpful if they support your nervous system and your actual life. If an earlier start helps you feel calmer, less rushed, and more grounded throughout the day, it can be a meaningful shift. If it becomes another form of self-pressure, it often does the opposite of what you’re hoping for.

The question isn’t “Is this routine impressive?” The question is “Does it make my day feel steadier?”

A lot of people avoid therapy because they think it means something is “wrong” with them. But therapy isn’t a punishment...
02/20/2026

A lot of people avoid therapy because they think it means something is “wrong” with them. But therapy isn’t a punishment. It’s not a label. It’s a resource.

You can be high-functioning and still anxious. You can be successful and still feel emotionally drained. You can love your life and still struggle with old patterns that keep showing up. Therapy helps you understand those patterns and change them with support.

Needing help doesn’t mean you’re weak. It means you’re human.

Some experiences don’t stay in the past. They live on in the nervous system, in the way you respond to stress, in the wa...
02/18/2026

Some experiences don’t stay in the past. They live on in the nervous system, in the way you respond to stress, in the way you anticipate conflict, and in the way your body holds tension even when your mind says you’re “fine.”

Unresolved emotional wounds can show up as irritability, shutdown, hypervigilance, avoidance, or feeling emotionally stuck. Trauma processing is not about reliving everything. It’s about creating enough safety, support, and structure to make sense of what happened and loosen its grip on your present.

In trauma-informed therapy, we move at your pace. The goal is not to “get over it.” The goal is to heal in a way that feels steady, grounded, and sustainable.

So many of us are walking around with an invisible checklist of “shoulds.” I should be further along. I should be handli...
02/16/2026

So many of us are walking around with an invisible checklist of “shoulds.” I should be further along. I should be handling this better. I should be more grateful. I should not feel this way.

The problem is that “should” often sounds like motivation, but it usually functions like judgment. It adds pressure to moments that already feel heavy, and it can quietly convince you that your humanity is a failure instead of a reality.

If you’ve been carrying a lot lately, consider this a gentle reminder: you’re allowed to be where you are. You can want growth without shaming yourself in the process.

If a “should” is weighing on you today, try replacing it with something more accurate and compassionate: “It makes sense that this is hard.”

Co-parenting can be one of the most emotionally draining parts of parenting, especially when communication breaks down o...
02/13/2026

Co-parenting can be one of the most emotionally draining parts of parenting, especially when communication breaks down or conflict feels constant. Parent coaching offers practical, judgment free support to help you reduce friction, communicate more effectively, and create boundaries that protect your child and your own peace of mind. You do not need to wait until things feel unmanageable. Schedule a free consultation to see if parent coaching is a good next step.

Spiraling has a way of convincing you that you need to fix your whole life right now. You do not. You need to get regula...
02/11/2026

Spiraling has a way of convincing you that you need to fix your whole life right now. You do not. You need to get regulated first. Start with one concrete step that brings your body and brain back into the present, then decide what comes next. Small does not mean insignificant. Small is how you get traction.
If you want more practical tools, visit my blog for helpful articles on real life stuff. https://bit.ly/4qPR9R9

If you’ve been considering therapy but aren’t sure you “need” it, you’re not alone. Many people benefit most when they s...
02/09/2026

If you’ve been considering therapy but aren’t sure you “need” it, you’re not alone. Many people benefit most when they start before things feel unmanageable. If stress, anxiety, irritability, low mood, or overwhelm is impacting your sleep, relationships, focus, or day-to-day functioning, therapy can be a supportive place to understand what’s happening and build practical tools. One helpful question to begin with is: What do I want to feel more of, and what keeps getting in the way? https://bit.ly/45Eaywk

Mental health challenges are far more common than most people realize, which is why reducing shame matters. According to...
02/06/2026

Mental health challenges are far more common than most people realize, which is why reducing shame matters. According to national survey data, more than one in five U.S. adults experience mental illness in a given year, and a meaningful portion of people with symptoms never receive care. Those numbers are not meant to alarm you. They are meant to normalize the fact that struggling is not rare, and support is not something you have to “earn” by hitting a breaking point. If you are going through a hard season, you are not failing. You are human.

People pleasing is often framed like a personality trait, but for many people it is a learned stress response. If you gr...
02/04/2026

People pleasing is often framed like a personality trait, but for many people it is a learned stress response. If you grew up needing to keep the peace, avoid conflict, or manage other people’s emotions, saying yes can feel safer than saying no. Over time, that can lead to resentment, burnout, and feeling disconnected from what you actually want. A helpful first step is to notice the moments you agree automatically, then pause and ask yourself, “What am I afraid will happen if I disappoint them?” That question usually reveals what you are protecting, and it gives you a place to start changing the pattern.

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