Meghan Breen Therapy Services

Meghan Breen Therapy Services Addiction and Recovery treatment in NYC specializing in eating disorders, life, and shame. DBT and M Couples and Family treatment. Recovery starts with you.

Private Practice in Flatiron specializing in Mindfulness based treatments for eating disorders, addictions, and recovery. Weekly Dialectical Behavioral Skills, Mindfulness, & Women's Groups. Conversations about injustice, shame, fear, vulnerability, connection, sexuality and anything else socially constructed as taboo are welcome and encouraged here. But you can be until you're ready. coming soon.

Happy to all who celebrate. Take what you need šŸ–¤
02/25/2026

Happy to all who celebrate. Take what you need šŸ–¤

šŸ«¶šŸ»ā˜ ļøšŸ–¤āš”ļø definitely need a witch and a strong spell.
02/24/2026

šŸ«¶šŸ»ā˜ ļøšŸ–¤āš”ļø definitely need a witch and a strong spell.

02/23/2026

RIP whatever I saidā€¦ this literally happens to me all the time. I know itā€™s not just me. Therapists where does it go? I try to paraphrase and my clients are like, ā€œnope that wasnā€™t it.ā€ Try harder, THINK. šŸ„“šŸ˜‚

If youā€™ve tried harder, try softer now. ā¤ļø
02/20/2026

If youā€™ve tried harder, try softer now. ā¤ļø

And like all good therapists say at the end of everythingā€¦It depends. šŸ«¶šŸ»
02/16/2026

And like all good therapists say at the end of everythingā€¦It depends. šŸ«¶šŸ»

02/16/2026

I got you Cigna.

My notes are vague. My brain is full which is why I canā€™t remember what I did an hour ago and remember stories from 7 years ago and names of people no one even talks about anymore. šŸ¤Æ

I have my notes and then I have my notes. And then I have my BCA/cope ahead plans/ three circles/ top line & bottom lines iykyk.

Maybe hills are my thing?
02/13/2026

Maybe hills are my thing?

02/12/2026

Not me, but like someoneā€™s therapist in therapy that may be a DBT therapist could potentially dialectically do this. And by not me, I mean me, yesterday. Hereā€™s why

In DBT the Pros and Cons skill isnā€™t just about making a better choice, itā€™s about distress tolerance and surviving a crisis without making things worse by slowing down and getting back into our thinking brain.

1. Externalizes the Internal Conflict
When we are dysregulated our thoughts become a chaotic loop. Writing a Pro/Con list forces the brain to shift from the amygdala (the emotional alarm system) to the prefrontal cortex (the logical, planning center). This reduces cognitive load and allows you to view your impulses objectively rather than being consumed by them.

2. Highlights the ā€œShort-Term vs. Long-Termā€ Trap
DBT Pros and Cons are unique because they require you to evaluate four quadrants rather than two:
šŸ‘šŸ¼ Pros/Cons of acting on the impulse.
šŸ‘šŸ¼ Pros/Cons of resisting the impulse.
Clinically, this exposes the ā€œFalse Proā€ the fact that most harmful behaviors (like lashing out or self-sabotage) have a short-term pro (immediate relief) but a long-term con (shame, damaged relationships). Seeing this on paper breaks the illusion that the impulse is helpful. I call this telling the truth to yourself about yourself. ā˜ ļø

3. Builds Wise Mind awareness and connection
the overlap between your emotional self and your reasonable self.
+ Validation: By listing the ā€œProsā€ of a bad habit, you acknowledge why you want to do it (ā€œit numbs the painā€).
+ Logic: By listing the ā€œCons,ā€ you acknowledge the reality of the aftermath.
This synthesis helps you accept your feelings while choosing a behavior that aligns with your long-term values. And itā€™s an exposure to not acting

4. Creates a Urge Surfing Buffer
The act of physically writing the list creates a time delay. Emotions are like waves; they peak and then subside. By the time you finish a thorough Pro/Con list, the physiological intensity of the urge has often dropped below the blow s**t up zone, making it easier to choose a mor effective coping skill instead.
Inspired by the hilarious šŸ«¶šŸ»

This is the mood. And Mostly just reposts from my girl ā¤ļø
02/11/2026

This is the mood. And Mostly just reposts from my girl ā¤ļø

02/11/2026

Not me, but like someoneā€™s therapist in therapy that may be a DBT therapist could potentially dialectically do this. And by not me, I mean me, yesterday. Hereā€™s why

In DBT the Pros and Cons skill isnā€™t just about making a better choice, itā€™s about distress tolerance and surviving a crisis without making things worse by slowing down and getting back into our thinking brain.

1. Externalizes the Internal Conflict
When we are dysregulated our thoughts become a chaotic loop. Writing a Pro/Con list forces the brain to shift from the amygdala (the emotional alarm system) to the prefrontal cortex (the logical, planning center). This reduces cognitive load and allows you to view your impulses objectively rather than being consumed by them.
2. Highlights the ā€œShort-Term vs. Long-Termā€ Trap
DBT Pros and Cons are unique because they require you to evaluate four quadrants rather than two:
šŸ‘šŸ¼ Pros/Cons of acting on the impulse.
šŸ‘šŸ¼ Pros/Cons of resisting the impulse.
Clinically, this exposes the ā€œFalse Proā€ the fact that most harmful behaviors (like lashing out or self-sabotage) have a short-term pro (immediate relief) but a long-term con (shame, damaged relationships). Seeing this on paper breaks the illusion that the impulse is helpful. I call this telling the truth to yourself about yourself. ā˜ ļø
3. Builds Wise Mind awareness and connection
the overlap between your emotional self and your reasonable self.
+ Validation: By listing the ā€œProsā€ of a bad habit, you acknowledge why you want to do it (ā€œit numbs the painā€).
+ Logic: By listing the ā€œCons,ā€ you acknowledge the reality of the aftermath.
This synthesis helps you accept your feelings while choosing a behavior that aligns with your long-term values. And itā€™s an exposure to not acting
4. Creates a Urge Surfing Buffer
The act of physically writing the list creates a time delay. Emotions are like waves; they peak and then subside. By the time you finish a thorough Pro/Con list, the physiological intensity of the urge has often dropped below the blow s**t up zone, making it easier to choose a mor effective coping skill instead.

Weā€™ve over indexed on self regulation and donā€™t talk enough about relational resourcing and co-regulation.We need connec...
02/10/2026

Weā€™ve over indexed on self regulation and donā€™t talk enough about relational resourcing and co-regulation.

We need connection. We need to borrow hope. Community resourcing only works because we arenā€™t all hopeless at the exact same time!

We are missing the relational resourcing.
Self-regulation is your ability to monitor and manage your own states of arousal (stress, anger, sadness) using internal tools. Itā€™s the ā€œIā€™ve got thisā€ energy. Itā€™s important for self efficacy and agency.

Being able to modulate and tolerate dysregulation and use our emotions in the ways they are intented gives us agency. But on itā€™s own it isnā€™t enough.
I tell clients ā€œSelf-reliance is not a skill it is a nice way of saying alone.ā€

AND..
Relational Resourcing / Co-Regulation:

Relational resourcing is the ability to lean on the nervous system of another person to find safety.
Biologically, humans are ā€œobligate gregariousā€ creatures, our brains are literally wired to sync up with others to calm down. We need each other.
People are lonlier than ever.

W are missing the belonging and being a part of something bigger than just ourselves.

We need both.

I always say, being unalone in our pain is more regulating than any breathwork you could ever learn. Bc itā€™s true!

02/09/2026

Together, we are America.

Excuse me while I rewatch the clips over and over again. šŸ«¶šŸ»šŸ™ŒšŸ»ā¤ļøšŸ”„

Address

220 Fifth Avenue
New York, NY
10001

Opening Hours

Monday 10am - 8pm
Wednesday 11am - 8pm
Thursday 11am - 8pm
Friday 9am - 5pm

Website

Alerts

Be the first to know and let us send you an email when Meghan Breen Therapy Services posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Meghan Breen Therapy Services:

Shortcuts

Featured

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category