Michele Shrem

The world of weight management is rapidly changing, with new treatments likeweight loss shots gaining attention. These medications contain GLP-1, glucagon-like peptide-1, a hormone thatplays a crucial role in regulating blood sugar levels, appetite, and digestion. The shots help control one’s appetite and metabolism, and offer what seems like an easier way to lose weight than just diet and exercise.

However, behind the headlines are many personal experiences, hopes, fears, and money worries. For every success story, there’s a tale of side effects, problems getting the medication, or a bigger discussion about what “healthy” weight loss really means. To understand what individuals really think about these modern weight loss methods I interviewed eight community members, each with their own unique story. Their insights reveal the promises, challenges, and personal feelings tied to this new approach.

Sarah, 42

“Before the shots, I felt stuck, constantly battling my body. Diets and exercise never worked long-term, and the hunger and cravings always brought the weight back. This cycle left me feeling hopeless. My weight affected my energy, joint pain, and confidence. I knew I needed a change, not just for looks, but for my health. My doctor suggested the shots, and though I was skeptical, I decided to learn more.

“She explained it wasn’t magic, but science, mimicking a hormone to make me feel full. This clicked, and nine months in, it’s been a game-changer. The nagging hunger is gone. I’m satisfied with less food, and my mind is free from constant food thoughts.

“I’ve lost 55 pounds steadily. My energy is high, my knees don’t ache, and I’m sleeping better. My confidence has soared, and I actually enjoy shopping again. There were initial side effects like nausea and constipation, but they subsided. The cost is a factor, but my insurance helps, and it’s an investment in my health. I’m learning mindful eating and enjoying exercise. These shots were a reset button, helping me build sustainable habits. It’s been transformative.”

David, 55

“I keep hearing about these weight loss shots – [like] Ozempic and Wegovy. And my wife’s friend had great success, so it’s hard not to be curious. I’m about 40 pounds overweight, my blood pressure is high, and my doctor wants me to make changes. I try to eat well, but consistency is tough, and fast food is just too easy to pick up after work. Plus, on top of that, exercise feels like a huge effort.

“A shot that reduces appetite and helps me lose weight quickly sounds appealing. But I’m worried about side effects like nausea and vomiting, especially since I already have stomach issues. Will the weight just come back if I stop? That’s a big fear, since I have seen family and friends regain weight after diets. Is it a lifelong commitment? The idea of indefinite injections is scary.

“Then there’s the cost. My insurance is good, but these can be incredibly expensive. Is it worth the financial strain? I also worry about judgment from others, thinking I took the ‘easy way out.’ A part of me still believes in willpower, even though it hasn’t worked for me. It’s a big decision, and I need all the facts before I can even consider it.”

Mary, 38

“I was so excited to start the weight loss shots. I’d seen amazing transformations and thought, ‘This is it!’ I’ve struggled with my weight for years, wanting more energy for my kids and to improve my health. My doctor was supportive, and insurance covered it. The first few weeks showed promise. My appetite lessened, and I started losing weight, and feeling hopeful.

But then, severe side effects hit. Constant, stomach-churning nausea made it hard to function, affecting my mood and focus. I also had severe constipation. Eating became a chore, and sometimes the thought of food made me feel worse. I tried to push through, believing it would be worth it.

After three months, I realized my quality of life was declining. I was losing weight, but constantly felt sick, tired, and irritable. I couldn’t enjoy family meals and withdrew socially. It felt like I was trading one problem for another. My doctor and I tried adjusting the dose, but the side effects persisted, so I stopped. While the nausea went away, the weight started to creep back on, despite my efforts to maintain healthy habits. It was disheartening. For me, it wasn’t the magic solution. These shots can be great for some, but the side effects can be debilitating.”

Alex, 30

“My first thought about weight loss shots was ‘another quick fix.’ I believe in consistent healthy eating, regular exercise, and mindfulness for long-term weight management. It’s tough, yes, but I feel it’s the most sustainable path. My initial concern was that these shots might prevent people from making deeper lifestyle changes, leading to dependence.

“However, I’ve seen remarkable results in friends and family, especially those with underlying metabolic issues. For these individuals, the shots can be a crucial tool, leveling the playing field when biological hunger signals are dysregulated. They can reduce the constant mental struggle with food, enabling people to adopt the very lifestyle changes I advocate.

“My worry remains about over-prescription or viewing them [the shots] as a substitute for effort. These medications should be combined with comprehensive programs – nutrition, exercise, and psychological support. Without a holistic approach, I fear rebound weight gain. So, while lifestyle change is my primary focus, I now recognize that for some, under medical supervision, these shots are a valid and life-changing intervention. It’s not one-size-fits-all.”

Jessica, 27

“These weight loss shots really intrigue me. I want to lose about 30 pounds for more energy and to feel healthier. I’ve tried diets and gyms, but progress is slow, and I get discouraged. Seeing social media posts about big weight loss with injections gives me hope for real results.

“But the cost is shocking. My insurance doesn’t cover it for weight loss, only for diabetes. So, it would be hundreds, maybe even a thousand dollars a month, out of pocket. That’s a huge amount, more than my car payment. It feels unfair that something so helpful is only for those who are already comfortable financially. Health shouldn’t be a luxury.

“I’ve looked into cheaper, compounded versions online, but then I worry about safety. The thought of choosing between rent and a medication that could genuinely improve my health is frustrating. It leaves me feeling stuck, trying diet fads while others have a path I can’t afford. I wish these medications were more affordable and accessible.”

Michael, 60

“My doctor is fantastic. For years, she helped me manage type 2 diabetes and hypertension, but my blood sugar and weight stayed high. It was frustrating and scary. She suggested weight loss shots, not cosmetically, but as a critical part of my health plan – to control blood sugar, reduce appetite, and aid weight loss, directly impacting my conditions.

“This focus on medical necessity was key. It was about preventing complications and improving my quality of life. We started slowly, monitoring reactions. My doctor thoroughly explained side effects and how to manage them, stressing it wasn’t a magic bullet. I still had to commit to healthy eating and activity; the shot just made it easier. Reduced appetite meant no constant cravings, and fullness meant smaller, healthier meals without [feeling] deprivation.

“The results are remarkable. My A1C [results] (a blood test that diagnoses and monitors diabetes) and blood pressure are much better, and I’ve lost 70 pounds. I feel healthier, more energetic, and in control. Regular check-ups ensure safe, effective use. For people like me with real medical needs, these shots are truly life-changing under professional care.”

Chloe, 24

“Honestly, the hype around weight loss shots makes me wonder. It feels like another wave of pressure to fit an unrealistic body ideal. We’re flooded with ‘perfect’ body images, then offered an ‘effortless’ solution, implying our bodies aren’t good enough. I’ve worked for years on body positivity, believing health isn’t just a scale number, and all bodies deserve respect.

“My concern is these shots might continue unhealthy dieting and body image issues. Are we fixing the root causes of weight gain – like stress, emotional eating, or genetics – or just masking them? What happens when people stop the shots? Will the weight return, leading to more shame? It feels like we’re promoting quick fixes over sustainable, holistic health that addresses mental well-being. I believe true health comes from nourishing your body, some form of movement, and self-acceptance. I respect medical necessity for some, but I wish the focus shifted more to body acceptance, intuitive eating, and exercise, rather than just weight loss as the ultimate health goal.”

Ben, 48

“I’ve been on a weight loss shot for two years to manage my weight and metabolic health. The initial phase was incredibly successful; I lost 80 pounds, and my blood work greatly improved. It was a breakthrough after years of struggle. The medication quieted food noise and made healthy choices easier.

“However, long-term maintenance is different. It’s not a ‘take a shot and forget it’ situation. I hit a plateau, which meant I had to double down on diet and exercise even with the medication. It’s a tool, not a magic bullet. I stay vigilant about injections and managing mild nausea from overeating. “Maintenance is the biggest ongoing concern. My doctor and I discuss staying on it indefinitely or tapering off. The fear of regaining weight is always present. It’s a long-term commitment, not just for the medication, but for the lifestyle changes it helped initiate. I’ve built a healthier relationship with food and exercise, but the medication helps maintain that. The financial aspect is also ongoing, requiring regular check-ups and continuous supply. It’s not cheap. While grateful, I’m realistic about the sustained effort and considerations of long-term use. It’s a continuous journey with my healthcare provider.”

The diverse perspectives reveal that the conversation around weight loss shots is far from simple. What emerges is a clear consensus on one point: these shots are powerful pharmaceutical tools, not standalone miracles. Their efficacy is often maximized when coupled with dedicated lifestyle changes, including nutritional guidance, increased physical activity, and psychological support. The importance of medical supervision cannot be overstated, as healthcare professionals are crucial in assessing suitability, managing side effects, and guiding long-term strategies.

As this field advances, the dialogue will evolve. However, these personal stories emphasize the need for a nuanced understanding beyond simple claims. For many, weight loss shots offer a new path to health, but taking the shots demands informed decisions, personal commitment, and continuous care.

Michele

A Legislative Look 

The rapid rise of weight loss shots like Ozempic, Wegovy, Mounjaro, etc. has vastly helped many, buthas also ignited legislative and regulatory activity across the U.S. As demand grows, policymakers, healthcare providers, and insurance companies face new challenges related to cost, access, and safety.

Insurance coverage is a hot topic for legislators. Historically, Medicare has been prohibited from covering medications prescribed solely for weight loss. The Biden administration proposed a rule that could potentially allow Medicare Part D to cover anti-obesity medications starting in 2026. This proposal recognizes obesity as a chronic disease, making its treatment, including medication, eligible for coverage. This rule signals a growing bipartisan recognition in Congress that covering these drugs could reduce long-term healthcare costs associated with obesity-related chronic diseases like diabetes and heart disease.

Employer-sponsored health plans and Affordable Care Act (ACA) Marketplace plans are also navigating the complex landscape of GLP-1 coverage. Most employer plans cover these drugs for diabetes treatment, however, coverage for obesity alone is less common.High prices – ranging from $1,000 to $1,400 per month without discounts – remain a significant barrier. Legislation is being considered at state levels to mandate Medicaid coverage for FDA-approved chronic weight management drugs, to improve healthcare accessibility and address the obesity epidemic.

A new issue is regulating compounded and counterfeit versions. Due to high demand and, at times, supply shortages of FDA-approved drugs, a market for compounded Semaglutide and Tirzepatide has emerged. However, the FDA, has issued strong warnings and implemented stricter bans on these compounded versions. The FDA prohibited the large-scale sale of many compounded versions of Ozempic, Mounjaro, Wegovy, and Zepbound. Safety is the concern, since compounded drugs are not FDA-approved. Reports of problems linked to dosing errors and the use of different active ingredients in compounded products highlight the risks. Legislation aims to protect public health by channeling patients towards regulated, FDA-approved medications.

The Inflations Reduction Act (IRA) also plays a role, as drugs like Ozempic, Wegovy, and Rybelsus have been selected for Medicare’s direct price negotiation program. The program aims to reduce the high out-of-pocket costs for Medicare enrollees, potentially saving billions of dollars for taxpayers in the coming years.

The legislative and regulatory environment surrounding weight loss shots is rapidly evolving. As the understanding of obesitycontinues to grow, further legislative changes are expected to shape how these transformative medications are prescribed, covered, and accessed.

Jack Gindi

Fifty years ago, Meredith and I stood before family and friends, promising to love each other “for better or worse.” We were two kids from Brooklyn who thought we understood what those words meant. Today, fifty years later, we totally do.

Balance in Relationships

What lies between our “I do” and today is a story of discovering what balance truly means in relationships. Together we went through decades of raising four children, weathering financial storms, legal battles, bankruptcy, and the loss of a child.  We learned that balance isn’t about perfect equality. It’s about daily deposits of love, honor, and appreciation that compound over time into something unbreakable.

When life tested us with devastating challenges, we discovered that sometimes the strongest love requires different expressions at different times. There were seasons when we needed space to heal individually while maintaining our deep connection. What mattered was the foundation we’d built through years of consistent acts of love.

These experiences taught me something profound about balance in relationships. Balance isn’t about everything being equal – it’s about being intentional with our emotional investments and understanding that strong relationships require daily maintenance.

Harvard’s longest-running study, the Harvard Study of Adult Development(running for 85 years), confirms what many know intuitively: relationships determine our well-being more than money or career success. Yet, how often do we treat our most important relationships as an afterthought, giving them only leftover energy?

Daily Deposits

Through working with families, I’ve learned about “daily deposits” – choosing two people each day and sending them a note of love, honor, or appreciation. This isn’t about grand gestures. It’s about noticing the small things that matter. When your son works late to help a coworker, when your spouse makes coffee without being asked, when your child shows patience with a sibling – these moments deserve recognition.

The power lies not in receiving but in giving. When we deliberately look for qualities to appreciate in others, we begin to see them differently. Our perspective shifts from focusing on what’s missing to celebrating what’s present. This change literally rewires our brains, making gratitude our default mode.

I’ve watched families transform through this practice. Parents who felt disconnected from teenagers suddenly found common ground. Siblings who constantly bickered began supporting each other. Couples who felt distant rediscovered why they fell in love. The deposits don’t just strengthen the recipient – they change the giver, creating a positive cycle.

Our children were watching all of this. They learned about relationships not from what we told them but from what they witnessed daily. How we spoke during stress, how we prioritized time, how we handled conflict and recovery – these became their template for what love looks like. This forced us to ask: what kind of marriage are we modeling? What lessons are we passing down?

Throughout our most challenging times, we kept making those daily deposits. A gesture of love, showing up for each other when it was needed. Simply sharing ourselves and being there for each other. These small acts became the bridge that carried us through every storm and kept our connection strong.

Life Rhythms and Consistent Expressions of Appreciation

We learned that balance means accepting that relationships ebb and flow like tides. There are seasons when work demands more attention, times when children need extra support, periods when our emotional reserves run low. The key is communicating about these rhythms and consistently making deposits even during difficult times.

Today, after fifty years together, we understand that balance in relationships isn’t a destination but a daily practice. It’s choosing to see the good in someone even when they’re struggling. It’s expressing gratitude for ordinary kindness rather than taking them for granted.

Looking back, I see that our greatest relationship challenges weren’t caused by major betrayals or dramatic conflicts. They were the result of neglect – failing to make regular deposits of appreciation, taking each other’s contributions for granted, assuming that love alone would sustain us.

After five decades together, we’ve learned that strong relationships don’t happen by accident. They’re built through thousands of small choices, daily acts of love and appreciation that accumulate over time into something that can weather any storm.

Creating a Strong Foundation

The principle is simple but powerful: what we pay attention to grows, and what we appreciate appreciates. Whether raising children, building friendships, or nurturing marriages, consistent daily deposits create the foundation that everything else is built upon. I invite you to observe: are you making daily deposits in your relationships? If not, start today. Choose two people and send them a note of appreciation. Do this without expecting anything in return. Simply observe what happens – to them, to your relationships, and most importantly, to you.

Words of Rabbi Eli J. Mansour

It seems like everyone these days is looking for a segulah – a “magical” quick-fix.  The Jewish world is awash with segulot, with claims that doing such-and-such is a sure-fire way to earn a living, to find a marriage partner, or to solve whatever problem we’re currently struggling with.  Lamentably, the 21^st-century “app” mentality, the insistence that there must be a simple solution, an easy way to get things done, has affected our religious thinking, as well, leading us to find ways to instantly force Gd’s Hand to do what we want.

But while many (most?) segulot that are bandied around have, at best, questionable basis in Torah, there are several with clear sources that are well worth adopting – including one which relates to a mitzvah that we read about this month.

In Parashat Ekev (Devarim 8:10), the Torah introduces the obligation of birkat hamazon – to recite a special blessing after eating bread: “Ve’achalta vesavata uverachta et Hashem Elokecha – And you will eat and be satiated, and you shall bless Hashem your Gd.” 

The anonymous Sefer Hahinuch, written by one of the Rishonim (early medieval sages), writes in his discussion of this mitzvah about a tradition that he received from his rabbis.  This tradition teaches that if a person is vigilant in his observance of this mitzvah, and ensures to recite birkat hamazon properly, with kavanah (concentration), then he is guaranteed a respectable livelihood.  Regularly fulfilling this mitzvah the right way assures not just sustenance, but sustenance “bekavod” – with dignity, comfortably.

Sadly, of all the segulot for parnasah (livelihood) that have become popularized over the years, this one – which is likely the most clearly sourced of them all – is largely unknown, and certainly not commonly followed.  In fact, there is a mini-industry that has arisen with the specific goal of helping people avoidthis mitzvah – the emergence of so-called “mezonot bread,” bread purportedly prepared in a manner that does not qualify as halachic bread. 

The “lure” of these products is saving people the “hassle” of washing their hands before eating, and then taking four or so minutes to recite birkat hamazon afterward.  Besides the fact that it is highly questionable whether these products are actually to be treated as “mezonot” (everyone should consult with their rabbi for guidance), I find it baffling that people seek to avoid the greatest possible segulah for a comfortable livelihood.  Once a person has decided to eat bread, certainly he should eat bread which affords him the opportunity to properly fulfill the mitzvah of birkat hamazon so he can benefit from the great rewards that it offers!

With this introduction, let us take a deeper look at the birkat hamazon obligation so we can understand its nature, its purpose, and its unique importance in shaping our religious perspective.

A Lesson in Humility

Intuitively, we would assume that we recite birkat hamazon as an expression of gratitude to Gd.  We know He is the source of our sustenance, and so we thank Him for providing us with the food we are given.

This is undoubtedly true, but there is more to this mitzvah than simply gratitude.  It is also a lesson in humility.

Immediately following the presentation of this mitzvah, Moshe warns us of what could happen once we accumulate wealth and live comfortably.  He says that when this happens, we could easily become arrogant – “veram levavecha” (8:14).  We might then think to ourselves, “Kohi ve’otzem yadi asah li et hahayil hazeh – My strength and the power of my hand has made for me all this wealth” (8:17).  Moshe commands us to remember that Hashem is the one “hanoten lecha koah la’asot hayil – who gives you the capability to attain wealth” (8:18).

This is the context in which we find the mitzvah of birkat hamazon – the warning against feelings of arrogance and self-reliance resulting from wealth and comfort.  Rav Meir Simhah Hakohen of Dvinsk (1843-1926), in his Meshech Hochmah, deduces that this must be the purpose of birkat hamazon – to remind us of our dependence on Gd.

When we feel satiated, we feel more confident and secure.  This is why we observe several fast days over the course of the year, on occasions which are meant to be times of introspection, reflection, and repentance.  When we are hungry and weak, we more readily acknowledge our frailty and our dependence on Gd, and this, in turn, leads us to reflect on how we can improve and be worthy of His grace.  But when we have eaten to satiation, we feel comfortable with ourselves, and this could lead to arrogance.  For this reason, Rav Meir Simhah writes, the Torah commanded us to recite birkat hamazon after we eat.  We need the reminder that we cannot take the credit for the material blessings we have just enjoyed, we cannot pride ourselves on having the ability to eat our fill.  Birkat hamazonhelps us internalize the belief that “hu hanoten lecha koah la’asot hayil” – Gd has given us the ability to earn a livelihood.

To understand how far this concept extends, let us take a look at the ancient Aramaic translation – Targum Onkelos – of this verse.  Onkelos translates the word koah – which normally means “strength,” “ability,” or “potential” – as “etza,” which means an idea.  Gd does not only help us bring our ideas into fruition – He gives us the idea in the first place.  If a person comes up with a great idea for a business, or for an investment, that idea is not his.  It is Gd who planted it in his mind.  Sure, we can take pride in being responsible, in doing our hishtadlut (effort), in seizing the opportunities Gd places before us and using the wisdom, knowledge and ideas that He gives us.  But we must acknowledge Him as the one who presented us with these opportunities and granted us the wisdom, knowledge and ideas.  He is the one who gives us “koah” – everything we need – to earn a livelihood.

The Tragic Story of Betar

On this basis, the Meshech Hochmah explains an otherwise peculiar feature of our birkat hamazon text.

The Gemara in Masechet Berachot (48b) tells that the first three blessings of birkat hamazon are required on the level of Torah obligation, whereas the fourth blessing – known as “hatov vehametiv” – was instituted by the sages.  The background to this fourth blessing is the ill-fated revolt against the Romans led by Shimon Bar-Kochba approximately 60 years after the destruction of the Jerusalem.  While initially successful, the revolt was ruthlessly crushed by the Roman armies.  Bar-Kochba’s last stronghold was the large, populous city of Betar, which the Romans finally succeeded in breaching.  They killed the city’s entire population, which numbered in the tens of thousands.  The fall of Betar ranks among the greatest tragedies that have ever befallen the Jewish Nation.

The Romans not only killed the men, women, and children of Betar – but also refused to allow the bodies to be buried.  It was only several years later, when there was a change in leadership, that the Roman authorities permitted the bodies to be interred.  When the Jews came to retrieve the bodies, they were amazed to see that they had not decomposed during the interim years.The berachah of “hatov vehametiv” was added to birkat hamazon as an expression of gratitude to Gd for this miracle – that the remains of the Jews of Betar were preserved and allowed to be buried.

We must wonder, why was a berachah added to birkat hamazon to commemorate this miracle?  Why did the rabbis want us to reflect upon this miracle specifically when reciting birkat hamazon after meals?

The Meshech Hochmah explains that the city of Betar was wealthy and prosperous.  The townspeople felt confident and secure.  Even after Jerusalem was set ablaze, the residents of Betar still assumed that they were safe.  But eventually the tide turned, and they, too, suffered the tragic fate that befell the people of Jerusalem.

The Wheel That Always Turns

The Gemara (Shabbat 151b) says about poverty, “Galgal hu shehozer ba’olam” – it is a wheel that is constantly turning in our world.  The expression “wheel of fortune” is not just proverbial; it’s the harsh reality of life.  We all know people who felt financially secure until they suddenly hit upon hard times, and we all know people who struggled until they suddenly attained wealth.  Gd is capable of thrusting a multimillionaire into poverty overnight, and of instantly making an impoverished pauper wealthy – and this has indeed happened to many people.

The story is told of a man who was praying at the Kotel (Western Wall), and he heard someone there crying to Gd, “Please, Hashem, give me a flat tire!!”

The man could not restrain himself.  He went over to the fellow and asked why he was asking for a flat tire.

“The rabbis say that wealth is like a wheel that constantly turns,” the person explained.  “Right now, I’m doing very well.  My business is booming.  I don’t want the wheel to turn – so I’m begging for a flat tire!!!”

In reality, though, this is one wheel that is never flat.  It is always turning.

I do not say this to frighten, discourage or depress anybody.  To the contrary, understanding that our finances depend solely on Gd is reassuring.  It means that no matter what we do, no matter what mistakes we make, no matter how market trends shift – our situation is precisely the same.  Under all circumstances, our livelihood is determined by Gd.  As long as we are making a reasonable effort, we have no reason to worry about finances, because they are entirely and exclusively under the Almighty’s control.

Each time we recite birkat hamazon, let us remind ourselves of what we’re doing – we are acknowledging that the food we eat, and every material possession we own, has been graciously given to us by Gd.  And let us recite the words of birkat hamazon slowly and intently, so we will fully and regularly internalize this lesson, and be worthy of the blessing of prosperity promised to those who properly fulfill this precious mitzvah.

Victor Cohen

There are moments in life when the weight of pain or confusion becomes too much to carry alone, when the silent suffering becomes too much to bear. In those moments, therapy can be a lifeline – a source of clarity, hope, and healing. For countless individuals – especially teenagers – it can mean the difference between barely surviving and truly thriving, sometimes, even life and death.

Approximately 20 percent of teenagers suffer from a mental health disorder each year. Anxiety, depression, trauma, substance use, and behavioral/conduct problems are common challenges throughout adolescence. Emotional turmoil in teenagers often lasts beyond the moment, influencing their self-perception and relationships well into adulthood. Without appropriate support, many struggle to reach their potential, and often, untreated issues perpetuate a cycle of dysfunction that may affect future generations. Addressing mental health challenges early can prevent them from becoming deeply embedded in a young person’s identity and psychological makeup.

The emotional toll is rarely limited to the individual alone. Families often suffer alongside their child, grappling with uncertainty, stress, and heartbreak. While the need for intervention is urgent, the cost of quality mental health care is often staggering, far beyond what the average family can bear. Parents are left facing impossible choices: seek care they cannot afford, or watch their child continue to struggle without support. It is a tragic reality that, all too often, financial hardship stands in the way of healing.

That’s where Ezer LeNefesh steps in. This remarkable organization specializes in providing access to high-quality mental health care for teenage boys and girls whose families cannot afford it. Working hand-in-hand with schools and families, Ezer LeNefesh subsidizes interventions for teenagers to overcome their mental health challenges and reclaim their emotional well-being. With a network spanning over 700 schools and an astounding 80 percent success rate, the organization’s impact is as widespread as it is profound.

An Origin Rooted in Compassion and Vision

Founded in 2011 by Rabbi Chaim Epstein, zt”l, Ezer LeNefesh emerged from a deep recognition of a growing need. Rabbi Epstein, a respected figure in the Ashkenazic community and a close student of Rav Aaron Kotler, was renowned for his profound insights into emotional health. He observed that while therapy had the power to change lives, many families simply couldn’t afford it, and even when they could, there was little accountability for outcomes.

Determined to change this reality, Rabbi Epstein launched what can be likened to a “megafund” to subsidize high-quality mental health care for families in need, while implementing a system of accountability to ensure meaningful outcomes.

The initiative began with a fundraiser hosted in the office of philanthropist Ralph Herzka and quickly gained support from prominent rabbinic and communal leaders, including Rav Elya Brudny, Rav Shmuel Kamenetsky, the Novominsker Rebbe, zt”l,Rav Avrohom Ausbaund, zt”l, and many others. The mission was clear: save teenagers, save families, and ultimately, generations to come. Since then, the organization has gone on to help nearly 5,000 students access the support they need. Today, Ezer LeNefesh subsidizes an average of 100 therapy sessions every day.

How the Model Works – Efficiency and Oversight

What truly sets Ezer LeNefesh apart is its operational model. With a lean team of just four staff members operating on an annual budget of $4.3 million, the organization functions with remarkable efficiency. This is made possible through strategic partnerships with schools, where existing faculty members act as case managers for the teenagers in therapy. These mentors – principals, rabbis, or teachers – stay in regular contact with the student, ensuring progress and providing vital oversight.

This model eliminates the need for a large in-house staff while maximizing the reach and quality of care. Each student’s identity remains confidential, and all data is carefully anonymized. The case is carefully reviewed, maintaining both discretion and accountability.

Every case at Ezer LeNefesh undergoes a thorough review process, which includes evaluating the family’s financial situation and verifying the therapist’s qualifications. While the organization does not provide direct referrals, it maintains close relationships with respected referral networks, such as Relief Resources and SIMHA Health, to help ensure that therapists treating subsidized students are competent and appropriate for the presenting issues. In addition, Ezer LeNefesh draws on the guidance of a wide network of trusted clinicians who regularly consult on complex cases. This due diligence ensures that the care being subsidized meets the highest standards and that every dollar invested delivers a meaningful, lasting impact.

Regular follow-ups with parents, school faculty members, and case managers ensure that therapy is not just happening but that it’s working. If a student shows little improvement, Ezer LeNefesh doesn’t hesitate to reevaluate the treatment plan and pivot if necessary. This system of built-in oversight has driven the organization’s 80 percent success rate, with therapy durations generally ranging from two months to fourteen months, depending on individual needs.

Expanding into the Sephardic Community

I had the privilege of speaking with Jack Mizrahi, Director of the Sephardic Division and a key member of the leadership team, to gain an understanding of how this life-saving initiative is being brought to our community.

Jack Mizrahi spent his formative years attending Magen David Yeshivah, followed by a final year of high school at Yeshivat Shaare Torah. He continued his learning in several different yeshivot, including Mikdash Melech in Jerusalem, Sephardic Torah Center of Long Branch, and Yeshivat Ateret Torah. After marrying at age 22, he began tutoring boys in local community schools, where his natural rapport with children led to broader involvement with at-risk youth. It was during this time that his commitment to mental health advocacy began to take shape, as he recognized the urgent and often unmet emotional needs of the teenagers he worked with.

One pivotal encounter solidified this calling. While learning at night in Yeshiva, Jack befriended a younger boy who came nightly to study. Over time, he noticed the boy’s pronounced social discomfort and persistent anxiety about how others perceived him. Ultimately, the teenager revealed struggles with mental health and a significant history of trauma. Jack took immediate action to ensure the boy received the necessary care.

To his surprise, he discovered that Ezer LeNefesh had been quietly subsidizing thousands of dollars in therapy costs. Over the course of treatment, the boy made substantial progress – his anxiety became more manageable, his social interactions improved, and he began to function more effectively both at home and in school. While some challenges remained, the therapy clearly altered his trajectory and demonstrated the critical impact of accessible care. Witnessing firsthand how financial hardship could be the primary barrier to care, Jack became increasingly involved with the organization. He saw the silent suffering of many teenage boys and girls in the community and recognized that emotional healing could not wait for financial stability.

Driven by this conviction and with the encouragement of his Rabbis, he pursued advanced clinical training, completing rotations in some of New York’s top hospitals and psychiatric facilities, including Northwell Zucker Hillside Hospital, Pilgrim Psychiatric Center, and currently, NYC Health + Hospitals/Kings County. As he completes his doctorate, he looks forward to bringing his expertise back to the community that inspired his journey.

Sephardic Division

As Jack became more deeply involved with Ezer LeNefesh, he identified a pressing need: the Sephardic community required a tailored approach that honored its distinct cultural norms, values, and sensitivities. Recognizing that effective mental health care must be culturally attuned, he established the Sephardic Division in November 2021 to bridge that gap.

The Sephardic Division’s inaugural event was hosted at the home of Eddie and Ceryse Mizrahi in May 2022 and has since become an annual gathering. These events have brought together leading psychologists, rabbinic voices, and mental health advocates – including Dr. David Rosmarin, Rabbi Joey Haber, Rabbi David Sutton, Dr. Shloimie Zimmerman, and Rabbi Avremi Zippel – united in their commitment to teen emotional health. Under Jack’s leadership, the division has grown rapidly. They have partnered with over 36 Sephardic schools across the country, with the vast majority of cases concentrated in New York and New Jersey. To date, it has facilitated over 11,500 therapy sessions and provided critical care to more than 200 teenage boys and girls from our community.

A Brighter Future Through Healing

Ezer LeNefesh’s success is not just measured by numbers – it’s in the lives reclaimed, in teenagers restored to joy and stability, and in families brought back from the brink. Their model is as effective as it is compassionate, combining emotional sensitivity with professional excellence.

In a world that often overlooks or misunderstands mental health, especially among teenagers, Ezer LeNefesh is not just filling a gap – it’s building a bridge. A bridge from pain to healing, from silence to support, from fear to hope for the future. Ezer LeNefesh’s impact continues to grow – but so does the need. Your support can make a significant difference in a teenager’s life, providing them with access to care that fosters healing, resilience, and hope. To learn more about donation opportunities, please contact Jack Mizrahi at jmizrahi@thekeren.com.

“Mental illness is like cancer of the soul, the only difference being that when someone is sick with cancer, people organize Tehillim chats and reach out to support them, but with mental illness, that is rarely the case.” –  Eddie Mizrahi

“I know firsthand… the community really has to understand that if they help this organization, they are helping our own people.”  –  Danny Srour

“I’ve known personally children that went for intense help through Ezer LeNefesh who today are married and running successful homes. Ezer LeNefesh success is what they are creating for years to come.”  – Rabbi David Ozeri

“I know an almana that came to us recently [before Pesach]… children have trauma, three of the children need therapy… [the community] paid for her clothing and food, but who’s paying for their therapist…that’s where Ezer LeNefesh comes in.” – Rabbi David Sutton

“If we support Ezer LeNefesh, there’ll be hundreds of homes in our community that will be strong in years to come because they got the little support they needed at its most critical moment.” – Rabbi Joey Haber

Q&A with Rabbi Moses Haber, LCSW

Rabbi Moses Haber, LCSW, a licensed psychotherapist in NY and NJ, is the founder of Makor, an addiction recovery center that integrates Torah-based spirituality with evidence-based therapy. He also offers private therapy to men struggling with anxiety, OCD, financial and relationship stress, and unhealthy coping behaviors.
Contact:RabbiMosesHaber@gmail.com | 718-564-9345

Q: What are the common issues you see people in the community struggling with?

Teenagers and young men often turn to unhealthy coping mechanisms – like vaping, marijuana, or doom-scrolling – in response to stress, anxiety, financial insecurity, career pressure, shifting life goals, and the prospect of getting married. These struggles are often rooted in low self-esteem and lack of identity, leading to “future-tripping,” or paralyzing worry about life’s direction.

Common coping behaviors include substance use, gambling, inappropriate online content, and illicit relationships. While not always addictive, these often mask deeper, untreated mental health issues. Misdiagnosis or inadequate treatment often has adverse results.

Q: What are some practical tips you would give people who are grappling with those issues?

Having a Rabbi who is educated in mental health concepts can have a meaningful impact, especially since Rabbis are often the first person someone turns to in a crisis. I have found that when a Rabbi and a therapist work in partnership to support the client, the results are very promising.

There’s no shame in seeking help. Thankfully, more people in our community are beginning to recognize the value of therapy, but it may take some time to find a therapist whose style suits them. You may need to “date” a few therapists before finding the right fit. Therapy isn’t one-size-fits-all – some therapists focus on healing past trauma, others help clients stay grounded in the present, and some guide future planning.

Q:  How has Ezer LeNefesh impacted your work?

Therapy can be costly and hard to access. Many of my clients wouldn’t be able to afford care without the help of Ezer LeNefesh. Their support has enabled people to access life-changing—and in some cases, life-saving – treatment for themselves and their relationships.

Q: What is it like working with Ezer LeNefesh? My experience has been excellent. The process is simple, communication is clear, and payment is prompt. Most importantly, client confidentiality is always respected.

Q&A with Sonny Cohen, LCSW

Sonny Cohen, LCSW, is an OCD and anxiety specialist in private practice in Brooklyn. Most recently, he led an OCD clinical consultation group for therapists at Sephardic Bikur Holim. He can be reached at sonnytherapy@gmail.com

Q: What are the common issues you see people in the community struggling with?

As an OCD specialist, some of the most common challenges I see are difficulties with scrupulosity, or Religious OCD, which typically involves compulsive behaviors in performing mitzvot. I also work with forms of OCD that are less visible, where the compulsion is more mental, like a relentless game of inner ping-pong.

The work in helping clients get better involves psychoeducation: learning to identify how the obsessive-compulsive cycle develops and is reinforced, and how to disrupt it.

It’s gratifying to work with this population because, when left untreated, life can be extremely challenging. Yet, with Hashem’s help, proper treatment can allow the client to regain control of their life.

Q: What are some practical tips you would give people who are grappling with those issues?

The gold standard treatment for OCD is known as ERP, exposure and response prevention. First and foremost, make sure that your therapist is well-trained in ERP. OCD is unique in the respect that “normal” therapy can actually set the client back.

Secondly, educate yourself on ERP. The brain learns what to fear through experience. Exposures are about challenging ourselves by seeking out the very situations that trigger us. They teach the brain, through new experiences, that feeling not OK is actually OK.

Lastly, open up selectively to others who can empathize with you. Allowing others into our lives helps us feel understood, accepted, and supported, relieving the shame that often accompanies OCD.

Q: How has Ezer LeNefesh impacted your work?

Ezer LeNefesh has been an irreplaceable partner for both my clients and me. It’s no secret that psychotherapy is costly and often ongoing, putting it out of reach for many struggling families. That’s where the Ezer LeNefesh steps in – seamlessly assisting clients’ families by funding a large share of each session.

Q: What is it like working with Ezer LeNefesh? A pleasure. Their onboarding process for clients is quick and easy. Likewise, for me, the billing is painless; they pay their portion promptly, often the same day I invoice.

Victor Cohen

The close bond between our community and Hacham David Yosef, shelit”a, Israel’s current Sephardic Chief Rabbi – or “Rishon Letzion” – goes back many years. Long before his election as Chief Rabbi this past autumn, Hacham David frequently visited our community, and often welcomed our community’s youngsters while they were learning in Israel.

His recent visit, however – his first since assuming his prestigious post – was particularly meaningful. Despite his crowded itinerary, and his numerous responsibilities – including a meeting with Jared Kushner, President Trump’s son-in-law and former advisor, who is still an important figure in the shaping of the U.S.’s Middle East policy – Hacham David devoted a considerable amount of time in the Jersey Shore area. In fact, it seemed like he was almost everywhere throughout the town. He visited nine of our ten community synagogues (ten, if you include both his visits to the Park Avenue Synagogue…) where he prayed, taught, delivered words of encouragement and inspiration, and spread the warmth and light of Torah. It was truly a special week for our entire community, one which left us all uplifted and inspired.

Titan of Contemporary Halachah

Hacham David Yosefwas born on August 10, 1957, as the ninth child of Maran Hacham Ovadia Yosef, zt”l. He attended the Or Yisrael yeshiva, after which he spent one year in the Ponevezh Yeshiva in Bnei Brak followed by a period of study in the Hebron Yeshiva in Jerusalem.

In 1990, he was appointed rabbi of the Har-Nof neighborhood of Jerusalem, a post he served for 30 years.  He also ran the esteemed Yehaveh Da’at kollel, and authored numerous scholarly works – most notably, Halachah Berurah, a 26-volume set that ranks among the most thorough contemporary works of halachah.  It follows the sequence of the Shulhan Aruch – the principal halachic code for Sephardic Jewry – and elaborates at length on the source of every halachah, citing an extraordinary range of works relevant to each passage in the Shulchan Aruch in order to apply the rulings to contemporary life. Halachah Berurah has become a crucial resource for all those seeking to understand halachah and its modern-day applications – studied and cherished by laymen and scholars alike.

Hacham David was named Israel’s Sephardic Chief Rabbi – a ten-year position – on September 29, 2024, succeeding his brother, Hacham Yitzhak Yosef, shelit”a. As it so happens, Hacham Yitzhak Yosef also visited our community recently,during the 12-day war between Israel and Iran in June whichprevented him from flying home to Israel. Hacham David’s formal inauguration took place on December 11, 2024. Numerous rabbis from our community attended the event, including Rabbi Shmuel Choueka, Rabbi David Ozeri, Rabbi Edmond Nahum, and Rabbi Shaul Kassin.

The Chief Rabbi’s Week in Deal

Hacham David’s historic trip demonstrates his great devotion to worldwide Sephardic Jewry, and to our community in particular. Here’s a brief rundown of the Chief Rabbi’s visits during his recent stay in the Jersey Shore region:

• On Monday, July 7th, Hacham David visited Congregation Magen David of West Deal, praying with their 7:30am minyan, after which he delivered a lecture.

• On Tuesday, July 8th, Hacham David visited Beit Rachel– Larchwood Synagogue for their 7am minyan, and taught a class.

• On Wednesday, July 9th, Hacham David prayed with the Ohel Yaacob Congregation– Lawrence Avenue Synagogue, joining their 7:15am Shaharit, and gave a lecture on halachah at 8am with Rabbi Eli Mansour.

• On Thursday, July 10th, Hacham David prayed in Ohel Simha– Park Avenue Synagogueat their 6:50am minyan, and delivered a talk at 7:50am.

• On Shabbat, July 12th, Hacham David began the morning prayer with Congregation Beit Yosef, and then went to the Synagogue of Deal to join with their main minyan. Afterwards, he went to Safra Synagogue to speak at seudah shelisheet.

• On Sunday July 13th, he visited Congregation Magen Abraham– West Long Branch Synagogue. He then returned to Park Avenue Synagogue to deliver divreh hizuk (words of inspiration) before Minha.

• Finally, on Monday July 14th, he prayed Shaharit with Shaare Tefilah Bene Moshe– Eatontown Synagogue.