Counseling for Individuals, Couples & Families
According to the American Foundation for Suicide Prevention, men die by suicide more than 3x as often as women. In fact, white males accounted for 69.67% of suicide deaths in 2018. Those are startling statistics. But what’s the reason behind these numbers? Well, according to a recent Substance Abuse and Mental Health Services Administration (SAMHSA) survey, […]
According to the American Foundation for Suicide Prevention, men die by suicide more than 3x as often as women. In fact, white males accounted for 69.67% of suicide deaths in 2018.
Those are startling statistics. But what’s the reason behind these numbers? Well, according to a recent Substance Abuse and Mental Health Services Administration (SAMHSA) survey, the number of men who seek treatment for depression is far lower than the number of women who seek out guidance.
Some mental health experts believe that certain cultural and social norms, as well as rigid views of masculinity, most likely prevent many men from seeking help. Men also have a much more difficult time trusting, opening up, and communicating their feelings.
Mental health issues also tend to manifest much differently in men than women, resulting in issues going ignored and untreated. Men often either don’t recognize they are in emotional pain or take a “walk it off” attitude toward it. This leads to unprocessed emotions building and building until the man may act out and commit violence against himself or someone else.
Should you or someone you know be experiencing thoughts of suicide, it is critically important that you seek help. While a high level of risk requires hospitalization or intense in-patient out-patient treatment, those not currently in a high-risk crisis can be successfully treated through psychotherapy.
Therapy offers a safe space for men to open up and admit they are hurting and need help. There is no judgment, only compassion, and guided healing. A focus of this therapy will be to address the factors that led to thoughts of suicide, ways to resist the urge to self-harm, and creating a plan that includes coping strategies to address suicidal thoughts should they recur.
Your therapist will also determine whether you may benefit from prescription medications, which are sometimes necessary as a temporary aid to cognitive behavioral therapy.
You don’t need to suffer alone. And seeking help does not make you weak. It actually makes you very strong. If you have had thoughts of harming yourself, please reach out to someone. You may contact me and I would be very happy to discuss what therapy offers in more detail and how I might be able to help.
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Life hasn’t been the same for any of us for many months now. As we continue to try and adapt our lives to safely deal with this novel coronavirus, it has taken its toll on many, both financially and emotionally. Kids have been hit particularly hard during this time. At first, many might have thought […]
Life hasn’t been the same for any of us for many months now. As we continue to try and adapt our lives to safely deal with this novel coronavirus, it has taken its toll on many, both financially and emotionally.
Kids have been hit particularly hard during this time. At first, many might have thought the idea of no school was “awesome!” But as the weeks rolled on, and they found themselves away from their friends and their routine disrupted, many kids began to feel depressed and anxious about the future.
Summer vacation is supposed to be a time of fun and freedom, but with many states still in lock-down mode and masks still being mandated, this summer isn’t filled with the same kind of fun and freedom as usual.
You can get them involved in creative expressive therapies. These therapies, such as art therapy, music therapy, dance therapy, and drama therapy, to name a few, have been successfully applied in psychotherapy and counseling for more than 70 years.
Creative expressive therapies are valuable in helping people of all ages navigate stress and anxiety but work particularly well with children and teens. One of the biggest benefits of expressive therapies is that they calm the nervous system. When we are focused on creating something, our focus shifts away from the very thing we are worried about and ruminating on. Once this shift has occurred, we also have more access to the rest of our brain and our thoughts and emotions stored there.
But the real reason expressive therapy is so good for kids and teens is that it allows them to express themselves in a nonverbal way. Ask a young child how they are feeling about things and they are liable to give you a shrug. But give them some markers and paper and all of their thoughts and feelings will come flowing out onto that paper.
There are a variety of creative expressive therapies that your child may find very helpful during this time. If you’d like to explore any of these options, please get in touch with me. I would be more than happy to discuss how I may be able to help your child or teen cope with the anxiety they are going through because of the coronavirus.
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In the early 2000s, Brent Bezo, a student in the doctoral psychology program at Carleton University in Ottawa, was living with his wife in Ukraine when they began picking up on subtle notes of resentment and skepticism from the native population. In his conversations with the locals, Bezo specifically remembers detecting references to the Holodomor, […]
In the early 2000s, Brent Bezo, a student in the doctoral psychology program at Carleton University in Ottawa, was living with his wife in Ukraine when they began picking up on subtle notes of resentment and skepticism from the native population. In his conversations with the locals, Bezo specifically remembers detecting references to the Holodomor, a historical event in the early 1930s that ended with millions of Ukrainians starving to death. Many considered it to be a deliberate act of genocide coordinated by Stalin’s regime.
Bezo began to wonder how much of an impact this horrific historical event would have on our current generation. He decided to conduct a qualitative investigation using 45 volunteers from three different generations; the survivors of this tragic event as well as their children and grandchildren. His findings, published in Social Science & Medicine in 2015, showed that each generation had inherited a lack of trust from the one before. Certain behaviors, including anxiety, embarrassment, food hoarding, and overeating, were passed on from one generation to the next.
This is just one study in a growing body of research that looks at how multiple generations have been affected by large-scale cultural and historical suffering. Researchers are now studying the effects of historically traumatic events, including the systematic mass murders of millions during the Holocaust, the involuntary enslavement of African-Americans, and the forced migration of Native Americans. They are finding that the transgenerational repercussions span far beyond the mental effects into familial, social, and cultural expressions as well.
While more research is needed, clinicians are developing effective interventions based on current findings.
For instance, family therapists working with Native American tribes in Canada and the United States help prevent early substance use by improving family communications and reducing family conflicts.
Other clinicians have good outcomes by using a “survival genogram,” which is like a pictorial version of a family tree that highlights family relationships, health, and psychological patterns. This helps children and grandchildren of survivors explore their ancestral life lessons to help them move forward in their current lives.
Many clinicians are still encouraging their clients to use self-care practices such as mindfulness and exercise to reduce potential triggers.
Without question addressing present-day traumas like racism related to original events is key to helping new generations heal and move on. Therapy can guide people in using coping tools and learning better communication to help them on their healing journey.
If you or someone you know is suffering from transgenerational trauma from racism and would like to explore treatment options, please get in touch. I would be more than happy to discuss how I may be able to help.
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If you are someone who has been experiencing depression, you may recognize that you need help, but you may be confused as to what therapies will work best for you. In today’s world, where there seems to be a pill to treat pretty much everything, many people assume that a prescribed antidepressant is the best […]
If you are someone who has been experiencing depression, you may recognize that you need help, but you may be confused as to what therapies will work best for you.
In today’s world, where there seems to be a pill to treat pretty much everything, many people assume that a prescribed antidepressant is the best option for them. In fact, a psychiatric review by R. Kathryn McHugh, MD of McLean Hospital in Belmont, MA, found that the bulk of individuals in need of depression and/or anxiety treatment preferred pharmacological interventions to psychological at a ratio of 3:1.
From the study: “The past 10 years have seen a substantial increase in the prescription of antidepressant medications, which surpassed all others as the most commonly prescribed class of medication in the US in 2005.”
Other studies over the years have shown the advantages of skipping drugs altogether and opting instead for psychotherapy. Much of this stems from the fact that commonly prescribed antidepressants often come with a list of nasty side effects, which is not something someone suffering from depression needs to deal with.
The short answer to that question is no. When it comes to mental health and well-being, a one-size-fits-all approach simply doesn’t work.
In my experience helping patients over the years, I have found that a good majority of them can get a handle on their depression symptoms through talk therapy without the need to prescribe any medications. Then again, there have been those clients whose symptoms were so severe, medications were required at first to help them manage. Over time and through cognitive-based therapies, we were able to eventually ween them of the drugs.
My best piece of advice would be to find a therapist you feel comfortable with and let them evaluate you to see if you are a candidate for drug therapy or not. You can then work with them to get your symptoms under control and eventually learn some tools and techniques to naturally help you cope while at the same time uncovering where the depression stems from.
If you are suffering from depression and confused about which form of therapy is right for you, let’s talk. I would be happy to discuss how I may be able to help.
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Not many of us have ever experienced the kind of isolation that this COVID-19 pandemic has brought about. While quarantine for some has been a welcomed break from the hustle and bustle of life and a chance to spend more quality time with the family, for others it has been an incredibly lonely experience away […]
Not many of us have ever experienced the kind of isolation that this COVID-19 pandemic has brought about. While quarantine for some has been a welcomed break from the hustle and bustle of life and a chance to spend more quality time with the family, for others it has been an incredibly lonely experience away from coworkers, friends, and those they love and need most.
In addition, and to make matters worse, loneliness can make managing stress more difficult. And let’s be honest, we are all surrounded by stress these days from worrying about when the world will open up again, when we can start working and earning a living and when life will get back to normal.
Sadly, during times like these, many people turn to alcohol and other substances as a way to cope with stress and loneliness. But there are healthier ways you can fight it.
During this time it’s important to create a plan to safely stay in regular contact with family and friends. If you are an older person, be sure to confirm who you can reach out to if you need help getting food, medications, and other supplies.
While many of us still cannot be in the same space as our loved ones, we are very lucky we live in a time when phones and digital technology can help us all stay connected. Be sure to schedule regular phone calls and online video chats using apps like Skype or FaceTime.
Most of us, at some point in our life, lose touch with friends and acquaintances we once shared our lives with. Now is the perfect time to reconnect. And social media makes it very easy to find someone you may have lost contact with years ago.
During this pandemic, many counselors and therapists are helping clients via telehealth services. This means instead of going into a therapist’s office, you can speak to them on the phone or over a video conference. A therapist can help you navigate this forced isolation and offer coping strategies to get you through.
If you or someone you love is having a difficult time dealing with loneliness right now, please reach out to me. I would be more than happy to discuss how I may be able to help.
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When you live with an anxiety disorder, any moment can become one that creates a slow-rising panic within you. Life is normal one second and the next, you feel your chest tighten and your heart begin to race. You may begin to hyperfocus on future events and find yourself getting lost in “what-ifs.” To make […]
When you live with an anxiety disorder, any moment can become one that creates a slow-rising panic within you. Life is normal one second and the next, you feel your chest tighten and your heart begin to race. You may begin to hyperfocus on future events and find yourself getting lost in “what-ifs.”
To make matters worse, you may then begin to berate yourself for allowing the panic to get the best of you and begin to believe that all of those what-ifs are indisputable facts.
Luckily there are many powerful tools and techniques you can use to manage your anxiety effectively.
The minute you feel a panic attack coming on, the first thing to do is stop and gain control of your breath. Deep, slow breathing sends a signal to our brains that everything is safe in our environment. Controlled breathing is one of the most powerful ways to activate your body’s relaxation response. It will take your mind and body out of “fight or flight” mode and put it instantly into a calm and relaxed state.
It’s important to always remember that anxiety is “just a feeling.” And like all feelings, it can go as quickly as it came. You are having an emotional reaction to a string of thoughts. Accept your anxiety because trying to pretend it’s not happening will only make matters worse.
Let’s be clear – by accepting your anxiety, you are not resigning yourself to a life of eternal misery. You are not throwing in the towel and trying to suddenly like your anxiety. Nope. You are simply living a more mindful existence, being in the moment, and accepting whatever is in that moment with you.
One of the most frightening things about a panic attack is the feeling that you are having a heart attack. But you aren’t. Your brain can and will play tricks on you, trying to get you to believe that you are in physical danger. But the truth is, you are not in physical danger. You are having an episode based on emotions and it will pass. Remind yourself of that as many times as you need to.
When your panic attack begins, your mind begins to throw out all sorts of outlandish ideas at you, hoping some of them stick. These thoughts are intended to keep the panic attack going.
Before you take any of these thoughts as reality and truth, question them. For instance, if your mind throws things out like, “No one here likes me. I am for sure going to screw this up. I probably left the stove on. And I’ll no doubt get stuck in bad traffic on the way home and maybe even get a flat so I will then be stranded, and on and on and on…”
Questions these ideas. Are you TRULY not liked by everyone around you? Most likely not. Are you really going to screw up? Probably not. Traffic? Well, maybe but a flat tire? Chances are no.
Always question your thoughts. You will usually find the majority aren’t very realistic or probable.
Picture somewhere serene that brings you peace and calm. Maybe this is your grandparents’ old house or a lake you’ve visited before. Maybe it’s that fantastic beachfront condo from your last vacation. Just picture it in your mind’s eye and really put yourself there. See it, smell it, feel it. Feel how calm it feels to be in this space that is perfectly comforting and safe.
Use these techniques the next time you experience an anxiety attack. They should help you feel much calmer much sooner.
If you would like to explore treatment options for your anxiety, please get in touch with me. I’d would be more than happy to discuss how I may be able to help.
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Many of us continue to try and make sense of this new world we live in – one in which the novel coronavirus dictates much of our daily routine. Some states are still mandating social distancing and wearing of masks. And many people are still out of work or working remotely for the unforeseeable future. […]
Many of us continue to try and make sense of this new world we live in – one in which the novel coronavirus dictates much of our daily routine. Some states are still mandating social distancing and wearing of masks. And many people are still out of work or working remotely for the unforeseeable future.
This quarantine has certainly made life more difficult in many ways. One of those ways is making it difficult for some people to continue to get the mental therapy they need. Luckily, more and more therapists are offering their services through telehealth (telemedicine).
This means you can still receive your one-on-one or group therapy support via online therapy sessions.
Many people who are used to face-to-face therapy may be wondering if telehealth or online therapy is an effective form of therapy. Very much so. Both face-to-face and telehealth therapy operate from the same guiding principle, so you can be sure you will receive the same level of service through the internet as you would face-to-face.
There are actually many pros to online therapy. So much so that when this pandemic is behind us, we are apt to see many people continue to receive care via digital channels.
Online therapy is incredibly convenient. You can get the help you need from the comfort of your own home. This means you don’t have to spend money on gas or deal with traffic to get to your support group.
There is also a heightened sense of privacy when choosing to receive mental health services online. You don’t have to worry about someone seeing you walk into a therapist’s office.
And finally, you may find that since you and your therapist are meeting online, you can do so at times that are more convenient for you. This means nights and weekends may become available should your support group decide to go the online route.
You will want to be sure to check with your insurance provider to see if they cover telehealth services. Many do, and more are hopping on the telehealth bandwagon, but there are still some companies that may not, so ask first.
If you are looking for telehealth support group therapy, please get in touch. I would be happy to discuss how I may be able to help.
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Humans are social creatures and we don’t do well in isolation. That’s exactly why state penitentiaries punish prisoners by putting them into solitary confinement. It causes them great mental anguish. Many of us have felt like prisoners in solitary confinement over the last couple of months because of the COVID-19 pandemic and subsequent lockdown. And […]
Humans are social creatures and we don’t do well in isolation. That’s exactly why state penitentiaries punish prisoners by putting them into solitary confinement. It causes them great mental anguish.
Many of us have felt like prisoners in solitary confinement over the last couple of months because of the COVID-19 pandemic and subsequent lockdown. And many of us have been feeling our own mental anguish from this extended isolation.
Who knows how long this may go on? While none of us have control over what our governments do, we do have control over ourselves and our perceptions of the world. With this in mind, here are some tips for coping with social isolation, for however long it goes on.
If you’re paying attention, it almost seems as if the media is trying to confuse us and cause panic more than report on actual news. Watching too much news doesn’t help anyone’s anxiety levels, so stay informed as best you can but don’t binge-watch.
Being isolated can get very boring very quickly so it’s important that you try and get creative with your time. This could mean painting the living room and rearranging the furniture or getting your husband and kids to learn a new language with you. It could mean experimenting with an old recipe or making up a game with your kids. Just have fun and think outside the box!
Now is a great time to reconnect with friends and loved ones you haven’t spoken to in a while. And technology like Skype and Facetime makes it incredibly easy to chat with someone no matter where in the word they are.
A lot of the anxiety we may feel comes from the fact we aren’t moving our bodies as much as we usually do. It’s important to stay physically active during this time. So get outside and get some sun. Go for a walk or ride your bike. Not only is exercise good for us physically, but physical activity releases endorphins that make us feel good mentally and emotionally as well.
The world is a chaotic place right now and it seems we are being hit with noise and negativity from all sides. It’s important to make time each day for some quiet meditation.
If you’ve never meditated before, that’s okay. Just try it.
One of the easiest ways to meditate is through a listening meditation. Find a space in your house where you can be alone and get into a comfortable position. Close your eyes and breathe deeply in and out… and simply listen to the ambient sounds.
What do you hear? The buzzing of a light? A fly? Your dog’s collar rattling down the hall as he scratches. Expand your hearing to see what else can you hear outside your house. Birds? Lawnmowers? Traffic?
Simply breathe and listen intently for 5-10 minutes. When you listen, you can’t think at the same time, and so you will notice finally your thoughts go quiet. This is paradise!
If you find that the social isolation is really beginning to trouble you and you’d like to speak with someone, please get in touch. I would be happy to discuss how I may be able to help.
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How many mornings have you shut off that alarm, wishing you could just work from home in your PJs? Well now many of us are getting our wish thanks to COVID-19. While in theory working from home may seem ideal, the reality for many of us is that it’s, well, kind of a pain. Particularly […]
How many mornings have you shut off that alarm, wishing you could just work from home in your PJs? Well now many of us are getting our wish thanks to COVID-19.
While in theory working from home may seem ideal, the reality for many of us is that it’s, well, kind of a pain. Particularly if you have young children home from school that you now have to teach while still keeping productive at work.
The fact is, this sudden and unexpected disruption to our daily lives has many of us feeling stressed!
Here are some ways you can cope with working from home for the unforeseeable future.
If you don’t have a dedicated home office, you’ll want to figure something out ASAP. Having the right space at home will help you focus on the tasks at hand. It will also automatically set boundaries with family.
Do you have a spare room you can use? Is there an area in your finished basement that could work? If not, clear off the dining table and set up there.
You may want to treat the next 2-3 weeks as a sort of family vacation, but it’s best if you and the kids stick to your regular routines. That means getting up and going to bed at the same time, showering, getting dressed and having breakfast as you normally would. Straying from routine will demotivate you to complete the work that needs to get done.
While it’s important to keep to your routines, that doesn’t mean you can’t take advantage of having more time on your hands. Instead of spending an hour plus on a commute each day, you could use that time to catch up on home projects that have been on your to-do list for a while. You can also use the added time to reconnect with your family.
Kids need structure, so give them some each day. This could mean giving them three options of how they will spend the afternoon: playing with Legos in the living room, watching a movie or quiet reading in their bedrooms. Be sure to take a break from work every couple of hours to check in with your kids to answer any questions they may have. Lord knows they ALWAYS have some!
On those days when you have to conduct many meetings and get much done, consider reaching out to family and friends to arrange virtual playdates with the kids. Thanks to Skype and FaceTime, your virtual babysitters can read, play games and interact with your kids online while you get some important work done.
If you find you are getting a bit squirrelly, even after following these tips, you can always reach out to a mental healthcare provider who can give you some more ideas of how to manage the stress.
If you’d like to speak to someone, please reach out to me. At this time, I am able to conduct sessions via phone or Skype, so you don’t even have to leave your home if your state is on lockdown.
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If you’re like most people, you are doing your best to stay calm during COVID-19 pandemic. But that can feel incredibly difficult at times. When not worrying about friends and loved one’s health, there’s also the conflicting information provided by the media and the economic ramifications of the virus that have people on edge. Signs […]
If you’re like most people, you are doing your best to stay calm during COVID-19 pandemic. But that can feel incredibly difficult at times. When not worrying about friends and loved one’s health, there’s also the conflicting information provided by the media and the economic ramifications of the virus that have people on edge.
Everyone reacts differently to stressful situations, but most will exhibit some of the following signs:
If you are experiencing significant stress right now, here are some ways you can cope:
Hearing the media constantly spread panic isn’t good for anyone. It’s important to stay rational and do your own research to uncover facts from fiction as well as stay positive.
Be sure to get outside for some fresh air and go for a walk. Eat right and make sure to stay hydrated and get plenty of sleep. Avoid consuming too much alcohol and try and find fun ways to reconnect with your family.
If you have kids, look to them for some good old-fashioned playtime. Play hide and seek in the house. Create an obstacle course in the back yard. Watch some of your favorite funny movies. Laughter really is the best medicine so get plenty of it!
Many local businesses are hurting right now. If you’re still getting a paycheck, consider buying a gift card from a local restaurant, gym, hair salon, etc. to give them revenue now and you can use the card later. This will make you feel great at the same time.
Remember, your kids will ALWAYS look to you first to see how they should be thinking and feeling about something. So move about each day calmly and confidently and reassure your kids everything will be okay because it will be.
For many of us, there is a silver lining in this situation in the form of extra time. What can you do with the extra time that isn’t being used to drive an hour or more each day in commuting? Focus on using this time wisely. Maybe you have an ever-growing list of home projects that you just never have time to tackle. Tackle them now, you’ll feel great about it later.
If you find yourself becoming too stressed or depressed during this time, I encourage you to connect with me. Speaking with a therapist can help you cope with the situation and navigate the days ahead. I am currently able to conduct sessions over the phone or via Skype, so you won’t even have to leave your home if your state is in lockdown.
SOURCES:
https://www.ucihealth.org/news/2020/03/covid-19-anxiety
https://www.health.state.mn.us/communities/ep/behavioral/stress_covid19.pdf