Counseling for Individuals, Couples & Families
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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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
Cognitive therapy has been shown over the years to be incredibly effective at helping people recognize and change their behaviors. But, as much potential as therapy has for every individual, some people seem to have success with therapy while others don’t. Some of this stems from what the individuals’ expectations were going into therapy, some […]
Cognitive therapy has been shown over the years to be incredibly effective at helping people recognize and change their behaviors. But, as much potential as therapy has for every individual, some people seem to have success with therapy while others don’t.
Some of this stems from what the individuals’ expectations were going into therapy, some from how much effort they gave, and some from whether or not there was a good personality fit between patient and therapist.
If you’re thinking of exploring therapy and want to ensure your journey is successful, here are some things to keep in mind:
The American Psychological Association defines an evidence-based practitioner as someone who integrates their (1) clinical expertise with (2) available/relevant psychological science and (3a) the client’s values and (3b) cultural context to guide the intervention. This means your therapist should be using proven techniques in a way that jive with your values, preferences, and needs. It’s not about them and what they bring to the table, it’s about what they have to offer and how they can offer it so you might be positively impacted.
It’s important to shop around to find the right therapist for you. Ideally, you want someone who you feel comfortable opening up to and someone you trust to listen and offer guidance. You also want to know your therapist is competent and has your best interests at heart. And finally, you’ll want to have open communication so you can always be sure you are on the same page as far as your “story” and how well the interventions are working.
We live in an instant gratification society. We want what we want and we want it NOW. In many instances, we can get what we want quickly. But this isn’t true for real change.
For therapy to be successful, you MUST be realistic about the process. It is not linear, and it is not quick. This is particularly true if you are dealing with complex, long-term problems. This doesn’t mean you can expect to be in therapy for the rest of your life or even many, many years. It simply means you must appreciate the reality of what you can expect and how quickly.
If you are interested in exploring treatment options, please get in touch with me. I’d be happy to discuss how I may be able to help.
When you met your spouse, did it seem like love at first sight? Was there a familiarity to them and a feeling that you were somehow drawn to them? Soon after you said “I do,” did they begin to change? Were they giving you less attention and making everything about them? Did they show fits […]
When you met your spouse, did it seem like love at first sight? Was there a familiarity to them and a feeling that you were somehow drawn to them? Soon after you said “I do,” did they begin to change? Were they giving you less attention and making everything about them? Did they show fits of rage or suddenly start giving you the silent treatment?
If any (or most) of this sounds familiar, there’s a very good chance you married a narcissist. Still not sure? Here are some common warning signs:
For narcissists, it’s all about THEM. This means your spouse may expect you to meet their needs 24/7 while your own are placed on the back burner. If you find you give and they take ALL of the time, you may be married to a narcissist.
They talk a good game, but narcissists actually have low self-esteem. This also makes it very easy for them to become jealous – VERY jealous. And not just about anyone interested in your romantically, but ANYONE who can take focus off of them, including children, pets and other friends and family members. This jealousy will trigger intense rage.
Narcissists all have the same power play and that is to project their own behaviors onto others. You see politicians do this all of the time. Your spouse may say that you are needy or have anger issues, and in your head, you are thinking, “Wow, you are so describing YOU right now.” Yes, they are – they are projecting.
Narcissists have no empathy. That is, they truly don’t have the ability to look at something from another person’s perspective. You may be hurting or having a bad day, but your spouse seems completely uninterested. They ARE uninterested.
No empathy also makes it hard for them to take any responsibility for their behaviors and actions. But they have enough awareness to know they should at least make it LOOK as if they care, so they will throw you a hollow apology every so often.
Narcissistic abuse is very real, and if you have been the victim, you most likely feel exhausted and shell-shocked, lacking confidence and self-worth. If you would like to talk to someone about this, please be in touch with me. I would be happy to discuss how I may be able to help you heal from the abuse you’ve endured.
Someone slides into the parking spot you had your eye on. A coworker takes credit for your work. Your spouse runs up $200 on the credit card without discussing it first. These are things that are apt to make you angry. And that’s okay. Anger is a natural response to many life events. Like other […]
Someone slides into the parking spot you had your eye on. A coworker takes credit for your work. Your spouse runs up $200 on the credit card without discussing it first. These are things that are apt to make you angry.
And that’s okay.
Anger is a natural response to many life events. Like other emotions, anger helps us understand our world and how we feel about it. When managed well, anger can provide a healthy release and be a motivator for transformation. But when we experience too much anger, to the point of becoming out of control, it can have lasting ramifications.
When anger reaches a very high level, our pre-frontal cortex, that is the part of the brain responsible for cognitive thought and reasoning, becomes hijacked. The amygdala, our primal emotional/instinctual part of the brain that induces the “fight or flight” response, takes over and we are no longer capable of rational thought.
When aroused to anger, our brains can no longer take in new information. This means if our partner or loved one is trying to talk sense into us and explain something, we CANNOT hear them. All we are aware of is that we must defend ourselves as if our very life depends on it. We feel under extreme attack and are ready to fight back.
Now that you know how your brain responds, it’s time to learn some techniques to manage your extreme anger.
Take a Breather
You know that the hotter you get, the more your brain shuts down and becomes unable to process any information. There is no sense in you continuing to talk/argue with someone. Your best course of action is to put the fire out before it begins to rage by calling a time out and taking a breather.
Exercise
The body’s “fight or flight” response releases powerful hormones that are intended to help us fight or run. Without this physical release, they can linger in the body and cause health problems. Going for a walk, run or lifting weights can be a great way to burn through these hormones and release soothing endorphins.
Seek Out Counseling
Managing extreme anger can be very challenging, especially in the beginning. A mental health professional will be able to share coping strategies and techniques to control outbursts.
If you or someone you love has anger management issues and would like to explore treatment options, please be in touch with me. I’d be more than happy to discuss how I may be able to help.
You’ve probably heard of mindfulness meditation, but what exactly is Mindfulness-Based Cognitive Therapy (MBCT)? This form of therapy uses mindfulness practices like breathing exercises and meditation to help clients break free of negative thought patterns. What Can MBCT Treat? MBCT was first developed to prevent individuals who were struggling with repeating episodes of depression and anxiety from […]
You’ve probably heard of mindfulness meditation, but what exactly is Mindfulness-Based Cognitive Therapy (MBCT)? This form of therapy uses mindfulness practices like breathing exercises and meditation to help clients break free of negative thought patterns.
MBCT was first developed to prevent individuals who were struggling with repeating episodes of depression and anxiety from relapsing. Studies have found MBCT to be very effective at helping people with major depressive disorder who have experienced at least 3 instances of depression in their life. This therapy approach may also be helpful in improving the symptoms of depression in those with disease and physical illness, such as cancer and traumatic brain injuries.
You may think that meditation is something only monks or yoga masters do, but everyday people are reaping the major mind and body benefits through mindfulness meditation. Depressed people suffer rumination, that is they become stuck in mental patterns. They often mistake their rumination for problem-solving, but in reality, rumination prolongs a negative mental state.
Meditation works by disrupting the mental process of rumination. When you focus your mental attention on the present moment, you cannot ruminate. While it’s hard for any person to completely stop the mental process of rumination, it’s our choice whether or not we engage with it. Meditation helps us “just say no.”
MBCT is usually held in group sessions once weekly for 2-hours each. The meditations and breath work will be led by your therapist. He or she will not only lead you in these techniques but also the fundamentals of cognition, such as the relationship between your thoughts and how they make you feel. Your therapist will also most likely give you homework to practice the breathing and meditation techniques you’ve learned that week.
An MBCT therapist is a cognitive behavioral therapist who will have had additional training in mindfulness-based practices and techniques and is able to teach these to others. Beyond looking for these specific credentials, you’ll also want to find a therapist you feel comfortable working with. After doing a bit of research for qualified therapists in your area, get on the phone and talk to a few to see who you may like working with the best.
If you or someone you know may be interested in exploring MBCT, please reach out to me. I’d be happy to discuss how I may be able to help.