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Navigating Mental Health in Unmargined Populations

Mental health is a universal concern that transcends societal boundaries, yet certain populations remain unseen, unheard, and unmargined in conversations surrounding mental well-being. In this blog post, we delve into the often-overlooked realm of mental health within unmargined populations, exploring the unique challenges they face and shedding light on the importance of inclusivity in mental health
discourse.

Defining Unmargined Populations:
Unmargined populations encompass individuals and communities that, due to various factors such as cultural background, socioeconomic status, ethnicity, gender identity, sexual orientation, or other marginalized attributes, may face additional barriers to accessing mental health resources and support.

Unique Challenges:
1. Stigma and Cultural Barriers: Unmargined populations often encounter stigma associated with mental health within their own communities. Cultural norms and beliefs may contribute to the perception of mental health issues as a taboo subject, hindering open discussions and the seeking of help.

2. Intersectionality: Many individuals belong to multiple marginalized groups, experiencing what is known as intersectionality. The intersection of different identities can compound the challenges faced, leading to increased vulnerability to mental health issues.

3. Limited Access to Resources: Socioeconomic disparities and systemic inequalities may result in limited access to mental health resources, including therapy, counseling, and psychiatric services. Unmargined populations may face financial constraints or live in areas with fewer
mental health facilities.

4. Microaggressions and Discrimination: Daily encounters with microaggressions, discrimination, and prejudice can take a toll on mental well-being. Individuals from unmargined populations may grapple with the cumulative impact of societal biases on their mental health.

Strategies for Support and Inclusivity:
1. Culturally Competent Mental Health Services: Mental health services must be culturally competent, understanding and respecting diverse cultural backgrounds. This involves training mental health professionals to be aware of and sensitive to the unique needs of different
populations.

2. Community Outreach and Education: Initiatives that promote mental health awareness and education within unmargined communities are crucial. This can involve workshops, support groups, and informational campaigns tailored to address specific cultural contexts.

3. Inclusive Policies and Practices: Governments, institutions, and organizations need to implement policies and practices that are inclusive and considerate of the diverse needs of unmargined populations. This includes workplace accommodations, accessible healthcare, and anti-discrimination measures.

4. Peer Support Networks: Establishing peer support networks within unmargined communities can foster a sense of belonging and understanding. Shared experiences create a supportive environment where individuals feel comfortable discussing mental health without fear of judgment.

5. Advocacy and Amplification: Advocacy efforts are crucial for bringing attention to the mental health challenges faced by unmargined populations. Amplifying the voices of individuals within these communities helps challenge stereotypes and dismantle barriers to mental health support.

Conclusion:
Addressing mental health in unmargined populations requires a multifaceted approach that acknowledges the unique challenges these communities face. By fostering inclusivity, advocating for change, and prioritizing culturally competent care, we can work towards creating a mental health landscape that embraces and supports everyone, regardless of their background or identity. The journey towards mental well-being is a shared one, and it is imperative that no one is left behind.

Written by Sherline Herard, MH24002, Licensed Mental Health Counselor

Navigating the Holiday Blues: Finding Light in the Season of Shadows

The holiday season is often portrayed as a time of joy, celebration, and togetherness. However, for many individuals, it can also be a  challenging period marked by the holiday blues. These feelings of sadness, loneliness, and anxiety during the festive season are more common than one might think. In this blog post, we’ll explore the reasons behind the holiday blues and offer practical tips for navigating
this emotionally complex time.

Understanding the Holiday Blues:
1. Social Expectations: The holiday season comes with societal expectations of happiness and togetherness. This pressure to be festive and cheerful can be overwhelming, especially for those who may be dealing with personal challenges or losses.

2. Comparisons and Reflections: The holidays often prompt reflection on the past year, which can lead to comparisons and a sense of unmet expectations. Individuals may find themselves assessing their achievements, relationships, and life choices, potentially triggering feelings of
inadequacy or regret.

3. Loneliness: Not everyone has a robust support system or close-knit family to spend the holidays with. For those who are alone or have strained relationships, the season can amplify feelings of isolation and loneliness.

4. Financial Strain: The financial burden of gift-giving, travel, and hosting can contribute to stress and anxiety. The pressure to meet material expectations can be particularly challenging for those facing economic difficulties.

Navigating the Holiday Blues:
1. Acknowledge and Accept: The first step in addressing the holiday blues is acknowledging and accepting your feelings. It’s okay not to feel festive all the time, and recognizing your emotions is an essential part of self-care.

2. Set Realistic Expectations: Manage your expectations and understand that perfection is not the goal. Embrace imperfections and focus on creating meaningful moments rather than adhering to an idealized version of the holidays.

3. Reach Out for Support: Don’t hesitate to reach out to friends, family, or support groups. Share your feelings and let others know if  you need company or assistance. Connecting with others can provide comfort and a sense of belonging.

4. Create New Traditions: If traditional holiday activities trigger negative emotions, consider creating new traditions that align with your current circumstances and bring joy. This could include volunteering, starting a new hobby, or taking a solo trip.

5. Practice Self-Care: Prioritize self-care during the holidays. Take time for activities that bring you joy and relaxation, whether it’s reading a book, going for a walk, or practicing mindfulness.

6. Seek Professional Help: If the holiday blues become overwhelming and persist, consider seeking professional help. Mental health professionals can provide support, coping strategies, and a safe space to explore and address underlying issues.

The holiday blues are a common and valid experience that many individuals navigate each year. By acknowledging these feelings, setting realistic expectations, reaching out for support, and practicing self-care, it’s possible to find light in the midst of the seasonal shadows. Remember that everyone’s journey is unique, and prioritizing your well-being is key to making it through the holiday season with
resilience and grace.

Written by Sherline Herard, MH24002, Licensed Mental Health Counselor

Emotional Affairs and Personality Disorders in Marriage and Family Therapy

Navigating the Complex Terrain of Emotional Affairs and Personality Disorders in Marriage and Family Therapy
In the intricate landscape of marriage and family therapy, the challenges posed by emotional affairs can be even more profound when compounded by personality disorders. Whether you’re a therapist working with couples or someone navigating these issues personally, understanding the interplay between emotional connections and mental health is essential.

Understanding Emotional Affairs
Emotional affairs often begin as a friendship that deepens into a connection characterized by intimacy and secrecy. Unlike physical infidelity, emotional affairs involve a significant emotional investment in someone outside the marriage, which can lead to feelings of betrayal and profound hurt.

For couples, these affairs can signal deeper issues within the relationship, such as unmet emotional needs, communication breakdowns, or a desire for validation. In therapy, it’s crucial to explore the underlying factors that led to the emotional affair while addressing the couple’s dynamics.

Written by Danielle Fous, Marriage and Family Graduate Student

How Play Therapy Helps Children Conquer Anxiety

Working with children and guiding them through their challenges is a passion of mine over the last 15 years. Play therapy offers a holistic approach to addressing childhood anxiety, allowing children to express themselves authentically while developing essential coping skills. As a marriage and family therapist intern, incorporating play therapy techniques into my practice can make a profound difference in the lives of anxious children and their families. By fostering a therapeutic environment grounded in empathy, acceptance, and creativity, we can empower children to overcome their anxiety and thrive emotionally.

Play therapy operates on the principle that play is the language of children. Through toys, art materials, and other expressive mediums, children can communicate their inner world, fears, and anxieties in a non-threatening manner. Play therapy sessions are guided by the therapist, who observes, reflects, and empathizes with the child’s play, providing a supportive presence throughout the process.
In the context of anxiety, play therapy offers children opportunities to confront their fears, develop coping strategies, and build resilience. Whether it’s engaging in imaginative play, creating stories, or using puppets to act out scenarios, children can gain insights into their emotions and learn effective ways to manage anxiety.

Thank you for joining us on this journey through the world of play therapy.

Written by Danielle Fous, Mental Health Graduate Student

Back-To-School But Make It Stress-Free

As summer winds down, many children are gearing up to head back to school or begin their school journey for the first time. This transition—like any other transitions whether they involve moving, starting a new job, or facing job loss—often bring stress and anxiety to all involved, and heading back to school is no exception. This post provides practical tips and strategies to help ease this transition, aiming to make the back-to-school period more manageable and less stressful for everyone involved.

Prepare
To be productive and successful, it’s crucial to know what needs to be done and when. From waking up on time to meeting work deadlines to picking up the kids from school at their release time, having a clear plan helps to manage everyday tasks more effectively. The same principle applies to new routines, like going to school. Knowing where you need to go and when you need to be there are key to organizing your day efficiently. By preparing in advance, you can reduce stressors such as heavy traffic and extra commuting time.

The unknown or unfamiliar can lead to fear and anxiety for many including children, which can manifest in problem behaviors including tantrums. Ease anxieties about new surroundings by showing videos, pictures, or virtual tours of the school and classroom. Even educational shows or movies about school settings can help. This is what an open house aims to do, however sometimes the open house is full of so much information for the parents that the child does not have adequate time to become familiar with the new classroom, school or teacher and thus taking time to make sure the child is being exposed to what going to school is like, even in a book or story, can serve as a way to make sure that the situation is not so unfamiliar that anxiety and stress arises.

Reach out to teachers, preferably before school starts, to discuss your child’s needs. Building this communication channel early ensures that teachers are aware of any special requirements and can collaborate effectively to support your child and address any special needs for your child.

Discuss any sensory conditions, dietary restrictions, allergies, behavioral strategies, or medications with the school ahead of time. Ensuring that your child’s needs are met will help them feel comfortable and safe.

The importance of routine:
A well-established routine can significantly reduce anxiety and help manage your day more effectively. Children thrive on consistency. In ABA, visual schedules are used to help reduce anxiety and manage transitions by providing a clear outline of daily activities. Visual schedules are also helpful outside of ABA, knowing what to expect and for how long is a great way to relieve anxiety and to promote success.

**How to Create a Visual Schedule: **

1. List Daily Activities: Write down everything that happens from the time your child wakes up until bedtime. Include all activities, such as school, playtime, breaks, and appointments.

2. Organize by Order: Arrange these activities in the order they occur.

3. Use Visuals: Depending on your child’s age, use pictures or printouts to represent each activity. For example, a picture of a backpack can signify “school.”

4. Create the Schedule: Attach these images to a board using Velcro. Place the board where your child can easily see it.

5. Review Together: Go over the schedule with your child to explain each activity. Even if your child is very young or non-verbal, this step is crucial for preparing them.

6. Involve Your Child: Let your child help in creating the schedule. Choosing and cutting out images can make the schedule feel more personal and engaging.

7. Follow Through: As you go through the day, refer to the visual schedule and move completed tasks to the “completed” side. This helps reinforce the routine and provides a sense of accomplishment.

8. Supervise and Support: Actively supervise your child as they follow the schedule. This not only teaches them the importance of routine but also encourages independence as they practice daily tasks.

Reorganizing Your Own Schedule:
Integrating your child’s routine into your own schedule is vital for maintaining balance and peace of mind. By planning activities such as homework, meals, and extracurriculars, you can better manage your time and avoid overbooking. Creating a visual schedule for yourself can also demonstrate the importance of organization to your child and offer a bonding experience.

Practice
Consistency is key to making routines work. By preparing thoroughly, planning with a schedule, and sticking to it, you help minimize stress and ensure that both you and your child are organized. This not only makes the transition back to school smoother but also teaches valuable skills that will benefit your child now and in the future.

By following these steps and establishing a clear routine, you can create a less stressful and more organized start to the school year as well as maintaining functional routines that aid in stress management and success.

Written by Johana Calvo, IMFT, BCaBA

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Empathy’s Mirror

Practicing empathy towards others contributes to self-acceptance and self-love in several ways:

When we empathize with others, we put ourselves in their shoes and try to understand their experiences, emotions, and challenges. This shift in perspective helps us realize that everyone is imperfect and faces their own struggles. Recognizing the humanity and imperfections in others invites us to extend that same understanding and acceptance to ourselves. This perspective shift promotes self-acceptance by reminding us that we are not alone in our experiences and that it’s natural to have flaws and setbacks.

Empathy helps us recognize the common humanity that connects us all. When we empathize with others, we realize that we share similar limitations, concerns, and vulnerabilities with others. This understanding fosters a sense of belonging and reminds us that we are not alone in our thoughts and feelings. This shared reality prods us to develop a greater sense of self-acceptance and self-love, knowing that our experiences are part of the shared human experience.

Offering unconditional positive regard to others, which means accepting and valuing someone without judgment or conditions, is perhaps one of the great examples in this space; we learn to apply the same acceptance and kindness to ourselves. What could we be caring about that keeps us from extending that love to the person in the mirror? Self-acceptance and self-love ask that we embrace ourselves fully, just as we would embrace others.

There is something magical that happens when we empathize with others; we tap into our own capacity for empathy and compassion. The social capital that is self-love takes on new meaning and ownership. This emotional resonance helps us understand and connect with others and deepens our understanding of ourselves. The goal here is to develop a greater sense of self-awareness and self-acceptance. This process allows us to embrace our positive and negative emotions and cultivate self-love by honoring our authentic experiences.

Practicing empathy towards others creates a positive ripple effect in our own lives. When we show understanding, kindness, and compassion to others, we experience a sense of fulfillment and joy. This positive energy then extends to how we perceive and treat ourselves. By nurturing empathy towards others, we cultivate a compassionate and loving mindset that naturally extends to self-acceptance and self-love.

In summary, practicing empathy towards others contributes to self-acceptance and self-love by shifting our perspective, recognizing our common humanity, promoting unconditional positive regard, fostering emotional resonance, and creating a positive ripple effect. By extending empathy to others, we create a foundation of acceptance and compassion that ultimately strengthens our relationship with ourselves. When was the last time you were given the best of YOU? Let’s do this!

Written by Petra Wilkes, Registered Mental Health Intern #IMH25031

A Holistic Approach to Parenting Challenges through Talk Therapy and Behavioral Interventions

Parenting is undoubtedly one of life’s most rewarding experiences, but it’s also accompanied by its fair share of challenges. From managing behavioral issues to coping with the everyday stresses of parenthood, navigating these hurdles can sometimes feel overwhelming. However, through a combination of talk therapy and evidence-based behavioral interventions, parents can find invaluable support in addressing these challenges and fostering a healthier family dynamic.

  1. Behavioral Interventions: Applied Behavior Analysis (ABA) and other behavioral interventions provide parents with practical strategies for addressing common behavioral challenges in children. These techniques focus on identifying triggers, setting clear expectations, and reinforcing positive behaviors. While ABA primarily targets the child’s behavior, parents play a crucial role in implementing these strategies consistently and effectively at home. Talk therapy can complement behavioral interventions by providing parents with the support and guidance they need to implement these techniques successfully. Therapists can help parents explore their own reactions to their child’s behavior, identify potential barriers to consistency, and develop coping strategies for managing challenging situations.

  1. Coping Strategies: Parenting can be emotionally taxing, especially when faced with persistent behavioral challenges or unexpected obstacles. Talk therapy offers parents a safe space to process their emotions, express their concerns, and develop healthy coping strategies. Through supportive listening, validation, and guidance, therapists help parents navigate feelings of frustration, guilt, or inadequacy, empowering them to respond to challenges with resilience and self-compassion. By addressing their own emotional needs, parents can cultivate the strength and stability needed to support their children effectively.

  1. Managing Expectations: Unrealistic expectations can contribute to feelings of stress and disappointment in parenting. Talk therapy provides parents with an opportunity to explore and adjust their expectations, both of themselves and their children. By examining their beliefs and assumptions about parenthood, therapists help parents develop more realistic and flexible expectations, reducing the pressure to achieve perfection and fostering a greater sense of acceptance and contentment. Through open dialogue and reflection, parents can align their expectations with the unique needs and abilities of their children, promoting a more harmonious and fulfilling family dynamic.

  1. Strengthening Marital Relationships: Parenting challenges can sometimes strain marital relationships, leading to conflict, resentment, or feelings of isolation. Talk therapy offers couples a space to address these issues openly and constructively, improving communication, strengthening emotional bonds, and fostering greater mutual support. By exploring their individual perspectives and experiences, couples gain insight into each other’s parenting styles, values, and priorities, enhancing their ability to collaborate effectively as co-parents. Additionally, therapy provides couples with tools and techniques for resolving conflicts, managing stress, and nurturing their relationship amidst the demands of parenthood, ultimately promoting a more resilient and satisfying partnership.

In conclusion, talk therapy and behavioral interventions offer a comprehensive approach to addressing the challenges of parenting. By combining emotional support, practical strategies, and collaborative problem-solving, parents can develop the skills and resilience needed to navigate the complexities of parenthood with confidence and compassion. Whether managing behavioral issues, coping with stress, adjusting expectations, or strengthening relationships, therapy provides parents with invaluable resources for fostering a nurturing and supportive family environment where children can thrive.

Written by Shannon Parrinello IMH24291, Registered Mental Health Intern

The Silent Struggle: Unraveling the Mental Health Consequences of Infidelity

Infidelity is a complex and emotionally charged issue that can have profound effects on individuals involved in a relationship. While the impact on trust and the relationship itself is widely acknowledged, the mental health consequences of infidelity are often underestimated and overlooked. In this blog, we will delve into the silent struggle that many individuals face when grappling with the aftermath of infidelity and explore the psychological toll it can take.

  1. Betrayal Trauma: One of the most significant mental health consequences of infidelity is the experience of betrayal trauma. The discovery or revelation of a partner’s infidelity can shatter a person’s sense of security and trust. Betrayal trauma often leads to symptoms similar to post-traumatic stress disorder (PTSD), including intrusive thoughts, hypervigilance, and emotional numbness. The betrayed individual may find it challenging to rebuild a sense of safety and security, impacting their overall mental well-being.
  2. Emotional Rollercoaster: The emotional rollercoaster triggered by infidelity can be intense and prolonged. Feelings of anger, sadness, confusion, and despair may cycle through an individual’s mind, making it difficult to find stability and emotional balance. The constant oscillation between different emotions can lead to heightened stress levels, anxiety, and even depression.
  3. Self-Esteem and Identity Crisis: Infidelity can inflict a severe blow to one’s self-esteem and identity. The betrayed individual may question their worth and desirability, leading to a profound sense of inadequacy. This crisis of identity can trigger feelings of shame and guilt, further contributing to mental health challenges. Rebuilding self-esteem after infidelity requires a delicate and intentional process of self-reflection and self-compassion.
  4. Trust Issues and Fear of Intimacy: The breach of trust caused by infidelity can result in long-lasting trust issues. Individuals who have experienced infidelity may struggle to trust others, even in new relationships. The fear of intimacy and vulnerability can hinder the ability to form deep connections, perpetuating a cycle of isolation and emotional distancing.
  5. Coping Mechanisms and Unhealthy Behaviors: To cope with the emotional pain, some individuals may turn to unhealthy coping mechanisms such as substance abuse, overeating, or excessive work. These behaviors, while providing temporary relief, can exacerbate mental health issues and contribute to a cycle of self-destructive patterns.

Infidelity is not just a breach of trust within a relationship; it leaves a lasting imprint on the mental health of those involved. Acknowledging and addressing the psychological consequences of infidelity is crucial for individuals to navigate the path toward healing. Seeking professional help, fostering open communication, and practicing self-care are essential steps in rebuilding mental well-being after the tumultuous experience of infidelity.

Written by Catherina Rosen

CBT and The Cognitive Triangle

Cognitive behavior therapy is a widely utilized and popular form of therapy based on the cognitive model of psychopathology. CBT states that our emotions, body responses, and behaviors are influenced by our perception of events that we are currently experiencing or have experienced in the past. According to the CBT model, situations do not initially determine what people feel or how they behave. However, it reflects how our perception of these events determines the emotions we feel, resulting in patterns of behavior. In contrast, it is the interpretation of the event or situation that contributes to our feelings of distress which is referred to as the cognitive model triangle. According to this model, the cognitive triangle illustrates how thoughts, emotions, and behaviors affect one another. This idea forms the basis of cognitive behavior therapy (CBT). In addition, an important aspect of CBT is centered around “automatic thoughts” which shape our perception of an event that is taking place. This implies that when we change our thoughts, we will also change our emotions and behaviors. By focusing on irrational or maladaptive thoughts, mood, and behavior can be improved, therefore shifting our understanding or perception of the events that have or are currently taking place. Educating a client on the importance of their automatic thoughts can lead them to understand how past traumas and significant experiences have shaped their current worldview. This realization can lead to the healing required to overcome past traumas and assist in the treatment of PTSD. CBT is known to be quite effective for depression, anxiety, stress, and trauma. In conclusion, the cognitive triangle shows how thoughts, emotions, and behaviors affect one another. This means changing your thoughts will change how you feel and behave.

Written by Dr. Jason-Anthony Prendergast – Doctorate in Pastoral Psychology and Registered Mental Health Intern

Therapy Goals

We have all experienced moments in which we felt we were at a loss for handling a situation or a feeling. It is during these times we seek outside assistance, be it from friends, loved ones or with a therapist. Because these are difficult and stressful times, problem solving, positive thinking, or solution finding can seem impossible. However, in therapy this is exactly what we strive for in the midst of these chaotic moments.

This first requires an individual’s awareness they have exhausted their mental and emotional resources and acknowledge the need for professional guidance through this process. Finding a therapist with whom you can share this space continues this process through the sharing of these experiences, feelings, and struggles. It is through this exchange of honest and often difficult information the therapeutic alliance is formed. This alliance between therapist and client is the foundation on which therapy goals are created and refined.

Many individuals do not have clear therapeutic goals at the outset of this journey. Taking the time and making space to sort through uncomfortable situations and emotions brings clarity to one’s thoughts, feelings, behaviors, and therefore, their goals. Therapeutic goals can and will change throughout the process but having a goal on which to focus allows us to see solutions, successes, and areas of improvement. Therapy goals could be considered the mile markers on the journey to wellness.

Working with a therapist to achieve these goals requires individuals, couples, and families to join together, taking the information and insight acquired in sessions into their everyday lives. This day-to-day application solidifies new skills, new ways to view or assess problems, and ultimately achieve goals. Once the goals for therapy are achieved, the skills and benefits of these changes can be applied to future issues and concerns resulting in lifelong improvements in one’s well-being.

Written by April Daniel MS, NCC, LMHC – National Certified Counselor (NCC) and a Licensed Mental Health Counselor