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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

 

Protecting Your Peace

Peace is often thought to look like a straw hammock on a sunny beach or a crackling indoor fireplace on a cold day. And as comforting as these moments are, what they represent is something deeper and more crucial for fortifying our mental health. How can we cultivate feelings of peace that carry over into our day-to-day lives?

In our era of 24-hour news cycles and constant smartphone notifications, it may feel like there’s simply no time for real peace. When free time arises in our busy lives, we have an instant abundance of bite-sized video clips, clickbait headlines, and social messaging to drown our attention in. And somewhere in the constant reach for pleasing distraction, we might occasionally wonder why we feel drained, strained, and burnt out.

Now more than ever it is up to us to be deliberate about cultivating peace. It starts with finding what practice works best for us – prayer, mediation, reading, walking, journaling, or other focused, lowkey activities. It should facilitate a shift from preoccupation to centered mindfulness, creating time for presence, reflection, and grounding. With enough consistency, practices like these can open up a new perspective quite different from the hustle mindset that colors modern life. But what happens when the practice ends, and we step back into daily life?

Just as peace is cultivated, it also needs to be protected. As a calm perspective helps us recognize the inner habits and outer noise that shake our focus, we can also find new approaches. This may look like restructuring a room to limit distractions, setting healthy boundaries in relationships, or challenging negative patterns of thinking or action. In doing so, we protect the restorative peace that prepares us to take on more of life’s challenges.

So, in those times when a vacation is still aways off and it feels like our responsibilities are piling up, we can always choose to be deliberate about cultivating and protecting our peace. When we set aside time for lowkey reflection and mindfulness, it can flow outward and refresh other areas of our busy lives.

Written by Louis Nicholas, IMH24151 – Registered Mental Health Intern

Walk + Talk Therapy by the Bay

Walk + talk therapy by the bay is one of my favorite approaches to mental health therapy. As a trauma-informed therapist, I utilize many different therapeutic techniques to best accommodate each client’s needs. I know that sitting on a therapist’s sofa doesn’t feel safe or comfortable for many people. That’s why I offer walk + talk. It’s just like going for a walk with a friend (if your friend was a highly trained mental health professional who knew therapeutic techniques that are clinically proven to improve your mood). ♡

For people who have experienced trauma, the idea of meeting an unknown person in a small office in a new building can feel paralyzing. With walk and talk, we are able to meet in a public park where we are surrounded with other people and beautiful views. While the name implies that we will walk the entire time, there are many seating areas along the route to enjoy the shade and the warm breeze from the bay.

Walk + talk therapy offers an opportunity to reduce stress, relieve body tension, improve circulation, breathe deep and clear the body-mind of intrusive, negative, and ruminative thoughts. These sessions can help you decrease anxiety, regulate mood, enjoy more restful sleep, and more. Additionally, you can receive the feel-good brain chemical benefits of exercise, mindfulness practice and eco-psychology. In session, you can enhance insight, release body trauma, and alter behavior patterns while verbally processing your authentic truth.

In urban planning, there is a concept of integrating waterscapes into cities called “blue spaces.

👫Studies have found that short, frequent walks along waterscapes (blue spaces) are good for your mental health.

👫There is a significant improvement in well-being and mood immediately after a person goes for a walk in a blue space, compared with walking in an urban environment or resting.

👫Waterscapes have healing effects that enhance psychological resilience to promote mental health.

👫Walk + talk therapy by the bay gives clients an opportunity to enjoy some blue spaces while boosting their mental health.

Similarly, when urban architects add nature elements to cities such as trees, plants, and grass, these are called “green spaces.

👫 Green spaces provide fresh, healing air to the body

👫 Some mental health benefits of green spaces include: lowered stress levels, reduced rates of depression & anxiety, reduced cortisol levels, and improved general well-being

👫 Enhance your cognitive functioning, improve your sleep, and increase your levels of physical activity.

👫Walk + talk therapy by the bay gives you an opportunity to spend some time outside connecting to nature while working on your mental health.

If you’re joining me for walk + talk therapy, here are a couple things to keep in mind:

👫We don’t have to walk the whole time!

👫There is plenty of seating along the route should we choose to sit by the water and/or stop to talk in the shade.

👫Walking shoes or comfy sandals are recommended.

👫Please bring a water bottle—we’ve got to stay hydrated!

Written by Kalli Portillo, IMH24576 – Registered Mental Health Counselor Intern, EDMRIA-Approved EMDR Therapist, Certified Prepare/Enrich Couple Counselor

To learn more, review the following open access research studies or google “blue and green spaces mental health benefits.”

Benefits of walking psychotherapy:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8892051/

Waterscapes for mental health:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8618438/

Importance of greenspace: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663018/

Guide Your Child Through Life

Figuring out the best way to guide your child through life can be scary. There is no perfect manual that tells parents what to do when your child throws a temper tantrum at the grocery store, when your child refuses to eat anything but cookies and chicken nuggets, when your child becomes curious about life, when your child experiences their “terrible twos or terrible teens.”
Ultimately, parenting is a ‘learn as you go” journey. There are several great books that teach parents some really useful strategies when navigating through different stages in your child’s emotional development. One thing that I suggest to parents is to assess their parenting approach. The beauty of a child’s development is that they are taking in their environment. A parent’s parenting style is a major source of influence on how a child will interact with others in their adult life. Children thrive off of high expectations while being supported and guided in a loving environment. When parents take an authoritative approach, parents recognize that their child and/or teen are still developing emotional maturity and depend on their guidance and limits to navigate through life. Through their guidance and boundaries, parents empower their children to make decisions. A because “I said so approach” is not taken but statements like “what do you think about..” “I do or do not think this is a good idea because…” ‘Which one would you choose…” “Help me understand…” “I can understand you are upset but it has to be this way because…”
Creating healthy parent-children relationships is important in creating healthy and secure adult individuals.
Written by Jessica Sagastume – Licensed Mental Health Counselor and Bilingual and Immigration Counselor