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Therapy Goals

September 21, 2023 by

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

 

Filed Under: Anxiety, Communication, Couples/Marriage, Depression, empower, Family, honesty, Inspire, Intimacy, kindness, love, marriage, Men's Issues, Mental Health, Self-Worth, selfless, Sexual Health, Uncategorized, Women Empowerment, Women's Issues

Protecting Your Peace

September 14, 2023 by

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

Filed Under: Anxiety, Communication, Depression, empower, faith, Family, honesty, Inspire, Intimacy, kindness, Men's Issues, Mental Health, Self-Worth, selfless, Women's Issues

Walk + Talk Therapy by the Bay

September 8, 2023 by

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/

Filed Under: Anxiety, Communication, Couples/Marriage, Depression, empower, Family, Inspire, Intimacy, kindness, love, marriage, Men's Issues, Mental Health, Self-Worth, Women Empowerment, Women's Issues

The Marvel of EMDR Therapy

August 31, 2023 by

Research shows that the brain has up to 70,000 thoughts per day, and most of them are negative! It is just the way that the brain has been wired through our collective evolutionary experiences, but now we have this wonderful tool, Eye Movement Desensitization and Reprocessing (EMDR), that can allow for the engagement of the part of the brain that looks for creative solutions and adaptive thinking-the cerebral cortex. So, if you’re wondering why some thoughts and unpleasant emotions stick around much longer, no need to ruminate, try EMDR. Many people are not aware that EMDR can be used for many unhelpful thinking patterns and not just what we define as traumas. If something has affected you, and it is still on your mind in the present day and guiding or influencing your, thoughts, emotions, and behaviors, that too can be accessed and processed in an efficient manner and bring you relief. What may create a trauma for one person, may not for someone else, but distress can be a very subjective matter. Don’t hesitate to consult with an EMDRIA-approved therapist to assess whether EMDR is right for you, as unhelpful thinking can cause unnecessary suffering. Through EMDR, you can truly have a more balanced brain.

Written by Michelle Gissendanner – Registered Mental Health Intern/EMDRIA-Approved EMDR Therapist/Certified Integrative Mental Health Professional

Filed Under: Anxiety, Depression, Men's Issues, Mental Health, Self-Worth, Women's Issues

Steps for Starting Therapy

August 3, 2023 by

Starting the therapy process can be simultaneously exciting and nerve-racking, especially if you have never done it before. There may be a lot of questions regarding what it looks like or what to expect. You might even be envisioning what we see in TV shows or movies where you have a client laying on a couch and staring at the ceiling while the therapist is sitting nearby, jotting things on a clipboard, and asking, “How does that make you feel?” In a space of many questions and uncertainties, I have found that these guidelines can help out tremendously in preparing for a therapy session and ensuring you feel comfortable and informed.

Identify the reason(s) why you want to receive therapy – This can include symptoms, life stressors, personal development, and so on.

Do research on providers – This part is twofold: (1) Find providers that are covered by your insurance or have rates that work best for you and (2) explore what the therapists of that practice specialize in; the aim is to pair your needs with someone who knows how to tend to them.

Schedule a consultation – If you have further questions you would like answered before your session (i.e. rates, scheduling, etc.), set up a phone call with the office manager to gather more information.

Test it out – Like a good pair of jeans, you want to test out your therapist to see if it is a good fit. While they are the experts of how to treat mental health issues, you are the expert on your sense of safety and comfort. You should never feel unseen, unsafe, or dismissed with your therapist.

Maintain open communication – If you have questions, concerns, thoughts, or anything at all, be sure to talk about it with your therapist and be as transparent as possible. The only way to fully assess your needs and come alongside you to lend support is to fully know what you are experiencing.

Work collaboratively – While the therapist is learning more about you, you will also be learning more about yourself. Some interventions might work and others might not, but so long as you continue collaborating with your therapist, the both of you will learn what works best and what helps you get to where you want to go.

While the logistics of each session may vary, these guidelines should become standard practice. If you are going to enter into a space where you are required to be vulnerable and open, you should ensure you take all the measures possible to be informed and feel prepared for what is to come.

Written by Cindy-Joy Rosado – Graduate Student in Mental Health Counseling

Filed Under: Communication, Depression, empower, honesty, Inspire, kindness, Men's Issues, Mental Health, Uncategorized, Women's Issues

Guide Your Child Through Life

July 28, 2023 by
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
Filed Under: Anxiety, Communication, empower, Family, honesty, Inspire, Intimacy, kindness, love, Mental Health

An Effect of Alcohol on Neurofunction

June 14, 2023 by

Generally speaking, we think of chronic alcohol drinking as being associated with alcohol addiction or alcoholism. This is far from the truth. Chronic consumption of alcohol refers to a consistent intake, be that weekly or daily, and could mean one drink or many drinks on a consistent basis. This is much more commonplace than we may realize. Think of folks who enjoy one glass of wine or one beer after work five days a week. Think of those who drink heavily every weekend. Chronic is not necessarily problematic, however, from a neurological perspective, chronic alcohol consumption has shown distinct and definitive changes in the neurocircuits and neurochemistry of the brain. Those who chronically drink show higher stress and anxiety when not drinking and decreased mood and overall wellbeing when not drinking. This means that chronic alcohol consumption actually changes the chemistry of the brain in a way that causes these increases and decreases even when drinking has stopped. So, in order to get back to baseline, a person is then compelled to drink even more and the cycle continues (Huberman, 2023). This is an important thing to note for those who regularly consume alcohol, as these changes are dramatic ones that have an overall negative impact on health.

Sources

Huberman, Andrew (Host) 2023. The Huberman Lab [podcast]

Written by Nicole Geddie – Graduate Student in Mental Health Counseling

 

 

Filed Under: Anxiety, Depression, Inspire, Mental Health, Self-Worth

SETTING NUTRITIONAL NEW YEAR’S RESOLUTIONS THE HEALTHY WAY

February 16, 2023 by

 

It’s that time of year when most of us think about setting our New Year’s resolutions. If you’re like a lot of people, you may have a goal of “losing weight” or “getting healthier.” These are obviously great goals to have, and making changes to your diet is one of the best ways to reach both.

The problem is, too many people make the wrong changes to their diet. They want to lose 30 pounds and be healthy in an unrealistic amount of time. And so once January 1st comes around, they rely on fad diets that don’t provide their bodies with proper nourishment.

This is the number one reason people fail to reach their New Year’s goals.

Here are some ways you can set your nutritional New Year’s resolutions in a healthy way.

Rely on How You Feel, Not on Technology
I see more and more people using a tracking app to track how many calories they eat in a day. But most of these programs give you a caloric reward (you can eat more) on days you exercise and a caloric punishment (you must eat less) on days you don’t.

The thing is, this kind of “logic” goes against normal intuitive eating patterns. In fact, for most people, feel less hungry on days they are most active and vice versa. My advice is to listen to your own hunger signals and make decisions off of those instead.

Avoid Restrictive Fad Diets
I can’t think of anything less healthy than a diet that does not allow you to eat macronutrients. Fat, protein and carbohydrates are all important for our health. Some people do better with more fat and fewer carbs, and some people do better with more carbs and less protein. It all really depends on your age, activity level, lifestyle, and general health. Your best bet is to work with a licensed nutritionist who can create an eating plan that is right for you.

Take Baby Steps
No one becomes overweight and unhealthy overnight. It happens over the course of weeks, months, and years. Losing weight and getting your health back also will not happen overnight, so you need to be realistic.

And because weight loss and improved health can take time, it’s important that you focus on setting small goals and taking baby steps to get there. Reaching a set of smaller goals (lose 5 pounds, walk upstairs without becoming out of breath) instead of one big one (lose 50 pounds and look awesome in a bikini) will help you stay on track and committed.

Don’t be like everyone else and set yourself up to fail in the coming year. Be smart about your weight loss and health goals by following these tips. And if you’d like to work with a nutritionist who can help you reach your goals in a healthy manner, please get in touch with me.

Written by Sherline Herard – Registered Mental Health Counselor Intern

SOURCES:

https://www.vitacost.com/blog/healthy-new-year-resolution-tips/

3 Reasons You Should Set Goals, Not Resolutions

Top 3 Nutrition New Year’s Resolutions for 2019

Filed Under: Anxiety, Depression, empower, Inspire, Intimacy, kindness, Mental Health

Tips for Planning for Self-Care

February 9, 2023 by
Reaching the point of burnout is, unfortunately, an all too common experience for many. Given the fast-paced, productivity-based work culture that exists in America today, burnout has essentially become the marker by which we measure success. The message we receive is this: “If you feel like you have exhausted your limits, then you are doing something right!” There is this tendency to equate how much we produce to whether or not our lives are worthwhile, but this could not be more untrue. Similarly, rest is often portrayed as something you earn once you have put in the work, but this is also false. Rest is not something we need to work toward, it is something our bodies and minds require in order for us to make it through life. With this in mind, I have compiled a list of helpful tips to utilize when planning for self-care. While I wish I could tell you I picked this up without error, the only reason I am able to make such a list is because I have tried and failed many times… And this is what I have learned!
1. Identify the difference between things that make you feel rested versus what makes you feel fulfilled. Some activities might fall into both categories, but it is helpful to distinguish between the two. Restful activities often alleviate stress and induce a sense of tranquility. Fulfilling activities are things one enjoys and are often fun. For example, meditating or going on a walk might help one feel rested, whereas painting or gardening might be fulfilling.
2. Identify the people and things that hinder your ability to unwind. For instance, if you are a parent and being around your child is stressful in that you focus solely on their needs, you may need to find someone to care for your child during your self-care time. Similarly, having your work phone on you while you attempt to rest might prevent you from being able to relax as your phone might go off or you might feel compelled to check it regularly.
3. Review your weekly schedule and identify spaces of time in which you are able to engage in self-care. Whether your schedule is wide open or packed with commitments, making time for self-care is something one has to be intentional about planning because it will not always “just happen” or “work itself out.”
4. Once you have decided on a restful or fulfilling activity, have ensured you will not be distracted by certain people or things, and have chosen a date and time for self-care, make sure all of your regular responsibilities are tended to prior. As an example, one might handle all of their house chores, clear out their inbox, and predetermine dinner plans in order to set themselves up for nothing but rest on the day of their self-care. This is important because “past you” is taking care of “future you” in a way that will make you feel even more taken care of.
5. Finally, make sure you plan for self-care at least once a week. While there are ways to find rest and fulfillment in small ways throughout the week, it is imperative that you care for yourself and separate blocks of time. If you are able to give so much to others (i.e. work, school, family, etc.), you need to be able to give yourself much as well.
Written by Cindy-Joy Rosado – Graduate Student in Mental Health Counseling
Filed Under: Anxiety, Depression, empower, faith, Inspire, Intimacy, kindness, love, Mental Health, Self-Worth, selfless, Women Empowerment

Six Dimensions of Wellness

January 26, 2023 by

On the heels of world changing events like a global pandemic, many communities were intensely affected by Hurricane Ian in September. As we adjust to new challenges and situations which have arisen from these, we continue to experience the problems that existed before pandemics or natural disasters. Now, as we approach holidays and other stressful situations it is more important than ever to focus on key concepts for maintaining wellness.

Mental health counseling focuses on striving for wellness in all areas of our lives as foundational to managing stress and other mental health concerns. If you currently feel overwhelmed, lack direction, or simply don’t ‘know where to start try using the six dimensions of wellness listed below daily to gain control over your mental health and wellbeing.

Environment: First, take a look at your daily routines throughout the week and on the weekends. Your environment is your home, your commute, your workplace, etc. As you evaluate your space, you may feel calmer when your space is tidy and organized. This would become an area of focus each day by spending time to clean and organize and then to maintain this space. If your commute is stressful, take a look at areas you can improve. For example, choose calming music, an entertaining audiobook, or podcast to reduce the focus on the stressful aspects of the ride. Or turn the music off and use this time to transition from work to home.

Emotional: A daily focus on emotional wellness may begin with noticing your emotions throughout the day. Are you in control of your emotions? Do you struggle maintaining your level of calm, anxiety, happiness, sadness, or anger? Journaling is a great way to record your thoughts and learn more about the emotions you are experiencing. Therapy is a great place to jump start or explore this focus and to gain insight into how you are feeling and how you are currently managing.

Physical: Physical health is a dimension most of us are aware we need to focus on. A daily focus on physical health means eating foods that are nourishing, establishing a sleep schedule for adequate restorative sleep, going for a walk or taking time to stretch between activities throughout the day. These can be simple, but it requires us to make them a priority consistently to achieve wellness.

Intellectual: Learning something new every day can be the goal here. Or it can mean reading a new book, exploring a subject of interest at the library or online. Learn more about yourself as well by seeking to learn a new skill or hobby. Overlap between the dimensions might be helpful here, so use that long commute to listen to an audiobook or podcast.

Social: Focus on the social dimension might include calling a friend or a loved one just to check in and say hello. It may mean making time to visit a friend or family member. This could also be a time to overlap dimensions with the intellectual and join a group and learn to cook or paint. Volunteering your time is also a good way to develop friendships and make lasting contributions to the community.

Spiritual: This dimension is about your connection to your belief system. Meditation, prayer, or taking time to commune with nature are ways to recharge your batteries in this dimension. This also allows you to explore how you find meaning and the ways in which that meaning is influencing your life.

The six dimensions of wellness focus on our environment, emotional wellbeing, physical health, intellectual pursuits, spiritual involvement, and social interactions. Remember, we are individuals and our needs in each area will vary from person to person. Also, being flexible with how we focus on each dimension daily will help with making these a priority in some way every day. If you are having difficulty finding or maintaining balance in your life, reach out to a qualified mental health professional for assistance.

Written by April Daniel – Registered Mental Health Counselor Intern

Filed Under: Anxiety, Communication, Depression, empower, faith, honesty, Inspire, kindness, love, Mental Health, Self-Worth