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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/

The Marvel of EMDR Therapy

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

Follow the Pattern

As a therapist or even someone on the receiving end of therapy, looking for and following patterns is a concrete way of making sense of ourselves. How we handled or reacted to situations in the past can be a great indicator of how we will approach them in the future, as well as allude to how we learned to get by before. Patterns and tendencies act as a road map of sorts that we subconsciously follow to get us to a place that is comfortable and familiar. This concept can be broken down into two parts: (1) the pattern and (2) the destination. As aforementioned, the pattern is the behaviors and thought processes we follow that are seemingly inherent to us, while the destination is the end goal or result we hope to gain or accomplish. If the pattern is the treasure map, then the destination marks the treasure. Let’s put this into context! Suppose you are in an argument with a friend. If tension tends to make you extremely uncomfortable and you want to get to a place of peace quickly (destination), you might succumb to their demands and agree to whatever you need to in order to restore said peace (pattern). Within the same situation, suppose your aim is to prove that you are right and impose that you have your way (destination), you might interrupt your friend, speak loudly over them, and be unwilling to explore their point of view (pattern). In the final example, suppose you want to maintain your friendship and find ways to reach a mutual understanding of one another (destination), you might ask questions and respond with compassion while also presenting your case (pattern). The takeaway here is that when we are aware of our patterns, through the assistance of therapy and self-reflection, we can better identify ways to change the unhealthy and strengthen the healthy tendencies. Additionally, we can wind up with more satisfying and sustainable destinations.

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

Steps for Starting Therapy

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

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

The Backwards Law

The concept of the “Backwards Law” comes from East-Asian Taoist and Zen Buddhist philosophies. The term comes from the works of Alan Watts, a prominent teacher of eastern philosophies in the west. The idea is very simple: the pursuit of something is simultaneously the pleasure and pain of it. On the one hand, humans are historically and philosophically happiest when they are working from scratch. When humans are coming from a place of nothing and striving towards something. The journey toward the goal is what brings humans the pleasure of it; not the goal itself. Once we attain whatever goal we strive toward, we may experience fleeting, momentary happiness, but it quickly dissipates in favor of pursuit of some other goal. We are only happy when the carrot is on the stick, we absolutely hate when we actually get it. Evolutionarily speaking, it is easy to see why we operate this way. An organism that is constantly dissatisfied with its surroundings and works tirelessly to improve everything around it as though its very being depends on it (because it does) will always beat out an organism that does anything less. At the same time it is important to acknowledge that, as human beings who are inherently dissatisfied with their surroundings, we need the carrot to be on the stick. If there is no carrot, no thing to strive toward, humans become lost and depressed. This idea becomes more complex with every magnification of it.

So why even discuss this? What is the point of bringing any of this up? Within this concept lies the key to happiness and even, dare I say, a satiation with one’s surroundings. The pursuit of some great goal or reward is in itself the error that we make as humans. Author Mark Manson
argues that the pursuit of a positive is in itself a negative experience. By pursuing happiness, you inadvertently tell yourself that you lack it. The Taoists would argue that you have everything you need to be as happy as you want right now. The thing you must do is accept and appreciate what you already have around you. In other words, deny your programming. Take the carrot and the stick and throw them in the trash.

Desire itself can be seen as one of the basic reasons why humans suffer. According to Zen Buddhist ideology, every desire is an opportunity for suffering. If you desire something, you establish an expectation for it. Once you establish an expectation for something, all of the joy and positivity that could be had vanishes from it. The best example I can give for this can be seen in competition. When you compete, your desire is to win. Therefore, if you win, you won’t be happy, because you expected it to happen. Winning was what was supposed to happen. You prepared for it, you practiced for it, you spent hours, days, months, maybe even years training to achieve it. So when it happens, it isn’t perceived as a big, great thing. It’s perceived as the thing that was supposed to happen. However, when you lose you have violated all expectations. You have fallen short. You have failed. You weren’t good enough to achieve the thing. This is why, when we establish an expectation for something, you set a precedent for a situation in which there is no potential for happiness; only either what you expected, or something far worse. It is either a net 0 or a net negative. There is no chance for a net positive.

Think back to some of the best experiences you’ve ever had in your life. The most interesting experiences, the best stories you have to tell. I would be willing to bet that the majority of these stories involve a situation that did not go according to the plan. That is because we enjoy situations the most when we have no expectations for how we want them to go. When you have no expectation for an event, there is only a pure, genuine, natural version of yourself acting in the moment. You are not trying to do anything, you are not forcing anything. You are just doing. Alan Watts wrote: “when you try to stay on the surface of the water, you sink; but when you try to sink, you float”. The central idea here, is that things are already perfect the way they are. Do not zoom in. Do not try to dissect and pick apart the details. Accept things for what they are, as they are, who they are, and you will have set yourself up to have some very nice times ahead of you.

Written by: Bryce Miller, M.S., Ed.S.
WTB Therapy, LLC.
Lincoln , NE 68516
Phone: (850) 204-7973

An Effect of Alcohol on Neurofunction

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

 

 

SETTING NUTRITIONAL NEW YEAR’S RESOLUTIONS THE HEALTHY WAY

 

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/
https://nutritiouslife.com/eat-empowered/how-to-set-new-years-resolutions/

Top 3 Nutrition New Year’s Resolutions