Wondering If It’s Time for Therapy?

Maybe you are struggling with some things going on recently or are finding yourself having a difficult time clearing your head. You might find yourself thinking about how to regain your footing and better nurture yourself. Seeking out therapy might just be the way to get back on track.

If you’re thinking about getting started with therapy, you might have some questions. I wanted to spend some time answering some general questions I frequently hear. That way, you can more readily get started on your path toward celebrating you in your life!

How can therapy help me?
A number of benefits are available from participating in therapy. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress management, body image issues and creative blocks. Many people also find that counselors can be a tremendous asset to managing personal growth, interpersonal relationships, family concerns, marriage issues, and the hassles of daily life. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits available from therapy include:
  • Attaining a better understanding of yourself, your goals and values
  • Developing skills for improving your relationships
  • Finding resolution to the issues or concerns that led you to seek therapy
  • Learning new ways to cope with stress and anxiety
  • Managing anger, grief, depression, and other emotional pressures
  • Improving communications and listening skills
  • Changing old behavior patterns and developing new ones
  • Discovering new ways to solve problems in your family or marriage
  • Improving your self-esteem and boosting self-confidence

Do I really need therapy?  I can usually handle my problems.  

Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you’ve faced, there’s nothing wrong with seeking out extra support when you need it. In fact, therapy is for people who have enough self-awareness to realize they need a helping hand, and that is something to be admired. You are taking responsibility by accepting where you’re at in life and making a commitment to change the situation by seeking therapy. Therapy provides long-lasting benefits and support, giving you the tools you need to avoid triggers, re-direct damaging patterns, and overcome whatever challenges you face.
Why do people go to therapy and how do I know if it is right for me?
People have many different motivations for coming to psychotherapy.   Some may be going through a major life transition (unemployment, divorce, new job, etc.), or are not handling stressful circumstances well.  Some people need assistance managing a range of other issues such as low self-esteem, depression, anxiety, addictions, relationship problems, spiritual conflicts and creative blocks.  Therapy can help provide some much needed encouragement and help with skills to get them through these periods.  Others may be at a point where they are ready to learn more about themselves or want to be more effective with their goals in life.   In short, people seeking psychotherapy are ready to meet the challenges in their lives and ready to make changes in their lives.
What is therapy like?
Because each person has different issues and goals for therapy, therapy will be different depending on the individual.  In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous therapy session.  Depending on your specific needs, therapy can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development.  Either way, it is most common to schedule regular sessions with your therapist (usually weekly).
It is important to understand that you will get more results from therapy if you actively participate in the process.  The ultimate purpose of therapy is to help you bring what you learn in session back into your life.  Therefore, beyond the work you do in therapy sessions, your therapist may suggest some things you can do outside of therapy to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals. People seeking psychotherapy are ready to make positive changes in their lives, are open to new perspectives and take responsibility for their lives.
What about medication vs. psychotherapy?  
It is well established that the long-term solution to mental and emotional problems and the pain they cause cannot be solved solely by medication. Instead of just treating the symptom, therapy addresses the cause of our distress and the behavior patterns that curb our progress. You can best achieve sustainable growth and a greater sense of well-being with an integrative approach to wellness.  Working with your medical doctor you can determine what’s best for you, and in some cases a combination of medication and therapy is the right course of action.
Does what we talk about in therapy remain confidential?
Confidentiality is one of the most important components between a client and psychotherapist. Successful therapy requires a high degree of trust with highly sensitive subject matter that is usually not discussed anywhere but the therapist’s office.   Every therapist should provide a written copy of their confidential disclosure agreement, and you can expect that what you discuss in session will not be shared with anyone.  This is called “Informed Consent”.  Sometimes, however, you may want your therapist to share information or give an update to someone on your healthcare team (your Physician, Naturopath, Attorney), but by law your therapist cannot release this information without obtaining your written permission.
However, state law and professional ethics require therapists to maintain confidentiality except for the following situations:
* Suspected past or present abuse or neglect of children, adults, and elders to the authorities, including Child Protection and law enforcement, based on information provided by the client or collateral sources.
* If the therapist has reason to suspect the client is seriously in danger of harming him/herself or has threatened to harm another person.

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A Closer Look at PTSD

One of the areas of work I feel particularly passionate about in my practice is facilitating recovery after a traumatic incident. Last week, I began a discussion of trauma and PTSD, or posttraumatic stress disorder, one of my areas of specialty.

We often think of veterans when we think of PTSD. In large part, much of what we do know about trauma and PTSD is a result of the experiences of Vietnam veterans. Prior to that, while trauma responses existed, there had not been a whole lot of focus on understanding traumatic reactions. Although PTSD tends to be the issue that most often comes to mind when we consider trauma, there are a number of other responses to trauma, including things such as depression, anxiety, substance abuse, and difficulties in relationships. We will address some of these elements but, in our multi-episode Looking at Trauma series, we will mostly focus on PTSD. Most of these other issues are embedded within the constellation of PTSD and will make more sense as we understand PTSD.

To begin with, it’s important to understand what exactly a trauma is…

If we think about the definition of a trauma, it’s generally defined by dictionaries as a deeply distressing or disturbing occurrence. Often, in medical contexts, it’s described as a disruption. Different experts and different fields describe trauma in different ways, which can be confusing and even intimidate if we are looking to do our research.

However, there are some common elements in thinking about what a trauma specifically is. From the lens of mental health or psychology, trauma, as described by the American Psychological Association, is typically an emotional and somatic response to a terrible, overwhelming, situation.

According to the International Society for Traumatic Stress Studies, traumatic events are shocking and emotionally overwhelming situations that may involve actual or threatened death, serious injury, or threat to physical integrity. While the World Health Organization describes trauma as more of an emergent/disaster based situation.

There are a number of different events that can be traumatic. Some examples of these situations that may immediately come to mind include a serious and potentially life-threatening accident, assault, natural disaster, or combat. Other types of experiences can be traumatic as well such as surviving or witnessing a crime or physical, verbal, emotional, and sexual abuse, as well as bullying or even a big move. Sometimes, trauma responses can follow any major change or disruption in a person’s life.

Many people are exposed to traumatic events. In the time immediately following a trauma, most people will have the experiences of PTSD that we will talk about. However, over time, for many people, those experiences naturally decrease, and they are not diagnosed with PTSD. In other words, they naturally recover from the traumatic event. There are some people who do not recover and are later diagnosed with PTSD. Based on that, it is helpful to think of PTSD as a problem in recovery. Something got in the way of you having that natural process of recovery, and the work of therapy is to determine what got in the way and to change it so that you can recover from what happened. You and your therapist will be working to get you ̳unstuck.

Let’s look at this in more depth…

Because we know that PTSD experiences are nearly universal immediately following very serious traumatic stressors and that recovery takes a few months under normal circumstances, it may be best to think about diagnosable PTSD as a disruption or stalling out of a normal recovery process, rather than the development of a unique psychopathology. A therapist needs to determine what has interfered with normal recovery. In one case, it may be that someone believes that they will be overwhelmed by the amount of emotional reactivity that will emerge if he stops avoiding and numbing himself. Perhaps s/he was taught as a child that emotions are bad, that s/he should just get over it.‖ In another case, someone may have refused to talk about what happened with anyone because s/he blames herself for ―letting‖ the event happen and she is so shamed and humiliated that s/he is convinced that others will blame her, too. In a third case, a person may have seen something so horrifying that every time s/he falls asleep and dreams about it, s/he wakes up in a cold sweat. So, in order to sleep, s/he drinks heavily. Yet another person may be so convinced that s/he will be victimized again that s/he refuses to go out anymore and has greatly restricted his/her activities and relationships. In still another case, in which other people were killed, a person may have survivor guilt and obsesses over why s/he was spared when others were killed. S/he feels unworthy and experiences guilt whenever s/he laughs or finds himself enjoying something. In all these instances, thoughts or avoidance behaviors are interfering with emotional processing and reshaping our beliefs. There are as many individual examples of things that can block a smooth recovery as there are individuals with PTSD.

There are several categories of experiences that tend to follow a traumatic event. Last week, we more closely examined each of the categories.

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What Does a Typical Group Look Like?

You may have heard the buzz about my upcoming Mindfulness Matters group and might find yourself wondering what a typical group is like. I thought I would give you some details so that you can see how this might help serve you in learning to more deeply connect with what you want in your life, create more satisfying relationships, and improve your sense of self-worth and love!

I start by doing an activity for the members to get to know each other so we can keep building our skills together over the course of the 12 weeks. I then begin introducing a new skill each week and using an activity or handout to help the particpants get a clearer understanding of that skill and make it applicable to them in their daily lives.

Then, I open it up to the members to:

1) provide feedback on the skill being taught that week

2) give an example of how they had successfully used a skill previously learned during the week

3) talk about a time during the week when they were unable to implement a skill and get feedback from myself and/or other group members on how they could have handled themselves/their emotions differently

4) receive feedback from the group on any other pressing issue that came up during the week and is causing distress so we can troubleshoot together and come up with ways to help them cope

Want even more information? Check out the details here!

P.S. Groups are an amazing way to lean how to express oursevles and understand that we are not alone. The Mindfulness Matters Group will run on Tuesdays from 5:30pm to 6:30pm beginning on July 11th and running through September 26th.

If this group looks like a good fit for you, contact me for more details. 

Ready to talk more about how the Mindfulness Matters group can bring you greater focus, deeper confidence, and finally quiet that inner critic? Get access HERE!

Curious what I can offer you to help build the life you love? Get in touch!

Get access to more valuable content weekly here!

 

The Vicious Cycle of Trauma and PTSD

As a Good Therapy Topic Expert, it is important to me to share information about the impact PTSD. In particular, with June the month of PTSD awareness, it is crucial to help provide accurate information about the struggles with this challenging experience.

Posttraumatic stress is characterized by intrusion, arousal, avoidance, and cognitive shifts—a cyclical experience that impedes the natural recovery process. You can read more about these experiences in my Good Therapy article here.

What did you learn in reading this? I’d love to hear your reactions and realizations – hit reply and let me know!

Curious what I can offer you to help build the life you love? Get in touch!

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An Introduction to CPT for PTSD

Last week, I shared an overview of PTSD with a brief video. In the coming weeks, I will be exploring a bit more specific information about each cluster of what comprises PTSD. As we move forward in the next several weeks with this examination, I wanted to share an article I recently wrote for Natural Awakenings magazine wherein I take a closer look at one of the gold standard treatments for PTSD, Cognitive Processing Therapy (CPT). 

This short-term approach for PTSD issues has been documented to provide long-standing relief in a number of scientifically robust studies. I have also seen it transform the lives of many people grappling with the challenges brought on by living with haunting trauma symptoms. It has been meaningful for me to be one of the few in NY state to offer this highly effective programs.

What areas of PTSD do you or a loved one struggle with?? Send me a quick email to let me know – that way, I can support you with information that can be helpful.

Curious what I can offer you to help build the life you love? Get in touch!  

Connect with me to see what support I can offer!

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“Beyond the Couch” Explores the Benefits of Group Therapy!

The newest episode of the “Beyond the Couch” podcast is here!

Today, we look at the benefits of group therapy, different formats of group therapy, and how we can gain the most benefit from group therapy. You can listen to the episode here!

Don’t forget: If you missed the first few episodes, they are always available via iTunes, on my website, SoundCloud, Stitcher, and YouTube.

If you’ve found these episodes helpful in some way, please be sure to read a rating and review so that 1.) I know what helps you and 2.) so that others in the same boat can find what they need.

Enjoy these first few episodes before the next one on Thursday – we’ll be focusing on Mindfulness!

“Beyond the Couch” Is Live!

It’s here!

Today, the “Beyond the Couch” podcast is live! I have been waiting with so much excitement to share this with you and the day has arrived!

You can listen to the first few episodes directly here or on my website. You can also listen on SoundCloud, Stitcher, and YouTube:

Be on the lookout for special announcement about how to listen, subscribe, rate, and review in iTunes in the coming days!

In the meantime, tune in to these episodes and get ready for the next on one on Thursday!

 

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