A while back there was a very funny television show starring Lisa Kudrow (ditzy Phoebe from Friends) called “Web Therapy.” It was an improvised show and Lisa played a therapist who treated her patients over the Internet. Hence the title of the show. Well, back when the show was on, the idea of treating mental […]
A while back there was a very funny television show starring Lisa Kudrow (ditzy Phoebe from Friends) called “Web Therapy.” It was an improvised show and Lisa played a therapist who treated her patients over the Internet. Hence the title of the show.
Well, back when the show was on, the idea of treating mental health patients via a webcam seemed ludicrous. And the show did a great job at poking fun of Lisa’s character and her “wacky idea” of web therapy.
Fast forward 12 years after the show’s debut, and web therapy is now “a thing” thanks to telehealth technology. Yes, psychotherapy appointments can be held between therapist and patient while one is in one building, state, or country and the other is somewhere else entirely.
Why was web therapy a joke 12 years ago but telehealth is now gaining in popularity? The shift is most likely due to the growing popularity of tech solutions among younger generations. There’s also something very attractive about the ease of telehealth; of not having to leave your house or office to get the help you need.
As younger generations have become accustomed to using apps to have food, beer and groceries delivered right to their door, they expect these same conveniences from their health providers. While it may take a few more years before telehealth becomes truly mainstream, indicators suggest that push is more than likely to happen.
We’ve already discussed the most obvious benefit of telehealth to consumers, and that is ease. But what about the benefits to the therapists?
To start, telehealth means those people who would otherwise feel too uncomfortable seeking therapy in person will now be open to seeing a therapist “privately.” This means a therapist has a larger number of people to deliver their services to.
Also, since these services can be delivered from a home office, a therapist can easily reduce their practice’s operating costs and overhead expenses.
Many therapists are saying the adoption of telehealth should have come sooner, but support and guidance on telehealth are finally coming from the American Psychological Association (APA) and other psychological organizations.
You can’t expect a therapist who has been treating patients face-to-face for x number of years to suddenly do well sitting in front of their computer’s camera. There are some subtle but important differences in working with patients over electronic connections.
For instance, in person, when a therapist breaks eye contact with a patient to take down a few notes, there is still a connection there because they are still in the same physical space. But over the Internet, when a therapist looks away to take notes, it may seem to the patient that the client is distracted. Providers interested in offering telehealth services to their patients will have to keep things like this in mind and always assure they are paying attention.
The APA offers continuing-education workshops on telehealth at its Annual Convention, and several divisions have begun providing training in telehealth as well. Therapists can also find online courses and training offered by the American Telemedicine Association.
No one is laughing any longer at the idea of web therapy. Instead, both consumers and therapists are embracing technology to bring about positive change and outcomes.
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When you met your spouse, did it seem like love at first sight? Was there a familiarity to them and a feeling that you were somehow drawn to them? Soon after you said “I do,” did they begin to change? Were they giving you less attention and making everything about them? Did they show fits […]
When you met your spouse, did it seem like love at first sight? Was there a familiarity to them and a feeling that you were somehow drawn to them? Soon after you said “I do,” did they begin to change? Were they giving you less attention and making everything about them? Did they show fits of rage or suddenly start giving you the silent treatment?
If any (or most) of this sounds familiar, there’s a very good chance you married a narcissist. Still not sure? Here are some common warning signs:
For narcissists, it’s all about THEM. This means your spouse may expect you to meet their needs 24/7 while your own are placed on the back burner. If you find you give and they take ALL of the time, you may be married to a narcissist.
They talk a good game, but narcissists actually have low self-esteem. This also makes it very easy for them to become jealous – VERY jealous. And not just about anyone interested in your romantically, but ANYONE who can take focus off of them, including children, pets and other friends and family members. This jealousy will trigger intense rage.
Narcissists all have the same power play and that is to project their own behaviors onto others. You see politicians do this all of the time. Your spouse may say that you are needy or have anger issues, and in your head, you are thinking, “Wow, you are so describing YOU right now.” Yes, they are – they are projecting.
Narcissists have no empathy. That is, they truly don’t have the ability to look at something from another person’s perspective. You may be hurting or having a bad day, but your spouse seems completely uninterested. They ARE uninterested.
No empathy also makes it hard for them to take any responsibility for their behaviors and actions. But they have enough awareness to know they should at least make it LOOK as if they care, so they will throw you a hollow apology every so often.
Narcissistic abuse is very real, and if you have been the victim, you most likely feel exhausted and shell-shocked, lacking confidence and self-worth. If you would like to talk to someone about this, please be in touch with me. I would be happy to discuss how I may be able to help you heal from the abuse you’ve endured.
For many people, the holidays are about spending time with loved ones. But for those who have suffered a recent loss, the holidays can be painful and isolating. Here are some ways you can cope with the holidays after a loss: Recognize You are Not Alone It’s easy to feel as though you are the […]
For many people, the holidays are about spending time with loved ones. But for those who have suffered a recent loss, the holidays can be painful and isolating.
Here are some ways you can cope with the holidays after a loss:
It’s easy to feel as though you are the only one experiencing great pain during the holiday season. Everywhere you turn, people seem to be happy, putting up decorations, buying gifts and making holiday plans. It’s important to recognize the truth right now, and that is that you are not alone. There are people all over the world who have experienced loss, some perhaps very recently.
No one expects you to feel joyful and in the holiday mood right now, so don’t feel as though you must pretend for others’ sake. It is very important that you honor whatever emotions you may be experiencing, whether it’s sadness, anger, regret or a combination.
The holidays are usually a busy time for people. There is much to accomplish and many events to host and/or attend. You do not have to keep your normal schedule this year. You simply will not have the mental or emotional stamina for it. So take the time you need. If you don’t feel like attending many (or any) events this year, that is fine. People will understand.
One of the worst parts about losing a loved one is the feeling that we no longer have any control over our lives. Loss makes us feel helpless. One way to fight this feeling is to help others who are in need. As a bonus, connecting with others who are hurting can often be a salve on our hearts as well.
If you have children, it’s important to understand that they are looking to you right now to know what life will be like from now on. To a child, the loss of a parent or sibling can frighten them terribly. Though you may not at all feel like celebrating the holidays, doing so helps your child know that life does go on and that there is space in your life to feel joy along with sadness.
If you have experienced loss and would like to explore grief counseling, please be in touch. You don’t have to suffer alone.
Someone slides into the parking spot you had your eye on. A coworker takes credit for your work. Your spouse runs up $200 on the credit card without discussing it first. These are things that are apt to make you angry. And that’s okay. Anger is a natural response to many life events. Like other […]
Someone slides into the parking spot you had your eye on. A coworker takes credit for your work. Your spouse runs up $200 on the credit card without discussing it first. These are things that are apt to make you angry.
And that’s okay.
Anger is a natural response to many life events. Like other emotions, anger helps us understand our world and how we feel about it. When managed well, anger can provide a healthy release and be a motivator for transformation. But when we experience too much anger, to the point of becoming out of control, it can have lasting ramifications.
When anger reaches a very high level, our pre-frontal cortex, that is the part of the brain responsible for cognitive thought and reasoning, becomes hijacked. The amygdala, our primal emotional/instinctual part of the brain that induces the “fight or flight” response, takes over and we are no longer capable of rational thought.
When aroused to anger, our brains can no longer take in new information. This means if our partner or loved one is trying to talk sense into us and explain something, we CANNOT hear them. All we are aware of is that we must defend ourselves as if our very life depends on it. We feel under extreme attack and are ready to fight back.
Now that you know how your brain responds, it’s time to learn some techniques to manage your extreme anger.
Take a Breather
You know that the hotter you get, the more your brain shuts down and becomes unable to process any information. There is no sense in you continuing to talk/argue with someone. Your best course of action is to put the fire out before it begins to rage by calling a time out and taking a breather.
Exercise
The body’s “fight or flight” response releases powerful hormones that are intended to help us fight or run. Without this physical release, they can linger in the body and cause health problems. Going for a walk, run or lifting weights can be a great way to burn through these hormones and release soothing endorphins.
Seek Out Counseling
Managing extreme anger can be very challenging, especially in the beginning. A mental health professional will be able to share coping strategies and techniques to control outbursts.
If you or someone you love has anger management issues and would like to explore treatment options, please be in touch with me. I’d be more than happy to discuss how I may be able to help.
When you first fell in love, you could never imagine that someday the sound of your partner chewing could make you want to scream. It’s inevitable that once we are out of our honeymoon phase and reality sets in, we realize that all relationships take work and compromise. But while some couples may hit bumps […]
When you first fell in love, you could never imagine that someday the sound of your partner chewing could make you want to scream. It’s inevitable that once we are out of our honeymoon phase and reality sets in, we realize that all relationships take work and compromise. But while some couples may hit bumps in the road every so often, other couples find themselves in bigger trouble, with neither party knowing exactly how to fix things.
If you are in a relationship that is no longer feeling healthy, here are 5 warning signs that it may be time to try couples counseling:
Once you have a communication breakdown, you are unable to rationally share thoughts, feelings, and concerns with each other. Beyond this, unhealthy communication tends to leave one or both partners feeling depressed, angry and hopeless.
When there has been infidelity, it is very difficult for the couple to rebuild trust and repair the damage. While there is no magic pill to recover from an affair, a therapist can offer tools and strategies to rebuild trust.
If you and your partner act more like roommates than romantic partners, this indicates a lack of intimacy and a potential need for professional help.
You try to mask your real feelings for as long as possible, but then you start to act out the hurt and resentment you may be feeling. For instance, if your partner has been unfaithful and you have agreed to stay in the relationship and work things out. But over time you find yourself lashing out, acting rude and trying to make them believe you are having an affair so they will feel the same kind of hurt. This acting out is unhealthy for both people and is a BIG indicator you need to seek some help.
A break from negative energy can be very helpful to the relationship. But when a temporary break leads to more and more time away from home and someone renting their own apartment, this indicates a need for counseling. Spending time away from home usually doesn’t lead to any real resolution, just more distance.
If you and your partner are interested in exploring treatment options, please be in touch with me. I would be more than happy to discuss how I may be able to help.
Are you one of those people who has never quite felt like an introvert but are definitely not an extrovert? Have you read descriptions of either personality and thought, “Mmmm, close, but not quite?” If so, you might be what is called an extroverted introvert (EI). Extroverted introverts, also called “outgoing introverts” or “social introverts” […]
Are you one of those people who has never quite felt like an introvert but are definitely not an extrovert? Have you read descriptions of either personality and thought, “Mmmm, close, but not quite?” If so, you might be what is called an extroverted introvert (EI).
Extroverted introverts, also called “outgoing introverts” or “social introverts” have qualities of both personalities. They are not entirely loners but don’t necessarily enjoy spending time with large groups of people.
Most people are, in fact, somewhere in the middle of the extrovert/introvert spectrum, sharing qualities of both introversion and extroversion. Let’s take a look at some of the characteristics of an extroverted introvert.
How you feel can be directly linked to your environment. What kind of music is playing, how many people are there, and the overall noise level can affect you greatly. If you’re an EI, you will either feel energized or drained depending on your surroundings.
There is a part of you that truly enjoys meeting new people and hearing their personal stories. Then there is the other part of you that loathes the idea of spending every second of the day with other people. You like people, but you can only take them in small doses.
You’ve been known to hold your own in witty small talk and can make a room full of people chuckle. But when alone, you are generally thinking about the meaning of life and other huge topics. You like to have fun, but if you’re honest, you prefer to be left alone to think things through.
You’re more like a cat than a dog. While you can be outgoing and find other’s company enjoyable on occasion, you’re not going to feel comfortable around strangers right off the bat. It takes you awhile to warm up to new people and situations before you are truly comfortable enough to let loose and be yourself.
Whenever the topic comes up and you tell your friends and relatives that you’re actually an introvert, no one believes you.
If this sounds like you, welcome to the club. Many artists, writers and other creative types often identify as extroverted introverts so you are in good company!
Life is challenging when you’re an introvert. What are simple interactions for many people can feel anxious and uncomfortable to you. The mere idea of taking part in certain social events can be exhausting and emotionally draining to an introvert. While some social functions, such as business meetings, cannot be missed, there are social gatherings […]
Life is challenging when you’re an introvert. What are simple interactions for many people can feel anxious and uncomfortable to you. The mere idea of taking part in certain social events can be exhausting and emotionally draining to an introvert.
While some social functions, such as business meetings, cannot be missed, there are social gatherings that can be, and it is totally okay for you to say no. This may feel almost as uncomfortable to you as actually attending the party or event, but it’s important to put your own needs ahead of others in times like these.
If you are an introvert that generally has a hard time saying no to invites, here are some ways you can do it kindly:
We tend to feel a lot of pressure to give myriad details on why we can’t accept an invite to an event. If we don’t have a “good enough” excuse, some of us will blatantly lie, which then makes us feel bad.
There is no need to lie and no need to give more details than necessary. You can simply say, “Thanks so much but I already have plans.” We all have plans all of the time. You may plan on doing the laundry that night or watching Game of Thrones while eating pistachio ice cream (which is a great plan, BTW). That is the truth but it is no one else’s business but yours.
Before saying “no,” be gracious and thank the person very much for inviting you in the first place. It will make the other person feel good that they made you feel good by thinking of you.
It’s easy to say no in a text or email, but when you will see that person in person, saying no can feel incredibly awkward. The best thing to do is just practice saying, “Thank you so much for asking but I already have plans that day/evening,” so that it comes out naturally and so that you feel at ease saying it.
I would like to suggest that, before saying no to an invite, you really weigh the pros and cons. I know being introverted can be challenging, but I also know that it can get pretty lonely at times. Saying yes once in a while may not be as bad as you think. While saying no to a huge, loud party may make sense for you, be open-minded and look for those new social situations you actually might be able to handle and enjoy. You never know the kind of fun you could have or new friends you could make.
As beautiful and joyous as life can be, it can also be plain ol’ stressful. Whether it’s hefty mortgage payments, killer commutes, or bosses who don’t give us the credit we deserve, stress can come at us from all different angles. Surveys have uncovered some pretty disturbing statistics about stress. 33% of people feel they […]
As beautiful and joyous as life can be, it can also be plain ol’ stressful. Whether it’s hefty mortgage payments, killer commutes, or bosses who don’t give us the credit we deserve, stress can come at us from all different angles.
Surveys have uncovered some pretty disturbing statistics about stress. 33% of people feel they live with extreme stress, while 48% believe the stress in their lives has increased over the past five years. And a whopping 77% of people surveyed said they experience physical symptoms caused by stress.
What are some of these physical symptoms linked to chronic stress?
• Pain of any kind
• Sleep problems
• Autoimmune diseases
• Digestive problems
• Skin conditions, such as eczema
• Heart disease
• Weight problems
• Reproductive issues
• Thinking and memory issues
How Meditation Can Help
There is now scientific evidence that meditation is effective against physical symptoms of stress such as IBS, high blood pressure, and ulcerative colitis. Meditation has been linked with improved immune response, reduction in pain sensitivity, and a shift from negativity to positivity.
Further, research has shown that meditation may physically alter the brain and how we are able to cope with chronic stress.
But what exactly is meditation? When many people hear that word, they have instant visions of people sitting in lotus position chanting, “Ohmmm.”
Mindful meditation is simply the practice of harnessing our attention to quiet our chattering minds. Instead of letting our brains run rampant like energetic puppies, sniffing one thought after another and another and another, mindfulness focuses our attention in the now.
The problem is because mediation is so deceptively simple, many people either feel it can’t possibly work in general, or they won’t benefit from it. And because we live in a society that seems to promote instant gratification, other people expect that after their first 20 minutes of meditating, all of their problems will magically dissolve.
But meditation is called a “practice” for a reason. Like anything else that is beneficial to your mind and body (sound nutrition and exercise), it takes commitment to reap those benefits.
Tips for Beginner Meditators
If you are interested in trying meditation for yourself, here are a few key tips:
• Get comfortable – you don’t have to sit in the lotus pose. You can sit in a comfy chair or even lie down. The trick is to be comfortable enough that your body sensations don’t distract you, but not so comfortable that you fall asleep.
• Don’t try and control your breath, just breathe naturally, simply staying aware of your breath.
• Start with just a few minutes and build from there.
• Don’t try to be perfect. There is no perfection in life or meditation, so just keep practicing every day.
If you find after you’ve been meditating for a little while that you could use some extra help dealing with the stress in your life, get in touch with me. I’d be happy to explore treatment options with you and talk about how I may be able to help.
If you find yourself struggling to fall or stay asleep, you’re not alone. Insomnia, the chronic inability to get sufficient sleep, is a common problem affecting millions of Americans. According to the Centers for Disease Control and Prevention’s 2014 study, more than a third of Americans aren’t getting enough sleep on a daily basis. With […]
If you find yourself struggling to fall or stay asleep, you’re not alone. Insomnia, the chronic inability to get sufficient sleep, is a common problem affecting millions of Americans. According to the Centers for Disease Control and Prevention’s 2014 study, more than a third of Americans aren’t getting enough sleep on a daily basis.
With a lack of sleep at the root of serious medical conditions like obesity, high blood pressure and heart disease, getting a decent amount of sleep on a regular basis is crucial to a long and healthy life. Here are five things you can do to change your routine and start getting to, and staying, asleep.
1. Just Two Things in Bed
Make sure that your bed is used only for two things: sex and sleep. By using your bed almost exclusively for sleep, your body will associate your bed with rest and relaxation, making it easier to fall asleep.
2. Exercise Regularly
Getting regular exercise (the recommended thirty minutes a day, five days a week) will help you promote healthy sleep habits. Your post-exercise temperature may promote falling asleep, and exercise in general will help eliminate insomnia by decreasing arousal and anxiety.
3. Naps, Caffeine, & Alcohol
Short naps are helpful for some, but for others it impacts their ability to fall asleep. If you’re struggling with insomnia, avoid naps during the day. Caffeine, a known stimulant, may keep you up longer than you’re aware. You may need to avoid caffeine entirely if it prevents you from falling asleep. And, while alcohol is a sedative, it can disrupt your sleep; so if you have trouble staying asleep, avoid alcohol.
4. No Screens Before Bedtime
Screen time, such as computers, smart phones and television, prevent you from falling asleep due to cognitive stimulation. Too much light at bedtime affects your melatonin production, giving your body the impression that its staying awake, not ready for sleep. Help your body get ready for sleep by eliminating screen time at least two hours before bed.
5. Create a Nighttime Routine
Creating a regular nighttime routine will help your body get into the habit of winding down and relaxing as it prepares for sleep. Create a nighttime routine an hour or two before bed. Maybe have a glass of warm milk, brush your teeth, change into your pajamas and read a book every night before bed. Make sure you go to bed around the same time every night too, including weekends.
Changing old habits and establishing a new routine is never easy. But as you make changes and sustain new practices, it will get easier. Before long you’ll have a new set of healthy habits, and you can finally settle in for a good night’s sleep.
Are you struggling with insomnia and need help maintaining healthy sleep habits? A licensed professional can help. Call my office today and let’s schedule an appointment to talk.
If I asked whether you were the victim of childhood emotional neglect (CEN), would you know how to answer? Probably not. CEN is often misunderstood and therefor, misdiagnosed. Childhood emotional neglect means an individual was not provided the emotional support from parents and other adults that is required to grow up to be a confident […]
If I asked whether you were the victim of childhood emotional neglect (CEN), would you know how to answer? Probably not. CEN is often misunderstood and therefor, misdiagnosed.
Childhood emotional neglect means an individual was not provided the emotional support from parents and other adults that is required to grow up to be a confident person with a healthy self-esteem. Though a parent may never physically harm the child and provide them with food, healthcare, clothing and shelter, they may still emotionally neglect their child causing psychological harm.
Symptoms of CEN
In her book “Running on Empty: Overcome Your Childhood Emotional Neglect”, Dr. Jonice Webb outlined some of the most commonsymptoms of CEN:
That last symptom is a biggie. Have you found that for most of your life, your needs always came second (if not third or fourth?). If yes, it’s time to recognize that your feelings and needs matter.
With this in mind, here are some ways you can begin to treat yourself better:
Take Baby Steps
You’ve spent years believing your needs didn’t matter, don’t expect that putting yourself first will come easy to you. It won’t. It will feel awkward and downright wrong to put yourself first. The important thing is that you take baby steps each day to show yourself you matter.
Ask Yourself What You Need
If you’ve experienced CEN, you’re most likely unaware you even haveneeds, so you probably won’t be able to identify them right away. Take some time to get to know yourself. Ask yourself what you need and be sure to listen!
Stay Healthy
You have a big and exciting journey ahead of you, one in which you will be exploring your inner world and getting to finally know yourself. This is going to require strength and energy. Be sure to avoid processed foods and opt instead for whole foods focusing on fruits and veggies.
Also, be sure to get plenty of exercise and enough rest. Adults generally require seven to nine hours of sleep each night, so don’t cheat your body. And avoid using the TV, computer, or your smartphone before bed.
Learn to Say No
Guess what? If you want to put yourself first more often, you’re going to sometimes have to say “no” to other people. Don’t feel guilty about doing this. Having boundaries is healthy. It’s not only your right to say no to others sometimes, it’s your personal responsibility.
Get Support
As wonderful as your self-discovery journey will be, it will be fraught with bumps in the road. It’s important that you have someone who will support your efforts without judgements or criticism.
Consider seeking guidance from a professional therapist who can help you navigate your complex emotions and offer tools to manage stress in the future. A therapist will help you prioritize your needs moving forward and recognize your emotions and needs matter.
If you’d like to explore treatment options, please be in touch with me. I’d love to discuss how I may be able to help you on your journey.
