Showing posts with label Psychologist. Show all posts
Showing posts with label Psychologist. Show all posts

Monday, June 11, 2012

Nuts and Bolts Series: The Common Sense in Family Therapy

There is an old saying that "The apple doesn't fall far from the tree". When you really think about that, it makes a lot of sense that who we ARE largely depends on those who raised us, for better or worse.  As a psychologist, I am often surprised at how many people try to change themselves, or their children, without taking that one fact into account: We are a product of both our genetics and our environment (Nature vs. nurture).  You can't change who your family is, but you can certainly improve those strained family relationships and create a more peaceful and harmonious environment in the home. 

This blog will briefly outline the nuts and bolts of family therapy and explain what you can expect when you schedule your first appointment with the psychologist.

I have experienced many intakes where parents have the same request:  "Fix my kid".  But what most adults fail to realize, is that "fixing" a child is a much more monumental task than simply having their child in the office, or setting up a star chart on the wall. Insomuch as the apple doesn't fall far from the tree, there is another, equally important premise, that "it takes a village to raise a child".

Each member of the family plays an important and influential role in the development of the child, and the interplay between family members is often the most telling benchmark of the functioning of the entire family.   I have often found that after months of therapy I can have just one family session and learn more about that person and the situation in the ONE SESSION with other family members.

Family therapy, is a very powerful, and often complex, form of counseling that includes all members of the family in the session to view the issue that's brought them in for treatment, from many completely different angles.  The first task of the psychologist is to understand each of these viewpoints, and work to help each member of the family come to a place of better understanding, improved communication, and increased tolerance.

Families seek help from a psychologist for many reasons - a traumatic event such as a family loss or illness, addiction issues within a specific family member, behavioral challenges or even simple communication difficulties. No matter the type or size of the problem, family strife and conflict is both stressful and anxiety-provoking. Here are some quick facts about family therapy to help you get started:

1.  Family therapy is often short term. Most treatments last less than six months.

2. Family therapy is often focused on family relationships or communication patterns within the family. Poor communication is like faulty wiring in your wall.  At best, it can cause crossed signals, at worst it can cause a blow up or fire. Therapy can help sort out these patterns and improve communication habits in the family.

3. At times, individual family members will participate in their own therapy to address concerns specific to them.

4. Family therapy sessions can last around 60 to 90 minutes, depending upon your family's specific situation and issues presented to the psychologist.

5.  The family will set goals and learn to meet specific challenges through this experience. Your family will learn new ways to interact and understand each other to overcome unhealthy or damaging patterns of relating to each other.

6.  Family therapy will focus on finding the family's strengths to build a strong foundation for addressing problems and crisis situations.

7. The psychologist will create a safe environment in which family members can express their feelings and work out issues. Ground rules will be set from the first session.

It's important to realize that therapy should not be entered into lightly. It's hard work, but well worth the effort. All therapy involves an honest exploration of yourself, and family therapy is no exception. If you are struggling with family concerns, or believe that your family could benefit from therapy, ASK A PSYCHOLOGIST!

Michelle Herrigel is a licensed psychologists in Northeast PA, serving adolescents, adults and families with a variety of concerns. She currently practices therapy in her Mountainhome, PA office. For more info, or to schedule an appointment, please see her contact info by viewing her profile or contact her at michelleherrigel@gmail.com.

Tuesday, May 1, 2012

5 Ways to Deal with Difficult People

Maybe you have someone in your life like this: That "friend" who always has to "outdo" you or put you down; The co-worker who always takes credit for your work; That cousin who calls and you feel exhausted when you get off the phone; or that parent who constantly makes comments about your spouse, your life choices, or your home. Research shows that we all need relationships and that good ones are good for our mental health. But what about those other people, the ones who, after a long conversation or day at work, leave you feeling depressed, depleted and drained?

We all have difficult people we encounter every day in our lives. Today's Counseling Corner will hopefully give you some tips and ideas to deal with these people and minimize their negative impact on your life.  There are many more than these 5, but it's a great start.

1. The first, most important thing to do when dealing with a difficult person, is to accept them for who they are.  Easier said than done, right? For sure. But if you can do this one simple, but extremely difficult step, it will improve your happiness, and decrease your frustration SIGNIFICANTLY.  Understanding that we cannot change people, and we can only be responsible for our own behavior, can change your life - for the better. Trying to change others into what you want them to be, will only make YOU a more difficult person to deal with.

2. See the best in others. If you focus on the negative, you will only see the negative in people. It's like the old saying "If all you have is a hammer, everything looks like a nail". When you only see the negative, all of your interactions become focused on this aspect of the person. If you can see the positive, the person will be more appreciated, your relationship will become deeper and more meaningful, and the level of conflict will decrease.

3. Keep it simple, silly (KISS them!).  Keep conversations simple and neutral in topic. If you have that one uncle who always tries to bait you into a debate about politics or that friend who always talks about her personal problems and won't take any advice, change the subject to something more immediate, such as what they are doing for the weekend, or how their family is doing. Changing the pattern of communication can go a long way to making improvements in relationships.

4. Own your part of the negativity. Most relationships are created through a "dynamic" between two people. There's an old saying "It takes two" could not be more true. But don't beat yourself up, nobody is perfect and we can all find room for growth and improvement. Just be aware that when you own, and consequently change, your end of the dynamic, the other person may respond with increased negativity and try to push your limits.

5.  There is a Zen proverb that says "Let go or be dragged". There occasionally comes a time that you need some space, time or distance when relationships become too intense, draining or negative. If you can't be around the person without them baiting your or bullying you, it may be time to move on. It's perfectly fine to cut ties, and to let them know why without any expectation of understanding or change on their part. If this is your co-worker or supervisor, you may actually need to switch jobs. It's OK to move on and it's not a sign of any failure. 

These are just give quick tips for handing difficult relationships. Couples or family therapy can be a great way to gain assistance in changing relationships for the better. If you are having difficulty in your relationships, ASK A PSYCHOLOGIST!

Monday, April 23, 2012

That's it! I'm quitting Facebook!!

I have heard this statement time and time again: "That's it!! I am done with Facebook! As of so and such date, I will be deleting my profile." And so they disappear...only to reappear in days, or weeks after a much needed break.

As many faithful Counseling Corner followers know, I am an avid Social Networker. One MIGHT even say addicted. (But I won't admit to that!). Some ask me why I am so active and even laugh about my posts. My uncle recently told me that he doesn't read all the crap I post on Facebook. I actively maintain a Twitter account, THREE Facebook accounts (one personal, one professional page and I am an administrator of my work's page as well), LinkedIn, Google+, Counseling Corner, Pinterest, Etsy, and about 6 different email accounts (and I'm sure I'm forgetting something).  I'll bet you wonder if I even sleep....

I originally joined Facebook, reluctantly, in order to stay connected to family and friends across the world, many of whom are serving in the military. Facebook has been an invaluable tool to keep up with what is happening in their lives, as well as the lives of my children and, now, grandchildren. In the process, I have reconnected with many of my friends and acquaintances from school and have repeatedly had the world get smaller and smaller when I discovered that two of my (seemingly unrelated) friends know each other! And that's just plain fun. In my professional life, networking is just that, an opportunity to branch out, market myself, and maintain a public presence.

I am here to tell you how you can use Social Media to 1) stay in touch with family and friends, 2) express your individuality and creativity, 3) network and market your (business, jewelry, Blog, etc), 4) have a great time and laugh every day.  All this? Yes, and even learn how to manage your time so that you can still actually have a life.  Do you need to cancel your Facebook and denounce Twitter? No.  Do you need to have a simple strategy and some self control?  Absolutely.  Read on....

1. Social media is a choice. Plain and simple. If you don't want to use it, don't.  You will experience peer pressure and ridicule (just kidding), but you have the right to say no. It's a personal decision.  Additionally, your level of involvement is also your own choice. People tell me all the time they are keeping up with me on Facebook, and I never see them post a thing.  You can have as many, or as few, connections as you'd like.

2.  It is increasingly important to learn about what you are using. So many people become frustrated when they feel that Facebook is invading their privacy.  Simple knowledge about privacy settings can make all the difference.  I have heard people say "Facebook posted this and such.".  SOCIAL NETWORKING, people. It's the whole point. Educate yourself about privacy settings and how to protect your photos, and personal information.  

3. Set aside time each day to check your accounts. So many of us hit that refresh button every 3 minutes to see if any new emails came in, or if there are any new posts. This type of thing can be the biggest time killer and each time you change your focus to check, you have lost several minutes of productivity. To easily train yourself, you will have to have discipline at first. As silly as it sounds, develop a strategy and plan. (for example, I will only check Facebook at lunch one time, and not for the rest of the work day. Or, set a timer for yourself with regard to checking email, one per hour, or some other scheduled time frame).  You will be shocked at how easy it is and how rewarded you will feel.

4. Turn off the computer (What? Did I just say that? yes, STEP AWAY FROM THAT MOUSE!). Decide each day what scheduled time you will spend online. And then, TURN IT OFF.  This will allow you to spend some actual face to face time with your family and friends. Go have a life that you can post on your status or tweet about tomorrow.

5.  If you are feeling burned out on social media, it's perfectly fine to take a break. Sometimes we become very enmeshed in what is happening in our online world, and its inevitable that drama will ensue.  Just "click and close". It will be there tomorrow, next week or next month when you come back.  I occasionally find that I am awake at 3am checking email. If you do this, the answer is simple: Keep your phone out of reach of the bed. Sleep is important, folks.

6.  Along the same lines as 5. above, do not play out personal issues or drama on social media. Many folks post every personal argument and issue they have with their family and friends.  These generally become the people who make the statement that is the title of this Blog. Keep your personal business, well, personal. In fact, if you MUST post personal things, there are ways to designate a core group to share those issues with (if you want to know how, ask me). Your coworkers and boss don't need to know about the fight you had with Sally last night at the club.

7. People who post on Facebook or Twitter can be extremely negative, or totally positive about everything. Some people say they feel bad about their own lives because everyone on Facebook is so awesome, beautiful, blessed and happy.  Keep in mind that out of 24 hours, people post ONE THING that happened that day. I am always glad to see people happy and posting positive things.  That does not mean they don't have the same troubles and concerns that we all have. They just don't dwell on them.... Good for them.

8. Keep it in perspective. There are much more important things in life than Social Networking. Family, Friends, Pets and actually getting outside in the sunshine from time to time. The Internet and all sites are there are out entertainment and networking. Don't forget to live.

9. Finally, use responsibly. Remember, what goes on the Internet stays there. More and more, prospective employers, and even colleges are using Google to find out about you. Go ahead, open a new browser window and Google yourself. You may be surprised. You can't take it back once it's out there. Be cautious but not paranoid. It can be a good thing if you use it correctly. 

As always, I am happy to be able to provide this valuable information to you.  If you are having difficulty with moderation, or with any of life's challenges, there is help available.  ASK A PSYCHOLOGIST!!

Thursday, November 10, 2011

Ten Tips for Talking to Kids about Child Sexual Abuse

The recent headline screams “Paterno Fired”, fans and alumni are shocked, outraged, and heartbroken at the news, that Joe Paterno, “Joe Pa” to many, coach of the Penn State Nittany Lions for decades, was released from his duties due to allegations that he failed to take appropriate action to address alleged sexual abuse of children by one of the long time members of his coaching staff.  Sandusky has been indicted on multiple counts of child sexual abuse, and the Happy Valley is in collective shock.  While many say that Paterno acted within the law, others maintain that he did not do the right thing and seemed to turn a blink eye. 

As we watch the news, again, in our faces, our kids are curious.  “Mom, why did they fire Coach Paterno?” “Dad, what is sexual assault?” and “Why did that man hurt those kids?” In a recent conversation with a friend, we discussed this issue, and he discuss how he turned this tragedy into an  opportunity to talk to his kids about child sexual abuse and doing the right thing.

Within the tragedy that surrounds this story, as parent, you can take the opportunity to talk to your kids, educate them about abuse, and teach them how to protect themselves and their friends if they encounter abusive behavior. (DISCLAIMER: Discussions with your child will differ based on their age, maturity level and comfort level. Do not give your child more information than they are ready to handle).

Ten Tips for Talking to Kids about Child Sexual Abuse:

 1. In explaining sexual abuse to your children, it is important to be clear, factual and brief. Speaking to children about sensitive sexual issues is difficult at best, and in this instance, keeping it short and sweet (KISS) is the rule of thumb.

2.  Give your children factual information about sexuality and appropriate behavior.  Teach them that nobody should touch their private parts, and about different roles of adults in their lives (i.e. a doctor may ask them to remove their shirt, but not the neighbor).  Be sure to use proper names for body parts and ensure that kids know what private parts are.

3.  Teach children that some actions are against the law, and that any sexual activity between an adult and a child is illegal.

2. Give your child time to express their feelings, concerns and as questions. Keeping the lines of communication open is a key. Let your child know that you are available to answer their questions or discuss their fears, even after the conversation is over. This is an opportunity to have a conversation that can open doors for your child to communicate with you.

3. While it is important for children to “not talk to strangers”, telling your kids this common rule is not enough. The troubling fact remains that most sexual abusers are known to their victims and their families.

4. Do not force your children to hug or kiss relatives when they are uncomfortable. Children need to develop their own comfort level with touch, and their own instincts to refrain from touch are important to honor.

5. Tell your children that they should never get into a car with an adult without your permission.

6.  Make an effort to know your children’s friends and their parents, teachers, coaches, clergy and other older kids and adults in their lives.  While this is important, be aware that many predators are close to their victim’s families.

7. If your child expresses discomfort with staying at someone’s house or visiting someone, listen to your child and honor their feelings. This is not to say that you should assume something is wrong, but parents should always be vigilant and aware of the older kids and adults in their child’s life.

 8. Tell your kids how to yell "Stop” and go tell an adult if anyone hurts or touches them inappropriately. In addition, showing them private parts, pornographic videos or photos is inappropriate and they should report this to a trusted adult immediately.  Instruct kids of who the adults are that they can tell and what they should report. Have them choose 3 or 4 adults that they trust so they know who to go to that will listen to their concerns.

 9. Tell your kids that if they observe someone hurting others, it’s ok to tell, and to yell “stop”. Teaching kids to stand up for themselves and others can help them feel more confident and can be a deterrent to becoming the victim of bullies.

 10.  Explain to children that some children and adults have a “touching problem” and explain that they need help so that they can stop touching. Refrain from explaining by calling it a “sickness”. Furthermore, teach children that people with these problems may try to get them to keep a secret and might even give them gifts, candy, video games, clothes, money threats of hurting family or telling others.

If you have been the victim of sexual abuse, you have concerns about your child, or you have any questions, you should ASK A PSYCHOLOGIST!

Monday, September 5, 2011

September 11: 10 Years Later

As we approach the 10th Anniversary of the terrorist attacks on the World Trade Center, Pentagon and Shanksville, we will reflect on what happened on that tragic day, and remember. This will involve a renewed focus on the video footage of the planes hitting the Towers. Indeed, in watching television yesterday, I was reminded of the shocking moment of impact. It made me very sad, but also aware that I have not been so jaded that it no longer had an effect.

As we look back, from a psychological perspective, we must take into account several things.

1) Many of our children are too young to remember, and are seeing it for the first time. They may have questions, feel scared, and rely on YOU, as their parents and caregivers, to provide an explanation, assurance and safety.
2) Terrorism is a fact of life for our generation. It has changed the way we think, the way we perceive our neighbors, how we travel, and how we live our everyday lives.  How can you live a life free of fear?
3) Many of those who witnessed the attacks, even on television, have suffered a traumatic reaction. What is Post Traumatic Stress and how can it be treated?

As we embark on this emotional week, let's reflect, remember, and learn. I hope you will follow my blog this week and that you find something helpful in it.  As always, if you or someone you know needs help, ASK A PSYCHOLOGIST.

Monday, April 11, 2011

What every parent needs to know about Autism

This is part of a 4 part series about Autism.

The Backstory

On May 21, 1991, I embarked on what would become a lifelong passion and journey that changed my life in more ways that I can ever explain. For sure, it pointed the way for the rest of my career: This was the date that I first began working at The Devereux Kanner Center, in West Chester, PA. As a psychology major, I needed to complete a Field Experience for a course in Human Development. As I walked through the Sykes Union Center, I happened upon a job fair, where is met a woman who was at a table with applications. “What is this Devereux place?” I asked. At that time, I never planned to work with adults with Autism and other Intellectual Disabilities, which is generally the way all the best things in life come: unexpected and unplanned.

What is Autism?

Autism is a developmental disability that typically appears during the first three years of life. It is a neurological disorder that affects the normal development and of the brain. The major areas affected are social and communication skills. Autism is one of 5 Pervasive Developmental Disorders (Autism, Asperger’s Disorder, Childhood Disintegrative Disorder, Rhett’s Disorder and Pervasive Developmental Disorder, Not Otherwise Specified).

While experts do not know the specific cause of autism, research suggests that it is a genetic disorder. What we DO KNOW is that autism is not caused by parenting style, nor is it caused by childhood vaccines. Research findings on the causes of autism have yielded inconsistent findings, but it is clear that there are a variety of abnormalities in the structure and chemicals in the brain.

Prevalence of Autism

Autism is found in all racial, social, ethnic, economic and geographic group. It knows no boundaries and can affect any family. The most recent statistics were reported by the CDC and state that Autism affects 1 in 110 children and 1 in 70 boys.


The most recent statistic are believed to be a dramatic under representation of the real statistics due to those who are not receiving services, have been misdiagnosed or were never formally diagnosed. In 2005, there were a total of 19,862 individuals who are diagnosed with Autism. At that time, it was estimated that there would be 25,000 in 2010. The following map depicts the prevalence by county:

What should parents look out for?

About half of all parents of children with Autism note that their child’s behaviors are unusual by approximately a year and a half. 80% are aware by 24 months.  Research has shown that early intervention is a key component of a good prognosis, and the earlier, the better.  If you see any of the following symptoms, see a psychologist as soon as possible:

3 - 4 mos old with no eye contact
12 months old with no babbling
12 months old with no pointing or waving goodbye
16 months old with no single words
24 months old with no two-word phrases
ANY loss of language skills or social skills, at ANY age

The next blog will include symptoms and behaviors associated with Autism.  If you suspect someone you know has Autism, or your child is displaying any delays, ASK A PSYCHOLOGIST!

Saturday, June 19, 2010

Celebrity Rehab, Intervention, Hoarders and Obsessed: Media brings light to mental health disorders

So, is that the way is REALLY is? This is a common question people ask when discussing these increasingly popular reality shows. Over the last several years, mental health disorders have been in the spotlight in television shows like Celebrity Rehab, Intervention, Hoarders and Obsessed. But is their portrayal of these disorders accurate?

Yes. And no. Mental illness and mental health disorders are complex, and are never that cut and dried. The facts are sobering (pun intended) and the reality is that, according to statistic from the National Institutes of Mental Health (NIMH), 26.2 percent of adults aged 18 and older suffer from a diagnosable mental health disorder in a given year. That's more than 1 in 4. 57.7 million people. Staggering. Preventable? Maybe. Treatable? Definitely.

Approximately 6 percent of those suffer from what is called a "serious mental illness". And, nearly half of those diagnosed with one mental health disorder, are diagnosed with 2 or more. Mental disorders are the number 1 cause of disability in the United States.

Some of the most common disorders are Mood Disorders (Depression, Bipolar Disorder), Anxiety Disorders (Obsessive-Compulsive Disorder, Generalized Anxiety Disorder, Social Anxiety and Phobia, and Post-Traumatic Stress Disorder), Disorders in Childhood (Autism, Aspergers), Eating Disorders (Anorexia, Bulimia, Binge Eating Disorder), as well as Schizophrenia and other psychotic disorders.

So, is the way that television portrays these disorders accurate? In a very generalized way, the individuals featured on these shows represent the extreme examples of the mental health disorders. Are there actually people who hoard items to the point that they cannot move in their homes? Sure. But more than likely, most patients have a combination of symptoms and a lesser form of hoarding.

When should you get help for a mental health disorder? If your symptoms are interfering with your normal daily routine, you are missing work, or your happiness is compromised, it is time to seek assistance. There are many very effective, research based, time limited treatments for many disorders, and finding an experienced and skilled psychologist is important in recovery. A psychologist is a professional who is most likely a doctor, and has specialized training and extensive experience in diagnosis, assessment and treatment of most common mental health disorders.

Do I need medication? Maybe, but not necessarily. Most mental health disorders respond quite well to therapy with a skilled psychologist. Some people have an imbalance in their chemical makeup, and require medication while they are developing skills to manage their symptoms. Psychologists will assess the need for referral to a psychiatrist. The fact is, that the majority of people receive anti-depressants, anti-anxiety medications, and stimulants for Attention Deficit Hyperactivity Disorder (ADHD) from their primary care physician. A psychiatrist is an important part of any medication plan and should communicate regularly with the psychologist.

Where to turn? Several sources list outpatient providers of psychological and psychiatric services. Check with the provider to see if they accept insurance or for payment structures. Clink on one of the links below to find a licensed psychologist.

http://www.apa.org/helpcenter/index.aspx

http://web.memberclicks.com/mc/prelogin.do;jsessionid=9C5178BA07C75DFB7B7266E65D58477F.mc1

http://www.findapsychologist.org/

For more information about mental health disorders see the website of the National Institute of Mental Health (NIMH) (http://www.nimh.nih.gov/index.shtml) or the website of the Pennsylvania Psychological Association (http://www.papsy.org/).


Or, for more information ASK ME!! You don't have to suffer alone....

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