Think You Might Have Seasonal Affective Disorder?

Do you have Seasonal Affective Disorder or are you simply sad? 

I often hear from clients that the winter months are hard. A common statement is, "I think I have Seasonal Affective Disorder." Seasonal Affective Disorder refers to having less energy and increased depressive symptoms at certain times of year, particularly during the Fall and Winter months. It is thought that less sunlight during the winter interrupts the body's cicadian rhythms and causes changes in Serotonin and Melatonin levels, causing mood changes and sleep issues. You can find more detailed information about the definition, causes, risk factors and treatment for Seasonal Affective Disorder by visiting the Mayo Clinic website. 

Much has been written about Seasonal Affective Disorder. I invite you to consider another possible cause for this seasonal sadness. Trauma anniversaries can cause intense feelings at certain times of the year. A trauma anniversary is the date that something traumatic happened in your life. I will explain more below.

Susan felt that her symptoms were completely unexplainable and unpredictable, but when talking in more depth about the story of her childhood and the loss of her mother, she revealed that her mother died on May 31. She also pointed out that she never had a chance to grieve her mother's death since she was too busy trying to survive in an abusive home without her only protector. Her father was not attuned to her emotional needs and he lacked the ability to cope with his own grief. 

Susan's annual experience of overwhelming depression in June makes sense when you consider that her mother died at the end of May, so that incredible pain she experienced throughout the month of June 28 years ago, when she was 12, was never processed. Trauma is held in the body, and feelings which are outside of our conscious awareness can show up seemingly at random. You can learn more about this by reading Bessel van der Kolk's book "The Body Keeps The Score," Peter Levine's "In An Unspoken Voice,"  Babette Rothschild's "The Body Remembers," and many other books on the subject of trauma and the body.

Considering whether there is any explanation which may relate to prior traumatic experiences helps us take back control of our own wellbeing.  Susan's body was reminding her every June of the deeply painful loss of her mother. She struggled all year with depression, which is common for survivors of childhood abuse, and in June it became unbearable every year. Susan was able to break this annual cycle and take back control of her emotional and physical health by working with a therapist specializing in trauma. She was able to process these traumatic experiences and she felt better than she had ever thought possible.

*Susan is not a real person. Her story is a composite of many stories clients have shared about their trauma anniversaries. 

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This is by no means a comprehensive list of traumatic experiences. If you believe you have experienced trauma, and you are ready to start the healing process, find a qualified therapist who has specialized training in trauma. As difficult as it may be to begin therapy for trauma, it is so worthwhile to find out that you can feel better than you ever thought you could. I know this is true because I have personally witnessed that transformation. 

If you don't have trauma and you really do have Seasonal Affective Disorder, the article I cited above recommends getting more sunlight, taking a vacation to a sunny place (heck yeah!) and/or trying therapy or medication. If you're not sure, talk to a helping professional, whether your primary care doctor or a therapist. 

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Susan's Story

Susan* had experienced depression throughout her adult life. Despite taking medication faithfully, she found herself being hospitalized for inpatient psychiatric treatment once a year -always in June - and she lived in fear of when her next depressive episode would cause this disruption in her life. When Susan was a little girl her father was an alcoholic. Her mother tried to protect her from his rage but when her dad was drinking, he often physically and sexually abused Susan. When Susan was twelve her mother died suddenly, and Susan was left alone with her father, who continued to abuse her until she was able to move out on her own at 18. The effects of her traumatic childhood continued to haunt Susan when I met her at age 40. She explained that she felt sad much of the time and her pain would build throughout the year, until in June she would have a breakdown and end up in the hospital because of suicidal thoughts. 

So Do I Have Seasonal Affective Disorder or Trauma? 

So before you assume that you have Seasonal Affective Disorder, ask yourself whether there is a certain date or specific month that is especially difficult for you. Is there any event you can recall which happened at that time of year which might relate to your feelings about this? Have you experienced trauma? It's not always as obvious as we think. Some situations which can cause trauma include:

• Loss of a parent or other primary caregiver during childhood
• Sudden, violent or traumatic death of a loved one or close friend
• Witnessing domestic violence in childhood or being in a physically violent relationship
• Growing up feeling that your emotional needs weren't met, that no one was there for you
• Experiencing physical abuse, including being "spanked" with a belt or other object, or being hit in any way when you were a child, even if you don't consider it abusive
• Being bullied
• Any unwanted sexual contact, from touching to intercourse without your consent or when you were incapacitated in some way

If you'd like to talk to me about working together click here or send me an e-mail at laura@laurareaganlcswc.com. You can reach me by phone at (443) 510-1048. For more from me, sign up for my newsletter! I send e-mails every so often when I have something to say, and I definitely won't overwhelm your inbox. You can also follow me on Twitter, Facebook, Pinterest and Google+. I have a weekly podcast which you can listen to here.

Source: 

Author Unknown. (2015) Retrieved on November 10, 2015 from: http://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/basics/definition/con-20021047

Wholeheartedly,

Laura Reagan, LCSW-C

Intuition in the Therapeutic Process: My Interview With Psychotherapist & Coach Keri Nola

An Interview with Intuitive Healer, Coach, Author and Psychotherapist Keri Nola

 

Earlier this year I had the privilege of interviewing someone I admire quite a bit, intuitive healer, coach, psychotherapist and author Keri Nola. I held this interview back for a while because I wanted to improve the sound on our recorded call, but I finally decided to let go of my perfectionism and share the interview with you. You can listen by clicking on The Baltimore Annapolis Psychotherapy Podcast image to the right. 

In our interview, Keri shares her wisdom gleaned from over ten years of working with clients who have experienced trauma, building a successful practice and having painful experiences of her own. Read more about Keri below the image. 

Keri Nola speaks openly from the heart about how she uses intuition and models self care in her practice with clients. Keri has taught me so much about showing up more authentically in my therapy practice. Whether you're a therapist or someone who is interested in different ways that therapists can practice, I hope you'll learn something from my interview with Keri. Listen to our interview and please share your comments! 

For more of what Keri is doing, you can visit her website: www.kerinola.com! There you can request to join her Facebook group for therapists and healers as well.

I hope you enjoyed this episode of the Baltimore Annapolis Psychotherapy Podcast. Please visit iTunes to subscribe, download episodes and leave a review. I'd love to know what you think!

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Here's where you can find more of what I'm doing: 

Find me on Facebook, Twitter, Pinterest and  Google +. You can listen to my podcast here and sign up for my e-mail newsletter here. To speak to me about my services, call me at (443) 510-1048 or send me an e-mail to laura@laurareaganlcswc.com. You can also visit my website to send me a message or view available appointments. 

Wholeheartedly, Laura Reagan, LCSW-C

Laura Reagan, LCSW-C

Forgiveness: Is It Necessary for Healing?

Forgiveness: Is It Necessary for Healing?

I recently attended a beautiful healing retreat in San Diego. I have been thinking about forgiveness a lot lately. While reflecting during the retreat I realized that I've been holding on to some resentment that has been a barrier to my relationships with important people in my life. As painful as it is to have this barrier in those relationships, I realize that it is actually creating a barrier to my own relationship with myself as well. Self-forgiveness is a key factor in being able to forgive anyone else. Taking the time to reflect helped me see that and let go of that old stuff, and as a result, I feel better and I'm relating differently to the important people in my life.

This subject frequently comes up in my therapy sessions with adults who have experienced childhood abuse, neglect, or other traumas. It's also a popular theme in our culture. Click on the image to the right to listen to Episode #10 of the Baltimore Annapolis Psychotherapy Podcast on forgiveness.In it, I discuss the concept of forgiveness and offer some thoughts on the role of forgiveness in the healing process. I also offer resources for forgiving in a way that is authentic and true. Here's a summary of what I said in the podcast:

In the last episode of the Baltimore Annapolis Psychotherapy Podcast, I asked whether you'd ever had a loss of relationship with someone with whom you were formerly very close. Something happened which led you to decide that you do not want to communicate with this person anymore. Or maybe you are setting boundaries around the role they have in your life because continuing to be close after what happened feels too painful. 

I raised the point that our culture tells us, both through religion and our popular culture, that forgiveness is a requirement for healing. But what if the person hasn't asked for your forgiveness? What if they deny that they did anything wrong? What if they have passed away, and you will never have the discussion about how their actions hurt you? What if they have apologized in a way that feels hollow? Is forgiveness really about the person who did wrong or about the person who has been hurt? Is it for your healing or theirs? Or the healing of the relationship?

Healing childhood trauma involves allowing oneself to feel the painful emotions we may have been avoiding, consciously or unconsciously.  Before jumping to forgiveness it is important to acknowledge these painful emotions. Self-compassion is extremely helpful to healing these hurts and moving the process of forgiveness forward. I offer resources for increasing self compassion in the podcast.  

Researcher Kristin Neff, PhD has researched and written extensively on the subject of self compassion. I highly recommend her book, "Self Compassion," and her website: http://www.selfcompassion.org/ to facilitate healing and allow forgiveness of yourself and those who have hurt you. 

If you're in the Baltimore area and looking for a therapist to begin or continue your journey of healing childhood trauma, get in touch with me at (443) 510-1048 or laura@laurareaganlcswc.com to talk about how I can help. See below for places to get more of what I have to say. 

Find me on Facebook, Twitter, Pinterest,  and Google +. You can listen to my podcast here and sign up for my e-mail newsletter here.  Check out my website, www.laurareaganlcswc.com for information on upcoming workshops, groups and retreats. I'd love to talk about how we can work together!  

                     What does asking for forgiveness look like?

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Click on the image to listen to the podcast episode on forgiveness.

Laura Reagan, LCSW-C Psychotherapist, Clinical Supervisor, Podcaster, Consultant

Mourning the Loss of An Important Relationship

Is there someone in your life with whom you used to be close, but you are no longer on speaking terms? Or maybe you still talk, but rather than the close connection you used to have, things feel strained between you. There is so much unsaid that the tension is palpable. The holidays are coming, and challenging family relationships often come to a head at this time of year. 

In my psychotherapy practice I work with adults who feel worthless, despite success and high achievement in their professional lives. They have everything anyone could want - great jobs, wonderful spouses, children who seem to have it all together...they are the envy of their friends and neighbors.  For many of these clients pain from childhood hurts continues to be a barrier to having close relationships with their families of origin, even into their 40's and 50's. 

I'm not talking about being upset because your big sister wouldn't let you ride her bike, but deeper hurts, like childhood abuse. I'm talking about feeling as a child that your needs weren't being met. Feeling like you never mattered, and you may still question whether you are lovable because of it. Deep, painful emotions. Despite trying to "just get over it" and "put the past behind you" as people often advise, these feelings aren't getting better.

Read on below!

In this episode of the Baltimore Annapolis Psychotherapy Podcast I talk about the issue of being estranged from someone who used to be so important in your life, whether it is a parent, sibling or friend. Most people who experience the loss of those important relationships feel hurt by the estrangement, even though they may try to avoid thinking about it. In the podcast I talk about some of these feelings and offer some journal prompts to help get to the bottom of what is really felt inside.

Our society tells us forgiveness is key to feeling better in these situations. However, I think sometimes we rush to claim that we have forgiven someone for hurting us without acknowledging to ourselves how hurt we really feel. It's the "right thing to do." But I question whether true forgiveness is possible without first healing the hurt. My next podcast episode will discuss forgiveness in more detail. In the meantime, I'd love to hear your feedback. Have you had this type of rupture in one of your important relationships? Were you able to resolve it? 

Therapy can help if you are struggling to heal from the hurt of a broken relationship with important people. If you're in Maryland, get in touch with me via e-mail at laura@laurareaganlcswc.com, by phone at (443) 510-1048 or send me a message through my website.    

Want to know more? Find me on Facebook, Twitter, Pinterest,  andGoogle +. You can listen to my podcast here and sign up for my e-mail newsletter here.  Check out my website,www.laurareaganlcswc.com for information on upcoming workshops, groups and retreats. I'd love to talk about how we can work together!  

Wholeheartedly,

Laura Reagan, LCSW-C

Click on the image above to listen to the podcast episode. 

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For more episodes, click on the image above. If you like what you hear, please consider subscribing and leaving an honest review on iTunes! 

Laura Reagan, LCSW-C 

What Is An Integrative Psychotherapy Practice?

What is an Integrative Psychotherapy Practice?

My Interview With Cathy Canfield, LCSW of Counseling of Alexandria

Earlier this year I began a blog series on integrative psychotherapy. What is integrative psychotherapy, you ask? It's psychotherapy which addresses the mind-body-spirit connection through use of non-verbal, expressive and somatic (body-based) therapies. Today's podcast episode features Cathy Canfield, LCSW, owner of Counseling of Alexandria in Virginia. Cathy was interviewed for my blog earlier this year to talk about how she uses EMDR in her practice. You can read the blog post here. 

In this podcast episode Cathy was able to talk more in-depth with me about her work. In her practice she offers play therapy, sandtray, EMDR and reiki, and one of her associates is an art therapist. You can listen to the podcast episode by clicking on the image below.

Click on the image below to listen to Cathy's interview.

I hope you'll enjoy what I thought was a fascinating conversation about how Cathy has created an integrative psychotherapy practice. I'd love to hear your comments, please leave them below! 

Want to know more? Find me on Facebook, Twitter, Pinterest,  and Google +. You can listen to my podcast here and sign up for my e-mail newsletter here.  Check out my website, www.laurareaganlcswc.com for information on upcoming workshops, groups and retreats. I'd love to talk about how we can work together! 

Laura Reagan, LCSW-C

Click on the image above to listen to past podcast episodes.

Laura Reagan, LCSW-C - Psychotherapist, Blogger, Podcaster, Clinical Supervisor, Consultant

Call me: (443) 510-1048

E-mail me: laura@laurareaganlcswc.com  Click my photo to visit my website.

Being Grounded Is A Good Thing!

How grounded are you?

Do you know what it means to be "grounded"? Not like when your parents said you weren't allowed to go outside and play with your friends. Being grounded means being present in your body. Being in the here and now. Knowing where you are and what is happening around you.

For people who have experienced trauma, sometimes being grounded and present in our bodies is not as easy as it sounds. If you have ever felt like you are floating around above your body, then you know what I mean. Or if you never feel anything in your body, it's just numb. Or if you find yourself zoning out and missing what's happening around you. If the person you are talking to says, "Hello, are you listening to me?" and you suddenly snap back to reality and think Where did I just go? 

I'm talking about dissociating, and some people do it more often than others. It's a great way of coping with negative emotions when we have no other way to escape. For that reason, many of us who were abused or neglected in childhood, or have experienced any other type of traumatic event over our lives may find this happening. Or we may not know it's happening, which can be scary. In spite of how effective dissociation can be in helping us avoid our unpleasant feelings, it can get in the way when we want to be focused at work, at home and in relationships.

Sometimes trauma survivors find unwanted thoughts or feelings coming into our heads when we don't want them to. We may even have flashbacks, in which we feel as if we are reliving the event. People often describe this as feeling as if they are watching what happened to them all over again - like a movie. However, unlike a movie that you want to see, this is one that brings up the same feelings of horror, helplessness and fear that you felt when the traumatic event occurred. It can be confusing and sometimes people have panic attacks when flashbacks come up unexpectedly.

It's important to feel grounded.

If any of these things are happening to you, I want you to know that while these are typical responses to trauma, you do not have to suffer alone. Help is available. My practice is focused on helping people who have experienced trauma to recover from the effects.  Below is an infographic I created which describes a simple, free and commonly used grounding technique. 

Image copyright 2015 Laura Reagan, LCSW-C Psychotherapy Services, LLC

Feeling less than grounded? Let's talk!

I hope you find this simple grounding technique to be helpful if you, or someone you know, needs to get grounded in the body. If you need additional support, contact me by phone at (443) 510-1048, by e-mail: laurareaganlcswc@gmail.com or via my website. I would be happy to talk about how therapy can help you get more grounded and focused. 

Warmly,

Laura Reagan, LCSW-C

It's Easier Not to Care - Or Is It?

Feelings are hard.

Tomorrow is going to be hard. I'm having my dog euthanized.

I'm so sad about this but I know it's time.

I don't want to do this! As tears stream down my face I'm thinking, "I don't want to deal with this. I don't want to deal with this!" 

Why have a pet when you know they will die at some point? I mean, why did I even open up my heart to a new puppy 11 years ago, when I knew I would eventually have to say goodbye? I'm remembering when we had to put down our other dog (10 years ago). It was so sad, definitely one of the hardest things I've ever had to do. And now we are doing it again tomorrow, and this time our kids are old enough to understand. Crap. I don't want to feel these feelings!

This is part of life. Part of love. Life is not just the happy times, or even the neutral times when we are just chugging along - not really happy or sad. Life is filled with ups and downs. Overall, I've noticed it's more ups than downs. But the downs stand out more! 

Can I just not feel this?

This is hard. I wish I didn't have to feel this and that I could protect my family from having to feel this. Tomorrow is going to be SO HARD. Not having our dog anymore is going to be so sad. 

Part of me would prefer to pretend this isn't happening. Part of me would like to look online for puppies to adopt through a rescue organization and pretend my dog is already gone. You know that scene in the movie "American Beauty" when Annette Bening's character cries and screams for about 10 seconds and then fixes her makeup and acts like nothing happened? Part of me wants to do that. 

I want to numb my feelings. The problem is, as Brené Brown says, "We cannot selectively numb emotion. Numb the dark and you numb the light." 

It's not possible to truly enjoy the companionship of your dog or cat (or your people) if you avoid opening your heart to him or her. When you do open your heart you can have countless hours of fun and mutual companionship with your pet over his or her lifespan. But the price you pay for opening your heart is that you must feel the pain of loss at some point.

Love hurts.

Isn't that true of all of our relationships? We never know when they'll be lost, but at some point they will. One of the people in the relationship will die and the other will experience loss. We never know when this will happen, but at some point it will. Wouldn't be easier just to keep our hearts closed off, protected, guarded by barbed wire, and never let anyone in? 

Well, yes, easier...if you don't mind feeling alone and lonely for your whole life. But we humans aren't made for that. We are social creatures and we need connection to survive, beginning at birth. The key to tolerating the pain of loss is the make sure to enjoy the good moments, really feel them and experience gratitude for them. And even in the neutral moments, can you find something to be grateful for? There is always something. It helps make the ups of life stand out as much as the downs.

So I will do this hard thing tomorrow. I will treasure my last hours with my dog, whom I love, and tomorrow I will take her to the vet so she will not suffer anymore. I don't want to do it and I wish I didn't have to. But I will. And I will open up my heart to another puppy (maybe two!) because it's worth it. I choose to feel because that's what life is.

"Carry on, warrior."

This morning I discovered that Glennon Doyle, Melton author of "Carry On Warrior," has a TED Talk. I have followed her blog, Momastery, but I haven't read her book yet. I watched the TED Talk today and - full disclosure - I cried through the whole thing. Maybe I'm just extra raw because I'm saying goodbye to my dog tomorrow, but I'm sharing it here because I feel pretty sure you will find it meaningful too. 

I think I need to read Glennon's book. It might take my mind off of being sad (or I will cry more - a win/win situation). I'd love to know what you think of the video and of this post in general. Please comment below!

And if you believe that risking heartbreak in the pursuit of connection is worthwhile, you'll probably want to read more of my posts. If you want support in opening your heart, get in touch with me by phone (443-510-1048), e-mail (laurareaganlcswc@gmail.com); or click "Work With Me" on my website to discover what I offer that can be of help to you.

Vulnerability Is Courage

I'm a psychotherapist, consultant, clinical supervisor and Certified Daring Way™ Facilitator. And a mother, wife, sister and friend. Although it was uncomfortable to do so, I made this video to tell you about my work offering The Daring Way™. As you will see, it's not a fancy, glossy, high production value video. It's just me. Therapists are just people who want to help people. We have specialized training in helping people with emotional pain and we can use our own experiences of struggle to relate to the suffering of others. And we are regular people. 

I want you to know that I offer The Daring Way™, based on the research of Brené Brown, because this model has changed my life. That's a big statement! In fact, before reading Brené Brown's books I probably wouldn't have said that out loud for fear that people would have thought my statement was stupid. That's exactly the point of this article. When I attended The Daring Way™ training, I was able to experience the model myself, and it changed me both personally and professionally. I've written more about how Brené Brown's work has changed me, and you can read it here. 

If you want to live a life that feels more authentic and build deep, meaningful connections with the important people in your life, The Daring Way™ might be a good fit for you. I'm offering this model in the Baltimore Annapolis area and I invite you to get in touch with me if you want to know more. 

(Click here for information on my upcoming weekend intensive. Early Bird Registration Discount ends June 15th!)

So although it felt vulnerable to make this video, I posted it anyway. It's what Brené Brown calls an "Arena Moment" in her book Daring Greatly. I posted the video even though:

• I don't look perfect. (You're going to find that out sometime...might as well be now!)
• I filmed it myself on my iPad - it's not glossy and professional-looking.
• I don't sound as "smooth" and "cool" as I'd probably like to. 

And I like myself anyway! In fact, I'm an expert in the work I do and anyone who decides to work with me is going to see my imperfections eventually. I could try to present you with some kind of mask to make you like me more...but it would show through because I'd be playing a role instead of being authentic. How safe would you feel in a therapy session with a therapist who is hiding behind a mask of "being the expert" and trying to hide his/her imperfections from you? 

As Brené Brown says, "I am imperfect and I am enough." I am, and so are you. So even though I've said a lot about myself, this isn't really about me. It's about you. 

Do you want to show up and be seen as your true self? Are you ready to take off your mask and see what happens when you connect with other people from a place of authenticity? The Daring Women Weekend Intensive takes place July 17, 18 and 19, 2015. You can save $50 on the cost if you register by June 15th! The group is limited to six women and participants will be screened to ensure a good fit with the group. You can find all the details on this special intensive, the only one I'm planning for this year, at this link.  And if you're not ready to try a group setting, I use the model in my work with individuals and couples as well. To get started, give me a call at (443) 510-1048 or send me an e-mail at laurareaganlcswc@gmail.com to talk about how we can work together using The Daring Way™. 

If you want to read more of what I share, you can follow me on Facebook, Twitter, and Pinterest, and sign up for my e-mail newsletter (I won't spam you). 

Wholeheartedly,

Laura Reagan, LCSW-C

What If You Could Show Up and Be Seen As You Really Are?

Today's post explores the first of Brené Brown's "Guideposts for Wholehearted Living" from her book The Gifts of Imperfection. If you're reading the book title and thinking, "How could imperfection possibly be a gift?!!" then this is a great book for you to read. I thought the same thing at first, and I absolutely love this book. I frequently recommend it to my clients. So if you're interested in understanding how the Guideposts can help you live your life more wholeheartedly, then read on! 

In my last post of this series on living an authentic life, I listed the Guideposts and how I (and many other people) have used them to help me live my life in a more fulfilling and joyful way.  The first Guidepost is: Cultivating Authenticity - Letting Go of What People Think. That can be a tough one. What does it mean to you? 

Here in the greater Annapolis area, where I live and work with clients, it can be really hard to let go of worrying about what other people think. Conformity is prized in our community, and fitting in feels better than being excluded. I think that is true no matter where you live. But what if you aren't the same as everyone else? I'm kidding. None of us is the same as everyone else! We're all unique, and our differences are what make us who we are. For some reason, though, we tend to hide what makes us unique in order to fit in with the group. 

If you want to dig deeper into Brené Brown's work, join me July 17-19 when 6 women will use The Daring Way™ model to discover how connecting with their most authentic selves can help them build meaningful relationships and live wholeheartedly. Click here for details.

When you don't like who you really are it can be tempting to hide, pretending to be someone you're not. You might find yourself trying on different personas until you find one that people respond to in a positive manner. This often starts in childhood, and some of us are so skilled at it that we don't even realize we're doing it anymore. It becomes automatic, like a chameleon changing color to fit its surroundings. Eventually you may wonder, "Who am I, really?"

There are many common strategies that are used by people to get by. One of these strategies is going along with things that you don't really want to do. You may hate playing golf, but you do it to fit in with your work friends because it seems to be expected. Another strategy that many people use is participating in social gatherings with people who don't talk about meaningful subjects, instead limiting conversation to surface matters. There is a time and place for this, but if these interactions are your only social relationships, it can feel lonely and hollow to feel as if you have no one to talk to who understands what you're going through.  It's isolating, and you may even think that you are the only one who wants to talk about anything more than the weather, what home improvements your neighbors have done recently, and which Kindergarten teacher you want your child to have next year. 

Many women compensate for such feelings by anticipating other people's needs and trying to meet them before the person asks. Our society emphasizes women's role as caregivers, and sometimes this helps us avoid thinking about our own needs. It's usually met with a positive reaction from others, too. Are you the woman who always brings the perfect dish to the neighborhood gathering and the first one to start cleaning up for the hostess when the evening comes to an end?  Do you have a hostess gift every time you show up for an informal happy hour at your neighbor's house and send a thank you note as soon as you get home that evening? Are you the one who is always doing favors for everyone else in the community? There's no doubt that you have impeccable manners and others probably appreciate everything you do for them. But are you doing this because you want to, or because you want to be liked? Don't get me wrong, I want to be liked too - we all do - but I would prefer to be liked for who I really am, rather than how good I can make the other person feel about themselves. What about you? Would you rather be liked for your true, authentic self (even if you don't always have time to send a thank you note right away) or for your ability to change your behavior to suit the other person? People pleasing and hiding our true selves can create a prison with us trapped inside. How can you ask for help when you need it (and we all need it at times) if you are too busy taking care of everyone else?

What would it take for you to believe that your own combination of unique qualities is what makes you special? Think about it. What do people like about you? Is it your outrageous sense of humor? Your joyful laugh? Your artistic ability? Do you have a great singing voice? Maybe you make the best oatmeal chocolate chip cookies. Do you have a family recipe that you have mastered but you never cook it for your friends because it represents your family's cultural heritage which is embarrassing to you? It might be hard to imagine showing your neighbors, friends and co-workers your true self. Are you afraid they wouldn't like the real you? Or worse, do you feel like you don't even know the real you anymore?

For many of us it can be difficult to imagine being accepted as we are, with the pretense stripped away. It might be easier if you imagine a child. Whether you have children of your own, or you have children in your family - nieces, nephews, cousins - or your neighborhood. What would you tell a child about being the same as everyone else? Can we agree that each child is unique and special exactly as he or she is? Sometimes it's easier to believe that when thinking about children than ourselves. But let's remember that we all started out as children too, and our special qualities didn't stop being valuable just because we have grown up. 

It's important for your own well-being and that of your children, if you have them, that you understand that you are just right, right now, exactly as you are.  If you have trouble believing that, and want to work on connecting with your authentic self so you can feel confident showing up as you really are, get in touch with me! I would love to work with you on this. I am certified to use The Daring Way™ method, based on the research of Brené Brown, to build shame resiliency and help you remember what you loved about yourself when you were a child.  You deserve to love yourself for who you are, and to stop hiding your true self from the important people in your life! To work with me see below for contact info.

If you want to dig deeper into Brené Brown's work, join me July 17-19 when 6 women will use The Daring Way™ model to discover how connecting with their most authentic selves can help them build meaningful relationships and live wholeheartedly. Click here for details.

Thanks for reading this installment of the blog series on living authentically. If you like what I've written here, follow me on Twitter, Facebook, Pinterest and Instagram for more. You can also sign up for my e-mail newsletter, which is sent every so often with updates on new offerings including workshops, groups and intensives, as well as recent blog posts and news about the practice.

Have you ever wondered whether you'd still be accepted if people knew the real you? If you're afraid of the answer, but brave enough to want to find out anyway, then get in touch with me! You can call me at (443) 510-1048, send me an e-mail at laurareaganlcswc@gmail.com, or visit my website for more information and to schedule an appointment. 

Source:

Brown, B. (2010). The gifts of imperfection: Let go of who you think you're supposed to be and embrace who you are. Center City, MN: Hazelden.

May is Mental Health Month!

Happy Mental Health Month! I think many of us can't relate to the words "Mental Health" as we associate them with negative images we have seen and heard on TV and in the movies. Do you have a loved one who has had a mental health problem? I do. If you don't, then that means neither you, nor anyone you care about has ever struggled with anxiety or depression, or experienced a traumatic event. Most of us have. I certainly have. 

Mental Health is a positive term, actually. Think about it - what if May was Physical Health Month? That sounds nice, doesn't it? Well, our bodies and minds are functioning at their best when we are experiencing mental and physical wellness. And there's a connection between our physical health and our mental health, because our mind, body and spirit all interact to make us the individual beings that we are.

Mental Health Month for 2015 is focused on recognizing when one needs help before the symptoms become so severe as to require intensive interaction, such as hospitalization. What does this mean to you and me? To me, it means three things.

Understand the effects of traumatic events.

I think my purpose in life is to help people who have experienced trauma and spread the word about the effects of trauma. Despite extensive research on the prevalence of childhood trauma and its effects on the physical and emotional well-being of humans throughout the lifespan, it seems that most people don't recognize the importance of addressing the effects of trauma. I feel sad about the amount of suffering so many of us endure before realizing that it doesn't have to be this way. If you've experienced a traumatic event, help is available! I've seen the positive outcomes for people who have participated in trauma-focused therapy. 

Practice Self Care

This is one of my favorite subjects, and I've begun a blog series on the topic. You can read the articles I've written thus far here. The key is to treat yourself as you would someone you love. It sounds very simple, but for many of us, it is easier said than done. In general, women in our culture are raised to take care of others, and men are raised to suppress their feelings. Our culture doesn't encourage us to take care of ourselves, but it is the only way to truly take care of anyone else. Check out what Brené Brown said about this on Oprah's Lifeclass. 

Know When To Seek Professional Help

Do you know the signs that a mental health problem is serious enough to require professional help? Many people are uncomfortable asking for help due to the stigma of mental health. This can contribute to waiting to seek help until we feel completely overwhelmed. Here's a link to a page listing symptoms of various types of mental health disorders.  There's no shame in admitting that you've reached the limits of how well you are able to manage a problem on your own. We all have these moments at times. I view therapy as a part of being well throughout the lifespan. There have been times when I have needed professional help to move through some difficult times, and I'm not ashamed to say so! Without this help I wouldn't be where I am today, in a position to help others.   If you think you might have a mental health disorder, here's a simple screening tool which can help you identify whether you'd benefit from professional assistance.   Here is a link to find help, wherever you are. 

I hope you'll join me in challenging the stigma of asking for help. It is truly a sign of strength to admit that a problem has grown past your ability to handle it alone. Please share this post to show your support for ending stigma! If you choose to share it on social media, please use the hashtag #B4Stage4. 

Wholeheartedly,

Laura Reagan, LCSW-C

Sources:

Burke, N.B. (2015, February 17). How childhood trauma affects health across a lifetime. Retrieved on May 2, 2015 from: https://www.youtube.com/watch?v=95ovIJ3dsNk 

Mental Health America (n.d.). Mental health screening tools. Retrieved on May 2, 2015 from: http://www.mentalhealthamerica.net/mental-health-screening-tools

National Alliance on Mental Illness (n.d.). Mental health by the numbers. Retrieved on May 2, 2015 from https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers. 

Harpo, Inc. (n.d.). Oprah's Lifeclass: are you judging those who ask for help? Retrieved on May 2, 2015 from: http://www.oprah.com/oprahs-lifeclass/Dr-Brene-Brown-on-Judging-Those-Who-Ask-for-Help-Video#

U.S. Department of Health & Human Services (n.d.). How to get help. Retrieved on May 2, 2015 from: http://www.mentalhealth.gov/get-help/ 

U.S. Department of Health & Human Services (n.d.). What to look for. Retrieved on May 2, 2015 from: http://www.mentalhealth.gov/what-to-look-for/index.html

Using Flower Essences to Promote Emotional Well-being: My Interview with Beth Terrence

This installment of the blog series on holistic methods complementing traditional talk therapy includes an interview with local healer Beth Terrence, who is a Holistic Health Practitioner, Shaman, recovery coach and offers many wonderful one on one and group experiences to help you on your life's journey. I attended one of Beth's workshops and for me it was a very meaningful experience that I'd recommend to anyone. Today Beth agreed to be interviewed about her work as a Bach Flower Registered Practitioner. 

If you're not familiar with Bach Flower Remedies (I wasn't), you can find more information about these homeopathic remedies here. The British Homeopathic Association provides information about them at this link.  Read on below the image for Beth's interview! 

Tell me about your work. What are Bach Flower Remedies?  

I have been working in the field of Holistic Health and Wellness for over nineteen years providing Integrative Holistic Healing Sessions & Programs for individuals, groups and organizations.  

The Bach Flower Remedies are a flower essence system that supports emotional balance and wellbeing.  Created by British Dr. Edward Bach, the system is comprised of 38 flower essences used in conjunction with spiritual and holistic healing principles.  Dr. Bach understood the importance of treating the whole person, not just their disease. 

Early in his career, Dr. Bach observed how an individual’s emotional state and personality traits affected their health even on a physical level. He was also very attuned to nature and able to correlate the energies of different flowers with various emotional states.  The remedies work vibrationally; similarly to homeopathic medicine.  

What benefits are expected with Bach Flower Remedies? Are there any risks? Who is a good candidate for Bach Flower Remedies? Who should not participate in treatment with Bach Flower Remedies? 

The Bach Flower Remedies support the process of transformation on many levels.  Essentially, they help to transmute emotions and long-held patterns that are out of balance; and to foster positive emotions and new healthier patterns for living.  Some areas the Bach Flower Remedies may provide support in addressing include:

•     Life Transitions

•     Loss/Grief

•     Trauma/Abuse

•     Anxiety

•     Depression

•     Life Direction & Purpose

•     Energetic & Emotional Sensitivity

•     Fatigue

•     ADD/ADHD

•     Self-Confidence

The Bach Flower Remedies are gentle and effective; there are no side effects and they can do no harm.  The remedies can be beneficial for adults, teens, children, pregnant women, babies and animals.   As treatment remedies are customized for the individual, responses vary but often include:

•     a greater sense of balance

•     a more positive attitude

•     a release of feelings, patterns and beliefs that no longer serve

•     feeling more able to move fluidly in the world

•     having healthier relationships

•     feeling more joy and ease of well-being.

Many people who come to me for therapy services are affected by trauma, anxiety and depression. How do Bach Flower Remedies help people with these issues? 

Of the 38 Bach Flower Remedies, there are quite a few that address trauma, anxiety and depression specifically.  The beauty of the remedies is that they support the individual and how these challenges manifest for them personally.  For instance, if depression is a concern, we might explore the following questions:

•     Do you feel a sense of discouragement from setbacks, delays, failures or difficulties? Are you feeling despondent?

•     Do you feel hopeless?

•     Are you experiencing sadness, loss or grief? Have you experienced trauma recently or in the past?

•     Do you have a black cloud depression that comes and goes for no known reason?

•     Do you feel a sense of anguish as if you can't bear anymore?  Do you cry uncontrollably?

During evaluation, practitioner and client are working collaboratively to determine core issues and the best treatment remedies for that time.  Usually, a combination of 5 - 7 remedies is blended, which are taken orally or through a topical spray for 3 - 4 weeks.  Depending on the person and the length of the patterns, a number of treatment periods may be needed to support a shift.

What else do you want people to know about yourself and the services you offer?

People often ask me how I came to work with the Bach Flower Remedies.  They were one of the most important holistic tools that helped me in my recovery initially from Fibromyalgia and ultimately from the effects of Trauma on my life.  Through my own healing journey, I discovered the importance of exploring a variety of holistic tools to find those that best supported me in the change and healing I was trying to create. 

I offer Integrative Holistic Healing Programs to assist others in their journey of transformation.  I have found an Integrative Approach supports each individual in understanding where they are and in moving towards where they would like to be.  The foundational tools of my practice include The Bach Flower Remedies, Shamanic Healing and Body/EnergyTherapies such as Zero Balancing.  Additional modalities may be incorporated depending on individual focus and needs.  Sessions are available in Annapolis, MD or by Phone/Skype. I also offer classes and workshops locally in the MD/DC area and virtually by teleseminar.  

Want to learn more from Beth? Click here to listen to "Beat The Seasonal Blues With The Bach Flower Remedies" on Soundcloud. 

Beth Terrence is a trained Shaman, Holistic Health Practitioner, Speaker, Writer & Recovery Coach. She is a Bach Flower Registered Practitioner with the Bach Centre in the UK.  Beth has been working in the field of holistic healing and transformation for over nineteen years.  Her mission is to support others in living a heart-centered, balanced and joyful life through discovering the healer within.  To learn more, visit www.bethterrence.com or contact Beth at 443-223-0838 to explore what’s possible!

I'm honored that Beth was willing to be interviewed about the helpful services she offers in Annapolis and virtually.  I hope you learned something new, as I did! 

If you'd like to read more of this series and other news I share, subscribe to my newsletter, follow me on Twitter, Facebook and Pinterest! 

Self-Care Apps Recommended by Therapists

I've been surprised to realize how many apps are out there which can help support self care. Did you know? If you've visited this blog before, you know that I often talk about ways to treat oneself with nurturing, love and compassion. This is the latest post in my blog series on self care. 

I have a few apps I use to facilitate my personal self care practice, which I've listed below. I asked a few of my colleagues to share some they have tried as well. I'd love to hear your suggestions! Please comment below with your favorites! Read on below the photo for the recommendations! 

Apps for Mindfulness

Insight Timer  Susan Faurot, MSC, LMFT in California recommends this app. It is available for Apple and Android. You can set the timer for the period you want to meditate, and the app rings a Tibetan singing bowl sound to let you know when the time is up.

Another who recommends this app is Helen Caldwell, LCSW in Long Beach, CA. Helen states, "Insight Timer is a wonderful app for mindfulness meditation for beginners through those with more practice experience. I love that you can pick different styles of meditation bells to prompt the beginning and end of your silent meditation. The app also includes guided meditations by experts in the field."

Calm I learned about this app from Kelly Higdon, LMFT in Laguna Hills, California. Can I just say...I LOVE THIS APP!!! It's a new favorite. As I wrote this article I wanted to do a little research on the app - Kelly didn't say much about it - so I looked up the website (www.calm.com) and immediately I was drawn in. 

I'm a huge fan of the beach. It's definitely my happy place, where I feel relaxed, peaceful, calm, joyful and carefree. I was able to select a beach scene depicting an ocean at sunset, complete with the sights and sounds of waves crashing and seagulls. I was hooked immediately. You may have a different happy place and that's okay, because there are over a dozen to choose from. I'd like to have this on my computer screen at all times, but I fear I'd doze off because it is just so darn relaxing. In fact, I am listening to the waves crashing as I type this and I'm feeling very blissful. So thank you Kelly!

I hope you enjoy the app as much as I do, whether you use it on your mobile device or on your computer.  In addition to the relaxing sights and sounds of the app, you can choose to use it for meditation. For beginners there is a 7 day introduction to mindfulness which guides you through starting a daily meditation practice and includes daily reminders. I started the 7 day intro today, since I do not meditate as regularly as I would like. Look for an update in a future post on how well that worked for me.

Study - recommended by Amy Sugeno, LCSW in Marble Falls, Texas, who says, "Study (free for Android and Apple)..is 45 minutes of nature and bird sounds that are supposed to help relieve stress, block out distractions (like at work or school), and increase productivity. After 45 minutes, it suggests you take a short break - sometimes it helps to just have that reminder!"  

Looking for more recommendations?  Also, Mindful magazine posted this list which includes their review of Headspace along with a couple others.

Apps for Sleep

Relax Melodies - recommended by Fresno, CA therapist Patty Behrens, LMFT, who states, " Relax Melodies is an app I have recommended to clients to calm themselves and for sleep. It has a variety of different sounds you can layer onto each other, binaural beats for relaxation or concentration and a timer to go off on its own." Sounds like another one I'd like to try!

Omvana - this is one I have used personally and I often recommend to clients. You can choose from several different relaxing sounds of varying lengths, put them on a timer so your device isn't running the app all night long, and it has a mixer. Some of the content is free and additional content can be downloaded for a fee. The app includes guided meditations in addition to the soothing sleep sounds. 

Sleep Cycle and Sleep Bot - both of these are recommended by my colleague Erin Findley, Psy.D., in San Francisco, CA. Erin writes, "I really like Sleep Cycle and Sleep Bot. Personally, I prefer Sleep Cycle, but the two useful things Sleep Bot does that Sleep Cycle doesn't is it tracks your sleep debt, and it also can record sound above a certain level at night if you're wondering if you're snoring, sleep talking, etc."

Apps for Fitness

Keeping our bodies healthy is such an important part of self care. After all, if your body stops working, you are forced to take care of it, whether you want to or not. Better yet, keep it healthy day after day and hopefully it will be strong for you throughout your lifetime. This is something I can do better with, but I try to remain focused on getting regular exercise. When I'm consistent with exercise I reap the rewards physically and emotionally. It's never too late to start or re-start healthy habits. 

Yoga Studio  Another app recommended by Helen Caldwell, LCSW. "This is a wonderful app that allows you to take a yoga class from the comfort of your home, office or anywhere you have your smart phone or tablet. You can take a quick 15 minute, 30 minute, or hour class at varying levels. You can even make up your own class based on your favorite poses," Helen explains. This sounds very useful, definitely something I'd like to try! 

Up Alicia Taverner, LMFT in Rancho Cucamonga, CA, recommends this app. Alicia says, "I use the jawbone up24 with the app and I absolutely love it! It tracks your sleep patterns and steps throughout the day and vibrates to remind you when you need to get moving." I actually have the Jawbone Up fitness tracker as well, and was using it with the app for a while, but I got off track. Time to get back to it!  

My Fitness Pal is another app I've used for tracking healthy eating and exercise. It works with various trackers but you can use it without them as well, by entering the information manually. It also has exercise routines, tips and healthy recipes. 

Apps for Inspiration

Louise Hay's Affirmation Meditations I use this app personally and with clients. Affirmations can be very effective at injecting some positive self-talk into the constant chatter going on in our heads. Many people know Louise Hay as a founder of the self-help movement. She has done so much to promote positive thinking and healing, and I find this app to be easy to use, effective and inspirational. It is free but some paid content is available as well.

5 Minute Journal: A third recommendation by Helen Caldwell, LCSW in California.  Helen says, "I often recommend the practice of journaling but some clients find the practice daunting and benefit from prompts. This app requires little time. Under 5 minutes!  The app prompts you to write in the morning and then again in the evening. There's an inspiring quote as soon as you open the app. The app focuses on gratitude, positive affirmations and short term goal setting."

I love the focus on gratitude, which is a path to joy and can be a type of mindfulness practice, as well. And I'm a sucker for inspirational quotes. I'm definitely downloading this one.

Other Apps for Self Care

Intend - Susan Faurot, MSC, LMFT recommends this one, saying "Intend is really cool!" As I understand it, Intend helps remind you of intentions you set. For example, if your intention is to feel more confident, you can program the app to send you random reminders throughout the day such as, "be confident."  

Virtual Hope Box This app, which was developed by the Department of Defense and the VA, is pretty awesome. I can't believe it is free, considering the breadth of what it offers. Amy Sugeno, LCSW praised this app, saying, "I love the Virtual Hope Box by t2Health for Android and Apple (free). It gives several immediate options for coping with stress and regulating your emotions - distraction, meditation, relaxation, etc." 

I have to agree with Amy. I've recommended this app to clients for help coping with trauma symptoms. You can upload photos of important people, your favorite songs, inspirational quotes, videos, and so much more to personalize the app with things that you find comforting. 

I would love to hear about any apps you have tried for promoting self care. Did you love them? Hate them? Share in the comments below!

Disclaimer: I have received no compensation for sharing information about these apps. Please use your own judgment before downloading any apps. I don't know for sure if you will like them! Of course, no app can substitute for mental health treatment when needed. I hope this list is useful to you. I welcome your feedback. 

To read more of what I share, follow me on Twitter, Facebook, and Pinterest. You can also sign up for my e-mail newsletter for updates on groups, intensives and workshops as well as recent blog posts. 

Nourish Your Soul: My Interview with Folk Healer Chonteau McElvin

Welcome to today's edition of my blog series on holistic and alternative methods complementing traditional talk therapy. I use a holistic perspective in my work with clients to address the needs of mind, body and spirit. My interviews with a number of therapists and healers have taught me that a variety of methods are available to help us heal from the inside out. 

Chonteau McElvin was trained as a social worker, and she now practices as a naturalist, energy worker, life coach, folk healer and herbalist. I was fascinated to interview her and hear how she helps her clients nourish their souls by cultivating self-care practices. This is one of my passions and the subject of another blog series. Read on below the photo for the full interview with Chonteau! 

Image copyright Laura Reagan, LCSW-C Psychotherapy Services, LLC 2015

Tell me about your work. How do you incorporate being a Social Worker,  Naturalist, Energy Worker, Folk Healer and Herbalist into your work with clients? 

What I love about mixing my "medicines," medicines being our talents and good offerings we offer our community, is I get to pull in nontraditional schools of thought into each soul recovery session. I am of the belief that the absence of spirituality in our lives perpetuates the illusion that we are not all connected. When I say ALL I mean all things including nature, people and things. If this is true, that we are all connected, then how can I leave any part of the ALL out of the experience of healing. My social work degree was merely a piece of paper that said I can do what I was born to do. However, by having that piece of paper I was able to work with some pretty incredible populations which further reminded me of my life's calling. Much of my work is very intuitive in nature. There are not set rules that need to be followed, it really is about both parties showing up and trusting the process. Some of my clients pull on all of my skills while others may require only one or two of my offerings.

What benefits are expected with Herbalism? Are there any risks? Who is a good candidate for this work? Who should not participate in Herbalism? 

When I refer to herbalism I am referring to folk herbalism which is different than clinical herbalism.  I do not use herbs like drugs. I encourage the development of relationships to any plant you are going to journey with.  My view of folk herbalism is understanding what plants grow around you and  introducing yourself to those plants slowly and with deep respect.  When done in this way herbs tend not be be harmful.  I do not use herbs as pills, but in ways one can still taste the plant or experience its essence such as in herbal teas, bath blends or extracts.  Every client I meet with in person, we always have a cup of herbal tea.  Before they come to my office I will get an impression of what herbal blend will support their healing. If I am working with someone through correspondence I will often send them a personal blend to support our work.  Herbs are not for everyone and not everyone drinks the tea I make and that is fine. Remember I trust the process and I trust the Spirit of that person to know what is best for them.  I have seen herbal formulas support my clients  emotionally, spiritually, and physically.  I am not a doctor so I can never say herbs should replace what you have been prescribed.  I am able to say that herbs are here for us to get to know and begin to explore how they can support our whole being.

Many people who come to me for therapy services are affected by trauma, anxiety and depression. How do you help people with these issues? 

I am not a therapist so people do not come to me for treatment of depression or anxiety. I am a Life Coach and I have a degree in Social Work which helps me be able to detect when I am not enough and therapy is needed.  I do have clients that come to see me who struggle with numerous emotional challenges and we begin with a soul self care evaluation.  Basically I listen to their story.  As they are talking I began to intuitively assess what direction we need to take in supporting that persons movement forward.  Spiritual Healing Sessions or Soul Nourishment Sessions  are very different than traditional therapy.  My approach to supporting my clients heal and  move forward, is rooted in using mindfulness, visualizations, earth-based spirituality and other shamanic methods. I teach my client the tools they need to maintain whole healthy living.   I also focus on their energetic anatomy,  they may be carrying around unwanted  energies in their field, often this acts as a barrier to forward movement.  We also work on getting in touch with and healing their archetypes or inner communities.  Everyone is different.  We trust the process.

Having worked in the Social Work field for a very long time I have a passion for supporting other practitioners.  I have seen so many of my colleagues burn out in their field and in life because they have not taken good care of themselves. The self care that I promote goes beyond the typical taking a day off or going on vacation. The self care I promote with Healers is the process  of looking within and taking the time to connect with your Spirit.  I have worked with several groups of employees of high stress professions, they have been very open to learning ways to "connect with the one precious thing called their life".

What else would you like people to know about you and your services?

I think  one of the most important things about my service is that it is organic.  There is no script or protocol that we follow. We tap into Guidance and allow for the process to unfold. This includes when I work with groups or individuals.  Everyone  comes to me for their unique needs and it is a reciprocal relationship. I  learn and expand just as much as the person or group I am guiding does.  I would also say that it does not matter if we are working in person or at a distance the benefits are still transformative.

Chonteau McElvin is a naturalist, life coach, energy worker, folk healer and herbalist based in Winter Garden, Florida. She offers services in person as well as via phone and video. To find out more, visit her website at www.chonteau.com. 

I'm so grateful to Chonteau for agreeing to be interviewed. I am fascinated with her approach to healing and I encourage you to visit her website for the resources available there. I found it to be a very soothing, calming site. 

Thanks for reading this latest edition of the blog series on integrative mental health! If you're interested in knowing more about what I do to help heal mind, body and spirit, contact me via phone at 443-510-1048, follow me on Twitter, Facebook or Pinterest, or subscribe to my e-mail newsletter for occasional updates! 

I'd love to hear your thoughts on this article. Please leave a comment below! And if you like this article, please share it with others who might be interested!

Warmly,

Laura Reagan, LCSW-C

Reiki and Crystal Healing for Self Love & Self Acceptance

In today's post for the series on integrative mental health I'm excited to bring you an interview with Nina Gallant, LMT, a fabulous healer who practices in Annapolis and New York. Nina agreed to answer my questions about Reiki and Crystal Healing. You can get some background on Reiki by clicking here. This article provides some information about crystal healing, although there are admittedly few informative websites on this subject.

My interview with Nina Gallant begins below! 

Tell me about your work. How do you use Reiki and crystal healing?  In what setting does it take place? 

As a healer, I use many techniques to help my clients experience greater peace, wellness and vitality.  Reiki and crystal healing energy work are two of the methods I use.  Reiki is a hands-on healing art that allows life force energy (also sometimes called unconditional love, prana or chi) to flow to where it is most needed physically, emotionally and spiritually.  Crystal healing is a guided meditation that helps harmonize the chakras and other vibrational fields to support the purification, amplification and elevation of the energies of the mind, body and spirit.  Both healing techniques are done with the receiver of the energy lying on a massage table, comfortable in receiving these gifts of healing.

What benefits are offered by Reiki and crystal healing? Are there any risks? Who is a good candidate for this work? Who should not participate in these methods? 

The benefits of Reiki and crystal healing run broad and deep – they really are both quite exciting!  Emotionally and cognitively, they support self-acceptance, self-love and self-healing, leading to an increased sense of self-empowerment and capability.  They also both help expand consciousness, enhance spiritual growth, increase clarity of thought and purpose and connection to our intuition and higher selves, facilitate the setting of healthy boundaries – the list goes on!  Physically, they also offer broad benefits – immune system support, digestive health, and healthy sleep patterns, to name just a few. 

There are no real risks to receiving Reiki, unless you have the rare case of having an unset broken bone!  If Reiki were to be applied before the bones were properly aligned, they would be encouraged to set in a broken configuration rather than following healthy anatomical structure.  Generally, the divine intelligence of Reiki energy knows where it is needed, and it will go there – the practitioner is a conduit focusing this life-giving energy on the recipient.

Like Reiki, most everyone can benefit from crystal healing, though a word of encouragement to work with an experienced practitioner.  The resonance of different crystals will amplify different functions of the body, heart and mind.  Malachite, for example, is known to magnify energies already manifest in an individual – wonderful, if one’s mood is on the upswing, and potentially not so great if the spiral is downward.  For someone with growing despondency, an appropriate selection (among many) would be citrine, a stone known to bring joy and rid negativity and gloom to those interacting with it.  Another example: amber, stimulating cell reproduction, would not be suitable for use with cancer.  Rutilated quartz is a good choice, as it stimulates immunity, directs boosted energy to areas in need of rejuvenation, and its golden fibers support protection from radiation.  Working with someone who has awareness of these nuances of the healing energy of the stones is important, as crystal healing is not always as naturally innocuous as Reiki healing can be.

Read on for more of the interview with Nina! 

Many people who come to me for therapy services are affected by trauma, anxiety and depression. Is Reiki beneficial to people with these issues? What about crystal healing?

These gentle therapies are non-invasive and very nurturing, and can greatly benefit those who have experienced trauma and are living with anxiety, low spirit and other blocks to well-being.  I conduct a thorough intake session that helps reveal issues of importance and areas on which to focus attention.  Also, the person receiving the healing energy remains clothed on the table, which often adds to feelings of security. 

During crystal healing sessions, my clients and I work together to develop positive affirmations that truly resonate with their desires.  It is a collaborative effort that is rewarding for all.  I am always honored and excited to partner with individuals who are taking a proactive approach to their healing and well-being!  And very often, that proactivity presents simply as an increasing ability to be open to receive the gifts of healing. 

This is surprisingly not always an easy task in our culture – one that rewards humans doing and contributing over humans being and receiving, but both qualities are equally important in balance – the yin and the yang of it, so to speak. 

What else would you like to tell us about your work and the services you offer?

In addition to Reiki and crystal healing, I am licensed in therapeutic bodywork, offering deep tissue and Swedish massage, and CranioSacral therapy.  I’m also a certified Trager® practitioner.  Bardo Dance, a conscious dance modality I developed, offers healing through movement.  Classes are and have been held regularly in Annapolis and at the Omega Institute in Rhinebeck, NY for many years.  I would love to see you there sometime!

For more information, please feel free to contact me at nina@exuberantyes.com, visit my website at www.exuberantyes.com (it's currently being updated), or give me a call at (410) 991-3508.  I would love to connect with you! 

Thanks so much to Nina for taking the time to answer my questions! I've learned more about these methods from her, and I have tried some of them myself as well! More on that in a future post. Did you learn something new about Reiki and crystal healing? Have you tried these methods? Comment below, I would love to hear your thoughts! 

Contact Nina via e-mail (nina@exuberantyes.com) or phone at (410) 991-3508 for more information on Reiki, crystal healing, Bardo dance (awesome!) and her bodywork as well as the Trager® approach. If you are looking for a psychotherapist offering an integrative approach to address the needs of mind, body and spirit, call me at (443) 510-1048. You can also follow me on Twitter, Facebook and Pinterest. I try to share useful information on all three sites with minimal duplication of posts. 

Sources:

Author Unknown. (n.d.) Crystal healing. Retrieved from: http://www.altmd.com/Articles/Crystal-Healing--Encyclopedia-of-Alternative-Medic

International Center for Reiki Training. (n.d.) Reiki, questions and answers. Retrieved from: http://www.reiki.org/faq/questions&answers.html

Therapists Share Their Self-Care Tips

Welcome to the second article in my blog series on self care. A lot of my therapist colleagues have been thinking and writing about self care lately. Some great posts on this subject have been written recently by Jodie Gale and Sarah Leitschuh. I asked several therapists to share their favorite self care tips. Hopefully this list will inspire you to make a more conscious effort to put yourself first! 

Zoe Cryns, M.A., Portland, OR Never underestimate the power of sitting in sunshine to help offset the 'winter blues'. I take time to get sunshine when it's available, especially here in northern climes, to maintain a positive physiology.

Alicia Taverner, LMFT - Rancho Cucamonga, CA I use exercise and healthy eating for self care. Even if I can't fit in a class at the gym or a full hour of yoga I've recently started to let myself off the hook a little and do even 15 minutes of yoga or meditative stretching. Being a new mom and building a business along with working full time doesn't allow much extra time and something always ends up getting cut short and that's something I'm learning to be okay with. It's okay to just take a quick 10 minute walk on a break at work to get moving and count your blessings! 

Peg Shippert, LPC - Boulder, CO I often recommend that people use their waiting time (in lines, on the phone, at the doctor's office etc.) to practice belly breathing. Just mindfully breathing deeply several times a day can really help get our nervous systems better regulated! I'm always telling people that self care is not about doing one specific thing necessarily. It's about listening to what you need and making time for it. It could be talking to a friend, or taking a break, or getting outside, or even just getting a glass of water. As long as that's what you feel like you need in that moment. I definitely use the practices I mentioned myself. The breathing while I'm waiting does a couple of things: 1) turns those wasted minutes that used to frustrate me into a time to do something positive for myself, 2) connects me with my body and calms my nervous system. The checking in to ask myself what I need has helped in all kinds of ways. It increases my self compassion and encourages me to treat myself with care. I also find that a lot of times, what I need is to talk to someone, and that isn't my go to self care activity. So, when I check in and find that's what I want, and honor it by reaching out to someone else, it really enriches my relationships. 

Mercedes Samudio, LCSW – Huntington Beach, CA Writing and/or journaling is a strategy I encourage my clients to do as well as one that I frequently do. I feel that writing gets your thoughts -- whether positive or negative -- out of your head and into a space where you can process them. I also feel that writing organizes your jumbled thoughts so you can sort through what's going on for you. Even something as simple as writing a to do list, or jotting down a quick positive affirmation, is enough to shift your mood and change your thoughts.

Steven G. Brownlow, Ph.D.  I focus people on belly breathing, making sure they slow way down--maybe 4-5 breaths a minute, total, without ever holding their breath. This resets heart rate variability (and thus emotional regulation), as well as the blood's ability to effectively deliver oxygen. It also reduces stress-related illness markedly. 

Michelle Pointon Farris, LMFT - San Jose, CA. I talk to clients about shifting their focus onto self-care and how important it is to create time for yourself. Exercise, and social time having fun is talked about a lot!

Shirani Pathak, LCSW - San Jose, CA I recommend that clients stop watching the news. I don't watch the news and I find my life to be much more peaceful because of it. It keeps me from worrying about all the bad stuff going on in the world.

Colleen King, LMFT  - Sacramento, CA. My favorite way to practice self-care is using mindfulness along with belly breathing. An easy and fun way to do this is to focus on the small wonders of nature in the moment. Go outside and notice the patterns in a leaf, or the color variations of the clouds, or the shapes created in between the bare branches of winter trees. I incorporate all the senses to help people become fully immersed in the moment. Feel the softness of grass (crunch of the snow) underneath your feet, hear the sound of the wind, see the beauty of the flight of birds, smell the plants, etc. 

Robyn D’Angelo, LMFT Laguna Hills, CA. I recently learned about (and share with my clients) the Hierarchy of Living a Healthy Life: 1) SELF 2) GOD (or whatever you connect to spiritually) 3) OTHERS. Which looks like this: on a daily, the first 30 minutes of your day are you getting moving (walking, running, stretching - whatever works for you) & eat a healthy breakfast. Next is time with your higher power (out in nature, praying, meditating, journaling, reading, etc). And Lastly: others. Which means not checking cell phones, email, social media or tv of any kind I till you've cared for #'s 1&2 first. One of the simplest ways to make #3 stay at #3 in the hierarchy, is to turn off all alerts on your phone/iPads so that you have to manually open any apps/email to see new messages. It's amazing how our brains learn to crave these small alerts upon waking. Do this for a week and you notice a shift. Do this for a month and you feel peace. Do this daily for as long as you can and you develop a sense of clarity and ease that you've never experienced before.

Patty Behrens, MFT - Fresno, CA I encourage clients to take a "time out" during the day, a mini brain break to "single focus" on one of their five senses, sight, sound, touch, taste or smell. Whether at work or at home, take 5 minutes (or more if able). For sight, you look at one object and notice colors, shades of color, texture, designs, every little detail while also doing deep breathing. For sounds, you sit back, close your eyes while you listen to all the sounds, closer sounds will appear first, then less noticeable sounds will be heard. This is especially nice to do outside. Touch should also be done with the eyes closed. It can involve petting an animal, feeling the texture of an object or touching whatever is around you while noticing the textures, designs, temperature, all the little details. Smell and taste are done in a similar fashion. It could be smelling a candle, essential oil, piece of fruit, flower or the outdoors. It's amazing out this simple activity will provide a sense of calmness.

Lisa Bowker, MSW - Providence, RI. I like to remind clients to check in during their day and notice if they can feel a connection to their bodies and the earth. It's so easy to get caught up in our minds. I invite them to imagine bringing your energy or awareness down through your body again, like a gentle waterfall, until you can feel the earth underneath your feet again.

Kelly Montgomery MA, LMFT Oakland, CA  I have “no screen” time. Phones off, TV off, etc. Low input time to listen to hear what might have been drown out not out around me, but inside. It's a mindfulness practice.

I'm inspired by these ideas from my fellow therapists. Share your favorite ways of nurturing yourself in the comments below! 

Rethinking Self Care

As a therapist, I talk about, think about and promote self care with all of my clients. It's on my mind much of the time as I know its importance. However, it wasn't always this way for me. That's why I am beginning this blog series on self care. 

I first learned about the concept of self care when I worked in a Sexual Assault Crisis Center in Norfolk, Virginia. My wonderful supervisor, Kristen, taught me that self care would help survivors soothe themselves when trauma symptoms were triggered. I would ask callers to the hotline and clients in the office who were working to address the crisis after a traumatic experience, "What helps you when you are feeling upset? When you have been through tough times before this, what did you do to feel better?" Depending on which techniques had been effective for them in the past, they could use the same ones to soothe themselves or learn new ways to cope. 

I was learning about self care for the first time.  You just do what you do to cope, without really thinking about it, most of the time. We all do this and I was no different. I was taught some of the common self care strategies, and I had a list to use to help me make suggestions if clients were unable to think of any on their own. However, I didn't think much about my own self care strategies - in fact, for a while I didn't have any, at least none that I was really aware of. I had to learn that in the work of helping people I, too, was vulnerable to feeling the effects of secondary traumatic stress through hearing traumatic stories on a daily basis.  

Kristen, the supervisor I mentioned, had to tell me once to take a few days off when I began to exhibit the signs of secondary traumatic stress. It was difficult for me to agree to take a few days off - I think I was afraid the world would end if I wasn't there to save it. I can laugh about that now, but it didn't feel nice at the time. I was very idealistic then, and the time off gave me a chance to take care of myself so I could come back refreshed and ready to help again.  If I had kept going the way I was, I would have begun to feel like a robot, just going through the motions without emotional connection. Not only is that an unethical way to practice, it is in total contrast to the values which guide my work with clients as well as the way I want to live my life. 

Helping professionals may experience this at one time or another. I chose to become a helping professional (first as an advocate and crisis counselor and later as a therapist) because I care about people, and over the past 13 years I have heard many stories. I have heard and witnessed many amazing examples of strength, resiliency and transformation as well as pain and struggle, and I am honored and grateful to bear witness with my clients!  Each person has touched my heart and changed me in some way. Therapy with survivors of trauma is my passion and I want to remain healthy and well for many years to continue doing this work, which is so important to me.  Self care is also crucial if you are parenting, caregiving, or if you're someone who thinks about what makes others happy more than you think about what makes you happy. 

This post is the first in a series about self care. I'm going to go in depth to share my journey from thinking self care means getting a massage or a pedicure a couple of times per year to understanding that self care is a daily practice which is essential for health and well-being. The series will include quotes from other therapists and resources you can use to develop your own self care practice. I will try new things and share with you what I've learned. I'll also share what works for me now.

I invite you to join me in cultivating self care. Let's start by sharing self care strategies you have found helpful. I would love to hear about them in the comments below. 

If you don't even know where to begin - believe me, I've been there - contact me to talk about how therapy can help you believe that you deserve to put yourself first. You can reach me at (443) 510-1048 for a phone consult. 

To read more of what I share you can follow me on Facebook, Pinterest or Twitter or sign up for my newsletter! 

Somatic Therapies: Eye Movement Desensitization & Reprocessing (EMDR)

In the latest edition of my blog series on holistic and alternative methods to complement traditional talk therapy, I am excited to interview Cathy Canfield, MSW, LCSW, LICSW. Cathy practices in Northern Virginia and Washington, D.C. where she offers Eye Movement Desensitization and Reprocessing, which is commonly called EMDR. 

If you've been following the series, you know that a couple of weeks ago I interviewed Kara Falck, MSW, LCSW-C, LICSW, who offers another somatic, or body-based therapy technique: Sensorimotor Psychotherapy - in her Baltimore area practice. You may be wondering about the differences between these interventions. I plan to cover that subject in a future blog post. 

EMDR is one of the somatic therapy interventions which has been studied quite a bit and research indicates that it is an effective treatment for trauma. This article from the EMDR International Association ("EMDRIA")  explains the phases of EMDR treatment to help potential clients understand what to expect and how the process works.  The National Center for PTSD (Post-traumatic Stress Disorder), which is a program of the VA, states that EMDR is effective to help veterans and others with PTSD heal on this page from their website.  

Read on after the image for my interview with Cathy! 

Tell me about your work. What is EMDR?  

During an EMDR Therapy session, we use a standardized process to access the brain’s information processing system.   This may include the use of eye movements or other forms of bilateral  (left-right) stimulation. Through EMDR, negative memories are re-processed by the brain in order to form a new emotion associated with the memory.  It's like reorganizing the filing system in your brain to be more effective.  

What benefits does EMDR have? Are there any risks? Who is a good candidate for EMDR? Who should not participate in EMDR?

Eye Movement Desensitization and Reprocessing (EMDR) Therapy is used by specially trained psychotherapists to treat anxiety, panic, fear and depression. EMDR has been extensively researched and proven effective for the treatment of traumatic or stressful experiences. It has more recently been used for treating depression, chronic pain and poor relationships.

Many people who come to me for therapy services are affected by trauma, anxiety and depression. How does EMDR help people with these issues?

EMDR Therapy helps people not be driven by the past and past memories in the present. It eliminates past triggers in our daily lives by processing memories cognitively, emotionally and through the body. 

What else do you want people to know about yourself and the services you offer?

My passion is to provide people routes to healing that include both verbal and non-verbal methods. That is why I love play therapy, sandtray, have an art therapist on staff and practice EMDR Therapy. 

Cathy Canfield, MSW, LCSW, LICSW, is a psychotherapist with a background working with individuals, children and teens, specializing in EMDR (Eye Movement Desensitization and Reprocessing) Therapy, Child-Centered Play Therapy, anxiety, depression, relationship issues, transitions and trauma. She believes that within all of us is the way to healing, we just have to sometimes work hard to uncover the path.  You can find Cathy online at www.counselingofalexandria.com. Visit her site if you are considering therapy or give her a call at  703.650.9195! You can also send an e-mail to cathy@counselingofalexandria.com.  

I love the fact that Cathy offers her clients at Counseling of Alexandria the opportunity to use non-verbal methods as well as talk therapy to process their feelings. Children, in particular may lack the words to describe their experiences and/or to name their feelings. As mentioned in my last post of this series, art therapy is a great option for helping us connect with and express our emotions.  I want to learn more about sandtray so look for a future blog post on that subject!  

If you'd like to read more of my blog posts and other articles I share, follow me on Twitter, Facebook and Pinterest to read more of my blogs and other articles I share. You can also sign up for my e-mail newsletter to receive occasional updates on blog posts and articles of interest as well as upcoming groups, intensives and workshops. My women's group begins April 2, 2015. I will also be offering one intensive women's weekend in July this year using The Daring Way™ method, based on the research of Dr. Brené Brown. I'm working on lots of fun stuff so I hope you will check back to see what's new! And drop me a line in the comments below to tell me what you think about EMDR! 

Sources:

EMDR International Association. (n.d.). What is the actual EMDR session like? Retrieved from:  https://emdria.site-ym.com/?120 

National Center for PTSD. (n.d.). Treatment of PTSD.  Retrieved from: http://www.ptsd.va.gov/public/treatment/therapy-med/treatment-ptsd.asp 

Art Therapy: A Creative Method to Express Emotion

This edition of the blog series on alternative and holistic methods to complement traditional talk therapy comes to you during National Eating Disorders Awareness Week. Although many of my clients (and I, too) struggle with body image and feeling body positive, I do not have specialized training in helping clients with eating disorders. 

However, my guest today, Elizabeth Hlavek, LCPAT, ATR-BC, does have that specialized training and experience. She is a Licensed Clinical Professional Art Therapist and a Board Certified Art Therapist practicing in Annapolis. I asked Elizabeth if she would agree to be interviewed about how art therapy can help people who are struggling with eating disorders and she graciously agreed. Art therapy is a "natural fit" for eating disorders work, as this blog post from Pershing-Turner Centers explains. 

Personally, I'm fascinated with art therapy. My mother is an artist (the images in this post are her work), so art has always been a part of my life and I enjoy cultivating my creativity - though I don't focus on this as much as I would like to. I use some creative techniques in my work with clients and plan to incorporate more as time goes by. In fact, next week I will begin attending a series of three trainings in using expressive arts techniques in work with survivors of trauma, and I'm elated to be able to bring the new methods I will learn back to my work with clients!

Read on below the image for my interview with Elizabeth. I found her responses to be very interesting and I hope you will too! 

Original art by Beverly Furman, copyright Laura Reagan LCSW-C Psychotherapy Services, LLC 

Tell me about your work. What is Art Therapy? How do you use it in helping people with Eating Disorders?
 

Art Therapy is a mental health profession in which clients, facilitated by the Art Therapist, use art media, the creative process, and the resulting artwork to explore their feelings, reconcile emotional conflicts, foster self-awareness, manage behavior and addictions, develop social skills, improve reality orientation, reduce anxiety, and increase self-esteem. 

Often times, individuals struggling with eating disorders are rather guarded. Art therapy can allow these individuals to express themselves creatively, in a non-verbal format. Discussing artwork in session often brings up parallels between the work and the client's internal experience, and we can talk about their struggles through the metaphor of the artwork.

I also use the process of body tracing to challenge a client's distorted body image. I first have the client draw an outline of themselves on a life sized sheet of paper taped to the wall. Then, I trace them against it to get an accurate depiction of how much space they actually take up. Comparing the two can be a very intense experience, but is a concrete way for the client to see their body objectively. They have the option to further develop the tracing, identifying feelings, experiences and memories that are attached to their body, which is a way to bridge the gap between emotion and body image. 

What benefits does Art Therapy have? Are there any risks? Who is a good candidate for Art Therapy? Who should not participate in Art Therapy?
 

Art therapy is practiced in a variety of clinical, educational and community settings with diverse client populations in individual, couples, family and group therapy formats. Art therapy is an effective treatment for people experiencing developmental, medical, educational and social or psychological impairment. Trauma survivors, individuals with development disabilities and anyone experiencing extreme stress or emotional distress can benefit from art therapy. Art therapy helps people resolve conflicts, improve interpersonal skills, manage problematic behaviors, reduce negative stress, and achieve personal insight. And it can also be a lot of fun! 

Many people who come to me for therapy services are affected by trauma, anxiety and depression. How does Art Therapy help people with these issues?

Art therapy has become a staple in the treatment of a wide array of traumas, from child abuse to combat PTSD [WARNING: TRIGGER ALERT. THIS ARTICLE DESCRIBES COMBAT-RELATED TRAUMATIC EXPERIENCES]. Art making can help individuals express dark emotions or memories that they may not be able to verbalize or even comprehend. Exploring intense emotion through art making can help the client process the feeling and heal. When trauma is experienced, it tends to be stored in the nonverbal part of the brain. Recent neuroscience research recognizes that the creative process involves both sides of the brain bridging cognitive and emotional functions leading to enhanced insight and behavioral changes. Art therapy also creates a feeling of well being, offers healthier coping skills and builds resiliency. I find that the process of art making helps to discharge anxiety, allowing the client to help relax and feel more calm. For depression, art therapy can allow for self expression and help to build self esteem. Making artwork, seeing your own creation, offers a sense of autonomy, which can be very empowering.  

What else do you want people to know about yourself and the services you offer?

I'm passionate about my work. Art has always been a huge part of my identity, and so using it as a means of healing is very comfortable for me. I see clients both as a primary therapist and in collaboration with talk therapists. 

Most of my clients prefer a mix of art therapy and traditional psychotherapy. I specialize in eating disorders and PTSD, and am an in network provider with BCBS. I am a huge advocate for Art Therapy and helped develop the first clinical license for art therapists in Maryland. I currently sit on the MD Board of Professional Counselors and Therapists. 

Elizabeth is a Licensed Clinical Professional Art Therapist and Board Certified Art Therapist in Annapolis, Maryland. She spent four years working in an eating disorders hospital program, working with individuals in inpatient, partial outpatient and intensive outpatient (IOP) levels of care. For more information, or to contact her, please visit www.hlavekarttherapy.com.

Thanks so much to Elizabeth! I hope you learned something new about art therapy, eating disorders, or both - I did! If you want more information about National Eating Disorders Awareness Week or Eating Disorders in general, visit the National Eating Disorders Association website. If you're in the Annapolis area and you think Elizabeth might be a good fit for you, check out her website!

Also, follow me on Twitter, Facebook and Pinterest to read more of my blogs and other articles I share. You can also sign up for my e-mail newsletter to receive occasional updates on blog posts and articles of interest as well as upcoming groups, intensives and workshops. 

Thanks for reading. Did you learn anything? Please share your thoughts in the comments below! 

Sources:

Alexander, C. (n.d.) Behind the mask: Revealing the trauma of war. Retrieved from:  http://www.nationalgeographic.com/healing-soldiers/

Bechtel, A. (2012, February 22). Retrieved from:  http://pershingturnercenters.com/2012/02/art-therapy-a-natural-fit-for-eating-disorders/ 

Burgard, D. (n.d.). A body positive approach. Retrieved from:  http://www.bodypositive.com/whatisit.htm

National Eating Disorders Association. (n.d.) About #NED Awareness Week. Retrieved from:  http://nedawareness.org/about-nedawareness 

Schwartz, D. (2014, March 21). Expressive arts therapy and eating disorders. Retrieved from: http://www.nationaleatingdisorders.org/blog/expressive-arts-therapy-and-eating-disorders

Kids Are Resilient, Right?

Conventional wisdom holds that children are resilient, and they bounce back easily from childhood experiences by the time they reach adulthood. This is considered to be even more true if the child doesn't remember the events. A large study has de-bunked that myth. Read on! 

There's an epidemic in the United States which is causing increased risk of suicide, chronic disease – including heart and lung disease and cancer – as well as addiction, violence and divorce. It costs the U.S. healthcare system over $103 billion annually. The good news is that there is a cure, and we can prevent new cases. This short TED Talk explains:

Dr. Nadine Burke Harris’s TED Talk explains that Adverse Childhood Experiences, also known as ACEs, correlate highly with poor health outcomes in adulthood.  

ACEs include the following experiences during childhood:

• ·      Abuse, whether emotional, physical or sexual – or emotional or physical neglect
• ·      Witnessing one’s mother being abused (domestic violence)
• ·      Losing a parent to separation or divorce, or another reason
• ·      Having a family member who is depressed, has addiction or is incarcerated

How Was This Epidemic Discovered?

As explained in this article, when a physician conducting research on obesity noticed higher than expected numbers of dropouts in his study, he began asking questions and discovered that most of the patients reported history of childhood sexual abuse. 

Until then, he did not realize how common sexual abuse is. We now know that one in four girls and one in six boys will experience sexual victimization at some point before his/her eighteenth birthday. The study also found that 64% of Americans have experienced at least one ACE, and of those people, 87% had 2 or more.

Image copyright Laura Reagan, LCSW-C Psychotherapy Services, LLC

The higher the score, the worse the respondents’ health outcomes. In other words, those who had more ACEs were more likely to have cancers, heart disease, autoimmune disorders, addiction, depression, divorce, and overall their lifespans were shortened by as much as 20 years compared with people who had no ACEs.

Adverse Childhood Experiences Study

This information was gained from the Adverse Childhood Experiences Study, a longitudinal study conducted by Kaiser Permanente on a huge sample of insured patients – 17,000 mostly white, educated, middle- to upper- class, employed people – in other words, some of the most high-functioning members of society who should have the best access to healthcare. This makes me wonder how much higher the stats on the incidence of childhood adversity and poor health would be if the sample had included people who live in poverty, those who are incarcerated, and others of less means and access to healthcare.

All of This Sounds Pretty Scary, but Here’s the Good News!

For one thing, if you have experienced childhood trauma, you now know that you aren’t alone. Traumatic experiences in childhood are quite common in the United States. The most important thing is to recognize that traumatic experiences can affect us years later, even if we think we should be over it by the time we reach adulthood.  

How Do I Find Out My ACE score? 

You can take the quiz at this link. As I’ve mentioned - and you may have read in the linked articles - the higher your ACE score, the more likely you are to be affected by mental and physical health issues.  It’s scary to hear that having an ACE score of 6 or higher is correlated with lifespans as much as 20 years shorter than the average.

However, you don’t have to fall into those statistics, even if your score is high! I have worked for years helping people who have experienced childhood trauma and what I know is that having traumatic experiences is very painful, but the most damage comes from ignoring how you have been affected by these experiences – and the healing begins when you allow yourself to feel the emotions you’ve been avoiding. 

When the emotional effects of childhood trauma are not addressed, they don’t go away on their own. Often we develop methods of coping with trauma symptoms - like avoiding developing close relationships so we don’t get hurt - and numb the emotional pain with drugs, alcohol, the internet, being busy, sex, shopping, perfectionism, eating disorders, work, school, and/or gambling. 

Image copyright Laura Reagan LCSW-C Psychotherapy Services, LLC

Knowledge is power – what do you do with the information once you learn about it? You can ask yourself honestly whether you have healed from the Adverse Childhood Experiences referenced in your score. If not, what are the steps you can take to begin the healing process?  

You can heal from childhood trauma.  There's a therapist out there for you!

Psychotherapy for trauma can include, among other techniques:

• ·      Cognitive-Behavioral Therapy techniques
• ·      Creative methods such as art, music, yoga and dance therapy
• ·      Mindfulness approaches
• ·      Body-based (also known as somatic) methods including Somatic Experiencing and     Sensorimotor Psychotherapy
• ·      Eye-Movement Desensitization and Reprocessing (EMDR)

There are many useful methods therapists use to help you heal from trauma – I don’t mean for this to be a comprehensive list. In fact, I’d love to hear what you have tried in the comments below! 

It’s important to speak to a potential therapist about his or her training in trauma treatment. Make sure you feel comfortable that this is the right person for you, and if you don’t, it’s okay to tell the therapist that and find someone else who can help you. Trust is an important part of the therapy process, and without developing a trusting therapeutic relationship with your therapist it will be extremely difficult to work through the trauma.   

Childhood trauma is preventable! I will write about that in a future blog post. By the same token, the health outcomes the ACE Study identified are not a matter of fate. Rather, they are the body's expression of unresolved trauma, and by addressing the underlying cause you can potentially limit future illness.  I’m so glad the ACE Study has provided so much information which is now being used to help spread the word about this major public health issue affecting our children and so many adults in the United States. I hope more people will understand the effects of their own ACEs and address them as needed.

If this has made you think about finding help to work through your own childhood trauma, call me at (443) 510-1048 or visit my website. 

Sources:

Burke, N.B. (2015, February 17). How childhood trauma affects health across a lifetime. Retrieved from: https://www.youtube.com/watch?v=95ovIJ3dsNk

Center for Nonviolence & Social Justice. (2014). What is trauma? Retrieved from: http://www.nonviolenceandsocialjustice.org/FAQs/What-is-Trauma/41/

Maryland Coalition Against Sexual Assault. (2013). Sexual assault in the U.S. Retrieved from: http://www.mcasa.org/_mcasaWeb/wp-content/uploads/2014/02/Sexual-Assault-in-the-US-updated-2013.pdf

National Child Traumatic Stress Network. (n.d.). Effects of complex trauma. Retrieved from: http://www.nctsn.org/trauma-types/complex-trauma/effects-of-complex-trauma

Reagan, L. (2015, February 21). Why can’t I just get over it? Retrieved from: http://www.yourtango.com/experts/laura-reagan/why-cant-i-just-get-over-it-0

Stevens, J.E. (2012, October 3). The Adverse Childhood Experiences Study – the largest, most important public health study you never heard of – began in an obesity clinic. Retrieved from:  http://acestoohigh.com/2012/10/03/the-adverse-childhood-experiences-study-the-largest-most-important-public-health-study-you-never-heard-of-began-in-an-obesity-clinic/

Stevens, J.E. (2015, February 17). Nadine Burke Harris: How childhood trauma affects health across a lifetime. Retrieved from: http://acestoohigh.com/2015/02/17/nadine-burke-harris-how-childhood-trauma-affects-health-across-a-lifetime/

Stevens, J.E. (n.d.). ACES 101. Retrieved from: http://acestoohigh.com/aces-101/

Stevens, J.E. (n.d.). Got your ACE score? Retrieved from: http://acestoohigh.com/got-your-ace-score/

United States Centers for Disease Control. (2014, May 13). Injury prevention and control: Division of violence prevention. Retrieved from: http://www.cdc.gov/violenceprevention/acestudy/

What do you think? I'd love to hear your thoughts in the comments below! And if someone you know needs to read this, please share! 

Somatic Therapies: Sensorimotor Psychotherapy

Welcome back to my blog series on integrative mental health, highlighting holistic and alternative practices which complement traditional talk therapy. Today I have the pleasure of interviewing Kara Falck, LCSW-C, LICSW, a Clinical Social Worker in private practice in Takoma Park, Maryland who is opening an office soon in the Baltimore area as well.  Kara uses Sensorimotor Psychotherapy in her practice and she has agreed to answer my questions.

Sensorimotor Psychotherapy is a somatic, or body-based, method which is said to be beneficial for survivors of traumatic experiences, especially if the experiences occurred at early developmental stages. This article provides more information about the history of the model. You can read a more detailed article on the Sensorimotor Psychotherapy Institute's website here which was originally published in the journal Trauma. I appreciate Kara sharing information about her work. Hopefully you will learn something new about this method! 

Tell me about your work. What is Sensorimotor Psychotherapy? 

My approach to therapy is to help people learn to regulate their thoughts, emotions, and behaviors and to connect with others in more functional ways. I use sensorimotor psychotherapy to help clients achieve their goals. Sensorimotor psychotherapy is an intervention that’s informed by cognitive-behavioral and psychodynamic psychotherapies, attachment theory, and neuroscience, and that’s effective for the treatment of trauma and relational issues. It looks to the body as a primary source of information about current psychological functioning. It’s a collaborative approach that uses mindfulness to help clients regulate the bodies’ responses to the environment, which improves clients’ ability to regulate feelings, thoughts, and beliefs.

What benefits does Sensorimotor Psychotherapy offer? Who is a good candidate for Sensorimotor Psychotherapy? Who should not participate in Sensorimotor Psychotherapy?

Sensorimotor psychotherapy can be helpful for clients who’ve experienced traumas ranging from violence and abuse to accidents to relationship issues. A major benefit of this treatment is that it starts where the client is and is a collaborative process in which safety is of utmost importance. Sensorimotor psychotherapy first helps clients learn to manage and calm internal sensations. Clients learn to tolerate more and more of their internal experience at their own pace. 

Sensorimotor psychotherapy can be helpful for clients who have had a wide range of life experiences and who are at varying levels of functioning. This treatment teaches mindfulness as a primary skill that’s used throughout the process. Psychoeducation about the interaction of brain and body is provided in ways that clients can understand.

Clients with an alcohol or substance use disorder or a psychotic disorder should seek treatment prior to beginning sensorimotor psychotherapy and should remain compliant with these courses of treatment.

Many people who come to me for therapy services are affected by trauma, anxiety and depression. How does Sensorimotor Psychotherapy help people with these issues?

Sensorimotor psychotherapy was originally developed for the treatment of trauma. It teaches clients about their innate survival defenses and helps clients learn to feel better.

Learning to be aware of internal experience, and then to tolerate and manage internal experience, is the first step in processing traumatic material and is the most important phase of treatment. Clients who don’t know how to calm and soothe themselves are at risk for becoming dysregulated when traumatic material comes up. Sensorimotor psychotherapy teaches clients who’ve experienced trauma how to be mindfully aware of present-moment experience and how to study this experience non-judgmentally, which has regulating effects on the nervous system.

In the same way, learning to manage the physical symptoms of anxiety and depression is the first step in challenging unproductive worry, errors in thinking, and negative core beliefs. When the body is in a state of panic or if we are numb with hopelessness, we can’t access the parts of our brain that are responsible for logic and reasoning. Clients learn to regulate the body first, so they can engage in positive, self-supportive thinking.

Similarly, when we experience the physical and emotional symptoms of anxiety and depression, we often attack logical thinking like an unwelcome visitor - “How can I believe I’m safe at this party if I feel fear and if my body’s telling me to run?” “How can I believe I’m a worthy person if I feel hopeless and my body is telling me to give up?” Sensorimotor psychotherapy is a body-oriented treatment that teaches clients the difference between body experience, emotions, and thoughts, and that helps clients interrupt the cycle of anxiety and depression.

And of course, the goal of sensorimotor psychotherapy is not only to help clients learn to reduce symptoms and tolerate distress, but to help clients increase their ability to experience more pleasure in their lives.

Kara Falck, LCSW-C, LICSW is a licensed clinical Social Worker in private practice. She works with adults, couples, and adolescents and children and their families to help people cultivate safer and more satisfying relationships with themselves and with others. She typically works with issues such as anxiety, trauma and PTSD, depression, relationship issues, body image, parenting support, and LGBT. She currently has an office in Takoma Park, Maryland, and an office in Baltimore is coming soon! She can be reached by email at karafalckmsw@gmail.com or at www.karafalckmsw.com.

I'm so grateful to Kara for sharing information about this method, which I wanted to learn more about. If you are interested in finding a Sensorimotor Psychotherapy Practitioner, click here. 

Please comment below if you have anything you would like to share about Sensorimotor Psychotherapy. 

Sources:

Author unknown. (2003). What is sensorimotor psychotherapy? Retrieved from: http://www.pathoutofpain.com.au/hakomi/html/somatics.html

Sensorimotor psychotherapy institute. (n.d.). About sensorimotor psychotherapy institute. Retrieved from: https://www.sensorimotorpsychotherapy.org/about.html 

Sensorimotor psychotherapy institute. (n.d.). Welcome to the sensorimotor psychotherapy referral list. http://www.sensorimotorpsychotherapy.org/referral.html