“Frequently Asked Questions”

Information about the various aspects of counseling, therapy and psychotherapy

THE RELAXATION RESPONSE

 

Allow, don’t force.  Take your time.  It is yours to take.  Even ten minutes can expand into a full experience!

Step 1: Relax the muscles throughout your body

You may sit with feet on the floor, or lie on your back.  If you think you may fall asleep, sitting may be a preferable position.  Close your eyes, then visualize a warm, soft sensation moving up from your feet, rising up slowly through each part of your body.  You may feel a softening of your muscles, a rippling or tingling sensation, or just a quieting of your body as it settles down.

Step 2: Establish a relaxed breathing pattern

Notice your breathing.  Do not change it.  Just notice.  As you sit you may notice that your breathing slows and becomes deeper.  The shallow breathing of stress or anxiety give way to a breath reaching all the way down to the abdomen.  This type of breathing allows the waste products to discharge and that in turn allows healthy, oxygenated air to enter into our lungs.  This type of breathing actually reduces the perception of stress, and reduces the production of the stress hormones!

Step 3: Focus your mind away from everyday or troublesome thoughts by replacing them with neutral or positive thoughts.

It may be helpful to choose a word or phrase to repeat. As you repeat your word, or mantra, you leave less space for focusing on the past or worrying about the future.  Choose your mantra wisely, and the depth and breadth of that word or phrase will expand and fill your mind.  You may also focus on the rise and fall of your breath as well, repeating your word/s with each exhalation.

CREATIVE VISUALIZATION

Shakti Gawain wrote beautifully about creative visualization:  You may also create in your mind’s eye a place where you visited or vacationed that holds positive feelings for you.  It may be a place you imagine, or wish to go to, but wherever it is, use your intuitive mind to create it in detail.  Use all of your senses to fully experience the beauty and peace of that place, time, experience.

PRACTICING THE RELAXATION RESPONSE

I offer individualized relaxation tapes which you can play daily. Practice in this sense means that the more you do it the better you get at it!  Each day you listen to the tape you move more quickly and effortlessly into a deep state of relaxation.  With two to three weeks of daily use you will find that you are able to sleep more soundly, cope with life’s challenges more effectively and enjoy your life more fully!

 

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The Difference between Counseling and Psychotherapy

Have you ever wondered what the difference is between counseling and psychotherapy? Although most people use the terms interchangeably, there is a difference, and that lies in the depth of the work.

Both address life challenges, but where counseling tends to take a practical, problem-solving approach, psychotherapy takes each challenge as a starting point to probe in greater depth into life patterns and possibilities for transformation. Whether you choose to see a counselor or a psychotherapist, you may find yourself looking at patterns in your life, encountering resistance to change within yourself, and reframing past experiences—or even how you perceive your own self.

Patterns and Habits

Patterns of thinking and behavior that we learned in our families of origin may need to be re-examined; after all, very likely the situation we are in today has different dynamics from that of our family-of-origin. What worked for us—perhaps even protected us or saved us then—may not be useful today. When you are able to move out of the past, you can become more present in the present! As you gain the tools you need in your life as it is now, life becomes easier and more joyful.

A Temporary Stumbling Block: Wanting—and Resisting—Change

Have you ever noticed that even though you want to change something—perhaps you want to change how you handle anger at your spouse, your child, or a friend—you seem to resist changing at the same time? You find yourself falling back into old habits—resisting the change you say you want. It’s human nature to develop and become attached to particular perceptions, feelings, and patterns of behavior. We want something to change, but we resist change!

Fear of the unknown, of how to change, or what might happen if we do, can cause us to resist needed change. However, sometimes old attitudes and behaviors begin to cause more pain than comfort. The good news is that you can use this pain as an opportunity to challenge the status quo, to take actions that will ultimately bring you greater happiness.

Taking a “Do-Over” on the Past!

When you are in the process of change, one useful tool is a process called “reframing,” that is, looking at old problems in new ways. Just as that old picture looks dramatically different when you put it in a new frame, so a new way of looking at or interpreting something can give you insight and open up new ways of relating and coping. This can even include finding a new way to look at yourself, because how you perceive and feel about yourself can help or hinder the process of reaching your goals. Reframing negative thoughts about yourself into kinder, more positive ones can be an important step towards how you’d like your life to be.

Counseling

In counseling, you learn to identify the real problem/s and clarify your goals. Clearly defining the issue/s and knowing what you truly want allows you to develop a step-by-step plan towards your goals. Counseling offers a concrete way of engaging constructively with life’s issues; the rewards are direct and palpable.

The first step—a true understanding of the situation—isn’t always as simple or as obvious as it sounds. For example, a child who is behaving badly may actually be responding to unresolved conflict between her parents. Of course, the child’s behavior needs to be addressed, but unless the parental conflict is resolved, the child will continue to “act out” as a symptom of the unacknowledged difficulties between the parents.

For an individual to sort out problems can be a complex process, and it can be even more complicated for a couple or a family. But by expressing your feelings and perceptions in a safe, supportive, and nonjudgmental atmosphere such as counseling, you may begin to see what previously felt overwhelming or impossible in a new light. This process paves the way for action and change.

A counselor provides a safe environment where you can talk about yourself without distraction. As the counselor really listens to you, acting like a mirror that reflects your “self” back to you, you are able to see yourself and your life more clearly. In this clarity you find your way to the well-being that is inherent within your being. The reflection in the mirror becomes a true reflection of the light and life that is uniquely you.

Psychotherapy

In comparison to the direct and focused approach of counseling, psychotherapy is more like an archaeological dig. It can be a transformative process of self-discovery. As with counseling, the impulse that brings a client to a therapist is typically pain and a desire for change, but psychotherapy works to heal a woundedness that runs deep inside.

Although there are many different types of psychotherapy, one basic assumption is that childhood experiences have shaped many of our habitual thought and behavior patterns. Another assumption is that we tend to develop particular ways of getting along in the world, protecting ourselves, and coping that may no longer be useful and may in fact interfere with our happiness in the present. Often we simply don’t realize that the views and skills that once were crucial to our survival no longer fit our current life situation—we act as though we are still living with our family of origin.

A psychotherapist can help you to become more conscious of the circumstances that formed you, and to release the pain of the past so that you are free to be more fully present and open to positive possibilities in the Now.

Other Forms of Therapy

There are many other forms of therapy—interpersonal therapy, cognitive therapy, behavioral therapy (or a combination of cognitive-behavioral therapy), biofeedback, body-mind therapies, and many more. Underlying all of these however, is the understanding that the individual, and often the family, is in pain, that something needs healing. Each approach offers its own protocol for that healing; you may find any given form helpful at different times in your life.

YOU ARE NO LONGER ALONE

In both counseling and psychotherapy you can expect to find a dedicated listener and partner in your search for concrete solutions or a more profound transformation. You are not alone any more.

 

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Is It Depression or Is It the Blues?

Have you ever wondered if what you are feeling is true depression, or simply a period of feeling down or “blue”?

Although we may not welcome them, challenges and losses are built into the fabric of our lives, so occasional periods of sadness are natural.

Perhaps the most important thing to know about what we often consider “negative” feelings is that they are actually our body’s way of letting us know that we need to do something. That “something” could be letting the tears and sounds of sadness or grief flow to allow the natural expression of emotion that is part of experiencing, then releasing, emotions. Or it could be a signal that we need to take some action in an area of our lives that we are unhappy about. It can be helpful to see such feelings as messages from the higher Self that are meant to prompt us to express, act on, or work through and accept a situation in our lives.

Often just talking things through can help you through a period of the blues. Airing out the issues can put problems in perspective and allow you to move on. Our spouses, family and friends can be sources of support as we navigate life’s difficult passages. If a more concentrated approach with an objective support is needed, counseling is the treatment of choice; specific problems can be discussed, goals defined, and resolve enhanced.

But if such feelings continue for more than two weeks, you may wonder if you need additional help. Could it be clinical depression?

What is Clinical Depression?

From the perspective of Western medicine, here are some facts about clinical depression:

* Clinical depression is a physical, mental, and emotional imbalance that hurts!

* Severe depression can actually cause physical pain.

* Clinical depression is a brain-based condition that affects the prefrontal cortex, especially the left brain, as seen in SPECT scans: this reveals that it is a biological condition, not something that is “just in your head.” Realizing that the mind and body affect each other is helpful.

* Dr. Daniel G. Amen, M.D., is the leading expert on the development of the Brain SPECT, which shows in holographic form what happens to our brains under various conditions. Visit his website http://www.amenclinics.com/bp/atlas/ch7.php for amazing pictures of the brain showing increased or decreased activity in the brain when depressed.

* As the images on Dr. Amen’s site demonstrate, there are various types of depression. Some forms affect parts of the brain other than the prefrontal cortex. For example, symptoms of moodiness, negativity, low energy, sleep and appetite problems, and poor concentration may indicate increased deep limbic system (thalamus) activity.

* More painful and difficult symptoms such as sadness, negativity, irritability, worrying, cognitive inflexibility, and getting stuck or locked into negative thought patterns, are often associated with increased activity of the anterior cingulate thalamus and basal ganglia. This part of the brain is heavily innervated with serotonergic nerve fibers; among other things, the right amount of the brain chemical serotonin gives us more self-confidence, and a feeling of safety and security.

* Symptoms of sadness, irritability, rage (toward others, or towards the self in the form of suicidal behavior), mild paranoia, atypical pain (atypical headaches or abdominal pain), and insomnia can be connected to decreased prefrontal cortex activity with increased or decreased temporal lobe activity.

How Do I Know if I Have Clinical Depression?

The American Psychiatric Association has developed a system of understanding different disorders based on symptoms. “Major Depression” implies that you have had a depressed mood or have felt a loss in interest or please for more than two weeks. Other symptoms may include increase or decrease in weight, sleeping too much or too little, agitation, irritability, fatigue, feelings of worthlessness, and difficulty thinking or concentrating. A professional adept at teasing out the symptoms can help you to determine if you are “the blues,” a relatively temporary state, or actual clinical depression.

When life hits us too hard or with repeated blows, it can result in physical, neurological, and chemical changes that lead to clinical depression. The brain may not be able to adjust so easily on its own, and it may be helpful to enter into psychotherapy to dig deep, release the emotional pain, and attempt to work through the problems in talk therapy. Movement and exercise are also extremely important.

If brain functioning has been significantly disrupted, it can be helpful to consider medication, typically antidepressants, as an adjunct to therapy to help rebalance brain chemistry. Depending on the type and severity of depression, a period of months with medical support can redirect brain activity back to its capacity for joy.

This is a clinical and medical approach to depression. There are many other approaches as well that can be used solely or in conjunction with a medical approach. Future blogs will delve into holistic, alternative, and complementary approaches!

May the Light within in you guide your way forward.

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Images and Graphics taken by Cynthia M. Chase

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