Better Mental Health: Princeton Counseling Service

Professional, caring counselors for the challenging times in your life.

Is Telehealth the Future of Therapy?

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As a result of the Coronavirus pandemic, many therapists have had to quickly pivot and offer their clients online sessions in an effort to help them to continue to make progress while at the same time abide by the social distancing guidelines to flatten the curve.

While it seems our country and the rest of the world are slowly opening back up, many of us have learned something very important during this crisis: telehealth offers clients something very valuable, and that is therapy on THEIR terms. It’s really not so surprising that telehealth is currently a $6 billion industry that is expected to reach $20 billion by 2025.

Here are just some of the benefits of “virtual therapy”:

Privacy

Traditionally, many people, especially those that live in smaller towns and cities, refuse to seek help from a therapist for fear people will find out. With telehealth, a patient can receive help from the comfort and privacy of their own home. This can be particularly helpful for therapists who treat teens and young adults who go to the same school/college and can feel ashamed of seeking professional help.

Telehealth is a Time Saver

Not many of us ever feel we have enough time in the day to accomplish all that we need to. You will find your clients will appreciate telehealth because it saves them having to deal with traffic, scheduling in possible long drive times, and looking for parking.

Flexibility

I have found in my own practice that those clients who often require my services the most are the ones that are overworked and often have scheduling conflicts. Telehealth helps you to offer clients timeslots outside of regular hours that you may not normally have available.

Clients Show Up on Time

Therapists benefit from telehealth as well. In any given month, many clients may show up late to an appointment. When a session can begin with the simple mouse-click, timeliness is greatly improved.

Cost Savings

Online therapy means a therapist can run their practice without the need of a front desk staff or paying for office space each month. This extra revenue can greatly impact their life.

These are only a handful of the benefits telehealth offers to both providers and patients. And while it will be a bit more time before clients and therapists fully embrace online therapy, the future looks bright.

 

SOURCES:

Filed Under: Telehealth

Why Compliments Don’t Boost Self Esteem

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When a loved one is suffering from low self-esteem, it’s hard to know what to say. Naturally you want them to see themselves as you see them. You want them to feel joyful about the reality of who they are, not be mired down in the falsities they insist are truths.

In the past, you may have tried showering them with compliments, only to wonder why they never believed a word you said. People with low self-esteem have strong beliefs about themselves. While your compliment may be factually based (“You absolutely deserved that promotion – you worked so hard.”), your loved one’s beliefs will have them instantly dismissing it (“I just got lucky.”).

No matter what you say, and no matter how true it is, they will bat away every compliment you throw at them. There’s a very good reason why they do this. They don’t just have beliefs about themselves, they have emotionally charged beliefs about themselves. Any ideas offered that are contradicting, even well-intentioned and factual compliments, will be met with strong resistance. It’s simply too hard to “argue” with someone with an emotionally-driven belief.

3 Ways to Communicate with Someone with Low Self-Esteem

There are certain techniques therapists typically use when speaking with someone with low self-esteem. You may find these useful when trying to communicate with your own loved one.

1) Agree – Then Disagree

Find something in their statement you can agree with, then put a more positive spin on the rest.

Loved one: “Why do I act like the biggest loser most of the time?”

You: “Well, nobody is perfect (agreement) and I happen to know for a fact you’ve accomplished a lot in your life – more than many people.”

The idea here is to be subtle with positivity so there is no outright contradiction of their belief. You don’t want to turn off your loved one so they never listen to you again, you just want to gently coax them into considering that what you say might possibly, just possibly be true.

2. Use Metaphors

Using metaphors is a great way to present a positive possibility to your loved one without directly contradicting their belief.

Loved one: “At this point in my life, I’m pretty worthless.”

You: “Yeah, it can be really hard knowing your own worth, can’t it? I mean, a beautiful painting can’t possibly know how beautiful it really is, and a ruby doesn’t know how valuable it is.”

Try and change the subject right after offering this counterpoint so it has time to sink in.

3) Reframe Negatives into Positives

This one can be tricky but the idea is to gently reframe negatives into positives. As they say, a knife in the hands of a surgeon is very different from a knife in the hands of a robber.

Here’s a for instance:

Loved one: “My wife says I’m stubborn.”

You: “That’s interesting. In what other ways do you show such determination?”

See what you did there?

When interacting with a loved one with low self-esteem, refrain from blatant compliments and instead try using one or more of the techniques laid out. You may also suggest to your loved one that they speak with a therapist who can help them discover the cause of their self-esteem issues and offer tools to boost it.

If you or a loved one has low self-esteem and is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

Filed Under: Self-Esteem

4 Things You Need to Know About Adolescent Anxiety

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Anxiety is like fire: It can keep us safe and warm, or completely devastate our property and our lives. It’s good to be a little anxious at times. When walking down a deserted street at night, anxiety keeps us on alert and ready to fight or take flight should a dangerous situation arise.

But for many people, especially adolescents, anxiety can become the norm instead of the exception. Just walking into a classroom or being with a group of people they don’t know can become crisis situations. And, the more they experience these scary events, the more anxiety becomes a chronic condition.

Here are 4 things parents and teachers should know about adolescent anxiety.

1. Anxiety Refers to Physical Symptoms Associated with Negative Thoughts

Negative thoughts such as, “No one will like me,” or “Everyone is going to think I’m stupid” come first. These thoughts are then followed by physical symptoms such as a stomach ache, diarrhea, or shaking and shallow breathing. Young people need to learn how to not only shift their thinking (“This will feel awkward but I’ll be okay”) but also cope with the physical stress (take slow, deep breaths). This will help kids know without a doubt they can handle uncomfortable feelings instead of avoiding them.

2. Dealing with Anxiety Requires Problem Solving Skills

Life is full of uncertainties and gray areas. Parents of very young children help them navigate through these situations. But adolescents must be equipped with problem solving skills so they may tolerate uncertainty instead of avoiding it, as avoidance only makes things worse and gives anxiety more power.

3. The Adolescent Mind is More Sensitive to Environmental Stress 

The adolescent mind is a jumble of chemical changes that can make any situation seem like time spent in a fun house. These hormonal changes make adolescence a particularly challenging time to cope with anxiety.

4. Anxiety is a Vicious Cycle

When young people are anxious, it’s easy for the adults around them to become anxious as a response. But, the more anxious parents and teachers are, the more controlling and inflexible they may become.

As adults, it’s important we manage our own anxiety around our kids and students so we can manage the overall situation much more effectively.

If you or a loved one is struggling with anxiety, therapy can help. If you’re interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

Filed Under: Anxiety

Do You Know the Signs of Someone Who is Suicidal?

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According to the American Foundation of Suicide Prevention, over 47,000 people died by suicide in the United States in 2017. In the same year, there were an estimated 1,400,000 suicide attempts.

Knowing the signs of suicide is the primary step in preventing someone you know and love from successfully taking their own life.

The Warning Signs of Suicide

Hopelessness

Many individuals who are contemplating ending their own life experience and express feelings of hopelessness.

Other Strong Emotions

Suicidal people may also experience and express excessive anger and rage and talk about seeking some kind of revenge.

Risky Behavior

People who are thinking about ending their own life start showing signs of risky behavior. Since their lives are not valuable in their own eyes, they may engage in certain behaviors, not caring about the consequences. This can be drinking and driving, experimenting with hard drug use, and spending time in unsafe parts of town.

Isolation

Have you noticed your loved one withdrawing from friends and family and isolating themselves more?

Trouble Sleeping

Suicidal individuals often experience great anxiety that causes them to suffer from insomnia. Has your loved one been complaining of not sleeping? Are they taking medication for sleep issues?

The above are warning signs that your loved one may be experiencing a deep depression that needs attention.

The following are three signs that your loved one needs some help IMMEDIATELY:

They’ve Come Right Out and Said It

Your loved one has actually verbalized a desire to harm themselves or kill themselves.

You’ve Discovered A Plan

You have somehow come to know that your loved one is actively planning their suicide by stocking pills or getting their hands on a weapon.

They Have Become Obsessed with Death

Many suicidal people, especially teenagers, begin talking or writing more and more about death or suicide in a positive light.

How You Can Help

Talking to someone you love about suicide can feel uncomfortable. You may be worried that by merely talking about it, you will somehow inspire the act. This just isn’t so.

Speaking with a loved one who is suicidal allows them to discuss openly their feelings and desire to end their life. Just opening up to someone who is supportive and non-judgmental can assist them in recognizing their need to get some help from a trained therapist.

For immediate help, please call the toll-free National Suicide Prevention Lifeline at 1-800-273-TALK (8255), which is available 24 hours a day, 7 days a week. All calls are confidential.

Filed Under: Depression, General, Self-Esteem

Coping with Seasonal Affective Disorder

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Seasonal Affective Disorder, or SAD, is a major depressive disorder that occurs during the same season each year. Also known as the “winter blues,” SAD typically comes on in the fall and winter, when the light is diminished.

SAD is believed to affect nearly 10 million Americans and is four times more common in women than men. Many people experience symptoms that are severe enough to affect their quality of life.

Though not everyone will experience the same symptoms, here are some of the most common:

  • Feelings of sadness and hopelessness
  • A change in appetite and developing a craving for sweet or starchy foods
  • Weight gain
  • A drop in energy level
  • Decreased physical activity
  • Fatigue
  • Difficulty concentrating
  • Irritability
  • Avoidance of social situations
  • Thoughts of suicide

Treatments

If you suffer from SAD, here are some ways you can alleviate your symptoms:

Light Boxes

By far the greatest relief, according to research, comes from the use of lightboxes. Lightboxes emit high-intensity light between 2,500 to 10,000 lux. Compare this to a normal light fixture that emits only 250 to 500 lux.

Lightboxes closely mimic the sun’s natural rays, helping our brains produce the right amount of neurotransmitters that are responsible for mood.

Depending on the severity of your symptoms, you may only need to use the lightbox for 30 minutes once a day. For more severe symptoms, people have found relief by using the box for long periods of time and can often feel true relief in as little as two weeks.

Some insurance providers will cover the cost of lightboxes, but not all do, so be sure to speak with your provider.

Exercise

While it may feel counterintuitive, if not downright impossible, to get up and get moving when you’re feeling depressed, exercise is one of the best ways to improve your mood. Exercise not only reduces stress and tension, but it releases those feel-good endorphins. Studies have also found that one hour of aerobic exercise outdoors (even if the sky is overcast) has the same positive effect on mood as 2.5 hours of using a lightbox.

Eat Well

It’s common to turn to junk food when you’re feeling the winter blues. High-sugar foods tend to give us a temporary boost in energy levels and mood. But then we come crashing down and feel even worse. A better choice is to eat a balanced and nutritious diet, opting for complex carbohydrates like sweet potatoes and whole grains.

Speak with a Therapist

If your symptoms are very severe, and if you are having any thoughts of harming yourself, then it is important to speak with a therapist who can help you navigate your depression and offer coping tools.

If you or a loved one are currently suffering from SAD and would like to explore treatment options, please get in touch with me. I would be more than happy to discuss how I may be able to help.

Filed Under: Depression, Women's Issues

Is Social Media Bad for Your Mental Health?

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Have you been feeling a bit low lately, but you can’t quite put your finger on why? It may have something to do with your social media habits. According to a recent study, social media use can increase depression and loneliness.

For years people have suspected that social media use might have an ability to negatively impact our mental well-being. After all, it’s hard not to feel inadequate or jealous when looking at photos of people whose lives seem so much more perfect than ours. But now research is actually making a definitive link between spending time on Instagram, Facebook and Twitter and a sense of loneliness and isolation.

It May be Time for a Social Media Detox

I encourage my clients to take a social media detox every now and then to gain a more positive sense of reality. They often report back to me that the detox offered some amazing and unexpected benefits such as:

Improved Self-Esteem

When you take a break from comparing yourself to other people, you can start to look at how great you and your own life really are.

New Interests and Hobbies

When you spend less time trying to get that social approval in the form of ‘likes’, ‘retweets’, and ‘upvotes’, you suddenly find you have a lot of time on your hands for other things.

Improves Your Mood

Trading in online friendships for real face-to-face ones makes us feel more grounded and connected to people. This can drastically improve our mood and sense of well-being.

Better Sleep 

Many people are on their mobile phone in bed, checking their social media accounts. The blue light from these devices disrupts our sleep pattern. When we put these devices away, we inevitably sleep better.

Able to Enjoy the Moment More

I am a big proponent of daily mindfulness. By being present in our lives, we feel an increased sense of peace and joy. That’s priceless.

So how do you perform a social media detox?

Follow these 4 steps:

  1. Temporarily deactivate your accounts. Don’t worry, you can reactivate them again in the future should you choose.
  2. Remove all Social Media Apps and notification pathways from your devices.
  3. Use a web filtering tool to block social media sites. (Why tempt yourself?)
  4. Be prepared for some withdrawal symptoms and have other activities ready to replace the void.

If you follow these steps and take a break from social media, chances are you will find you feel a whole lot better!

Filed Under: Addiction, Adolescents/Teens, Depression

How to Set Healthy Boundaries

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Relationships can only be healthy when both people have the space to be themselves and maintain their personal integrity. Sadly, many people find themselves in relationships, romantic and otherwise, with people who do not respect boundaries and feel entitled to have their needs met regardless of the other person’s. These people most likely grew up in households that were unsafe and unstable, and where there was a constant invasion of personal boundaries.

If you can relate, chances are you have a hard time creating healthy boundaries to create the life experience you wish to have. Here are some ways you can begin to do so:

Identify Your Limits

You can’t set boundaries unless you discover where it is you personally stand. You’ll need to take a bit of time to recognize what you can and cannot tolerate. What makes you happy and what makes you feel uncomfortable and stressed? Only until you have made these discoveries can you move on to the next steps.

Don’t Be Shy

People who have similar communication styles are easy to engage with. These people will quickly understand what your new barriers are. But people who have a different cultural background or personality may not easily understand your boundaries. With these people, it’s important to be very clear and direct.

Pay Attention to Your Feelings

People who have a hard time setting boundaries don’t often allow themselves to acknowledge their own feelings because they’re usually too busy worrying about everyone else’s.

You’ll need to start recognizing how people make you feel in order to know whether your new boundaries are being crossed or not. When you’re with someone, make mental notes, or even jot down in a journal how that interaction made you feel.

If, after spending time with someone, you feel anger or resentment, this is a sign that the person may be overstepping your boundaries. Reiterate to this person what your boundaries are. If they continue to disrespect you and them, you will want to cut yourself away from further interactions.

Make Self-Care a Priority

Put yourself and your needs first. This may feel strange and even somehow wrong if you’ve spent your entire life taking care of others. Give yourself permission to feel your feelings and get what you need to feel happy and well.

Speak with Someone

If you’ve spent an entire life with a sense of low self-worth, you may find setting boundaries quite difficult. In this case, it’s important to speak with a therapist that can help you discover where these feelings are coming from and how to change your thought patterns and behavior.

If you’d like to explore therapy, please get in touch with me. I would be happy to help you on your journey toward self-care.

Filed Under: Couples/Marriage, General, Issues for Women

5 Warning Signs It’s Time to Try Couples Counseling

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When you first fell in love, you could never imagine that someday the sound of your partner chewing could make you want to scream. It’s inevitable that once we are out of our honeymoon phase and reality sets in, we realize that all relationships take work and compromise. But while some couples may hit bumps in the road every so often, other couples find themselves in bigger trouble, with neither party knowing exactly how to fix things.

If you are in a relationship that is no longer feeling healthy, here are 5 warning signs that it may be time to try couples counseling:

1. There is No Longer Healthy Communication

Once you have a communication breakdown, you are unable to rationally share thoughts, feelings, and concerns with each other. Beyond this, unhealthy communication tends to leave one or both partners feeling depressed, angry and hopeless.

2. Trust Has Been Broken

When there has been infidelity, it is very difficult for the couple to rebuild trust and repair the damage. While there is no magic pill to recover from an affair, a therapist can offer tools and strategies to rebuild trust.

3. You’re More Like Roommates

If you and your partner act more like roommates than romantic partners, this indicates a lack of intimacy and a potential need for professional help.

4. One or Both of You Has Begun Acting Out

You try to mask your real feelings for as long as possible, but then you start to act out the hurt and resentment you may be feeling. For instance, if your partner has been unfaithful and you have agreed to stay in the relationship and work things out. But over time you find yourself lashing out, acting rude and trying to make them believe you are having an affair so they will feel the same kind of hurt. This acting out is unhealthy for both people and is a BIG indicator you need to seek some help.

5. When the Only “Solution” Seems to be Separation/Divorce

A break from negative energy can be very helpful to the relationship. But when a temporary break leads to more and more time away from home and someone renting their own apartment, this indicates a need for counseling. Spending time away from home usually doesn’t lead to any real resolution, just more distance.

 

If you and your partner are interested in exploring treatment options, please be in touch with me. I would be more than happy to discuss how I may be able to help.

Filed Under: Couples/Marriage, General

5 Signs of Childhood Emotional Neglect

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For many, childhood is a time of wonder and adventure; a time when all needs are met and comfort is merely a whimper away.

And yet for others, childhood never feels quite safe or secure. For these people, emotional neglect was something that colored their early years and affects them as adults.

Childhood Emotional Neglect (CEN) is the result of parents not responding enough to the emotional needs of their children. While it is an invisible form of suffering, as opposed to bruises and broken bones, it has lasting ramifications. And adults that have suffered from CEN have no idea that their current world is being created from a place of lack.

What Makes CEN Invisible?

There are a couple of specifics that make CEN invisible to the victim:

  • It can happen in otherwise loving families that have no material needs.
  • A parent’s failure to respond to your emotional needs is not something that happens to you as a child. It is something that doesn’t happen to you, and therefore, your brain has nothing to record as “proof.”

These adults find themselves creating lives that don’t quite feel right. They may investigate their childhoods, looking for clues, but usually come up with nothing, which can add to their sense of stress and anxiety.

In the end, they feel that something must be innately wrong with them. They take the blame, assuming that they are simply flawed and different from other people who seem to have their acts together.

If you identify with this feeling, here are 5 signs you grew up with Childhood Emotional Neglect:

1. Fear of Being Dependent on Others

Independence is a good quality to have. But having a deep-seated fear about depending on anyone for anything, never asking for help or support, is not healthy.

2. You Don’t Really Know Yourself

When you meet new people and have to tell them about yourself, do you find it difficult? Do you know your strengths and weaknesses? What you like and don’t like? Victims of CEN tend to not know themselves as well as they should.

3. You’re a People Pleaser

You spend a lot of time trying to meet other people’s needs and pay little attention to your own. You’re hard on yourself but soft with others.

4. You Feel Empty

This can feel different to different people. Maybe you feel an empty sensation in your gut, throat or chest. For some it comes and goes, for others, this feeling is there 24/7 – 365.

5. You Have Trouble Feeling Your Emotions

When your emotions were ignored as a child, you never learned how to feel them and express them in healthy ways. As an adult, do you find it hard to identify the feelings you feel, let alone express them to others?

 

If you’ve just had an A-ha moment and think you may have suffered CEN and would like to explore treatment options, please be in touch. There is hope and you CAN heal from the invisible wounds and start creating the life you were meant to live.

Filed Under: Abuse/Neglect, General, Teens/Children

How to Boost Your Self-Esteem

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What does it mean to have a healthy self-esteem?

Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem.

But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A good self-esteem can be the difference between being a happy, resilient individual, able to face life’s challenges head on, and someone who suffers from depression and anxiety and is often overwhelmed with life.

If you have struggled in the past with self-esteem issues, there are some things you can do to give it a much-needed boost:

Face the REAL Reality

Are you someone that generalizes your lack of self-esteem? By that I mean, do you make generalities about yourself such as, “I’m an idiot,” “I’m not pretty enough or smart enough?” The truth is, we all act like idiots from time-to-time, and most human beings on this planet can find someone who is smarter and more attractive than they are.

If you’re going to work on your self-esteem, you need to first recognize that you often lie to yourself with these generalities. It may be a very convincing lie from your point of view, but it’s still a lie.

To become familiar with reality, make a list of 10 of your strengths and 10 weaknesses. If you have a hard time coming up with your strengths, think about what others have said about you: you’re a good listener, you are thoughtful, you cook a mean burger.

When you’re done making this list, you’ll see there are plenty of things you are really good at. And, some of the weaknesses may be things you can absolutely change over time and with some effort.

Forget About Perfection

Perfection doesn’t exist. Now you may think all of those Hollywood A-listers that are on the cover of magazines are the epitome of perfection, but even they are air-brushed, photoshopped and have a team of people following them around so their hair is never out of place.

Stop spending your energy trying to have the perfect face, body, bank account, career, children or relationships. None of that exists. Focus your energy on achieving attainable goals like obtaining your degree and enjoying hobbies.

Get to Know Your Authentic Self

We spend so much of our lives comparing ourselves to others that we don’t really take the time to get to know ourselves. Beyond strengths and weaknesses, who are you as a person? What makes you happy or excites you? What hobbies do you enjoy? What kind of brother or sister are you?

The more you know about yourself, the more chances that you’ll find things out you really like.

If you would like to speak to someone about your self-esteem issues, please be in touch with me. I’d be happy to discuss how I may be able to help.

Filed Under: Anxiety, Depression, General, Issues for Women, Parenting, Self-Esteem, Teens/Children