What to Expect When You’re Expecting…Your First Counseling Appointment

What to Expect When You’re Expecting…Your First Counseling Appointment

Thinking of your first session with your counselor can be scary. But rest assured, it’s not as scary as you think. This blog below will go over some expectations you can have for your first meeting with your new counselor.

How a Counselor is Different than a Doctor

To begin, a counseling appointment is very different than meeting with a doctor. A counseling session is a talk therapy session. You and your counselor will be conversating with the intent to go over as much information about you as possible. You will talk about what brings you to counseling and what you hope to get from it. Counselors do not prescribe medication, nor are we able to, so don’t count on us for that. We can, however, diagnose you with a mental health condition like generalized anxiety or post traumatic stress disorder. *If you are looking for medication for psyhological issues, you need a psychiatric appointment.

Counseling Paperwork

The first counseling appointment is about an hour or a little more. You will also have to complete loads of documents and forms (insurance info, informed consent, credit card authorization form, etc). Any good counselor will REQUIRE you to complete these before your session. 

Your counselor will spend some time reviewing the informed consent with you. This form goes through fees, what to expect from counseling, how to get a hold of your counselor, your rights, and limits to confidentiality. One of the most important things is that you know all of what you share in counseling is private and confidential—with the exception of a few things, mainly related to safety of yourself and others.

The Beginning of the Counseling Session 

Your counselor will ask you questions about things sticking out from your intake. Your counselor will get more information about how you grew up, your family and who is part of your family now. We want to know things that give you joy and things that really bother you. Most important, we want to know what brings you into counseling to begin with. Your counselor will talk with you and process different things to get a better understanding of your situation.

The End of the Counseling Session 

By the end of session, you and your counselor will be working to identify goals based on the reason you’re getting counseling. For example, the reason you are seeking counseling might be because of marriage problems and stress. The goal is geared towards what you hope to gain from your experience in counseling. An example of a goal for marriage problems might be to better control your emotions and temper with your spouse and work on stress relieving skills.

Counseling is Your Choice

Going to counseling is a voluntary decision meaning no one can force you to come. Your counselor will make recommendations about how often you should be seen or when to come back. But ultimately it is your choice to continue counseling or not. While others around may want you to come to counseling, it is your decision. If you’re under the age of 18, you and your guardian are in control of this choice.

Remember your counselor is a person, just like you. Your counselor does not have all of the answers, a magic wand, or a special pill to make all your problems go away. The goal is to change you: how you think, how you act, and how take control of your emotions. The focus will not be on changing your situation as much as it will be on changing you.

How to Help a Loved One who has Anxiety

How to Help a Loved One who has Anxiety

Coping with anxiety is difficult for the person going through it. Also true for the people around them. Family members and close friends impacted by having a loved one struggle with anxiety is difficult too. This blog focuses 3 easy ways a loved one can support their family member without enabling.

Listen To Your Loved One.

No matter how many times you’ve heard it, no matter how often this has happened, listen. The person struggling with anxiety does not want to have this condition. They do not wake this morning wanting to feel anxiety. Listen with your ears, but really listen with your heart. Offer non-verbal encouragement, nod your head, look at them, and sit with them on their level.

Limit the Anxious Talk.

Being supportive of your loved one struggling with anxiety doesn’t mean that you are constantly available. While it is important to show consistent support by being physically and emotionally present, you don’t have to stop your own life. Give yourself a magic number. Think of a certain amount of time you are willing [and able] to give to listen and be with your loved one. This number can vary from day to day. For example, this morning you may have 15 minutes, but tomorrow you may have 30 minutes. Let your loved one know you want to be there for them but set boundaries so you don’t make yourself available 24/7.

Ask How You Can Help.

When your loved one is calm, ask what you can do to help the next time they feel anxious. Ask what they need during these times. Ask questions to better understand how anxiety impacts them personally. If your loved one does not know the answer to these questions or are providing answers that seem codependent (ie:”as long as you never leave my side, I’m ok”), that’s a clear indicator they could benefit from getting some extra help.

Having a loved one with anxiety is not easy. It may seem that despite your best attempts, the anxiety does not seem to ease back. But remember, your loved one is different than the anxiety. When you feel angry or frustrated, just remember to target this towards the anxiety not your loved one. The two of you together can fight towards the same cause: managing the anxiety.

Self-Sabotage and Why We Do It

Self-Sabotage and Why We Do It

What is Self-Sabotage

Self sabotage is the result of self inflicted, subconscious or conscious actions or thoughts to derail one’s success. In short, self sabotage is screwing yourself over on purpose. Why would anyone do such a thing? Contrary to popular belief, you are usually the one who gets in the way of your own self. 

A young person had an interesting conversation with me many years ago. We had worked for months on achieving a positive goal and were near final completion. Nearly a week before the goal was accomplished, she engaged in a behavior that completely derailed and destroyed her chances of leveling up. She knowingly engaged in a negative behavior which was so far off from the quality of character and actions she had built over the past year. I felt angry, disappointed and frustrated at her lack of follow through and unwillingness to commit.

Why Do We Self-Sabotage?

When the dust had settled, we had a sit down conversation. I could only bring myself to ask one question, “Why?” She proceeded to draw the following with a pen on white paper:

-side profile of stairs from the bottom of the page to the top, with stick figure person almost to the top; arrow pointed downward from the top of the stairs to the bottom of the page/the ”floor” level.

She explained:

“The higher up you go, the better things get. You are meeting goals and living a life you didn’t know you could ever have. But when you look down, you see how high you are. And you’re still going up. The higher up you go, the harder you can fall, and worse it will hurt. You start to feel like you’re going to fall.

You have 2 choices, you can either jump now, before you get higher and before it hurts worse when you land. Also, you know when you’re going to jump so you see it coming. OR you can keep going higher, the pressure builds, and when you fall, you never see it coming, so it hurts so much worse.”

Wow. I was stunned. The higher up you go, the harder you fall? Then it hit me, it made sense. Why does a recovered addict relapse after successfully completing a rehab program? Why does that woman jump out of a good relationship and claim “it wasn’t a good fit”? Why does he not apply for the higher job position even when his colleagues are begging him to? Why do people pull out of their chosen career path after they fail a board exam? Why don’t we open up our own businesses?  

Fear is the Root of Self-Sabotage

Fear turned inward becomes our kryptonite. The negative thoughts about ways you can fail will slowly end the spark that was required to generate ideas, movement and growth. How you think, becomes how you feel, which then creates actions. You think of all the reasons you fail, you begin to feel discouraged, scared or worried, then behave in ways to support that line of thinking. A discouraged person doesn’t make it on time to the interview. A person says no to going out with friends on a Saturday night although they’re feeling lonely.

Yes, it’s scary to think of failure, but what if you succeed? Ok, let’s say you fall, but not off the stairs completely, just down a few steps? Imagine geting out of your own way and allowing yourself to experience, grow, and move forward.

What is Analysis Paralysis?

What is Analysis Paralysis?

The Definition of Analysis Paralysis

Analysis paralysis. Just look at those two words alone- I bet you can figure out what it might be. I’ve seen this term appear more frequently throughout the years with a particular precedence among the young adult community. Analysis paralysis is defined as the metaphorical mental inability to make a decision due to the overwhelming possibility of options, resulting in no decision being made at all.

Those plagued with analysis paralysis will often grow overwhelmed at the amount of options before them and overanalyze, re-analyze, and analyze again to the point of unintentionally procrastinating in making a decision. You may have heard someone state they “second guess” themselves when it comes to large decisions or making a choice. Analysis is the same concept, but on steroids. You don’t just second-guess yourself, but third guess and fourth guess and fifth guess yourself to the point no decision is made at all.

Doubt and Fear are the Root of Analysis Paralysis

With over analysis, there is consistent doubt and fear of making the wrong decision. As a result, people grow immobilized mentally for fear of what negative consequences their decision can create. One of the biggest fears is simply “Making the wrong choice.” You may have seen the chronic “procrastinator” but much like the second-guesser, analysis paralysis is a procrastinator 6.0 version. A procrastinator will eventually make a decision and complete a task, albeit at the very last minute. With analysis paralysis there is forever postponing, in essence placing the need to make a decision at the back of the mind rather than the forefront for an infinite amount of time.

The danger with analysis paralysis is it may appear to work. You know, “Out of sight, out of mind.” You may know someone who has struggled in making a decision they desperately need to make and watch from a distance how detrimental this is for them. Things like deciding what college to attend, deciding when the right time to leave an abusive spouse is, contemplating when they should tell their loved one about a grave physical health condition, saying yes or no to certain job opportunities….The list goes on and on. You may have witnessed how your loved one has missed out on an opportunity or unintentionally remained in unfulfilled roles by not making a decision to do something different.

Counseling for Analysis Paralysis

Many may try and justify this way of thinking, saying things like “I just take my time” or “I’ve always been this way.” However, there can be freedom from this type of overwhelming, paralyzing fear of making the wrong choice. If you or someone you know is struggling with this, don’t hesitate to reach out. Don’t overanalyze whether counseling could be a good option for you. Swing into action, advocate for your own self, and say yes to an opportunity for help.

 

What is Quality of Life?

What is Quality of Life?

WRITTEN BY: MARQUIA CALDWELL, LPC

Quality of life is the degree to which you are healthy, comfortable, and able to participate in or enjoy life. It’s often reflected in your physical, mental, emotional, and psychological wellbeing. The definition of quality of life varies from person to person, but most agree that happiness and satisfaction in life is the goal.

When we begin to suffer in certain areas of life, this is called poor quality of life. Poor quality of life is seen as a decreased living standard where there is an absence of basic needs as well as social, cultural, emotional, and spiritual needs. When we experience this, we can grow truly unhappy and finding enjoyment in life is difficult.

Signs of poor quality of life:

  • Negative Thoughts and Words
  • Sedentary Lifestyle
  • Lack of hobbies and time for self
  • Excessive work or studies
  • Lack of focus and goals
  • Poor Diet
  • Poor Sleeping Habits
  • Negative Relationships
  • Toxic Environments

Happiness is often associated with having a good quality of life. Happiness can be understood as the fulfillment of goals, needs, and wishes in an area that has value to a person. Happiness leads to increased success, better health, and rewarding relationships. Quality of life can be improved once we recognize we are struggling and unhappy.

Ways to Improve Quality of Life

  • Maintain Healthy Relationships – Relationships play an important role in our lives. Healthy relationships increase your happiness, life satisfaction, and psychological well-being.
  • Get a Good Night’s Sleep – Sleep is vital. During undisturbed deep sleep that cells in our bodies regenerate. It can improve productivity, emotional balance, creativity, and even your weight.
  • Regular Exercise – Exercise pumps up our endorphins – our “feel good” hormones – which has an immediate uplifting effect and helps us to concentrate, stay alert, focused, and enhances our cognitive abilities.
  • Healthy Diet – Our bodies get the most out of nutrient-rich, natural food, which in turn keeps us feeling more energized, stronger, and less prone to fatigue and illness. We also feel better mentally when we feel nourished.
  • Stay Hydrated – It’s important to stay hydrated. Our bodies are at least 70% water and when that level drops, our bodily systems do not function at their best.
  • Self-Care – Make time to take breaks and to treat yourself. Create “ME TIME”. Some examples are meditation, decluttering, reading, positive affirmations, new hobbies/interests, unplugging from social media, taking vacations, and more.
  • Goal Setting – By making short, medium, and long-term goals for ourselves – whether they are related to career, knowledge, or personal growth – we are creating opportunities to guide us in our development. Reaching them provides a sense of fulfillment and momentum and keeps us looking forward.

The steps on this path will sometimes seem treacherous, but the result is worth the effort.  It begins with conversations, being aware of your life satisfaction and treasuring it and discovering what’s missing from your life.

“Movement is life. Life is a process. Improve the quality of the process and you improve the quality of life itself.” – Moshe Feldenkrais