“I’m Sorry, What’s Wrong?”- Part One

“I’m sorry”… We hear it almost as often as we hear hello. We ask for those words, and yet when we hear them they are so overused it often doesn’t feel like enough. This leaves both parties confused as to what is actually needed to repair their relationship. There are currently two ways we use “I’m Sorry.” The first is to apologize for wronging someone, the second is to share distress with someone else. Both are over used and no longer hold the meaning they once did.

When I’m sorry is used to apologize to often it begins to feel like a get out of jail free card people often come into therapy feeling hopeless. Often there is no understanding as to why an apology is needed and they are simply trying to move past the anxiety in the relationship. However, every time they use “I’m sorry”, it loses meaning. The person needing an apology continues interpreting others behavior as intent to inflict pain, because they felt like there was an understanding and the behavior continues.

Naturally the question becomes what should we do instead. Most important is understanding. We simply can’t be responsible for knowing instinctively everything people find insulting. What some people find inexcusable in a relationship others may encourage in a relationship as funny due to the meaning they have attached to past experiences and personal tolerance levels. It is each person’s responsibility to let others know when someone has crossed their personal boundaries. You need to clearly and calmly let people know when they have crossed your boundary every time they do so, that way they don’t think your just overwhelmed elsewhere and you’re being irrational. When really you’re just trying to be patient until you no longer can.

Knowing that your being understood is extremely important in this process. If the other person can’t tell you what they understood in their own words you need to keep reframing the story your telling yourself, until they understand how your interpreting their intent. Once they understand they have a few options that tend toward healthier communication. They can explain their intent was not meant to cause pain, and explain what their intent was.

They can also express an “I wish” statement, considering this is often a new concept allow me to explain. I wish statements are used to create a blueprint for what should have gone differently on your end. This is not to say that you wish you were all perfect and no problems arose. It is however used to say within the problems that existed that were not in your control how you wish you responded to all of that.

This blueprint needs to be a genuine alternative or its meaningless. This blueprint makes it more likely that you will do something different when your emotionally overwhelmed. We are all flawed and it takes time to truly change our behavior, but when we make an I wish statement we are first of all stating that we can see how we damaged the relationship and that you see an alternative that could meet both of your needs next time. If you do the same behavior own up to it and either let the person know that you were being reactive and you continue to wish for the alternative healthier response, or that the response you had thought of is not as realistic during an emotional exchange as you had thought.

 

Written By Madison Zundel, MA, LAMFT, Therapist at Holladay Center for Couples and Families

Welcome Tekulvē to CCF!

Tekulvē is joining the CCF team in Utah County. He brings with him 10 years of experience as a licensed marriage and family therapist. Check him out here.

Relationship Land Mines – How to Handle Them

All people have topics or behavior that are emotional landmines. I think of watching M.A.S.H seeing a big sign saying, “DANGER-MINE FIELD.” I love to picture this sign in my relationships. If these emotional landmines are going to be there I think it is essential for survival to create a boundary around the mine fields. I have found it courteous to set boundaries around mine, so that people have more freedom within a relationship with me. If people don’t set boundaries around their own boundaries I have to create boundaries to keep myself safe from their emotional landmines, unfortunately I don’t know exactly where the landmines

are, so I have to create a boundary with large radius for extra safety. This is unfortunate because If boundaries are bigger than they need to be for the emotional safety this is limiting the potential for emotional intimacy in the relationship.

This is not only unfortunate for the person who “steps” on the emotional landmines, but also the person with the emotional landmines without appropriate boundaries. People thrive on relationships and connections. People who don’t create boundaries are absolutely terrified of being alone. Without knowing about emotional landmines, if you had the choice between land without blocked off areas and land that had nothing on it, the land without any blocked off areas seems more attractive, at least until you start walking over it! A person without boundaries want to attract people, and boundaries are not attractive. Their need for connection is not inherently bad, they are meeting this need in the only way they know how, because they haven’t experienced a long term intimate relationship as an example. Therefore, they have people around them who are avoiding a close relationship, or freeze to avoid any emotional landmines.

When you are in a relationship with someone who doesn’t create boundaries, you will often find yourself apologizing without knowing how you’re at fault. If apologizing becomes your default to suppress emotional explosions, you will attract people who have a need to blame.  People who blame are only considering their own needs, people who apologize as a default only consider the needs of others. A healthy relationship will balance your emotional needs with the needs of others with consideration of the context. If this isn’t happening your efforts to get closer to people will result in resentments. If you’re thinking “if they only knew what I was really thinking, they wouldn’t love me.” You will feel lonely in a room of people who love you.

When you share your truth, unfortunately you do risk losing people in your life.  However, knowing that even the one person who stays loves every part of you, and respects you enough to respect your boundaries will be worth anyone you lose. This is the most difficult part of setting boundaries, you have to reach a point where you can accept losing a relationship all together in order to do what it takes to be a healthier person. Accepting that you could lose a relationship means that if they are uncomfortable with boundaries they may cutoff communication with you. When you respect yourself and you respect other people enough to show them where your boundaries are to keep you and them emotionally safe, you will begin attracting healthier relationships.

Written by Madison Price, MS, LAMFT – Therapist at the Holladay Center for Couples and Families

 

Divorce – Counseling

Once the decision to divorce becomes imminent, components of the family system must prepare for change.  As a marriage and family therapist, its always my initial response to determine if the marriage can be repaired.  However, when people choose to end the relationship, the best course of action is to remain engaged in a therapeutic process throughout the transition.

The couple will need to work with one another to at least determine how to make decisions required for the legal aspects of dissolving the relationship.  If a couple can manage this on their own, and collaboratively and respectfully complete and submit the required documentation directly to the appropriate State department, and implement resulting legal stipulations, then this is typically the least intrusive and cost-effective method for divorce.  However, most couples have a level of financial, family, possession, and interactional patterns and history to require a divorce mediator to become involved. Typically, within a few sessions, the mediator can direct a process which results in immediate and long-term legal conditions to best assist the couple in divorce.  

All too often, individuals facing divorce immediately discontinue therapy because the marriage is over.  This can be biggest mistake they make in the process, especially considering how many different aspects of their life will require adjustment and change.  While I do not request that the couple meet together in session once they decide to divore, I strongly encourage them to remain engaged in individual therapy, and if children are involved, to make arrangements for each parent to attend therapy with their child(ren) in order to work through the questions, fears, concerns, and aspects of change they will all face, and most importantly, how to establish a new relationship with each parent individually.

Finally, without each partner exploring how they contributed to the dissolution of their marriage, they will most likely repeat harmful interactional and communicative patterns in future relationships.  Even if individuals post-divorce do not have the current intention of entering into another relationship, they should engage in the work which would otherwise place them in a position where they can, in the most healthy way, be available to engage in a future relationship.

Written by Anthony T. Alonzo, DMFT, LMFT, CFLE, Director at the Holladay Center for Couples & Families

The Impact of Borderline Personality Disorder on Relationships

All too often, family members, friends, fellow employees, and even therapists become reactive, judgmental, and walk on eggshells when they interact with someone who displays characteristics of borderline personality disorder.  Let me start off by summarizing some of the core characteristics of the disorder, specifically focusing on those traits which play out in the interactions with others.

  1. Affective Instability – This is where those with BPD struggle to regulate their emotions in predictable ways.  Often, their mood does not match with expected life or social situations, thus making it difficult for those around them to understand or relate to the distress they are experiencing.
  2. Fear of real or imagined abandonment – Those struggling with BPD are often afraid of being rejected, abandoned, or left alone emotionally. These feelings are triggered when the potential abandonment is indicated, as well as times where it isn’t.
  3. Identity disturbance – It can be difficult for those with BPD to maintain a consistent sense of self. There is typically a variance of self-doubt, instability in self-image, and self-acceptance.
  4. Impulsivity – Due to the emotional and personal instability, impulsivity is often a regular occurrence for those with BPD. While this may not feel disruptive for the individual, it can be highly disruptive for those around them.
  5. Paranoid ideation and dissociative symptoms – In certain situations, those with BPD may struggle with feeling paranoid, especially in relation to how they perceive other’s intentions or motives. Also, they may experience dissociative symptoms, which is a disconnect from themselves, their reality, or their sense of self.

What we need to understand about personality disorders is that they are just that, disorders which occur within the core personality of the individual.  This is important to consider, because it is extremely threatening to the individual when a personality disorder is suggested, or when a diagnosis is made, especially since it is difficult to be “objective” about your own personality.  Because of this, it can be very threatening for someone experiencing symptoms of BPD to identify and accept that the symptoms are present in their life.

It is my professional belief that the symptoms of BPD are treatable, and that through treatment, people can reduce the identified symptoms to the degree that they no longer qualify for the diagnosis.  This perspective can bring hope to those struggling with BPD, as well as those who are involved in their life.  However, the process of therapy can be challenging, and typically requires long-term treatment.

Selecting a therapist who can treat BPD effectively is an important step in the process.  The therapist must be able to accurately diagnose the disorder, as well as position themselves in the therapeutic relationship as to control for and manage the identified symptoms.  A careful balance between soliciting BPD symptoms and maintaining safety and security within the therapeutic relationship is critical.  Failure to challenge the BPD symptoms results in no change, while doing so without carefully creating a safe therapeutic relationship will typically result in early or even immediate rejection on the part of the client.

Once someone with BPD can effectively accept the diagnosis, identify how the symptoms play out in their life, and learn new ways of managing and responding to the symptoms, then they can focus on the primary relationships in their life, and work on how they relate to others in new ways.

Written by Dr. Tony Alonzo, DMFT, LMFT, CFLE therapist at the Holladay Center for Couples and Families

Cleaning Out your Marriage Closet: Couples Counseling

People are often worried about drudging up the past with their loved ones. There is controversy as to what is healthy for the relationship. People certainly don’t like to bring up an old fight when everything is going well. The issue is that we all have a closet of sorts where we hide everything that “isn’t worth the fight.” At first this closet is empty and the intention of putting things in there is good, you intend to talk about it later, it’s just not the right time.

The problem is that you enjoy the times you’re not fighting, who wouldn’t! You soon forget about what you’re storing in the closet, and you continue to throw everything “not worth the fight” into the closet. Your closet becomes full, and when you try to fit one more thing in there everything topples over. This is the fight of all fights, this is when you seemingly “loose it” out of nowhere about nothing and everything. This fight happens at a time when something was already “not worth the fight” and you were trying to put it in the closet. Therefore, you are probably not up for resolving everything in that closet either. It’s like if your junk closet toppled over just as company is coming over, you’re going to scoop everything up and stuff it back into the closet because you don’t have time to sort through it. This fight leaves everyone upset and confused and often nothing is resolved in this fight.

So how does one clean out this closet? Well its much like spring cleaning, you are going to take everything out and you begin to sort everything into categories. You evaluate if it is something that only happened once and will never happen again, if this is the case it truly isn’t worth the fight and can be thrown out. If it is something that continues to happen you need to address it, you will be bringing up the past not as a weapon against the other person, but as a justification for bringing it up as an issue. It is absolutely necessary that cleaning this closet is done at a time when your calm and you remain calm to be able to assess what the core of the problem is, what does their behavior tell you about your relationship with them. For instance, If someone is always late, how does their behavior effect you, why does it feel disrespectful to you and how does it create distance in your relationship, what is the message you receive about their feelings toward you. As opposed to judging their behavior as something you wouldn’t do and lecturing them about how it affects them.

When you clean out the closet you are transferring responsibility to the people it will be useful with. You will find that the cleaner your closet becomes the more clarity you will have in your relationships. Your intent in cleaning out the closet is not to change other people’s behavior, it is meant to change your relationships. You will find that some people will choose to become more distant because they are unwilling to make changes, but the relationships that become closer and the internal peace will be worth the distance in others.

Written by Madison Price, MS, LAMFT – therapist at Holladay Center for Couples and Families

Shared originally by the Holladay Center for Couples and Families

Latino and Hispanic Mental Health Care

There are many trials one might face in this lifetime, and finding proper mental health care should not be one of them. Specifically, there is an issue for Latino and Hispanic persons to be able to receive the proper care that they need. Throughout this article, I will be using both the terms ‘Hispanic’ and ‘Latino’ interchangeably to describe members of this beautiful population, while meaning no disrespect to those who identify by either Hispanic or Latino.  

Currently, there are over 400,000 Latinos living in the State of Utah (Roughly 14% or 1 in 7)1. According to the National Alliance on Mental Illness (NAMI), 46% of Latino women and 20% of Latino men have struggled with depression2. However, less than 10% of Latino individuals suffering mental illnesses reach out to mental health care specialists. Additionally, Hispanic students between the 9th and 12th grades are more likely to commit suicide than their black and white peers3. Furthermore, first and second-generation Hispanics are more likely to experience depression than immigrants. 

Stigma/Cultural Differences 

There is a stigma surrounding mental health issues in most cultures. Within the Latino population, there is a fear of being labeled as “locos” (crazy) that can cause shame and fear to seek out the treatment that they need. Approximately 1 in 5 people are affected by a mental illness2. This statistic is no different for those within the Latino population.  

Understanding that there are few differences in regards to those who can be affected by mental illnesses, it is important to note that there are some differences in the way mental health treatments should take place among different cultures. I personally have visited and done humanitarian/therapeutic work in many countries, including: Spain, Costa Rica, Chile, Perú, and México. I understand that each of these countries have their own unique culture as well as do the other countries and cultures within the Hispanic and Latino communities. Finding a mental health care professional that can understand the cultural differences and possibly even the language is a big challenge and something that needs to be taken into account when looking for someone who can help you the best.  

Uninsured and Undocumented 

The fear of finding affordable health care is a real struggle if you do not have insurance or proper documentation. I have spoken to many individuals who do not seek out mental health care out of fear deportation. If this is a fear for you, it is important to seek out clinics and providers that care for all persons, regardless of legal status.  

Resources 

If you are uninsured, the Affordable Care Act is a resource available to you to see what you can qualify for. To learn more, go to https://www.cuidadodesalud.gov/es/ 

According to NAMI’s website, you can go to the website: findtreatment.samhsa.gov or by calling the National Treatment Referral Helpline at 800-662-HELP (4357). If you do not have papers, contact local Latino organizations that might be able to help or provide a referral. Additionally, you can search NAMI’s Compartiendo Esperanza to learn more about the importance of mental health awareness within Latino communities. 

 

1-US Census, 2015. 

2-National Alliance on Mental Illness 

3-Centers for Disease Control and Prevention, 2015. 

Originally published on http://utvalleywellness.com/

Hidden Signs of Depression

Studies show about 1 out of every 6 adults will have depression at some time in their life. This means that you probably know someone who is depressed or may become depressed at some point. We often think of a depressed person as someone who is sad or melancholy. However, there are other signs of depression that can be a little more difficult to detect.  

Trouble Sleeping 

If you notice a change in a loved one’s sleeping habits pay close attention as this could be a sign of depression. Oftentimes depression leads to trouble sleeping and lack of sleep can also lead to depression.

Quick to Anger
When a person is depressed even everyday challenges can seem more difficult or even impossible to manage which often leads to increased anger and irritability. This can be especially true for adolescents and children.  

Losing Interest 
When someone is suffering from depression you may notice a lack of interest in past times he or she typically enjoys. “People suffering from clinical depression lose interest in favorite hobbies, friends, work — even food. It’s as if the brain’s pleasure circuits shut down or short out.” 

Appetite Changes
Gary Kennedy, MD, director of geriatric psychiatry at Montefiore Medical Center in Bronx, New York cautions that a loss of appetite can be a sign of depression or even a sign of relapse back into depression. Dr. Kennedy also points out that others have trouble with overeating when they are depressed. 

Low Self-Esteem 

Depression often leaves people feeling down about themselves. Depression can lead to feelings of self-doubt and a negative attitude.  

What to do
If you suspect you or someone you love may be suffering from depression talk about it, encourage him or her to get professional help and once he or she does be supportive. Remember that at times symptoms of depression need to be treated just like any other medical condition.

Originally published on http://utvalleywellness.com/

 

Maintaining A Relationship That Is Juicy, Fun, Passionate and Loving by Dr. Matt Eschler, Ph.D

I am pretty certain that we all hope for a juicy, fun, passionate, loving relationship with our lovers! The relationships that maintains a spark over decades of being together are built carefully they most definitely are NOT accidents! You don’t connect with a “soul mate” and settle into mandatory bliss. If you are hoping, longing, reaching for a juicy fun passionate relationship then you will want to read the rest if this article!

Juicy fun passionate relationships are created. If you keep a few rules you can be certain your marriage is all you ever fantasized about! Keep these three incredibly simple rules of engagement and juicy, fun, passion will be yours!

Get to know each other every day.

By constantly developing connection and strengthening your relationship bond you breath new life into your marriage every chance you get. Sometimes you will be giving rescue breathes during crisis and struggle while other times you are giving extra oxygen creating a sense of peace and relaxation. Know your lovers top five or six needs to be happy. Many couples think they know each other and know what drives happiness only to find they have lost touch with change, growth, and each other. To keep on the razor edge front line of juicy passionate fun you have to meet together and talk. I suggest three meeting a week is the minimum. These three meetings each come with there distinct purpose. First have a date night. This is where couples flirt, tease, kiss, and talk about hopes and dreams with each other. Second meeting is couples council. In this meeting you discover the struggles you each face. You empathize with each other, grow through strife and strain while talking about hard topics trusting you will stand by each other for better or worse. Third meeting is family night. This is a time to organize your family share family activities, dreams, and structure the household as a unified front. All three of these meetings are really mandatory and refreshing if you engage weekly on purpose.

Transparency

Second of the three “must” for juicy fun passionate relationships is all about transparency. Share your whole self holding nothing back. If you only share what your lover approves of your holding them hostage. Allow your lover to see all of you and realize your love for each other grows with knowledge of what makes us tic. Sharing a deep sense of fondness and adorationfor each other! (Number one cause of divorce is contempt) is a major part of the intimacy you will Experience. Have you ever caught yourself thinking fond thoughts about your lover and not expressing these thoughts out loud because it feels way vulnerable? My challenge to you is be vulnerable every day! Dare to share all your fondness and admiration out loud and often! Pray with each other express gratitude to the God of your understanding for each other. Imagine the power you will have as Couple joining in prayer to begin each day unified! Celebrate victories, Support each other’s interests, and helping achieve each other’s dreams are all ways of generating juicy fun passionate marriages. I think you get the idea.

Positive Sentiment Override (Gottman Term)

Finally the third principle followed by juicy, passionate, fun couples is a constant positive sentiment override. You always have two choices in how you SEE your lover. You can think negative or you can see the good. You can interpret what is said through a filter of offense. Seeking to be offended will generally lead to you finding a way to actually be offended. The thousands of interactions will be filled with minor slights and errors that can be exploited and used to feel sad, hurt and bugged a each other. On the other hand you have every right to filter all those same interactions through a sieve that separates out all the warm juicy passionate sentiments and feel love and joy. It’s really fun p to you! No, your not burying your head in the sand your simply seeking the good gifts offered.

Think about all of this and have an incredible juicy fun valentines month in February.

About the Author:  Dr. Matt Eschler lives in St. George, Utah where he and his wife Chris are enjoying their life with each other. Since their kids have grown and moved out perusing their dreams Matt and Chris travel the world. They want to visit 200 countries before the are done. Matt and Chris are active in their community and enjoy working out, training for marathons, and spending time participating in numerous activities with their adult children.  Matt has received his PhD in Psychology. He is focused on the arena of resolving personal conflicts and improving interpersonal relationships. In addition to his Doctorate Degree Matt has earned a Masters in Marriage and Family Therapy, studied Criminal Justice and received a category I licensure with Peace Officer Standard of Training along with a degree in the Arts of Business Management. Matt is a professor at Dixie State University and hopes to be part of the positive growth of Southern Utah.

Hidden Signs of Depression by Alberto Souza, MSN, APRN, FNP-C

Studies show about 1 out of every 6 adults will have depression at some time in their life. This means that you probably know someone who is depressed or may become depressed at some point. We often think of a depressed person as someone who is sad or melancholy. However, there are other signs of depression that can be a little more difficult to detect.

 

Trouble Sleeping

If you notice a change in a loved one’s sleeping habits pay close attention as this could be a sign of depression. Oftentimes depression leads to trouble sleeping and lack of sleep can also lead to depression.

Quick to Anger
When a person is depressed even everyday challenges can seem more difficult or even impossible to manage which often leads to increased anger and irritability. This can be especially true for adolescents and children.


Losing Interest
When someone is suffering from depression you may notice a lack of interest in past times he or she typically enjoys. “People suffering from clinical depression lose interest in favorite hobbies, friends, work — even food. It’s as if the brain’s pleasure circuits shut down or short out.”


Appetite Changes
Gary Kennedy, MD, director of geriatric psychiatry at Montefiore Medical Center in Bronx, New York cautions that a loss of appetite can be a sign of depression or even a sign of relapse back into depression. Dr. Kennedy also points out that others have trouble with overeating when they are depressed.


Low Self-Esteem

Depression often leaves people feeling down about themselves. Depression can lead to feelings of self-doubt and a negative attitude.

 

What to do
If you suspect you or someone you love may be suffering from depression talk about it, encourage him or her to get professional help and once he or she does be supportive. Remember that at times symptoms of depression need to be treated just like any other medical condition.

Sources

Healthtalk.org

helpguide.org

Psychology Today

About the Author:  Alberto has worked in healthcare for over 10 years. He began as a CNA and then worked as a registered nurse until completing his Master’s Degree in Nursing.  Alberto has been been working as a Nurse Practitioner since April of 2013.  In addition to his work as a Nurse Practitioner, he also teaches online classes for the Dixie State University Nursing Program.  He is currently working at the St. George Center For Couples & Families.