Parenting: It’s Not What You Think

 

Parenting: It’s Not What You Think

The ever-growing ideologies of parenthood offer two polar scenarios. The first is a beautiful imagery of always smiling children, as if they are cherubim with harps playing harmoniously in the background. Parents and children holding and hands and skipping in sync with bluebird’s sweet calls, complete with a rainbow crowning every day’s joyous experience. Alternatively, parenting children can be pictured as Jack-Jack from The Incredibles is portrayed: little devils that are on a merciless rampage, destroying everyone and everything in their path. While there is truth to both, it is no falsification that parenthood can be fulfilling and enjoyable and yet incredibly frustrating and draining. When your child hits their sibling, spills their dinner, yells incessantly, how do you react? What is in your arsenal of go-to consequences? At the end of a long day, filled with negative behavior left and right, do you find yourself defeatedly asking, “what do I do when nothing has worked?” What if you were told, “it’s not them, its you?” 

It can be terrifying to admit that you may be maintaining problematic behaviors, but shame aside, there is an intrinsic freedom in it. Recognizing detriments to progress delivers hope and increases motivation. I specialize in working with children who struggle with behavioral problems, focusing on systemic parental influences. I use the “Parenting Pyramid”, developed by the Arbinger Institute, to understand and treat underlying issues. The pyramid incorporates five different facets, often unaddressed, that unknowingly influence parenting proficiency. (Pictured below) 

At the foundation of positive parenting is each parent’s personal way of being. It is difficult to show endless compassion and love to others when you do not have it for yourself. Working the 24/7 hours of parenthood while battling one’s own debilitating depression, anxiety, physical ailment or self-deprecation is nearly unbearable. Therefore, seeking help for personal issues is the first step in improving your child’s behavior. 

If a positive relationship with one’s self is the foundation of positive parenting, the husband/wife (partnered) relationship is a close second. Children quickly pick up on emotions, behaviors and processes. Consciously or not, parents are continuously modeling to their children appropriate ways to behave in relationships with others. Partners that are close and connected are better able to model positive behavior to their children. 

Similarly, the specific parent/child relationship is of vital importance. Children will mirror what they see, behaving in relationships how they are treated themselves. If parent/child relationships are built on connection, unwavering love and trust, children will be more open to being taught, advised and if necessary, corrected. 

Most have heard the popular saying, “Give a man a fish and he will eat for one day. Teach a man to fish, and he will eat for a lifetime.” The same should be emphasized for children. If they are taught the reasoning behind not doing something (i.e., Please do not jump on the couch. Remember how badly it hurt when you tripped and scraped your knee? If you fall off the couch, you could scrape your knees even worse than that, and seeing you in pain makes me sad) they are much more likely to understand and follow through with requests. It is much easier to move forward if you know the direction that you are supposed to be moving in. 

At the very top, and let me emphasize, after all facets below have been addressed thoroughly, children can receive correction. Notice that the word is not punishment or criticism. Correction is an opportunity to express disapproval of one’s behavior, while teaching and modeling correct behavior in a loving manner. When you spank your child is out of anger? When words are harshly uttered do you regret it? Correction is behavior management that makes sense and is done purposefully. Using this approach, the parent/child relationship maintains its stability and the likelihood of the continuation of the negative behavior decreases.

 

Quick Tips for Behavior Change:

  • Don’t react out of anger. If your child does something that frustrates you, take a break, and then use correction in a purposeful manner. 
  • Go out on a date with your significant other to strengthen your relationship.
  • Take time to do something for yourself. Reflect on what you may need to do more or less of to enhance personal well-being. 
  • Positive Time-Out- If children are overstimulated and need a break from others, provide a safe place where they can experience a positive outlet. (i.e., read a book, do a puzzle, play with stuffed animals, draw/color/paint, etc.)
  • Balance every corrective statement you give your child with 5 compliments or encouragements. 
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This article was provided by Kaelie Lemmon, therapist at the Center for Couples and Families.
Kaelie works with individuals, couples, and families, and is currently taking new clients in our Orem office. 
To learn more and schedule an appointment, contact us at 801 477 0041, or via email at assistant@provofamilies.com. 

 

Therapist Spotlight: Hayden Gillies

Hayden Gillies received his Bachelors degree in Family Science from Utah Valley University in 2019. He is currently working to earn a Masters degree in Marriage and Family Therapy, also from Utah Valley University. He has worked with the Foundation for Family Life of Utah to oversee an addiction recovery program and has performed evaluative interviews and taught fatherhood classes at the Salt Lake County Jail.

Hayden is passionate about helping families, couples, and individuals. He believes that connection is vital to a healthy physical, social, and mental life, and he works hard to help his clients take necessary steps to achieve their goals. He is driven to help all those who may be struggling with anxiety, marital conflict, self-harm, and many other mental health and familial issues. Hayden is also highly familiar with challenges facing the LGBTQ+ community.
Hayden lives in Spanish Fork with his wife. In his free time, he enjoys singing, reading, and playing board games with his family.
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Hayden works with individuals, couples, and families, and is currently taking new clients in our Orem office. 
To learn more and schedule an appointment, contact us at 801 477 0041, or via email at assistant@provofamilies.com. 

Anxiety as Young Adults

Anxiety is a common struggle among many young adults. Between the stresses of school, work, dating, family relationships, thinking about the future, or other similar things it can seem impossible not to be anxious at times. With anxiety being highly treatable, there are many of things that you can do, even at home to help relieve the symptoms of anxiety. Understanding what is going on with your brain and body when you experience anxiety is an important first step in feeling relief.

 

When you are feeling anxious it is like your brain is setting off a fire alarm, telling the rest of your body that you are in danger. Even though you are likely not in danger your body, in this moment, reacts as if you were. While this fire alarm is going off in your brain you may experience sweaty hands, tense shoulders or neck, stomach wrenching, throat feeling closed off, chest pain, blood pumping faster, headaches, or tight muscles. It is helpful to realize and become aware of the physical symptoms you experience, as it can be difficult to realize when you are feeling anxious otherwise. Once you are able to recognize some of the symptoms, then you can try a technique to soothe your mind and body.

 

One of the quickest and easiest ways to relieve anxiety is deep breathing exercises. A great breathing exercise you can try is to simply take a deep breath in for a count of 4, then hold your breath for a count of 7, then breath out for a count of 8. (It is important to keep in mind that each person’s lung capacity is different, so adjust the counts as necessary.) Do as many sets of the breathing as necessary to start feeling calmer, but usually somewhere around 5-7 sets. If you still feel panicked and anxious, continue to do as many sets as you need to feel your body start to slow down.

 

Taking some deep breaths may seem too simple to actually help, after all anxiety can feel crippling at times. However, deep breathing has been proven over and over again to change your bodies’ physiological response to anxiety. When your body is under these moments of stress and panic, the sympathetic nervous system releases adrenaline and other chemicals which create all those symptoms mentioned earlier. Taking deep breaths activates the vagus nerve-one of the largest nerves in the body starting in the brain stem and extending down the neck all the way to the abdomen. The vagus nerve is responsible for mood regulation, heart rate, and digestion, so it is no wonder that by breathing and activating the vagus nerve it can make such a big difference in the way our bodies and minds feel.

 

The next time you find yourself becoming overwhelmed with life’s many tasks and stressors, take a moment, wherever you are, and take some deep breaths to invite your body and mind to relax and come back to the present moment. Although anxiety may feel overwhelming and like you are stuck, remember there is always a way out.

 

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This article was written by Hannah Grow, MFT Intern for the Center for Couples and Families.

Hannah is currently taking new clients at our Orem location.

To schedule an appointment, call us at 801 477 0041.

Therapist Spotlight- Hannah Grow

Hannah earned her bachelor’s degree in Behavioral Science from Utah Valley University. She is currently working on a master’s degree in Marriage and Family Therapy from Utah Valley University. She is a certified Family Wellness Instructor and has taught education courses to teens and families to help improve relationships and life skills. She is currently working as an adjunct faculty in the Family Science department at Utah Valley University and loves it.
 
She is particularly passionate about working with couples experiencing infertility and communication problems, adolescents struggling with depression and anxiety, and young adults facing transitional issues.
Hannah enjoys yoga, snowboarding, hiking, camping, caring for her plants, organizing, and weightlifting.
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Hannah works with individuals, couples, and families, and is currently taking new clients in our Orem office. 
To learn more and schedule an appointment, contact us at 801 477 0041, or via email at assistant@provofamilies.com. 

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

Medication Management and Mental Health

In my career in healthcare, I have seen far too many patients who have been prescribed medication and continue to take that medication faithfully; Yet after a time, they are not really sure why they are taking that specific medication or if it is even helping with the diagnosed issue.  

 What is missing for these patients? Medication management 

Medication management is the process of following up with the healthcare provider on a regular basis to assess the effectiveness of the prescribed medication therapy, discuss any side effects that may go along with the medication, and make adjustments in order to achieve proper dosing. In some cases, the follow-up may be to change the prescribed medication therapy, if it is not providing the desired outcomes. Medication management should be an ongoing process. It should include open dialogue between the patient and provider about the effects of the medication combined with any other therapies or treatments that may be in place. This is to ensure useful data is being collected, so decisions can be made based on the whole picture; not just the medication piece. 

When it comes to psychiatric and mental health services, the importance of quality medication management cannot be overemphasized. Not all people who seek psychiatric help will require medication. In some cases, amino acid therapy may be appropriate or continued therapy and counseling with regular psychiatric follow-up is warranted. If medication is prescribed, the patient should plan to see the psychiatric provider within 2 weeks (in most cases) for the first medication management visit.  Continued follow-up visits should be scheduled monthly, or as needed depending on the individual case. 

During these visits, the patient should plan on communicating openly with the psychiatric provider about their use of the medication, any side effects that they may be noticing, and any changes they are feeling in relation to their mental health diagnosis. At times, genetic testing can be used to pinpoint what medications are more likely to work for each individual patient. This testing can be used not only for patients who are just beginning psychiatric treatment but also for patients who have been prescribed medication therapies that aren’t working. The patient should also plan to consult with the psychiatric provider before taking any other medications. They should inform the provider of other mental health therapies being used or medical complications that may arise during treatment. The patient should expect the provider to ask questions that will direct and lead the conversation, so time is well spent and modifications can be made with confidence. 

Ultimately, the key to effective psychiatric medication management is open and continual communication between the patient and provider. At the Center for Couples and Families, our psychiatric providers strive to provide thorough psychiatric assessment, follow-up, and medication management. 

Originally published on http://utvalleywellness.com/

 

 

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/

 

Forced Apologies by Carol Kim, MS, LAMFT

My four-year-old daughter placed herself in the middle of our living room to play with blocks. She was so engrossed with building a wooden castle that she didn’t notice her two-year-old sister walking towards her with her right arm stretched far back to slap her older sister across the head. When that slap came, my older daughter went from happy to surprise to anger and then lots of tears. She ran towards me seeking justice. “Mommy, she hit me!” My younger daughter remained still, looking innocent. I immediately walked over to her with my older daughter in hand and said, “Hands are not for hitting. Say sorry for hitting please.”  I’m sure many parents can relate to this scenario. Teaching our children the skills for making amends is an important life skill and is not so much about saying the words “I’m sorry”.  

There is a belief amongst some parents that enforcing premature apologies on children is not effective. Their reasoning is that premature apologies teach children to lie and encourage insincerity. It also creates shame and embarrassment. Other studies show that young children have the ability to be empathetic even before they can speak; therefore, parents should encourage apologies (Smith, Chen, Harris; 2010). As I reflected on my research and my knowledge as a Marriage and Family Therapist, I recognized several things we can do as parents to create productive apologies: 

  1. Keep yourself in check: It’s frustrating to see your children fight, especially when it happens at inconvenient times. However, it’s important to remain calm and model for your children how to handle frustration.   
  2. Be immediate when possible: When you see an incident occur between your children, address it. The best time for learning and growth is when the incident is still fresh in their minds. However, when there are time constraints and the issue cannot be addressed right away, it is important to tell your children when and where it will be addressed. Be consistent when using the alternative and follow through.  
  3. Ask instead of tell: Avoid lecturing. Ask questions instead. “Tell me what happened?” “What were you feeling when you hit your sister?” Validate the expressed emotion and help them to understand that it is okay to feel frustration and sadness; however, it is not okay to hit or throw things. Help them to also make the connection between emotion and action. “Look at her face, how do you think she’s feeling right now?” Asking these types of questions enhances empathy. 
  4. Problem Solve: Ask questions about what they think they should do when they feel frustrated or sad. Help them to come up with solutions.  Ask questions about how they can make things better with their sibling/s. 
  5. Have them practice a do-over: When your child identifies the solution, have them practice it with the other sibling/s. Praise them for their efforts at the end.    

What is more important than the phrase “I’m sorry” is what children take away from the experience. We can facilitate and enhance learning opportunities by not focusing on the phrase “I’m sorry” but instead more on what can be learned from this situation and how can we improve.  

About the Author: Carol is a therapist at the American Fork Center for Couples and Families. She is a Licensed Marriage and Family Therapist who has spent the past 6 years practicing in several cities across the United States, including Boston, San Francisco, and now, American Fork. She is passionate about applying the principles of therapy to improve lives and relationships, and is committed to creating a safe, comfortable, and supportive environment. Carol specializes in individual, couples, and family therapy, and has extensive clinical experience treating depression, anxiety, ADHD, addictions, domestic violence, trauma, children/adolescents and relationship issues.