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Raising Awareness on Psychological Distress and Suicide by Dr. Michael Olson, Ph.D, LMFT

Published in the Bay Area Health & Wellness Magazine, Houston,  Visit us at txhwmagazines.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.

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.

Misconceptions Around Parental Alienation: How Professionals Can Get it Wrong By Carol Kim, MS, LMFT

Divorce is hard. It is emotionally and physically draining for all people involved, including children. When a divorce becomes high conflict, children are caught in the crossfire and are treated as “prizes” to be won. Parents start pressuring their children knowingly and/or unknowingly to choose sides. These behaviors can escalate to “alienation”. Alienation is defined as a parent teaching their children to reject the other parent using fear (Templer, 2). Due to limited research, professionals often mistake alienation for estrangement. This misdiagnosis can have devastating effects on a family.

One misconception about alienation is that the alienated parent is responsible for being rejected by their child, whereas the alienating parent is considered to have little to no part in why their child is rejecting the alienated parent. Discerning whether a parent has been alienated or estranged requires specialized skills and knowledge. Unfortunately, many professionals who are assigned to such cases often have little to no training in this area.

Misconceptions about alienation prevent families from getting the help they need and can even have legal ramifications. Here are some examples of harmful misconceptions:

It is generally believed that if a child does not want to be with their parent it means they have done something to deserve it. However, the reason could be that the alienating parent programmed the child.

It is generally believed that the child would not align with the abusive alienating parent. However, children are vulnerable to manipulation. The targeted parent often tries to enforce appropriate discipline and fill the hole left by the alienating parent. In so doing, the targeted parent is looked at harshly and viewed as not respecting their child’s wishes and feelings.

Enmeshment (blurred boundaries between two individuals) can be confused with healthy bonding. When children feel that they are not recipients of unconditional love they can be manipulated into doing what the alienating parents desires.

Professionals who have these or other misconceptions may come to the conclusion that the alienating parent is stable, whereas the targeted parent is not; this instability, real or perceived, is often the result of depression, anxiety, and anger that’s developed from the trauma of being alienated. Another example is if the targeted parent is falsely accused of abusing their child; the parent may exhibit instability due to the fear being jailed, losing their children, or financial pressure. The unfortunate reality is that even strong, emotionally stable individuals may become anxious, depressed, and angry when under the pressures of alienation.

Mental health professionals play a critical role in high conflict divorce cases and have the power to make things much worse or better. Given the high stakes, families are encouraged to carefully select a professional with the proper skills and training.

About the Author:  Carol Kim 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. She has also utilized her deep understanding of parenting and marriage to teach and facilitate community parenting and marital enhancement groups. Carol received her Master in Marriage and Family Therapy from Brigham Young University, where she was clinically trained and conducted extensive research in improving marital satisfaction. After graduating and before dedicating herself full-time to therapy, she was awarded the prestigious Kaiser Fellowship and worked for the San Francisco Bay Area’s most popular news station, KTVU, as a broadcast journalist focusing on mental health related issues. She is a member of the American Association of Marriage and Family Therapy and the Asian American Journalist Association.

Why Should Couples Consistently Set New Year’s Resolutions Together? By Dr. Matt Eschler, Ph.D, LMFT

I have counseled couples for twenty-five years. Panicking, anxiously pacing, wringing hands, couples have wandered into my office, hoping to find some peace in their relationships. In the counseling arena we explore some very principled foundation ingredients that, when mixed together, produce peaceful, passionate relationships.

There are three fundamental ingredients that all of us need to exercise for a shot at a sound relationship. My challenge to you is to sit with your lover and assess the following three principles, and set specific goals to learn a little more, stand a little more firm, and increase your skills in these three areas:

The first foundation principle is friendship. Friendship is unilateral. Increase your friendship with your lover every couple of hours. You do this by sharing information, being trustworthy, and being transparent—without conditions.

The second principle that relationships will not survive without is influence. You must accept your lover’s influence. Men seem to have a slightly more difficult time with this, but both partners will benefit from allowing influence. Think about a time when there was disagreement in direction of relationship or activity. Did you allow your lover to have influence? Did you argue until one of you gave in? Was their healthy negotiation until a mutually satisfying result occurred? The hope is always influence and no competition. Get a little better at this in 2018!

Finally, the third principle is generating a governing purpose for your marriage. This is the North Star that holds you both accountable to a result that is desirable and cherished. If you are seeking the same purpose, you won’t go after hostile results. For example, my wife and I want to travel the world. If I sneak out and spend our travel money on a new truck and lots of clothes, we won’t have resources available to travel. That causes issues. If I save and we put our travel fund together and watch it grow together, we will eventually accomplish our common goal.

I invite you all to accept this challenge: In 2018 be a little bit better in all three of these areas. Sit with your lover and map out a specific strategy to accomplish these three goals to improve your relationship.

 

About the Author: Matt 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.

Simple Ways to Improve Mood by Alberto Souza, MSN, APRN, FNP-C

We all have those days when it feels like we woke up on the wrong side of the bed. For whatever reason we are just in a bad mood. Often times these bad mood feelings are associated with difficult or stressful events in our lives such as trouble at work, financial problems or disappointment. Sometimes these bad mood feelings last for only a few hours, but sometimes they might linger for days at a time. There are many simple strategies to improve one’s mood in spite of what it is that might be bringing us down.

Be With People

Often times when we are feeling low just being with a trusted friend or family member and talking about our feelings can make all the difference. Having a sympathetic listener or someone that can get us laughing or looking at the bright side of things can make all the difference. We shouldn’t be embarrassed to talk about our mood or admit that we need help. In fact, many times isolating ourselves can be one of the biggest culprits in a lingering bad mood.

Get Out

Whether its a brisk walk through the neighborhood or a trip to the grocery store, getting out of the house can do wonders for improving our mood. Sometimes we just need a little sunshine or to breathe in some fresh air. The sights and sounds of everyday life can get our mind off of things and be a beautiful distraction.

Enjoy Yourself

When a bad mood strikes we might find ourselves not even wanting to do the things we normally enjoy, but doing them anyways can take our minds off of negative thoughts and often times will help us feel better overall. Think of simple pleasures like reading, exercising, cooking or baking, shopping or just watching a funny movie or show.

Talk to a Professional

Feeling sad or moody are normal human emotions that we all experience from time to time.  Depression is different from these emotions primarily because depression is a pervasive feeling of sadness that impacts our entire life and doesn’t just go away even when things in our lives are good. We should not hesitate to reach out to a professional to help us understand our feelings and deal with them appropriately.

Source: 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.

Hope for the Holidays by Alyssa Baker

Do you have hope during the holidays?

A young couple is snuggled up by the fireplace as they watch their children open presents, smile, and laugh. There is snow falling, sweaters, Christmas pajamas, hot chocolate, candy canes, cookies, hugs, kisses, and even tears from such loving gifts and sentiments. This is the image that we see everywhere around the holiday season.

Although we are inundated with this vision of the holidays, I have never really experienced it. Is this actually the typical family? When we expect to celebrate the holidays in this way, are we all being set up for disappointment?

What if we spent this holiday season free of expectations? What if we were truly present with our friends, family members, and even ourselves? What better way to spend this time of year than being centered and at peace with who we are?

The holidays can be especially difficult when families experience divorce, loss of a loved one, or financial stress. Even positive changes can disrupt our vision of the “perfect” holiday season. Adult children may not be able to make it home, whether due to professional obligations or the forming of new traditions with their own family. No matter the circumstances, it is important to increase flexibility and embrace the following core values, especially at this time of year.

Gratitude
Research has repeatedly shown how gratitude combats symptoms of depression and loneliness. Gratitude can be expressed with your loved ones or even with strangers. If you are feeling lonely, with a hole in your heart this holiday season, sharing your presence and gifts with those in need will fill even the emptiest of spaces. Tipping your waiter a little extra, writing a thank-you note to your mail carrier, or even making a sweet treat for your co-workers can be small ways of expressing gratitude.

Peace
Stress is a killer around the holidays. Where is the “peace” in running from store to store and traveling to six different holiday dinners? Find peace this season by spending time in your spiritual life. Find time to relax and unwind by taking a bubble bath, enjoying a hot drink, and cozying up with a good book or movie. The gift of peace is the best gift we can give ourselves, our families, and our friends this holiday season.

Joy
When is the last time you felt truly joyful? Maybe it has been a while. Even if your year did not turn out the way you wanted, you still deserve the time and space to feel joy. Experiencing joy has to be very intentional. You may not be much of a social butterfly, but if you are looking for joy this season and having trouble finding it, gather the courage to call an old friend or attend a holiday party at work.

My wish for you this holiday season:
May your gingerbread cookies be a little deformed.
May your Christmas carols be out of tune.
May you have a “snow day” (or “ice day”) that prevents you from working.
May your old memories chip away into new ones.
May your child throw a tantrum (if you don’t throw one first) that makes you quit shopping.
May your traditional holiday movie be a funny one.
May you take a vacation to somewhere warmer…even if it’s hiding under the covers.

May you find gratitude, peace, and joy in these moments and more.

About the Author: Alyssa Baker is a licensed Marriage and Family Therapist Associate. Along with practicing at the South Shore Center for Couples and Families, she works as a Behavioral Specialist as a part of an Integrative Medicine fellowship with UTMB Family Medicine in Galveston. Alyssa has experience working with individuals, couples, families, and groups with a variety of stressors; including, mood disorders, chronic medical conditions, substance abuse, and relational struggles.

3 Steps to New Habits by Joan R. Landes, M.A., AMHC

A wise person once said, “We make our habits, then our habits make us.” So we set goals and make resolutions, but our good intentions and resolutions often end in disappointment. Isn’t there an easier way to create a good habits? The answer is “Yes!”

In three simple steps, a new habit can be formed in just a few days.
1. Anchor your goal to an existing habit
2. Start small with an easy behavior
3. Validate your efforts

First, use an existing behavior as an anchor for your new habit. For instance, if you wish to develop a habit of doing daily push-ups, and you already brush your teeth every morning, use brushing your teeth as your prompt for your new habit. After you finish brushing your teeth, begin to do the pushups.

Second, start with something ridiculously easy like one push-up. Or, if your goal is flossing your teeth, start with flossing just one tooth. While you do the behavior consciously tell yourself that you enjoy the activity: “I like the way my muscles feel alive when I do push-ups!” or “My teeth feel great when I floss!”

Third, after you complete your small goal, validate your efforts aloud. It can be as simple as saying “Great job!” or “Awesome!” Saying it aloud is more powerful than just thinking the words, so don’t be shy. Throughout the day make sure to keep telling yourself you did great when you think of your goal. The great thing about this type of self-validation is that it doesn’t cost anything, it’s legal, non-fattening and immediate.

That’s it! After a few days, you will find yourself looking forward to engaging in the new behavior. Gradually, you can increase your small goal into a bigger one.

Since I try to practice what I preach to my clients, I have used this technique in my own life. My goal: Develop more upper body strength through morning push-ups. First, I thought of my existing morning habits and the first thing that came to mind was simple – opening my eyes! It’s hard to do push-ups while lying on a mattress, however, so I had to come up with another anchor habit. I chose to anchor my goal to my current habit of making my bed.

After tucking in the blankets and tossing the pillows on the duvet I dropped to the floor on my hands and toes for three standard push-ups followed by three modified push-ups (knee style!). I told myself, “This is very cool!” Easy, right?

Afterwards I said, “Awesome!” My sleeping husband pulled the bedspread and pillows off his face and called out, “What’s awesome down there?”
“I’m doing my morning push-ups, honey,” I told him.
“Good grief, all that grunting woke me up.”
“Wait till you feel my biceps,” I bragged.
“Keep working on it, Sweetie,” he said. “Someday you’ll find them.”

But it was too late. I couldn’t be discouraged because I had already validated myself and was looking forward to the next session! I haven’t missed a day since before Christmas, and the really cool part is that I don’t dread exercising. Hey, don’t mess with success, right? As my son who is a cadet at the military academy at West Point said, “Not bad for a 50-year old, Mom.”

“Fifty-one,” I said. I want every kudo I can get!

About the Author: Joan Landes is a therapist at the Center for Couples and Families. She feels that therapy should be an adventure for her clients and (gasp!) actually fun. Joan loves learning the latest neuroscience underpinning human resilience and is enthusiastic about skill development in her clients. She has been married for 32 years and is the mother of 7 children who make this world a better place.