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Are You Afraid to Be Free

6/22/2019

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The theme of this year so far has been about overcoming the fear of being free. In this video I'm sharing some thoughts on how fear of being free keeps us tied to whatever binds us.
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Supporting Your Kids When They May Be in Need of Therapy

2/8/2019

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It's been said that the most unlovable need the most love.
 
Here are some ideas that may help parents get their children the support they may need.
 
Avoid the Perfection Trap: One of the worse things a parent can try to do is be the perfect parent.  Pursuing this kind of perfection in my opinion is akin to the punishment of Sisyphus, an ancient Greek king who was eternally condemned to rolling a stone up a steep hill only to watch it roll down again. We can demonstrate integrity in parenting, but it seems that trying to be the perfect parent with perfect kids only creates anxiety for the entire family.
 
D.W. Winnicott, a British pediatrician and psychoanalyst coined the term “good enough mother” in 1953. This term, which should be expanded to “good enough parent” to include fathers, focused on the fact that perfectionism is impossible and can result in an unhappy family. The goal instead should be to provide a space where failing is considered an important part of the learning process and where a safe holding space is provided so that young people are free to learn how to solve problems and retreat when the world is too much.
 
One of my concerns in this area is that parents can actually make a child in treatment feel unsafe in the sense that they may not want the child to disclose certain things. Unfortunately, I usually find out about the perfection trap when a client reports back that their parent yelled at them for making them look bad to the therapist.
 
Know this: most therapists are very aware that a parent is likely to have made mistakes in their parenting. It’s standard as all humans fail as some point in some way. Yes, you screwed up.  Sure, you could have done something better. Please don’t let the shame of not being the perfect parent prevent you from getting help for yourself or for your child. Unless you are directly or indirectly harming your child, your therapist can help you improve your skills and be present for your children.
 
Be Attune to Your Fears: One of the hardest things for a parent to be confronted with is that their child will be in need of special care and services for possibly the remainder of their lives. When that issue is a mental health need such as depression with indicators that your child is self-harming or thinking of suicide that can be incredibly overwhelming.
 
Many parents I have worked with have either tried minimizing, denial of a problem, blaming the child for being bad, or blaming themselves for perceived failures. None of these are helpful. Instead, make efforts to confront your fears and disappointments. Get your own therapy so that you can be in a head and heart space to help your child.
 
Understand Child Development: In my Instagram post from 2/7/19, I wrote that there should be an “asshole phase” listed as formal developmental phase in addition to the others. Well, of course I said this in a tongue in cheek manner, but if we’re honest while kids can be adorable and amazing wonders to behold, they can also be destructive and rather egocentric. In the child’s mind the only thing that matters is them, and you are for a while anyway, merely an extension of their person.
 
Understanding child development will help you gain a better understanding of what you can expect at certain developmental milestones.  This will enable you to possibly protect your own mental and emotional health while dealing with your child’s.
 
Get Your Kid Help as Early as Possible: I can’t say this one loud enough. The longer you delay getting care for your child, the more likely symptoms will increase. Depression and other mental health concerns are not phases that children will grow out of. They need help and support and generally the best support is from a consistent, objective outsider who is not emotionally invested in the family dynamic.
 
It’s also important to keep in mind that children and teens express their mental health needs differently from adults. They don’t have the social/emotional language or intelligence that adults should have and therefore may become incredibly aggressive, rather passive and fail classes they could easily pass, or they may be very compliant and excelling in every area in order to hide how broken they are on the inside. Communication is therefore critical to helping your children.
 
Finally, while you may want to respect your child’s privacy it is extremely important to be aware of what they are doing in social media. There are hosts of predators who are creating videos, games, challenges, etc. that can put children at risk. If you do a search of “social media resources for parents” you’ll find a plethora of resources to help you keep up with the latest thing. I want you to be especially aware of sites that promote self-harm and/or suicide. You might be tempted to think that your child or teen has better sense to engage dangerous behaviors and that may be true. However, be aware that kids are prone to being impulsive and may not see danger in the same way as you. One of my sisters put it this way to one of her darlings: “Your conscious has not fully developed yet so I will help it out.”
 
Parenting is a tough responsibility and can feel thankless. This is again why I think parents should attend to their own mental health needs so that they can be more available for their children.
 
Peace & Blessings!

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​The Fears of Being Free and of Being Happy

1/18/2019

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​“I must not fear. Fear is the mind-killer. Fear is the little-death that brings total obliteration. I will face my fear. I will permit it to pass over me and through me. And when it has gone past I will turn the inner eye to see its path. Where the fear has gone there will be nothing. Only I will remain.”  ― Frank Herbert, Dune

The above quote from the book and the film, Dune, resonates with me because it points to a simple fact: what we fear is not necessarily stronger than we are. If we commit to the change process, incorporate certain skills and supports we will hopefully discover that what we were afraid of is no more powerful than a speck of dust that we can wipe away.

On my Instagram page I posted two vocabulary words:
​
                Eleutherophobia – the fear of freedom
                Cherophobia – the fear of happiness

There are many degrees to fear. Fear can actually be healthy, such as when we heed warnings to not play with fire or cuddle a mama bear’s cub in the wild. That type of fear is more in the realm of respect and generally is not considered debilitating. We are able to go about our lives with a healthy fear of things that could maim or kill us.

The kind of fears that sucks, however, are those fears that stop us from experiencing the best that life has to offer. Eleutherophobia and cherophobia in particular encapsulate a range of fears that keep us in a bondage that is likely to lead to more severe experiences of depression, anxiety, and numerous other mental health disorders.

Eleutherophobia
Some years I was reading a US history book regarding the emancipation of Blacks from slavery. I had previously assumed that everyone with the exception of slave owners was happy at the announcement of emancipation. I assumed that the atmosphere for Blacks and whoever else was enslaved in the United States was charged with the excitement of finally be free and able to determine their day-to-days lives. I was wrong. While there were definitely celebrations among the newly liberated African Americans, there were those in the group who were incredibly despondent at the news of their freedom.

So why the different responses? I can only assume that the different responses were based upon the perspectives or lenses the newly freed people saw through. If your view to the world was that change is scary or that you are ultimately incapable of overcoming the upcoming hardships, you are not likely to view emancipation as good. Conversely, if you view the world from a place of confidence you are likely pleased that the path towards your dream has been made a bit easier.

Of course there are a multitude of other factors that play a role in this discussion (we’ll have to talk about internalized oppression or identifying with the aggressor at some point), but at its base eleutherophobia involves the fear of being incapable of handling the challenges and changes freedom brings even if those changes are only positive. This brings us to the realization that sometimes our bondages and chains make us feel safe. Sometimes we don’t want to put our chains down and sometimes we heap more upon ourselves with the purpose of maintaining a dystopic lifestyle or mindset. One person told me that in her mind it’s like being in a cage with no door and not wanting the door.

Cherophobia
Cherophobia is the fear of being happy. Seems odd doesn’t it? Who would shun happiness?

Cherophobia is not just about being a grouchy person. It’s a lot more complicated and not something anyone would merely choose. I think that it is more of a defense system one develops to protect one’s self from things such as rejection or abuse.  Similar to eleutherophobia, it involves a skewed perspective that causes the one afflicted to see themselves as a “less than.”

When people are afraid of happiness, I have found that they typically express feelings of shame and unworthiness. There is a sense of not belonging and that if they try to belong they will only be rejected. Some may even say that because of their past or current failures they don’t deserve to be happy. They will impose a sentence of misery upon themselves because they believe this is all they deserve. Additionally, there can be an expectation of something terrible coming if one allows their self to feel happy. It is as if being happy is a bad omen that indicates something catastrophic is on its way.

To be clear, I don’t think that we should seek to be happy. Huh? Yup! In this blog on the fear of happiness I am actually suggesting that seeking it should not be a priority. I’ve had new clients tell me that one of their treatment goals is to be happy and I always respond by saying that I can’t help them achieve that. My reason for this is because I have found that when people are seeking to be happy, that’s usually synonymous with their not want to feel pain. What I’d rather help people work on is realizing their ability to deal with whatever life throws their way, be that something positive or negative.

Overcoming Fear
You gain strength, courage and confidence by every experience in which you really stop to look at fear in the face. You are able to say to yourself, "I have lived through this horror. I can take the next thing that comes along." You must do the thing you think you cannot do.  – Eleanor Roosevelt

The good news about cherophobia and eleutherophobia is that we can overcome them. The bad news (but it’s not really bad) is that you have to face and deal with whatever is causing your fears. From a treatment perspective we would look at cognition and behaviors. What are you thinking and believing and doing that strengthen your fears? What we think and what we do are interwoven. It’s system or cycle where one is constantly impacting the other. If we think we will fail, we tend to engage in behaviors such overeating that will guarantee weight gain even if we are working out. We’ll tend harshly judge ourselves for the failure, which usually leads to other self-defeating behaviors and more negative thinking about ourselves and the world.

Regardless of the therapy model used in treatment, beliefs (thinking patterns) have to be challenged and behaviors changed or improved upon. Changing behaviors will often involve incorporating healthier coping skills. Usually, the focus is on incorporating positive behaviors rather than just looking at stopping unhealthy behaviors. It’s been noticed that the more we focus on incorporating positive and healthy things into our lives we find that the unhealthy no longer fits. After a while of doing something positive and feeling proud of your achievement it is likely that you’ll find the negative behaviors you were once reliant upon no longer necessary or functional.

Challenge Yourself
  1. Give consideration to one aspect of eleutherophobia or cherophobia that impacts you.
  2. Select only one thing that you want to challenge as a step towards happiness or freedom.
  3. Discuss with your support network (therapist, family, and friends) how you’d like to conquer (strategies) that fear.
  4. Implement your plan.
​
You may fall but you can always get up again.
 
***Please note the posts or videos here cannot substitute for finding your own clinical provider or life coach.


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Responding to Allegations of Sexual Assault and Abuse

1/11/2019

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This week the docuseries relating to allegations of sexual abuse and sexual assault was released regarding R. Kelly. Consequentially, people expressed their strong opinions for or against Mr. Kelly. Additionally, Mr. Kelly’s daughter, Buku Abi, also came forward offering an apology for taking so long to address this issue and share her experiences. Miss Abi coming forward is why I have decided to address my concerns around how we handle allegations of sexual assault and sexual abuse.

In the interest of full disclosure, I want it to be known that I am not nor ever have I been a fan of Mr. Kelly. Additionally, I have not seen the docuseries and do not plan to see it.

Also, in the interest of full disclosure, I entered mental health to help children in need. The first 15 years of my almost 30 year career had been in child welfare. This is perhaps why Miss Abi's revelation resonates with me.

Now, I find myself reflecting on why I chose mental health and what else I can do to help in this field. I find that it is still about helping vulnerable populations.  What’s happening now related to #MeToo, R. Kelly, and all of the other high and low profile sexual assault and rape cases that have occurred in the last two years has only served to remind me that my passion to help will only be best served by continuing to help those who seek my services and to perhaps educate others on various facets associated with sex crimes against children, adults, males, females, and the LGBTQ community.

In the video attached, I want to address the following:
  • The need to protect children and adults who report rape or sexual assault
  • Why some people wait years before they report
    1. The process of making a report
    2. Rape culture/misogyny
    3. The tendency towards protecting perpetrators and blaming the victim
  • The Christian conundrum of reporting vs. honoring parents (Scripture references: Mark 9:42, Matthew 22:34-40)
Resources:
RAINN, (Rape, Incest & Abuse National Network): https://www.rainn.org/

Child Abuse Hotline: 800-25ABUSE
​
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New Year's Resolutions??? Nah

1/4/2019

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Purpose of post:
  • To discuss whether or not making New year’s resolutions are helpful in achieving goals
  • To consider how living from your values can have a greater impact on your overall well being and success

I hope that you are having a great first week of 2019!

If you’re like a lot of us, you may have made a list of things that you want to accomplish in this New Year. And, if you’re like a lot of us, you may have already broken some of those promises you’ve made to yourself. But, don’t despair! We’re only a few days in and my belief is that as long as there is breath in your body you can still have opportunities to make a better life for yourself. Don’t give up!

To be quite honest, I stopped making New Year’s resolutions a long time ago. I figured I wouldn’t keep them so what’s the point? In my not so humble opinion, making a new year’s resolution was simply another way to beat myself up and I am so over that! I mean really, we humans are rather good at finding ways to hate on ourselves and we can (and do), in turn, teach these self-deprecating behaviors to our children.

I like this quote about self-deprecation by Ashley Michelle:

“Self-deprecation is like a cancer that starts with one thought and soon infects every thought thereafter. It is defined as belittling and tending to undervalue oneself and one's abilities.”https://www.elitedaily.com/life/motivation/7-keys-purging-self-deprecation-steps-biggest-cheerleader/677854

Often, when we fail to follow-through on something we think we should be doing, we tend to label ourselves as failures. Too often this leads to other sabotaging behaviors. We say things like “Well, there goes my weight loss plan. I didn’t to the gym and I’ve had one brownie, may as well eat the rest. I’m such a slob.” What we believe about ourselves leads to behaviors, which in turn affect (for better or worse) what we believe about ourselves. (The belief/behavior cycle.)

I believe that we come by the tendency to berate or undervalue ourselves honestly. It’s been going on for centuries. We seem to be a people prone to being punitive. Spare the rod, spoil the child after all. I don’t want to get into a debate about corporal punishment, but I will say that somehow we have intertwined concepts of discipline with punishment. We think that if we are hard on ourselves or our children that it will somehow lead to improved behaviors. It rarely does, however. Being punitive tends to lend to loss of trust and respect at one end to self-hating behaviors such as cutting or addiction at the other.

Discipline is about setting healthy boundaries and guidance as well as understanding that behaviors have consequences. The core of discipline is to teach. Punishment on the other hand rarely teaches and if does teach, it’s about how not to get caught next time. It can also tear down respect or self-respect. Think about in this way: we have laws about speeding, but while many of us may not go at ridiculously high speeds (100 in a 25 mph zone for instance), we don’t typically stick to (respect) the posted speed limit either. And, this we do despite knowing or experiencing the penalties for speeding.

So, what does this have to do with New Year’s resolutions? Simply this: When we set resolutions, we can discourage ourselves when we fail to live up to them. We then become punitive or punishing towards ourselves and this hits against our self-esteem and can lead to other self-sabotaging behaviors. In other words, we lose respect for ourselves.

If we do keep our resolutions it can still have the devastating effect of causing us to believe that our worth is based upon what we do. If that becomes the case, there’s the possibility that trying to maintain the new behaviors will not last long. My argument is that if we are task oriented, when we fail to live up to that task or standard we lose heart. The reality is that hiccups and farts happen in life. Heck, sometimes its outright diarrhea (simply everything goes wrong). Breaking resolutions tend to reinforce negative beliefs we hold about ourselves, which makes it difficult to maintain healthy behaviors for the long term.

Values Based Living

So, am I saying to not set goals? Absolutely NOT!!! No, we need to set goals and make plans. The old saying is that those who fail to plan, plan to fail after all. Planning and goal setting are aspects of a disciplined life. However, planning, resolving to do something or setting goals need to be a part of something greater. That something is your Values.

Once of the principles taught in Acceptance and Commitment Therapy (ACT) is to know what your values are. Russ Harris writes:

“Deep in your heart, what do you want your life to be about?...What truly matters to you in the big picture?” (ACT Made Simple, 2009)

Harris points out that living based upon our values is about shaping our lives around what we believe is important and critical to living. For instance, if you value connection to family and friends you probably already live in such a way that indicates this by spending time with those you care about. If you value honesty, you probably are not a habitual liar and you tell the truth (in love) even if it might create a conflict.

Values-based living takes us away from being punitive, because it allows us to focus on what we consider important, not the little behaviors we think we should be doing to achieve our goals. When we focus on the little details we miss the greater picture. Think of it in this way: if we get very close to a painting all we may see are the brush strokes and possible scratches in the work. But, if we stand back and take the painting in full we will see a great work of art. You are a great work of art. You are not merely worth the sum of your parts nor is your worth based upon whether or not you complete tasks on your to do list. You are imperfect, but still perfect.

We when focus our attention on our values we shape our lives around those things. When we realize that we are shaping our lives around our values despite our mistakes, we tend to feel rather good about ourselves. When we feel good about ourselves, we tend to engage in behaviors that make us feel better about ourselves. And, when we do that we most likely end up treating others with the same graciousness.

Some suggestions for living a values-based life:
  • Take some time to write out what you value
  • Create a mission and a vision statement for yourself (yes, just like a corporation)
  • Consider what you’re doing already that supports your values
  • Commit to doing what is needed to live from your values (This is an ACT principle)

Keep in mind that life is fluid and changes all of the time. Once you determine what your values are, you can reassess and determine if that really is a value you hold. I think that people usually discover that their core values never change, but that their values can still be enhanced as they mature.

I pray peace and blessings to you in this New Year and that if you resolve to do anything that it will be to assess your values and be gentle with yourself as you move to shape your life thusly.

 
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Making the decision to Seek Therapy

7/24/2017

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 Why Seek Therapy?
  • First Things: Who will you see and how will you pay?
  • The Treatment Beginnings
  • How Long Treatment Takes and What it Looks Like
  • Summary
 If this is your first time seeking therapy either for yourself or for your loved one, you may have many questions.  And, so you should.  Seeking treatment, whether you think your issue is minor or major, requires some thought and investigation.  Making a decision such as this requires no less consideration than making a choice about what physician, eye care specialist or dentist you will see.  I may be biased but you may want to give more careful deliberation to the mental health specialist that you select, as often you will develop a relationship with this person that is quite different from the ones you develop with other health care professionals.
 
Why Seek Therapy?
 
People seek therapy for very different reasons.  While there may be some similarity of symptoms such as feeling depressed no two people will have a similar experience, although the outcome should be the same: you get and feel better.  Making the choice to work with a mental health professional may be based upon the following reasons:
 
  • Relationships in your life have not been going well for a while or the relationship is very dysfunctional or even violent.
  • You are facing a change or loss in your life that is creating undue stress.
  • You may have experienced a traumatic event, either one from your distant past or a very recent one, which keeps you from being able to enjoy life.
  • You or a loved one has a physical health issue that is taking its toll on your emotional well-being. (In order to fight many physical ailments mental health is key.)
  • You may have concerns about your child. S/he can’t make friends; is excessively aggressive at home or school; is capable, but is doing poorly in school
  • You’re simply not happy with your life and need some help to move on
  • You or a loved one has a diagnosis that requires psychiatric care (medication management)
 
Whatever your reason for seeking therapy, you should not feel ashamed that you feel a need for it.  Think about it: would you feel shame if you needed help with your blood pressure or other medical concern?  Most folks would say “no.”  So, why feel ashamed that you want help for your emotional or mental health issues?
 
First Things: Who will you see and how will you pay? 
Once you have made the decision to seek counseling, you will have to decide on whom you want to provide you with this treatment.  The Internet is a beautiful thing in that there are many web sites that provide you with a description of the therapist and/or ratings for that therapist very similar to those for doctors.  Often a person’s doctor or the child’s school will make the referral and so they may be able to give you some feedback on the clinician’s quality of care. 
 
Another referral source is your managed care company.  If yours or your spouse’s job offers health insurance, most plans provide for mental health coverage and maintain a database of qualified therapist.  Check your benefits carefully as some plans offer very limited coverage such as only 20 sessions per year that the company will pay for and have higher co-pay while others have no such limits.  Another thing to watch for is your deductible.  Depending on your plan, every January 1st you may have to meet a deductible before the insurance company will begin paying for mental health services.  What this means is that you will need to pay the therapist’s full or adjusted rate until your deductible is met.
 
If you have public insurance such as Medicaid or certain military benefits, you may be further limited in that you are only allowed to receive treatment in public community mental health agencies.  There are however benefits to this as most agencies have a full array of services to offer such as psychiatrists on the premises and more immediate access to crisis intervention services.  (Please note that private practitioners also have access to these services, but perhaps with some limits.)
 
If the therapist you wish to see does not accept your insurance plan, this is not necessarily a prohibiting factor.  There are steps you and the clinician can take to either get him or her on your insurance company’s panel or you can agree on other terms.  Most things in life are negotiable.
 
The Treatment Beginnings 
So now that you have worked out whom you’ll see and how you’ll pay for therapy, what can you expect?  Well, that depends…
 
Mental health care, like most things in life, is dependent upon what you put into it.  Certainly you and the therapist will have to assess for whether or not you’re a good match for one another, but your commitment to treatment is crucial.  If you attend therapy sporadically or don’t follow-through with the clinician’s recommendations you’re not likely to get very far. 
 
Let me say a bit more on this good match idea: You and your therapist have a very special type of relationship unlike most others.  The therapist hears and learns things about you that most others never hear; hence the reason confidentiality is so critical.  You will want to feel confident that your therapist actually cares about you and can help you through your situation.  If you feel that you are just not connecting you won’t get out of treatment what you need.  It is okay if you feel you need to seek treatment elsewhere.
 
But a word of caution: Once you begin therapy, you will need to give it time to work.  You may also feel somewhat worse before you start to feel better.  There is a reason for this.  In therapy, it is almost like you are on a cooker at times.  The heat is being turned up and the pot is being stirred.  You may feel uncomfortable, especially if you are revealing things long kept secret or being challenged to move from a comfort zone.  If you quit too soon, you may never achieve your healing.  Keep in mind that a good clinician is going to tell you the truth, not just what you want to hear.
 
How Long Treatment Takes and What it Looks Like 
What treatment will look like and how long it will be needed varies based upon individual requirements and the therapist’s method.  For you, treatment can be completed in as few as 9 or 10 sessions.  For some others treatment can span years.  Regardless of the length of time, you should be getting better.
 
You may also want to give consideration to other treatment modalities such as group therapy.  Many private therapists and public agencies offer groups that are usually no longer than 9 weeks and that focus on specific issues.  There are some opened ended groups available that allow for participants to enter and leave at will.  Alcoholics Anonymous is an example of such a group.
 
Another consideration is to seek lay or pastoral counseling through your church, synagogue or mosque.  While I am not as familiar with the latter two, within most Christian church settings lay ministers are available to help you via prayer or short term counseling.  Often these services are free or require a small donation.  
 
Summary 
I hope you have found this article beneficial.  As I said, the decision to seek mental health care should be made carefully and without shame.  The key to a happy and productive life is the ability to feel spiritually, emotionally, and physically well.  Often the health of the mind and emotions is important to achieving peace in all other areas of life.
 
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    Dionne Catledge

    Mental health therapist who believes in client-centered treatment.

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