Have you ever been faced with a tough task, life transition or struggle where you pushed through, on our own and made it out on the other end? We all have, and we often count those moments of hard work and resiliency as some of our best moments. Moments when we triumphed over struggle.
But what about those times when you were facing a struggle and you pushed through on our own and you “tough it out” coming out with more damage on the other end? How could that outcome had been different if you would have asked for help? Could asking for help have avoided such a hard struggle overall? Could asking for help have avoided the damage done? The physical or mental exhaustion? Sleepless nights? High stress or anxiety? Feelings of sadness or depression? The heaviness that comes with struggle?
Why is asking for help so hard? Has society sent a message to help others, but not to ask for help ourselves? Did our parents encourage us to push through and get the job done no matter what? Do we believe that asking for help makes us too vulnerable, look weak or too needy? Has the message to “be independent” been pushed to the forefront of our consciousness.
Asking for help is a strength. It builds confidence. It demonstrates resourcefulness. The ability to be vulnerable enough to say, “I’m struggling” is a superpower. It shows others that it’s okay to ask for help and works to build a culture of collaboration, confidence, and empowerment. We do not have to carry our struggle alone, all by ourselves.
I challenge you to ask for help. Ask your friend to help you with the kids. Ask your boss for more clarification. Ask your partner to make dinner. Ask to see a counselor or therapist. Ask for a day off. Ask to talk to a friend. Ask for advise from a colleague. Ask your doctor for more options. Ask about the resources in your community.
Don’t hold it all, when you could easily have someone help carry the burden with you. Lighten your load and ask for help. Give others a chance to show they care. Because they do.
The connection between animals and mental health is hard to ignore. Research studies continue to confirm that having a pet or interacting with animals has multiple mental health benefits that can both relieve and prevent mental health issues.
If you have ever been a pet owner, I’m sure you can confirm that having a furry friend to come home to provides much needed companionship. Companionship that can combat feelings of loneliness and provide a much needed greeting after a long day.
Having a pet is also proven to decrease anxiety and depression. Interactions with pets have shown to lower stress related hormones such as cortisol, while at the same time increasing mood boosters like serotonin, dopamine and oxytocin. These are hormones that not only make us feel happy, but also help us to relax and lower stress levels.
Providing care for an animal can also establish a routine and schedule which can sometimes be lacking when we are experiencing symptoms of depression. As well, having a pet can increase the likelihood of regular physical activity and the opportunity to go outside, such as playing with or walking a dog. Exercise and fresh air have also proven to decrease symptoms related to anxiety and depression.
As well, hyperactive children or children who experience aggression have shown to lessen troublesome symptoms and behaviors when animals are involved either at home or as part of a treatment plan with their school or mental health provider. Providing care for animals also provides a sense of responsibility and of being needed. Which have both shown to combat problem behaviors in children and reduce anxiety.
If having a pet is not for you, there are other options to incorporate animal interactions into your life.
Volunteering at your local animal shelter is a great way to give back and provide care for animals who are waiting for their forever homes. Getting children involved is also a great introduction to animals and serving their community.
Participating in or volunteering for programs that offer equine assisted therapy also provide a way to give back and interact with animals. Equine assisted therapy includes therapeutic interactions with horses in a controlled environment which may include therapeutic horseback riding, grooming, feeding and ground exercises. Horses have shown to have an understanding and sensitivity to human emotions which can provide as a great option for those who are resistant to traditional talk therapy.
Contact one of the many animal shelters or equine therapy services in your area to learn how you could get involved.
Why don’t people go to therapy? We go to the dentist every six months for cleanings and check-ups. We go to the doctor when we are sick. We get our hair cut or our nails done as needed, or as desired to feel and look our best. We get a massage or go to the chiropractor when we are in pain. But why do so many people avoid addressing the mental or emotional needs. Why don’t people go to therapy?
After working in the mental health field for many years I can say that taking the leap and reaching out for help is the hardest part. There are many reasons that people either don’t reach out or they take a long time to finally take that leap.
I have heard many people say that they would rather talk to their friends instead of a stranger. It is so important to have someone to talk to. You should talk to your family and friends and utilize your support system. But friendship is not psychotherapy. In a therapeutic relationship you are getting support and being challenged to take a deeper look at your life, your emotions and your motivations. Through therapy you gain valuable insight into yourself and the source of your problems. Not only are therapists trained listeners, but they are also trained to work alongside you as you address those problems. Remember that therapy is confidential too. Sometimes we can’t guarantee that with friends or family.
People have also shared that they can take care of mental health issues by visiting their doctor. Yes, if necessary, your doctor can provide medication to address a diagnosed mental health issue, and they can also help you rule out any medical condition that may be contributing to your mental health. But medical doctors are not trained therapists. Therapists will listen, provide feedback, help you identify healthy coping strategies and work empathically to help you find joy in life and in your relationships.
I have also heard people say that they went to a counselor once and it just didn’t work. I always say that every therapist has a different style and approach to their work. Just because it wasn’t a good fit the first time doesn’t mean it wont work out if you try someone else. Our personal perspectives and circumstances change with time. Sometimes we are more ready for therapy than we may have been in the past.
Another excuse is time and money. For any real change you want to make, it will also take real resources. Time does not just appear; you must make the time. Making time to address your mental and emotional needs will save you time. Consider all the time spent being unhappy, time spent fighting, scared or unsure. Taking the leap means more control over your time in the long run. It’s true that therapy can sometimes be costly as well, even with insurance, but consider it an investment in yourself, in your relationships, in your well-being. You are worth it.
So, what’s holding you back from taking the leap? Ready to make an appointment? Call us at 231-714-0282 or visit www.mentalwellnesscounseling.com
The Mental Wellness Counseling “Meet the Counselors” series offers a deeper look into each counselor’s background, experiences, motivations, values, and philosophies. In this series, I put counselors on the couch to learn why and how they do what they do.
Survival of the Sickest
As a 21-year-old undergrad, Anndrea Terry’s life was changed forever at a pool hall. When a broken bar stool collapsed under her, Terry crashed face-first into the metal pocket of a pool table. “My top row of teeth were shattered and twisted up into my gums,” she said. “My face was so swollen that you couldn’t see my nose to my cheeks—it was like a wall.” After eight hours of oral surgery, doctors were able to save Terry’s teeth. With the looming threat of infection, however, she received twice-a-week dental examinations, five root canals, and a “laundry list” of antibiotics for one year. During this time, Terry was in “straight-up survival mode.” “All I could think was to eat, take my pills, and clean my stitches,” she said.
Nutrition…
Basic needs like sleeping and eating became taxing challenges. Since she couldn’t chew solids, Terry swallowed milkshakes, applesauce, jello, or noodles at meal times. “I still felt hungry all the time,” Terry said. “The ability to chew has a psychological aspect. I could dump liquid down my throat all day and still feel starved.” Unfortunately, her heavy diet of milkshakes, ice cream, and junk foods induced digestive issues and a dairy allergy. “My body was in shock all the time. My stomach was constantly upset and I got really sick,” she said. Terry’s dietary battle drew her attention toward proper nutrition.
Yoga…
Additionally, Terry started practicing yoga, which allowed her to process her emotional and bodily trauma. “When I was in a particular stretch, I would feel a weird sensation in my body, and then all of a sudden I was crying,” she said. “It was all the tension I had bottled up in my body. Yoga was a way to start peeling back those layers of emotion.” Terry’s yoga teacher encouraged students to express their feeling freely, something she desperately needed to do. “That was a really big moment for me,” Terry said. “People would always say ‘don’t worry, you’ll get better,’ but at that point, no one had said “just let it out, whatever needs to come out.’”
and Therapy, oh my!
While continuing yoga and meditation, Terry discovered another emotional outlet in counseling. After undergoing therapy herself, she decided to make a career of it. “My recovery inspired me to pursue counseling because I realized how powerful being able to talk to people was,” Terry said. “In the Western medical world, we generally look at particular areas of the person, but we don’t look at the whole picture. For instance, for weight loss, we prescribe a plan to cut calories and work out, but we don’t necessarily look at our relationship with food.”
Healthful Living
Just as her full recovery involved a combination of health factors—nutrition, sleep, exercise, and therapy—Terry wanted to counsel the same way. “I realized I could have approached my healing differently with everything that was encompassed with my accident,” she said. “Being mindful of the things we do in our daily lives all affect how we feel emotionally and mentally.” Terry’s “360-degree” model of wellness is based on the interconnectedness among physical, mental, and emotional health. In sessions, she not only relies on therapeutic techniques like motivational interviewing, but also yoga, meditation, and mindfulness—all while taking into consideration her clients’ diet, sleep, exercise/movement, self care, and lifestyle habits. For clients struggling with anxiety or depression, a few deep breathing exercises can reduce symptoms and “give them back a sense of control over their body.” “Mindfulness is cool that way,” Terry says. “It opens a lot more doors as opposed to necessarily always going into the deep end of the pool. In the long run, I think it gives counseling a better name because people don’t think you’re just laying on a couch for six hours a week.”
“I Live What I Love”
Terry is enthusiastic about expanding her counseling approach through more holistic practices and experiential therapy. She teaches stand up paddle board yoga/meditation in Traverse City and hopes to organize more group counseling sessions in the future, such as women’s self care retreats. With the lessons learned from her accident, Terry aims to equip people with the knowledge and skills of wellness so they can live all-around healthy lives. “The most rewarding thing is seeing people change—being free of something that used to confine them and just watching them blossom into their full potential,” Terry said. “Counseling gave that to me when I was going through my accident, so if I can offer that back in any way, that’s the greatest thing ever.”
Anndrea Terry, MA, LPC, NCC, RYT
Click here to learn more about Anndrea or to schedule an appointment.
The Mental Wellness Counseling “Meet the Counselors” series offers a deeper look into each counselor’s background, experiences, motivations, values, and philosophies. In this series, I put counselors on the couch to learn why and how they do what they do.
Q: What has been your most impactful work experience?
A: I worked on a crisis line at Third Level Crisis Center. I was able to develop the unique skill of phone counseling. I didn’t know who the person was and I couldn’t see or interact with them. There was a lot of silence in between and at times, it was very intense. I typically counseled those struggling with suicidal ideation, self harm, and those who were in need of immediate help. It was really impactful, and a great learning experience.
Q: How did you first get interested in your particular field?
A: I’ve found this passion for women and women’s health. Most of my clients are young women who struggle with depression, anxiety, and eating disorders. Unfortunately, I’ve found that it is really common for women to struggle with depression and anxiety. Society has different expectations of women, and women need someone to talk to. During one’s teenage years when identities start to form, it is crucial to develop positive self-esteem, self-worth, confidence, and body image. It’s really important for women to develop a healthy mindset and healthy life physically, mentally, and emotionally.
Q: What is the most challenging aspect of your work?
A: Not taking the work home at times. When you’re with someone and they’re sharing a hardship, in that personal space with them, it can be hard not to take it home. If you don’t engage in self-care and find healthy ways to cope, it can all build up and start to really affect you. I try to keep a healthy work-life balance, but it’s challenging because I care about my clients and their struggles. Self-care is key. It’s something I’m continuously working on.
Q: Is there anything you wish you had realized about this profession before you started?
A: How helpful it is to take care of yourself. To work in the mental health field, you have to be able to take care of yourself or burnout is just inevitable. As a new counselor, you know you’re going to hear people’s stories and struggles, but I don’t think you really understand how heavy that can weigh on a person. It can be so easy to take on their pain. Some people are more prone to it than others, but the people who are prone to it are probably are in this field. That’s why we’re in this field, because we care about people and want to help and make a difference.
Q: What is the most important characteristic of a counselor?
A: I think that having integrity and being genuine are very important. Clients are looking for someone they can trust, someone who they can feel comfortable around, and relate to. If you don’t have good rapport with a client, you’re not going to have a good therapeutic relationship.
Q: What innovative, new ideas have you or would you like to employ in your practice?
A: I look at the person holistically. Nutrition is also definitely an interest of mine. I’ve found it helpful in my personal life and also in the lives of the clients I serve. There are so many mental health benefits that nutrition and a healthy diet can offer. Certain foods can greatly affect one’s mood, mental stability, anxiety levels, etc. Also, if one isn’t eating, that’s going to affect one’s mood, too. I have plans to incorporate nutrition into my practice more.
Tarah K. Elhardan, MA, LLPC
Click here to learn more about Tarah or to schedule an appointment.
Major Depression: severe symptoms that interfere with your ability to work, sleep, study, eat, and enjoy life. An episode can occur only once in a person’s lifetime, but more often, a person has several episodes.
Persistent depressive disorder—depressed mood that lasts for at least 2 years. A person diagnosed with persistent depressive disorder may have episodes of major depression along with periods of less severe symptoms, but symptoms must last for 2 years.
Postpartum depression, which is much more serious than the “baby blues” that many women experience after giving birth, when hormonal and physical changes and the new responsibility of caring for a newborn can be overwhelming. It is estimated that 10 to 15 percent of women experience postpartum depression after giving birth.
Seasonal affective disorder (SAD), which is characterized by the onset of depression during the winter months, when there is less natural sunlight. The depression generally lifts during spring and summer. SAD may be effectively treated with light therapy, but nearly half of those with SAD do not get better with light therapy alone. Antidepressant medication and psychotherapy can reduce SAD symptoms, either alone or in combination with light therapy.
Bipolar is cycling of mania and depression (highs lows, used to be “manic depressive disorder”
How depression is covered up
Seclusion: Common in new moms
Video Games: The Washington Postrecently reported that there are more adult woman gamers than teen boy players in the world. “Internet Gaming Disorder” even made its way into the DSM-5, the diagnosis guidebook for psychiatrists and other helping professionals. Video game addiction has the potential to grow into one of the most challenging addictions to treat.
TV, alcohol, and sleep issues
“Normal” teen behavior vs. Depression
Teens are moving toward independence
Hormones are going crazy, the pleasure center of the brain is magnified while the frontal lobe (decision-making) is muted. It’s any wonder we survived the teen years
Normal teens are: moody, challenging, affectionate one day and a jerk the next.
KNOW YOUR TEEN’S BASELINE
Red Flags and when to get help
TWO QUESTIONS: Answer PHQ-2
“not at all = 0”
“Several Days = 1”
“More than half the days = 2”
“Nearly Daily = 3”
Past two weeks have you had little interest or pleasure in doing things?
Feeling down, depressed, or hopeless
Did you score above 3? Take the PHQ-9 assessment below
Sleep is when our brains organize what has happened. Most adults need at least 7 hours of sleep. People/kids in school need 8-10 hours to appropriately categorize what they have learned.
Less sleep = More anxiety/depression/academic failure
Don’t have a TV in your bedroom, it stimulates your brain to think it is morning and makes your brain want to be awake in bed
Turn off screens 30 minutes before bed, it’s like looking at the sun and wondering why you are awake
Keep a notepad next to your bed to write down ideas/to-do list, it frees up your brain
Go to bed and wake up around the same time every day
Mental Wellness Parenting | A remarkably simple approach to making parenting easier
From Mental Wellness Parenting | A remarkably simple approach to making parenting easier:
Control vs. Voice
So how do we use this new information about guiding our kids to help them change their behavior? Ultimately, you have no control over your child. They make decisions every day. They are their own persons.
Webster’s defines “control” as: “To exercise restraining or directing influence over. To have power over. Reduce the incidence or severity of especially to innocuous levels <control an insect population> <control a disease>”
The part of this definition that I like is the “directing influence over”. I would argue that this comes less from control and more from having a voice in your child’s life.
One of Webster’s definitions of “voice” is, “wish, choice, or opinion openly or formally expressed.” So to have a “voice” in your child’s life is for your wishes, choices, and opinions to somehow take root in them.
Think about who has a voice in your life. Who can say to you, “Here is my opinion” and you consider it?
Is it your mom?
Dad?
Best friend?
Wife or husband or significant other?
How did they gain that voice in your life? Did they do something? Did they act a certain way? Is it because you have seen how they live their life and you respect that? Do you aspire to be like them or certain parts of them? What is it that allows them to have that voice, not control, in your life?
I believe that it is trust. They somehow built trust in you. Building a voice comes from trust. For kids, that trust comes from three specific things. To build trust as parents we must demonstrate:
Consistency and love
Set an example
Spur something in our children that brings life
Consistency and Love
In future chapters I will discuss more in-depth what this looks like and ways that you can increase consistency and demonstrate your love. One definition of “consistency” is “agreement or harmony of parts or features to one another or a whole.”
To be a consistent parent, you have to have harmony in what you do. What does this mean? It means that it is better to say nothing at all, rather than a false promise. By false promise I mean not following through on things you say. If you give a warning to a child regarding their behavior, then follow through.
When you start thinking this way, two things will happen inside of you. First, you will slow down the frequency of threats that you make because you know that you need to follow through. Also, you will evaluate the intensity of threats.
One thing about threats: they don’t work.
Threats don’t work
Why don’t threats work? Think about it this way. Your boss keeps coming in your office for two weeks reminding you of a date that a report is due. She says, “If it’s not on my desk on November 12th, then I’m writing you up.” November 12 comes and goes, you had some crazy things happen in your family and you just couldn’t get it done.
Then in January she does the same thing for the report due January 29th. Again you miss the mark and it comes and goes, yet no write up. Imagine this happened over 18 years in the company. Sometimes she does write you up sometimes she doesn’t.
Now imagine a different scenario. At a staff meeting she announces that reports need to be timely. To try and help the staff keep it in their mind, if the November 12th report is in on time you will get an overnight at the hotel of your choice and if not, then you will be written up.
No more reminders.
Then she does what she says.
Often parents believe that they have a voice in their child’s life and that is enough, but really a voice is earned through consistency. Your action of giving positive or negative consequences will speak more than anything you could say ahead of time or threaten.
Even when threats do seem to work, it is usually not based on building a long-term voice in your child’s life.
The second part of this is building love. I trust that you love your child deeply; otherwise you would not be reading this book. So it is not how to build your love for your child that is the issue, it is how do children receive love?
Consistency in parenting helps kids feel safe. If you are about to manage a child in a grocery store and help her choose good choices there, then you can definitely take on any monster, bad dream, bully, and tornado. Kids fear all sorts of things.
A psychologist named Maslow created what he called the “Hierarchy of Needs”. His belief was that if basic needs are not met is it is harder or impossible to work toward higher needs. Thus, if safety needs of security aren’t met, it is harder to build feelings of love and belonging.
I had a client recently who had her apartment broken into. She was staying up all night because she was scared someone would break in, then she was sleeping during the day, but her classes were slipping. Her feelings of lack of safety made it harder for her to do more complex thinking like that which is required in school.
The same is true for kids, as they see that you can handle a variety of situations, they will trust that you can protect them…
In 9th grade, the school counselor brought me and several other students into her office. She informed us that a peer had committed suicide. Later, the entire school was informed. It is devastating to get that type of news. Every 15 minutes another family, friend, and school deal with news of a suicide.
This coming week is Suicide Prevention Week. Often people think that the issue of suicide prevention is only for mental health professionals, but sometime in each of our lives we will probably have it touch us. Here are a few things that every person should know to help a friend, family member, or co-worker.
If you are concerned, ask
Asking a person if they are suicidal is the best first step. When a person is dealing with intense emotions, friends often feel uncomfortable asking about suicide. However, a direct question from a friend or family member is shown to reduce the risk of suicide.
Understand more about suicide
For a number of years, San Francisco has employed interviewers to speak with people who have jumped from the Bay Bridge and survived. One thing that an overwhelming majority report is that during their fall, they regretted the decision and hoped to live. These individuals often became advocates for suicide prevention. Further, research continues to support that suicidal feelings often last only hours, but return if help is not sought.
Know resources
Knowing that you can ask about suicide and that it is often a short-term feeling, getting a friend help is a great first step. Third Level Crisis Center (231-922-4800) is a 24/7 resource. Also, supporting the individual through counseling and being a friend is the best role that you can have.
When we as a community work together to help those that are struggling, when we ask, understand, and refer, it can help reduce suicide. Each one of us can use our relationships and unique roles to be a part of a more healthy community.
Joseph R. Sanok, MA, LLP, LPC, NCC is owner and a counselor with Mental Wellness Counseling. He is hosting a free Suicide Prevention Wine Party with NMC Student Life and Lake Side Counseling on Sept 12 at 5:00 at Left Foot Charley. Visit www.mentalwellnesscounseling.com/wine for more details.
Photo used with Creative Commons, thank you Robert S. Donovan
About a week ago, my wife was changing my daughter’s diaper. She was parked outside a pharmacy in Traverse City and she was changing the diaper on the front seat of our car. I wasn’t there.
Some teens pulled up and were seated with their windows down. They started making comments about “the crying baby” and “shut that baby up.” Of course, the audacity of the teens caught my wife off guard and in the moment she didn’t think of what to say or do, she just wanted to leave.
The recent viral video about a bus monitor being bullied has touched a nerve. In the video, a bus monitor is called a litany of names and she ends up crying. The video is just plain terrible.
People are asking:
What has happened to our society?
How are kids this terrible?
Where is the respect?
What is going on?
In some ways, kids are just as cruel as in past generations; however, they have more tools for learning and spreading this cruelty. The point for me is not how we got here, but how do we get out?
When I work with families in counseling, at my Traverse City practice, we discuss a number of factors. Here are a few steps that can help with this discussion.
Schools have been limited
In past generations, teachers and principals spanked, paddled, and hit kids. It is essential to strong learning and emotional development for kids to feel safe. Those days are done and I am not advocating for them to return. However, due to the culture of lawsuits and continued restraints on teachers to give detentions, in-school suspensions, and other negative consequences, it has created an environment where youth will dictate their own culture.
Parents are less involved
As parents evaluate their interactions and involvements in their kid’s lives, they need to continue to seek consistency and a culture of both positive and negative consequences. Our society continues to function based on us all seeking that most of our actions have clear consequences. As parents build this social skill in kids, they will collectively gain traction.
Society as a parent
Even though we are more connected, most cultural tools have been de-centralized. As a result, specific parenting and expectations have become less clear. As a result, we don’t want to “step on toes”. Often people don’t speak up when their “gut” is telling them to speak up.
The answers to these behaviors are not clear cut like many talking heads are saying, but, as we evaluate empowering schools, parents, and individuals, we may see bullying decrease.
Joseph R. Sanok, MA, LLP, LPC, NCC is a licensed counselor and owner at Mental Wellness Counseling in Traverse City, MI. He has worked with bullied, at-risk, angry, and hurt kids since 1998. He also loves sailing.
I can’t slow down. I need this article more than anyone. I have a baby, house, job, private practice ” the list goes on and on. I bet your list is similar. There is always a reason why I can’t slow down.
I went to the U.P. this past weekend. I sat and drank coffee, looked out at the morning water, and read a magazine. Why is it that when we get away from town, we let ourselves relax? These are three things that are starting to work for me (I’m not there yet).
Put it in the schedule
Did you know that 15 minutes is 1 percent of your day? I think we actually have time to relax for 15 minutes, we just don’t make the time. If something is written down, we’re more likely to follow through. Plan to relax.
Get out
When we are in our homes, we see the laundry, cleaning and opportunities to not relax. Planning time out of our house clears our mind and gives us permission to forget about the struggles for a space of time. Get away from your house.
Drag it out
When I do errands, I fight for the closest parking spot, hurry in, hurry out and run back home. There have been times when we have gone to the farmers market and parked a few blocks away. We strolled, looked at the river, and we didn’t hurry home. Drag out the time that you are out and about.
But why should we slow down? Shouldn’t we be more efficient and productive? Yes, this is true. There are times during the week that productivity and efficiency are of value. Yet, if we make it a lifestyle, we increase our stress, which can lead to a lower quality of sleep, which increases anxiety and depression, while lowering our quality of life.
When you step back, why are you in such a hurry and what is it doing to you? Try it for a day and see if makes you feel better.
Joseph R. Sanok, MA, LLP, LPC, NCC is a counselor, therapist, psychologist, and overall helper of people in Traverse City, MI. He has professional experience working with Community Mental Health, residential facilities, foster care, and private practice. As well, he is the author of the book “Practice of the Practice: Basics for Launching Your Private Practice” due to be released in June 2012. He is a frequent speaker and writer locally in Traverse City, Michigan, and nationally.
You never really appreciate a life of normality until crisis hits. Our family has been through a number of things lately: a death, a major medical issue, and close friends having their own crisis. It is amazing how it seems that high profile events bring out people’s true social skills.
I learned through experience what not to say when someone is in crisis. It was several years ago. I heard that a friend of mine’s parents had got divorced. I was close to my friend, but not to his parents. During a large festival in our town, I ran into the mom and said, “I’m so sorry to hear about you and _______.” It seemed to be the right thing to say. She broke down crying in the middle of the festival.
I felt terrible, I didn’t know how to leave, and I regretted saying anything. After that I was fairly gun-shy. When I heard that people had a miscarriage, death, or sickness, I didn’t know what to say. So I just watched from a distance. Now that I am going through my own experiences, I feel that I have an understanding of what has worked and not worked for me.
Food
Do
Make or bring food. It allows the family to focus on one another, rather than shopping, cooking, and cleaning.
Try and make something they can freeze or bring it frozen. If others are bringing food they can pull it out when the time works for them.
If you can, use things you don’t need back like Tupperware, something disposable, or a pan you don’t care about. Tell them, “Don’t worry about getting the pan back to me.”
Don’t
Don’t expect to hang out with the family long.
Don’t just show up, call and ask if there is a convenient time.
Talking
Do
Empathize with the family. Our friends that have said, “That must be hell” “I can’t imagine going through that” and “When will the universe stop shi**ing on the Sanok’s?” have been some of the most helpful comments. It makes us feel less crazy, like our feelings are normal.
Let the family or person do the talking. Saying, “If you don’t feel like talking about it, that’s ok, but how are you doing?” This is helpful because it is nice to be given permission to blow someone off and stay quiet, yet invited to talk.
Don’t
Don’t offer suggestions unless you are asked. If people are dealing with medical issues, they probably are consulting with the doctors. If they are going through a death, their closest friends will probably know what/when to suggest therapy. In general, suggestions make people feel like you want to solve their problems and make them move through their grief, rather than be with them.
Expectations
Do
Expect that your relationship will be different for a while. They may see you more or less. They may want to sit at home and drink beer. Who knows how they will react? They may not want to talk. Realize that people handle crisis very differently and the way they react can differ too. The best thing for you to do is to carry the relationship for the both of you during this time.
Don’t
Don’t get offended when they focus on something other than your relationship. If you do get offended, don’t show it. Months later if it is still bothering you, you can talk with that person. People don’t need to think about the dynamics of your relationship as well as their crisis.
Don’t worry about spending too much or too little time with them. Ask them if it would be helpful to come over. Most people will tell you what works if you ask in a direct way.
Don’t say, “Call us if you need anything.” Say something more specific like, “Would it be helpful if we had you over for dinner? We’d love to have you, but you can totally say ‘no’.” Sometimes what people need is awkward to ask for like a gas card. Rather than ask, “What do you need?” say something like, “Here’s a gas card/meal/hug if it would help.” By giving the person an out and being specific, it helps to give them the power and control, when life seems out of control.
Depending on which side of the crisis you are (going through it or supporting through it) everyone should realize that you are lucky to have one another. As someone going through life issues, I am so thankful for people saying and doing something, even if they fumble through it. Despite the missteps some have taken, we have realized that it is all done out of love and care for us, which is absolutely wonderful to have in our life.
I would much rather have someone awkwardly try and console me, than to remain quiet out of fear…and then go through a crisis alone. Even if you don’t do all the “dos” or you accidentally do some of the “don’ts” it is ok. Just do your best.
Joseph R. Sanok, MA, LLP, LPC, NCC is a counselor, therapist, psychologist, and overall helper of people in Traverse City, MI. He has professional experience working with Community Mental Health, residential facilities, foster care, and private practice. As well, he is the author of the book “Practice of the Practice: Basics for Launching Your Private Practice” due to be released in June 2012. He is a frequent speaker and writer locally in Traverse City, Michigan, and nationally.
Ask Joe
Think “Dear Abby” for a new generation. Each newsletter I will select one or more questions to answer. So if you have a parenting or mental wellness question, please send it my way. I’m sure others have the same question and could benefit. sanokcounseling@gmail.com
Dear Joe,
What are some approaches to improving bed time routines for my kids? They are 9, 12, and 13.
-I Need a Break, Kalamazoo, MI
Dear I Need a Break,
First start with their ages and how much time they need to sleep. Depending on their wake-up and bus times most 9 year old should be in bed between 8:00-9:00, however, since you have two old kids you may want to have the 9-year-old have and 8:30, 12-year-old 8:45, and 13-year-old 9:00. Until high school, most kids should go to bed prior to 9:30. Once you determine the times that you want, stick to them. Start the bed time routine at least 15 minutes before, that means no TV for the 15-30 minutes before bed.
One technique that seems to work well is the have weekend bedtimes based on weeknight compliance. For example, “If you go to bed at 8:30 during the week for 3 nights, your weekend bedtime is 8:45, 4 nights 9:00, all 5 nights 9:30.” This provides a clear positive consequence for the desired behavior. Some families create charts to keep track. Also, tying their behavior to the social skill of “building trust” can help. For example, “Thanks for being in bed on time. By doing that, you are showing me that I can trust you to do what you need to do.” Then, when they ask if they can do something, you can say, “You know, you have done a great job building trust at bedtime, sure you can go to the store with your friend.”
Give those strategies a whirl and let me know how it goes.
I hope that helps.
-Joe
Have a question for Joe? Email him and ask, what’s stopping you? Really, you know you want to: Click here to ASK JOE
Blah in Our Brains By Joseph R. Sanok, MA, LLP, LPC, NCC
I hate the time change. I don’t understand why during the darkest part of the year, we make it darker. I would much rather have it stay dark until 10:00 am and have light in the evening. But maybe that’s just me. This time of year triggers in people a sense of fatigue, sadness, depression, and feelings of blah. Whether you deal with clinical depression, seasonal affective disorder, or feelings of blah, there are several things you can do that will help you feel better.
Get More Light
Even when it is light outside, it seems to still be cloudy in Northern Michigan. A window usually is not enough. Regular lights do not capture the full light spectrum. They usually only have the blues and violets. Getting outside and sitting by a window will help, but changing some of your bulbs in your office or home to full-spectrum light bulbs can really help. A number of studies have shown that full-spectrum light can help with depression, sadness, and the feelings of blah (blah is not a clinical term used in research studies). Bulbs usually run $14-$24 dollars, a lot cheaper than therapy.
Get More Exercise
Exercise releases natural endorphins in your body. I was at the University of Michigan Depression Conference last year and one speaker was discussing how some studies are showing that exercise paired with counseling can be more effective than psychiatric medication. Even a short walk or taking the stairs can be helpful.
Get More Veggies
Fruits and vegetables can help with replenishing the body’s nutrients. Loads of colors in your diet are helpful. A diet of reduced processed foods helps to make the brain more receptive to light and exercise during the winter months. WedMD has a number of helpful nutrition suggestions,http://www.webmd.com/depression/guide/diet-recovery
Get More Socialization
When I work with clients dealing with depression they often get into a cycle of alone time. They don’t feel like going out or doing anything which makes them feel like they don’t want to go out and do anything. During winter months we often feel like we want to hunker down and stay home. Socialization and new activities help us free up the blah in our brain.
Once you try these tips, you will hopefully see changes. With that said, you also need to know when to talk with your health care provider about pursuing additional options.
As with any change, it is better to start small and make little changes that you can do. Maybe for you a step would be to change a light bulb, go for a daily walk, eat broccoli again, or plan a potluck with friends or family. The hardest part is taking a step in the right direction, after that you will pick up momentum and have a blah-free winter.
Resources
University of Michigan has a great set of resources called The Depression Tool Kit. There are videos, worksheets, and tons of resources. Check it out, it will help you and/or the people you work with! http://www.depressiontoolkit.org/
That’s it for now. Do good to others and keep in touch!
-Joe
Joseph R. Sanok, MA, LLP, LPC, NCC is a counselor, therapist, psychologist, and overall helper of people in Traverse City, MI. He has professional experience working with Community Mental Health, residential facilities, foster care, and private practice. As well, he is the author of the book “Practice of the Practice: Basics for Launching Your Private Practice” due to be released in June 2012. He is a frequent speaker and writer locally in Traverse City, Michigan, and nationally.
