Getting the Most Out of Counseling

If you've never been to counseling before, you may wonder what to expect out of the process. Counseling requires hard work, not in the way of using physical exertion, but more of working towards your goals. Wait! That means you need to have goals! So, you're going to counseling. What do you want to get out of it? What would you like to accomplish from your time with your therapist? How will you know when you're finished with your therapist? If you give yourself an opportunity to think about these questions and discuss them with your counselor, you'll be able to determine an appropriate path towards accomplishing your goals.

Now your goals are set and you have worked out a plan with your counselor. Now the work begins. Your counselor cannot do the work for you. This is your life and your responsibility to change it. Your counselor can provide you with tools to help you change your life, but if you aren't actively using these tools, you won't get very far and begin to get frustrated with your counselor and the therapy process.

Look at it this way. Your counseling sessions are only 45-50 minutes a week. This means you have an additional 6 days, 23 hours and 10 minutes before your next session. This provides you with ample opportunity to take what you've learned in your counseling and apply it in your everyday life. It's real easy to take the stance of "Out of sight, out of mind." However, your life isn't either. Your life is always in sight and staring you in the face. You now have the opportunity to take control and do something with it. You're paying good money to see this therapist. You owe it to yourself (and your wallet) to put the work into it.

If your feeling challenged by the work or the process is bringing up uncomfortable feelings, inform your counselor! It helps your counselor to know how you're reacting to the therapy. If you feel like you're hitting a wall each time you make the attempt to do the work and don't inform your counselor, that wall will feel bigger and higher trying to do it on your own. The counselor can help you process and work through what you're experiencing.

Counseling definitely follows the adage, "You get out of it what you put into it." Put your "all" into it and you'll have a better chance for therapeutic success!

I Have My First Appointment - What to Expect

So you've made the decision to get some counseling. Good for you! Counseling is an extremely beneficial means to obtaining support, guidance and a safe outlet to explore and overcome struggles, which may be plaguing you. Now you might be asking, "What will happen when I get there?"

You may need to attend your first appointment a bit early to complete intake paperwork. Like visiting a new doctor for the first time, there is paperwork which needs to be filled out. With the age of technology, some therapists have their intake paperwork online for you to download and complete. Your therapist will provide you with instructions as to what will be required from you.

Upon getting to the office, you might see a wall panel with your therapist's name and a light switch next to their name. Go ahead and flip that wall switch. The light indicates to the therapist of a client in the waiting room. At this point, have a seat and wait. If you need to complete the intake paperwork, now is the time to fill it out. Your therapist will leave out a clipboard for you with all the paperwork for you to review and complete.

At this time, your therapist will come out to the waiting room and take you back to their office. Their office may look like a living room, with couches and chairs. Ultimately, it should feel comfortable. Have a seat!

The therapist will ask you why you're seeking therapy, how they can be of help to you, and let you know of any policies, which will help you understand the process of therapy. Ultimately, it's a "get to know you" session. Some therapists may need to know specific information and ask specific questions. Others may give you the floor to discuss your needs, concerns and expectations.

However your therapist directs the session, allow yourself an opportunity to notice how you're feeling about the environment and the therapist. This is your time to see if the therapist is the right "fit" for you. If you don't feel comfortable, let the therapist know. They are trained to process your feelings with you and together, you may determine the "fit" isn't right. There's nothing wrong with this. Finding the right "fit" is the most important dynamic of the counseling relationship. Give yourself the opportunity to find your "fit." You'll know when it's right for you.

Is My Problem "Worthy" of Therapy?

I get asked this question all the time. Clients make statements like, "You must hear things SO much worse than my problem," or "You must think I'm crazy for spending money on a problem as insignificant as mine."

If the problem is plaguing you and you're having difficulty overcoming the problem by yourself, then it is worthy of therapy. Therapy isn't limited to people with major mental health disorders or to people who are suicidal. Therapy is for anyone who needs support or an outsider's view of the issue. No problem is significant. If it's bothering you, then it's worth exploring and overcoming.

Someone once told me, "I always thought you had to be crazy to come to therapy. Now I realize you'd have to be crazy not to seek therapy!" Why go through a tough time by yourself? You have the right to have a fulfilling life.

If you feel you aren't satisfied and you're ready to explore avenues to achieve the lifestyle you hope for, then pick up the phone and begin your journey!

5 Tips Towards a Successful Relationship

Are arguments, conflict and sleepless nights plaguing your relationship? If so, then now is the time to turn things around. Relationships don't "just happen." You and your partner have to make the commitment to constantly work on the relationship, otherwise it becomes stagnant, stale and full of problems. Here are 5 tips to help you begin your journey towards building a healthy relationship:

Respecting Each Other's Space

Has there ever been a time where you or your partner has felt slighted after coming home and wanting to spend time in front of the TV rather than with each other? This is very common. Many times, people need time to wind down from a hectic day or need to process their feelings and the events of the day before sharing them with their spouse. There is nothing wrong with this. Problems result when the lines of communication shut down.

If you or your spouse needs such time, make sure you do 2 essential things to keep your partner involved:

1) Let your partner know of your intentions. Ask for your space. Many people misinterpret their partner's "space" as ignoring or avoidance. This isn't always true.

2) Establish an agreed time as to when re-engagement is to occur. If you notice you only tend to need 1/2 hour at a time, then agree that if you need your space, you'll be back in a 1/2 hour. If you've had an exceptionally hard day and need more time, check in with your partner to minimize any misunderstandings.

The key is to keep your partner in the loop. The more you work together, the more successful your relationship will be.

Vacations! What Not to Do!

I want to share something with you that I observed on my own vacation. I stayed at a couples-only resort, so many of the guests were honeymooners or celebrating a special event like anniversaries or birthdays. What astonished me the most was the number of newlyweds I saw having arguments with their new spouse on their honeymoon! I observed a new bride screaming obscenities at her husband and another couple spending most of their vacation on opposite sides of the pool.

You have to wonder, why spend all this money on a romantic get-away only to argue and have a miserable time? When planning a vacation, I suggest the 2 of you have a heart-to-heart and voice what your expectations are of this trip. Are you wanting to relax? Are you looking for romance? Are you wanting to explore your new environment or just lay on a beach for a week? What appeals to you, tell your partner before booking the trip so the two of you can find a destination that suits both your needs.

Hopefully, engaging in some pre-planning will prevent you from becoming some of the couples I saw on my vacation!

Love versus Hate

There is a large misconception, the opposite of Love is Hate. When couples seek therapy, it's usually during a time when they cannot handle the stress, anger and resentment so they look outward for support. Upon coming to me, I often hear, "I hate him/her and don't know if I want to be married anymore." Hence, the word Hate becomes a token word for "I'm not in love with you anymore."

Let's look at this further. Love has many definitions. However you define it love is a passionate feeling. Now let's look at hate. Hate also has many angry connotations, but ultimately it also is a passionate feeling. So if love and hate are passionate feelings, how can they be opposites? What is the opposite of passion? Indifference....apathy......ambivalence. This is the TRUE opposite of love. Hate and love have more in common than you think. If you hate someone, you're still invested in them enough to warrant a passionate feeling.

Why is this important to know? If you're in a relationship, any feelings you demonstrate for your partner indicates a connection with them; hence the hope to use this connection to work through whatever problems you may be dealing with. If you're client is indifferent to your opinions, views, passion or even existence, that's when you may have to question whether there is any chance of working through the problems.

Getting ready for changes

Fall is right around the corner! Kids are going back to school. Holidays are right around the corner. Kids are entering high school and moving off to college. Schedules need to be rearranged. Work seems to be more hectic. Is this sounding like your life? If so, know this is an expected part of relationships and family. You're not alone.

Very often, couples put their relationship "on the back burner" so they can focus on raising their children. While this is admirable, ultimately your children will leave the nest, whether it be for college, marriage, or just branching out on their own. Congratulations! You've done your job as a parent. Now...the house is empty. You look across the breakfast table and wonder, "Who is this person eating across from me?" You've changed all those years...so has your spouse. Trying to reconnect can feel awkward and sometimes hopeless.

Don't let this happen to you. Most stovetops have 2 front burners an 2 in the back. Your relationship needs to stay on one front burner. You and your spouse need constant connection & reconnection throughout the relationship to sustain and overcome tough times. Give yourself a chance to make your relationship a priority. You will be happy and your family will benefit from it.

Vulnerability vs. Assertiveness

I had a client tell me this week they had a hard time communicating to their partner their needs. Upon looking at it further, we came to the realization that asking for what they want seemed like a weakness, almost as if they can't do it for themselves, so they have to depend on their partner; hence, showing weakness.

I had to think about this. I can see their point. If you are totally self-sufficient, then there's no reason to ask. From this perspective, it makes sense. Is it realistic though?

Is it realistic for us to expect our partners to be able to respond to our needs when we have trouble expressing them for fear of being vulnerable? Informing our partner of our needs does require some risk. We tell our partners what we need and hope they respond to us. Conversely, telling our partner what we need establishes our independence. It lets our partner know how we are different from them and what they can do to receive positive feedback from us.

So while there is an element of risk and vulnerability, consider how such communication is simultaneously empowering....and important for a successful relationship.

Finding the Right Counselor for You.

You realize you need some help. You are struggling and recognize you can’t solve your problems alone anymore. Where do you start? Where do you look? How do you know your choice is the right choice for you? Here are some steps to take to help you work towards the help you’re seeking:

1. Begin by looking up counseling directories. The benefit of accessing such directories is the ability to check out multiple therapists in your area. There are many on the web, many of which verify the counselor has a valid license to practice. Some examples are PsychologyToday.com, Find-A-Therapist.com and MarriageFriendlyTherapists.com.

2. Look for a therapist who works with your problems. Therapists have license to work in many disciplines and with many populations. However, no one can be an expert in all fields. Some therapists focus on working with children and adolescents. Others work with trauma. Still others focus on couples work. Read the therapists’ profiles and see which one seems to “speak” to you. Narrow down the field to 2 or 3 so you can make the best selection for you.

3. Making contact. You’ve found a therapist who seems to be a good “fit.” Now’s the time to contact them. Most on-line directories have a feature where you can contact the therapist via email. If you email the therapist, you may have to wait for a response. Keep your emails brief, as some therapists prefer not to engage with a client via email, to protect your confidentiality and request you call them. Therapists want to see if there is a connection, which is difficult to determine over email.

The other option is to call the therapist. Leave a message if they don’t respond. If you call on a weekday, most therapists will return your call within a few hours. If you call on a weekend, they may not return your call until they return to the office.

4. Asking the right questions. Now you have them on the phone, what do you say? Let them know what prompted you to call them. The therapist may be calling you in between clients, so do not take it personally if they cannot spend a long time on the phone with you. However, the right therapist will take the time to answer your questions and feel comfortable and open with discussing their fee. But what are the right questions? Ask the therapist:

•If they have experience in working with your problem.
•What their education and training is in relation to your issues.
•What their fee is.
•How long their sessions are.
•What their availability is.
•Where their office is located.

5. How is the therapist responding to you? Pay attention to the therapist’s responses to your questions and information. Do they seem genuinely interested in you and your pain? Listen to your own feelings. Does this therapist feel like they would be the right person for you? If not, you can continue your search. If you are feeling a connection with the therapist, make an appointment.

6. Attending the first appointment. Make sure you attend on time and prepared. Some therapists already have their intake forms on the internet, for you to complete prior to your first appointment. Others require you to arrive to your first appointment early to complete the paperwork. To get the most of your appointment time, follow the therapist’s request. If you come unprepared, you may have to use a portion of your time to complete the paperwork.

You may leave your first appointment feeling like you made the right choice. Congratulations if this is the case! If you find after a couple appointments like you’re not making a connection with your therapist, let them know. It’s okay, really. Therapists are trained to deal with such issues and are willing to talk to you about it. If you still find you aren’t connecting, let your therapist know you would like referrals or your intent to search elsewhere. You ultimately have to feel comfortable with your therapist. If this connection isn’t occurring, you aren’t getting the most for your money.

Women & Divorce: How to Cope

If you are female and either considering a divorce or already going through the process, then you need to read this. Divorce is an emotional process to a business-like decision. Whether you have been married for 6 months or 40 years, you invested much of yourself emotionally. You probably entered this marriage believing “’til death do you part.” Suddenly, you realize your life may not be including this person any longer.

You can learn to empower yourself and make the best of a difficult situation. You are going to have to make decisions, some of which can cause strong emotions, like splitting up assets, considering who will get the house, and dealing with child custody issues. These decisions must be made with a clear head and not an overwrought heart.

1. Take care of yourself. Consult with a financial planner and a family attorney. Even if you choose to take care of the divorce through mediation, you want to be sure your finances are secure upon the completion of the divorce. You want to make sure you know your rights. These professionals can be an asset when making decisions, which will ultimately effect your future.

2. Establish a support system. Seek out the aid of friends and family. If you do not have a good support system in place, seek counseling or a women’s support group.

3. The benefits of counseling. A good therapist can be objective, while you deal with the strong feelings you’ll experience, which cloud your judgment. A counselor will also help you process the lifestyle changes you’ll ultimately have to deal with. A couple of concerns some women have voiced include the ability to pay for counseling during this time and the confidentiality of their records.

4. Paying for counseling. I suggest you pay for the therapy out-of-pocket. You can use insurance and have every right if you so choose to do so; however, there are possible negative ramifications of using insurance benefits. First, your counselor will have to determine if you meet the criteria for a mental disorder diagnosis to be able to use your insurance, as panels require “medical necessity” to be authorized for benefits. If you do qualify, that mental disorder diagnosis will be submitted for every session to the insurance company. If your divorce isn’t amicable or if your spouse is being vindictive, he and his lawyer may attempt to subpoena any records to win their case. Would you want them to obtain these records from the insurance company? This transitions into the confidentiality aspect of paying out-of-pocket.

Counseling does not have to break the bank. You can go to various counseling directories and look for a counselor who falls within your means, such as on PsychologyToday.com and Counsel-Search.com. If this still seems too high, you can contact your local County Mental Health and ask for local community resources. Most communities have low-cost counseling centers, where pre-licensed counselors, under supervision of a licensed professional, can provide quality services.

5. Confidentiality. By paying your counselor directly, the paper trail is eliminated. Your counselor does have to keep records by law, but those records are kept confidential and can only be released with your permission, by a court order or by imminent emergency, such as suicide or child abuse. So, the chance of your spouse learning of your counseling will only occur if you divulge such information.

Remember, divorce is a business decision with emotional impacts. Don’t let your emotions hinder your ability to take are of yourself and your children. Seek the support you need now and end up in a better place when the divorce is finalized.

How Can Therapy Help Me?

Have you considered going to therapy, but have yet to pick up the phone? What's stopping you? Are you worried what others might think? Are you wondering if therapy is really for you? Maybe you're trying to decide if spending the money is worth it.

When I scour the web, I read posts from many people looking for therapist referrals. They ask for "good therapists," or "therapists who use Cognitive-Behavioral therapy." If you check out message boards like, Craigslist.org, it's no wonder trying to figure out if there are benefits to therapy. There's so much pessimism about therapy that many people steer away from it.

However, there's good news! Researchers at The Institute for the Study of Therapeutic Change (ISTC) and Partners for Change have proven that there is value in therapy. However, the value isn't in the therapist's techniques or what school of thought the therapist works from. The value is inherently in the professional relationship between yourself and the therapist. In fact, the ISTC shows that about 60% of the success of therapy relies on this relationship. If you trust and like your therapist, there is a higher likelihood that you will have a greater level of success in therapy. The other 40% is based on therapist techniques and the therapist's confidence in those techniques.

With this in mind, how do you know if the therapist you're looking for is the "right one" for you? Well, there's no exact science here. There are plenty of outlets to find therapists, including online directories like PsychologyToday.com or state-specific directories like TherapistFinder.com. Read through the bios. Find a couple that "speak" to you.

When you call the therapist, you will probably only get a few minutes to chat with them to discuss the general issues you want to work on, how much it'll cost and set an appointment. If you get a bad "vibe" from the therapist, do not feel obligated to set an appointment. Move on to the next one.

Therapists work differently, so what to expect upon your first visit can vary. You can read more about what you can expect from me here. The therapist should feel comfortable responding to your questions about the therapy process and any expectations you have.

Hopefully this will help you take the leap to making changes in your life. Therapy is a journey and you have the opportunity to make it work for you!