Therapy Doesn’t Have to Be Scary: What to Know Before You Go

Many times fear of the unknown stops potential clients from making that first phone call to begin receiving treatment, but therapy doesn’t have to be scary!

Keep reading for some important information to help ease anxiety you may have about seeking mental health treatment.

Therapists Do Not Provide Advice

If you are new to understanding therapy, you may believe entering a clinician’s office you will be expected to spill your deepest darkest secrets in record time, only to have someone sitting across from you say, “Well all you need to do is…” Although this is a very common ideology, it couldn’t be farther from the truth.

Seeking mental health treatment is different than speaking to family and friends about your feelings because we are trained specifically NOT provide advice to clients. Therapists instead will ask questions to support unlocking the wisdom already inside.

A therapist’s intention across the couch is to support the clients treatment goal progress by providing psychoeducation, and debunking irrational fears and beliefs while building a trusting and safe relationship.

Sounds less horrific already right??

You Have Control of Your Treatment

Another fear many clients come to the initial session with is that the therapist will control and manipulate treatment. For example dictating what is talked about during each session, or pushing clients to talk of uncomfortable issues before they are ready.

In reality, the therapeutic relationship (between the therapist and the client) is one of the most treasured and important parts of the process. Depending on your comfortability, it may take a few sessions before you are ready to begin diving into the content you came to seek a professional for… AND That’s OK!

While beginning treatment, your therapist will collaboratively work with you to identify your goals. Never feel pressured to share information you don’t feel comfortable with yet to try to get to results faster.

Let your therapist know how you are feeling. You will take an active part in treatment… after all, it is your life we’re talking about!

Confidentiality

Finally, and most importantly is the myths behind confidentiality which is the cornerstone of effective therapy. Confidentiality is simply, your right to privacy.

HIPPA, or the Health Insurance Portability and Accountability Act, ensures your medical records and personal health information, including psychotherapy and mental health information, remains private.

That means, without your written permission your therapist cannot legally share any personal information to your family, friends, boss, cousin, or partner. They actually can’t even disclose if you are even their client or not without a release of information…(talk about hush hush!)

Keep in mind, there are certain limitations to confidentiality, which your therapist should explain in detail during your initial session.

There are benefits to utilizing a private pay therapist, if confidentiality is a major importance to your treatment. If your therapist appears unclear or rushes through confidentiality and it’s limitations, be sure to ask questions such as:

    What types of communication with my therapist are confidential ( ie: in person, email, phone, text etc.)
    If I’m billing insurance or using EAP what information is shared to my insurance agency/ workplace?
    What is the benefit of private pay regarding confidentiality?
    What are the limitations of confidentiality?

As a therapist, I have the amazing privilege of sitting alongside my clients journey, as they take inventory of personal feelings, emotions, and mental status.

This Halloween don’t let fear stop you from creating a life worth living! Begin discovering yourself TODAY with Michelle Smith Counseling, located off Northlake Blvd in Palm Beach Gardens, FL

Contact me at 405-323-1786 for more information on my therapeutic approach

Happy Halloween,

Michelle Smith

MS, RMHCI

michellesmith@discoveryourselftoday.com

405-323-1786

3 Myths about Psychotherapy and Why it Can Drastically Benefit Your Life

In the last few years, their has been a dramatic shift in nations focus towards mental health. From school shootings, increase in suicides, and family separation at our nations borders now more than ever Americans are understanding the importance of mental health awareness. Unfortunately many are still skeptical about reaching out to professionals for therapy. In an effort to break the stigma around mental health, today I discuss a few myths regarding the therapeutic process. My hope is to encourage individuals, couples, and families to seek support and engage in holistic approach to their healing journey

1. Going to therapy means I’m “weak, flawed, or “crazy” This myth couldn’t be farther from the truth! Mental health professionals work with clients with many different concerns from severe mental illnesses to life transitions, adjustment disorders, familial conflict and more. Therapy can benefit anyone who is willing and ready to better their life, and it can be extremely effective when clients seek counsel prior to the issues becoming overwhelming and unbearable. Their is no specific “criteria” to see a mental health provider and it’s important to let go of your ideas of therapy from what you’ve seen in the movies and TV. Part of breaking the stigma around mental health is being willing to reach out when you think can utilize extra support. Even therapists see their own therapists (yes it’s true!) If you feel that you could benefit from therapy, reach out to a few providers and begin doing research! It may be the best decision you end up making for your life.

2. I’ve talked to everyone and no one has been helpful. Why will a therapist be different? Their is a vast difference between confiding in a friend or family member and talk therapy. For one, therapy does not rely on a therapist’s wisdom for answers. Therapy is a process in which a client and professional utilize evidence based interventions and strategies to uncover a clients reality nonjudgementallh in the comfort of a safe environment. Therapy works because of a strong therapeutic alliance created between a therapist and a client. A therapist’s role in the counseling room is to provide insight, confront cognitive distortions, and overall lead the client to conclusions, increase their coping strategies, and encourage effective decision making. The difference between talking to a friend about your issues and attending therapy is when talking to friends and family members you may receive guidance or advice from their personal experiences and become invalidated during the process. How many times have you attempted to share a feeling to a loved one, only to be disappointed when the loved one turns the focus on them saying something like, “When I went through that I just picked myself up.. you should too!” You may even find friends and family trying to sway you in a certain directions for their own agendas. Therapists rarely provide clients with advice. Instead therapists work to provide you with information and guide you to make the moves you need to have a fulfilled life on YOUR terms!

3. Therapy will make me worse

For survivors of childhood trauma, domestic violence, or abuse and neglect the thought of reliving these memories can be extremely anxiety provoking. Even if you are not a victim of trauma, is it normal to have fear that discussing these concerns may bring up buried emotions. To combat this anxiety remember therapy likely will reveal many emotions, and your therapist is trained to help you progress, channel, and let go of those memories that are no longer serving you. Make sure to chat with your therapist and request them to walk you through your treatment plan so you can take a collaborative approach to your healing journey! Therapy is a process, it may feel “worse” before it gets better; however, your therapist will continue to guide you without becoming overwhelmed in a safe and nurturing environment.

Beginning therapy is an important and courageous decision! Therapy is an effective tool to increase mental well-being and overall happiness in your life.

If you or someone you know is are interested in understanding the therapeutic process more in depth and would like to see if I would be a good fit for your therapeutic needs contact me for a free consultation at 405-323-1786

Happy Healing!

Michelle Smith RMHCI, MS

The Power of Language

Our brain produces roughly 50,000 thoughts every day. Whether we are mindful of them or not, our internal language or self-talk molds and shapes our overall perspective towards life. You can think of language as your own personal filter, governing the way you perceive, digest, and respond to the information gathered from the world around you. Many of the 50,000 thoughts are habitual, sometimes causing negative schemas that play into the decision making of everyday life.

To find out if your thoughts are shaping your life in a helpful or hurtful way take this simple test. First grab a pen and a piece of paper, find a place with minimal distractions and set a timer for two minutes. During that time, write down each thought that crosses your mind, even for a second. Thinking about lunch? Write it down. Mind jumping to that terrible conversation you had with your boss? Write that too. When your timer stops begin categorizing the thoughts as positive or negative. You may be surprised how your brain automatically wires towards the negative, in psychology we call this automatic negative thinking (ANT). Without awareness of these habitual patterns, we have little likelihood of changing these thoughts to eventually change our lives.

You may be thinking, OK I’m aware my language can use some improvement, but now what? The next step in changing those ANTS (automatic negative thoughts) is finding replacement thoughts and symbols to utilize when you notice your negative self-talk. You can utilize visualization and imagery to pump the brakes on negative thinking. For example, visualizing a large red stop sign indicating need to take a break. From there, saying something like “I got this” or “I am capable” can be a good way to switch the dialogue before it overpowers us. Find affirmations and symbols that are believable and resonate with you. Before long you will begin noticing a shift in the patterns of your language changing your emotions and behavior over time.

You can think of automatic negative thoughts as ants on a beautiful summer day. If one single ant made an appearance at your annual Memorial Day BBQ, you may shake it off and go on with your festivities with minimal concern. Now imagine if a swarm of hundreds even thousands of ants joined you and your BBQ, you may be more likely to be packing up and running for the hills! Don’t allow one automatic negative thought or ANT turn into hundreds, stop and make a change before your language overpowers your Memorial Day BBQ, or worse… your life!

If you or someone you love is struggling with negative thinking, depression, anxiety, life transitions, or other mental health concerns in the Palm Beach Gardens area contact Michelle Smith at 405-323-1786 for a free 30 minute phone consultation today!

4 Tips for Talking with Children and Teens After a School Shooting

Following the events at Santa Fe High School that occurred last week, parents are curious about what to say or how to address this tragedy with their children and teens. As a school counselor and psychotherapist, I know firsthand the amount of emotional turmoil these events can reek havoc on the family and school settings.

There is much advice on the internet about how to address this; however, if you keep these tips in mind you will be able to navigate through this conversation in an effective manner:

1.       Ask Questions and Discuss What Your Child is Seeing on Social Media

Most children and teens utilize smartphones to access the majority of their information regarding current events. As an adult, it is easier to decipher between “fake news” and evidence based information regarding the tragedy. If you have not already, sit down with your child or teen and ask what type of information they have gathered regarding the shooting and ask them to show you where the found it. Ask them how they know the information is credible. If they struggle to understand, take this as a teachable moment and show your son or daughter how to look up news articles, teaching them which resources are most credible and which ones are not (think Wikipedia, friends sharing social media posts). As a rule of thumb, if it didn’t come from a news source it’s important to fact check.

2.  Don’t Tell Someone in an Emotional State “Just Calm Down”

It can be challenging figuring out how to help your child or teen emotionally regulate after a traumatic event. Many times our own distress and frustration can get in the way of helping us information gather, rather than put a band aid on the presenting problem. How many times as parents have we used the overstated, “Just calm down already!” in high emotional situations. This statement invalidates the feelings your child is experiencing. Instead try something like “Yes, this is a scary situation and I understand your emotion. How can I help you through these feelings right now?”

3.       Don’t Sugar Coat It

A majority of advice I see on the internet states the importance of reiterating the safety in our schools and enforcing that the likelihood of a shooting happening in THEIR school is minimal. I tend to discourage sugar coating this issue. The reality is school shootings are becoming a “new normal” for this generation. Students in school today have more active shooter drills than fire drills, and are very aware that there is a possibility a shooting can occur. Instead normalize their feelings of fear and anxiety, discuss safeguards in place at their specific school, and rehearse the plan provided by your child or teens school.

4.       Assess for PTSD Symptoms Early

Sometime after the trauma has occurred, it is important to assess exactly what your child experienced especially if they were a victim or in the school during the time of the shooting. When your child is ready, ask them what they saw, experienced, and their involvement with the incident. If you notice symptoms such as avoiding school, recurrent distressing dreams, or persistent negative emotional states that last for more than a month than it is time to seek treatment. Your child may have early signs of PTSD which is a mental illness that cannot resolve itself without mental health professional intervention.

If you or someone you love is looking for therapeutic services in the Palm Beach Gardens area contact Michelle Smith, MS, RMHCI at 405-323-1786 for a free 30 minute phone consultation to see if I would be the right fit for you today!

Mental Health Awareness Month

May marks mental health awareness month, a time to reflect and honor the 43.8 million people with mental illnesses around the globe. Many of these unsung heroes are living among us without our awareness. Family, friends, coworkers, and people you know are wearing invisible scars many silently suffering in their day to day lives.

According to the Centers for Disease Control and Prevention, just over 20 percent, or about 1 in 5 children, have had a seriously debilitating mental disorder. With a large number of the population diagnosed with mental health disorders, there is still many barriers to effective care such as the stigma & shame associated with receiving mental health services.

Equality Between Physical and Mental Wellness

If you found out someone you love had been diagnosed with a physical illness such as diabetes, there would be no hesitation to encourage that person to receive the utmost care necessary to return to normal functioning. Unfortunately, many people do not feel the same way about mental illness. Often clients are told by loved ones to “just handle it” or “stop thinking about it”. It’s important for people to know mental illness cannot just “be handled” by the client on their own accords. Just like a patient with diabetes utilizes a number of doctors and specialists, people with mental illnesses are recommended to utilize mental health professionals, psychiatrists, and therapists to manage symptoms and return to a normal level of functioning. Changing the perspective can help bring empathy, and also encouraged clients to get the help they need and deserve.

When Do I Know I Need Help?

Another side effect of the stigma of mental health is that many clients wait too long to be seen by professionals. As a general rule, if you notice your mood, affect, and behaviors change to a point where functioning in any area your life is compromised (such as at work, relationships, social activities) and the symptoms have persisted consistently for a duration of two weeks it is time to see a professional to explore further. Some clients suffer with severe symptoms for years in silence due to the shame associated with their mental health. If your concerned about a change in your mental health, contact a professional for a screening, you won’t regret taking the time to care for yourself. After all, there is no health without mental health.

Resilience

I am consistently amazed at the resilience, determination, and stamina of my clients. I chose this field because as a young professional I was eager to help people who needed it. In reality, my clients have taught me lessons in resilience. I have personally witnessed the willpower and determination of my clients to work towards creating a thriving and successful life. They motivate me to be the best clinician I possibly can, each and every day.

Just like symptoms of a chronic illness are managed over time, mental illness is a process of recovery. Clients wok to manage symptoms and have good and bad days during the process.

If you or someone you love is suffering in silence with mental illness I would love to chat with you to discuss supporting you on your journey towards recovery. Contact Michelle Smith RMHCI, MS at 405-323-1786 for a free phone consultation