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

Understanding Anxiety

Anxiety. We all know the feeling. An all-encompassing emotional response to a real or perceived threat. Right now with FSA testing happening in school districts across the state, anxiety levels are sky-rocketed for students, parents, and teachers alike. During times of increased stress you may notice changes in your child’s behavior such as irritability, rigidity, outbursts, and attempting to gain control of the world around them. Although anxiety is a normal emotional response, it can become detrimental especially if ruminating thoughts regarding what “might” happen take over.

During high emotional times such as state testing, you may notice your own anxiety increasing more than normal. Anxiety, like many emotions, is contagious and just being in a setting with high anxiety can increase another’s feelings of anxiety. So how can parents “weather the storm” of testing anxiety season and support and also encourage our students to be the best they can be?

Encourage and Validate

Parents, teachers, and adults sometimes struggle to validate children who are dealing with anxiety because it may not make any rational sense. For instance, maybe you have an honor role student who consistently performs well on standardized tests; however, they are feeling an overwhelming sense of dread the morning of the test. You may feel challenged to validate your child without agreeing or dismissing their feelings. Validate and encourage your child or teen’s feelings anyways, note how difficult it must be to feel so out of control at times. Use statements like these below:

“It makes sense that you are nervous about your test, and I know you will do your best and make it through anyways!”

“I can tell you are worried about the test coming up, especially because you have been picking your nails more lately. Is there anything we can do to help you feel better about it?”

When validating remember anxiety feels REAL whether it is a perceived or imaginable threat. Try to take a trip down memory lane to your middle school or high school years and connect to your experience with anxiety. Allow your child to vent if necessary, and reward them for taking steps towards their future.

Model Healthy Coping Strategies

The history of anxiety comes from our caveman ancestors who were driven by fear to escape life threatening situations such as being chased by a bear. In 2018, anxiety comes from worry thoughts that trigger the same “fight or flight response”. The problem comes when there is nothing to run away from, then you or your child can be left with symptoms such as rapid breathing, increased heartbeat, sweating, or trembling. You can help encourage your teen to begin utilizing healthy coping strategies in times without high emotion, so it is easier for them to practice the skills during anxiety.

Breathing Exercises

Teaching simple 4 count breathing in through the nose, and out through the nose is a wonderful tool to teach children at a young age. When our mind is on overdrive, we can calm the body which sends a message to calm the mind. Deep breathing helps bring our body to a relaxed state and out of the “fight or flight” response. Bring your teen or child to a free community yoga or meditation class, make a date of it to tune in and focus on your breathe.

Get Into Logical Mind

Many times when anxiety becomes paralyzing, we can make a shift in mood by engaging our logical mind, or the part of the mind that focuses on logic versus emotion. To engage this part of the brain help your child focus on a number game, count backwards, or engage in a writing exercise. This takes attention off the emotion and brings the body back to an equilibrium state. Sudoku, meditative coloring, even math problems can help in times of intense emotion. Engage with your child and model these behaviors for most effective practices.

Acceptance

Although your child or teens emotions may be more intense in the next couple weeks than normal, it’s important to remember anxiety is a part of life that your child can and will learn to manage to live a fulfilled life.

It may be easier to minimize or dismiss your child’s anxiety, taking the time to acknowledge it may be the difference between learning how to cope and manage these feelings or burning out. And remember… testing season will pass!

 

For more information on anxiety, mental health services for your child or teen, or psychoeducation for families contact Michelle Smith, MS, RMHCI and Middle School Guidance Counselor at 405-323-1786 for a consultation.