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

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!