Don’t Ghost Your Therapist!

Fall is in the air, y’all!

Autumn is one of my favorite seasons thanks to pumpkin spice, cooler weather, and all things spooky!

One thing that shouldn’t have to be scary is breaking up with your therapist!

Think about it, you have invested time, energy, and some darn hard work into this collaborative relationship!

One thing clients may not be aware of is therapists are trained from the beginning of treatment to anticipate your termination.

We have been preparing with you for your time with us to end, not because we don’t enjoy working with you, because the goal of therapy is for you to be ready to move forward with the tools learned without the training wheels of the therapist to support you in each step.

If you are feeling that you have completed many of the goals you came into treatment with and are ready to move towards termination, be vocal about your feelings and needs moving forward with your therapist.

If finding a good fit is difficult for you, try bringing up what is not working for you with your current therapist before jumping on the ghosting train

When you ghost your therapist, you miss the opportunity to have a healthy closure experience. Practicing a healthy goodbye is an important part of the therapeutic process.

A good therapist will support you in your choice, discusss your progress, and provide referrals for continued care if necessary.

It is not your job to take care of your therapist’s feelings! Yes…it may feel scarier than walking into a haunted house, but don’t doubt your ability to face your fears head on!

Happy Healing! 👻

Michelle Smith LMHC, MS

Licensed Psychotherapist

The Struggle with Self Compassion

As a therapist, I see clients who come to the counseling office with numerous issues. Loss of a relationship, job changes, anxiety, depression, grief, trauma, illness, or just plain unhappiness with the way life currently is going.

One thing that is common amongst humans. We are innately wired to be on the outlook for danger, always assessing their surroundings to protect themselves. It is our habitual nature to turn towards the negative, and blame outward sources for our unhappiness.

Today, this habit serves less of a purpose, and can manifest in an outward blaming game.

When clients come to therapy, initially there is what therapists call a “presenting problem”. My boss, my wife, my job, my circumstances, if only I had the money, the promotion, the relationship.. the list goes on.

By creating a safe environment for understanding and growth, slowly clients come to realization that their perception, not circumstances, must change for true growth to occur.

And that growth isn’t linear. It doesn’t look pretty written in glitter ink. But it’s honest. And it’s vulnerable. And it’s real. And honestly isn’t that what we are all here for in the end?

The struggle with self compassion is, we have to be vulnerable with ourselves and look in the dark corners and crevices, deep down in the root of the mind that may have memories and circumstances that don’t feel good.

By exploring these emotions in a safe environment with a trusted person, self compassion can begin to manifest on the journey to healing.

Are you ready to truly forgive yourself? Are you ready to look in the dark corners and roots to heal?

Rumi once said “maybe you are searching amongst the branches, for what only appears in your roots”

Wishing you health and wellness!

Michelle Smith

LMHC, MS

michelle.smith.lmhc@gmail.com

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

Supporting a Friend or a Family Member with Mental Illness

Nearly 1 in 5 US adults are currently living with a mental illness (National Institute of Mental Health). With these staggering statistics, it’s likely we all know at least one friend or family member who is struggling with some type of mental illness. Recent media has urged individuals to encourage loved ones to get help, but what is the proper way to do this? It is easy to make the wrong comment or suggestion, resulting in a trigger for the individual and lessening the chances of them seeking the help they need.

Here are some clear tips on how to encourage a loved one who is struggling with mental health.

1. Validation, Validation, Validation

The way we address our loved ones is vital in the intervention process. As a supporter, you may have your own inferences or preconceived notions into your loved ones feelings, or you may hold resentment towards their illness due to the impact it has caused on you which can lead to invalidation. Phrases like, “Things aren’t that bad”, “Stop looking for attention” or “Why don’t you just snap out of it” may be your knee jerk reaction; however, these phrases can cause detrimental harm to your loved one. Invalidating another’s perspective or point of view sends the message that you either A) you do not believe your loved one or B) you do not care about the reality your loved one is experiencing. Instead try phrases like “It sounds like you’re struggling, what can I do to help” or simply “I don’t even know what to say right now. I just want you to know I’m here”. These are safer and much easier alternatives. Validating your loved ones reality is more likely to encourage them to get the help they need in the long run.

2. Show Up and Be Present

Living with mental illness can fathom serious feelings of loneliness. Decreased self-worth can make it very difficult for your loved one to reach out in time of crisis. Showing up, even if you aren’t invited is a good way to continue to show your support to your loved one. Checking in, sending food or messages, or simply saying you are here when they are ready will help encourage your loved one to open up. When they are ready to reach out for help, provide support by researching therapists together or even sitting in for that first initial call to set an appointment can be helpful.

3. Be Aware of Signs of Suicide

Suicide is largely preventable. It’s important as a loved one that you take all words of death seriously. Even if it is presented in a joking manner, many times this can be an early signs a crisis may occur. Ask follow up questions about their comment, and do not leave the person alone if they are reporting an active plan to harm themselves. You can encourage your loved one to contact national help lines such as 1-800-273-TALK. If you still feel your loved one is unsafe after attempting de escalation tactics you can contact the local police department and ask for the crisis intervention team. If necessary, they can issue a voluntary or involuntary hospitalization for the safety of your loved one. In the state of Florida this is called a Baker Act. Don’t hesitate. Make sure to verbalize that this is what is done when a loved one’s life is in danger for their safety.

4. You Are Not Responsible for Your Loved One’s Recovery

After the recent tragedies, many people are looking to help in some way. Even if you follow all the guidance provided above, you may still be frustrated that your loved one does not follow through with recommendations to receive therapeutic services. It’s important as a support person to not take on the burden of your loved one’s recovery. At the end of the day, therapy is hard work! The motivation to get better must be present in the client for results to come about. This may mean loved ones will go through the process for weeks, months, even years until one is finally ready to begin their journey to healing. Be patient and continue validation strategies until they come to the decision to get help. Keep reiterating, “When your ready, I’m here for you”.

If you or someone you love is looking for therapeutic services in the Palm Beach County area contact Michelle Smith RMHCI, MS at 405-323-1786 for a free consultation today.

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!

The Importance of Mothers (and Other Parental Figures)

This weekend we celebrated all the hard-working, dedicated, and loving mothers and mother figures for Mother’s Day. This week’s blog post is dedicated to all the wonderful mothers (and parental figures) out there!

Harry Harlow, a psychologist in the 1960’s understood the importance of parental figures to the social-emotional development of humans. Prior to his study with monkeys, many people believed babies and children depended on their mother’s due to their need for a food source and survival.

Harlow thought different, he felt the comfort provided by caretakers was also a factor to development, and he was right!

Harlow studied the effect of monkeys on two different types of “mother figures”. One “mother figure” made of wire only had the monkey food, the other had no monkey food but was covered in a comforting terry cloth. Harlow was fascinated when he noticed the monkeys would spend the majority of time with the terry cloth mother, running only to the wire mother just long enough to fill up on milk. Harlow founded the importance of love, compassion, and validation to our development thanks to this intriguing psychological study.

For humans, the same is true. It has been proven time and time again that children with secure attachments to their parental figures have the best chances at healthy physical, emotional, intellectual, and social development. Love, encouragement, and compassion given by parental figures is vital to effective growth and sends the message that our children can trust in us to meet their needs.

A recent study even linked parent-child communication to children’s successes. The study founded that quality conversations were a key factor in successful development. These imperative interactions foster connectedness to our families. Warm and positive communication with purpose help children more accurately understand family values, morals, appropriate communication skills, and increases confidence and self-esteem.

If you’re having trouble finding time to have conversations with your child, take the car ride to and from school or doctor’s appointments as an opportunity. Ask your child or teen open ended questions to get them talking about their feelings and day. Instead of “What did you do at school today?” Try something like “What was your favorite part of your day?” This question warrants a little more pondering and also cannot be answered with the overused “It was good, Mom!”. Not only will it help foster your child’s development, but it will increase the quality of your parent-child relationship and encourage healthy relationships in your child’s future.

Whether you are a mother, father, or parental figure you are appreciated! No one works longer, more strenuous hours, or a more important job than parents!

If you or someone you know is struggling with parent-child communication, self-care and work/life balance, or other mental health issues and would like to set up an appointment for psychotherapy please contact Michelle Smith, RMHCI, MS at 405-323-1786 for a FREE 15 phone consultation!

Benefits of Therapy for Children During the Summer

The countdown is on! Days are getting longer, sun is getting warmer, and the last school bell is right around the corner (35 days away if your counting!).

For many children, summertime is a break with less responsibilities, more freedom, and less stress. Due to increased time for free play, promoting independence, and strengthening interpersonal relationships it may be a great time to start thinking about taking some of the availability in schedule to address certain symptoms you may have noticed your child demonstrating during the school year.

Before the School Year Ends

Take time to schedule parent-teacher conferences, follow up with guidance counselors, 504 contacts, and coaches to get a clear picture on how your child has adjusted throughout the school year. It is unlikely children will “grow” out of certain mood, impulse, behavior, or social struggles in a matter of months without support. In my clinical experience, abatement of school year stressors are likely to return, in more severe forms during the next school year if not addressed.

Availability to Focus on Home Based Challenges

If your child or teen struggles with behavior problems at home and in school, summer can be a great opportunity to hone in on improving skills in the home environment. Therapists can work with your child and family on identifying mood disturbances, increasing problem solving skills, planning and organization, and increasing positive communication in the family system. During the school year hustle and grind, it can be easy to allow these important goals fall to the wayside. Summer is a great time to tune up our emotional growth inside the family system (where change is most likely to stick!)

Structure

Change in routine can be wonderful, but also can cause uncertainty in the lives of school aged children and teens who are hardwired to schedules. Adding weekly therapy appointments provides routine and structure to the laid back feel of the summertime. Keeping children on consistent schedules has been proven to increase sense of security, positive self-image, and control in numerous environments.

Increase Your Family Tool Bank

Therapy provides an opportunity to learn and develop healthy coping strategies in a safe environment, but the benefits extend past changes in your teen or child. By engaging in this collaborative effort you are letting your child know the family is working to improve together, and it is a priority to the family to be the best you can! Benefits such as improved communication, reflection of feelings, and increased emotional connection are only some of the wonderful outcomes of investing in you and your child’s mental and emotional health this summer!

For more information on booking an appointment or consultation for your child, teen, or family contact Michelle Smith MS, RMHCI

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.