Viewing posts categorised under: Stress-and-anxiety

Why Bodywork: When Talking Is Not Enough

Freud didn’t have to be a genius to discover his famous “talking cure.” Women have known about the value of talking it out for hundreds, if not thousands of years. In times of trouble, it is not uncommon for both men and women to turn to their closest friends for help. Mostly what we seek is a sympathetic ear, someone to listen to our woes with compassion. But what actually happens in the process of talking, is we discover things we hadn’t seen before. We come up with answers to our problems that we might not have discovered otherwise.

Sometimes, however, talking is not enough. When you find yourself repeating the same story over and over again, or hearing your friend’s unchanging story for the tenth time, you’ve hit that impasse. This is when you cautiously suggest that your friend might need counseling, or you enlist the aid of a therapist yourself. We’re fortunate to live in times when this is no longer stigmatized and in a part of the world where there’s an abundant supply of trained ears who bring a practiced wisdom to their listening. Often, this is all that’s needed to get over that hump, to make the necessary changes so we don’t go around sounding like echoes of ourselves.

And sometimes it is not. Sometimes we need to stop talking and start listening. Not to other people, but to ourselves. Obviously any good therapist facilitates this process. A deeper listening is possible, however, when we bring attention not only to our minds, which can talk endlessly, but to the quieter language of the body. When we expand our awareness to include what’s happening in the body, we can tap into a wisdom that goes beyond ordinary thought and discourse. We touch into the world of feelings and emotions and intuition. Like poetry, the body uses metaphor to express itself against a backdrop of silence that offers the possibility of peace as well as profound insight.

One of the reasons that the fast pace of modern Western life is so stressful is that it cultivates a split between mind and body. We drive our bodies until they scream at us to stop and even then we often find it difficult to heed their message. The body moves at a much slower pace than the mind does. In our minds we can be days, weeks, even years ahead of ourselves, lost in fantasies and plans about the future, or equally preoccupied about the past. The body is much more rooted in the present. By paying attention to our somatic experience, we keep ourselves rooted in the here and now. A radical shift in consciousness often takes place when we finally take the time to listen to what our bodies have to say.

For people who have been traumatized, the body is even more important. Bessel Van der Kolk, a renowned clinician and researcher in the trauma field, emphasizes the importance of working “from the bottom up.” By this, he means bringing clients into direct contact with their corporeal experience and not just talking about what happened. Work with trauma survivors has shown that traumatic memory is encoded more as somatosensory and emotional information than as narrative like normal memory. All the talking in the world cannot clear out those sensory imprints. That’s why simple things like sounds, smells, and touch can trigger flashbacks in traumatized people. Body-focused work becomes absolutely necessary at a certain point in recovery, but it must be done sensitively and slowly, with a great deal of caution, presence, and compassion, in order for it not to be re-traumatizing.

Most of our early memory from the first six years of life is nonverbal as well. Since this is when we’re most impressionable and our basic patterns get set, being able to access these memories through bodywork can be tremendously helpful. As infants, we get our sense of security and safety in the world from the way we are touched and handled. When we become toddlers, it is through the movement of our bodies that we begin to assert ourselves and separate from our mothers, developing a sense of our own individuality. If our caretakers were unable to treat us tenderly when we needed it or to support our separation skillfully, we carry the negative effects of this into adulthood and especially into our relationships. Through touch, a skilled therapist, cognizant of the issues involved, can help one renegotiate these developmental stages and redress emotional wounding left over from them, freeing us to live happier, healthier lives.

Bodywork offers the possibility not only of healing the past but of experiencing the calm and tranquillity of spiritual states as well. Deep relaxation requires a surrender of the defensive holding or muscular tension in the body that is the physical analogue of the ego. It asks us to let go of who we think we are and just be. As roles, ideas and images of ourselves fall away, we can be carried into altered states of consciousness. We may experience a deeper intuitive knowing and insight, or find our hearts opening to a vast peace, love or joy that is beyond words.

We’ve come a long way since Freud, and our understanding of the connection between mind, body and spirit has given rise to many different modalities. There’s a whole field now called body or somatic psychotherapy. Even the medical field has begun to recognize the importance of the mind/body connection in addressing disease and illness in the field of psychoneuroimmunology. But one does not need to be at death’s door or suffering extreme physical or emotional pain to take advantage of the many body-focused disciplines available. Prevention has always been the best cure. But more than that, we open ourselves to expanded consciousness and powerful transformation when we venture beyond the place where words alone can take us.

Diana Lightmoon is a psychotherapist, bodyworker, and meditation teacher with a private practice and weekly meditation group in Santa Fe, NM. She integrates the best of Eastern and Western approaches to psychology to help clients balance mind, body, and spirit. You can connect with her on Facebook.

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Employment Testing: What Not to do on an Assessment

Employment Testing: A few portraits of what not to do on the Employee Assessment Test.

Example 1: You are a new graduate seeking your first full time job in the real world. You send out hundreds of resumes, and you finally get a call back from an employer. Things are going well, but then they ask you to take an employee assessment test (employment testing) and you agree too.

Example 2: You are in the middle of your career and you are completely bored with what you are doing. You thought this job would be filled with adventure, excitement, or at least good pay, and you haven’t gotten close to any of those. Your friends talk about how much they enjoy their jobs, and you want to feel that way, so you start looking for new jobs. You aren’t really sure what career path you should take. You seek out a career counselor to take an employee assessment test.

Example 3: You are in college, and majoring in Art is what you would love to do, but you are afraid that career choice will not sustain you down the road. You are unsure of what to do. All of you friends have a driven career path, but you are unsure of which way to go. You seek out employment testing.

In all three cases, these are great reasons to seek out employment testing. But what happens when you fill out the tests?

Don’t lie. This sounds so simple, but in reality, when you are taking the assessment test, it is extremely easy to lie. We tend to think that we have more skills than we do. When asked if we are great leaders, have organizational abilities, or can handle disputes well, generally, we rank ourselves high because we may have a) (leader) led our friends on a great excursion to Vegas, b) (organizational skills) organized our contacts on our iPhone, or c) (disputes) calmed a dispute between our younger siblings (and these are all great qualities!), but make sure you answer these questions as they relate to the work force.

For example, who wouldn’t know the “correct” way to answer test questions like, “How thorough are you?” or “Are you persistent, or do you give up easily?” Why would you ever admit to not being thorough in your work?.

The last thing you want to do is get a job that you thought you wanted and then not like it. If you answer the questions honestly, you may or may not get the job or career you “thought” you wanted, but you will get the career that fits you! And finding a job that you enjoy, can bring you more happiness than finding a job you thought you could enjoy.

Answering the test honestly will help you and your employer from making a terrible hiring decision. Just because you don’t get the job doesn’t mean you weren’t a great candidate – it just means that there is something that you are better equipped to do!

Don’t answer the questions based on the impression you receive from others. Sometimes we are easily influenced by our friends and family members. Your friends may tell you that you would make an excellent lawyer, doctor, or marketing professional, but if you do not want to do those, then don’t answer the questions like you are.

When asked a question on the employment assessments, it is easy to think, “Well, my friends tell me I could be great at that.” And then you answer accordingly. Only answer based on yourself. Years down the road – you will be in this career and your friends won’t. Answer the questions based on what will make you happy!

Finally, Don’t answer the questions based on who you want to be, but who you are now. Most professionals will change careers 5 times in their professional life. It’s hard to know what you want to do in 5 years, let alone what you want to eat for dinner tonight. When taking the employment test, answer the questions based on who you are now. It is easy to think, “Well, I could be good at that!” And you probably could! but answer the questions based on you now.

Now what? If you are looking for career counseling or employment testing, Thriveworks offers career counseling and employment testing to help you excel in your career. To schedule an appointment, or simply to acquire more information, call us anytime toll-free at 1-855-2-THRIVE (1-855-284-7483).

Thrive Boston to offer Free Counseling Sessions for Victims

From Thrive Boston:

Dear friends,

We are shocked and saddened by the recent events that have affected residents of Boston and greater Boston areas.

Thrive Boston Counseling is offering free counseling sessions to victims of, and those experiencing trauma and grief caused by, recent events related to the Boston Marathon bombing. We are also working to quickly develop a Trauma Counseling Group.

For more information, contact our offices at 617-395-5806. We’re available by telephone Monday-Friday, 8:00am-6:00pm. In addition, there is a live attendant 24 hours a day.

Sincerely,

Dr. Anthony Centore &

Your Friends at Thrive Boston Counseling

If you or anyone you know has felt the gravity of this tragic event and you need counseling in the Boston area, please call our Boston and Cambridge Offices.

How to Maintain Your Mental Health During Finals

How to Maintain Your Mental Health During Finals

Spring Break is over and you feel rejuvenated, then reality hits you like a ton of bricks. You realize that you papers out of the wazoo and that each are due with deadlines that leave no room to breath.

You’re struggling to find a way to work on all of your projects at the same time, keep up with the class reading and do mandatory homework. This is a common occurrence amongst college students, especially when you get into your upper level classes.

It is important to take maintain your mental health in the middle of chaotic finals week. Here are three ways to keep stress levels low in the weeks leading up to and during finals week:

1. Focus on one day at a time!

If you plan too far in advanced you will only stress yourself out.  A better solution would be to right out everything in the order of importance for that day or even that week.

If you still feel overwhelmed, break assignments into sections. For example if you have a research paper instead of trying to get all completed in one or even two sittings, take a day for gathering resources, a day for outlining and then take maybe two days to write the actual paper. It is important while using this method to plan at least three days ahead of the due date.

2. Remember to make time for thing that you enjoy doing.

All work and no play is a sure way to stay stressed out. Make time in your day that you will not do any work.

You are a student so it is obvious that you will have a lot to do, remember you did sign up for this! However, that does not mean that you shouldn’t have any fun. Go outside to get some fresh air. Have a movie night with some friends. Even eating dinner with friends regularly could prove to help you reduce stress and be sure that while you’re with those friends talk about things other than school.

3. Reach out for help when you need it.

Life was not meant to be faced alone so you should realize neither was college. If there is a particular subject that you are struggling with find someone who is doing well in it and ask him/her for help.

If you can’t find help then see if tutoring is available for that course or go directly to the professor for help. Most professors appreciate it when their students display an interest in how well they are performing in their class.

You can do this hang in there!

College is not a walk through the park. College does become a lot easier when you learn how to prioritize assignments, make time for friends and fun, and get help when necessary.

These are just some of the ways to maintain low stress levels during the terror the most students know as finals week. Take these tips and apply them to your whole semester and you will be ahead of the game.

-Christian
Thriveworks Intern

Tips for Making a Big Decision

I’m writing an article for Newsday and I was hoping someone at Thriveworks Counseling could answer a few questions as soon as possible for the story. The article is about how to decide if you should sell your home or if you should rent it out – and I was wondering if you have any suggestions for how someone should make a decision that could potentially affect them for the rest of their lives. Also, what should readers do if they’re having problems feeling secure in the decision they’re making?

Thanks!
Danielle

Hi Danielle!

I’m happy to help. I’ll write some ideas below, and if I can be of any additional help, please call me anytime at 1-855-2-THRIVE (847483).
Overview: 
These days, many of us are living very fast paced lives, and this means we’re making more decisions than ever.
At some point, all of us get jammed up because each decision we make comes at a cost (or a penalty). If we choose to paint a room blue, the cost is we can’t also have the room be red. If we choose to have steak for dinner, the cost is that we won’t be having fish. And so on…
A big decision, like whether to sell or rent a house, can feel overwhelming. Here are some tips:
1) Put it into perspective.
Often when we face an emotionally charged decision it can feel much bigger than it is. While selling a house is a big decision, it is small potatoes in the greater context of one’s life: The career you choose, the city you reside in (Boston or Atlanta?), family planning decisions, etc. A house is just one of many financial planning decisions one will make in throughout their life.
2) Ask other people who have done it.
While we want to think we’re unique, our experiences often parallel others’. Ask other people you know who have sold, or rented a house in your community. How did it go? Was the experience positive or negative? Consider that your experience might be similar to theirs.
3) Don’t stress over two good decisions.
If both decisions are likely to have positive outcomes, don’t sweat over your choice! You can’t go wrong! To help lower your stress, consider which decision you’ll enjoy more, not which is the “right” decision.
4) Think about regrets.
One technique to help make a big decision is to think about the potential for regret. To do this, instead of asking yourself, “which choice is best” Ask yourself “which option could I regret most–to sell my house, or to not sell my house?” This might make the best choice more apparent.
Danielle, I hope this helps!
Anthony Centore Ph.D., CEO of Thriveworks
–Anthony

Therapy Question: Do People Get what they Deserve?

Therapy Question: Do People Get what they Deserve?

Greetings Thriver’s – I’m Dr. Anthony Centore, here for Thriveworks, in Partnership with Theravive.

Psychologist Melvin Lerner has spent his career studying the concept of “Justice”. According to his research, we are pre-disposed to believe in a JUST world.

It works like this:

1) We want to believe that we live in a safe, stable, orderly world.

…One where bad things happened to bad people, and good things happen to good people.

Despite all reason, we yearn for this belief to be true.

Hence, when something unfortunate happens to someone else, our first assumption is often that they brought it on themselves, or are at least in part responsible.

You got into a car accident? You weren’t driving defensively.

Your accountant won’t call you back? You must be a bad client.

In fact, in a 1965 study, Dr. Lerner found that college students who were informed that another student won the lottery rationalized the student’s GOOD fortune by believing that the winner must have deserved it for some reason.

I mean, no one wants to believe that a wretch won the lottery.

 

Question of the day. …Do YOU believe that people get what they deserve?

 

 is CEO of Thriveworks, and director of Thrive Boston Counseling, 872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139. 617-395-5806.

Borderline Personality Disorder (BPD) – Symptoms and perspectives

          About one to three percent of the American adult population experiences Borderline Personality Disorder (BPD). This condition denotes a disruption in normal personality function that is manifested through character and mood instability. People with this disorder often have a distorted self-image and an undefined identity. Usually, they engage in unstable and chaotic interpersonal relationships and exhibit potentially damaging behaviors. Now, by this definition alone, some might draw parallels between themselves and those with BPD, but this should not be a cause for alarm. This is a very rare disorder, and so it is most likely that any perceived similarities are purely circumstantial. However, in the case of treatment, Borderline Personality Disorder might be alleviated through a series of psychotherapy sessions and prescribed medications.

 

BPD – What to look for

The onset of borderline personality disorder symptoms typically occur during adolescence. This is characterized by volatile and disorderly conduct becoming a dominant character trait. This may continue on for many years but it will naturally subside over time. To ensure accuracy, the diagnosis and treatment is often delayed until the period of maturity. Doctors find it necessary to discount the influence of personality development on behavioral problems before coming to a conclusion. Early diagnosis of BPD is only possible provided the symptoms are present and persist over a period of one year. The symptoms of BPD are as follows:

 

-          Alterations in self-perception (“I’m good” versus “I’m bad”)

 

-          Constant shifts in life goals

 

-          Frequent changes in job profile

 

-          Impermanent social affiliations

 

-          Erratic romantic relationships (love-hate)

 

-          Difficulty in accepting exemptions or “gray-areas”

 

-          Emotional liability and inappropriate hostility

 

-          Short but intense periods of depression or anxiety

 

-          Impulsive and risky behavior

 

 

BPD – Causes and in other media

Borderline Personality Disorder is a very sensitive and complex condition. It may be triggered from a history of trauma, as in sexual abuse, or be caused by genetic, neurological, anatomical or environmental factors. Hormonal abnormalities, particularly that of serotonin (which is also related to depression), may also be credited for the development of BPD. Other disorders associated with BPD are mood disorders, depression and substance abuse.

This particular disorder was once featured in the 1999 film “Girl Interrupted.” The motion picture provided important insight into the thoughts and struggles of a person with BPD, and gave a clear picture of the treatment facility atmosphere in which she was bound to settle. The film, which was based on an autobiography, revealed BPD as not only a mental but a social issue. The negative stigma of its diagnosis has not only punished troubled parties but their families as well. It must be made clear that BPD is not an infectious disease. Therefore, communities should make every effort not to socially ostracize people with the condition. In fact, a greater awareness and understanding of borderline personality disorder should be promoted to foster a safer, more healing environment for those afflicted.

 

This article is provided by Thriveworks Philadelphia Counseling. Please visit our website at http://thriveworks.com/philadelphia-counseling/ or give us a call at 1-617-395-5806 for further assistance.

Histrionic Personality Disorder (HPD) – What to look for in therapy

Histrionic Personality Disorder (HPD) is a disorder in which the victim shows an accustomed pattern of attention-seeking and extremely histrionic behaviors starting in early adulthood in a large range of situations. Victims of HPD are highly emotional, charming, energetic, manipulative, impulsive, erratic, and demanding.

Treatment Option – Psychotherapy

Victims who suffer from this disorder are mostly hard to treat for many reasons. Psychotherapy, as with most personality disorders, is the treatment of choice. Group and family therapy are usually not recommended. Victims with this disorder often come off as being “fake” in their interpersonal relationships with other people. Patients often show all feelings with the same depth of emotion, unaware of the delicacy of their own emotional states. Therapists will find that taking a somewhat steady stance within this therapy is useful due to the common amplification of events and problems by the victims. By using a line of reasoning to its logical conclusion the client can mostly discover the impracticable expectations and fears associated with many behaviors and thinking.

Many people who are suffering from Histrionic Personality Disorder will emphasize attractiveness over substance in their lives and relationships. Discussing and trying out new alternate behaviors may be helpful. The therapist can also help by eluding traps during sessions, such as when the client starts using shallow criteria to judge another. The patient should ultimately look to be able to proactively engage any treatment steps discussed in therapy on their own throughout their lives.

Insight and cognitive-oriented approaches are usually largely ineffective in treating this disorder and thus should be avoided. People with this disorder are mostly incapable of analyzing their own unconscious motivations and concepts to a degree where it is beneficent.

While these approaches can be a part of a longer treatment plan, they should not be the focus. Helping the victim to analyze interactions from a more objective point of view and emphasizing substitute explanations for behavior is likely to be more effective. Analyzing and clarifying a victim’s emotions are also crucial components of this therapy.

Medications

In most personality disorders, medications are not suggested except for the treatment of specific, concurrent Axis I diagnoses. Attention should be given when advising medications to someone who suffers from histrionic personality disorder because of the potential abuse of the medication to contribute to self-destructive or otherwise harmful conducts.

 

Article provided by Thrive Philadelphia. For further information or assistance, please visit us at http://thriveworks.com/philadelphia-counseling/, or call us at 1-855-2-THRIVE.

4 Basic Counseling Tips for Managing Stress

Stress is something that is inevitable. Stress can come from work, the house, just about anywhere, and the more it builds up, the less you feel like you are in control. There are lots of ways to relieve stress, but I’m going to focus on 4 tips that have been deemed highly effective.

1) Exercise regularly

Regular physical activity is vital in reducing the effects of stress. Whether you take a walk, run/job, or play your favorite sport, getting your body moving (and your heart rate up) on a regular basis (3x a week recommended) will help your body and mind to better tolerate stressful situations in life. Plus, psychical activity provides added benefits for weight loss, improved sleep, improved mood, improved concentration, and overall good health.

2) Proper Diet

High levels of stress can be hard on one’s body, and can even drain one’s emotional and physical energy. In fact, stress has been shown to even reduce the body’s ability to heal after a physical injury, and to fend of illness. A balanced, nutrient rich, diet consisting of several servings of vegetable a day, as well as staying well hydrated will help one’s body to best handle stress. Note: Remember to never skip meals because doing so will leave your body with no energy; without energy, it’s harder to deal with stressful tasks.

3) Cut out Caffeine and Reduce Sugar Intake

Nowadays, with a coffee shop/café on ever corner, people increasingly turn to coffee, soda, and snack foods to find relief from stress. Remember, increased stress means lower energy, so it makes sense that one would reach for another cup of java, or baked sweeties with lots of simple sugars. However, while caffeine provides some temporary relief, it is at a cost! For instance, caffeine sets us on a roller coaster of highs and lows throughout the day, and can even deprive one of restful sleep at night. This makes one more susceptible to stress in general.

4) Get a healthy amount of Sleep

Stress puts us on an unfortunate downward spiral. Stress can keep one up at night and (ironically), a lack of sleep decreases one’s ability to manage stress. Sleep is needed to recharge our bodies, and gives us the ability to handle stress in our lives. Note: Your body recognizes sleep patterns, so it’s best to go to bed at the same time every night (and try to get at least 8 hours of sleep per night). If you have trouble sleeping, try reading a good book, or just read this article a few times and you’ll be out like a light!

Stress is indeed something that impedes your professional and personal life because the more it builds up, the less you feel like you are in control. If you want to get rid of stress, follow the tips above, or contact a Thriveworks counselor (Boston, Philadelphia, Atlanta). Call Thriveworks at 1-855-2-THRIVE.

Boston Therapist Brittany Hartman Featured on NECN Morning Show!

boston therapist brittany hartmanCongratulations to Thrive Boston Therapist Brittany Hartman who was featured on the NECN Morning Show today. Licensed Counselor Brittany Hartman provided 5 Tips for Turning a Bad Day Around (“Flip the Script on a Bad Day”), and she absolutely rocked the interview. Congrats Brittany!! To watch the video on the Boston Globe Website, check it out here: Turn a Bad Day Around.

To reach Brittany, contact Thrive Boston Counseling at 617-395-5806.