I have Cancer. How do I find a therapist to help me and my family?

by Charli Prather Monday, February 15, 2016


I have Cancer. How do I find a therapist to help me and my family with the social and emotional challenges we face? Here are some questions to ask:


• Have you had training in oncology (the last thing you need right now is to provide your therapist translation services)? 
• Have you worked, volunteered, or interned in a hospital or oncology center?

• Have you had a personal experience with cancer? If you are a survivor, how long have you been out of treatment? A healthy time frame of recovery is important.

• Have you worked with clients experiencing "chemo brain"? Do you have a complete understanding of "cure vs. remission" and the specific needs of a cancer patient/survivor?

• Are you available to visit me in the hospital, at home, or provide phone or closed circuit video sessions if I’m not up to coming into the office? What are the charges are related to this type of care? 
• What is your “late cancel” policy?  I may experience treatment side effects that come on unexpectedly.

• Are you willing to assist me finding resources regarding my employment, co-pays for expensive drugs, financial planning, how to talk to my kids, my boss, etc. 

• Will you be able to provide sessions that may involve family members who don’t understand the complexity of my prognosis if it changes? 
• For those with advanced cancers: Are you comfortable providing me end of life care if my condition worsens?   
• Are you familiar with MBCR?  Mindfulness Based Cancer Recovery techniques?  


Charli Prather-Levinson, MSW LCSW EAP-C RYT is a former Board Certified Oncology Social Worker and 2 time cancer survivor. She works part time in private practice and works for the Cancer Support Community Headquarter’s offices part time as a Cancer Helpline Counselor.  Charli has over 20 years combined experience as a hospice therapist and as Clinical Program Director of the St. Louis Cancer Support Community affiliate. Charli also advises clients on healthy lifestyle changes that can ‘STACK THE DECK’ against emotional and physical disease. Charli also holds certifications as a Food for Life™ Plant Based Nutrition Educator and Warriors at Ease® Meditation & Yoga Teacher for those in need of a modified yoga practice due to physical limitations. Charli spends her free time traveling the country with the Wounded Warrior Project serving as a contract therapist and yoga & meditation instructor. 






 

Tags:

Advise | Anxiety | Healing | Intimacy | Mental Health | Social Work | Stress | Therapeutic Relationship | Therapy | Video Therapy | Wisdom

Handling Disruptive Events in the Workplace

by Dennis Potter Tuesday, February 9, 2016


Disruptive events are unique in specifics, but often stir up similar reactions among employees. Employees closest to the “epicenter” often have the most intense reactions, while those in circles further removed might have less intense reactions, it is likely the reactions/issues are similar. Being able to anticipate the most common reactions prepares us to provide employees the right handouts and teaching points. Experience has taught me three reactions are universal.

Three Universal Reactions


§   Guilt is usually connected to thoughts employee(s) have about what they should/could/would have done differently to alter or prevent the event. These are usually the result of “Monday Morning Quarterbacking” where the person reinterprets their actions knowing the outcome. This is particularly true after a suicide or death of a colleague. It is very destructive and usually inaccurate. A teaching point is to talk about the fact that people are in pain and “wish” the event had not happened. Understanding there is no guarantee anything they could have done differently would have altered the outcome is sometimes helpful.

§  Anger is usually connected to wanting to blame someone or something for the event. If the anger is at the perpetrator, it is probably healthy. The leadership or company is often blamed for not preventing the incident. Anger at God or their spiritual traditions are most common and should be referred back to their spiritual leadership for answers. It is outside our role as interventionists to directly address spiritual issues, except to validate them and state that they are common reactions.

§   Grief after the loss of someone they care about is easy to understand. Disruptive events can trigger a variety of intangible losses. One most common is the loss of sense of personal safety. People think this could happen to me, or my family, or my friends etc. Disruptive events happen because we have no control over them. This temporary feeling of the loss of our illusions of control and safety can be profound. The teaching points here are helping people understand their multiple losses, and that grief is a process they will move through over the next few days. Providing information on understanding they are grieving and things they can do to move through the grieving process is often helpful.

When we are aware of these universal reactions and provide teaching points for them, we help employees understand their reactions, and tap into their natural resiliency and move toward recovery.  This is the crux of helping the employees return to work and return to life.

What suggestions do you give to people to help them return to pre-incident functioning?

Dennis Potter, LMSW, CAADC, ICCS, FAAETS, serves as Manager, Consultant Relations and Training for Crisis Care Network. He is a licensed social worker and certified addiction counselor. Dennis is recognized as a Fellow, by the American Academy of Experts in Traumatic Stress. He was awarded the ICISF Excellence in Training and Educations Award at the ICISF 2011 World Congress.


Tags:

Advise | Healing | Mental Health | Self-Awareness | Self-Care | Shame | Social Work | Stress | Suicide Bereavement | Suicide Prevention | Therapeutic Relationship | Therapy | Trauma | Wisdom

The Language of Resilience

by Dr. Les Kertay Sunday, January 17, 2016


The recent Blog, “The Language of Resilience” by Dr. Les Kertay, answers the question what is Critical Incident Response (CIR) for and what is the expected outcome of CIR? Many of the events Critical Incident Response is used for are not typically thought of as a Critical Incident. Thinking in terms of “Critical Incidents” may lead us to assume pathology when the most common outcome to any stressful event is resilience. Dr. Kertay suggests a more accurate term is “Potentially Disruptive Event” as humans are developed to endure stress, manage its effects, and return to life, often more resilient than before. Providing guidance and support to this natural process of resilience is the purview of CIR.

Dr. Les Kertay is a Licensed and Board Certified Clinical Psychologist with extensive experience in mind-body health including disability medicine, chronic pain, and health behaviors as well as being a leader and consultant on strategies to manage workplace absence and a practicing clinician and industry consultant.  Dr. Kertay is currently Chief Medical Officer with R3 Continuum (Crisis Management International, Crisis Care Network, Behavioral Medical Interventions).


Tags:

Abuse | Mental Health | Self-Awareness | Self-Care | Shame | Social Work | Stress | Wisdom

The Little Engine That Could

by Jeanne Blauner Monday, August 10, 2015

HelpPRO celebrates it’s 20th birthday this year. HelpPRO is not the biggest therapist finder, but we are the most comprehensive and caring, focusing single mindedly on connecting our users and their friends and families and clients to the best resources available. Many have copied the HelpPRO model over the years, but the HelpPRO search continues to be the most comprehensive and HelpPRO continues to focus on helping you, our user.

To help HelpPRO help more people please:

1. Tell us what we can do better/best.

2. Spread the word to:

• users to search www.HelpPRO.com

• therapists for free HelpPRO 3 month premium listing trial

3. Click our new counter at HelpPRO.com (top right corner) to "like" HelpPRO on Facebook and/or "follow" HelpPRO on Linkedin.

Jeanne Blauner has been helping HelpPRO build it’s caring community for over 15 years now. Jeanne cares deeply about helping people and sees in HelpPRO an organization dedicated to doing just that.

Tags:

Healing | Mental Health | Mood | Mood Booster | Suicide Prevention | Therapeutic Relationship | Therapy | Wisdom

Things Your Therapist Should Never Do

by Bethany Raab Monday, July 6, 2015

You will find all sorts of blogs and checklists out there of what to look for in a therapist. These can be incredibly helpful. However, the DO NOTs of therapy deserve some attention, too.

There are many obvious things a therapist shouldn’t do (see: psych central blog).

Here are some less obvious problems that should raise a red flag.

They fail to seek your informed consent.
Any therapist you see will have you sign a consent form at the beginning of your relationship. This is good, ethical practice. However, they should continually seek your consent as you move forward. Before any exercise, whether it be written, verbal, art or something else, they should check in with you to ensure you’re comfortable with what they are asking. You are always allowed to say no.

They do not ask for feedback from you (or can’t accept it).
Your therapist will be asking about how you are doing and what your experience is with various interventions and conversations. This is good. If they’re not asking, tell them. If they don’t listen, get a new therapist.

Manipulate you into remaining as a client.
Assuming you are attending therapy voluntarily and are not a danger to yourself or others, you have a right to decide who you see for therapy and how long you see them. (Patients in hospitals and in involuntary treatment have rights, too, but that’s a different conversation.) Signing a consent form is not a contract for length of services. You are free to leave whenever you want. If a therapist does not feel like a good fit for you, you can decide to see someone else.

Talk to other people about you.
Your therapist should never talk about your case with anyone. Exceptions do exist to this rule including: you give written permission, the therapist receives a court order, you are suicidal/homicidal or discuss child/elder abuse. This also applies to your written therapy record. If these boundaries are crossed, it is inappropriate and grounds for you to file a complaint against the therapist with their licensing board.

Try to be your friend, business partner or lover.
This is a big no-no. Your therapist is expected to follow the ethics of their profession regarding personal relationships with clients. These rules go something like this: No personal relationship with a current client is ever appropriate. Some professions allow for relationships if your therapy ended 2 years ago. Many professionals err on the side of keeping that boundary in place permanently. If your therapist is making sexual advances, suggesting you grab a drink or asks to borrow money from you, stop seeing them immediately and call the licensing board in your state. This is completely unacceptable behavior.

There are countless wonderful, ethical therapists but there are also a few bad apples. Keep an eye out for these red flags to protect yourself when you see a therapist.

Bethany Raab is a licensed clinical social worker in Denver, Colorado. She owns a private therapy practice where she works with teens, families and young adults.
www.raabcounseling.com

The Drawbacks of Online Scheduling

by Sherry Katz Tuesday, June 30, 2015

The obvious value of online scheduling is efficiency and convenience.  Therapist and patient do not need to talk with each other to schedule their appointments.

Since our entire method of professionally offering service relies on talking to people, what, if any, areas of our work are affected by utilizing online appointment scheduling? 

The initial phone contact from the patient was once referred to as an “intake”.  

This was a chance for the therapist to assess an overview of the case and whether they or their agency, would be able to handle the level of care required.

This was also a way for a prospective patient to get a firsthand feel of working with either the particular therapist or the overall view of how the agency would address their matter.

The question for therapists to consider is whether the demographic and “check the box” information of online scheduling, is an equal substitute for a phone assessment intake.

Maybe in fact the first in person session has become the former phone intake. 

Only now we have a hopeful new patient sitting in front of us who may not be a good fit for the type of therapy work we do.

What if, when scheduling an initial appointment, instead of prioritizing time efficiency and convenience only, we limit our online scheduling gadgets to situations which do not actively require our professional skills?

Sherry Katz, LCSW is clinically trained in systems relational therapy, and practices marriage and family therapy in her solo practice located in Ridgewood, NJ.  Comments and questions are welcome www.newviewsfamilytherapy.com.

Tags: , , , , ,

Advise | Anxiety | Mental Health | Self-Awareness | Social Work | Stress | Therapeutic Relationship | Therapy | Video Therapy | Wisdom

Surprise! They’re Not Changing. How About You?

by Sherry Katz Friday, June 12, 2015

Is one of your reasons for starting therapy because every approach you’ve tried in a particular relationship increases your frustration, hurt, and sadness?

And after explaining your outlook and reasoning to this person many times, the relationship patterns are still the same?

Therapy will give your sincere and heartfelt effort and concern, a new direction. 

Step One is accepting the profound realization that you are only able to change yourself. 

Despite your many good ideas and earnest care, the other person in the relationship, whether partner, sibling, adult child, any meaningful family member, may not want to understand your point, or want to agree with it.

The deeper problem is not necessarily that you have bad ideas or that the other person is intentionally being difficult.  

The discontent you are facing in the stressed relationship, is a pathway to knowing more about your own standards and satisfactions in relating.

If you are upset because the other person does not accept your suggestions, instead of inwardly disapproving, utilize this feeling of rejection as a sign of how highly you value that your advice is followed. 

If the other person criticizes what you consider key points in your value system, then allow yourself to appreciate that you have a clear value system.

If the other person dismisses your feelings, then this is your moment to be even more aware that your emotions are a way to express yourself.

All of these interactions are painful and tiring to some degree. 

Your reason for talking with a therapist is to stabilize and ground your perspective, believe in your right to be who you are, and strengthen your confidence in handling your part in a relationship that is currently stressed, and any relationship that develops in your world.

Sherry Katz, LCSW is clinically trained in systems relational therapy, and practices marriage and family therapy in her solo practice located in Ridgewood, NJ.  Comments and questions are welcome.  www.newviewsfamilytherapy.com

Video Sessions Improve Therapy

by Buck Black Thursday, December 11, 2014

In this age of connectivity, clients expect therapy to be accessible. I continue to see unmet demand for video therapy. Few therapists offer this service which I started doing a few years ago. My clients benefit from video therapy in many ways. I have clients traveling who want to keep their appointments.  I use video to meet with college students who return home for the summer and breaks. I use video to meet with clients during snow days, transportation problems, forgotten appointments (just log-on for a session so the appointment time can still be used) and for those whose illness was contagious, yet they needed their session because they felt so bad, both mentally and physically. I also have business people who want their session, but cannot afford the travel time on account of their busy schedule.

It is difficult for rural residents to get services.  Video sessions make this easier.  Rural clients, however, often do not have a fast enough internet connection, but this will improve in time.  Some rural clients have a high quality cell signal, which allows them to hold a session, but this cuts into their data allotment. I have had success relying on a phone call for the audio and tolerating a lower quality video feed.

In my experience offering the option for video sessions helps me give my clients a higher level of care and means my clients are more likely to keep their appointments. If the client is comfortable with the technology, it works well. If their internet connection goes out, then the phone is a backup. There are many clients not comfortable with video sessions and choose to only come to the office. This is OK too. Over time I believe more people will be comfortable with video sessions. 

There are some situations where video sessions are not appropriate. Examples include clients who pose a high risk, such as homicidal and/or suicidal ideation, psychosis, or who simply need a more intense services.  I never use video sessions with someone who is court ordered or having problems with denial. I don’t feel video sessions are powerful enough in this situation.  However, if someone is looking to better themselves and is higher functioning, video sessions are often ideal.

Remember, it is important for both therapist and client to have a history of using video conferencing services and have quality internet, a high quality router and computer, and good lighting. We need to ensure the technology adds to the therapy experience.

Therapy must embrace technology to remain relevant and to help clients.  If licensed therapists do not embrace video therapy, those in need of therapy will seek less qualified people who are using video services.  Lets not let our profession be left behind.

Buck Black LCSW, CST is a therapist who has several years of experience using video conferencing with clients to address anger, stress, and relationship issues.  Therapy appointments are also available at his office. His information is at www.BuckBlack.com Follow him on twitter @BuckBlack

Let's Get High

by Julie Davis Thursday, December 4, 2014

Smoke a joint … Drink a shot of tequila … Eat a donut … Get angry … Worry … Run on a treadmill … Climb a mountain ... Hunt for a fashion bargain. 

You can get “high” by ingesting a substance, activating a thought, or moving the body in a way that triggers a chemical reaction leading to a feeling of “high.” 

Until you are comfortable NOT being “high” you will search and find how to get “high.” You might stop drinking alcohol but find yourself reaching for more sweets.  When you are unable to exercise you might become agitated, start shopping, drink alcohol, caffeine, or soda.

Do you think you have an addiction/motivation/discipline problem with alcohol, food, anger, worry, spending?  Are you are interested in eliminating unhealthy substances and processes that make you “high?”  Good!  However, until you are willing and able to be “NOT HIGH” you might find yourself seeking other forms of getting “high.”  

This week, I invite you to consider how you might feel “NOT HIGH:”       

Confused? Embarrassed? Out of control? Terrified? Lonely? Edgy? Depressed?  Anxious? Calm? Bored? Unimportant?

These are the experiences that might require understanding and attention before you stop thinking, “Let’s get high!”

Julie Davis uncovers and clears up deeply embedded beliefs and unresolved emotions that keeppeople stuck (www.juliedavismft.com).  She also coaches people how to stay clear, calm and strategic in everyday life with healthy ways of thinking, feeling and behaving (www.rapidresolutiontherapy.com).  Get free weekly insight and guidance by joining Julie’s Tuesday Email service (text JULIETUESDAY to 22828). Julie is a Certified Rapid Resolution Therapist, Licensed Marriage and Family Therapist (North Carolina, California, New York), Board Certified Hypnotherapist, and New Life Network Christian Counselor (www.newlife.com).  704-807-1101.

Tags:

Anger | Animal Instinct | Anxiety | Healing | Intimacy | marriage | Marriage and Family Therapy | Mental Health | Mood | Mood Booster | Pet Therapy | Primitive Mind | Stress | Therapeutic Relationship | Therapy | Trauma | Treatment Modalities | Wisdom

Aftermath of Suicide: How To Help Survivors

by Dennis Potter Wednesday, November 5, 2014

Three Universal Reactions to suicide: Guilt, Anger and Grief

Guilt is usually connected to thoughts survivors have about what they should/could/would have done differently. These are usually the result of “Monday Morning Quarterbacking” where the person reinterprets their actions knowing the outcome. This is particularly true after a suicide or death of a colleague. It is very destructive and usually inaccurate. It helps to discuss that people are in pain and “wish” the suicide had not happened. There is no guarantee that had they done anything differently, it could have altered the outcome.

Anger is usually about wanting to blame someone or something for the suicide. If the anger is at the person who completed suicide, it is probably pretty healthy. Anger at God or spiritual traditions are most commonly referred back to their spiritual leadership for answers. We cannot address spiritual issues, except to validate them and state that they are common reactions. When anger is placed toward the work environment, ex’s, or family members it is generally unhealthy and unhelpful. We can acknowledge the loss of the person, and that we never really know how they might have interpreted accurately or inaccurately what others did or did not do. You might acknowledge it is too bad that the person did not confide more with others to see an alternative to suicide.

Grief after the loss of someone you care about is easy to understand. Suicide can trigger a variety of much more intangible losses. One most common is the loss of sense of personal safety. If this type of event can happen to the deceased, it can happen to me, or my family, or my friends etc. Suicides happen because we have no control over them. This temporary feeling of the loss of our illusions of control and safety can be profound. We can help people understand their multiple losses, and that grief is a process they will move through over the next few days or longer. Providing information on understanding they are grieving and things they can do to move through the grieving process is helpful.

Dennis Potter, LMSW, CAADC, ICCS, FAAETS, serves as Manager, Consultant Relations and Training for Crisis Care Network. He is a licensed social worker and certified addiction counselor. Dennis is recognized as a Fellow, by the American Academy of Experts in Traumatic Stress. He was awarded the ICISF Excellence in Training and Educations Award at the ICISF 2011 World Congress.

Tags:

Advise | Mental Health | Social Work | Stress | Suicide Bereavement | Suicide Prevention | Therapeutic Relationship | Therapy | Trauma | Wisdom

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