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 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

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

Black and White Thinking

by Julie Davis Sunday, September 21, 2014

Believing “black and white” (always/never/all/nothing) thoughts about yourself and others can trigger feelings and actions that harm health, relationships, productivity, and emotional stability: 

Belief

Feeling

Action

I always screw up

Ashamed, angry, hopeless, defeated

Beat self up, medicate,   screw up more, quit,       isolate

He never helps around the house

Angry, resentful, helpless, victim,

Nag, control, complain,       fix, explain, defend, manipulate, fight

All the good jobs are taken

Hopeless, scared, angry

Give up, settle,         medicate, complain

There’s nothing I can do about it

Powerless, afraid, angry

Give in, quit, seethe,        hide,

Over time, black and white thinking can lead to depression, obsessions, addiction, panic, rage, and trauma.  Thus, it is important to “hold every thought captive!” This week, I invite you to catch your black/white thinking and reframe it in a way that leaves you feeling calm, open, flexible:

Absolute

Reframe

Feeling

Action

I always screw up

Sometimes I blow it. 

Humble, interested, motivated

Improve skills,     try again.

He never helps around the house

Sometimes he forgets/puts things off. 

Curious, collaborative

Ask for clarity; discuss and       set  boundaries.

All the good jobs are taken

Many good jobs are taken.   

Disappointed yet determined, creative

Keep looking.     Ask for help.

There’s nothing I can do about it

There is something I can do. 

Curious, creative, collaborative

Get wise advice. Ask for help. 

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

 

It’s not about YOU

by Julie Davis Wednesday, August 20, 2014

 

 

You walk up to a guy and say, “Hi.”  He tilts his head back and roars with laughter.  You say, “Hey guy, what’s so funny?”  He looks you up and down, rolls his eyes and says, “You’re an idiot.”

 

What does all that have to say about YOU?

 

Nothing.

 

What does all that say about the guy? 

 

A lot!

 

But, you might have been taught (incorrectly) that thoughts, feelings, and opinions about you ARE YOU.  Someone laughs at you, looks a certain way at you, raises voice around you, does or expresses something hurtful to you and you think it’s about you.  Then you spend a lifetime trying to look and act better when It’s not – never has been – about you.

 

People who are late, hurtful, loud, messy, reckless, avoidant, opinionated, or anxious do not determine who you are.  Their words and actions provide a lot of data about them – important for making wise decisions about who to hang out with; but has nothing to do with the essence of who you are. 

 

This week, consider the words and deeds of others as information about them.  Don’t judge that (it’s not your job).  But use that information to move with/around them wisely while you are repeating to yourself, “It’s not about me,” and enjoying your day.

 

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

Tags:

Anxiety | Healing | Mental Health | Mood | Mood Booster | Primitive Mind | relationships, friendships | Self-Awareness | Shame | Social Work | Stress | Therapeutic Relationship | Therapy

How to "Shop" for Your Therapist

by Jake Jacobsen Monday, June 16, 2014

How can I "shop" for a therapist and what are the essential qualities of a good therapeutic relationship?

These questions go hand in hand, although they are different in content. First, ask yourself: Do you feel more comfortable talking with a male or female therapist? Is it important to you if the therapist is heterosexual or openly gay or lesbian? Do you need individual therapy, couples, family, or group therapy? Are you looking for a structured therapy like cognitive behavioral therapy where you are expected to do homework addressing your problems or do you want a therapy that uses a more relational method?

You should be clear about all of these questions when shopping for a therapist. If, however, you are not clear about what you need, that’s OK too. Start the ball rolling by going to a therapist that has some of what you want. For example someone might choose to work with an openly lesbian therapist that specializes in substance abuse. Once in therapy, the therapist can further assess if the client needs additional help, such as, weekly AA meetings or harm reduction as the main treatment method in the therapy. 

During the first session with a therapist, you will experience first hand how the therapist forms a good therapeutic relationship (or not) by how they interact with you. In that initial session, you can start by asking what the letters after their name signify, and what their training was in psychology. For example: an LCSW is a licensed clinical social worker that was trained in psychology, and psychotherapy techniques. An ATR is a registered art therapist that was trained in the psychology of imagery, psychotherapy, and the creative art process to help people express their emotions. If the therapist isn’t forth coming answering these questions or if the interactions feel too awkward or it just doesn’t feel like a good fit, then that therapist is probably not right for you. I often suggest clients initially come for three sessions to assess the fit. Usually, people know within the first or second session if it feels like a good fit. People are often anxious in the first session so it can be difficult to make an accurate assessment then.

The essential qualities for a good therapeutic relationship are a therapist’s compassionate warmth, professionalism, and transparency with how they are working with you. You want a therapist to be someone with whom you feel you can say whatever is on your mind without feeling judged or pathologized for expressing what you think and feel. A therapist is someone with whom you can feel heard, validated, and challenged by in a compassionately thoughtful way.

Jake H Jacobsen, ATR, LCSW works in Portland, Oregon specializing in working with the LGBTQ community, and people living with HIV/AIDS. Jake uses both online (Skype) therapy, and in-office therapy.  For more information visit http://jakehjacobsen.wix.com/therapyinportland

              

Tags:

Anxiety | Intimacy | Marriage and Family Therapy | Mental Health | Mood | Mood Booster | Self-Awareness | Self-Care | Social Work | Stress | Therapeutic Relationship | Therapy | Treatment Modalities

Calendar

<<  September 2017  >>
SMTWTFS
272829303112
3456789
10111213141516
17181920212223
24252627282930
1234567

View posts in large calendar

Page List

    Month List

    Login here to View, Renew, or Modify your current listing…

    Not listed with HelpPRO yet? Click here to register.

    Log In
     
     

    Forgot your password? Click here to receive an email reminder.