April 2020

April 27, 2020

8 Reasons to Talk to a Licensed Therapist Before Taking Antidepressants

Some people are under the misapprehension that cognitive behavioral therapy may not be as helpful in extremely stressful and challenging times. So, many are turning to antianxiety or antidepressants. Over the last month, there is a massive increase of 35% turning to medications. Rather than simply taking medications, speaking with a licensed therapist is the best course of action.

In fact, successful or afflicted people do not fear therapy, they embrace their therapy. And therapy is not just something that smart people use, it’s something that most everybody should probably try during at least some point in their lives, especially now, during challenging times of anxiety or depression.

Many of us grew up under the impression that internal stuff shouldn’t be discussed or maybe it should be swept under the rug. This is perhaps the single worst thing you can do for yourself. Stamping down your emotions and not working through your psychological issues – especially economic downturns, job loss, or with societal anxiety, and depression – can culminate in a host of problems.

If you need a numbers-based reason to convince you to speak to a therapist before turning to antidepressants, depression alone is a major player in the global burden of disease, the leading cause of disability worldwide, and responsible for billions of dollars a year in lost work.

1. Therapy’s effects persist over the long-haul

A huge benefit of talk therapy is that its effects are long-lasting. This is because you’re not only working through stuff, but you’re also developing the tools to help you deal with future stuff. Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT) treatment is durable over the years. The positive gains continue and grow over time as though some of the work gets further consolidated after therapy stops.

The whole talking-with-the-therapist process gets internalized so that self-therapy picks up where the actual therapy leaves off. The “getting-to-the-cause” aspect of therapy is a big reason why therapy together is believed to be extremely effective.

2. Physical symptoms get treated

Psychological trauma can trigger physical symptoms – and depression and anxiety are well known to have significant, and sometimes debilitating, physical effects. Going to therapy can help these issues fade away.

When people do not express feelings but swallow them and keep them buried and out of conscious awareness, one’s body often reacts. Physical symptoms such as stomach aches, headaches, sleeping problems, and ulcers are just some of the ways our body reacts to stress and psychic pain.

3. Repressed emotions will come back to haunt you later on

The most serious drawback of not talking about things maybe that unexpressed feelings and traumas can pile up and explode later. Even if you don’t have a full-on breakdown later on, not fully processing events and emotions often creates negative thought patterns that can inform every area in your life – your relationships with your spouse, parents, kids, coworkers, and even yourself.

So, learning how to process them with a therapist can change how you maneuver in many different ways.

4. Therapy will give you a whole new perspective on other people

An awesome benefit of therapy is that it not only helps you understand yourself better but it helps you understand other people. When we hold negative thoughts in without processing them, they become ingrained so that we see the world through that lens – and we make lots of assumptions that may or may not be true.

Without the clutter of your own assumptions, it’s a lot easier to understand others’ intentions and motivations. Also, therapy can help an individual become more empathetic.

5. It helps you deal with future curveballs

Since big and small problems are going to come up from time to time, knowing how to deal with them in a healthy way is an essential skill. The truth is, conflict is a part of everyday life. It’s helpful to be aware of one’s feelings around conflict. If, for example, you are angry with your boss who is piling up work for you when you are getting ready to go away, you are bound to feel resentment and conflict.

By reflecting on what’s going on outside like your boss’ demands while working from home, and inside such as your mounting anger, irritation, and fear of losing your job if you say ‘no’, you are in a better position to resolve the conflict.

Talking things through with someone and reflecting on what feelings are evoked, and why, leads to a greater understanding of oneself. Then one is freer to think of ways to respond in a more proactive way.

Learning how not to get swallowed up by events, but instead how to form a game plan to deal with them, is the key.

6. You know you’re not alone

Seeing a licensed counselor, especially now, can be a huge relief in-and-of itself since you know you’re acting against what ails you. It also comforting just knowing that you have a built-in support structure that you can go to once a week.

Not that misery loves company, but it is true that being with people who are dealing with similar issues can be very reassuring.

7. It will rewire your brain

One of the best things about therapy is that it can bring about change at the level of the brain. We think of medication as changing the depressed brain, but there’s very compelling evidence that talk therapy does the same. With brain imaging methods, psychotherapy has been shown to alter activity in the “me-centered” worry thoughts, control, emotion, and fear.

One very effective method, such as cognitive behavior therapy (CBT), helps people identify the negative thought patterns and replace them with new and more positive mental habits or thoughts. In addition to helping people experience fewer symptoms of depression and anxiety, it brings about positive changes in one’s outlook.

8. You won’t have to self-medicate anymore

Self-medicating to “deal” with psychological stuff is incredibly common. But it doesn’t do anything to actually address what’s going on – in reality, it just masks it. It also creates an addictive cycle, which may exacerbate the real problem.

Getting to the root of your past stuff in therapy will, with time, eliminate the need to self-medicate. When you’re no longer living by the negative things in the past or even present, the need to avoid them will disappear.

Conclusion

People are starting to open up more about their personal struggles and mental health issues. The stigma seems to be fading, if slowly. If you feel therapy would benefit you, go for it. Most likely, your friends and family will also be grateful you opened up and it may give them the green light to do the same. Chances are it will help kick off some important dialogues during challenging times.

If you, or someone you know, needs additional support to deal with anxiety and depression during challenging times, please contact Foundations Counseling today!

April 17, 2020

The Benefits of Mental Health “Telehealth Counseling” During Challenging Times

By Doug | Uncategorized | No Comments

In a given year, approximately one in five adults in Texas is diagnosed with a mental health disorder. And more than half of those affected adults with a mental health condition do not receive proper treatment or supervision by a certified, licensed counselor. While there are multiple reasons and issues keeping people from receiving proper treatment today, one variable leading to this statistic is access to quality care.

Consider, for example, the entire United States:

More than 35 million American adults self-reported needing treatment for alcohol or illicit drug use, and needing mental health treatment.
There have been nearly 10,000 designated mental health shortage areas across the country, leaving over 100 million people without adequate access to mental health services.
Therefore, thousands of people in McKinney, Dallas, Plano, Denton, Allen, Dallas Fort Worth, and Garland Texas or additional surrounding communities need mental health therapists to one extent or another.
With the recent Coronavirus, it has been reported that an astonishing 50% of people are suffering anxiety and depression.

Offering Telehealth as a Temporary Solution

Improving mental health in Texas is not a simple, one-time fix. It requires a re-thinking of how we define healthcare to include behavioral health, moving beyond the stigma so people feel comfortable seeking care, and the coming together of multiple stakeholders and experts to develop new ways to deliver that care.

While the industry works to address the issues that prevent widespread and comprehensive behavioral health services, many providers are looking to improve access to quality mental health care through telemedicine, in general terms.

However, our counseling model is absolute. We firmly believe in person-to-person therapy sessions whether they be short-term or over the longer-term. In order to adapt to the current situation and challenging times that our patients are having to endure, we are offering “Telehealth” video conferencing.

The telehealth method allows our patients to continue a face-to-face therapy session, albeit digital nonetheless, but it reassures every individual that we are only a quick-click away from a chat.

The Benefits of Virtual Mental Health Programs

Data does show virtual mental health counseling is at least as effective — and in some cases, more than — treating anxiety, depression and other disorders compared to traditional face-to-face.

A four-year Johns Hopkins study that included close to 100,000 military veterans found the number of days patients were hospitalized dropped by 25 percent if they chose online counseling. This is slightly higher than the number of hospital visits experienced by patients who used face-to-face counseling.

For Foundations Counseling and patients alike, in addition to the positive health effects, there are numerous benefits to our temporary virtual mental health programs.

Ease and convenience: patientssimply need a computer, webcam, and broadband internet access.
Increased access: patients who live in remote areas, who are housebound, who have trouble lining up childcare, or just have too much going on in their lives to make room for regular therapy sessions, now have a connection to mental healthcare.
Fewer missed appointments: patients are less likely to run into problems when they can meet from wherever they are located in Texas.
Reach new clients: counselors who offer services virtually can expand their reach to new clients across Texas and reach into some new communities in the surrounding areas.
Customize care: leveraging a virtual platform, Foundations Counseling is able to turn our focus to how care is delivered through appropriately-timed assessments and tracking trends and progress over time.

Benefits From The Patient Perspective

For patients in Texas, access to a mental health services provider can be life-changing especially given the challenging times. While benefits of virtual mental health services differ from patient to patient, they can include: ease, convenience, privacy, access and increased choice and options.

Our temporary Telehealth services allow patients the ability to fit sessions into their current lifestyle, rather than the other way around.

For example, a patient who needs continued therapy and is seeing a Foundations Counseling therapist using the Telehealth methodology is now able to get the support needed, from an individual who is understanding, non-judgmental and knows how to talk to the patient — since the patient is basically homebound. Having consistent access to this kind of professional support has reduced a patient’s stress and anxiety levels, and given them a sense of calm.

While Telehealth alone cannot fix all the challenges that exist today when it comes to comprehensive access to quality mental health services, it does give us a temporary solution in getting to one step closer. By bridging the gap between a Foundations Counseling therapists and patients — and removing barriers to things like location, transportation and convenience — we can focus on addressing the obstacles that continue to stand in the way of achieving treatment during challenging times related to the Coronavirus.

Foundations Counseling Telehealth Services Saves Times and Increases Access

Our temporary solution using Telehealth puts the Foundations Counseling teams mental health services within reach of men, women, and children who live in rural or remote areas. We continue to serve all patients located in McKinney, Dallas, Plano, Denton, Allen, Dallas Fort Worth, and Garland Texas.

Lastly, with clinical mental health counselors now serving clients over long distances through videoconferencing, travel time can involve just the seconds it takes to walk to one’s laptop. Our innovative counseling model eliminates a client’s need for transportation, and any travel-related costs.

If you are a current patient or know someone who is having a challenging time during the current situation, please contact our highly skilled and professional team of therapists at Foundations Counseling today!

April 6, 2020

Depression and the Economy

By Doug | Depression | No Comments

Depression and the economy; not knowing is an uncomfortable experience. As human beings, we are naturally curious. We seek to understand, predict and control as much as we possibly can. The feeling of having some sort of control in our lives helps us learn and it keeps us safe. Uncertainty can feel dangerous because we cannot predict with complete confidence what will happen. As a result, both our hearts and minds may race.

While it is quite natural to experience uncertainty as uncomfortable, for many people it is seemingly unbearable. Seasoned professional therapists and counselors will suggest that finding it difficult to cope with the experience of not knowing could seriously affect our mental health – occurring alongside a number of conditions.

But does uncertainty, or economic uncertainty, play any part in causing depression? Depression and the economy can go hand-in-hand with mental health problems while learning how to cope.

It’s easy to see how the concept of uncertainty is linked to mental health. If uncertainty can feel dangerous, then it might feed our worry and anxiety. What’s more, if getting rid of that feeling of uncertainty feels essential, then the compulsion to wash our hands again and again to make sure they are clean and safe might also feel essential. If this condition of controlling things around you, it can trigger Obsessive Compulsive Disorder, for example.

And if we ultimately feel unable to cope with the change and unpredictability life throws at us, then it’s understandable that we are at risk of feeling defeated and depressed.

The Struggle with Uncertainty

The struggle with uncertainty does help us to understand depression. Some evidence suggests that we may find that our mood is more negative when we feel less able to cope with the unknown. But low mood is only part of the experience of depression, so fuller sessions are needed with a counselor to determine a variety of factors.

Understanding what underpins mental health difficulties is important because it can help us understand how to provide better support for the many of us who have these experiences. Mental health difficulties are more common in times of economic uncertainty, or uncertainty in one’s life in general. In fact, they often occur together including depression and the economy.

For example, the human process of thinking repeatedly and unhelpfully about our economic concerns or other worrisome aspects of our lives may lead to both anxiety and depression.

Another example of economic uncertainty is falling below the line of poverty. Poverty increases the risk of mental health problems and can be both a causal factor and a consequence of mental ill health. Mental health is shaped by the wide-ranging characteristics (including inequalities) of the social, economic and physical environments

in which people live. Successfully supporting the mental health and wellbeing of people living in poverty, or in times of economic uncertainty, and by reducing the number of people with mental health problems experiencing poverty, typically require engagement with a therapist.

Coping with Job Loss

Losing your job can be one of the most painful and traumatic events that you will ever have to endure. Depression and the economy, or economic situation, can affect every aspect of your life, from your interpersonal relationships to your sleep patterns. It can cause feelings of anger, inadequacy, fear, shame, failure, isolation, and embarrassment, to name just a few.

In fact, if you remain unemployed for an extended period, a situational depression may ensue. Job loss is one of the most life-changing experiences one ever faces. Its negative impact on individuals is exceeded only by the loss of a loved one or a family breakup.

Many professionals feel that other than the death of a child or going through a divorce, job loss is probably the single most terrible event of a lifetime.

What makes job loss so traumatic is the shattering blow that it delivers to the self-esteem. When you are let go from a position, for whatever reason, the underlying or subliminal message you may receive is, “I’m a failure. I am just not good enough. No matter what the economic times, if I were any good they would have kept me.”

Isolation and Counterproductive Behavior

Sudden job loss and economic uncertainty tends to have an isolating effect. When people undergo divorce or other painful experiences, they tend to share with those whom they trust. They talk it out with business associates, friends, and family.Consequently, there will always be people to comfort them and offer them advice.

Conversely, when people lose a job or feel like the economy may have a negative impact on their own lives, the last thing in the world that most people want to do is tell others what has happened, fearing that others will perceive them as failures or “exaggerating.”

In uncertain times or when dealing with job loss, many people will withdraw into a self-induced “code of silence” and wind up isolating themselves from the very people who are highly motivated to help. Unfortunately, this tendency to retreat behind self-created walls and limit social interaction is counterproductive to a job search or positive outlook that things will pass over time.

Minimize Stress When You’re Angry

Once reality sinks in that there is uncertainty, it’s natural to feel angry about losing your job or the economic situation. You might be mad at your employer, your former coworkers, the economy, or yourself. You might be mad at anyone and everyone around you.

It is always best to surround yourself with family and friends who understand your challenge. Perhaps seeking out professional counseling or guidance from your minister. There are also many community support groups available. Seek them out and participate in therapy if your anger turns to depression. In fact, you may not recognize the signs at first. As your outward anger subsides, you can start to move into the next stage.

Financial strain can make things worse, so avoid any rash money decisions that might stress you out later. For example, you probably don’t want to borrow from a retirement account or ignore your creditors during unemployment or a financial crisis, and you definitely want to avoid debt traps. These all have consequences that can add to your stress and fuel your anger or trigger depression.

If you or a loved one are having challenges confronting economic uncertainty, we highly encourage you to please reach out to Foundations Counseling today.

April 2, 2020

Learning to Structure Your Children’s Time During School Closures

By Doug | Uncategorized | No Comments

It is known that professional therapists and counselors express considerable worry over risks with families locked up 24/7 together for an indefinite period. Parents may be joking on social media about their childcare experiences as more and more states go into lockdown with the Coronavirus. Learning to structure your children’s time is essential during school closures.

Being locked down gives us the chance to spend lots and lots of time with our children which can be a wonderful thing. But when we have to work from home and we are all stuck together in a small space, tensions can escalate.

Your child’s school has canceled in-person classes due to the Coronavirus outbreak, and you are worried about an academic freefall or a home-schooling free-for-all where you end up playing the homework police all day, every day — while also working from home?

Regardless of the situation, this is a great opportunity for parents to learn how to structure their children’s time when school is out. For example, wearing pajamas signals to children that their day hasn’t started or that they are on vacation.

Structuring a Routine While at Home

Kids of all ages, and adults too for that matter, perform best with structure. When they know what to expect, they can adjust better and more successfully moderate their mood and behavior.

Maintain a consistent bedtime.

When kids say, “But there’s no school tomorrow!” reply with “Yes, but your brain and body are still growing, and tomorrow you will learn something new.”

Maintain a consistent wake-up time.

While you may not need to drag your teen out of bed to look bleary-eyed at a geometry workbook at 6am, and studies have shown that teenagers do not perform best early in the morning, continue to create and maintain a daily routine. Have your child get dressed, eat breakfast, brush their teeth, and do any typical “before school” chores or activities.

Maintain consistent meal times.

Your school-aged child can likely tell you exactly when lunch is, and their body and brain will function best if they’re kept on that schedule.

Set a reasonable schedule that mimics the school day.

Many schools are providing materials or Internet resources for children. Structure your child’s day to include focused time on subjects, such as scheduling math from 9–9:40am. Model good behavior by focusing on your own quiet tasks at the same time. Separate work times depending on their age, as if they were at school such as a “recess.”

Each day does not have to be identical.

Learning to structure your children’s time usually requires remembering that your child is used to special days like gym, art or music. Gym can mean playing leap frog. Art can mean building a fort for action figures out of a cereal box. Music can be playing a favorite song with a soup pot and spoon for“accompaniment.”

Sample Schedule:

By 9 am: Out of bed, eat breakfast, get dressed, brush teeth/hair, make bed, complete other routine “before school” chores
9–9:45am: Set out expectations for day. Morning physical activity such as walk outside, stretching or dance party inside.
9:45–10:45am: Focused academic time
10:45–11am: Transition break: Quick game of tag, Simon Says, Frisbee, walk the dog
11am–12pm: Creative time: Build, draw, paint, create
12–12:30pm: Lunch time
12:30–1:30pm: Quiet fun time (no electronics). Look at books, color, build with Legos, dress up dolls, paint toenails.
1:30–2:30pm: Focused academic time
2:30–2:45pm: Break
2:45–3:45pm: Focused academic time
3:45–4:15pm: Clean up all activities
4:15–5:15pm: Outdoor play time: Bike ride, climb a tree, walk around the block.
5:15–6:15pm: Dinner preparation, eating, and clean up
6:15–9pm: TV time, baths or showers, plan for next day
9pm: Bedtime

Alternative Activities Should be Fun!

The best breaks involve movement and exercise! Get up, move around, go outside, have a snack, toss a ball, make a paper airplane, fold the laundry, have a pillow fight. Remember that your child is used to structured activity at school with social interaction.

Learning to structure your children’s time may not be the time to tell your child “go play outside” without providing some suggested activity. Plant seeds (indoors or out) and mark the progress daily in a journal. Take the break with your child; you will find that your focused work time is more productive, too. Make sure “break” isn’t your child trading one screen on a tablet, computer, or iPad for another.

Be sure to limit “screen time” and technology to reasonable sessions. If you are unsure about age vs. screen time, make sure to discuss this theme with a counselor.

Create celebrations or events to look forward to!

All of us are disappointed by the cancellation of fun upcoming events, from school band concerts to birthday parties to major vacations. Yes, many children love to attend school and would “opt in” to weekend classes.

So, create excitement and anticipation by planning fun events at home. The planning of and preparation for an event is often more fun than the actual event. These events need not be elaborate or cost a lot of money.

For example, have a costume party.Get out old Halloween costumes or other dress-up supplies and have a fashion show. You can even invite another family over FaceTime or similar platforms.

Another fun example may be to declare next Friday “polite night” and get out your best entertaining supplies, wear your fanciest clothes and use excellent manners. The next week, have Pirate Night or ‘80s Night and dress accordingly.

When you have a good idea, share with other friends and family so they can try it at their own home.

Parents! Remind yourself to take a time out.

If you feel overwhelmed, stressed, tired, hungry, or are reaching your limit in some way, remove yourself from the situation. Assure that your child is safe, then take a few moments to yourself to calm down. Take a shower. Walk outside. Vacuum. Lie on your bed in the dark. Call a friend. Watch a silly video. Recharge, forgive yourself, wash your hands and start again.

The sense of complete chaos is more anxiety-provoking for kids than having a schedule.

Support tips and suggestions from a counselor will be enlightening.

Learning to structure your children’s time requires a plan and a schedule that can help reduce conflict for school-age kids who might have academic work to do during school closures. It’s easier to get buy-in from kids to do a worksheet or reading or writing time if they know what to expect, rather than surprising them with a request to do homework when they were settling in with a video game or TV.

If you are a parent and need additional support, someone to speak with for suggestions, or feel overwhelmed, please contact Foundations Counseling today! We are here to help parents throughout a myriad of communities in Texas!