Tis the season to be…exhausted???

It’s supposed to be the most wonderful time of the year.  The holidays bring us special opportunities to come together with our loved ones and create precious memories together.  But with the hustle and bustle of the holidays, we can quickly become overwhelmed with the many festivities and commitments the season brings. With a bit of self-care however, you can enjoy the holiday season without overextending yourself!
Remember to rest!
Many times we commit to attend many if not all the holiday events we are invited to.  Suddenly, what should be a joyous time, can feel more like a burden.  You may find it helpful to schedule in some “down” time in between the parties and festivities.  Take this time to rejuvenate yourself.  A few great ways to refuel may include taking a brisk walk, journaling, do stretching exercises, take a power nap, or watch your favorite holiday movie. 
Cheers to your health!
The holidays are traditionally a time of gathering with those we love to share in the spirit of the season. These gatherings aren't complete without endless supplies of baked gooey goods, delectable desserts, and comfort casseroles!  Before you know it, you’re having pecan pie for breakfast and an array of cookies for dinner!  Don’t worry, it’s not too late to find a balance.  Instead of candy, perhaps grab a handful of almonds for a quick protein snack.  Enjoy the scrumptious holiday meals while being mindful of portion control. And burn off some of those extra calories with a walk around the neighborhood with those you love.
Mindfulness Matters!
This special time of year does not come without its share of stress and perhaps a bit of tension.  Using these few easy tips can ensure you will maintain your mental health during the holidays.  Deep breathing exercises are a wonderful way to reduce stress, lower blood pressure, increase blood flow, and release toxins from the body.  Remember to “smell the roses” and “blow out the candles” to ensure your breathing is deep and meaningful! 
Pick and Choose!
Avoiding conflict will also aid in reducing stress and lowering any anxiety.  If problems arise, be mindful to collaborate together, rather than attacking one another. Use effective listening skills, and stay solution- focused.  By acknowledging your feelings, setting healthy boundaries, and expressing your needs and desires effectively, your holidays with loved ones can be both enjoyable and meaningful.
Loneliness and Depression?
Lastly, the holidays can often bring up emotions surrounding feelings of loneliness and loss.  One way to feel connected during the holiday season is to volunteer to serve those in your community.  You may enjoy serving others at a holiday luncheon, or pass out gifts to those in need.  Studies show that giving back to others reduces stress, decreases risk of depression, improves your self-esteem, and improves mood! 

From our hearts to yours, have a bless holiday season. May you show yourself kindness and compassion as you create precious memories to last a lifetime.

What the Mind/Body connection teaches us about relationships?

By Terry Richardson MSW LCSW

Mental Health and Relationship Counselor


Feel Better Live Better- What the Mind/Body connection teaches us about relationships?

Of the most important things we need to know about life, having healthy relationships is foremost. So where do we learn this vital information? It’s easy to identify relationships that aren’t working, a short read of the newspaper, fifteen minutes of the evening news broadcast or just standing in line at the grocery store reveals the difficult and sometimes tragic results of a relationship gone wrong. So what does a healthy relationship have? From my perspective, each of us, in our mind/body existence, are given a natural example of the potentially perfect relationship.

The essential elements of all healthy relationships are balance, contrast and complementarity. Effective application of these elements give us tools to interact with family, friends and coworkers, and how we treat ourselves.

In order to illustrate the mind/body relationship think for a moment about your body as a vehicle and your mind as the driver. The next time you get into your car, consider the relationship you have established with it because of the cooperative and collaborative agreement you have with it, you accomplish your purpose of being transported from point “A” to point “B”, and whether it’s in a Lamborghini or a Ford, the results are the same. The mind/body relationship your “self” is the journey you are on and the people in your life are passengers for the trip. Are you having fun yet?


What is balance? One physical definition is “the equalization of forces.” In other works, neither the body or mind dominates or assumes complete control. If you’ve ever experienced a stuck gas pedal wildly accelerating, had to push a car you’ve failed to fuel, or the frustration of an exhaustingly long trip, and in spite of “cruise control” your hands on the wheel – literally in “co-operation.” In a healthy relationship sharing responsibility is more productive than dominance or control.


Night and day, sweet and sour, sharp and dull, old and young. Contrast is what helps us examine and experience one thing by knowing its counterpart. Though not always an opposite, contrast is an inescapable acknowledge of the other side of the coin, the “flip side” of what is known versus the unknown. Contrast helps us get clarity about our own identity by providing a framework of reference that makes us distinct from our surroundings. A healthy relationship creates a backdrop in our experience of life so that we might more clearly define and know who we are.


I would be ludicrous to get behind the driver’s seat and just sit there, waiting for the trip to start. Why? It is the interaction of all of the components involved that makes the difference. Complementarity is the harmonic blending of balance and contrast into action. It is the reason that apparently impossible things can happen – the reason you can” drive” to St. Louis in 5 hours. When we focus on complementarity in our relationships, conflicts created by power struggles and insecurities created by differences, dissolve. In a healthy relationship strengths and differences are assets that make the sum greater than its parts.

In my work as a psychotherapist, I often remind couples or individuals I am working with, that most people know more about maintaining a car that a relationship. That is primarily because we too often accept relationships as a “given” part of life, whereas a car is something we work for, and need to know how to take care of. Our learning about relationships “just happens’ through observation and experience (primarily trial and error) and when we do ask for advice we generally don’t consult the experts.

The next time you find yourself unhappily stuck by the side of the road, the mind/body owner’s manual of relationships might be the first place to look.

Can Stress Be Fatal?


Audrey A. Adams LCSW

We’ve all heard the saying, “stress can kill you.” Is that true? Well, as a matter of fact, YES it is! The human body is designed to experience stress and react to it. Stress can be positive, keeping you alert and ready to avoid danger. Stress becomes negative when a person faces continuous challenges without relief or relaxation between challenges. As a result, the person becomes overworked, and stress-related tension builds. A Health and Safety Executive states around 9.9 million working days are lost each year to stress, depression, or anxiety. But recognizing stress symptoms may be harder than you think. Most of us are so used to being stressed; we often don’t know we are stressed until we are at the breaking point.

Common symptoms of stress are headache, muscle tension, chest pain, fatigue, stomach upset, excessive worry, and sleep problems. Stress symptoms can affect your body, your thoughts and feelings, and your behavior. Being able to recognize common stress symptoms can give you a jump on managing them. Stress that’s left unchecked can contribute to many health problems, such as high blood pressure, heart disease, obesity and diabetes. Besides these very serious health problems, stress that’s left unchecked can manifest itself in anger, resentment, depression, and anxiety. Stress can interfere with your judgment and cause you to make bad decisions, make you see difficult situations as threatening reducing your enjoyment and making you feel bad, making you feel rejected, unable to laugh, afraid of free time, unable to work, and not willing to process your problems with others. A lot of people turn to drugs and alcohol for immediate relief, but drugs and alcohol quickly turn into more stressors, problems, addictions, and health problems of their own.

In the world we live in today, we not only are concerned with our own personal issues, family problems, employment situations, finances, etc. But, we are bombarded with daily news about extremely scary and violent behavior from thousands of miles away to right in our own backyards. One thing that is in our control is making sure we make time for self-care. Your first thought to hearing that was probably, “I don’t have time,” or “I wish!” But think of this, if you don’t find time to do things for yourself, then who will? No one. As adults it is our job to take care of ourselves the best we can or we may not be around as long as we had hoped.

While most of us would likely prefer to take a cruise, rent a cabin in the woods, or go the beach, it is important to remember when it comes to stress, a little bit really does go a long way. The 10 minutes it takes to drive through Starbucks to buy your $6.00 morning coffee, the 30 minutes spent wandering around the grocery store because you’re not sure what you want, or the extra 15 minutes on the phone talking to someone you don’t even really want to speak with can produce stress. Those precious few minutes add up. Taking small chunks of time for yourself can make a profound difference. You deserve to be as stress free as possible. You have to pick your battles. Is what you are stressing about today going to matter this time next year? Is what you are stressing about today something you can control? Putting yourself first is not selfish. Take a walk, talk to someone you trust, take a bubble bath, go fishing, read a book, get a massage, color, dance, watch a comedy that made you laugh 20 years ago, have a picnic by the creek, fly a kite, leave your phone in the other room, look at old pictures, go barefoot in the back yard, try wood carving… The point is just do something…..but do it for YOU!


Why does the Mind/Body connection really matter?

By Terry Richardson, MSW LCSW

Mental Health and Relationship Counselor


Feel Better Live Better- Why does the Mind/Body connection really matter?


Worried about being worried sick? Is laughter really the best medicine? Your body may know you’re depressed before you do and doing its best to get your attention. There is growing evidence, supported by research, indicating your mental state really influences your body’s ability to protect and heal itself! In fact, your state of mind could be the best tool you have when defending yourself against illness and maximizing treatment of cancer, heart disease, digestive disorders, diabetes and aging. All of your natural defenses are compromised in response to stress (primarily mental).

Most people have at least heard the term “psychosomatic” which quite literally means “mind/body”. Unfortunately, this term was and is commonly misused when someone is thought to have imagined an illness and can then produce symptoms. In confusion, we generally label and dismiss what could be more accurately described as “hypochondria” and have overlooked the power of the psychosomatic process itself. As Woody Allen said “I’m not a hypochondriac, I’m an alarmist”. Ironically, even this rather negative misunderstanding of psychosomatic also confirms the acceptance of the ability of one’s mind to influence a physical condition. Now, scientific research is validating that possibility: we could use the power of the mind (i.e., thinking) to create optimal conditions for becoming and remaining well.

What makes the mind/body perspective worth reconsidering at this juncture? It is the transition which has been occurring, from the realm of “fuzzy logic”, “magical beliefs” and “spiritual eccentricity”, to the realm of solid measurable data. Consider the placebo and nocebo effect. What are the “placebo effect” and the “nocebo effect”? In the simplest terms, it’s the “sugar pill” effect. It’s the uncanny result that is obtained from a substance, or sometimes a behavior, when none of the “treatment” properties are present to create the desired change, and yet, benefit is derived. The nocebo effect accounts for adopting the “belief” that a substance (or change) won’t work, and it doesn’t! The placebo/nocebo effects are so powerful in fact, that all research conducted must allow for the possibility of these effects in their research data. If science is nothing else, it is the domain of measurability, and its primary mantra is “if it cannot be measured, we cannot know it exists”, therefore, thoughts, emotions, feelings, mind and spirit had been relegated into the arena of unscientific observations. Today however, we live in a world of electron microscopes, functional magnetic resonance imaging, and the previously immeasurable can now be measured, observed and replicated.

Mind/Body interaction had been observed and documented by Hans Selye in his work on stress as early as 1946 and the “General Adaptation Syndrome” became popularly known as the Fight-Flight- Freeze response. Of special note regarding mind/body relevance, the stress experience creating the cascade of measurable physiological responses could be triggered consistently, regardless of the threat being real, imagined or perceived (through a mental interpretation) of danger. The body reacts to stimulus by activating the hypothalamic pituitary adrenal (HPA) axis. Researchers believe that prolonged exposure to stress (real or imagined) results in suppression of the immune system, wear and tear of several body systems, placing the individual at higher risk of dis-ease. This was the advent of the earliest biofeedback strategies.

Pioneers in the field of mind/body research have expanded on Selye’s work. Researchers and practitioners have emerged from a broad array of disciplines, including cellular biology, neuroimmunology, psychotherapy and spirituality, representing the specific focus of their disciplines, be it mind or body. The unifying premise of these disciplines is an acknowledgement of the fallacy or artificial separation of mind/body interaction.

These individuals have united under a variety of identifying umbrella labels usually incorporating the terms “Holistic or Wholistic”, “Mind/Body” or “Complementary Alternative” Medicine.

So, with an acceptance of the inter-relatedness of the mind/body concept and the availability of sophisticated equipment, it has become possible to identify and measure methods to enhance mind/body interaction. The implications for psychotherapy are obvious and substantiate the value of “talk therapy” as a viable treatment alternative for mental and physical health. The mind/body perspective includes approaches of prevention that are proactive, health maintaining, healing, and driven by the individual. Today, rather than viewing the dis-ease “treatment” as a response, directed toward a passive recipient, we can engage the whole person on a mind/body journey toward wellness. Be well!

3 Common Mental Health Myths

Myth #1:  I am the only person having mental health or emotional problems.
Mental illness affects an average of about one in four adults in the United States(1), in total that means that about 57.7 million people in our country are affected by mental illness(2). Although you may feel like you are the only person you know struggling to cope with mental health issues of some kind, it is important to know that you are not alone.

Myth #2:  Addiction, substance abuse, and/or mental health issues are all my fault and make me a bad person.
There are multiple factors that affect the complex process of addiction, substance abuse, and mental health issues. Some of the factors include stress in your personal life, a diagnosed mental illness, lifestyle changes, difficulty in your family or relationships, or even habits of the individual. None of these factors are your fault or define you as a “good” or “bad” person.

Myth #3:  Mental illness or substance abuse only affects people of low socioeconomic status or people with a “bad childhood”.
Again, there are several factors that contribute to the cause of mental illness, but the childhood you had, job you have currently, or the money you make are not directly the cause of your mental health or substance abuse troubles. Mental illness does not discriminate and is not exclusive to any stereotypical group of people.

Erika McCaghren


(1) Kessler, R.C., Chiu, W.T., Demler, O. & Walters, E.E. (June 2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62(6), pgs. 617-627.
(2) U.S. Census Bureau Population Estimates by Demographic Characteristics. (June 2005). Table 2: “Annual Estimates of the Population by Selected Age Groups and Sex for the United States”: April 1, 2000 to July 1, 2004 (NC-EST2004-02)

Have the Courage to be Your True Self

“Loving ourselves through the process of owning our own story is the bravest thing we will ever do.”

-Brene Brown

Vulnerability is scary.  It is so often avoided.  It means to show the parts of ourselves that we are afraid aren’t “good enough”.  But you know what?  Everyone has the same fear of not being good enough.  When we are held hostage by that fear, we miss out on our true happiness.  You live a life that you think others want you to live.

No one is perfect.  Perfectionism is a cruel joke.  Perfectionism makes us wake up every day feeling like we failed yesterday.  There is no joy in that life.  Dare to practice loving yourself for who you really are.

For more on this, watch this clip of Dr. Brene Brown on Oprah’s Super Soul Sunday:

or the full  TED talk:

Rachael Nachtigal, LPC

3 Common Therapy Myths

Myth #1:  Counselors only want to give me medication.
Due to state and federal guidelines, counselors are not able to write prescriptions for medication. Counselors operate as a profession by using a variety of techniques within the client-counselor relationship to promote and explore personal growth and development with the client.

Myth #2:  If I attend therapy, everyone will know about my problems.
The relationship between the client and the counselor is protected by legal confidentiality. Counselors seek to provide an environment of safety and calm to work through even the toughest of personal issues. At Pinnacle Counseling, we go above and beyond o ensure that our clients’ information, treatment, and medical records are kept completely private and handled with the utmost discretion.

Myth #3:  The cost of therapy is too high. I would never be able to afford it.
While the cost of therapy and treatment is an expense in itself, there are tools that you can use when deciding how to pay for the cost of your treatment. One option is insurance, depending on your insurance company and the type of coverage offered for mental health treatment. Another option could be a plan that you work out with your counselor for self-payment of therapy costs. It is vital that the lines of communication between the client and the counselor always be open and honest when discussing treatment and the same is true for therapy costs.

Whatever your concerns are, at Pinnacle Counseling we are ready to listen and help you take that first step in the process of recovery or a healthier lifestyle.


Erika McCaghren

Did You Know…

Did you know…that there are more than one type of Attention Deficit Hyperactivity Disorder? In fact, ADHD can be predominately hyper-active impulsive, predominantly inattentive, or a combination of both. Often times, when we think of individuals with ADHD, we assume they will be hyperactive, jumping from one activity to the next. Although this behavior is common for individuals with predominately hyper-active impulsive ADHD, others with predominantly inattentive ADHD may behave quite differently.

Predominantly inattentive ADHD manifests itself in an inability to sustain attention, excessive daydreaming, and making careless mistakes. This type of ADHD is typically underdiagnosed, and appears in girls more than boys. Little boys who talk excessively, constantly fidget, and often run or climb inappropriately, are more likely to receive an ADHD diagnosis. Little girls who daydream frequently and get distracted easily tend to go under the radar.

ADHD can be very debilitating for a child who receives no assistance. If unidentified and untreated, it can have drastic effects on a child’s academic and interpersonal endeavors. Because predominantly inattentive ADHD is harder to spot, many women go their whole lives without ever being diagnosed. Untreated ADHD in women typically causes anxiety and depression, as well as difficulty in school and the workplace.

If you suspect that you or your child suffer from any type of ADHD, do not hesitate to consult a medical or mental health professional about getting assessed. Play therapy and behavioral therapy can go a long way in making family, school, and work life a more manageable and pleasant experience for individuals with ADHD. At Pinnacle Counseling, we have trained professionals who can administer the assessments you need in order to receive treatment. To learn more about how we could help you, please see additional information on our website about our counselors and the services they provide.

Fear or Anxiety?

Anxiety can be confused with fear. Fear is a response to a very real and concrete danger that makes you want to pull away from or escape, because it could be a threat to your physical or emotional safety. The fear response can affect both the physiology of the body and the chemical balance of the brain. Anxiety is a generalized sense of dread about something that seems menacing but actually may not be menacing or may not even be out there. Feeling anxious may make it difficult for you to talk yourself out of this foreboding and you become trapped in an endless loop of “what ifs”. Anxiety can produce feelings of worry, stress, stomach butterflies, and other manifestations of anxiety. While this emotional and physical discomfort can be worrisome, anxiety can often be a valuable signal that “trouble is brewing” and signals you to pay attention to be a problem that needs to be addressed. If you feel your anxiety is getting in the way of daily functioning, seek professional help as there are many effective treatments to reduce, manage, or eliminate anxiety.