Choosing the Right Therapist

Counseling or psychotherapy for anxiety, depression, substance abuse, or relationships can be a very life changing, if not life saving, process. It is so important to find the best match for your needs. For many, this is a new experience or at least new in this current situation or location.

Making an inquiry for services and reaching out for help requires enormous trust. It involves uncertainty. Although finding a great match for your needs can be overwhelming, you can minimize the uncertainty. It is important to ask questions and express your hopes and expectations beginning with the first contact and throughout the process. Your questions may include queries about the counselor’s experience, specialties, flexibility, and availability of appointment times. We encourage you to ask how privacy and confidentiality are protected.

The following is a checklist of considerations that could help you determine whether a clinic and therapist/counselor is a right fit for you. An excellent clinic such as Pinnacle Counseling is able to have high ratings in most, if not all, categories.

Using the Scale 1-5  (with 1-Poor, 3-Average and  5-Excellent) rate the clinics and counselor/therapist you visit:

1. The convenience of the location of the office.

2. The availability of appointment times.

3. The comfort/atmosphere of the office or facility.

4. The competence and knowledge of the therapist.

5. The quality of care and services.

6. The thoroughness of the initial evaluation and treatment.

7. The amount of help you received.

8. Your degree of improvement from the time of the initial visit.

9. The degree to which you were helped to deal more effectively with you problems.

10. The improvement in how you feel compared to the initial visit.

11. Your overall satisfaction with the treatment.

12. The value of the treatment, considering the cost.

13 The response time from your first contact to the initial appointment.

14. The adequacy of explanation of procedures, fees, treatment, etc.

15. The friendliness/courtesy of your therapist.

16. The attention and respect to privacy you received.

17. The personal interest in you and your problems.

18. The attention given to what you had to say.

19. Your comfort in referring a friend or relative.

20. Your comfort in returning if you needed help again.

Sharon Nelson, LCSW

Mental Health and Relationship Counselor- Feel Better, Live Better

What the Mind/Body connection teaches us about relationships?

By Terry Richardson MSW LCSW

Mental Health and Relationship Counselor

PinnacleCounselingNWA.com

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?

Balance

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.

Contrast

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.

Complementarity

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.

Why does the Mind/Body connection really matter?

By Terry Richardson, MSW LCSW

Mental Health and Relationship Counselor

PinnacleCounselingNWA.com

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!

Feel Better Live Better: Experiential Therapy: What is it and Why use it?

Let’s start by saying WOW! That’s truly what Experiential Therapy is; it’s the WOW in therapy. In the therapeutic experience, the therapist’s goal is to move clients in the direction of self-awareness and understanding. We begin this process by developing a “therapeutic relationship” built on trust to gain a better understanding of how/what may be the most beneficial learning experience for you, the client. Experiential Therapy allows you to learn with your “whole-self” (mind, body, and spirit) in ways that nurture all aspects of the “self”. Experiential Therapy allows you to gain a true understanding of what “self” needs by experiencing emotions first hand, through doing. What I Hear – I Forget; What I See – I Remember; What I do – I

Experiential Therapy is a pathway to truly understanding the needs of the “whole-self”.

Experiential Therapy is “doing” to understand my “needs”. By experiencing your needs through doing, you reflect on and understand your needs first hand with your whole-self. You gain an understanding of your innermost needs by walking through your needs with a trusted therapist. You may cognitively “know” what you need to be emotionally healthy, but until you truly “understand” your “whole needs” you can’t fully experience the freedom that comes with consciously knowing and wholly understanding.

Experiential Therapy attempts to bridge consciously knowing and wholly understanding through exercises designed to tap into mind/body/spirit. While this may sound difficult and uncomfortable, it may be the easiest way you’ll ever experience the tough stuff. Experiential Therapists attempt to ease you into the freedom that comes with

Knowledge – you may have once believed unthinkable
Feeling – you may have believed intolerable
Acceptance – you may have believed unacceptable

Experiential Therapy is a shared experience – shared between you and your therapist. Through the exchange of knowledge/understanding, feeling, and acceptance there is a very special connection made between you and your therapist which allows trust and vulnerability. This connection invites your therapist to feel strong and you to feel safe. The two of you will walk through your experiences emotionally, physically, and spiritually connected which strengthens the alliance and stimulates growth exponentially. It allows freedom from things that have kept you trapped in fear, loneliness, anger, hate, bitterness, revenge, guilt, and shame.

Experiential Therapy works best when words are lost; it helps us be still and listen. It helps connect all sides of the issue; especially those most uncomfortable, there is little left untouched in this experience. As iron sharpens iron so is the experience of healing the whole-self. It’s a liberation of self through the expression of whole-self.

Written by Tammy Kennedy, LPC

Pinnacle Counseling- Mental Health and Relationship Counselor

FAMILIES, COMMUNICATION AND TECHNOLOGY: DANGERS AND CHALLENGES

Family communication has been forever changed with technology, in both positive and negative ways. Previously, I shared ideas on how to use the technology already in your daily lives to increase and improve communication in your family. This article focuses more on some danger zones and challenges parents are faced with through our children’s access to technology.

Readily available information 24/7 online: This can be a very positive thing if a school report is due tomorrow morning and it is 8:45 pm. However, it can also be dangerous at times. Kid have ready access to lots of information, such as depression symptoms, but when searching for depression symptoms or ways to decrease it they are also likely to come across sites discussing suicide and possibly even ways to commit suicide. Some of the teens I have worked with have regular conversations with other teens across the country who they have never met in person to discuss their depression. If one of the internet friends decides suicide is their best option this could negatively impact your child or lead them in that direction also. If you have no idea what sites your children or teens are accessing, this could be a discussion you want to have to avoid future problems or surprises. On a positive note, you will probably also learn of some interesting websites you might also enjoy on hobbies or interests your child is engaged in.

Increased intimacy of relationships: Teen romantic relationships are getting significantly more intense and intimate than in the past due to technology. If a teenage girl or boy is constantly in contact with their boyfriend/girlfriend all day and all night they feel they know that person well very quickly. Some teens actually use certain apps such as Skype or Facetime to “sleep together.” They fall asleep and wake up with each other and this can quickly lead to sexual intimacy which they wouldn’t jump into as quickly if they only talked to each other at school and after school events. Controlling behavior patterns emerge quickly as well since one partner in the relationship may demand instant response to texts or calls or use these to track where the other person is at all times.

Access to inappropriate material: Everyone is aware that pornography is readily available online. What you may not know is that even kids in elementary school are hearing about this and learn what words to google or what sites to go to through conversations at school or on the bus. I actually worked with a 5th grader who had been watching 5-6 porn videos a day in the afternoons before the parents got home from work. The parents learned of it about 4 months after it started. That is a scary amount of exposure to that type of material. Parents need to be ready to have conversations with your kids about sexual activity and porn earlier than in the past due to this open access to the information online. It is a good idea to randomly ask about conversations at school or on the bus that may have confused or embarrassed them. If you ask them, they will tell you, but be prepared to respond in a calm way with age appropriate answers instead of getting upset or agitated, which they will interpret as getting in trouble. Make sure you have parental controls set to block inappropriate content on any device your child has access to in order to minimize their exposure to these types of websites.

Camera access 24/7: Most parents believe that sexting and inappropriate pictures only happens when kids get to be teenagers. However, on school buses and playgrounds some kids have cell phones and will ask girls to take pictures of themselves in the bathroom or boys will be trying to get pictures under girls’ skirts or dresses with their device. Most of the young teens I have worked with who are coming in after parents learned they are sexting or sending inappropriate pictures have never had a conversation with an adult about that issue. In each situation the parent(s) said “Well, I didn’t think I had to tell her/him not to do that” or “they should have known better.” This leads to huge conflicts and hurt feelings on both sides. If we don’t tell them it is not appropriate and all of their friends seem to think it is normal, why do we think they will know it is wrong? I recommend that parents have discussions with any child who will be independently using a cell phone or device that connects to the internet about appropriate sites; regularly check their history online; and have a technology curfew. The curfew means no phones or devices in the bedrooms after a certain time, usually close to bedtime. For obvious reasons, this is the most common time these types of activities are occurring. (It might be a good idea to implement a technology curfew even in parents’ bedrooms. Think of the increase in communication with your spouse or partner if the phones and iPads were not in the bedroom. Just a thought.)

Perpetrators have ready access to our kids: My daughter is 10 years old and last year during a winter storm I took her to my office since school was closed for the day. She was playing Minecraft online with her cousin and suddenly gasped and said, “I can’t believe he said that to me.” Evidently, when you play Minecraft and have the chat feature turned on, other people online can chat with you. Someone had asked her, “Do you want to have sex?” She was literally 2 feet from me at the time! My niece was totally not surprised and her statement back to my daughter was, “Oh yeah, if you don’t turn off chat they do that all the time.” She was not at all shocked or surprised. I didn’t even know there was a chat feature in Minecraft! Other apps and video games have similar features, such as Xbox online games. Some kids I worked with in the past had gotten in trouble with their parents after gifts started arriving in the mail that were not appropriate and parents’ learned they had given out their address to people they were talking to while playing video games online. If your child is going to have access to these games and apps, you need to be prepared to have a discussion with them about safety, not sharing personal information, and when to seek you out if someone approaches them about inappropriate things such as sex or meeting in person somewhere. It would not be a bad idea to occasionally hang out in the room they are playing in and listen to some of the conversations they are having to make sure they are safe.

Dangerous websites: Some of the websites that teens locally find funny or interesting are treasure troves for sexual perpetrators. Kids go online to look at sexual pictures and content and a lot of them see it as funny or gross rather than inappropriate. I have worked with young teen girls who met people on these websites pretending to be teen boys and asking for inappropriate pictures. This escalates into threats against the girl’s family if they don’t continue the behaviors and follow the offenders directions, only to get into serious trouble with their parents when it is discovered. When the parents have gone to the police to try to press charges on the perpetrator in those instances, they have been told there is no guarantee the girl will not also be charged with distribution of porn so none of the families have moved forward with prosecution because of that. This is emboldening the offenders to reach out even more because there are rarely consequences for them.

In short, technology is advancing quickly and is very useful and make parts of our lives much easier. However, it can also be a dangerous tool in the hands of the wrong people. To protect your kids, you need to be aware of the dangers and prepared to have open conversations with your children about internet safety on a regular basis. There are some programs in the area that go to schools or churches to teach kids about internet safety, such as the Morgan Nick Foundation. Check with your school counselor or google internet safety for kids to find programs to use with your child or just so you can learn the information and then educate your children yourself.

I hope this information is helpful and starts some meaningful discussions in your family that will open communication and keep everyone safely connected to one another at home and online. Please feel free to contact us about an appointment if you learn your child has been involved in some of these activities or even if you just aren’t sure about how to approach the subject with your kids and need some pointers.

By Paula Coleman, LCSW – Pinnacle Counseling NWA
Mental Health and Relationship Counselor

Domestic Violence Against Men

Men tend to be silent about the abuse they suffer because of the perception that the man is able to defend and subdue an attack because of his size, weight, and strength. Men are embarrassed to admit they are living this way and if they do, they receive very little support from the police or the court system. There are very few shelters that accept men and even most women’s shelters will not accept children over the age of 13.

Men who do report physical violence are more likely to be ridiculed by the police and the public. Society has a hard time believing that a woman could physically overcome a man and hurt him but more often than not, she will attack when he is asleep or in some other vulnerable position and with a weapon! Because of a lack of funding and the absence of men reporting their abuse, there has been very little research on domestic violence against men by women. It is the common belief that women only hit when they are trying to defend themselves and that it is much easier for a man to leave the relationship than the woman. It’s not that easy for a man to leave, especially if there are children involved.

Communication While in Conflict

When in the midst of conflict with a friend, family member, or loved one, inability to communicate can cause frustration, anxiety and even depression for everyone involved. Communication is essential to effectively resolving relational conflict, but how can one make sure good communication happens? Here are some questions that might help you as you attempt to communicate during conflict:

1. Are you prepared?
Chances are, during a conflict, you have some words that you want to say to the other person involved. However, in the heat of the moment, you may say things you don’t actually mean and cause more damage to the relationship. Before confronting the individual about an issue, spend time preparing what you might want to say. You may even want to write an outline, if the conflict is complicated and emotionally charged.

2. Is this the right time?
Part of the preparation process involves choosing a good time and place to communicate about the conflict. If your spouse is having a busy day at work or at home, don’t confront them as they are going into a meeting or cleaning up a massive mess made by the kids at home. If possible, agree upon a particular time or place to talk about the issue, when other tasks can be laid aside.

3. Are you focused?
As much as possible, remove all distractions that could hinder effective communication. Turn off the TV, shut the door, put your phone on silent, and focus solely on the person with whom you want to communicate. This will show that you are invested in finding a solution.

4. What is your body language saying?
Your body posture says a lot about your attitude during communication. If you want someone to know that you are listening, look at them while they’re talking, and not somewhere else. Don’t hover over the person angrily, or walk away as they are talking. Try your best to sit calmly and make eye-to-eye contact.

5. Are you using “I” statements?
Instead of saying “You make me feel ________,” say, “When you do this, I feel ________.” The latter shows that you are taking responsibility for your feelings, while still acknowledging the behavior of the other person

6. Are you making global accusations?
When trying to prove a point, it’s easy to say things like “You always ignore me!” or “You are just an irresponsible person!” Work to make more fair evaluations of the individual. You might say, “When you do _____, I feel like you are ignoring me,” or “There are times that you behave irresponsibly.” These types of statements indicate that, while at times the person may behave in ways that are hurtful, there are also times when they do not.

7. Are you showing appreciation?
Lastly, thank the listener for agreeing to speak with you about the conflict, and thank them for listening to you as you communicate. A little appreciation can go a long way in encouraging effective communication!

Kalli Hendren

Newest additions to the Pinnacle Counseling Staff

TorieHeadShot  KalliHeadShot
Pinnacle Counseling would like to formally welcome the newest additions to our staff, Torie Sullivan, a Mental Health and Relationship Counselor, and Kalli Hendren, Administrative Assistant.

We are thrilled to have them join our team! They are featured on the main page of our website (http://pinnaclecounselingnwa.com/pinnacle-counseling) and more about them is located under the “Our Counselors” tab. We look forward to sharing the talents of these incredible women with our clients.

Relationships are like a Garden (part 1)

“Without hard work, nothing grows but weeds”. Quote by Gordon Hinckley
Relationships are like a garden. They need careful tending or they don’t produce the harvest. As a relationship and mental health counselor, it’s been my privilege to walk the most intimate journey of people’s lives with them. Through my learning from others, my study and education along with my personal growth through 37 years of marriage, there are 6 skills I’ve found in common with healthy relationships. In healthy relationships it’s important to:

Build confidence in your partner;
Couples that seem to grow strong find themselves purposely lifting up their partner in private and public. They say sincere compliments and act proud to be their friend. Good practice: try several times a day to surprise your spouse with a special act or word or gesture of appreciation. Begin sentences with I’m thankful for..; I appreciate it that..; I’m excited about…; I was impressed that…; The garden analogy may be the trellis. Without a trellis many plants fall over on themselves and eventually break or stop giving.

Be credible;
Secrets or lies by omission are culprits of healthy relationships. In this era of technology, it’s easy to leave spouses out of the loop and create insecurity. Healthy relationships are open about their electronics, phones, and schedules. Good practice: Ask your spouse what one or two gestures would build trust and credibility. Be proactive about honoring their requests. Garden analogy: It’s more than frustrating to think you are planting corn and instead have melons.

Please check back next week to read part two of our three part series on more ways to “grow” your relationships.
Sharon Nelson, LCSW