Archive for: Mental Health

Did you know Pinnacle Counseling serves children and families?

Pinnacle Counseling offers counseling for children, ages 5-17, and their families.  A therapist with advanced training and experience in working with young people will meet with the child in our play room designed specifically to provide a safe environment for children to express themselves.  Play is believed to be the language of children, when they do not have the vocabulary, insight, or courage to process things verbally.  Through carefully selected toys, games, books, activities, art mediums, and purposeful play children can make sense of their lives, heal, and learn new skills.  Counseling for children can address different types of issues including reaction to stressors such as divorce or loss, traumas of all kinds, problems with family bonding and relationships, anxiety and depression, disruptive behavior, aggression, school problems, and ADHD.

How do you know if your child needs counseling?

Children often react physically and behaviorally to stressors rather than just putting their problems into words.  This could because they don’t have the words or don’t have the insight to understand what is happening inside themselves.  Looks for signs like changes in eating habits, changes in sleeping patterns including having nightmares, regression in behaviors (e.g, potty accidents, thumb sucking, baby talk), crying and tearful episodes, “touchy” and short fused moods, and withdrawing from people and activities they used to enjoy.

What is play therapy? How will it help my child?

Play therapy is a specific type of treatment, based on theory and principles.  It is more than just typical play time, although your child may not realize that.  The trained therapist uses different avenues in the session to help the child express themselves and learn new skills for coping.  The therapist can also discuss with parents themes that come up in the child’s play, indicating areas of concern.  As the child plays out things and engages in activities during session, he or she will get similar benefits to an adult spending an hour talking with a therapist.

If you have further questions or feel our services are needed for your child or family, please let us know! Visit our website at www.pinnaclecounselingNWA.com for contact information.

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Rachael Nachtigal, LPC

Therapist or Counselor: What’s the difference?

Therapists frequently give counsel and counselors frequently provide therapy. Sometimes counselors call themselves therapists and sometimes therapists call themselves counselors. If you are seeking help, it doesn’t matter whether the person you are speaking with is a counselor or a therapist. What matters is whether or not you’ve found someone who can help you. (See a complete list of mental health credentials here: Psychology Today: Therapist Credentials.)

 

The right person, whether they call themselves a counselor, therapist, or psychotherapist, can help you change your life. Finding someone to help in this endeavor is a very important decision. Our advice: shop around. Use the first appointment to see if you’ve found the right person. Don’t move forward unless you’re certain.

 

Here are a couple questions you should take with you into a first appointment:

  • Can this therapist or counselor listen to me and talk to me and understand me in a way that helps me understand myself  more honestly, more truthfully?
  • Does this person have a deep knowledge base in the following areas: behaviors, emotions, self-deceptions, change, spirituality, and meaning?
  • If I had to hear bad news, would I want to hear it from this person?
  • Do I feel that he or she cares about me?
  • Can I trust this person to help me change?

Anger & Depression

A gentle but steady current of anger inwardly directed will result in depression over time. Many people experiencing depression are surprised when mental health professionals question them about anger. Are you angry? Where is your anger? How are you angry? Can you express your anger, share it, verbalize it? Sometime is requires a substantial amount of cognitive, emotional, and spiritual spade work to uncover and expose this well of inwardly-directed anger.

Everyone is familiar with anger that explodes. But anger that seethes can be just as dangerous. Particularly when we are the targets of our own quiet rage.

Welcome to our newest counselor!

Pinnacle Counseling is proud to announce the addition of another skilled counselor to our staff. We are thrilled to announce Reagan Funkhouser, LCSW, as an asset in finding ways to better serve our clients in the future. More information about Reagan is located on our main website (http://www.pinnaclecounselingnwa.com) under the “Our Counselors” tab. We look forward to seeing her talents and skills improve our ability to continue to serve the population of Northwest Arkansas.

Lessons learned from resistance to change

“I need to change” is probably one of the most common issues that bring a person into counseling and frequently the person has a specific idea of what needs to change. However, how change will occur and what needs to be different in order to bring about change can be very challenging for many people. There are numerous reasons why we resist change–fear, anxiety and uncertainty, just to name a few. The counseling process can help one sort through their resistance and discover that in every situation– no matter how unfortunate, painful, hurtful or scary, there is a meaningful lesson that can be learned from the experience. Think what wonderful lessons are waiting to be discovered if you allow yourself to stop resisting and appreciate what your problems and experiences can teach you.

Psychotherapy

The first word of this compound word says it all “psycho”. No one wants to be associated with something that is strange, difficult to handle, and perhaps the worst of all: a scary, new experience. If you were to ask a friend or family member what psychotherapy is, they would most likely say something about paying a lot of money to talk about problems (and that’s putting it nicely). If you were to ask a counselor or therapist, we would describe it as a chance to be heard, without judgment through the ears and eyes of a professional, in the comfort and safety of a confidential session. The talking part might be easy…or hard depending on how you view your problems. If providing a safe place where clients can talk about whatever it is that is troubling them is the job of the counselor, what is your job as a client in psychotherapy? What do you have to know before you even walk through the door? Most first time clients wonder how we expect you to tell everything that you are thinking and feeling after just meeting.

These are common questions that can be answered. A client simply has to make the appointment with a counselor or therapist and come ready for the experience. Okay…that may seem a bit more intimidating than helpful, but it’s the truth. If you are open to the experience of psychotherapy as something completely different and refreshing you are on the road to understanding what it is and how it works. Before you walk through the door, you should know that you are not alone. Every single person you pass on the street has a past, a story, a journey. That road is paved with troubles, hardships, and bumps that throw off your sense of balance as you walk the road. This is where you have to believe that there are trained professionals ready to help and to listen to you. Why would a counselor want to listen to all of the “bumps” along the way in your life? Because we are trained to provide the safe haven for you to explore the inner workings of what is really going on in your life. There is no façade, just a real and honest experience with another person to ensure that you don’t trip on the bumps of life and walk, silent and hurting, through the rest of life.

If you are working through the bumps in your life and decide that the word psychotherapy is not as scary as facing it on your own…that is what we are here for.

 

Erika McCaghren

Anger & Depression

A gentle but steady current of anger inwardly directed will result in depression over time. Many people experiencing depression are surprised when mental health professionals question them about anger. Are you angry? Where is your anger? How are you angry? Can you express your anger, share it, verbalize it? Sometime is requires a substantial amount of cognitive, emotional, and spiritual spade work to uncover and expose this well of inwardly-directed anger.

Everyone is familiar with anger that explodes. But anger that seethes can be just as dangerous. Particularly when we are the targets of our own quiet rage.

What is Post Traumatic Stress Disorder?

PTSD is a treatable anxiety disorder which can develop in individuals who have experienced severe psychological trauma. A diagnosis of post traumatic stress disorder may be the first step toward recovery for individuals still haunted by past experiences. Treatment for PTSD may include  intensive psychotherapy, psychotropic medications, or Eye Movement Desensitization and Reprocessing (EMDR).

The following is a simplified version of the criteria used by a psychiatrist, psychologist, or licensed clinical social worker to diagnose an individual with Post Traumatic Stress Disorder:

A: Exposure (either as victim or witness) to severe psychological trauma:

  • physical abuse
  • sexual abuse
  • domestic violence
  • catastrophic accident (auto, for example)
  • war
B: Intrusive Recollection
  • unbidden distressing recollections: images, thoughts, perceptions
  • recurrent distressing dreams
  • flashbacks
  • psychological distress caused by triggers related to original event (sounds, smells, people, feelings, places, etc.)
C: Hyper Arousal
  • difficulty falling or staying asleep
  • anger and irritability
  • difficulty concentrating
  • feeling consistently on edge
  • exaggerated startle response
D: Duration
  • Symptoms A, B, C experienced for more than one month.
E: Functional Impairment
  • Individuals feels like symptoms are causing serious disruption in personal relationships, professional relationships, and life in general.

Why your summer reading list is a form of bibliotherapy

Bibliotherapy involves using books, stories, and other forms of literature to help “reach” someone in counseling. This type of treatment does not have to include the typical list of self-help books aimed at bettering yourself by looking inward and also does not have to be doing strictly in the counseling office. You can work towards a better understanding of yourself by using your summer reading list as a form of bibliotherapy. The introspection while reading can be conscious, subconscious, direct, or indirect. You do not have to pick up a book with the intent to read, process, understand, and “feel better” immediately after reading. The phases of bibliotherapy are as diverse as the books on your summer reading list. If you pick up the latest in ‘chick lit’ from the New York Times Bestseller list, you will be taken on a romantic, witty, and likely dramatic ride through the trials of being a twenty-something in the wake of dating, job hunting, and balancing life as a young woman. On the other hand, if you choose a young adult Sci-Fi novel, you will fall into a world of the adventure of slaying dragons and finding yourself on a journey to discovering who you are and want to be. No matter what you read and what you try to get out of a book or reading, you can find something unexpected. The bibliotherapy you get comes from the journey you take with the main characters and how you apply it to your own life. This can come in the form of a favorite fantasy story to take your mind off of an 8 hour work day or could help you realize what it is in life that you truly value. Your summer reading list takes you on a quest through the words on a page to a place where you can be yourself and enjoy the story. On the path to enjoying any type of literature, you form the opinions, insights, and learn to embrace the acceptance of yourself and the joy that comes from walking in another character’s shoes, whether they are red ruby slippers or hiking boots stained with blood of a mythical creature.

Erika McCaghren

 

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