If you’re here, congratulations on taking the first step and beginning therapy! Deciding to go to therapy is a major step in overcoming issues like anxiety or depression, healing trauma, getting support to cope with difficult life transitions, managing stress or working on developing healthier relationships. We asked the therapists at the Counseling and Wellness Center of Pittsburgh to share their suggestions for how to get the most out of therapy.
How to Get the Most Out of Therapy
by Counseling and Wellness Center of PittsburghOctober 17, 2022 adult therapy, anxiety therapy pittsburgh, cognitive behavioral therapy, cognitive distortions, coping skills, counseling, counseling for anxiety, counseling for depression, counseling for depression pittsburgh, counseling monroeville, counseling near me, counseling pittsburgh, counseling south hills, counseling wellness, counseling wexford, depression counseling, depression therapy, generalized anxiety disorder therapy pittsburgh, greensburg counseling, how to get the most out of therapy, how to reach your goal, mental health, online counseling, psychotherapist, searching for a therapist in monroeville, searching for a therapist pittsburgh, south hills counseling, stress management, therapist in murrysville, therapists, therapists for depression, therapy for anxiety, therapy in wexford, therapy pittsburgh0 comments
- Be consistent with your appointments. When we go to physical therapy after an injury, it is only by being consistent in our treatment that we get better in a timely way. Mental Health Therapy is the same.
- Have an accurate perspective on the role your counselor has. They are a facilitator, helping you identify goals, steps for reaching these goals, and barriers that may get in the way. The therapist is not there to ‘fix’ you, the work is on your part.
- Timing is important and change happens over time. We may not be ready to address every concern or goal at the same time. As long as we keep working on what is important at the time, we are making progress and moving forward. To get an accurate perspective on your growth, don’t just look ahead at where you are not, look back at where you were and how far you’ve come.
- Put in the work. The therapy hour is once per week. While therapy offers skills, opportunities for discovery and ways to challenge your thought patterns and beliefs, it works best when these tools are applied outside of the therapy office and in between sessions.
- Keep a therapy journal to take notes during your therapy session as well as notes throughout the week to be addressed during your next session. This helps keep treatment productive and makes sure that clients are reminded of things important from their sessions during the week.
- Therapy is about change. Be eager for change in your life. Be willing to challenge yourself.
- Don’t give up if you don’t see results right away. Therapy is a process, and mental health is an ongoing journey.
Ready to Get Started With Therapy?
Call 412-322-2129 to get scheduled with a therapist or fill out the form below.
Cover Photo by Leah Kelley
Journal Photo by Alina Vilchenko
White Woman in Van in Nature Photo and Bike Photo by Alex Azabache
Black Woman Working at Desk Photo by Anna Krasnikova
Cut Down on Stress by Cutting out These Two Words Stop Stressing Yourself Out!
by Counseling and Wellness Center of PittsburghDecember 22, 2020 albert ellis, holidays stress reduction, irrational beliefs, stress, stress management, Uncategorized0 comments
Cut Down on Stress by Cutting out These Two Words
Stop Stressing Yourself Out!
The Holidays are an easy opportunity to let stress bubble over and become full blown anxiety. Stressors are a fact of life, but a majority of the stress we experience is actually a result of the things we tell ourselves. Often, our anxiety is rooted in the unfortunate human tendency to take our hopes, goals and desires and morph them into what are called absolute demands. We take our wants and then mistakenly, and usually without realizing it, turn them into needs. Inevitably, we come up short and the result is a mix of shame, guilt, and anxiety. We fail to meet the rigid demands we place on ourselves, and then we beat ourselves up for not meeting these unrealistic and unachievable standards! The most common way we do this is by using the words “should” and “must.” Without realizing it, you are probably causing yourself a lot of unnecessary anxiety with these absolute should’s and must’s. If you want a stress-free holiday one simple and effective trick is to replace “should,” and “must” with flexible language.
When your thoughts are flexible and rational, you experience positive and negative emotions in a healthy and balanced way. Rigid and inflexible thoughts set unachievable standards, and when these standards aren’t met the result is extreme and dysfunctional emotions. With plenty of things to do, places to be, and relationships to manage, the holidays are a prime time for high standards and rigid beliefs to run wild. How often do you tell yourself you, should, must, have to, or need, to do something? If you find yourself using these words a lot, it might be a sign that you are stressing yourself out! The good news is that you can stop most of your worryin
g by recognizing your irrational beliefs, when we notice that we are making statements that begin with ‘should and must’ we know that we are using irrational beliefs, instead we should alternate those statements by replacing them with flexible and rational thoughts.
Should’s and must’s fall into a category of common mental mistakes that we all make called absolute demands. They are rigid forms of thinking that result in unhealthy negative emotional states like shame, guilt, anxiety and depression. Without realizing it, we take our preferences, hopes, desires, and goals, and turn them into needs. The fact is your wants are not needs. We say things like, “I need the approval of other people.” “I should be more successful.” Or, “I must be perfect in everything I do.” The result of our illogical jump in thinking is that these thoughts are not rationally based. When our thinking is not based on reality, things can quickly get out of hand! If our need’s for approval, success, or perfection are not fulfilled we experience it as a total catastrophe. Our rigid musts lead to extreme, and unhealthy beliefs, overgeneralizations about ourselves, other people, or the world. Everyone will express these must’s and should’s in slightly different ways, but here are some basic examples of what this might look like:
The absolute demand, “I must/should do well,”
Leads to the extreme conclusion “or I am no good.”
The absolute demand, “You must/should treat me well,”
Leads to the extreme conclusion, “If you don’t, you are worthless.”
The absolute demand, “The world must give me what I want, when I want.”
Leads to the extreme conclusion, “If not, it a horrible place.”
If we didn’t create these absolute must’s for ourselves, we wouldn’t experience most of our unhealthy emotional reactions. Other examples of absolute demands are have to’s, ought to’s and need to’s, but the two main forms of absolute demands are our should’s, and must’s. The fact of the matter is that there is no logical reason for these must’s and should’s. They are actually illogical, and the result of rigid and illogical thinking is more rigid and illogical thinking, leaving us in an emotional mess. If you think about the words literally, and from a rational perspective, anything that should be already is. If something must be then literally it already is that way. When we use should and must we don’t always literally mean what we say. The issue is that our brain doesn’t know that, and it reacts to the logic we use, thinking those things like success and approval are needs. We believe what we tell ourselves. The desires for approval and for success are very good and healthy human desires, but they are wants, not needs. The real need’s humans have are food, water, and oxygen, almost everything else is a preference or desire. The result of turning these preferences into should’s and must’s in our self-talk is unhealthy negative emotion, and dysfunctional behavior.
Respond to Your Should’s & Musts
In order to replace your should’s and must’s with flexible beliefs the first thing you have to do is pay attention to your thoughts. Try to notice all the times when you use these should’s and must’s. After you catch yourself, there are two steps to responding to your should’s and must’s with flexible beliefs. The first step is to tell yourself what your want is, and the second step is to acknowledge that you do not have to get what you want. For example, If I thought to myself “I should have woken up earlier today.” The effect of this thought is that I feel ashamed and guilty. I may even make the extreme conclusion, “I’m lazy and no good for not waking up earlier, this just proves that I am a failure.” The result of my thinking is unnecessary shame and guilt. I can respond by telling myself what I would have preferred to happen, and then acknowledging that I am still okay even thought that didn’t happen. I might say to myself, “I would have liked to wake up earlier this morning, but just because I slept in, is no justification to say I am no good.” I could even add, “On top of that, just because someone sleeps in once, does not mean they are completely lazy or no good! That is a huge overgeneralization.” This is an example of using this flexible and preferential language to address my should, and to dispute my irrational thought. The result of my flexible thinking is that I feel much better and feel motivated to do better next time.
Here are a few more examples of possible Holiday should’s and must’s:
Holiday Should’s and Must’s & Alternative “Preferential Thinking”
|Rigid Thoughts||Extreme Conclusion||Flexible Thoughts||Rational Conclusion|
|The Holidays are a time where everyone in the family should get along.||If not, it will completely ruin the celebration.||I would really like for everyone to get along, BUT there is a chance someone might not get along and it will be okay.||If there is a fight, it will be difficult, but it won’t completely ruin the celebration.|
|The Holidays are a time where everyone in the family should get along.||And, If not, it will completely ruin the celebration.||I would really like for everyone to get along, BUT there is a chance someone might not get along and it will be okay.||If there is a fight, it will be difficult, but it won’t completely ruin the celebration.|
|I must complete my holiday to-do list||And, If I don’t, I won’t be able to enjoy myself.||I want to complete my Holiday to-do list, But the world will not completely stop if I don’t.||If I don’t complete my holiday to-do list, I will be a bit disappointed, but I will still be able to enjoy my holiday|
|I must get the perfect gifts for everyone.||And, If I don’t my family will have a terrible Christmas and I couldn’t stand myself.||I want to get the best gifts I can for everyone, but It couldn’t possibly get a gift that is perfect in every way.||Even if I don’t get everyone the most perfect gift, I will be able to enjoy Christmas and I will be able to accept myself.|
|My significant other must appreciate the time and effort I put in to find their gift.||And if they don’t, it means they are a terrible partner.||I would very much like for my significant other to appreciate the time and effort I put in to find their gift, but I don’t have to.||If my significant other doesn’t appreciate the time and effort, I put in to find their gift, it doesn’t mean they are a terrible partner.|
|I should be more organized with Holiday planning.||And, If I am not organized, I am a failure.||I would like to be more organized with Holiday planning, but there is no universal law that says I must be more organized.||If I am not organized, it does not mean I am a failure, it just means that it is an area in my life that could be improved upon. It does not change my value as a person.|
|I must cook the perfect meal for my household or loved ones.||And, If I don’t, Christmas will be ruined.||I would like to cook the best meal I can, but there is no perfect meal. A good meal will be just as good!||Even if I don’t cook the perfect meal for Christmas, my family will still be able to enjoy the celebration, and I will still be able to be happy.|
We Stress Ourselves Out
We mostly upset ourselves by adopting dysfunctional and rigid standards and then when we don’t meet these standards, we beat ourselves up. We take our preferences, hopes, wants, and desires which are usually all good and healthy, and we turn them into absolute demands. For example, It is perfectly rational to want things to be easy, but when this desire for leisure becomes a need for everything to be easy, we can get overwhelmed when things are difficult. This type of rigid thinking creates extreme beliefs and dysfunctional emotional reactions. When we think irrationally, we upset ourselves. When it comes down to it, and we evaluate these demands on a rational level, they actually don’t hold much weight. This is a common mental mistake that we all make, but in order to stop our unhelpful thoughts, we have to pay attention to our self-talk, and adopt flexible language.
Unhealthy Self-Talk Makes You Stressed, Depressed & Anxious
Thinking is a habit, and learning new habits of thinking that are flexible and rational will result in decreased stress, and increased life satisfaction. This holiday season try to replace your demands with desires. Preferential language is flexible and accurate, and it helps us feel the way we want to feel, and really enjoy our experiences. Rational Thinking provides us with healthy and accurate interpretations of ourselves, the world, and others. Now that you know that your feelings are caused by your thoughts, you have to actually practice noticing and responding to these unhelpful thoughts. You have to start to stubbornly refuse to upset yourself! This is what is called thought disputation. If you want to be happy, healthy, and stress free, stop telling yourself things that aren’t true. Inflexible rules and demands result in unhealthy emotions, and create guilt, frustration, and unhealthy negative emotions. Pay attention to your thoughts, ask yourself “do I really “need” to do this?” “Is this thought really true?” “Is this thought Helpful?” If it is not, try to respond with a more flexible thought. By recognizing your inflexible, rigid thinking and replacing it with accurate rational thoughts you will create a climate of healthy self-talk. It’s especially easy to be hard on yourself around the holidays, but you deserve a break! One simple and effective trick you can do to lessen stress, and cultivate healthy self-talk is to replace your should’s and must’s with flexible, preferential language.
By John-Paul Dombrowski
Dryden, W., DiGiuseppe, R., & Neenan, M. (2010). A primer on rational emotive behavior therapy. Champaign, IL: Research Press.
Ellis, A., & Doyle, K. A. (2019). How to stubbornly refuse to make yourself miserable about anything-yes, anything!London: Robinson.
What is Self Esteem in Psychology and Self Acceptance Enhancing Exercises
by Counseling and Wellness Center of PittsburghAugust 6, 2020 Self Acceptance Enhancing Exercises, What is Self Esteem In Psychology0 comments
Will I Ever Measure Up?
Do you need to be approved of by others? Do you want to be successful in life? If you
have a heartbeat, the answer is probably yes. But there is a distinct difference between simply
valuing the approval of other people and basing your value on the approval of others. Like most
things in life, the devil is in the details. When we get those details confused, we find ourselves
anxious, distressed, and frustrated. It is our thoughts that cause our feelings, and if we
repeatedly tell ourselves we are not good enough, we are going to experience feelings of
worthlessness! Understanding unconditional self-acceptance can help us to establish a healthy
balance between what we want, and what we need. This post is about understanding how your
thoughts and words drastically affect the way you relate to yourself, and how you can sow the
seeds of unconditional self-acceptance. Unconditional self-acceptance is a dedicated choice to
accept that you are a human being with such uniqueness and complexity that you simply
cannot be given an overall total rating. Accepting this belief paves the way for interior peace
Where does your worth come from? One of the common answers to this question is
that your sense of worth is based on the confidence you have in your ability to accomplish goals
and maintain relationships. We call this self-esteem. Albert Ellis, one of the great American
Psychologists (and a native of Pittsburgh!) actually believed that the idea of self-esteem was
problematic. He once said in a lecture, “Self-esteem is the greatest sickness known to man or
woman because it’s conditional.” If that wasn’t enough, he wrote a whole book called “The
Myth of Self-Esteem,” arguing this point! Self-esteem is too fragile to carry us safely though the
difficulties of life. Self-esteem is based on measuring up to some standard. What happens
when you fall short? What if you have trouble maintaining relationships? Does that mean you
are unworthy? We are all humans here, so it’s only a matter of time before we fall short of our
goals in one way or another! Placing your value in self-esteem is like going out on a big lake in a
paddle boat. As long as the sun is out and the weather is nice, you are in a good place. But as
soon as the conditions change, you find yourself vulnerable, powerless, and unfit to weather
the storm! Self-esteem places human value on a condition, but human value has to be put in
something unconditional. You can’t rate yourself on some measurement or condition. The more
you try the more anxious and distressed you will become! Unconditional self-acceptance is a
refusal to rate your whole self on some measurement, it’s a choice to accept yourself as a
human, even when you don’t like the way you feel, or the things you do. It is simply a
commitment to accept yourself with no if’s, and’s, or but’s. Understanding how and why we try
to rate ourselves can help us to stop this habit that causes us distress.
Don’t throw the Baby out with the Bathwater
We are not taught to value ourselves; we are taught to evaluate ourselves. Placing
generalized ratings on ourselves and others is a lesson taught to us throughout childhood. As
we become socialized, we are told that whether we are good or bad is determined by our
behavior. In school children learn to think, “If I behave well, I am a good kid.” But, “If I behave
badly, I am a bad kid.” This thought develops into the belief,
“It is okay to make judgement about people based on their behavior.” We use this same logic to evaluate ourselves when we
succeed or fail to meet some standard. “If I behave well, I am a good person.” “If I act badly, I
am a bad person.” This kind of thinking is dysfunctional, illogical, and irrational. It is a common
mental mistake that all humans are vulnerable to make. You are not your behavior; you are so
much more. Stop throwing the baby out with the bath water! Stop throwing yourself out
because of your behavior. Humans are so remarkably complex that it is impossible to assign
someone, including yourself, a global rating. Think about one of the behaviors that make it
hard to accept yourself sometimes. Now ask yourself these questions:
Is my HEART that behavior?
Is my MIND that behavior?
Is my BODY that behavior?
Is my SOUL that behavior?
Are ALL my SENSES that behavior?
Are ALL my SENSATIONS that behavior?
Are ALL my THOUGHTS that behavior?
Are ALL my FEELINGS that behavior?
Are ALL my BEHAVIORS that behavior?
Are ALL my MEMORIES that behavior?
You are not a behavior, you are a person. You can rate your behavior, but you can’t rate your
whole self. There is rule called the part-whole fallacy. The rule is, you can’t judge the whole of
something by just one of its parts. If you got a flat tire, would you total the whole car because
one tire was in need of repair? Of course not, but humans have a tendency to do just that, we
assign general value judgments based on one aspect of our humanity. It’s just not rational, and
when you think irrational thoughts it causes emotional distress! You have to learn how to stop
Unconditional Self-Acceptance and Self-Talk
Rational self-talk is the key to developing unconditional self-acceptance. If the interior
conversations you have with yourself is filled with self-defeating, dysfunctional thoughts it is no
wonder that you become distressed! Thoughts cause feelings. If we repeatedly tell ourselves
that we don’t measure up, we will feel and act as if that were true. When we plant seeds of
inferiority in our mind, we reap feelings of depression, anxiety, and self-hate. Feelings of
acceptance do not come from being accepted by others, but instead they come from the belief
that we accept ourselves. Unconditional Self-Acceptance is a belief based on reason. When we
hold this belief, we express it in our thoughts and these thoughts cultivate healthy emotions. It
is the repeated thought of unconditional self-acceptance that constructs a personal interior
climate of peace, self-understanding, personal strength, patience, and authentic self-love.
What does this self-talk look like? Rational thinking is flexible, non-extreme, helpful,
logical, and based on reality. It leads to healthy emotions. Irrational thought on the other hand
is rigid, extreme, illogical, prevents you from attaining your goals, and is not based on reality.
For example, if you bombed a presentation for work, a rational approach would be to say to
yourself, “I did very poorly on my presentation, and now I feel embarrassed. But my value does
come from my ability to present, or the approval of others.” This thought is true, it is based on
what happened and the emotion you feel would be appropriate. You will probably be sad, but
it won’t throw you into a depressive episode. Being irrational you might say, “I did such a bad
job on my presentation, I am worthless.” This type of thinking is self-defeating and will cause
unhealthy feelings of self-criticism and contempt.
We continually reteach ourselves the belief that our worth depends on other people’s
approval or our accomplishments by the things that we say to ourselves. When we think
irrationally, we become extreme. We may take a healthy desire to accomplish something and
amplify it to an extreme demand. We say things like, “I need to send all of my emails today,
and if I don’t then I am no good.” When our demands are not met, we punish ourselves! When
we look at other people we may think, “You must treat me well, and if you don’t you are
horrible person.” Or, we make global evaluations about the world saying, “I must succeed in
life, and if I don’t it is because the world is a terrible place.” Telling ourselves irrational and
rigid demands sets us up for failure and frustration. We take these demands seriously, and if
we don’t live up to them, we make global evaluations about ourselves, others, or the world.
The more we use the words of absolute demands, the more distress we cause ourselves.
Instead of extremes like ‘should’, ‘must’, ‘need’, and ‘have to’, try substituting more preferential
language like, ‘I’d like to’, ‘it would be preferable if’, ‘it would be helpful’, ‘it would be best if’, ‘ideally’,
Unconditionally accepting yourself makes all the difference! Next time you feel your mood
shifting or your anxiety mounting, pay attention to your thoughts. Rather than being rigid and
inflexible saying, “I need to send out all these emails today,” try instead being more rational
and say something like “I would really like to send out these emails today, but even if I don’t, I
as a person am ok.” Start repeating the simple phrase, “I am not my behavior.” Or maybe write
a note and stick it on your mirror that says, “My personal worth and value does not depend on
what I do, or the way people treat me. My worth and value is something that I hold within
It can be tempting to try to justify yourself, but you don’t have to. Unconditional self-
acceptance empowers us to be successful and to develop relationships in a healthy way that
encourages self-possession, honors our freedom, and affirms our dignity. Unconditional Self-
acceptance is a way of looking at ourselves that remembers, “I am not my behavior. I am an
unrepeatable, un-ratable, and dignified being. My value does not come from the approval of
others, or the things that I do. My value is inseparable from the fact that I exist. I chose to
accept myself unconditionally.”
Rational Emotive Behavioral Therapy and Cognitive Behavioral therapy focus on the way that
our thoughts affect our behavior. If you are struggling with depression, anxiety, or any other
emotional disturbance and feel this type of counseling would be a good fit for you, call us at
412-322-2129. We would love to set you up for a counseling session with one of our therapists
trained in Cognitive Behavioral therapy.
Dryden, W., DiGiuseppe, R., & Neenan, M. (2010). A primer on rational emotive behavior
therapy. Champaign, IL: Research Press.
Ellis, A. (2006). The myth of self-esteem: How rational emotive behavior therapy can change
your life forever. Amherst, NY: Prometheus Books.
Ellis, A., & Doyle, K. A. (2019). How to stubbornly refuse to make yourself miserable about
anything-yes, anything!London: Robinson.
I Am Not My Behavior. (n.d.). Retrieved August 02, 2020, from
By John Paul DombrowskiLearn More
The Nine Best Ways To Build a Self Care Plan, Mental Health Matters
by Counseling and Wellness Center of PittsburghJanuary 2, 2020 best ways to build self care plan, mental health matters, self care, self care month, self care strategies for mental wellbeing0 comments
We hear lots of people taking about self care these days but what actually is it? Is there a right way to do it? I hope to answer some of these questions for you today because mental health matters and you matter. Self care can be defined as any activity that we do deliberately in order to take care of our mental, emotional, and physical health. Although it’s a simple concept in theory, it’s something we very often overlook. Practicing self-care isn’t always easy. Most of us are crazy busy, we have stressful jobs, are taking care of children or aging family members or are too consumed with technology to make time for ourselves. “Me time” is usually last on our agenda and we can often feel guilty about taking the time required to take care of ourselves. Self care is not selfish. We can’t take care of others well if we don’t take the time to care for ourselves and good self-care is key to improved mood and reduced stress and anxiety. It’s also key to a good relationship with ourselves and others. So, where do you start? It’s important to build a self care plan. Begin by sticking to the basics for now and overtime you’ll find a routine that works for you. Overtime, you can implement more and more specific items into your plan. In the meantime here are some basic principles of self care to help get you started:
- Eat right- the right foods can help improve memory, combat inflammation and promote good gut health. All of which can have a direct impact on your physical and emotional health. If you have questions or want to learn more about this consider setting up a consultation with a nutritionist.
- Sleep- make sure you’re getting 7-8 hours of sleep a night, establishing a healthy bedtime routine can promote deeper and more restful sleep. Avoid sugar and caffeine before bed and help reduce distractions such as light and electronics in your bedroom
- Physical exercise- this can mean lots of different things for different people. This can be a walk with your family in the evening or by yourself at lunch, swimming, or yoga. The type of activity isn’t as important as choosing something you enjoy and can commit to your schedule
- Schedule time away- this can be as simple a taking a half day to spend at the park or an extravagant weekend getaway
- Take care of your spiritual needs- this can be attending religious services, meditation, prayer, spending time in nature or making a gratitude list
- Learning to say “no” and setting boundaries- this can mean you don’t check email after business hours, don’t attend events or gatherings that you don’t want to or don’t take on additional tasks that you don’t have the time or energy for
- Get organized- get a planner for tasks or appointments, this can be especially helpful in scheduling your self care time or spend time prepping lunches so you have more time in the morning for an extra cup of tea and some meditation
- Spend time with loved ones and people that are important to you
- Lastly if you work in a field with high burnout rates seek consultation and supervision from mentors and peers to help reduce stress
Self care will look different for everyone for some it’s getting up 15 minutes earlier to practice deep breathing or journaling before the day begins. For others it’s an evening run, but just like many other things self care takes practice. I challenge you to commit to adding one self care element to your schedule for 2 weeks and see the difference it makes in your life and relationships.
The Real Gratitude Challenge
by Counseling and Wellness Center of PittsburghNovember 28, 2019 gratitude, gratitude challenge, reframing cognitive distortions, thanksgiving0 comments
The Real Gratitude Challenge
It’s Thanksgiving and everyone wants to talk about turkey and gratitude. Newsfeeds and flyers encourage us to take the ‘gratitude challenge’ by sharing how happy we are for our kids, our marriage, families, our job, our house. Nowonder, according to the National Institute of Health, gratitude can help us increase our life satisfaction and mental health! Oh, how nice that is! Things really are so well and good through the lens of this gratitude, but isn’t it almost too easy when we simply share what is great? I want to talk about a different kind of gratitude, the dark side of gratitude if you will, this is what I call a gratitude challenge. It is not the shiny happiness and gloating we feel when everything works out just the way we want it, but instead, this gratitude challenge, is the kind of gratitude that we can choose to cultivate when we are sitting on a big tall mountain of suck. In this vast beautiful adventure of life, reality more often than not smacks us in the face, universal are the experiences of hurt, loss, and grief. Yet, even more important than making a mental note of gratitude for all of the ways that we are blessed, our mindset truly evolves when we deliberately choose to frame our losses in one beset by gratitude.
Of course on the day that you get the job, and then again when you land the promotion, you are elated, but can you be grateful for those years of success and comradery even when you get the news that company is downsizing and you are handed your severance? Of course, you are beaming at the altar on the day that you say “I do” to the love of your life, but can you still find gratitude when you are headed to marriage counseling because you’re in conflict and bickering about who is doing more cleaning around hte house? Of course, you will be joyful on the day when you learn that you have finally conceived the child you have been yearning for but can you still be grateful that it has happened when their little heart stops beating in utero? Of course, you are thrilled when you finish the marathon in 2nd place, but what can you choose to be grateful for when you have knee replacement surgery from all of that running?
Choosing gratitude amidst the sucky moments of life doesn’t mean that we pretend it’s all ok. Instead, we do not try to block the hurt of our losses, we feel the devastation and despair deeply because let’s be honest here, we have no choice! Some things in life will rip the wind right out of our lungs and bring such agonizing hurt that we will fall to our knees in the pain of it. Yet, the difference is that we choose to live in the memory of the joy that they brought us, we choose to be grateful that the wonders in life have happened no-matter how long or short they stay with us. Cognitive behavioral therapy instructs us to reframe the despair of our cognitive distortions, we do not allow misery or grief to frame the pictures of our memories or the loss in our life. The gratitude challenge is to be penetrated by the suffering of a life well lived but then to hunt like a little scavenger for every little bit of joy, peace, and hope that our experiences have shown to us. Some days that might mean that we are grateful to know that they pain won’t last forever and allow ourselves to contemplate the gratitude for that. When you get here and can nurture this sort of perspective, you take a little bit of power and direction back to your life. On Thanksgiving and every day, the decision to live a life peppered in gratitude is yours. So go ahead, take the challenge, how grateful can you be, what about your pile of suck can you be grateful for?
Counseling and Wellness Center of Pittsburgh
Counseling and Wellness Center of Pittsburgh
Counseling and Wellness Center of Pittsburgh
Counseling and Wellness Center of Pittsburgh
Rituals reduce stress, enhance performance, 5 rituals you should try for transformation
by Counseling and Wellness Center of PittsburghJuly 8, 2019 meaning of rituals, rituals for self care, rituals for tranformation, rituals to reduce stress0 comments
Rituals, reducing stress and adding joyful meaning to life
5 Rituals You Should Try For transformation and wellness
Ever wonder why Michael Jordan wore his North Carolina shorts under his Chicago Bulls shorts every game? Rituals have enormous power to sooth and inspire as well as bring back balance to mental health by reducing anxiety and increasing confidence. According to the National Institute of Health, there are 3 primary functions of rituals, to manage emotions, to work towards goals, and to connect with others. From an evolutionary perspective we are creatures who have evolved to perform rituals including those of meditation or contemplation and group rituals. Have you ever knocked over a salt shaker and thrown some over your back? Do you attend church on Sunday? Do you pray? Have feast for the Easter holiday? These are all rituals. Flashback to the biblical era everything from attending Sunday worship, to praying for rain and lighting candles for the deceased, its clear that having a close relationship to spiritual rituals is very much a part of our cultural history. Still, whether we are referring to managing the emotional impact of times of stress, to ignite our faith, or to enhance wellness, many successful and happy people rely on rituals. The science behind why rituals work is compelling according to Scientific America. With some many different kinds of rituals we should really define that there is a difference in the Sunday beer drinking ritual, an obsessive hand washing ritual, versus a morning meditation ritual or a communication ritual with our partner. A ritual should be one that we complete with full attention and the deliberate effort to set an intention, reduce stress, or experience a divine aspect to ourselves, or foster our relationship to the spiritual realm.
Rituals can become a reliable tool for manifesting of our goal’s and enhancing our wonder, rituals have deeper embedded meaning. A beneficial ritual should be life sustaining and it is also true that the repetitive behavior of addiction and psychiatric obsessive-compulsive disorder both have the component of rituals built into them. When performing a ritual we are completing an act that becomes instinctive, our brains go into a flow state that doesn’t require higher order processing, the automatic nature of this state which can reduce our anxiety and promote calm. When we examine singing a hymn in a church, this is group ritual that can promote a sense of unity or connection among group members and with a deeper feeling of connection, these emotional components have clinically been show to reduced expression of aggression.
With so much to gain from incorporating rituals into your life, we are brought to the great burning questions, how do we incorporate more of them into our life? Start small and incrementally by adding a ritual component to something you already do, if you have never prayed or meditated it might be a large leap to attempt that everyday. A more manageable step might is to create a weekly goal. Some couples have a weekly ritual around problem solving and talking through emotional issues at the end of the week. Even meal-time can be a ritual when we bless our food or offer a moment of gratitude for the abundance on our plate. Others find that monthly rituals that set an intention with the full or new moon are the perfect time and space to set a goal for the month. Ultimately, we need to create rituals that are meaningful and manageable for you as an individual.
Meditation Ritual- whether daily, weekly, or monthly, meditation has a massive impact on wellbeing, stress reduction, and positive mood. Even 5 to 10 minutes daily makes a difference.
Love Ritual- Happy Couples have ways to celebrate the passage of time, they have yearly traditions that allow them to connect with the growth and change of their relationship over the years. It is also recommended that couples have a weekly communication ritual to release any residual emotional reactions and better connect.
Meal time ritual- Nourishing our bodies with life sustaining foods in a quiet and comfortable distraction free zone is a great way to enjoy eating. Eating has historically been an activity that is a part of ritual, think of the foods that surround every major holiday. It is also a time where families can connect to each other.
Self Care ritual- Whether it is journaling, fitness, using essential oils, or gardening, doing small things daily is important for your vitality and stress management.
Full Moon ritual- The full moon is the perfect time to release negative thought patterns and the new moon is a time for us to create new goals. Making time for a meditation under the moon light syncs us in to time and space and the greater cosmos. Regardless of your spiritual beliefs, there is something sacred that we experience when we cast out focus on something as grand and magical as the world around us.
What is an LPC vs LMHC vs LCSW – Counseling has many abbreviations, all the answers here!
by Counseling and Wellness Center of PittsburghJanuary 25, 2019 best counselor for me, what is an lpc vs lmhc vs lcsw, what is lcsw, what is lpc0 comments
If you are trying to find a counselor or therapist, you might start to become overwhelmed with options and confused by all of the abbreviations for credentials. Or maybe you are considering furthering your education in the mental health field but are not sure which degree is the best for you. Allow this helpful guide to take you through the various meanings which make up those abbreviations and this helpful guide will unveil what they all mean.
ACA The American Counseling Association, this is the governing board, they over see the education and the field of counseling on the national level.
APA American Psychological Association oversees the field of psychology and ensures quality and consistency in learning and licensing requirements.
NBCC National Board for Certified Counselors is the premier credentialing body for counselors, ensuring that counselors who become nationally certified have achieved the highest standard of practice through education, examination, supervision, experience, and ethical guidelines.
CRNP Certified Registered Nurse Practitioner is a licensed healthcare professional who is authorized to prescribe medications to patients, under certain conditions and within the scope of their state’s regulations.
LPC Licensed professional counselor, this person has a masters degree in professional counseling which covers behavioral psychology and the theories of behavioral change as well as many other theoretical approaches. After completing their universities course work, a counselor has completed thousands of hours of supervised counseling, rigorous screening processes and background checks by licensing boards to become licensed. An LPC is often considered a general practitioner who can take up further study to specialize in a variety of topics from addiction, to trauma, anxiety, depression, and relationships to name just a few.
MS or MA in Counseling Master of Science or Master of Arts in counseling. This is a person who has graduated with a degree in professional counseling but has not yet completed their supervision hours to become licensed. A person can practice in a variety of settings with a master’s degree, some people do not pursue a license and continue their career with their masters degree. A MS or MA can be used somewhat interchangeably and the difference is only in the amount of math and statistics that are required for the particular program they studied.
LMFT Licensed marriage and family therapist specialized in relationships and family dynamics and typically offers marriage counseling. This is a particular track which focuses on interactions between people and the theories which allow the therapist to help those people in the relationship to become well.
LCSW Licensed clinical social worker, is a person who has graduated with a masters degree in clinical social work and then went on to do supervised hours which gain them a professional license. A licensed clinical social worker is able to manage a variety of mental health issues from anxiety and depression to relationship issues.
MSW This person holds a master’s degree in social work and they may or may not have done any clinical supervision hours. They have graduated from a university after studying a variety of clinical theories on counseling. Social work also provides a comprehensive study of social systems which can offer support and assistance for a variety of issues.
LMHC This describes a person who has a masters degree in counseling and is also licensed, this degree does not exist in Pennsylvania but is the equivalent of an LPC.
PsyD This person holds a doctoral level of study in a given field, for our purposes that will be psychology, this person has studied a university program which emphasized clinical experience instead of research experience. A psychologist can provide therapy or a number of assessments. They also might be active in teaching at the university level or doing research.
PhD This person holds a doctoral level degree, for our purposes we will focus on a person with a PhD in psychology who is refereed to a psychologist, this person has defended a thesis, psychologists have a strong background in research on any number of topics. They may provide therapy and any number of mental health assessments, they can be found working in many kinds of places from hospitals, to clinics, universities, as well as private practice settings.
Psychiatrist This person is generally involved in medication management, they may work in inpatient settings or out patient settings. Other specialized roles might involve sub-specialties such as neuroanatomy and traumatic brain injury recovery.
PMHNP Psychiatric Mental Health Nurse Practitioner This person can assess, diagnose and treat the mental health needs of patients. Many PMHNPs provide therapy and medication management for patients who have mental health disorders or substance abuse problems.
Other Helpful Terms
LGBTQIA- Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Ally refers to this entire of cluster of people who may identify as one of the above and most newly, identify as an ally with promoting the rights and awareness of equality.
AASECT-American Association of Sexual Educators, Counselors, and Therapists. An certifying institution which educates counselors and therapists on sex therapy and sex positive practices.
CAADC–Certified advanced drug and alcohol counselor has achieved a higher level or educational and clinical learning that allows them to offer clinical treatment for substance abuse disorder.
In good health and wellness,
Counseling and Wellness Center of Pittsburgh
South Hills Office
Anger: 4 Ways To Tell That You or Loved One Has a Problem
by Counseling and Wellness Center of PittsburghApril 26, 2018 anger, anger counseling, anger management0 comments
Anger is a primary emotion that all humans and even animals exhibit in some forms, anger is an activating response and it can often even signal to us some valuable information if we are open to hearing it. When we are practicing mindfulness and have developed our capacity to respond well to infuriating situations, we can become aware of our feelings, then respond in a way that keeps our goals and values in mind. There are several mental health disorders which can present with anger, such as depression in the elderly and men, and impulse control disorder and more.
Uncontrolled anger can lead to multiple problems, internally, it can also lead to stress related diseases including cardiac problems. Anger leads to a state of hyper-arousal where our heart beats faster and our pulmonary functions become heightened, this is often referred to fight or flight. Anger gets a bad wrap and we too often see the destructive potential that it has when a person responds to their anger in a way that is not productive. In Hawaiian culture there is a goddess worshiped, her name is Pele, Pele has the ability to wreak havoc onto the people of the island by causing the volcano’s to erupt their fiery magma around. Pele has it right, when we bubble beneath our crust and wrath comes to their surface, its effects can be destructive. Read on if you think that you or someone you know has a problem with anger; here are 4 ways to tell if you may need counseling, therapy, or even anger management.
- Doing things that you later regret- There are many ways to respond to the feeling of anger, some of the ones that can lead to problems in children and adults are acting out with verbal or physical behaviors that cause damage to the self or others. Most people can relate to not responding well when they are in the midst of a disagreement and thinking back with regret. This is different from what is experienced by the individual who struggles with anger or even may hold a diagnosis such as Intermittent Explosive Disorder.
- Being unable to remember parts of an angry incident. If you are having some angry episodes and when your partner tries to talk about it you don’t remember much, this could indicate a problem. Certain psychological diagnosis such as borderline personality disorder can go into a full dissociative rage.
- Denying having angry feelings. Anger is a primary emotion, we all experience it sometimes, it is a red flag if someone says that they never get angry. Here we know that this person likely has a passive or a passive aggressive personality style that can also lead to troubles in their relationships and other psychological problems.
- Losing a relationship, breaking the law by hurting someone or their property while angry. Even if we feel that our anger is justified we know that we are treading on thin ice when anger triggers us to violate others or their property which in turns endangers others and our freedom.
Remember that anger can be productive and motivational when we respond to it rationally, yet our goal is always to live a life of awareness and greater peace and happiness and if the answer was yes to any of the above questions you are likely suffering and struggling to find ways of expressing yourself and achieving your interpersonal goals.Learn More
by Counseling and Wellness Center of PittsburghApril 13, 2018 counseling for depression pittsburgh, depression, depression counseling, depression therapy, symptoms of depression, therapists for depression, wellness counseling monroeville, wellness counseling pittsburgh, what is depression0 comments
The cornerstones of a healthy and balanced life are creating personal meaning, savoring happiness, relishing success, the ability to think and produce ideas, to connect with others and feel good about ourselves. Depression is a major mental health disorder, as well as a national epidemic and disease. According to the National Institute of health, as many as 16.2 million people have experienced at least one episode of depression in their lifetime. Depression has significant ramifications and is debilitating, impacting a person’s ability to work, experience hope, and even rob their fervor for hope and in extreme cases it can rob a person’s will to live. Seeking treatment, including therapy for depression, is essential for recovering the ability to experience peace, happiness and to again respond to life. Depression also exists with significant co-morbidity, meaning that those who suffer the effects of depression are also more likely to suffer from other mental health disorders such as anxiety, or even substance abuse.
While it is true that a person of any age can experience their first major depressive episode, according to The Diagnostic and Statistical Manual, the average age for first episode is in the mid 20’s. Biology seems to also play a role in the development of depression and there is a statically significant chance of developing depression for those who have a first degree relative who has the diagnosis. At other times, depression can set in while dealing with other physical health diseases or diagnoses. Keeping in mind, depression is far different from a slump, the blues, seasonal affective disorder, or grief although there is overlap in the expression of symptoms for each of these.
Symptoms of a major depressive episode are to experience simultaneously and for at least two weeks the following:
1) Marked and Depressed mood for the majority of the day.
2) A loss of interest in many or most favored activities of interest.
3) Loss of appetite or heightened desire to eat which results in significant and unintentional weight loss or gain.
4.) Hypersomnia or Hyposomnia meaning that one is sleeping too much or too little.
5) Impaired and slowed physical motion that is noticeable to others.
6) Feeling tired and exhausted.
7) Struggling with feelings of guilt, shame, or worthlessness
8) A newfound and diminished ability to hold concentration concentrate, or a marked indecisiveness.
9) Thinking of death.
Acute Stress Disorder
by Counseling and Wellness Center of PittsburghApril 2, 2018 anxiety, anxiety therapy pittsburgh0 comments
Acute Stress Disorder
Acute stress disorder is a form of anxiety disorder which develops shortly or immediately after exposure to a traumatic event in which real or threatened harm or injury was experienced or threatened to the self or other. Acute Stress Disorder differs from Post-Traumatic Stress disorder in the time from in which the associated symptoms are exhibited. To reach the diagnosis of Acute Stress disorder symptoms should be exhibited less than one month after exposure to a traumatic event. Similarly to PTSD, symptoms involve flash backs, re-imagining, dreams, distress or anxiety at exposure to visual stimuli related to the traumatic situation or event, including hyper-vigilance, and anxiety about the possibility of the event or danger happening again. The duration of the traumatic event and time of exposure or repetitiveness of the exposure effect the likelihood that the person will experience Acute Stress disorder as there are certain internal risk factors which may affect resilience to the development of the trauma. Treatment for Acute Stress Disorder often involves trauma focused therapy, EMDR, short term psychotherapy, mindfulness based therapy approaches even including meditation, acupuncture, all therapy and counseling services should be performed with a licensed professional counselor or mental health specialist.Learn More