The month of May is Mental Health Awareness Month. Learning about mental health and why it is important to take care of breeds promise for a happy, healthy community. Beginning in America in 1949, this outreach program has grown to include over 150 countries. Today, in 2021, its’ purpose of raising awareness and educating the public about mental health is more important now than ever before due to the effects Covid-19 has had on the world.
Even before the pandemic, mental illness was a global public health crisis. One in five people were affected by a mental health condition and many did not seek treatment because they were scared or uninsured. Now, those numbers have grown and, to date, are unable to be calculated. Health authorities just know they are increasing, and mental health is becoming a growing problem.
What, exactly, is mental health?
According to the World Health Organization (WHO), mental health is:
“… a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.”
Many times, suffering with mental health is mild and can be completely overlooked. Sometimes it can be hard to identify a mental disorder especially in oneself, and sometimes it can be accepted as being normal when it should not be. Mental health professionals can formally diagnose and treat disorders when they have a patient, but most people do not understand they need treatment or are afraid of the stigma. This is where raising awareness comes in. It is important to understand what is positive and normal within the realm of mental health and what is not and act accordingly. A life may depend on it.
Mental health affects thoughts, feelings, and actions. Examples of mental disorders include anxiety, depression, eating disorder, personality disorder, post-traumatic stress disorder, and psychotic disorder. Mental health problems affect individuals, their families and loved ones, as well as their communities. Mental illnesses also affects that persons’ income, employment, education, homelessness, community participation, and life expectancy.
It is common for many people to suffer with mental health to one degree or another. Some cases are severe, and others are mild. Either way, mental health can be improved. When someone wants help, but declines seeking it, their struggle may seem real, but it is unnecessary. Speaking with a therapist can help and studies show that people with mental health issues can be treated, get better, and even recover completely.
Receiving care can be costly, though, so recently President Joe Biden’s administration released large amounts of aid for a system of care for the mental health needs of adults and children. With suicide rates unusually high among black youth and LGBTQI+ demographics during Covid, he stated: ”I call upon citizens, government agencies, organizations, healthcare providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives.”
Treatments like counseling and therapy, services, and community support is available more now than ever before and these approaches do work. Living a normal life is within reach. You just need to start the journey to recovery. Seek help. We are here for you.
There is hope.Learn More
by Counseling and Wellness Center of PittsburghMarch 14, 2021 child counseling, child therapy, family counseling, family counseling during corona virus, parenting, Parenting and Families0 comments
Whether you’re a parent or caregiver, weathering the pandemic with children has probably felt like a pressure cooker at times. Boredom, turmoil, and anxiety arise when faced with remote school days or filling long afternoons sans extracurriculars.
Kids look to the adults in their lives to help them cope with this complex, global situation. How can we make strong mental health choices to protect them?
Start By Helping Yourself
It’s difficult to support others when you feel unsupported. Take some moments at the beginning of each day to center yourself. You could wake up a little early to do a 20-minute yoga class. Perhaps digest the headlines over a quiet cup of coffee. Even stopping to breathe deeply for one minute can make a difference.
Now that you are calm, transmit that to your children. Start with basic facts about COVID-19. Dispel any scary rumors that may be circulating. Especially be aware of internet and TV messages. Assure them that, although we do need to take it seriously, adults are working to keep everyone as safe as possible.
When your child has a question about the coronavirus or lockdown life, take the time to listen. Give them space to air out their concerns. It may help to provide multiple modes of expression, like drawing, playing, and talking.
Measures of Control
We all like to feel some control of our lives, however small. The same goes for young people. Fortunately, the safety guidelines to prevent the spread of COVID-19 translate into simple activities. Guide kids to wash their hands, wear a mask in public, and stay at least 6 feet away from anyone outside their pod.
Lighten the mood when you can. Hand-washing can be made into a fun game with songs. Mask crafts add color and art to something obligatory.
Social distancing may especially distress kids who miss their friends. Take some extra time to emphasize why it’s important to keep distance. Explain that the infection spreads when people are in close contact with each other. Assure them that it’s temporary, and they will see their friends again. Meanwhile, engage in remote or outdoor socializing when possible.
Middle schoolers and high schoolers may benefit from graphics that demonstrate how “flattening the curve” works. This helps them understand the bigger picture and empower them to be part of the solution.
Come Up With Fun Distractions
On the bright side of lockdown, we have so many opportunities to spend quality time with our kids. When we’re safe at home, there’s no need to ruminate on pandemic worries. Have a family meeting where everyone lists a hobby or interest they want to grow during quarantine: puzzles, art, reading, writing, music, gymnastics, bird-watching… Maybe you all make a pact to work on doing the splits by the end of quarantine. Maybe you remodel a room and turn it into an art studio or sublime reading nook.
Most of us have some kind of dream home project that’s been sitting on the shelf. Time to get into it! The antidote to worry is action.
We Can Pull Through This
If the stress of the pandemic seems to be wearing on you and your children, make the wise choice: seek counseling. Zoom makes family therapy readily available, and it’s just as effective.
It’s true that we’re all in this together – if your family feels overwhelmed, you don’t have to tough it out alone.
6 Simple and Effective Techniques to Curb Your Self-Defeating Perfectionism in 2021
The pursuit of perfection is the road to unhappiness.
Has anyone ever told you that you were a perfectionist? Perfectionism is a barrier to sound mental health and stands in the way of you developing sound wellness and wellbeing. But, have you ever tried to stop your perfectionism? People are quick to give off-the-cuff advice about things you should or shouldn’t do. Maybe they say, “Stop this”, or “Do that”, but it is rare that they follow their advice up with practical steps on how to change the habits they point out. In David Burn’s powerful and life changing book, Feeling Good: The New Mood Therapy, he spends a chapter outlining 15 practical techniques to overcome perfectionism. Our mental health counselors have chosen the top 6 of his simple and effective techniques that will help you to overcome perfectionism in 2021!
- Make a list of the Pros & Cons of being a perfectionist.
If you take some time to think about it, you might realize that your perfectionism isn’t really helping you. Have you ever stopped to wonder if your perfectionism does more harm than good? Perhaps you feel like it gives you an “edge,” but have you thought about the downsides? And what if you could perform just as well, or even better without it? Maybe it’s not that you’re successful because of your perfectionism, but rather that you are successful despite your perfectionism. The first simple tip is to take some time right now to write down a pros and cons list of being a perfectionist. You can do this on your phone, or on a piece of paper. Do the pros outweigh the cons? You may find that the advantages are pretty slim! If the advantages seem to outweigh the disadvantages, why don’t you give the advantages a second look and test them out.
The Pleasure of Perfection Experiment.
Try altering your standards in various activities so you can see how your performance reacts to high standards, middle standards, and low standards. You might be shocked to realize that by lowering your standards of perfection you will feel better about what you do and do it more effectively! Use the following experiment to test out the advantages of your perfectionism:
Believed advantage from your list of Pros: “My perfectionism makes me more effective.”
- Choose an Activity for example cleaning, reading, writing a report for work, cooking a meal for a loved one, or anything else in which you think striving for perfection makes you more effective.
- When you start that activity instead of trying to be 100% perfect, set the goal for 80% perfection, 60% perfection, or even 40% perfection.
- After completing the activity with a less then 100% perfection standard see how much you enjoy the activity and how well you completed that activity compared to before.
Now ask yourself, “Was I less effective? How much did I enjoy that activity?” You can try this with any task, and any standard of perfection. Give it a try and see what happens!
- Developing a Process Orientation
Another approach to curb your habit of perfectionism is to learn to adopt a processes orientation. Focusing simply on outcomes is a recipe for all-or-nothing thinking. When David Burns was a young therapist he held the belief that he had to do outstanding work with each client each session. When his patients benefited from a session he was on top of the world, but when a client responded poorly on the other hand, he’d feel miserable all day and tell himself he was a failure. Bringing this problem to his colleague Dr. Aaron Beck, he was told. “Imagine that you had a job driving a car to City Hall every day. Some days you hit mostly green lights and made great time. Other days you’d hit lots of red lights, and traffic jams and the drive would be much longer. Your driving skill would be the same each day, so why not feel equally satisfied with the job you did?” The Dr. Burns learned that instead of focusing on outcomes, he could focus on good, consistent effort at each session, regardless of how the patient responded. This process outlook guaranteed he could experience 100% success with the effort he put forth each day.
Emphasizing the process you are engaging in, rather than the outcome, provides a greater opportunity for learning and mastery. Appreciating your engagement, learning, and the effort you put forth on activities, protects you from your perfectionistic evaluation. It allows you to be more present in the moment, and to develop a sense of mastery. Try to focus on learning, development, and effort in activities you do, rather than a success or failure perspective. Ask yourself, what are some ways that you can focus on developing a process orientation in your life.
- Overcome perfectionism by setting strict time limits on all your activities for one week.
Place a time limit on how long you plan to engage in each of your daily activities for a week. This will help you focus on the flow of life and allow you to enjoy your time more fully rather then getting wrapped up in perfecting everything you do. If you want to be happy, set modest goals! Schedule your time in the morning and decide the amount of time you will budget on each activity. When the time is up, quit that activity whether or not you have completed it, and move on to the next project. Most people have a tendency to overestimate how much they are able to get done in a day. Your perfectionism likely becomes procrastination because you insist on doing everything so thoroughly. This means taking far longer than necessary to complete daily and weekly tasks. The result is an ever-growing to-do list that is never completed. At the end of the day you probably beat yourself up for not getting “enough” done. This is completely avoidable by more effective planning and placing time limits on activities. Instead of trying to completely organize your closet, set a time limit of 20-minutes each week. This way, you create a frequent habit, rather than a weekend cleaning frenzy! Planning your activities based on specific amounts of time promotes the development of healthy, sustainable habits, and helps you to move past your self-defeating perfectionism.
- Learn how to make mistakes.
Are you afraid of making mistakes? This may be holding you back from taking healthy risks! We can easily forget that mistakes are not all bad! This leads to trying to do everything perfectly. Mistakes give us an opportunity to learn, grow, and relate to each other. A powerful method for overcoming perfectionism is learning how to make mistakes. One helpful approach is to write an essay describing why it is both irrational and self-defeating to try to be perfect and to fear making mistakes. Writing a personal essay for yourself exploring why it is okay to make mistakes can help you to be more confident in your journey to give up perfectionism. Remember the world won’t come to an end because of a mistake you make! Writing a letter can be a tangible reminder that mistakes are okay, and that they allow us to learn and grow!
- Focus on your success’s not your failures.
Do you have a habit of only focusing on the ways you fall short? If you are a perfectionist, you probably have a tendency to focus only on the things you have not done perfectly, or that are incomplete. You end up ignoring and forgetting all the things you have done right. This can create an unhelpful and overly negative view of yourself and the world. It doesn’t make any rational sense to just focus on the things you have on your to do list, and completely forget all of the things you have already completed! Here is a very simple, but very effective technique to help you foster an attitude of appreciation and recognition for your accomplishments and successes both big and small.
Try this simple exercise to reverse this habit!
- Keep a piece of paper next to your bed.
- Before you go to sleep at night, go through your day and count all of the things you did right. Make sure to count all of them, nothing is too small!
- Write down that number of things you did right, or that you completed on your paper each day for two weeks and allow yourself to notice all the things you are doing right!
- Keep a weekly count of all the positive things you’ve done, and tasks completed.
This exercise will help you focus on the positives and have a more balanced perspective. Remember to count literally everything you do right! This might seem too simplistic, but just because it is simple, doesn’t mean it doesn’t work. What do you have to lose?! Give it a try and see how you feel after two weeks.
- Use logic.
My personal favorite tool to use is this logical equation:
Premise One: All Human beings make mistakes.
Premise Two: I am a human being.
Conclusion: I make mistakes because I am a human.
If all humans make mistakes, and I am a human, then it follows that I will make mistakes because of my humanity. Logically you will and even should make mistakes. It’s in your nature! Next time you make a mistake, instead of beating yourself up, say to yourself, “I made that mistake because I am human,” or “That mistake just proves that I am human like everyone else,” or “Making a mistake doesn’t mean that I am a failure, it just means that I am a human.” Mistakes are a part of who we are; they are an essential part of our development.
You can take it one step further and ask yourself, “What can I learn from my mistake?” Write down one of the mistakes you have made and then list all the things you have learned from that mistake. Learning to appreciate mistakes helps us to realize that being perfect is not part of the human condition but learning and growing certainly is! In the words of David Burns, “If you were perfect, there’d be nothing to learn, no way to improve, and life would be completely void of challenge and the satisfaction that comes from mastering something that takes effort.”
The Pursuit of Perfection is the road to Unhappiness.
If you maintain a standard for evaluating your performance that you cannot ever meet you are going to make yourself miserable! If the standard of perfection doesn’t fit reality, why not give it up!? Perfectionism is founded on all-or-nothing thinking. Most of the time, it just steals our joy and satisfaction. If you look around you, how many things can really fit into an all-or-nothing mold? Is your room a complete mess, or are some (maybe even many) things out of place? Do you know anyone who is perfectly calm and confident all the time? All-or-nothing thinking doesn’t really fit life very often, and neither does perfection. Most importantly, you don’t need to be perfect to be happy. If you don’t believe me try this thought experiment, take a moment to imagine a time in your life when you were really happy. Close your eyes, and picture that moment in vivid detail. Now ask yourself, “What was perfect about that time or experience?” In all likelihood, nothing was completely perfect, but it didn’t stop you from being happy! You don’t need to be perfect. Just be you. This year, instead of seeking perfection, use these tips and techniques to focus on thriving as your own unique self.
This Post was adapted from Dr. David Burns book Feeling Good: The New Mood Therapy.
Burns, D. D. (2017). Dare to Be Average: Ways to Overcome Perfectionism. In Feeling Good: The New Mood Therapy(pp. 345-375). Blackstone Audio, Incorporated.
by Counseling and Wellness Center of PittsburghJune 3, 2020 black therapist pittsburgh, microagressions, racism in america, systemic racism, therapy for racism pittsburgh0 comments
Dealing with Microaggressions as a Black Man
George Floyd, Ahmaud Arbery, Botham Jean, Sandra Bland…these are just a few of the names that come to mind as I write this. These are the names of victims of police brutality and racial injustice. These were unwilling martyrs who fell prey to overt, unabashed, and unadulterated racism. This is a problem, but there is another issue that plagues people of color every day. An unseen layer of racial inequality that exists under our noses: microaggressions.
What is a microaggression, you ask? A microaggression is defined by Webster’s Dictionary as “a subtle but offensive comment or action directed at a minority or other non-dominant group that is often unintentional or unconsciously reinforces a stereotype.” So when a stranger tells me that they don’t see color, or when someone raves that I am “surprisingly articulate” for a black man, they are using microaggressions, perhaps unknowingly. However minorities also use microaggressions. Phrases like “you sound white,” or being called an ‘oreo’ by peers (black on the outside, white on the inside) have been some of the microaggressions I have experienced from fellow people of color.
I can only speak from my personal experience, and I do not represent all people of color. However I know that when I encounter microaggressions, whether intentional or not, I find myself in a bind. Do I call it out, and risk being “that guy,” or do I brush it off, because at least it’s not as bad as what the victims above suffered? The events of the past week have shown me that silence in the face of microaggressions, only leads to further silence from possible allies when overt racism and racially motivated aggression takes place.
So what is the role of the black man or the person of color when facing microaggressions?
- Call it out for what it is. People may balk at this and respond with phrases such as “I’m not racist,” or “I have black friends,” but the truth remains, microaggressions are a result of racist history, and they are subtle ways of perpetuating negative stereotypes about black people and other minorities.
- Educate those within your circle. It surprises me that in the age of the internet, some people still are not aware of what may constitute a microaggression.
- Better yet, encourage those who are not sure to educate themselves. There are plenty of (free) resources out there for our friends and neighbors to learn and become better allies.
- Take care of yourself. One thing that has been made clear with all of the demonstrations lately, is that collectively, black people are tired. It is mentally and emotionally exhausting to navigate microaggressions, and process the overt racism that takes place in our country every day.
- Talk to someone. We cannot keep this stress bottled up. It helps to speak with a therapist or a trusted friend in order to process what we go through when we encounter microaggressions.
On a final note for everyone reading this, whether you experience microaggressions or not, do not stop talking about this. Talk to family, friends, neighbors, clergy, therapists. Talk, take action, and please take care of yourselves.Learn More
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?
by Counseling and Wellness Center of PittsburghNovember 11, 2019 panic disorder, signs of panic attack0 comments
According to the Amercian Psychological Association, 1 out of 75 people will experience a panic attack at some point in their life. Yet the term is used very commonly in pop culture. There are major differences between a panic attack and anxiety or stress. The most common signs of a panic attack are a racing heart, sweating, pupil dilation, chest pain, dizziness or faintness, tingling in the arms, hands, or fingers, a feeling of dread, feeling like you’re dying, difficulty breathing, and feeling a loss of control. Of course everyone experiences these symptoms differently, it is common for a person experiencing a panic attack to go to the hospital thinking that they are having a heart attack or other cardiac event.
According to the Association for Depression and Anxiety, triggers for a panic attack are varied but often a panic attack has no known trigger or precipitating event which makes it even more confusing for the person experiencing the panic attack. A person can have one single panic attack without having a panic disorder or anxiety disorder. Other times, the panic disorder which is hallmarked by frequent panic attacks and particularly a pattern of avoiding situations to prevent the possibility of a future panic attack, this could be an indicator that the panic attack is evolving into a mental health disorder. Stress, medication withdrawal, caffeine, loss/grief, major life events like a wedding or divorce can also be triggers for a panic attack. There is also an important relationship between mitro-valve prolapse and panic attacks and anxiety disorders, those with mitro valve prolapse do experience higher than normal rates of panic disorder.
If a person is experiencing a full panic attack it may be difficult to resist the urge to run to the hospital, if a person who is sure that it is a panic attack, they can label the sensation as panic, and remember that it lasts for 10 minutes to 30 minutes. A person with panic disorder should be working with a mental health counselor on developing a plan for when their panic attack comes on, some people write that plan down and carry it with them everywhere to remind themselves of how to work through their crises management steps. Some people do deep breathing, take a walk, use grounding techniques, trace the outline of the room with their eyes, stretch, yet a mental health counselor is the best person to help a person come up with an individualized plan based on their strengths, needs, and overall context.
A panic attack is very different from anxiety or stress, although the term panic attack has made its way into popular language most of what people call a panic attack is really stress, worry, or panics little sister- anxiety. A full panic attack can sometimes be described as life changing because it has startling intensity. Anxiety is a state of worry or fear that can generally be managed or serve as pesky background noise in the sound reel of our minds. Panic is all consuming with spikes of heart rate and a feeling of total loss of control. If you are experiencing more than one panic attack, you should seek medical and mental health support immediately to rule out underlying conditions and prevent the panic attack from evolving into a full panic disorder.
This is not intended to treat or diagnose a mental health disorder, if you suspect that you are suffering from a mental health disorder seek a medical or mental health professional.
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.
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.
MSPC This is a master of science in professional 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.
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 PittsburghLearn More
by Counseling and Wellness Center of PittsburghJuly 31, 2018 food for anxiety, food for depression, food for mood0 comments
Food & Mood Series by Liz Mckinney, CNS, Board Certified Nutritionist
“It is both compelling and daunting to consider that dietary intervention at an individual or population level could reduce rates of psychiatric disorders. There are exciting implications for clinical care, public health, and research” – editorial in the American Journal of Psychiatry https://doi.org/10.1176/appi.ajp.2009.09060881
Mood imbalances like depression and anxiety are on the rise in the U.S. In 2016, the National Institute for Mental Health estimated that 16.2 million Americans have experienced at least one major depressive episode and 42 million have an anxiety disorder of some kind. https://www.nimh.nih.gov/health/topics/depression/index.shtml Additionally, depression is the leading cause of disability globally. Traditionally, depression and anxiety are viewed as being caused by chemical imbalances, due to under production of our feel good neurotransmitters like dopamine, GABA, and serotonin. Lets explore how food is related to emotional health and how we can put ourselves at risk for developing anxiety or depression with our diet, as well as the good news of how diet can increase of mood, energy, and all around wellness.
So what factors contribute to a drop in the production of neurotransmitters? Biologically, this question has a multi-tiered answer. First, genetics and epigenetics (namely, how our environmental exposures affect which of our genes become activated) certainly play a role in a person’s proclivity towards depression and anxiety. For example, a common genetic mutation called MTHFR has a big impact in how we activate the B vitamin folate in our cells. Those with this genetic mutation are more prone to depression because of folate’s role in making serotonin. But, we know that our genetics don’t tell the whole story. The second factor influencing the expression of our genes, are our mental and emotional stressors or triggers, this is the part that can be effected by our social supports and reduced with therapy. Social factors and cognitive perceptions contribute significantly to the onset of these common mood disorders.
The Standard American Diet, which is low in fiber, healthy fats and protein and packed full of cheap, convenient sugar laden foods means we have less of the amino acid building blocks we need to make GABA, serotonin, and dopamine. A second issue to consider is that poor gut health is directly linked to worsened mood disorders thanks to the two-way gut-brain connection. Intake of processed snack foods packed with sugar, flour, and trans fat are like pouring gasoline on the fire and promote overgrowth of pathogenic bacteria and yeast in our gut where up to 80% of our body’s serotonin is produced. Eating poor quality proteins or simply not enough further compound the issue because proteins are the building blocks for these important compounds that keep our moods stable. Grain fed, factory farmed eggs and meats and genetically modified crops are not only loaded with toxins and pesticides that alter our microbiomes, they serve to ramp up that low grade chronic inflammation. Finally, fiber intake has never been lower thanks to the standard American diet. Fiber rich foods serve as probiotics that feed the beneficial bacteria in our large intestine. Without fuel, the good “bugs” are more likely to die off, leaving room for the pathogenic species to flourish. Our bacteria send signals to our brains, so we want our good bacteria to dominate and send signals that promote brain health, not cause further chemical imbalances and inflammation.
Now time for the empowering news! The food we eat can also improve mood, and decrease symptoms of depression and anxiety. Food can be a kind of internal therapy, by nourishing organs, healing of stomach linings and then increasing energy and brain health, they have a huge impact on decreasing ones susceptibility to relapsing from mental health disorders.
- High quality proteins
- Cage-free Eggs
- Grass-fed Beef and
- Chicken raised without growth hormones or antibiotics.
Vegan or vegetarian
- Non-GMO soy
- Vegetable proteins like legumes, pea chia, or hemp.
- Fermented foods like kefir, kombucha, or sauerkraut which contain live organisms that populate the microbiome with beneficial bacteria.
The above mentioned foods promote emotional and physical health by keeping the gut happy and healthy. As a word of caution, avoid processed, packaged snack foods at all costs and focus on whole, unprocessed foods like promote a good mood. Here are some more delicious options to add to your daily diet that calm inflammation and support mood:
- Dark Chocolate (70% or darker)
- Vitamin B rich foods – eggs, raw dairy, grass fed beef, and organic chicken and turkey, leafy greens like kale or Swiss chard, and bananas
- Red, Purple, and Blue Berries – Contain Vitamin C and other antioxidants
- Omega 3s – wild caught fatty fish (2 servings weekly), walnuts and flax seed
- Coconut oil
As a final note, understanding mood disorders is complex and the underlying factors multi-tiered. Everyone is unique and requires and individualized approach that takes into account genetics and epigenetics, mental and emotional health and diet and lifestyle. When all three are addressed, we are better able to address mood disorders and provide the best outcomes. If you want to learn more about health enhancing diets and what foods can support emotional and physical health, meet with a board certified and licensed nutritionist, our nutritionist, Liz Mckinney, CNS accepts Aetna and Blue Cross Blue Shield insurance as well as self paying clients.
by Counseling and Wellness Center of PittsburghMarch 16, 2018 anxiety, anxiety therapy pittsburgh, cognitive behavioral therapy, counseling, counseling for anxiety, counseling pittsburgh, generalized anxiety disorder therapy pittsburgh, licensed therapist monroeville, licensed therapist pittsburgh, searching for a therapist in monroeville, searching for a therapist pittsburgh, therapist, therapy, therapy for anxiety, therapy pittsburgh, wellness, wellness center monroeville, wellness pittsburgh0 comments
Panic Attacks and Panic Disorder
As many as 4.7% of people will experience a panic attack at some point in their lives, panic disorder is a form of anxiety disorder which can be extremely intense, many times individuals who have a panic attack end up going to the emergency room imagining that the rapid heart beat and dizziness are a heart attack. Symptoms and features of anxiety disorder according to the Diagnostic and Statistical Manual IV, laid forth by the American Psychiatric Association are as follows: To have experienced at least 4 of the following 13 symptoms;
A feeling of smothering
Feeling of Choking
Discomfort or Pain in the chest
Abdominal distress including a heightened need to urinate or defecate
Dizziness or Lightheadedness
Derealization or Depersonalization
Fear of losing control or a feeling that you are “going crazy”
Sweating, Chills or Hot Flashes
The symptoms of a panic attack are hallmarked by their sudden onset and intensity, unusually a panic attack has an onset in as little as 10 minutes. In example a person who has experienced a panic attack may say “I was sitting on the bus when all of the sudden I felt like I couldn’t breathe, it was like my throat closed up and I was choking but there was nothing in my mouth. I became dizzy and my heart felt like it was beating out of my chest, I started looking around and was going to cry for help. My fingers and toes felt numb and tingling, in a few minutes my heart slowed down a little bit but my stomach was really tight for hours after.”
As you can imagine someone who is experiencing a panic attack is suffering greatly. There are several different types of Panic disorder according to whether they are caused by a specific cue, such as public speaking or encountering an enclosed space such as the panic that can happen with claustrophobia. In other instances, panic attacks can be un-cued or non-specifically cued, this means that sometimes a person who has a panic attack may not understand what the trigger for their panic is until they seek treatment for the panic and uncover the deeper fears and how to manage the panic with their therapist. A panic attack is differentiated from having a panic disorder which is to have had recurrent and unexpected panic attacks for a period of one month or more. Treatment for panic disorder are therapy, often most effectively Cognitive Behavioral Therapy, with a licensed professional counselor and also medication is sometimes the best treatment. Usually it is a combination of these two treatments which best helps to manage panic disorder. Untreated panic disorder can greatly reduce quality of life, leading to long standing feelings of guilt and shame and even agoraphobia.Learn More
by Stephanie McCrackenJanuary 8, 2015 counseling, feminist, mindfulness, personal growth, psychotherapy, wisdom0 comments
We raise them to be good girls, to nod politely during fine conversation strung on during respectable hours with respectable people. We raise them to be pillars of hope, encouraging others in their struggles, we hug them and cradle them from the womb to teach them that they too should hug others, pearls of sweat always wiped away before becoming visible, to be the tirelessly devoted caretaker. We raise them with their kitchen play sets and plastic burgers and fries to prepare, toil, to serve those near and dear, insistently offering heaps and dollops of crème fraichely flavored affectionate nurturance. We raise them to banter upon the midnight keys of the baby grand, to cajole the audience with a fine melody, high five you little entertainer, pat, pat upon your severely strewn locks all wrapped up in an impeccable bow, “you are such a good girl.”. Oh, indeed, she hears you, her tiny countenance aglow with your praises, forming a map, a how-to manual which will beckon the praises of all of the others, a lifetime of others. A heavily laden back drop of nodding, and “yes sir” and “yes ma’am”, discipline and structure abounds her omnipresent formative years, she will please and she will shine.
This little essay is for all of those good little girls, turned to women that must learn how to say “no sir” “no ma’am” here is the boundary that draws the distinction between you and between me. Sometimes she must say “no” and nod “no” for nobody else other than her, and her own self-interest, and sometimes she must walk away still being a “good girl” because as she is learning her obligation is to nurture herself, too. Here is to the good girls who have traded in their bright-eyed baby dolls and longed instead to sit in solitude, sometimes for hours on end, to strewn together words upon words which offer semblance to their own pale logic. This is for the good little girls who leave those plastic frying pans, those dull golden rubber buns left to acquire a lifetime of mold. This is for the little girls that are too busy collecting grasshoppers and salamanders, head to toe crusted in mud, smelling not like perfume and soap but like straw and finely decomposing fall leaves, yes little girl “we love you too”. This is for the little girl come lady who screeches out an alarming melody, a protestation, a vigorous “No! I don’t want to wear your dresses, I won’t be a good little girl, I want to listen to crickets and cicadas and feed the goats in my denim jean coveralls, someday I want to be the CEO and walk about with ease in a simple pair of flat shoes meant for utility!” For the little girl that doesn’t want to smile and nod, on some days she wants to stomp and to curse a big “fuck you world!” She wants to say it and not fall from her imagined place of grace, clinging to all of this sturdy awareness, panicking that she has careened over the invisible line, teetering on becoming a very bad girl indeed. Yes, good and bad and all of these startling dichotomies, black and white pervade in a world of pastels, blues and greys, there must be something beyond the stark definition, the deft appraisal, and no girl wants to be tossed to the bad girl side when it comes to such grossly serious matters. Even with messy hair, smeared mascara, no mascara, when we have stayed up too late, when we can’t wake up in the morning, when we have allowed cruel words and actions to rush passed angrily contorted lips, we still want your love. When we have shattered our picture perfect with heaps and doses of vapid reality, we still want your love, we still want to be a good-girl turned woman, a woman worth loving, to you, and we want to fill up our own hole that reeks of neediness, the irrational desire for your love which we know needs to be sustained by our own self-love, a love that remains beyond these tendencies of fluctuating moods, beyond good-girl and bad-girls, the place of total acceptance, the point of compassion for our own humanness, yes, right there, that space of self-nurturance, maybe we are good-girls turned woman after all.
In care and warmth,
Stephanie McCracken MSPC
Psychotherapist ; Reviving Minds Therapy
1010 Western Avenue Pittsburgh Pa 15233 Suite 100