by Counseling and Wellness Center of PittsburghJune 15, 2020 hypersomnia, insomnia, sleep disorder, sleep hygiene0 comments
Sleep hygiene is a science formulated to help people overcome disrupted rest by removing any barriers that a person might be unknowingly creating that prevent against deep and complete rest. According to the American Sleep foundation, 47% of Americans report poor quality sleep has affected their daily performance in the last month. As mental health counselors know, there is a significant relationship between sleep and well being. Finding solutions for better rest are vital when your health is on the line, research suggests that sleeplessness can accelerate cancer, erode cognitive performance, and it also impacts mental well being in a variety of ways. Did you know that not getting enough rest can activate many mood disorders including bipolar disorder, anxiety, or depression? In fact, sleep disruptions are a very common complaint among those who are seeking treatment for mental health disorders. Of course, most people have experienced a sleepless night as a result of a situational challenge or period of stress. There is a lot to lose when it comes to sleep but more than ever so many are so sleep deprived. By now you are likely wondering what you can do to enhance your sleep. This is where sleep hygiene comes into practice. There are some evidence-based ways to help you achieve a more restful state. Simultaneously, there are certain sleep disorders such as parasomnia, insomnia, and hypersomnia which should be ruled out with a medical or mental health counselor.
Know your sleep type! There are two primary types of sleepers, night owls and roosters, night owls are biologically programmed to sleep and wake a little later. Roosters crow at the sun, roosters, will do best to find a job routine that can be done early in the morning. Same goes for night owls, their peak performance will be later in the day. For both of these types of people, constructing a life that honors biology will do a lot for wellness and emotional wellbeing. For example, a rooster shouldn’t take the night shift if they want to feel their best.
Have a good routine- Routine is paramount to having improved quality and quantity of sleep. Find a regular hour in which you can rest. When you achieve a regular schedule, your body will be responding to multiple environmental cues that will help falling asleep and staying asleep easier. You should really be aiming for 7/8 hours per night so plan to go to bed that amount of time before your alarm clock will start buzzing.
Limit screen time at least an hour before bed. Our eyes are brimming with light receptors which are impacted by the screens we look at. When you are reading your email or social media account your brain is getting a large dose of light that signals to wake up! Limit exposure to at least an hour before bed to give your brain a chance to relax.
Spending time outdoors in the morning– The light from the sun helps us to become more alert in the morning giving our bodies higher energy. By maximizing exposure in the early hours we can find our way to relaxation in the evening. If a morning walk is not your thing, some people enjoy ‘sungazing.’
Work out in the am– Multiple studies have shown that working out in the am morning hours does help fitness friends to sleep better in the evening. Interestingly however, having an evening work out has not shown any effect on sleep.
Lengthen your exhale- When using your breath as a relaxation tool, you can activate your parasympathetic nervous system. It works like this, by lengthening your exhalation to be longer than your inhalation, for example inhale for a count of 6 and exhale for a count of 8, do this 10 times. This small but powerful technique is a potent relaxant as you are attempting to drift off to a deep slumber.
Limit Caffeine- Be mindful of what you are consuming, the half life of caffeine is quite long, if you are drinking caffeinated beverages after 1 or 2 pm, it will still be in your system at 8 or 9pm. Try to limit caffeine to one cup upon waking and the same goes with sugar.
Try Essential Oils- Many people find that a calming essential oil will help them achieve a more relaxed and restful state. Scents such as lavender and chamomile are widely used as a part of night time routines.Learn More
by Counseling and Wellness Center of PittsburghMay 27, 2020 anger management counseling, greensburg counseling0 comments
Managing Displaced Anger During Difficult Times
It has been said that anger is a secondary emotion, triggered by preceding fear, rejection, hurt feelings, humiliation, and sadness. With the current pandemic, restrictions on our daily activities, the uncertainties of our futures and our medical and financial wellbeing, it is no wonder people have been on edge. This disruption has been significant and abrupt. Suddenly, we no longer have the same level of stability in our lives and the need for structure, safety, and predictability has been jeopardized. Everyone has experienced some form of loss, and many are grieving.
Lately, while watching morning news, we hear the retellings of incidents involving explosive anger where someone has violated another physically or verbally. Often, we are seeing these acts in public arenas, on display for anyone to witness, which is telling that we are not coping well as a society. So, what is happening? Has the world gone crazy? Are these the preludes to a hostile, post-apocalyptic dystopia? Likely, no. It’s more probable that people are misplacing or “displacing” their frustrations. Displaced anger or aggression occurs when one is unable to express anger towards the source of provocation so instead, the individual acts out towards others. Often, we are not able to direct our anger toward the actual cause of our fears and frustrations. For example, it would be of no use to air our grievances to the virus itself and we are also unlikely to get our desired response from people who have direct influence over our day to day struggles. So, then many of us are left fearful, anxious, grieving, and frustrated with no say or control over what happens next.
While it’s easy to focus our attention on our lack of control, doing so will only increase these feelings of frustration and helplessness. Despite current limitations, there is still much we have influence on in our lives today. We can choose what type of activities we engage in throughout the day, our diet, exercise, and our sleep hygiene regimen. We have influence over our thoughts and mindset, whether we focus on the negative or we see the positive in situations. We can control what we are watching on television and social media or listening to on the radio or podcasts, all of which impact our outlook and perspective. Those choices effect how we feel and in turn how we cope with our stress.
Even the most Zen of us will displace our anger onto innocent bystanders from time to time. After all, we are human. In these moments, when you feel yourself becoming easily agitated or triggered, take a second, breathe, and identify the real cause of your anger by asking yourself, “What’s really bothering me? Does this make sense?” and even, “Does my emotional reaction match the situation?” Note that if it is something you cannot change, there are still things about the situation or in your life that you do have influence over. Exercise positive self-care practices such as physical activity, being outdoors, reading, listening to music, eating a healthy diet, guided meditations, deep breathing and other stress reducing techniques. These can be thought of as preventative activities to increase your threshold for stress and strengthen emotional resiliency. Be mindful of when you have reached your limit and need to seek additional help or support. Lastly, always remember to T.H.I.N.K. before you speak. Is it true? Is it helpful? Is it inspiring? Is it necessary? Is it kind? Choose to be kind.
Andrea Kellman, MS, LPC who provides therapy, marriage, and family counseling services in our Greensburg counseling center.Learn More
by Counseling and Wellness Center of PittsburghMay 11, 2020 corona virus and shared custody, family counseling during corona virus0 comments
Tips for Co-Parenting during Quarantine Coronavirus
It is always important for parents to be on the same page when it comes to their children, perhaps it is even more important that parents take the time create an atmosphere of predictability and consistency in shared custody and co-parenting family dynamics. The family counseling community has seen many examples of damaging dynamics from families during quarantine COVID times. From parents who are unable to agree on whether their children will be able to see in person health care providers, to parents who attempt to withhold visitations under the guise of COVID, it is the children who stand in the middle to lose much needed contact with their loving parents and caregivers. Here are some child therapist and family counseling verified tips to help you and your child’s other parent get on the same page. Remember, it is pretty likely that you and your former partner share the goal of helping your children adapt during these difficult times.
The courts have not waived parents’ rights to visitations due to COVID. That means your normal custody arrangement remains in full effect during this period, even if you have concerns over how your child’s other parent is enacting social distancing or who they are coming into contact with while they are having their visits, you still have a legal obligation to uphold the legal arrangement. Of course, if you feel that their other parent or family members are behaving in a dangerous way you should speak to your legal counsel but in most every instance the courts have not interfered with custody arrangements over COVID family concerns.
What is really best for the kids. The impact of this virus is even more difficult for small children as they do not have the rationale to understand the purpose of limitations on their behavior. This makes it even more important that we follow up as caretakers with consistency in the rest of the routine. Routine has an effect of soothing fear and anxiety, seeing the same family members and important people in kids lives are a big part of what makes their life feel predictable and manageable.
Parents will need to communicate, with each other! There are a lot of instances of parents using others as a ‘go between.’ From asking young children to relay messages to asking receptionists, and therapists, teachers and doctors to tell their former partner what is happening with their child, this is not a good idea. First, it is outside of the role of any child or provider/professional person to manage the communication between you are your child’s other parent. If you feel unable to manage basic communication with your child’s other parent for any reason, you should enter co-parenting family counseling immediately.
Remember that there are things outside of your control. COVID is a massive reminder that there are so many things outside of our control, while we should always act in our own and our loved ones best interest, there are still so many variables that we can not influence. Your child’s other parent may be to some degree, one of those situations that makes your feel helpless. We know that in the face helplessness and uncertainty most people feel a large measure of anxiety. Acknowledge your anxiety and spending some time assessing whether it is rational or irrational. You will likely need to have a moderate degree of flexibility in allowing your children to have a slightly different experience in their other parents home versus your own. These personality differences may have led to the demise of your relationship with your former partner and they will likely make co-parenting with them tricky but not impossible. Try to start with the points where your agree, maybe as simple as ‘we both love the kids.’
With COVID, there are a few categories of people and they are reacting to Corona differently. Some of concerned for their health and the health of others and are closely monitoring the CDC guidelines for managing COVID. Others are concerned about their loss of freedom and autonomy. Others are concerned about the financial impact of COVID closures. All of these are perspectives that come from a place of caring about the well-being of our society and others albeit in different ways. If your child’s other parent has a perspective very different from your own, you should attempt to find some compassion for them and really hone in to be sure that any concerns you have for your children to assess that they are well founded concerns and rational. One of the most important things that you can do for your children right now is to care for your own stress and manage it effectively so that you can be the best version of yourself during the challenges that we are all facing.
Check out the link by World Health Organization for tips on parenting during quarantine!
by Counseling and Wellness Center of PittsburghDecember 11, 2019 addiction, addiction recovery, how to say no, quitting alcohol0 comments
Do you have a problem with alcohol? Substance Abuse Treatment
Drinking problems affect a staggering 15 million Americans according to the 2018 National Survey on Drug Use and Health.
People are less likely to seek help for alcohol use addiction as there is little social stigma attached to alcohol consumption. Our culture tells us our alcohol use isn’t that bad. It is inaccurate to believe that someone with a problem with alcohol has to be living under a bridge, without a job, and drinking a bottle from a brown paper bag. You also do not have to be daily drinker of alcohol. Since men and women have different metabolic rates, the definition of binge drinking for men is consuming five alcoholic beverages within two hours, and for women, it is four drinks in two hours.
Ninety percent of adults with addictions began to use drugs or alcohol before age 18.
Alcohol Use Disorder (AUD) is a substance use disorder, is a chronic relapsing brain disease characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. AUD can range from mild, to severe, and recovery is possible regardless of severity”.
Some questions you may want to ask yourself if you think you have a problem with alcohol.
- Had times when you ended up drinking alcohol more or longer than intended?
- More than once wanted or tried to reduce or stop drinking but couldn’t?
- Spent a lot of time drinking or being sick from the after effects?
- Wanted a drink so badly you couldn’t think of anything else?
- Continued to drink alcohol even though it was causing trouble with your family or friends?
- • Given up or cut back on activities that were important, interesting or pleasurable to you in order to drink?
- • More than once gotten into situations while or after consuming alcohol that increased your chances of getting hurt (such as swimming, driving, using machinery, walking in a dangerous area or having unsafe sex)?
- • Continued to drink alcohol even though it was making you feel depressed, anxious or adding to another health problem? Or after having had a memory blackout?
- • Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, racing heart or a seizure?
- The National Council on Alcoholism and Drug Dependence points out that dangerous drinking can cause a number of other health issues and not just for the person doing the drinking. There are 100,000 people who die every year as a result of drinking and driving, other accidents, falls, fires, suicides, and homicides related to alcohol consumption.
- Alcohol and other substance abuse disorders commonly occur with other mental health disorders such as anxiety, depression, bipolar disorder, and borderline personality disorder to name a few.
There are treatment options available, such as an intensive outpatient program, 12 step support groups, and individual counseling. Treating addiction is not a one size fits all.
But know that here is hope for living a life without using alcohol.
*The criteria come from an authoritative handbook known as the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (or DSM-5).
Counseling and Wellness Center of Pittsburgh
4108 Monroeville BLVD Monroeville PA 15146Learn More
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 PittsburghJuly 10, 2019 why its important to take care of your mental health0 comments
This Is Why its important to take care of your mental health
By: Melissa Howard
One in five American adults experiences some form of a mental disorder each year, yet only 25 percent feel that others show them any compassion due to the negative stereotypes often associated with mental health disorders. Sadly, this can prevent individuals from getting proper treatment, or disclosing their condition in the workplace for fear of losing their job. Matters can become even more complicated if someone is dealing with persistent and irrational fears, otherwise known as paranoia, or general anxiety disorder (GAD). GAD is like a proverbial vice in that it causes stress and prevents one from carrying on with daily activities. To an outsider, these individuals appear high-strung, neurotic, and perfectionist because of their anxious personalities. Researchers have concluded that this behavior is caused by a dysfunction in parts of the brain responsible for dealing with fear, emotion, and memory.
While medication and psychotherapy are two of the top ways to control the side effects, self-care is equally as important for maintaining mental and physical health in the present and in the future. Here are some ways to make conscious, daily efforts to nurture your own well-being.
Banish Any Bad Habits
Whether it’s cigarettes, binge drinking, or experimenting with drugs, your entire being is compromised by bad habits. It’s only logical, as when you’re feeling poor physically, it’s going to affect the way you feel mentally, too. First, determine whether the monkey on your back is too heavy for you to lift off on your own. If so, seek the necessary treatment, such as rehab or a nicotine patch. Of course, this is easier said than done, but in many cases, it’s a matter of life or death. Consider confiding in a trusted friend or family member if you’re scared about next steps — it’s likely that they’ve already noticed something is wrong.
Learn To Become More Present
Being paranoid can conjure up irrational thoughts like thinking about dying in a natural disaster or losing a job. Taking up yoga can help you be more present while feeling grounded and getting a grasp on reality. In fact, doctors are actually recommending it as a complementary, holistic therapy. The gentle poses and breathwork from a vinyassa yoga class have been known to improve sleep, and reduce panic attacks and overall anxiety levels, not to mention it’s a great practice for building strength, increasing flexibility, and improving balance. The average cost of a yoga class ranges from $12 to $16, but prices go down if you pay for multiple sessions.
Set Aside Time to Get Organized
Getting organized and keeping your house clean, believe it or not, can go a long way toward improving your mental health. Not only can organizing your possessions help reduce stress and improve the quality of sleep you get each night, but it can also reduce the symptoms of depression and help you become more productive. Once you have everything organized, consider bringing in a maid service to give your home a good deep cleaning, which is a surprisingly affordable option. For example, in Pittsburgh, a one-time cleaning will run you between $93 and $204, depending on the size of your property.
Embrace Alone Time
While you don’t want to isolate yourself, taking advantage of having ‘alone time’ can be beneficial for one’s mental health. Not only can it help you to focus on self-help, but it also boosts creativity, increases productivity, allows you to explore personal interests, and provides a sense of empowerment. Taking time for yourself also makes it easier to take care of yourself by getting enough sleep, preparing a healthy meal, and exercising. When you learn how to be comfortable with yourself, the easier it is to be confident in social situations.
Don’t worry about the stigmas surrounding mental illness. Instead, establish a supportive network who understands that life can sometimes be challenging for you. For some, family and friends are enough of a support system, but others may be more comfortable adding a network of like-minded individuals into the mix. Talk to your doctor about getting a referral for a local support group in your area — you may need to try a couple of different ones out to find the right fit. You need not feel the pressure to participate. Sometimes, just listening to others share similar stories, concerns, and successes are enough.
Photo Credit: PixabayLearn More
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.Learn More
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 PittsburghJanuary 17, 2019 addiction recovery, counseling wexford, digital detox0 comments
‘5 Awesome and Up-worthy Benefits of A Digital Detox’
Mental clutter, anxiety, ‘fubbing’ and stress related disease are just a few of the human spoils which we can estimate are at least in some part perpetuated by our over-reliance on cell phones and digital solutions. The technology era is here and the evidence is within our aching and gnarled fingers, computer blurred-out hyper-focused eyes, our text neck, and cluttered minds. In fact, cell phones have become a newly added to the expanse of potential behavioral addictions. The more we tune into our personal devices the more we tune out all that is around us. Digital detox is the new mental colonic but with perhaps even greater results and significance. When was the last time that you unplugged? What do you imagine would happen if you tried. We have heard of some texters and cell phone obsessed say that they even get full blown anxiety attacks if they leave their phone at home accidentally. We encourage you to take the digital detox challenge and see for how long you can not use your phone. Even for a few hours a day can make a difference. Here are some of the benefits you will notice fairly quickly.
- Thoughts and feelings become much more calm. Much like a turbulent bay on a stormy afternoon, our thoughts get churned up when we are constantly bouncing from one email, to our search engine, and then to social media. When we step away for a few days, our consciousness and the direction of our thoughts have a chance to become still and reflective.
- Enjoy better concentration with internal stillness. Sometimes we multitask to our own detriment, in an attentionally scattered frenzy we try to do too many things at once and fall short everywhere. Yet, when we are unplugged, we can tune our attention in any direction we chose. There are limitations to our ability to think and pay attention and we deplete those resources shuffling between 10 screens. Yet when we focus on things more deeply we become more aware and productive.
- We see what is around us, for real!! Of course when we are scrolling and trolling we are not very good company and we are missing a lot of the scenery. The people we care about may even become hurt or feel rejected by our obsession with our phone. In fact, cell phone overuse wrecks relationships and even brings many couples into counseling. Sometimes we unconsciously use our devices to avoid who and what is happening around us. When we put down our phone and step away from the screen we become much more aware of the people around us, the raw beauty of the skyline, the gray tinged clouds that roll in before the storm, we are ‘in the now’ and living it all.
- Sleeping more deeply. There is much compelling research from the National Institute of Health that logs the correlation between screen time and disrupted sleep wake cycle. The statistics are so compelling that we can safely suggest that we leave behind our personal devices for at least one hour before hitting the sack. The benefits really peak after several days disconnected, this is when our internal clocks have a chance to reset, the benefits multiply as there are few things which are better for our wellness than a solid nights slumber .
- Higher energy and creativity. When we are sleeping well and tuning into the environment, the next natural result is greater energy and even creativity. Want to finish an important project or just feel more vital? Try a digital detox for a few days and see what happens.
How ready are you to try something new today? If you would like further reading on how to make emotional, or physical changes, read our article ‘How to Slay Anything in 2019.’
With energy and clarity,
The Counseling and Wellness Center of Pittsburgh
Pittsburgh, Monroeville, and Wexford.
by Counseling and Wellness Center of PittsburghOctober 30, 2018 compassion, pittsburgh, positive psychology, resilience to trauma0 comments
Trauma; Honor For Your Healing Journey
The four things your therapist wants you to know about your healing journey. When you’re healing from a grief, trauma, or resultant PTSD, you must be thinking about ‘how will I ever move on from this horrible, unexpected, agonizing reaction to the traumatic situation that I have experienced?’ Remember, PTSD is a reaction to witnessing or experiencing a sudden and unexpected event which caused one to feel powerless by delivering, threatening, or witnessing harm. How can I rise above these feelings and thoughts and create meaningful and complete healing? Maybe you want to go backwards in time and undo all of the harm that you have experienced. A common and reasonable response to all of these above disorders, particularly PTSD, is to try to avoid all triggers associated with the situation which evoked the trauma, hypervigilance, intrusive memories, nightmares, flashbacks and an increased risk for anxiety and depression. This disorder presents a mountain to ascend, and whether you have spend years in therapy or are only beginning to acknowledge the depth of the effects this has had on you, these are some points to keep in mind. These are the 4 things that your therapist wants you to know about healing that are not immediately evident.
Healed but not Forgotten
Some people have the unrealistic expectation that when they reach the end of their healing journey they shouldn’t have any emotional reaction to their memories of the traumatic event which led to grief and loss. That is not how healing works. It is quite likely that you will always have some sort of reaction to the memories and thoughts associated with your grief or trauma. In fact, according to a 2011 study published in NIH by Sherin and Nemeroff, and according to all of science and psychology support the fact that there is potential for long term neuroanatomical and neurochemical changes to the central nervous system resulting from trauma. These changes are especially evident in the way we respond to triggers or trauma associated stimuli. What we should be striving for in the healing from trauma is a ‘new normal.’ Healing means that you are able to function in professional or personal settings and that you are practicing resilience and positive coping when waves of thought and emotion do come.
Healing means Acknowledging Feelings
One of the ways that therapy works is by creating an intentional space for healing warriors to be honest with themselves, to create an understanding of their emotions. After an awareness has been formed adaptive responses to feelings and thoughts can be generated. We create psychopathology by being critical and attempting to repress our internal honest responses. For some people like first responders, police, and paramedics, there may be an extra layer of difficulty and stigma attached to acknowledging ones feelings and seeking mental health support to manage trauma. This can cause further damaging denial of the effects of traumatic experiences, One of the core tenets of psychological theory present in every form of therapy is that the more we repress, judge or avoid our feelings, the more we cause problems. Repression elicits tangled feeling constellations, blocked energies, incomplete and unintegrated shadows. Mindfulness based stress reduction, EMDR, and Cognitive Behavioral Therapy, and Exposure Therapy, have shown efficacy in treating PTSD. Our feelings can turn into psychopathology that are bigger and sometimes socially unacceptable forms of the original emotional response.
Healing Happens in Relationships. Find your Healing Tribe
It is especially true for trauma that happens in relationships, that this same trauma is healed in relationships. When trauma survivors open up to those people who they consider to be safe, there is an incredible potential for healing to happen. Healing relationships are those that resonate compassion, gentle acceptance, warmth, and non-judgement. Think about it, we become close to those who we can be really honest with, those who ask about our feelings and can share in a compassionate interchange, (Mgrath, 2001). Sharing trauma should be exercised with caution. However well-intentioned our healing tribe may be, its members may inadvertently respond in less constructive ways that judge, shame, or put down the survivor for having the pain or scars of trauma. Another risk is not being able to hear or understand what is being shared. What is really needed is non-judgmental acceptance, understanding, and compassionate warmth.
Positive Psychology, Pop Culture and Non-Reality
You may have survived a trauma
but that doesn’t mean you have to fall victim to meme reality. Scroll through a social media forum and you will see many posts and memes which declare that everyone should be happy all the time. That isn’t honest or possible. The healthiest among us are those who are honest with themselves about what they experience and then respond to their vulnerable reality in a constructive way. According to a 2016 study by Elizabeth Kneeland,pop cultures layman positive psychology is damaging. When pop culture got its hands on positive psychology its representatives distorted the message, and now laymen perpetuate unrealistic and uninformed messages which imply that we can think our way into a good mood. It suggests that if we blink our eyes we can make trauma and psychological distress evaporate. Your therapist knows differently. Its ok to be outraged, disgusted, sad, hurt, angry, confused, and it is important to acknowledge where you are in your healing journey today.
No matter where you are today, the best we can do is to risk opening to ourselves, to create an honest internal dialogue that we are eventually able to share with others. We should unabashedly honor our own processes, giving relentless permission to feel, think and be; in reverence of joy, in honor of glorious fury, to the fullest expression of gaiety, to the utterance of insuperable hurt, to fully hone in on repugnant disgust. Keep developing your divine awareness, and eventually you will have created the unique meaning which understands with a lens of compassion, acceptance, and self love all that has happened to you.
With love and hope for resilience,
Stephanie Wijkstrom, MS, LPC, NCC
- Counseling and Wellness Center of Pittsburgh
830 Western Avenue Pittsburgh PA 15233
- Counseling and Wellness Center of Pittsburgh
4108 Monroeville BLVD, Monroeville PA 15146
Accepting new clients, our therapists accept UPMC, Highmark BCBS, United, Cigna, Magellan, Aetna, HSA, Self Paying and Sliding Scale.
Thank you to our Editor, Dr. Stellan Wijkstrom for his ever helpful alterations and contributions.
For More Reading
Kneeland, Elizabeth et al, Positive thinking Newsweek, 2016
McGrath, Ellen. Psychology Today, published November 1, 2001
Sherin, Jonathan E, Charles B. Nemeroff
Dialogues Clin Neurosci. 2011 Sep; 13(3): 263–278.Learn More