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Teenhood by Heartprints

Why Creativity Works

3 Jul 2014 20:39


    Ever wonder about art therapy, or why a client-- teenager or not-- might draw or paint in a counseling session? Curious as to how expressive methods are useful in therapy? For many people, their memories of creativity in school are also coupled with embarrassment and even shame. In elementary school, we start to notice other’s work. We begin to compare our art to theirs. Perhaps we notice their creations reach our ideal more then our own work. As classmates meet art goals we do not, it is not uncommon for us to shut down our creativity. Negative self talk becomes “I’m not creative” or “My brain doesn’t work that way.” Unfortunately, some art teachers can exacerbate these inferiority beliefs through criticism and even ridicule.
   In my work with teenagers, some will flatly refuse to engage in creative work “I’m not good at it.” they tell me. Anxiety can even spike when people are put in a situation where creativity is required. The problem is creativity is a gift people can use not only to express themselves but to help their brain process emotional pain more easily. When we shut down our creative side, we lose an important tool to help ourselves.
    In the past few months I have been pleasantly surprised at how much recent research supports creative expression in both working through difficulties and living whole heartedly. Dr. Eliana Gil, an author of child therapy books, speaker, and counselor for 40+ years, explained how creative work incorporates a different part of our brain than the part where we think about problems or trauma. When we incorporate creativity into our lives, it allows our brains to process these issues more fully. She even encouraged counselors to self care by engaging in expressive art forms to better process their difficult cases at the end of their day. 
    Another popular writer, research, and speaker, Brene Brown, insists one of the key practices of living life fully is regularly engaging in creative works. She writes that internal and external shaming often keeps us from digging in to spending time on artistic endeavors. To fully embrace creativity we have to put away our tendency to compare and judge but practice self acceptance. Brene also warns “Unused creativity is not benign. It metastasizes. It turns into grief, rage, judgement, sorrow, shame.”  What holds us back from accessing our creative side does more harm than good. Abiding by our fear of failing only hurts ourselves.
    Even if the idea of creativity creates a nervous eye twitch, slowly moving towards creativity not only helps ourselves but models it for our teenagers. Let us get young people involved in utilizing this wonderful gift to help them cope with life's many challenges. Here are some ideas to get you started:
  1. Identify what you can do for hours on end and lose track of time (no, not TV)—reading, writing, decorating, experiment with baking/cooking, gardening, dancing, editing photo, crafting, playing games with the family, swimming, drawing, painting. (note: play is the sister to creativity)
  2. Schedule time in your calendar to regularly engage in these identified activities.
  3. Scientific American recommends going new places, eating new foods, listening to new music, and meeting people that are different than us boosts our ability to be creative.




Developing Healthy Family Rules: Trust Part 3

3 Jun 2014 15:11



Most researchers of human interactions agree trust is the essence of all healthy relationships. One mistake families unintentionally pass on to their children is the belief that people aren’t trust worthy. “If you want something done right, you need to do it yourself.” Lack of follow through and bringing up past mistakes are the two most common ways families corrode trust. Here are some examples, the concerns, and how to rebuild the trust:
1.)    Dad promised to be at his son’s sporting event but gets caught up at work and doesn’t make it. This is not the first time it has happened.
·         Concerns: Son learns Dad’s pattern of behavior of promising and not following through. He also learns Dad values his work more than his commitment to his son. He learns not to trust Dad’s promises. As he grows older, he may continue this pattern with his own relationships.
·         Solution: Dad apologizes to his son, recognizes his wrong doing, stops making promises he can’t keep, and makes sure he is at the games he says he will be at. Son learns he can trust Dad to do what he says. Son learns it is important to keep promises.
2.)    Mom tells her daughter she is going to get her a new kitten when her grades improve but after the grades improve, she doesn’t get the kitten. When the daughter brings it up, Mom excuses the lack of follow through by blaming her for not cleaning her room.
·         Concerns: By Mom not remembering the kitten on her own, she undermines her own motivational strategy.  By refusing to follow through she has sealed shut motivating her daughter in the future. Her daughter learns mom will say anything to get her to do what she wants and probably won’t follow through. Further, it isn’t even worth talking to her about it because Mom will turn around and blame her. Daughter learns it is ok to misled Mom as Mom has mislead her.
·         Solution: Make no statements you are not fully prepared to follow through on. Follow through on all consequences positive or negative in a timely fashion with no undisclosed strings attached. Daughter learns to trust what mom says and works to keep her word with her mother.
3.)     Parents ground their teenager for three days but “forgets” after one day.
·         Concerns: The teenager learns (and counts on) parent forgetting decided consequences. They may take advantage of it. He/she may expect other authority figures to do the same rather than hold them accountable. The teenager also learns parents won’t follow through with what they say.
·         Solution: Only say what you are willing to do. If a one day consequences is what can be held to, then only say one day. If three days have been decided, figure out ways to remember to hold them to it for three days. This way, the teen learns to trust parents even if he doesn’t like what they are saying.
4.)    Family is in the middle of an argument over chores and parent brings up past mistakes/failures that have nothing to do with the current discussion.
·         Concerns: The teenager learns no mistake is really forgiven and resolved but can be used against him/her at any time. She/he learns it is better no one knows about their own mistakes because others can’t be trusted to be safe with the mistake/failure.
·         Solution: Parents stay on topic to the discussion at hand. If unresolved issues come up, save for a better time to discuss. Try to resolve issues as quickly as possible rather than dragging them on for days, weeks, or even longer. Parents work at full forgiveness and moving on once the issue has been resolved.
Trust is the foundation for all healthy relationships. If we can’t trust our own families, it makes it a lot harder to trust others. Trust takes so much time to build and can be broken in an instant. All parents make mistakes but it is never to late to work at improving. Mental illness, trauma, and substance use are common perpetrators of distrust in families for a variety of reasons. It takes awareness, intention, time, and hard work to build trust within the family. Instilling trust in your family is a great gift. It allows the next generation to live life more wholeheartedly without shame, it improves their ability to connect with people at work, and have lasting intimate relationships. See a professional family therapist to facilitate the process more quickly.

Develop Healthy Family Rules: Encouraging Emotions Part 2

25 Apr 2014 04:13



Fostering an environment allowing any emotion (not behavior) creates healthy families. Unfortunately, many times families have an unspoken rule that emotions are not valid OR certain feelings are not acceptable. Being too sad, mad, or even "too happy" is discouraged as dramatic or unimportant. "Pull yourself up by the bootstraps." "Stop crying." "Suck it up." are common expressions perpetuating these myths. Other times only a select emotion is allowed, such as anger. While other feelings are dismissed or invalidated, anger expressions are given free reign. Occasionally, families can develop roles giving only certain family members permission to express a feeling. Traditionally, girls can cry and be sad more and boys can get angry more. Or, perhaps only one family member can express intense emotions. When alcoholism, substance abuse, or mental illness seeps into the family tree, the maladaptive coping skill, suppressed emotion, can influence the generations of families.

When we do not allow our children and teenagers to own their own emotions, we teach them danger in being vulnerable in relationships. A young lady once told me every time she cried her father became angry and walked out of the room. The vulnerability of crying was rejected in what could have been a close relationship between daughter and father. This breaks down family relationships. Researcher Brene Brown says, "Vulnerability is not a weakness. And that myth is profoundly dangerous." Healthier families vulnerably share feelings knowing they will be heard in safety and support. Each family member has a right to their own feeling regardless. This doesn’t mean all behaviors are permissible. This also does not mean all negative emotions must be ‘fixed’ or rescued. Part of a healthy emotional family is the respect and personal ownership of feelings. For example:
Sister is very upset she can't go to her friend's house. She is crying and arguing. Parents can listen and validate her emotion ("That makes sense you are disappointed you can't go to your friend's home.") and still set limits ("Nevertheless, this is the decision made. If there is going to be continued arguing, you will need to go to your room. "). Offering a consolation hug can let her know her sadness is recognized. Stopping the arguing lets her know the behavior is unacceptable. 

Are each of your family members allowed to have their own feelings?

Is anger one of the only acceptable emotions in the house?   
Young people keep their feelings to themselves because they fear grownups will:
a.) ignore them
b.) diminish or respond sarcastically
c.) become more upset than the person sharing
d.) become angry. Almost daily, I hear from families that they cannot communicate feelings out of protection- either for themselves or for others.

To facilitate healthier communication families must be able to share emotions safely. It takes vulnerability to share emotions freely. This not a skill we are born with and may not have learned growing up. Sometimes the only safe place initially, is a counselors office, having a 3rd party mediate. It is a practiced skill that can be developed. If you are having difficulty identifying feelings, use this chart below to fine tune your own emotional sense. Once you are able to identify your own feelings better, you will be able to help other family members with this as well.


I’m Feeling…                                                                                                Note: Some feelings overlap.
Happy
Misc
Stressed
Scared
Mad
Sad
Alive
Appreciative
Awed
Blessed
Blissful
Calm
Capable
Cheerful
Confident
Content
Delighted
Eager
Elated
Empowered
Enchanted Energetic
Enthusiastic
Excited
Flirty
Free
Fulfilled
Full
Glad
Grateful
Gratified
High
Honored
Hopeful
Important
In Love
Infatuated
Inspired
Joy
Justified
Loved
Loving
Lucky
Marvelous
Optimistic
Overjoyed
Peaceful
Pleased
Proud Refreshed
Relaxed
Relieved Resolved
Respected
Safe
Satisfied
Secure
Silly
Thrilled
Tranquil
Twitterpated  Validated
Valued
Wanted
Wonderful
Zany
Achy
Ambivalent
Apathetic
Attached
Avoidant
Bored
Bold
Brave
Bubbly
Cold
Curious
Determined
Distant
Exhausted
Fascinated
Green
Haunted
Hot
Humble
Hungry
Hypocritical
Impatient Impressed
Interested
Lethargic
Mischievous
Nauseated
Meek
Numb
Robotic
Sexy
Shocked
Sick
Stifled
Stubborn Surprised
Tickled Pink
Uncomfortable
Weary
Whiny
Zoned Out
Agitated
Anxious
Apprehensive
Awkward
Bashful
Bulldozed
Cautious
Conspicuous
Flustered
Frenzied
Nervous
Paranoid
Self-conscious
Shaky
Sheepish
Shy
Smothered
Startled
Swamped
Tense
Timid
Uneasy
Wary
Worried
Confused
Baffled
Deceived
Disorganized
Distracted
Divided
Doubtful
Foggy
Indecisive
Misled
Out of it
Overwhelmed Perplexed
Preoccupied Skeptical
Torn
Uncertain
Afraid
Alarmed
Arrested
Betrayed
Desperate
Dominated
Doomed
Dread
Fearful
Frightened
Guarded
Guilty
 Hesitant
Horror
Inept
Inferior
Insecure
Intimidated
Isolated
Panic
Paralyzed
Petrified
Powerless
Reluctant
Reserved
Sabotaged
Shaken
Suspicious
Terrified
Threatened
Tormented
Trapped
Vulnerable
Withdrawn
Angry
Annoyed
       Appalled
Argumentative
Belittled
Bitter
Cheated
Coerced
Controlled
Crabby
Cranky
Criticized
Defensive
Disgusted
Disrespected
Enraged
Exasperated
Frustrated
Fuming
Furious
Grouchy
Grumpy
Harassed
Hostile
Incensed
Indignant
Infuriated
Insulted
Irked
Irritated
Jealous
Judged
Miffed
Obnoxious
Offended
Outraged
Patronized
Peeved
Pissed
Provoked
Rage
Rebellious
Resentful
Scorn
Seething
Sulky
Sullen
Ticked
Upset
Used
Abandoned
Agonized
Alienated
Ashamed
Blue
Broken
Bummed
Burdened
Condemned
Contrite
Crushed
Dead
Defeated
Dejected
Depressed
Deprived
Deserted
Despair
Devastated
Diminished
Disappointed
Discouraged
Discriminated
Disillusioned
Dismal
Distraught
Distressed
Disturbed
Drained
Embarrassed
Empty
Gloomy
Grief
Helpless
Hopeless
Humiliated
Hurt
Ignored
Lifeless
Lonely
Lost
Melancholy
Miserable
Misunderstood
Moody
Morose
Mournful
Pathetic
Pessimistic
Pity
Regret
Rejected
Shame
Slighted
Solemn
Sorrow
Stuck
Tearful
Unloved
Unwanted Victimized

Develop Healthy Family Rules: Talking Part 1

24 Mar 2014 23:58



All families have rules. Some rules are spoken or written down, some are unspoken. Perhaps "Be respectful" is on the list of rules posted. "Don't talk to Mom before she's has her cup of coffee in the morning." is a rule everyone may know without having to say it aloud. Rules of families, whether spoken or unspoken, are for the safety of everyone in the home. Sometimes rules are to help family members cope with challenges.
One unspoken rules many families develop to survive is silence. In many families talking about problems, feelings, and dreams are not allowed. Talking becomes against the rules in order to keep the peace. One woman told me if she didn't talk about the problems, they didn't exist. This type of pretense glosses over issues that will otherwise continue to fester until resolved. Over time this rule can be passed down from generation to generation like a genetic disease.

 Sometimes 

alcoholism, substance abuse, or mental illness influences the development of this damaging trait. Long term, this maladaptive coping skill negatively effects emotional and relational growth.  
Is your family allowed to talk about problems, emotions, dreams, and passions? Do the adults in the family encourage open communication without negative emotional repercussions? To be clear, this is a separate topic from holding teenagers responsible for their behaviors. Of course, there need to be consequences for behaviors. But, is there room in the family to discuss almost anything? Do we try to protect certain people by not mentioning certain topics? Do we find ourselves blaming the speaker when the receiver becomes angry or upset? 
Talking about challenges and problems is the way people work through them rather than getting stuck. Fred Roger's from PBS's Mr. Roger's Neighborhood once said "When we can talk about our feelings, they become less overwhelming, less upsetting and less scary." The opposite is also true. When we cannot talk about our feelings they become more overwhelming, upsetting and scary. The idea filters to teens that their emotions need to be kept to themselves because the grownups may do one of the following:
1.) Ignore or dismiss feelings expressed. One young lady told me every time she cried, her father walked out of the room. 
2.) Respond sarcastically. Sarcasm can shut down productive conversation quickly. 
3.) Cry and become upset. If the teen has to comfort the parent, why even tell them? The lack of communication stems from a need to protect another family member. 
4.) Become angry. Statements like "I've raised you better than this." or "How could you do this to me?" discourage any open communication. 
To facilitate healthier communication, families must be able to share emotions and thoughts safely. This not a skill we are born with and may not have learned growing up. Initially, the only safe place may be a counselor's office. It can be helpful to have a 3rd party mediating if discussions become too heated at home. If teens are told they can talk about anything, parents have the responsibility to stay calm in the face of challenging revelations. Nobody ever said it would be easy. If you have trouble staying calm, seek help and support. 

Helping Teenagers Find Solutions

3 Feb 2014 17:59


One of the pieces of counseling teenagers is problem solving. Teenagers struggle with many life problems from handling peer conflict to coping with a mentally ill parent. If adults rush to fix the issue, not only do we rob the teenager of the opportunity to find their own answer, we can lose their investment in the solution process.  A good counselor’s goal is to work their way out of a job by teaching clients skills. Counselors teach teenagers how to find solutions to their problems on their own. 
One tool used is the decision making tree (coming from the DBT model of counseling). In this form of counseling, all problems have four possible solutions:
1.)    Fix it-- What can be done to make this issue better?  How can the outcome be influenced? This may include consulting with trusted people, utilizing assertive communication, and making necessary changes to behavior. For example, a client is struggling with fatigue. Improving sleep hygiene, utilizing calming strategies, and even working with a doctor or sleep clinic are all attempts to "fix" the situation. 
2.)    Change how you feel about it--changing our feelings can be tricky but effective. For example, a client gets upset whenever they are yelled at by a parent resulting in worthlessness, depression, and self harm. Changing feelings may include retraining thoughts to put the responsibility of yelling back on the parent rather than self blaming. The client can also practice skills to lower interpersonal reactivity. 
3.)    Radically accept-- Have you ever gone to an unavoidable lecture with lowered expectations only to be pleasantly surprised afterward  it didn't bother you as much as you expected? Accepting a situation fully, minimizes distress. If clients are able to radically accept a difficult life circumstance, they get through it much easier. Trying to change what we have no control over leads to increased frustration, anxiety, and depression 
4.)    Stay miserable-- While this may not seem like an option, many times clients can choose to stay miserable. Often times clients aren't motivated enough to use one of the previous three solutions. There is something to be said for comfortable misery and it is a choice to stay there. 
Helping teenagers utilize these tools empowers them to sort out their own problems. Practice these skills in your own life as a role model and you empower their futures. These skills are not innate but need to be taught and practiced regularly.


Encouraging Teenage Joy

11 Dec 2013 19:54




Have you ever had high hopes for an event only to be sorely disappointed? Or perhaps you came with very low expectations and were pleasantly surprised.  Expectations can make or break a holiday season. High expectations for the holidays can steal joy in anyone. On the other hand, can low expectations turn you into Scrooge no one wants to be around? While predicting doom and gloom may not be the solution, it is important to sit down and discuss what is realistic.
As each family member has their own ideas about the season, stress, disappointment, and miscommunication are common joy thieves.  Teenagers may be grieving the magic of holidays as a child, while struggling with more grown up responsibilities. With school out for a couple of weeks, more family interaction can lead to more conflict than yuletide joy. As adults we want to encourage joy, thankfulness, and peace more than ever. In this particularly busy season of the year, how do we encourage teenagers to develop true joy when we struggle to maintain our own joy?
Look out for joy robbers
  • People who won’t take no for an answer-- Its okay for you and your family to need down time and not participate in every holiday activity. It may not make you as popular but a hectic schedule is the quickest way to lose your joy. 
  • Financial stress—agree and stick to a realistic budget. Don’t forget to factor in extra money for gas, holiday cooking/baking, secret Santa, and decor. 
  • Commercialism have you down? Adopt a needy family through your local church, volunteer at a homeless shelter, reach out to the elderly, foster care children, or lonely people in your life. Focusing on other's in need reminds your teen and family of the true values of the season.
Be a joyous role model
  • Schedule down time—teenagers often want to be in the middle of all the fun, robbing them of sleep and, sometimes, sanity (we all go crazy without sleep). 
  • Keep up your healthy routine: exercise, eat those veggies, fruits, sleep.
  • Limit your alcohol use—Let teens know alcohol is not needed to celebrate or find joy (Teens often are peer pressured to use alcohol (and drugs)  more often during the holiday break.).
  • Look for joy in the little things: cup of cocoa, child's smile, frost lined country side, a favorite carol, warmth of a fire.
Let go
  • Romanticized ideas about holidays and family life lead to let down—let them go; it’s not real anyway.
  • Recognize you are human and can only do so much.
  • Realize other’s moods and emotions are under their control; ultimately, it is not your job to make other’s happy—that’s their own job.
  • Resolve potentially explosive family differences during a better time.
Each day we have is a gift. Recently, I came across this quote: 
"If you have food in your fridge, clothes on your back, a roof over your head, and a place to sleep, you are richer than  75% of the world. If you have money in the bank, your wallet, and some spare change, you are among the top 8% of the world's wealthy. If you woke up this morning with more health than illness, you are more blessed than the million people who will not survive this week. If you have never experienced the danger of battle, the agony of imprisonment, or torture, or the horrible pangs of starvation, you are luckier than 500 million people alive and suffering. If you can read this message, you are more fortunate than 3 billion people in the world who cannot read it at all."
Perspective is every. Enjoy a blessed holiday season. 

Helping Teenagers Cope with Holiday Blues

18 Nov 2013 17:54



As long as I have been in the field of mental health, I have observed a significant increase in new clients starting around Halloween and lasting through Valentine's Day. While there are multiple factors contributing to this phenomena (e.g. more rain and clouds, school), a significant source of distress seems to be the holidays. Teenagers can feel this most keenly as they have little power over their circumstances and are old enough to know what expectations the holidays bring. Two huge contributors to holiday gloom are finances and loss.
Finances—Many teenagers are intensely aware of the family's financial situation. If it is hard for caregivers to make ends meet during the year, this is amply magnified during the holidays. They may know they will have food but dread hearing about all the electronic and expensive gifts their peers receive. They may sit quietly in shame, or lie about the reality of the holidays to avoid pity. Often, they won’t share this feeling with anyone because they don’t want their caregivers to feel worse about tight finances than they already do. While it can be character building to recognize the greed of "keeping up with the Joneses", teenagers who get next to nothing during the holidays may feel unimportant or even unloved. 
What can help: Encourage teenagers to pick up holiday jobs, babysitting, yard work to earn some extra money. It empowers them and increases self-esteem. Encourage volunteer work in local homeless shelters. Seeing those who struggle to have a roof , puts our own wants into perspective. Be a listening ear to financial struggles.  Find an organization who can sponsor families with limited income (i.e. your local church, Salvation Army). What other ways have you found to help encourage teenagers when finances are tight at home?
Loss— Loss comes in many forms. For children with divorced parents or foster/adopted children, the holidays result in missing a parent and/or family traditions. For families who have had a loved one die, the holidays highlight that pain deeply. Even for the lonely or isolated teenager, never it is more felt than the time of year we gather together to celebrate the holidays.
What can help:  One of the best ways to help a teenager struggling with loss is asking “What would make it feel like ___________ (holiday of your choice) for you?” Even the opportunity of expressing their desires helps them process the loss. Encourage the teenagers to set aside some time during the holiday to honor their loss through writing a letter to the one they miss, looking at photos, listening to music, or even creating a “loss box” where they can put in something to represent the loss and review it at their leisure. By setting aside time to honor the loss, it helps the teenager regulate their grief; it help to move on with the day rather than trying to push aside thoughts or focusing on the loss all day. Mourning is different for everyone. Allow people to choose how they want to honor their losses. For a lonely or isolated teen, invite them to join in on a holiday activity. Giving a teenager a place to belong is a priceless gift. Regardless of the type of loss, be available to talk to and make sure they know they are important to you. What other ways have you found to support teens experiences loss during the holidays?

The Oyster: Changing Pain to Beauty

13 Oct 2013 16:43


Every once in awhile, I run across a story that must be shared. Nancy Davis, Ph.D. creates a story of changing identify from worthlessness to one of value. Its too good not to share.

The Oyster

Once upon a time an oyster lay on the bottom of the bay. Oysters are very rough on the outside and not very colorful. The shell of an oyster is often ground up into small pieces and used to make roads. People and vehicles ride and walk all over roads made out of oyster shells.

This oyster was no different. "I am designed to allow people to walk all over me because I'm just a yucky, ugly oyster," the oyster told herself day after day. "I was created for people to walk on me." The oyster had also heard that people sometimes become poisoned from eating oysters. So she told herself, "I'm really worthless; all I do is make people sick."

Often when oysters are served at restaurants, people remark, "Yuck, oysters are slimy, they're yucky. Why would anyone want such a repulsive thing?" So the oyster would say to herself, "They're right, I'm not worth anything, I'm slimy, people hate me, and I am worthless."

It was not surprising that the oyster was always feeling sad.  "Why couldn't I have been something different? Why couldn't I have been a diamond or a ruby? Why couldn't I have been a sand dollar or have a shell that could be made into earrings? Why, why, why?" the oyster asked, as she thought a lot about what she wasn't. She told herself over and over that she was ugly and awful and slimy and made many people sick.

One day a fisherman threw a net into the bay and caught this oyster in his net. The oyster was even more upset and cried out, "This is exactly what I was afraid of. Now I'm caught and everyone is going to discover just how ugly and repulsive I really am."

The fisherman had a different way of looking at things than the oyster. Finding the oyster in his net, he opened the shell with a knife. From deep within the shell, he pulled out an exquisite white pearl. This discovery surprised the oyster. She had paid no attention to the hard pearl as it grew within her. "Isn't it amazing that you can have something so valuable within you and not even realize it? How could this be?" asked the oyster. "How could I have this beautiful pearl inside me when I am so ugly?"

Because the fisherman had spent his life on the sea, he sensed the oyster didn't understand how a pearl is formed and he began to talk to her. "Long ago, when you were very little, there were things in your life that were very irritating and scary and sad and painful. To deal with this, you began to build a covering around your feelings. You wrapped and wrapped all your pain and sadness to protect yourself. This was really helpful when you were young and the pain was very real. What you did not realize and now you can see, is that you changed this awful pain into a valuable pearl. You found a way to take your pain and sadness, crystallize it and change it into something exquisite. this pearl was within, just waiting to be discovered."

"Wow", cried the oyster, "that's very surprising." Then the fisherman broke away the shell from the outside of the oyster because she didn't need that anymore. He removed the yucky, slimy part because she didn't need that anymore either. Then he polished the pearl allowing the beauty and luster to shine through. The fisherman gave the pearl to his daughter. She wore it on a necklace of gold and prized it dearly.

"Isn't it amazing?" the little pearl remarked to herself.  "I never realized that I am special. I was unaware that deep within there was a pearl waiting to shine like a jewel." As the pearl continued to think about life, she realized the most valuable jewels are often buried and are just waiting to be discovered and polished.

Davis, N.  (1996). Once upon a time...therapeutic stories that teach and heal. Burke, VA: Nancy Davis, Ph.D .


Handling "My therapist said...."

25 Sep 2013 16:30



Have you ever had a teenager tell you “My therapist said….” followed by something bizarre, confusing, or conflicting with your values/rules? Even as adults, people will explain a change in behavior referring to a counselor's direction. And it is true counselors may say or ask clients to change thoughts/behaviors/emotions for a variety of reasons. There is an assumption if someone is in counseling, they want life to be different. This only comes with change. But what do you do when the “my therapist said…” statement challenges your values/rules? Without any context, it can be upsetting to have your values/rules challenged by someone who influences your teenager. Typically, therapists do not work to undermine parent’s/caregiver’s authority.
However, with teens, it is not uncommon for context to be excluded when talking about something their counselor said. Other times the original intent has been skewed for a variety of reasons.  Sometimes it is intentional. Other times it is accidental. While still other times, it is truly misunderstood. 
For example: In one session, Mary and I were talking about the importance of expressing her emotions in a safe way. One of the suggestions I offered was a password protected writing program (i.e. Microsoft Word). Later at home, Mary’s parents asked her for her phone password. Mary told her parents "My therapist said I should have privacy on my phone." and refused to comply. Naturally this was confusing for the parents. Mary had chosen to journal on her phone and consequently privacy should extend to her whole phone. Fortunately, the parents asked me about it and I was able to clear up the miscommunication while discussing with Mary alternate places to confidentially express herself (parents should have access to phone passwords with any minor in their care).
If you hear “my therapist said….” from your teenager and what follows does not keep with the family values, please clarify. Start by responding "Hmm...that sounds interesting. Tell me more about that." If what is relayed continues to be conflicting with values/rules even with more context, ask to talk to the counselor. Teenagers discover the therapist may hold a lot of weight with their parents and intentionally mislead them. Other times they may have misinterpreted the counselor’s intent. Teenagers may mistake validation as approval or agreement. To get the most out of the counseling experience for your teenager, good communication and clarification are vital.  
If your teenager will not let you talk to their therapist to clarify, let them know you will be unable to make or support any changes without clarification as it goes against family rules/values.  But, let them know you would be very willing to listen and clarify if you could talk with the therapist for one session or even half of one session. Some teenagers are more willing to agree if they can still be present with the parent and counselor.
Be careful not to bad mouth the counselor or contradict what they have said without clarifying because it undermines your teenagers therapeutic progress. If no resolution or clarification can be attained, respectfully say, "Everyone has a different opinion"  or "I'm not sure how that will work in our home." Don't let the counselors 'advice' become another area of conflict between you and your teenager.
A teacher once told her children’s parents at orientation “I promise not to believe everything they say about you, if you promise not to believe everything they say about me.” While counselors validate and accept what their teenage clients say, they also take it with a grain of salt. People have different perspectives and are entitled to their opinion. This is true with all clients not just adolescent ones. Counselors recognize they often are only seeing one point of view and encourage parental involvement whenever possible to more efficiently resolve the presenting issues. Ultimately, the caregivers/parents make the rules of the household not the counselor. 

The Science Behind Self Injury

14 Aug 2013 18:22



Researchers have been studying non suicidal self injury (NSSI) for over 20 years. Only within recent history have they been able to look at the physiological and chemical differences in individuals who engage in self harm. It is an exciting time as the science behind the behavior can help clinicians and doctors learn to more effectively treat self injury. With more knowledge comes more understanding for parents, teachers, youth leaders, and peers who often feel confused and discouraged by the self-injury behavior.

The Brain

In the limbic system, researchers saw a hyper aroused state in those who engage in self harm. As the limbic system involves emotional regulation, in a hyper aroused state the individual is upset and may try to calm down. When the scientists applied a painful stimulus, they hyper aroused state came down. This appears indicative of NSSI as a coping skill for emotional regulation. In other words, the brain supports a common teenage assertion they actually feel better, calmer, release, and/or relief after engaging in the self injurious behavior.

The Altered Chemical Levels

Researchers have also found altered levels of cortisol response. They are uncertain if the behavior causes the altered levels or if the altered levels increase vulnerability for the behavior. Cortisol is associated with stress (Think of the commercials about cortisol/stress keeping us from losing weight.). It makes sense individuals engaging in self injury often have difficulty regulating their internal and environmental stress. We can see it in the altered cortisol levels.

They also found lower levels of endogenous opioids affecting pain perception and addictive behaviors. There have been rumors NSSI can be addictive. If the Endogenous opioid levels are lower, it is possible there is an addictive quality to some severe self harm. Also, if pain perception is altered, there is potential truth in someone who engages in NSSI stating they don't feel the pain of their actions. However, once the behavior no longer exists, the lowered pain perception does return. Others have suggested NSSI may increase serotonin or dopamine levels in the brain creating an addiction but research does not support the hypothesis consistently at this time.

Nutritional Deficiencies

Research has found successful treatment of self injury in increasing the Essential Fatty Acids (found in walnuts, leafy greens, fish, flax seed, etc...) in the diet. People who engage in self injury have lower levels of Essential Fatty Acids. In one research project, the control group was given a placebo while the other group was given Essential Fatty Acids regularly. After 12 weeks, the experimental group saw a marked decrease in depressed feelings and suicidal thoughts in comparison with the control group. Even adding a supplement such as Omega 3 and 6 capsules (fish and flax seed oil) increase the amount of Essential Fatty Acids in the body. I am continually amazed at how important good nutrition is to the overall health of the mind. While improved nutrition may not cure all diseases, increasing Essential Fatty Acids will improve depressed moods and suicidal thoughts based on some of the most current research.

Effective Counseling

Dialectical Behavior Therapy (DBT) is one of the most evidenced based forms of counseling treatment with self injury. Ask your teens counselor if they utilize DBT. If they don't, ask them if they would be willing to learn (by books or trainings). A counselor doesn't need to be a purely DBT clinician to be effective as long as they are familiar with the basic principles and can use DBT when needed to decrease NSSI. You want the counselor to be DBT influenced. Remember, even with the most effective counseling, NSSI is not a short term issue and there is no quick fix. DBT clinicians recommend preparing for 3-12 months before treatment is successful depending on severity, intensity, and duration of the NSSI.

Prevalence

Don't buy into the belief NSSI is increasing. Much of the literature supports a consistency in the prevalence of NSSI since 2005. It is possible we are more aware of the issue as teenagers open up about the historically hidden behavior. In the United States, up to 37% of high school students have engaged in self harm behaviors at least once. For more information on the research check out these websites:
http://www.suicidology-online.com/pdf/SOL-2012-3-24-32.pdf 
http://www.jabfm.org/content/23/2/240.full 
http://www.capmh.com/content/6/1/10

Understanding Self Injury

18 Jul 2013 01:47



Often, I’m asked why teenagers engage in self harm. “Isn’t it for attention?” “Aren’t they just copying what they see on TV?” “How can they stand to hurt themselves on purpose?” The behavior of cutting or other forms of self harm seems so far removed from normal human acts it seems unfathomable to many adults. To a parent, teenage self injury can be terrifying. It leaves caregivers feeling helpless, frustrated, and scared. Yet if we look back on history, civilization is full examples of intentional self-harm crossing into many cultures.
As far back as early Greek mythology, Oedipus pierces his eyes with golden broaches in punishment for his behavior. Today's adolescents express self-hatred, engaging in self injury after a perceived failure. One sophomore girl bit her arm so viciously I could still see the bite marks days afterwards. She believed she deserved it after a misunderstanding with a boy she liked. In ancient Greek times, a shamed Spartan leader asked for a knife after being placed in stocks. Grabbing it quickly he proceeded to slice his own shins. Self harm is not a new issue. There were so many women in the late 19th century pricking themselves with needles, doctors called them the “needle girls”. Contrary to the prevalent belief self-harm is on the rise, recent research indicates it may actually have stabilized in the last five years.
In its infancy, the medical field has promoted the healing powers of self-harm as Hippocrates encouraged blood letting to cleanse the body. Scarification in African tribes was believed to protect oneself from diseases. Early common psychiatric practices, ironically, included the application of hot irons, purging, and cutting in the treatment of ‘hysterical women’.
Christmas Eve 1888, famous painter Van Gogh allegedly partially removed his ear lobe in a fit of rage. Angry self-harming teenager generally do not remove body parts but could relate to being enraged enough to carve on themselves. Even animals will engage in forms of self harm. Bored dog’s will lick until themselves they have an open wound. Stressed parrots over preen cutting their flesh. Agitated primates bite themselves. 
Religion has provoked much self harm. In Germany, Martin Luther, the founder of the protestant movement, for example, beat himself with a whip regularly. Hindu’s Lord Krishna enucleated his eyes to benefit his mind. Australian aborigine shaman candidates  mutilate and scraped their skin to promote their healing powers.
Mourning and grief have been motivators for self-harm In certain African tribes finger amputation is common in mourning; the more of the finger removed indicates the level of closeness to the deceased. In 2012, a large group of Shia Islamics cut themselves with razors commemorating the death of  a beloved leader. Today, loved ones memorialize their losses with tattoos.
Beauty can motivate self injury. Examples include ear piercings to tattoos to foot binding to plastic surgery. Other reasons include increased revenue for beggars and a soldiers quicker route home. Culture does much to dictate attitudes toward self harm, what is acceptable and what is not.  Shame has kept much teenage self injury hidden. While self harm is widespread in world history, it does not minimize the significance of a young person engaging in self injury. It is not a passing phase. As in many of the examples above, it is indicative of deep emotional pain. Consult professional help if you know a young person is hurting him/her self. Dialectical Behavior Therapy  (DBT) has proven highly successful at reducing/eliminating the behavior. Self injury is not resolved quickly but can take 3-12 months of counseling for progress to occur.
See resources below for further help.

http://www.mirror-mirror.org/selfinj.htm
http://www.fortrefuge.com/SelfInjuryBillOfRights.html
http://www.kristalmathis.com
http://www.Portlanddbt.com 

6 Ways How to Help Depressed Teenagers

19 Jun 2013 18:38


     One of the biggest challenges adults face working with depressed teenagers is knowing how much to accommodate and how much to hold to expectations. If all rules are accommodated to keep the teenager less depressed he/she may never learn how to cope with the consequences of his/her actions. On the other hand, holding depressed teens to the same expectation as their peers, may result in spiraling failure increasing their depressive symptoms. Watching your teen fail time and time again can be heartbreaking. You want them to succeed. They want to succeed.
     Many adults fall into the trap of waiving their normal rules to avoid conflict or high risk behavior (i.e. cutting, running away). Done out of the best of intention, the teens may appear to stabilize but when confronted with other expectations they quickly deteriorate. Also, reducing expectations for one individual creates resentment and frustration for others in the family, class, or group. On some level, the lowered expectation reinforces the hurting teen's failure. Essentially they get perks from struggling with depression. This is not the message we want to be sending them. How will you know if there has been too much accommodation? Start with measuring your own resentment level. How much have you done v. how much have they done to help themselves out? If you are going to compromise on an expectation, what are they compromising? If you notice you're working harder then he/she is, there is too much accommodation.
     On the other side of the spectrum are adults who continue to expect exactly the same from emotionally troubled teens as they do from all the others. The result for the teen is often failing out of school, always in trouble, increased poor self-esteem and depressive symptoms, and finally, shutting down. These adults try to motivate assuming if the motivation is big  enough the teen will somehow manage to make changes. "If you pass all your classes this year, you can take drivers ed this summer." "If you don't get any more suspensions, I'll buy you that X-box game you have been wanting.". The teen may actually be motivated, get excited, and earnestly throw themselves into the appropriate behavior with vigor. Within a few weeks, sometimes days, he/she has had a failure. He/She may try to hide it or give up again resulting in everyone's disappointment. So what does the adult do? Unfortunately, the adult may try another motivator which ends up in another painful cycle of failing. Finding the balance of support and enabling can be difficult.

How To Help Depressed Teenagers:
1.) Review expectations together (i.e. be honest, all homework turned in). Having it written out limits confusion later.
2.) Put together reasonable short term consequences (no electronics for 24 hours). Too long of consequences reduces effectiveness as the teens learn to adapt without their privileges. Hint: the consequence time doesn't start till you see the behavior you want (for example, if John curses during his 12 hour restriction period for cursing, the time starts over). Let your teen know ahead of time what to expect.
3.) Reward small steps in the right direction so they can see their progress (i.e. a point for every assignment turn in on time or for a day without yelling). The small reward can work toward a bigger motivator (i.e. X-box game, driver's ed, eating out, sleepover). This reduces their discouragement when they make mistakes as they can always try again tomorrow and still have an accumulated amount of points from past successes.
4.) Follow through. Do not shorten the consequence once you have already agreed to a certain amount of time.
5.) Be available to validate emotions and  talk about problem solving. Just remember to still hold accountable for poor behavior. Depression, ADHD, anxiety, and trauma are not excuses for abusive behaviors or a lack of responsibility.
6.) Encourage them to seek help. Most teenagers have access to counselors and doctors through school, faith system, and/or parents. Put the responsibility on them to develop skills to cope while you support them in their process

Finding a balanced approach can be a struggle. Consult with other professionals or supports if needed. You aren't in this alone.


How is mental illness created?

28 May 2013 03:30



The Month of May is Mental Health Awareness Month. The more neuroscience discovers about brain processing, the more the community is able to understand behaviors. Mental health issues are prevalent in our society and are sometimes linked to violent and unpredictable behavior. The more informed the community is about mental health issues, the more they will be able to help rather than fear it.
“An estimated 26.2% of Americans ages 18 and older suffer from a diagnosable mental disorder in a given year.” Many adult disorders start in their youth. Almost 10% of teenagers (13-18) meet criteria for serious emotional disturbance including but not limited to depression, eating disorders, autism, anxiety, ADHD, and post traumatic stress disorder based on the DSM IV-TR. Based on the 2012 study, girls were more likely to have emotional issues such as depression and anxiety while boys were more likely to have behavioral problems like those associated with ADHD.
Many influences in our culture promote mental illness as a character flaw. One suicidal teenager recently told me “My dad tells me to stop being stupid.” There is this idea if a person just tries hard enough and makes all the right choices, mental illness will be avoidable. “Aren’t most mental issues self-created?” I was asked recently by a respected business man. While motivation and choices do play a part of treatment, a ‘pulling yourself up by the bootstraps’ mentality or blame will not cure mental illness. Rather it increases shame creating an additional barrier to treatment.
Most counselors, psychiatrists, and psychologists agree on two primary explanations for mental illness.
1.)    Genetic—just as we inherit coloring and facial features from our family linage so do inherit predispositions for many disorders such as ADHD, bipolar disorder, major depression, autism, and schizophrenia. Just as doctors request family history for illnesses like heart disease and breast cancer, the family mental health history is just as important in screening for mental health disorders.
2.)    Circumstances—Ongoing abuse, trauma, loss, isolation, and recurrent environmental stressors can trigger mental health illness. The intensity and duration of a situation play directly into the human reaction.  “It is sometime an appropriate response to reality to go insane.” (Phillip Dick) As humans we can only handle so much for so long without help. Take the example of holding out a cup of water. For awhile a person can hold the cup out successfully without it interfering or bothering or bothering he/she. But, if they are expected to hold it out for hours there will be pain and at some point arms will collapse unless support is given. The inability to hold the cup out for long periods of time is not a weakness of character but a limitation as a human being. The same is true cognitively and emotionally. We can only handle so much for so long.
For some, mental illness may be a life long disorder such as asthma or diabetes needing ongoing counseling and/or medication. For others, mental health illness will be a season of life if they are able to gain the tools they need to stabilize. For teenagers, effective treatment encouraged family involvement. Like having the flu or chickenpox, with the right support, mental illness can be treated successfully.

How Do I Improve Teenage Behavior?

15 Apr 2013 18:21


One of the alarming red flags in any parenting program, is the assertion only their way is the "right" way. While there are parenting true principles, a guaranteed technique to work for all teenagers all the time is nothing more than an illusion.  If one technique had a 100% guarantee, parents and cultures would have come to a consensus  long ago.  But instead, there are many parenting classes from the infamous Baby Wise  to Attachment Parenting. Theories abound and vary from culture to culture and, in America, from household to household. Many parenting classes do offer important fundamentals such as increased consistency and structure. How do you know which one to choose? Which one is true to your values? Which one(s) will your teenagers respond to the best?

Start by identifying your child's behavior pattern:

The Compliant Teenager
Very little action is needed in order to discipline the compliant teen. He/she responds to a look from across the room. Talking is the best tool to modify behavior. He/she depends on the adult's approval. Disappointing authority is one of the worst possible consequences for the compliant teen. If needed, taking away a privilege or two goes a long way. They may be moody at times, sometimes challenging authority but most of the time can be talked through conflictual situations.

The Independent Teenager
Most teenagers will push the envelope every now and then. They are learning how to be their own person which often translates into pushing against the boundaries set before them. They want to experiment with "adult" behaviors. Teenagers may explore risky behaviors. Using programs like Love and Logic or Total Transformation, parents train teenagers to think responsibly. They are held accountable for their behaviors but also learn decision making skills to cope with what life brings them.


The Challenging Teenager
Teaching a challenging teenager stretches and pushes the adults with whom they come into contact. Every day is a battle, every conversation an argument. Trust is minimal. For teens who insist on pushing every boundary given, authority would benefit from relinquishing the belief they can control behavior. However, they do have control over "the stuff" (aka everything your teen enjoys like their electronics, going out with friends, etc... ). Use this influence consistently and let the teen know how to earn back the privileges. Be up front about how long the consequence will last after he/she has complied. Utilize programs like Parent Project. They are "evidenced based" meaning studies have been researched on caregivers who have used the program strategies and the outcomes have been reliably successful. If needed, work with a counselor or another support since training a challenging teenager can be exhausting. You will need a cheerleader.

Whichever category your teen(s) falls into, know their decisions are their own. While parents, teachers, youth pastors, and other supports have a significant impact on teenagers, they do have a mind of their own. Some make great choices and others do not, no matter how hard we try. The best we can do is to educate ourselves, admit our mistakes, and demonstrate healthy love and boundaries as much as possible. The outcome is up to them.



Gangs in the northwest?

27 Mar 2013 17:28


      One of the reasons I moved to a country suburbia neighborhood was for the walking trails. I love to walk and see the local wildlife, the tall NW trees, feel the breeze or the sun on my face. Being part of a fairly new neighborhood, there is always construction going on. As I passed a nearly completed house on my walk recently, I saw graffiti sprayed to the new windows and house siding. Upon closer inspection (becomes I'm curious), I found more recent spray on the side walk and another partially built home. It included pictures of male genitalia, gang symbols, racist comments, and foul language. Initially, I was surprised to find this in my neighborhood and not on the walls of inner city buildings.

      Seeing it reminded me how close we are to active gangs. Did you know local school have banned bandanas because of gang affiliation are identified by certain bandana colors? Did you know gangs from Portland use I-5 to gain access to other youth across state lines and in unsuspecting rural areas? "The U.S. Department of Justice indicate that every state has violent gangs and that there has been a dramatic increase in gang activity in smaller cities, towns and rural areas." Do not make the mistake of believing gangs are for big cities like Chicago, New York, or LA. Denial allows the problem to grow.
Why would teens belong to a gang? They are desperate for a place to belong. Teenagers need to have a sense of community and will get it where ever they can be accepted. For a youth with few safe relationships, who has been abused, who is isolated and/or bullied, a gang becomes the answer to their problems. If you want to gang-proof the teens in your life. Let them know they have a place to belong whether it be in your family, in the youth group, in clubs, Boy/Girl Scouts, choirs, drama, or sports. Help them find a safe place they can find acceptance.  Talk with the teen about consequences of joining a gang such as a criminal record, putting loved ones at risk, personal injury and/or death.
Signs a teen may be involved in a gang
  • Skipping School
  • Coming home with unexplained expensive items or cash
  • Difficulty bonding with family
  • Defiant towards all authority figures
  • Drug Use
  • Out at all hours of the night
  • Sudden decline in grades
What to do if your teen is involved in a gang. Remember: The risks are high and the danger is real.
  • Educate yourself on the gang signs.
  • Minimize the teens idle time. There is truth to a busy teenager doesn't have time to get into trouble.
  • Call local law enforcement/juvenile authority and ask about programs for youth connected to gang involvement.
  • Call the police when you see graffiti signs, take photos, and cover it up as soon as possible as it attracts other gang members to the area.
For further help check out LAPD Tips and the Youth Booth.

Helping Teens Accept Themselves.

21 Feb 2013 04:45


 
   February is National Eating Disorder Awareness month. Honestly, this is not my favorite topic to discuss or blog about, but last weekend I went to a CREDN (Columbia River Eating Disorder Network) work shop. One of the speakers pointed out even professionals, we all bring our inner biases and beliefs about food and our bodies to the table. I can work with alcoholics, drug abusers, depression, anxiety, self-harm without my personal experiences interrupting too much (aka counter-transference). But when we start talking about weight, eating disorders, and body image, all of a sudden, I am very aware of my body, of what I ate that day, and of my own insecurities. Even amongst counseling colleagues "fat shame" is common. "I'm fat." "I'm on the insert latest fad diet here diet." "I keep trying to lose weight." "You look like you've lost weight" said with an approving smile. We rarely hear "I love my body." And if we do, we may resent the speaker. "Why should they be able to be happy with their body when I cannot? What arrogance!"
   Eating disorders are deadly. One of the conference speaker's daughter died of Bulimia one year after the first time she purged. The thought makes me go cold all over. My stomach twists and turns this way and that and I recognize the feeling of helplessness. If you love or have loved someone who has an eating disorder (and statistics indicate you do), you may understand. What can we do to help?
   The conference challenged me to change my thinking and to watch what I say even subtle implications in conversation with others. My goal is to create a space where people know they are valuable regardless of appearance, weight, size, height, or food choices. This environment promotes an atmosphere of healing for those who struggle with their bodies and food. For our little ones who watch our every move, we can role model unconditional acceptance of our own bodies. This is hard but no one ever said it would be easy.
5 Practical Ways to Handle Fat Shame:

  1. When someone asks if you have lost weight or praises you for losing weight, try "So you remember me being fatter?" This will discourage their comments.
  2. Focus on the underlying feelings: "You sound really unhappy." or "How are you feeling otherwise?"
  3. When someone comments on how much they need to lose weight, ignore it and change to another topic. Telling them they don't need to lose weight reinforces their talk. Agreeing with them increases shame. Just as you might ignore and distract an annoying behavior in your child, distract the speaker with another topic like, "How was your weekend?".
  4. Put up some boundaries. "That's not a topic I discuss." "I have nothing to say to that." "I prefer not to talk about weight/diets etc..."
  5. When someone shames food (i.e. how unhealthy or how many calories etc...), try "It's a insert food of choice, not a genocide." or "How about we just enjoy this?"

Find the approach which works for you. For some humor, even sarcasm can interrupt the cycle. Other's may need a gentler method. Remember 'fat shame' is another form of bullying. Because it is associated with health we may feel it is more acceptable. It's not. Just as we do not judge based on race, we should not judge based on weight. One woman said "God doesn't smile when we eat an apple and cry when we eat cake." Focus on health and listening to your body--not on appearance. Discover what you love about your body.
Spotting an Eating Disorder and What To Do
   Most people who struggle with eating disorders (not just girls), are really good at keeping secrets. Keeping secrets perpetuates the inner, and sometimes family, shame, thus reinforcing the secret keeping. Unlike other mental health issues, many with eating disorders look like they have it all together on the surface. They maintain their responsibilities in jobs and hobbies, have friends, and get good grades--often straight A's. They may be perfectionists. They may exercise excessively, keep track of their food intake obsessively, never eat in front of people, or hide their eating.
   If you are concerned about someone's eating habits, get them help. Working with a doctor, counselor, and nutritionist who are familiar to with eating disorders is imperative for change to occur. Remember, just like physical illness, healing takes time and is a long process. Just like cancer doesn't have a quick fix neither do eating disorders. Those with eating disorders often have a brain chemistry disruption. Ignoring the problem only prolongs it. Connecting them with the right help may very well save their life.
   I want my daughters and sons to love their body, comparing it to no one. I want to train them to listen to their bodies and encourage health. I want them to see people as valuable for who they are rather than having to conform to cultural standards of beauty. I want their definition of beauty to have nothing to do with attraction but to include inner qualities such as grace, kindness, and respect. Is it possible? I don't know but I am determined to work to facilitate the change so my children can love and accept the body God gave them without question.

Further help and inspiration:
"Pretty" video
Eating Issues, Aging, and Women article
SPEAK: Students Promoting Eating Disorder Awareness and Knowledge
Providence Behavior Health Services: Adolescent Eating Disorder Services 503-216-2025 or 800-716-5325
Center for Discovery in Bellevue and Edmonds, WA
Rain Rock in Eugene, OR
Kartini Clinic for Disordered Eating in Portland
Free Eating Disorder Art Therapy Support Group @ A Better Way Counseling Center 503-226-9061 in Portland, OR


Natural Ways To Treat Teenage Mood Disorders Part 2: Sleep

19 Jan 2013 20:08


Teenagers are notorious for their poor sleep habits. However, lack of sleep creates mentally ill symptoms. As Leanne Ernster, Preventative Nutritionist, said in my interview, "Sleep is fundamental to life."  Having had her own struggles with chronic insomnia growing up she discussed how to best help teenagers struggling with sleep. Common teenage sleep problems include,
  • Having difficulty getting to sleep 
  • Waking frequently
  • Nightmares
  • "Reverse cycling" -- sleep during the day, up most of the night.
  • Inability to get up in the morning
For teenagers struggling with sleep, approaching evening will trigger stress as he/she knows another restless night is coming. Leanne shares her story: "I could not sleep. I hated sleep. The thought of going to sleep made me anxious, which [then] made it harder to sleep." While the average teenagers needs between 8.5-10 hours of sleep a night, one report indicated 85% of teenagers do not get enough sleep. Because sleep is so vital to good health, many doctors will prescribe medications to get their patients to sleep at night. Unfortunately, they have side effects, including disturbing dreams and morning grogginess. Also, many parents are hesitant to put their teenagers on medications at this key point in their development. 
Leanne recommends "Start thinking about sleep in the morning." Jump start your waking/sleep schedule with brighter lighting early in the morning and a glass of water to hydrate. Even a hot shower itself boosts serotonin which can encourage wakefulness. Do what you can to reduce the stress in your life often interfering with sleep. Encourage the following habits with your teens:
  • Have a consistent bedtime to sync your body's circadian rhythm, not varied over an hour.
  • Journaling before bed to release what is on your mind.
  • Dim or turn off lighting on TVs, lamps, computer, smart phones, and mp3's to encourage the body's natural production of Melatonin.
  • When laying down for bed, take long, deep, slow breaths to calm the brain down. 
  • Snuggle or get a massage to create the chemical oxytocin, "the cuddle hormone", helping people relax.
  • Warm baths/showers can help the body and brain calm down.
  • Eat sleep inducing foods, such as popcorn, before bed.
  • Make hot non-caffeinated drinks 1-2 hours before bedtime-- even holding a hot drink can be calming.
  • No caffeine after 2 pm.
  • No exercise 4 hours before bed (exception is bedtime yoga or light walking).
  • Identify disruptions and resolve as much as possible. Need earplugs? earbuds? eye mask? Some people need complete quiet and others need background noise.
Melatonin is the natural hormone our bodies produce to help us fall asleep. It is also sold over the counter in the US. So many people have such positive results using Melatonin, doctors are including it on their list of sleep prescriptions. Leanne warns against using above 3 mg of Melatonin as it can be counterproductive. "It might be helpful to have a Melatonin complex which would also include low doses of other synergistic calmers like GABA, Vitamin B6, and other neurotransmitters that help you slow down."

Having enough sleep improves a teenager's ability to handle stress and do better in school. Lack of sleep increase irritability, difficulty focusing, weight issues, and many more negative side effects. Unfortunately, convincing a teenager to get to sleep can be difficult. Include the professional's encouragement such as doctors, coaches, teachers, and counselors. Keep an eye out for teens who experience days with few to no hours of sleep as it can be a symptom of Bi-Polar Disorder or substance abuse. Consult with a counselor if this is an ongoing issue.

Other resources: Sleep Foundation

Extra Tip: Vitacost.com is an inexpensive, quick access to high quality food and supplements.

Leanne Ernster started and manages Engedi, a nonprofit coffee shop serving healthy smoothies and organic coffee/teas. My personal favorite is their Chai tea bought local from a native Indian now residing in Oregon. She also coaches people through her business Celebrate Nutrition in helping clients make better health choices promoting whole foods. One of her favorite pastimes is creating new healthy recipes. Like Celebrate Nutrition on Facebook and get regular healthy tips for daily living.
Disclaimer: Check with your doctor before making changes to your diet. Neither Leanne Ernster or Kristal Mathis are medical professionals. Please note not all mental health issues are related to diet but it is an important factor for many people.

When Tragedy Strikes

17 Dec 2012 22:11


The December blog was going to include natural health tips for better mental health but in light of last week's events I'm pausing the series to address the complicated grief we are experiencing as a nation, as as a member of the human race.

   Its unthinkable to believe people could do so much harm to an innocent crowd of shoppers, children, and teachers. And not just one incident but multiple .We are not on a battle field. Holiday shopping, education-- they should be safe times.  It leaves us stunned, paralyzed in horror. With the holidays so close, the pain is only magnified. This is the time of year we sit with loved ones and treasure watching them excitedly open gifts. We give to local charities and churches abundantly this time of year so not one family goes without food or presents. But this year we are keenly aware many families have been robbed of their loved ones. Our hearts physically ache for them. Money, food, and presents we can give but life we cannot return. We feel helpless and maybe even guilty for being able to enjoy our families and friends. For those who have lost loved ones before, the grief is deeper still as they empathize in ways I can only imagine. 
   I find myself pulled in two opposite directions. First, I want to know more of what happened. Its as if an explanation or answer to my many questions somehow would help. But the more I know, the more grieved I seem to become. Part of me doesn't want to hear anything about it. I don't want to see it on TV. I don't want to read it. I don't want to hear it on the radio. I want to pretend like it didn't happen. But I can't ignore it either because 1.) it did really occur & 2.) Ignoring it seems to dishonor those who were  touched by the horrific tragedies. 
   How do we offer support to the next generation when we are just as saddened and just as heartbroken as the young people? 
  1. Remember everyone grieves in their own way. It is all too easy to judge the way someone grieves when it doesn't seem effective or mirror our own methods.
  2. Give lavish grace to other's process of grief. 
  3. Listen. Let the teenagers and children talk. You don't have to have the answers but people do need a place to express their fears, concerns, and worries in order to heal. Talking is the process for healing, even when it hurts.
  4. Keep an eye out of physical symptoms: upset stomach, headache, tension, fatigue, changes in appetite or sleep, increased anxiety/depression. If symptoms continue consistently for over 2 weeks, interfering in the day's schedule, and/or relationships recommend a support group or a counselor. Support groups and counselors are there to help people cope with the craziness of life. 
 
Ironically, it was one of my childhood hero's who offered me comfort even though he is no longer alive. Mr. Fred Rogers words are as relevant today as they were years ago.
     “When I was a boy and I would see scary things in the news, my mother would say to me, “Look for the helpers. You will always find people who are helping.” To this day, especially in times of “disaster,” I remember my mother’s words and I am always comforted by realizing that there are still so many helpers – so many caring people in this world.

We cannot change what happened but we can sit, listen, and cry. By being one of those caring people, those helpers, the wounds begin to mend. 

Natural Methods to Treat Teenage Mood Disorders Part 1

21 Nov 2012 19:29


      One of the most often asked questions I get is "Can you suggest natural ways to treat depression (or anxiety/anger/mood swings)?" Without training, it is unethical for the average counselor to make recommendations for any medications, natural or otherwise. However, many parents would like to utilize alternate natural ways of supporting their teens before trying a myriad of psychotropics. So, recently, I sat down with Holistic Health & Preventative Nutritionist Leanne Ernster to discuss what could be done naturally to improve moods.
      While research supports exercise as one of the best ways to improve mental health, Leanne had a forerunner to exercise. While she agrees exercise is very helpful, she stressed the number one priority is whole foods because food is our fuel for fitness, physically and mentally. Leanne noted "whatever we feed ourselves, on a cellular level everything is affected!-- our hormones, our organs. If we don't have what it takes to build healthy neurotransmitters, to slow our bodies down at night, and rev them up in the morning... then it's no wonder the snowball effects happen." Leanne continues to illustrate the snowball effect in the life of a teenager.  "So let's say a teen is living off of Trix cereal, bagels, mac n' cheese, and energy drinks. There isn't one phytonutrient [since they] are only in plants. [Teenagers] will quickly find they are lethargic. Maybe they sleep in late because they have no energy, and then they miss the sun. They aren't as active, they have low moods, and eat more junk to try and find energy. It is very cyclical. People don't know where to start and get overwhelmed." Long-term this affects the hormones, adrenals, brain development showing up in symptoms consistent with depression, anxiety, and moods swings.
      With nutrition being so vital to our mental health here are so some practical tips Leanne recommended to help the teenagers in your life build a healthy mind.

  1. Depression: Vitamin D3 drops (2,000 units aka 2 drops) are a necessity. In the NW we sorely miss absorption of Vitamin D through the sun. Lack of Vitamin D can cause, among other things, depressive symptoms. Light boxes can also be helpful for some people with depression (Costco has them locally for under $50. Check out the reviews.).
  2. Anxiety: Vitamin B metabolizes stress and improves cognitive functioning. You can find Vitamin B in whole grains like oats, whole grain breads (Dave's Killer Good Seed is Kristal's favorite), nuts and avocado, spinach, and nutritional yeast. As there are many types of Vitamin B, a Vitamin B Stress Complex supplement can help for additional support to better manage stress.
  3. Memory & Moods:  Ground Flax Seed (2 Tablespoons daily). Just like coffee, freshly ground is best for the maximum nutritional benefit. It can often be added to a smoothie or hot cereal with almost no change in taste. The Omega-3's in flax seed protect our neurotransmitters in the brain to improve memory and stabilize moods. 80% of Americans are deficit in their Omega-3's.

Developmentally, teenagers often struggle with the idea of good nutrition for two reasons: The benefits of good nutrition are not typically immediate but long-term. Teens often want a quick fix, an immediate result. Second, teenagers often feel invincible. Warnings about effects of junk food do not seem real because it is not an instant consequence. To get them on board, work with them, leading by example to make small changes. Find out what healthy foods they like. Prepare foods together since they are more willing to eat something they have participated in making.

Extra Tip: Vitacost.com is an inexpensive, quick access to high quality food and supplements.

NEXT MONTH: Part 2--Leanne and I discuss supplements and strategies avoid insomnia and get a good nights sleep. Proper sleep is crucial in healthy minds.


Leanne started and manages Engedi, a nonprofit coffee shop serving healthy smoothies and organic coffee/teas. My personal favorite is their Chai tea bought local from a native Indian now residing in Oregon. She also coaches people through her business Celebrate Nutrition in helping clients make better health choices promoting whole foods. One of her favorite pastimes is creating new healthy recipes. Like Celebrate Nutrition on Facebook and get regular healthy tips for daily living.

Disclaimer: Check with your doctor before making changes to your diet. Neither Leanne Ernster or Kristal Mathis are medical professionals. Please note not all mental health issues are related to diet but it is an important factor for many people.

Does Your Teenager Need Counseling?

16 Oct 2012 04:04


One of the lines in a recent movie I saw compared lawyers to counselors (and it was not in a positive light). "They just want your money -- they keep you coming back again and again." While there may be some truth in the statement for some counselors, most do really care about people first. When you are concerned about your teenager it can be more confusing. How do you know if your teenager would benefit from seeing a counselor? Would a few visits fix the issue? How long will the counseling take? How do you know if counseling is working? Here are questions to gauge your teens needs-- you be the judge:

Self-esteem
1.) How does your teenager like themselves? Are they confident? Teenage girls often tell me part of the reason they self-harm is because they don't care about themselves An identity attached to inappropriate or negatives behaviors is a problem to address as quickly as possible. Notice if your teen takes care of their own needs. Hygiene, eating, exercise, and sleeping can be indicators of how they rate themselves. Extremes on either end can point to a deeper self-hatred. Counselors can help identify the source of the hatred and teach your teenager to accept themselves. 
School/Work
2.) How is their school/work going? Are they passing their classes? Are they participating? Are they able to complete the work? Anxiety, trauma, ADHD, depression show up at school and interfere with focus. Sometimes their feelings are so intense they are unable to be successful at school without extra help. Many therapists work with teenagers on attention strategies or ways to lower moods interfering with schoolwork. 
3.) Relationships
What are their relationships like? Conflictual, messy, exclusive, enmeshed? How intense are the family arguments? Have they ever gotten physical? Do they let everyone walk all over them or the opposite, fight with everyone? Maybe your teenager doesn't really have friends, or know how to make friends. Do they handle their technology responsibly (i.e. Facebook, Twitter, Instagram, text)?  Counselors can work with your teenager to help them grow their ability to communicate and develop appropriate levels of trust. 
For each of the domains above, family involvement can expedite counseling. Duration of counseling is based on several factors 
  1. How long has this been an issue? It could potentially take just as long to practice new behaviors. Anything earlier is a bonus. 
  2. Is it a good fit with the counselor? Does your teenager like their therapist? If he/she does not, don't waste the time or money.
  3. How intense/severe is the issue? The more intense, the longer it may take to address. Counselors and clients start as strangers. 
If you feel like your teenager's therapist is keeping them engaged far longer than is necessary, talk with your teen and the counselor. Often times, weaning sessions is much safer than going cold turkey. Remember improvement may not yet have the roots to stabilize the progress. While teenagers may continue to need check-ins with their counselors, the goal of a good counselor is work themselves out of a job (not keep them coming back indefinitely).

Three School Success Musts

17 Sep 2012 15:25


Most parents want to see their teenagers to do well in school, but aren't sure how to help. Teenagers can be resistant to their families and academic world mixing. I remember fighting embarrassment as my mother appeared, in bright red sweats, by my locker to give me my lunch. Adolescence is a challenging stage of life. The harder it is to be a teenager, the harder it is to be a parent.Talk to the school.One of the most important ways to help teens in schools, is to connect with the faculty. Research suggests students whose parents communicate with the school regularly, get a better education. While I am sure the faculty does not intentionally slight teens who do not have involved caregivers, it is natural to give more attention to the ones who are more familiar. There is also an accountability factor. An involved parent encourages staff to give their best. Concerned adults involving themselves in the teens academic world gives extra psychological support, which can be the difference between passing or failing a class. Not the legal guardian? As long as the guardian (and teen) don't object, do not be afraid to advocate for the young people in your life. In my experience the schools are happy to better help their students, only remember they manage hundred of students, not just yours.TIP: Struggling grades? Ask the school counseling office about free tutoring services the schools often provide.Eat!There is a growing trend among teenagers to abstain from breakfast, and sometimes lunch too. Parents often don't even notice because as soon as student gets home from school, they start in snacking and eat a big dinner. Skipping breakfast and lunch contributes heavily to problems with focusing and assimilating new information. Their brains don't have enough nutrient support to learn efficiently. Also, deficits in nutrition are being shown to decrease the brain's ability to function. Consuming highly processed sugar and fatty foods will contribute to poor focus. Make sure your teenagers not only are eating but have a healthy start to the day to keep up their energy till the dismissing bell rings.TIP: Many girls are under the impression that they will lose weight if they hold out eating as long as possible. Make sure they know this is false. If necessary, recruit their doctor in the conversation.Sleep.Teenagers are infamous for their poor sleep hygiene. I regularly hear of survival through the day starting early, crashing for a couple hour nap after school, and up late finishing homework and texting friends. Weekends are for sleeping half the day. Being tired negatively affects their ability to problem solve and retain information. During adolescence 8-10 hours of sleep is recommended. Encourage good sleeping habits such as avoiding caffeine late in the day, separating homework and sleep spaces, and scheduling wind-down time between business and sleep. Many of my clients find it helpful to play a relaxing playlist or taking a bath/shower to calm their active minds before saying goodnight.TIP: Lower the brightness in the evening. Avoid intense lights late in the evening including TV, computer's, and phones. Dim lighting readies the body for sleep.While we can't do the work for them, there is a much we can do to help make the most of their educational opportunities. Not only are we giving them tools now but we also are setting a foundation for their further endeavors whether at college or in the workforce. Without proper sleep, good nutrition, or social support, a teenager can easily fall through the cracks, silently failing to meet their potential. Be the person to help them achieve.


Calming Your Teens Emotions

15 Aug 2012 22:47


Have you ever had those conversations where the other person just wasn't getting you? You both liked each other. You both are smart, intelligent people, and yet there is a verbal chasm between the two of you. Maybe it's because you disagree. Maybe it's because you have different points of view. Maybe you just want them to understand you, and it's not happening. It is easy to give up and walk away, feeling frustrated and alone. With teenagers, these conversations can quickly escalate into yelling, anger, and a fight for control.

The quickest and most effective way to bring down intense emotions during conversation is validation. By contrast, invalidation spikes emotions levels higher. The human race has an intense need to be validated. Validation is giving a person permission to have thoughts and feelings--regardless of what they might be expressing. Some counselors have even defined six different levels of validation, ranging from non-verbal acknowledgment to using the person's history to make sense of their reaction.


How to validate:
1.) Look for the emotion or logic. What are they feeling? What was their thought process?
2.) Be aware of your body language. Make eye contact. Give them your full attention.
3.) Never use 'BUT', as it negates the initial validation. Instead, use 'AND'. "It makes sense why you parked the car there AND I need it moved to clean the driveway."
4.) Use statements like... 
  • "That makes sense because...." 
  • "It sounds like you are feeling ______"
  • "You look really _____."
  • "You're thinking....."
  • "I would feel that way too."

Validation is NOT...

1.) Agreeing. Notice that the above statements reflect what the other persons is feeling or thinking. This does not imply you agree or disagree but you are giving him/her room to their express himself/herself.
2.) Fixing it. This is particullary difficult for helpers. We want to fix it. There may be a time for fixing it, just remember to validate first. For example, a teenagers is upset because she broke up with her boyfriend. Dad says "Wow. I can tell this is really hard for you; is there something I can do to help?"
3.) Relating. This is an easy mistake. When we try to connect with people, we look through the file of our own experiences to share. Unfortunately, this can get in the way of truly hearing what your teenager is trying to communicate. This may not be the time to share your breakup stories.
4.) Evaluating.  Using terms like 'good' or 'bad' to assess the situation sets you up as a judge. Shows like American Idol are all about evaluating good, bad, or indifferent. Even 'good' judgements interfere with validating. For example "It's good you feel this way" implies it could be bad to feel another way.

In a recent session, I choked on my tea right as my client disclosed using meth "recreationally" last weekend. Regardless of why, my reaction was extremely invalidating. This is absolutely not a behavior I want to validate AND I want to validate her feelings leading up to the decision. Judgement will cut off our relationships. Validation allows her to feel safe and secure enough to continue to discuss with me her feelings, thoughts, and decisions. All feelings and emotions are valid; however, some behaviors should not be validated. Given the chance to express emotion in an accepting environment decreases emotional intensity. Contrarily, invalidation only increase the intensity of the emotion.

For futher information on how to validate, check out these helpful sites:
http://eqi.org/valid.htm#What%20Validation%20Is
http://www.dbtselfhelp.com/html/validation_examples.html

Referee No More

18 Jul 2012 03:07



While I was working on my Master’s, I taught preschool. I was with twenty 4 and 5 year olds for 8 hours a day, 5 days a week. During those busy days, one of my pet peeves was tattling. It seemed every two seconds, Jacob would come running up to tell me Kelly wasn’t sharing the play dough or some other minor infraction.  Sometimes I just wanted to scream. I didn’t like being the referee. But students and siblings need to be able to trust their authority to bring about justice whenever possible (granted, life is not fair and we cannot always make it so but that is another blog). I needed a way to help them solve their own problems or I would spend a good portion of my day breaking up insignificant spats.
Looking for some ideas online, I came across a technique to promote resolving conflict. I immediately dubbed it the Talking Table Technique. When any two people have a disagreement, they are required to go to the table (any will do), and figure out a resolution. They cannot get up, until it is resolved. If it is over a particular item, I hold on to the item until the two resolve the disagreement. After a solution has formed, the two let me know what has been decided and I enforce what they agreed upon just in case one decides to waffle on the original agreement.
Talking Table Rules
1.) No stone walling (a complete refusal to communicate or resolve the conflict for a long period of time. Give it at least a five minutes).
2.) No abuse, physical or verbal (Name-calling, insults, and hitting in any form are not allowed since they are  counterproductive to healthy debates).
If a rule is broken, the one who broke the rule forfeits their claim in the discussion. Simply put, they lose. It’s a good life lesson for future relationships and conflict.
In the beginning, I had to oversee quite a bit but by the end of the school year, the Talking Table was rarely required. Not because I stopped using it but because the classmates would figure it out before coming to me. Hearing their solutions was gratifying. I was amazed at their creativity. They would use time limits, take turns, collaborate and compromise.  Sometimes, the decision didn’t seem fair but they didn’t seem to mind, so why should I? I watched these small children resolve conflict better than some adults. 
I shouldn’t have been surprised when I realized teenagers also have difficulty resolving conflict. Some have never been taught how to resolve conflict as adults have always sorted it out for them. Many don’t have good examples in their lives as they watch their parents yell, curse, and behave aggressively. Others have parents allowing violence between siblings. “Don’t all siblings do that?” I get asked frequently. As adults, it is our job to give them opportunities to use their words to solve problems. Can the talking table always be used? No. Tattling is too broad a term to use the Talking Table Technique universally. Talk with your kids about types of tattling, when is it unacceptable and when it is mandatory. I’ve broken tattling into 3 types.
3 Types of Tattling
  1. Pure tattling: completely unnecessary and useless. “Miss Kristal, Brandon isn’t sharing with Zachary.” Solution: Listen but take no action. Hand it back to tattler. “What are you going to do?”  (When tattling has gotten out of control, a minor consequence for pure tattling such as a chore or timeout curbs the behavior quickly).
  2. Conflict tattling: When two or more individuals disagree and want a referee.                                     Solution: Use the talking table.
  3. Necessary tattling: True danger is involved, blood, fire, or anything illegal “Mom, Amy is chasing me with a knife.”                                                                                                                                                               Solution: Please take immediate action to make sure everyone is safe.
From birth to death, the human race constantly learns how to fix problems. Using the Talking Table Technique from ages 3-18, sets a foundation missed by many adults. We give them a structured space to have the freedom and creativity to work out their conflicts on their own. What a wonderful gift to give the next generation. If you take the time to follow through and regulate the process, the young people will follow your lead. They will be able to engage in the following:
1.) Ignore the petty
2.) Solve their own conflicts in a constructive manner
3.) Trust you and get help with the big stuff.
Be ready to be amazed. 

Tools for Dad

21 Jun 2012 04:24


For many of the girls I work with, Dad is a missing link. In some cases, Dad's have wounded my clients so deeply, it will take years of processing to recover. Some of my clients have never and will never know their biological father. Step-dads, grandpas, uncles, older brothers, teachers may be as close to having a father as they will ever know. But I also get to meet amazing Dads who would do anything to help their teen.

Dad's want a good relationship with their growing daughter but aren't sure how to connect anymore. When girls are little, Daddies can scoop them up and take them to McDonalds, read them a book, or teach them to ride a bike. But when the same little girl hits puberty, a shift happens. Little girl wears makeup, has boyfriends, and enjoy driving. Dads are caught between the crossfire of respecting their daughters changing developmental needs and protecting them from themselves or people who may take advantage of their innocence.
Teenagers continually seek the approval of their fathers. They need to know their fathers respect them, protect them, and are proud of them. Teenagers can be difficult to engage in conversation. "How was your day?" "Fine." "Learn anything in school?" "No.". Monosyllables do not generate meaningful conversation or connection. It can take extra education to facilitate a heart to heart chat with an adolescent. The common questions I get asked by Dads are "How do I connect with my daughter?" and "How do I talk with her?" 
1.) Take time. Life is crazy busy. You probably have other relationships, jobs, and obligations to meet. However, it is not an excuse for skipping daughter or son/dad time, just the two of you. It doesn't have to cost money. Go on a picnic. Find something she/he enjoys: video games, board game, sports. Go for a walk. Cook something. Read. Teach her/him how to change the tire or use a drill. The point is doing it together. Aim for regular meetings weekly to monthly as the schedule allows. Have it be consistent so everyone knows this time is set aside for the two of you. For example, the first Tuesday night of the month is daughter/dad time. Build it into your schedule or before long she/he will be off to college and it will no longer be an option.
2.) Be approachable. Do you blow a gasket if her skirt is too short? Do you comment on her weight or activity level? Do you criticize her/his friends? Do you respect her/him? Yes, there are house rules, expectations, and moral standards but be careful of the shame factor. Teach her/him everyone makes mistakes. She/He is not the mistake. If you want your teenage children to be able to come to you regardless of the situation, make sure they understand you love them no matter what. The most common breakdown I see between father's and their teens is the belief Dad only loves me if I'm skinny, straight A's, good at sports, obey all the rules, etc. Since no one is perfect, this belief leads to sneaky behaviors and poor self-esteem. Lastly, apologize when your wrong-- it doesn't make you weak; it makes you approachable.
If you take time for your growing children and they know you are approachable, you are setting the stage for a beautiful relationship continuing far after they graduate. If you know teenage girls/boys who miss out on dad time for one reason or another, consider stepping in the gap. Teenagers need healthy male role-models. They crave male attention.
For specifics on what to say, check out these tips from a local clinician. She also has a Dad group if you are interested in more coaching. Any specific questions, please feel free to contact me. 

The Key to Successful Mothering

16 May 2012 20:26



   In the counseling world, Mom’s sometimes get a bad rap. I’m pretty sure it started with Freud and to some extent has perpetuated throughout counseling history. Traditionally, it was left to mother’s to care for their children full-time, while Dad was off at work. If it was the mommies of the world raising the children, the conclusion often is made, any childhood issues must be mommy related.
   I can still see hesitancy in the faces of many mother’s when they join a session. Their looks communicate “Is she going to blame me?” or "What did I do wrong now?". The enormous pressure of motherhood doesn’t help. Society insists mothers be pretty, healthy, kind, patient, all-knowing, relaxed, in control, organized, chauffer, nurse, tutor, teacher, and stable-- financially and emotionally. Culture frowns on mothers who don’t know what to do, who are their wits end, or who react because they don’t know how to respond. And yet, I doubt there is a single mother out there who hasn’t felt completely out of control at one time or another.
   One of my friends, a mother of three small ones, often tells me how frustrating it is for everyone  from your own parent to the cashier at the grocery store sharing their parenting advise. They all seem to be the expert on raising your kids. There is always something you are doing wrong. You may recognize the “mother guilt" of never doing enough.
   When working with teenagers, there is one defining quality of mothers successful in parenting their teenagers. They never give up. They reach out for support, apologize for mistakes, and work to improve. Any mistake can be forgiven if the teenager knows the parent acted on the best knowledge they had at the time. It may require work and reconciliation, but teenagers want to love their parents. They may need to see proof of working at change. They may need acknowledgement of mistakes made. This is appropriate. But they desperately want the love, approval, and relationship of their mothers. That longing for relationship with your mother can be present at any age.
   Know that no mother is perfect. Mothers do make mistakes. Mothers often have their own baggage. They may or may not have had a good role model growing up. Mothering is not innate. Teenagers don’t come with a handbook. Mothers struggle with their own mental health issues like anxiety, depression, and trauma. Mothers cannot be expected to be a superhero who has a clean house, works a job, makes healthy meals, is fit, volunteers at school, always knows what to do, and has perfect relationships. Life doesn’t work that way.
If you are a mother:
Never be afraid to reach out for help. Talk with someone you trust. Join a support group. Get a counselor. Take a class. Apologize and work to do better. Never give up on being the Mom you want to be. Children are the best motivation. Let go of the guilt of imperfection and use that energy toward positive change.
If you know a mother:
Be appreciative of what they do. Offer advice only when asked. Recognize you are not the one that goes home to the hormonal, angry teenager and refer to someone who may have additional insight. Let your presence be a safe place for mothers to be real about their struggles, feelings, and failures. Forgive.

For further help in either mothering a teenager or forgiving a mother, send me an email at Heartprints@kristalmathis.com.
        
(360) 798-2058
400 E. Evergreen, Suite 301C, Vancouver, WA, 98660, United States
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