Quote

We do not grow absolutely, chronologically. We grow sometimes in one dimension, and not in another; unevenly. We grow partially. We are relative. We are mature in one realm, childish in another. The past, present, and future mingle and pull us backward, forward, or fix us in the present. We are made up of layers, cells, constellations.
-Anais Nin

Financial crisis and psychotherapy

In recent publications such as The Sacramento Bee and The Wall Street Journal, along with news programs, the financial crisis has been paired with personal distress. It's no secret that if you are worried about money your emotional well-being can suffer, relationships can begin to fray, and other problems (health, school, work) can begin to spiral under the pressure. Several of these stories have noted that the ironic thing is that while a lot of people NEED therapy right now that it is difficult to AFFORD it.
In response to this, I encourage people to take advantage of programs such as their employer sponsored Health Savings Account (HSA) that would allow them to set aside pre-tax dollars to use for medical expenses which usually include counseling. I also offer a few sliding scale appointment slots, one pro-bono slot, along with a student discount, and I do accept credit cards.
Emotional distress can cause and exacerbate health problems, cause missed work, and also force people back into unhealthy coping skills such as eating and shopping that can cost a lot of money and cause even more distress. Therapy is indeed an investment but usually one in yourself that pays huge dividends. If all else fails I am happy to provide referrals to wonderful organizations that provide low-cost therapy. Right now nobody should be going without needed support during such difficult times.

New Walk and Talk Therapy Available

I recently read this article on WebMD:

http://www.webmd.com/balance/features/walk-and-talk-therapy

In nutshell, it is about the benefits of walking during talk therapy. Benefits include all of the obvious benefits of exercise, plus a reduced sense of pressure that the typical face-to-face stance of a typical therapy session can bring up. Sometimes physical movement can help clients move forward on stuck issues, and bilateral stimulation (ie-walking) can also be calming.

Of course, there are issues to address. What if we run into somebody that you or I know? What if you become emotional during a walking session, or you don't feel safe expressing emotions during a session because we are walking? These are all issues to address and plan out beforehand.

If you are my current client you KNOW that I highly recommend exercise barring physical issues that might keep you from exercising. I believe exercise is helpful for depression, anxiety, even trauma issues. Walking during a session can possibly help challenge stuck dynamics.

If you are a current client and would like to try this, let me know! If you are a new client who is interested, also feel free to bring this up during our intake session. We can discuss the pros and cons and in all likelihood try a walking session. Plan on bringing your walking shoes and sunscreen!

PREPARE for a marriage...Premarital counseling

I am pleased to be offering couples services using the PREPARE/ENRICH set of inventories. In addition to my training and experience as a marriage & family therapist, I have received additional training to use the PREPARE/ENRICH program. PREPARE/ENRICH is a research based curriculum and set of inventories that is used for couples as a premarital counseling guide, and also for married couples to improve and enhance their relationship.
PREPARE/ENRICH starts out with the couple taking an inventory that covers issues such as personality traits, family of origin map, communication style, and beliefs and expectations about significant issues for couples such as finances and children. I use the results of these inventories to help couples learn to communicate more effectively, resolve conflict proactively, and focus on goals as a couple. There are usually 4-6 structured sessions where together we focus on preparing a couple for marriage.
Many couples spend more time planning the wedding or commitment ceremony itself than they do preparing for their future as a married couple. Marriage is hard work…it takes a lot of effort and skills that just aren’t typically taught in a classroom. I encourage all couples that are considering making a lifetime commitment to consider a program of preparation such as PREPARE/ENRICH in order to maximize the potential of their relationship.
See also www.prepare-enrich.com

Sierra Style Articles

A HUGE thank-you to Sierra Style for asking me to participate in some recent articles. One about New Year's Resolutions:

http://www.sierrastyle.com/products.asp?prod=455&cat=109&hierarchy=02

Another on Seasonal Affective Disorder:

http://www.sierrastyle.com/products.asp?prod=470&cat=114&hierarchy=02

And another on dating as a senior after losing a spouse:

http://www.sierrastyle.com/products.asp?prod=488&cat=119&hierarchy=02

Self-care for counselors

Sometimes the old adage of "the cobbler's children has no shoes" is incredibly obvious in the counseling profession. How often have I talked with colleagues about their feelings of stress and when I ask them, "What are you doing to take care of yourself?" they look at me blankly. These therapists are REALLY GREAT at helping their clients get better-but not always so good at taking care of themselves. Self-care is important-for me AND for my clients. Self-care can include:
-regular exercise
-good nutrition
-staying away from caffeine
-playing with your family pets
-getting a massage
-going to therapy
Yes, I said it. Counselors can go to psychotherapy, too! I offer a sliding fee for ALL college students that qualify, and I really encourage graduate students and MFT Interns/ASWs to contact me if they are interested in getting counseling. I used to supervise volunteer peer counselors and I noticed one thing-clients seemed to do a lot better when the therapist was taking good care of themself. Not only am I committed to providing THE BEST care possible for my clients, but I encourage other professionals and pre-licensed professionals to also model good self-care-whatever that might mean for YOU!

BIG NEWS!

As of the end of this month (February 2008), I will be moving to my own office in Roseville. I have loved subletting from Alicia, but my practice has grown so much it has been difficult to accomodate all of my clients. I will begin seeing my clients at my new office March 1.