The Mindful Way through Depression: Freeing Yourself from  Chronic Unhappiness
The Mindful Way through Depression: Freeing Yourself from Chronic Unhappiness
by Mark Williams, John Teasdale, Zindel Segal and Jon Kabat-Zin

Reviewed by Jeremy Bidwell, Ph.D.

Mindfulness Training, which has been gaining increasing popularity in recent years, refers to learning the ability to take your mind off of “autopilot” when it is unintentionally ruminating about anxiety-provoking, distressing, or depressive thoughts. Mindfulness-Based Cognitive Therapy (MBCT) is a specific form of psychotherapy that combines Mindfulness Training with Cognitive Behavior Therapy, and has been shown in multiple clinical studies to be effective in treating several psychological difficulties.

Zindel Segal and Jon Kabat-Zin, two of the most recognized writers on the subject, developed a program of Mindfulness-Based Cognitive Therapy with two colleagues and produced an excellent self-help book on it. The Mindful Way through Depression: Freeing Yourself from Chronic Unhappiness comes in both print and audio CD formats. Though geared for Depression, the book is a wonderful way for anyone to learn about Mindfulness Training and start applying it in their daily lives. I frequently recommend this book as an adjunct to therapy as it helps maximize the progress made by teaching mindfulness skills effectively between sessions.

 

Playful Parenting

Playful Parenting,
by Lawrence J. Cohen, Ph.D.

Reviewed by Sarah Jones, LCPC

The book Playful Parenting by Lawrence J. Cohen, PhD opens the door to the wonderful world of your child’s play by exploring the importance of different types of play.  This book shows parents (and other adults) how to join in with your children, on their level, in order to communicate with them in a way they can understand.

Children often have difficulty expressing their emotions.  This is because they do not understand them and do not have the vocabulary to explain what they are feeling.  Therefore, children act out their emotions through their play.  The book shows that, by engaging more actively and purposefully in your child’s play you can begin to develop a stronger bond while learning about their world.  Children struggle with many of the same difficulties that many adults face every day (ie. self-esteem, feelings of inadequacy, powerlessness, difficulty connecting to peers, controlling impulses, maintaining focus, feelings of anxiety, anger etc.) and it is our job as parents and adults to, as Lawrence Cohen puts it, “fill up their cup.”  Through engaging in play with adults, specifically parents, a child can develop self-esteem, confidence, self-control, connection and work through their problems.  This book provides easy to follow examples and techniques of how to engage in play for specific purposes or just for the emotional connection of a parent/child relationship.  If you are looking to build or maintain a strong connection, are concerned about the content of your child’s play or want to communicate with you child on a more basic level that they can understand while also having fun; this is the book for you.  It empowers the parent and the child and shows us all a new way to engage in parenting that is more beneficial for our children and incorporates a little fun.

 

by Dr. Jeremy Bidwell

Today is the first workday of Standard Time for this fall, and we are all noticing an astonishingly early sunset in McHenry County. For some, this part of the year marks the loss of many coping mechanisms that maintain mood and ward off depression. In the winter season, we are less able to do the things that act as “behavioral antidepressants” and the seasonal change for many marks a decrease in regular mood for the next six months. For some, this shift in mood can become quite substantial, requiring treatment.

Seasonal Affective Disorder (SAD) is a condition above and beyond the normal “winter blues”. It is a recognized Psychiatric condition that affects between 6% and 10% of the general population, and can dramatically impact people with a history of Depression or Bipolar Disorder.  The symptoms of Seasonal Affective Disorder are the same as those of clinical depression, and can include depressed mood, loss of interest in activities, significant weight changes or changes in sleep patterns, fatigue, excessive guilt, feelings of worthlessness and feelings of hopelessness. For some, suicidal thoughts can form as a result of the disorder.

SAD is likely caused by a combination of several factors. Genetic predisposition likely plays a role, as does the change in behavior and available activities during the winter months. It is also believed that the changes in the amount of natural sunlight hitting our retina influences hormones and chemicals in the body, thus having an impact on mood and sleep patterns.  The change in available sunlight is particularly apparent in this part of the country, as the sunset is predicted to be at 4:39pm on the day I am writing this article. Our brains use sunlight to cue the release of chemicals that help keep us on a regular, 24-hour cycle, like a natural alarm clock. This same system is also linked to many of the chemical messengers associated with mood (such as Serotonin).

How is Seasonal Affective Disorder Treated?

There are three generally accepted approaches to treating this seasonal pattern of clinical depression: medications, psychotherapy and light therapy.

Medications:     Most antidepressants work by increasing the available amounts of chemical messengers in the brain (called neurotransmitters). There is good data to suggest that antidepressant medication can be a useful tool in the overall treatment of Seasonal Affective Disorder. An evaluation by a trained and licensed mental health professional can help diagnose the condition, and provide clear feedback on if this option is right for you.

Light Therapy:   This is very much what it sounds like. There are devices on the market designed to increase the amount of natural light (identical to sunlight) that reaches the retina of your eye during the day. This helps to promote the normal production and release of chemical messengers in the brain that maintain mood and help keep us on a regular cycle of sleep. It may sound fishy, but they have been proven effective, and can be a good addition to the treatment options available for this disorder.

Psychotherapy: Psychotherapy, which is also referred to as Counseling or “Talk Therapy” has been demonstrated to be as effective as antidepressant medications in treating depression. The most effective form of psychotherapy for this disorder is called “Cognitive Behavior Therapy” or “CBT”, and is the predominant style of therapy provided at Meridian Behavioral Health. Cognitive Behavior Therapy for Depression involves assessing the behaviors and thought patterns that contribute to depression. The therapist then works on a weekly basis with the patient to find ways to alter behaviors and thinking habits as a way to improve mood.  We have a strong preference for recommending psychotherapy for SAD, as there is substantial research that suggests that the benefits gained from this approach are permanent, because they represent acquired skills that remain with the person for subsequent winters. This is not true of other treatment options.

When to Get Help:

It can be helpful for people with even mild symptoms of Seasonal Affective Disorder to seek out ideas from a counselor with experience and training. There are, however times when it is crucial to seek professional guidance. If your symptoms begin to impact your relationships, work or school, this could mark a shift towards a significant episode of depression. Perhaps the biggest warning sign is an emergence of thoughts about suicide or self-harm. If wither of these begin to become a problem, seek an evaluation by a mental health clinician, or speak with your family doctor.

If we can be of any guidance in diagnosing this condition, or merely helping improve your emotional “keel” through the winter months, don’t hesitate to contact a counselor today. If you have any questions, please follow this link to our contact form, and find out how we can help.

 

While the problems facing many of the couples we help are complex, there are simple steps that we at Meridian Behavioral Health consider relatively easy ways to start rebuilding closeness and intimacy in a marriage. If you are contemplating seeing a marriage therapist and wish you could start working on things right away, these suggestions may give you some basic ideas to start with early. A trained marriage therapist can help you fine tune them for your specific marital problems, and maximize the impact they have on your marital satisfaction.

Verbalize Appreciation Often

Couples in distress often communicate a sense of being “taken for granted”, while many couples that report high degrees of satisfaction frequently express the things they appreciate about their spouse often.  Try making a “mailbox” out of a manila envelope for each of you (like the ones kids make on Valentine’s Day). Have fun with it…..decorate them together when you start this project.  Tape them to your bedroom door, and resolve to put in 1 index card a day expressing something you appreciate about your spouse. Have dinner together once a week and read the cards together. After a few weeks, you’re on your way to developing this behavior as a habit.

Do Exciting Things with Each Other

Dopamine is a chemical in the brain that stimulates our “reward centers”. Research suggests that when this happens in the presence of a person we are attached to, an association between enjoyment and that person gets wired in the brain. Plan a “Dopamine Date” once every few week. We suggest keeping an eye on the frequent activity-based deals promoted on Groupon.com or LivingSocial.com. They often have great introductory activities such as dancing, cooking classes or more adventurous ideas than you may come up with on your own, and can be a great way to expand your repertoire of enjoyable dating activities.

Validate Each Other During Disagreements

There is a very strong association between feeling invalidated (hearing “you’re wrong!”) and feelings of anger. Couples that navigate arguments well tend to fit in messages of validation along with the point they are trying to argue. Inserting statements such as “I can see your point”, or “I can understand why you would feel that way” can go a long way in turning a fight into a discussion. I often recommend that couples use a “validation card” to help with this. Make a 4-inch square card out of a green file folder. Write a validating statement such as “I can understand why you are upset because ______.” on the card, and take turns completing the sentence the next time the two of you are disagreeing about something. If you keep one of these cards in each room of the house, it can serve as a small visual reminder to listen to one another when a disagreement surfaces.

Have a First Date Again

When couples first start dating, they spend a tremendous amount of time getting to know one another. They talk about their interests, their goals and dreams, their views on various topics and their frustrations. Over time, it becomes easy for a couple to believe that they still know all of their spouse’s answers to these questions, even though many have likely changed over the years. Go out to dinner with your spouse, and pretend you are on a blind date. Take turns interviewing one another as though you have met for the first time. You may find yourself surprised at some of the answers! Getting to know one another again like this communicates interest and desire for closeness that is easy to leave un-communicated with the routine of our regular week.

Find Ways to Do Nice Things More Often

This is another area that often gets neglected as families get busier and more complex. In the early days of a relationship, couples often do small tasks for one another as a sign of affection. Something as simple as doing each other’s chores so the other person can relax, or bringing home a small surprise gift can go a long way to demonstrate that you are invested in caring for your spouse. This task fits very, very nicely with the exercise described in section #1, “Verbalize Appreciation Often”. As you are doing that exercise, find ways to do things for your spouse. You will know which ones have the biggest impact, because you will see them mentioned on the cards in their “appreciation mailbox”. I often recommend that couples put a reminder for this task in the calendar of their smartphone if they have one. This helps them have a reminder “pop-up” in their busy day to help them remember to make this a priority for the day.

These tasks represent some of the foundational habits of couples that manage to maintain a positive sense of intimacy and closeness in their marriage. Couples that are in distress or have experienced something damaging in the marriage such as an affair should seek a professional to help guide the process of repairing the relationship, as the issues faced in repairing a marriage are often very complicated to navigate. For those looking for a “tune-up”, the suggestions above can give you a step in the right direction while seeking out guidance. We have several marriage counselors at Meridian Behavioral Health that can help you get moving in the right direction. If you would like to speak with one of our marriage counselors, visit our contact page, and find out how we can help!

 



Have you ever hear the term expressive therapy? Or ever been asked to draw a feeling? Expressive Therapies are strategies a therapist or social worker may employ that provide the opportunity to communicate your world and emotional struggles through the use of creative outlets.  These include (but are not limited to) play therapy, sand tray therapy, art therapy, music therapy, dance/movement therapies and clay therapy.  In these circumstances, feelings or experiences are expressed through or projected onto materials in order to create a safe environment outside of the person to discuss and problem solve.  Because they do not often have the words to explain what they are feeling, these therapeutic methods are most often used with children.  That being said there are many situations where adults could benefit from expressive interventions including processing past trauma experiences.

Posted by Sarah Jones, LCPC

 

(Article Content from the Northwest Herald, McHenry)

Advancements in smart phones made it all too easy to send naked photographs and racy messages with the click of a button.

However, while the legal burden for youthful “sexters” has lessened, the sharing of these types of messages and photographs can cause severe and lasting emotional damage.

“ ‘Sexting’ leads to a number of problems that cannot be deleted,” said Dan Blair, a licensed clinical professional counselor and founder of Blair Counseling in Crystal Lake. “These pictures can be used later by someone to gain power and cause pain. Or, kids may be kicked off a sports team or out of school, or prosecuted and persecuted. The helplessness and hopelessness can lead to significant depression and anxiety.”

A study performed by the Associated Press and MTV in 2009 found that three in 10 people between the ages 14 and 24 report having been involved in some type of text messaging involving nude photographs, and almost half of sexually active young people report being involved in sexting.

Perhaps an even more alarming statistic found by the study was that almost one in five sext recipients report that they have passed the images along to someone else. More than half of those who passed the images to someone else say they shared them with more than one person, a report on the study said.

“Kids are so wired in right now,” said Mary Krueger, a licensed clinical professional counselor from Cary. “They have cell phones, social networking sites and live video games, so they’re used to talking to nameless, faceless people. They don’t perceive the consequences until they feel them.”

Things get a little more complicated when messages and photographs are shared by students.

Tom Lind, assistant principal at Richmond-Burton High School, said that the school’s policy on cell phone use in general had evolved throughout the years. Students can use their cell phones in school in between classes and in the lunch room, but not in class or in the hallway.

If a student is found to have sent, received or spread lewd text messages, however, the school has a different approach.

“Any time we have a situation like that, we turn it immediately over to the police for investigation, and they follow up,” Lind said. “When it comes to the legal aspect of it, we allow the police to take control of the investigation.”

Thanks to sexting legislation signed by Gov. Pat Quinn last April, violators under age 18 must stand before a judge and could face supervision, community service and counseling as punishment for sexting offenses. Before the new act, minors faced stricter criminal charges and could have been deemed sexual predators.

This move lessens the legal burden for offenders, but after the public humiliation that often accompanies the exposure of suggestive messages and photographs, offended parties might continue to suffer.

When Gwen Ames, a therapist with Meridian Behavioral Health McHenry, deals with patients who have experienced this type of embarrassment, she said that she focused on improvement for the future.

“When I meet with kids, I teach them the traits you’d find in a healthy relationship [and partner],” she said. “Are you respected? Are they supportive? Is there good communication? Are they caring and encouraging?

“I have them look at that and compare it to some of the people they’re with. I focus a lot on respect and ask, ‘Is this the way you would want your daughter or son to be treated?’ ”

Ames also encourages youths to spend time in groups in public places until they really get to know a person they might consider dating.

“I have a friend who worked with troubled youth and she always told them that you marry the people you date, so date the people you want to marry,” Ames said.

“Northwest Herald | Effects of ‘sexting’ Can Be Costly.” Northwest Herald | Local News and Video for McHenry County, Illinois. Web. 25 Apr. 2011

 

I’m sure we all remember our own teenage years or perhaps some of us would rather forget them. The teenage years are a difficult time in virtually everyone’s life. It is a time where you go through great transition and transform from a child to an adult. Some of the struggles teens face during this time include: determining where they fit in, who they are, who they want to be, dealing with sexuality and learning to be responsible, while still having fun.

This transition period doesn’t only affect the teen but it also affects their parent(s). It’s a difficult time for parents because teens can be selfish, insensitive, lazy, demanding, etc. but also because parents themselves are transitioning. Parents are transitioning from the complete caregiver to a combination of guardian and spectator in their child’s life. This is a difficult adjustment, especially since teens will pick and choose when they need their parents, leaving parents wondering how and when they should jump in, or when they should encourage independence. This causes parents to feel pushed and pulled unexpectedly. “I need you to help me with this” or “I can handle it on my own” to “drive me here” or leave me alone.” Teens become more private about their lives and do not share many things like they once did. This leaves parents hoping that their teen is making the right decisions and trusting that they will come to them if they need help.
It is often helpful to remain mindful of why teenagers need to be this way, and to learn how to cope by giving your teen just enough space in order to manage this “push and pull” relationship. Both teens and sometimes their parents could benefit from developing healthy communication skills, trust, and ways to show care and concern during these difficult years. If you have taught your children well, you can rest assured that they will likely make wise choices, come to you for help if needed and/or know how to get themselves out of a sticky situation. It is difficult but children will only learn how to be adults if they are given the opportunity to try while still knowing that their parents are still behind them to assist or pick up the pieces as needed.
Our children grow up depending on us for nearly everything and that is a role that we often fall into with ease. This is because as humans we have the emotional desire to be needed and to please/help others. The truth is most parents just want their children to be safe and well taken care of but during the teenage years this point can be difficult to get across.

For more information or to schedule an appointment to develop you and your teen’s relationship, please contact us at 815-344-5061. Everyone needs a little support sometimes.

Written By Sarah Jones, LCPC

 

Sometimes couples that are seeking help find that they have lost their focus on the natural ways that they tend to show affection to their spouse, and the things their spouse does that they naturally recognize as true affection. This is a tremendous area of potential growth and repair for marriages that are experiencing strain. The Five Love Languages, by Gary Chapman focuses on this concept  is a must have for all couples (married or dating, strong or struggling) looking to find ways to show love to their spouse and help their significant other understand how to show love to them.  Is your natural  love language: Acts of Service, Physical Touch, Gift Giving, Quality Time or Words of Affirmation?  What is your spouse’s?  This book takes a look into each of these special languages and provides information on how to discover your primary love language and the languages of others as well as how to begin to speak in the dialect that will get the messages of love across to your spouse.  This is a great way to reignite the spark or keep the flame burning strong in any relationship, and we strongly encourage it as a resource for anyone entering into marital therapy or currently involved in marital therapy.

More information can be found at www.5lovelanguages.com

Dr. Gary Chapman has written and co-written a number of other books about The Love Languages including:

The Five Love Languages: Men’s Edition

The Five Love Languages of Children

The Five Love Languages Singles Edition

The Five Love Languages of Teenagers: The Secret to Loving Teens Effectively

The Five Love Languages of Apology: How to Experience Healing in all Your Relationships

Review by Sarah Jones, LCPC

 

Anger can isolate an individual from friends, family, and the community. It can harm others and result in legal problems. What researchers know is that there are many reasons an individual’s anger gets out of control. Some of the most common are:

  1. The effects of drugs or alcohol
  2. Angry behavior learned from family, friends, and the media
  3. A biological inclination to getting angry faster than others
  4. Poor communication skills
  5. Poor conflict resolution skills
  6. Negative attribution of the behavior of others
  7. Mental illness of any kind, including ADHD

A number of strategies will help tackle these problems, but you will have to challenge the way you think, and change your negative behaviors. You may also have to learn relaxation techniques, new communication skills, coping strategies, and how to motivate yourself to keep on trying when life feels hard to deal with.

Drugs and alcohol problems can make all the other reasons for anger worse. Sometimes this problem needs professional intervention, but the solution is to stop, stop, stop, and let your body learn to handle life in a normal way.

Just as angry patterns of behavior can be learned, they can be unlearned too. NO, it may not be easy, but it IS possible, and people do it every day.

What does a biological inclination mean? Simply, some people are born with more patience than others while others appear high strung and get angry more quickly and intensely. Suffering Succotash, what do you do? It will be important to develop coping strategies and relaxation skills to help you deal with situations when you get angry, and to help bring your tolerance for anger closer to a normal level.

Poor communication skills means you find it hard to express your feelings appropriately, and to talk to people in a way that makes them feel good about you and them. Learn to avoid using the ‘YOU’ word, extremes such as ‘always’ or ‘never’, labeling a person, words that are sarcastic, and other words likely to inflame.

Poor conflict resolution skills often means one person wins at any cost and one person loses. Learn to give sometimes, and cushion criticisms with positives. Keep the conflict focused on the problem at hand, and don’t bring up irrelevant wounds or unsettled business from the past. Negotiate and compromise, and learn to say that word ’Sorry’.

Some people assume the worst about others most of the time. They might interpret an apology as ‘They just want to pretend everything is all right now’, or might interpret an accidental oversight as ‘They forgot that on purpose’, or after a compliment might say, ’He just said that to be nice’. People can be cruel, and life can be unfair, but people who think this way the majority of the time, will feel unhappy and angry most of the time. Life is short, learn to be realistic. Truth is often in between the ‘all good’, and ‘all bad’ extremes.

Mental illness is not just a word. Statistics show that 26.5% of adults in the United States have a diagnosable mental illness in a given year. Mental illness can simply mean depression, anxiety, or attention deficit disorder, but other serious mental illness affect individuals as well. If your anger is out of control, consider being assessed by a competent psychologist, social worker, or counselor. Be open to the possibility of taking medication if it will help. People with the same problem often need different treatment strategies.

A therapist can help you define specific goals for your unique situation. Staff, at Meridian Behavioral Health, are compassionate and willing to help you start making the meaningful changes most important to you. Call our office or leave us an email, and a qualified therapist will get back to you as soon as possible.


Gwen Ames, LCSW     03/29/2011

 

McHenry got hit fairly hard with the Blizzard, but we have our parking lot mostly cleared, and the clinic is open. If anyone has an appointment, please be safe on the roads, and call to reschedule if you are not confident that the roads in your area are drivable yet!

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