Noah Enteen, LMFT

4 Reasons You Should Try Family Therapy with Your Teenager

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As parents, it can be challenging raising a teenager. Teenagers are at the stage where they begin to question the beliefs and values they were raised with, while challenging authority and parental restrictions.

Sometimes, teens are struggling with even more issues in their lives. A teen struggling with substance abuse, a mental health disorder, or behavioral problems can cause a great deal of strain on family relationships. While individual therapy will help your teen deal with their personal difficulties, family therapy can help improve the family dynamic and create a more positive home life. A healthy, happy family will not only help your teen cope with personal challenges, but it will benefit your family as a whole.

1.  Develop Trust and Honesty

As families talk through their issues in therapy, everyone will learn each other’s strengths and weaknesses. Discussing difficult matters with a professional and unbiased third party can help each member of the family communicate their feelings in a safe and constructive environment. Your therapist will help family members learn something they didn’t know about each other by encouraging people to communicate things they’ve held inside, or by asking questions no one else thought to ask. This effective and honest communication will help develop trust in familial relationships.

2.  Improved Communication and Problem-Solving Skills for the Future

Through therapy, your family will learn better ways to communicate their feelings and resolve issues. Your family will learn and develop healthy communication and conflict resolution skills that they can use to help prevent further conflicts from starting.

3.  Bring Your Family Closer Together

Applying the techniques learned in therapy will bring your family together. As trust and honesty develop, tensions and stress will be reduced and your home will become a more positive and supporting environment. As each family member gains a better understanding of healthy boundaries, relationships will greatly improve. These positive interactions will increase the peace your family feels when spending time together.

4.  Skills Learned Can Be Applied to Other Relationships

Some or all of the skills learned in family therapy can be applied at school, with friends, on the playground or in the workplace. Better communication and conflict resolution skills can help each family member in every aspect of their life. These techniques will continue to help your child as they move through adulthood, even up to when they grow and have families of their own.

 

If you and your teenager are having a difficult time and need the help of a licensed professional to navigate your way toward a healthier relationship, call my office today so we can set up an appointment.

Filed Under: Family Therapy, Teens/Children

5 Warning Signs It’s Time to Try Couples Counseling

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When you first fell in love, you could never imagine that someday the sound of your partner chewing could make you want to scream. It’s inevitable that once we are out of our honeymoon phase and reality sets in, we realize that all relationships take work and compromise. But while some couples may hit bumps in the road every so often, other couples find themselves in bigger trouble, with neither party knowing exactly how to fix things.

If you are in a relationship that is no longer feeling healthy, here are 5 warning signs that it may be time to try couples counseling:

1. There is No Longer Healthy Communication

Once you have a communication breakdown, you are unable to rationally share thoughts, feelings, and concerns with each other. Beyond this, unhealthy communication tends to leave one or both partners feeling depressed, angry and hopeless.

2. Trust Has Been Broken

When there has been infidelity, it is very difficult for the couple to rebuild trust and repair the damage. While there is no magic pill to recover from an affair, a therapist can offer tools and strategies to rebuild trust.

3. You’re More Like Roommates

If you and your partner act more like roommates than romantic partners, this indicates a lack of intimacy and a potential need for professional help.

4. One or Both of You Has Begun Acting Out

You try to mask your real feelings for as long as possible, but then you start to act out the hurt and resentment you may be feeling. For instance, if your partner has been unfaithful and you have agreed to stay in the relationship and work things out. But over time you find yourself lashing out, acting rude and trying to make them believe you are having an affair so they will feel the same kind of hurt. This acting out is unhealthy for both people and is a BIG indicator you need to seek some help.

5. When the Only “Solution” Seems to be Separation/Divorce

A break from negative energy can be very helpful to the relationship. But when a temporary break leads to more and more time away from home and someone renting their own apartment, this indicates a need for counseling. Spending time away from home usually doesn’t lead to any real resolution, just more distance.

 

If you and your partner are interested in exploring treatment options, please be in touch with me. I would be more than happy to discuss how I may be able to help.

Filed Under: Couples/Marriage, General

5 Subtle Exercises to Calm Anxiety in Public

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According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days.

When anxiety strikes, the world around us can become a sort of funhouse, only not that much fun. It’s important to be able to self-soothe in these instances. But how can you calm an anxiety attack subtly when you’re out in public?

 

Breath Work

As soon as you feel the anxiety coming on, focus intently on your breathing and nothing else. Begin to take slow… deep breaths. Inhale for a slow count of three… hold for a count of three… and exhale for a count of three. Slow deep breaths send a signal to our body that we are not under attack and everything is okay.

 

Talk to Yourself

In your mind, remind yourself that you are having an experience but that you are NOT that experience. While you feel that something is wrong, remind yourself that you are actually safe and all is well.

 

Visualize

Think of something that calms you. This may be your childhood bedroom or your grandparent’s home. It could be your favorite beach or your own bathtub. Simply put yourself IN that space. Use your full imagination to feel yourself there and allow the calm to settle over you.

 

Carry Lavender Oil

Keep a small vile of lavender oil in your purse or pocket and inhale its scent. You can even rub some between your finger and then rub on your temples to calm down.

 

Practice Listening Meditation

If you’ve never tried listening meditation, I highly recommend it for everyone. But it can be especially beneficial when you are feeling anxious, and here’s why. Listening requires you to stop thinking. Try it now. Stop reading and instead listen to all of the ambient sounds there in the room with you, outside the door and window.

What do you hear?

Let your sense of hearing grow and grow, picking up more subtle sounds. The buzz of the lights overhead… the noise of the ice maker… a bee at the window… your dog’s collar down the hall…

It’s actually a very fun exercise to do. And in order to REALLY GIVE SOUND YOUR FULL ATTENTION, you can’t think while listening. It’s a bit like trying to juggle while standing on your hands, it simply cannot be done.

Much of our anxiety comes from our anxious thoughts. It’s our reptilian brain trying to keep us alive by alerting us to all of the dangers around us. But when we meditate, this mind chatter goes away.

 

When an anxiety attack comes on, life can feel unbearable. The next time this happens to you in public, try one or more of these techniques.

And if you’d like to speak with someone about your anxiety, please get in touch. I’d be happy to explore treatment options.

Filed Under: Anxiety

When is the Right Time to Try Couple’s Counseling?

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For better or worse. Those words seem easy to say at the time, but when worse gets really bad, many couples are ready to throw in the towel. That’s because they didn’t seek help in time and let things get out of hand.

The Stigma of Counseling

It can be hard to make the decision to go to couples counseling because it means you have to face your problems and admit you and your partner are on shaky ground. That can be incredibly scary to admit. It’s not dissimilar to thinking something may be wrong with your health, but you’re too scared to face the music and so you ignore the issue until it gets way too big.

Beyond having to admit you and your partner have problems, there’s also the uncomfortableness of not being familiar with therapy. It can definitely feel a bit mysterious and scary sitting down with a total stranger and sharing personal information about your relationship.

For these reasons, far too many couples let their marriage issues sit on the back burner, percolating. But the better option is to nip an issue in the bud as soon as it rears its ugly head.

To save you some confusion, here are some of the most common relationship issues that typically require some time in couples counseling.

Broken Trust

Whenever there is a major breach of trust, as in an extramarital affair, there is usually a need for couples counseling. A therapist can help you both rebuild the foundation of trust.

More Frequent Arguments

To each relationship, a little rain must fall. But when you start having frequent torrential downpours, it’s time to ask for help. An increase in fighting and intensity of fighting often means significant problems under the surface.

You’ve Experienced a Devastating Event

Life throws us events in our lives that are hard to rebound from. Whether it’s a financial loss or the loss of a loved one, as in the loss of a child, the trauma can change the way you and your partner relate to one another.

These are just a few of the reasons you and your partner should consider exploring couples counseling. It’s always better to seek help than try and go it alone.

If you are interested in treatment options, please be in touch with me. I’d be happy to discuss how I may be able to help.

Filed Under: Couples/Marriage, General, Trauma / PTSD

What is EMDR?

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Eye Movement Desensitization and Reprocessing therapy, or EMDR, is a set of standardized protocols that incorporate elements from many different treatment approaches. It has been researched extensively and proven effective for the treatment of trauma.

What Issues Can EMDR Treat?

EMDR is used to treat a variety of mental health issues including:

  • – Panic attacks
  • – Complicated grief
  • – Dissociative disorders
  • – Disturbing memories
  • – Phobias
  • – Pain disorders
  • – Performance anxiety
  • – Stress reduction
  • – Addictions
  • – Sexual and/or Physical abuse
  • – Body dysmorphic disorders
  • – Personality Disorders

How Exactly Does EMDR Work?

It appears that EMDR has a direct effect on the way the brain processes information. This is very beneficial to someone who has experienced a trauma, as their brain cannot process information as it normally does.

To these people, a moment in time becomes “stuck” in their minds, and they experience the trauma, the sounds, smells and images over and over again. This, in turn, effects how they see the world around them and relate to other people.

After a successful EMDR session, the brain can once again process information normally, and the person no longer relives the trauma. While they still remember that the event happened, they are not physically, mentally or emotionally upset by it.

What is perhaps most interesting about EMDR is that it appears to be very similar to what occurs naturally during REM (rapid eye movement) sleep. For this reason, EMDR can be considered a physiologically based therapy that helps individuals deal with distressing events in a new and less disturbing way.

What are EMDR Sessions Like?

EMDR is an integrative psychotherapy approach that incorporates eight phases of treatment. How long it takes an individual to experience benefits of this therapy depends on their personal history.

Treatment typically targets three different areas: past memories, present disturbance, and future actions. The goal of this treatment is to process information and experiences differently. Each session aims to leave the patient with healthy emotions, understanding, and fresh perspectives that will ultimately lead to healthy and useful future behaviors and interactions.

How Long Does it Take EMDR to Work?

It is often helpful to have one or two sessions with the individual to fully understand the nature of their problem to determine if EMDR therapy will be an appropriate treatment. During these sessions, the therapist will answer any questions the prospective patient may have about EMDR. Once the therapist and individual agree EMDR is the right way to go, actual therapy may begin.

Sessions typically last between 60 and 90 minutes. How many sessions will be required will be based on the type of problem, personal circumstances and the degree of the trauma. EMDR may be used within a standard “talking” therapy, as an adjunctive therapy with a separate therapist, or as a treatment all by itself.

If you or a loved one is interested in exploring EMDR treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

Filed Under: General

4 Ways to Reduce Anxiety on Your Coffee Break

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According to the Anxiety and Depression Association of America, anxiety disorders affect roughly 40 million people over the age of 18 in the United States. Though these disorders are highly treatable, only 36.9% of those with anxiety seek treatment. Perhaps this is because of busy schedules or a lack of insurance that causes so many people with anxiety to suffer in silence.

But there are proven strategies you can do that don’t cost a penny and take little time. In fact, you could do any of the following strategies on your lunch or coffee break. Here are some ways to reduce your anxiety:

Breathe Deeply

According to a study published by the Journal of Emergency Medicine, 30% of people who go to the ER with complaints of chest pain and no evidence of coronary artery disease are actually suffering from a panic attack. Why is this so common?

When we are stressed or anxious, we tend to over-breathe or under-breathe. This can cause dizziness and hyperventilation. Deep breathing is a powerful way to gain control over your breath and reaction to a panic attack. Studies show taking slow, deep, breaths soothes our nervous system and increases brain activity. And you almost immediately feel a calm settle over you. Try it for yourself.

Try Listening Meditation

One way to get your mind to settle down is to meditate. And one of the easiest ways to meditate is to practice listening meditation. This is exactly what is sounds like. Sit quietly, eyes closed, and begin to listen to the ambient sounds in the room. What do you hear? Buzzing lights? A fan? Someone cough? Birds outside? A lawnmower? Just be aware of all the sounds and try and expand that awareness to hear as much as possible. This form of meditation is fun and effective, because you cannot possibly listen, truly listen, and think at the same time.

Take a Walk

Nervous energy needs to go somewhere – it has to be burned. Taking a 15- minute walk around the block can be a great way to get rid of this energy while breathing deeply. As a bonus, your body releases feel-good chemicals like endorphins when you exercise.

Don’t Drink Coffee

Yes, I am asking you on your coffee break to not drink coffee. Or soda. Caffeine and sugar can exacerbate anxiety by making us feel jittery and nervous. You are far better off sticking with water.

 

I hope you will give these anxiety-busting strategies a try. If you feel they are not helping as much as you need and you would like to speak with someone, please get in touch with me. I’d be happy to speak a bout treatment options with you.

Filed Under: Anxiety, General

Co-Parenting Strategies for Divorced Parents

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Going through a divorce can bring the worst out of a couple that once promised each other forever. Your world might feel like it’s falling apart, and trying to co-parent when you’re struggling to simply keep going can be overwhelming. Learning to co-parent won’t be easy, but it’s not impossible. Use the five strategies below to start co-parenting with your ex.

1. Focus on the Children

By maintaining the focus on what’s best for your children, you can work toward providing as peaceful a home as possible for them. Providing them loving stability and structure will help ease them through this time of transition.

2. Communication is Essential

As you go through your divorce, your communication with your ex will inevitably suffer. It may be difficult to communicate with them; you may not want to talk to, or hear from, your ex. However, it’s important that communication regarding the children is maintained, and that your children are not used as messengers (i.e., “Tell your father you have a recital on Friday.”) Communicate directly with your spouse, finding creative ways to communicate to avoid conflict if necessary (text, email, letters, etc.)

3. Just the Facts

If you’re harboring resentment or have unfinished emotional business with your ex, the desire to express your emotional needs can feel overwhelming. Make a commitment to yourself that for the sake of your children’s well being, you’ll keep conversations focused on the issues.

4. Embrace Change

As you go through your divorce, there will be a great deal of change for yourself, your ex and your children. By expecting and embracing change, you’ll reduce the stress you feel when the unexpected presents itself.

5. Prioritize Your Health

Maintaining your health is important not only for you, but for your children as well. As they learn to cope with the changes in their family, having a healthy, happy, rested parent will help them adjust. Your children depend on you, and you owe it to them to give them your absolute best as a parent. Additionally, taking time to exercise and eat healthy will help you take the focus off of your divorce, and shift the focus back on to you moving forward, and making positive changes in your life.

As we go through a divorce, we mourn the relationship lost, and the dreams we had of the future. Although your ex is no longer your partner, your ex is still your child’s parent, and you will always be co-parents of the children you have together. Learning to get along and communicate will bring comfort to your children as they learn to cope with their parents’ divorce.

If you’re going through a divorce and struggling to co-parent effectively, call me today and let’s set up an appointment to talk.

Filed Under: Family Therapy, Parenting

5 Free Ways to Improve Your Mental Health

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When we talk about our mental health, we’re talking about much more than a clinical diagnosis. Your mental health also refers to your psychological well-being. Having a healthy psychological well-being means you’re able to better manage your emotions as well as your mood. Every day presents its unique challenges, and a healthy mental state can help you take challenges in stride.

1. Positive Affirmations

Repeating an affirmation can help you create a positive mental outlook that will be a driving force in your life. Use a search engine to look up “positive affirmations” and you’ll find several ideas of words and phrases that resonate with you, and things you struggle with. You can also try searching for something more specific, such as “positive affirmations for women” or “positive affirmations to improve self esteem”.

Repeat your phrase or phrases during meditation, either out loud or in your mind. Repeating affirmations or mantras during consistent meditation practices can help you overcome negative self-talk, which will greatly improve your mental health.

2. Gratitude

Practicing gratitude will sharpen your attention towards the positive aspects of your life. By focusing on what’s good, you’ll start to notice and appreciate other positive things in your life. Gratitude is more than just a feeling; it is a choice. By choosing to be grateful, you can keep your mind distracted from negative thoughts.

3. Eat Healthy

Eating healthy is a vital part of positive mental health. Eating a balanced diet of fruits, vegetables, lean protein and whole grains will slowly release energy into your bloodstream, creating a consistent level of energy that won’t leave you feeling tired or sluggish. Eating healthy will also provide a mental boost because you’ll feel good about your healthy food choices.

4. Sunshine

Sunshine is a great way to boost your mood. Put on some comfortable walking shoes and take a leisurely walk around your neighborhood, or a local park. Exposure to sunlight will help your brain release serotonin which will boost your mood, and help you feel more calm and focused.

5. Get Some Sleep

A good night’s sleep is a vital part of a healthy lifestyle. When you’re well rested, you’re naturally energized. Regular sleep also boosts your immune system as well as your cognitive and mental health.

 

You have the power to improve your mood. By making some healthy additions to your daily routines, you can develop regular habits that will improve your overall mental well-being.

Are you having trouble staying positive or managing your moods? A licensed mental health professional can help you find better coping strategies, and offer additional support and guidance to help you live a more balanced life. Call my office today, and let’s schedule a time to talk.

Filed Under: General

Five Polite Ways for Introverts to Leave a Party Early

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Most people who are introverted have no desire to attend a party. For introverts, parties are torturous social affairs, putting you far out of your comfort zone and forcing you to interact with strangers. Unfortunately for the introvert, there are moments in life when you absolutely must attend a party. If for you, the best thing about a party is leaving it, here are five ways to make a quick exit.

1. Tell The Host in Advance

One polite way to leave a party early is to make your excuse ahead of time. When you reply to accept the invitation, let the host know that you have to leave early because of another commitment. If it’s a less formal affair, you can let the host know when you arrive that you have to leave early. That way when it’s time to go, they won’t be surprised.

2. Take a Bathroom Break

Using a bathroom break as a method of escape is most handy for sit-down or small parties. Excuse yourself to use the bathroom; when you come out of the bathroom, grab your coat and/or purse and make your way to the host, thanking them for a lovely time.

3. The Early Morning

The tried and true “early morning” is the perfect excuse to leave a party. “I’m sorry I have to go, I have an early morning tomorrow.” Everyone understands having to hit the hay a bit earlier because of an early morning commitment.

4. Sudden Sickness

Alcohol at the party is a convenient scapegoat for your early departure. Let the host know you drank too much, or that the alcohol didn’t hit you well, so you have to head home.

5. Blame the Sitter

Letting your hosts know you have to get home to relieve your baby or pet sitter is a no-fail way to leave a party early.

 

Whatever method of escape you choose, when it’s time to duck out, make sure you take the time to find your host and thank them for inviting you. Be sure to let them know they were a great host by complimenting the food or saying how much fun you had, so they don’t interpret your exit as their party being a dud.

If you’re an introvert and are looking for support and guidance in overcoming shyness or handling social situations, a mental health professional can help. Call my office today, and let’s schedule a time to talk.

Filed Under: Anxiety, Self-Esteem

5 Ways to Get Your Teenager to Talk to You

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It’s tough trying to get your teen to talk. Science has shown that the teenager’s brain has yet to fully develop the frontal cortex, which is the area that controls our ability to reason, and to think before we act. As your teen’s brain develops, they’re also learning new things about themselves and their surrounding world; simultaneously, they’re dealing with hormonal changes out of their control.

For all of these reasons and more, it can be difficult to find ways to talk to your teen, or to get them to talk to you. Although it’s difficult, it’s not impossible; read on to find five ways to get your teenager to talk to you.

Learn to Listen

Take the time to listen to your teenager when they want to talk. Instead of saying you’ll talk to them later, step away from what you’re doing and listen to what they have to say. Don’t talk, interrupt or be quick to offer advice; just listen. Kids have thoughts and experiences that their parents don’t know about, and the best time to listen to them is when they’re asking to talk to you.

Put Yourself in Their Shoes

As you listen to your teen, your knee jerk response may be to quickly resolve their issue, offer advice or maybe even dismiss their complaints or opinions. Put yourself in your teen’s shoes; think about how you would feel if your spouse responded to you the way you respond to them.

Watch for Signs

Everyone has a desire to be heard and understood. As you talk to your teen, mirror back to them what you hear them saying. Watch for signs that they’re not being heard or understood by you. They might roll their eyes, shake their head, wave their hand at you or interrupt. When they’re nodding and/or silent, you’ll know you’ve understood.

Ask Specific Questions

Ask your teen specific questions rather than general “how was your day?” questions. Ask questions about a friend you know by name. Ask about a sport they participate in or a teacher they like. Ask open ended questions such as, “What was Mr. Burton’s class like today?”, or “What was the best thing that happened today? What was the worst thing?”

Location, Location, Location

When and where you try to talk to your teen matters. One of the worst times to talk to kids is after school. Just like you do after work, they need wind-down time. Instead, ask questions around the dinner table. It’s casual, and there’s no pressure for eye contact. The car is another great place to talk to your teen (unless their friends are in the back seat); they feel more comfortable because you’re not looking at them.

If you’re having difficulty communicating with your teenager and need some help and guidance, a licensed mental health professional can help. Call my office today and let’s set up a time to talk.

Filed Under: Parenting, Teens/Children