Noah Enteen, LMFT

Parenting An Angry Teen

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Raising a teenager can be one of the most challenging experiences a parent will go through. Teenagers are in an awkward stage, dealing with hormonal changes that are out of their control and a developing brain. They’re awakening to new realizations about themselves and the world around them.

Teenage rebellion is a natural phase, however, handling it as a parent is anything but natural. If you’re struggling with raising an angry teen, here are some strategies that can help.

Keep Your Cool

It may be difficult to keep your cool when your teen is yelling at you, but as the adult, it’s important that you maintain control. Refrain from yelling, cursing, or name-calling your teen. Verbal abuse will only escalate the argument and will have a long-term impact on your child and your relationship. If your child is being verbally abusive, apply consequences to their behavior and speak in a calm, matter-of-fact tone.

Accountability, Not Control

Rather than trying to control your teen and their behavior, make them accountable. Set clear boundaries, and establish rules and consequences.

Listen

It can be difficult to listen when your child is yelling or angry. Your initial reaction may be to defend yourself or criticize. Rather than offering advice or judgment, actively listen to your teen. Be silent as they express themselves, and ask questions to better understand how they’re feeling. You can also calmly express that it’s difficult to listen to them when they’re angry and yelling. By genuinely trying to listen and understand them, you can teach them how to control their emotions and express themselves calmly.

Give Them Space

When your teen is angry and wants to storm off, let them go instead of following them and trying to continue or resolve the argument. It’s healthy for both of you to give each other space and time to cool off so you can revisit the discussion when you’re both feeling calmer.

Pick Your Battles

Your teen is going through a difficult phase, and needs empathy. Remember back to the times when you were a teen to help you empathize. There will be times when your teen is making a bigger deal of something than it needs to be, and as the adult it’s your job to know when to stand your ground, and when to let things go. Talk with your spouse to set boundaries and determine priorities of issues that can be compromised, and issues that are non-negotiable.

If you’re having difficulty with your angry teenager and want some help and guidance, call my office today so we can set up an appointment to talk.

Filed Under: Family Therapy

Tips for Coping with Social Isolation

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Humans are social creatures and we don’t do well in isolation. That’s exactly why state penitentiaries punish prisoners by putting them into solitary confinement. It causes them great mental anguish.

Many of us have felt like prisoners in solitary confinement over the last couple of months because of the COVID-19 pandemic and subsequent lockdown. And many of us have been feeling our own mental anguish from this extended isolation.

Who knows how long this may go on? While none of us have control over what our governments do, we do have control over ourselves and our perceptions of the world. With this in mind, here are some tips for coping with social isolation, for however long it goes on.

Isolate Yourself from the Media

If you’re paying attention, it almost seems as if the media is trying to confuse us and cause panic more than report on actual news. Watching too much news doesn’t help anyone’s anxiety levels, so stay informed as best you can but don’t binge-watch.

Get Creative

Being isolated can get very boring very quickly so it’s important that you try and get creative with your time. This could mean painting the living room and rearranging the furniture or getting your husband and kids to learn a new language with you. It could mean experimenting with an old recipe or making up a game with your kids. Just have fun and think outside the box!

Reconnect

Now is a great time to reconnect with friends and loved ones you haven’t spoken to in a while. And technology like Skype and Facetime makes it incredibly easy to chat with someone no matter where in the word they are.

Stay Active

A lot of the anxiety we may feel comes from the fact we aren’t moving our bodies as much as we usually do. It’s important to stay physically active during this time. So get outside and get some sun. Go for a walk or ride your bike. Not only is exercise good for us physically, but physical activity releases endorphins that make us feel good mentally and emotionally as well.

Meditate

The world is a chaotic place right now and it seems we are being hit with noise and negativity from all sides. It’s important to make time each day for some quiet meditation.

If you’ve never meditated before, that’s okay. Just try it.

One of the easiest ways to meditate is through a listening meditation. Find a space in your house where you can be alone and get into a comfortable position. Close your eyes and breathe deeply in and out… and simply listen to the ambient sounds.

What do you hear? The buzzing of a light? A fly? Your dog’s collar rattling down the hall as he scratches. Expand your hearing to see what else can you hear outside your house. Birds? Lawnmowers? Traffic?

Simply breathe and listen intently for 5-10 minutes. When you listen, you can’t think at the same time, and so you will notice finally your thoughts go quiet. This is paradise!

If you find that the social isolation is really beginning to trouble you and you’d like to speak with someone, please get in touch. I would be happy to discuss how I may be able to help.

 

SOURCES:

Filed Under: General

5 Foods to Keep Your Immune System Strong

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As the events of COVID-19 continue to unfold, many of us are focusing on how we can keep ourselves and our families as healthy as possible. While social distancing and increased hand washing can be very effective at stopping the spreading of the Corona virus, it is equally important to keep our immune systems strong.

With this in mind, here are some of the absolute best foods you can eat to help support your immune system:

1. Blueberries

Blueberries are loaded with powerful antioxidants. In fact, they contain a type of flavonoid called anthocyanin, which has antioxidant properties that can boost your immune system. A 2016 study found that flavonoids play an essential role in the respiratory tract’s immune defense system. The researchers found that people who ate foods rich in flavonoids were less likely to get sick with respiratory tract infections and the common cold.

2. Turmeric

Turmeric is the aromatic spice that makes curry yellow. It is also often used in alternative medicine thanks to its active compound curcumin. Curcumin has been shown to improve a person’s immune response because of its antioxidant and anti-inflammatory effects.

3. Spinach

Popeye knew that spinach would help him be stronger. But I wonder if he knew how good it was for his immune system. Spinach contains vitamin C & E, as well as beneficial flavonoids and carotenoids. Not only are vitamin C & E great for the immune system, but research shows flavonoids may help prevent common colds in otherwise healthy people. So, it stands to reason it may help protect against other viruses as well.

4. Citrus Fruits

Most of us, when we feel an illness coming on, reach for more vitamin C-rich foods. But what is it about vitamin C specifically that makes it so good for our immune systems?

Vitamin C is believed to increase the production of white blood cells. These are the cells responsible for attacking foreign invaders like bacteria and viruses.

Some popular citrus fruits high in vitamin C include:

  • grapefruit
  • oranges
  • tangerines
  • lemons
  • limes
  • clementines

Unlike other animals whose bodies do produce vitamin C, humans must get their vitamin C from the foods they eat or through supplementation. So be sure to add more citrus fruits to your diet.

5. Red Bell Peppers

We can’t talk about vitamin C without mentioning that ounce for ounce, red bell peppers contain even more vitamin C than most citrus fruits. So if you prefer veggies to fruits, then be sure to eat more red bell peppers.

While this is not an exhaustive list of immune-boosting foods, it will get you started eating right so you can stay healthy during this pandemic. It’s also important to stay hydrated and eliminate sugars and trans fats from your diet as well.

SOURCES:

https://www.healthline.com/health/food-nutrition/foods-that-boost-the-immune-system

https://www.medicalnewstoday.com/articles/322412

Filed Under: Nutrition

Coping with Working from Home During COVID-19

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How many mornings have you shut off that alarm, wishing you could just work from home in your PJs? Well now many of us are getting our wish thanks to COVID-19.

While in theory working from home may seem ideal, the reality for many of us is that it’s, well, kind of a pain. Particularly if you have young children home from school that you now have to teach while still keeping productive at work.

The fact is, this sudden and unexpected disruption to our daily lives has many of us feeling stressed!

Here are some ways you can cope with working from home for the unforeseeable future.

1. Get Your Space Right

If you don’t have a dedicated home office, you’ll want to figure something out ASAP. Having the right space at home will help you focus on the tasks at hand. It will also automatically set boundaries with family.

Do you have a spare room you can use? Is there an area in your finished basement that could work? If not, clear off the dining table and set up there.

2. Keep Your Regular Schedule

You may want to treat the next 2-3 weeks as a sort of family vacation, but it’s best if you and the kids stick to your regular routines. That means getting up and going to bed at the same time, showering, getting dressed and having breakfast as you normally would. Straying from routine will demotivate you to complete the work that needs to get done.

3. Take Advantage of the Flexibility

While it’s important to keep to your routines, that doesn’t mean you can’t take advantage of having more time on your hands. Instead of spending an hour plus on a commute each day, you could use that time to catch up on home projects that have been on your to-do list for a while. You can also use the added time to reconnect with your family.

4. Give Your Kids Structure

Kids need structure, so give them some each day. This could mean giving them three options of how they will spend the afternoon: playing with Legos in the living room, watching a movie or quiet reading in their bedrooms. Be sure to take a break from work every couple of hours to check in with your kids to answer any questions they may have. Lord knows they ALWAYS have some!

5. Get Some Virtual Babysitters

On those days when you have to conduct many meetings and get much done, consider reaching out to family and friends to arrange virtual playdates with the kids. Thanks to Skype and FaceTime, your virtual babysitters can read, play games and interact with your kids online while you get some important work done.

If you find you are getting a bit squirrelly, even after following these tips, you can always reach out to a mental healthcare provider who can give you some more ideas of how to manage the stress.

If you’d like to speak to someone, please reach out to me. At this time, I am able to conduct sessions via phone or Skype, so you don’t even have to leave your home if your state is on lockdown.

SOURCES:

https://www.psychologytoday.com/us/blog/biofeedback-and-mindfulness-in-everyday-life/202003/77-strategies-working-home-during-covid-19

https://www.cnbc.com/2020/03/17/working-at-home-with-kids-during-covid-19-crisis-with-kids-underfoot.html

Filed Under: General

Pets Are Better Than Medication

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“Dogs have a way of finding the people who need them, and filling an emptiness we didn’t ever know we had.”

– Thom Jones

For many of us, our home is just a house unless there is something with four legs and a tail sharing the space with us. Our pets are not only cuddly and cute, they give us unconditional love.

But it turns out our pets actually offer us more than “just” unconditional love; they seem to also have the ability to help our physical and mental well-being.

Research has found that the bond we share with our animals can do everything from improve our cardiovascular health to lower our cholesterol and decrease our blood pressure.

Beyond these physical health benefits, our animal companions can help our mental and emotional life as well. Here are some ways your pet is better than medication.

Our Pets Teach Us Mindfulness

Have you ever just watched your dog or cat find a swath of sun as it streams into your house in the afternoon? They seem to luxuriate in the warmth and energy of the sun in those moments. Nothing else matters to them but enjoying the feeling of the sun on their body.

Our pets can teach us how to be more mindful and enjoy every moment of our life if we let them. Studies have shown that mindful meditation, which simply means to be fully in the present moment, helps alleviate stress and anxiety.

Let your pets be an example and try and spend more time just “being” instead of “doing” so much.

Pets Relieve Stress

Let’s face it, each of us faces our fair share of stress in life. But research has shown that our dogs and cats act as de-stressors. This is why a growing number of companies such as Atlantic Health System, Mars Inc., Amazon, and Etsy, to name a few, are allowing employees to bring their dog to work.

College students are a segment of the population that also feels a lot of stress. When the University of British Columbia brought therapy dogs on campus, allowing a group of 246 students to pet and cuddle them, the students reported their stress levels decreased significantly after the interaction.

Pets Offer Empathy

There are numerous accounts of war veterans who, when they experience pain and agitation, are comforted by their service dog who will run into the room, somehow sensing their need for empathy.

Recent findings from the University of Vienna suggest that dogs can sense emotions and even differentiate between good and bad ones. There are numerous reports of cats living in nursing homes, sensing when someone is about to pass and going to lie on their bed.

The long and short of it is, when we are feeling tired, scared, sad and alone, our pets are there to remind us that we are not alone and that they love us very much. For those of you who have pets, hold them tight and show them your appreciation. For those of you that don’t have pets, it may be time to take a trip to the local shelter.

 

Filed Under: General

How Telehealth May Change the Future of Therapy

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A while back there was a very funny television show starring Lisa Kudrow (ditzy Phoebe from Friends) called “Web Therapy.” It was an improvised show and Lisa played a therapist who treated her patients over the Internet. Hence the title of the show.

Well, back when the show was on, the idea of treating mental health patients via a webcam seemed ludicrous. And the show did a great job at poking fun of Lisa’s character and her “wacky idea” of web therapy.

Fast forward 12 years after the show’s debut, and web therapy is now “a thing” thanks to telehealth technology. Yes, psychotherapy appointments can be held between therapist and patient while one is in one building, state, or country and the other is somewhere else entirely.

Why was web therapy a joke 12 years ago but telehealth is now gaining in popularity? The shift is most likely due to the growing popularity of tech solutions among younger generations. There’s also something very attractive about the ease of telehealth; of not having to leave your house or office to get the help you need.

As younger generations have become accustomed to using apps to have food, beer and groceries delivered right to their door, they expect these same conveniences from their health providers. While it may take a few more years before telehealth becomes truly mainstream, indicators suggest that push is more than likely to happen.

Benefits of Telehealth

We’ve already discussed the most obvious benefit of telehealth to consumers, and that is ease. But what about the benefits to the therapists?

To start, telehealth means those people who would otherwise feel too uncomfortable seeking therapy in person will now be open to seeing a therapist “privately.” This means a therapist has a larger number of people to deliver their services to.

Also, since these services can be delivered from a home office, a therapist can easily reduce their practice’s operating costs and overhead expenses.

Many therapists are saying the adoption of telehealth should have come sooner, but support and guidance on telehealth are finally coming from the American Psychological Association (APA) and other psychological organizations.

Therapist Need to Get Ready for the Switch

You can’t expect a therapist who has been treating patients face-to-face for x number of years to suddenly do well sitting in front of their computer’s camera. There are some subtle but important differences in working with patients over electronic connections.

For instance, in person, when a therapist breaks eye contact with a patient to take down a few notes, there is still a connection there because they are still in the same physical space. But over the Internet, when a therapist looks away to take notes, it may seem to the patient that the client is distracted. Providers interested in offering telehealth services to their patients will have to keep things like this in mind and always assure they are paying attention.

The APA offers continuing-education workshops on telehealth at its Annual Convention, and several divisions have begun providing training in telehealth as well. Therapists can also find online courses and training offered by the American Telemedicine Association.

No one is laughing any longer at the idea of web therapy. Instead, both consumers and therapists are embracing technology to bring about positive change and outcomes.

 

References:

Filed Under: General

How Meditation Can Help Manage Symptoms of Trauma

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Meditation offers practitioners powerful benefits, yet many people are confused as to what exactly those benefits are. In a nutshell, meditation focuses attention in a deliberate manner, taking you from a state of noisy mental chatter to calm and quiet inner peace. And isn’t that something most of us could use?

While meditation has been practiced for thousands of years in the east and – more recently – west as a way to grow spiritually, modern medicine is now finally extolling the numerous health benefits that meditation offers.

Meditation has the ability to reduce stress hormones by calming the parasympathetic and sympathetic nervous systems. These systems are what activate our main panic responses (“fight,” “flight,” “freeze,” or “friend”) to stressful situations. Because of this, meditation can be a wonderful coping strategy for those suffering with trauma.

Is Meditation Better than Medication

Historically, people battling post-traumatic stress disorder (PTSD) have been given medication to help alleviate unwanted and unpleasant symptoms. But a new study has found that regular practice of meditation enables some active duty service members battling PTSD to reduce, or even eliminate their need of psychotropic medications and to better control their often-debilitating symptoms.

This is great news for service men and women, and anyone who is battling PTSD. Not only can meditation help to calm your nerves and rewire your brain, it can also reduce the risk of developing negative side effects to many psychotropic medications used to treat PTSD and anxiety disorders. Beyond memory loss and erectile dysfunction, one of the biggest side effects of these medications is depression. That’s the last thing a person suffering from PTSD needs.

How to Begin a Meditation Practice

If you are suffering from the effects of trauma and would like to try meditation, here are some steps you can take to get started:

Find a Group Practice

If you’re completely new to meditation, you may want to join a group meditation course that meets every week. You can usually find groups in your local area through online communities such as Meetup.com.

Be Open Minded

Meditation has long been associated with new age movements. But you would be amazed at the different kinds of people that now practice meditation. If you tend to be a skeptical person, try to have an open mind as you begin your practice.

Be Patient

It’s called a practice for a reason. You won’t “get” meditation overnight. You’ll have to keep at it before it becomes natural for you and you really reap the benefits. Try to have patience and just keep at it.

 

If you or a loved one are suffering from trauma symptoms and would like to speak with someone who can help, please get in touch with me. I’d be happy to discuss the treatment options that would work best for you.

Sources:

https://www.psychologytoday.com/us/blog/the-athletes-way/201601/meditation-reduces-post-traumatic-stress-disorder-symptoms

https://www.psychologytoday.com/us/blog/the-athletes-way/201306/how-does-meditation-reduce-anxiety-neural-level

https://psychcentral.com/news/2018/01/13/transcendental-meditation-shown-to-ease-veterans-ptsd/131167.html

Filed Under: Religion / Spirituality, Trauma / PTSD

How to Boost Your Self-Esteem

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What does it mean to have a healthy self-esteem?

Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem.

But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A good self-esteem can be the difference between being a happy, resilient individual, able to face life’s challenges head on, and someone who suffers from depression and anxiety and is often overwhelmed with life.

If you have struggled in the past with self-esteem issues, there are some things you can do to give it a much-needed boost:

Face the REAL Reality

Are you someone that generalizes your lack of self-esteem? By that I mean, do you make generalities about yourself such as, “I’m an idiot,” “I’m not pretty enough or smart enough?” The truth is, we all act like idiots from time-to-time, and most human beings on this planet can find someone who is smarter and more attractive than they are.

If you’re going to work on your self-esteem, you need to first recognize that you often lie to yourself with these generalities. It may be a very convincing lie from your point of view, but it’s still a lie.

To become familiar with reality, make a list of 10 of your strengths and 10 weaknesses. If you have a hard time coming up with your strengths, think about what others have said about you: you’re a good listener, you are thoughtful, you cook a mean burger.

When you’re done making this list, you’ll see there are plenty of things you are really good at. And, some of the weaknesses may be things you can absolutely change over time and with some effort.

Forget About Perfection

Perfection doesn’t exist. Now you may think all of those Hollywood A-listers that are on the cover of magazines are the epitome of perfection, but even they are air-brushed, photoshopped and have a team of people following them around so their hair is never out of place.

Stop spending your energy trying to have the perfect face, body, bank account, career, children or relationships. None of that exists. Focus your energy on achieving attainable goals like obtaining your degree and enjoying hobbies.

Get to Know Your Authentic Self

We spend so much of our lives comparing ourselves to others that we don’t really take the time to get to know ourselves. Beyond strengths and weaknesses, who are you as a person? What makes you happy or excites you? What hobbies do you enjoy? What kind of brother or sister are you?

The more you know about yourself, the more chances that you’ll find things out you really like.

If you would like to speak to someone about your self-esteem issues, please be in touch with me. I’d be happy to discuss how I may be able to help.

Filed Under: Adolescents/Teens, Depression, Self-Esteem

4 Ways to Support Your LGBTQ Child When They’re Facing a School Bully

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It’s easy for adults to forget what adolescence was like. The frustrations of figuring out the sometimes-foreign world around us combined with the cocktail of raging hormones that set our emotions off at the drop of a hat. Man, being a kid was hard!

What can make an already-hard situation even harder for a young person is being “different” in some way. For young people who identify as LGBTQ, school bullying can be devastating. Rumors, gossip, name-calling, or unwanted sexual jokes or comments can make learning and socializing incredibly difficult. Homophobic bullying can affect a young person’s confidence and well-being.

Here are 4 ways parents can support their LGBTQ child should they become the victim of bullying:

1. Listen

Listen to your child and offer your support. This means validating their feelings and letting them know it is 100% okay to question their sexual orientation or gender identity.

You WANT your child to WANT to talk to you. So, when they do, give them your full attention and support.

2. Work with Your Child’s School

Any bullying incidents should be reported to your child’s school immediately because they have a professional and legal responsibility to keep your child safe. Work with school administrators to develop a safety plan and encourage the school board to include specific written protections for LGBTQ students in its bullying prevention policies and student codes of conduct.

You will also want to keep a written record of all bullying incidents as well as follow-up meetings, locations, witnesses, and what was said and/or done.

3. Contact the Police

Should your child be physically threatened or hurt, sexually assaulted, or had their personal property damaged or stolen, immediately contact your local police. If the police in your area has a hate crimes unit, contact them after your report has been filed, and tell them you believe the incident to be a hate-motivated crime based on your child’s actual or perceived sexual orientation or gender identity. Using your notes, describe in detail the incident that has caused your child to feel unsafe.

4. Build Your Child’s Self-Esteem

Being the victim of bullying can put a significant dent in your child’s self-esteem. It’s important that you help them develop their strengths and talents by creating opportunities for them to excel. This could mean signing them up for a sport, dance classes or helping them discover what hobbies they enjoy and excel at.

Bullying can be a very disturbing experience for anyone, particularly youths who are simply searching for their identity and sense of belonging. Finding the most helpful way to support your LGBTQ child during such a time can be challenging in and of itself, and many parents find it helpful to work with a family therapist who can support the entire family in finding ways to deal with the situation.

If you or a loved one have experienced bullying and would like help, please contact me today.

Filed Under: LGBTQ

How to Set Healthy Boundaries

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Relationships can only be healthy when both people have the space to be themselves and maintain their personal integrity. Sadly, many people find themselves in relationships, romantic and otherwise, with people who do not respect boundaries and feel entitled to have their needs met regardless of the other person’s. These people most likely grew up in households that were unsafe and unstable, and where there was a constant invasion of personal boundaries.

If you can relate, chances are you have a hard time creating healthy boundaries to create the life experience you wish to have. Here are some ways you can begin to do so:

Identify Your Limits

You can’t set boundaries unless you discover where it is you personally stand. You’ll need to take a bit of time to recognize what you can and cannot tolerate. What makes you happy and what makes you feel uncomfortable and stressed? Only until you have made these discoveries can you move on to the next steps.

Don’t Be Shy

People who have similar communication styles are easy to engage with. These people will quickly understand what your new barriers are. But people who have a different cultural background or personality may not easily understand your boundaries. With these people, it’s important to be very clear and direct.

Pay Attention to Your Feelings

People who have a hard time setting boundaries don’t often allow themselves to acknowledge their own feelings because they’re usually too busy worrying about everyone else’s.

You’ll need to start recognizing how people make you feel in order to know whether your new boundaries are being crossed or not. When you’re with someone, make mental notes, or even jot down in a journal how that interaction made you feel.

If, after spending time with someone, you feel anger or resentment, this is a sign that the person may be overstepping your boundaries. Reiterate to this person what your boundaries are. If they continue to disrespect you and them, you will want to cut yourself away from further interactions.

Make Self-Care a Priority

Put yourself and your needs first. This may feel strange and even somehow wrong if you’ve spent your entire life taking care of others. Give yourself permission to feel your feelings and get what you need to feel happy and well.

Speak with Someone

If you’ve spent an entire life with a sense of low self-worth, you may find setting boundaries quite difficult. In this case, it’s important to speak with a therapist that can help you discover where these feelings are coming from and how to change your thought patterns and behavior.

If you’d like to explore therapy, please get in touch with me. I would be happy to help you on your journey toward self-care.

Filed Under: Couples/Marriage, General, Issues for Women