Noah Enteen, LMFT

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

6 Signs of Depression in Teens

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Ask any parent what their main job is and they will tell you it’s protecting their children and keeping them safe. New parents spend hours, if not days, baby-proofing the house. They research the best car seats and bike helmets and figure out ways to ensure their kids are safe online.

But, no matter how hard parents work to keep their kids safe, it is very difficult to protect children against mental health issues such as depression. According to the National Comorbidity Survey-Adolescent Supplement (NCS-A), depression affects roughly 11% of adolescents by age 18.

If you are unsure as to whether your own child may be suffering from depression, here are 6 signs to look for:

  1. 1. More Than Just Mood Swings

Thanks to raging hormones, it is quite normal for teenagers to experience mood swings. But those suffering from depression will show wilder and more frequent swings into and out of anger, sadness and irritability.

  1. 2. Academic Problems

A drop in grades and notes from teachers can be a big signal that something is going on. Is your teen getting to school late and/or cutting classes? Are they not showing up at all? Never ignore academic problems.

  1. 3. Changes in Social Behavior

Is your child spending less time with their friends? Do they have new friendships that you question? Or are they spending more and more time isolated? Changes in social behavior are often the first signal kids are in trouble.

  1. 4. A Loss of Interest in Their Favorite Activities

Did your teen use to love playing basketball or spend hours drawing? Have they suddenly lost interest in these activities? If your child no longer shows interest in favorite hobbies and activities, this is an indicator that something is wrong.

  1. 5. A Lack of Motivation

Granted, teenagers are not known for being highly-motivated individuals, but those suffering from depression will show a marked decline in motivation.

  1. 6. A Family History of Depression

If you or someone else in your family suffer from depression, there is a very good chance your teen may also suffer from it.

If you have noticed one or more of these signs, it’s important to seek help from a mental health therapist. While you may want to, you can’t love depression away. It needs strategic attention and a plan for management.

A therapist will be able to assess your teen for depression and provide coping skills and tools for dealing with symptoms. If you or a loved one are concerned for a teen’s safety and would like to explore treatment options, please contact me today. I would be happy to speak with you about how I may be able to help.

Filed Under: Teens/Children

4 Ways to Improve Communication in Your Relationship

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If you’re reading this blog post, chances are you and your significant other have hit a snag in the relationship. Maybe you’re spending less time with each other and you’ve grown apart. Or maybe you do little else than argue these days.

All relationships go through their ups and downs. No matter the good intentions of the individuals or how in love you were when the relationship began, it is completely natural for a relationship to take a hit every now and then.

In some ways, these trials can be a good thing. Much like you need to break down muscle to build it up stronger than it was before, many relationships can be strengthened by challenges, provided your communication is healthy.

Here are some ways to improve communication in your relationship:

1. Recognize the Change

It’s important to be open and honest with yourself and each other. Don’t deny that something has changed in your relationship, admit it openly. You may also need to recognize that each of you has changed over the years. None of us stays the same. Our wants, needs, passions, annoyances, etc. change as we mature and grow as people. People can usually accommodate this change as long as they admit it has happened.

2. Validate Each Other’s Feelings

There are two words that are very powerful in communication, “Yes, and…” Effective communication is not about one person being right and the other wrong. Often, both people are right and allowed to feel their feelings. Try not to attack the other person or get them to compromise on issues. Instead, focus on simply being heard and hearing the other person.

3. Be Ready to Change

If you want to improve your communication as a means to get the other person to change their ways, you are really thinking about this communication thing all wrong! Good communication is not about winning an argument. This is not a debate class. Your goal is to better share your thoughts, feelings, ideas, hopes and struggles with each other. Don’t be so focused on getting the other person to change and focus more on how your own behavior could change.

4. Breathe

Managing your emotions is one of the most important skills when it comes to interpersonal interaction. How often are you ready to blow when you and your spouse or partner are speaking to each other? How does the communication breakdown once you or your partner have become emotional?

When communicating with your partner, or anyone, should you feel your emotions rise, stop, take a slow, deep breath, and let it out. Taking this moment is important and will help you not to say something you’ll regret or that will escalate the situation.

None of us are perfect. All we can do is try to be the best versions of ourselves we can be for ourselves and our loved ones. By following these communication tips you will be able to strengthen your relationships.

Filed Under: Couples/Marriage

5 Tips for Making Friends in Midlife

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For many people, middle age is the catalyst to take stock of life. The kids have flown the coop and there’s more time to reconsider your likes, dislikes, goal, and dreams.

Middle age is also the time we tend to look around at our social circles. Are our friendships still there? Have we lost friends due to illness, a move, or divorce? Do we want something different out of our friendships? As we age, we tend to have less tolerance or energy for fluff friendships. We want substance and real, genuine connections.

But making friends when you’re older is not always that easy. It was simple in school or during those early days in our first job – you saw the same people every single day. You were surrounded by friend candidates. But once you hit middle age, it becomes more difficult to meet new people.

The good news is, while challenging, it’s very possible to make new and lasting friendships. Here are some tips to help you make new friends in midlife:

1. Don’t Feel Embarrassed
There is no reason to feel embarrassed about being lonely or friendless. It is far more common than we are led to believe from the media. So, don’t feel bad, and get ready to put yourself out there.

2. Volunteer
Volunteering is a great way to meet new people who share your values. As an added bonus, studies have shown that people who volunteer are healthier and live longer!

3. Take a Class
Do you have a passion for dance? Painting? Photography? Taking a class is a great way to learn more about something you already love, be engaged, keep your brain young, and meet people with similar interests and hobbies.

4. Reach Out to Acquaintances
How many times have you run into someone you “sort of know” at a work function or at your local Starbucks. Every time you have a conversation with this person you think, “Gee, I wish we were friends.”

The next time you see this person, ask if they’d like to have lunch. Get their contact information and follow up. You never know, it could be the start of something worthwhile.

5. Get into the Habit of Being Social
By midlife we’ve gotten into some pretty significant habits. Some good…some not so good. If you’ve never been a social butterfly – but instead someone who is used to staying home with the kids or simply staying in because it’s easier – putting yourself out there will probably feel weird. However, it’s important to try to be social daily. This could mean simply taking a walk around your city or neighborhood and saying hello to friendly faces or calling up an acquaintance for a chat.

Good relationships are important for our overall health and the quality of our lives. While it may seem intimidating to build new friendships in midlife, these can actually be some of the most lasting and profound connections we end up making.

 

Do you believe you lack social connections because of fear, grief, or a low self-esteem? If you’d like to explore therapy, please get in touch. I’d be more than happy to talk about how I may help.

Filed Under: Aging, General

5 Ways to Recharge Your Energy After a Rough Day

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Few things zap your energy the way a stressful day can. Stress is known to reduce our levels of serotonin and dopamine, neurotransmitters that play an important role in our mood, energy and motivation. After a difficult day, you might be tempted to lounge on the couch watching TV until it’s time to go to bed. Although it might feel good in the moment, it won’t give you the mood and energy lift you need after a rough day. Here are five simple ways you can recharge yourself.

1. Unplug

After a stress-filled day, you need to unwind—and that means turning off your phone for some much-needed “me” time. It can be tempting to sit on the couch with your phone all night, checking emails, responding to texts, or getting lost on Facebook or Instagram.

Unplug. Turn your phone off and put it in a drawer in a room in your house that’s out of the way, or leave it in your car. Don’t touch it again until after you’ve had a good night’s rest.

2. Go Outside

If the sun is still out after your rough day, put on your comfy shoes and go for a quick walk. Exposure to the sunlight will help your brain release serotonin, which will boost your mood and help you feel calm and focused. Exercise is also one of the best ways you can improve your mood, helping you relieve stress and sleep better at night. Even if the sun is down, a walk outside will still help, as the exercise and fresh air will help you feel invigorated.

3. Refresh Yourself

After a tough day, take the time to refresh yourself by taking a 45-minute nap. A quick 5 or 10-minute meditation session can also help lift you up. Use your phone to find a guided meditation on YouTube, or play some relaxing music while you meditate quietly for a few minutes. You can also pamper yourself with a bubble bath, or if you need something more uplifting, take a quick shower. Before you get out of the shower, splash some ice cold water in your face; the chill will refresh you and wake you up.

4. Eat Healthy

A healthy dinner or snack is just the thing you need after a rough day. Avoid comfort foods that will leave you feeling sluggish. Instead, fuel your body with protein, fruits, vegetables, and whole grains. These foods will slowly release energy into your bloodstream, and you’ll likely get a mental boost as well from the feel-good result of eating healthy.

5. Make Plans

Looking forward to something is a great way to boost your mood long-term. Plan a vacation, a weekend getaway, or just a day trip. Even planning a special meal, or a visit to a new bar or restaurant will help; give yourself something to look forward to.

 

Are you struggling to maintain your energy levels? Is stress causing you to feel tired, anxious or depressed? A licensed therapist can help you find ways to manage stressful situations. Call my office today and let’s schedule a time to talk.

Filed Under: General