General Archives | Deborah Gonzales

How Telehealth May Change the Future of Therapy

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:

How to Find Friends as an Adult

You may remember growing up, meeting your best friend on the playground or making friends in French class. As adults, we don’t have systems built in to make friends like we did as children. We can’t even reach out to loved ones for help, because while it’s socially acceptable to say “I’m looking for a boyfriend”, its not socially acceptable to say “I’m looking for a best friend.” If you want to find a friend as an adult, it’s going to be a lot like finding a romantic partner.

Envision Your Friend

Think about what kind of person your friend would be. Think back to your childhood friends and what made them fun to hang out with. Should your friend be extroverted or introverted? Should they love the outdoors or be a movie buff? Look for qualities in your friend similar to the way you’d look for qualities in a partner.

Go Where Your Friend Would Be

Now that you know what kind of person your friend would be, think about what that person would be doing. Where are they on the weekends? Where do they shop or like to go out to eat? Go to those different places. If you’re an outdoorsy person and want an outdoor-loving friend, find outdoor meetups. Try a hiking or walking group, or sign up for a new fitness class. Keep in mind as you test the waters that you won’t find your friend on your first outing. Just as when you’re looking for a partner, it takes more than just one try. It will take a bit of time and searching.

The Big Ask

When you’re ready to ask out your potential new friend, a great way to get a “yes” is to invite them to a favorite, or to something new. For example, invite your friend to go watch your favorite sports team or over to your house to cook your favorite recipe. You can also invite them to play a new board game, or out to watch a new movie.

Stoke the Fire

You’ll need to nurture your budding friendship by spending more time together. Just as in dating, take it slow and steady, and don’t take anything too seriously at first. Too much too fast could set you up for a friendship that’s not going to work, or might make the other person feel smothered.

You can deepen the friendship by working on goals together. Find out what your friend dreams about. How can you help them meet their goals? How can they help you with yours? Maybe they can help you get ready for a summer swimsuit, and maybe you can help them organize their garage. Find ways to work on things together.

Do you find yourself struggling in social situations? A licensed therapist can help you overcome shyness and improve your social interactions. Give my office a call today, and let’s schedule a time to talk.

Pets Are Better Than Medication

“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.

How to Ask for Help in Times of Need

You probably remember a time in school or out shopping when you wanted to ask for help, but stopped yourself. You might have even had a prompt from the teacher: “Does anyone have any questions?” or from an associate “Is there something I can help you with?”. Still, even when it’s their job (or their joy) to help, you might hesitate.

It can be even more difficult when you’re going through difficult times and can really use another set of eyes or hands. If you’re overwhelmed with work and home life, or if you’re going through some tough emotional business, sometimes you just need someone to help.

Why Is It Hard to Ask for Help?

If you look back to your past, you might see where the roots formed that made it more difficult for you to ask for help. Your parents might have made you learn to figure things out on your own, then given you great praise when you did. As a child, you may have been met with resistance or anger when you reached out for help. Maybe you had a parent who modeled the “do it yourself” attitude, always refusing to ask for help. These early formative experiences can leave you with the impression that asking for a help is a deficiency. You might also have difficulty asking for help because you don’t want to surrender control to an outside person, or because you don’t want to feel like you “owe” anyone anything.

How to Ask for Help

If you have difficulty asking for help, you may have learned some less than optimal coping mechanisms over the years. You might try to make someone feel guilty or feel sorry for you. Or in your haste, you may ask the wrong person; instead of someone who would be better able to help you, you choose someone who’s more likely to say yes.

Be Specific: To ask for help, it’s best to be straightforward. Know in advance exactly what you need, and be specific with your request.
Go to the Source: Instead of going to people who are easy to talk to, or people who are more likely to help you, seek help from those whose help you need.
Offer an Exchange: It may be easier to ask for help if you offer something in return. For example, if you need someone to pick up your child at daycare so you can work late, offer a playdate in return.

Are you having trouble juggling work and home life? Are you struggling to deal with some tough emotions and need some support? A licensed therapist can help. Please give my office a call today, and let’s schedule a time to talk.

Can Marriage Counseling Really Help Your Relationship?

When I first started my practice, I remember reading a statistic about divorce that I found shocking. And that was that 40-50% of all marriages in the United States ended in divorce.

According to recent surveys, however, the divorce rate in the U.S. fell by 18% between 2008 and 2016. While everyone has their theory as to why the rate is falling, the theory among therapists is that it is because marriage counseling actually works, and more couples are giving it a try.

If you and your spouse are experiencing difficulties, here are some reasons why you should give marriage counseling a try:

Identifying Patterns

One of the biggest benefits of seeking counseling is having help seeing negative behavioral patterns, whether those patterns are yours as individuals and/or as a couple. Healing can only begin once patterns have been recognized.

Impartial Advice

A therapist is not like a friend or family member who is going to take sides and hand out potentially harmful advice. Marriage counselors have a track record of dealing with all sorts of marital issues and want to understand what’s going on so they can offer the best strategies for healing.

A Safe Space

Marriage counseling offers both spouses a safe space to be completely open and honest with their feelings. If not delivered in the right space, complete honesty can have adverse effects. Counseling offers a safe environment in which no one is ever judged.

A Place to Rebuild Trust

Trust is the bedrock of every relationship. But when that trust is broken, as it is through infidelity, it is hard to put the pieces back together. Marriage counselors have years of experience dealing with issues of infidelity. Counseling explores different ways to rebuild trust one step at a time.

Bringing Out Toxic Emotions

Did you know that trapped toxic emotions are one of the main reasons marriages break down? When you have feelings of anger, resentment and frustration locked deep inside you, they fester there and make matters worse. Counseling offers the space and opportunity to let these emotions out in healthy, respectful ways.

If your relationship is on the rocks right now, divorce is not your only solution. Thousands of couples have been helped by marriage counseling and it’s worth it to you both to give it a shot.

If you’d like to explore counseling, please be in touch. I’d be happy to discuss how I may be able to help.

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

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.

5 Ways to Effectively Manage Anxiety

If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While anxiety can feel debilitating, there are ways you can manage it.

Slow Your Breathing

When we feel anxious, our breathing becomes quicker and shallower. This way of breathing, in turn, makes us feel even more anxious. It’s a vicious cycle.

When you feel the anxiety start to come on, start to focus on your breath and begin to slow it down. Breathe in slowly and deeply for a count of 4, hold for a count of 4, then exhale slowly for a count of 4. Repeat this cycle three to five times until you feel yourself begin to calm.

Limit Caffeine

Drinking or eating anything with caffeine in it can exacerbate your anxiety. Studies have even shown that caffeine can trigger an anxiety attack, so try and avoid or greatly limit consumption.

Exercise

Studies have shown that just 20 minutes of exercise can reduce symptoms of anxiety. Not only does exercising make you feel good about yourself, it actually floods your body with feel-good endorphins, which can totally turn your mood around.

Make a List

One of the worst parts of feeling anxiety is the feeling that you are out of control. One simple exercise to turn this around is to make a to-do list of small, easy-to-manage tasks. Crossing these tasks off your list will actually empower you and make you feel in control again.

Remind Yourself of Reality

When the plane of a nervous flyer hits turbulence, that nervous flyer must remind themselves that the plane is okay, and it is just a normal occurrence to hit turbulence. People who experience anxiety may also have to remind themselves that they are actually okay when an anxiety attack comes on. Simply tell yourself that you are experiencing anxiety but that you are, basically, okay, you are not going to die.

It can also be very beneficial to talk to someone about your anxiety issues. A therapist will be able to offer more tools and advice on how to cope and manage your anxiety.

If you or someone you love suffers from anxiety and would like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

How Chronic Illness Can Affect Your Mental Health

If you are suffering from a chronic illness, you are not alone. Almost half of the population in the United States is currently battling some form of chronic physical illness. In fact, chronic illness is the number one driver of healthcare costs in America.

Some of the most prevalent examples of chronic illnesses are:

Epilepsy
HIV/AIDS
Endometriosis
Lupus
Arthritis
Diabetes
Heart disease
Fibromyalgia

Many people suffering from a chronic illness can become depressed. It is estimated that roughly one-third of chronic illness patients suffer from depression, a rate that is significantly higher than in the general population.

Depression is often an immediate response to the diagnosis. It can be overwhelming to be told you will need to be treated for your illness for weeks, perhaps even a lifetime. Certain types of chronic illness can also, and quite suddenly, change how a person lives their day-to-day life. They may not be able to do the same things and, in some cases, completely lose their independence.

There are physical illnesses which can cause depression by hampering the central nervous system or endocrine system. Some examples would include thyroid disease, Cushing’s disease, Parkinson’s disease and chronic pain.

Symptoms of Depression

If you or someone you know has recently been diagnosed with a chronic disease, it’s important to watch out for signs of depression. These can include:

Feeling sad and hopeless
Losing interest in once-loved hobbies and activities
Changes in appetite (eating too much or too little)
Trouble with sleep (sleeping too much or too little)
Lack of energy
Trouble focusing
Thoughts of suicide

Becoming educated about the link between chronic illness and depression is extremely important. So is seeking help. Be sure to discuss any symptoms with your doctor. He or she may be able to refer you to a therapist.

Many patients have found they can treat their depression right alongside their illness by using medication, psychotherapy or a combination of both. It is also helpful to surround yourself with a loving support network of friends and family.

If you or a loved one is experiencing depression as a result of living with a chronic illness and would like to explore treatment options, please be in touch. I would be more than happy to discuss how I may be able to help.

10 Signs You Might Be a “Highly Sensitive Person”

Are you a highly sensitive person (HSP)? If so, you’re not alone. It is estimated that roughly 15 to 20 percent of the population is highly sensitive. In fact, scientists now believe there is a gene behind this trait.

But what does it mean to be highly sensitive? The HSP is generally defined as someone with “acute physical, mental, and emotional responses to external (social, environmental) or internal (intra-personal) stimuli.”

The bad news is, being highly sensitive can make many “normal” life situations feel awkward and downright uncomfortable. But fear not, there are some benefits to being highly sensitive, and I’ll share those a little later in this post.

Signs You May Be a Highly Sensitive Person

If you are curious whether you may be part of the population that is highly sensitive, here are 10 signs to look for:

You are quick to feel negative emotions such as sadness and anxiety.
You may feel physical symptoms in relation to these emotions, such as headaches and muscle tension.
You become overwhelmed with physical stimuli such as sound, light and smells.
You have never felt comfortable around crowds. The energy of the crowd easily overwhelms you.
You become very emotional over the injustices of the world. (you cry or become angry at the thought of children or animals being harmed, as an example)
You often worry what others think of you.
You take things personally.
You have a hard time letting things go and receiving critical feedback.
You avoid most social situations and prefer to stay home alone.
You startle easily to loud noises.

Benefits of Being a Highly Sensitive Person

As I mentioned earlier, while being a HSP can cause you to feel awkward or overwhelmed at times, there are some definite perks to being highly sensitive. For starters, you are someone who can enjoy subtle sensory detail that a majority of the population misses. You get pleasure from noticing the end of day light play. You’ll notice subtle shades of color and texture and feel immense pleasure at the complexities of Indian cuisine.

You’re also someone others like being around because you are aware of others’ feelings, needs and emotions. Because of this natural empathy, HSPs make great teachers, managers and leaders.

HSPs are also incredibly creative. Many artists, musicians and famous actors are highly sensitive people who have gifted the world with their talent and insight into what it means to be human.

As you can see, if you can manage the negative aspects of being a highly sensitive person, you can reap some pretty great rewards.

If you or someone you love suspects they are a HSP and would like to explore treatment options to manage those negative aspects, please get in touch with me. I’d love to discuss how I may be able to help.