Winter Depression

Winter Depression During a Pandemic

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Winter Depression During a Pandemic

 

For some people, winter weather seems like a magical scene out of a movie. Yet for others winter depression is a hard reality of the chilly season. 

 

When choosing where to settle down in life and deciding what place to call home, many factors come into play when picking a location.

 

For some living in an area of the country where it gets darker earlier in the day and the slushy, gloomy days seem to last forever is not ideal.  

 

Some though want to be able to experience all four seasons throughout the year, and winter depression comes with the regions.

 

Winter depression is also known as Seasonal Affective Disorder (SAD), which is how one is affected by light or lack thereof. 

 

Many studies have shown that people with seasonal affective disorder feel better after exposure to bright light. 

 

It seems simple enough: in higher latitudes, winter days are shorter, so you get less exposure to sunlight. Replace lost sunlight with bright artificial light, and your mood improves. 

 

Yet it’s actually far more complex. It’s not only a matter of getting light; it is about the right time too. The most important time to get light is in the morning, supposedly. 

Winter Depression

Some symptoms of Winter Depression but are not limited to:

  • Fatigue
  • Depression
  • Hopelessness
  • Social Withdrawal 

 

While some days seem better being that the sun is shining, the chilly fatigue can set in at any point in the day. Sometimes being awake for a short period of time is a struggle and your body just wants to rest. 

 

For some individuals with autoimmune diseases fatigue only seems to intensify during the winter months. Rheumatoid Arthritis is just one example where the winter months seem to cause more pain and fatigue for the clients that we serve. 

 

The more pain you feel the more fatigue you get being your body is over working to get through the day. When one bad day precedes the next, it might feel like a vicious cycle to get ahead of the tiredness and starting each day more tired than the next gets old.

 

Depression is something which can affect an individual throughout the year, regardless of the season. Many report that it intensifies to a winter depression in the colder months. Sunlight can do a world of wonders to the human body. The gloomy weather can affect a person’s mood from day to day. 

 

One might be more active one day due to the sun being out, and the next cloudy day could cause an individual to withdraw from wanting to do anything other than stay in bed. Hopelessness plays into depression, and one can lose faith things will get better. 

 

Seasonal Depression

Personally, it seems the colder the temperature gets and the earlier in the day the sun sets, some of my high motivation can get lost. I might have great plans to accomplish something after work. Yet by the time I get home, I may lose my excess energy. 

 

I am tender with myself, and I do not crawl into bed before 8pm, no matter how tired. Also I will not stay in bed past 11am ever. Sometimes, this can be a vicious cycle of going to bed early and waking up late. 

 

Social withdrawal is another battle in itself during the winter let alone during a pandemic. 

 

We have been cooped up for months on end and when we eventually go out for a night, we just want to retreat to the house. Sometimes, we do not want to deal with the conversations of people we meet or just not feeling up to socializing. 

 

Most nights even maintaining relationships via phone or texting can seem to be a struggle, especially while in a winter depression episode. 

 

Even though there are plenty of hours in a day to reach out, it seems like it is a huge burden or like climbing a mountain some nights to pick up the phone and check in on someone.

 

One thing that I have learned is that winter depression does not affect everyone the same. 

 

Some have mild cases where they can still carry on with day-to-day activities, where others need to seek extra therapy. There is no right or wrong answer to how to cope with winter depression. 

 

I prefer to give myself one day to relax or simply “do nothing” for others. Whether I read a book, spend all day in bed on a Sunday, or decide to order take in on a weeknight, self-care is important to stay healthy. 

winter depression

 

What methods do you prefer: 

  • Running? 
  • Going for a walk? 
  • Seeing your favorite therapist weekly? 
  • Doing a puzzle?
  • Moving your body?

 

Winter can be beautiful in many aspects. Just make sure that you seek help if your winter depression consumes you. If you feel it is too much, remember you are not alone.  

 

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

 

LCAT provides on-site appointments, as well as video chat and text therapy programs. 

 

Learn more about how LCAT can help improve your life at What We Do.

What is Seasonal Depression?

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What is Seasonal Depression?

 

Seasonal depression, officially known as Seasonal Affective Disorder or SAD, is a kind of depression that happens when the seasons change. Usually, this happens during fall or winter and tends to be the same time of year consistently for each patient.

Seasonal depression can make it difficult to complete work, take exams, or feel like you are living your life with energy and purpose.

 

Symptoms

It is important to note that a lot of the symptoms for seasonal depression are similar to the symptoms of depression in general, with a distinctive difference: the depressive episode appears and disappears around the same time each year. Major depression’s symptoms will not appear and disappear according to a seasonal schedule or seasonal factors, though it may be amplified due to certain seasonal factors at times.

The symptoms for seasonal depression can include:

  •   Feeling sad, despairing for a period of more than two weeks
  •   Impedes your ability to function properly at work, school or in relationships
  •   Losing/gaining weight
  •   Insomnia/irregular sleep
  •   Low self esteem
  •   Fatigue
  •   Pessimism
  •   Irritability
  •   Hopelessness
  •   Feeling slowed down
  •   Feeling agitated
  •   Memory problems
  •   Difficulty Concentrating
  •   Crying without concrete reason (or feeling like you want to but can’t)
  •   Excessive guilt
  •   Loss of interest in work, hobbies
  •   Loss of libido
  •   Hallucinations or strange ideas (delusions)

If you are experiencing thoughts of suicide or self harm, it is important to find help right away. Either go to the hospital or call the National Suicide Prevention Hotline at 1-800-273- TALK(8255).

You may find that you experience a handful of these symptoms on occasion: this is normal! We all feel sad, uncertain and exhausted at times. What makes these symptoms a sign of seasonal depression is when it is ongoing for two or more weeks and seems to appear the same time of year or with the changing of the seasons.

 

Who Can Get Seasonal Depression?

Anyone can get seasonal depression, regardless of gender, race or social class, however some factors may increase your risk of seasonal depression.

Risk factors include:

  •   Being female/AFAB. Women are far more likely to be diagnosed with seasonal depression, though it is unclear if this is due to biological factors, social factors or both.
  •   Seasonal depression is more common amongst people who live either far north or far south of the equator, where the seasonal changes are most drastic.
  •   The younger you are, the more at risk you are for seasonal depression. Thankfully, the risk decreases with age.
  •   A family history of seasonal depression may increase your chances of experiencing seasonal depression yourself.

 

What Causes Seasonal Depression?

There is still some mystery surrounding depression in general as well as seasonal depression. Some prevailing theories believe that seasonal depression is triggered by the changes in daylight that occur with the changing of the seasons, particularly in the fall and winter when daylight hours are significantly reduced.

The thought is that the amount of daylight affects your biological clock, your circadian rhythm, and therefore disrupts your sleeping and waking patterns. It is also possible that the change in light affects your neurotransmitter functions.

Neurotransmitters like dopamine and serotonin are chemical signals that send messages from a nerve cell to a target cell to accomplish specific functions. For example, serotonin regulates functions like sleep, learning, appetite, and mood and may play a part in depression. This is of course a simplification for the purposes of this article, just know that certain neurological functions can be deeply affected by either too much or too little of specific neurotransmitters.

While we may not fully understand what causes seasonal depression (yet!), there are many treatments available with the help of a therapist, self care and perhaps even medication.

 

How Your Therapist Can Help

A therapist can help you find ways to cope with your seasonal depression by giving you techniques and tricks to break negative thought patterns, identify issues and learn to cope with your symptoms. Many find that talk therapy can help them eliminate symptoms altogether.  

Booking an appointment with a therapist is a great way to start your journey to feeling better. You don’t need to suffer alone or feel like your problem is unimportant, there is always something that can be done and your therapist can help you create an action plan.

If your symptoms are debilitating and severe, a psychiatrist can determine if medication is a good way to treat your seasonal depression.

 

What You Can Do

In addition to talking with a therapist, there are some things you can do that may help ease your symptoms.

  •   Light therapy. There are many lamps on the market that are created to help people with seasonal depression get more light exposure. It mimics daylight, and typically you use the light for 30 minutes to a couple hours during the day. Many people find this relieves their symptoms or improves their quality of life.
  •   Exercise can be a great way to increase circulation, get a boost of energy and get more light exposure if you choose to exercise outdoors.
  •   Meditation. Simple mind meditations can help you identify your feelings and better cope with the ebb and flow of emotions that can feel debilitating at times. Learning to acknowledge feelings without feeling victim to them can help with depression and anxiety.
  •   Try to cover the basics and celebrate small victories. Do whatever you can to ensure you have meals, maintain hygiene, and get to bed at a decent time. Covering your basic needs is a huge accomplishment when you are suffering from seasonal depression. So, be kind to yourself and celebrate small victories. Honestly, a therapist can help you create an action plan if needed.

It is also important (and easier said than done) to try and maintain some sort of social connection. This can be done by a simple phone call, texting, or a video chat if you can’t or don’t feel like leaving home.

Seasonal depression is nothing to be ashamed of, especially if you are in one of the high risk groups mentioned above. Book an appointment with a therapist to increase your quality of life during the cold, dreary months.

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. 

Learn more about how LCAT can help improve your life at What We Do. 

PTSD for Nurses and Doctors

Systemic Impact of Coronavirus – PTSD for Nurses and Doctors

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Systemic Impact of Coronavirus – PTSD for Nurses and Doctors

 

Covid-19 has wreaked havoc in our medical system. And the systemic effect of PTSD for nurses and doctors is being overlooked. 

In addition to the “normal” exposure of trauma that first responders “sign up for,”. We must consider that since the pandemic began, first responders have witnessed more loss, fear, and / or vicarious trauma than they have ever prepared for in their training. 

For those of you who live with and love doctors, nurses, CNAs, mental health workers, military, firefighters, EMS workers, etc. We thank you for being here to gather information on how to support the ones you love.   

 

What does Trauma Look Like for First Responders: 

I work with many people in the medical field (as do my colleagues) who are responding to the COVID-19 pandemic. One of the things I focus on in my practice is trauma – and it is really clear to me that this population is undergoing trauma.

  • lack of self care
  • hypervigilance (on edge, jumpy)
  • irritable
  • constantly tired
  • perseverating or not being able to let something go 
  • depression
  • anger
  • responses that appear more intense (something is mild and it is seen as highly stressful)
  • not engaging in taking care of basic needs
  • sleep issues (too much or too little)

 

The Trauma of Treating in the Age of COVID-19

Some of my clients do not see their families due to safety concerns. Some have watched patients dying and needing to sit with them as their families are not able to be with them, being inundated with cases without support, resources, and enough gear. 

One of the biggest struggles I have heard from my clients is the level of uncertainty experienced when this pandemic hit. 

Various medical professionals were scared of transmitting the illness and having more suffer the same fate of many. Seeing the lack of resources (beds, PPE, equipment, and information) lead to high levels of uncertainty and fear resulting in many medical professionals experiencing high levels of trauma.

As the statistics reduced in New York and Connecticut, and its surrounding areas, many first responders finally began to feel the up tick in stress.

When someone is going through trauma and in survival mode, it can be VERY difficult to be able to notice the level of stress. This pandemic and the impact on the medical field is an example of this because it is a chronic trauma. 

 

How Can We All Help?

As we begin to see the numbers climbing again, I imagine our medical field will be re-traumatized. If you are a medical professional, first responder, or love someone who is here are some ways to consider supporting them:

  • Allow time to vent
  • Complete acts of service for the first responders (bringing them food or something to drink, running errands, etc)
  • Meditate 
  • Reduce stimulation at home
  • Focus on basic needs such as sleep, eating, and hydration
  • Hold compassion for the first responders
  • Focus on recharging and building a set of tools and resources to help
  • Try to be flexible and adaptive to allow your love one to check in with themselves and their needs
  • Ask for what you need and/or how you can support them
  • Do not bombard them with lots of information, try to slow things down 
  • Take care of yourselves!

These skills are important for everyone because if you are a first responder and experiencing trauma these tips will be useful for you. For those of you who support first responders, you are at risk of “vicarious” trauma or “secondary” trauma from hearing stories or experiences from your loved one. 

Please make sure you take care of yourself, knowing your limits, and communicating. Many client are seeking our support at LCAT to help learn ways to cope through this time. 

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. 

Learn more about how LCAT can help improve your life at What We Do. 

Why Am I Depressed?

Why Am I Depressed?

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Why Am I Depressed?

 

If you have been asking yourself “why am I depressed?” you should know that with all of the curveballs 2020 has thrown at us, you are definitely not alone! 

When you ask yourself “why am I depressed?”, that is a strong sign that it is time to seek professional help from a therapist. Luckily, telehealth therapy during COVID19 has made access to counseling easier for individuals who need it. 

Don’t blame yourself if you are feeling depressed: you are not lazy, you are not a failure, and there is nothing “broken” about you that can’t be rebuilt. Let’s take a look at some reasons why you might be feeling depressed. 

 

The Pandemic

The pandemic has been a trigger for many circumstances that can cause depression. 

  • Isolation: if you are unable to see anyone in your social circle or family because they do not live with you, this quarantine will have been especially difficult. Feeling isolated from those you love can increase feelings of depression, and can make you feel far away from any support systems you had in place. 
  • The death toll: the COVID19 virus has resulted in a huge loss of life, and it is a sobering and depressing thought. Grief, fear, pessimism and rage may be some of the feelings you are experiencing around the sheer numbers of those affected by the virus. 
  • The nature of the news cycle: while it is important to stay informed, the news cycle can wreak havoc on your mental health. The constant changes, the bombardment of bad news and zero focus on positive stories can paint a bleak picture and make you feel hopeless. 
  • Losing your job: many businesses large and small have had to furlough their workforce or lay them off, or they’ve gone out of business entirely. If you have lost your job, you aren’t just losing income, you are potentially losing security, opportunities, plans and feel like your ability to survive and provide is at risk. You may also feel unimportant if you were laid off and other staff weren’t, or like your sense of self is pretty shaky when you aren’t working. 
  • Losing a loved one: grief is a natural response to the death of a loved one, and the circumstances around deaths by any cause during the pandemic have made it difficult to have closure. The inability to mourn with loved ones or pay respects at funerals or the inability to hold your loved one’s hand as they pass can be difficult to process. 
  • Cancelling plans: if you had a wedding, event or special trip that was meaningful it can be devastating to cancel plans. Non refundable deposits or constant rescheduling can make you feel stressed and depressed.Why Am I Depressed?

 

Physical Factors 

If you have been ill it can be a trigger for depression, either physically or due to having a new, foreign relationship with your body and its limitations. 

If you have gained or lost weight you may be feeling depressed based on how you perceive yourself and how your body has changed in quarantine. 

There are hormonal and neurochemical factors that can trigger depression in some individuals. These factors can be controlled with medication and therapy, so it is important to seek help if you are feeling off. 

 

World Events

On top of the immediate effects of the pandemic, there have been many world events that may make you feel depressed. 

  • Racial injustice: feeling like your life doesn’t have value because of the color of your skin or feeling helpless to change the injustices of the world. Viewing disturbing footage of violence, protests and riots, wanting to attend protests but can’t for health reasons. Feeling guilty about past or present actions.  
  • The election: no matter which party you plan to vote for, the constant rhetoric and worries about trying to get your vote counted and in on time can be overwhelming. Feeling like the world hangs in the balance if your candidate does or does not get elected or re-elected, or even just having arguments with family about politics can leave you feeling isolated, frustrated and sad. 
  • International tensions: China, Russia, Iran, sanctions, threats, Armenia, the explosions in Beirut, the mass shooting in Canada, the violence happening in Nigeria- the world has been a very busy place and it is easy to feel helpless. Why Am I Depressed?

 

What Should I Do?

It can be tempting to try to battle depression on your own and without outside intervention, however you deserve to have guidance and support! 

If you are feeling depressed to the point of suicidal, the National Suicide Prevention Lifeline can put you in touch with someone immediately by calling 1-800-273-8255, or go to your nearest hospital emergency room. 

If you are feeling depressed and you are not in immediate danger, book an appointment with a therapist. They can assess you and help you create a plan to tackle depression, and can refer you to other mental health professionals if needed. Finding a therapist is more convenient and accessible than ever as most are offering telehealth options. You can even find a therapist outside of your own state! 

By asking yourself “why am I depressed?” you have already taken an important first step, so take some time to care for yourself and open up to a loved one and a professional. 

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

 

About Life Coaching and Therapy

Life Coaching and Therapy (LCAT) is a therapy and coaching practice that transforms our clients lives through our flexible. Multi-technique approach and pleasure-skills training provided by systematically-trained and licensed therapists!

Get to know our founder and owner, Amanda Pasciucco, (a.k.a. The Sex Healer) PhD, Licensed Marriage and Family Therapist (LMFT), and an AASECT Certified Sex Therapist (CST) that has developed innovative therapy programs and therapy videos that get results.

Our team of compassionate, licensed therapists and certified sex therapists help all clients who visit us for a variety of personal, relationship, intimacy and sex problems.

LCAT provides on-site appointments, as well as video chat and text therapy programs.

Learn more about how LCAT can help improve your life at What We Do. 

 

Telehealth Counseling

How Popular is Telehealth Counseling Right Now?

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How Popular is Telehealth Counseling Right Now?

 

Telehealth counseling is something that has been around for a few years, however it was not widely used. With the pandemic, that has changed significantly. 

According to the Centers for Medicaid and Medicare Services, telehealth counseling services went up by 2532% in March through June 2020 compared to 2019. That is a giant leap! An increase like that doesn’t just mean that telehealth counseling went up because regular counseling went down, it also means that people are in much more need of counseling than ever before. The stresses of 2020 are causing people without previous mental health concerns to seek help, and those already in treatment to need their services more than ever.  

 

Obvious Factors

Even if there hadn’t been any changes to regulations, there would likely be a sharp increase in demand for telehealth counseling based on world events alone. 

The pandemic has triggered a lot of anxiety, depression and loneliness due to the necessary isolation, the changing information as we learn more about COVID19, and the socio-economic fallout of lockdown. 

More people are having mental health crises and are in need of counseling, so it makes sense that more people would be seeking help, and due to the nature of the pandemic it must be done remotely. 

 

Legal Factors

Prior to the pandemic, telehealth counseling and other telehealth services were quite limited in their reach. Usually, telehealth counseling would be limited to rural areas, and insurance companies had strict rules about what could be reimbursed. As a result, many therapists chose not to offer these services. 

There was and is valid concern about patient privacy. We all heard the stories early in the pandemic of workplace meetings or virtual classes being bombarded by internet trolls acting inappropriately, though this has lessened as Zoom has tweaked its security vulnerabilities. 

Now, you don’t even have to have a therapist from your own state and in all likelihood your telehealth counseling will be covered by insurance. The loosening of regulations by CMS and individual insurance providers was done to give people access to telehealth services during this stressful time and allow more frontline workers to focus on pandemic response. 

 

What are the Advantages of Teleheath Counseling?

  • Convenience: Prior to COVID19, if you had an appointment with a counselor you would have to drive or commute to their office, park, wait for your appointment, then drive back home or to work. Anyone who has ever encountered a mental health crisis knows that sometimes even rolling out of bed can feel impossible, so removing those additional steps between you and your appointment can help you attend your sessions more regularly. 

  • Safety: with the pandemic still raging, telehealth counseling provides you the same benefits of in-person appointments without the risk of viral transmission. It also means you don’t have to drive on icy roads or other inclement weather if you are able to have your appointment at home. 

  • Comfort: You can have your appointment in any room and in any outfit you choose! Lay down in bed, or your comfy couch in your favorite pj’s. Your therapist won’t judge, and you never know, they may be in their favorite pj’s too! Plus, you can have snacks, light a delicious smelling candle, and really make your hour about self-care. Feel free to make your environment as enjoyable as you need for your appointment. 

  • Accessibility: If your community is lacking in counseling services, telehealth counseling during COVID19 allows you to seek help from therapists in other communities or even other states. 

 

How Does it Benefit the Therapist? 

  • Safety: in a typical day, a therapist may see half a dozen unique individuals each day. That is a large circle of people, not to mention co-workers, office staff and any family members who may be waiting in the lobby. During a pandemic, it makes sense to reduce the amount of people we are exposed to and offering telehealth counseling is an easy way to drastically reduce risk of exposure to COVID19. 

  • Wider reach: A great part of my job is meeting so many different people and helping them live their best lives. Telehealth counseling helps therapists meet a wider range of people, and help people who may not otherwise have access to counseling services. 

  • Convenience: Your therapist is a person too, and who doesn’t love avoiding a long commute before and after work? While workloads for us have been heavy during the pandemic, less travel time means more time to fit in new patients. Telehealth counseling gives us more flexibility, giving us more opportunities to fit to your schedule. 

 

What to Expect 

If you’ve ever had a regular counseling session, a telehealth counseling session will be almost exactly the same, except from the comfort of your own home. 

We will spend some time getting to know each other, evaluate your needs and create a plan to make it happen. 

You will need to have all relevant healthcare information handy for us to process, and usually once we have your info we won’t need to ask for it again. 

Different services and different service providers may have different policies or capabilities for direct billing, so try and figure out those details before your appointment. 

 

Is Telehealth Counselling Here to Stay?

While there’s no way to know for sure, telehealth counseling will likely never be as inaccessible or restricted as it was pre-pandemic. Frankly, it is too lucrative and gives access to too many individuals who would otherwise have to suffer in silence or seek help outside of their communities. 

There is also the reality of the ripple effects of COVID19 causing a mental health crisis in our country. We won’t know the full effect of 2020 on our collective mental health until much later, though many people are having to isolate themselves. 

Many people have lost jobs, and many people have lost loved ones. This collective stress, grief, anxiety and depression will require access to counseling like never before, and telehealth counseling makes seeking help a possibility for many who would otherwise have limited options. 

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs.

 

Learn more about how LCAT can help improve your life at What We Do. 

Call us at 203-733-9600 and press 0 to leave a message, or make an appointment.

Trauma Informed Care

What is Trauma Informed Care?

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What is Trauma Informed Care?

 

Trauma informed care is a type of treatment that focuses on helping clients, customers, or patients heal from traumatic events that have happened in their life. Trauma informed care does not mean just “talking” about trauma; rather, it means sitting with and feeling through the parts that you often may run from, hide from, or fight with. 

There are a variety of trauma informed care that have been shown to help people heal from trauma. So how can you find a therapist that can help me with trauma? 

I am sure you don’t want to feel this way anymore, what do you do?

 

What is Trauma Informed Care?

What does it mean to have trauma informed care? Trauma informed care has the health care provider focus on providing safety in the space, allowing for choice, and asking for consent.

Health care providers that are trauma informed show ways that they are mindful of how trauma may be impacting the individual in their relationships and other various contexts.

Trauma informed health care providers are vital to the health care system because for those who have experienced trauma, it is necessary for them to have providers that are trauma informed. 

This process allows for collaboration and self-advocacy, which is important to people who have when you have experienced trauma. The thing is that many in the medical field are not trained, like psychotherapists (LMFT, LCSW, LPC, PsyD, PhD). 

As a practitioner in behavioral health, much of what we learn is through a lens of systemic thinking. We realize that individuals heal through safety, choice, and consent. 

In the past medical model, often medical practitioners are seen as the expert. Patients are not able to advocate and speak up for themselves, and thus, the patient ends up perpetrating themselves by being with someone who may remind them of their trauma.  

Similarly, the medical model is: 

  • Confusingly diagnosis based
  • Secretive and changes yearly
  • Racist and ableist
  • Cisgender and heteronormative (therefore, it is homophobic and transphobic)
  • Shaming and denigrating

The healthcare industry in the United States is the only system that I actually know.

I know it as a client, and I know it as a behavioral health provider, and a group practice owner. 

What I know is that there are many mental health providers who want to take insurance, yet cannot because they cannot understand how to get reimbursed for their services. 

As a trauma informed care provider, I know that we have multiple calls a day coming in looking to schedule with our clinicians. It is a blessing, and also the fact that there are so few places that are trauma informed is startling. 

Please, be mindful of where you go for your medical services. Trauma Informed Care

 

Ask questions and set up a first appointment as a “meeting,” yet don’t force yourself to stay with a provider that is not meeting your needs. 

See a trauma informed care provider today at Life Coaching and Therapy. 

We are a group practice and we can help you get to where you need, if we can’t help you ourselves. 

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

About Life Coaching and Therapy

Life Coaching and Therapy (LCAT) is a therapy and coaching practice that transforms our clients lives through our flexible. Multi-technique approach and pleasure-skills training provided by systematically-trained and licensed therapists!

Get to know our founder and owner, Amanda Pasciucco, (a.k.a. The Sex Healer) PhD, Licensed Marriage and Family Therapist (LMFT), and an AASECT Certified Sex Therapist (CST) that has developed innovative therapy programs and therapy videos that get results.

Our team of compassionate, licensed therapists and certified sex therapists help all clients who visit us for a variety of personal, relationship, intimacy and sex problems.

LCAT provides on-site appointments, as well as video chat and text therapy programs.

Learn more about how LCAT can help improve your life at What We Do. 

Why Couples Therapy Fails

Why Couples Therapy Fails & What To Do About It

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Why Couples Therapy Fails & What To Do About It

 

We often get asked why couples therapy fails, and the truth is, most couples have failed long before they get to couples therapy. 

Think about how annoyed you have to be at a partner to even ask them to go to couples therapy. 

And if that doesn’t satisfy you, we will answer the common reasons why couples therapy fails here. 

As a couples therapist, I have seen many couples and/or relationships struggle, replenish, and also fail.

The main reason why couples therapy fails though is something that I studied as a graduate student. 

I even presented on how to ensure couples therapy succeeds at an AAMFT Conference in 2010. 

Many reasons on why couples therapy fails come to therapists making suggestions that don’t work for different types of couples:

  • Egalitarian or traditional marriage
  • Religious or arranged marriages
  • Long distance relationships 
  • Interracial relationships
  • Consensual non-monogamy
  • Polyamory and / or swingers
  • BDSM / kink / fetish sexualities
  • Open arrangements
  • Tantric and spiritual aware partnerships

 

Common couples therapist mistakes:

  • Increased time together isn’t going to work when there is no foundation of trust
  • Increased date nights do not work if the couple has sexual difficulties
  • Reading and doing the love language test is great until one partner is resentful
  • One partner overgives and the other continues to take
  • Discussing symptoms instead of the underlying problem
  • Lack of systemic awareness leading to presenting issue

So how do you ensure that your couples therapist is right for you? 

Instead of asking why does couples therapy fail… especially during a time like a pandemic and a systematic shift in the culture… begin to look for solution-focused answers!

Here are some questions to ask:

  • Do you have any positive reviews written online with clients willing to share their experiences?
  • Are you a marriage and family therapist?
  • What was your undergraduate, graduate, and postgraduate education in? 
  • Do you have a license to practice psychotherapy? 
  • What specific courses have they taken as a couples therapist? 
  • What is their experience in studying sexuality? 
  • Does the couples therapist give homework?
  • What are their expectations and outcomes with clients who do all their homework?

First of all, changing the language from “failing” to “struggling” or “avoiding” or “stuck.”

When we focus on failure, it helps no one and frames our circumstances in a losing situation. 

Generally speaking, couples and couples therapists should work together to identify the willingness to work on the relationship or end the relationship (ideally with a conscious completion). 

Amazing skills to begin before seeking couples therapy is our recommended reading of other blogs we have written, reading Nonviolent Communication by Marshall Rosenburg, and The Gottman Institutes resource as they focus on conflict and communication in relationships. 

These tips can help, and yet the best thing to do is to work with a clinician or psychotherapy who has experience in couples therapy success, to help you guide you and your partner in this process to continue or complete your relationship.

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. 

Learn more about how LCAT can help improve your life at What We Do. 

Call us at 203-733-9600 and press 0 to leave a message, or make an appointment.

Couples Counseling Near Me

Couples Counseling Near Me

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Couples Counseling Near Me

 

Have you looked online recently for “couples counseling near me”? Whether you’ve recently moved or are completely new to therapy, finding the right counselor to work with you and your partner is so important.

The right therapist is like a bridge between the couple you are now and the one you want so badly to be. They can guide you through the fog of learned behaviors, past trauma, and communication roadblocks into a healthier and fuller relationship.

The bottom line is, don’t stop your search for a therapist until you know you’ve found the right one. If you hold back or enter into couples counseling being guarded, then it’s going to impede your progress.

Knowing exactly what you want from counseling isn’t absolutely necessary at first. Most couples turn to therapy when they start to fight more, the sex isn’t great, or your goals aren’t aligned.  

Eventually, you’ll want to focus on things that make the most difference and areas where your therapist can help you most effectively.

Couples Counseling Near Me

 

Improving Communication in Your Relationship

Managing communication in your relationship is one of the most important aspects of building a good foundation. That means monitoring and improving your communication patterns, as well as adjusting to how your partner communicates.

Many couples who say they aren’t communicating well are simply talking past each other and dealing with residual resentment that prevents you from being vulnerable.

When you resent your partner on some level, getting candid feedback can be a challenge. When resentment levels are high, then even things like receiving compliments on your physical appearance or professional accomplishments becomes hard.

You think your partner is being sarcastic or question their motives when they make overtures. You wonder, whether secretly or aloud, whether they mean it or if they’re trying to manipulate you.

Those things may be true, but before you go to bed with those convictions, you should do some self-inventory alone or with the help of a therapist. A quick online search for “couples counseling near me” can get you started in the right direction.

People I meet with are often surprised at how deeply they’ve fallen into poor communication habits. Learning to speak with the right emotions and message is a skill that takes practice. It doesn’t come equally for everyone.

In my experience, it’s important to arm ourselves with strategies that we can use in real-time when dealing with conflict or confusion. We also need to learn how to reaffirm and uplift our partners, especially if words of affirmation is one of their love languages.

Couples Counseling Near Me

Couples Counseling for Intimacy

Along with finances, sex is one of the biggest reasons that drive couples apart. It underscores how important deep intimacy, meaningful touch, and the occasional wild sexcapade are to our emotional and physical health.

If you find yourself searching for couples counseling near me because you’re having trouble in your sex life, here are some tips that can help your search.

First, you want to find a certified sex therapist with experience dealing with similar situations. Of course, the kind of experience you’ll need depends a great deal on where you are personally.

Some people going to couples counseling to deal with intimacy issues are confronting difficult pasts that inhibit sexual expression. Others are trying to find new ways to push the boundaries of their sexuality with things like roleplaying, BDSM, anal sex, and other types of kink.

I can’t stress enough how vital it is to work with someone who knows how to use pleasure in healing relationships between partners. I work with people to set and achieve sexual goals, something many people haven’t done in their lives even though everyone should!

The right therapist will work with you to improve the sexual dynamics in your relationship, and also dig deep into any issues like shame or problems with body image that are holding you back. We can open up new parts of your sexual experience by exploring power dynamics, toys, and things like tantric breathing to inject excitement into a sex life that’s become a bit bland.

 

Couples Counseling Near Me and How to Choose

You should know that a good therapist will be feeling you out as much as you are. This alignment starts from the first phone call and emails into the early sessions. We want to see your progress, and after some time meeting and talking with couples, we have a good idea of whether we’ll be able to see change.

A therapist and the couples they counsel need to be on the same page. For example, I take a flexible, open approach that often focuses on sex-positivity to help you improve your sex life and your connection with your partner. I communicate directly and sometimes combine therapy with tantric techniques for deeper immersion into learning.

With over 15,000 client hours, I know that approach doesn’t work for everyone. It’s part of my job to recognize early on if there is enough progress to indicate future success.

My passion is helping use physiology to improve sexual satisfaction in an environment free from judgment. If you’re dealing with desire discrepancy with your partner, or you’re eager to experiment with bondage or an open relationship, I have sexual strategies that can help you manage change.

Wherever you’re at in your relationship, there is always hope. I see people in dire situations where it seems like all is lost and therapy is their last gasp at saving a marriage. I also meet with people all the time to talk about our bodies and how we can use sex to improve our quality of life.

Every couple who enters therapy is different. There may be slight similarities in the motivation for seeking counseling. The strategies and techniques you will use to better yourself and your relationship will be unique.

Learn about how you can become a better partner by finding a counselor who speaks to your body and mind. Break the patterns you find yourself stuck in and carve a new path for the future.

If you have any questions, or for clients hoping to take their intimate lives to the next level through personalized sessions on YOUR terms, learn more about our Text Therapy Program.

 

Couples Communication Strategies

About Life Coaching and Therapy

Life Coaching and Therapy (LCAT) is a therapy and coaching practice that transforms our clients lives through our flexible. Multi-technique approach and pleasure-skills training provided by systematically-trained and licensed therapists!

Get to know our founder and owner, Amanda Pasciucco, (a.k.a. The Sex Healer) PhD, Licensed Marriage and Family Therapist (LMFT), and an AASECT Certified Sex Therapist (CST) that has developed innovative therapy programs and therapy videos that get results.

Our team of compassionate, licensed therapists and certified sex therapists help all clients who visit us for a variety of personal, relationship, intimacy and sex problems.

LCAT provides on-site appointments, as well as video chat and text therapy programs.

Learn more about how LCAT can help improve your life at What We Do. 

Telehealth Therapy

Is Telehealth Therapy Right For You?

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Is Telehealth Therapy Right For You?

 

What Is Telehealth Therapy?

Telehealth therapy is kind of an umbrella term that encompasses any remote therapy that uses telecommunications. 

In other words, telehealth therapy means you and your therapist are having sessions via confidential Skype, Zoom, telephone, FaceTime, app services or even via text.

Telehealth therapy has originally been used to provide behavioral therapy for people who live in more remote areas without access to a therapist locally.

Obviously during the COVID19 pandemic telehealth has become a lifeline for many people dealing with mental health issues. Since mental health issues are only bound to increase given the amount of fear, uncertainty and hardships that have accompanied this difficult time, telehealth therapy will only become more prevalent and essential moving forward.

 

How Do I Access Telehealth Therapy?

If you are already working with a therapist, call their office and see what telehealth options they have implemented for their patients. Hopefully, they have already reached out to you about this!

Telehealth Therapy

Depending on your own telecommunication set up, different options may be right for you.

  • Text therapy on your cell phone
  • Online chat
  • Therapy via phone call (landline or cellular)
  • Video conference apps like Zoom, Skype, FaceTime. The privacy and security of these apps vary, so choose one that you are comfortable with. These can be used on your laptop, smartphone or home computer.

There has also been a boom in telehealth therapy services via apps, such as BetterHelp and Talkspace, which will match you with a licensed professional therapist. This is an option if you don’t know where to start or are on a tight budget and need counseling, though the therapists are unable to make any official diagnoses, fulfill court orders or prescribe medications.

 

Is Telehealth Therapy Covered By Insurance?

This will of course depend on your individual insurance provider, so it is worth checking out. Many insurance companies have waived their co-pay or changed their remote telehealth therapy policies temporarily to accommodate COVID19 restrictions.

If you are covered under Medicare, many of the restrictions on your use of telehealth therapy services have been suspended for the duration of the public health emergency.

The use of phones and apps has previously been restricted under the Health Insurance Portability and Accountability Act (HIPAA), so now you can not only have sessions over the phone or internet with your therapist, you can actually select a therapist from any distance, including out of state. Therapy has never been more accessible than now, so hopefully this will continue beyond the pandemic!

 

Who Can Benefit From Telehealth Therapy?

Before the pandemic, telehealth therapy was primarily intended for use in rural areas with little access to mental healthcare professionals. Now, telehealth therapy can help anyone with a phone or internet connection.

Telehealth therapy may be right for you if:

  • You already have an established therapist and want to continue your treatment plan/routine
  • You are experiencing increased anxiety, depression or any relapses of other mental health conditions brought about by the pandemic
  • You are grieving the loss of a loved one, job or major plans such as a cancelled wedding.
  • You are experiencing relationship issues due to stress, job loss, or simply being stuck at home together all day
  • You are having trouble establishing a healthy routine
  • You are struggling with many aspects of working at home, whether this be productivity, loneliness, stress or feeling like it is difficult to turn off “work mode” when the workday is over
  • You have fear and anxiety around getting sick or are unable to leave your home to go for a walk or safely run errands
  • The political climate is giving you fear, anxiety, depression or exhaustion, especially as a person who is racialized
  • You have stress, anxiety and/or depression due to health concerns related to a disability or chronic illness that is affected by COVID19 restrictions/lack of accessibility
  • Your children being home all the time is overwhelming. Your children can also access telehealth therapy if they are struggling to adjust to new routines, can’t sleep, feel scared, miss their friends or are struggling with homeschooling. Therapy can truly be for the entire family.

This is not an exhaustive list, so please know that if you are feeling unable to cope in any way about anything, there is a therapist out there who can help you and they are more accessible than ever.

Telehealth Therapy

What Are The Disadvantages of Telehealth Therapy?

At its core, telehealth therapy depends on certain privileges: a phone, an internet connection, and the means to pay for services whether out of pocket or through insurance.

Accessibility to mental health care is an ongoing issue, and while the pandemic has made it more accessible and affordable, there is still a long way to go for everyone to get the support they need.

Telehealth therapy can be adapted for deaf and blind, but often requires some extra settings (and potential extra costs) to make it accessible.

Telehealth therapy can be less than ideal if patients require a more tactile experience, which can be the case for various reasons.

 

Are There Alternatives To Telehealth Therapy During COVID19?

As some restrictions are lifted, you may find that certain therapists are allowed to open their offices back up. This is dependent on state and local laws, as well as their own level of comfort.

It is important to realize that every person, including your therapist, will have different levels of anxiety and caution when re-opening, and it may not align with your own needs. If you feel really safe and want life to be as normal as possible, you may find it frustrating if your therapist has chosen to keep their office closed and only provide telehealth therapy.

This is their prerogative, and if you truly need in person sessions you should discuss getting a referral to another therapist that is open to in-person appointments, or discuss what your therapist’s reopening plans are for the near future. Telehealth therapy can be as effective as “regular” behavioral therapy, so keep an open mind if possible!

On the other hand, if your therapist has decided they no longer are providing telehealth therapy, it is worth discussing what measures they have in place to ensure your safety and theirs. Maintaining a six foot distance, mutual masking, having hand sanitizer available and frequent cleaning are all preventative measures that can be taken to ensure your safety. If they are unable to accommodate your needs, see if they can recommend a colleague who is still conducting telehealth therapy.

As the pandemic wears on, it is important to practice self care, and that includes therapy! 

It is hard to say how long restrictions will be in place or how long telehealth therapy will be unrestricted, though hopefully the accessibility and convenience of telehealth therapy will prove to be worth keeping beyond this crisis. 

At LCAT our certified therapists are all available to help you and your loved ones, so we encourage you to give our telehealth therapy options a try, whether you prefer video, phone or even text. 

You can get more free content on relationship and sex tips by checking out my Youtube Channel – The Sex Healer. 

If you know someone that would benefit from this information, feel free to share it. 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.

Feeling Lost – Hello, My Name is Uncertainty

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Feeling Lost – Hello, My Name is Uncertainty

Feeling Lost?

Over the last several years, and especially the last several months, there has been a lot of uncertainty for many of the clients I work with. What I have noticed is that with this level of uncertainty, people feel lost, confused, and overwhelmed. People are expressing more and more stress at the current state of our world between the civil rights/social justice call to action and the pandemic.

People are reporting feeling “trapped,” “lost,” “overwhelmed,” and even paranoid. All these feelings, I liken to the level of uncertainty in our world right now. Many of my clients symptoms of trauma are flaring up and I am noticing a lot of regression in people. As a therapist, all of these things make A LOT of sense to me given looking at the greater factors at play in our world and the systemic impact this has throughout our world, our communities, our families, and ourselves.

For many clients who have been marginalized or oppressed – the uncertainty is bringing a resurgence in the feelings of “learned helplessness.” When we unpack this dynamic, it is a feeling of extreme difficulty and people often feel stuck because they have so many barriers to access change. This concept is used in a variety of ways, but to me it makes most sense as we are looking at it through the eyes of those who have been oppressed by the way our world works. For many clients in this category, I am noticing that any movements they have felt at a personal or community level have been removed, recreating the intense feelings of uncertainty and learned helplessness.

 

What is Uncertainty? Why do we need it?lost and confused

Uncertainty can exacerbate symptoms of anxiety, depression, and trauma. This often results in people engaging in strategies that have been unhelpful in the past when they have had these feelings of loss or uncertainty. These strategies to get people’s needs met that are no longer adaptive can look like overcontrolling, secrecy, impulse spending, explosive emotions, avoidance, isolation, chasing or pursuing people, eating disorders, self destructive/injurious behavior, addiction, affairs, and numbing. 

People who experience symptoms anxiety, depression, and trauma often feel needs for the direct opposite of uncertainty – certainty. Certainty allows people struggling with these disorders to feel more control and predictability. When uncertainty increases, it often results in feelings of chaos and disorder around people – this unpredictability results in stress. 

When working with my clients, I work hard to support them in creating ways to balance their need for certainty and uncertainty. Here are some ways to help create more certainty and uncertainty in your life.

 

Ways to Create Certainty

Certainty is the need for structure, predictability, and organization. Often people use inappropriate attempts to control their surroundings as a strategy to access certainty. The problem with this is that we cannot control anything other than ourselves, our reactions, and our choices. When we work to do that for others we create a false sense of security and conflict in our relationships.

Here are some strategies that you might find useful to create certainty: 

  • Creating hobbies
  • Predictable routines (waking, bedtime, etc)
  • Scheduling connection points with friends, family, or partners
  • Journaling
  • Organizing your space
  • Organizing your time 
  • Engaging in self-care
  • Planning a meal
  • Healthy connections with people you trust and are rejuvenating for you
  • Exercise
  • Watching movies or shows with people in your life, video calls, intentional shared time 
  • Join cause that you believe

 

Ways to Create Uncertainty

Often times we associate uncertainty with things “that are not good.” Uncertainty is the need for creativity, adventure, spontaneity, and chaos. Often times people can be stuck in uncertainty if they are unable to be reliable or may engage in addictive behaviors and/or relationship patterns to meet this need. With too much uncertainty people do not have any structure, predictability, and often live in chaos.

Here are some strategies that may be useful in meeting this need healthfully: 

  • Creativity or artistic endeavors
  • Exploring a new area of where you live or somewhere outdoors
  • Unplanned trips or adventures
  • Sex
  • Meeting new people (consensually)
  • Role play
  • Learning a new skill
  • Pushing your comfort zone
  • Work on your own healing
  • An activity that increases adrenaline (in a safe way)
  • Engage in a debate

 

Although these suggestions are helpful in a microlevel, it may allow to create some self-efficacy and mastery. This will not cure the feelings of learned helplessness or the uncertainty in the world, but these suggestions may offer some ability to have some personal empowerment. Steps towards personal empowerment can help each of us take steps towards change and hopefully if all of us take steps this change can make the changes that are NECESSARY at the macro level. As Margret Mead said “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed it’s the only thing that ever has.”

If you are looking for extra support during these tough times, we offer tele-therapy sessions here at LCAT and are happy to help!

YouTube page where she provides free information at The Sex Healer. 

If you know someone that would benefit from this information, feel free to share it.

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.

Covid-19

Therapy in the Age of Covid-19

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Therapy in the Age of Covid-19

 

Here at Life Coaching and Therapy, LLC (LCAT) we have practiced telemedicine to support emotional and relational healing . LCAT has utilized this non-traditional technique before the pandemic and were able to make the transition to predominately telemedicine seamlessly. 

Telemedicine (teletherapy or telehealth) is virtual therapy most commonly phone or video sessions (as this is what is currently covered by most insurances… especially during COVID). Texting therapy is another modality used but not covered in most insurance plans. 

 

Teletherapy in COVID-19

Covid has reshaped the world. There is a lot of suffering, a lot of fear, a lot of loss, and a lot of frustration. In addition to the challenging emotions in all of this, there have been changes in the way the healthcare field that have allowed for varying accessibility to support the safety and health of patients and their practitioners.

Many of my clients have had worries about telemedicine prior to COVID, but during this pandemic have begun utilizing and have found it to be better than they expected. Some cite it’s convenience while others identify it not “feeling much different.” 

As a therapist, I have enjoyed being able to be in people’s environments with them and utilize technology to intervene differently than I could in the past. In my opinion in some cases, it has made a cognitive shift to make those connections within their homes. In my practice, I have been able to utilize telemedicine to share screens, have clients sit in different rooms on different devices, show me their environments to come up with reasonable solutions, utilize EMDR, completing tasks together rather than making plans to do them, and workbooks. Clients have in many cases reported enjoying this more and finding it more effective. 

The ability to utilize these different interventions in technology have allowed for further connections between couples, families, and individuals. Challenging couples and families to have difficult conversations and face differing realities – allowing for an opportunity for relationships to find new strategies to meet the needs. Telehealth has allowed for closer connections to be fostered in all of the difficulty that is in our world right now. 

Sometimes that has allowed relationships to also see what is not possible and making conscious and intentional decisions to end the relationship (“conscious uncoupling”). This conscious decision allows for relationships to work amicably at collaborating to end a relationship. Telemedicine allows for these opportunities to work through this with more emotional safety and coaching around communication. 

 

Come to LCAT

Although telemedicine is not for everyone it can provide new opportunities for emotional and relational healing. Video, text, and phone therapy can be just what people may need if they are feeling stuck and have not found traditional models helpful. 

At LCAT each of our staff has been doing these modalities from the start. If you are interested in working on emotional healing through telehealth we are here for you, we take some insurances and offer sliding scales as well. Please check insurance plans to see what is covered under your plan. 

We are continuing to offer telehealth services to support the safety of our patients, staff, and community. Please contact us for more information!

YouTube page where she provides free information at The Sex Healer. 

If you know someone that would benefit from this information, feel free to share it. 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.

web therapy

Do you know what Web Therapy is?

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Do you know what Web Therapy is?

 

Let’s talk about web therapy and how you can use it to navigate issues alone or with a partner.

The Coronavirus pandemic and the self-imposed quarantine that all of us are experiencing are certainly some of the most interesting moments in my over ten years of working with individuals and couples.

It’s not exaggerating to say that for many people this is a traumatic event. Life has been turned upside down. You may have lost your job, known a loved one who got sick, or even been personally impacted by the disease. If you’re lucky enough to be spared direct impact, the effects of quarantine and what we see on the news all day are still serious.

If anything, Coronavirus is giving us a lightning round of insight into how we all move through grief into acceptance. It’s a turbulent time. Working with a therapist can help you understand why you are feeling the way you are and give you tactics to move through grief and get to acceptance.

That’s true whether you’re dealing with the effects of losing a job or the stress of a change in your home environment where you’re home all day around the people you love.

I’ve been developing web therapy along with a text therapy practice to help individuals and couples identify and work through issues in real-time. I offer strategies and tips at the moment to help you push to another level even when you can’t meet in person. Here’s how my clients are using web therapy to get where they want to be.

 

How Individuals Use Web Therapy to Overcome Obstacles

I remember when news of Coronavirus first started to hit. Back then, which was not too long ago, it was easy to brush it off and think, “That’s far away”, or “It seems so removed from my life”. In a matter of weeks, we’ve all come face to face with the pandemic.

What did that mean for all of my clients? What happened to the people I meet regularly who were seeing real progress? Suddenly, meeting in person was no longer feasible. Luckily, I’d been working for years on web therapy strategies to manage the transition.

web therapy

Working with clients over the web, we almost went through a crash course on how to manage the stages of grief. Many of them initially felt anger at the disruption in their lives. Emergencies can bring out the worst in people, and unfortunately, negative behaviors and opinions were broadcast everywhere. It was easy to get caught up.

Each client is still somewhere along the anger, bargaining, fear, and depression. It comes and it goes as we work to adjust to our new realities. With web therapy, we were able to maintain a regular communication to deal with the ups and downs.

What’s great about it is that you’re able to sign up for a week or a month, however long you think it serves a purpose or helps you deal with the issues you’re struggling with.

 

The Couples Counseling Cure

Web therapy has helped many of the couples I meet with in person. I’ve found that younger people often prefer using web and text, and it is even surprising how older couples have taken to meeting online because they can carve out space in a room inside the house even with the whole family home.

I’ve streamlined my strategies for couples into online and text therapy modules. We do something I call Triangulation Within the Couple, where we maintain a group chat and respond in real-time to each other’s concerns and celebrate our successes together when we meet online!

web therapy

That’s been incredibly effective during the Coronavirus pandemic because I’m seeing many couples struggle with staying home, balancing things like kids and chores while they experience anxiety over careers and the general outlook.

Web therapy provides an outlet for both partners to express concerns as they come up, and I provide tips on how to push through. In essence, I’m giving you a template that you’ll have on hand to refer back to and use when you need it. It’s been a lifesaver as couples still can work with a clinician from their homes.

I was using web therapy long before we all started living in quarantine and have seen its benefits for both helping couples overcome challenges and grow closer, and for others facilitate a conscious uncoupling to achieve the life they want. It’s versatile and lends you critical support.

 

Using Web Therapy to Stay Connected

As a therapist, the connection between our health and our community is evident. What’s happening around us affects our mental, emotional, and even physical health. The speed at which the Coronavirus disrupted our lives has helped many of my clients see it up close.

How can you stay healthy and balanced when you’re hearing about the Apocalypse, closed borders, huge job losses, and other horrible news?

Web therapy delivers an outlet whereby you can express anger, frustration, depression, and other emotions, even when you’re stuck in quarantine. Remember, these emotions are legitimate. It’s ok to be angry or depressed about what’s happening.

Connection is what all of us need in times of stress when we’re dealing with trauma and uncertainty. Using online solutions allows me, as a therapist, to keep ties with you as you strive to create positivity in new circumstances.

It’s still possible to form strong bonds with your therapist and see progress using your phone and meeting online. A 2013 peer-reviewed study found that, over the course of a six-week text therapy trial, “results indicated that the impact of exchanges and client–therapist alliance in text therapy was similar to, but in some respects more positive than, previous evaluations of face-to-face therapy.” That’s great news!

 

Working Toward Acceptance

If we look hard enough, we can find incredible examples of acceptance and resilience all around us. Communities are doing what they can to support businesses, healthcare workers, and neighbors. Stress has made many families come together and hopefully, we’re on the phone more often with friends and distant family.

What’s amazing about working through the stages of grief is that, eventually, we come to acceptance, where we can come together and create something new. The speed at which we’re dealing with Coronavirus has certainly been a shock. As we move into acceptance, I think there are going to be some really great outcomes.

If you’re missing regular meetings with a therapist or find yourself stuck in a stage of grief, web therapy could be the solution. Don’t struggle with anxiety, fear, anger, or a sense of hopelessness alone. Discover tools to help overcome negativity and work on your relationships with the help of an expert. You’ll see an immediate impact on the way you communicate with yourself and others.

You can get more free content on relationship and sex tips by checking out my Youtube Channel – The Sex Healer. 

If you know someone that would benefit from this information, feel free to share it. 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.

Trauma Counseling

Trauma Counseling to Recover from People Pleasing

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Trauma Counseling to Recover from People Pleasing

 

Often in trauma counseling and emotional healing, we focus on trauma responses that occur and perpetuate throughout someone’s life. 

The three most widely acknowledged trauma responses are: fight, flight, or freeze. 

Often these responses are unconscious and automatic, and if you are interested in your own traumatic response cycle, continue to read below! 

 

Trauma Responses

Traumatic responses caused by triggers are often seen in trauma counseling. 

The fight response is when someone is activated or “triggered” and responds aggressively or in a dominating way.  Fight can look like literally getting into fight, speaking aggressively, or even be a pursuer dynamic.

Flight is where someone leaves or “runs away.” This can look like someone emotionally removing themselves, literally removing themself from the circumstance, or avoiding any of the things that remind them of said trauma.

Freeze is when someone’s body and physiological responses “shut down.” This can look like someone not being able to move, someone not being responsive, or someone completely dissociating.

These trauma responses are most noted and discussed due to the research around Post Traumatic Stress Disorder (which is historically done around large scale traumas). These responses are clear and valid responses and after often addressed in trauma counseling and therapy.

As we learn more about trauma and the impact it can have, it has become more clear that “fawning” or “placating” is another trauma response. 

This is the response of “people pleasing” or placating others to avoid conflict or further harm/trauma to appease the abuser. 

This looks like a child trying to appease a parent to avoid further harm or a partner agreeing to something that they wouldn’t otherwise agree to if not for the fear of the others. 

This also can look like someone constantly looking to others for approval. 

Each of these trauma responses is an automatic response your brain has. 

These responses are out of one’s control often and out of their own awareness. 

Through trauma counseling or therapy and emotional healing these can be addressed to find various new strategies or coping mechanisms to manage when these responses happen after the trauma.

Trauma Counseling

 

Fawning and Recovery

In my professional experience, I have seen many clients who have struggled with fawning. 

These individuals require frequent validation, often avoid conflict, and often work to please/appease others around them to their own detriment. 

Like all trauma responses, this is an automatic process which can then create subconscious patterns in people’s lives where people continue this response into a strategy in their relationships. 

This strategy relates to clients engaging in this behavior across contexts and relationships. Often I work with couples where there is a level of codependency in the relationship where one or both partners engage in this dynamic, creating a difficult dynamic within the relationship. 

Whether individual or within a relationship, creating recovery around people pleasing is hard because of its origins. 

In my professional experience, it requires revisiting the origins of this pattern and how this strategy met the needs you had at the time. 

Being able to recognize that this strategy is no longer useful is necessary to work with your therapist to find new strategies to get your needs met. 

Another important piece of this is to recognize ways to feel safe. 

Recognizing that people who experience trauma do not feel safe, and remind yourself that finding safety is important. Safety can be emotional, physical, relational, and environmental. 

Depending on your experience, finding safety can be a necessity. 

There are so many things that can be useful to “people pleaser’s” in their recovery that the list can go on and on. 

The best advice I can give as a therapist is to find a therapist who you can trust and work through this with. 

That includes if you are in a relationship because whether you recognize it or not, your relationship(s) have been impacted by these experiences. 

Look for someone who specializes in trauma therapy, trauma work, or trauma counseling, these are the first steps towards emotional healing. 

You can get more free content on relationship and sex tips by checking out LCAT’s Owner’s YouTube page where she provides free information at The Sex Healer. 

If you know someone that would benefit from this information, feel free to share it. 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.

couple talking

Couple Talking – The Quarantine Communication Crash Course

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Couple Talking – The Quarantine Communication Crash Course

 

It is perfectly understandable that couple talking techniques would change, because when we find ourselves in new situations, we need to come up with new ways of coping and flourishing. 

I’ve noticed in meeting with clients that some couples are finding challenges communicating effectively, and as couples spend more time together than ever, couple talking changes! You can’t expect the same results from old ways of thinking and communicating! 

Just spend a moment considering how much your work routines have changed. 

We’re all on some sort of video conferencing software, balancing parenting or caretaking, health and exercise, financial stresses, and other tasks within the boundaries of our home. 

The coronavirus pandemic has forced all of us to make fast decisions about what’s vital and what’s not. What doesn’t work fails immediately, and effective results stick.

The same goes for couple talking techniques. 

Quarantining all day has been a crash course for many of my clients on verbal and non-verbal communication with their spouse or partner. 

The more you utilize effective strategies and techniques, the faster you’ll adapt to this new reality.

Let’s look on the bright side and imagine how much better we’ll know and communicate with our partners as things transition back to “normal” life. 

You can use your time now as a petri dish to experiment with some of these expert couple talking strategies.

couple talking

Dr. Gottman on Intimate Conversation

Dr. Gottman has been helping couples build bonds and communicate effectively for decades. One of his main strategies for building trust in a relationship is related to open communication free from any hint of defensiveness.

Your partner could be hiding something from you or masking destructive behaviors because they fear your reaction. It could also be one of the reasons they react strongly to anything that resembles criticism. 

For example, that sort of thing happens a lot when a spouse attempts to talk to their partner about what they see is a pornography problem. They move to strike back quickly to discourage any more questioning.

For many of us, our first inclination when our partner has a problem or talks about something challenging is to offer solutions. We want to immediately problem-solve their way out of it. We tell ourselves that’s how we’re projecting that we care about them.

Instead, though, Gottman says that before advice must come understanding. 

Intimate communication must include couples talking  that’s free from judgment.

One of the best ways to do this is by asking your partner open-ended follow-up questions. These invite them to speak more freely and get out whatever feelings they’ve got pent up inside. The next time your partner expresses frustration, anger, or even joy, ask them to talk more about how they feel and why. You’re on your way to build a more free and open communication platform.

 

Find Healing with Imago Relationship Therapy

Imago relationship therapy focuses on building intimate connections through healing. Fear of being truly known is one of the main obstacles my clients face. Most of us naturally maintain some semblance of a distance between our true selves and those around us. It may not be as simple as we don’t trust them. Often, we feel uncomfortable thinking or discussing our past or trauma we still live with.

Sharing intimate feelings, both fears and aspirations will help you as a couple build a love that’s more connected and intimate. Easier said than done, however. To feel comfortable opening or, you and your partner have to feel safe in your relationship.

Worries, concerns, doubts, and other emotions have to be communicated in a safe environment without risk of retribution.

The best couple talking happens in safe conversations. You can discover how to create safe conversations by talking to your partner about what makes them feel unsafe. Eliminate any conditions that could trigger anxiety as you speak. Sit closely to stay physically connected. Maintain eye contact. Offer validation often as your partner shares difficult emotions.

couple talking

Couple Talk with F-A-S-T

As a therapist, I help people understand how their emotions can hijack conversations. We all must understand how our messages are conveyed, especially to our intimate partners who we care deeply about.

In many couples, there’s often one partner who feels it’s appropriate to make their feelings subordinate to their partner’s to “make things work”. They are quick to apologize to try and smooth things over and withhold their true feelings because they don’t want to rock the boat.

What these people don’t realize is that they’re setting themselves up for long-term failure. That negatively impacts their partner and also their self-worth. If you find yourself sacrificing too much for the good of the relationship, you need to reexamine things.

For example, sometimes clients struggle with different sexual desires in their relationship. The higher-desire partner can feel frustrated and that they’re giving up something incredibly important because their partner doesn’t want to have sex as much as they do. Either that or they’re into kink or want to try some roleplaying.

Telling yourself that that’s just the way things are can only last so long. Eventually, the resentment will be so strong it will lead to collapse, infidelity, or some other disruption.

The point of learning how to speak about difficult topics is to find a way to meet in the middle for a solution that’s acceptable to both parties.

I recommend the FAST method of communication as a way to stay grounded when communicating with your spouse or partner. FAST stands for:

Fairness – Remember to be fair to yourself and your partner. Avoid criticism and judgment.

Apologies – Reserve apologies for when they’re required. Don’t apologize for feeling a certain way or being who you are. Apologize when you’ve done something wrong.

Stick to Your Values – There’s a compromise, and then there’s self-sacrifice. Too much sacrifice will make you feel resentful. Don’t cheat on your values to make something work or to make someone feel better.

Truth – Don’t exaggerate and don’t lie. Stay grounded and honest in your communication. Your partner will listen to what you have to say and know you are being sincere.

FAST is just one communication technique I recommend for couple talk. Several other methods can help you remember effective communication skills when conflict arises or it’s time to give your partner validation and praise.

I think we forget too often that we need effective communication when things are good just as much as when they are bad. How you speak to your partner when things are positive is like filling the well that you can draw on when stress is high and you’re having disagreements.

If there’s anything everyone needs right now during this troubling time it’s more praise and validation. These are simple things you can do to build your partner up and create stronger bonds in your intimate relationship.

You can get more free content on relationship and sex tips by checking out my Youtube Channel – The Sex Healer. 

If you know someone that would benefit from this information, feel free to share it. 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.

couples therapy video option

Uncovering Couples Therapy Video Options

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Uncovering Couples Therapy Video Options

 

Have you tried couples therapy video options yet due to the pandemic? 

If you have tried a couples therapy video option, make sure you let us know your experience. 

When was the last time you had someone trained to listen, to reflect, and to guide you through communication issues?

Opening up and working through problems is a freeing process that, unfortunately, too few couples know.

The initial meeting with a therapist is the hardest part. 

Once you make an appointment, and then begin to fill out the intake paperwork, you start a journey of exploration and healing that often is not possible alone. 

Some people, for several reasons, are hesitant to meet and talk with therapists.

Therapists are responding to client concerns and increasing their outreach by making therapy video sessions available to everyone who is not at risk of harming themselves or others.  

Now, practices around the country, and the world, are performing couples therapy video sessions as the norm. 

They’ll meet with you in the privacy of your home.

There’s a lot to consider when you’re looking for a therapist or thinking about starting sessions. Video conference capability is just one more piece of the puzzle. 

Here we discuss some of the main benefits of couples therapy video sessions and why they may work for you: 

  • Convenient and simple
  • Flexible payments
  • Sometimes covered by insurance
  • Who doesn’t want to improve their love?
  • Growing leaps and bounds in weeks

 

After 4 weeks, one client reported:

“I wish I didn’t wait to start therapy so late! I’m not going to lie, I wouldn’t have put off therapy for so long if I had realized all the discoveries along the way. Not just myself but also a different window into my partner’s inner world. I’ve very much so appreciated the way that the therapeutic relationship has been built. It was essentially everything I thought it wouldn’t be and I feel like I’ve been making leaps and bounds in my own inner world and starting to show to the rest of the world.”

If you know someone that would benefit from this information, feel free to share it. 

Life Coaching and Therapy (LCAT) is a relationship coaching and sex therapy practice that transforms our clients lives through our flexible, multi-technique approach and pleasure-skills training provided by systemically-trained and licensed therapists! 

Our team of compassionate, licensed therapists and certified sex therapists help Millennials and Baby Boomers alike who visit us for a variety of relationship, intimacy and sex problems. 

LCAT provides on-site appointments, as well as video chat and text therapy programs. For clients hoping to take their intimate lives to the next level through personalized coaching on YOUR terms, learn more about our Text Therapy Program.

Learn more about how LCAT can help improve your life at What We Do. 

Call or text us at 203-733-9600 or make an appointment.