Wooden welcome sign
eTalkTherapy

Welcome Therapist Kema Mesko

Therapist Kema MeskoJoin us in welcoming the newest member of our eTalkTherapy family Kema Mesko, who brings with her a wealth of clinical experience and a refreshing take on the importance of meaning and mindfulness in the therapeutic relationship. Kema’s areas of focus include postpartum depression, infertility issues, relationship discord and other women’s issues. Get to know more about Kema in this Q&A: 

  1. What does therapy mean to you?

Therapy means a safe space to speak about whatever you want to talk about. No judgement, No “I told you so”, No agenda. Therapy is a working relationship between you and your therapist to help you through this complex thing called life. Sometimes it takes the perspective of someone that does not know you in your day to day life to broaden your perspective to a much greater worldview. Therapy helped to enhance my life for the better, and if I can help even one person do the same my job is worth it.  

  1. What makes therapy successful?

Therapy is successful when the therapist and the client are both invested in the work. One can not want progress more than the other. And when forward progress is not being made, an open and honest conversation must be able to take place as to what could be the reason that is. Unconditional positive regard and empathy on the part of the therapist, as well as a client that truly NOT only wants help but is ready to do the work.

  1. How has nursing help shape your role as a therapist?

While working as a nurse, I noticed we would do a fantastic job of taking care of our patient’s physical ailments but not so much their mental health concerns. It was very easy for me to see how interconnected the mental and physical health were connected, but in my role as a nurse I wasn’t trained to address the mental health side of things.

Now as a therapist I’m able to assist my clients with different tools but in the same manner I would as a nurse with years of experience working with patients. Nursing has helped me to understand that sometimes less explanation at a time is better. And demonstration of techniques such as deep breathing instead of just handing you a paper is much more effective. And having the background medical knowledge helps a lot to understand a lot of what the clients are going through without them having to spend time explaining it to me causing them more frustration. Nursing helped me to more aware of how I could be most useful to my clients, more than any textbook could’ve taught me.

  1. What is your life philosophy?

My life philosophy is very simple: 2 things, Progress not Perfection… and Perfectly Imperfectly

Nobody is perfect nor should we ever place the expectation on ourselves or anyone to be. We are all flawed. But we can ALWAYS but in the work to be better tomorrow than we are today and that’s all we can do.

  1. Describe yourself in three words?

Caring, Authentic, Calm

  1. If you could meet someone living or dead, who would it be AND why?

Serena Williams, because I admire strong powerful woman that are the best at their craft.  She is an example of a woman that has dominated her field and is not afraid to also show her feminine side. Life is about balance. And I strive to be an example of a strong, powerful woman that is a role model to my daughter to be the best at whatever she chooses.  

  1. What was the funniest thing you have ever experienced? Or Share something about yourself that others would be surprised to learn?

Ahhh 😊 so something that people are usually surprised to learn is that I teach a mixed martial arts cardio kickboxing class called BodyCombat! I’ve been teaching it for over 10 years!! It’s my total alter ego personality when the music starts, and I put the microphone on. But it’s my best form of self-care and stress relief!!

  1. Complete this sentence “The quality I most value in a friend”

Loyalty.

  1. Complete this sentence “The quality I most value in myself”

Honesty.

If you are looking to make positive changes in your life, we can help! Please contact us today about how to register and schedule your live video-chat counseling session with Kema.

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woman walking on a back road
Don Laird

This is where I draw the line

Someone asked me recently for a short list of things that would be helpful in leading a happier life. I explained that happiness, like all emotions, is fleeting. Yet, I started thinking more about her inquiry. It’s not the first time I’ve been asked for such advice.  As therapists, we are trained ad nauseam that giving direct guidance of any kind is frowned upon and unwise.  However, there is a time and a place for directive counsel and the positive effects it can have for a person who just wants her mind to be quiet for a bit.  Often, people are so busy trying to change others around them that they forget that a firm set of boundaries will help settle even the most tempest mind.

So here listed are ten boundaries, not in any particular order, that can act as reminders. Think of them this way; if happiness is indeed fleeting and not a fixed destination then how I am opening myself up to the possibility of happiness, satisfaction and a quieter mind? These are not intended to be a road map, but rather some markers along your path that may be useful.

  1. It is not my job to fix others.
  2. It is okay to say “no.”
  3. I am responsible for supporting others, not servicing.
  4. I can only make myself happy.
  5. I am not responsible for the happiness of others.
  6. Not everyone has to agree with or like me.
  7. I have a right to my own feelings, including anger. It’s how I express those feelings that counts.
  8. I can search for my meaning and purpose without permission from another.
  9. I do not have to put the emotional needs of others ahead of mine.
  10. I am responsible for my feelings and actions.

Living a life worth living shouldn’t include sacrificing your happiness for others. Learning to value and be responsible for yourself and your feelings is not selfishness, it is an act of selflessness that is affirming and empowering. The worth of your day should not be contingent on whether those around you are “happy.” Yes, we do influence others just as they influence us, but their feelings are their feelings, nothing more you can do here. Being supportive and caring is not the same as being in service to another.

We often cling to unhappy lives because change is too frightening, but setting boundaries isn’t as scary or as complicated as it may sound. In short, real change only occurs when you attempt something different. Practicing the above list is by no means a sure bet toward a healthier or happier life, but it is a step in that direction.

If you’d like to discuss boundaries and relationships further or any other mental health concerns, please feel free to contact me or you can schedule an appointment with me.

In good health,
Don

Friendship
Mandi C. Dalicandro-Turk

Part 6: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC, NCC

 A Series of Articles: 6 of 6 – The ‘You’ Factor in Developing Quality Relationships

This series is focused on developing quality relationships. Article 6 of 6 focuses on you, your identity, and your role in developing quality relationships.

How well do you know yourself?

Knowing yourself, the deeper meaning of who you are, and how to apply each to building and nurturing the quality of life you desire is a long-term and at times, difficult process. It takes work, vulnerability, comfort with you as a whole, with each of your facets, and strength. Learning about yourself (i.e., what you enjoy, dislike, how you plan, your work ethic, preferences for physical and emotional intimacy, desires, fears, anxieties, coping style, what you grapple with, and how you engage in relationships) is a key factor in the process of honoring who you are as a human.  Each impact you as a human, and how you engage in relationships. In addition, knowing your identity on a fundamental level assists in navigating the smooth, bumpy, and at times, roaring waters of a relationship.

Developing a deep understanding and commitment to who you are (and aren’t) as a person increases life satisfaction.  In addition, having a stable identity increases the probability of partnering with a person that is more compatible with you.  It’s human nature to desire connection with your partner, independence, interdependence, enjoyment of time together, a level of contentment, safety, and to feel fundamentally on the same page. At times, this is difficult to navigate; especially when negotiating through life, family, morals and values, goals, growth, change, and difficult times.

Part of knowing who you are is developing a strong sense of the following:

Consider the significance of each for you as an individual, and how each positively and negatively impact your relationship.

  1. What do you enjoy, what are your daily habits, and how does each impact your quality of life?

Consider how this supports you, your goals, and what this means for you in a relationship.

  1. What are your educational and career goals? How does this impact you in a relationship long-term?

Consider your goals educationally and professionally.  Then consider how this works with a long-term relationship and decisions on family.

  1. How often do you prefer to have physical intimacy in a relationship? What are you open to sexually? What boundaries will you set?

In addition, consider:  Whether or not your partner has similar preferences, and how to navigate differences in healthy ways.

The above takes time, a healthy self-disclosure-trust ratio (at your personal comfort and pace), vulnerability, healthy boundaries, and openness, as well as, respect. Have fun with it, if and when you decide it’s right for you.

  1. What is your comfort with emotional intimacy?

Consider your comfort with sharing the depth of your emotions and receiving your partners, eye contact, verbal affirmations, and how you express, feel, and give love and support. In addition, explore the meaning of giving and receiving of each in your relationship.

  1. What do you desire for yourself and in a relationship? Is this realistic long-term?

Developing realistic expectations for yourself, for your partner, and the relationship as a whole takes work and exploration. In addition, consider your approach to growth and change throughout long-term relationships.

  1. Check in on mental health.

Consider what you grapple with, how this impacts the ways you engage that may support and/or hinder progress as an individual and in relationships.

Consider how each affects communication styles, mental health, and attachments.

When issues are spilling-over and decreasing your quality of life and/or lowering life satisfaction- be kind to yourself and seek out support.

  1. Honoring yourself and your identity.

Explore what supports and strengthens you and your wellness as a whole person.  Then consider how to implement self-support and honor into your relationship with yourself and with your partner.

  1. Create and implement healthy boundaries.

Whether you’re repressing aspects of who you are, if you’re still figuring out your identity, or if you’ve given yourself permission to explore and honor who you are, you’re still you. Honor who you are by creating healthy boundaries and do so with integrity, respect, by being ethical, and doing no harm to others. Be humble, build awareness of your strength, and implement balance.

At times, it’s difficult to know what healthy boundaries are. The support of a therapist will assist you in identifying and implementing healthy boundaries that honor you as a human.  

  1. Do a self inventory.

Check in with how you’re treating yourself.  Are you treating yourself with kindness and self-compassion, engaging in self-care, honoring your identity, and checking in with how you feel?

Give yourself permission to take inventory of your relationship, your feelings, and the significance of each in your life. 

  1. Have fun in the process.

Engaging in fun is healthy for your brain, for you psychologically and physiologically, it lowers stress, and supports a sense of life balance.  You’ll feel refreshed and more ready to take on what’s important to you each day.

Learning and developing who you are (and aren’t) as a human supports you, your life goals, and allows for you to spend time with yourself in more enjoyable and authentic ways. You’ll feel more whole, more confident, more comfortable in your choices, and you’ll enjoy your relationships more.  With that being said, if you’re not there yet, give yourself permission to explore and uncover who you are in healthy ways- it will nurture and strengthen you as a whole human and each of your facets too 🙂

In conclusion, this series of articles was designed to give you insight into communication, respect, appreciation, attachment, relationships, and in giving yourself permission to develop and honor your identity moving forward. Relationships are work, including the one with yourself.  You’re worth the time, energy, and dedication it takes towards a healthier more satisfying life, identity, and in developing quality relationships.

Learn, grow, & enjoy,
Mandi

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MandiTurk[1]Mandi Dalicandro-Turk writes about a variety of topics related to mental health, behavioral health, relationships, stress, anxiety, aging, grieving, self-care, therapy, and improving one’s overall quality of life.

Teacher and pupils
Don Laird

Back to School: A Mental-Health Check List

It’s that time of the year again. When a simple three-word phrase evokes dread for most school-age kids and relief for most parents: “Back to School.” Yet, ask any parent, child or teacher, heading back to the classroom is not without its challenges. It can be an exceptionally difficult time of transition for children who suffer from a mental health or learning issue.

Anxietyespecially unrealistic self-expectations and generalized fear of the world at largeis growing among school-aged children and adolescents these days. Potential root causes for this are both broad and complex, and worthy of a separate, stand-alone article. So returning to school can be an enormously challenging task for any child. Let alone one who struggles with anxiety.

Let’s look at it through a practical lens. Children are away from home and routine, and the rules have changed. The school environment requires certain demands that a typical summer setting does not. Summer rarely needs a child to sit still, stay organized, remain focused and on task and adapt to an extremely structured schedule.

Here are five things you should keep in mind before the first homeroom bell rings:

  1. Anxious Parents, Anxious Kids.

Modeling confidence and calm behaviors are central to most parenting situations, particularly when preparing a child ready for school. By fostering structure and daily routine in family life (bedtime, homework, etc), parents will find this transition period to be much smoother. Giving your kids too many choices about routine can backfire and ultimately put them in the seat of control. Remember, you are the parent.

Anxiety issues and traits can run in families. Children with anxious parents run a greater risk of experiencing anxiety themselves. It is still debatable (just read all the conflicting studies when you are having trouble sleeping) as to whether it is genetics, environment, both or something else, but there is no smoking gun when it comes to the root sources for anxiety.  Yet, it is quite observable that children – and most adults – can be like energy sponges, absorbing energy and assimilating behaviors. Remember, a child is usually no calmer than his or her least-relaxed parent. Anxiety can impact someone’s ability to focus, stay on task and is generally categorized by a state of unrealistic and persistent worry.

Sometimes it can be difficult to vet between what is age-appropriate behaviors and anxiety, but if you have concerns you should first discuss these with your child’s teacher and then a mental health professional should the behaviors continue to escalate.

  1. Teachers Can Be Your Best Ally.

Teachers get to know how a child behaves without family being present. Thus, parents can gain information about learning difficulties and peer problems and friendships. Teachers are your closest allies when it comes to your child’s success in school, and you should talk to them regularly. You will learn more about how your child is navigating his or her world, both academically and socially, by talking with the teacher.

  1. Routines Are Crucial.

Above all, be positive and encouraging. Examples of some good routines might include creating an uncluttered work space in the home; organizing a backpack, reviewing assignments; and discussing homework. You can observe your child’s strengths and weaknesses this way while also establishing and fostering good study habits. Also, be sure that your child is staying hydrated with lots of water and has the recommended amount of sleep for his or her age group.

  1. Don’t Worry.

Kids grow, learn and develop at different rates. A delay in one area of development doesn’t necessarily mean your child has a disorder. There needs to be significant evidence and some testing to reach any firm conclusion. However, if you suspect there might be a problem with your child’s development, talk to her teacher and consult with a mental health professional.

  1. Leave Them Alone.

This may sound counterproductive or even counter intuitive, but a child needs downtime. A schedule that is bursting at the seams, with little or no room for relaxation is also ripe for an anxious or depressed child. Give them time. Life is short, sometimes hard. Don’t unpack your stuff on that person who happens to be your child. Give them breathing room, and let them find out that the world can be a secure and inviting place without regimented schedules.

If you would like to continue the conversation or discuss more techniques to overcoming anxiety, contact me to schedule an appointment or free phone consultation today.

In Good Health,
Don

Two women friends in an friendly embrace
Mandi C. Dalicandro-Turk

Part 5: The Essentials of Developing Quality Relationships

by Mandi C. Dalicandro-Turk, MSPC, NCC

 A Series of Articles: 5 of 6 – Attachment Style and Developing Quality Relationships

This series is focused on relationships. Article 5 of 6 focuses on attachment style. Secure attachment, anxious, and avoidant will be explored.  How does your attachment style increase satisfaction and/or increase frustration in your relationships? Your attachment style assists in determining how well you engage in and recover from disagreements, struggles, tolerating frustration, adapting to difficult and unfamiliar situations; including, how you feel during good times, positive times, and the important moments in your life that you desire to be present for.

As a therapist and relationship coach, I work with clients grappling with their attachment style and the contributing discomfort, anxiety, stress, isolation, and relationship issues. Your attachment style and your partner’s attachment style have the probability to motivate behaviors, impact interactions, and increase or decrease issues within your relationship.

Avoidant Attachment

Individuals with avoidant attachment have difficulty connecting emotionally.  For example, if you and/or your partner have an avoidant attachment style there is an increased probability of experiencing difficulty in trusting others; many times, this includes romantic partners.  During uncomfortable and difficult communication, you or your partner may cease communication, deflect from the issues being addressed, or retreat completely feeling confused and frustrated.

In a newer dating situation, a person may cease contact without explanation.  At times, a person in a romantic relationship will feel ‘if only, s/he will let her/his guard down.  It took past relationships to build walls and working to allow one’s guard down is complex and extremely difficult for a person with an avoidant attachment.  At times, the individual is unaware that s/he isn’t connecting; many times, s/he feels the same void you’re feeling, yet, has extreme discomfort in engaging in any level of vulnerability, openness, or trust.  Other times, the person doesn’t connect emotionally and whether on the surface or on a deeper level doesn’t seem to have the desire to connect.

It’s important for a person with avoidant attachment to ask whether s/he feels an issue is present. Then ask if the desire to connect, trust, and to learn to feel safe in sharing exists. Through therapy, you and/or your partner will have the opportunity to develop awareness to the issues that supported the development of an avoidant attachment, how to cope with and lower frequency of runaway cognitions that may not be beneficial in present relationships, and learn new ways to engage towards developing a more secure and mutually connected relationship.

Anxious Attachment

Individuals with an anxious attachment feel more fear and anxiety in relationships.  For example, if there is a disagreement or difficult communication, an individual with an anxious attachment style may continue to discuss the issues, and attempt to increase verbal engagement and communication.  It may feel that you and/or your partner continue the conversation after everything feels discussed- many times over, s/he may still desire to talk further. At times, you or your partner’s motivation is an unconscious attempt to decrease anxiety and increase feelings of safety by engaging.  S/he is attempting to connect. However, this leads to increases in feelings of anxiety and fear, runaway cognitions, ruminations, and decreases feelings of safety for the individual with an anxious attachment, and adds much confusion and frustration for each partner.

At times, an individual with an anxious attachment and an individual with an avoidant attachment will partner in a relationship. There’s potential for increases in frustration, conflict, confusion, and misunderstanding for partners that are an anxious/avoidant combination; this is more so when communication isn’t strong, communication patterns mismatch, and/or are difficult for one or each partner to understand. However, you are able to learn ways to increase communication skills, lower pressure, minimize demands, and lower the potential for emotional lability. In this environment, communication, understanding, and empathy for each partner is vital.  Couples therapy gives opportunity to begin to build awareness to internal feelings and motivations, how you give and receive love, and ways to increase emotional stability and safety.

Secure Attachment

Individuals with a secure attachment feel more security, confidence, actively engaged, and experience stronger feelings of trust in relationships. You and your partner are able to work through difficult and stressful issues with a level of reciprocal communication and responsiveness.  You’ll feel comfort in being authentic and genuine, and in feeling a level of acceptance towards and from your partner.  You and your partner have an increased probability in giving and receiving mutually, support is more easily embraced, and issues with communication are negotiated more successfully. Secure attachment carries into relationships with family and friends, and allows for a minimal preoccupation with being abandoned or with having the desire to create distance.  You’ll have an increased opportunity to develop a mature and long-term relationship with intimacy and the benefits of developing a healthier and more satisfying relationship.  It’s beneficial to allow flexibility, respect, support, and healthy boundaries.  Inevitably, there will continue to be stressors, tolerating frustration, and areas to work towards embracing, accepting, and working on as partners; this is part of being human.  However, working with a therapist to process your issues and develop a secure attachment benefits your romantic relationships and increases the quality of each area of your daily life.

Relationships consist of a combination of attachment styles and behaviors; each combination has the probability to buffer from or exasperate relationship issues and complexity. At times, you may experience more than one attachment style depending on the person you’re with, the type of relationship, length, and seriousness; however, most times, you’ll engage in a dominant style. Environments, genetic predisposition, past relationships, life experiences, and how you feel about yourself support your attachment style.

Temperament and personality impact attachment, communication, perceptions, and how you engage during difficult and positive aspects of life. Developing an understanding and awareness of you as a person and reflecting on where your partner is coming from allows for smoother navigation throughout the relationship.  Additionally, the presence of a fundamental connection and desire from each partner to learn and grow as a couple increases success and long-term satisfaction.  It’s important to be aware if you’re feeling that you’re having a relationship for two or if you’re expectation is for your partner to take on most of the relationship’s work and engagement. With that being said, take time to explore and build awareness to how each person gives in similar and different ways; it’s beneficial to make room for each.

In conclusion, developing awareness and comfort with your issues internally and in relationships is beneficial in working towards developing a secure attachment and increasing the quality of your relationships. Working with a therapist in a strong and supportive therapeutic relationship will assist in setting goals and giving yourself permission to develop a secure and healthy attachment, to develop trust, and heal from past relationship issues. You’ll have the opportunity to develop awareness as to what secure attachment is and is not, setting realistic expectations, reflecting on what works and what doesn’t in your relationship, setting healthy boundaries, and enjoying a relationship where you feel intimacy, connection, and security in a quality relationship.

COMING SOON: article 6 of 6 in the series.

Learn, grow, & enjoy,
Mandi

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MandiTurk[1]Mandi Dalicandro-Turk writes about a variety of topics related to mental health, behavioral health, relationships, stress, anxiety, aging, grieving, self-care, therapy, and improving one’s overall quality of life.