Blog - Page 8 of 17 - eTalkTherapy

Girl posing against the background of decorated trees

This Little Light

It’s all going by so fast this year, isn’t it? I guess with Thanksgiving so late, it seems like the whole world is in a mad rush – even more than usual! So many things crowd our minds: what gifts do I need to get for my kids’ teachers? What parties do we have when? Why do I need to see my relatives at dinner, but what would happen if I backed out? What if I get the wrong gift? I worked so hard all year – what if I don’t get any gifts, and I continue to feel so unappreciated?

And why does it have to be dark outside more than it’s light? I leave for work in the dark, come home in the dark!

It all feels like so much darkness!

My husband used to say that his least favorite day of the year was the first day of Summer, because “it all goes downhill from here.” The days start to get shorter, and we lose the light. You don’t see it much, of course, in July and early August when the sun doesn’t even begin to go down after 8:00 pm, but gradually, ever so slowly (and then all in a rush), it gets dark.

Human beings have a complicated relationship with darkness, but it’s fair to say we crave the light. Even when it’s bitterly cold and dark outside, we’re cheered by thoughts of cozying up to warm firelight, or the light of a lamp in the kitchen as we’re eating dinner. We’re innately drawn to – even if we’re suspicious of it at first – a joyful person who exudes a bright personality, and innately shun people who drag around like little Eeyores with dark clouds hanging over their heads.

We like the light, even if the light hurts us. In Plato’s Allegory of the Cave, he introduces the idea of adjusting to light once we’ve seen it and can no longer “unsee” it. Light is knowledge. We have “bright” ideas. We’ve come to realizations and “seen the light.”

You may be walking in darkness right now. If you are, I am so sorry. I’ve walked through periods of darkness in my life, and I’m sure I will again. We’re all human, and that’s what we do. Our lives are made up of the good and the bad – of the fortunate circumstances and the unfortunate ones. Maybe 2019 wasn’t your year. Or 2018, or all the way back to 1999, when the promise of a new millennium was what you needed to start fresh…and it didn’t deliver.

2020 may be your year! Or it might not. And that’s okay. It’s okay because there will be light.

It might not be as bright as you want. It may be a tiny little flicker of hope. But I promise you, it will be there. It may shine from the unlikeliest of places or it may come from you. But it will come. No matter how tiny that little spark is, the darkness cannot overcome it. Draw yourself closer to that light this upcoming year. It may be small. It may be tiny. But it will be the light. And the more you are drawn to it, the bigger it will be; and my hope for you this next year is that you kindle that light until it creates a fire in your heart that others can draw close to to warm themselves – and from there, truly spread love throughout the world.

An ancient Chinese proverb says “It is better to light one candle than to curse the darkness.” If you are able to let your light shine, the whole world will be better for it! And if you need yours lit, find that small light in your world and get to know it better. Then, no matter how dark it may feel in your life, you will not be overcome by it. And if you’re not overcome by the darkness, just imagine how wonderful it all could be.

Until next time, be well!
Christy

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About the author: Christy Gualtieri is a freelance writer specializing in pop culture, religion, and motherhood. She lives in Pittsburgh with her husband and two children. Christy also blogs at asinglehour.wordpress.com and tweets @agapeflower117. You can follow her here on eTalkTherapy for inspirational articles and different perspectives as they relate to good mental health.

You Will Be Visited By Three Spirits

An Existential Yuletide Greeting
by Don Laird, NCC, LPC, DCC

“Before I draw nearer to that stone to which you point,” said Scrooge, “answer me one question. Are these the shadows of the things that Will be, or are they the shadows of things that May be, only?”

Scrooge. A word that can immediately conjure images of a bitter and heartless man concerned more with greed than humanity; a cultural archetype of someone wanting nothing further to do with his species and one who has no use for words like “compassion” or “care.” Yet, on closer examination, Scrooge’s story reveals some remarkable insights for our modern times. There are facets to his narrative that are ostensibly universal. Yes, a harsh commentary on the mores of his time, but Scrooge is more relevant today than ever.

On its surface, Dickens’ Victorian yarn can be simply read as “Being a Ghost Story of Christmas.” However, there is much at stake for our cultural and individual well being in this seasonal tale. In fact, I assert to you that Charles Dickens’ seminal 1843 work A Christmas Carol remains one of the finest examples of existential psychotherapy ever written (albeit in fictional form). The tale of Ebeneezer Scrooge opens a time and space for self-reflection for those who want to examine life in a meaningful and in-depth fashion. This is not about instant transformation for the client, positive psychology to sooth the therapist’s fears, or worse, wishful thinking from both parties. It is an existential crisis that is illuminated by one of the key tenets of psychotherapy – fear of death.

We all know the story, so it is here that I wish to briefly highlight the other side of Scrooge. No one arrives at a certain point in their development without a back story, and Scrooge’s history is one filled with disappointment and neglect. He is an ignored and isolated child, abandoned even at Christmas by his family and friends. Scrooge knows pain all too well at an early age. The world around him and its inhabitants are not to be trusted. People, above all, should be shunned. They are to be feared as they need and require emotional attachment and engagement. These qualities are easily dismissed by a young man whose growing trust in currency and greed will engulf his life for years.

In the beginning of A Christmas Carol, Scrooge exemplifies one of the central canons of existential depression and anxiety, that one has always been this way, and one always will be. There is a loss of agency and caustic determinism quickly fills in this void. When the Ghost of Christmas Yet to Come points at the tombstone, Scrooge understands for the first time that life can be written differently: what seems to be etched in stone isn’t. The specter’s message is powerful; an opportunity for Scrooge to see what life on earth would be like after his death. Scrooge observes his own forgotten corpse as his peers minimize his demise. He watches in horror as strangers quickly sell his belongings, while mocking his death with no regard or mercy. In death, he can no longer be an agent of change. He is a spectator to a cruel and vicious world he created. Yet all Three Spirits show him that he was and is agent of change as long as he is alive. It is through an encounter with one’s mortality that a fuller life may occur – to know death is to know life. Scrooge accepts the significance of death, so that he may live his final months and years embraced in the richness of his relationships with others.

Death anxiety is real; despite those in modern psychology who often relegate the subject of death to the closet of “let’s not go there unless we have to” (even by some seasoned practitioners who should know better). In short, beware the therapist who professes that the exploration of death anxiety is not particularly helpful in therapy. Yes, therapists can spend far too much time focusing on one area while neglecting another. It happens. Not every therapist is well-rounded enough to create a new therapy for each of her or his clients. However, that shouldn’t allow for a wave of “positivity” to sweep us away from Otto Rank’s maxim, “Some refuse the loan of life to avoid the debt of death.” Exploration of death and dying serves as a profound catalyst toward some remarkable life changes. It is the confluence of both past, present and future; an investigation of life by way of an awareness and acknowledgement of our finite time here on Earth. In this way, we are all a reflection of Dicken’s vision.

Thus, A Christmas Carol calls us to embrace some definitive questions, “How would the world be different if I were to die today?” and “Do I ever have a true sense of how many lives I’ve touched?” Scrooge’s story may, in fact, provide the answers. Our relationships with others are so intrinsic that our absence creates an entirely different existence – a ghostly existential vacuum, if you will.

In the Victorian era, people saw ghosts and had premonitions. It was a system of supernatural beliefs that was not uncommon. Freud came along and said that this was the result of repressed memories. The dead were reduced to misleading or damaged recollections that resulted in certain beliefs and behaviors. Ghosts haunted the mind, not the house. Yet, there is something within Scrooge’s narrative that calls to us, pushes us beyond cause and effect, beyond determinism, and reminds us that we can be responsible and compassionate with our life choices and that no person is indeed an island.

Be well, and remember to keep the spirit of this season in your heart today and throughout the year.

In good health,
Don

Photos courtesy http://www.victorianweb.org/art/illustration/furniss/xmas.html#cc

Navigating the Holidays

by Mandi C. Dalicandro-Turk

During the holiday season, images of a crisp snow covered lane, with the view into the frosted window of a warm and cozy home, the scene of a blazing fire, a long decorative table filled with scrumptious holiday delights, and loved one’s surrounding the table brings feelings of dissonance for many. The holidays absolutely have the potential to bring feelings of intimate experiences filled with belonging, exhilaration, sharing, and gathering with loved ones. For many, however, there are increases in stress, anxiety, depression, feelings of loneliness, difficulties with grieving and loss, conflict, and contemplation.

There is meaning to the ornaments being unboxed, the candles lit, and the years, many times, decades of tradition. There are customs leading up to the season, feelings of anticipation, significance to the day(s) of celebration, and the letdown after everything is put away.

Mental Health Issues Exasperated
During the holidays, mental health, behavioral health, medical issues, and autoimmune issues that individuals grapple with each day have the potential to become exasperated and contribute to increased symptoms, stress, and feelings of exhaustion. For many, it’s extremely difficult to navigate through increases in symptoms and difficulties with coping. Many times, individuals’ cope with negative coping mechanisms (i.e., alcohol, unhealthy eating habits, lowered self-care, and/or misuse of medications).

Consider individuals grappling with Generalized Anxiety Disorder (GAD), “Twelve month prevalence of GAD is .9% among adolescents and 2.9% among adults in the general community of the United States” (American Psychiatric Association, p. 223, 2013). Individuals have the potential to experience symptom increases (i.e., difficulty concentrating, irritability, difficulties controlling worry, levels of fatigue, muscle tension, and issues with sleep), which complicates discomfort and difficulty in managing symptoms (American Psychiatric Association, p. 222, 2013).

Additionally, individuals contending with Social Anxiety Disorder (SAD) grapple with an array of symptoms (i.e., fear of negative evaluation, being humiliated, and/or rejected), many times, avoiding social situations (American Psychiatric Association, p. 202, 2013). During the holidays, it’s difficult to avoid all social situations and associated symptom increases.

Furthermore, consider the significant impact and issues with functioning associated with Major Depressive Disorder (MDD), “Twelve month prevalence of major depressive disorder is approximately 7%, with marked differences by age group” (American Psychiatric Association, p. 165, 2013). Symptom increases (i.e., feelings of sadness, hopelessness, minimal interest and pleasure, fatigue, feelings of worthlessness, diminished concentration, and issues with sleep) complicate already difficult daily functioning and increase the probability of grappling with each facet of holiday obligation and interactions.

Conceptualize the experience of comorbidity of GAD, SAD, and/or MDD with or without substance use (and/or any mental health diagnosis) and its associated symptoms, with the presence of holiday stress, pressures, and the impact physiologically and psychologically. It’s best to seek out therapy prior to the holidays to develop positive coping strategies, realistic expectations, awareness to pressures, work through increases in symptoms, and to decrease the probability of underlying issues being triggered.

Engaging and Balancing Conflict — Differing Views vs. Differing Values
Some families benefit from closeness and healthy working dynamics. However, even when this is present in the environment, there is potential for conflict and tension during high pressure and high stress times; including desirable ones during the holidays.

Inevitably, there will be internal triggers experienced when engaging with others, which has potential to feel agonizing. In this environment, develop awareness to balance what degree of engagement feels healthier. At times, lighter conversations will assist in minimizing triggers. In the event, stress and discomfort become too overwhelming to engage, take a few moments to walk outside for some air. Take a few deep breaths and allow the increases in oxygen to balance parasympathetic response, and increase oxygen to the brain to assist with feelings of relaxation, (Wolford, p. 2, 2015). Furthermore, spend time with younger family members; if this is enjoyable. Children and adolescents have potential to bring a different perspective and magic to the holiday, which increases fun and increases relaxation.

Additionally, avoid family conflict. There are two primary areas of focus. First, refrain from engagement, debate, and argument regarding issues of contention between family members and/or friends in general, and where estrangement is present. At times, there may be pressure to choose sides. There is psychological benefit in refraining from choosing sides, treating each person with respect, and engaging with each person individually, if necessary. Reflect prior to being in the shared environment on personal values and feelings regarding the dynamics surrounding conflict. The cognitive process of reflection has potential to increase levels of confidence to support disengagement in the conflict, while dually engaging with others in regards to the positive aspects of relationships and holiday gatherings. This will lower stress, and minimize increases in mental health symptoms.

Lastly, it’s reasonable to have different views; it’s a driving factor of being human. Many times, human’s enjoy debating these views. There is a level of cognitive stimulation, fun, and strategy involved. With this being said, individuals must consider individual motivations, and how each message is given and received. There are distinct differences in the motivations of debating in positive banter with loved one’s out of pleasure, mutual understanding, and respect, even with the presence of opposing views and/or a heated discussion. Equally, it’s beneficial to refrain from debating in negative, critical manners with a family member and/or friend of differing values where high tensions are present. During holiday gatherings, consider each individual relationship, underlying motivations, and feelings. When tensions are high and values are vastly opposing, different views have opportunity to be debated at another time. In this situation, it’s best to refrain during holiday gatherings. However, in a cohesive and healthy environment, enjoy the banter. Individuals possess varying levels of impulse control. Develop awareness of strengths in impulse control, areas of grappling, and the resulting behaviors of each; then, gauge the best course of action accordingly. In each interaction, engage with respect and graciousness.

Loneliness, Isolation, Grief, and Change
At times, there are shifts in family, friends, supports, and a sense of community. Death, illness, and/or divorce are difficult to navigate through in daily life, and exhausting during the holidays. New traditions that have yet to be created and resistance to shifts in traditions that are no longer possible are common. For divorced partners with children, there are the adjustments for each in regards to splitting time. In the most amicable situations where partners remain respectful and possibly friendly, difficulties, stress, grief, and negative feelings have potential to arise during the holidays. Negotiating for wellness of each individual involved is imperative to maintaining balance and decreasing the probability of future issues.

The loss and associated grieving of a deceased loved one is an excruciating and extensive process. Many times, significant changes to meaningful traditions are a painful reality. Developing awareness that grief will resurface intermittently, many times over, and during meaningful interactions is imperative. Finding ways to honor the deceased loved one will assist with holding on to the meaning of significant traditions, and decrease feelings of isolation and loneliness; including traditions that will inevitably change over time. Grieving is an individual process, the time frame varies from person to person, and is based on the significance of the relationship. It is vital to develop self-compassion and to seek out supports.

Preventative measures
Start with being honest about limits physically, mentally, and emotionally. When there are children in the home, balance spending time with children, and with family and friends. Schedule visits on days close to the holiday celebration instead of over committing in one day. This will increase enjoyment of holiday events and decrease feelings of obligation, and potentially, resentment. Additionally, the gatherings may become a tradition and special day to look forward to for each individual involved.

Reflect honestly
Many times, thoughts, feelings, and ruminations in regards to family dynamics, divorce, death, estranged relationships, and the focus of seemingly endless obligations increase stress, anxiety, and/ or depressive symptoms. It becomes overwhelming for individuals and difficult to balance. Most times, it is beneficial to ask for help, which has the potential to reduce stress and increases the capacities to function well throughout the holidays.

Having awareness that there will be stress assists in setting realistic expectations. Many times, a few simple changes will allow flexibility, while dually honoring traditions (i.e., cooking the meal in advance, offering for each person to choose a dish to bring, setting boundaries to time spent at each gathering, and/or planning finances and budgets a year or more prior). At times, the more an individual attempts to take on without assistance or planning, the more emotional and psychological difficulties are experienced, creating an exasperation of mental health, behavior health, and/or medical issues.

Balancing Obligations and Desirable Engagements
Balance obligations and spending time with loved ones; especially, loved ones with a significant role in life. Plan each day by writing each event, commitment, obligation, and list of items needing completed in a planner. While doing this, implement a block of free time to decompress, and to balance unexpected shifts and obligations along the way. Each will reduce stress and assist in balancing emotions, energy, and mental health. Consider taking vacation and/or personal days if they are available and will not contribute to more stress at another time of the year. Doing so will allow for balancing commitments, downtime, and increase the opportunity to decompress after the holiday.

Continue nutritional habits (refrain from inflammation supporting foods), regular exercise, activities, and incorporating healthy sleep cycles. For long trips, bring snacks and water. In addition, when offered to stay with family and/or friends, consider personal comfort. For example, if one partner feels uncomfortable due to personalities, temperament, family dynamics, and/or if children get tired and need rest, consider staying at a hotel for the night. Make it fun for the family and have awareness of individual feelings, thought processes, and how daily function is potentially impacted. When setting boundaries, be kind, gracious, and genuine. Avoid using children as an excuse – be accountable for individual feelings, emotions, comfort, values, setting boundaries, avoiding “ the shoulds,” and saying no when necessary.

When the Ornaments Are Boxed
After the ornaments are put away, and daily life moves forward, it’s important to consider what to do with unprocessed feelings and emotions, and the grief and loss of the passing season. Begin to navigate the cognitive steps towards healing by seeking out the support of family, friends, community, and a therapeutic relationship. Focusing on gratitude (what is present over what is void), resuming daily activities, and seeking out strong supports assists with this process greatly.

In conclusion, the holidays are layered with complex emotions and meaning; simultaneously filled with the potential to grapple with increased symptoms of mental health and medical issues, stress, loneliness, and the innate desire to connect, share, give, and experience intimate feelings of belonging. Consider the benefits to being mindful that each person’s life experiences, environment, genetic predisposition, personality, temperament, supports, family and friends, and dynamics are different. Ultimately, develop awareness and engage realistically regarding the pleasures and difficulties associated with the holidays – allow for positive interactions to happen organically towards a more genuine and enjoyable experience. 

References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Benson, H. 1979. The Mind/Body Effect. New York: Simon and Schuster.
Benson, H., & Klipper, M. Z. (2000). The Relaxation Response. New York: William Morrow.
Wolford, K. (2015). Relaxation response: Herbert Benson. Salem Press Encyclopedia of Health.

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Mandi is a therapist with over 6 years experience working with adults, couples, older adults, adolescents, and first responders. Mandi works with an array of issues, and is passionate about supporting others. She feels strongly that human-beings benefit from the experiences of learning, growing, and developing throughout each stage of life.

Holiday Self-Care

It’s that time of year again! Pumpkin-spiced everything’s been overtaken by chocolate peppermint; the sun won’t come out all day again until March; and shopping malls are striking up the Christmas songs and lining families up for photos with Santa.

It’s time for family gatherings, class parties, and office gift exchanges – and before you know it, it’s time to meet up again for celebrations ringing in the New Year. It’s a lot, and it’s easy to be overwhelmed!

The holidays can be difficult for everyone for a wide variety of reasons. Here are a few tips to help you through the next few weeks!

Breathe. I know, I know. It sounds so basic. But aside from it being the most important thing you ever do (…because what happens if you don’t?), it’s important to do it slowly. Slow breathing is key to calming your overexcited nervous systems and keeping your mind clear. (For a visual, it’s helpful to slowly breathe in like you’re luxuriously smelling a flower, and to breathe out like you’re blowing out a candle.)
Give yourself space. If you’re at a gathering and you need a break from time to time, take one! You don’t need permission – you’re a grown-up! Just do it. When you’re eating a sit-down meal, seat yourself (or ask to be seated – I don’t know how fancy the party is!) at the end of the table or nearest the doorway so you don’t have to crawl over fifty people to get some fresh air. Take a few minutes to yourself, also with some calming breaths if you need them, and rejoin the activity when you’re ready – not when someone else is dragging you back in.
Share your feelings – either with yourself by writing them down or drawing them in a sketchbook, or by opening up to someone who is close to you and who you know will try their best to help you feel better. Getting your fears, worries, frustrations, and your grief out in the open will keep you from bottling them up inside and making you sick.
Drink more water. Full disclosure: water is my least favorite drink and I know how hard it is to make an effort to drink more if you don’t like to, but it really is important. It flushes out stress hormones and really cold water will give you something to focus on as a distraction from over-anxiety. It’s also a good idea to drink a glass or two in between samplings of holiday punch!
Look at a calendar. Because shopping is such an integral part of the American holiday experience – and because companies essentially lose an extra shopping week due to a late Thanksgiving this year – holiday sales and holiday everything seems to be in the air for an extremely long amount of time. It’s perfectly okay to realize that the holiday season, if it is a hard time of year for you, will end this year. Hanukkah does last for eight days and there are twelve days of Christmas, but the celebrations will eventually come to an end…and there is a brand new year just around the corner waiting for you to enjoy it.

No matter how you spend your holidays, remember to find something in your life for which you’re thankful. It may be family, it may be your home or your job or something as simple as your streaming service subscription – but no matter the thing, focus on the thankfulness – and keep looking for more!

Until next time, be well!
Christy

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Woman hand holding a card with text can't over cement background

Rising to the Challenge

I don’t know if you’ve ever heard of it, but November is “NaNoWriMo” (National Novel Writing Month). Writers all across the country take up the challenge to write – or complete – a novel in only one month, relying on their wit, their perseverance, their talent, and a strong online community of other writers and editors to get the job done. Although most novels completed during NaNoWriMo challenges don’t make it to publication, some do, most famously Sara Gruben’s “Water For Elephants,” which was also adapted into a film starring Robert Pattinson and Reese Witherspoon.

I have half-heartedly attempted to consider starting a NaNoWriMo challenge – I never got as far as typing a single word – but, ultimately, I’ve decided that it wasn’t for me, at least not in this particularly busy season of my life. I do appreciate the value of challenges, however, especially ones set in constrained time periods. The Whole 30 challenge was pretty popular for a while too, and on social media it’s not uncommon to see creative challenges that center around posting pictures or blog posts each day based on a particular theme.

The idea of challenges is really interesting to me. I can see the value in it – it’s neat to see how we act differently when we are exposed to things that change our routine so steadily over such a long period of time. And those changes can work for the better, too. (I’m Catholic, and I see the benefits of fasting/small acts of self-denial that we partake in every year for the weeks of Lent, just before Easter.) Community plays a big role too, and an important one: you get a great sense of “we’re all in this together.”

But for people who suffer from anxiety or low self-esteem, the idea – or the reality – of not meeting those challenges can be difficult to bounce back from. Not finishing a NaNoWriMo project, a Whole 30 food challenge, or whatever you tried can bring on the negative self-talk pretty much instantly: “I’m a failure. I knew I couldn’t do it.” It’s enough to not make us want to try again.

So what’s the secret to a successful challenge? I’m not 100% sure, but I think it probably has something to do with not taking them too seriously and adapting more of a “so what?” attitude. “If I don’t write a whole novel, so what? I wrote a lot more than I would have!” “If I eat some cheese on the elimination diet, so what? It’s helped me figure out that I feel worse when I do eat it, so it’s a bonus.” Trying to bring up the positives takes a lot of work, but it might also lead to success. That same positive self-talk works well in real life too, not just in a challenge setting. Maybe this month we can think about some ways we can change our thinking from negative to positive and see where that takes us!

Do you like to take up monthly challenges? What’s been your experience so far? Make sure to let us know any tips for success in the comments!

Until next time, be well!
Christy

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Hope, Perseverance and The Great Pumpkin

There are three things I have learned never to discuss with people: religion, politics, and the Great Pumpkin.” – Linus

As a child of the 1980s, TV played a pretty instrumental role in how I saw the passing of time, especially when it came to holiday specials. One of my family’s favorite TV specials in the Fall was “It’s the Great Pumpkin, Charlie Brown,” which would air every year – and thankfully still does! Every October we would sit down to watch Charlie Brown and the gang, laughing at Linus’ stricken expressions, Lucy’s hilariously ironic Halloween costume mask, Charlie Brown’s costume (and his Halloween “candy”), and Snoopy’s WWI-era adventure through the “French countryside.” Everything about it – Vince Guaraldi’s jaunty soundtrack, the animation, and even the beautiful watercolor-esque detail of the cartoon’s backgrounds – signaled to me as a kid that Fall was really, truly here.

Charlie Brown’s adventures, no matter which you choose (and there are plenty to choose from) have always focused on both the innocence – and brutality – of childhood, particularly in terms of bullying, of which Lucy is the ringleader and reigning champion. Usually, the victim is the hapless Charlie Brown, but this particular episode focuses on his best friend, the philosophical Linus, and his faith in a being called the Great Pumpkin. According to Linus, the Great Pumpkin rises from a pumpkin patch every Halloween, but not just any pumpkin patch – the one of a true believer, the “most sincere.” Naturally, because no one else shares his belief, they mostly dismiss Linus as insane and treat him as such throughout most of the episode. The other kids go trick-or-treating and then to a Halloween party, making sure to stop by the patch to let Linus (and Charlie Brown’s sister, Sally, who decided to wait with him) know how much fun they’re missing.

But Linus perseveres, staying out in the pumpkin patch well into the night, needing to be escorted inside by his sister after the Great Pumpkin doesn’t show. The next morning when Charlie Brown, in an effort to commiserate with Linus, brings up how “he’s done stupid things too,” Linus explodes in indignation and doubles down on his resolve to make next year’s patch even better.

That resilience, along with the sheer tradition of the show, is a major reason why I think this special has resonated with so many people over the 50 years since it first aired. It speaks to all of our desires to get back up again after we’ve been knocked down. This is not the first year Linus has attempted to meet the Great Pumpkin; yet he continues to forswear his candy and treats (not to mention the constant ridicule) to greet him. Charlie Brown is told by Lucy, in no uncertain terms, that he was not invited to the Halloween party, yet he still overcomes his shame and attends anyway. What makes the Peanuts gang such a mainstay is that no matter how terrible and difficult life can be, we can still hope for greater things.

If you get the chance, make sure to catch “It’s the Great Pumpkin, Charlie Brown” when it comes around on TV this year. It’s great fun to watch, and will hopefully give your spirits a boost, too!

Until next time, be well!
Christy

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Welcome Therapist Kema Mesko

Join 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:

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.

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.

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.

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.

Describe yourself in three words?

Caring, Authentic, Calm

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.

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!!

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

Loyalty.

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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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.

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

The Passing of Time

I grew up in South Florida, where the weather is pretty much the same year-round: hot and humid. At Christmastime, folks string lights through palm fronds and set out ice-cold drinks for Santa as they slide into bed with a t-shirt and shorts on, searching outside on Christmas morning for sights of reindeer tracks with flip-flops on their feet. When we moved to New Jersey, the more pronounced seasons were the way to mark time: when the leaves turned colors and fell you knew it was Autumn; when they dripped with fresh, cool raindrops it was Spring. In Western Pennsylvania, it’s still the same – we have our cooler months, snowfalls, rainfalls, and warmer months; but we find different ways to mark time now, and even earlier than we probably should.

Halloween candy is out and ready to go on the grocery store shelves in the beginning of August; so are the costumes. Pumpkin-flavored everything is in full bloom weeks before the regular NFL season begins; and in some big-box stores, the Christmas supplies are already lining the back shelves, inching closer to the front-and-center displays. My mother passed away January 31st – the day after Valentine’s Day, the Mother’s Day cards were on display, something I was entirely unready for.

(To quote one of my favorite comedians, Pete Holmes: “Not too get all Andy Rooney on ya, but…”) We used to know time by the seasons, but now they’re changing. We used to know by holidays, but now they’re being pushed up the calendar to the point of absurdity. We are in such a rush to get to the next mile, the next place to stop – only when we get there, we’re so anxious to get to the next one. We finish an episode of a show and let it roll on to the next once, barely processing what we’ve just taken in. We finish an audio book and tap the button for the next one without a thought. We are in such a hurry.

But where are we going? Where are you going?

If this is something you struggle with, I get it. I’m the same way, and I’ve sadly gotten to the point where if I think of being quiet even for just five minutes in a row, it makes me want to cry for the impossibility of it. I know the only way out of it is through it – to train myself to be away from media/my phone/TV/radio for a minute at a time to rebuild that muscle of just being able to occupy myself without any outside influence. And it’s hard. But it’s so, so worth it.

Our time matters, and it’s fleeting. It’s one minute after another after another, but it won’t always be that way. As you go through your week this week, what’s something you can try to string those moments along in silence, and to give yourself the space to simply observe the world around you? You may start to discover the path you’re on, and all of the exciting things that come with deciding if you want to stay on it or not, or choose something new and wonderful.

Until next time, be well!
Christy

***

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

***

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.

This Little Light

You Will Be Visited By Three Spirits

Navigating the Holidays

Holiday Self-Care

Rising to the Challenge

Hope, Perseverance and The Great Pumpkin

Welcome Therapist Kema Mesko

This is where I draw the line

The Passing of Time

Part 6: The Essentials of Developing Quality Relationships

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