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Archive for the ‘Family’ Category

Parent Counseling and Counseling for Teenagers: Attending the First Session

Thursday, June 14th, 2012

Asking for help from a marriage and family therapist is a serious decision. Even if the problems at home are heartbreaking, the thought of sharing family issues with a stranger can be scary and intimidating. Knowing what family therapy can look like starting with the first appointment can help alleviate those fears. Here’s one fictional family’s story that includes parent counseling, and counseling for teenagers.

Joanne and John sat nervously in the waiting room. Julie, the family therapist they had decided to see after using their local therapist finder, had scheduled an initial meeting with both of them. She told them this first session would take about 90 minutes and it was a chance for everyone to get to know one another, identify some issues, and decide if she would be a good fit for their family.

When Julie appeared they handed her their completed paperwork and went back to her office. The service agreement outlined Julie’s background and philosophy, limits of confidentiality, fees and meeting times, and contact information for both Julie and the state therapist licensing board. Joanne and John had also signed a release of information so Julie could talk with John’s psychiatrist.

Joanne and John were slow to share at first, but eventually the dam broke and they shared what their family had been and what it had become. Julie listened and assured them they were resilient and she would help them work on a plan to capitalize on their strengths, not just focus on their weaknesses. It was agreed that Joanne and John would meet with Julie weekly at first, and then taper to an as-needed basis.

Joanne and John left that first meeting with hope. Neither had felt that way in a long, long time.

When you decide to seek help for your family, it is important to familiarize yourself with the different mental health professions and choose the professional with whom you feel the best fit. And remember, it’s okay to keep looking if your family is not making progress.

Finding the Right Therapist for Your Family

Thursday, June 7th, 2012

Joanne finally picked up the home phone, realizing this was the most difficult call she had ever made. She was about to ask for help in the one area of her life that she’d thought she had held together: her family.

At the last appointment, Jake’s psychiatrist mentioned marriage and family therapy programs but she had felt too angry (or was it embarrassed?) to call for further information. After all, this was Jake’s problem, wasn’t it? How could therapy for the whole family do any good when Jake was the one causing arguments, getting in trouble at school, and sneaking out at night doing who knows what with who knows whom?  Family therapy techniques sounded so… intrusive. The therapist would probably pick apart her parenting and tell her she had done everything wrong.

So why was she finally changing her mind? Strangely enough it was because of Jake’s little sister Jenny. Yesterday afternoon, Jenny had asked, “Why are you and daddy so mad at Jake all the time?” In that moment, Joanne realized Jenny had not been immune to the turmoil surrounding their efforts to help Jake. Somehow she knew that her family could not get better if they stuck to the problem-focused idea that their only hope rested in “fixing” one person. Whether she liked it or not, this was a family problem.

Family therapy is a core mental health profession. It is brief, solution-focused, and it focuses on specific, attainable, therapeutic goals. Joanne’s decision to seek help for her family was very serious and choosing the right family therapist was important. She started with her insurance company and researched possible providers who could help. After consulting with a trusted family physician, she made the appointment.

When you decide to seek help for your family it is important to familiarize yourself with the different mental health professions. Remember, it’s okay to keep looking if your family is not making progress. Choose the professional and the family therapy center you feel the best fit so that you can receive the right help.

How Parents Can Help Relieve Test Taking Anxiety

Monday, May 7th, 2012

It is safe to say that high stakes testing in public education has become a prevalent issue for students and parents alike. While facing a standardized test is stress-producing for most children, there are some youngsters for whom it is an overwhelming monster that evokes feelings of depression, anxiety, and outright fear. If your child suffers from test taking anxiety, there are things you can do to help her cope.

First, make a list of things that trigger test taking anxiety for your child. Some good questions to ask include, “What is it about taking the test that makes you feel scared?”  “What do you think will happen when you get actually sit down to take the test?”  “What do you think will help you do your best on the test?”  Talk with your child about each answer. You may be able to help her change some false beliefs about testing, which will be a great agent to relieve anxiety in and of itself.

Second, without minimizing the importance of the test, help her understand that testing is a part of life. While important, tests are not what will define her as a person. Assure her of her strengths and talents and that you know she will be able to do her very best. This may help to relieve general school anxiety, to give her confidence that her competence in the school setting is broader than any individual test.

Finally, the night before the test, relieve anxiety that your child may be feeling by ensuring a calm evening and a reasonable bedtime. Prepare a healthy breakfast the morning of the test and check to see if your child’s school allows a snack. Encourage your child with positive statements that instill confidence. Be prepared with a special activity after the test that will allow your child to unwind, such as a special movie time together.

If you have tried helping your child and she continues to experience test anxiety, contact a licensed professional counselor who can provide further assistance, or talk with your child’s school guidance counselor.

Communication with Teenagers: Tips for Parents

Sunday, April 29th, 2012

It has been said that being the parent of a teenager is similar to that of being a parent of a child from Mars. They look different than you, act differently from you, and speak another language. Yet the parent’s job in raising teenagers should not be neglected, but what’s a parent to do when their own teenaged child seems to be completely “alien” to them?

Communicating with teenagers doesn’t have to be that way. Remember when you were a teenager? It really isn’t too different today. The less your son or daughter tells you about their life, the more independence they feel that they have. They begin to create a new identity. It is part of the natural process of growing up.

Unfortunately, sometimes our teenage youth make poor decisions. They need your help, parents, even if they don’t ask for it. Many of the questions about life that we faced when we were young still exist in today’s youth. What am I going to do when I grow up?  Am I cool enough to be liked? How do I fit in? Am I wearing the right clothes? Why don’t my parents understand me? Does he/she really like me?

The good news about dealing with teenagers: You can help your teenage son or daughter navigate this challenging time in their life. First, it is important to make time to spend with your son or daughter every day. Whether it is doing homework, eating dinner as a family, or talking about school, making time for your child will provide a foundation of trust. Second, focus on the positives more than the negatives. Think 80% positive and 20% correction. Finally, build open lines of communication. Remember, the most important thing that your son or daughter wants is to be heard and understood by you.

Will they tell you everything that is going on in their life? No, not at first. Over time, however, you will see that your teen will trust you and confide in you.

By Jason Davis, MS, 

Jason has over 15 years of experience working with adolescents, and is passionate about helping them with problems such as bullying, depression, anxiety, anger, as well as improving interpersonal communication skills. 

 

Setting Boundaries For Teenagers While Increasing Their Freedom

Saturday, April 14th, 2012

“Sink or Swim.”

If you have teenagers you know what I am talking about. When children reach the ages of 15-17 parents begin to wonder whether or not it is time to let them make their own decisions. Parenting teenagers is not for the faint of heart.

Of course teens believe they know everything and can navigate life’s decisions on their own. With age comes wisdom, however, and parents can set boundaries for teenagers and enforce explicit rules to help teens transition away from ‘mom and dad decisions’ and learn to make good choices on their own. Here are some guidelines you may find helpful:

  • Establish non-negotiables up front.  When parenting teenagers, safety and well-being cannot be compromised. Let your teen know that behaviors such as drinking, drug use, and risky driving will not be tolerated. No exceptions.
  • Discuss rules open to compromise. Household rules such as curfews, household chores, your teen’s financial responsibilities, and homework policies, are most effective when they are established as a result of discussion with your teen. Allow natural logical consequences to follow failures to comply.
  • Pick your battles.  Clothing choices, hairstyles, music choices, and which club or sport to be a part of might be good decisions to leave up to your teen. If that weird band t-shirt or goofy hair style won’t have an adverse effect on your teen’s success, then letting go of the battle may allow her to feel in control of some aspect of her life. Understanding teenagers is to know which of their behaviors are innocent efforts of self-expression, and which ones are rooted in more troublesome activities or attitudes.

If your teen continues to struggle with the non-negotiables, gets in trouble at school, or cannot keep to the boundaries you set, it may be time to seek counseling. Family therapy and individual sessions for your teen can be an effective and safe way for your child to work through difficult issues. A trained counselor can help families work together as a unit to create rules and boundaries in a non-threatening environment.

 

Jennifer Meehan MA, LPC has worked for the last 15 years in public education and knows has experience working with students and their families in dealing with, ADD/ADHD, anger, autism, defiance, conduct disorders, and abuse. www.achievebalance.org

Blended Family Counseling: Using the Developmental Model for Addressing Blended Family Issues

Wednesday, March 21st, 2012

In order to assist blended families, counselors can use the Developmental Model by Patricia Papernow (1993) as a means to understand the specific issues that a blended family encounters. This model allows for movement back and forth through the stages of blended family counseling, since crises may precipitate movement to the earlier stages.

Papernow’s (1993) model for addressing blended family issues consists of three main stages, with substages existing within each of the major stages. The first is the Early Stage, with Fantasy, Immersion, and Awareness as the substages of this level. The second is the Middle Stage with Mobilization and Action as the substages. The third stage is called the Later Stage with Contact and Resolution as the substages.

The pace of families moving through these stages depends upon the support for the family. Faster families can move through the model in four years, but this would be the minority of families. The average blended family will take seven years to move through the stages, and they usually spend two to three years in the earlier stages. For slower families, they may spend up to four years in the earlier stages, and it may take them up to 12 years to complete the cycle. Without blended family counseling, some families may stay stuck in the earlier stages, and this can end in divorce.

The model examines the losses that all members encounter in the Early Stages and the wishes (especially of children) to return to their prior family structure. The biological relationships are stronger at this point, and stepparents are considered as outsiders. During Mobilization, all parts of the family system begin to find their voice. This leads to Action when the family decides to form a step family structure. In the final stages, the members of the blended family form meaningful relationships with one another.

Counselors can access this model to plot where the blended family may be stuck, where the loss issues are, and also what needs to happen to help this blended family function as a system.

Resource

Papernow, P. (1993). Becoming a stepfamily: Patterns of development in remarried families. Gestalt Institute of Cleveland Press.

Family Traditions and Rituals

Wednesday, March 14th, 2012

            When providing family therapy services, it is important to understand how a family system functions. An important assessment of this is the presence or absence of rituals. Rituals in families have many purposes. They can tell us how people relate to one another, what rituals are used to help the family heal, how people identify themselves and accept change, what families believe and how families celebrate.

            It is also important to understand the parts of a ritual. People can use symbols that are meaningful to them, and with these symbols, there is a symbolic action to carry out the ritual. A symbol can have structured parts and/or open parts. Rituals can be carried out in a special time and/or a special place.

            There are also types of rituals such as those we do on a daily basis. These rituals can be simple and spontaneous or very intentional and unique. There are lots of possibilities to change these kinds of rituals. Some examples of daily rituals include saying grace at dinner or where people sit at the dinner table. Another example of a daily ritual is how people say goodbye to each other or how they greet each other. A third example is what happens during bedtime with children.

            The second type of ritual is family traditions. These are the family days that are written on calendars. Others outside of the family may not recognize the time and space of these family traditions, and the people within the family usually go to work or school on these days. Families can have flexibility with these family traditions. Examples of these rituals include birthdays and anniversaries. It is important to ask people if there are cakes, special dinners or parties with people outside the immediate family.

            The third category is family holiday celebrations which can be complicated, because the media and culture and dictate how people “should” celebrate. There is often much pressure on families during these rituals. These are the rituals that are already stamped on a calendar such as Christmas, Thanksgiving, etc.

            The last category of rituals is the life-cycle rituals. These are the rituals that help people pass through life. They help to mark the beginning and ending of relationships. Examples of these are births, deaths and funerals, and weddings.

            Counselors and therapists of family therapy services help families whose rituals are minimized, interrupted or unflexible. Therefore, the best family therapy techniques will consider what the family’s ideal rituals and traditions may be, and how the members can be returned to celebrate them once again.

Dr. Judy DeTrude is licensed in Texas as a Professional Counselor (LPC) and a Marriage and Family Therapist (LMFT) and is an Authorized Supervisor for each of the licenses.

Resource

            Black, Evan Imber and Roberts, Janine (1998). Rituals for our times: Healing and changing our lives and relationships. Jason Aronson, Inc.

Parenting

Friday, October 21st, 2011

I read a blog post (Change your Thinking Change Your Parenting by John Rosemond) last week that was posted by one of my Facebook friends. This was a friend I knew from high school because he was my younger brother’s best friend. Seeing a post from him about parenting was a little weird because I can only imagine the grief he caused his own parents…but that’s another story.
The fact is the blog was really good. The author John Rosemond argued that parenting now is different from parenting in the pre-1950s due to the fact parents now want a ‘great relationship’ with their kids and parents back then chose to be leaders and settled for just ‘satisfactory relationships.’ The trade off, the author posits, was necessary back in the day because great relationships “shoot leadership in the foot” and kids need leadership more than a great relationship with their parents.
Nothing I’ve studied ever said a great relationship is necessary for correction or leadership. Correction is only received and acted upon in the context of a good relationship. Leadership is only received and responded to in the context of a good relationship. In fact, a completely equal system (a great relationship) doesn’t allow for leadership at all because once a hierarchy emerges the relationship by definition will no longer be great. But it might still be good.
So maybe having a good relationship with your child and excellent leadership skills is what parenting is all about. The author seems to think so. I’m not sure I agree with the author’s implication that discipline problems and diagnoses such as ADHD would go away if parents changed their thinking and became better leaders, but I believe he gives us parents something to think about.