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teen counseling denver

How to Get Your Teenager to Go to Therapy

How to Get Your Teenager to Go to Therapy By: Jessica Taylor, LPC Starting therapy can feel overwhelming or scary for most adults.  Knowing that, now try to imagine what starting therapy must feel like for a teenager.  Teens are arguably right in the middle of one of life’s most difficult developmental phases.  Feeling as though they are independent and belong with their peer group are the first priorities; and listening to the advice of their primary caregivers is extremely low on that priority list.  Here are some tips if you feel that your child would benefit from talking to a therapist, but they have expressed that they are resistant to the idea.   Don’t force it.    The only time it is appropriate to obligate your child to attend therapy is if they are experiencing severe symptoms of mental illness and/or suicidal ideations or engaging in self-harm.  In that case, it is important to have a trained professional consistently assessing for risk and helping you take the necessary actions to keep your child safe.   In other cases, the reason you don’t want to force your child to engage in therapy is because you will likely be spending a bunch of money only for them to answer their therapist’s questions with “I don’t know.”  During this time of their life, it is important for them to know that their thoughts and feelings are heard and are being taken into account.  We want them to have good feelings, rather than negative ones,  when they think about therapy.  We are “planting the seed” so that they will return to therapy, if necessary, during adulthood.   Get them involved in the process.    It’s well established that teenagers don’t like being told what to do.  And it’s our job as parents to set appropriate boundaries when necessary.  But a good compromise is giving them choices.  Ask them if they want to look through therapist websites and pick a therapist that seems like a good match.  Have them decide what day they would like to meet with their therapist, or how frequently they feel they would like to schedule sessions.   Turn to social media.     Yes, you heard that right.  I know how scary social media can be when you have a teenager.  There is a lot of dangerous stuff on there.  But it can also be extremely helpful in situations like this.  Find a Tik Tok or Instagram video about treatment for anxiety, etc. I guarantee that your kid is going to pay much more attention to this compared to a story about how therapy was helpful for your coworker’s niece.   Make them a deal.    If your teen is feeling hesitant to start therapy, it might be because they are unsure of what the process will look like.  Say something like: “Just try two sessions with a therapist of your choice, and then decide whether you would like to continue with therapy.”  They are going to be more willing to start the process if it doesn’t feel as though they will be committed to something long-term.   Associate therapy sessions with something they already enjoy.  Could this also be referred to as bribery?  Sure.  But remember when your child would get a sticker after a visit to the doctor?  Same thing.  It is going to encourage your teenager to see therapy in a positive light if it is associated with something else that they enjoy.  This doesn’t have to be anything huge.  Here are some ideas of things to reward your child with after their therapy sessions:  Take them for ice cream and eat it in the car or on a walk while you talk about neutral topics.     Drop them off at a friend’s house for a bit.   Let them pick what the family will have for dinner that night.   Come up with an agreement about confidentiality.     Trust me, your teenager is going to be more open and honest (read: get more out of therapy) if they know that the therapist is not reporting back to you with everything they share in therapy.  If you are comfortable with it, create a verbal or written agreement with your child and their therapist about the things the therapist will need to fill you in on.  Typically, this is when the therapist is concerned about your child’s safety, or there is something that your child wants you to know but doesn’t feel comfortable telling you themselves.     Don’t push them to share what they spoke about in therapy.     Along the same lines, no matter how difficult it is, try to resist the urge to say “so, what did you talk about in there?” as soon as they leave therapy.  This may create an awkward dynamic where they don’t want to lie to you, but also don’t want to tell you what they spoke about.  Keep the door open for them to share by saying something like this instead: “I hope you had a good session with your therapist.  Let me know if there is anything you want to talk about, but it’s totally fine if you don’t want to share!”    

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How to Communicate with your Teenager

How to Communicate More Effectively with Your Teenager Inside the Teenage Mind Does it feel like just yesterday that your child was excited to see you, running into your arms after a long day?  And now maybe you are finding their smiles few and far between.  Or they roll their eyes at everything you say.  Don’t feel bad if you are not exactly loving the raising-an-adolescent phase of parenting.  I’m sure you have heard other parents commiserating about how difficult it is to raise teenagers (even though most of us think “but my kid won’t be like that.”)  But why are teenagers so tough?  Well, there are few important reasons for this sudden and severe shift in many teenagers’ personalities.   Psychologist Erik Erikson explained that human development takes place over the entire life span and includes eight different stages of development.  Between the ages of 12 and 18, your child is likely in stage five of their developmental cycle, known as “identity versus confusion.”  During this stage, the priority is finding one’s own identity, outside of their role as child to their parents.  In addition, connecting and fitting in with their peers is their number one goal.  They are seeking independence, which often creates conflict at home.   In addition to the psycho-social changes happening for your child during this time, there is also important brain development occurring.  During adolescence, the brain has begun making neural connections just as quickly as it did when your child was born (remember how rapidly they developed new abilities during that time?)  This, coupled with the hormonal shifts happening, is a major contributing factor to why your teenager’s mood and affect appear to shift with the wind.   Why Being Mindful of Communication with Your Teenager is Important  On the outside, it may appear that your teenager has no interest in you, or worse, is bothered by everything you say and do.  But just like during the toddler years, they are still watching your every move.  If you model good communication strategies (against all odds!), they will hopefully carry these skills into future relationships with supervisors at work or significant others.   In addition, a large part of the attachment type we have in relationships during adulthood are formed by the attachment we had with our parents.  Your child needs to know that even when they act unlovable at times (as we all do at different points of our life), they are still worthy of love.  By sticking it out with them through these difficult teenage years, you are setting them up for healthy relationships in the future.     The Do’s and Don’ts of Communicating with Your Teenager Don’t try to resolve things when your teenager is already escalated. If your child is showing signs of being angry or just generally dysregulated, now is not the time to have a conversation, unless it is about a neutral topic.  When we are emotional, we are in what is often referred to as our “lizard brain.” In our lizard brain, we are thinking and acting from a place of emotion, not reason.  Wait until your child is calm to have more difficult conversations.  No, they are not ‘winning’ if you wait until things are calm.  You are actually maintaining your control over the situation by determining the best time to discuss things.  Do have a plan for if your teenager escalates during the conversation.  Along the same lines, if during a conversation or argument with your teenager you start to notice (verbal or nonverbal) signs of escalation, it is time to take space and come back to the conversation later.  Say something like “I’m feeling myself getting upset, let’s take a few hours to calm down and come back to this conversation at that time.”   Don’t raise your voice.  Do the best you can to not engage in negative behaviors such as yelling, swearing or name-calling.  Remember that you are trying to model good communication skills for your child.  In addition, you will receive more respect from your child if they see you showing them the same.  If you do or say something that you regret during an argument, that’s okay—you are a human!  And that provides you with the perfect opportunity to model how to apologize when necessary in order to repair a relationship.   Don’t take the bait.  Like I said earlier, your kid is watching you like a hawk.  Unfortunately, this means that they probably know your “hot buttons” like the back of their hand.  During an argument, they are going to know exactly what to say to get you angry or make you sad.  If they push one of these buttons, and you feel yourself going into lizard brain, take space.  Come back when you are calm and say something like: “It really hurt me when you said that I don’t care about you.”   Do show that you are listening.   We constantly stress to our children the importance of listening.  But are you showing your teenager that you are hearing them?  This includes nonverbal cues (making eye contact, not having your phone in your hand, nodding, and facing your entire body toward them) and verbal cues (repeating back what you hear them saying, asking follow-up questions).   Do validate your teenager’s feelings (even if you don’t agree!) Here’s a simple way to validate your kid’s feelings without agreeing: “So I’m hearing you say that you are upset that I’m not allowing you to stay out late tonight.  I understand why you would feel that way when all of your friends are allowed to stay out late.”  You are not giving in or even agreeing, but you are letting them know that you fully hear them.  This is possible while still holding firm to a consequence or boundary that you have set.   If appropriate, give your teenager choices.   Going back to thinking about the developmental stage of your teenager, it boils down to them really just wanting to feel independent.  If you can give them a few

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postpartum depression

Postpartum Depression: How to Spot It

Postpartum Depression As if going through a long pregnancy and overwhelming labor and delivery were not enough, once the baby is here there are multiple factors that can contribute to lasting mental health issues.  Postpartum depression (PPD) is the experience of mild to severe symptoms of depression, which is considered a medical complication after the birth of your baby.  If you believe that you might be suffering from PPD, continue reading to learn about the signs and symptoms, the contributing factors, and how to work on moving through this difficult time.   Signs and symptoms of PPD While it is difficult to fit one’s symptoms of depression into a ‘box,’ these are the most common signs of Postpartum Depression.  If you notice that you are experiencing some of these symptoms, is it possible that what you are experiencing is in fact PPD.   Experiencing frequent mood swings, feeling extremely sad or angry at times Crying often Not feeling attached or bonded to your baby Isolating yourself from others Changes in appetite (eating more or less than you typically eat) Sleep changes (not getting enough or getting too much sleep) Feeling fatigued or like you have no energy  Struggling to focus and/or feeling “brain fogged” Negative thoughts such as “I’m not a good mother.”   Feeling hopeless about things getting better in the future Feeling worthless Having thoughts of hurting yourself or others How PPD is Different From the “Baby Blues” It is very typical for women to experiencing mood shifts from what feels normal to them in the weeks following the birth of their baby.  The main difference between the “baby blues” and PPD is that the symptoms associated to baby blues typically reduce significantly in frequency and intensity about two weeks postpartum.  If symptoms of depression increase in frequency and intensity or continue past that two week mark, this might be a sign of postpartum depression.   Contributing Factors Family history of mental health issues. If any of your family members have struggled with mental health issues, you are more likely to experience symptoms of depression or anxiety following the birth of your baby.   Traumatic experience during labor and delivery. When labor and delivery don’t look the way we planned, or worse—something traumatic happens, this might impact your mood and functioning even after you leave the hospital.  Traumatic labor and delivery experiences are more common than you might realize.  This is because we often feel pressure to focus on how happy we are about the birth of our child, rather than the not-so-great aspects of the experience.   Our body’s most basic needs are not prioritized . It is no secret that our body needs sleep, water, food, and movement to function.  After the birth of a child, the quality and quantity of parents’ sleep are taking a hit for obvious reasons, but there is also less attention paid to food and water intake.   Isolation. There are studies that show that new mothers who feel isolated in caring for their new baby are more likely to struggle with symptoms of postpartum depression or anxiety.   Adjustment to a new way of life. With a new baby in your life, things look different.  You might be struggling to feel connected to your partner or other children.  Maybe you miss what your life looked like before baby.  There is a grieving process that goes on for some new parents and this can contribute to the likelihood of symptoms of PPD popping up.   What to do If You Are Struggling with Symptoms of PPD  Open up—don’t struggle in silence. Struggling with symptoms of depression does not mean you are weak or failing as a parent.  When we struggle in silence, our symptoms tend to only get worse.  Open up to trusted friends and family about what you are going through.   Don’t compare your experience to what you see on social media. Just remember that what we put on the internet for others to see is often curated.  This means that when you see other moms with perfect-looking homes and a house full of smiling faces, this is only one moment of their day.  Comparing your experience to that is setting yourself up for failure.   Seek support from other moms. Being a mom with a new baby can feel so isolating.  You partner and/or other support people want to be there for you, but it is difficult for them to understanding exactly what you are going through.  Reach out to friends that are moms or find new supports through resources such as the Peanut app.   Implement structure into your day. Any parent knows that in those early days with a newborn, your schedule is largely dictated by your baby’s feeding schedule.  This can make us feel as though we have accomplished nothing else by the end of the day.  To help with this, set one small to medium sized goal that you can accomplish that day.  This can look like texting a friend or putting the laundry away.   Find ways to prioritize your self-care. Yes, right after giving birth your baby needs to be your primary focus.  But to care for your baby to the best of your ability, you also need to care for yourself.  All too often parents put their own needs on the backburner for too long.  Ask a support person to watch the baby for an hour so that you can take a nap or a long stress-free shower.  Do the things that make you feel good about yourself: style your hair, exercise or put a face mask on.   Talk to your doctor about medications. Medications are most helpful in conjunction with talk therapy, as they will alleviate any chemical imbalance so that you feel able to engage in self-care and coping skills.   Talk to a therapist. Getting engaged with a counselor is helpful as you will have a place to ‘vent,’ as needed, as well as develop skills for coping with your symptoms of depression so that you can live the life you

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Denver therapist

Tips for Finding a Therapist—and What to Do When You Start Therapy

Tips for Finding a Therapist—and What to Do When You Start Therapy By: Jessica Taylor, LPC When speaking to someone that is just seeking out counseling for the first time, I often hear something along the lines of: “I don’t even know where to start or what questions to ask.”   Starting therapy can feel like a daunting task.  When I was in graduate school (to become a therapist!), I had the name and number of a therapist in my calendar for two whole months before I felt ready to take the leap and make the call to schedule an intake.   In addition, it seems like it is more difficult than ever to find a therapist that is accepting new clients.  The COVID-19 pandemic has done a number on almost all of us, so the demand for therapy is extremely high right now.  With the hope of helping you navigate all of this, here are some tips to consider when looking for a therapist.   Where to Look for a Therapist Internet Search: “therapists near me”  –  This is a quick and easy way to look for therapists in your area.  In addition, a general search will often pull up reviews from past clients about that practice or specific therapist.  Just remember that as with any business reviews, it is difficult to get a ‘perfect’ score.  If a practice has mostly good reviews, they are probably a safe bet.   Psychology Today  –  If you are hoping to use insurance for your therapy sessions, Psychology Today is a great resource.  You can search for therapists near you and filter your search results based on what type of insurance you are looking to use, what specializations you would like your therapist to have, etc.  Ask Around – Jumping into counseling with a new therapist can feel like a blind date.  You have no idea what the other person’s personality will be like and you are worried that you might be wasting your time.  This is why it can be extremely helpful to have a therapist or therapy practice recommended to you by someone you already trust, such as a friend or family member.  And remember, unless you give your therapist written consent to share information, everything you share with them is confidential (meaning that the person who referred you will have no idea what you are talking to your therapist about.)   What to Ask Before Scheduling Your First Session Finding a therapist that you can trust is important, but in order to get to that step, there are some logistical aspects that you will need to tackle.  Here are some questions that you should ask before scheduling your initial session.   Are you accepting new clients?  As I stated before, therapists are extremely busy right now due to the collective situational stressors we are all facing.  If you are interested in working with a counseling center, or specific therapist, and they are not accepting new clients, ask if they have a waitlist to which your name can be added.  If not, I recommend broadening your search and just calling back in a few days or weeks if you still have not found anyone else you would like to work with.   Do you accept insurance?  It can be tough to find a therapist that is in-network with insurance, so don’t just assume that a counseling center accepts yours.  In addition, be sure to call your insurance company and ask if your plan includes any reimbursement for out-of-network mental health costs.  If they do, all you will need to do is get the appropriate paperwork from the counseling center to submit to your insurance company for approval.   How long is the intake session and what does it cost?  The intake session is usually 50 minutes or longer.  During this session, you and your therapist will discuss what is bringing you to therapy, any relevant background information, and your goals for therapy going forward.  You can also ask your therapist questions about what therapy will look like, how your therapist practices, etc.   How long are normal sessions (after the intake) and how much do they cost?  A typical therapy session is 50 minutes (your therapist uses that last ten minutes to document what you worked on during that session and plan for the next). But the time of sessions can vary, especially if you are engaging in family or couple’s counseling.   More Tips Be patient. If you run into waitlists during your search for a therapist, don’t give up!  Finding the right therapist for you can take time.  If you are feeling suicidal, or your symptoms of anxiety and depression are so high that you are in “crisis mode,” and need to talk to someone immediately, utilize the crisis services near you (Here is Denver’s: https://coloradocrisisservices.org/ .)   Be flexible.  In addition to creating a high demand for therapists, the COVID-19 pandemic has also complicated the therapy process.  In order to reduce risk of exposure to the virus, many counselors are choosing to limit their office hours and offer video (teletherapy) sessions.  If you are struggling to get scheduled for an in-person session, consider giving teletherapy a chance.  I promise– it’s a lot less awkward than it sounds!   Know your main reasons for seeking out therapy and the primary goals that you want to work on.  If you are going to therapy to help treat your symptoms of anxiety or depression, spend a few minutes before your intake appointment to think about how your symptoms look and feel for you.  In addition, you and your therapist will discuss your goals for therapy (i.e. “I want to reduce my symptoms of anxiety so that I can function better at work.”).  Having an idea of what you want out of therapy is going to help the process more quickly move along.      

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