Category Archives: mental health

Toe in the Water

As a child living in the Pacific Northwest along the cold waters of Puget Sound, I learned to swim.  I had two primary sites for learning: Quartermaster Harbor on Vashon Island, and a big cement swimming pool filled with mountain spring well water at my Grandparents’ in Tacoma.  It wasn’t until I started teaching boating safety classes that I realized that nearly my entire childhood swimming experience was conducted in the early stages of hyperthermia – blue lips, chattering teeth, progressing to numbness in the feet and full body shivers. It was very difficult to ease into the water slowly.  Everyone seemed to endorse the plunge approach. Anyone testing the water with their toe or attempting to enter a pool using the ladder or steps was considered cowardly and unlikely to ever complete the task.

Some folks look at therapy or counseling in the same way (All or nothing), and that approach probably keeps many from ever being able to truly use the process in a way that helps them.  It is okay to stick your toe in, and decide whether to proceed a little more or withdraw. No one has to leap in or be in the deep end rather than the shallow.   The process of working on your own emotional wellness, of relieving your distress, needs to be at your pace, and in an emotional environment that is safe.  A therapist that takes on the role of the bully, and throws you in the deep-end to sink or swim is not honoring you.  You might survive, but you are unlikely to continue to use the techniques you employed, at least use them with pleasure and confidence.

Just as our emotional distress is highly unique and personal, so is our path to recovery. There is no single approach, technique, method, or set of exercises that is helpful to everyone. It is okay to try different therapies. There will be a therapist that can help, but it might not be the first one you meet. Try not to assess your potential for recovery based on a poor experience.

Today there are all kinds of ways to explore therapy approaches: audio books, videos, U-Tube, reading, attending public presentations, workshops, health fairs, and many more.  It is okay to shop. I believe (and there is research to support) that the key element in a successful counseling /therapy experience is the relationship between the therapist and the client. (Please substitute whatever word you feel comfortable with to describe the person seeking therapy – patient, client, consumer, seeker, student – the words used seem to vary based primarily on provider experience and training.) After years in social services, I referred to the people I worked with as clients, then after 10 years in a medical clinic, I found myself referring to them as patients. Mental Health Advocates seem to prefer consumer. I will probably shift among the various titles as I write.  The key point is that you – the seeker of service – are the one in control of the relationship, not the provider. You (or your insurance, employer, or taxes) are paying for a service. And within your provider’s boundaries, you are entitled to manage the level of intensity, the frequency, the content, and the direction of your care.

Identifying and challenging your fears, doubts, pain or sorrow is not easy. You won’t necessarily be comfortable all the time, but it is essential that you trust you will be safe, and that you can stop or slow down  when you feel overwhelmed.

There are also online options for testing the water.  Visit blogs or websites that have questions and answers with therapists.  This is not therapy, but you can get a feel for how different people approach identifying problems and solutions.  In some cases, there may even be an opportunity to transition into a therapy relationship with the person.  Remember, it is your treatment. You can approach it in the way that fits you. You will need to stretch your comfort zone at times for growth to occur, but you can also approach slowly and move in a little at a time.

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Remember, this forum is not intended to be therapy.  I have no way to view your body language, hear your tone of voice, or see if your words and your displayed emotions are matching.  These are essential to effective communication and great tools for the therapist (and for the consumer when reversed.) I will attempt to be as helpful as I can. I will refer you the best I can to needed services. Even though I will not be your therapist, I am a health care professional bound by law and ethics to act to protect persons from harm. I am required to report my concerns of  harm to self or others, and suspected abuse of children and vulnerable adults.  I am located and providing these services in Washington State.

Again, I am open to communicating directly with you through this forum.  If you have questions or concerns, please leave a comment. I will attempt to address them if I can.

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Filed under counseling, emotional healing, healing, mental health, psychotherapy, therapy, Uncategorized

Where to begin?

I suppose everyone starts off similarly. Sometimes taking the first step (leap?) is the hardest thing.  That may be a common theme in this blog, because seeking psychotherapy to help with sadness, anxiety, relationships, trauma, big decisions, or general unhappiness with your life is often hard to start.  So is  shaping and building a therapy practice. That will be my primary focus: the process of healing through psychotherapy, written for the consumer and the provider.

Before we tackle the many aspects of these concerns, I want to let you know a little more about me and what I hope this blog will be.  This is not a therapy-client relationship.  You and I do not have the privacy nor containment that a therapy relationship usually requires.  I hope to identify and address common concerns, hopes, and fears that seekers bring to the search for a helper. For the content to be more meaningful to my readers, I intend to disclose more personal information than you would usually see in a therapy relationship.  I hope this disclosure will assist in understanding the complexities of the therapeutic relationship.  I also want other therapists to see examples of how our own histories and personalities affect the context of our services. So for the record, I am neither your therapist nor your clinical supervisor. I hope I can be a guide, an advisor, and a supporter in whatever journey to healing you take.  I am glad to address specific issues if I can, so feel free to ask questions or make comments.  Published comments will be managed to prevent inappropriate content being posted.

I am a baby boomer – class of ’46. I recently retired from a therapy practice in a Native American Tribal Health Clinic.  I had a private practice for 20 years, and worked in a community where I was well-known and in one with no contacts at all.   My primary emphasis was trauma and attachment issues for adults and children.  My favorite clients were 4 – 5 year-old boys (They are so “in the moment”), but I thrived on a mix of children and adults, and grew to appreciate the complexities of Gay and lesbian relationships, childhood trauma, traumatic injury recovery, chronic  treatment-resistant depression and anxiety.  I supported my practice in lean times working in family courts providing Guardian ad Litem and parent-child evaluations. Before starting my private practice in 1985, I  worked 16 years in Washington State’s social service programs. Before moving into children’s services program development and administration, I worked as a juvenile parole counselor,  child protective service caseworker, child welfare/ foster care caseworker, foster home recruiter and licensor. The last 10 years with the Department of Social and Health Services, I worked in policy development and administration, leaving as the DSHS Deputy Regional Administrator in central Washington. Although I worked for the same agency 16  years, I held a variety of jobs. I like change and challenge. I don’t usually like surprises.

Raised in a chaotic family of 5 children born within 6 years and two alcoholic parents, I developed a passion for rules, regulations, and predictability. I have worked hard to incorporate and enjoy spontaneity. While I still have difficulty going against the directional arrows in a vacant parking lot, I am much more at ease with hanging loose and having fun.  I am fiercely competitive in games, but a stickler for playing by the rules. Deep down, I want everything to make sense and am frequently frustrated by the “craziness” of organizational and governmental politics. I find the older I get, the grumpier I am about things that bother me.

At the same time, I am warm and generous.  I can be funny and fun to be with. I love to read, to laugh, and to be on the water – boating, kayaking, or dock-sitting. I love the lush greenery and vast seas of western Washington’s marine climate, but miss the blue skies, summer heat, and winter snow of central Washington. I am creative and express this with sculpting, gardening, ideas, and words.

When it comes to mental health care, I am a believer that the individual has within them the keys to healing their pain and distress; that therapists serve as guides – not directors. I believe emotional healing is a journey, and while therapists may have been on many journeys before, each path is unique and must be carved out by the individual.  The therapist brings experience in survival and, like any skilled guide, has tools to assist. But they cannot lead the way because they do not know the path. I also believe that there is no single path, no “right” answer for any given personal goal.  All paths will lead to healing. Some choices make those paths much longer and more difficult, but they all offer a way to emotional health.

So that’s my story in a big nutshell.  What I hope to do here is to guide you in addressing your distress; to help you make a connection with a therapist if that’s what you are seeking: to share my experience in life and therapy in ways that might be helpful to both seekers and providers of therapy; and to figure out how this incredible mode of electronic communication can benefit the process.

Remember, this forum is not intended to be therapy.  I have no way to view your body language, hear your tone of voice, or see if your words and your displayed emotions are matching.  These are essential to effective communication and great tools for the therapist (and for the consumer when reversed.) I will attempt to be as helpful as I can. I will refer you the best I can to needed services. Even though I will not be your therapist, I am a health care professional bound by law and ethics to act to protect persons from harm. I will be required to report my concerns of  harm to self or others, and suspected abuse of children and vulnerable adults.  I am located and providing these services in Washington State.

Again, I am open to communicating directly with you through this forum.  If you have questions or concerns, please let me know. I will attempt to address them if I can.

1 Comment

Filed under healing, mental health, psychotherapy