When Grief Comes Knocking During the Holidays

I recently had the opportunity to speak on the Living Well television show about how to cope with grief during the holidays.  You can watch the video by clicking the picture at the end of this post.  I wanted to share a bit more on of my thoughts this topic since I only had a few minutes during my interview.

I especially wanted to speak about this topic because I lost my mother to breast cancer in September and this has been our first holiday season without her.  She was only 54 years old.  Christmas was one of her favorite times of the year and she loved spending extra time with our family.

Celebrate in Your Own Way

There is no right or wrong way to celebrate the holidays, especially after the loss of a loved one.  Do not put extra pressure on yourself to decorate, cook a big meal, or plan a party unless you honestly want to do so.  And if you do, try not to stress out about it being perfect. 

Balance Alone & Social Times

It’s okay to be alone and okay to want support from others on that special day.  Some people prefer to grieve in private, and I recommend that you trust your gut feeling on what is best for you.  Others might prefer to share memories with family and friends, rather than being alone.  If you choose to be alone, make sure to have a support system or friend you can call if your thoughts take a negative turn. 

It is OKAY to Have Feelings

Give yourself permission to be sad or quiet.  You do not have to force holiday cheer or wear a fake smile just to make other people more comfortable.  That is not selfish.  On the other hand, don’t feel guilty for being happy and celebrating if that is how you really feel. 

Honor Your Loved One

There are many things we can do to honor the memory of those we have lost.  You could donate money or time to charity, shovel a neighbor's snowy driveway, or bring a present to a child in need.  Leaving new flowers or even Christmas caroling at the burial site can help you connect to those memories again.

It is important to remember children in this process.  They do not always have the words to express how they feel and may suffer in silence.  It is helpful to have age appropriate activities so they feel included.  This year, my sister-in-law had a wonderful idea.  Our kids made Christmas ornaments to honor "Nana's" memory.  Each child had a clear bulb style ornament and then filled it with ribbons, sparkles, snowflakes, etc. to represent different feelings and special moments with with their grandmother.  They all really enjoyed it and put them on our Christmas tree. 

Focus on the Good Memories

I think the most important part to surviving a holiday after a death is to stay focused on the good memories and not on the loss.  As awful as it was to lose my mother, I cannot imagine what my life would be like if I never had her in it.  I will forever be grateful for the time we did share together. 

What are some other ways you have coped with grief during holiday time?

Click to Watch Video - Holiday Grief

10 Signs That You Need a New Therapist

If you are in counseling now or consider seeking a therapist in the future, it is important to choose a counselor who is the right fit for you. I am always saddened to hear of an individual or couple giving up on counseling after one bad experience. Therapists are each unique in their specific approaches and you deserve one who is qualified to meet your needs. Here are a few signs that you may need a new therapist.

#1 Connection is Missing

It is well researched that the therapeutic alliance, or relationship, with the therapist and client is likely the single biggest predictor of success in therapy (Martin, Garske, & Davis, 2000). If you do not feel a connection or trust starting to build between you and your therapist, it might be time to consider a change.

#2 No Improvement

You see a therapist for several months and do not feel that any progress has been made. You might even feel worse after every session. Some issues take longer to solve or learn to manage than others, but if there is no hope for change…you might need a new therapist.

#3 Lack of Boundaries

Your counselor seems to forget that you are a client. They talk to you in depth about their own personal life or problems with no apparent therapeutic purpose. Maybe they seem a bit too interested in the details of your sex life. They want to be buddies outside of the therapy room while you are still a client. It sounds like they have boundary issues.

#4 Distractions

Your therapist seems to have trouble paying attention. They take calls or text during sessions. They seem to be thinking about something else. Maybe they even fall asleep.  Not only is this rude, but you are paying them for a service. This is your time.

#5 Focus is on the Therapist

It is not a good sign if your counselor monopolizes your therapy hour by talking about him or herself. A certain amount of self-disclosure is probably therapeutic, but the therapist should not do the overwhelming majority of the talking. If you cannot seem to get a word in during your session, you need a new therapist.

#6 Never Neutral

Your therapist clearly always aligns with you or with your spouse on every issue. Yes, there are times when a therapist might agree with one person on a concern, but this should not be a constant taking of sides. It makes me think that the therapist has a personal issue that is appearing in the therapy office.

#7 Feeling Shamed and Judged

Feeling guilt because you are doing something or have done something that conflicts with your belief system might be a very appropriate response to a situation. A therapist can explore this without shaming a client and making him or her feel bad about who they are. If you feel constantly judged by your therapist, you need a new one.

#8 Violating Your Belief System

Every therapist has his or her own set of personal values. We cannot “not” have them. As counselors, we are not allowed to push our beliefs on others. This does not mean we cannot explore issues like spirituality, but simply that we cannot force our own values on you.

#9 Not Qualified or a Specialist

Some therapists claim to be able to treat a wide variety of issues. Many therapists truly are generalists, but I recommend that you seek a therapist that specializes in your presenting issue. They may have specialty certifications or degrees in that area. I have heard horrible stories about a therapist blaming a spouse for a client’s sexual addiction, and the therapist was simply not trained properly in addiction. This can be very damaging.

#10 Cancelling or Showing Up Late

This happens to all of us from time to time. If they are consistently late or cancelling often, it shows that they are not respectful of you or your time. Your counselor expects you to show up for appointments and they owe you the same courtesy.

In the end, you need to trust your gut. If you have a bad feeling about a therapist, I would find a new one. If you have a bad feeling about ten therapists, then something might be off with your gut feeling. Do you agree with these red flags? Please share below.

References

1. Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of consulting and clinical psychology, 68(3), 438.

Holiday Survival Guide

Holiday Survival Guide

As children, we often look to the holidays with anticipation and wonder. Like you, I have fond memories of twinkling Christmas lights, crackling fires, Thanksgiving feasts, and waking up to gifts under the tree. As adults, the holidays stir up more than pleasant sentiments. During the holiday season, we are reminded of hurt and loss. The void left by lost friends and family members during holiday celebrations is agonizingly felt. Preparing for family visits, coordinating meals, sleeping arrangements, and transportation can really leave one’s head spinning. The stress of cramming several people into one house, and the ensuing drama can be emotionally draining. On the other hand, the lack of companionship during the holidays can be excruciatingly painful. Add the constant bombardment of ads for toys, appliances and electronic gadgets and gizmos, and you have a recipe for a monster 30-day headache. Here are five tips that I share with my clients on how to weather the holiday season:

This too shall pass.

Acknowledging your stress or pain during the holidays is your first step. Do not try to minimize or shove away what you’re feeling. Painful memories hurt and it’s okay to hurt. There’s nothing wrong with you when feeling grief or stress during the holidays. Listen to your body. You’re hurting for a reason, so honor and acknowledge it, then practice self care. Also, know that these feelings will pass.

Take time for yourself.

It’s very easy to get caught up in hustle and bustle of the holidays. Simply by the shear nature of running around to stores, planning, cooking, managing kids off from school, you will experience physical and emotional fatigue. Make sure that you plan time for yourself. This may look like going for a walk, sneaking away to watch a show, or reading a book. If you can, find time to exercise. Getting your heart rate up will help you feel better, and you will have some time to decompress.

Set clear boundaries.

It’s okay to say, "No." When family visits, we can get caught up in taking care of others or in family drama. If you feel overwhelmed, or you are placed in an uncomfortable situation, say, "No." People will respect you more when you hold firm to your boundaries. In any case, it’s important that you communicate your feelings with your loved ones. Let them know when you are tired and need a breather. If you have children, I would encourage you to work with your spouse to keep on the same page when parenting. Children can also feel the stressful energy, and they may test your boundaries in response. With children, be clear and consistent with consequences for inappropriate behaviors.

Participate in service.

Consider planning a service project for your family. There’s nothing like getting in the holiday spirit like thinking of others above yourself. This can also be a great teachable moment for your children about humility and sacrifice. In addition, if you are spending the holidays alone, service can help you stay active and keep your mind occupied in healthy ways. Who knows who you’ll meet?

Set a budget.

It’s very easy to blow your budget. Develop a plan and stick to it. Our culture is built on instant gratification and making emotional decisions, and the holidays are filled with emotion. Do not fall into the trap of emotional spending or using purchases to self sooth. This will never end well, and you will more than likely experience a large helping of buyer’s remorse.

5 Myths About Marriage & Family Therapists

5 Myths About Marriage & Family Therapists

I have noticed over the years that there are many common misconceptions people have about marriage and family therapists.   I am a Licensed Marriage and Family Therapist in Illinois, so some of what I am saying may be influenced by my specific experiences and location.  Here are a few of the things I wish people would understand.  Can any of you think of ones I have missed?

#1 We Only Work With Marriages and Families

This is not true. Marriage and family therapists have unique training and conceptualize problems in a relational context or, in other words, they consider your significant relationships. Marriage and family therapists are qualified to treat individuals, couples, families, children, groups, etc. We just treat them from a family systems perspective.

#2 MFTs Only Work in Private Practices

False! Marriage and family therapists work in many different settings including:

1. Business consulting

2. Churches

3. Community mental health centers

4. Courts

5. Employee assistance programs

6. Hospitals

7. Inpatient facilities

8. Prisons

9. Private practice

10. Research centers

11. Schools

12. Social service agencies

13. Universities

I am sure there are even more out there. Marriage and family therapists practice in a wide range of environments.

#3 Marriage and Family Therapy is Just a Specialization

This one is not true either. According to the American Association of Marriage and Family Therapists, the US Federal government considers marriage and family therapy to be one of the five core mental health professions. The others are psychiatry, psychology, social work, and psychiatric nursing. Each is considered to be a separate field with a unique treatment approach.

#4 Anyone Who Works with Couples or Families is a MFT

Wrong again. There are many different approaches to working with families and other mental health professions treat families, too. A social worker may do a wonderful job with a family in counseling, but this does not make them a marriage and family therapist.

#5 MFTs Cannot Treat Mental Illness

Not even close. Research suggests that marriage and family therapists are effective in treating a full range of mental and emotional disorders and health problems (Sprenkle, 2003). Addiction, drug abuse, anxiety, depression, alcoholism, eating disorders, and marital problems are only a few examples of problems treated by marriage and family therapists.

I am not offended when people have these misconceptions about marriage and family therapy.  However, I do feel that it is a significant part of my professional identity.  I am very proud of the life changing training that I have received and I want it to be acknowledged correctly as a part of who I am.

To my fellow MFTs, have you ever had a client or family member have one of these misconceptions? Did I miss any? I hope this helps and feel free to share!

References

Sprenkle, D. H. (2003), effectiveness research in marriage and family therapy: introduction. Journal of Marital and Family Therapy, 29, 85–96.