Integrity Counseling Services

Pennsylvania's Premier Center for Catholic Counseling and Spiritual Direction

Category: Anxiety

Hope for Teens with Specific Strategies

By Gian Milles, M.S., L.P.C.  — We hear a lot today about the mental health crisis in teenagers. While it is true that teen mental health in America has been declining since the early 2010s, there is also reason for hope. According to research from the CDC, about 3 in 5 children ages 6 to 17 exhibit indicators of flourishing, including showing interest in learning new things, staying calm and in control when faced with a challenge, and working to finish tasks they start. Sometimes, with sensationalistic news and no shortage of geopolitical instability, we can be tempted to focus only on the negative. Depending on whether you are an optimist or a pessimist, you may see the 3/5 figure as comforting (over half of our children are healthy!) or worrisome (nearly half of our children are unhealthy!). Either way, I want to share some good news with you.

If you are one of those people who are happy to hear that 3/5 of children are healthy, I rejoice with you. This is certainly a wonderful thing that so many children are doing so well despite the adversity they are facing in our tumultuous times. On the other hand, if you are concerned about those that are not or if you know a young person who is struggling, there is reason for hope.

Psychologists have defined hope as willpower + waypower. What does this mean? It means that having hope consists of having the mental energy or motivation to achieve clear goals and specific pathways, or mental plans, for being able to make these goals happen. With proper coaching, the 40% of children and teens who are experiencing significant anxiety and/or depression can grow in the virtue of hope, and hopeful people are protected against strong, persistent emotions such as anxiety and depression. Helping teens to stay motivated by offering them incentives (e.g. taking them to a sporting event or a trip to Rita’s Water Ice) can be helpful. If it appears that they are motivated, but are having trouble with follow-through, It can also be helpful to help them problem-solve with specific ways they can achieve their goals. This may involve guiding them through building more effective study habits, improving their diet, or helping them to join a sports team or get a gym membership.

In the context of these strategies, the most powerful force for good in a child’s life is unconditional love. Kobe Bryant advocated for this in one of Bryant’s  last interviews. When you tell a child that you love them no matter how they behave, and, what’s more, that God loves them no matter how they behave, this gives teens the freedom to take risks, knowing that failure does not threaten their inherent dignity and lovability.

This combination of unconditional love along with specific goals, motivation, and pathways to success are the resources that allow teens to effectively experience the freedom from anxiety and depression that God and we desire for them.

Hiking

Having a Healthy Mind, Body and Spirit: What Does that Really Mean?

By Cindy Dowling, M.A., L.M.F.T. — How many times have you heard the importance of having a healthy mind, body and spirit to live your life to the fullest? It is something that I share the importance of with my clients. You may be wondering what exactly that means. Read on . . .

A healthy mind is the ability to maintain emotional balance, cognitive clarity and mental resilience.  A state of mind where you have control or authority over the negative thoughts that pop into your head daily. Studies have shown we have over 6,000 thoughts a day. Those thoughts affect our actions and reactions to situations and people in our lives. When one lets their thoughts cause them to get stuck in the past (past regrets/mistakes/ losses/failures) it leads to depression. When one lets their thoughts lead to over-thinking fears of the future, a person can suffer from anxiety.  A healthy mind also includes emotional stability, the ability to process and express feelings in a healthy way, and the capacity to adapt to change or adversity. Finally, maintaining a healthy mind means taking care of your emotional needs, setting boundaries, and nurturing your sense of self-worth and purpose.

To maintain a healthy body there are many avenues to explore. Your diet should be full of nutritious, minimally processed foods including a healthy supply of fruits and vegetables. If you typically eat healthy, you will know when you eat something unhealthy because you can feel it in how your body functions. It’s like putting the wrong fuel in your car and then it just doesn’t run the way it should. You should exercise regularly. When you exercise, your body naturally produces endorphins which help regulate your body’s response to stress and anxiety, and contribute to a feeling of overall well-being.  Sleep (7-9 hours a night) and hydration are also important pieces to having a healthy body. Finally, avoiding unhealthy habits such as smoking/vaping, drinking alcohol and drug use is important.

A healthy spirit would include having a sense of inner peace and being confident in your religious values and practices. A healthy spirit is nurtured with a disciplined prayer life that encompasses gratitude, compassion and self-reflection. It would include a personal relationship with God that instills a sense of belonging to the body of Christ and a deeper meaning for life.

Working to maintain a healthy mind, body and spirit can help keep you functioning in an optimal condition and enhance your overall quality of life. If you feel you are lacking or struggling in one of these areas and may need the help of a mental health practitioner, please give our office a call to set up a consultation with one of our therapists.  God bless.

Therapist Gian Milles Featured on Relevant Radio

Gian Milles therapist

On April 17th, Integrity Counseling Services’ licensed therapist Gian Milles, MS, LPC was featured on Hour 2 of The Drew Mariani Show. Gian discussed how spiritual factors including a relationship with God and attendance at church improve one’s mental health, and how the absence of those factors can lead to depression and suicidal ideations.

Listen to Gian’s segment on the Relevant Radio podcast at The Drew Mariani Show 4-17-24.

 

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Death by Distraction

By Deborah Rojas, MA, Integrity Counseling Services — Could you handle a few technology-free days? No phone, no laptop, no music — power down the technological devices, and not because the word “vice” is in “device.” Stillness and true quiet are necessary for contemplation, the time and space for getting to know God and ourselves in relationship to Him. Contemplation is impossible when we are distracting ourselves to death.

I recently went on my first silent retreat at a convent. The hospitality of the sisters set the stage for a few days of prayer and rest, and the natural order and rhythm of the contemplative life provided a technology-free, sacred space to pray. Other than Mass and the Daily Office, I was left to myself with nothing that I had to do.

On an ordinary day, the tasks of the moment rule. It was in this space of having no tasks and freedom from technological distraction that I was able to be with God and get to know myself better. Different parts were able to emerge because I slowed down. Some of the parts that came forward are parts that I don’t like or would rather avoid but need love and the healing mercy of God.

In therapy, we often have to learn how to see ourselves before we can begin to do interior work. When parts of ourselves make us uncomfortable, the natural instinct is avoidance. This is easy with distractions like social media or video games. However, some distractions are internal: daydreaming, fantasies, worrisome obsessions, or over-spiritualization, for example, and more challenging to navigate.

When Jesus encountered suffering, he walked, not away, but towards it! He had compassion. He saw, and he had compassion. Then the healing began. I am grateful to work with the Great Physician and walk towards others who are suffering. It is much harder to embrace my own wounded parts. This might be one of the reasons why I love counseling so much!

I would rather distract, avoid and turn away from painful realities in my heart. This is not the pathway to life and love. Rather, it is death by distraction. Friends, make the meaningful effort to look up, look within and share the loving, compassionate gaze of Christ with each other. If it is too difficult to do on your own, seek the help of a qualified counselor to see you and walk with you.  May Jesus grant you healing in your relationships and a flourishing life this Easter season.

Integrity Counseling Services

Difficult Conversations

By Cynthia G. Dowling, MA, LMFT, Integrity Counseling Services — Many clients come to me experiencing anxiety after exploring relationships in their lives, whether they are personal, work or community-based. Together we often find that they are feeling stuck in certain aspects of their lives because of a fear of having difficult conversations. Very few people enjoy hurting someone they love and care about. This fear or apprehension — holding one back from having a difficult conversation — can lead to feelings of anxiety, resentment and frustration. Identifying strategies for having these important conversations can lessen anxiety and increase the likelihood of people overcoming their fear.

Here are strategies I’ve outlined below:

Be mindful of your approach. Choosing your words thoughtfully, and making sure you speak in a kind tone, can start your conversation in the right direction. If one starts a conversation in an angry, frustrated or blaming tone, the other person will immediately feel defensive.

Stay on topic. Think about what you are hoping to accomplish in your conversation. Then, decide what your talking points will be and stay focused on them. During this process keep in mind what you feel you need to say to feel heard. Make sure to only bring up one or two topics in the conversation. More than that could cause the person you are confronting to feel overwhelmed and attacked.

Refrain from insults or putting the other person down. Whatever the issue is, it is causing you to feel a certain way. Make sure to speak using “I” statements, owning your feelings. “I” statements are a helpful way to take responsibility for how you feel or what you believe, and they help the listener to not feel blamed.

Think about possible outcomes. What would be the best-case scenario for the outcome of the conversation? What could be the worst? Know that the outcome will most likely be in the middle of the two scenarios.

In person vs. a letter/email.  Sometimes people feel they can be more to the point and less emotional by writing a letter or email vs. an in-person conversation. A letter/email can also be helpful if the person you need to speak to has a history of being reactive or defensive. The downside of this option is the possibility that you won’t receive a response.

Be open to compromise and hearing the other person’s perspective. Having difficult conversations opens us up to receiving feedback that could be positive or negative. Having knowledge of this going into the conversation is important. It is important to be open to finding a compromise moving forward. Having the ability to see our own imperfections or faults is hard; however, it is part of the process of growing and healing.

Having difficult conversations can be scary. The reality is the conversation will never go exactly as planned and that is OK. If you are holding back from addressing an issue and it is resulting in anxiety or frustration, it is important to vocalize what has been bothering you. The more you have these difficult conversations, the easier they become. Speaking the truth to someone in a kind and respectful way can result in feeling as if a weight has been lifted off you. The results of speaking your truth can be life changing.

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Stress: Don’t Go It Alone

By Gian Milles, M.S., Integrity Counseling Services — “Trauma” has become a buzzword today. If you are anything like me, when you hear this word, your eyes start to roll, and you stop listening. But I work as a mental health therapist, and I have found that there is much confusion about this word among people today. Please, give me the opportunity to explain why the reality of this concept can transform your life.

Many people I talk to do not want to associate the stressful events that have happened to them with what a marine has experienced in active combat. After all, having one’s parents’ divorce, having a father who struggled with a quick temper, or a mother who was highly critical is not on par with seeing your fellow soldier terribly wounded in combat, right?

Well, interestingly the same biological mechanisms that are activated when witnessing a violent death can be activated by consistent, moderate to high levels of stress in the household or even single events that are experienced as highly stressful. And life can be stressful for all of us!

Further, the truth is that trauma has more to do with the way a person experiences an event than it does with the event itself. For example, I have seen two people experience the same exact event, such as a car accident, with one exhibiting symptoms of trauma, (i.e., high levels of anxiety, flashback memories, angry outbursts, and even autoimmune disorders or chronic fatigue), and the other walk away fine.

An important factor in the development of trauma responses, which some professionals say play a role in the cause of many mental health disorders, is whether the person has been able to share their innermost thoughts and feelings about what happened with another person. The trauma is compounded when it is experienced alone. The reverse is also true. A sense of connectedness with God and others can make people incredibly resilient against the stresses of life.

Many people feel that they need to carry their burdens by themselves or are skeptical of counseling or therapy. My message to you is one of hope. Having the courage to share your problems with someone, whether that person is a friend, a relative, or a mental health professional, can make it so much more bearable. Please, if you are struggling, do not be afraid to reach out for help. God does not want you to suffer alone, and neither do I.

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