Pennsylvania's Premier Center for Catholic Counseling and Spiritual Direction

Category: Prayer

Which Do I Choose: Priest, Counselor, Therapist or Spiritual Director?

By Teri Love, MS — Friends and family members, even the ones who seem to “get” what a therapist does, often ask for clarification.

Can you prescribe medication? (No.) Can you work with all ages? (Yes.) Do you work with anxiety? (Yes.) Depression? (Yes.) Can you work with someone struggling with their faith or their sexuality or their grief? (Yes. Yes. Yes.)  Okay, well . . . can I just talk to my priest? Or, what if I need spiritual direction?

These are good and valid questions, and it might be helpful for you or someone you know to learn the similarities and differences between pastoral counseling, therapy,and spiritual direction.

Pastoral Counseling
What it is: Guidance or help from a parish priest, deacon or other trusted professional within the Church. Pastoral counseling should be solution-oriented and limited in number (depending on the schedule of the priest). Perhaps ideally, pastoral counseling may be a bridge to more in-depth therapy or spiritual direction with a different type of professional.

My parish priest told me that parishioners sometimes seek help after things come up in Confession: anger, resentment, an inability to forgive someone, or addiction issues. He said when he detects an issue, he asks if the parishioner wants to deal with it. He may offer to sit down and talk but said, “I try not to do ongoing counseling because it doesn’t work out. The difference between a priest and a clinician is that pastoral counseling is free and I can’t do this five or six weeks in a row. I don’t have the liberty of time.”

The level of expertise a priest offers for spiritual direction or related goals depends on their experience, training and circumstances. Priests may obtain Masters’ level training or higher in therapy, or intentionally attend conferences on mental health to keep informed about parishioner concerns.

If you are unsure whether your priest is open to and available for pastoral counseling, call your parish office and ask!

Therapy
What it is: Therapy or professional counseling typically refers to treatment by a trained and licensed clinician. The clinician is qualified to help address concerns including trauma, grief, anxiety, adjustment, depression, relationship conflicts and addiction.

Often there is a cost — time and money — for this type of treatment. There is evidence from research that healing can happen in therapy.

Many therapists specialize and have additional expertise in treating certain mental health concerns. Be sure to ask about this when you look for a therapist. Also, the top indicator for positive outcome in therapy is your rapport with the therapist. It is important that your therapist has professional training — and it is important that you can develop trust and get along!

Know your goal for therapy. It can be as simple as “Decrease anxiety” or as complicated as “Work to forgive my parents.” When you are ready to call a therapist, ask any questions you have about qualifications, specializations, and cost.

Spiritual Direction
What it is: My priest defined spiritual direction as “help with your relationship with God.” Spiritual direction may share elements of both pastoral counseling and therapy but emphasis is on discerning God’s will and/or improving your prayer life.

For example, a person might see a spiritual director to learn daily prayer disciplines, virtue or more deeply grasp God’s role in their life.

Some priests offer formal and informal spiritual direction. There are also trained spiritual directors who schedule sessions and charge a fee. As with therapy, there is usually a clear goal and process for the sessions.

If you are unsure what type of help you are looking for, talk to your parish priest or call Integrity Counseling Services. Our qualified staff offers therapy services and spiritual direction from a faithful Catholic perspective.

Pastoral counselors, therapists and spiritual directors are all trained to help, and all three offer hope.

Finding Freedom in Suffering

“Now the Lord is the Spirit, and where the Spirit of the Lord is, there is freedom.” (2 Cor 3:17)

By Jennifer Lindner, MA, Certified Spiritual Director — Suffering is inevitable, but sometimes it can be made worse by another pervasive feeling: stuckness. The source of our suffering can cause us to feel heavy or worried or scared. But feeling stuck can lead us to feel even more anxiety or sadness. We might even feel emotionally or spiritually paralyzed. Suffering, it seems, steals our freedom; we cannot extricate ourselves from our circumstances, nor do we feel like we can choose how to think or move forward. What if, however, we could look at our suffering in a different way? What if we could encounter God in the stuckness? We know that wherever God is, so also is there freedom, and He wants us to find it.

What does it feel like when we’re stuck in our suffering? Maybe we ask, “How can this be happening?” Or we demand, “Why, Lord?” The Psalms reflect the hopelessness we feel. “I am utterly spent and crushed; I groan because of the tumult of my heart” (Ps 38:8). Fatigue and grief rob us of our ability to think and move freely. “My heart throbs, my strength fails me; and the light of my eyes — it also has gone from me” (Ps 38:10).

Turning to the Lord, though, even just enough to obtain a little space from our pain, we remember He is with us. “When the cares of my heart are many, your consolations cheer my soul” (Ps 94:19). In crying out to God, we trust He will help us. Like the Canaanite woman, we cry, “Lord, help me” (Matt 15:25), and we wait in hope for His answer, “[G]reat is your faith! Let it be done for you as you desire” (15:28).

God’s closeness strengthens us, and our trust in Him loosens our spiritual paralysis. We might not feel entirely free, but we no longer feel alone. The Lord unlocks the doors to our hearts. “I sought the LORD, and he answered me, and delivered me from all my fears” (Ps 34:4). He descends into our spiritual prisons and liberates us. “The angel of the LORD encamps around those who fear him, and delivers them” (Ps 34:7).

Ultimately, God seeks to encounter us in the midst of our suffering so He can set us free. Sometimes we cry out to Jesus like the blind men: “Have mercy on us, Son of David” (Matt 9:27). Other times, Jesus finds us, as when he confronts the long-suffering man at the Sheep Gate: “Do you want to be healed?” (Jn 5:6). God repeatedly invites us to understand how we are most free not apart from suffering, but rather when we discover He is our refuge in the storm of our pain. It is there, during our times of need, that God calls us closest to Himself. As Paul tells us, “For the sake of Christ, then, I am content with weaknesses, insults, hardships, persecutions, and calamities; for when I am weak, then I am strong” (2 Cor 12:10). “Where the spirit of the Lord is, there is freedom,” because God is Truth, and wherever there is Truth, there too will we find freedom.

Where might you be feeling stuck or paralyzed today? What is pressing on your heart right now? Where, with God’s help, could you notice the freedom He is inviting you to experience? Where is He asking you to look for it? Prayer? Quiet? Beauty? Laughter? Rest? Follow Him. He will meet you there.

If The Empty Nest Makes You Depressed

By Teri Love, M.S. — When my son was one-year old, he loved to stand by the open dishwasher and “help” unload the clean dishes. One day, he dropped a glass, and it shattered at his bare feet. I was right beside him and swooped him up before he got cut. Later that day, I told my friend about the incident, and she said, “Our kids don’t realize how many times a day we save their lives.” I laughed because it was a little dramatic but also a little true.

Fast forward 17 years, and my husband and I dropped off that same son for his freshman year of college. How quickly the child we raised and protected since birth grew up and set out to begin his next phase of life. It was beautiful and exciting but also heartbreaking.

It is late August as I write this, and I see evidence of that same heartbreak in posts all over social media. There are college goodbye photos, tear-jerker parenting poems, and terms like “momancholy” in memes about the deep sadness we feel when adult kids move out.

What do we do with that deep sadness? It can be confusing because it often sits side-by-side with joy, relief and pride. It can also be complex if our kids don’t seem to be headed in the direction we hoped and prayed for. Because I’ve reckoned with oodles of these feelings myself, waded through them with friends and family, and addressed them in the therapy office, I would like to offer encouragement along with three ways to manage emotions during this phase of life:

  1. Care for yourself. Recognize this is a colossal change, and practice self-compassion. Self-compassion might include a short break from work or other responsibilities while you grieve the empty room, empty chair at the dining table, or quieter house. It’s okay to cry and not apologize for it or criticize yourself. (“I’m being silly;” “I should be happy;” “Everyone else seems to be getting on with life.”) If there is something nice you would do for a friend going through a rough time do that nice thing for you!
  2. Talk! First, talk to God. God knows you and loves you and understands the details of your pain. Second, talk to people who’ve “launched” adult children before or are going through it along with you. This is the perfect time to invite another parent you know out to coffee or for a walk. It is surprisingly healing to be reminded you’re not in this alone. Third, if things seem too weighty to manage on your own, talk to a therapist. A good therapist can accompany, validate and help you navigate your way through this giant shift in your life and into the next phase. And speaking of the next phase . . .
  3. Assess your life and dream a little about the next phase. Some parents might start this process well ahead of their adult child’s move-out day; others need a few months or longer to observe how things go and adjust to their “new normal.” When you’re ready, be intentional. Brainstorm things you’d like to do that match your personality, budget and energy. I’ve seen everything from turning a son’s room into an elaborate walk-in closet to taking sailing lessons, selling the house, and preparing for a trip around the world. The point is, life is not over and there are endless ways to invest in yourself, others, and your newly-adult child.

Six years have passed since our oldest son’s freshman drop-off at college. It doesn’t take much effort for me to recall the exact feelings I had as we drove away from him. It was (and still can be) a hollow ache and I don’t like it at all. If you are dealing with that hollow ache, I pray you will feel the consolations of God’s goodness and His promise to bring good things out of difficulties; the awareness that you are not alone; and the strength to talk about your experience with a trusted friend or therapist.

Managing Everything But Time

By Michael Kastelnik, Psy.D. – “Time management” is a funny phrase. To see what I mean, take the concept of management as largely understood in a business context. Companies all over the world spend a lot of time and effort to make sure their laborers can get the job done. Sometimes the mere presence of managers helps to keep people honest and ensure they are actually working and not slacking off or engaging in some other activity that is bad for business. This all makes sense with managing people that you can influence, but it makes less sense with such an invaluable yet intangible resource such as time. Nevertheless, there are other aspects of our lives over which we have more obvious control, albeit some of us more than others. I’m talking about things such as energy, stress and attention.

Like with many aspects of life, managing energy levels is relevant to the conversation. As such, any advice on improving time management will include the usual components of self-care such as proper diet, exercise or comparable activity, adequate sleep, maintaining wholesome relationships and stress management. In fact, stress management is a complex skill in itself and it may be fundamental to time management inasmuch as you need to have just the right amount of arousal to complete a task, according to the Yerkes-Dodson model of productivity. Too little concern for a task will literally get you nowhere, while too much concern can lead to progressively worse outcomes. Mistakes can occur. Burnout is an outcome when people are putting in more effort with no more output in the product. And, of course, health problems occur in the short term and over time when people get too stressed. Physiology is simple enough to regulate with activities such as slow, deep breathing or jumping jacks, while mental stress relief may involve something like journaling about concerns.

Attention is another resource that may require more discipline to regulate. We all tend to focus on things we find interesting and space out on boring tasks. Becoming your own behavioral therapist and limiting the interesting things to serve as a reward for the more mundane tasks could not only help you get your work done but could also build a resistance to forming unbalanced habits with things that exploit our attention, such as electronic devices.

In addition to short-term tactics to stay on task, it is also necessary to step back and make sure we are balancing efficiency, the ability to do tasks using less time, money or energy, with effectiveness, which is a positive contribution to our goals.

For example, let’s say you have a goal to build a stone wall on the front of your property. If you know you have a lot of large stones in your backyard, you may decide to start by gathering those stones and bringing them to the other side in the most efficient way possible. You could figure out how to reduce the likelihood of injury by lifting the rocks with a certain technique. You might utilize a simple machine, such a wheelbarrow, to do it quickly with simple machines like a wheelbarrow. You may be tempted to feel so proud of your method that you move the rocks to the backyard again because you can. Maybe that last activity sounds far fetched, but the point is that if the emphasis falls too much on efficiency, you may lose sight of other important things such as implementing the rest of the steps needed to complete the wall, maintaining it, and having a rationale why you are building it that you can instill in your children, who could in turn maintain or improve the wall when their time comes. The point of this example is to show how we need the ability to pause from our work periodically or even regularly to make sure we are growing in virtue and working towards worthwhile goals and not simply keeping busy.

So, what can we do if managing our time seems like such a complex task? We can pray that the Holy Ghost enable us to use His gifts such as wisdom. We can ask for counsel from respected elders and mentors on how to grow in prudence regarding particular problems we would like to solve. We can start where we are and acknowledge what we have some control over, such as self-care and attention, as well as those that we don’t control and could therefore benefit from avoiding worrying about, such as the passage of time. This is the Serenity Prayer in action. While we may not control time, there is a lot we all can do to make the most of it.

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.

No Electronic Substitutes for Prayer

By Michael Kastelnik, Psy.D. — If you have been out in public in the last few years and patronized a business, you may have noticed some advertising that recommends you to “Download the App” that is pertinent to that business. This advertisement usually offers some reward, such as free gasoline or a free sandwich, for your downloading the free app. I’m reminded of the expression “There’s no such thing as a free lunch,” but we can discuss the true cost another time. Whether you participate in it or not, I think we can agree these companies are successful in using this technique of reinforcing our purchases, and sometimes even giving them the not-so-subtle name of a “Rewards Program.”

Given the power of incentives to shape our behavior, is it possible that the appeal of making our lives easier applies to less worldly activities than eating, such as thinking or praying? There are plenty of websites, applications and content related to intellectual endeavors and even to our faith. In fact, you are probably reading this article on a website. I personally enjoy finding the occasional video, podcast or prayer on the Internet. Some of these activities are “infotainment” that can help pass the time as well as provide me with some level of information that can inform my worldview and my faith. I can even stay connected with my brothers in Christ around the world via email or other apps.

A problem arises if we consider simply engaging with religious electronic content as fulfilling our Christian duty, or worse — vaguely being a “good person.” We can consume such content both passively and actively. The passive reception of content, such as displaying sacred art on the walls of your home or hearing an audio recording of Gregorian chant while you do chores, surely has its benefits. And, attentively reading threads in a group chat or listening to a recording of someone praying can be quite engaging and even an invitation to pray on your own. The Holy Spirit can speak to us through other people including the words of a book or the recorded voice of someone expounding on theology. Those words can even be the content of prayer, but the words themselves are not a substitute for the activity required of us to speak to Him in prayer. Hearing a recording of the rosary playing in the background is probably better than hearing a lot of what is on the radio today. But passive listening, while helpful for reinforcing learning of a foreign language, probably doesn’t count as prayer time, especially if that is the only time you are giving to God. Just as the Greek meaning of the word liturgy suggests, it is the work of the people, and work typically requires producing rather than merely consuming.

Given the challenge of incorporating technology in our lives while preserving our humanity, what can we do? Even if using this technology is more necessary to work, study, shop and communicate, there are some aspects of our lives that we can and must retain in simplicity.

For example, we can pray. We can spend time speaking to God and attempting to quiet your mind in order for your soul to hear what He has to say. Practice meditating on Truth using a good translation of the Bible and a commentary from the Church Fathers. Pencil this time in your calendar or planner, if necessary. If you don’t have a minute or two to spare for prayer, you might want to consider freeing up your schedule a bit. Also, you can make rules for limiting your electronics use to certain times and/or places. With the rest of your time, try to incorporate activities with flesh-and-blood people around you and more stable objects around you such as plants or books.

Even if our devices help us exchange information with each other and allow you to spread good ideas including the Good News, it is up to us to use our whole being, not just our digital profile or consumption habits, to follow the commandments to love God and love your neighbor as yourself. There isn’t an app for that, and that’s okay.

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