SOUTH TAMPA THERAPY FREE RESOURCES

Cultivate A Secure Attachment Style... without Being Anxious or Avoidant

individuals with a secure attachment style report higher satisfaction levels in their relationships than people with other attachment styles. Happiness is the primary measure of satisfaction.

People with a secure attachment style are more likely than others to forgive their partner for wrongdoing. Secure people naturally dwell less on the negative and can turn off upsetting emotions without becoming defensively distant.

All relationships are unique - one explanation won't describe them all

Every human being craves a sense of belonging, either toward family, friends, or a spouse. When humans become attached to someone, the influence of one on the other regulates their natural states. It influences each other's psychological and emotional well-being.

Humans need to form close bonds with others in order to feel secure and safe in life.

Relationship problems can be excruciating; they encompass the innermost core of people's lives.

No one has a finite description that fits the bill as each case of relationship issues is unique and personal, coming from an endless number of possible root causes.

You may suffer from constant tension and emotional problems if your partner cannot meet your basic needs, which can have severe consequences on your emotional well-being, self-esteem, and even physical health. That's why it's essential to understand your attachment style and the attachment style of people close to you, especially your spouse. 

Research has shown there are three main attachment styles or manners in which people see, understand, and respond to intimacy in romantic relationships. These findings are parallel to those found in children:

  •   Secure attachment style

  •   Anxious attachment style

  •   Avoidant attachment style

If you are someone with an anxious attachment style, you'll spend a lot of time worrying and thinking about whether your partner loves or cares for you. You will also be bothered about if they're spending enough time with you and what is going on in their mind when they don't call you back within a few minutes of missing your call.

The avoidant attachment style indicates that you value your independence and time alone more than your relationship. A secure attachment style fits between both styles. It is an ideal balance between caring enough and not worrying too much.

People with each of these attachment styles show lots of differences in:

  •   The way they see intimacy and togetherness.

  •   The way they deal with conflict.

  •   Their behavior towards sex.

  •   Their ability and means to communicate their wishes and needs.

  •   Their expectations and desires from their partner and the relationship.

  • In this summary, you will learn more about how you develop attachments to other people and how to enhance your relationships and become closer. After all, isn't that what we all want?

Attachment styles are dictated by your upbringing

Your current attachment style is determined by how you were cared for as a baby. In other words, if your parents were sensitive, available, and responsive, you would have a secure attachment style. If your parents were inconsistent and inappropriately responsive, you would likely develop an anxious attachment style. If they were distant, rigid, uncaring, and unresponsive, you would probably display an avoidant attachment style.

But this doesn't mean you can't change your attachment style over time; you would need to have positive experiences with partners, friends, and family members in order to turn the tide to help rewire your brain into thinking a new way.

The way you were treated as a child affects your life in a huge way. You learn how to love, feel, and react from your parents.

However, total change isn't always necessary.

Sometimes it's better to understand your current style of attachment, work out the negative elements and twist them into something positive, and learn to get the most out of your situation.

Someone with an anxious attachment style can learn to be more at ease when away from their partner. That doesn't mean they're instantly going to be comfortable with it and have no issues from that point onwards. It simply means that they're making baby steps towards changing a harmful habit. Whether a person can ever entirely change their attachment style is very debatable. What you can do is identify your partner's attachment style and be more understanding.

Did you know? The "dependency paradox" states that the closer you are to your partner, the more independent you're able to become on your own.

It means that you know you have someone close to you if you need support or help.

When you understand attachment, you're able to connect more meaningfully with other people.

Understanding your specific attachment profile will help you know yourself more, achieve more goals, and guide you in your relations with others, bringing happiness and fulfillment to your relationships.

When people hear about relationship attachment styles, they usually have no difficulty recognizing their style. Some people declare right away, "I'm anxious," "I'm avoidant," or, "I think I'm secure," while others have a more challenging time figuring it out.

Attachment styles are stable most of the time but still subject to change.

If you find it difficult figuring out your attachment style, the following guide will help:

  •   If you feel quite relaxed around your partner and you're not constantly questioning the connection, you're secure in your union.

  •   Suppose you desire and long for intimacy and closeness, but you have many insecurities, are unsure where the relationship is going, and little things your partner does sets you off and anger you. In this case, you're probably anxious.

  • You're probably avoidant if you feel uncomfortable when things become steamy and intimate, or you value your independence and freedom more than any relationship.

Discovering other people's attachment styles is usually more stringent than identifying your own. You alone know yourself best, but knowing yourself is not just how you behave; it's also what you feel and think when in a relationship. To make this easier, most people give away all the clues about their attachment style by how they live their lives and their actions without even knowing it. The deal is to know what to look for.

Golden Rules for discovering your partner's attachment style:

  •   Find out whether they seek intimacy and closeness.

  •   Discover how preoccupied and involved they are with the relationship and how sensitive they are to rejection.

  •   Don't focus on one "symptom," look for various signs.

  • Assess their reaction to effective communication.

  •   Be alert and look for what they are not saying or doing                                                               

    Things to note before getting serious with a partner

  • When getting involved with someone, carefully tread; the stakes are high, and your happiness depends on it, especially true if you have an anxious attachment style. All happiness or unhappiness solely depends upon the quality of the object to which love attaches us.

  • People with an anxious attachment style are quick to notice changes in others' emotional expressions. They are also sensitive to other people's cues. However, they also jump to conclusions very quickly, and when they do, they tend to misinterpret people's emotional states.

  • Practicing patience is an essential lesson for someone with an anxious attachment style.

  • If you can wait a little longer before reacting and jumping to conclusions, you will be able to understand the world around you and use it to your advantage.

    If you're anxious, you may want to learn a lot about dating someone avoidant because of the following reasons:

  • You want closeness and intimacy, and they want to maintain some distance - emotionally and physically.

  • You are very sensitive to any rejection, and they send mixed signals that you often interpret as rejection.

  • You often find it challenging to read verbal and non-verbal cues during communication and they don't think it's their responsibility to do so. 

  • You need to be reassured, shown love, and feel loved, but they tend to put you down to create distance as a means to deactivate their own attachment system.                                                

  • Effective communication means that you communicate in a way that is inoffensive and does not put your partner on the spot but allows them to be open with you without feeling attacked, criticized, or blamed.

Learn what suppresses your ability to attach to others in a meaningful way

Your attachment style decides what you expect in relationships, how you interpret and see romantic situations, and how you behave with your date or partner.

Avoidant attachment types may try to keep people at a distance, even in a serious relationship.

Here are some popular strategies that suppress one's attachment system:

  •   Acting or thinking, "I'm not ready to commit"

  •   Focusing on minute imperfections in your partner

  •   Flirting with others without caring about your partner's thoughts

  •   Not saying, "I love you," often

  •   Avoiding physical closeness

If you're avoidant, you may unconsciously act out these small, everyday deactivating strategies to ensure that the person you love won't get in the way of your freedom.

Imagine if a parent couldn't read their infant's cues. The parent wouldn't tell whether their baby is hungry or tired, wanting to be held or left alone, wet or sick. How difficult life would be for the baby and the parents. The baby would have to labor hard and cry so much longer to be understood.

An avoidant attachment style can often make you feel like this. You will not be firm at translating the many verbal and nonverbal signals you receive during everyday interactions into a coherent understanding of your lover's mental state, causing a lot of problems in your relationship.

However, the good news is that there are things you can start doing today to stop pushing love away, such as:

  •   Identifying deactivating strategies.

  •   Removing emphasis on self-reliance and focusing on mutual support.

  •   Being with a very secure partner.

  •   Knowing your tendency to misinterpret behaviors.

Avoidants should embrace the idea of finding a partner who is a fit for them to help push down their avoidant behaviors and thoughts so they can focus on the positives.

Cultivate the secure attachment style to enjoy higher levels of satisfaction.

Many experts agree those with avoidant attachment styles tend to be less happy and satisfied in their relationships, because they can never totally connect with their partner. They will always have something on their minds that makes them question whether it's right, safe, and appropriate to be there.

It is believed that each attachment style evolved and improved to increase the survival chances of humans in particular environments.

Studies have demonstrated that individuals with a secure attachment style report higher satisfaction levels in their relationships than people with other attachment styles. Happiness is the primary measure of satisfaction.

People with a secure attachment style are more likely than others to forgive their partner for wrongdoing. Secure people naturally dwell less on the negative and can turn off upsetting emotions without becoming defensively distant.

People with secure attachment styles fare better in relationships and create fantastic effects, raising their insecure partner's relationship satisfaction and functioning to a greater level.

So, if you're with someone secure, they will nurture you into a more confident stance.

Some of the following characteristics influence every aspect of romantic relationships:

  •   Great conflict deflators

  •   Mentally flexible and smart

  •   Effective and great communicators (NVC)

  •   Avoids game playing

  •   Comfortable with closeness and boundaries

  •   Quick to forgive

  •   Practices and views sex and emotional intimacy as one

  •   Treats their partners like royalty, with respect

  •   Secure and confident in their power to improve the relationship

  •   Responsible for their partners' overall wellbeing

There is evidence to show that a secure attachment style doesn't originate from a single source. Many factors, aside from parenting, such as genes and romantic experiences as adults, come together to create a safe attachment pattern.

Making a secure base for your partner entails that you do the following:

Conclusion

Genes sometimes affect the way we act and the decisions we make. However, to become attracted and attached to another, we must use our willpower and focus on learning the nature of attachment to create healthy and strong connections. Connections are essential for a happy life, after all.

Always remember that your attachment needs are legitimate. Do not feel bad for depending on the person you are closest to - it is part of your genetic makeup. A relationship or attachment should make you feel more confident, happier and give you peace of mind. If it doesn't, this is a wake-up call to make things better. Above all, remain true to your authentic self; avoid playing games - it will only distance you from your ultimate goal of finding real joy and happiness, be it with your current partner or someone else.

It's easy to focus on the things you deem to be negative about yourself, but the truth is that nobody is perfect; we all have strengths and weaknesses. Concentrating on your weaknesses too much will not allow your strengths to shine, and as such, you'll beat yourself up for minor mistakes you make. Relationships are about give and take but there also about trust and weaknesses. Concentrating on your weaknesses too much will not allow your strengths to shine, and as such, you'll beat yourself up for minor mistakes you make. Relationships are about give and take, but they're also about trust and forgiveness.

It's time for a bit of soul searching. Do you avoid commitment, or do you run towards it too fast?

How do you interact with your partner? Do you truly listen to them, or do you speak over them all the time? Sometimes we make small mistakes without realizing it, purely because they're part of our genetic makeup. However, that doesn't mean you can't identify them and then work to change their adverse effects.

Try this:

• Practice using NVC Nonviolent Communication (aka Compassionate Communication).

• Learn to listen as much as you speak! Effective communication isn't just about saying words in the right way; it's also about listening to your partner and reading body language to get the whole picture.

• Identify your attachment style. Do you avoid attachment out of fear? Understanding your attachment style will allow you to make progress and overcome any blocks between you and relationship happiness   

• Have trust and patience in your partner.

• Learn about the Gottman Approach.

Sometimes it takes people a little longer to open up, and that's okay! Rushing the situation will only lead to a negative outcome. Take your time!

Book an appointment with Dr. Elizabeth Mahaney to learn more about your attachment style:

https://SouthTampaTherapyBOOKAPPT.as.me/ElizabethMahaneyLMHCMFTPhD

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Empowering Couples to Communicate Compassionately~ Using Non-Violent Communication (NVC)

There are four basic components to NVC that include observations, feelings, needs, and requests. What actions are we seeing around us that have an impact on our well-being? How do we feel based on what we've seen or heard? What need, desire, or value sparked those feelings? All negative feelings are unmet needs. Finally, how may we make positive requests of others that will improve our lives? These elements all work together to create NVC's foundation.

The process of non-violent communication (NVC) was developed by Marshall B. Rosenberg and encourages us to connect with others in a more heartfelt and empathetic manner. NVC emphasizes the significance of language in our day-to-day encounters, calling for conscious responses, instead of reactions, based on perceptions, feelings, needs, and visions for what we DO want to see happen.

The Four Components of NVC

There are four basic components to NVC that include observations, feelings, needs, and requests. What actions are we seeing around us that have an impact on our well-being? How do we feel based on what we've seen or heard? What need, desire, or value sparked those feelings? All negative feelings are unmet needs. Finally, how may we make positive requests of others that will improve our lives? These elements all work together to create NVC's foundation.

Our Language Shapes Our Thinking

Sometimes our thoughts sabotage our needs. It is helpful to gather more data and not just react from our triggers or automatic thoughts. Our thoughts produce the way we feel. Negative thoughts point to an unmet need. If I don't know what I need and react from the story that I tell myself, a lot of bad habits can form from this bad habit. Instead, I can gather more data, not just from thoughts but I want to drop down and gather more data from my feelings, where my feelings live somatically in my body, and what needs I have. When I discover my needs, I am in a powerful position to get my needs met. If I do not know what I need in real time, I may react and sabotage my needs which disconnects us from ourselves and other people in our lives.

All attacks are unskilled ways of trying to get a need met. Attacks create disconnect and defensiveness. Using NVC helps us accept influence and stay connected even through some of the most difficult conversations.

NVC not only challenges us to change the way we talk to one another, it also challenges us to change the way we think and perceive the world around us. In other words, NVC is not just a process of communication where words are simply exchanged. We must reframe our thinking so that we are able to genuinely express ourselves and be empathetic to what others are observing, feeling, needing, and requesting. NVC is truly an amazing process that empowers us to connect with one another in a compassionate way.

How to Calm The Jackal and Put on Your Giraffe Ears

Marshall Rosenberg conceptualized our tendency toward aggression and dominance as a jackal, while our more compassionate side he imagined as a giraffe (since giraffes have the largest hearts of all land mammals). When we listen with Jackal ears, we hear complaints as criticisms and requests as demands. When faced with a demand, collaboration isn’t possible. You either submit or you rebel which disconnects us and neither feels good, nor works well in a long-term relationship.

Conversely, when we put on our Giraffe ears, we listen with more empathy and compassion. We are more likely to hear the feelings and the needs behind what someone is saying. We’re more likely to see those needs as being understandable and reasonable, and not in competition with our own needs. When we understand and empathize, compromise and collaboration become feasible.

Nonviolent Communication in Couples Therapy

With couples, NVC bridges the gap in understanding between each partner and helps counter the judgmental negative stories that may build up about the other person:

“They’re lazy.”

“They’re not putting in as much work as I am.”

“They don’t love and care about my feelings.”

These interpretations or evaluations discourage us from being vulnerable and trusting the other person, and they prevent us from making needed changes. When we choose to replace those judgmental stories with greater understanding, more connection is possible.

NVC may challenge our preconceived notions about others and the world, which can help us to appreciate one another and live more freely. When the guy who is cutting me off in traffic stops being a jerk and becomes a person going through something terrible in their own life, I am able to let go of my anger. When I recognize that my difficulties in keeping my home clean aren't "laziness" but rather a battle for motivation or a desire for "rest and recuperation," the self-compassion I gain not only lessens my suffering, but it also increases the likelihood that I will be able to satisfy that need AND keep my house clean.

Whether you’re looking for Couples Therapy or Individual Counseling, Nonviolent Communication (NVC) can help you create the life you want to live together as a team.

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Why I Only Accept 50% of Insurance Clientele & 50% Self-Pay In My Private Practice (50/50/❤️ MODEL)

WHY I ONLY ACCEPT A FEW NEW INITIAL INSURANCE APPOINTMENTS

USING MY MORAL COMPASS AND COMPASSION FOR HUMANITY, I’M CHOOSING TO CREATE A 50/50/❤️ MODEL:

50/50/ ❤️= 50% SELF PAY 50% INSURANCE ❤️SLIDING SCALE FEE

Sliding Scale Fees to advocate for affordable mental health and to supervise my NEW FELLOWS and trusted INTERNS. I interview interns extensively, decide selectively, and supervise very closely and yet very trustingly.

I initially started accepting insurance years ago when I felt a strong need to support my community, who needed financial support, to get consistent help. Despite hearing horror stories from colleagues about insurance paperwork and clawbacks, I joined a few insurance panels. I loved every minute of being a therapist! I hated everything about the administrative process when it came to dealing with insurance companies. Don’t get me wrong, I love my insurance peeps! We have connected over the years and I will continue to support my clients who choose to use insurance as they should!

I too, have health insurance. I get it, we have health insurance for a reason, pay high monthly premiums, and should be able to use insurance when we need it!

Regardless, I will show-up powerfully for ALL of my clients.

I feel good about my choice to create a 50/50/ ❤️BALANCE in my Private Practice!

WHY I ONLY ACCEPT A FEW NEW INITIAL INTAKE INSURANCE APPOINTMENTS

USING MY MORAL COMPASS AND COMPASSION FOR HUMANITY, I’M CHOOSING TO CREATE A 50/50/❤️ MODEL:

50/50/ ❤️= 50% SELF PAY 50% INSURANCE ❤️SLIDING SCALE FEE

Sliding Scale Fees help advocate for affordable mental health care and create an opportunity for highly qualified INTERNS to counsel clients in need. I interview interns extensively, decide selectively, and supervise very closely and yet very trustingly. I will be an active participant in each session.

I initially started accepting insurance 15 years ago when I felt a strong need to support my community, who needed financial support, to get consistent help. Despite hearing horror stories from colleagues about insurance paperwork and clawbacks, I joined a few insurance panels. I loved every minute of being a therapist! I hated everything about the administrative process when it came to dealing with insurance companies. Don’t get me wrong, I love my insurance peeps! We have connected over the years and I will continue to support my clients who choose to use insurance as they should!

I too, have health insurance. I get it, we have health insurance for a reason, pay high monthly premiums, and should be able to use insurance when we need it!

Regardless, I will show-up powerfully for ALL of my clients.

I feel good about my choice to create a 50/50/ ❤️BALANCE in my Private Practice!

As a healthcare member and a private practice provider, I’ve had the unique experience of seeing both perspectives of the healthcare system in the US.

As my specialty has continuously evolved, I have realized that mainly accepting insurance no longer make sense for the advanced work that I do. Ultimately, my decision came down to acting with integrity and practicing what I preach to my clients.

Here are some key points to help you understand my decision to create this model for my Practice:

LACK OF PRIVACY & CONFIDENTIALITY

When insurance companies pay for your treatment, it also means that their employees (clinicians or not) will audit my treatment plans and read what we talked about in my session notes. These employees are paid to save the insurance company money by searching for fraud and determining whether you're overusing your insurance coverage. In turn, the insurance company may decline authorization of additional sessions because you're not progressing fast enough; our work in psychotherapy does not qualify as "a medical necessity": or because my treatment approach isn't recognized by the insurance company as an "evidence-based treatment" (that's code for short-term, as in 6-8 sessions).

Hell, some insurance providers don't reimburse for 60-minute sessions anymore!

This doesn’t seem right.

I recently got audited by an insurance company. This audit took me countless hours, staying up late at night, time away from my family, unnecessary stress and scrutiny to provide tedious paperwork and specific details to prove that my clients needed the services provided. This is just not okay in my book. I totally understand documentation for integrity but demanding extra proof during a pandemic when I am already submitting the necessary information and feel overwhelmed and overworked helped me create the awareness and opportunity for me to reflect on MY CHOICE to accept insurance.

At first, I reactively felt angry resulting in thoughts and hopes that the insurance company would fire me! However, when I pause and feel to respond intentionally, I honestly and truly feel honored to hold space and care for ALL of my clients and I would feel disappointed if I were unable to offer insurance as an option.

In conclusion, I believe that everyone has a right to confidentiality of your medical records. You also have the liberty to progress through treatment at a pace that's best for YOU - one that allows you sufficient time to process everything that you're experiencing. Things unfold differently for each person, especially when our world seems chaotic (Global Pandemic)! If the insurance company fires me, they rip the therapeutic relationship apart that my clients and I have securely built over the years. Emotional injuries and attachment issues can be easily re-traumatized within seconds.

DIAGNOSIS OF ILLNESS

Insurance companies operate on a medical model, which means they require a diagnosis to establish that you have "a medical necessity" to seek services in order to pay providers. To justify that you have a "medical necessity" I have to assign you a diagnosis to be reimbursed for our work together when there may not be one that really fits what you're going through. The vast majority of insurance companies don't consider relationship issues like couples or family therapy, developmental/attachment trauma, existential issues, life-transitions, personal development, or self-improvement as "medical necessities" because there are no diagnoses for these in the DSM-V.

And even if there are appropriate diagnoses, there are some diagnoses that insurance companies don't consider debilitating enough to pay for. So, if I know what diagnoses are and are not paid for, l'd have to label you with a more severe diagnosis they will pay for, but one that may not really reflect your situation. I am not ok with this either!

You're probably wondering, "What's the harm in that? A little truth-bending never hurt anyone." Well, that's just it - it can. It can come back to bite my clients in the ass... your medical record. While that might not be such a big deal right now, it may become one later on if you want to: get life insurance, work in the financial sector managing other's assets, regularly handle firearms, or seek employment in any sector in which your decision-making might be called into question due to your emotional state. Call me crazy, but I feel that people should get the help they need without fear, stigma, or reprisal for making their mental health and personal growth a priority.

FRAUD

If I engaged in the aforementioned truth- bending, I'd essentially be committing insurance fraud. There are providers out there that are willing to walk this fine line and take this risk. In my opinion, the penalties and professional consequences of insurance fraud are huge, and frankly, not worth it. I have a strong need for peace of mind that comes with integrity.

LOW RATES

In order to be "in- network" with an insurance company, I have to agree to accept a lower fee in exchange for the insurance company listing my practice in their directory of providers and sending me referrals. In the spirit of transparency, most of my clients find me through friends, family and through searching online. And each year, insurance companies continue to cut the rates they pay therapists for their work.

Here's an example with real numbers and real circumstances of how this happens: My fee is $170 per session. But I joined XYZ Insurance Co.'s network because I had a client in need of services. I chose to help and chose to agree to the insurance reimbursement rate of $60 per session. My client would also be responsible for a co-pay of $0-$40 per session depending on his plan, bringing the total to $60-$100 per session. That means I'm waiving at LEAST $70-$110 for each session. As a healthcare professional, I want to help! I have made these types of choices for the 20 years that I have been in private practice. I will keep choosing to advocate for my clients who have insurance because I also have insurance for myself and my family.

Would you be willing to forgo ~65% of your salary?:-/

I will also continue to set boundaries with ALL of my clients and companies that I choose to work with. If you no-show as a self pay or insurance client, I will treat you the same and ban you from being able to book an appointment until we have a meeting. I get it. I want to understand one another and use empathy. Life happens. I want to turn toward these curveballs

Additionally, insurance companies have been increasing their members' premiums, deductibles, and co-pays in the last few years claiming rising costs of care. You'd think that that would translate to higher reimbursement rates to care providers, but it doesn't...at least not in the mental health fields. In fact, insurance reimbursement rates have actually decreased over the same period of time. You're probably wondering, "How do the therapists and psychologists that take insurance afford to?

For such insurance-based practices, taking on more clients than is clinically prudent is the only way to make up the difference and keep their doors open. This then leads to another problem...

BURNOUT & EXHAUSTION

Here's the reality, many providers that accept insurance overbook their schedules in order to turn a modest profit after rent, utilities, malpractice, and other expenses.

Additionally, these providers often only offer a 30-50-minute session to maximize the number of clients in a day (10 vs 8) and the chances of insurance reimbursement (remember, most insurance companies don't pay for 60-minute sessions anymore). Also, if you use the 60 min codes, you are flagged for audits which take hours and hours to complete.

DELAYED (OR NON) PAYMENTS

Despite the insurance companies agreeing to a set reimbursement rate, these companies require therapists to jump through a bunch of hoops to get paid. It is common practice for most insurance companies to reject submitted paperwork to delay payments. When they're not seeing clients, these therapists are drowning in insurance paperwork and resubmitting billing claims in order to get paid, or spending hours on the phone contesting unpaid claims.

On average, it takes an additional 1.5 hours of UNPAID work outside of the session to get paid for sessions. And remember, the therapist is already making less by agreeing to take insurance. (In my previous example, it would cost $255 of my time ($170x1.5) to get paid my $60 reimbursement rate from XYZ Insurance Co.)

The alternative is to pay a medical billing company 8-10% of the claims' costs to do the aforementioned, but that increases expenses and cuts into that modest profit I mentioned before. But let's say that I or my medical billing admin ARE able to see the claim through the labyrinthine insurance payment process, the payment will finally arrive in my bank account anywhere between 3-6 months after the session took place IF everything goes smoothly.

RETROACTIVE CLAIM DENIALS (AKA CLAW BACKS)

Now imagine that, after all that trouble, that insurance company asked you to give the money back, even years later. Yep, this really happens and, unfortunately, it's a common practice among insurance companies. They'll audit your claims and paperwork for several years back. If they find any mistakes or inconsistencies in the therapist's paperwork they missed when they originally approved the therapist's claim, the insurance company will request that the therapist return the fees she was paid.

Pretend that your employer sent you a bill requesting that you repay the income you'd earned 3 years ago. Would that seem fair to you? I didn't think so. Claw backs can amount to thousands of dollars that can bankrupt a small business like a private practice. Many insurance- based clinicians live in fear of such retroactive audits.

Before reflecting and reassessing the insurance-based private practice I founded, I recently heard from a friend and colleague that a major insurance company requested thousands of dollars be returned by the end of the month. Talk about stressful!

All together that's a recipe for a tired, overworked, and stressed out therapist.

This may have been the problem if you've ever been to therapy that you felt didn't "work" with a provider from your insurance company. I should know. I started to experience the symptoms of burnout after two years of insurance-based practice. And that's when I realized, "Crap! I'm doing the things I tell my clients not to do!" Talk about incongruence!

So I changed my business model for the sake of the well-being of myself and my team to preserve the quality of care we want to provide every client. It breaks my heart to REDUCE ACCESS to care for people in need, but I realized early on that we can't help anyone if we're stressed/burned out or have to close our doors. I am choosing the 50/50/❤️ MODEL to advocate for mental health and well-being for all!

This makes sense to me!

WHAT ARE THE BENEFITS OF PRIVATE SELF-PAY AND/OR A 50/50/❤️MODEL FOR MENTAL HEALTH CARE?

No Labeling - You don't have to carry an unnecessary diagnosis on your medical record. Although, if you’d like to create awareness and assess for diagnostic criteria, I would invite this curiosity and self exploration.

Confidentiality & Privacy - You and your psychotherapist are the only people that will know you're in therapy. You get to choose who you disclose this information to. Session notes are private records so there won't be intimate details to “prove medical necessity/ diagnosis info”.

I am highly confidential and keep minimal notes. I naturally remember our sessions together because I truly care and our therapeutic relationship is genuinely important to me.

Self-Determination - You get to work with a psychotherapist that is free to use the best therapeutic approach to help YOU meet YOUR goals. You and your psychotherapist are the only people involved in the decision about the length of your care. You won't have to seek additional authorization to continue your work or return to psychotherapy, if you have new goals you'd like to explore.

Quality Care & Attention - You'll get a psychotherapist that's alert and engaged during your session, remembering the details of previous conversations. You'll have the help of a professional that's invested in your process of growth because they've taken the time to do the same for themselves. She will be able to use the healing methods that are most appropriate for you.

You might be thinking that this is just one therapist's rant against insurance companies. Don't take my word for it. Feel free to do your own research!

If you tried psychotherapy and were disappointed with the results or the treatment didn't seem to "fit" after working with a provider from your insurance company, I hope you have a better understanding of what might have been happening behind the scenes. We urge you to reconsider getting some support now that you do. There are great providers in the healing professions on both sides of the insurance divide that can help you.

I HOPE YOU HAVE A BETTER UNDERSTANDING ABOUT WHY I HAVE DECIDED TO CHOOSE THE 50/50/❤️ MODEL!

50/50/ ❤️= 50% SELF PAY 50% INSURANCE ❤️SLIDING SCALE FEE

Call or TEXT with any questions:

📱#813-240-3237 or ***Book Now: —> ❤️

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Nonviolent Communication Skills in Intimate Relationships

“NVC requires us to be continually conscious of the beauty within ourselves and other people. ”

– Marshall B. Rosenberg, PhD.

The connection between Nonviolent Communication and Intimate Relationships is strong and vital — and perhaps not obvious to those unfamiliar with NVC.

For those of us with NVC skills who are also in intimate relationships, we can’t imagine being in a relationship without NVC!

Intimate relationships are some of the most meaningful connections with the people who are most important to us.

This is why when disconnection happens it can be more painful than in other types of relationships.

In intimate relationships the stakes are higher, in part because our emotional investment is greater.

For all these reasons and more, learning NVC skills to prevent and resolve misunderstandings and conflicts in intimate relationships can help us deepen and enjoy those relationships more fully!

The Importance of Communication in Intimate Relationships

An intimate relationship without communication is like a bird without wings, or a tree without leaves. Communication is one of the primary mediums for connection, and without connection how intimate can a relationship be?

The importance of communication in intimate relationships — now, today —can be summed up by the proverb: “dig your well before you’re thirsty.”

What does this mean?

In this metaphor, thirst is the need for connection, for mutual understanding, for the trust and good will that take us to mutually satisfying ways of living. The well would be access to NVC tools and the practice to become skillful with them.

Your NVC skills can take you to mutual understanding and deeper connection — consistently!

However — there is a big difference between having a tool and being skillful with it.

Can you understand why it might serve NOT to wait until you’re in a full-blown conflict to decide that you want to develop your communication skills?

Communication helps us each know where we’re at, what we’re each feeling, what’s important to us, and what we would like.

There’s another apt proverb here: “An ounce of prevention equals a pound of cure.”

The importance of communication in intimate relationships goes way beyond resolving conflicts.

As you develop your skills you begin to prevent misunderstandings and conflicts. And this allows you to conserve mental and emotional energy, and prevent angst and suffering.

Beyond misunderstandings and conflicts, the importance of communication in intimate relationship is that it contributes to an ongoing deepening of your most important connections.

Common Communication Problems in Relationships

There are many common communication problems in relationships.

Fortunately, NVC has principles, insights, and tools that address every one of them!

One of the most common communication problems in relationships is when we listen to respond rather than to understand.

When you are present, and listening to understand, you will still have a chance to respond later! But first, help the other person experience being understood. This is not the same as agreement; simply understanding.

When the other person feels understood they are much more open to hearing you out! And the dynamic of hearing each other deeply as each person reveals vulnerably, allows the conversation to deepen to a place of authentic connection in which conflicts often resolve themselves.

Sometimes you might be in a conversation that is going just fine, and a little while into it you and the other person find yourselves in a very uncomfortable place — a disagreement, a disconnection, or even a full-blown conflict — and you’re wondering, how did we get here?

This is actually quite a common experience, and is related to the previous communication problem. Sometimes there is even a slight miscommunication — for example one person says red and the other hears blue — and nobody notices.

These situations easily lead to misunderstandings which can lead to conflicts.

A true-life example: a woman said to her male partner, “I don’t want to be so wifey.”

What she meant: “I don’t want to be the only one doing the housework.”

What he heard: “I don’t want to be married to you anymore.”

This couple ended up divorcing — true story — and is an example of a small miscommunication that can spiral out of control quickly if we don’t catch it. So slowing down, listening to understand, and asking clarifying questions can save us all a lot of heartbreak! (In the example of the couple above, their large group of friends also went through a form of heartbreak.)

Another common communication problem in relationships is rushing to a solution in a way that skips the connection. Often the person who does this has positive intentions of wanting to resolve an issue or fix a problem.

However, when we skip the connection the other person rarely feels included in the solution. Furthermore, we have little guarantee that the solution will meet their needs because we haven’t taken the time to find out what they are! NVC encourages us to connect first — get clear on each person’s observations, feelings, needs, and requests — and then, once the needs are clear and there is mutual understanding, together arrive at a strategy that meets all or most of the needs.

Connection before solution!

Nonviolent Communication is also known as life-connected, life-serving communication. As such, it has its opposite: life-disconnected, life-alienating communication, which is defined as the type of thinking and language which takes us away from the quality of connection for which we are seeking.

Most of the common communication problems in relationships can be identified in this life-disconnected thinking and language. These include:

Diagnosing others: This includes judgments, name-calling, and criticism. Diagnoses also include assuming we know what another person is thinking, feeling, or needing. (“You’re obviously very angry about that!”) And they include any static language that would explain why someone is acting the way they are (the problem with you is you are [an egomaniac; an Aries; a troubled soul; a rebel, etc.]).

Denying responsibility: This includes any language that implies that we lack choice. I had to. I had no choice. You made me. I can’t. This does not mean that we always like the options of which we’re aware. Sometimes we dislike every option, and yet, within that we still have choice. And sometimes we’re not aware of other possibilities because we are in a “crisis of imagination.” Rather than owning our choices we act as if we are powerless. I have no choice, it’s (the law, company policy, superiors’ orders). Accusatory blame would fit in this category.

Placing demands on others: In NVC we take responsibility for what we are wanting by expressing clear requests. In a request, the other person’s needs matter too, and so no is an option. In a demand, ‘no’ is not an option. In a demand, by definition, the other person’s needs do not matter equally to the person issuing the demand. The reason this hurts relationships is that, if I am on the receiving end of demands it communicates that my needs don’t matter. This, in turn, leads to resentment and disconnection. Over time, it is quite likely that the needs of the person placing the demands cease to matter to the person on the receiving end.

Life-alienated motivations: The key insight here can be summarized by a phrase often emphasized by Dr. Marshall Rosenberg, creator of NVC: The energy with which we do anything for each other is just as important as the action itself. Life-alienated motivations include fear, guilt, shame, duty/obligation, to obtain an extrinsic reward, to avoid punishment, or acting out of “shoulds” or have-tos.” When we do something for each other out of these motivations, it creates disconnection, resentment, and serves to break down trust. We want to do things for each other when we are connected to how it serves life, how it also contributes to our needs.

Using Compassionate Communication in Relationships

The key to using Compassionate Communication in relationships consists of remembering three things: Purpose, Intention, and Attention.

It’s extremely helpful to remember that the purpose of Compassionate Communication (another name for NVC) is to create a high quality of connection out of which people naturally and spontaneously enjoy contributing to one another’s well-being. This is how we find win-win or mutually satisfying outcomes: out of the connection.

The purpose is not to get others to do what you want, or to get your way, or to get a particular thing to happen!

So when you enter a conversation or are in an interaction, remember that the purpose is first to connect.

And so it helps if this is our intention.

When connecting with another, check your intention. What do I want here? Is my intention to be right? Am I willing to let go of being right and my preferred outcome in order to connect first? Do I trust that once we connect we can together find a mutually agreeable outcome?

And one of the outcomes of developing in NVC is skillful deployment of your attention.

Using Compassionate Communication in relationships means being able to put our attention on feelings and needs, rather than on who’s right and who’s wrong. It means putting our attention on our own, and the other person’s, humanity in order to connect and find a way of being with each other that is mutually fulfilling.

This is how using Compassionate Communication in relationships teaches us to use purpose, intention, and attention to create deeper and more satisfying relationships.

Using NVC to Improve Communication in a Relationship

Using compassionate communication in relationships is simple, though it is not necessarily easy.

The reason is that it helps us become aware of and re-configure old, unconscious patterns that get in the way of the quality of connection we’re looking for. Sometimes discovering these old patterns is painful, and shifting them can take time.

The good news is that as you get better at it, it becomes more fluid and takes less time.

How do we do it?

First, a clarification. We can think about communication in intimate relationships as consisting of a spectrum:

In this simple diagram, we can see that informal NVC could be indistinguishable from a normal conversation. That’s because connection is happening — which after all is the purpose of NVC.

At the other end of the spectrum we see “formal” NVC, which has certain key differentiations and follows a particular structure and syntax. Formal NVC keeps our communication extra clear, and helps us keep the key differentiations clear in our mind.

The dance of connection refers to the steps we take to move toward connection. A simple mnemonic device is ABABAB, referring to person “A” and person “B.”

Here’s how “the dance of connection” works:

1) Person A speaks with honesty from the heart.

2) Person B reflects back their understanding of what Person A said.

3) Person A confirms they were heard accurately.

4) Person B speaks with honesty from the heart.

5) Person A reflects back their understanding of what Person B said.

6) Person B confirms they were heard accurately.

7) Return to the top, to #1. This process is continued until the two people feel connected and they trust that they are understood by the other. Then they can proceed to brainstorm or propose strategies and/or solutions.

Though somewhat of an oversimplification, this illustrates the process we undergo to allow a conversation to wind deeper and deeper, until there is a high quality of connection out of which people co-create mutually satisfying outcomes.

Dr. Marshall Rosenberg on Nonviolent Communication Skills in Relationships

There is so much we can learn from Dr. Marshall Rosenberg on Nonviolent Communication Skills in relationships.

He knew that intimate relationships are some of the most important relationships — and sometimes some of the most challenging ones.

Dr. Rosenberg explained that if you meet your needs at the expense of another, your needs will also not be met. Anytime you create a win-lose, you also lose — because we are all interconnected, interrelated, and interdependent.

When we coerce others or place demands on them, the quality of the connection suffers.

When we can let go of being right and put our attention on making life more wonderful, then we can create a high quality of connection out of which it’s easy to explore outcomes, solutions, and ways of living that are mutually satisfying.



Content by PuddleDancer Press. Use of content okay with attribution. Please visitwww.nonviolentcommunication.comto learn more about Nonviolent Communication.

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