Everyone Benefits from Therapy

‌The decision to seek therapy can often feel like a big step, and it's not uncommon for people to put it off until they are in the midst of a major life crisis. However, therapy can be incredibly beneficial even when things are going relatively well in life. In this blog post, we'll explore some of the reasons why it's good to go to therapy even when nothing major is going on.

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1. Preventative Care

Just as we go to the doctor for annual check-ups and preventative care, therapy can serve as a form of mental and emotional preventative care. By addressing any underlying issues before they become major problems, you can prevent them from escalating into something more serious.

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1. Increased Self-Awareness

Therapy provides a space for you to reflect on your thoughts, feelings, and behaviors. By exploring these aspects of yourself, you can gain a greater understanding of who you are and what makes you tick. This increased self-awareness can help you make more intentional choices in your life and improve your overall well-being.

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1. Improved Communication Skills

Therapy provides an opportunity to practice communication skills in a safe and supportive environment. This can help you become more adept at expressing yourself, setting boundaries, and resolving conflicts in your personal and professional relationships.

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1. Coping Skills

Life is full of ups and downs, and therapy can equip you with coping skills to navigate the inevitable challenges that come your way. By learning healthy coping mechanisms, you can manage stress, anxiety, and other difficult emotions more effectively.

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1. Personal Growth

Even when things are going well, there is always room for personal growth. Therapy can help you identify areas for improvement and provide guidance and support as you work towards your goals.

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So basically, there are many reasons why it's good to go to therapy even when nothing major is going on in your life. From preventative care to personal growth, therapy can provide a wealth of benefits that can improve your overall well-being and quality of life. So, if you've been considering therapy but have been hesitant to take the leap, consider giving it a try. You might be surprised at the positive impact it can have on your life.

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Author: Crystin Nichols
Book Appointment: https://SouthTampaTherapyBOOKAPPT.as.me/CrystinNicholsMFTI

How to navigate the transition from the 20s to the 30s

This month Supervised Therapist Kaitlin Lowey was featured on WFLA’s Bloom. She provided tips on how to navigate the life stage transition many people undergo during their 30s. You can watch the full segment here. Below is a summary of the clip.

20’s are a time of self-discovery and paving your life path, but as many reach their 30’s, that transitions into getting married, having kids, and leaving a legacy.

Mental Health Counseling Professional, Kaitlin Lowey, from South Tampa Therapy joined Gayle Guyardo, the host of the global health and wellness show, Bloom, to share more about transitioning into your 30’s.

Typically at some point in their 30s, individuals move into the middle adulthood stage of their lives. Between ages 18 and up to age 40 in some cases, people work through what famous psychologist Erik Erikson called the intimacy versus isolation stage, which is about finding and forming fulfilling romantic relationships and friendships. This stage can be completed at different times for different people, but the main task associated with intimacy versus isolation is forming close, enduring relationships. 

Erikson called the stage after this generativity versus stagnation, and it’s all about developing a sense of purpose, caring for others, and contributing to the world. In this stage, individuals – having developed strong relationships with others – may focus on their work, raising families, or contributing to their community. While Erikson generally felt this stage should start by age 40, many people begin to shift their focus on these contribution-focused tasks earlier, often in their 30s. 

So, how does one successfully complete the task of learning how to care and contribute to the world in a way that brings them meaning during this phase of life?

1. Developing a sense of purpose: In Erikson's stage of generativity versus stagnation, individuals must find meaning and purpose in their lives beyond their own personal needs and desires. To successfully navigate this transition from intimacy versus isolation, individuals must begin to explore and cultivate their own sense of purpose. This could involve pursuing career goals, volunteering for a cause they care about, or developing a hobby or passion that provides a sense of fulfillment and purpose.

2. Building and maintaining relationships: Intimacy versus isolation is all about developing close relationships with others, and this remains important in generativity versus stagnation. However, the focus shifts from romantic partnerships and friendships to broader social connections, such as their community. To navigate this transition successfully, individuals must continue to invest in their relationships and develop new ones, while also learning to balance their own needs with the needs of others.

3. Leaving a legacy: In Erikson's stage of generativity versus stagnation, individuals must begin to think about the mark they will leave on the world. This could involve having children and raising them well, contributing to their community in meaningful ways, or leaving behind a creative or intellectual legacy. Individuals must begin to think about their impact on the world and take actions that align with their values and goals. This may involve taking risks, trying new things, and stepping outside of their comfort zone in order to make a meaningful contribution to the world around them.

Counseling top tip: Identify your values

One powerful exercise you can do to ensure you are spending their time on meaningful, generative, and purposeful activities during this stage is to identify your values. In order to complete the exercise, find a list of values (there are several values lists online as well as values card decks for purchase). Sort the values into 3 piles: very important to me, kind of important to me, and not important to me. Then, select your top 5 values from the very important to me pile. Map your activities onto these values to determine how closely what you are spending your time on aligns with these values. This enables you to make a better-informed decision about living with intention during the middle adulthood years. Just think: 30 years from now, you’ll be able to look back on this time of your life and know you made the most of it!

How to get unhooked from difficult thoughts and emotions with ACT

By: Kaitlin Lowey, MHCI

You’ve likely heard the phrase uttered by Benjamin Franklin, “...in this world nothing can be said to be certain, except death and taxes.” As a mental health professional (and fellow human being), I would add one other inevitability: experiencing uncomfortable thoughts and emotions. 

“I’m not good enough.” “It’s breaking my heart.” “I totally freeze.” “Something feels off in my gut.” “What is wrong with me?” “I feel depressed.” “I’m so scared.” “What if I get it wrong?” “Do they actually like me?” “Why did I say that?” “What if I fail?” “What if I end up alone?”

Our difficult thoughts and emotions are 100% normal.

Many psychologists and counselors, especially those practicing Acceptance and Commitment Therapy (ACT), would argue that experiencing such thoughts and emotions is just part of being a human. In fact, emotions like anxiety serve a purpose – they protect us from threats (like a charging lion or a dimly-lit alley). Uncomfortable emotions only become a problem when they show up in non-adaptive ways and stick around long past when they’ve served their purpose – in other words, when the degree of emotion we feel outsizes the actual threat. Our emotional responses are both innate (such as fear of snakes) and learned (such as fear of touching a hot stove). Some emotional wounds experienced in childhood, particularly those related to relationships, can continue to impact our emotional responses well into adulthood. 

So, what do our minds do when we experience these emotions? They view the emotion as a problem to be solved – to be gotten rid of. Again, the mind’s problem-solving nature is normal. It’s how humans have survived and adapted for thousands of years. For instance, humans built homes to shelter us from animals and the elements. We created the wheel to transport objects more easily. We even invented the remote control to save us from the inconvenience of having to move to turn up the volume on the TV. Our brains are hard-wired to problem-solve, and that’s usually a great thing! However, it’s not so great when our brains’ well-intentioned but ill-fated attempts to get rid of uncomfortable feelings only makes those feelings stronger. 

So, what happens when our emotional response and our problem-solving are both operating on overdrive? Russ Harris, the author of ACT made simple: An easy-to-read primer on acceptance and commitment therapy, describes the effect as getting hooked. Getting hooked means our brains automatically label the thoughts as a threat, something we have to act on, or something requiring all of our attention (what ACT theorists call cognitive fusion). We may do everything in our power to get rid of them (what ACT theorists call experiential avoidance). In addition, we might start to fuse these thoughts with our self-concept (e.g., If I keep thinking I’m bad, then I must be a terrible person.) We can also lose contact with the present moment, instead narrowing our focus on the thing that’s making us uncomfortable, disconnecting from our experience, or disengaging. Ultimately, we can lose sight of our values (what we care about and want out of our lives) and instead attempt and reattempt the same ineffective strategies to gain control over our thoughts and feelings. In other words, we use just about every strategy we can to banish our discomfort. This might look like denial, obsessively ruminating on whether or not our thoughts and feelings are true, procrastinating, engaging in addictive substances, and other attempts to control and escape. 

The problem with these strategies is that they are not likely to work. Not only do they not solve our emotional discomfort in the long run – they actually move us away from the kind of life we want to lead. And to top it all off, they often result in a spiral of shame and self-loathing. It’s a vicious cycle. 

At this point, I want to pause and remind readers that it’s not our fault our brains are wired this way – it’s extremely normal and entirely human! And, once we accept this, we can begin to make changes that help our minds work for us, instead of against us.  

So, what’s a human to do? And how can ACT help?

ACT proposes an alternate strategy (with many concepts borrowed from Yogic and Zen principles) to deal with our emotionally uncomfortable thoughts and feelings: accepting them. What if, instead of fighting our emotions and accompanying thoughts, we accepted them for what they are: our bodies’ and minds’ attempts to protect us? What if, instead of living our lives constantly running away from our discomfort, we were able to view our discomfort as separate from ourselves, accept that feeling discomfort is normal in the situation we are in, and make choices that are workable and that move us in the direction we want? In other words, what if we were able to get unhooked?

Several tools from ACT can help us unhook from uncomfortable thoughts and feelings. For instance, mindfulness strategies work to reduce emotional intensity by enabling us to attend to our emotions and the present moment with compassion and acceptance. They can also get us into the habit of viewing our thoughts and emotions as things we are experiencing in this moment, rather than the absolute truth or indicative of who we are. 

One of my favorite ACT tools involves the concept of workability versus absolute truth. As Harris states, ACT isn’t interested in whether thoughts are true – the concept of truth could be endlessly debated. Instead, ACT is interested in whether our thoughts and what we do with them are workable. If a thought or a behavior is workable, it has worked for us in the past and/or is likely to work for us in the future. It will move us closer to our long-term goal. This is a simple question we can ask ourselves when we find ourselves getting hooked and in auto-problem-solving mode: is this thought or behavior workable? Or will it be ineffective or cause other problems? 

Finally, ACT asks us to get really clear on our values. What kinds of concepts (such as love, compassion, resilience, integrity, and authenticity, for example) do we want to guide our actions? If our problems did not exist, how would we operate? Once we know our values, we can endeavor to live in alignment with them. And living in alignment with our values results in less emotional discomfort, improved self-concept, and greater fulfillment. 

Who can benefit from ACT? 

Evidence shows that ACT can be effective for a myriad of mental health problems, including anxiety, obsessive-compulsive disorder, depression, stress, phobias, chronic pain, addictions, and adjustment. But I believe that just about anyone can find usefulness in the approach. As Harris writes, 

“Who wouldn’t benefit from being more psychologically present; more in touch with their values; more able to make room for the inevitable pain of life; more able to defuse from unhelpful thoughts, beliefs and memories; more able to take effective action in the face of emotional discomfort; more able to engage fully in what they’re doing; and more able to appreciate each moment of their life, no matter how they’re feeling?” (Harris, p. 36) 

There is much more to ACT – more than can fit in this article. But I hope this post provides a basic understanding of how ACT can help us humans get unstuck and live a more meaningful, fulfilling life. 

By: Kaitlin Lowey, MHCI

Kaitlin joins her clients as they find relief, healing, hope, clarity, and transformation. She has helped individuals experiencing struggles with anxiety, stress, relationships, life changes, obsessive-compulsive disorder, intrusive thoughts, grief and loss, fertility and postpartum, motherhood and parenthood, athletic and career performance, perfectionism, identity, and self-worth. As an integrative therapist, Kaitlin collaborates with her clients to identify goals and choose research-supported therapeutic approaches that fit best. She offers in-person and online appointments.

Book with Kaitlin Lowey, MHCI here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

Why anxiety is so hard to get rid of

By: Kaitlin Lowey, MHCI

Most people coming to therapy for anxiety have one goal: get rid of it. Anxiety is uncomfortable at best and debilitating at its worst, and it’s incessant. It can feel like the constant what ifs, watch outs, and you can’ts have taken over your mind. They don’t want to feel anxious, but they feel powerless against it. Some even feel defective – like something is wrong with them.

Here’s the thing: anxiety is often labeled as bad, but it’s not necessarily always a bad thing. I know, I know, it sounds counterintuitive – but hear me out. Anxiety plays a critical function in our lives. From an evolutionary perspective, anxiety was essential in pre-modern times. It told us to be on guard for possible bear attacks, poisonous berries, and other potentially life-threatening situations. Those who were vigilant and prepared for threats survived. 

Similarly, anxiety plays a protective role by helping us avoid real threats we’ve experienced in the past or have seen others experience. For instance, it tells us to use caution when driving in heavy traffic or prepare in advance for an important meeting. In other words, anxiety is an adaptive trait!

The problem is, anxiety can sometimes become overactive – like an overly-sensitive brain detector that goes off loudly at the slightest hint of possible danger. Why does this happen? Anxiety is associated with the oldest, most primal parts of the brain that are deeply connected with our body. Our body sends signals to our brain when it senses danger, and vice-versa. When anxiety is in high gear, we can’t reason with this part of the brain. It’s reactive and emotionally-driven. We enter flight, fight, or freeze mode – which is also referred to as being in a state of sympathetic nervous system engagement. When we are in this mode, our prefrontal cortex, which is the part of our brain associated with reasoning and executive functions, becomes less active or shuts down entirely. 

The question becomes, how do you get rid of your anxiety? 

There are many different schools of thought when it comes to addressing anxiety. These are just a few of the hundreds of therapeutic approaches, and the explanations are pared-down for brevity, but I hope they provide a high-level understanding.

A modern psychodynamic approach is based on uncovering unconscious thoughts and feelings contributing to the anxiety, and bringing them into awareness where they can be addressed. This often involves examining competing desires (such as the need for both freedom and closeness) as well as the influence of early experiences on expectations and beliefs. 

Humanistic counseling emphasizes the strength of client-therapist bond and puts the client in the driver’s seat. By reflecting the client’s thoughts and feelings with unconditional positive regard and acceptance, the counselor can help the client gain understanding and insight – and ultimately transform. 

In Cognitive Behavioral Therapy (CBT), clients identify patterns of thoughts, feelings, and behaviors associated with their anxiety – and the relationship between them. Then, they can enact a number of techniques to stop, reduce, or replace their unhelpful thoughts and learned behaviors with more helpful ones. 

Dialectical Behavior Therapy (DBT) was born out of CBT and has many similarities. However, the approach balances the behavioral change-focused aspects of CBT with acceptance of thoughts and emotions.

Using an Acceptance and Commitment Therapy Approach, clients seek to accept that anxiety is a natural part of life and use a variety of strategies to “unhook” themselves from difficult thoughts and feelings. They also identify their values and identify strategies to move in the direction of their values and long-term goals. 

In exposure therapy, clients learn to reduce their fear response through slow, controlled, and measured exposure (either imagined or real) to the thing that scares them. This approach is often used to address OCD and phobias. 

What all of these approaches have in common is the belief that once we have greater insight into ourselves, we can help our minds work for us, instead of against us.  

So, what approach is best for you? The answer is, it depends. Therapy is not one-size-fits all. Different strokes work for different folks. And many counselors choose to take an integrative approach, where they pull tools from different theories, based on what will work best for each client. 

Individuals seeking treatment should talk with their mental health professional about their goals and collaborate with their provider to create a treatment plan that feels right. And remember – anxiety is a totally normal human experience. There’s nothing wrong with you! And there is hope. 

I am honored to have Kaitlin Lowey, MHCI as a colleague on our multidisciplinary team at South Tampa Therapy!

Kaitlin joins her clients as they find relief, healing, hope, clarity, and transformation. She has helped individuals experiencing struggles with anxiety, stress, relationships, life changes, obsessive-compulsive disorder, intrusive thoughts, grief and loss, fertility and postpartum, motherhood and parenthood, athletic and career performance, perfectionism, identity, and self-worth. As an integrative therapist, Kaitlin collaborates with her clients to identify goals and choose research-supported therapeutic approaches that fit best. She offers in-person and online appointments.

Book with Kaitlin Lowey, MHCI here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

Five Therapy Skills to Help You Stop Overthinking

Overthinking is a learned thought pattern that exacerbates anxiety. Overthinking is exhausting. Although it feels helpful to continue thinking about the given problem or stressors it is ultimately unproductive. Over thinking and anxiety are not inherently wrong because the brain is wired to keep you safe and scan for evidence to validate perceived threats. However, overthinking becomes unhealthy when it causes anxiety and takes away from enjoying your life and acting according to your values. This post aims to help you identify your overthinking patterns and to provide you with tools to start reducing those patterns. 

Four Types of Overthinking: 

• • Rumination about the past

• • Worry about the Future

• • Over-analyzing decisions

• • Social Anxiety (for example: why did I say that? what did they think?)

OK, so let’s go through the skills!

One: Noticing and naming 

We are often not aware of our thought patterns, so we need to get skilled at identifying our thinking. Start intentionally becoming aware of overthinking and when you notice it simply saying, “I am overthinking.” You could also ask a loved one or therapist to call you out when they notice you’re overthinking.  

You can also learn your triggers by observing when you start to ruminate. What time of day? What people or situations get your brain going haywire? If you are struggling to notice your overthinking, you could set an alarm on your phone every hour and check to see if you are ruminating or how much you have been ruminating that hour. At this point you can begin tracking it, so you have data to use as your start point on your journey towards overcoming overthinking patterns. 

Two: Setting Limits on Overthinking

Now that you’ve become aware of your overthinking and are addressing your triggers you can start postponing or scheduling times to ruminate. This sounds counter intuitive but setting these limits sends the message to your brain to stop nagging you because you WILL address it. It teaches you that you have some influence over your worry. When you’re just starting out it is a good practice to schedule “worry time” each day for one month. You could schedule 30 minutes, for example, every day to address your worries. After those 30 minutes you can purposefully go back to what’s important to you. 

It is important to try and never worry in your head. You could write it down, record a voice memo, or video on your phone or computer. The point is to get it out of your head. Other tools you could try are writing a pros and cons list or using a brain dump. Scheduling worry shows your brain there’s a time and place for worry.  

Three: Attention Shifting 

Our brains are thought producing machines constantly sending us thoughts throughout the day. The good thing is we do not have to attach to or internalize every automatic thought. There is a deeper you underneath your thoughts. You are the referee. You can learn to separate yourself from your thoughts so that you can choose which thoughts you will buy into and which ones you won’t. You can start separating from your thoughts by practicing mindfulness or cognitive diffusion skills. 

Visualization is also a great tool. Try viewing your thoughts like channels on a TV. When you notice you’re on the worry channel visualize clicking the remote to change channels. This might look like shifting from fearing all the things you can’t control to focusing on thinking or doing one thing you can. This is a form of shifting focus and putting your attention on thoughts that better serve you. 

Another skill is turning your attention away from worry and towards the present moment.  This shift is from inward to outward. In any given situation when you are worrying you can return to what is directly around you. 

What can you see? Hear? Touch? Smell? What people can you look at? What are you feeling inside your body? Can you feel your breath?

Beyond your worry there is a world right there outside of you. The more you practice these skills the easier they become. 

Four: Learn to shift from Abstract thinking to Concrete Thinking

Oftentimes overthinking is aggravated by an unhelpful thought pattern called Over-generalization. Over-generalizations keep us thinking abstractly versus concretely. For example, “why can’t I ever get my needs met.” This type of thinking leads to self-loathing and helplessness. So, try and Avoid WHY questions “Why can’t I ever get better? why do I always do this? why do I overthink so much?” These questions do not lead to anything actionable, so we need to shift from why to what questions. For example, “what is one small thing I can do today for my mental health?” Instead of asking “Why can’t I ever succeed at relationships” you could ask “what is one relationship skill I can work on.” Once you are aware of your overthinking, have set boundaries on when you will worry, and have begun to separate from believing all your thoughts it is important you ask what questions. It is far more effective to pick one step to work on than to catastrophize and ponder the why’s of your life and your situation. 

Five: Shift from overthinking to your values

Before you can stop overthinking, you must know what you do want more of in your life. Instead of thinking, “I do not want to overthink” it might be helpful to try thinking “what do I want in my life.” Avoidance increases anxiety in the long run so instead of distracting (or avoiding) your unhelpful thoughts try shifting your thoughts toward exploring what you really care about. What is most important to you right now? What do you want your life to be about? Overthinking tends to isolate and decrease the vastness of one’s world. Getting clear on your values and what you want out of life is one step to reverse the withdrawing nature of anxiety. I hope these tools helped you. If you would like more support in overcoming your overthinking, feel free to book a free consultation with me. 

https://shaundratherapyandwellness.squarespace.com/contact 

Warmly, 

Shaundra McGuire, MHCI