Embracing “Intelligent Failure”

In our culture that often glorifies success and perfection, the thought of failure may feel daunting and paralyzing. Harvard Business School professor Amy Edmondson has spent her career advocating for a different perspective—one that celebrates what she calls "intelligent failure." Edmondson's work not only revolutionizes the way organizations operate but also offers profound insights for how individuals should view successes and failures in their own life.

Understanding Intelligent Failure

At the heart of Edmondson's research lies the idea that not all failures are created equal. While conventional wisdom portrays failure as a sign of incompetence or negligence, intelligent failure is quite the opposite. It is a purposeful and calculated endeavor where individuals and organizations embrace the potential for failure as a means to learn and innovate.

One of Edmondson's key contributions is the concept of "psychological safety." She argues that creating an environment where people feel safe to voice their ideas, admit their mistakes, and take calculated risks is paramount to fostering intelligent failure. In such an environment, failure is seen as an opportunity for growth and learning rather than a career-ending misstep.

Intelligent Failure in Organizations

Edmondson's work has had big impacts in the corporate world. In organizations that encourage intelligent failure, employees are more likely to collaborate, experiment, and innovate. This leads to the development of groundbreaking products, services, and solutions. Companies like Google and Pixar have famously embraced this philosophy, creating spaces where employees are encouraged to pursue ambitious projects without the fear of immediate consequences if they fail.

By learning from their failures, organizations can adapt to changing market conditions, enhance their competitive advantage, and ultimately thrive in the long term. Edmondson's research has shown that organizations that encourage intelligent failure are more resilient and agile, better equipped to navigate uncertainty, and more capable of driving meaningful change.

Applying Intelligent Failure to Life

The principles of intelligent failure are equally applicable to areas of personal growth and self-improvement. In our journey through life, we encounter numerous challenges, setbacks, and failures. It is how we respond to these failures that ultimately determines our success and happiness.

• Embrace Risk and Change: Just as organizations need to take calculated risks to innovate, individuals must also be willing to step out of their comfort zones and embrace change. Whether it's pursuing a new career, starting a business, or learning a new skill, intelligent failure involves recognizing that setbacks are part of the process.

• Cultivate a Growth Mindset: Edmondson's work aligns with the principles of a growth mindset, as popularized by psychologist Carol Dweck. A growth mindset involves seeing challenges as opportunities for learning and development. When we view failure as a chance to grow, we are more resilient in the face of adversity.

• Foster Psychological Safety in Relationships: Just as organizations benefit from psychological safety, so do our personal relationships. Building trust and open communication with loved ones allows us to be vulnerable and admit our failures without fear of rejection or judgment, which ultimately strengthens our connections and creates a supportive bond.

• Learn from Mistakes: Perhaps the most crucial aspect of intelligent failure in life is the commitment to learning from our mistakes. Every setback or failure can provide valuable insights that contribute to personal growth and future success.

Research on intelligent failure has transformed the way we should perceive setbacks and mistakes. By embracing failure as a path to growth and innovation, organizations and individuals can thrive in an ever-changing world. As we apply these principles to our lives, we can cultivate resilience, adaptability, and a deep appreciation for the power of intelligent failure to drive our personal fulfillment.

Author: Lana Phillips

Book Appointment: https://southtampacounselor.com/bookappointment

Why your therapist won’t tell you what to do

One question us therapists often hear from our clients is, “What should I do?”

It makes sense that a client would want our advice. After all, we are often the only people in our clients’ lives who know all of the intricate matters of their hearts. We sit with the ambivalent feelings, desires, and conundrums our clients find themselves encountering. And, because we aren’t interwoven in our clients lives in the way that a friend or family member is, we aren’t directly impacted by the decisions our clients make. In short, we get the full picture without being in the picture. So, why shouldn’t we give them advice? 

Let me answer this question by painting a picture of a hypothetical client scenario. In this situation, a client has been dissatisfied with her relationship for quite some time. She feels that her partner cannot connect with her on an emotional level, and their sex life has been lackluster for the past year. She explains the full details of her situation to her therapist and asks, “What should I do?” Her therapist says, “Well, it sounds like this may not be the best relationship for you. I think you should leave.” 

What are the possibilities coming out of this? Let’s consider a few. 1. The client leaves her partner but later feels she has made a mistake. 2. The client leaves her partner and is thrilled about making the decision, but she is robbed of her confidence in her ability to make her own decisions and relies on her therapist for all future major decisions. 3. The client stays in the relationship and no longer trusts the therapist's opinion. 4. The client finds that she actually resents being told what to do and ghosts her therapist, losing faith in therapy and never getting the therapeutic help that would have helped her confront her deeper underlying reasons for seeking help in the first place.

As you can see, there is no winning when we provide advice to our clients.

In fact, this can do more harm than good. When providing an opinion, we may also fall into the unethical trap of imposing our own beliefs and values onto our clients – a direct violation of our ethical code. We also strip our clients of the very empowerment they come to therapy to build. While providing an answer to our clients’ problems may temporarily provide relief from uncertainty, it also reinforces reliance on the therapist to provide a sense of certainty. We want our clients to stand in their own power and trust in themselves – and to believe that no matter what the outcome of their dilemma, they will be able to handle it. 

So, what do we do when our clients ask us, “What should I do?”

We have several approaches we can take. We can help our clients to think through the pros and cons of each choice. Through this process, we may collectively uncover possibilities our clients had not thought of before. We might even go deeper than the surface level questions, challenging catastrophizing, black-and-white thinking, and other cognitive distortions. Perhaps we’ll find that the situation is not as bleak as it seems. If a client seems to be intellectualizing a choice, we might focus on expressing feelings and underlying needs. Contrary to popular belief, feelings and needs play an important role in decision-making and should not be ignored. Finally, we might explore how similar situations in the past are connected to the client’s emotions and beliefs about the current situation – or even confront the concepts of uncertainty and control more abstractly. 

We therapists are certainly flattered that our clients think our opinions are worth seeking on-high stakes decisions. But we also care about our clients enough to not tell them what to do. What we can do – and what is ultimately far more helpful – is  help them gain more insight into themselves. And this in itself is so powerful. Because when our clients know themselves better, they can make better-informed decisions that are aligned with their own goals, values, and beliefs.  

Book with Author Kaitlin Lowey: 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

Narcissistic Abuse: Tips for Recognizing and Recovering

When I bring up the word “Abuse” with my clients I notice they are prone to discount their experience because they don’t’ see their situation as being “real abuse.” Abuse is a spectrum, and the word doesn’t do justice to describe the many forms of subtle and overt abusive behaviors and toxic relational dynamics. Narcissistic abuse is a very real form of abuse. The power and control dynamics might not include physical or sexual violence, although they can, but the psychological, emotional, interpersonal, and spiritual effects devastate individuals who find themselves trapped in the narcissistic abuse cycle. This post intends to do two things: 

1. Describe the Narcissistic Cycle of Abuse to help those suffering recognize they are not “crazy.” This is a definable pattern that many others are experiencing.

2. Provide some practical tools and tips to cope and eventually recover from said abuse.

The narcissistic abuse cycle can be defined as a “pattern of highs and lows in which the narcissist confuses their partner through manipulation and calculated behaviors aimed at making their partner question themselves” (Hammond, 2015). I want to make it clear that your partner does not have to have an official diagnosis of “narcissist” for your situation to be a valid case of narcissistic abuse. Media and pop culture usually only portray the most extreme examples of narcissism thus exacerbating the problem and preventing victims from getting help. 

The cycle involves three phases that work in tandem with each other. 

The first stage is Idealization. 

This is the stage where your partner makes you feel like the most special person in the world. The term “love bombing” comes to mind. You might feel as if you’ve never been loved or adored for like this before. The pursuer will become vigilant in giving attention to you and will shower their “target” with gifts, compliments, and promises. 

The idealization phase may include: 

• Love-bombing

• A lot of attention given to partner

• Grandiose gestures

• Elaborate gifts and dates

• Discussing marriage

• Lack of boundaries

• Attempts to isolate partner in the name of love

• Quickly moving into intimacy

• Creates a sense of ownership of partner and the relationship (Hammond, 2015).

The second phase is devaluation.

During this stage, you might start to notice your partner acting one way with you and one way in public which makes it hard to understand which person they really are. If you express concern, you might be labeled as “jealous” or “needy” or a “nag,” The disillusionment at this stage makes some cling harder to the memory of when things were ideal. You might have an intuitive feeling that something is wrong but because of the hot and cold nature of their affection for a time, it is easier to push that voice down. A huge red flag is that you begin to doubt yourself. You begin to see the real person for who they are, and you notice more incongruency in their behavior. This is where the abuse really starts to hurt and many start to exhibit anxiety, depression, obsessive thoughts, develop a trauma bond, amongst other symptoms. Visit this resource to learn more. This is where people get trapped because they are so beaten down and confused, it seems easier to just stay for fear of what might happen or what threats might be made.  

The devaluation phase might include:  

• Attempting to change their partner

• Increasing criticism and insults

• Gaslighting

• Physical threats

• Poor communication

• Increased violation of boundaries

• Triangulation

• More isolation or control over their partner

• Withholding physical, emotional, and sexual intimacy (Hammond, 2015).

Finally, the third phase is rejection. 

In this phase, the narcissistic partner rejects their partner and essentially places complete blame of the downfall of the relationship on their partner. In healthy relationships conflicts and disagreements are navigated with patience, grace, and the use of helpful problem solving skills. In narcissistic abuse relationships, there are no compromises. It is if the victimized partner doesn’t even exist, and they begin to lose any power or autonomy. Sometimes the cycle repeats itself over and over. Sometimes, once the phases are complete, the abuser become disinterested and finds another partner to begin another cycle with. 

The rejection phase may include: 

• Feelings of contempt and rage

• Betraying the relationship

• Invalidating their partner’s emotions and placing all the blame on them

• Playing the victim

• Physical, emotional, and verbal abuse

• Ending the relationship permanently or temporarily with attempts to continue this cycle of abuse (Hammond, 2015).

Now that I have described, briefly, common signs and symptoms of the narcissistic abuse, I will provide some tips for coping. At the end of the article, I have provided additional resources for you to begin your journey to safety and recovery. 

1. Label the Abuse

Once you recognize the abuse and have educated yourself about it labeling it is a vital step towards healing. Consider communicating what you are learning out loud to a trusted person.  

2. End the relationship if you haven’t already done that.

Get in touch with a trusted person, a professional, or your family to create a safety plan if necessary before you leave. 

3. Set Clear and Specific Boundaries

Setting clear boundaries requires discipline but it is vital to protect you from getting manipulated or tricked again. If you share children with your ex-partner and must make contact, make sure you have clear boundaries and a safety plan.  

4. Seek Support

The resources attached to this blog are a great way to find support during this hard time. Additionally, reaching out to a therapist will help you tell your side of the story, be validated, and learn how to grief. A therapist can support you in creating new patterns of living and implement new coping skills. 

5. Rediscover Yourself

In many cases, the abusive relationship has taken over your mind, emotions, physical health, and schedule. Once you are ready it is important you take the time to rediscover who you are, what you want, what you like, what you enjoy, what you need, and how you want to see yourself. This can seem daunting but there is not rush. Rediscovering ourselves is a life long process and we change throughout life. The key is that you recognize you have been deprived of your voice and allow yourself to rediscover it. 

There is no way I can describe all that narcissistic abuse is and how to recover in this short blog but my hope for you is that you feel validated and affirmed if you or someone you know is suffering or trapped in this cycle. There is hope, people can leave their partner, grief the loss, and heal. If you are unsure if you want to start therapy as a part of your healing, I offer free consultations and it would be a pleasure to hear your story and get to know you!

By Shaundra McGuire, MFTI Book With Shaundra: https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

Additional Resources: 

Stages of Narcissistic Abuse - Narcissist Abuse Support

https://narcissisticabusevictims.org/

You Are Not Alone - Educate Yourself - Find Support - Get Healed - Find Peace Again - Narcissist Abuse Support

What is the Gottman Method for Couples, Relationships, and Families?

What is the Gottman Approach to therapy and counseling? 

I’ll explain~

I absolutely love the Gottman’s therapeutic approach! There is so much that can be said about this method. If you have never heard about this couple’s approach in therapy, then let me give you a little bit of insight. The Gottman Method aims "to disarm conflicting verbal communication; increase intimacy, respect, and affection; remove barriers that create a feeling of stagnancy, and create a heightened sense of empathy and understanding within the context of the relationship." Interventions used in the Gottman Method are research-based and grounded in the Sound Relationship House theory, which specifies nine elements of a healthy relationship. Imagine a house with seven floors and two weight bearing walls.

Floor 1 - Build Love Maps.

Love maps are important because the whole relationship begins on the firm foundation of truly knowing one another. Each partner knows the ins and outs of their partner. In an ideal relationship, you and your partner know one another better than anyone else.

Floor 2 – Share Fondness and Admiration.

We all love to hear something nice about ourselves, right? This is a need, and it means the most when it comes from your loved one. Vocalizing your admiration for one another and being able to articulate the big and little reasons you love each other is huge!

Floor 3 – Turn Towards.

When you need attention, support, and comfort from your partner, you more than likely say or do something to elicit a response from your partner. This what is referred to as a “bid”. When your partner replies with what you need, this is them turning toward. Turning away from one another, or AGAINST each other is asking for trouble. Turning away disrupts the safe space you both need to express yourselves and needs.

Floor 4 – The Positive Perspective.

Your outlook on life and on your relationship is shaped so much by your perspectives and cognitions. When in a healthy relationship, couples see the best in each other and don’t jump to conclusions filled with judgement and criticism if one partner forgets to pick up their socks or give you a kiss goodbye. Truly believing you both are on the same team strengthens the relationship from inside out.

Floor 5 – Manage Conflict.

Conflict is going to happen! It’s inevitable but knowing what to do when it presents itself is key. You need to accept partner’s influence, communicate about the conflict, and be able to self-soothe.

Floor 6 – Make Life Dreams Come True.

Healthy relationships involve having a partner in life who encourages and helps you reach your goals. Making each other’s life dreams come true shows your partner that you want the best possible life for them and are willing to do what it takes to make that dream happen.

Floor 7 – Create Shared Meaning.

Congratulations, you have reached the top floor. This is where you build and understand an inner world as a COUPLE. The Gottman’s believe that developing your own culture of symbols and rituals is what expresses WHO you are as a TEAM. It continues to deepen your connection together. These are referred to as Rituals of Connection and they define you as a unit. The best part of this is that you create them together.

Weight Bearing Walls – Trust and Commitment. Without trust and commitment, the 7 floors can’t hold together, and it will fall apart.

In a healthy and supportive relationship, the partners are CHOOSING to have faith in one another and to be committed to each other. There is no force, and you are freely loving one another and pledging to help that love grow.

 

Author: Crystin Nichols, MFTI

Book With Me: https://southtampatherapybookappt.as.me/CrystinNicholsMFTI

Resources

1. About The Gottman Method. The Gottman Institute. 2021.

2. What is The Sound Relationship House? The Gottman Institute. 2022.

Practice Empathy in Three Ways: Cognitively, Emotionally, and Somatically

You must first take off your own shoes to put yourself in someone else's shoes.

We stretch our hearts and minds beyond our own experiences, viewpoints, and feelings in order to imagine what it's like to be inside someone else's head. We employ imagination, creativity, and instinct to envision what life is like for them.

Listening with empathy is a fundamental component of coming from curiosity and care, as well as the foundation of discussion. Here are three strategies to start practicing incorporating more empathy into your daily life that integrate living purposefully and empathetically.

PRACTICE: Empathy

It's important to remember that practicing this doesn't have to be limited to situations in which you are the center of attention. Its easier to feel for others when you aren't being attacked. Remember that empathy isn't something you put into words; it's a quality of presence in your heart. Aim to comprehend the other person's situation and let the conversation unfold organically.

SILENT EMPATHIC PRESENCE: Practice listening completely, with the heartfelt intention to understand and "feel into" what the other person is saying. How is this issue for them?

PARAPHRASE: After listening, summarize the gist of what you've heard. What are the key features of what they've said? It's also possible that repeating just a few words will be enough.

EMPATHIC REFLECTION: After listening, check that you understand by reflecting what you hear is most important to them. This may include how they feel and/or what they need. What's at the heart of this individual's narrative? What can you do to assist them to feel understood? Remember to phrase your reflections as questions and double-check that you're correct.

There are other methods for conveying compassion. We may convey empathy by giving a kind word, with a loving touch, or by describing how we're feeling in response to what we've heard. By expressing interest with open-ended questions like "Tell me more," "What else?"

As an example, my daughter's friend a freshman who is usually cheerful and bubbly, began showing up early to practice. I struck up a conversation and realized how much she was struggling. This friend was saying, "I don't want to go to this school anymore," and was thinking about dropping out. I noticed the impulse to go into problem-solving mode, an old habit of mine. Having just finished another book on empathy, I paused and decided to try listening instead. "Tell me more. What's going on?"

She began to open up. She was being bullied. She felt sad, alone, and depressed. Every time I noticed the urge to fix or solve, I attended to feeling the weight of my body and my feet on the floor, and resisted the temptation to offer solutions. I focused my attention on what she was feeling and reflected what I was hearing. She began to cry, oscillating between speaking, sobbing, and awkwardly making eye contact as if to check whether all of this was okay. There were a lot of tears, tissues, and long moments in which I simply held her gaze.

She spoke more about her feelings of sadness, loneliness, and not feeling valued. "I've felt like this since first grade," she mentioned. "Was that the first time you felt so sad and alone?" I inquired. No, it started when she was three, when her dad left. They looked at each other, realizing they'd hit the root of her pain. Eventually they explored what she might need at school. They came up with some strategies to address the bullying. She decided to stay in school and to make a public art piece for the classroom about depression.

This is the power of which empathy may help us. With a listening spirit, we can absorb each statement made, each emotion felt. Healing and change are possible if we come from a place of curiosity and care rather than our usual mode of behavior.

PRINCIPLES

People are more likely to be willing to listen when they feel heard. To build understanding, reflect before you respond.

KEY POINTS

The desire to comprehend is frequently expressed through listening, which entails putting away our own ideas, emotions, opinions, and views temporarily.

We can listen in many ways:

• With complete, wholehearted presence

• To the content of what someone says

• To the feelings and needs beneath the content

Staying connected in conversation helps us build understanding and

collaborate:

DON'T LET THE CALL DROP: Seek to establish and maintain connection in conversation.

REFLECT BEFORE YOU RESPOND: Confirm that you're hearing each other accurately before moving on. This "completes a cycle' of communication.

At the heart of listening is empathy, which includes:

• Cognitive empathy: seeing things from another's perspective

• Affective empathy: feeling another's emotions

• Somatic empathy: sensing another's embodied experience

Q & A

Q: What if someone wants advice? Is that ever okay?

Of course. When someone asks for advice, you might try offering empathy

first. I'll often say, I'm happy to share some of my ideas, but first I just want

to take in what you've said. I'll follow that with an empathic reflection of

what I'm hearing and check if I've understood. This can help the other

person process their experience and clarify what matters. I then circle back

to inquire if they still want advice; sometimes it's no longer relevant.

If the tables are turned and you want to give someone advice, check

first. Let them know: "I have an idea that I think might be helpful. Are you

open to some advice?" This honors their autonomy, minimizes the chances

that your input will be disempowering, and guards against giving advice

as a way of soothing your own anxiety.

Q: I've been exploring these empathy tools with close friends and family

and my new approach creates a lot of awkwardness. What do you do

when others expect you to communicate in a certain way?

It can be confusing when our attempts to create more connection backfire.

Part of what you are experiencing is the relational dimension of communication habits. They occur in a dynamic, so when we shift it affects others.

It also may simply be the learning curve; it takes time to find an authentic

voice with these tools.

Let go of the form and focus on your genuine intention to connect.

What would help this person to feel heard? If someone is used to us

showing care by asking questions or agreeing and we respond by reflecting

their needs, that may throw them off. Try to tune in to what they want.

When all else fails, let people know that you're trying something new that

you hope will bring you closer. Ask them to humor you while you learn.

Betrayal and Relational Trauma: How We Get Stuck in Trauma Bonds

There is hope!

If you are feeling stuck in trauma bonds, it's important to understand that there is hope. You can heal from this experience and even come out stronger on the other side. But it will require time, patience, and a willingness to do the work.

A tsunami of strong feelings might follow the discovery of your spouse's infidelity. After the initial shock and perplexity, most betrayed spouses battle for some time to regain control over their tumultuous feelings driven by intrusive thoughts and reminders. Infidelity, according to Patrick Carnes, a pioneer in the treatment of sexual addiction, can be as traumatic as sexual assault

It's critical to understand how and why the event changes our brain and behavior while recovering from infidelity. Staying curious while discussing what betrayal trauma looks like for both partners, as well as how this shared suffering might lead to harmful patterns in their interactions with one another- these patterns sometimes known as trauma bonds.

What Does Trauma Look Like?

The symptoms of Post-Traumatic Stress Disorder (PTSD) are similar to those caused by betrayal. Trauma causes intrusive thoughts, avoidance, and hyperarousal in individuals with PTSD.

Intrusive thoughts are persistent, unwanted reminders of the traumatic experience, such as flashbacks (reliving the terrible event as if it were happening again) or nightmares about it.

Avoidance can take on a variety of forms, including trying to avoid thinking or talking about the traumatic experience, as well as avoiding places, activities, or people that may remind you of it.

Hyperarousal is characterized by a feeling of distress and anxiety, which can extend to other areas such as difficulty sleeping, being easily startled, sluggish brain function, trouble focusing, and irritability.

Symptoms are frequently changing and varied from person to person. These same symptoms, when combined with detrimental changes in thinking and mood, can result in:

• Negative thoughts about yourself and others.

• Feel hopeless and powerless when the future appears bleak.

• Forgetfulness.

• Detachment from career, family, and friends.

• Lack of interest in activities you once enjoyed.

• It's difficult to experience pleasant feelings..

• Feeling emotionally flat and numb.

So, What Are the Causes of These Changes?

Betrayal trauma can alter your physiology due to the neurobiological changes that are taking place in your limbic system. Your body enters a fight, flight, or freeze (and sometimes fawn or collapse) reaction as a result of these adjustments.

When our amygdala senses danger, the hypothalamus activates the sympathetic nervous system, which causes epinephrine, also known as adrenaline, to be released. Adrenaline makes our heart beat faster and our lungs breathe more effectively on a good workout or training day. When we're stressed, our body releases hormones such as adrenaline, which help us stay safe and alert. It increases blood flow to the brain and muscles, making our mind more attentive to the situation and boosting blood sugar levels for vitality. When we are emotionally or physically scared, this surge of adrenaline is meant to keep us safe and alive.

When the danger level rises to a certain point, the hippocampus instructs the adrenal glands to produce cortisol. The hippocampus is essential for thinking, learning, memory, and behavioral management. Our brain needs to focus on problem solving during extreme stress, such as betrayal and relational trauma. Because you're overwhelmed with stress, your hippocampus isn't functioning well. The end result is conflict or flight from the stress/threat rather than problem solving in order to resolve it.

All of the same things that I previously stated are going on in a freeze response, with one exception: our subconscious has deemed this stress to be too hazardous. The sympathetic nervous system is no longer solely in command. The dorsal vagus nerve is activated on the back side, and it drags us into a condition of self-protection. When we are in risk of physical or emotional harm, whether real or imagined, we may shut down. We may appear calm but, inside, we are emotionally numb and frozen.

Finally, collapse response is comparable to that of freeze; it's a condition of hypo excitation. The dorsal vagus nerve screams, "This is too much!" and goes quiet. We are no longer seeking for methods to survive (fight or flight) but rather for a way to fall apart physically and emotionally. We may be unable to speak or feel removed or disconnected from our bodies. Our blood pressure, temperature, and heart rate drop dramatically. We might even faint or become unconscious in severe situations.

The fluctuating cycles of cortisol levels are detrimental to your immune system and general health. Even after an affair's initial discovery or disclosure, your brain can be bombarded with reminders that flood it with adrenaline and cortisol. This is one of the reasons why it's so difficult for your brain to accept and process this traumatic event, and subsequently let down its guard. The symptoms of PTSD are caused by this higher level of anxiety and isolation.What Do We Do About It?

You may not be interested in the neuroscience aspect, but you can still be interested in when your brain is offline or online. The Hypo-aroused and Hyper-aroused brains are both "offline." We can reclaim our center by practicing observing what goes on inside us while we're "offline". What do we think about and how are we physiologically feeling, such as our heart rate and breath? Are we hot or cold, sweaty or clammy? Do we feel numbness or strong emotions? Meditation, exercise, yoga, and journaling can help us stay centered.

What is Trauma Bonding?

Every relationship reacts to trauma differently. Both partners are frequently on the fight, flight, fawn or freeze continuum, but they're rarely in the same place at the same time, contributing to the negative cycle that couples dealing with infidelity's trauma find themselves in.

After being a therapist for 20 years, I have seen distorted and adaptive bonds form between partners. Some people call these "trauma bonds". It is crucial to understand your trauma as well as your spouse's, and have a working understanding of what is going on in both of your brains.

Here are a few examples of traumatic bond cycles that aren't helpful:

• For more than 6-9 months after discovery, the victim is fixated on the event, what occurred, and why...

• Between wanting a divorce and wanting to work things out, there's an endless debate.

• You and your spouse are continuing to have abusive debates.

• Keeping your relationship a secret from others who might criticize you for attempting to work it out.

• Breaking commitments to yourself or each other and expecting things to get better.

• Feelings of closeness one minute, followed by painful memories and outbursts the next are typical..

It may be useful to take a step back and examine the cycle of events in which you two escalate when you talk about specifics and reminders. Consider whether the way we are discussing the facts of the affair is pushing us closer to forgiveness or making matters worse. Still, you both need to be curious about this cycle that you are co-creating as you work to reconcile. As a reminder, you are both responsible for the co-creation of a new relationship starting today.

If you find that you and your spouse are in an unhelpful cycle, please don't beat yourself up for it; notice it without any shame and be curious about how you can begin to work through the trauma of infidelity more productively.

I'll be sharing more about this topic in future Free Resources, so stay tuned. In the meantime, if you're looking for more resources on this topic, I recommend reading Not Just Friends by Dr. Shirley Glass (the best book that I have found to help couples recover and heal from infidelity and relational trauma) and The Betrayal Bond by Patrick Carnes.

If you are struggling with infidelity in your relationship, please reach out for help. This is not something that you have to go through alone. I offer individual and couples counseling services and have experience helping people heal from betrayal trauma. You can text me here to set up a consultation. 813-240-3237 or book online:

www.SouthTampaCounselor.com/BookAppointment

I hope this has been helpful. Please feel free to reach out. Until next time!

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 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: —> ❤️

Voice Dialogue

Voice Dialogue is the main intervention used in a modality called the Psychology of the Selves developed by psychologists Hal and Sidra Stone, who had such diverse influences as Jung, Skinner, Kazantzakis and Hermann Hesse. Their theory suggests that various parts of self coexist within each of us and determine our thoughts, behaviors and relationships with others.

Each of us "contains multitudes". We are made up of many selves, identifying with some and rejecting others. This over-identification with some selves and the loss of wholeness that comes from the rejection of others, can create imbalances and blind spots. This work is about embracing all the selves. This dance of the selves is an amazing process and we see the dynamics of the world around us shift as our internal world changes.

Rather than making choices based on a given criteria (the most rational, what feels right, what other people want, etc.), Voice Dialogue encourages a discussion between the parts of self at odds with one another. The understanding and expression of these selves helps us increase our self-awareness and even function better within a relationship. Although it does turn a couple into a group rather quickly.

1. When would a clinician use Voice Dialogue?

When there is a sense that the client has a feeling that he or she has different selves or parts.  For example, let us say that John goes to a party that he doesn't really feel like going to.  Once there he has a few drinks and soon he is the life of the party.  In the middle of the night when he awakens he is a bit depressed. In his session he may say something like:  "I don't understand how I get into these things.  I really didn't feeling like going and again it is as if something just takes over and there I am again doing something I don't really feel like doing."  In a situation like this Voice Dialogue could be a very effective intervention.

2. What does it look like?

The therapist might say: "It really does sound like there are two very different ways of being or value systems that are operating in you.  There is you the party person, the more extraverted self who generally needs some alcohol or drug to get him going.  On the other side is a more introverted part of you trying to come out and be heard but he seems to have less authority than the other one.  How would you feel about my talking to these two feelings or ways of being in the world to see if this might help clarify some of the conflict that you are describing?"

The therapist starts always with the self that is the more primary, that leads his life in the world.  For this the client actually moves over physically to a different position and the conversation or interview begins.  When finished John would go back to the center for a discussion of the work so far.  In this, or the next session, the therapist might have a conversation with the less developed, often totally disowned self.

3. How does it help the client?

It helps the client in three ways.  First he gets to hear in a very objective way what these different "voices" or selves have to say, what they want and need, how they developed -- the family forces that shaped them. Just knowing that the voices are real can be a total revelation.  A woman might say that she can't stand looking in the mirror in the morning. To discover that she has a voice in her, the Inner Critic, that embodies all of her self criticism can initiate a major shift in her life.  

Secondly, the therapist helps to develop a new place between the opposites, a place that can help the client hold the introversion with one hand and the extraversion with the other.  It is a new "center" of personality that we call the Aware Ego.  It is this Aware Ego Process that can learn to embrace the vast system of opposites that live within each of us.  

The third advantage is that from this Aware Ego Process the client is in a better position to make conscious choices.  A conscious choice is one that honors both sides of the conflict no matter which choice is actually made.

4. In your opinion what makes Voice Dialogue a cool intervention?

First of all it is way of working that is fun and alive and brings in all kinds of different thoughts, feelings and emotions.  It is impossible as a therapist to be bored or tired doing this work.  It the therapist gets tired or bored it is because he or she has fallen into a pattern of being overly responsible or overly mental or some primary self that limits possibilities of enjoying the work.  

Secondly there is the constant excitement of new discovery.  Discovering and separating from a primary self is like waking up from a dream and discovering whole new worlds of possibility.  

Thirdly, what you judge in the world are generally expressions of selves in you that have been shut down or rejected over time.  What a ride it is and how relationships do change as you begin to learn how to catch hold of these judgments.  

Fourthly, how different it is to learn how to allow your own vulnerability to live in the world of relationship.  So many people look for more meaning in their lives. Learning how to use vulnerability in a conscious way is really the royal highway to a more deeply felt and experienced life.

The Empty Chair

The term gestalt refers to a whole that is greater than the sum of its parts. Gestalt therapy, formulated by Fritz Perls (1893-1970) is based on the idea of a whole being as connected with their environment, loved ones and memories. Therapy works toward creating full awareness of the here and now, both within the client and between client and therapist. The empty chair is one of many interactive techniques used to help engage the client's feelings, thoughts and behaviors.

The ol' empty chair has had quite a tongue-lashing over the years. Clients have given a piece of their mind to innumerable spouses, bosses, best friends and dead relatives thanks to this simple tool. But the chair is none the worse for wear, and millions of people have a greater understanding of feelings and communication as a result.  

1. When would a clinician use the empty chair technique?

The empty chair technique is characteristic of some styles of gestalt therapy. It is often effective at facilitating clients' integration of different aspects or "disowned parts" of their personality in order to further psychotherapeutic insight. It is one of a variety of interventions that help people move from talking about something towards the fullness of immediate, present experience - sensation, affect, cognition, movement. The less people are "in touch," or "verbalizing," or abstractly thinking, the more likely therapists are to use this as an expressive technique. It is not used for clients whose emotionality is already dramatic and who may be already subject to emotional "flooding."

2. What does it look like?

As first popularized by Fritz Perls, one of the founders of gestalt therapy, an empty chair faced the client. The client imagined someone (or himself, herself, or parts of him or herself) in it, and spoke, gestured, or otherwise communicated to the "empty chair," which was now not so empty. The client then sat in the chair, continuing the conversation, this time reversing roles. Variations of the "empty chair" developed over the decades in order to fit the clinical needs of the situation - and as gestalt therapy evolved. The client might participate in this technique without the "prop" of an actual empty chair. Importantly, the technique today always includes attention to the relational dynamic between the client and the psychotherapist.

3. How does it help the client?

This technique often brings clients into present or immediate experiences. Abstractions or verbalizations become enlivened moments. Clients may be able to experience different aspects of their own conflicts in a new manner through empty-chair dialogue. Gestalt therapy is more than a collection of techniques, despite the notoriety of the empty chair. This technique is one of the many interventions within gestalt therapy, all with the common purpose of facilitating discovery and psychotherapeutic insight.

4. In your opinion, what makes the empty chair a cool intervention?

Any intervention that challenges the passivity of the clinician and turns psychotherapy into a creative collaboration is a cool technique. Further, if the empty chair is a new approach to the clients, it offers a new perspective on the therapy process.