Navigating Transitions from College to the Real World: Coping Strategies for Graduates

Graduating from college is a significant milestone, often accompanied by a mix of excitement, anticipation, and uncertainty. Transitioning from the structured world of academia to the reality of the professional workforce can be challenging. If you're a recent graduate grappling with feelings of inadequacy, loneliness, or dissatisfaction with your job, you're not alone. As a mental health professional, I'm here to provide guidance on how to cope with these challenges and find your footing in the real world.

1. Embrace Change with Realistic Expectations

The transition from college to a professional job is a profound change that comes with its own set of challenges. It's essential to approach this period with realistic expectations. Understand that the initial stages of your career may not be as glamorous or fulfilling as you envisioned. You might be starting at an entry-level position or facing a steep learning curve. Give yourself permission to grow and evolve over time.

1. Seek Support and Connection

Loneliness is a common experience during the transition from college to the real world. In college, you were likely surrounded by friends and a supportive community. In the professional world, it's common to feel isolated, especially if you're working remotely or in a new city. To combat loneliness, make an effort to stay connected with friends and family. Consider joining networking groups or social clubs related to your interests to meet like-minded individuals.

1. Practice Self-Compassion

Feelings of inadequacy often stem from comparing yourself to others or holding yourself to unrealistic standards. It's essential to practice self-compassion during this transition. Treat yourself with the same kindness and understanding that you would offer to a friend facing similar challenges. Remember that it's okay to make mistakes and that personal and professional growth takes time.

1. Set Realistic Goals

Feeling unfulfilled in your job might be a result of unrealistic expectations or misalignment with your career goals. Take the time to set clear and realistic short-term and long-term goals. Break down your goals into manageable steps, and consider seeking guidance from a career counselor or mentor to help you navigate your career path.

1. Explore New Interests and Hobbies

To combat dissatisfaction with your work, consider exploring new interests and hobbies outside of your job. Engaging in activities you're passionate about can provide a sense of fulfillment and balance in your life. It can also help you meet people with similar interests, potentially alleviating feelings of loneliness.

1. Communicate with Your Employer

If you're unhappy with your job, it's essential to communicate with your employer or supervisor. Constructive feedback can lead to positive changes in your role or work environment. Additionally, discussing your concerns with your employer can help you gain clarity on your career trajectory and whether the company aligns with your long-term goals.

1. Manage Stress

The transition from college to the real world can be stressful. Balancing the demands of a new job, financial responsibilities, and personal life can take a toll on your well-being. Prioritize stress management techniques such as mindfulness, exercise, and relaxation exercises to help you cope with the pressures of this transition.

1. Seek Professional Help

If you find that your feelings of inadequacy, loneliness, or job dissatisfaction persist and significantly impact your daily life, it may be beneficial to seek professional help. A mental health counselor or therapist can work with you to address these challenges, provide coping strategies, and support your emotional well-being.

1. Network and Build Relationships

Networking is a crucial aspect of professional growth and personal satisfaction. Attend industry events, join professional organizations, and seek out mentors who can guide you in your career. Building relationships with colleagues and peers can provide a support system and open up opportunities for career advancement.

1. Embrace Continuous Learning

In the professional world, learning doesn't end with college. Embrace the concept of lifelong learning and invest in your personal and professional development. Pursuing additional courses, certifications, or workshops can help you gain new skills and enhance your job satisfaction.

The transition from college to the real world can be a tumultuous journey filled with challenges and uncertainties. It's important to recognize that struggling with feelings of inadequacy, loneliness, or job dissatisfaction is a common experience during this phase. By embracing change with realistic expectations, seeking support, practicing self-compassion, and actively working on your personal and professional growth, you can navigate this transition with resilience and find fulfillment in your professional journey. Remember that you have the strength and potential to thrive in the real world, even when it feels overwhelming.

Why the transition from college athlete to the real world is so hard

The experiences of athletes like Simone Biles and Michael Phelps have shed light on the mental health struggles many athletes face. A topic that has received less attention – but deserves equal standing – is the mental wellbeing of athletes who are transitioning from intense competition into the next phase of their life. 

This period of time can be a difficult one for many reasons. Most athletes end their athletic career in college, which coincides with numerous changes that all college graduates face, including leaving the familiarity of school, entering the workforce, and a general sense of uncertainty that comes with starting a new phase. But for athletes, this period can be even more difficult because it can feel like a large portion of their identity has been lost.

Whereas most college students have the opportunity to test out new identities and “find themselves” in high school and college, athletes’ immense time and energy investment in their sports prevents them from doing the same. Their athletic participation, which usually begins early in life, provides them with athletic purpose, athletic identity, structure, adoration from others, camaraderie with teammates, competition highs, and social status. But this comes at a cost. They miss out on opportunities to explore life outside of athletics, experiment with various roles, and face conflicts that refine one’s sense of self. Ultimately, this can result in what is known as identity foreclosure, which essentially means not having had the opportunity to explore oneself before settling on an identity. In other words, athletes don’t have the opportunity to find out who they are apart from their sport. On top of this, retiring athletes face the loss of being highly skilled at something, the loss of a built-in support network, and the loss of public admiration. If all of this sounds like a lot, that’s because it is!

It’s no wonder that retiring student-athletes often struggle with adjustment difficulties, uncertainty, career problems, financial issues, social problems, and issues with self-esteem, self-concept, well-being, and life direction as they transition from their exclusive athletic identity to an uncertain one. The shift away from athletics has been associated with mental health symptoms including feelings of grief, anxiety, and depression, as well as decreased social support, isolation, declined sense of self-worth, loss of interest in activities, and lack of motivation. Furthermore, athletes who have not developed coping strategies may turn to substance use or unhealthy eating habits, which are common coping mechanisms among student-athletes encountering negative events. 

If you’re an athlete or recently retired athlete, you might be feeling anxious about the transition into the “real world,” or you might be nodding along in recognition of your experience. Thankfully, whether you are planning ahead for the next phase or seeking support during a recent retirement, there are many things you can do to ease the transition. The first is to develop interests and skills outside of your sport. Ideally, you would engage in pre-retirement planning a year or more in advance. However, if you haven’t done that, there are still many ways you can move forward with intention. The key is to consider your values and interests apart from your sport, begin to develop new skills that align with those values and interests, and set goals. These steps can help you develop a sense of identity outside of athletics that you can build on. Ask yourself what lights you up and gets you excited, and go from there. Ultimately, you will be able to take the motivation and hard work you applied to your sport and channel it into finding success in a new pursuit. It may take time, and the beginning may feel overwhelming, but think of it like building a muscle. It might hurt, and it might be slow going, but eventually you will see the results!

Another important step is to process your feelings about stopping your sport. You can explore what being an athlete has contributed to your life, what it is/will be like to no longer identify as an athlete or be part of a team, and what emotions that brings up for you. In addition, you should process through any fears, hopes, and beliefs you have about entering this next life phase. If you have already stopped playing your sport and are going through the grieving process, know that this is normal. It’s okay – actually, necessary – to allow yourself to grieve, and you don’t have to go through it alone. You can do this work with teammates and mentors, in therapy, or as part of a support group. 

Another important factor to consider is continuation of belonging and social support – two major benefits athletes receive from being a part of a team. Again, you don’t have to go through this transition alone! Be intentional about checking in with your team members who are going through the same situation, and make a plan for how to support one another through this time. You should also seek out groups of individuals with similar interests outside of your sports team. For example, you might sign up for intramural sports, take an art or photography class, or get involved in a company with lots of other motivated young people. It’s important to remember that building social relationships outside of sports can take work and take time, and they may look and feel slightly different than the ones you had in college.

The transition from athlete to the “real world” can be a tricky one, so if you are going through it, be gentle with yourself. It’s okay to mourn the loss of your athlete identity. And it’s okay to feel scared or anxious about what lies ahead. At the same time, it’s okay to look forward to how you will learn, grow, and find success – whatever that looks like for you – over the next several decades! There is so much more to you than the title of athlete. And your friends, teammates, and mentors are there to help you along your journey. We are all rooting for you! 

Book with author of this blog post, Kaitlin Lowey, here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

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

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 overcome social media addiction and do a digital detox

Internet, phone, and social media addiction is a growing concern in today's digital age, with many people finding it hard to disconnect from their devices and online networks. As we explore the psychological reasons behind this phenomenon, it becomes clear that the internet and social media meet certain human needs that are crucial to our well-being. But at what cost?

Last month Supervised Therapist Kaitlin Lowey was featured on WFLA’s Bloom. She provided tips on how to overcome social media addiction and do a digital detox. You can watch the full segment here. Below is a summary of the clip.

Doom scrolling on social media can have a negative impact on your health.

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 why a digital detox is beneficial for your health.

Using social media and the internet feels good because it meets certain psychological needs in an instant

One of the main psychological needs met is the need for social connection and belonging. People can stay in touch with friends and family, connect with like-minded individuals, and find support and validation. 

Another important one is the need for information and knowledge – and deeper than that, a need for a feeling of control and certainty. The internet provides access to a vast amount of information on any topic, and this accumulation of knowledge can provide a sense of comfort when aspects of our lives feel out of our control. 

While the internet and social media can be beneficial in many ways, excessive use or addiction can have negative effects on mental health

Studies have shown that excessive internet and social media use can lead to feelings of anxiety, depression, loneliness, and low self-esteem. The constant stimulation and distraction of the internet and social media can also interfere with sleep, productivity, and overall quality of life.

There are remarkable benefits of taking a break from, or limiting, social media use

Taking a break from social media use is linked to  reduced stress and anxiety, improved self-esteem, and increased productivity. In a 2018 study found that limiting social media use to 30 minutes per day led to significant reductions in depression and loneliness. By disconnecting from the constant barrage of information and stimulation, we can focus on more meaningful activities and relationships, leading to a greater sense of fulfillment and well-being.

To successfully take a break from problematic internet or social media use, the key is to make a plan 

Before starting, track your triggers. What is happening in those moments before you reach for your phone, and how are you feeling? Are you feeling bored? Anxious? Lonely? These feelings are connected to deeper psychological needs, such as the need for connection, certainty, and purpose.

Then, identify coping skills and alternative activities that meet your psychological needs in healthier ways. For example, you can connect with friends and family in person, engage in physical exercise, pursue creative hobbies, or volunteer in your community. Mindfulness-based interventions, such as meditation and mindful breathing, have been effective in reducing social media addiction. It can be helpful and insight-building to journal your thoughts and feelings. You might be surprised by what you learn about yourself. 

Finally, let technology help you! Apps that encourage users to engage in alternative activities, such as exercise and mindfulness, have been shown to be effective in reducing social media addiction. Don’t beat yourself up if you slip. Addictions are hard to beat! Rather, gently notice what happened, ask yourself what you are needing in that moment, and consider other ways you can meet that need using your coping skills.

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 cultivate a positive mindset for active aging

Last month Supervised Therapist Kaitlin Lowey was featured on WFLA TV’s Bloom. She dispelled stereotypes about aging and provided tips on how to foster a positive mindset and stay active as we age. You can view the full segment here. Below is a summary of the clip. 

https://www.wfla.com/video/mindset-active-aging/8430170/

Exercising our minds and bodies, staying socially connected, and living with purpose are all connected to longer, more fulfilling lives as we age and reach retirement age. But given the stereotypes about aging that pervade Western cultures, it can be difficult to overcome doubts about staying active, healthy, and engaged as we get older. 

So, how do we cultivate a positive mindset for active aging? 

• Reject the stereotypes about aging

• There are a lot of misconceptions about aging in America – false ideas like as people age, they are doomed to poor health, cognitive decline, and general decline in life satisfaction. These are myths. (And as part of a generation with parents entering this phase of life, I’m passionate about dispelling these myths.) 

• The truth is that subjective well-being increases with age, and we see a jump in subjective well-being around age 50, and this persists until the very oldest stage of life. 

• Why? One explanation is that as we age we become more emotionally stable. We’re better able to handle stress and weather storms with hard-earned wisdom. 

• Another reason may be that, contrary to the myth that older adults become more set in their ways, older adults actually report more openness to the future. 

• In addition, older adults report more satisfaction in their social relationships. 

• And finally, as we age we care less and less about what people think! There is freedom in this. 

• All of this is important to remember because a 2022 study from Harvard revealed that people with more positive attitudes about getting older tend to live longer and healthier lives than those with negative perceptions. 

• Be intentional about connecting to purpose and people 

• Having a purpose gives our lives meaning. We spend so much time planning for retirement, that it’s easy to forget to plan the retirement itself! Consider the legacy you want to leave behind in this new chapter. Is the purpose of this chapter to teach others, spend more time connecting with loved ones, building a new skill you’ve always wanted to try? There are so many exciting possibilities for projects that align with your values. 

• Post-retirement years are also a great time to join a club and get involved in a community organization. 

• Make a plan for exercise 

• Research shows that exercising regularly has immense physical, emotional, and cognitive benefits – especially in our older years. But we’re not always motivated to do it. The key is to make a plan for when you’ll exercise and also make a plan for how you’ll respond if you don’t feel like it.

• For instance, you could tell yourself you’ll just try exercising for a few minutes and see how it goes. Chances are, you’ll find the motivation to do more. You can also take a moment to envision all the benefits you will get from exercising to create the kinds of positive feelings that then lead to motivation. 

• Another great way to stay motivated is by recruiting your friends and family members to exercise with you or help keep each other accountable.  

• Finally, fit activity into your lifestyle. Take the stairs. Park in the back of the parking lot. Take the dog for a long walk. These small moments of activity add up. 

• Cultivate gratitude, openness, and curiosity

• Research shows that the number one factor happy people have in common is gratitude. Actively noticing and being thankful for the small things in life can give you the boost you need to maintain a positive mindset.

• Make use of that openness you’re experiencing. Lean into it. Get curious about what’s out there waiting for you in your retirement years. Who knows if you’re the next budding photographer, master’s high jumper, or champion pickleball player.

To Book with Kaitlin Lowey: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

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

The Steps and Stages of Emotionally Focused Therapy for Couples

EFT for Couples is a three stage nine step process that takes a couple out of their negative repetitive fights that are causing a couple distress, anguish and pain and into a new place of bonding and connection where the fights are resolvable and solutions can be found. It was created by Dr. Susan Johnson and based on research in attachment theory and emotion, as well as, on systems, humanistic, and experiential treatment models. As a model itself, it has been validated by research to help about 70% of couples achieve some long term gain.

Stage One - Stabilization (assessment and de-escalation) 

In stage one of EFT, the therapist works empathically with the couple helping them identify and break the negative cycle, pattern or what Dr. Johnson calls the dance that keeps them separated and in emotional distress. During this stage of therapy, the therapist helps the couple begin to get more in touch with the underlying feelings, fears, and unmet relationship longings driving the negative dance. Experiencing these emotions and seeing their partner experience them, helps the couple to start to feel close again. Things at home start to go along more smoothly. There is a sense of calm and hope. Finally, in this stage, as de-escalation begins to take root, the individuals in the couple pair begin to see, feel, and understand that together they have created this dance of distress. Each person begins to understand more deeply the effect of his or her behavior on the other. Couple learns to work together as a team to stop the cycle.

Step 1: 
Assessment: Delineate conflict issues. Assess how these issues express core conflicts in the areas of separateness/ connectedness and dependence/ independence.
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​Step 2:
Identify the negative interaction pattern or cycle.

Step 3:
Dive more deeply into and feel and share the emotions underlying and fueling each partners position in the cycle. 

Step 4:
Develop an understanding and experience of the problem (reframe) in terms of the cycle, the underlying emotions driving the cycle and the attachment needs which are normal and longing to be meant.

Stage Two - Bonding 

Once the couple begins to understand the dance they do together and is able to step back and stop it or repair it when it gets going at home, they are ready for stage two of EFT. Stage two essentially involves bonding moments where the couple begins to learn how to communicate their vulnerabilities to each other in a new and non-reactive manner. They are supported by the therapist to take risks in expressing their core sense of self, in asking for the other to be there for them and in requesting understanding and acceptance. Partners take turns reaching out to each other in vulnerability and responding back with empathy creating a new sense of togetherness and secure attachment.

Step 5:
Delve into and identify disowned needs and aspects of self that have been hidden for each partner.

​Step 6:
Promote acceptance of these tender and hidden parts, aspects of self and new ways of relating.

​Step 7:
Facilitate the expression of needs and wants, and restructure the interaction to create true emotional engagement.
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Stage 3 - Consolidation of Change

After the couple has finished the bonding and restructuring events of stage two, they will begin to feel more secure with each other. During stage three, they feel like a team again. The narrative of their relationship has shifted to one where the distress and conflict is understood, resolved, and just part of the story.

Step 8:
Facilitate the emergence of new solutions to old problematic relationship issues.

Step 9:
Consolidate new positions and cycles of emotional closeness and attachment.

Sure, people still fight and sometimes even go back into their cycle. This is normal and will happen especially during times of stress. However, they are able to pull themselves out of it and be there for each other because their sense of self and experience of the relationship has changed. Because of this new ability and sense and during stage three, the focus is more practical and mostly involves consolidating gains and problem solving.

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

The Stages of Actual Change: There's A Hole In My Sidewalk by Portia Nelson

(Autobiography in Five Chapters, from There's A Hole In My Sidewalk by Portia Nelson)

Chapter One

I walk down the street.

There is a deep hole in the sidewalk.

I fall in.

I am lost . . . I am helpless.

It isn’t my fault.

It takes forever to find a way out.

Chapter Two

I walk down the same street.

There is a deep hole in the sidewalk.

I pretend I don’t see it.

I fall in again.

I can’t believe I am in this same place.

But it isn’t my fault.

It still takes a long time to get out.

Chapter Three

I walk down the same street.

There is a deep hole in the sidewalk.

I see it is there.

I still fall in . . . it’s a habit . . . but,

My eyes are open.

I know where I am.

It is my fault.

I get out immediately.

Chapter Four

I walk down the same street.

There is a deep hole in the sidewalk.

I walk around it.

Chapter Five

I walk down another street.