Preparing for the Climb: What to expect in your first therapy session

Congratulations on scheduling your first counseling appointment! If this is your first time in therapy, you may be wondering what it’s going to be like that first appointment. Even if it’s not your first venture into counseling, it’s helpful to know what to expect with your new counselor (me). 

I like to think of undertaking therapy as similar to climbing a mountain. Just like the steps one takes to prepare for an intense climb, the therapy process starts with gathering information, taking stock of your equipment/tools, and making a plan. Using this metaphor, let’s talk about the first step in therapy: the intake appointment. 

Step 1: Meet your climbing partner 

Climbing a mountain is hard work. It helps to take a climbing partner with you – ideally someone who has climbed before and is dedicated to walking with you through the most challenging parts. The same is true with counseling. During your first session, I will introduce myself to you and go over a few important details about the counseling process. 

A little bit about your climbing partner/therapist: Right now I am a Supervised Therapist at South Tampa Therapy, which means I am counseling under the supervision and licensure of Dr. Elizabeth Mahaney while I finish up my final 18 weeks of my Masters in Counseling program Northwestern University. (Previously, I spent 12 years working in corporate America.) My current education has qualified and prepared me to counsel individuals, couples, and families experiencing a variety of life challenges, and over the past year I have accumulated 1,000 hours of experience in clinical mental health settings. I take a collaborative, integrative, and holistic approach, which means I look at the whole person and pull in evidence-based tools from various counseling theories based on what we both believe will be most helpful for you. (Approaches I often use for individuals include Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) including Exposure with Response Prevention (ERP), Narrative, Internal Family Systems, and Psychodynamic; for couples, I also use Gottman and Emotion-Focused Therapy.) 

Step 2: Learn about the climb

A climber needs to be informed about the mountain they are climbing, including any risks, benefits, requirements, and special considerations. You should know the same at the outset of your counseling journey. During the first session, I will tell you what counseling is, what you can generally hope to accomplish, any risks, and what the process will entail. Counseling is a collaborative process aimed at helping clients achieve mental health and wellness. It takes work on the part of the therapist and the client. Together, we will identify goals, gain insight, work through challenges, and practice new skills. If you are here for couples counseling, we will develop insight into what is underlying any relationship problems and then work to heal wounds, resolve conflict, and improve communication. 

Now, about the risks. While counseling is successful for many people, like any endeavor, there is not 100% certainty. It might not be the right time to climb the mountain, or I might not be the best climbing partner for you – and that’s ok if we find that out! I want the best for you. Also, talking about hard things can bring up difficult emotions – similar to training your muscles for a long climb, you may experience some emotional “soreness” along the way. That is why your counselor is here to train alongside you – so you’re not facing the journey alone!

Another important aspect of the therapy process is confidentiality and its limits. Confidentiality is of utmost importance to me, and I am also bound by law and my professional ethics to uphold it. Everything we talk about in session will stay in session. I may seek supervision from my supervisor (who is also bound by confidentiality) on aspects of your case to ensure I am providing the best possible care. There are only a few instances where I would be required by law to break confidentiality: if I believe you are going to harm yourself or another person, if there is suspected abuse of a child or vulnerable adult, or if my court records were to be subpoenaed (which is highly unlikely). 

Beyond confidentiality, we will cover policies and communication expectations – things like what to do if we run into each other out of the therapy room, how to get in touch between sessions, and cancellation/rescheduling expectations. I highly encourage questions about anything – I want you to feel confident and comfortable as we begin the journey. 

Step 3: Check equipment and readiness level

Embarking on a mountain climb without checking one’s equipment (what you bring with you) and readiness levels would not likely result in a successful outcome. My goal for counseling is to help you achieve your goals. And in order to do that, I need to get to know what you’re bringing with you in your emotional backpack! That’s why this first session will be more question-heavy than other sessions we will have together (where you will be doing most of the talking). I will ask you about your health, family history, and what symptoms you’re currently experiencing. Since we’re shaped by both nature (our genetic makeup) and nurture (family, community, experiences, and global events and messages), gathering information about these topics helps us get a sense of how these factors may be impacting you. Most importantly, I’ll ask what brings you to counseling now and what you’re hoping to get out of it. I may also administer one or more assessments that we can come back to over the course of treatment to check on progress. 

Step 4: Map out the journey 

During our first session, we’ll start to hone in on goals for our time together – you might think about it like determining which mountain (or mountains) we want to climb, how frequently it makes sense to train, and a goal for how quickly we can reach the top. Each person has unique goals. For instance, a goal may be to reduce the frequency, intensity, and duration of anxious  thoughts and feelings. Perhaps it could be to find clarity on a difficult, stressful decision. Or maybe it could be to improve communication in a relationship, process through a trauma, grieve a loss, or increase self-esteem. It’s possible that the goals will start out more general and become more specific as we gain more clarity on symptomatology. As we dive deeper, they may also shift. We might even add additional goals along the way! 

Goals are important because they provide direction for our work together. They also let us know if we’re on the right track or if we need to switch approaches. Finally, if we are successful during our time together, our goals will help inform when it’s time to begin winding down our sessions. 

With our goals set, we will discuss how frequently we want to meet (I usually recommend weekly to start with) and set our next appointment time. I may also ask you if you are ok with taking part in “practice” (which I find is a more palatable word than “homework”) between the intake and the next session. This could be, for example, reading a brief article, tracking your thoughts and feelings, journaling, or trying out a new coping tool. We can both expect to leave the intake with an idea of where we’ll be headed in therapy as well as what we’ll focus on in the next session. 

What to keep in mind when beginning counseling

Embarking on the counseling journey is a big decision – akin to standing in front of a tall mountain and making the decision to climb it. And the intake session is sort of like meeting your climbing partner for the first time, taking stock of your equipment, and mapping your route before the journey. It’s ok to feel a little nervous at this stage. It makes sense – talking about hard things and putting in the work is difficult! But know that as a counselor I am there with you, creating a nonjudgmental space to feel, process, and work through the most difficult parts of your experience. It’s so much easier to climb when you know you’re not doing it alone. And the view at the top? Well, it’s pretty spectacular.

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

Harvard Study Reveals Key to Happiness and Health: Meaningful Relationships with Family, Friends, and Community

The Study

The Harvard Study of Adult Development, started in 1938, is the longest study on human life with a mission to uncover the secrets to good health and happiness. The original cohort of 268 student volunteers (including future president John F. Kennedy) has expanded over the years to include their offspring, varying socioeconomic classes, and women. Data collected reveals a surprising truth about us as human beings – our close relationships are what keep us happiest and healthiest throughout our lives.

Every few years, participants of the study have completed questionnaires regarding their health, marriages, careers, success and failures, and much more. They’ve shared their medical records and sat down for in-person interviews. After pouring over data and stories acquired over decades, scientists have discovered that the best predictor of health and happiness in life is having close connections with others. Our relationships are more important to our well-being than money, fame, social class, IQ, and even our genes. In fact, people who have strong, meaningful relationships in their 50s turn out to be the healthiest ones in their 80s. 

The Power of Human Connection

Why is human connection so powerful? Multiple studies reveal the positive impacts of social connections. Strong relationships lead to better mental health, lower rates of anxiety and depression, stronger immune systems, higher self-esteem, greater empathy towards others, improved ability to recover from disease, and can ultimately help us live longer lives. Think about how nice it feels to sit with others and share a piece of ourselves through stories and experiences. We laugh together, which releases endorphins in our body. Endorphins are those “feel good” hormones that give us a sense of well-being and can temporarily relieve pain. And the more we engage in social activities and reap the benefits of their impact, the more people WANT to be with us, thus creating a positive feedback loop of human connectedness.

The Effects of Loneliness

Why is loneliness so detrimental to our health? According to the Harvard study, loneliness is as harmful to us as alcoholism and smoking. In fact, we now know that feeling lonely can negatively impact our immune system, sleep patterns, blood pressure, stress hormones, and mental health. As we age over time, these impacts take a toll on our bodies and minds. And in our later years of life, social connections and support may be even harder to find with limits in mobility and a shrinking social cohort. Nurturing healthy relationships today help buffer the impact of entering our twilight years.

Becoming Connected with Others

How do we incorporate the findings of the Harvard study into our own lives for better health and happiness? How do we make new social connections and nurture the ones we already have? It’s easier than you think. Start with the people who already show up in your life. Set up date night with your partner. Go play with your kids. Reach out to a friend today and get something on the calendar – perhaps a walk along Bayshore Boulevard in the early morning or evening, a stroll through one of the various weekend markets we have in Tampa, a backyard cookout, or just a meaningful conversation on your front porch. It doesn’t need to be an expensive or time-consuming outing – it’s all about the connection.

And don’t forget to seek out opportunities in your community for expanding your social circle. Consider attending church on Sunday, finding a tennis or pickleball clinic, signing up for a cooking class, or mentoring a young person who needs guidance in life. All of these options and more are available to you. With knowledge gained from the Harvard study, we now know the key to a lifetime of happiness and good health – meaningful relationships. Let’s get started.

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

Supporting Your Partner Through Difficult Times

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Life is filled with ups and downs, and during challenging moments, having a supportive partner can make all the difference. As a couple, navigating difficult times together can strengthen your bond and foster personal growth. Drawing from the perspective of a Marriage and Family Therapist (MFT), this blog post will explore effective ways to help your partner during tough moments, promoting a healthy and thriving relationship.

1. Foster Open Communication

Effective compassionate communication forms the foundation of any strong relationship. During difficult times, encourage your partner to express their thoughts and feelings openly. Provide a safe and non-judgmental space where they can freely share their concerns, worries, or frustrations. Actively listen, validate their emotions, and refrain from offering immediate solutions. Sometimes, all they need is a compassionate ear and a shoulder to lean on.

2. Cultivate Empathy and Understanding

Empathy plays a vital role in supporting your partner through challenging times. Put yourself in their shoes, trying to understand their perspective and emotions. Recognize that their experience may differ from yours, and avoid dismissing or minimizing their feelings. Show genuine compassion and validate their experiences, even if you cannot fully relate to their circumstances. Offering empathy allows your partner to feel heard and understood, strengthening the connection between you.

3. Be Present and Available

During difficult times, your partner may need your presence more than ever. Demonstrate your commitment by making time for them, ensuring your availability. Be physically and emotionally present, offering your support and undivided attention. Engage in activities they enjoy or simply spend quality time together. Your consistent presence and active involvement will foster a sense of security and reassurance during their challenging moments.

4. Provide Practical Support

Practical support can alleviate some of the burdens your partner may face. Assess their needs and identify practical ways you can assist them. This could involve helping with household chores, running errands, or taking on additional responsibilities. By sharing the load, you show your partner that you are in this together, reinforcing the idea that you are a team working through adversity.

5. Encourage Self-Care

Encourage and facilitate self-care practices for your partner. During difficult times, individuals may neglect their well-being. Help them prioritize self-care activities such as exercise, meditation, therapy, or pursuing hobbies they find fulfilling. Offer to join them in these activities, or support them by giving them space and time for themselves. By nurturing their well-being, you contribute to their overall resilience and ability to cope with challenges.

6. Avoid Judgment and Criticism

In moments of vulnerability, it is crucial to avoid judgment and criticism. Negative or critical remarks can be detrimental to your partner's well-being, exacerbating their difficulties. Instead, practice empathy, understanding, and unconditional positive regard. Create an environment where your partner feels safe expressing their emotions without fear of judgment. Remember, your role is to support and uplift, rather than criticize or belittle.

7. Seek Professional Help if Needed

Recognize when professional help may be beneficial. If your partner's challenges persist or intensify, encourage them to seek support from a qualified therapist or counselor. Professional intervention can provide valuable insights, coping strategies, and personalized guidance to navigate their difficulties. By encouraging this step, you demonstrate your commitment to their well-being and the health of your relationship.

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Supporting your partner during difficult times is a testament to the strength and resilience of your relationship. By fostering open communication, empathy, and understanding, you create a safe space for them to share their struggles. Being present, offering practical support, and encouraging self-care can significantly alleviate their burdens. Remember, each individual's journey is unique, and seeking professional help when necessary is a sign of strength and commitment.

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Author: Crystin Nichols
Book Appointment: https://southtampacounselor.com/bookappointment

Are You Arguing with Your Spouse?

Many couples believe that arguing with their spouse is a sign of a troubled relationship. However, the truth is that disagreements are a natural part of any healthy relationship. In fact, it's normal and even healthy for couples to have arguments from time to time. Here are some reasons why it's okay to argue with your spouse.

1. It allows for honest communication: Arguing with your spouse can provide an opportunity for honest communication. When couples argue, they are expressing their true feelings, thoughts, and concerns. This kind of communication is essential to building a strong and healthy relationship.

2. It helps to resolve conflicts: Disagreements can provide an opportunity to resolve conflicts. When couples argue, they are addressing issues that need to be resolved. By working through these conflicts together, couples can strengthen their relationship and create a deeper understanding of each other.

3. It shows that you care: Arguing with your spouse can also be a sign that you care about each other. When couples argue, they are expressing their passion, which is a sign of emotional investment in the relationship. It shows that you are willing to stand up for your beliefs and values, which can create a more meaningful relationship.

4. It leads to growth and learning: Arguing with your spouse can also lead to personal growth and learning. When couples argue, they are challenging each other's perspectives, which can lead to new insights and understanding. By working through conflicts and disagreements, couples can learn from each other and grow together.

5. It can bring you closer together: Finally, arguing with your spouse can actually bring you closer together. When couples argue, they are working through difficult issues together, which can create a stronger bond. By being willing to engage in difficult conversations, couples can create a deeper connection and a more intimate relationship.

Arguing with your spouse is a natural and healthy part of any relationship. It allows for honest communication, helps to resolve conflicts, shows that you care, leads to growth and learning, and can bring you closer together. The key is to approach arguments with respect, empathy, and a willingness to listen to each other's perspectives. By doing so, you can turn disagreements into opportunities for growth and strengthen your relationship in the process.

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

What is the difference between LMHC and MFT?

When it comes to seeking therapy, there are a variety of mental health professionals to choose from. Two common options are Licensed Mental Health Counselors (LMHCs) and Marriage and Family Therapists (MFTs). While both professions offer valuable support to individuals and families, there are some important differences to consider. In this blog post, we'll explore the difference between licensed mental health counselors and marriage and family therapists.

Elizabeth Mahaney, MA, LMHC, MFT, LPC, LCPC, CCTP, NCC, DCC, Ph.D has a MA in both mental health counseling and marriage and family therapy with specialized training in communication, trauma and many certifications. Here is why this is important:

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Licensed Mental Health Counselors (LMHCs)

LMHCs are mental health professionals who provide counseling services to individuals, couples, and families. They are trained to diagnose and treat a variety of mental health issues, including depression, anxiety, and trauma. LMHCs use evidence-based therapies such as cognitive-behavioral therapy (CBT) and psychodynamic therapy to help clients work through their challenges.

LMHCs typically hold a Master's degree in counseling or a related field and are licensed by their state's licensing board. In order to become licensed, LMHCs must complete a certain number of supervised clinical hours and pass a licensing exam.

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Marriage and Family Therapists (MFTs)

MFTs are mental health professionals who specialize in working with couples and families. They are trained to address the unique challenges that arise in family systems, such as communication breakdowns and relationship conflicts. MFTs use a variety of therapeutic approaches, such as Emotionally Focused Therapy (EFT), Gottman Approach, and Internal Family Systems, to help families and couples improve their relationships.

MFTs typically hold a Master's degree in Marriage and Family Therapy and are licensed by their state's licensing board. In order to become licensed, MFTs must complete a certain number of supervised clinical hours and pass a licensing exam.

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Differences between LMHCs and MFTs

While both LMHCs and MFTs provide counseling services, there are some key differences between the two professions. The main difference lies in their areas of specialization. LMHCs are trained to address a wide range of mental health issues, while MFTs focus specifically on relationship and family dynamics.

Another difference is the types of clients they see. While LMHCs work with individuals, couples, and families, MFTs primarily work with couples and families. MFTs use a systemic approach, meaning they view individuals within the context of their family and larger social systems.

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Which one is right for you?

The decision between seeing an LMHC or an MFT ultimately depends on your individual needs. If you are struggling with a specific mental health issue, an LMHC may be a better fit. If you are experiencing challenges within your relationships or family system, an MFT may be a better choice.

It's important to do your research and choose a therapist who is licensed and trained in the areas that are most relevant to your needs. Additionally, it's always a good idea to schedule an initial consultation with a therapist to get a sense of their approach and determine if they are a good fit for you.

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

Book with Dr. Liz: https://southtampacounselor.com/bookappointment

Can Gottman Couples Therapy Help Your Relationship Improve?

If you are facing relationship struggles, Gottman Couples Therapy can provide you and your partner with the support you need to work through your problems. This approach to couple’s therapy is based on over 40 years of research conducted by Dr. John Gottman and his wife Dr. Julie Gottman.

The main goal of Gottman Couples Therapy is to help couples strengthen their relationships by improving communication, enhancing love, and building trust. The therapy process focuses on evidence-based interventions that have been shown to be effective in strengthening relationships.

One of the key elements of this therapy is the concept of “The Four Horsemen of the Apocalypse” which refers to four negative communication patterns: criticism, contempt, defensiveness, and stonewalling. These patterns can be some of the most significant predictors of relationship breakdown. During the therapy sessions, the couples learn to recognize and avoid these patterns, which helps them to communicate more effectively.

Another essential component of Gottman Couples Therapy is the “Love Maps” exercise. This exercise involves creating a detailed understanding of each other’s inner worlds, including dreams, hopes, and fears. By building these Love Maps, couples can stay connected and understand each other better.

In addition, Gottman Couples Therapy helps couples to develop conflict management skills. During the therapy sessions, couples learn how to navigate argument and disagreements by expressing their own needs while also listening to their partner's feelings and concerns.

Gottman Couples Therapy also emphasizes the importance of reinforcing positive behavior. Couples are encouraged to express appreciation, admiration, and affection towards one another regularly. This allows the couple to build and maintain a strong foundation of love and positivity.

Overall, Gottman Couples Therapy is an evidence-based approach to counseling that can help couples work through various relationship challenges. By focusing on improved communication, increased trust, and building stronger emotional connections, couples can learn ways to enhance their relationship and increase their overall happiness.

Couples Therapy: Like you’ve never experienced before…

In a Nutshell, What Is Couples Counseling?

If you're reading this, your relationship is likely struggling right now. You might even be considering divorce.. Let me start by telling you I'm sorry to hear that you're going through such a difficult time.

If you're like most couples I see, you've probably come across an online article claiming that all of your relationship's difficulties can be traced to communication breakdowns.. If you could effectively communicate with your partner, you would be able to fix things.… 

And that’s true! I have the tools to teach you how.

That's the problem: it is ineffective advice when you're in the middle of a disaster.. Obviously, if you could communicate better, your relationship would be better. But you can’t, so it’s not. 

But there is hope! I will guide you in session and give you evidence based tools to use between sessions, to apply 4 easy steps to communicate to get to the root of the issues.

Whenever you and your partner try to communicate – Even deciding what to have for dinner can be tough, You may as well forget about trying to have an actually meaningful conversation. – it just turns into another fight, nothing gets resolved, and makes everything even worse.

Then it is just brushed under the rug to linger... until the next argument. Ugh... How exhausting! 

And sure, that might be because your partner is trying to pick a fight (not realizing that all attacks are unskilled ways of trying to get a need met). And more than likely, there was an emotional injury at some point in time that went unaddressed – a crack in your friendship that never healed. Over time, you’ve grown more distant and further apart, until you’re constantly feeling resentful, annoyed, frustrated, hurt, disappointed, and down right angry.

Oftentimes, we know something is wrong but can't seem to put our finger on the problem. If this is where you're at, don't worry.

I am here for you both! I want to help you uncover the root of the problem, rekindle your relationship, and equipped you with the right tools for future success. most likely, the issues are learned behaviors. The beauty of working with learned behaviors is that we can learn how to SHOW UP in our relationships with ourselves and our partner in a much healthier and powerful way.

4 Ways Couples Therapy Is Different with Me:

1. I get to the CORE of the issue.

Too often, couples therapists begin couples work without adequately assessing for each person’s background and the couple’s joint history related to the presenting problems. 

This is where the Gottman Assessment really helps me to conceptualize the problem to formulate a game plan from the get-go!

If you only go to therapy and talk about the problems you're having RIGHT NOW, it's like putting a band aid on a wound when the actual problem is internal bleeding. If you want to work through your problems more effectively, we’ll get to the root cause of the issues you’re experiencing based on each of your needs. 

When we work together, I will begin by asking you to tell me more about:

• your individual narratives

• your family dynamics and how you saw your parents argue (or not)

• your communication styles when fighting

• how your relationship started

• the current state of your relationship and how you got here

• what your ideal relationship looks like (among other questions)

I hear it time and time again from clients about how the assessment procedure was beneficial to them, how it helped everything click for them to finally start seeing a difference in their relationship. 

I also understand that talking about your history might make you feel vulnerable and taking this step requires bravery, but I assure you it's worth it..

2. I equip you with the tools and know-how to achieve long-term relationship success..

Oftentimes, clients come to me and say that couples therapy has failed them in the past because it didn't provide concrete tools for long term success and accountability. While addressing particular issues or complaints can be beneficial, without the necessary communication and listening abilities to interact with one another empathically – and listen compassionately - any discussions we have about your challenges will be ineffective.

So, we start working on specific skills. Such as:

• How to initiate a conversation in a softened way

• How to repair or de-escalate heated conversations

• How to emotionally self-regulate when you feel triggered

• How to come into dialogue in a productive way

• How to compromise based on feelings and needs

Couples are surprised at how quickly they’re able to talk with each other in a calm, compassionate, and respectful manner.

Once you and your partner have worked through some tension and built up resentment in an emotionally safe way, you will be able to understand each other on a much deeper level. Trust builds when we learn how to implement compassionate communication (NVC).

“Well,” you may ask, “Isn't it rather simple? Why haven't we been able to solve this on our own"? "Please understand, this isn't your fault".

When you've been stuck in this vicious cycle and these patterns are ingrained, you may tend to keep creating these predictable bad habits of how you deal with conflict. You start to make assumptions about your partner, your armor goes up and you go into self-protection and defensiveness mode. It becomes less and less easy to give each other the benefit of the doubt that is necessary to sustain a long-term compassionate relationship.

My goal is to help you rediscover that grace, that softness. And ultimately, to help you hit the rest button to INTENTIONALLY create the relationship that you desire and rediscover yourselves too.

3. I help you recognize and understand the role comorbidity (anxiety, depression, ADHD, trauma, addiction, etc) may play in your relationship. 

Basically, comorbidity means your brain is wired a little differently.

And honestly, the more I learn about comorbidity, the more I see just how common it is. Yet so often, it is either not acknowledged, or is seen as something that is wrong – something to blame. 

Even if you don’t have comorbidity in your relationship, this approach is still highly applicable. The basis of comorbidity couples counseling is to help each partner understand, accept, and embrace their differences while working together as a team to overcome obstacles together without blame. 

Comorbidity or not, in working with me your way of seeing the world will be acknowledged, not criticized. 

For many couples I see, discovering comorbidity may be a freeing discovery. It allows them to reframe their relationship, and everything begins to make sense. 

With my trainings in both the Gottman Method, Compassionate Communication, and Comorbidity Couples Counseling, I’m able to provide an organized framework for you to work within, while still flexibly tailoring my approach to your specific relationship needs. 

4. We don’t have to stop at the 50 minute mark. I offer add-on time to customize sessions to meet your needs

You can choose to do 90- 150 minute sessions (or more), not just 50-minute sessions. 

If you've been to couples counseling before, then you know the drill. You describe the problem, communicate your feelings, make steps in the right direction… but just when you really start to dig into it, and peel back the layers~ time's up. You have so much left to say. And by next week’s session, you’ve lost your train of thought, and there are new and more pressing issues to address. 

By offering longer sessions, I’m able to devote the time needed for you to see real progress each week.

We're able to take on large-ticket items and actually reach a resolution that you may put into practice immediately.

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!

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Feeling Honored and Passionate About Helping Couples & Families! ~Liz