Opioid Addiction and Community Support

beanstalk

Opioid Addiction and Community Support

Recently I (Lianne) was asked to be a part of the Mental Health and Wellness Summits created by Missouri Care, A Wellcare Health Plan, Inc.’s Community Impact Council for the Faith-based Community as a panelist. The first Summit was on April 7 at The City of Life Christian Church in St. Louis, MO and it addressed the Opioid Crisis within the Faith-based Community.

Thankfully the Summit was recorded because the information shared is valuable and educational.

During this half, you will learn about why opioids are so addictive and how this epidemic has grown to where it is now. You will also learn about how Mental Health stigma’s are hurting our communities and the people within them.

The second half of the Summit talks about the addictive cycle and then the panelist’s field questions about this issue, care, counseling, and faith.

I hope you take some time to listen to the recordings of the Summit. The information and wisdom shared will prove helpful to those in social work, counselors, parents, teachers, pastors, and other care providers. Teens would also benefit from watching these videos with their parents and could lead to beneficial conversations to help your teen make good choices and bring understanding to them about the seriousness of the opioid problem.

To those with a loved one struggling, there is hope! There are many services available to those who are struggling and for their loved ones. These resources are highlighted in these videos.

There are more Summits coming up over the next few months. Below is a list of Summit topics and dates.

-Saturday, May 12, 2018, The Church and Suicide (Body Shaming, Self-Image, Bullying, Depression)
-Saturday, June 2, 2018, The Church and Trauma: Mental/Behavioral Health and the Homeless Man
-Saturday, July TBD, 2018, The Church and Trauma: Domestic Violence

By: Lianne Johnson, LPC, CTP

New Year’s Resolutions

beanstalk

With the start of another new year, many of us find ourselves focusing on things we’d like to change in our lives – many of us call these changes New Year’s Resolutions.

shutterstock_113505436

Popular points of focus include health and wellness, career goals, financial management, and planning for the future. These are all very important things to evaluate regularly, and the beginning of a new year seems like a particularly appropriate time for evaluation and reflection. However, we fail to actualize the vast majority of our resolutions, and this failure has a great, negative emotional impact. This isn’t usually because of a lack of planning or resources to achieve our goals.

Rather, it is because we lack awareness of the emotions driving us to make resolutions to change.

One of the clearest examples of this is with the proverbial commitment to eat better and lose weight. Many of us overindulge, stress eat, or “reward ourselves” over the holiday season at the end of the year and then subsequently attempt to restrict our eating to healthier options or simply less volume overall in the new year. We tell ourselves, “Well, I’ve had mine. Now it’s time to be good.” We say we will “eat right” as if we were being bad or wrong previously and really knew it deep down the whole time. This idea carries with it a subtle, or for some not so subtle, emotional sense of failure already. In addition, we may not acknowledge to ourselves the probability that we will eventually fail again, sooner or later. Many of us reach this point and chuck in the towel. The discomfort of making a change or the powerlessness we feel from our failures kills our energy and motivation to try again. In the same way, our career has stalled for circumstances out of our control or our financial burdens may seem too great or confused even to attempt to overcome. All or even one of these things can be enough to leave us feeling isolated and hopeless.

There is not a simple answer or solution to these problems, but a great place to start is by asking what emotion is motivating the resolution or desire to change. It may be based on a negative view of self; for example, someone may feel that less valuable as a person because of dissatisfaction with his or her physical appearance. A negative view of others may also motivate a resolution; for instance, it may stem from a desire to outperform a colleague. Success at these kinds of resolutions will only reinforce the negative view of self or others. It will validate the first negative, emotional experience as true. The person who had a negative view of self may feel more valuable after changing his or her appearance, but that only confirms the feeling that he or she lacked value before. The person who wanted to outperform a colleague may feel even more contemptuous of the colleague after surpassing him or her. On the other hand, failure often drives the negative emotional impact even deeper. We can come away feeling even worse about ourselves or more embittered toward others than when we started.

This year, you might try making a few resolutions intentionally with positive emotional foundations, instead of recriminating ones. The health and wellness resolution has always proven the most difficult for me to keep, but this year I am reframing my resolution. I am going to give myself the opportunity to eat more healthy foods and exercise. I know when I am doing so, I have more energy and feel more positive generally, but I am also giving it as a gift to my family. Now more than ever I need to be present and active in their lives as my daughter begins to crawl and walk. I want to give her as much of my energy as I can. Try writing out your positive motivation on a flash card you post in your kitchen or bathroom. Go back to it as often as you need to.

And if you find yourself struggling to keep it, remind yourself that every new sunrise, and not just the new year, brings a fresh chance to recommit ourselves to living our lives in a way we choose, not only for ourselves but also for those we love.

By Sam Bearer, PLPC

Wellness in the New Year

beanstalk

by Mary Martha Abernathy, LPC

With a new year comes New Year’s resolutions. People use the New Year to take stock of how the past year went and what changes or goals they hope to make for the upcoming year. What does wellness look like for you in 2017?

The Substance Abuse and Mental Health Services Administration (SAMHSA) “defines wellness not as the absence of disease, illness, or stress but the presence of purpose in life, active involvement in satisfying work and play, joyful relationships, a healthy body and living environment, and happiness” (Source: www.samhsa.gov).

I like that to pursue wellness does not mean that my life is perfect or easy.

To pursue wellness means I am pursuing a purpose and seeking joy. Wellness means that I am seeking healthy relationships, a healthy body, and a healthy environment. SAMHSA has created eight dimensions of wellness: Emotional, Environmental, Financial, Intellectual, Occupational, Physical, Social, and Spiritual. One of the great things about this Wellness model is that many of the categories overlap with each other.

Even if my work life adds a lot of stress to my day to day functioning I can still pursue my own wellness. That may look like exercising to increase some of the needed endorphins in my body. It may mean I pursue some environmental changes and wellness. I can’t quit my job, but I can create space in my home in which I find peace and rest. It may also mean that I create an environment at my desk where I am reminded of positive relationships and purpose. Wellness may also look like me pursuing relationships with co-workers in an intentional way to make my environment more comfortable.

Some of our life stressors may not change too much over the coming year. We can lose some weight, cut back on the alcohol, go to counseling, or try a new hobby; but will these things balance out the negative experiences? Wellness allows us to hold in tension the stressful and negative parts of life, recognizing we can still find good.

Where can you find the joy and play in your life this year? How can you pursue wholeness and wellness in life?

Does Validation Matter?

beanstalk

Validation: Why it matters.

by Mary Martha Abernathy, LPC

We have all experienced a situation where we have not validated a person’s beliefs or behaviors as we interact with them. We also know what it feels like for someone to ignore our feelings, minimize our experiences, or change the subject of a conversation when the topic really matters. Validating our own feelings and those of other people is an important skill to have and to hone.

What is validation? Validation means “acknowledging that a person’s emotions, thoughts and behaviors have causes and are therefore understandable”.

To validate someone means we are looking for the kernel of truth in another person’s perspective, even if we don’t agree with them.

Why is it important? Well, it shows that we are listening to the other person and that we are trying to understand them. It helps to strengthen our relationships because we can avoid a power struggle over who is right by validating the other person. When we don’t validate others, it hurts.

How do we do it? Pay attention to what the other person is saying. Actively listen and reflect back to them what they are saying, without judging them! We have to use our observation skills and we have to be pay attention to the conversation. It is important to notice the little things, how is the person standing, are their arms crossed, is their face red, do they look like they are getting ready to cry? All of these clues help us in conversation.

We need to notice how a person is acting, listen to what a person says, and respond according to what we see and hear to help create and improve connection in relationships.

What’s the impact? Like I said, validation helps to create connection. Validation challenges us to be present in conversation. We have to be listen to what the other person is saying in order to respond in a way that helps a person to feel understood. Validation can de-escalate a situation because you’ve avoided the fight and acknowledged the other person’s experience.

Give it a shot!

Information adapted from DBT Skills Manual for Adolescents, Rathus, Jill H., and Alec L. Miller. “Validation.” DBT Skills Manual for Adolescents. New York: Guilford, 2015. Print.

Reset Safe Connections Through Play Therapy

beanstalk

by: Isaac Knopp, PLPC

Reset Safe Connections Through Play Therapy

Big Figures, Small Worlds:

A big strong horse was the toy that Nate chose to play with in the sandbox. To anyone else this toy was just a small, plastic animal you might find at pretty much any toy store. But to Nate, who took his toy and plunged it beneath the sand and then looked up at me with wide and terrified eyes, it was more than a horse. Over the course of our time working together Nate was processing the sudden death of his dad. He always chose the horse, because to him, his dad was big and strong just like that horse.

Nate’s play was his way of telling me what he was wrestling with. Our kids have a different way of dealing with stress than we adults do. Play is a child’s way of grappling with the forces of the world and life that they cannot yet grasp. When our children encounter something too big, scary or difficult to grasp it gets incorporated directly into their play. Play is the essential and natural way a child resets their safe connections to others, self, and the world especially after they feel like their safe connections have been lost or threatened.

At times children will be classified as struggling with ADHD or having childhood anxiety, outbursts of anger, difficulty controlling emotions, self-regulating, and defiant behaviors. When in reality these classifications are simply symptoms of the child experiencing frustration in resetting their safe connections.

How do I give my child what he or she needs to succeed? As parents, our first thought is usually education, which is very important. However, often giving children what they need relationally can be a challenge because we feel ill equipped to meet them where they are. Learning how to connect with your child through play can give your child a big boost in self-image and development.

Connect Through Play:

Curiosity: Asking your child to explain what something means to them can be a window into their world.
Acceptance: Learning how to notice behaviors or play that seems bizarre yet may make total sense in their world of trying to reset their connections.
Empathy: Curiosity and acceptance create a platform for you to see the child’s expression of what they are really wresting with.
Trust: Once connections get established you will notice it is much easier for your child to rely on themselves as well as others. It will also be easier for you to trust that your child is doing important developmental work all the time.

In one of my last sessions with Nate, he walked up to the toy shelf to gaze at all the toys. His little hands brushed over that big strong horse, he then moved over to a red firetruck. He said, “I don’t need to play with the horse today”, instead he reached up and took hold of the truck. Although the horse was small it was big in Nate’s world. Through play, Nate was able to successful reestablish his safe connections.

“The Art of Distraction”

beanstalk

“The Art of Distraction”

by: Jason Pogue, PLPC

My wife and I are soon expecting our first child. We are excited and terrified all at once, and this spurs us on to read and talk with those who have gone through it all before. Though much of what we are practicing are techniques for ‘letting go’ and letting her body do what it was made to do, some of the techniques are purely in the realm of distraction. When the pain is so great, how can you or your partner distract you from it? These techniques for childbirth aren’t much different than the “techniques” we all pick up over time in a pain-filled world. I am reminded of this statement I’ve heard from a number of different wiser and older friends and mentors:

“No human being can fully bear the weight of reality.”

Even though I agree with this statement I can often feel as though I should be able to fully bear the weight of it all…that to set the pain and sorrow aside for a moment is actually being inauthentic or callous toward others or myself. When this feeling of should is not actually coming from others, I can still shame myself for spending an hour in distraction with television, or avoiding what I think I need to be doing in that moment. But is distraction always a problem?

The truth is that reality is a mix of both beauty and brokenness – both joy and sorrow, pleasure and pain. Yet often we can find the sorrow and pain winning out…snuffing out our joy. It only takes a few minutes of reading the news to be overwhelmed by the amount of violence, death, corruption, hatred, deception, and malice in the world around us. If we were to remove every bit of distraction from our lives and force our eyes open upon the unending wounds of the world, we would be swallowed up by grief. Though it is a painfully important exercise to wrestle with the big questions of life, to constantly live in this place would be simply unbearable.

The question is not whether distraction is good or bad, but what kind of distraction(s) are we involved in and how flexible are they? Taking some alone time to listen to music is a far more healthy a distraction than drinking until you black out. A good distraction, or coping-mechanism can assist you to bear through an excessively painful or overwhelming moment until you are in a safe enough place to process what has occurred.

More than just assessing the kind of distractions we engage in, a healthy arsenal of coping mechanisms assesses how flexible our distractions are – after all, you probably can’t go into a room and listen to music for an hour when you have a presentation to give at work or when your little boy is crying because he is hungry again! Consider one healthy coping mechanism of sharing what your internal experience is with someone else – this can be hugely beneficial in calming our bodies down and feeling known, but it would be entirely destructive to engage in with an abusive listener waiting to use our vulnerability against us. Sometimes the ways we’ve been wounded erode our ability to assess one person from another, and instead of engaging in the appropriate coping mechanism we simply choose one way of relating to everyone.

The problem is not distraction, or coping mechanisms – these can be a gift at times to get us through unbearable moments. The problem is when a particular distraction or coping mechanism becomes our only answer to the pain, is destructive to our lives, or continuously takes the place of ever actually returning to the pain and sorrow that resides within us and in our world.

So how are you doing with the art of distraction? If you aren’t able to cope, or are seeing destructive, rigid, or unending distraction taking over your life I invite you to give us a call to meet with a counselor, grow these skills, and process the emotional turmoil beneath it all. You have the ability to not only survive the grief of this world, but to work through it so that you can take joy in your day-to-day life. Why not start using it today?

What is trauma and do you have it? An Intro to EMDR

beanstalk

What is trauma and do you have it? An Intro to EMDR

by: Courtney Hollingsworth, LPC, EMDR Therapist

Do you have trauma in your past? Probably. It can be defined simply as a deeply distressing or disturbing experience. any event that causes an unusually high level of emotional stress and has a long lasting negative effect on a person. More than the mind or body can bear. If nothing in your personal life story comes to mind when you read those lines, prepare yourself for the day it does, because that day will come. Why can I say this with certainty? Life. Life is filled with brokenness, loss, sorrow, and pain. No one gets a free pass from that.

Sometimes mental health professionals differentiate between “big ’T’ Trauma” and “little ’t’ trauma.” Big “T” Trauma is a sudden, big traumatic experience such as sexual abuse, domestic violence, combat, natural disaster, rape, a life-threatening event, unexpected death of loved one, and crime. But even more common is little “t” trauma, which tends to be a smaller event, is often chronic, or experienced over and over, such as verbal abuse, bullying, loss of a pet or job, divorce, betrayal, etc. Just because the trauma feels smaller does not mean the impact is smaller. A helpful metaphor for the difference might be the difference between having your body set on fire vs being burned all over your body by matches. Both cause painful and lasting damage; it just occurs differently.

EMDR is helpful with a variety of big “T” Traumatic experiences that have caused a person to suffer from PTSD. EMDR can has also been proven to be effective for clinical issues that can be the result of little “t” trauma, such as depression, addiction, anxiety, and self esteem.

Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment for trauma. More than 27 studies (since 1989) have demonstrated EMDR’s effectiveness in treating Post-Traumatic Stress Disorder (PTSD). The Department of Defense, Department of Veteran Affairs, American Psychiatric Association, and the World Health Organization all recommend this treatment.

For more information about EMDR or to set up an appointment, please contact Courtney Hollingsworth, LPC, EMDR Therapist at courtney@avenuescounselingcenter.org.

Why are some relationships just harder?

beanstalk

Why are some relationships just harder?

by: Andy Gear, LPC, EMDR trained therapist

I’ve recently seen some articles asserting that ‘if people just communicated and committed to their relationship, then their problems would go away.’ While communication and commitment are very important, I think this overlooks the many people who are committed and communicating but still struggle.

In fact, I find that many people that come in for couples counseling are deeply committed and are communicating very clearly. Then why are these relationships still difficult?

We have outside stressors

Many of the sources of relationship difficulty have nothing to do with the effort invested in the relationship. In fact, studies show that some of the biggest predictors of relationship difficulty are largely outside of the couple’s control:

Poor health
Infertility
Miscarriage after 20 weeks
Low income
Multiple children with ADHD
Partner with mental health issues
Death of a child

If your friend seems to have an easier relationship than you, it may have more to do with your different stressors than it does with different effort. Actually, I find that most couples that come to counseling have been working tirelessly on their relationship. If they weren’t trying, they wouldn’t be coming to counseling. But with major or persistent stressors, communication can become a minefield. And it’s not always as easy as learning a few communication skills.

I am overjoyed when I see people who have easier relationships. But there is something uniquely encouraging about a couple that is still trying after years of difficulty. It takes a special type of courage and commitment to seek the help you need to better love your partner, even when it’s hard.

Our families are different

The families we’re born into also impact the ease or difficulty of our relationships. For better or worse, parents model what relationships are like, and some people have better models than others. We can choose to act differently than our parents, but in stressful times we tend to fall back into the patterns we saw modeled (or against the pattern, in an equally harmful overcorrection).

Parents teach us what love is, how to show it, and how to receive it. They also teach us how to view ourselves. If our parents were neglectful or abusive, they gave us a distorted picture of our self. Without working through these issues, this lack of self-worth will lead us to look for that worth in our partner—creating challenging and often volatile relationships.

This requires more than a simple resolution to change. It takes awareness of how our families impacted our view of the world, relationship, and our self. Since our families tend to be our normal, we often need an outside perspective to help us heal from this impact. This doesn’t mean that you are too weak to handle it alone; it means that you are strong enough to pursue what is necessary to change it.

We get stuck in a cycle

Couples often get stuck in patterns of relating that rob them of their joy in connecting. These cycles have nothing to do with their effort, compatibility, or how much they love each other. In fact, the fear of losing the other is often what escalates the conflict.

The most common negative cycle is the pursue/distance (or attack/withdraw) pattern. People usually aren’t even aware that they are in this cycle. Most often, each partner simply sees the other as being unnecessarily critical or distant. It is hard for people stuck in this pattern to see the bigger picture.

Beneath this cycle, both partners truly value their connection, but they seek to preserve it in different ways: the pursuer by attacking (to get through to them) and the distancer by withdrawing (to avoid conflict). Their mutual attempts to save the relationship (seen as criticism or lack of care by the other), only escalate the problem as each person doubles down on their ‘go-to’ strategy for preserving the relationship.

In these cases, demands for more communication will only push the withdrawer deeper into his bunker. Instead, we need help gaining awareness of our own role in the harmful cycle, so that we can interrupt it and develop a healthier pattern of relating.

Everybody’s relationship is different

It isn’t useful to compare our relationships to others, because everyone’s history and circumstances are different. Learning a few communication skills may be very helpful for someone whose relationship has had few stressors, had model parents, and hasn’t been stuck in a cycle.

For others, there will be too much anxiety and conflict in the relationship for communication skills to be the answer. This doesn’t mean that your relationship is doomed, that you don’t love each other, or that you aren’t compatible. Relationships are messy, and life often leaves us in places where we need help sorting out the pieces. In my opinion, one of the surest signs that someone loves and is committed to their partner is that they are willing to seek help during the hard times.

Why am I so angry?

beanstalk

By: Andy Gear, LPC, EMDR Trained Therapist

Why am I so angry?

The_Scream-picture

Do you ever ask yourself “why am I so angry?” Or maybe your life just feels way too frustrating and stressful. If so, this may be a sign of a deeper issue.

It’s tempting to blame others for our frustration, but irritants don’t have to cause outbursts. There are other choices; you don’t have to live like this. Here are four ways to change your life:

1. Notice the difference between the emotion of anger and our response to it.

Anger is an appropriate response to legitimate injustice. But most of us don’t notice the transition from emotion to reaction.

That is where we can get ourselves into trouble. We feel like it is one big reflex that we have little or no control over. But that is generally untrue.

Slowing down our response allows us to notice the choices we are making.

This is where anger management techniques can be useful. Breathing exercises, mindfulness, and other such skills can help us slow down our physical reactions and choose how we want to respond.

2. Notice your expectations.

Anger often springs from our unrealistic expectations. We are not entitled to a problem-free life, and life rarely goes as planned. As obvious as that sounds, our anger often reflects these illogical expectations.

It is important to objectively examine our expectations. If we find ourselves consistently frustrated by traffic, it is likely we have unrealistic expectations of what driving in a city is like.

Cars will cut us off, lines will be long, people will make mistakes, and customer service will be laughable. Accepting these as a given will drastically improve our enjoyment of life. The world isn’t out to get us, even if it feels that way sometimes.

People (even close friends and family) are not required to respond the way we prefer. If your pet peeve causes you consistent irritation, consider giving it up. It is unlikely that people will suddenly change.

3. Notice what anger tells us about our boundaries.

Anger can be a useful sign that our boundaries are being invaded. It warns us that something needs to change.

You may be too busy, too tired, or living an inauthentic life. Stress and exhaustion can significantly impact outlook. We may need to learn to say ‘no,’ pursue healthier relationship, or live more in line with our values.

This may involve downsizing to what you really care about or pursuing a goal that is truly significant to you. Otherwise our deep seeded discontent may come out in unexpected and sometimes violent ways.

4. Notice what’s behind the anger.

Anger is often a secondary emotion. It is generally not the first emotion we feel. It is a reaction to softer emotions like anxiety, sadness, or hurt. But we often prefer anger over admitting that we are hurting.

Anger allows us to feel more powerful or in control, but it prevents us from dealing with the real problem. We neglect the roots of our problem—such as anxiety, depression, grief, or trauma.

Going straight to anger stops us from communicating with our loved ones about what’s really going on. Sharing our feelings of hurt or rejection would allow them to reassure and comfort us. We could have healing conversations that lead to greater connection. But communicating surface anger leads only to defensiveness.

Noticing what comes before the anger helps us to deepen our relationships through those healing conversations. This awareness also allows us to seek healing of the root issues that are driving our anger.

When we pursue this healing, we find that anger no longer holds power over us. We now have the capacity to respond differently.

Conflict and Resolution in a Nutshell

beanstalk

By Jonathan Hart, LPC

It is the nature of relationships to include conflict. In fact, conflict is a necessary component of intimacy and closeness in relationship. If you are to become emotionally close with another person, it is necessary to come into conflict with them, because conflict is the place where my uniqueness bumps up against your uniqueness, which by definition is different than mine.

Conflict is the place where we figure out how to do life together in the presence of these differences. If ever these differences are eroded away or eliminated (what many would describe as “resolved”), we are not actually connected with each other. One of us has been either consumed or effaced by the other.

Two objects in contact with each other generate friction and heat as they move independently in that contact. If there is no friction, there is no contact. If we never engage in or experience conflict with our significant other, we are not emotionally engaged with them on a meaningful level. We are not in contact.

conflict

This being said, there are two ways of doing conflict: Well or Poorly. Conflict done well strengthens the relationship. Conflict done poorly decimates it. In order to do conflict well, we need to find a way toward resolution.

Agreement is NOT resolution.

The problem most people encounter is that when they try to resolve conflict by reaching some kind of agreement, they are working toward an unsupportable solution. Agreement is not necessary to reach resolution. If we try to find a place where we agree on everything, we end up working against our own uniqueness, and we cannot sustain that forever. Agreement sometimes happens, but when we hold that as the only standard for resolution, we will end up frustrated and hopeless.

“Agree to disagree” is not resolution.

If we agree to disagree, we create “dead spaces” in the relationship where we can never come into contact. In this arrangement, the solution to conflict is to avoid it, which simply cannot lead to resolution any more than the South road leads North. If avoiding conflict is our goal and our standard for good relationship (i.e., being “nice”, “happy”, or “positive”), we will never experience a truly connected, intimate relationship.

Compromise cannot lead to resolution.

When we try to use compromise to reach resolution, we are usually operating on the presumption that “everyone loses something” and “no one leaves the table completely happy”. Compromises reached in this way are generally composed of requests or demands that we make of one another. When we agree to a compromise, we are saying that we are going to “try to be different” for the sake of the other. While this sounds good on the surface, what is happening under the surface is that our uniqueness is not being acknowledged and/or validated. Because of this, the changes are often unsustainable. We become frustrated, exhausted, and resentful in the long run (consumed), or we simply “kill” that part of our identity for the sake of the other (effaced).

Real Resolution

Real resolution is achieved when we genuinely and deeply understand each other’s position, thoughts, and feelings, and can acknowledge them as valid, even though we may not agree. When we really understand the other person, we often find a willingness to work together and move toward a solution that is not forced or demanded, but organic to each participant, and therefore sustainable. Any changes we make grow out of this deep understanding of the other’s need, and are generally “gifts” offered by the participants themselves based on this knowledge and kindness. This leads to gratitude and a building of affection between the parties (read, Intimacy, Closeness, Connection).

Kevin_Richardson_with_hyenas

To say it concisely; once I deeply understand and give credit to how you think and feel, and presuming I care about what you think and how you feel, I find myself willing to shift how I relate to you. When we each are able to do this for the other, we are no longer in conflict. We are working together, and the conflict is resolved.