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11

Antidepressants Versus Placebo

Posted by Collaborative Counseling
How to Know When You Need Therapy or Counseling?

There has long been a debate over the use of antidepressant medications to treat depression. Recent research indicates that antidepressants may be just as effective as using a placebo medication.

What is a Placebo?

A placebo medication is essentially a sugar pill many studies use to compare true medications to. Those taking the placebo believe they are getting better because they think that they have been given the true medication.

It is important to remember that antidepressant medications have helped millions of people. Therefore, this study doesn’t mean you should stop taking your medication. It does however indicate that they may not be the best first option for treating depression.

Alternative Options

Psychotherapy and counseling are proven to be effective treatments for depression. In fact, they are as effective as medication in the treatment of moderate, severe and even very severe depression. For some patients, the combination of psychotherapy with an initial course of antidepressants can work even better. However, the question now is – how do the drugs work? One possibility is that medication with therapy works best because people believe that it will.

Many people are hesitant to go on medication. This research indicates psychotherapy as an equally effective alternative to antidepressants.

If you or someone you know may be depressed, it is recommended to seek out medical and therapeutic advice to determine the best approach to help yourself or your loved one in overcoming their depression.

Learn more about psychotherapy at: https://www.collaborativemn.com/individual-therapy/

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04

Make Your Relationship Fun Again!

Posted by Collaborative Counseling

All too often we find ourselves stuck in a rut, especially when it comes to our relationships. Comfort and routines can lead to complacency and boredom. It is normal at one time or another to feel like “spicing things up” between yourself and your partner.

To bring back the spark, a playful attitude can make things fun again. Sometimes we start to take our relationships and ourselves too seriously and we forget to let go and be playful with our partner. There are many different ways to bring play back in to your relationship but here are some examples to get you started:

  • Play a board game together
  • Role play in the bedroom each others’ fantasies
  • Go for a hike and turn it in to an exploring adventure
  • Laugh at your partner’s little jokes
  • In moments of conflict, bring lightness to it by making a joke or being playful
  • Make corny romantic gestures (e.g. do a dip kiss, buy flowers)
  • Dance together

Try to carve out the time for some of these fun activities every once in a while and see how it can improve your attitude and your relationship. Life is too short to not have fun. Get creative in trying to bring fun and play into your relationship.

Learn more about how we can help re-ingite the spark at: https://www.collaborativemn.com/counseling-services/couples-family-therapy

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25

Seeking Happiness

Posted by Collaborative Counseling
Happiness

The Perception of Happiness

So happy! That’s what one of my Facebook friends posted one day. I couldn’t help but wonder…okay, what? She never elaborated.

Have you ever had moments of complete happiness? I have. It is so elusive, fleeting and simple. Just as quickly, our mood can change, the happiness gone.

It seems that oftentimes it isn’t connected to an event. That would be just too simple. But instead it’s a feeling of peace, contentment, and the joy of being alive.

What Is Happiness To You?

Clients are asked to state their counseling goals in writing when entering therapy. Just to be happy, is frequently a goal. It’s our job to operationally define that for them, clarify their expectations for themselves, for others and for the universe. Sometimes it’s figuring out what is in our control and what isn’t, how to take better care of ourselves, or how to recover from a devastating experience. Some of us have chronic conditions and problems that make it hard to be optimistic about life.

In “The Happiness Project” Gretchen Rubin reports that current research shows that “genetics account for 50 percent of the tendency toward happiness; life circumstances such as age, gender, ethnicity, marital status, income, health, occupation and religious affiliation account for 10-20 percent; and the remainder is a product of how a person thinks and acts.”

As a therapist, this research reinforces for me the idea that people can boost their own happiness just by how they think about themselves and their life. Counseling is an opportunity for guidance and support through those critical decisions that determine your experience in life.

So the comment “So happy!” may have more to do with my friend’s perception of reality than an actual event…might be worth thinking about!

Learn how our therapists can help you uncover your optimism and find what makes you truly happy at: https://www.collaborativemn.com/meet-our-team

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20

What Leads People to Cutting?

Posted by Collaborative Counseling
How to help your child who is a victim of bullying

Research estimates that 80% of cutters and those who self harm are trying to regain their emotional balance. There are a couple of factors commonly seen in those who cut:

1) They tend to be more sensitive and emotionally reactive.

2) They often feel invalidated by their environment.

Let’s break these two apart to make them more understandable.

Sensitive and Emotionally Reactive

People who cut seem to be more sensitive than others and they tend to have much stronger reactions to the feelings they experience. They also seem to take longer to recover from strong emotions than most. Others will often describe them as a “drama queen”, “overemotional” or “overly sensitive”. This strong emotional reaction makes them vulnerable to acting in a way that is either impulsive or can be desperate to soothe him or herself.

Invalidated by the Environment

This means they do not feel understood or heard. Validation involves using empathy to make sure the other person feels heard and understood. To validate, we accept the other person’s experience as they state it without judging or helping problem solve. Often with emotionally reactive people we can get reactive ourselves instead of  trying to make them feel better or helping them to solve the problem.

These two factors combined will often leave the person struggling to find a way to feel in control, particularly of strong negative emotions. Cutting thus becomes a tool to manage painful emotions because it soothes just as drugs and alcohol can.

For more information on how to help someone who cuts, visit http://collaborativemn.com/dialectical-behavior-therapy/

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17

Sexual Assault Awareness & Prevention

Posted by Collaborative Counseling

Recently, there has been a spotlight on sexual assault in the media. This is an unprecedented moment in time highlighting just how prevalent this issue is in our society today. With movements such as “me too” leading the way, many survivors have found the courage to come forward and tell their story while bringing much needed awareness to the issue. While we are making strides in the right direction, we still have work to do when it comes to confronting and ending sexual assault and the stigma that comes along with it.

What is Sexual Assault?

The Rape, Abuse and Incest National Network (RAINN) defines sexual assault as: “sexual contact or behavior that occurs without explicit consent of the victim.” Some examples of sexual assault are:

  • Attempted rape
  • Unwanted touching
  • Forcing a victim to perform sexual acts- this can include both physical and psychological pressures such as threats or manipulation
  • Rape (forced sexual intercourse)

Who is Affected by Sexual Assault?

Both males and females experience sexual assault. 1 in 3 women and 1 in 6 men are survivors of sexual assault. Young women are especially vulnerable. Almost 80% of female victims are under the age of 25 when they were first assaulted. Additionally, most victims know their perpetrators. People such as a family member or an intimate partner, can be perpetrators as well as an acquaintance.

What Can I Do?

First, it is important to remember that sexual assault is never the survivors fault. Knowing the steps to take when you feel something isn’t right is key. When you see a person at-risk of sexual assault, RAINN suggests taking the following steps:

  • Create a Distraction- try to interrupt the situation to give the person a chance to get away and to a safe place.
  • Ask Directly- speak directly to the person who may be at-risk asking questions like “Would you like me to stay with you?”
  • Refer to an Authority- find a neutral party with authority such as an RA, security guard, bartender or call 911 if you are concerned for someone’s safety.
  • Enlist Others- find someone to go with you to confront the situation or someone who knows the person you are concerned about.

If you suspect someone you know has been a victim of sexual assault there are some things you can do. Remember that it is important to avoid judgement and to listen. Simple phrases such as: “I believe you” “It’s not your fault” and “You are not alone” offer validation and support to survivors. Know that the trauma from the assault can be short-term or long lasting, every survivor responds differently. Be patient and encourage them to seek support but realize that is their decision to make.

We can all do things to prevent sexual assault, even if we are not able to directly step in to prevent it. Even a simple action such as offering a safe ride home from a party could prevent an assault. The biggest and longest lasting change can only happen with a shift in culture and our collective way of thinking about sexual violence. To learn more about sexual assault and what you can do to help, visit: https://rainn.org

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13

If your partner has betrayed you through cheating or an affair, you may be experiencing flashbacks, excessive worry and memories. Here we will discuss what flashbacks and intrusive memories are and some ideas around how to overcome them.

Following the discovery that your spouse has been cheating, it can be a difficult feat to begin to overcome the thoughts, anger, hurt and feelings associated with this type of betrayal. Some betrayed spouses report flashbacks and memories related to an affair.

Things that can trigger flashbacks include spending time with your partner who cheated, romantic sounds, love stories, not hearing from your partner and sometimes they can just come out of the blue when you least expect it.

Being betrayed by a loved one can often be traumatic. Traumatic experiences can be followed by intrusive thoughts about the event such as images, thoughts and memories. Sometimes even images from the imagination can become intrusive.

If you are struggling to overcome the discovery of an affair, here are some ways you can work to overcome thoughts and memories that are interfering with your daily life:

Be present

Practice simple acts of working to stay in the moment. Be cautious to not escape through food, alcohol, drugs or other avoidance tactics. There are many different ways to practice being mindful and in the moment including yoga, breathing, and meditation. Even working to just do one thing at a time while focusing all of your attention on that task will help you to be present and more mindful.

One simple exercise to get you out of a flashback is to focus on your breathing for 5 breaths. Notice the air coming in and going out, notice how you feel, try to focus just on the act of breathing.

 Journal

Write down things that you are thinking and feeling. Journaling is a very effective tool to help you deal with your negative emotions and to help you to let things go. The act of writing can help people to think of ways to deal with things and can even lead to new perspectives or self understandings.

By taking time to process through your feelings, you will be able to move through them more quickly than if you try to suppress or ignore them. Give yourself permission to write down all of your thoughts and feelings without censoring – this is for you.

 Anticipate triggers

Pay attention to what thins trigger flashbacks for you and try to find ways to initially avoid these triggers. When your healing has progressed more, work to develop coping skills for managing your flashbacks. As with any anxiety-provoking thing, eventually you will want to work to expose yourself to your triggers so you can move forward. It is okay initially to avoid situations or experiences that may trigger your flashbacks.

Ride the wave

Some triggers will be impossible to avoid and some flashbacks will just come out of seemingly nowhere. For these I recommend “riding the wave” to do this you will experience the emotion you are having while imagining it wash over you and away from you like a wave. Sometimes we resist emotions, however by riding the wave you often end up more able to move forward from your emotion and flashback.

Be kind to your self

Forgive yourself for not catching on to it sooner or for any mistakes you are blaming your self for. Try to do things that you enjoy that will help you to get out of your thoughts.

Pay attention to doing the small things that will care for your mind body and soul. Eat a healthy and balanced diet, try to exercise for at least 20 minutes a day, take a class about something you want to learn, read a book, try to get at least 7-8 hours of sleep each night, etc… Do things to help you feel good about your self.

Don’t bring others in to it

Sometimes our urge can be to talk with others when we are hurt or struggling. Often it is good to talk with someone about emotions you are struggling to process, however with infidelity there can also be negatives to bringing others in to it.

The cautionary tale here is that if you decide to forgive your partner, your friends and family may not be as quick to do so. Sometimes these can lead to awkward relationships or even the loss of friendships. Be cautious not to bring others in to it, especially if you may stay with your partner.

See a therapist or counselor

If you feel the need to talk to someone, we recommend meeting with a therapist or counselor to process your feelings. Therapists are trained to help people process through difficult things. Sometimes it is best to talk with someone completely outside of your situation. In addition, a counselor will be able to provide you with a safe environment to process your feelings and thoughts without judgment and will be able to help you develop tools to move past it in the best way for you.

You may consider doing individual counseling, couples counseling or both. Either of these formats of counseling can be helpful in processing through an affair. Counseling can help you learn new ways of coping with the betrayal and resulting loss of trust. It can also help you decide if whether you want to continue in the relationship.

In summary it is important during this time that you focus on taking care of yourself and to learn ways to manage your emotions and flashbacks through healthy coping skills. If at any point you find yourself struggling to move past your flashbacks or intrusive thoughts, seek professional help. Knowing when to ask for help is a sign of strength, not weakness. To learn more about our services visit: https://www.collaborativemn.com/counseling-services/couples-family-therapy

Please note: This article is presented for information only and is not intended to substitute for professional therapeutic advice.

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01

Positive Discipline

Posted by Collaborative Counseling
Positive discipline for parents

The Perception of Effective Discipline

Where did we get the crazy idea that to make children do better, first we have to make them feel worse? Apply this to yourself – if I make you feel bad, then you will do better. Is this really when we tend to do better? From my experience these conditions lead people to rebel, give up, argue, etc…

Children do better when they feel better. Just like with all people, children can only access their rational brain when they are feeling positive.

How to Use Positive Discipline

To use the ideas of positive discipline you need to work to bring the message of love first. Often Children need to have a sense of belonging and significance before they can learn what we want them to learn. If we can get clear on our intent of teaching our child lessons out of love instead of anger, they will be much more inclined to hear us.

Why is it so hard to do this? Because we all have buttons and triggers and our kids now how to push them!! We often know better but we don’t do better. When our buttons are pushed we go into the reptilian brain.

The reptilian brain is where our emotions take over and we can no longer access the more logical parts of our brains. When you feel your reptilian brain kicking in take a timeout, reconnect with your positive emotion and go back to your child in a positive frame of mind. In this act, we teach our children a lesson in and of itself.

My challenge to you: When disciplining your children, try to come from a place of love and caring. Learn more about our services as they related to parenting at: https://www.collaborativemn.com/issues-we-specialize-treating/parenting

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18

Embrace Your Mistakes

Posted by Collaborative Counseling
New thinking

Some may find this a shock but I make mistakes. Seriously! Okay, well now that you are over the shock of it all, let’s talk about how to embrace your mistakes and love your imperfect self.

How Do I Embrace My Mistakes?

It is inevitable that you will make mistakes. While making a mistake may feel discouraging or may cause you negative thoughts, they can be useful opportunities to help us improve ourselves.

When you discover you have made a mistake, embrace it by acknowledging any consequences or damage done. Apologize if necessary and take ownership for your mistake. Then identify what you can learn from the situation and move on knowing you will do better next time!

See mistakes as wonderful opportunities to learn. When we accept our mistakes, and ourselves we can learn and realize how our imperfections can help us grow.

It may take some time to adapt to this new style of thinking about mistakes, but there are little things that you can do to incorporate this kind of thinking into your everyday life. If you have a family, make it a practice to create an environment of acceptance towards mistakes. For example, at dinnertime have everyone share a mistake and what he or she learned from it. When we model for our children that we can be imperfect, it gives them the space to feel positively about themselves in spite of the lessons learned through mistakes.

More than anything ~ have the courage to be imperfect, because we all are! Learn more about how we can help you be your best self at: https://www.collaborativemn.com/counseling-services/individual-counseling

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04

Teen Stress

Posted by Collaborative Counseling

The teen years involve a lot of stress. Some studies have indicated that teen stress is on the rise.  However, many of the stressors teens face today, are the same as those faced by teens many years past.

Teen Stressors

The teen years involve many unique challenges from other phases of life. Some of these challenges include:

  • Most teens want to fit in. An important part of the teen years is finding a sense of acceptance from friends, family and community. While this is easy for some it can be very difficult for others. The social hierarchy is always at the forefront of teens attention.
  • Hormones are on the rise! Teen years involve many changes biologically which for some happen right on time, for others too slow and for others far too fast.
  • Brain development is rapid. In the teen years the frontal lobe begins to develop allowing teens to plan more and sometimes making them feel they know it all!
  • Peer pressure kicks in to full gear. Teens begin to feel more pressures to fit in to social expectations, to take risks and to try new things, some of which include alcohol, drugs and sexual behaviors.
  • What are you going to do with your life? Increasingly teens are feeling the pressure to figure out what they will be “when I grow up”.

How to Help

As a teen, there are many competing demands from parents, peers, teachers, employers, coaches and more. The goal of the teen years is to develop positive ways to cope with the stress of the increasing demands of life. As parents it is important to be a listening ear for your child as well as to pay attention to their friends and life dramas. Most of all, it is important to foster the sense that your child has the ability to make positive choices for themselves.

Teen stress will always exist. To learn more about how to support your teen in developing the skills to navigate the teen years visit https://www.collaborativemn.com/counseling-services/teen-counseling

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06

Talking to Kids About School Violence

Posted by Collaborative Counseling
How to cope with being estranged from your child:

With so much media coverage of acts of violence, including school shootings, both adults and children are aware and thinking about violence in schools. We have heard many parents say they don’t want to send their child to school and kids are worried about it too.

When significant acts of violence occur, it is important to be aware that some children may react strongly to these types of events. For parents, teachers and therapists it is important to be able to talk to children about their thoughts and feelings.

How to Cope

Here are some tips and guidelines to help be prepared to talk to children about school violence:

  • Be honest. Give children information they can understand in their own level. Help them to understand that while bad things happen to children sometimes, most children will not get harmed while at school.
  • Limit exposure your child has to violent video games, movie, TV, computer and books. Research shows the violent information has a cumulative effect in children. Also do not describe scenarios that may further frighten your child.
  • Monitor what information your child is getting or already has about the recent events. If they are hearing rumors or have wrong information, help them to understand the facts.
  • Be there for your child. Listen to what they have to say. Reassure your child is safe and that you and their school is working hard to keep them safe.
  • Work to manage your own fear and anxiety. Avoid letting your child take on your worries.
  • Give your child information on how to maintain safety through their actions. Provide them with information on how their school works to keep them safe.
  • Try to maintain normal activities and routines.

When difficult situations such as these occur, it can be hard to manage our own worries and those of our children. It is important to remember that while coverage of these types of school shootings and other acts of violence can be overwhelming, they are very rare. Learn more about our services for teens at: https://www.collaborativemn.com/counseling-services/teen-counseling

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