02 October

Levels of Mental Health Care

Posted by Collaborative Counseling

There are many different program options for addressing issues with mental health. It can be difficult to know which type would be the best fit for you or a loved one. We are going to try to break down the levels of mental health care to make it a little simpler!

Outpatient Options

In outpatient care, the patient goes to the place of service, gets said service, and then goes back home all in one day. There are four levels of outpatient care: 12-Step programs, routine outpatient programs, intensive outpatient programs, and partial hospitalization.

12-Step Programs

In a 12-Step program, participants typically meet on a weekly or monthly basis to talk in a group about shared struggles. People share their experiences and build a support community through those stories. Alcoholics Anonymous (AA) is one really common example of this type of service. Other subject areas include gambling, sex addition, eating disorders, and many more.

Routine Outpatient Care

Routine outpatient care is what we do here at Collaborative Counseling. In this level of mental health care, patients meet with a therapist in an office. Sessions typically last around an hour. Therapists will facilitate conversation to help with whatever may be happening in their life.

Intensive Outpatient Programs

Intensive outpatient programs are similar to routine care in that the client goes to an office for services. However, these programs often involve both group therapy and individual therapy on a regular basis. The sessions are typically longer or occur more often.

Partial Hospitalization

Partial hospitalization (PHP) is one step higher in care. These programs are usually all day. The client would spend their day in different therapy sessions and/or programs and then go home for the night. There is more structure and help with basic care needs.

Inpatient Options

These levels of care take place in a hospital or residential setting. People typically check to a hospital or another facility where they spend the night. The two levels of inpatient care are: acute inpatient care and residential treatment.

Acute Inpatient Care

Acute inpatient care is a short term hospitalization. When care in an outpatient setting is not enough, clients can go to an inpatient facility. Facilities are staffed 24 hours a day by trained individuals monitoring client. The goal is usually to get the client stable enough to go back home.

Residential Treatment

Residential Treatment options last a bit longer than acute care. They take place in a home or apartment setting. There are still medically trained staff present, but they may not be monitoring the client as close as in a hospital. Clients work on building community in their living space while addressing their personal concerns.

No matter where you are at in your mental health journey, there are options for you! Hopefully this information helped clarify the levels of mental health care available.

Need help in finding programs near you? Click here.

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23 July

Stressed? Take a Step Outside

Posted by Collaborative Counseling

yellow flowers with a view of mountains outside — Spending time outside can greatly reduce stress levels and improve physical health. #outdoors #healthyliving #mentalhealth

Life is stressful. For most people, the term ‘stressful’ is a major understatement to say the least. From work to studying to being home with kids or whatever your day consists of, it’s often tough to relax. Taking a moment out of your day to step outside and enjoy nature can ease some of that!

Here is a look into what happens in your body when you are in natural spaces:

Lowered cortisol levels – when your cortisol levels are constantly raging, like in periods of high stress, there is more risk for depression/anxiety, weight gain, trouble focusing, and issues with your heart
Lower blood pressure – the fresh air and view of nature help in keeping your heart and mind healthy
Better sleep – spending time outside helps people not only get a deeper sleep, but sleep longer through the night
Improved immune system – being outside exposes your body to a wide variety of healthy bacteria that work to improve your bodies natural defenses
Increased exercise – people are more likely to get moving when they spend time outside whether that is walking/biking/swimming/etc which is always great for you as a whole

There are many ways that immersing yourself in nature can get you that much needed break! Not sure where to start? Walk through a local park on your lunch break. Maybe go for a bike ride with a friend. Even having a view of natural environments or plants in your house can make a difference!

It’s time get serious about caring for the bodies we live in every day. Take that step outside and enjoy the warm summer weather that is just around the corner! (But don’t forget your sunscreen!)

Want to learn more? Click here.

Health, Health and Wellness, Mental Health, Mental Health Awareness, Nature, Outdoors, Reducing Stress

02 January

The Power of Validation

Posted by Collaborative Counseling

Validation is a powerful tool that can be implemented in almost every relationship we have. According to Karyn Hall, PhD: “Validation is the recognition and acceptance of another person’s thoughts, feelings, sensations, and behaviors as understandable. Self-validation is the recognition and acceptance of your own thoughts, feelings, sensations and behaviors as understandable.”

Why Do We Need Validation?

Validation is important for us to feel accepted by others. As most of us can attest to, feeling like you belong and matter is an important part of feeling good about yourself. When we validate others, it brings us closer and strengthens the relationship. Additionally, validation helps us to build understanding with others and aids in effective communication. Validation also helps people feel important and cared for. This is especially true for kids who need validation to feel connected to their parents, express emotions and to develop a secure sense of self.

Levels of Validation

Marsha Linehan, PhD, has identified six different levels of validation and some tips on how to implement them.

Being Present: giving your complete attention to the person struggling in a non-judgmental way
Accurate Reflection: Summarize what the person has said, try to really understand and not judge the person’s experience
Reading someone’s behavior and guessing what they may be thinking or feeling: pay attention to the person’s emotional state and label their emotion or infer how they may be feeling. Be sure to check in with the person to make sure your guess is accurate!
Understanding someone’s behavior in terms of their history and biology: think about how someone’s past experiences may be affecting how they are feeling now, in this moment or situation.
Normalizing or recognizing emotional reactions that anyone would have: recognize that many people may feel the way that you or the other person is feeling in a given situation and let them know that it’s okay to feel this way as many people do.
Radical genuineness: this happens when you are able to understand how someone is feeling on a deeper, personal level. Perhaps, you have had a similar experience. Sharing that with the other person can help to validate their feelings and reactions.

Putting Words Into Action

Learning to validate others can be easier said than done. However, being more conscience of how our words affect others and even implementing the first few levels of validation can make a big difference in our relationships and interactions with others. An essential tenant of the therapeutic relationship is validation. It is important to know that we must first be able to validate ourselves before being able to validate others. Therapy can help you to achieve self-validation skills as well as learning skills to validate others. For more information about our clinicians and how they can help, visit: https://www.collaborativemn.com/meet-our-team.

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20 December

How to Cope With Holiday Stress

Posted by Collaborative Counseling

While the holidays can bring plenty of joy, for many people it can be a very stressful time of year. Almost a quarter of American’s report feeling “extreme stress” around the holiday season. Even if you are not someone who experiences a great amount of stress around this time of year, here are some coping skills you can use yourself or share with others who may be struggling with the stress of the holiday season.

Let Go of Expectations

We often become fixated on our expectations and become upset when reality does not match those expectations, especially when it comes to the holidays and traditions. Remember that things may not go perfectly or exactly as planned but that is not what really matters. The holidays are an opportunity to surround ourselves with friends and family and to share in experiences that bring us closer together.

Be Present and Mindful

The holidays are obviously a very busy and fast-paced time of year for many people. While it can be easy to fall into this pattern of go, go, go, be mindful of when you are experiencing stress or anxiety and when it may be time to take a break. Around this time of year, we tend to be focused on the needs of others and let our own needs fall by the wayside. It is important to make time for self-care, whatever that means for you.

Set Boundaries

Know your limits and know when to say “no” to things. Stress and anxiety can often arise from taking on too much at once. Part of good self-care is knowing when you have reached your capacity and setting boundaries around the use of your time (including who you spend time with and when). Know that you do not have to attend every holiday event you are invited to or spend time with people who do not make you feel your best.

Maintain Your Routine

With the holidays come plenty of fun events and delicious treats to enjoy. However, trying to maintain most of your daily routine can help greatly when it comes to coping with stress. Exercise, diet and sleep are key components to both mental and physical health. Most people do not get enough sleep and holiday stress can exacerbate that problem. Taking a daily walk, setting a “bed-time” for yourself and/or starting your day with a healthy breakfast can help you to feel and stay on track and maintain healthy habits during a time when schedules tend to fluctuate.

The holidays don’t have to be a time of extreme stress! Try to focus on the things that fill you up rather than the things that drain you. Spend more time doing things and spending time with the people who lift you up and make you feel your best. Most of all, remember that the holidays are what you make them, no more and no less.

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13 September

Understanding Depression

Posted by Collaborative Counseling

Growing Plant Symbolizing Hope for Depression

There is a common misconception that depression is a choice. The truth is that depression is a common yet serious mood disorder that has to do with a chemical imbalance in the brain. People experience depression in a number of ways and symptoms can range from mild to severe. Depression can affect how someone feels and thinks as well their daily activities such as work and sleeping. There are a variety of factors that can put someone at-risk for developing depression such as:

Genetics: Depression can be hereditary and runs in families.
Environmental Factors: exposure to neglect, abuse and violence can be risk factors for depression.
Personality: Traits such as low self-esteem and being easily overwhelmed by stress can make people more vulnerable to depression.
Gender: Women are more likely than men to develop depression.

It should be noted that depression can look different for everyone. Some common symptoms of depression include.

Difficulty sleeping or sleeping too much
Loss of interest in hobbies/activities
Appetite or weight changes
Feeling hopeless
Trouble concentrating
Irritability

Treatments for Depression

There are several therapeutic treatment options for depression. Therapies such as cognitive behavioral therapy (CBT), mindfulness-based CBT and dialectical behavioral therapy (DBT) have all been shown to help reduce depressive symptoms and increasing coping skills.

Many courses of treatment for depression will include medications such as anti-depressants in combination with psychotherapy to treat depression. Remember, no two people are alike and therefore, neither are their treatments. What worked for one person may not work for you.

Additionally, activities such as yoga and exercise in general as well as meditation and healthy eating can all have an impact on our overall mood and help to decrease depressive symptoms.

If you are struggling with depression the first step is reaching out for help. Visit our website at: https://www.collaborativemn.com/ to learn more about the services we offer and the people who can help.

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10 September

Tips for Going Back to School

Posted by Collaborative Counseling

Getting ready for and going back to school can be a very stressful time. Following the slower pace of summer, many struggle to get back into the mind frame to focus on learning and schoolwork.

Here are our favorite tips for parents to help prepare for the transition into a new school year.

Practice Getting Back on a Schedule

Take the week or two leading up to the first day to transition back to your school-year schedule and routines. In addition, work to get you and your kids back on the usual sleep schedule for school.

Take Care of Any Health Needs

If your child needs a physical, check up or needs medication refills make sure to follow up with appropriate health care providers. Also, try to be proactive in getting help for both physical and mental health needs your child may have going into this next school year.

Get Oriented

If your child is going to start in a new school this year spend time getting familiar with the space. Practice finding their classrooms, restrooms, the office or nurse and any other areas they need to be familiar with. The best way to ease anxiety about this first day of school is to help your child feel as prepared as possible.

Be Prepared for the First Day

To decrease the stress of the first day help or remind your child to pack their bag. Also, have them pick their outfit the day before. In addition, make sure to have healthy breakfast and snack foods available for your child.

All of these tips are aimed at helping your child to be successful on their first day of school. Anything you can do to decrease the stress and anxiety of the first day of school is recommended. Remember, anxiety is often just about the unknowns. Therefore, the more of those you can decrease the better off your child will be. Most of all, we want to send kids into the school year focusing on academics and of course, friendships!

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18 June

Understanding Alzheimer’s Disease

Posted by Collaborative Counseling

June is national Alzheimer’s and brain awareness month. Alzheimer’s has become a focal point in the discussion of memory disorders over the last decade. However, there is still confusion about what exactly Alzheimer’s is and how to cope when a loved one develops the disease.

What is Alzheimer’s?

Alzheimer’s is the most common type of dementia. It causes issues with memory, behavior and thinking. Often times, people associate getting older with being forgetful. They assume things like memory loss are a normal part of aging. However, this is not the case. Alzheimer’s is a progressive disease that affects a person’s ability to function in daily life and worsens over time. According to the Alzheimer’s Association, the disease mainly affects individuals ages 65 and older, it can happen earlier in life. This is called early-onset Alzheimer’s and it affects approximately 200,000 Americans under the age of 65. The most common symptom of the disease is trouble remembering new information.

What’s Next?

Unfortunately, there is currently not a cure for Alzheimer’s. There are, however, some treatments for the symptoms of the disease. It can be difficult to learn that a loved one has been diagnosed with Alzheimer’s and there are many new unknowns when it comes to the future. As a caregiver, friend or family member, it is important to seek out support to cope with this new phase of life. It may be wise to find a support group for others in the same situation or your own individual therapist.

How Can a Therapist Help?

Even though there is no cure for Alzheimer’s disease therapy can help a recently diagnosed individual deal with the emotions surrounding this news. Emotions such as depression, agitation and anxiety, which can be side effects of the disease, can be addressed in therapy. Therapy can also help an individual come to terms with and eventually, accept their diagnosis.

Depression affects up to 40% of Alzheimer’s patients making it an important issue to address with this population. Depression can prevent those with the disease from participating in activities such as physical exercise and mentally engaging activities, which can help to improve their overall condition.

Visit our website to learn more about how our team can help you or a loved one through this time of change at: https://www.collaborativemn.com/meet-our-team

For more information about Alzheimer’s and dementia visit: https://www.alz.org

Alzheimer's, Alzheimer's Support, Care Giver, Care Taker, Dementia, Life Transitions, Memory Loss, Mental Health Help, Self Care

07 June

What Kinds of Therapy Can Help Treat PTSD?

Posted by Collaborative Counseling

PTSD, like other diagnoses, has many treatments that can be effective for a broad array of individuals. Here, we will discuss some of the most popular and effective treatments for PTSD.

Trauma Focused Cognitive Behavioral Therapy

TF-CBT specifically targets children and adolescents. It can also be helpful for adults who have suffered trauma. TF-CBT is especially helpful for youth who have experienced abuse, violence or grief resulting in PTSD. This is a short-term therapy that generally lasts anywhere between 8-25 sessions. TF-CBT works to change distorted or negative reactions and behaviors. Additionally, family dynamics are emphasized in this approach as therapists aim to teach parenting, stress management and communication skills that can help the client succeed.

EMDR

EMDR stands for Eye-Movement Desensitization and Reprocessing. It helps the brain to reprocess the memories of the traumatic event. In turn, this helps to relieve many of the symptoms associated with PTSD and improve a person’s overall functioning. EMDR is different than traditional talk therapy. It identifies specific memories to target, so the client fully process past experiences and the feelings associated with the memory. Eventually, the goal is to replace negative thoughts and feelings with more positive ones that promote healthy behaviors.

Narrative Therapy

Narrative therapy focuses on the story that someone who has experienced trauma, tells themselves. The story told to oneself can influence how that person perceives the world and their experiences and ultimately, their well-being. NT requires the client to tell the story of their life (chronologically) focusing on the traumatic event(s) or experience(s). The therapist asks the client to narrate the traumatic experience(s) and describe their emotions, thoughts and physiological responses to the therapist, all while remining connected to the present. This therapy asks a person to reflect on their entire life which means it can address multiple traumatic incidents. In the end it can help the client realize their human rights and gain back their self-respect.

Prolonged Exposure

Prolonged exposure therapy is a part of cognitive behavioral therapy (or CBT). Many individuals who have experienced trauma actively avoid anything that reminds them of said trauma.

This intervention works to teach whose individuals to confront their trauma-related memories, feelings and situations. In turn, this decreases the symptoms of PTSD by teaching the individual that their memories and feelings surrounding their trauma are not dangerous and do not need to be avoided. This is also a short-term therapy lasting anywhere from 8-15 sessions and gradually challenges the individual to confront uncomfortable stimuli and cope with the emotions associated with the stimuli.

It is important to keep in mind that there are a wide variety of therapies that may be able to help you or someone you know deal with their trauma. The best place to start is to find someone you feel comfortable with that can help you work through what you are dealing with. A great deal of research indicates the benefit of therapy is strongly correlated to the relationship a person has with their therapist, so finding someone that you connect to is very important. Visit our website to learn more about our team and how they can help you move forward at: https://www.collaborativemn.com/meet-our-team.

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01 June

Understanding Post Traumatic Stress Disorder

Posted by Collaborative Counseling

Understanding PTSD Through Individual Counseling Services

According to the American Psychiatric Association Posttraumatic Stress Disorder, or PTSD, can occur when a person has experienced or witnessed a traumatic event. These can be events such as war, rape, a serious accident, or a natural disaster. PTSD can happen when there is a threat to a person’s livelihood or sense of safety. Those with PTSD tend to have reoccurring thoughts, flashbacks, or even nightmares that are related to the traumatic event they experienced. They may feel sadness, anger, fear, or even detachment from others. They also tend to avoid putting themselves in situations that could remind them of the traumatic event. For example, a soldier who is experiencing PTSD after being in a war zone may avoid fireworks or loud noises that resemble gun fire as it brings back many memories and feelings associated with being in the war.

Myths about PTSD

There are several myths surrounding PTSD and those who have it. Often people think of veterans who have returned home from war. However, the disorder affects people who have experienced all kinds of trauma ranging from sexual abuse to the sudden death of a loved one. Another common myth is that if you experience trauma, then you will develop PTSD. About 1 in 3 people who have experienced trauma will develop PTSD.

Many people who experience trauma do not develop PTSD but will display symptoms of stress following the incident such as insomnia, anxiety or depression. However, these people tend to recover from their symptoms. Those who do not and whose symptoms worsen or intensify over time, develop PTSD.

What are things that make a person vulnerable to PTSD?

There are some risk factors when it comes to developing PTSD. These include:

having little to no support system following the event
having a pre-existing anxiety or depression
Gender: Women are more likely than men to develop PTSD
Genetics: There is evidence to suggest that genes may play a role in making some more susceptible than others to the disorder
Added stress following the event such as losing a job or a loved one

According to the APA, this disorder affects roughly 3.5% of the American population with an estimated 1 in 11 people with experience PTSD throughout some point in their life. This means that an acquaintance, a friend, or even a close relative of yours could experience or may currently be experiencing this disorder. With that being said, you may wonder how you personally can help your loved one(s) who suffers from this disorder.

How do I help someone who is struggling with a traumatic event?

Here are a few suggestions from the National Center for PTSD if you know someone who may be struggling with a traumatic event:

Learn about all you can about PTSD. Here are a couple links to help you get started: https://www.psychiatry.org/patients-families/ptsd/what-is-ptsd and https://www.ptsd.va.gov/public/ptsd-overview/basics/what-is-ptsd.asp.
Offer to accompany them to doctor visits or help keep track of their appointments and medications.
Let them know you are there to listen to them and be there to listen when they need you.
Plan outings or activities.
Encourage physical activity. Go on a walk or a bike ride together.
Help them stay connected to friends and family. Encourage them to continue to have close relationships.

If you or someone you know is struggling with a traumatic event, you do not need to suffer alone and we suggest you reach out to meet with a therapist to help you in processing and navigating any reactions you may be having. For more information about PTSD visit our website at: https://www.collaborativemn.com/issues-we-specialize-treating/post-traumatic-stress-disorder-ptsd

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23 May

How to Find the Right Therapist For You

Posted by Collaborative Counseling

Trying to find a therapist that is a good fit for you can be challenging. While there are many wonderful therapists in the field, you need to know what you are looking for in a therapist to determine if they will be a good fit for you. Here, we share some tips to finding the right therapist for you.

Credentials

There are many different degree’s and titles that a therapist can hold. Below is a breakdown of the various titles and degrees and what they mean.

Psychologists: This is someone who holds a Doctoral Degree, either a PhD or PsyD. In addition to being trained in psychotherapy and counseling, they are also trained in psychological testing for issues such as ADHD or Autism.
Social Workers: These individuals hold a Master’s Degree in Social Work (MSW). Social workers who perform therapy will have the title LICSW (Licensed Independent Clinical Social Worker). Their education focuses on systems including the family and the community. They typically work with families and groups in addition to individuals.
Licensed Professional Clinical Counselors: LPCC’s hold a Master’s Degree in Counseling Psychology. They work with a variety of mental health issues and modalities. Their education focuses on being client-centered versus illness-centered.
Licensed Marriage and Family Therapists: LMFT’s hold a Master’s Degree in Marriage and Family Therapy. Their education focuses on family systems and relationships. They typically see couples, families and individuals.
Licensed Alcohol and Drug Counselors: LADC’s hold a Bachelor’s Degree at minimum. However, some people choose to hold this license in addition to their main license. They specialize in the diagnosis and treatment of substance use disorders.

Look Around

Take your time and look at therapist biographies and profiles on company websites or sites like https://www.psychologytoday.com/us/therapists.You can see pictures and descriptions of therapists as well as the issues they work with and their specialties. When looking at therapist bio’s take notice if they are selling themselves orthe work they do and their philosophy when it comes to working with clients. Pictures can be a helpful first indication to if you will feel comfortable with a therapist, so follow your gut! When searching for a therapist, keep in mind your preferred gender as well.

Keep an Open Mind

Once you choose a therapist, keep in mind that there is no obligation to return if you do not feel it was a good fit. Often, people will continue to see someone they do not connect with. Many times, this is because they do not want to hurt the therapist’s feelings. Remember, the therapeutic relationship should benefit you. If you feel you would connect better with someone else, there is nothing wrong with that. However, if you decide to try someone else out, keep in mind what you liked about the previous therapist and what you did not. This will help you narrow your search and hone in on someone who may be perfect for you.

Check out the therapists we currently offer at our various locations within Collaborative Counseling!

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