01 June

What is Trauma Informed Care?

Posted by Collaborative Counseling

Trauma informed care has become a highly coveted model for treating people who have experienced traumatic experiences or events. Read more to learn about trauma and this form of treatment.

What is Trauma?

Trauma is defined as an emotional or psychological response to an event that is deeply distressing or disturbing. It can refer to things that are upsetting, such as being involved in an accident, loosing a close loved one, or going through a divorce. It can also refer to the extreme end of the spectrum as well. This would be things that are severely damaging such as assault or kidnapping.

Trauma-Informed Care

Trauma informed care is not about specific techniques. It is an overall approach to providing care. Trauma informed care should include the following six principles.

A safe therapeutic environment is essential to aid in recovery.
Trauma related symptoms and behaviors originate from adapting to traumatic experiences.
Recovery from trauma is a goal in treatment.
Resiliency and trauma resistant skills training are part of treatment.
It focuses on client strengths.
Trauma recovery is a collaborative effort.

What to Look for in a Trauma Informed Therapist

First and foremost, a trauma therapist should realize the impact that trauma has on a person. They should also have an understanding of potential paths for recovery. They should also be able to detect the signs of trauma in clients. Along with being able to detect the signs they should be able to respond to these signs. They should use their full knowledge of trauma practices and procedures to assist their client. Lastly, a trauma informed therapist should actively resist re-traumatizing clients.

The Importance of Trauma Informed Care

Everyone has different reactions to traumatic events. Some people may be able to cope with and move past their trauma rather quickly, whereas others may develop Post-Traumatic Stress Disorder. The way people react to and retell the traumatic event that they experienced can determine whether the people around them will believe what happened. Those who react with strong emotion are often seen as more credible than those who remain stoic and are able to look past the emotion.

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08 May

Trauma Informed Therapy

Posted by Collaborative Counseling

If you are beginning your search for therapy, it can be hard to know where to start. It can be overwhelming to understand the types of therapy that are offered by therapists, and which one might be a good fit for you. Here we will cover the basics of trauma informed therapy and how this type of therapy may be helpful for you.

What is trauma?

Trauma is any distressing experience. Anyone can deal with trauma and we can experience trauma in varying degrees.

Karen Onderko, the Director of Research and Education at Integrated Listening Systems describes different levels of trauma through large “t” and little “t” trauma.

We often ignore or disregard little trauma, because these are things that do not completely disrupt our daily life. As Onderko puts it, small “t” trauma “seem(s) surmountable”. Life changes, relationship conflict or financial troubles can be trauma. The internalization of these events may be interpreted differently for everyone, so for some, they may not be as distressing.

On the other hand, large trauma sends us into deep distress or helplessness. These tend to be larger experiences, including things like traumatic events or ongoing stressors, such as emotional or physical abuse. These are things that most people think of when they hear the word, “trauma”.

It’s important to acknowledge and understand that we can all experience trauma in many different forms and at different levels. Everyone internalizes life events differently.

What does trauma informed therapy mean?

Trauma informed therapy aims to understand how trauma affects one’s life. This type of therapy is a type of Cognitive Behavioral Therapy (CBT) which sees to identify our thoughts about how we view our current life situation or issue. CBT helps us learn how to change the way we view or think of ourselves.

Trauma informed therapy helps us process events that have happened in our past, how that may be triggering to us, and the effect it may take in our life.

How can it help?

The effectiveness of therapy increases when we discuss and recognize our trauma. It searches to identify and understand the root of our pain or anxiety, and then helps us understand ourselves from that perspective.

This type of therapy is beneficial to anyone who experiences trauma—large or small. Through these traumas, we can see how that may influence our behavior. Understanding our behavior from this perspective may also help us grow into healthier behaviors sooner.

Overall, trauma informed therapy may be a good option for therapy for some, but there are plenty of types of therapy that are beneficial to those seeking help.

To find a list of therapy types, click here.

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02 October

Levels of Mental Health Care

Posted by Collaborative Counseling

How to Successfully Co-parent with your Ex Partner and How it Benefits your Child

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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20 December

How to Cope With Holiday Stress

Posted by Collaborative Counseling

Woman suffering from Postpartum depression

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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18 June

Understanding Alzheimer’s Disease

Posted by Collaborative Counseling

Living with bipolar disorder can be challenging

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

01 June

Understanding Post Traumatic Stress Disorder

Posted by Collaborative Counseling

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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