One of my past clients would often talk about his depression as if he had a relationship with it. I started to believe that it was a real entity in her life. As if she interacted with it and that it did something for her by being there. She would refer to it as coming and going. She would often say that she hated when it showed up because it would ruin things.

I started to realize that she was part way down a path towards recovery with this mindset, even though she was hurting because of depression. Depression isn’t something that a person is, but rather it is something that that a person experiences. It is outside of us (even though it feels like it is a part of us).

We started to work on externalizing this problem in her life by continuing to see it as something acting on her – from the outside. She was able to realize that she is not depression and that there is a part of her that is happy, willing and able. She was able to embrace this happy, willing and able side more often, despite depression pushing on her at times (and sometimes often!).

She started to learn how to let depression come and go in her life without debilitating her to the point where she couldn’t function. This helped lessen depression impact on her. She still had depression come around, but it was a different visit when it did.

I once had a client who told me that they had done everything, but that they still struggled with pornography use. They described how they had been to counseling, gone to 12-step meetings, talked with their church leaders and even friends and family. He described feeling completely stuck and lost at how to fix what he thought was a big problem in his life. When I asked him about what else he was involved in he didn’t say much. I asked if he were dating anyone or involved in sports or anything fun at school. He wasn’t. It seemed that he was putting his life on hold until he got rid of pornography. After speaking to him more it looked like he didn’t not feel worthy to enjoy anything because of the shame he felt because of his use.

At this point we had a lot of work to do. What I said to him next surprised him – I told him that I want him to do more of what he loves in life. I explored with him what he would be doing if he felt worthy to be happy and do fun things. I encouraged him to do these things whether he felt worthy or not. It was a difficult shift for him because he had bought into the traditional method of behavior change – which is to withhold something or to punish someone into changing. This doesn’t work.

As he started to engage in life he felt strange and as if he were saying that he was ok with his pornography use. I told him that he can still hate his pornography use, but that he still deserved to be happy. This gave him freedom to enjoy things again. Eventually, after a lot of hard work, he started to realize that his life did not have to be defined by his pornography use – that he could still enjoy life and be happy while trying to let go of something he didn’t want.

Many clients get to this point, but not without help.

I often work with college students who have a difficult time transitioning to the workload, social aspect and emotional difficulties of being out of the home. Going off to college or leaving home for the first time can be complicated. Many young adults struggle to make the adjustment and need help. Those who make it to my office often have a family member urging them to get help, or they have realized that they need help an are proactive enough to get it (although this is more rare). I work with these clients to develop independent living skills so that they can function at work, school and with their friends, while maintaining a good connection with family at home. One of the reasons the struggle is that they haven’t had a chance to go out on their own yet. It seems ironic, because now that they are out on their own, its too much for them. Don’t worry – this is normal. Its ok to have a difficult time in this transition. However, its important to note several milestones as they progress:

• Financial – are they able to financially manage their money without parents overseeing it all?
• Social – are they able to balance their social life with work and school? Do they have a social life or are they secluded in their apartment”
• Scholastic – are they able to meet the demands of school and ask for help when needed?
• Work – are they working and are they able to maintain a job while engaged in the rest of their life?

If you answered ‘no’ to any of these, they might need help. See out a therapist who knows how to help young people transition here.

By Triston Morgan, PhD, LMFT

After a decade and a half of doing couples therapy, I have found some common themes that are worth sharing. First, couples that seem to do well in treatment and in their relationship are committed to the relationship. This means that they are invested and locked-in (self-imposed). Second, they are humble. This means they are willing to learn and be taught. We can’t expect to know everything about our spouse’s needs. The minute we believe that we do, we put ourselves in a position to get stuck in our marriage.

I once worked with a couple who were going through trust issues. There had been pornography use and an affair. They seemed to struggle finding a way to trust each other and repair the damage that had done. As they embraced humility, however, over time they found the connection and healing they were looking for. It took the husband admitting that he had a problem to pornography and seeing how he had hurt his wife. This is difficult to do and a necessary step in the process. It also took humility for the wife to want to try again with her husband. She had to learn a new way of connecting with him so that he felt taken care of as well.

 

Someone once told me that when they finally got rid of pornography in their life, that they would ‘miss it’. This is common for those struggling with this problem. The reason that this is is because you form an attachment with pornography. It is there for you when you are struggling with stress or problems in your relationships. It is there when you are bored or lonely. It gives you a powerful reinforcer when you use it. However, the aftermath of shame is so powerful ,that you are often left thinking – why did I do this again. I promised that I would never do it after the last time. This shame often leads you to use again, ironically.

Overcoming pornography isn’t something that you can do alone. Many individuals will go through a cycle of using and then making a firm determination to ‘never do it again’. Unfortunately, this isn’t enough and many people become frustrated because of this seemingly never-ending pattern. Its important to include family members, friends support groups and professionals into your recovery so that you have the tools and support necessary to deal with this powerful behavior.

 

My four-year-old daughter placed herself in the middle of our living room to play with blocks. She was so engrossed with building a wooden castle that she didn’t notice her two-year-old sister walking towards her with her right arm stretched far back to slap her older sister across the head. When that slap came, my older daughter went from happy to surprise to anger and then lots of tears. She ran towards me seeking justice. “Mommy, she hit me!” My younger daughter remained still, looking innocent. I immediately walked over to her with my older daughter in hand and said, “Hands are not for hitting. Say sorry for hitting please.”  I’m sure many parents can relate to this scenario. Teaching our children the skills for making amends is an important life skill and is not so much about saying the words “I’m sorry”.  

There is a belief amongst some parents that enforcing premature apologies on children is not effective. Their reasoning is that premature apologies teach children to lie and encourage insincerity. It also creates shame and embarrassment. Other studies show that young children have the ability to be empathetic even before they can speak; therefore, parents should encourage apologies (Smith, Chen, Harris; 2010). As I reflected on my research and my knowledge as a Marriage and Family Therapist, I recognized several things we can do as parents to create productive apologies: 

1. Keep yourself in check: It’s frustrating to see your children fight, especially when it happens at inconvenient times. However, it’s important to remain calm and model for your children how to handle frustration.   
2. Be immediate when possible: When you see an incident occur between your children, address it. The best time for learning and growth is when the incident is still fresh in their minds. However, when there are time constraints and the issue cannot be addressed right away, it is important to tell your children when and where it will be addressed. Be consistent when using the alternative and follow through.  
3. Ask instead of tell: Avoid lecturing. Ask questions instead. “Tell me what happened?” “What were you feeling when you hit your sister?” Validate the expressed emotion and help them to understand that it is okay to feel frustration and sadness; however, it is not okay to hit or throw things. Help them to also make the connection between emotion and action. “Look at her face, how do you think she’s feeling right now?” Asking these types of questions enhances empathy. 
4. Problem Solve: Ask questions about what they think they should do when they feel frustrated or sad. Help them to come up with solutions.  Ask questions about how they can make things better with their sibling/s. 
5. Have them practice a do-over: When your child identifies the solution, have them practice it with the other sibling/s. Praise them for their efforts at the end.    

What is more important than the phrase “I’m sorry” is what children take away from the experience. We can facilitate and enhance learning opportunities by not focusing on the phrase “I’m sorry” but instead more on what can be learned from this situation and how can we improve.  

 

Originally posted here: http://www.provofamilies.com/2018/02/07/forced-apologies/

For most of us, depression is something that comes and goes. For a few of us, it’s something that comes and stays – for reasons that we don’t always know or understand. When we lose someone lose to us or have a situation that hurts, we might feel down. This type of depression can be situational more than anything else. This happens often after women give birth. For months following, they might feel down or blue. If they are able to pull themselves out of it through sleep, eating well, taking a shower, reading a book or some any other way that they use to cope, then its usually not post-partum depression. If it doesn’t go away after these attempts, it can be something more serious and may need medical or professional help. Depression is the same way. We can’t expect to pull ourselves out of depression on our own when it is the more serious type. Counselors are trained professionals who can help. Many of them will utilize the power of your relationships and invite your family to attend sessions. This helps because you are then able to connect to those who matter most and work it out together.

Every now and then, most of us feel down or blue – this is different than depression. Situational sadness comes and goes with whatever is getting us down. For example, if you don’t get recognized for something you worked hard at, you will probably feel sad. After time, your sadness will start to disappear. It isn’t as sad over time. This is situational. Depression, on the other hand, seems to last beyond these events. Even when something potentially sad has come and gone and if there is seemingly no reason to feel sad, you still might feel sad. This can especially be true in the winter. The days are shorter and colder. This causes most of us to stop moving as much, and to stay inside. We then lack exercise and sun light. On top of that, with the Halloween, Thanksgiving, Christmas and New Year’s, we tend to eat food that isn’t as healthy. We eat more sugar. This all contributes to feeling sad when we don’t seem to have anything to be sad about. Seasonal Affective Disorder (SAD) is what happens to many people during the winter months. Most people don’t realize they have this type of problem, they just think that they are down or blue. It is more than just having the ‘winter blues’. It impedes you in your daily life and interferes with your functioning. Recognizing that you have SAD will help you know what to do to overcome and let go of it. Some of the symptoms include: feeling sad, losing interest once enjoyed, change in appetite, change in sleep (usually sleeping more), loss of energy, restless activity, feeling worthless or guilty, trouble making decisions, and thoughts of suicide or death. If you think you might have this type of depression talk with a therapist today.

Sometimes the holidays hurt. When we have lost loved ones or when we are reminded of what we used to have, the holidays can turn from joyous to painful. During these times, it’s important to remember a few things. First, let the pain come in – embrace it. There is no need to try and hide from it or run. If we try to hide from it or ignore it, we often develop addictions to cover what we are feeling – ways to numb ourselves from uncomfortable emotions. In this numbed state, we don’t ever get to embrace and subsequently let go of painful emotions. It’s important to remember that in order to let go of something, we first have to have it (embrace it). Remember that these emotions come and go, they won’t stay with us forever. Second, find a way to honor your loved ones who have gone on or circumstances lost. I spoke with a friend once who had dealt with the loss of a job and a more abundant life. During times when this was more apparent, he was able to be grateful for the relationship he had and focus on enjoying them above all else. After having material possessions and different opportunities pass him by he realized what is most important as he put his life back together. As he did this, he was able to be grateful for past opportunities and current blessings. Third, some find comfort in having what I call ‘Present Mindedness’ – the ability to be in the moment. We let ourselves enjoy the here and now without stopping ourselves because we need to maintain anger or sadness from the past or from other current situations. We don’t have to punish ourselves – we deserve to be happy now.

Counseling, if done right, is husband friendly! Find the right therapist and you’ll understand. The problem is that many husbands worry that the therapist is going to take their wife’s side and gang up on him, or that therapy will be uncomfortable. While the latter may be true, the former isn’t. A good therapist doesn’t take sides or act as a referee. I have had many couples want to hash out an argument in front of me in counseling so that I can tell them who is right. I stop them, and explain that even if one of them ended up right, that they would be so wrong in their rightness – their marriage would suffer because they insisted on being right instead of compassionate and forgiving. A good therapist, rather, is able to foster healthy interactions between spouses so that they both feel safe and are able to be vulnerable and genuine with each other. When husbands understand that what they feel and think is important, then they are more willing to make this uncomfortable leap with their spouse. Women are more likely than men to initiate therapy, but without buy-in from the man, it is difficult to be successful in therapy. My suggestion to women who want to initiate counseling, but have a reluctant spouse is to recognize that this is scary for your spouse. They may feel as if they will be attacked, or worse yet, that they will lose you. Help them understand that your desire for counseling is because you love him and because you want this to work – but aren’t sure how to make fix it. Ask him to give therapy at lest 3 sessions – after that if he still feels reluctant there might be another counselor or approach that you could try. Most men feel better about therapy after at least 3 sessions if you have the right therapist for you.