Monday, November 3, 2014

Telepsychology: The Next Step

 
In August I wrote about how online therapy can help and several factors to consider when thinking about online services. This month's article is intended to be part two, or the next step. Telepsychology and other online/remote/distance services are increasing in popularity and availability. As a psychologist, online options allow us to gain training, attend conferences, and become certified in new specialties. The availability of cell phones, tablets, computers, and other devices allow psychologists and their clients to connect in ways like never before. As you probably already know, I love providing telepsychology services. Take this next step with me and learn some more reasons why and how the practice of psychology is evolving. 


Maintain Continuity of Care 
Telepsychology allows psychologists and clients to continue working together during almost any circumstance. Whether it's travel, a long work commute, illness, child care, busyness, work, bad weather, transportation issues, or other life situation, a client can still access psychological services. To illustrate, in my last post I shared some experiences about being a new mommy. Telepsychology allowed me to continue work with my clients while I was on maternity leave and gave me the option of (warning:-total self-disclosure here) conducting sessions in pajamas with messy hair and most likely spit up on my shirt. This type of service also gave me the best opportunity of all-the ability to care for my baby and spend time with him easily while being a working mom. Telepsychology is and will be an excellent option for parents. 
 
As Effective as Face-to-Face Treatment 
Telepsychological services have demonstrated effectiveness similar to traditional office visits, based on empirical research. This means telepsychology clients can expect high quality treatment, interventions, and assessments that give the same results and contribute to mental health as effectively as in-person visits. There are a variety of programs that allow for secure video sessions, which can feel as if everyone is in the same room together. Smart phones allow for the use of texting, email, video conferencing, and app use. I look forward to reviewing more literature about the use of these technologies clinically. 
 
Access Information and Services Quickly-Connect, Collaborate, and Care 
The practice of telepsychology allows psychologists and the public to exchange and share information quickly and conveniently. I can review research, attend workshops, network with colleagues, and offer free consultations to people interested in my services easily and conveniently. Clients find greater availability and flexibility with the scheduling of online and phone sessions. There is no wait time, no travel time, and we can meet for shorter and longer periods of time. I can email interesting articles, share helpful resources and links, and monitor progress of treatment remotely.  
 
Stay (wirelessly) tuned for next month's post-in which I will be sharing information about brand new telepsychology services I will be offering. I am cooking up some very exciting options!

Monday, October 6, 2014

Journey Back to Basics

As I am writing this piece, I am reflecting on my very new journey into motherhood. I recently gave birth to my first child and I am amazed at how complicated and yet simple caring for a newborn is. I am savoring these tiny moments all the while researching, learning, practicing, asking, and trying the best ways of being a parent. So far, I have learned the importance of going back to basics. 

Preparing for the arrival of a baby can be quite daunting. There are constant conflicting messages about what you need and what you don't, what you should do and what you shouldn't, and who to trust for advice and who not to trust. For example, when we completed our registry, we were given a checklist of "must-haves" and "nice-to-haves" that spanned several pages long. Being a diligent and efficient individual, I registered for most of the-let's call them- mandatory items and several of the suggested items. Several hours later, we completed the task and returned home. Over the next several weeks leading up to Baby's arrival, we learned that we did not in fact need many of the mandatory must-have's after all. Some of the items, in fact, are actually unsafe to use. In thinking about what we really needed, we learned that a certain amount of staple supplies, and not three of everything (for example, we didn't need 3 types of strollers) are a good start. 

All of this preparation led up to Baby making his world debut! We were so surprised in the hospital to learn how basic supplies were to be used with our newborn. The "wipes" for example reminded me of dinner napkins. It turned out, they were, in fact, like napkins. We were taught to take a napkin and wet it with water and (ta-da!) you have your baby wipe. So, I didn't need to use (and still can't use) any of the store made baby wipes that we stocked up on. The same goes for diaper rash cream. The hospital supplied us with petroleum jelly to use, which is still the recommended product to use until he is 1 month of age.  All we need is a diaper, a paper towel (yes-the pediatrician said to use a wet paper towel as a wipe), and some plain petroleum jelly to change Baby. 

Bringing a baby home is such a blessing. We, as parents now, put our needs after Baby's. We are programmed to check that Baby's basic needs are being met all day and night.  Since our needs are not met first anymore, we need other people to help us. Family and friends have helped meet our needs by providing food, cleaning the house, and running errands. 

There is a related point to sharing these thoughts. When working with clients, kids and adults, it is vital to make sure basic needs are being met. If you are a parent, a teacher, a provider, a spouse, a co-worker, or a friend, we can ask: are you hungry? thirsty? tired? not feeling well? need to use the bathroom? need shelter? need clean/warmer/cooler clothing? If I would like to read Baby a story, I need to first make sure he is full, clean, well-rested, and calm. If not, Baby won't benefit from the book. If your child/student/client/patient/spouse/co-worker/friend appears upset, check that basic needs are being met before delivering an intervention. This will help them get the most out of your help. 

I hope you will join me on my motherhood journey back to basics.




#Motherhood #backtobasics

Monday, September 1, 2014

Successfully Transitioning Back to School and College

I can't believe it is already time to go back to school. The stores are buzzing with parents and kids (young and college-aged) reading supply lists, choosing new backpacks, selecting the best sheets for the dorm room, and grabbing deals on folders, crayons, pens, and notebooks. The other day while shopping in a popular retail store, I overheard several parents complaining about their childs' teachers, schools, and communicating feeling "bad for kids these days." 

One of my goals in sharing this piece with you today is to help stop this cycle of negative feelings about school and to help support kids, young adults and families have a smooth, successful, and happy transition back to school. If you are a college student (or soon to be college student), I hope to also provide some strategies for a great transition back. 

Here are some strategies for kids transitioning back to school: 

Work With, Not Against, Your Child's Teacher 
It is easy to get wrapped up in negativity when hearing other parents complain about their child's experience. Give the teacher and school a chance to get to know your child and family while you learn about them. Ask questions, attend any Meet the Teacher Nights that are offered, and learn about the structure of your child's day, classroom expectations, rules, supplies, etc. It is also helpful to get the contact information for your child's teacher so you can have open communication with them. Be patient when waiting for responses. You are trying to get to know one or two staff members while they are working on getting to know 20-30 kids and families. 

Understand Goodness of Fit 
The fit between a child and teacher is very important to consider and evaluate, as it affects the success of your child in school. Listen to your child when they tell you about their school day. Read the homework assignments. Ask about classroom behavior modification systems. Observe any behavior changes in your child. Communicate any helpful strategies that have worked in the past for your child with the new teacher. For example, let the teacher know if your child is more successful with writing assignments when there are lines on the paper or if your child responds well to reinforcement or taking breaks. The best way to do this is to establish a desire to have open and consistent communication with the teacher early on. 

Utilize the Team 
School should be a positive place for your child. There are a number of people on your child's team who are available in the building to help make the experience great. These team members include the teacher(s) and any other classroom staff, the school psychologist and/or social worker, nurse, and principal. The team also includes you (the parent) and the child (depending on age). If your child receives special education services, the team may also include a speech therapist, occupational therapist, or physical therapist. Everyone benefits from working together. Utilize team members when needed, as everyone presents their own unique role and area of expertise. Problems can be solved by communicating openly with team members. 


For college students: 

Know Your Schedule 
Make sure you access your schedule prior to the semester starting and classes beginning. Double check any room changes, class cancelations, or professor changes. You will have a limited time frame once the semester starts to make changes to your classes, so be sure to attend all classes and confirm they are the right day/time/course for you. 

Parents: Support and Encourage But Don't Hover 
You have a young adult now. Let him/her explore the new life of college. Educate them about safety, health, and any concerns you have as a parent. Students- you are going to have more independence than ever before, especially if you are living on campus. Seek support when needed and enjoy this added responsibility and privilege. Let your family know if you need more or less from them.  

Seek Support 
Get to know at least one other student in each of your classes. They could be a great support for you. Having the contact information of at least one other student can be a lifesaver if you need to miss class for any reason, don't understand an assignment, or want a study buddy. A note of caution- the most accurate information will always come directly from the professor. Therefore, be sure to always communicate absences as soon as you can to the professor and confirm you have correct information for what you missed. In addition, most colleges have plenty of resources available for free to students. These include a counseling center, tutoring center, professor office hours, library, computers, financial aid office, and more. Information for these can usually be found on the college's website or class syllabi. 

For All: 
Have Fun 
School, no matter at what age, should be fun. Practice mindfulness,  try new experiences, communicate openly with teachers and professors, make new friends, join clubs, and get support when needed. 


There are plenty of resources available at schools and in the community. You can research the website of the district or campus, visit the local library, or do simple online searches. In my practice, I provide services for parents, such as the online Behavior Management Group as well as services for college students, such as the online College Suite.  I also work directly with schools using a School Consultation Model to support children and teachers in the classroom.


#BacktoSchool, #College, #schoolsuccess

Monday, August 4, 2014

Online Therapy Can Help: Three Reasons Why and Things to Consider

 
Online therapy, also known as telehealth, or e-therapy is becoming more and more popular. I am a big fan of these services for several reasons that I wish to share with you. There are also some concerns to watch out for when considering participating in online services. 


Three reasons why I love online therapy services and how they can help: 


Saves You Time and Money 
Online therapy services are super convenient, since you can access a variety of providers, services, and resources quickly and easily. You save time commuting to an office, especially if you live or work far away from the provider you would like to work with. You also save commuting costs, such as gas, train fare, or subway fees. 
 
Better Selection of Providers 
Are you frustrated with the lack of providers in your area? Are you uncomfortable going to an office setting where you may see a friend, neighbor, or your child's classmate? Have you had trouble finding a provider within a reasonable distance from you? Online therapy services allow you to reach providers who may have offices hundreds of miles away from you or who have offices close by. Many providers will work with clients online now due to financial, insurance, scheduling, commuting, rapport, and specialization reasons. This allows you to choose from a greater pool of providers and to select someone who you feel is the best fit for you. Don't let geography get in the way! 
 
Kids Can Do it Too 
Don't underestimate the ability of children to participate in and benefit from online therapy services. In fact, many children and adolescents actually are more savvy with this service than their parents are. Of course, the success of treatment varies from child to child and family to family, but it may be worth trying. I have been able to work with children and adolescents online conveniently and easily. 
 
There are many more reasons why online therapy can help-stay tuned for future posts about this. 
 
And now some things to watch out for: 


When you meet for your session, be present (e.g., you should not be doing dishes, watching TV, checking your cell phone, or surfing the Internet for information unrelated to treatment or the session). Treat the session the same as meeting in person in an office setting. Make sure the provider is present too. 


Make sure the provider is licensed to work with you in your state. Laws vary state to state. 


Ask about the security of the program you will use for sessions. These may include video conferencing, phone, e-mail, text, and online chat. 


Ask about the benefits and risks associated with online therapy services. 
 
In my practice, I offer several choices for people looking into online therapy options. Check out my website at www.meaningfulpsychservices.com for detailed information.

Monday, July 7, 2014

How Well Do You Live Life's Ordinary Moments?

How well do you live life's ordinary moments? 




I started thinking about the answer to this question after hearing a message from Rob Morris, President and Co-Founder of Love146, an organization that works to end child trafficking and exploitation. Listening to this message grounded me personally and professionally as it reminded me about my own mission in my practice and life. Rob described the day-to-day tasks and events that serve as the motor of Love146. Paperwork, traveling, meetings, long days, and work. Meeting a goal, rescuing a child, helping a family, and opening a new shelter are the highlights. But life is not a highlights reel.  




Society has normalized experiencing life as a series of ups and downs through our media. Would you be interested in watching a movie mainly about people going to work, sitting at their desk, sipping coffee, doing work all day, having a few conversations, driving home, saying hello to their families, eating dinner, and sitting and reading a book? Most likely not. We want to see an exciting commute to work with lots of dramatic or comedic conversation, an argument with a co-worker, a promotion or party at work, and coming home to a surprise birthday party. Which would you prefer? What picture does your life look like more?



It is very easy as a psychologist to get swept up in meeting goals and receiving achievements. Celebration is important. Enjoy the good highlights when they happen. A large part of our work however, is being with our clients as they experience the day-to-day activities of life. I was reminded of my passion and mission in my practice as I listened and reflected on Rob's message. I love helping people to accept our current experiences, make meaning out of the day-to-day and seemingly mundane tasks, and to be mindful every moment.  


The highlights will come. In the meantime, let's celebrate the day-to-day together. Let's savor the piece of chicken you have for dinner, really listen to your children as they speak with you, pay attention to the color of the walls in your home, laugh when you make a mistake, apologize when you've hurt someone, enjoy your commute to work, and give your significant other a mindful hug.



So, I ask again-how well do you live life's ordinary moments?