Wednesday, June 10, 2015

New Space and a New Place

New space and a new place!  I've been a busy bee lately. It's that time of year to engage in some productive spring cleaning-physically, emotionally, cognitively, and spiritually.  See this post about spring cleaning our thoughts for more information about cognitive spring cleaning.  
 
This month, I am going to focus on spring cleaning our physical space and embracing change. Making changes in our lives can be a difficult task, especially when the road ahead is filled with obstacles, diversions, distractions, and options. Sometimes change involves reevaluating goals, ideas, and plans. As I have watched my son grow over these past 9 months, I have observed the many changes that he experiences as he develops. From a tiny little bundle to an active infant with new vocal and motor skills emerging almost daily. If I blink I feel like I will miss a new skill develop. Sometimes change can unfold right before our eyes. Other times, change happens when we actively pursue, engage, and plan for it.  As a new mommy, I have been busy spring cleaning my office, private practice, missions, schedule, goals, plans, and website. 
 
I am excited to announce some new changes! Pop over to my website (www.meaningfulpsychservices.com) to see the new design and let me know what you think. It is my hope that information is readily accessible for you, clients can access their secure client portal with ease, anxiety resources can be shared widely, and I can provide additional online therapy options. Also, spring cleaning this year included new space and a new place. I am going to be seeing clients in a new location in Patchogue. Part of spring cleaning and observing changes in my growing (physically and verbally!) little boy and new schedule as a mommy, I have made the big decision to change to a local office setting.  
 
I will also have new hours. The virtual office will offer online and phone sessions, secure messaging, chat sessions, and journaling and is open Monday-Wednesday. I will be in Patchogue on Tuesdays and in Smithtown on Wednesdays. 
 
Change is happening. Spring cleaning is in the works. Reevaluating physical space is occurring. Redesigning virtual space is evolving. It is my mission to provide ethical, competent, effective, and helpful services to the community. Let's grow together in new spaces. The virtual office serves all of New York. So, you can grow from the comfort of your own couch, home, or office. 
 
Join me in embracing change. Jump on board to a new place and new space-either physically, emotionally, virtually, spiritually, or emotionally.

Friday, May 1, 2015

Focus on Your Mental Health

May is National Mental Health Awareness Month. It is my hope in this month's post to reduce stigma around mental health concerns and utilizing therapy. There is great need for psychological services in our communities. It is an area ever evolving, changing, and growing.  
 
Notice May is Mental Health not Mental Illness Awareness Month. As mental health professionals, our commitment to our work involves not only reducing symptoms, but also identifying and building strengths and abilities. Mental health is so much more than not having mental illness. It is not the absence of symptoms. Many mental health professionals will be able to help people not only get better but to also enhance strengths, skills, and abilities. A favorite Twitter bio of mine by NY Psychiatrist Dr. Samantha Boardman (@sambmd) includes the phrase "Fix what's wrong AND build what's strong." I love this sentence and I am on board. 
 
Early in my training, I was introduced to the concept of looking at what goes right and not always just what is wrong. I am forever grateful for this. It is easy to get caught up in worry, anxiety, stress, and negative thinking patterns. It is not so easy to climb out from under these powerful thoughts and feelings, but it is possible. Therapy can help you dig out, breathe, and keep growing. This is the same concept as the saying "April showers bring May flowers." 
 
In my practice, I utilize cognitive-behavior therapy and positive psychology. These styles of treatment have lots of research behind them and have been shown to help. The American Psychological Association has developed several brief animated videos to demonstrate how psychologists can help. You can watch them here. 
 
Think you don't have time to go to therapy? No problem. With advancing technology, we can offer online therapy services. You can dig out and grow from your own home, office, car, playground, etc. There are options available so that your mental health can be nourished. 
 
If you have questions or would like to learn more about how therapy can help you, I'm happy to talk with you for a free 15 minute consultation. All you have to do is visit my website and schedule a time.

Wednesday, April 8, 2015

"Hakuna Matata"

 
"Hakuna Matata- it means no worries" (from The Lion King). This is a phrase I often sing to my baby. We even put a picture of the phrase on his nursery wall. As a Mommy, I never want my son to feel anything but happy and I don't want him to ever feel anxious. As a Psychologist, I actually do want him to experience worry and anxiety at certain points in his life, within reason. Why?  
 
It is unrealistic and unhelpful to be happy and carefree all of the time. Negative emotions such as anxiety, sadness, and anger serve as motivation to make changes in our life. These feelings provide feedback to us that something is not quite right, very wrong, unsafe, dangerous, or not the right fit for us. It can also be an indicator that we need to develop better coping skills or seek professional help. 
 
As parents, we might want to rescue or save our children from worries and anxious feelings. I believe this is a natural parental reaction. But attempts to save your child from anxiety can actually be making anxiety stronger. 
 
Picture this. A child we will call Bobby is looking at a group of peers playing at a birthday party. Mom and Dad know that Bobby has concerns about playing with new people and is nervous to initiate play. Mom and Dad want him to have fun and end his anxiety so they bring him over to the group of peers and the parents initiate the play for him. They might say, "Bobby wants to play with you. Can he join in?" Sounds ok enough, right? Sure, Bobby can now play with his peers. But let's suppose there is a problem during the play such as a peer takes a toy away from him. Bobby becomes nervous and looks for parental support to solve the problem for him. In fact, Bobby learns to wait for his parents to initiate play for him in the future too. Bobby has just given his anxiety and worries a big reward by allowing his parents to speak for him. Bobby learns that he is not strong enough to deal with his worries, so he is likely to avoid situations on his own unless a parent is there to speak and solve problems for him. 
 
This is one example of how anxiety can be reinforced. There are other ways anxiety can be reinforced and other circumstances when it is totally appropriate and helpful for parents to help their children initiate play and solve problems as described above. My goal in this month's post is to challenge parents to take a deeper look into their child's behavior and see if anxiety has been reinforced accidentally. You can discuss your observations and concerns with a mental health professional who can help you with managing your child's behavior. 
 
I hope you and your children do not have too many worries and that you can recognize anxious feelings as providing you with valuable information. 
 
And maybe sing a song of "Hakuna Matata" to someone today.

Friday, March 6, 2015

College, Work, and Fun, Oh My!

It is not uncommon for college students to experience a wide range of emotions during the course of their study. The transition from high school to college and then college to employment/career/graduate school can be difficult, exciting, anxiety provoking, smooth, or any other description of personal experience. Anxiety and stress are common culprits that affect today's college students.  
 
College students receive syllabi that cover several (usually 14 or 15) weeks of assignments, responsibilities, due dates, and schedules for several classes. For students who are really good at organization, time management, and planning, figuring out how to organize themselves for the next few months might not be so difficult for them. Having the energy, the time, and the skills to develop an effective plan for being successful each semester and the entire academic career is hard work, even if you have strengths in the aforementioned areas. 
 
During the course of college, students may experience anxiety related to academic, personal, and/or professional situations.  These situations may include test anxiety, romantic relationships, roommates, living away from home, commuting, balancing work and school, making friends, nutrition, completing assignments on time, technology, communication, and more. There are a variety of resources students can access to help cope with these areas. Students can explore the availability of a campus counseling center to receive personal counseling or an academic center that can help with academic skills.  
 
It is essential to develop effective coping, time management, and stress management skills to utilize during the college experience. College doesn’t have to be stressful, negative, or boring. Students can experience success and fun. 
 
If you would like to learn more about developing effective skills for studying, time management, stress management, and being successful in college, I offer a package of 9 audio workshops that provides information regarding these areas. You can learn more about this package on my website. 

Friday, February 6, 2015

Live Meaningfully With Anxiety

Living with anxiety can be overwhelming, smothering, and in some cases, debilitating. Living with anxiety can also be meaningful, purposeful, and embraced. Yes, that is what you just read. For those of you reading this post who suffer from anxiety, you may think I am kidding. I'm not. 
 
The truth is that we all experience anxiety in one form or another. There are many purposes for the experience of this uncomfortable, yucky, and scary feeling. Anxiety is necessary for survival. Our bodies and brain provide feedback to us when we are in a potentially dangerous situation. Anxiety can motivate us to change our current situation. Anxiety prepares us for novel experiences and difficult tasks such as a job interview or test. 
 
We know from research that a little bit of anxiety can be helpful, but too much or too little could hurt our performance. This is explained by the Yerkes-Dodson Law. A simple diagram can be found on this website.
 
Basically, anxiety can be used for helpful and purposeful activities, when in moderation. Too much anxiety is what leads to feelings of being smothered and wanting to avoid the world around us. Many students describe this feeling as their mind "going blank" when taking a test. Too little anxiety can lead to being unprepared for new and difficult tasks.  
 
It is important to remember that anxiety has a purpose. We can check in to our surroundings, environment, habits, activities, and lifestyle. Is there a change that needs to be made? 
 
This information is one of the reasons I created the Live Meaningfully With Anxiety Room. There are several recordings available that explain how to live with anxiety in a healthy way. These resources are completely and totally free. You can access them here. 
 
Please seek the support of a mental health professional if you experience increased anxiety.

Sunday, January 18, 2015

Why I Love Starbucks (And I Don't Even Life Coffee)

I don't like coffee. The taste specifically. I do, however, love the smell of coffee.  In fact, I have some warm memories associated with smelling coffee. Saturday morning breakfast at McDonalds (both as an employee-yes, my first job was at McDonalds at 14 and I loved it- and as a consumer with my Dad and siblings before working together at the store he manages). Window shopping during the holidays sipping a Peppermint Mocha from Starbucks (not too much, if any, coffee in that). Fellowship hour after church. Chatting with friends on big couches. My first date with my husband (who doesn't like coffee either). Meeting new colleagues. Networking. Business meetings with my coaching business partner. Spending time with friends and family.

I think Starbucks has an odd way of bringing people together in a non-threatening sort of way. The other day I was walking into Starbucks for some meetings with new colleagues to discuss our practices, goals, and experiences when I ran into an old college friend. Once I arrived inside to meet my colleague, I saw my brother-in-law meeting with his video production company business partners at a nearby table. Out of all of the Starbucks in my county, we all chose this one at the same time.

Every time I am in Starbucks or reflect upon a recent visit, I ponder about all of the good, the bad, the ugly, the cool, and the scary things happening in there. What great projects are being launched? Who is studying for a big test for school? What kind of book is an author writing? What relationships are beginning? What relationships are ending? Who is trying to repair a hurt? Who is trying to resolve an issue? Who is trying to fix problems in a relationship? What great ideas are being discovered? What kinds of relaxation techniques are being used? Is everyone being mindful?

When I would like to meet with colleagues, I usually suggest Starbucks. I find that I can be very mindful and get a lot accomplished and stay relaxed there. I also enjoy thinking up reasons for other people to be there as well. I am not going there for the coffee. I am going there for the people (and some of their yummy drinks and snacks too).

I am reminded of a short story someone once shared with me: The Mayonnaise Jar and Two Cups of Coffee, author unknown. I have included it here.

                            The Mayonnaise Jar and Two Cups of Coffee
"When things in your lives seem almost too much to handle, when 24 hours in a day are not enough, remember the mayonnaise jar and the 2 cups of coffee.
A professor stood before his philosophy class and had some items in front of him. When the class began, he wordlessly picked up a very large and empty mayonnaise jar and proceeded to fill it with golf balls. He then asked the students if the jar was full. They agreed that it was.
The professor then picked up a box of pebbles and poured them into the jar. He shook the jar lightly. The pebbles rolled into the open areas between the golf balls. He then asked the students again if the jar was full.  They agreed it was.
The professor next picked up a box of sand and poured it into the jar. Of course, the sand filled up everything else. He asked once more if the jar was full. The students responded with an unanimous "yes."
The professor then produced two cups of coffee from under the table and poured the entire contents into the jar effectively filling the empty space between the sand. The students laughed.
"Now," said the professor as the laughter subsided, "I want you to recognize that this jar represents your life. The golf balls are the important things--your family, your children, your health, your friends and your favorite passions--and if everything else was lost and only they remained, your life would still be full.
The pebbles are the other things that matter like your job, your house and your car.
The sand is everything else--the small stuff. "If you put the sand into the jar first," he continued, "there is no room for the pebbles or the golf balls. The same goes for life. If you spend all your time and energy on the small stuff you will never have room for the things that are important to you.
"Pay attention to the things that are critical to your happiness. Play with your children. Take time to get medical checkups. Take your spouse out to dinner. Play another 18. There will always be time to clean the house and fix the disposal. Take care of the golf balls first--the things that really matter. Set your priorities. The rest is just sand."
One of the students raised her hand and inquired what the coffee represented. The professor smiled. "I'm glad you asked.
It just goes to show you that no matter how full your life may seem, there's always room for a couple of

Friday, December 5, 2014

Telepsychology: I'm So Excited For Step 3!

And here we are...Step 3. I am super excited to be writing this month's article. I am feeling full of gratitude, hope, and love as I am developing some new telepsychology programs and expanding current ones in my practice. This is an exciting time to be active as a psychologist, as I am watching the field evolve in front of me and within me. I am striving to embody the new changes while providing effective care.  I know my colleagues are as well. 

There are so many options available to you. From apps and video sessions to virtual reality offices and in-person visits. E-mail, online chat, text messaging, and phone mediums are up for grabs. Which is the right one for you? Goodness of fit is an important factor of the therapeutic relationship, which in turn affects the outcome of treatment. The fit I am speaking of is not only between the client and therapist, but also the method they use to work together as well.  

Telepsychology services might be a great option for you and they might not. Phone sessions might be really convenient, or they might not. Perhaps information gathering, such as an online educational group (see below), is appropriate for you, but you prefer therapy sessions in-person. Goodness of fit varies from person-to-person, and this is healthy. I am hoping to encourage the community to step out of the comfort zone (after all, with preparation and skills, stepping out can lead to amazing growth), and explore the multitude of treatment and educational options available. Communities no longer need to be inhibited by location, income, anxiety, transportation, distance, or schedules.  

I wish to communicate some telepsychology options available in my practice. Lets explore if we and any of these options might be a good fit for you. 

Dr. Laura on Demand App 
This is a brand new feature. Download it for free here. The Dr. Laura on Demand app allows you to contact me quickly and conveniently, read and watch meaningful content, articles, and resources, schedule appointments, and access unique discounts on services. 

Live Meaningfully With Anxiety Room 
Opening in early 2015, the Live Meaningfully With Anxiety Room is an online resource to help people dealing with anxiety to live healthy and fulfilling lives. Purchasing access to the Room will allow 24/7 availability of resources for dealing with anxiety, including panic-attack talk-downs, coping skills, the biology of anxiety, beating anxiety, progressive muscle relaxation, and more. Members will be able to log-in any time they feel anxious (as well as any other time they would like) to cope with the unpleasant feeling.  Members of the Room will receive a discount on individual therapy services if they would like to continue work on an individual and personal level. 

Behavior Management Group 
Available for parents of children aged 2-12 years, the Behavior Management Group is designed to teach strategies for dealing with problem and difficult behavior effectively, safely, and positively. This is a great option for parents who would like to manage behavior and need ideas, resources, and want to learn what works and what doesn’t. Parents can choose to participate in live workshops, or just listen to them at a later more convenient time.  There is a one-time fee for complete 24/7 access to this group and you can learn more or join here.  

There are more options available, not only in my practice, but in other psychology practices as well. I hope you find a good fit for you. 

Oh, and if any of these choices are a great fit, and you access any one of them, you will get $10 off your first therapy session should you choose to pursue individual services.