Categories
Adolescence Cognitive Behavioral Therapy (CBT) Dialectical Behavioral Therapy (DBT) Mental Health Recovery Spirituality Therapy Treatment

Recovery: Redefining Normal

(Photo credit: Wikipedia)

Stepping onto a path of recovery and beginning the removal of toxicity from one’s life is an arduous, often painful, but beautiful process. But I like to believe that some of our greatest lessons come from our difficulties. Those are the times that provide us with the most insight into what is actually going on with us. Take for instance your relationships with others. Is there a pattern? Have you continued to add links to an unhealthy chain be it consciously or subconsciously? Are you happy?

When there is a history of toxicity in one’s life, particularly when it’s introduced at an early age, what is considered “normal” tends to become skewed. For example, someone raised in a home with an abusive parent may inadvertently seek out relationships with similar personality types. This isn’t a conscious act but rather a direct result of being taught how to be in this world through violence (emotional, physical, visual, etc.). It feels familiar and therefore “normal” to be around toxicity. The question is, how do you break the chain? How do you make new, better choices that are healthy and nurturing?  How do you place yourself in environments that celebrate you for who you are instead of those that persistently denigrate you?

The 12 steps are a brilliant start. They allow us to begin the process of unpeeling the layers of the onion by asking us to turn our eyes inward and check out what’s going on in our minds and in our hearts. That oft-dreaded fourth step tends to help identify a pattern, particularly if we are honest with ourselves when we write it.  Personally, I’ve always liked that process because it feels like I’m stripping the layers of emotional dirt off of me. It’s uncomfortable, but it’s worth it. Frankly, it hurts like hell to look at ourselves and at our lives with a magnifying glass, but dang it, it’s liberating. You just don’t need to carry that stuff around anymore. Twelve-step work is just the start. If it were only that easy, right?

Taking a clinical approach is incredibly beneficial, especially when dealing with trauma, addiction, and mental-health issues.  Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), to name a few, are invaluable tools to help identify the psychological triggers and hooks we have embedded within us.

But you know what really seals the deal for me? Creating space for Spirituality. I can’t emphasize enough how invaluable it is to develop a spiritual practice. It is the very thing that will feed your soul. No, I’m not selling you religion or a canon of idealized thought. I am, however, urging you to find the calm in your breath, the grounding notion of having your feet planted to the earth, and the healing weight of your hand on your heart. You can break the chain of abuse. You can shut out the tapes that play in your mind, telling you you’re a piece of crap, a failure, not enough, stupid, fat, ugly, useless. You can take your power back. It takes work, but it’s worth all the sweat and tears. Trust me. Be patient. Understand that this process of recovery takes time. Nothing and no one is perfect.

I’ll leave you with this. I was involved in a series of abusive relationships growing up. I was doing the same thing, expecting different results. I eventually discovered I was continuing the pattern of emotional denigration established in my childhood and nurtured in my adolescence. When I finally smashed through that chain several years into my recovery and only after working tirelessly with a therapist, meditation, yoga, 12 steps, I was free. This doesn’t mean the trauma or triggers went away. It means I finally learned to identify them, and have garnered tools to help me respond to them differently. When I met my husband, I quickly discovered he was different. For one thing, he showed me unconditional support, which I hesitated to believe was true. It took me almost two years to accept the fact that I had, in fact, broken that chain and was capable of having relationships that were built on trust and respect. I realized I could believe someone; something this traumatized gal was never able to do. This was proof that I had redefined my “normal” and surrounded myself with a healthy, loving new family. In fact, I redefined my response to the world and its triggers, not just within my family, but also in my life. Ultimately, I took my power back. You can too.  You just have to do the work!

Originally posted on October 12, 2012 @ 10:37 pm

Categories
Addiction Eating Disorders Mental Health Recovery Service Therapy Treatment

Visions’ Los Angeles Outpatient

Los Angeles outpatient facilities are typically where one goes in order to transition from the intensive setting of being in an inpatient treatment facility to the wide-open world.  The outpatient setting is the perfect environment for clients to reintegrate themselves into their new mode of living a life in recovery. On occasion, outpatient can also be the first place one goes to get help when an inpatient facility seems like too much and trying to recover on his or her own has been futile..

At Visions’ Los Angeles outpatient facility, we focus on the entire family, ardently continuing the work that was begun at inpatient. We not only work with the clients but with their families in order to provide a continuum of support. We do this via schooling, team-building activities, therapeutic support, 12-step meetings, and various process groups. We address building and refining communication skills as well as nurturing the spiritual well being of our clients, all of which helps them understand how to be in recovery. We teach our families problem-solving skills, and help them develop new, healthy friendships. We host a variety of alumni and unity events, all of which foster a better relationship to being in recovery. The beauty of these events is, they naturally build community among the clients, showing them that they have sober support and a recovery community. Additionally, we encourage relationships with 12-step sponsors and participation in 12-step meetings, which inspires clients to be active participants in the continuum of their recovery.

In addition to our Intensive Outpatient program, we also have Launch, which is a wonderful Los Angeles outpatient program geared toward young adults transitioning out of adolescence and into adulthood. Launch is a life-skills program focusing on vocational, educational, and social skills.

Outpatient provides an amazing opportunity for our families: it’s the stepping stone between being in the controlled environment of a facility and interacting with the world at large but with the helping hand of a skilled support team. Entering recovery is frightening. It’s new, different, and at times overwhelming, but nothing is impossible when you have a support team guiding you along.

Originally posted on October 8, 2012 @ 11:03 pm

Categories
Anniversary Blogs Recovery Service Therapy Treatment

Garth LeMaster, MA, LMFT – Outpatient Therapist

Garth Lemaster is precisely the type of person you want around in a crisis: he’s level-headed, straightforward, respectful, and honest. He shows up when he says he will and he always gives his heart and soul to his work. Garth is one of those therapists the kids seek out for their check-ins, and as a result, he spends the majority of his time at Visions session. It’s also not unusual to see Garth helping out with the day-to-day operations of Outpatient and the Day School, which shows how much of a team player he really is. Since 2007, Garth has been a wonderful source of goodwill for all of us at Visions; we are lucky to have him as part of our treatment team. I really can’t say enough kind things about Garth and neither could the staff:

“Garth is an amazing person!  His patient and calm demeanor is unparalleled.  It takes a lot to rattle Garth’s nerves…on occasion I try simply for entertainment (I know, it’s terrible) but I end up giving in before he does.  This way about him is reflected in his approach with the kids he works with as well.  His ability to listen is one among many and I’ve witnessed the lives that he has touched as a result.  Garth is one of those people who “so rocks” and has no idea!” —  Love Always, Natalie (IOP Staff Member and huge fan of Garth!)

“Garth is the quiet warrior of our team.  Families always know that Garth will be there with kind words, thoughtful insight and strength.  He meets his clients where they are, and he helps them find their inner strength in therapy.  We respect Garth and I, over the years, have found myself in Garth’s office when overwhelmed or in need of advice, always getting what I need as a co worker. Parents tell us that Garth is solely responsible for the change in both their lives and the lives of their teens. He would likely scoff at this and respond back that the family did the work, but Garth truly led the way.  Patrick says it best when he says that Garth is a ‘therapy ninja’!!  Thank you, Garth, for being an anchor at our outpatient location.” — Amanda Shumow

“If I had to pick someone from work to team up with on Survivor, I would pick Garth. The thing I love about Garth is his quality of character. He has an integrity that can be counted on. I’ve had the privilege to really watch him blossom as a therapist over the last 5 years, and I really appreciate the work that he does. He genuinely cares about the families and kids he works with. He is respectful and I greatly enjoy our occasional  political détente in the mornings—and while we don’t always agree, I love that he always listens and genuinely has care and concern for people.” — Joseph Rogers

“Garth is quiet strength for the kids.  Now, to get him to paint with us…!  –  Susan O’ Conner who’s best known as “The Art Lady.”

And without further adieu, let’s hear Garth’s answers to some of our curious questions:

1.  If you had wings where would you go?

The Hotel Caruso in Italy.

2.  Favorite restaurant in Los Angeles?

IN N OUT: Double-double combo, hold the “animal,” I’m just a regular guy. 

3.  Last movie you watched in the theater?

The Gray.

4.  Favorite song to play on your guitar?

“Over the Hills and Far Away.”

5.  Have you watched any episodes of The Real Housewives on Bravo?

I’m proud to say no.

6.  What was your High School Mascot?

A wildcat.

7.  What is the best present you ever received?

Tivo.

8.  Soup or Salad?

Salad.

9.  Best word to describe your personality?

Mellow.

10.  Why do you choose to work for Visions?

I like helping kids, but I do so at Visions because the team is so good. It’s a really good place to work.

Originally posted on March 20, 2012 @ 10:30 pm

Categories
Cognitive Behavioral Therapy (CBT) Dialectical Behavioral Therapy (DBT) Mental Health Obsessive-Compulsive Disorder (OCD) Recovery Therapy

Body-Focused Repetitive Disorders

Trichotillomania (TTM) is a type of body-focused repetitive behavior (BFRB) specifically characterized by impulsive pulling out of one’s hair from the scalp, eyebrows, eyelashes, or elsewhere on the body. According to the DSM-IV of the American Psychiatric Association, TTM must meet the following five criteria:

  1. Repetitive pulling of one’s own hair that results in noticeable hair loss.
  2. A feeling of tension prior to pulling or when trying to resist the behavior.
  3. Pleasure, gratification, or relief while engaging in the behavior.
  4. The behavior is not accounted for by another medical (or dermatological) or psychiatric problem (such as schizophrenia).
  5. Hair pulling leads to significant distress or impairment in one or more areas of the person’s life (social, occupational, or work).

Though this criteria is useful, there is some debate within the clinical and scientific communities about whether or not all five of these criteria are present in every case. Since there are many who suffer from debilitating hair pulling behaviors but don’t meet all of these criteria, efficient and effective treatment is still paramount to one’s health and well-being.

Signs and symptoms of Trichotillomania often include:

  • Repeatedly pulling your hair out, typically from your scalp, eyebrows or eyelashes, but it can be from other body areas as well;
  • A strong urge to pull hair, followed by feelings of relief after the hair is pulled;
  • Patchy bald areas on the scalp or other areas of your body;
  • Sparse or missing eyelashes or eyebrows;
  • Chewing or eating pulled-out hair;
  • Playing with pulled-out hair;
  • Rubbing pulled-out hair across your lips or face.

Onychophagia (nail-biting) and Dermatillomania (skin-picking) are other BFRBs but are characterized by compulsive skin picking and nail biting. Nail-biting is the most common of “nervous habit.” I’m not talking about the occasional cuticle or hangnail, or the occasional blemish that someone may pick or squeeze. Instead, someone who suffers from onychophagia picks or bites their nails or skin until they bleed, finding themselves using Band-Aids like accessories. As those suffering from TTM will wear hats to cover bald spots and the like, nail-biters will keep their hands in their pockets, sit on them, wear gloves or those Band-Aids I mentioned. Those who excessively pick at the skin on their faces will try to cover up with makeup or when things get really bad, go so far as to stay inside and isolate. I mention these two together, because they often make intermittent appearances in the same individual.

Nail-biting (onychophagia) facts include:

  • Common in individuals of all ages.
  • Up to 33% of children ages 7-10 bite their nails.
  • Nail-biting can be triggered by stress, boredom, or nervousness.
  • About half of all children between the ages of 10 and 18 bite their nails at one time or another. Nail-biting occurs most often during puberty.
  • Some young adults, ages 18 to 22 years, bite their nails.
  • Only a small number of other adults bite their nails. Most people stop biting their nails on their own by age 30.
  • Boys bite their nails more often than girls after age 10

Chronic skin picking (dermatillomania)is characterized by:

  • Inability to resist urges to pick at real or perceived blemishes in one’s skin
  • For some, mounting tension before one picks
  • For some, gratification and relaxation while picking
  • Noticeable sores or scarring on the skin
  • Increased distress and/or interference with daily life

BFRBs have been linked to obsessive-compulsive disorder (OCD). They can sometimes be linked to a sign of emotional or psychological disorders. They are all compulsive disorders, but their manifestations have varying presentations: For some, the picking or pulling will occur during sedentary activities like watching TV, reading, driving or being a passenger in a car, talking on the phone, sitting in class, or sitting at a computer or a desk. At times, there might be focused intent which drives the behavior–for example, planning on picking or pulling at an area as soon as one arrives home. At other times, it’s happens without conscious awareness, and the individual only realizes they’ve picked or pulled when they see the resulting pile of hair, open scabs or bleeding fingers.

This can feel overwhelming, but there is help. For starters, you have to say something to someone and let them know you’re suffering.  Your doctor and/or therapist will then work with you and help you redirect the negative behaviors and create new, innocuous behaviors.

The following therapeutic modalities are typically used to treat BFRB:

(Sometimes, elements from some or all of the aforementioned modalities are used to meet the BFRB client’s needs.):

Alternative therapies are also used, but are not as researched or predictable in terms of their success.

Support groups can provide a wonderful place for fellowship and to create positive social reinforcements.

Keep in mind, What works for one person may not work for another. The key will be in finding the treatments that do work and committing to them. Nothing is impossible, but everything takes effort. Feeling better is worth your treatment endeavors.

 

For more info, check out:

https://www.trich.org/

Mayo Clinic

https://www.trich.org/dnld/ExpertGuidelines_000.pdf

Originally posted on March 29, 2012 @ 3:40 am

Categories
Cognitive Behavioral Therapy (CBT) Dialectical Behavioral Therapy (DBT) Mental Health Personality Disorder Therapy

Personality Disorders: Finding Solace in Therapeutic Care

According to the DSM-IV, “Personality Disorders are mental illnesses that share several unique qualities.  They contain symptoms that are enduring and play a major role in most, if not all, aspects of the person’s life.  While many disorders vacillate in terms of symptom presence and intensity, personality disorders typically remain relatively constant.” Further, the DSM-IV says that in order to be diagnosed, the following criteria must be met:

  • Symptoms have been present for an extended period of time, are inflexible and pervasive, and are not a result of alcohol or drugs or another psychiatric disorder. The history of symptoms can be traced back to adolescence or at least early childhood.
  • The symptoms have caused and continue to cause significant distress or negative consequences in different aspects of the person’s life.
  • The symptoms are seen in at least two of the following areas
    • Thoughts (ways of looking at the world, thinking about self or others, and interacting)
    • Emotions (appropriateness, intensity, and range of emotional functioning)
    • Interpersonal Functioning (relationships and interpersonal skills)
    • Impulse Control 1

In layman’s terms, someone suffering from a personality disorder often views the world in their own way. Because the perceptions of those around them are often skewed to meet a reality only they see, the subsequent social issues stemming from the inability to interact with others appropriately is troubling–both for the one afflicted and those on the receiving end of the negative behaviors and perceptions. For the Borderline Personality Disorder (BDP), the major symptoms revolve around interpersonal interactions, negative sense of self, significant mood swings, and impulsivity. Where Narcissistic Personality disorder presents itself as grandiose and uncaring yet hungry for recognition, Borderline Personality Disorders can often be summed up like this: “I hate you…don’t leave me.”

Unfortunately, personality disorders are sometimes used as a quick label for a difficult client. However, the criteria are pretty significant and the diagnosis itself should be made after significant assessment by a qualified professional. Those ensconced in the emotional turmoil of a legitimate personality disorder need be able to find some solace in their psychiatric care and trust in the individuals providing care, especially since treatment for personality disorders are long term. The type of therapeutic treatment used depends upon the type of personality disorder being treated. The various types of therapy used to treat personality disorders may include:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Psychodynamic psychotherapy
  • Psychoeducation

Personality disorders are tricky and can be hard to address. Applying DBT, for example, has shown positive results in the treatment of BPD–recent studies have shown lower suicide rates, less self-harming incidents, and less self-removal from treatment. We must remember that psychiatry is a relatively young science, so the growth and change is happening quickly as practitioners eagerly seek resolution to some of the most challenging psychological quandaries. A therapist once said to me, “If someone were to observe a given client in a single session, they could come up with a variety of diagnoses, when the fact is, that client could have just been having a bad day.” So, whether a client is simply having that bad day or truly struggling with a bona fide disorder, it’s befitting to remember the words of Hippocrates as we unravel the mysteries of mental illness: “Cure sometimes, treat often, comfort always.”

1 https://allpsych.com/disorders/personality/index.html

Additional articles of interest:

 

Personality Disorder – What Is it, and What Does Diagnosis Mean?

With Mental Illness, “Serious” is a Slippery Term

Originally posted on January 30, 2012 @ 10:56 pm

Categories
Addiction Anxiety Depression Mental Health Obsessive-Compulsive Disorder (OCD) PTSD Recovery Therapy Treatment

MDMA: Is This Psychotropic Drug Helpful, Harmful, or Both?

Image via Wikipedia

Last time I wrote about ecstasy, it was about the rise in ER visits and the inherent dangers of using a drug that inevitably depletes one’s levels of serotonin and has the potentiality of long-term brain damage. So, when I came across an article talking about using MDMA (ecstasy) to treat post-traumatic stress syndrome (PTSD), my curiosity was sparked. Psychedelic drugs have been used to treat mental illness before, and with some success: In the 50s and 60s, psychology was in a Freudian phase, viewing psychological issues as conflicts between the conscious and unconscious minds. At that time, psychedelics were used to allow patients to face their unconscious minds while awake, which purportedly eliminated the variables of memory retrieval. Still, these methods of treatment weren’t without controversy.  With the influx of street use, and folks like Timothy Leary telling people to “”Turn on, tune in and drop out,” the use of psychedelia to treat mental illness was met with great discernment and fell to the wayside.

Currently, interest in using MDMA and other psychedelics to treat depression, obsessive-compulsive disorder (OCD) and PTSD is gaining traction. MAPS is doing extended research on this subject, and states that MDMA isn’t the street drug we call ecstasy, noting that while ecstasy contains MDMA, it also may contain ketamine, caffeine, BZP, and other narcotics and stimulants. According the MAPS site they are “undertakinga 10-year, $10 million plan to make MDMA into an FDA-approved prescription medicine.” They are also “currently the only organization in the world funding clinical trials of MDMA-assisted psychotherapy. For-profit pharmaceutical companies are not interested in developing MDMA into a medicine because the patent for MDMA has expired. Companies also cannot profit from MDMA because it is only administered a limited number of times, unlike most medications for mental illnesses which are taken on a daily basis.”

The use of this drug has leaned so far from its psychotherapeutic roots, proving to be one of the most popular, highly sought-after street drugs around. Because of this, the useful aspect of this drug may easily be overlooked, forcing us to question how we can take something that has morphed into a social enigma and call it useful. I’m curious, will sufficient research place this drug at the discerning hands of medical professionals once again? And how do we, as a recovery community accept this when we have kids coming in suffering from the long-term, negative effects caused by this very drug?

Related articles:

MDMA May Help Relieve Posttraumatic Stress Disorder(time.com)

Ecstasy As Treatment for PTSD from Sexual Trauma and War? New Research Shows Very Promising Results (alternet.org)

Clinical Study of MDMA Confirms Benefits Noted by Therapists Before It Was Banned (reason.com)

Neuroscience for Kids

Ecstasy Associated With Chronic Change in Brain Function

 

Originally posted on June 14, 2011 @ 1:54 pm

Categories
Body Image Eating Disorders Mental Health Recovery Therapy

Starving at 8

image © sarit photography

I know an 8-year-old who’s been known to choose an outfit specifically because it makes her “look thin.” This same 8-year-old often doesn’t finish meals because she thinks she’s fat. She’s the same 8-year-old that has begun to develop food rituals, often leaving the table with a reorganized plate full of uneaten food. Simply put, she already has an irrational fear of getting fat.
It’s hard being a girl. It’s hard to find a way to look at your unique self without comparing it with images of Barbie or Bratz. It’s hard to accept that  the beauty standard set by Cinderella or Sleeping Beauty isn’t actually real. But children, whose minds are filled with wonderful imagination and fantasy, aren’t going to cognitively recognize images that are potentially harmful. Instead, many will attempt to achieve the pink, thin, fluffiness of a Disney princess, or the skinny sass of a Bratz doll. Often times, even when parents are encouraging a healthy body image, the education on the school yard has a dramatically different lesson plan than the one from home. I’ve overheard conversations on the school yard that have made me pause – -it’s clear that body-image issues are in abundance and the pressure to look thin and svelte is invasive and intense.

So what can parents do? Start with eliminating the shame game. This might mean letting your daughter dump that maple syrup on her pancakes or having a cupcake at a birthday party. It’s a treat, not a vehicle for punishment!  Encourage healthy eating, but can you do it with compassion rather than the mallet of criticism?  Eliminate “fat talk”: your kids don’t need to hear it and frankly, it’s not good for you either. Stop trying to control what those around you eat. It’s not your job!  I’ve seen dads controlling the food intake of their wives and daughters to the point of devastating eating disorders (my dad was one!); and I’ve seen moms spewing “fat talk” or signing up for any and every diet fad while their daughters learn to eat in secret or restrict because they’re terrified of the incendiary reaction of their parental food monitors. These behaviors certainly don’t encourage self-love. If anything, they sow the seeds of self-destruction.

If you’re worried that your son or daughter might be developing an eating disorder (note: boys are not immune to this!), look out for some of these signs.

(Please note, certain behaviors are warning signs, but in combination and over time, they can become quite serious):

Behaviors specific to anorexia:

  • Major weight loss (weighs 85% of normal weight for height or less)
  • Skips meals, always has an excuse for not eating (ill, just ate with a friend, stressed-out, not hungry).
  • Refuses to eat in front of others
  • Selects only low fat items with low nutrient levels, such as lettuce, tomatoes, and sprouts.
  • Reads food labels religiously; worried about calories and fat grams in foods.
  • Eats very small portions of foods
  • Becomes revolted by former favorite foods, such as desserts, red meats, potatoes
  • May help with meal shopping and preparation, but doesn’t eat with family
  • Eats in ritualistic ways, such as cutting food into small pieces or pushing food around plate
  • Lies about how much food was eaten
  • Has fears about weight gain and obesity, obsesses about clothing size. Complains about being fat, when in truth it is not so
  • Inspects image in mirror frequently, weighs self frequently
  • Exercises excessively and compulsively
  • May wear baggy clothing or many layers of clothing to hide weight loss and to stay warm
  • May become moody and irritable or have trouble concentrating. Denies that anything is wrong
  • May harm self with cutting or burning
  • Evidence of discarded packaging for diet pills, laxatives, or diuretics (water pills)
  • Stops menstruating
  • Has dry skin and hair, may have a growth of fine hair over body
  • May faint or feel dizzy frequently

Behaviors specific to bulimia

  • Preoccupation or anxiety about weight and shape
  • Disappearance of large quantities of food
  • Excuses self to go to the bathroom immediately after meals
  • Evidence of discarded packaging for laxatives, diuretics, enemas
  • May exercise compulsively
  • May skip meals at times
  • Teeth may develop cavities or enamel erosion
  • Broken blood vessels in the eyes from self-induced vomiting
  • Swollen salivary glands (swelling under the chin)
  • Calluses across the joints of the fingers from self-induced vomiting
  • May be evidence of alcohol or drug abuse, including steroid use
  • Possible self-harm behaviors, including cutting and burning

If you notice even one of these, it’s time to address it. Talk to your daughter or son, talk to your doctor. If necessary, elicit the help of a treatment facility. In other words: Get help. Showing our kids that we care and are willing to stop our own negative behaviors in order to help them is invaluable. It’s a family problem, not an individual one.

Some helpful links:

NEDA
WebMD
Voice in Recovery
Peggy Orenstein
maudsleyparents.org
Also, check out “Brave Girl Eating: A Family’s Struggle With Anorexia” By Harriet Brown

Originally posted on April 28, 2011 @ 2:07 pm

Categories
Therapy

7 Helpful Therapy Exercises for Teenagers

Therapy exercises for teenagers can include journaling for self-expression, mindfulness meditation to reduce stress, and deep breathing exercises for anxiety management. Art therapy can help process emotions, while cognitive-behavioral activities like challenging negative thoughts promote healthier thinking patterns. Physical activities such as yoga also support mental well-being. Incorporating therapy exercises into long-term treatment can setup healthy habits for teen recovery.

While a recent report by the Agency for Healthcare Research and Quality shows that about one in five teens struggles with some form of behavioral, developmental, or emotional health issue in the US, not all receive the kind of care they need.

Therapeutic methods, such as cognitive behavioral therapy (CBT) have proven to be a breakthrough in the treatment of common conditions such as teen depression and anxiety, but helping teens continue to reap the benefits of therapy in the long-term is just as crucial as managing and reducing symptoms in treatment.

Therapy exercises for teenagers like journaling, mindfulness meditation, and art therapy provide effective ways to manage stress and develop healthier coping mechanisms for life. This article explores some of the most helpful therapy exercises for teenagers.

Therapy Exercises for Teenagers

Therapy exercises can help teens learn to manage and resolve inner turmoil, untangle interpersonal conflicts, and find healthy ways to express themselves and address their frustrations or negative emotions.

For example, in art therapy, teens express complex emotions and experiences nonverbally, fostering self-awareness and emotional regulation. Cognitive-behavioral therapy exercises, such as journaling or thought restructuring, provide practical tools for teens to challenge negative thought patterns and develop healthier coping strategies. Here are some therapy exercises for teenagers:

1. Cognitive Behavioral Therapy (CBT) Exercises

Cognitive behavioral therapy exercises translate the basic tenets and lessons learned through CBT into actionable exercises that help teens step away from harmful or negative thoughts and analyse them constructively and positively. Journaling is often recommended as a therapy exercise because all it requires is a pen, journal, and consistency.

Journaling daily or once a week gives you something to look back on to track your progress in approaching things that bothered you or preoccupied you in weeks past. It also provides an outlet to give shape to your thoughts and review them from a different perspective.

Other effective CBT exercises include recognizing and letting a mental script – such as a catastrophized “what if” scenario – play out to the end, and then consider whether such fear is reasonable or an element of your anxiety. Exposure and response prevention – through controlled means, and within a framework established or approved by your psychiatrist or therapist – can also help dismantle negative thoughts and disaster spirals.

2. Mindfulness and Relaxation Techniques

Mindfulness exercises have existed for thousands of years, often as contemplative meditation and prayers of gratitude.

Taking the moment to appreciate life’s gifts, pleasures, or happy coincidences can be healthy – as is using breathing exercises, physical movement, or verbal exercises to calm down, manage stress, or stop yourself from entering a negative spiral.

Effective mindfulness and relaxation techniques can include breathing exercises, intentional and controlled movements such as yoga and tai chi, body scanning (lying down and focusing intently on the feelings and sensations in each part of your body, one part at a time), or walking meditation (focusing on the slow and controlled movement of a walk, feeling the sensation of touch and balance in each step, and remaining aware of the subtleties of your gait).

3. Physical Activity and Movement

Not all forms of therapeutic physical activity need to be slow, controlled and focused on tiny nuances. Expressive movements, collaborative sports, and weight training can be therapeutic and significantly improve mood and mental well-being.

A key aspect to consider is that the mental benefits of exercise and movement are best reaped through consistent activity. Find something you enjoy, whether roller derby, jazz dance, martial arts, or weekend hikes through the wilderness.

4. Expressive Arts Therapy

Physical, verbal, and literary expressions can help us manage stress, reduce feelings of anxiety or depression, and re-examine our thoughts in a positive light. However, there are non-physical and non-verbal ways to process negative emotions healthily, such as visual or auditory arts.

Making music, playing music, drawing, painting, crafting, sculpting, or otherwise finding a way to express your creativity and uniqueness and project it into the world can be a fantastic outlet for stress and a useful tool in therapy.

Art therapy usually combines the tools of non-verbal expression with the guiding hand of a therapist to process difficult experiences or negative thoughts and reframe them positively or foster a more positive presence of mind.

5. Social Skills Training

Prosocial behavior is often a strong marker for improved mental well-being, self-esteem, and mental health. Having healthy and strong relationships, whether platonic or romantic, can also help us deal with stressors and improve our mental resilience.

But forming and fostering those bonds takes social skills that some teens have trouble developing, whether due to their mental health or other developmental issues.

Social skills training can be a fundamental part of a comprehensive treatment plan for long-term mental well-being. It helps teens forge and retain healthy interpersonal relationships with supportive, empathic, and kind people. These training sessions can include practice conversations, learning to pick up certain social cues, focusing on manners and customs, or learning to be mindful and considerate of the needs of others.

6. Building Self-Esteem and Confidence

Therapy exercises for building self-esteem and confidence range from building up conversational skills to fostering a specific hobby and encouraging self-improvement through skill building, whether it’s a life skill such as cooking or self-defense or an expressive art like drawing while learning to cope with failure or frustration, pick things back up after a setback, and accepting the ups and downs within the process of learning.

Small steps taken to show teens that they can continue to learn, grow, and develop as they become adults can inspire great confidence.

7. Family Therapy Exercises

Many therapy exercises require the involvement of other teens, let alone therapists and other mental health professionals. Group activities, sports, and communication skills are interpersonal. However, teens in therapy can also benefit from involving their family members in the therapy process. Family therapy exercises include positive reinforcement, incorporating soft start-ups in conversation, and body language mindfulness.

Residential Treatment for Teens in Southern California

Struggling with emotional and behavioral challenges during adolescence can feel isolating and overwhelming. We want to help teens out of that dark place and into the light. Visions Treatment Centers offer specialized programs designed to help teens navigate their negative thoughts and behaviors through actionable therapeutic exercises and long-term stress management tools, including helpful coping habits. Discover how our expert care can make a difference in your teen’s life with us at Visions.

Conclusion

Incorporating therapy exercises like journaling, mindfulness meditation, and art therapy can help teens manage stress and develop healthier coping mechanisms. These exercises not only alleviate immediate symptoms but also foster long-term mental well-being and resilience. Teens can set themselves up for a brighter future by working on these exercises.

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Therapy

15 Healthy Therapy Activities for Teens

Exploring therapy activities for teens offers numerous benefits, including enhancing emotional expression, promoting self-awareness, and fostering resilience. These activities provide a safe space for teens to explore and understand their feelings, develop coping strategies, and build confidence. Engaging in therapy can also improve communication skills, support mental health, and encourage positive behavioral changes, which are crucial for adolescent development and well-being.

Looking for healthy therapy activities for teens? Therapy activities for teens are not just about talking; they involve creative, engaging, and effective methods to help teens express themselves, understand their emotions, and build essential life skills.

Imagine your teen learning to manage stress, communicate better, and gain confidence through activities that are both fun and therapeutic. These activities are designed to resonate with teens, making therapy something they look forward to rather than shy away from.

In this article, we explore 15 healthy therapy activities for teens to explore.

Healthy Therapy Activities for Teens

Engaging in healthy therapy activities offers significant mental health benefits for teens.

These activities are tailored to meet the unique developmental needs of adolescents, providing them with tools to navigate emotional challenges. They foster self-awareness and emotional intelligence, which are crucial during these formative years.

Through such activities, teens learn to articulate their feelings, manage stress, and develop coping mechanisms. This proactive approach to mental wellness not only addresses current issues but also equips teens with lifelong skills for emotional resilience. By participating in these therapeutic activities, teens can build a strong foundation for their mental health and overall well-being.

Here are some therapy activities for teens that can help improve and support mental health and well-being.

Expressive Arts Therapy

Expressive arts aren’t limited to a single canvas or medium. During expressive arts therapy, teens are encouraged to utilize a variety of mediums to express what they might not be able to via face-to-face communication, on paper, or through their voice. A creative outlet can be freeing, but it can also be an opportunity for introspection. 

Outdoor Activities

The benefits of the great outdoors on the human psyche are well established. We have a connection to nature, and spending more time around it can help us feel calm, improve our mood, and even positively impact our physical health – more so than just walking around. 

Mindfulness Meditation

Meditation techniques can be difficult to learn, but mindfulness exercises focus on bringing a step-by-step approach for teens to learn how to live in the moment and reap the mental benefits of side-stepping rumination or a negative spiral. 

Journaling

Consistently writing down your daily thoughts and experiences – whether in a structured diary entry, a dotted list of keywords, or via stream-of-consciousness – can help teens reflect on their experiences, review emotional outbursts or strong feelings with a sense of introspection, and focus on the good versus the bad. 

Music Therapy

Just like expressive art therapy helps teens convey emotion through a physical medium, music therapy aims to help teens do the same via music. Some teens are not just musically inclined but actually have a much greater emotional connection to music and are able to feel and share much more through sound than through words or pictures. Collaboration is also a crucial part of music, emphasizing social skills. 

Animal-Assisted Therapy

Working with animals and caring for animals can help calm teens, and give them a sense of purpose, boosting their self-esteem. Animal-assisted therapy also takes advantage of the fact that we feel better when we’re doing something for someone else. Animal-assisted therapy also helps teens cultivate feelings of responsibility towards others and practice empathy, learning to relate to people with greater compassion. 

Yoga

Yoga combines physical activity with mindfulness and relaxation through breath and release. Teens learn to incorporate and explore a new kind of exercise while learning to practice mindfulness through a physical approach.

Adventure Therapy

Adventure therapy emphasizes teamwork in outdoor and indoor environments through obstacle courses or even escape rooms. These help teens learn to work together and foster important social skills. 

Drama Therapy

Drama therapy utilizes roleplaying and stage preparation (including prop and costume creation) to help explore different roles and discuss therapeutic lessons through the lens of a figure or character, especially for teens who aren’t otherwise able to process their own experiences at the moment.

Volunteer Work

Spending time giving back to others can be cathartic and deeply rewarding. Volunteer work teaches teens to benefit from selflessness and aspire to continue to leave a positive impact on other people around them while expecting nothing in return. 

Narrative Therapy

While drama therapy focuses on each of the elements necessary in theater, narrative therapy focuses specifically on harnessing your own experiences as a tool for therapy in teens who might benefit from learning to re-explore their lives through a different, more positive, and more constructive lens.  

Dance Therapy

While some teens use music or a canvas to express themselves, others can use their bodies through dance. Dancing as a form of exercise, creative expression, and even a form of active mindfulness helps teens process their emotions and experiences positively. 

Mind-Body Connection Exercises

For teens who might not necessarily respond to yoga or dance, there are other mind-body connection exercises, including breathing exercises, self-practicing martial arts, and even weight training. 

Cooking or Baking Classes

Cooking and baking are valuable life skills, but also help teens explore a different kind of constructive creativity while directly benefiting from their own labors of love. 

Conclusion

Experiential therapies and therapeutic activities can be more engaging than group therapy or individual therapy sessions in a classroom or residential setting.

Sometimes, engaging with teens on a physical or creative level helps them better understand the lessons taught during therapy and helps them internalize their treatment goals. These experiences also help create lasting memories that teens can draw on later in life. 

We at Visions focus on holistic treatments. We believe that it is important to provide a multimodal approach to mental health treatments, and our teen treatment programs help teens cultivate a large repertoire of useful tools for their long-term mental health while addressing the current symptoms of their condition. To learn more about our residential treatment program and other treatment modalities, send us a message today

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Therapy

10 Benefits of Talk Therapy for Teens

There are many benefits of talk therapy for teens, including providing a safe space to express their feelings, confront emotional pain, and develop coping strategies. With rising rates of anxiety, depression, and stress among teens, there has never been a more crucial time for therapeutic intervention.

The dilemma faced by parents and guardians is often whether to seek professional help for their teen’s emotional and mental issues. 

The numbers indicate an alarming rise in mental health disorders among adolescents. The question isn’t just about “if” you should consider therapy but “when.” 

Fortunately, talk therapy emerges as an effective approach to help teenagers navigate through their intricate emotional landscapes. In this article, we explore the various benefits of talk therapy for teens.

10 Benefits of Talk Therapy for Teens

Talk therapy is not just a place to “talk about your feelings.” It is a complex and beneficial process backed by years of research and success stories. 

Here are 10 benefits of talk therapy for teens:

1. Improved Emotional Regulation

One of the most significant benefits of talk therapy for teens is improved emotional regulation. Adolescence is a period marked by hormonal changes, social pressures, and identity formation—all of which can stir intense emotions. 

Without the right tools, teenagers may resort to harmful ways of coping, such as substance abuse or self-isolation. Talk therapy provides a structured environment where teens can explore these complex feelings under the guidance of a professional. 

Through techniques like cognitive-behavioral therapy (CBT) and mindfulness, they learn to identify triggers, manage their emotional responses, and express themselves more constructively.

2. Reduced Anxiety

The pressures of academic performance, social dynamics, and future uncertainties can contribute to escalating levels of anxiety in teenagers. 

Talk therapy offers a safe space for teens to untangle the complexities of their anxious feelings and thoughts. With the help of a trained therapist, teens learn coping strategies like deep breathing, grounding techniques, and challenging cognitive distortions. Over time, this allows them to build a mental toolkit to combat anxiety in different settings—be it in school, social gatherings, or even within their family environment. 

The reduction in anxiety levels can significantly enhance their quality of life and their ability to engage more fully with the world around them.

3. Enhanced Communication Skills

Talk therapy does more than provide a platform for emotional expression; it actively cultivates improved communication skills. Teens often struggle with articulating their feelings, which can result in misunderstandings, conflicts, and stress. In the therapeutic environment, they learn the value of clear communication, both verbal and non-verbal.

With guided conversations and role-playing scenarios, therapists help teens practice open dialogue. This fosters empathy and active listening skills, equipping them to navigate challenging conversations outside the therapy room. Over time, improved communication can lead to healthier relationships with family, friends, and even themselves.

4. Building Self-esteem

Low self-esteem is a common issue among teenagers, aggravated by societal pressures, academic expectations, and peer comparisons. Talk therapy can play a crucial role in building a teen’s self-esteem. It provides a space where they can explore their self-worth detached from external validations like grades or social media likes.

With targeted exercises and guided self-reflection, therapists help teens identify their strengths and areas for growth. The process often involves dismantling harmful self-beliefs and replacing them with more balanced, positive self-affirmations. As teens gain a more accurate and compassionate view of themselves, their self-esteem naturally improves, equipping them to face the world with greater confidence.

5. Crisis Management

Teenagers are not immune to crises, whether they come in the form of family issues, academic stressors, or sudden life changes. Knowing how to manage a crisis effectively is a skill that many adults, let alone teens, often lack. Talk therapy provides the training ground for learning such coping skills.

Through discussing past crises and hypothetical scenarios, therapists teach teens essential problem-solving techniques. This can include emotional regulation in high-stress situations, effective decision-making under pressure, and seeking appropriate support. The aim is to empower teens with the skills to not only cope with a crisis but to navigate through it in a way that promotes growth and learning.

6. Strengthened Relationships

Talk therapy has the transformative power to strengthen relationships, both within the family unit and beyond. The emotional intelligence gained in therapy often carries over into other facets of life, including friendships, family interactions, and even relationships with teachers or coaches. Teens learn important skills like empathy, active listening, and conflict resolution, which are vital for healthy relationships.

By understanding their own triggers and emotional patterns, teens can also engage in healthier ways with those around them. They become better at setting boundaries, articulating needs, and understanding the emotional states of others. This mutual understanding fosters stronger, more fulfilling relationships, reducing familial stress and increasing overall well-being.

7. Academic Success

The skills and emotional regulation learned in talk therapy don’t just stay in the therapist’s office; they translate directly to academic success. Focus and concentration often improve when a teen’s underlying emotional or behavioral issues are addressed. This improvement can manifest as better grades, a more positive attitude toward school, or increased participation in class activities.

Additionally, coping strategies learned in therapy can help teens manage academic stress, improving their performance during exams or large projects. By balancing emotional well-being with academic responsibilities, teens are better equipped to reach their educational goals without sacrificing their mental health.

8. Promotes Self-awareness

Self-awareness is a cornerstone benefit of talk therapy. Through the reflective space that therapy provides, teens gain a deeper understanding of their own emotions, thoughts, and behaviors. This involves more than just understanding why they feel a certain way; it’s about recognizing patterns, triggers, and emotional responses.

With increased self-awareness comes the ability to make more informed choices. Whether it’s deciding how to handle a stressful situation or understanding the root of a recurring emotional state, self-awareness offers teens the tools they need to navigate their complex emotional landscapes. This improved self-knowledge can be a lifelong asset, serving them well into adulthood and in various aspects of life, from career choices to interpersonal relationships.

9. Resilience Building

One of the most invaluable skills that talk therapy imparts is resilience. Resilience isn’t just about bouncing back from adversity; it’s also about developing the mental and emotional fortitude to navigate through life’s challenges effectively. In a controlled, safe environment, teens can explore their vulnerabilities and work through setbacks, all under the guidance of a qualified therapist.

The strategies learned during these sessions are highly practical and can be applied in various areas of life. Whether facing academic pressures, social issues, or personal dilemmas, teens equipped with resilience can adapt and find ways to overcome. This skill is particularly important during adolescence, a period often characterized by turbulence and change, and lays the foundation for emotional resilience in adult life.

10. Future Planning

Talk therapy can be a vital resource for future planning, an aspect of life that many teens find overwhelmingly daunting. Whether they’re contemplating college, a career, or other significant life choices, the space provided by therapy offers them a unique platform to explore their options and preferences without judgment. Therapists can help teens explore their strengths, passions, and capabilities in a structured way, helping them make more informed decisions about their futures.

The process of future planning in therapy is about more than just logistical considerations; it’s also about aligning life goals with inner values and desires. By giving teens the tools to plan in alignment with their authentic selves, therapy facilitates not only a clearer path forward but also a greater likelihood of long-term happiness and fulfillment.

Explore Talk Therapy Today

Are you ready to explore the benefits of talk therapy for your teen? At Visions Adolescent Treatment Centers in Southern California, we specialize in talk therapy tailored for teens. 

Our approach involves multi-modal strategies treating complex mental health issues, ensuring a successful, long-term impact. 

Contact us today at (866) 889-3665 or via email at info@visionsteen.com to discuss personalized treatment options.

Conclusion

Talk therapy can make a world of difference in your teen’s life, offering a range of benefits from improved emotional regulation to enhanced self-esteem. If you’re concerned about a teenager in your life, don’t hesitate. 

Contact Visions today and start your journey toward a healthier, happier future. 

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