In my latest blog post for Psychology Today, I address how to manage the mental health impact (particularly, anxiety) of a COVID positive test result or the start of a COVID illness.
Many have found that it can be hard to manage relationships during the election season (and after), as well as to manage differing opinions about what risks are okay to take during the pandemic. I’ve heard these questions come up in counseling sessions as well as in personal conversations with my own friends, family, and neighbors.
I’m now blogging for Psychology Today and my first piece for the blog addresses exactly this. To read more, go to: https://www.psychologytoday.com/us/blog/more-diagnosis/202012/relationships-divided-politics-or-pandemic
Five years ago today, I opened the doors to Perspectives for the first time. My office was a little smaller, and my schedule a little more open. I had spent months preparing the office to open and years preparing my clinical skills before taking the step to become a small business owner.
Here we are at June 1st, 2020. I’m currently working from home due to the COVID-19 pandemic, and my heart goes out to all those who are struggling in these times due to the virus and due to the burden of systemic racism in our country. These are tough times. I miss being in the physical office, but am so grateful to be able to connect with my clients via telehealth. And I look forward to sharing space in the office at 46 Prince Street again someday soon.
As I think back to my opening day and all that has happened since, I’m aware that although I’m a solo practitioner, this work is anything but solo. The work itself is grounded in connection.
I’m grateful for all the individuals who have walked into my office, brave enough to bear the vulnerability of therapy and to trust me to sit alongside them. I’m grateful for my colleagues who work alongside me, inspiring me with the good work they do and elevating us all. We are a community of helpers. I’m grateful for my supervisors and mentors, and my business coach, who give me something to aspire to while simultaneously cultivating the capacity for success. And I’m grateful for my dear friends and family who share my heart and make it possible for me to do the work.
There are a lot of things that go into maintaining a business. Along with the therapy itself, I am continuously looking forward to see what needs I can meet in our community, and reflecting back on what has worked so far.
Five years into business, Perspectives Mental Health Counseling, PLLC, is just getting started.
There have been a lot of changes in our community over the past week due to COVID-19, which can be unsettling. I want you to know first and foremost that I am here for you. Your health and well-being is my top priority at Perspectives Mental Health Counseling. With the increasing area closures, I encourage you to engage in safe practices for yourself and your community such as social distancing. I also encourage you to maintain healthy coping strategies as you are able, to care for your mental health. We can discuss these in more depth during your session, especially if your usual strategies are not currently possible.
At this time, I am taking a proactive approach in order to be responsible to the community and to minimize exposure in my office. I will temporarily be moving all appointments to a telehealth platform, beginning Monday, 3/16/20. While I enjoy spending time with each of you in person, research shows that telehealth sessions can be just as effective as in-person appointments. My hope is to continue to provide quality care in a manner that does not contribute to the spread of illness for our community and for those of you with medical issues or decreased immune function.
At the time of your appointment, please go to https://doxy.me/perspectivesroc, where you will meet me in the “waiting room.” Please make sure your computer or tablet microphone and camera are on and that your volume is up. It is also strongly suggested that you set yourself up in a private space if possible. If our call is disconnected for any reason, I will attempt to reach you via phone or email. If we are unable to continue the call, we will reschedule for a time as soon as possible.
Please refer to the Center for Disease Control and World Health Organization for official communications and updates on COVID-19. You can also reach out to me with questions and concerns, either about this decision or about how telehealth sessions will go. I will do my best to get back to you as quickly as I can. I value your thoughts, opinions, and your health. I look forward to continuing our work together, and returning to in-person appointments as soon as it is safe to do so.
Finally, I ask that you confirm that you have received this communication and plan to keep your upcoming telehealth appointment (or if you are unable, or prefer not to keep your appointment at this time). I will also be offering short supportive videos, to be shared on the business Facebook page. If you would like these emailed to you, please let me know when you respond to this letter.
How do you know when it’s time to start or return to therapy?
In a first session, I often will ask a client how they knew it was time to come in. Sometimes people are coming in at the encouragement of a friend or family member; sometimes they know they need an outside perspective to explore an issue; sometimes it is clear that anxiety, depression or other symptoms are getting in the way of day-to-day life.
For therapists, it is easy to know when we need to go to therapy. When our own stuff starts coming up for us in the midst of counseling others, or if it’s at all getting in the way of facilitating psychotherapy, we know we need to talk to colleagues or get our own therapy. It’s like how doctors need to be healthy in order to treat their patients; counselors need to be emotionally healthy in order to treat our clients.
For everyone else, it can be harder to answer this question. Generally, I encourage someone to come to counseling when they have issues that are getting in the way of living their life the way they want to. (This could be due to any number of things: a stress response that is out of proportion to the stressor; difficulty sleeping; low mood; overwhelming thoughts; relationship difficulties; adjusting to a traumatic medical diagnosis or event).
When you feel you need a safe person to talk to, to process recent events or explore a part of your identity, it’s a good time to come to therapy. When you need to voice the loss you’ve experienced or the secrets that weigh on you, it’s a good time to come to therapy. When you feel ready to build on the strengths you’ve got and develop additional coping skills to face the challenges or burdens of your life, it’s a good time to come to therapy.
I always tell my clients that therapy is about balancing challenge and support. So, when you feel you need extra support in your life and you are ready to be challenged to grow – that is the time to come to therapy!
Mindfulness involves observing and accepting the things around and within us in the present moment, without judgment. In therapy, Johanna may involve mindfulness skills to build awareness of various issues and to develop coping strategies to reach optimal wellness. The exercise below is not individualized to your needs as it may be in therapy, but is rather intended as a general exercise that you may find useful.
January’s Mindfulness Exercise:
It’s a new year, so let’s go back to the basics – starting with the breath.
Sit or stand as comfortable as you can, allowing your arms to rest at your side. Take a nice inhale through your nose, and exhale through pursed lips. Notice the feeling of expansion as you breathe in, and release as you exhale. Pay attention to the air as it passes through either your nose or your mouth.
Notice also how the rest of your body shifts with each breath in and out. Do your shoulders go up and down? Does your chest rise, or your belly expand? Bring your awareness inward to notice the details of each breath. Check in also with the muscles that might be holding tension, such as your jaw or shoulders. Do they shift when you inhale, or exhale?
As best you can, focus solely on the minute details of each breath – you have been breathing all day, perhaps without noticing it. Try to take 5 to 10 intentional breaths with this level of awareness.
Today’s exercise is intended to increase your emotional awareness, both regarding what you are experiencing emotionally as well as what you do with it. As always, if this feels overwhelming, please call Johanna to set up an appointment.
NOTE: This is not intended to replace therapy. Please contact Johanna at (585)406-3012 if you are interested in engaging in counseling for optimal wellness.
Of note: Johanna’s late cancellation policy has changed. Appointments cancelled with less than 24 hours and appointments that are missed will incur a flat $50 fee.
Please feel free to contact Johanna with any questions!
2019 is just around the corner. To all my clients, colleagues and friends – I wish you warmth, hope, and connection as we enter into a new year!
Together with Amy Andrews, MFA, LMHC, Johanna will be running a series of workshops on the humanity of the helper. Each workshop will use a different aspect of creative writing to explore your sense of humanity as a helping professional. Johanna and Amy will lead various exercises to deepen your curiosity and validate your vulnerability as a human and as a helper. Each exercise will involve personal time for writing as well as group discussion for processing.
The goals of the workshop are to provide creative writing tools for self-care and personal exploration, and to validate all the aspects of your humanity!
The first workshop is coming up in a few weeks on September 22nd. Each workshop will run from 8am-12pm, and coffee and light snacks will be provided. Spots are limited, so sign up soon!
Workshops are open to all, but are geared towards those individuals currently working in the helping professions (medical, mental health, religion and spirituality, teaching, etc).
Sign up for one retreat or for all four: $75 per retreat or $250 for all four.
To sign up, email Johanna at firstname.lastname@example.org or Amy at email@example.com. Please feel free to reach out with any questions you may have, as well.
Johanna and Amy are incredibly excited to collaborate on this project and can’t wait for the first workshop, titled “Developing identity through character.”
Not long ago, a friend of mine (not a therapist) mentioned her thoughts on therapy. When I mentioned that some of my own friends are in therapy, she said, “Wow, they must be really well-adjusted.”
I love that statement. Not “there’s something wrong with them” or “what do they need to fix.” The underlying sentiment was that these people are well-adjusted because they know when they need help and they seek it out.
The language we use is powerful. When I tell someone I’m a therapist and they say with a laugh, “oh, my friend here might need to see you!”, they are implying that a) they would not need to see a therapist themselves and b) there must be something wrong with the other person that they would need a therapist. My response is often, “I think we all need a little therapy sometimes.”
People often think the job of a therapist is to label you as “crazy” or “not crazy.” Let me tell you, that is not my job. My job is to support you and to challenge you.
When my friend made that statement, I liked that she assumed going to therapy was a positive thing. Not a sign of weakness or trouble, but something truly positive that people can do for themselves.
There are often negative life events or situations that lead to individuals coming to therapy, but having the strength to be vulnerable in seeking out and accepting help is a powerful and positive action.