Posts

Raising Awareness on Psychological Distress and Suicide by Dr. Michael Olson, Ph.D, LMFT

Published in the Bay Area Health & Wellness Magazine, Houston,  Visit us at txhwmagazines.com

Maintaining A Relationship That Is Juicy, Fun, Passionate and Loving by Dr. Matt Eschler, Ph.D

I am pretty certain that we all hope for a juicy, fun, passionate, loving relationship with our lovers! The relationships that maintains a spark over decades of being together are built carefully they most definitely are NOT accidents! You don’t connect with a “soul mate” and settle into mandatory bliss. If you are hoping, longing, reaching for a juicy fun passionate relationship then you will want to read the rest if this article!

Juicy fun passionate relationships are created. If you keep a few rules you can be certain your marriage is all you ever fantasized about! Keep these three incredibly simple rules of engagement and juicy, fun, passion will be yours!

Get to know each other every day.

By constantly developing connection and strengthening your relationship bond you breath new life into your marriage every chance you get. Sometimes you will be giving rescue breathes during crisis and struggle while other times you are giving extra oxygen creating a sense of peace and relaxation. Know your lovers top five or six needs to be happy. Many couples think they know each other and know what drives happiness only to find they have lost touch with change, growth, and each other. To keep on the razor edge front line of juicy passionate fun you have to meet together and talk. I suggest three meeting a week is the minimum. These three meetings each come with there distinct purpose. First have a date night. This is where couples flirt, tease, kiss, and talk about hopes and dreams with each other. Second meeting is couples council. In this meeting you discover the struggles you each face. You empathize with each other, grow through strife and strain while talking about hard topics trusting you will stand by each other for better or worse. Third meeting is family night. This is a time to organize your family share family activities, dreams, and structure the household as a unified front. All three of these meetings are really mandatory and refreshing if you engage weekly on purpose.

Transparency

Second of the three “must” for juicy fun passionate relationships is all about transparency. Share your whole self holding nothing back. If you only share what your lover approves of your holding them hostage. Allow your lover to see all of you and realize your love for each other grows with knowledge of what makes us tic. Sharing a deep sense of fondness and adorationfor each other! (Number one cause of divorce is contempt) is a major part of the intimacy you will Experience. Have you ever caught yourself thinking fond thoughts about your lover and not expressing these thoughts out loud because it feels way vulnerable? My challenge to you is be vulnerable every day! Dare to share all your fondness and admiration out loud and often! Pray with each other express gratitude to the God of your understanding for each other. Imagine the power you will have as Couple joining in prayer to begin each day unified! Celebrate victories, Support each other’s interests, and helping achieve each other’s dreams are all ways of generating juicy fun passionate marriages. I think you get the idea.

Positive Sentiment Override (Gottman Term)

Finally the third principle followed by juicy, passionate, fun couples is a constant positive sentiment override. You always have two choices in how you SEE your lover. You can think negative or you can see the good. You can interpret what is said through a filter of offense. Seeking to be offended will generally lead to you finding a way to actually be offended. The thousands of interactions will be filled with minor slights and errors that can be exploited and used to feel sad, hurt and bugged a each other. On the other hand you have every right to filter all those same interactions through a sieve that separates out all the warm juicy passionate sentiments and feel love and joy. It’s really fun p to you! No, your not burying your head in the sand your simply seeking the good gifts offered.

Think about all of this and have an incredible juicy fun valentines month in February.

About the Author:  Dr. Matt Eschler lives in St. George, Utah where he and his wife Chris are enjoying their life with each other. Since their kids have grown and moved out perusing their dreams Matt and Chris travel the world. They want to visit 200 countries before the are done. Matt and Chris are active in their community and enjoy working out, training for marathons, and spending time participating in numerous activities with their adult children.  Matt has received his PhD in Psychology. He is focused on the arena of resolving personal conflicts and improving interpersonal relationships. In addition to his Doctorate Degree Matt has earned a Masters in Marriage and Family Therapy, studied Criminal Justice and received a category I licensure with Peace Officer Standard of Training along with a degree in the Arts of Business Management. Matt is a professor at Dixie State University and hopes to be part of the positive growth of Southern Utah.

Misconceptions Around Parental Alienation: How Professionals Can Get it Wrong By Carol Kim, MS, LMFT

Divorce is hard. It is emotionally and physically draining for all people involved, including children. When a divorce becomes high conflict, children are caught in the crossfire and are treated as “prizes” to be won. Parents start pressuring their children knowingly and/or unknowingly to choose sides. These behaviors can escalate to “alienation”. Alienation is defined as a parent teaching their children to reject the other parent using fear (Templer, 2). Due to limited research, professionals often mistake alienation for estrangement. This misdiagnosis can have devastating effects on a family.

One misconception about alienation is that the alienated parent is responsible for being rejected by their child, whereas the alienating parent is considered to have little to no part in why their child is rejecting the alienated parent. Discerning whether a parent has been alienated or estranged requires specialized skills and knowledge. Unfortunately, many professionals who are assigned to such cases often have little to no training in this area.

Misconceptions about alienation prevent families from getting the help they need and can even have legal ramifications. Here are some examples of harmful misconceptions:

It is generally believed that if a child does not want to be with their parent it means they have done something to deserve it. However, the reason could be that the alienating parent programmed the child.

It is generally believed that the child would not align with the abusive alienating parent. However, children are vulnerable to manipulation. The targeted parent often tries to enforce appropriate discipline and fill the hole left by the alienating parent. In so doing, the targeted parent is looked at harshly and viewed as not respecting their child’s wishes and feelings.

Enmeshment (blurred boundaries between two individuals) can be confused with healthy bonding. When children feel that they are not recipients of unconditional love they can be manipulated into doing what the alienating parents desires.

Professionals who have these or other misconceptions may come to the conclusion that the alienating parent is stable, whereas the targeted parent is not; this instability, real or perceived, is often the result of depression, anxiety, and anger that’s developed from the trauma of being alienated. Another example is if the targeted parent is falsely accused of abusing their child; the parent may exhibit instability due to the fear being jailed, losing their children, or financial pressure. The unfortunate reality is that even strong, emotionally stable individuals may become anxious, depressed, and angry when under the pressures of alienation.

Mental health professionals play a critical role in high conflict divorce cases and have the power to make things much worse or better. Given the high stakes, families are encouraged to carefully select a professional with the proper skills and training.

About the Author:  Carol Kim is a Licensed Marriage and Family Therapist who has spent the past 6 years practicing in several cities across the United States, including Boston, San Francisco, and now, American Fork. She is passionate about applying the principles of therapy to improve lives and relationships, and is committed to creating a safe, comfortable, and supportive environment. Carol specializes in individual, couples, and family therapy, and has extensive clinical experience treating depression, anxiety, ADHD, addictions, domestic violence, trauma, children/adolescents and relationship issues. She has also utilized her deep understanding of parenting and marriage to teach and facilitate community parenting and marital enhancement groups. Carol received her Master in Marriage and Family Therapy from Brigham Young University, where she was clinically trained and conducted extensive research in improving marital satisfaction. After graduating and before dedicating herself full-time to therapy, she was awarded the prestigious Kaiser Fellowship and worked for the San Francisco Bay Area’s most popular news station, KTVU, as a broadcast journalist focusing on mental health related issues. She is a member of the American Association of Marriage and Family Therapy and the Asian American Journalist Association.

Why Should Couples Consistently Set New Year’s Resolutions Together? By Dr. Matt Eschler, Ph.D, LMFT

I have counseled couples for twenty-five years. Panicking, anxiously pacing, wringing hands, couples have wandered into my office, hoping to find some peace in their relationships. In the counseling arena we explore some very principled foundation ingredients that, when mixed together, produce peaceful, passionate relationships.

There are three fundamental ingredients that all of us need to exercise for a shot at a sound relationship. My challenge to you is to sit with your lover and assess the following three principles, and set specific goals to learn a little more, stand a little more firm, and increase your skills in these three areas:

The first foundation principle is friendship. Friendship is unilateral. Increase your friendship with your lover every couple of hours. You do this by sharing information, being trustworthy, and being transparent—without conditions.

The second principle that relationships will not survive without is influence. You must accept your lover’s influence. Men seem to have a slightly more difficult time with this, but both partners will benefit from allowing influence. Think about a time when there was disagreement in direction of relationship or activity. Did you allow your lover to have influence? Did you argue until one of you gave in? Was their healthy negotiation until a mutually satisfying result occurred? The hope is always influence and no competition. Get a little better at this in 2018!

Finally, the third principle is generating a governing purpose for your marriage. This is the North Star that holds you both accountable to a result that is desirable and cherished. If you are seeking the same purpose, you won’t go after hostile results. For example, my wife and I want to travel the world. If I sneak out and spend our travel money on a new truck and lots of clothes, we won’t have resources available to travel. That causes issues. If I save and we put our travel fund together and watch it grow together, we will eventually accomplish our common goal.

I invite you all to accept this challenge: In 2018 be a little bit better in all three of these areas. Sit with your lover and map out a specific strategy to accomplish these three goals to improve your relationship.

 

About the Author: Matt lives in St. George, Utah where he and his wife Chris are enjoying their life with each other. Since their kids have grown and moved out perusing their dreams Matt and Chris travel the world. They want to visit 200 countries before the are done. Matt and Chris are active in their community and enjoy working out, training for marathons, and spending time participating in numerous activities with their adult children.  Matt has received his PhD in Psychology. He is focused on the arena of resolving personal conflicts and improving interpersonal relationships. In addition to his Doctorate Degree Matt has earned a Masters in Marriage and Family Therapy, studied Criminal Justice and received a category I licensure with Peace Officer Standard of Training along with a degree in the Arts of Business Management. Matt is a professor at Dixie State University and hopes to be part of the positive growth of Southern Utah.

Simple Ways to Improve Mood by Alberto Souza, MSN, APRN, FNP-C

We all have those days when it feels like we woke up on the wrong side of the bed. For whatever reason we are just in a bad mood. Often times these bad mood feelings are associated with difficult or stressful events in our lives such as trouble at work, financial problems or disappointment. Sometimes these bad mood feelings last for only a few hours, but sometimes they might linger for days at a time. There are many simple strategies to improve one’s mood in spite of what it is that might be bringing us down.

Be With People

Often times when we are feeling low just being with a trusted friend or family member and talking about our feelings can make all the difference. Having a sympathetic listener or someone that can get us laughing or looking at the bright side of things can make all the difference. We shouldn’t be embarrassed to talk about our mood or admit that we need help. In fact, many times isolating ourselves can be one of the biggest culprits in a lingering bad mood.

Get Out

Whether its a brisk walk through the neighborhood or a trip to the grocery store, getting out of the house can do wonders for improving our mood. Sometimes we just need a little sunshine or to breathe in some fresh air. The sights and sounds of everyday life can get our mind off of things and be a beautiful distraction.

Enjoy Yourself

When a bad mood strikes we might find ourselves not even wanting to do the things we normally enjoy, but doing them anyways can take our minds off of negative thoughts and often times will help us feel better overall. Think of simple pleasures like reading, exercising, cooking or baking, shopping or just watching a funny movie or show.

Talk to a Professional

Feeling sad or moody are normal human emotions that we all experience from time to time.  Depression is different from these emotions primarily because depression is a pervasive feeling of sadness that impacts our entire life and doesn’t just go away even when things in our lives are good. We should not hesitate to reach out to a professional to help us understand our feelings and deal with them appropriately.

Source: Psychology Today

About the Author:  Alberto has worked in healthcare for over 10 years. He began as a CNA and then worked as a registered nurse until completing his Master’s Degree in Nursing.  Alberto has been been working as a Nurse Practitioner since April of 2013.  In addition to his work as a Nurse Practitioner, he also teaches online classes for the Dixie State University Nursing Program.  He is currently working at the St. George Center For Couples & Families.

Mediation: An Alternative to Litigation and Pathway to Healing Chris Turner, TMCA Credentialed Distinguished Mediator

Several years ago, as a young mother, I was a patient undergoing a superficial procedure during which a scalpel severed many layers of tissue, tendons and muscles in my shoulder. I compassionately understand that mistakes, both professional and personal, are a part of life. However, In order to avoid involvement in a possible lawsuit, doctors waited for the statute of limitations to end before surgically exploring my injury and attempting to repair the damage. The inability to correct that mistake is what, to this day, still causes an emotional response in me that I am not proud to harbor.

This experience led me to a career for which I am very grateful. It began with this simple question: “What if the doctor was able to disclose mistakes and repair damage, both emotional and functional, prior to the point at which it became a lifelong hurt?” It is a question that I attempt to answer, as a mediator, with each person I meet that is in conflict.
Conflict is a constant in life. It is often what encourages us to make changes in our lives, thereby providing us with an opportunity for growth. How we deal with conflict directly correlates to the value we will have when the conflict is past. Most of us avoid conflict because the risks and cost are too expensive: emotionally, financially and/or personally. The investment in relationships at home, school, church and work can easily inhibit open communication and honest interaction in an effort to prevent further damage. As a result, small issues escalate and the gaps in a relationship grow larger. A mediator can provide the necessary tools to structure interactions that move people toward resolution of conflict.

leader 2Very simply, mediation is the process through which a neutral third party assists others in resolving disputes.
It is the role of a mediator to facilitate communication and to help parties resolve issues, forming a plan of action which guides their future interactions. Mediation is not counseling, nor is it the practice of law. Mediation involves two or more parties voicing their opinions and generating options for resolving issues with the goal of creating a written document that reflects their agreement. In some cases, the agreement may be binding and irrevocable. Mediation can be utilized in many different situations: from divorce to disputes among students, and from damages from an oil spill to neighbors arguing about the placement of a fence.
Although most often used as part of a legal process, mediation is available whether or not legal action is pending. In addition to being significantly less expensive than litigation, mediation is helpful in resolving issues before they escalate to the point of legal intervention or a total breakdown of communication. Mediating early in a dispute can serve as a formal time out, setting ground rules, both personal (such as when and how parties will communicate) and functional (such as how bills will be paid).

The agreement may also document the understanding between parties, such as what assets and benefits of the partnership will not be affected and if intervention during the period of the agreement, such as counseling, refinance, etc. will occur. By instituting a plan, parties are able to have a time out from emotions and stress that a dispute is creating while maintaining relationships and assets which have been mutually supported. Many times, the initial agreement may be the basis of a more permanent resolution, such as a divorce or dissolved partnership. In some cases, it provides needed respite, which enables parties to reconcile and move forward. Mediation can be used informally or as the basis of a legal settlement. The process is confidential, collaborative and cost effective.
Conflict resolution through mediation can be an effective agent for change. It is not about who is to blame, it is about being honest about what exists today so that a plan for tomorrow can be made. From that plan hope and healing are often found.

Chris TurnerAbout the Author: Chris Turner, TMCA Credentialed Distinguished Mediator, is working with the Center For Couples and Families in the South Houston area.

Pornography Addiction: An Epidemic By Dr Matt Brown and Dr. Mike Olson

Pornography is a big business. Americans spent 97 billion dollars on pornography over the past five years. The monetary cost of this epidemic is only a part of the real cost of this problem in our country. Over the past decade, increasing attention has been given to the damaging effects of pornography on the brain and, by extension, the lives of individuals and families. The accessibility of pornographic material and the multitude of technologic means by which it comes into our lives has brought this issue increasingly into the spotlight. In fact, you may be reading this because pornography has impacted you, personally, or someone you love.

There has been controversy in the psychiatric literature about whether those who struggle with pornography are “addicted.” Whether or not it is formally designated in the professional literature as an addictive disorder, it certainly has been shown to affect the brain and the lives of its users in ways consistent with other addictive disorders. As with any addiction, an understanding of the process is key. Let’s start with how the brain responds to pornography. Our brains are designed to catalog our experiences with the end goal of preserving life and eliminating threats to our safety. Essentially, our brains are effective at remembering what feels good and what doesn’t. While this process is complex, a basic understanding of a few key brain chemicals is critical.

stress 1The brain responds to pornography by releasing a powerful chemical called dopamine. Dopamine is released whenever we have pleasurable experiences. The release of dopamine and another powerful chemical called epinephrine (adrenaline) floods the brain in connection with pornography. With repeated exposure, a neural pathway in the brain is created that links arousal and associated neuro-chemicals dopamine and adrenaline with pornography use. As pornography exposure and dopamine release increases, dopamine receptors are eliminated. This “flooding” of the brain creates habituation or tolerance, resulting in the need for even greater stimulus (more explicit and “hard-core” pornography, novelty and intensity) to achieve the same effect.

Dr. Donald L. Hilton, Jr. MD, a neurosurgeon at the University of Texas, has written extensively about the effects of pornography on the brain. His research and other reviews conclude that the effects of pornography on the brain are comparable to potent drugs, such as cocaine. He also explains that when the body orgasms, the brain produces a particular neurotransmitter called “oxytocin” which creates bonding. Oxytocin is also secreted in the brains of babies and moms during breastfeeding. So we are literally bonding to pornography (a digital image) when we reach climax. In an article published in the Harvard Crimson, Dr. Hilton states that “pornography emasculates men—they depend on porn to get sexually excited and can no longer get off by having sex with their women alone. What happens when you are addicted to porn is that you crave it. Real sex even becomes a poor substitute for porn, and you lose interest.” ¹

A final neurophysiologic effect of pornography is the damage created to the impulse control center of the brain, the pre-frontal cortex. With constant flooding of the brain with dopamine and epinephrine, there is a reduction in size and control of this area. Essentially, the ability to self-regulate and exercise impulse control is reduced until, ultimately, the addiction drives appetites, desires, and behaviors. As individuals fall into the grip of this addiction, they often experience other effects, such as isolation, depression, anxiety, sexual dysfunction, and relationship distress, among others – all of which spiral the individual away from resources that can lift and help them toward recovery and healing.

As awareness of this issue increases, so do resources aimed at educating and assisting those affected by pornography addiction. A relatively new campaign called “Fight The New Drug” (www.fightthenewdrug.org) is an excellent resource for those seeking more information regarding the impact of pornography. There are also many religious/spiritually-based programs available², many of which are based on the twelve-step program utilized by Alcoholics Anonymous (AA).

¹ http://www.thecrimson.com/article/2011/4/7/porn-men-addiction-pornography/

² https://addictionrecovery.lds.org/family-and-friends/help?lang=eng

mattAbout the Author: Dr. Matt Brown is a licensed Marriage and Family Therapist. He holds a doctorate degree from Texas Tech University and a master’s degree from Brigham Young University. He is currently Assistant Professor and Program Director in the Marriage and Family Therapy program at the University of Houston-Clear Lake and a therapist at the South Shore Center for Couples and Families.

Compassion by Dr. Victor S. Sierpina, MD

?????????????????Compassion, a universal cure to what ails us as individuals, societies, and nations, is the response to the suffering of others that creates a desire to help. This attribute, essential to the optimal practice of medicine and healing, gives the healer an understanding and appreciation of the effects of suffering and sickness on the attitudes and behaviors of others. More than mere tolerance, it creates a feeling similar to love, in the universal sense of that word.

While browsing my library recently, I noticed a paperback by the Dalai Lama called Beyond Religion, Ethics for a Whole World. A skilled, heartfilled local meditation teacher, Terry Conrad, uses it when he teaches at the Osher Lifelong Learning Institute (OLLI) and it found its way to our library through my wife’s work there.

The Dalai Lama, a Buddhist by tradition, pointed out that the compassion lived and espoused by the founders of all major spiritual traditions is often lost amongst their followers. In the name of religion and the defense of various ideologies and creeds, people across time have often violently departed from the teachings of their revered scriptures and teachers. They visit upon others what they would not want done to themselves. Compassion has often been abandoned, leaving the world a worse place.

The philosophically practical Dalai Lama points out that we all share a common humanity. We are not necessarily born into a religion or belief system, but are all driven by a desire to be happy and to avoid suffering. Acknowledging that all other humans share that same basic drive is the basis of compassion. This means seeing others as more like us than different from us, seeing their suffering as our own. Compassion is a necessity to the survival of humanity. Without it, we turn on each other like wild and undisciplined animals.

How do we develop compassion? It is an intrinsic human trait universally encouraged by all major spiritual traditions. Meditating on compassion for others and ourselves helps us bring it into our daily lives and consciousness.

I wrote awhile ago about the “Loving kindness Meditation” which I have found helpful in bridging the compassion gap between me and those I see as different from me. While there are many versions, here is one to consider. I keep it taped onto my dashboard and my phone.

May you be happy.
May you be well.
May you be safe.
May you be peaceful and at ease.
May you be filled with loving kindness to yourself and all others.

balanceConsider this kind of compassion building meditation/prayer exercise daily with a focus first on compassion for yourself. As you continue, channel it mentally toward someone you greatly respect and honor such as a spiritual teacher; then to a dearly beloved person such as a spouse or family member; then to a person whom you know but feel neutral toward; and finally direct your loving kindness meditation toward someone who you consider hostile or even hateful.

Do your part in building a more compassionate you and a more compassionate world.

The hope of a secure and livable world lies with disciplined nonconformists, who are dedicated to justice, peace, and brotherhood. The trailblazers in human, academic, scientific, and religious freedom have always been nonconformists. In any cause that concerns the progress of mankind, put your faith in the nonconformist! -Martin Luther King, Jr.

*Previously published in Galveston county daily news.

Sierpina_Victor_5x7About the Author: Dr. Victor Sierpina is currently the director of the Medical Student Education Program at UTMB, Galveston. He is a WD and Laura Nell Nicholson Family Professor of Integrative Medicine, and also a Professor in Family Medicine. He is a University of Texas Distinguished Teaching Professor. His clinical interests have long included holistic practices, wellness, lifestyle medicine, mind-body therapies, acupuncture, integrative oncology, nutrition, and non-pharmacological approaches to pain.

“It’s Only One Drink…Right?” By Alyssa Baker

Stressed Businesswoman“It’s only one drink.” How many times have we heard that statement from others or told it to ourselves? For some, it actually does mean one drink; however, for about 16 million adults and almost 700,000 adolescents in the U.S., one drink turns into an alcohol use disorder (SAMHSA, 2013 National Survey on Drug Use and Health). Alcoholism can develop through many different avenues, such as, genetics, upbringing, social stressors, and mental health. Some cultures and families are at a higher risk of developing alcoholism based on their genetic makeup.

So, what’s the difference? Why can I stop at one drink, but my friend cannot? Do I have an alcohol problem? How do I help my Mom realize that she has a problem? There are so many questions surrounding alcoholism, and the important thing is to ask them. Let’s be brave and keep the conversation going.

I’m “normal,” right?
The National Institute on Alcohol Abuse and Alcoholism defines normal use as:
Women: No more than 3 drinks per day, and no more than 7 drinks per week
Men: No more than 4 drinks per day, and no more than 14 drinks per week

Okay, so maybe I’m not normal…
Alcohol abuse takes place when drinking is creating problems for someone, but there is no dependence on the alcohol, and there are no withdrawal effects once the use subsides. Alcoholism, on the other hand, means that the person is having negative effects from alcohol, is dependent on it, and when they are not able to drink, they experience uncomfortable withdrawal effects.

Am I at risk of developing an alcohol use disorder? Here are a few indicators, thoughts, and behaviors that could lead to problem drinking.
1. I have a family member who struggles with alcoholism.
2. I struggle emotionally, and sometimes alcohol “evens me out,” or “makes being around other people a little easier.”
3. I have a difficult time stopping drinking once I’ve gotten started.
4. Sometimes I just feel the need to drink.
5. My loved ones keep bringing up my drinking. Sometimes I feel so ashamed and guilty about it.
Most importantly, if alcohol is making your life more complicated and difficult, then it has become a problem.

Now what?
So, after reading a few signs and symptoms, you may have realized that you or someone you know may be experiencing this struggle. Congratulations on taking the first step of making yourself aware of the issue. There are treatment facilities, support groups, meetings, and counsellors who are trained and ready to help. Take control!

??????What I’ve learned through my loved ones’ addictions:
1. Know that we cannot force our loved ones to address their alcohol problem.
2. There is more to the alcoholic/addict than the substance. Depression, Anxiety, PTSD, or Bipolar Disorder could be going untreated.
3. Know that the more you push your loved one to change, the further they will push you away. Come alongside of them and meet them where they are.
4. “Sobriety” is a temporary state, while “Recovery” is a lifelong process and battle.
5. Love them, even when it’s difficult. Tell them.

View More: http://nicholelivingstonphotography.pass.us/centerforcouplesandfamiliesheadshotsAbout the Author: Alyssa Baker is a licensed Marriage and Family Therapist Associate. Along with practicing at the South Shore Center for Couples and Families, she works as a Behavioral Specialist as a part of an Integrative Medicine fellowship with UTMB Family Medicine in Galveston. Alyssa has experience working with individuals, couples, families, and groups with a variety of stressors; including, mood disorders, chronic medical conditions, substance abuse, and relational struggles.