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After School Connection: Let’s Find A Better Option Than “How Was Your Day”

After School Connection: Let’s Find A Better Option Than “How Was Your Day”

You’re with your kids at the end of the day and you want to connect with them, hear about their day, and be a resource for anything they’re struggling with. For most people, the question that slips out almost automatically is “how was your day?”. What comes next is usually some mixture of “fine” or a general shoulder shrug, then silence. Your kid is feeling unsure of how to proceed or what to say, and you’re left feeling frustrated that your connection attempt hasn’t worked. Here are some options to replace that age-old question. See which ones your kid responds to, and get ready for some authentic, connective conversation!

 

What made you laugh today?

 

Did you feel (nervous, angry, sad, etc.) at any point today?

 

Did you help anyone today? Did anyone help you?

 

How did you feel loved today?

 

What interesting questions did you ask today?

 

What does your body need for the rest of the day?

 

What do you wish people at school knew about you?

 

Can you tell me about an adult at school you like (or don’t like)? 

 

Is there anyone at school you want to get to know better?

 

What do you hope happens tomorrow?

 

While there’s nothing inherently wrong with the question “how was your day?” it can be overwhelming and some kids struggle to know where to start because of how general it is. More specific questions give them a starting place, and if you can tailor them to something specific you know about their day (ex: an assignment they were worried about, a lunch item they were excited to try, a friend they hoped to play with), those small details signal to your child how important you think their experiences are. 

 

Pick one or a few questions each day, but try not to make it feel like a pop quiz. Some kids respond well to knowing exactly what questions are coming, and others like the novelty of new ones, so experiment with switching between these two options. Timing and delivery can also be important here; imagine you came home from work and the second you opened the door, someone was requiring you to recount the details of your day. Sound stressful or overwhelming? We often do that to kids when they get off the bus or slide into the car. Try a warm greeting to let them know you’re excited to see them, but pause until they’re settled before you ask anything. Try the phrasing “I was thinking about you today and I wondered….” It’s a gentle lead-in but also clues them in that you thought their day was important enough that you thought of it while they were gone. 

 

If you’re still not getting much engagement, don’t be discouraged. You can always flip the roles and model for them by telling them about your day instead. Remember, the goal here is not to get your child to talk to you, it’s to connect with them in a way that’s engaging and comfortable for them, and some days or for some kids, that can be as simple as silence while they decompress from the day or listening to their choice of music. 

 

 

 

 

Do We Have To Be Fighting to Be in Couples Therapy?

Do We Have To Be Fighting to Be in Couples Therapy?

When you think of couples therapy, most people conjure images of two people on a couch, angry and distant, trying to find a way to reconnect and “save” their marriage.  Sometimes that’s exactly what it looks like, but there are so many other situations where couples therapy can be beneficial. 

Below are some common reasons people seek (or should seek!) relational therapy:

 

  • Grief
    • Many people seek individual counseling when experiencing grief, but often this can be supplemented by couples therapy, especially if the grief is shared. The loss of a child, close family friend, or parent/in-law can all take a toll on the couple’s relational dynamic. 

 

  • Parenting differences
    • No two people have the exact same parenting style, and while hopefully you are generally on the same page as your co-parent, this doesn’t always happen. Even the smallest of parenting differences can cause friction and lead to disconnection or communication challenges. Some co-parents come to therapy together when they aren’t in a romantic relationship and have no plans to be. A healthy co-parenting relationship is so beneficial for the children involved, and therapy can help people seeking to repair communication, set boundaries, and heal wounds so they can be present for their children. 

 

  • Extended Family
    • Successfully navigating relationships with both sides of extended family is a common goal of couples therapy. Tension between a spouse and a family of origin can wreak havoc on a relationship, and can lead to challenging conversations with loyalties feeling pulled in all directions. 

 

  • Infertility
    • Often a grief process of its own, infertility can put a strain on a couple’s dynamic. The rollercoaster of emotions, changed expectations, and physical and financial hardships are incredibly challenging and many couples find it difficult to reconnect to one another through it all. 

 

  • Discernment 
    • Some couples come to therapy to decide if they want to put time and effort into repairing their relationship or separate, weighing all options. For those who decide they do want to remain together, more traditional couples therapy is then recommended. 

 

  • Intimacy
    • Intimacy changes for most couples as they navigate different seasons of their relationship, as well as outside influences/stressors. Identifying and expressing needs and reconnecting in this way is often a challenge, and this opportunity for connection can suffer when other communication challenges are present. 

 

  • Finances
    • When the stakes are high, tensions can be too. People approach finances in many different ways, but when there is a perceived threat to either your security (if your partner is more of a spender) or quality of life (if your partner is more of a saver), conflict and communication errors ensue. 

 

  • Acute and Chronic Illness
    • Many couples come in when navigating an acute or chronic illness. Acute illness often leads to shock, grief, and an immediate change in daily life. Chronic illnesses can bring a need for increased understanding and patience, and a change in labor division or a potential caretaking dynamic. 

 

  • Division of Labor
    • A major tenant of relationship well-being for many couples boils down to the basics of living in harmony, without either partner feeling they are taking on an unfair share of the domestic labor– things like laundry, dishes, keeping track of family events, even keeping toilet paper stocked in the house. These might seem inconsequential, but we all take cues about how we’re viewed and valued through these day-to-day experiences. 

 

While plenty of couples do come into therapy at a time of intense conflict and anger, there are many other reasons for seeking therapy with a partner (past or current). If you find yourself feeling disconnected, unsure of how to proceed or communicate successfully with your partner, now is the time to seek couples counseling! A skilled clinician can help you and your partner navigate the situations listed above (and so many others!) in a way that helps both people feel heard and secure as you work toward your goals.

 

 

 

6 Ways to Improve Your Self Awareness

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Be a Better Mental Health Ally: 7 Stigmatizing Phrases and What To Say Instead

Be a Better Mental Health Ally: 7 Stigmatizing Phrases and What To Say Instead

Chances are, you’ve either said or heard each of these phrases. While not typically used with ill-intent, imagine for a moment being someone who experiences the mental health challenges described, and how you might interpret these statements. Small, intentional changes to the words we use can have a huge impact on others, so let’s go through some common phrases, why they might be harmful or contribute to stigma, and an easy alternative for each. 

 

  1. I’m so OCD about _____.

 

We all have things we like a particular way, or feel some level of discomfort with if they are not done “properly”. However, OCD is a debilitating disorder that goes way beyond preferences or a bit of discomfort. While some people with OCD have obsessions and compulsions related to cleanliness and organization, there are many different themes, and reducing OCD to fixations on cleanliness dismisses these. 

 

Instead try: It’s really important to me that the kitchen be clean, I feel uncomfortable when it’s messy!

 

  1. Everyone is a little ADD/ADHD.

 

Everyone is forgetful sometimes, struggles to focus on tasks sometimes, and struggles to find motivation sometimes. However, people with ADHD experience symptoms like these (along with many others) every single day, to a level that interferes with their functioning. Again, saying that “we all” have some level of this downplays the challenges people with ADHD face.  

 

Instead try: Wow, I am so forgetful today!

 

  1. They’re so crazy/psycho!

 

People often use these terms to refer to someone displaying erratic or concerning behavior, whether or not it is related to a mental health diagnosis. It’s even used to refer to behavior we just don’t like, or to discredit someone. It is rarely, if ever, used with compassion, and if we are referring to people who are experiencing psychosis, delusions, mania, etc. it’s dismissive of the very real and terrifying experiences these people are going through. 

Instead try: They seem to be struggling to stay connected to reality, I wonder if we can connect them to support?

 

  1. I also experienced ______ and I’m fine!

Trauma affects everyone differently, and we do not get to decide what is traumatic to someone. Research has shown that two people experiencing the same event (car crash, natural disaster, etc.) can have wildly different responses. Your brain’s response does not negate another brain’s different response.

 

Instead try: That sounds like it was terrifying for you, how can I support you?

 

  1. It’s been _____ months/years, you’re not over that yet?

 

Trauma also has no timeline, and isn’t something we “get over”.  With help from tools like therapy, medication, and peer support many people can make incredible strides in healing from what happened to them, but trauma has lasting effects on the brain and nervous system. 

 

This also applies to knowing someone has been managing a mental health diagnosis (OCD, Depression, Anxiety, etc.) long-term. Many people do experience significant improvements to a level where they no longer meet diagnostic criteria or identify previous challenges as a concern, but many people experience chronic mental health challenges that require lifelong management. 

 

Instead try: I know this has been hard, let’s talk about how we continue supporting you. 

 

  1. That person/the weather here is so bipolar!

 

While there are scientific uses for the term bipolar, most people more commonly use this term to casually refer to something/someone that changes rapidly and without warning. Again, speaking this way is dismissive of the intense and terrifying experience of shifting between manic and depressive episodes. 

 

Instead try: The weather changes so quickly here!

 

  1. Kill me/I wanted to die!

 

For people who have experienced suicidal ideation or attempts, hearing other people casually or jokingly say things like this can contribute to the stigma that often stops people from seeking help. If you are experiencing suicidal thoughts (even passive ones!) it’s important to mention them so you can find help, but if you’re trying to find an impactful way to describe frustration, embarrassment, or shame, there are better options. Suicidal thoughts are more prevalent than you might think, and shouldn’t be the punchline in a joke. 

 

 Instead try: That was so embarrassing I wanted to run out of the room!

Now that you’re aware of the potentially harmful effects of these phrases, you might be surprised to notice how often you hear them used. To be a better mental health ally, first start but just noticing when you use them or when they come up for you, then try to consciously replace or correct yourself with something like the alternatives listed. Small changes make a big impact!

 

 

 

Anxiety: Your Friend?

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What to Expect in Your First Counseling Session

What to Expect in Your First Counseling Session

So you made the decision to start therapy. You sorted through lists of available therapists, found Star Meadow, and made an appointment. Congratulations! This is the hardest step, and we’re so proud of you for taking it. For most people who have never been to therapy there is some anxiety about what happens next, so let’s walk through what you can expect.

 

  • Paperwork

Before your appointment, you’ll be sent electronic intake paperwork through a secure platform called Simple Practice. You’ll receive information about informed consent for treatment, your therapist’s privacy policy, financial disclosures, etc. While it might be tempting to breeze through these kinds of documents, please slow down and read them thoroughly! Many of the questions you might have will be answered here, and your therapist will provide space to go over anything you want to discuss further. 

 

You’ll also receive some questionnaires and survey forms. Just like when you go to the doctor’s office, these forms are standardized for everyone so there may be questions that don’t seem relevant to you or why you’re coming in.  There is so much more to you than what we can fit on these intake documents, but they are a good starting place so your therapist knows what things might be important to talk about in your intake session.

 

  • Arriving For Your Appointment

If your appointment is in-person, you will make your way to our office (10000 NE 7th Ave. Suite 403, Vancouver, WA 98685). We have free parking, and you’ll take either the stairs or elevator to the 4th floor. Inside our waiting room, you’ll take a seat until your therapist comes to call you back to their room. 

 

If your appointment is via telehealth, you’ll receive a link from Simple Practice letting you know it’s time to join your appointment. Make sure you’re in a private, comfortable space with your ID handy. Your therapist will ask you to confirm your identity and that no one else is present in the room, and then you’ll get started!

 

  • The Intake Appointment

You made it! If meeting in person, your therapist’s office will have several different seating options; please sit where you feel most comfortable! The beginning of every intake session includes a few more administrative tasks like confirming your insurance details and signing any remaining consent or release forms. The intake process varies between clinicians, but generally, you can expect an introduction and orientation to how they structure their intake sessions, and then an open invitation to let them know what brings you to therapy. If you don’t feel like you know how to sum things up, that’s ok! We’re trained to help guide you, and we will go at your pace. Many therapists ask a series of questions to explore things that might be contributing to how you’re feeling like your family/relationship dynamics, medical history, work or school history, and past experiences. Please know that at any point if you are not comfortable discussing something, it is absolutely appropriate to let your therapist know this. Their goal is to understand what’s happening for you to help you feel better as quickly as possible, but always at your pace. 

 

  • What Happens Next

Some therapists start planning structured goals and identifying a treatment plan right away, while others prefer to set broad goals for now with the idea of defining them as they get to know you more. If you are using insurance, your therapist is required to list a diagnosis. This is what tells insurance to authorize covering your sessions.  Sometimes that is clear in a first session, and sometimes they need to list a more general diagnosis, to be more clearly defined once they work with you more. Please remember that your medical information (which includes mental health documents) is confidential and covered by HIPAA. For more information on this please visit: https://www.hhs.gov/sites/default/files/hipaa-privacy-rule-and-sharing-info-related-to-mental-health.pdf

 

The intake session can feel like a lot of information, but most folks find the second session to be more representative of what therapy with your provider will look like. If at any point you are feeling uncomfortable, want to slow down, or need something different please say so! Therapy is intended to be a collaborative process, and your therapist will be open to feedback about what you need. 

 

 

 

 

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3 Unconventional Ways to Stop a Panic Attack

3 Unconventional Ways to Stop a Panic Attack

Panic attacks feel different for everyone, but typically include sensations like a pounding heart, sweating, a feeling of terror, constricted or rapid breathing, and feeling as though the room is closing in on you or spinning. Regardless of how they present, a hallmark is that the normal things we might do to manage anxiety (deep breathing, CBT strategies, talking with a support person) often don’t work because our bodies and brains are too dysregulated to tap into those skills. If you’ve tried those things when a panic attack comes on and have been frustrated that they seem to not help, or even that they make things worse, you are not alone!  Below you’ll find a few strategies that may be more successful in the midst of a panic attack, and can help get you to a place of nervous system regulation that will make it possible to tap into those other skills. 


  1. Move.

A panic attack is signaling to your brain that there is a perceived threat it wants to get away from as fast as possible. It’s often not practical to truly run from the thing that is causing intense anxiety (a test or work presentation, a social interaction, etc.) but movement helps our brain calm down by reassuring it that if we were truly in danger, we could escape if needed.

 In the height of a panic attack, many people feel frozen even if their brain feels like it wants to run away. Larger movements like walking, jumping, or dancing can be the quickest way to reset the nervous system, however, many people find they are unable to do so in the moment. If that is the case for you, try focusing your energy on the smallest movement you can think of (lifting a finger or toe, wiggling in your chair, pressing your feet into the ground). Let these small movements build to larger movements to get the same calming effect and move through that feeling of being “stuck” or “frozen”. 

 

2. Taste Something Sour.

When experiencing a panic attack, our nervous system is entirely focused on the perceived threat at hand (sometimes people report experiencing “tunnel vision”) and it can feel like our brain and body forget that anything else exists. Eating something sour (or adding surprising sensory input of any kind) can help reset your nervous system into taking stock of what else is happening outside of the threat. You’ll need to follow-up with other coping skills after, but it can be enough to pull you out of the feeling that the panic attack is never going to end. Many people find success keeping sour candies on hand, especially when you’re in locations or situations that are anxiety-inducing.

 

3. Lean In

This one feels counterintuitive, but for many people the quickest way to stop a panic attack is to not try to stop it at all. Anxiety heightens when we try to ignore it. Imagine there was a person telling you the house was on fire, but you repeatedly responded, “no it’s not, it will be fine”. I doubt that person would agree and move on, instead they’d probably start yelling louder and louder until you finally took them seriously. For some people, coping strategies (especially things like distraction or positive statements) heighten anxiety and make panic attacks last longer. Try to imagine the panic attack as a roller coaster or wave, and remind yourself that this is a temporary state with an end point. It doesn’t feel great while it’s happening, but many people are surprised by how quickly they can move through a panic attack this way. 

It’s important to note that everyone responds to coping skills differently, and it can take some trial and error to create a toolbox of skills that work for you. These tips are meant for the immediate management of panic attacks, so if you are experiencing frequent panic attacks be sure to reach out to a therapist who can help you understand what might be triggering them and can work with you to identify strategies for long-term management. 

 

 

 

 

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