Prioritization and Time Management

Posted by: Andrea Cashman on June 4, 2014 3:51 pm

Running your own business requires patience and persistence but not only that, it requires you to be great at time management and prioritization. Chances are, if you are beginning your practice you already have other means for income in another job or career. You may also be juggling family and caregiver issues. Learning how to be effective at prioritizing and time management will give you the skills to become a great therapist without you losing your cool or experiencing burnout. It is important to note that you need to establish limits and boundaries for yourself. Failure to acknowledge this can lead to high expectations and perfectionism with resultant burnout. Let’s face it, you cannot be in all places and do everything at any given time. You should give the most time to the most pressing of issues and realize that you are human. For example, I may prioritize attending a workshop over researching for my next website blog post. I have to admit, I wasn’t always the best at time management. You would think as a registered nurse I had mastered time management…but this didn’t translate to counselling in the beginning for me. I sometimes got overwhelmed with the amount of things I needed to do to market myself or expand in my practice and expertise. That’s when I started to turn towards a to-do list. I’m not a to-do list type of person in my personal life but I have used one frequently for my practice. Checking off items on my to-do list gave me a great sense of accomplishment. My to-do list is always full as I am ambitious; however, I have realized the need to put self-care first so I don’t burnout as a counsellor. I don’t berate myself if I don’t meet a deadline I’ve set for myself as tomorrow is another day. You may even use your calendar or agenda to map out some key items you’d like to accomplish that day.  Another great tip is to have an effective work space in order to accomplish more. I personally use my office more as it forces me to work; whereas my home office is subject to distractions. Your ability to block out or limit distractions is essential to getting more work done. You may find it beneficial to turn off your phone and make specific time allotments to work on your career development. Give yourself more time to work on higher priorities. Time management also translates to the counselling sessions themselves. It is important that you have some time between clients, especially if some cases are emotionally draining. Having at least 10 minutes between clients allows you to prepare for the next client.

If you are still struggling with time management, I suggest seeking online resources and/or books to assist you. Remember not to overextend yourself. You need to take care of yourself so that you can effectively counsel your clients.


Andrea Cashman is a private practice counsellor who has founded Holistic Counselling Services for individual clients seeking therapy in Ottawa, ON. She also practices at the Ottawa Hospital as a registered nurse. Feel free to comment below or contact her at
[email protected] or visit her website at www.holisticcounsellingservices.ca

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

SLCHG Pilot Project: COLLABORATING

Posted by: Linda AK Thompson on June 4, 2014 3:45 pm

This project [3] spans 4 years [September 2013 to November 2014 or 50 months] and 9 months [18%] of the time-line has lapsed since launched.  The motivating factor was based on client psychotherapeutic needs expressed by the target population: a small sub-group of clients, who despite many years of traditional/publically funded health care treatment, plus concurrent use of privately funded complimentary/alternative medicines/therapies [CAM], continued to struggle and suffer from high degrees of dis-ease or treatment resistant, thwarted trauma responses.   The impact [depth of suffering] upon their overall health/wellness and functional abilities was noteworthy in their activities of daily living [ADL], and familial plus work-related relationships.

The project hypothesis is that the target population, who meet criteria proposed for C-PTSD [1], may benefit from a practical, clinically coordinated and collaborative team approach of healing-to-cure health care design as mentioned in previous articles http://www.ccpa-accp.ca/blog/?p=3192 .  Additionally, the co-investigators are searching for 16 more research control subjects http://www.ccpa-accp.ca/blog/?p=3436  in order to complete comparative analysis of the selected trauma [research] test instruments administered to the target population for the purposes of the project.  My primary practice role[s] and function[s] remains and continues to focus on engaging [research, advocacy, healing] with heroic survivors who are capable of self-directing their recovery and healing-to-cure programs/journeys.  Being the eternal optimist I am, as evidenced by my own healing-to-cure journey plus 50 years of service delivery in the helping professions [trauma nursing/trauma counselling]; I know my greatest clinical psychotherapeutic skill set is patience with active listening [content analysis] in the depth-of-“it”-all.  I am willing to work creatively with people, who are internally motivated and embarked on healing-to-cure journeys.  They are the experts, no matter what “it” represents at the depth of their own core sense of being.  I am able to stand firm with them, in the now, for I remain anchored by faith, hope and love at my own core.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

The Therapist’s Office as a Therapeutic Tool (Part 2)

Posted by: Jaclyn Trecartin on May 30, 2014 8:00 am

The first part of this topic introduced the concept of stabilization as it relates to office space, and looked at how light and natural elements can be used as a therapeutic tool.  This post will discuss how sounds contributes to a  stabilized environment.

Sound

Depending on your office set-up, you may need more sound buffers than others.  If you share a space with other professionals and are close to a waiting/reception area, you will want to create a soundscape that allows your sessions to not be overheard as well as preventing outside noise from disrupting you and your clients.  Both scenarios prevent stabilization.

Music

Music playing in the waiting area can do wonders to cut back on sound pollution.  Keep in mind the environment you wish to create when choosing the tunes.  Most likely, heavy rock will not be appropriate (but you never know!).  Jazz, spa/nature sounds, classical music, instrumental versions of popular songs are popular waiting area soundtracks that may work for you and your space.

I also like to have natural sound CDs playing on low in my therapy room.  Not only does it help buffer sound, I find it really creates a calmer atmosphere in my office, setting the tone for sessions.  Currently, rain sounds are my personal favourite.

Water Features

Outside my office, there is a water fountain hanging on the wall.  This creates a solid sounding babble, which adds to the soundscape I strive to create.  Not only is it practical—the fountain acts as a sound barrier, it is soothing.  A word of advice: if you are putting a fountain in your office, go for one designed for interior spaces.  The one outside my office is meant for gardens and, therefore, was too loud (the opposite of being stabilizing!) in my therapy room.

White Noise Machines

This is one piece of equipment I currently do not have, although one is on order.  You can buy a machine that only offers white noise, or a go for a model with other options as well (such as rainforest sounds, waves, et cetera).  I lean towards the models with more options.  As well as acting as a sound buffer, white noise machines can be incredibly soothing!

 

This concludes the posts on stabilization in therapy, and how the space in which we conduct sessions is a vital tool.  If you have questions or comments, I would love to hear from you!  Email me at [email protected] and we can chat more!

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Find Control Through Mindfulness

Posted by: Reena Sandhu on May 28, 2014 9:00 am

The busier our lives get, the more we get pulled into different directions. Often people describe this experience as being on autopilot. The Buddhist describe this experience as suffering. The old Buddhist thought is that if we are always on autopilot we must be fighting feelings that we do not want to feel. As a result, the suffering increases enormously and we try every attempt to avoid the initial feelings we were fighting by staying in autopilot. With awareness of every thought, image or sensation, simultaneously there is a feeling attached that is either pleasant, unpleasant or neutral. If you’re like most people and you’re running on autopilot daily, these feelings usually go unnoticed and you’re left with just your thoughts, and perhaps even an emotional reaction or two.

Naturally, our mind wants more of the pleasant feelings in life and we want to avoid those feelings that are unpleasant. The more we react to the pleasant feelings, the more we are strengthen a neuro-connection in the mind that reduces the unpleasant experience. In other words, you either attach to something pleasant or move away from the unpleasant feeling. The more we attach to sensations, the more we build habitual reactions. These habitual reactions then become the basis for our emotions. When we avoid these feelings, they often produce anxiety within us.

If we open ourselves up to every experience we will realize that we can increase our tolerance and acceptance for uncomfortable feelings. This is the basis of mindfulness. Mindfulness works by being attentive, accepting, and non-judgmental towards every thought and feeling that arises. By being insightful towards your emotional life, you will start to become more aware, in control, and less reactive. As a result, you may be able to increase your tolerance in situations, rather than reacting to the situation.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Burnout Squared

Posted by: Bhavna Verma on May 28, 2014 8:00 am

How are our personal lives connected with our professional lives? And how can the two combined create an equation that expedites burnout to the square and lead to bad decisions? When my personal life seems to be shaken up, I noticed that it takes a toll on me while in my counselling office. I did not have the energy to work through a long day and had difficulty remaining in the present. Feelings and thoughts began impeding my sessions. When I became cognizant of my thoughts, I immediately felt guilty. This of course lead to thought errors. As I became mindful of my thoughts and feelings, I put my personal issues aside and completed all scheduled appointments. By the end of the day work day, I was not only mentally and emotionally exhausted, but felt physically drained too; however, my day wasn’t over just yet. I still had to work through the issues that were causing distress in my personal life. I immediately craved McDonald’s. That’s my go-to comfort food for when I’m feeling overwhelmed. I’m vegetarian, so in order to fulfill my craving, I order the BigMac without the meat patty. I request fresh fries and sometimes ask for tartar sauce on the side to dunk my fries in. Yes, I am admitting to my very unhealthy coping mechanism. However, having had a mindful moment earlier in the day, I had another mindful moment while making my way to the closest McDonald’s; the veggie BigMac will not help me feel better. So, instead, I made my way to the gym, got on the elliptical and spent the next half hour going through the motions. It was amazing! That night, when I got into bed, I reflected. I thought about how difficult maintaining personal and professional boundaries can be, how having a bad personal day coupled with challenging clients can take a toll on mental well-being, and then spent another 15 to 20 minutes re-experiencing the emotional rollercoaster I was on earlier. And then I thought about how stress squared can very quickly lead to unhealthy coping skills. Yet, as I laid in bed, I couldn’t help but smile. I was proud of myself for actually getting to the gym rather than eating food that would have made my stomach upset! But, I was also concerned about how the combination of my personal and professional lives created double the amount of stress for me. I felt overwhelmed. I started realizing how quickly my mental health can deteriorate if I don’t have a toolkit filled with strategies to deal with all kinds of stress. I was glad that I had a moment of clarity and went to the gym. I just hope that the next time I feel this overwhelmed, that I am able to pull out other strategies so that the thought of going to McDonald’s is not even an option.

 

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Developing a Digital Identity – Erikson Gets an Upgrade

Posted by: Dawn Schell on May 27, 2014 3:30 pm

I remember my first encounter with a personal computer.   It was 1984 and the professor I was working for had acquired a Mac.  One of my job requirements was learning how to use it.   At that point I had barely learned how to use an electronic typewriter and struggled with getting my assignments done on the university mainframe computer.

My professor sat me down in front of the computer and asked me a very important question.   “What are you most afraid will happen?”   I knew my answer was silly but I couldn’t help believing it might just be true.

“I’m afraid it will explode and you will lose everything.”

Thankfully he didn’t laugh.   He assured me there would not be an explosion and then, patiently, led me step by step through the process of learning how to use the technology.

At the recent International Association for Counselling Conference I attended a session by Jody Rempel on “Developing an integrated digital sense of self”.  Jody Rempel and Dr. Paul Jerry of Athabasca University did something quite brilliant.  They took Erikson’s 8 stages of psychosocial development and applied it to our adoption of technology.

As I reflected on the 8 stages I was reminded of that first encounter with a Mac.  And with every technological change I have gone through since then!  It goes across the generations too.  Yesterday, a grade 9 student told me “my computer hates me”.

Here’s a quick summary of the stages as it relates to adopting technology.

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*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Career Conversations with Kids?

Posted by: Mark Franklin on May 27, 2014 3:27 pm

In talking about career development for children as young as three to six years old (Career Buzz, May 14, 2014), Sarah Brown emphasized the importance of the uniqueness of each child. Even before setting kids loose to play in an animated and online “Career Town,” Sarah, who’s the product manager for ccSpark! from Career Cruising, said you need to help kids become more aware of their own preferences. Drawing on Piaget’s theory of development, Sarah said the program asks kids, “How many people are in your family? What is your favourite colour?”

Simple questions about one’s unique situation and preferences help make kids more aware of theirown preferences and uniqueness, which down the road can aid in career choice making. No, the program doesn’t aim to make kids choose a career at such a young age, but yes, it does help build self-awareness, and awareness of actual careers. For example, in the hospital in Career Town work more than just doctors and nurses — just like in a real hospital.

What are the clues that apply to you? In today’s fast-paced world of work it’s easy to lose sight of how well our work aligns with our own preferences. No, there’s no such thing as a soul-mate career where all your preferences are satisfied all the time. However, there is a big difference between a role that aligns with 80% of your preferences, strengths and desires, and one that aligns with only 20%. Try this:  Quick: What’s your favourite colour? ____  What’s your favourite number? ____  What’s most important to you in a job? ____.   Now, from 1 (low) to 10 (high), how much are you satisfying that desire from question 3, at work? What can you do to increase the amount by one point?

Listen to the whole interview with Sarah Brown and Kyle Phillips of Career Cruising, and Dave WeirElementary Student Success Teacher with Hamilton Wentworth School Board.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Mothers and Fathers

Posted by: Farah Lodi on May 27, 2014 3:23 pm

There’s a saying in some cultures that “heaven lies under a mother’s feet” – I think it reflects the sacrifice that mothers make as child bearers. Please dads, don’t feel left out. Recently I’ve witnessed overwhelming paternal love that is so full of heart breaking worry, that it hurts. This type of fatherly feeling has no cultural or geographic boundaries. Six current cases come to mind, three of them of Western ethnicity, and three from Eastern traditions. Even though their world views, languages, and outer appearances vary, these men all share a common internal state: a feeling of desperation and a willingness to do whatever it takes to help cure their emotionally unwell kids (who range in age from 15 to 34).

The parallels are amazing. Each of these cases is very different in terms of family history, life situations and diagnoses. But each of these ethnically diverse dads is brainstorming, searching, and acting in a way that can only be driven by unconditional love. Make no mistake, they are not weak or lacking in resiliency. Each of these men is psychologically hardy in his own way. But the pain shows on their faces, and I can hear it in their shaky voices as they struggle to try to understand what’s happening to their children. For the Western -oriented dads, when their adult “child” has debilitating OCD behaviors, or alcoholism, the cultural ideal of fostering independence and self-sufficiency in one’s off-spring  seems to melt away; when it’s their flesh and blood who may be suicidal or in the downward spiral of depression these dads will do whatever it takes to rescue their kids.

When faced with similar trauma, Eastern dads let go of the stigma and shame linked with DSM Axis 2 personality disorders. I see them side-stepping family and community support typical of collectivist cultures – in an effort to seek the best possible empirically proven treatments. It’s heartbreaking to see a dad’s despair. It’s also a reminder that we are all just human. Sometimes we are stripped of the protective layers that culture surrounds us with, stripped down to bare emotions and vulnerability that is universal. After seeing what these brave, committed dads go through when faced with the possibility of losing their children to mental disease, I’m convinced, heaven must lie under a father’s feet too.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Saving Money As a Child Therapist

Posted by: Jaclyn Trecartin on May 20, 2014 9:25 am

Being a child therapist comes with a lot of stuff: art supplies, toys, sand and water tables are common tools of the trade.  As with any tools, they can get pricey.  While I would love to have tons of fantasy figurines, artisan puppets, and professional-grade art supplies, these are not in the budget.  However, with a bit of creativity and some effort, child therapists can have an office brimming with these tools at a reasonable cost.

Plan Out Your Space:

This means, before buying supplies and toys, pause and think, “What do I need and what do I have room for?” You may be surprised at how much stuff you can pass on.  What are the bare bones you need for your work?  Go with that and build up.  In my practice, the essentials are: a dollhouse and dolls/figurines, miniature vehicles, a selection of stuffed animals (which can double as puppets), play-doh and clay, paint and paint brushes, baby dolls, some building toys (like lego), and a sand table.  Everything else, though wonderful, is the icing on the cake.  Keep in mind also what your space can actually hold.  I have passed some excellent deals because I simply have no room.

Dollar Stores, DIY and Second Hand (Or, Even Better…Free!)

Guess what? Your dollhouse doesn’t have to be a deluxe model with multiple rooms.  A simple one from a dollar store will do nicely.  You could always make one from old boxes or bookcases that you have lying around, saving money and reusing! On the topic of DIY, if you don’t feel comfortable tackling a project ask around for help.  My dad’s friend teaches a carpentry class and as a project, they made my sand tray: complete with lid and rolling table (with storage!) A few gift certificates as a thank you were much more economical than buying it new.

Thrift stores, yard sales, and kijiji are treasure troves for supplies.  A two-dollar palette of watercolours will work just as well in a session as a twelve dollar one, while some elbow grease and cleaner makes used items sparkly again (I highly recommend magic erasers).  Additionally, a trip through the washer and dryer helps restore second hand stuffed toys to their former glory.

The best price is most definitely free! It also doesn’t hurt to tell friends and family you are on the look out for certain items, maybe they (or someone they know) are purging old toys, etc.  Look around you for supplies in the recycling bin and in nature.  Beach comb some seashells and rocks for your sand tray—it won’t cost you a dime and you’ll likely have fun doing it.

So You Don’t Have “It All”…Don’t Stress!

You know what the amazing thing about working with kids is?  They are, by nature, creative.  So, if your client NEEDS a bridge to go in the sand tray, she’ll likely find something to stand in for one (such as sheet of paper), or ask for your aid. They are only limited by their imaginations, not by your supply of tools!

 




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA

Serving, Deploying and Collecting Stories

Posted by: Mark Franklin on May 20, 2014 8:00 am

“One of the incredible things about being a chaplain in the Canadian Forces is that you walk with the people who are there,” Padre Francesca Scorsone told Career Buzz listeners (April 23, 2014). “You’re going outside the wire with them, you’re going where they go,” said Padre Francesca, who has deployed to Afghanistan.

 

As a girl, Francesca wanted to be a movie star — so she went to theatre school and did auditions. A visit to an AIDS orphanage in Africa run by nuns made her want to serve her faith, but she didn’t know how. A chance meeting with a Canadian Forces recruiter changed that. “As chaplains we’re collectors of the stories,” she said. “We’re a safe place for people to come to talk about all kinds of things. It’s not just about faith, it’s about their life journey.”

What are the clues that apply to you? Padre Francesca loves her job and says you can serve God anywhere, but in the military you can do it in helicopter. Like her, consider how you can ‘redeploy’ existing skills or interests in your career in a new way. Try this:  Take a page out of Padre Francesca’s book and collect a few stories from co-workers or people in your life. Ask: What do you like about what you do? What don’t you like? Would you make the same choices again? How else do you think you could use your skills in the world of work? Then, see how you can use the clues you receive!

 

Need help redeploying your skills in new ways? Check our flagship career change program.

 

Listen to the whole interview with Padre Francesca Scorsone, Padre Stephen Morris, and Greg Redford.




*The views expressed by our authors are personal opinions and do not necessarily reflect the views of the CCPA