Would you go Mobile?

Posted by: Priya Senroy on February 29, 2016 4:29 pm

CaronmapI cannot imagine not having a physical location for my counselling practice. That was, to me, an essential building block to set up my practice. Whether it was private or in an organization, I have been fortunate enough to always have a space to operate from. But I sometimes find it to be restricting either geographically or in terms of the hours of operation. E-counselling has more flexibility when it comes to space as the barriers to accessing services are reduced.

I read about a counsellor who has a mobile office-an RV that goes into the community and acts a safe space that has all the necessary amenities and prerequisites to make it and actual ‘office’.

If there are any counsellors out there who are mobile, it would be interesting to get their view point on this and their pros and cons of operating from and office vs. doing e-counselling and vice-versa. We often talk of meeting the clients where they are at, so why not making ourselves mobile, accessible and transportable? We tell ourselves to be creative and think out of the box, so why not work out of a restrictive boxy immobile space?




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

One Step at a Time

Posted by: Dawn Schell on February 16, 2016 1:36 pm

runningFrom smartwatches to fitness tracking devices wearable technology has come a long way. You can buy glucose detecting contact lens, clothes that correct your posture, running shorts that give you real time audio feedback, leggings that measure your shape and make clothes shopping easier, heated trousers that warm up your muscles, and all manner of clothing and devices that track biometric information. You can learn how many calories you’ve burned, how well (or not) you slept last night, where, how far and how fast you ran/walked/cycled/swam. The list goes on and new items are being created even as we speak.

I have a lot of questions about wearable technologies, especially the ones designed to improve our fitness and health. Do they actually work? Are people becoming fitter? Are they motivating?

An article in Scientific American[1] states, “These devices are succeeding not because of their scientific qualities but because of their motivational ones…What the fitness bands do is to keep these issues front-of-mind. There it is, every time you turn on your phone: the latest stats on your progress. Most also show the results of friends who wear the same brand; it’s fitness through humiliation”.

Well, the last part of that certainly rings true when I think of my friends who own these devices. The competition can be fierce when it comes to step counting!

There is some contradictory research about these devices. Some researchers claim that pedometers are as motivating as fancy fitness trackers while others claim the opposite. Some claim that people stop using the devices in a relatively short period of time while other researchers find that users like and keep using them.   Are there long term effects? Do the behaviours these devices are designed to encourage stick long after we stop wearing the device? There are also questions about the privacy and security of the data that is collected.

It’s worth it to keep asking ourselves these questions and to think about ways in which we, as counsellors, may be able to use these technologies in our work with clients.

Dawn M. Schell, MA, CCC, CCDP is an affiliate of Worldwide Therapy Online Inc. http://www.therapyonline.ca

[1] http://www.scientificamerican.com/article/fitness-trackers-are-everywhere-but-do-they-work/




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

Pushing Through Anxiety

Posted by: Jennifer Morrison on January 26, 2016 2:47 pm

We know there seems to be a higher rate of anxiety and panic disorders then there was just a decade ago. Whether that is true, or whether it is just being diagnosed more is uncertain to me. Either way, anxiety seems to the driving force for student absenteeism. I currently have a few students who leave class and wander the hallways looking for places to hide, hopinAnxietyg the teacher forgets they are gone so they do not have to go back to class. Often times those students end up at my door. Sometime they are crying, shaking, trying to get out of the school, making excuses to leave, etc. I have built a habit of being very kind at first when a new student comes in who seems to be anxious. I let them talk, pace, draw or whatever they need to do to calm down for the time being. I have light hearted questions about family, friends, activities, favorite anything, whatever will keep them in my office and not wandering the halls again. I am usually pretty successful in this area and students start to come back to see me willingly.

For me, when students come to me because they want to, the real work begins. I must now do the careful dance of keeping up with the students’ feels, fears, ideas and thoughts without stepping on their toes. I want them to believe that I truly get it because I do. I live around anxiety everyday, at home with my husband and son and at work with staff and students. Working with my own loved ones’ anxiety disorder has helped me to see how it affects people and as a result I think it has made me a “you have to be cruel to be kind” kind of person. I go through a process where students are given tools to make it through and they need to learn them because I will not always be there for them, and sometimes I send them back to class after reminding them of all the resources they have at their disposable (just not me). I request that parents take their kids to school even on the hardest days. I ask teachers to not let my students out of class unless necessary and I send students back to class as soon as possible, whenever possible. I get strange looks from parents and staff but I tell them, “If you want this to get better sometimes they need to do the things that cause anxiety”. A person who is afraid of spiders will not be able to avoid them for the rest of their lives and those with school anxiety cannot avoid school either. They need to be in that moment and experience the uncomfortable, heart pounding moments when anxiety sets in. Feeling and surviving those emotions is part of the battle. Soon those feelings start to diminish and the more you face it and think and talk about it, the easier it gets. It may not ever go away in its entirety but you can learn how to deal with it day by day, minute by minute, hour by hour.




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

Welcoming the New Year

Posted by: Dawn Schell on January 13, 2016 12:18 pm

It’s a new year and that often means people are making resolutions, setting goals and planning ahead.   Each time the calendar rolls around to January ‘hope springs eternal’ as Alexander Pope said. We want to get focused and clear. We want to make changes in our lives. We want to dream new dreams.    How long those resolutions, goals and plans last is another issue altogether!

In the spirit of hope I would like to share some fabulous online tools that one can use to reflect on the year that was and plan for the year to come.

One tool I have used for a number of years is choosing a ‘Word-of-the-Year’. It’s not a resolution or a goal – more of an intention for the year or a way to explore the year ahead or a guide for the year ahead.   If you haven’t yet tried this approach you can find numerous examples in the ‘blog-o-sphere’, Facebook groups or on Pinterest. Just search for “word of the year” and you will find amazingly creative ideas for showcasing one’s word of the year as well as reflections on what the word means to individuals.

There are a myriad of methods to finding and using a word for the year.

Christine Kane, a business coach, offers a Word-of-the-Year discovery tool for free. There is an introduction to the idea, an idea generator and worksheet to guide you through the process of choosing a word for the year and, of course, an action planner. Cause it’s more useful when you identify steps you can take!

Sometimes it’s harder to choose a word than others.   But each time I have chosen one I have found it to be both personally and professionally useful. As Ms. Kane says, “Your word is meant to teach you about you.” The tool is easy to use. The clients I have recommended it to find it to be helpful as they begin a new year. Just FYI – you do have to enter your email address to get this tool.

http://christinekane.com/wordoftheyear

On a similar note Susannah Conway, author/photographer/teacher, offers a helpful free resource titled “Unravelling the Year Ahead 2016”. Her Unravelling e-workbook has thought-provoking questions about the year that was and provides reflecting exercises for the year ahead. Having used this workbook with individual and group clients the feedback is overwhelmingly positive.

http://www.susannahconway.com/2015/12/were-coming-for-you-2016/

Finally, there is Leonie Dawson’s ‘Guide to creating your shining year’. Leonie Dawson is an entrepreneur and coach based in Australia. She guides you through a series of questions and reflections on the previous year and her creative questions about the coming year allow you to explore a number of different areas of life and set goals for each of these areas (e.g. physical, spiritual, financial).   For a small cost you can download her e-workbooks or order hard copies.

http://leoniedawson.com/

As with many goals/resolutions/intentions the keys to actually doing what one says one is going to do are:

  • Be accountable to someone – share your goals, hopes, dreams, intentions
  • Take small steps
  • Regularly review your progress
  • Celebrate your successes
  • Be gentle, kind and compassionate with yourself
  • 2016 – ready or not – here we come!

2016Dawn M. Schell, MA, CCC, CCDP is an affiliate counsellor with Worldwide Therapy Online Inc. http://www.therapyonline.ca




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

The Medium Is The Message

Posted by: Sherry Law on January 6, 2016 3:02 pm

Marshall_McLuhanYou may be familiar with the title of this blog post as it comes from the works of Marshall McLuhan, a prominent Canadian philosopher. He specialized in the area of communications theory at the University of Toronto and spoke at length about media and its effect on society, locally and globally. His claim that the medium is the message describes how the medium by which information is transmitted ultimately reorganizes human behaviour. The idea emerged during the transition of mass media transmission from radio to television, but applies to all other mediums such as printed words, telephones, texting, movies, and the internet. Indeed, there are more mediums from which to transmit information and communications than McLuhan could have imagined as he died in 1980. His ideas hold more weight today than ever.

To expand on the concept, the advent of the printing press allowed for literacy to emerge as a normative experience. Literacy changed the way the individual received information about the world. Before the printing press, individuals derived their understanding of events and life experiences through others by oral tradition, or sermon. The printing press provided a choice to disband from the community into individual contemplation. As literacy became standardized, individuals were able to question the information received through oral tradition and extend their relationship with history and the imagined future. Instead of relying on institution and the wealthy to be the sole inspiration of our human experience, thoughts, creativity, historical perspective, and in essence the human narrative was becoming democratized. Individuals were able to construct their own plays, journals, poetry, fictions, research, and with each published work, develop new industry and physical structures as testaments of the effects of the new medium: the printed word. In the same way, the internet has shifted humans in how we communicate with one another. A global culture has begun to emerge through the medium of the internet, and a collective consciousness extends our relationship to “the other”. Our social lives are now intimately connected to screened devices, giving humans the choice to connect to others through electronics rather than having to share physical space, therefore retribalizing by democratizing the social experience in a global arena.

In my blogging history, I have written about the phenomenon of presence, a state generated through virtual reality (VR) whereby the audience’s sensory experience has been transported to a virtual space. This new medium, VR, in conjunction with the internet, will and has already begun changing how humans organize. Social media has become a vessel of unprecedented influence in many aspects of life, from changing our eating habits, our day to day routines, to providing a global stage for outrage and political mobilization. Once these elements merge with a more globalized physiological experience through the medium of VR, the change in our social fabric will be dramatic.

As psychotherapists, it is critical to consider our clients and ourselves within the context of the larger scheme. After all, what is empathy without the recognition of the individual within their lived experience?




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

Do our screens get in the way of people?

Posted by: Sherry Law on November 25, 2015 11:59 am

The Technology in Counselling Chapter of the CCPA has been one of the quickest chapters to form it its history. It is difficult to ignore the captivating nature of these devices while everyone is kept busy tapping away. Our integration of these devices into our day to day may explain some of the interest practitioners may have. However, when I approach those with an interest it seems people are still wrought with uncertainty about their technological literacy and shy to dig their hands into tech.

When I get a better understanding of these folks perspective, it dawns on me that they are unsure because they don’t believe they understand technology, even though they use it every day. Technology seems strange, different, and to a psychotherapist, even a bit arcane. Psychotherapists are studied in the art of personal interaction, where computers and screens seem devoid of it. The flickering screens that people are so focused on seemingly distract from personal interactions. The buzzing, bleeps, and rings from devices sound alien, not like human voices at all, and again, devoid of the human spirit.

Skype.Blog.PictureI grew up with technology. From a young age, the computer screen was my portal to be with my friends during most of my adolescence when my family would shelter me from contact with my peers. I learned how to build relationships through AIM, MSN, and Facebook chats. During my formative years, I would spend hours toiling away at a thought, or analyzing the thoughts of others through the computer and keyboard. Now in my adult life, I continue to use similar platforms to stay in touch with others and practice the same process, even evolving the way in which I spend time with my friends through the computer. I have web conferenced with friends to teach them how to use their Ebay accounts. I have bonded over online e-sports competitions such as StarCraft with co-workers a province away whom I’ve never met. I also spend quality time playing games with friends, getting to know them by how they problem solve, how they react to stressful situations, and team building, not unlike engaging in a sport with a group of friends.

In other words, my experience with technology is one of human connectivity. When I look at a computer screen, I see friends and ways to interact with people. When I hear a chime on my phone, or feel it vibrate, I’m delighted because it may be a co-worker, or a friend that wants to catch up. Seeing technology does not have to be scary. It’s a matter of seeing beyond the screen and thinking about the person on the other side. Being technologically literate begins with understanding that there’s nothing to be scared of. Part of that journey is understanding that the device is simply a window to people.




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

How To Make Meaning of Political Violence Directed at Innocent Civilians When it Hits Your Home in Paris on a Random Friday Night?

Posted by: Barry D'Souza on November 18, 2015 4:05 pm

Please note that this blog article was written on November 16th

EiffelTowerThe title of this blog entry follows what I wondered as I came home on the TGV this morning. When the carnage began to unfold Friday night, I was hosting my therapist meditation group. It was only when my son-in-law who texted me to check that I was alright much later – he’d heard of me going to the Bataclan to see concerts many times before – that I had any inkling of war coming to Paris.

I turned on the TV and began to watch news coverage of what was a momentary hiatus in the bloody assault as I cleaned up plates from the potluck that we have after our blissful meditations. I thought, this is the essence of shock! Parisiens, in all variations from the “furthest away” of thinking that anything like that could possibly happen in our streets – were being pulled into something very awful of which only the first few dimensions were perceived.

Most of the restaurant killing had been completed but there were hundreds of hostages in the concert hall. I stayed awake as long as I could. Casualty figures were modest at 1am, but, I knew that when I woke, countless of those hostages would be among the freshly dead that Paris would mourn. When I had to go to bed I felt some nibbling guilt – for weeks I had had plans to catch up with an old friend down in Montpellier. I had a train to catch the next morning. Already, I wasn’t the slightest aware of the killing as it happened, and then when the rest of my Paris would start to reel, I’d be away.

This weekend, as I realized the randomness of who happened to be in the places where ISIS chose to slaughter, and felt amongst other things, political worries for what would come next, I yearned for many things. I wanted to have an expression of solidarity with those who lost their lives, their families and those who just felt the pain of the meaning of Friday night in Paris. I wanted to commemorate all of those who were unknown to me and to whom up until Friday were living their ordinary lives. I wanted to feel a little vicarious pain, imagine and connect with the loss, from all sorts of personal angles.

With the friends in Montpellier, amidst our ‘catching-up’, we shared on many aspects of the human side of processing. Sunday afternoon, when it was so beautifully blue skied, sunny and warm, I went for a walk, sat in the Parc de Peyrou and falling into a sublime moment of peace, felt no nibbling of guilt. Coming together as friends, as a group, as societies, to feel and to make gestures confirming our humanity is part of the meaning-making in the short term, I am sure. We Parisiens might do well to take our time here. Attempts to make more absolute meaning of Friday, November 13 in Paris, in what is the long, ideological war of attrition between opposite sides of the war on/of terrorism, (where civilian casualty and trauma is bountiful), might end up choosing anger and fear as the basis for a response…not that anger and fear are not understandable and rightful responses just now. So here then is my immediate decision to make meaning of weekend events over the longer term – I hope to be a ‘present’ force of humanity-confirming senses in the midst of crazy violence.




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

The Wild West of Psychobiotics

Posted by: Trudi Wyatt on November 12, 2015 11:22 am

I’ve been reading a lot lately about the nervous system connection between the gut and the mind—primarily, about the importance of the vagus nerve that connects the GI system to the brain, and whose branches orchestrate whether we respond to changes in the environment via social engagement, fight or flight, or shutting down. This past Saturday however I was reminded of another gut-mind connection when I noticed an emailed Wellness Tip from The Cleveland Clinic that mentioned that “Over time, your microbiome may influence everything from your weight to your risk of chronic illness — including your mental health.”

What is your microbmicrobesiome? It refers to the genetic material of the vast collection of microbes (bacteria) that line your GI system and that also live on your body. (1) This collection can weigh up to 6 pounds, has 2 million genes (vs. our own humble 23,000), and can be thought of as another organ with potentially diverse functions still to be discovered and confirmed.

I first read about the microbiome in The New York Times Magazine’s June 28, 2015 mental health edition, in an article entitled Gut Feelings, by Peter Andrey Smith. Gut Feelings described a compelling hypothesis currently being investigated that suggests that gut microbes might influence mental states like anxiety and depression, and explored some possible mechanisms of action of this influence. This hypothesis seems plausible to me, as many clients with depressive and anxious (especially anxious) symptoms also report GI symptoms; and, as the article describes, intestinal disorders “coincide with high levels of major depression and anxiety”. So compelling is this hypothesis that the US Taxpayer-funded National Institute of Mental Health in September 2014 offered four grants of $1 million each to support research on the gut microbiome’s role in mental disorders.

“Somehow” the article describes, “micro-organisms in the gut tickle a sensory nerve ending in the… intestine and carry that electrical impulse up the vagus nerve and into the deep-brain structures thought to be responsible for elemental emotions like anxiety.” The article explains that neurotransmitters like dopamine, serotonin, and GABA—the same ones that are thought to communicate and regulate mood in the brain, and that are often targeted with antidepressant and anti-anxiety medications—are actually also secreted by these microbes in the intestinal tract. Thus, much of our supply of neurochemicals may originate in the gut; and thus, these bacteria might affect the brain and mental health. And hence, neuroscientists John Cryan and Ted Dinan have named these potentially mind-altering microbes ‘psychobiotics’.

What are the implications? Will changing someone’s bacteria one day be a treatment option for mental health issues? For example, in one experiment by Cryan and Dinan, mice fed bacteria kept swimming longer when placed in water than their counterparts, who gave up sooner and just floated in “behavioural despair” (or “immobilized woe”).

This treatment application is perhaps plausible, but still very far from supported, as the research is still in its infancy. But, certainly food for thought!

Trudi Wyatt, MA, RP, CCC is a Registered Psychotherapist and Canadian Certified Counsellor in Private Practice in downtown Toronto. She has been practising for over six years and currently works with individual adults on a variety of life challenges such as depression, anxiety, anger, trauma issues, and career choices.




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

Thanks to a Culture of Gratitude

Posted by: Farah Lodi on October 22, 2015 5:00 am

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Tons of research has been done on the psychological benefits of gratitude. Reading studies is one thing, but coming face to face with grateful clients in my practice is a joy to see and I find that gratitude is uplifting and contagious.

But have you noticed how sometimes, when you pay someone a compliment, rather than saying “thank you”, their spontaneous reaction is to negate what you are saying? “Oh I could have done better”, “it was nothing”, or “well I just got lucky”. This kind of response can be based on the cultural view that accepting praise is egotistical, and in certain cultures there may be other indirect ways to show appreciation rather than giving thanks. But in many cases people who feel unworthy of praise lack gratitude. A mindset that focuses on “should, have to and must” is unappreciative of the way things are, and looking for what’s perceived as missing. Some people have been conditioned to think this way because of demanding parents, a tendency to compare with others, an overdeveloped drive to achieve, or cultural training that stresses putting oneself down in public – but whatever the cause, lack of gratitude leads to feelings of dissatisfaction. A client of mine, who disregards all the positive factors that are present in her life and instead dwells on what “should” be, is emotionally exhausted by her quest for perfection and can’t identify a single thing she’s genuinely grateful for. This is the root cause of her dysthemia. I have several other cases where cognitive errors such as disqualifying the positive, maximizing and minimizing or mental filtering lead to an alarming and disabling lack of gratitude.

On the other hand, I’ve worked with people from cultures where the practice of gratitude is an essential aspect of daily life. Some of these clients embrace gratitude as part of cultural, religious or spiritual practice, while others just embody this virtue as part of healthy psychological resiliency. The self-talk which is generated by a verbal “thanks” or “how kind of you”, is usually self-soothing, self-accepting and self-reassuring. Positivity over-rides negativity in their interpretations of life events. I have even seen extreme gratitude where a young grieving mother whose toddler had drowned in the family swimming pool said “I really really miss him, but thank God I was lucky to have had two years with him, and I am blessed with two other children”. At a deeper level she was expressing her way of finding meaning in this most difficult life situation. While the grief was overwhelming, it was cushioned by gratitude. Not only is gratitude a culturally expected characteristic of leading a good life, but it’s a powerful coping mechanism.

Like any habit, developing a culture of gratitude takes practice. Daily journaling of good things that happened and things you are looking forward to is an excellent ritual. Charity work where you help those less fortunate than yourself helps you see things through a more grateful lens. Slowing down and consciously savoring good moments will help train your thoughts to be grateful. Being grateful……ahh, what a beautiful feeling that is!




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

Technology: the easy scapegoat

Posted by: Sherry Law on October 21, 2015 5:00 am

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Recently, technology and its effect on the human attention span has become a growing topic of discussion. When people develop issues which may include a technology element, there are often quick judgements and a cursory analysis typically highlight technology as the main culprit. All the while technology has become an increasingly irremovable part of our environment. Even among friends, family, and the public at large, it is a common attitude that technology can lead to dependency and estrangement, oftentimes applied towards the youth. However, this could simply be a change in behaviour due to a change in environment.

As a mental health service worker, and also a technology enthusiast, my perspective on the matter is different. Hearing the attitudes of change as negative by default sparked interest in me to consider looking at change in a different way. Is the change present? According to some research  humans have shown indication that there is a drop in focus time during certain activities. But should we be concerned by this? Some are pre-emptively saying “yes”. Continue reading




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