Ecotherapy And The Healing Power of Nature

by Melody Wright, LMFT

We all know that spending time outdoors is good for us. Many of us are instinctively drawn to nature and enjoy outdoor forms of exercise like hiking, biking, or swimming. But nature does not only affect our physical health: it impacts our mental health as well.

Research has found that spending time in nature offers various mental health benefits. Spending time outdoors has long been a popular self-help strategy for individuals struggling with mental health issues or psychological stress. Now, even mental healthcare professionals are harnessing its advantages to help clients struggling with anxiety, depression, and more. 

The practice of incorporating nature into mental healthcare is known as ecotherapy or ecopsychology. Ecotherapy is a relatively new therapeutic specialty, but it shows substantial promise in the field. As a client (or potential client), here's what you should know about ecotherapy and how it can help you thrive.

The Mental Health Benefits of Nature

Studies dating back to the 1970s and 80s have documented the health-promoting effects of nature. For example, in a study conducted between 1972 and 1981, and published in 1984, Ulrich found that patients recovering from surgery had shorter hospital stays when their rooms came with a view of the outdoors.Nature has also been found to have a profound influence on mood and cognition. Ulrich observed in 1991 that the brains of healthy, unstressed individuals viewing scenes of nature produced more serotonin than the brains of those not looking at natural scenes. The benefits are not only biological: individuals in connection with nature report greater subjective feelings of happiness, too.Research has only recently begun to explore the implications of nature on psychopathology. Nature-based interventions have been successful in helping individuals with post-traumatic stress disorder (PTSD). Ecotherapy may also be helpful for people with schizophrenia, impacting both their physical health and self-esteem.So, why is connecting with nature so helpful for our health? Experts have proposed an explanation called the biophilia hypothesis. According to this hypothesis, humans have an innate drive to connect with nature because our ancestors relied on the land for their survival. Another hypothesis, the stress reduction hypothesis, proposes the idea that interaction with nature triggers an innate biological response that naturally lowers our stress levels.

What is Ecotherapy?

Ecotherapy is a modality used by mental health professionals to address concerns like stress, anxiety, depression, and more. Just as we do at Life by Design Therapy, ecotherapy takes a holistic approach to mental healthcare, by combining traditional talk therapy with interventions that occur in contact with the natural landscape.It's important to understand that in ecotherapy, time spent in nature does not replace traditional therapy. Instead, time in nature is used to supplement the benefits obtained by engaging in therapy with a trained mental healthcare professional. Some of the ways that ecotherapy incorporates nature into the therapeutic process include:

• Outdoor meditation or yoga

• Nature-based metaphors

• Books about the natural world

• Therapy sessions that are held outdoors

• Animal-assisted therapy

"Ecotherapist" is an unofficial term that any clinician can use to describe themselves and the way they utilize nature in their practice. However, many therapists choose to support their professional development by taking ecotherapy certification courses online or in person. These courses offer additional insight into how building or strengthening a connection with the natural world can be helpful to clients.

Working with an Ecotherapist

If you are located in the Bay Area and interested in working with an ecotherapist, Life by Design Therapy has openings! Our staff therapist Krystal Williams, LMFT, LPCC, incorporates ecotherapy into her practice, as well as other holistic approaches such as mindfulness and expressive arts. She is currently completing her second level of the ecotherapy certification and would love to meet you. Contact us today to see if Krystal could be a good fit for your needs.

References:

1. https://pubmed.ncbi.nlm.nih.gov/6143402/

2. https://psycnet.apa.org/record/1992-97201-000

3. https://journals.sagepub.com/doi/10.1177/0013916512451901

4. https://pubmed.ncbi.nlm.nih.gov/17007224/

Three Keys to Self-Love

by Melody Wright, LMFT

In today's world, loving yourself is easier said than done. We are constantly bombarded with cultural messages that tell us we aren't "enough" in one way or another: thin enough, pretty enough, happy enough, successful enough. 

At the same time, the media encourages us to buy into a commercialized version of self-love that requires us to purchase yoga equipment, expensive supplements, and beauty products as an expression of our commitment to ourselves.

When we view self-love as a destination, rather than an ever-evolving journey, the task of learning to love ourselves can feel overwhelming. Realistically, self-love is better thought of as self-compassion. 

When we are compassionate toward ourselves, we recognize that, as humans, we are inherently flawed -- yet our flaws do not make us any less worthy of empathy or respect. We recognize that we will always have moments where self-love doesn't feel authentic, but that these moments do not define our value.

Even as you are unlearning harmful beliefs or silencing your inner critic, you can still show yourself love and treat yourself with the kindness you deserve. Over time, these three key behaviors can help you strengthen your commitment to loving yourself.

1. Honor Your Needs

Growing up, your parents may have stressed to you the importance of distinguishing "needs" vs. "wants." This principle goes for money, but also for behaviors. Some actions -- such as substance abuse, driving too fast, or texting an ex-lover -- may feel good to us in the moment, yet we know that, in the long-run, they may have harmful or even dangerous consequences on our physical, mental, and/or emotional health.

Self-respect goes hand-in-hand with self-love. When we respect ourselves, we know and honor our needs. This includes our basic needs, such as eating right and getting enough sleep, but also our emotional needs, such as setting boundaries and avoiding self-destructive behaviors. Focusing on what we need over what we want helps us turn away from harmful patterns, like skipping meals or practicing unsafe behaviors -- even when they are temporarily gratifying.

2. Keep Good Company

The people we surround ourselves with are a reflection of our opinion of ourselves. When we do not love ourselves, we may allow people into our lives who take too much and offer little in return. "Frenemies" or toxic individuals often take advantage of people with weak boundaries. That doesn't mean that it's your fault for permitting this behavior to happen. However, it's important to recognize that you always have a choice about what kinds of behavior you will accept from others moving forward.

Loving yourself means defining the types of behavior you are and are not willing to tolerate from the company you keep, and enforcing consequences when your boundaries are violated. Sometimes, when boundaries are repeatedly violated by the same person, the most appropriate consequence may be to limit the amount of time we spend with that person, or to cut them out of our lives altogether. When we love ourselves, we view the decision to let go of a toxic relationship as a natural progression of their behavior, rather than the product of selfishness.

3. Accept All Emotions

Many of us fall into the trap of labeling our emotions as "good" or "bad." As a result, we may try to hide from our so-called "negative" emotions via compartmentalization, suppression, or avoidance. These labels are often learned from our culture, the media, or others around us. However, we can also make a conscious decision to unlearn these designations and find acceptance in all of our physical and mental sensations. When we love ourselves, we do not judge ourselves for experiencing unpleasant emotions. 

Loving ourselves means accepting all of our emotions as a natural part of the human experience. Even the most cheerful people we know must experience sadness, anger, guilt, or grief in order to understand what true happiness feels like. Rather than labeling emotions as "good" or "bad," we can choose to honor all of our emotions by being present with our thoughts and bodily sensations. We can then use this mindfulness to make an informed decision about how we want to react to those emotions, rather than giving into an automatic urge that could result in self-sabotage, or mental or physical harm.

While simply stated, we understand the tools mentioned above can take time, lots of practice, and a willingness to move beyond what has been familiar and comfortable to you.  At Life by Design Therapy, we work with adults, couples, teens and families to support the inner work necessary to have more self-compassion, self-acceptance and self-love.

Five Characteristics of a Narcissistic Relationship that Can Be Mistaken for Emotional Intimacy

by Melody Wright, LMFT

Narcissistic relationships often start off on a high note, creating a false sense of emotional intimacy. An early narcissistic relationship can feel like a whirlwind, or may even convince you that you have met your soulmate. However, many of the traits we mistake for love or emotional intimacy in a narcissistic relationship are actually the result of your partner's Narcissistic Personality Disorder (NPD). 

Whether or not you choose to stay with a narcissistic partner, it's important to understand the difference between true intimacy and narcissistic traits and behaviors. While true intimacy is not impossible in a narcissistic relationship, it may not come easily to someone struggling with NPD. Ultimately, the decision to stay in or leave a narcissistic relationship is intensely personal. In the process of evaluating the quality of your relationship, take care that you don't confuse these characteristics of NPD with emotional intimacy.

1. Fast-Paced

Narcissistic relationships often become serious quickly. Someone with NPD may seem like they are in a rush to enter a committed relationship. They may overemphasize how compatible you are early in the relationship, or say "I love you" after a short period of time. 

While these behaviors alone do not make someone a narcissist, they can be a sign that the person you're with may be trying to manufacture emotional intimacy. If you're uncomfortable with the speed the relationship is moving at, it may be a sign that something deeper is going on.

2. Intense

People with NPD often come on strong when dating someone new. If your partner struggles with NPD, they may initially "love-bomb" you, lavishing you with attention, affection, and gifts. This can leave you feeling conflicted when the negative side of NPD begins to show itself. 

It's important not to confuse this intensity with true intimacy. Some moments of stress or turmoil may be normal in a relationship, but a stable, intimate partnership should not feel like an emotional rollercoaster most of the time. 

3. Extremely Close

Feeling close to your romantic partner is, of course, normal and natural. However, it's important not to confuse a lack of boundaries with emotional intimacy. In a healthy relationship, you can still be close to your partner while maintaining other relationships with family and friends, as well as upholding boundaries that are important to you. 

Someone with NPD may make you feel bad for spending time with others or for asserting your need for space or independence. They may repeatedly violate your boundaries, even when you explicitly tell them what those boundaries are. But no matter what they say, this control is not the face of "closeness" or "intimacy." 

4. Jealous

It's normal to experience jealousy in a relationship from time to time, but a narcissistic partner may take jealousy to the extreme. Someone with NPD may use their jealousy to make unfounded accusations against you (for example, "are you cheating on me?"). Or, they may be jealous when you spend time with anyone who isn't them, including family or friends. 

Jealousy can become especially problematic in a narcissistic relationship if it leads to controlling or intrusive behavior, like reading your text messages without permission or trying to limit who you're allowed to see. Anytime that your partner's NPD causes them to exhibit abusive behavior, it's worth examining the health and happiness of your relationship.

5. Too Good To Be True

Someone with NPD may exaggerate or misrepresent themselves to you. In the early days of a relationship, they may also reflect your interests or hobbies back to you to seem like you have more in common than you actually do. Many times, narcissists do not have an emotional framework for authentic bonding, so they may rely on these gimmicks to grow close to you.

This does not mean that someone you are compatible with must be lying to you about it. However, you should always trust your instincts when they tell you someone may not be who they seem to be. If something (or someone) seems too good to be true, it probably is. Someone who claims to be your "soulmate," yet is not true to their word, definitely falls into this category.

How Somatic Therapy Can Help Psychological Trauma

by Melody Wright, LMFT

When we've experienced something traumatic, we may not be consciously aware of the ways in which the trauma affects our everyday life. However, our bodies remember what has happened to us, and they store those memories as uncomfortable (sometimes painful) somatic sensations.

If you have survived trauma, you may find that you hold a lot of tension in your muscles or that you feel disconnected from your body. This can occur when our bodies are reminded of the trauma, even if our minds aren't aware of it.

Somatic therapy is a type of psychotherapy that asks us to listen to -- and learn from -- our bodily sensations. By strengthening the relationship between mind and body, we can heal from the effects of trauma, both physically and emotionally. Here is how it works.

How Our Bodies Remember Trauma

Unexplained physical ailments, like headaches or muscle tension, are common in trauma survivors. While they may be related to your traumatic past, they are not "all in your head." Instead, they stem from anxious energy that was not released during the traumatic event, when the fight-or-flight response was triggered.

Traumatic events can activate the sympathetic nervous system, which is responsible for symptoms like a racing heartbeat and clammy palms when we are anxious, scared, or stressed. The fight-or-flight response is designed to help us flee from or fight back against potential dangers. However, in a traumatic event, it is not always possible to do either of these things.

Whether you were physically restrained or paralyzed by anxiety, you may not have been able to discharge the adrenaline from your body's fight-or-flight response in the moment. As a result, the energy from the fight-or-flight response is stored in the body, leading to tension, pain, and other unpleasant symptoms.

How Somatic Therapy Works

Somatic therapy is a type of psychotherapy that utilizes the mind-body connection. Pioneers of somatic therapy, such as Peter Levine and Pat Ogden, believe that the key to healing from trauma is discharging this anxious energy from the body. This means finding other ways to process and release the body's stored emotions after the traumatic event. 

There are many techniques a somatic therapist can use to help you accomplish this goal. First, they will use interventions designed to help you develop greater awareness of your unique body and the ways in which it stores traumatic memories. Then, they will guide you through the process of expressing these stored emotions so you can move on.

Every somatic therapist works a bit differently. It's important to get to know your therapist so you can find the right fit for your individual needs. However, many somatic techniques are practiced by a wide variety of therapists. Understanding common somatic therapy techniques can help you get an idea of what to expect.

Common Somatic Therapy Techniques

Grounding

How often do you feel truly connected to your body? Trauma survivors may especially struggle to stay rooted in the present moment and notice uncomfortable thoughts or sensations. Grounding consists of exercises designed to bring us back into our bodies and mindfully take note of our sensations and surroundings. These exercises often rely on our five senses to absorb information from our environment. 

Movement

Movement is a form of medicine for the body. Mindfully moving your body can help you cope with challenging experiences and discharge anxious energy. It can also give you a sense of accomplishment and help you feel more connected to your body. Additionally, movement is one of the body's primary methods of communication. We can pay attention to our natural movements -- such as body language -- to learn more about ourselves, our emotions, and our beliefs. 

Setting Boundaries

Boundaries are limits we set to define the type of treatment we are willing to accept from others. Traumatic experiences inherently involve a violation of our personal boundaries. Setting mindful boundaries empowers you to take back control of your mind and body. Boundary-setting may be challenging for trauma survivors, who are often disconnected from the way their bodies feel about certain behaviors or experiences. By paying attention to the way our body feels in these moments, we can identify healthy boundaries that would improve our lives.

Want to learn more? Sign up for our free e-book, The Mind-Body Toolkit: A Beginner’s Guide to Connecting With Your Body. We provide 50 grounding exercises you can try when feeling anxious or overwhelmed and some of our favorite somatic tools and resources. This is a great way to learn more about the mind-body connection, especially if therapy is new to you. To get started, click here.

How Your Relationship May Change Post-Pandemic

by Melody Wright, LMFT

The COVID-19 pandemic brought major changes to every area of our lives, including our romantic relationships. From new couples quarantining together to married couples coworking from home, many relationships faced momentous challenges that brought partners closer together (or pulled them apart).

As we adjust to the "new normal" post-pandemic, we can expect our relationships to further grow, shift, and evolve in novel ways. For example, we may find that our relationship has become stronger as a result of surviving a pandemic together, or that quarantining together strained our connections with our partners.

It's important to normalize all of these changes to our post-pandemic relationships. After all, the COVID-19 pandemic inflicted unprecedented trauma on a global scale, and such a dramatic experience is bound to change the way we relate to ourselves and others. Whatever you and your partner are going through, you are not alone. 

Most, if not all, romantic relationships have continued to evolve after the pandemic. Here are some of the most common changes relationships are facing post-pandemic, and how you and your partner can navigate them to bring about the best possible outcome for both individuals.

Your relationship may become stronger.

Many committed relationships, including married couples, benefited from increased time at home with their partners during the pandemic. According to survey data, 58% of couples said that the pandemic increased their appreciation for their partners, and nearly half of people in long-term relationships reported that the pandemic deepened their commitment to their partners. As a result, many couples are feeling stronger than ever after the COVID-19 pandemic. In fact, 2019 saw a 50-year low in the national divorce rate. 

The likelihood that a couple would report a stronger relationship post-pandemic appears to be tied to the quality of the relationship prior to the pandemic. In other words, strong relationships only became stronger during quarantine, while weaker relationships may have experienced more stress or conflict. Undoubtedly, many couples navigated new challenges due to the COVID-19 pandemic, such as working from home, childcare demands, and less time apart. However, the good news is that couples who were able to effectively cope with these stressors may emerge from the pandemic with a deeper appreciation for and stronger connection to their partners.

You may spend less time with your partner.

Couples who quarantined together during the pandemic became used to spending every waking moment with their significant others. The pandemic accelerated typical relationship timelines by forcing many couples to cohabitate earlier than they may have done otherwise. Couples in the early stages of relationships may have spent more time together than most people in new partnerships, while individuals in long-term relationships or marriages may have seen more of each other than they had in a while!

In some ways, the return to some semblance of "normalcy" after the pandemic may actually improve your relationship with your partner. It is certainly possible for couples to spend too much time together. The pandemic may have encouraged you to rely on your partner for multiple types of emotional nourishment, rather than seeking support from external sources like activities, friends, and family members. Going back to work and hobbies, and spending more time with other people, gives you time to miss your partner, while also taking away some of the pressure on your partner to uplift you emotionally.

In other ways, spending more time away from home may strain your relationship with your partner as you navigate increased commitments outside the house. For example, challenges regarding division of labor may emerge as you and your partner return to your regular routines. Couples with children or pets may have gotten used to dividing responsibilities in a certain way throughout the pandemic. However, as caretakers return to work, there may be disagreements about how to manage these responsibilities moving forward, with the increased demands inflicted by the return to work and other outside activities.

Your relationship may end -- and that's okay.

Not every relationship is destined to survive the post-pandemic landscape, and that's okay. Whatever your relationship experience after the COVID-19 pandemic, you are deserving of comfort and validation. If you are working through a breakup after the pandemic, you are not alone in your experience. There are many reasons why a relationship may crumble in the aftermath of quarantine, but most indicate that there were interpersonal issues originating before the pandemic that were simply revealed in the heat of the moment. 

In some cases, quarantining with a partner during the pandemic may have prolonged the shelf life of an unhealthy or unstable relationship. Other times, the pandemic may have unveiled deep-seated conflicts or differences in values that rendered the relationship unsustainable in the long-term. Whatever the reason for your separation, it's normal to experience a wide range of emotions as you come to terms with the end of any relationship, including those that may have ended due to the COVID-19 pandemic.

The silver lining in this situation is that experiencing the end of a significant relationship due to COVID-19 may change your perspective on dating in the future. According to research conducted by the dating app Hinge, many young people are approaching relationships and dating differently in the post-COVID world. Over ⅔ of Hinge users report that they are being more mindful of what kind of partner they are looking for in the long-term, and more than half say they are now looking for a serious, long-term relationship. While this may not make you feel better about the end of your relationship, it may help to know that the experience of dating during a pandemic has helped many people reflect on the quality of their relationships and make connections that are more meaningful and fulfilling to them.

References:

1. https://media.deseret.com/media/misc/pdf/afs/2020-AFS-Final-Report.pdf?_ga=2.133039110.944703945.1610115812-1901370271.1610115803,

2. https://ifstudies.org/blog/number-1-in-2020-the-us-divorce-rate-has-hit-a-50-year-low

3. https://pubmed.ncbi.nlm.nih.gov/33151125/

4. https://www.purewow.com/wellness/intentional-dating

Diamond in the Rough: How to Reveal the Hidden Gems in Saying “No”

by Ashley Gregory, LMFT

  Saying “No” Can Be Illuminating

 A few years ago, a friend of my partner and I asked about staying at our place during a road trip up the California Coast. She and a friend of hers were going to be passing by the Bay Area on a weeknight. While we were thrilled to hear from her, my partner and I both had to work that week and had no chance to take time off. We considered our needs and her request carefully. We absolutely wanted to reminisce about our college days and laugh until our faces hurt. We also knew that having our friend and her companion stay over would lead to staying up too late and feeling drained the next day. Ultimately, after a thoughtful assessment of what we had going on in our life, we decided we weren’t going to be able to host a sleepover. 

 We relayed this boundary to our friend, letting her know we would love to have her over on a weekend. Our friend took this boundary personally, suggesting that we had made this decision for other reasons. Sadly, she also declined to talk things through with my partner, who had been friends with her for much longer. We felt surprised and disheartened by her response. We wanted to authentically offer our space, time and attention when we were able to give it freely rather than allow resentment and dishonesty to damage our relationship by saying “yes.”  While it was an uncomfortable experience, we also came to grips with the lack of trust in the friendship. 

 Ideally, we would have liked to connect empathetically with our friend, listening to how she experienced the boundary we set as well as being offered the opportunity to share where we were coming from at the time. This experience exposed the relationship cracks and fissures that were already there. While we’re still open to mending the rift between us, we also accept that we may never get that chance.
 

Heteropatriarchy and the “Caregiver” Role

 So much of the time, many of us believe we have to offer care or resources to someone who is asking, sometimes simply because they are asking. We feel pressured to acquiesce to requests even though there is a very vocal part of us who knows we don’t have the energy or capacity. In particular, people socialized as women or feminine have been told that their success in caregiving roles equates to their worth as a person. When the expectations of this role conflicts with one’s personal needs, the resulting shame and guilt can be debilitating. This identity as “caregiver” comes with unspoken expectations and extends into all areas of life--work, friendships, family dynamics. These expectations may look like:

•  doing tasks outside of your job description that others are fully capable of doing themselves, 

• being available by phone all of the time, 

• assumption that you are always emotionally available, or

• coordinating all of the family gathering
  

Heteropatriarchy rests on the gender binary system--an insistence that there are only two options for humans: man and woman. Furthermore, “man” must assert his power over “woman” in all arenas of society (family, work, government, etc.), lest a complete breakdown of the world as we know it occurs. Powerful men can’t be caring or show emotion because that would be weak. Heteropatriarchal gender norms dictate that being a “good woman” means self-sacrifice and being a “good man” means dehumanization. This setup is just that: a setup for human beings to feel unhappy, unfulfilled and isolated. Being honest with yourself about what you want and how you feel honors your true self and is a courageous holistic practice. 

Saying “No” Can Be a Gift 

Saying “no” can be an opportunity for your coworker, friend or loved one to seek out more support in places they didn’t previously know existed. They may learn a new skill they didn’t know before because you (or someone else) had been doing it for them. 

Saying “no” can free up opportunities for you to also get creative. Knowing your “no” means letting go of all of the “what-ifs” and “shoulds” that makes decision-making hazy. That’s when we feel stuck and helpless. Getting in touch with where you stand means feeling grounded and centered in your truth.

I invite you to explore how you know your “no.” Is it a thought? A memory or image? A sensation? An emotion? What needs might you be meeting by honoring your “no”? Spend some time with your “no” and get curious about it. What can you learn from your “no” right now?

3 Tips for Expressing Your Emotions Effectively

by Melody Wright, LMFT

Speaking up for yourself is never easy. Even those of us who consider ourselves assertive people sometimes have trouble expressing our emotions clearly and effectively. And it can be even more challenging to speak up when you are worried that you will step on other people's toes, that you will start a conflict, or that you are being overly-sensitive.

In these cases, it's important to remember that speaking up for yourself benefits you and all the other people involved. Repressing our emotions can only create worse problems later, by breeding resentment or causing anger to build up until it explodes. Not to mention, being honest about your emotions paves the way for others to be honest with you as well, deepening your interpersonal relationships.

Even if you recognize the importance of being honest, it can be hard to know where to start when you aren't used to expressing your emotions. Next time, instead of holding in your emotions for fear of offending others, try using these three tips to express your emotions clearly and effectively. 

1. Practice Radical Acceptance 

Many times, we repress our emotions due to the beliefs we have internalized about those emotions. For example, many women struggle with anger because they were taught that girls should be tolerant and soft-spoken. Once we learn to let go of those cultural beliefs and radically accept our emotions for what they are, we can express the way we feel without attaching additional meaning to these emotions.

The first step in practicing radical acceptance of your emotions is practicing mindful self-awareness. Notice what thoughts and physical sensations arise in your body without labeling them as "good" or "bad." Approach your emotions with curiosity rather than judgment. By viewing your emotions in this way, you can learn to separate the emotions themselves from the cultural beliefs you may hold about those emotions, which may be affecting your ability to express them constructively.

2. Own Your Emotions

Lots of people hold back their emotions because they are afraid of starting a conflict. But, conflicts most often start because we are placing blame on others for our emotions, rather than taking ownership of the way we feel. There is a huge difference between saying "you make me so angry!" and "I feel angry because…" That nuance bridges the divide between a constructive conversation and an explosive conflict.

Using I-statements -- as in, "I feel sad because...." rather than "you make me feel sad" -- is essential for opening up a dialogue about our emotional experience. Of course, it is natural to sometimes feel defensive when uncomfortable emotions arise in conversation. However, when we approach our emotions through the lens of blaming others, we may hurt their feelings so much that our core message is lost in translation. 

Speaking in I-statements may not come naturally to all of us, but it becomes easier to do once we let go of judgment and begin practicing radical acceptance of our emotions. When we let go of the labels we attach to our emotions, there is no longer a reason to become defensive of our anger, guilt, sadness, or shame.

3. Be Vulnerable

Many of us naturally resist appearing vulnerable to others for a variety of reasons. We may feel uncomfortable when others comfort us, or fear becoming the object of other people's pity. But it's important to understand that without vulnerability, we cannot be fully present in our most valued relationships. Being vulnerable not only allows us to reveal our true selves, but also creates space for others to be vulnerable with us, too. 

Give yourself permission to be vulnerable. Just as you have learned to approach your other emotions without judgment, practice radical acceptance when it comes to vulnerability. Let go of the cultural messages you've internalized about vulnerability and instead, focus on being fully present in your relationships. Vulnerability can feel scary, because we are sacrificing our ability to protect ourselves -- but this is a sacrifice we must make in order to deepen our connections with the people we care about the most.

Sometimes, expressing our emotions can be challenging to do without help, especially when we are so used to suppressing them. In these cases, you may benefit from processing your emotions with a professional, such as one of Life by Design Therapy's qualified clinicians. Contact us today to learn more about how we can help you approach your emotions without judgment, take ownership of your emotions, and make space for vulnerability.

4 Benefits Of Somatic Therapy

by Melody Wright, LMFT

Somatic therapy is an approach to psychotherapy that emphasizes the mind-body connection. 

Somatic therapists recognize that suppressed and unprocessed emotions are often stored in the body, showing up as physical symptoms like muscle pain, headaches, and nausea. Because of this, somatic therapy incorporates body awareness exercises into the healing process. 

Here at Life by Design Therapy, we are passionate about practicing somatic therapy and strong advocates of its benefits for mind and body healing. In this blog post, we discuss four of those benefits, which may help you decide if somatic therapy is right for you.

1. Change your brain, change your life.

Our brains and bodies are creatures of habits. They internalize the thought patterns and belief systems we are taught from an early age. Much like a computer, these become the "programs" that run our lives.

When we experience trauma or emotional distress, our brains and bodies become wired for survival. The fight, flight, fawn, or freeze response becomes the "program" we're running on; however, living life on "survival mode" can quickly get exhausting.

By harnessing the power of the body through somatic therapy, we can rewire our brain's neural pathways to get ourselves out of survival mode and into a conscious state of emotional balance. In this way, somatic therapy can help you take back control of your life from harmful thoughts, beliefs, and patterns.

2. Gain insight into your thoughts and behaviors.

Our bodies communicate with us via sensations. Those aches and pains you may be experiencing are messages from your body that something is wrong. Sometimes, that "something" may be a medical issue, like an injury or illness -- while other times, it may be a sign of unprocessed, stored emotions coming to the surface.

Imagine how much insight you would gain into your thoughts and behaviors if you could translate the messages your body was sending you. How much better could you know yourself if you learned to understand the language your body speaks?

So many of us operate on "autopilot," leading us to live in a constant state of disconnect from our bodies. In this state, we don't pay attention to the messages our body tells us, or we choose to actively ignore them in favor of productivity or other concerns. Yet when we pause to listen to what our body has to tell us, we can gain a lot of insight about the thoughts, beliefs, habits, and behaviors that shape the quality of our relationships with ourselves and others.

3. Get the tools to overcome what's holding you back.

Stored, unprocessed emotions -- which often show up in the body -- hold us back. They prevent us from showing up as the best, most fulfilled versions of ourselves. Hence, somatic therapy isn't just about noticing and interpreting your bodily sensations; it's also about giving you the tools you need to overcome those physical and emotional blocks. 

In order to achieve fulfillment, somatic therapy techniques that help you gain insight into your bodily sensations must be paired with actionable, therapeutic steps toward healing. Recognizing your unprocessed emotions is a start, but simply being aware of these issues does not solve them.

The key to overcoming these barriers is to work through them. One of Life by Design Therapy's somatic therapists can help you achieve this on a mental, physical, and emotional level. At each level of awareness, you will learn tips and tools to help you understand, process, and manage your emotions in real-time, to prevent them from holding you back.

4. Let go of self-judgment.

Finally, somatic experiencing, or noticing our bodily sensations, isn't just about recognizing the way we are feeling. It's also about letting go of the judgmental thoughts we have about our emotions and physical sensations, because our self-talk so deeply influences the way we feel, physically, mentally, and emotionally.

For example -- when your body hurts, how do you speak to yourself? Do you approach the sensation with curiosity, non-judgmentalness, and compassion...or do you criticize yourself by listing all the reasons why you shouldn't allow your physical pain to hold you back? You might even find yourself attempting to ignore or suppress those uncomfortable sensations.

Hence, somatic therapy is also about giving yourself permission to approach your bodily sensations non-judgmentally. Forget assigning physical, mental, or emotional sensations labels like "good" or "bad," and instead invite yourself to observe what you can learn from your body when you approach it with curiosity instead of judgment.

Empaths, Here's How To Stop Absorbing Other People's Emotions

by Melody Wright, LMFT

Do you take on the emotions of others? When we have poor emotional boundaries, we may find ourselves feeling angry when others are angry or sad when others are sad. Or, alternatively, we may find that we are unable to feel happy when people we care about are not.

Absorbing the emotions of others can be both a strength and a weakness. It can be a sign that you are an empath, gifted with the extraordinary ability to empathize with nearly anyone -- but it can also become exhausting and frustrating to constantly feel what others are feeling.

Learning to empathize with others is a skill -- as is learning how to set emotional boundaries so that you are not constantly drained by taking on the emotions of others. Like any skill, setting emotional boundaries can be strengthened with practice. Here's how.

How To Spot An Empath

Sometimes, we may be aware that we are taking on the emotions of others. Other times, however, we might be having an intense or distressing emotional experience but be unaware of why we are feeling that way. 

So, how do you know that you are an empath, or a person with a natural tendency to empathize with others (and take on others' emotions)? Everybody is, of course, different, but here are some characteristics shared by many, if not all, empaths:

• Closeness and intimacy can become overwhelming.

• You need rest after spending lots of time with others.

• You have a strong sense of intuition.

• You strongly dislike crowded places.

• You are easily overstimulated in public.

• You feel emotionally involved in other people's problems.

• You have a hard time emotionally detaching yourself.

• You are extremely sensitive to sounds, smells, or sensations.

These traits may be signs that you are an empath, or simply that you have a tendency to absorb other people's emotions. Many of these characteristics involve overwhelm because taking on others' emotions, in addition to our own, can get to be too much. 

In fact, that may be one of the primary reasons why you are seeking advice on no longer taking on others' emotions: whether you realize it or not, you might be feeling overwhelmed and looking for relief from those emotions.

Stop Taking On Others' Emotions

Empaths frequently take on the emotions of others. To them, this is second nature, but can result in overwhelm and fatigue. If you do not know that you are taking on other people's emotions, you may not even realize this is why you are feeling that way. That's why the first step toward no longer taking on other people's emotions is to recognize the signs of being an empath.

As we mentioned previously, being an empath can be a powerful strength -- but it can also be incredibly overwhelming and draining. Setting emotional boundaries can help you to stop taking on other people's emotions to such an extent that it becomes exhausting and interferes with your sense of well-being.

Boundaries are firm lines that we draw to prevent others from making us feel emotionally drained or uncomfortable. For an empath, setting boundaries may not be second-nature and may even feel weird or wrong. After all, empaths want to be there for others in whatever way that they can. However, if you do not set emotional boundaries, you will become so drained that you are no longer able to support others the way that you instinctively want to.

The first step toward setting boundaries is to clearly define what your boundaries are. It can be difficult to do this as an empath because you may feel guilty for setting boundaries. Even so, it's important that you don't let guilt get in the way of doing what you need to do to feel your best. While this is easier said than done, you need to be honest with yourself about what boundaries would help you avoid letting others take advantage of your caring nature.

The second step is to clearly communicate your boundaries with others. Once you have identified what will help you detach from the emotions of others -- such as limiting the amount of time you spend listening to other people's problems (i.e. no longer spending hours on the phone with close friends whenever they need you) or saying "no" to helping out so that you do not overextend yourself -- make sure to sit down and have a conversation with whomever your boundary applies to.

When communicating your boundaries, ensure you have the conversation when you and your conversational partner are both calm, not feeling stressed or overwhelmed. Then, firmly but politely state what your boundaries are. While you are not obligated to give a reason for your boundaries, if you feel comfortable doing so, it might help back up your statement, especially if you are talking to someone whom you trust not to react to it poorly.

If you are feeling overwhelmed by being an empath, therapeutic techniques such as grounding and mindfulness can also help you learn to create a healthy distance between your emotions and the emotions of others. Contact Life by Design Therapy today to learn more about how we can help you set stronger emotional boundaries.

Is Trauma Exposure Transforming You? How to Know and What to Do About It

by Ashley Gregory, LMFT

What is Vicarious Trauma?

The term “vicarious traumatization” arose in the mid-1990’s when Laurie Anne Pearlman and Paula S. Mac Ian studied the effects of working with traumatized clients on therapists. They defined it as “a transformation in the helper’s inner experience, as a result of empathetic engagement with traumatized clients and their traumatic experiences, coupled with a commitment or responsibility to help.” Since then, conversations and awareness around “secondary” or “vicarious” trauma have increased and expanded. The sheer number of blogs, Instagram posts and YouTube videos about self-care and mental health has injected these terms into more spaces than before.Yet, at the same time, deeply held beliefs, values and cultural practices maintain the very structures that keep people guessing about whether they are qualified to deserve the care they need as caregivers themselves. I would argue that this is especially true for those of us in the “caring professions'' or folks doing “care work.” In fact, minimizing one’s own experience, as a person exposed to the trauma of others, is itself a trauma exposure response.

My Own Vicarious Trauma Journey 

As a twenty-something youth worker, I had no idea how to identify trauma symptoms. Furthermore, I did not understand how the trauma I was exposed everyday to would impact me and the work I did. The organization I worked for essentially hired me to make sure a dozen or more middle schoolers would do their homework right after a long day at school. The school was in the Fruitvale District of Oakland. I had not grown up in Oakland--in fact, I had recently moved there, pretty much straight out of college. Many of my colleagues at the time were also young white people who did not reflect the makeup of the community in which we were working--predominantly Black, Latinx and Asian American and Pacific Islander. Schools like the one where I worked were essentially training grounds for young, predominately white professionals to get their hours and leave to pursue their careers elsewhere. Racist and classist demands on time and money present significant barriers to people of color who want to become teachers. Racist and classist tax laws keep schools woefully underfunded, which means mental health care staff and programs designed to support young people’s emotional well-being are rarely prioritized. With so much going in their lives and so much of their lives spent at school, the trauma exposure these youth experienced played out in the cafeteria, the hallways and their classes. My after-school classroom was no exception. While I loved working with young people, I also became angry, hopeless and guilty. At some point, the school social worker mentioned “vicarious trauma.” Suddenly my experience had a name and I was floored. Over time, it was learning the complex and personalized symptoms of vicarious trauma that helped me develop the tools, practices and rituals I needed to achieve balance and ease.

Trauma Stewardship and the Warning Signs of Trauma Exposure Response

Part of my own journey has been aligned with the practice of “trauma stewardship,” the term Laura van Dernoot Lipky coined as she navigated her own experiences of trauma exposure. In her book Trauma Stewardship: An Everyday Guide to Caring for Self While Caring for Others, van Dernoot Lipky interviews people in a wide range of professions and from diverse backgrounds about their personal journeys and trauma stewardship wisdom. She adds to the literature of vicarious trauma and explores the warning signs of a trauma exposure response. While some of the warning signs of trauma exposure response may be more obvious behaviors, such as developing an addiction, others are not as clear. For example, one of the warning signs of trauma exposure response is a sense of persecution, an “internal state,” van Dernoot Lipky shares, when “We become convinced that others are responsible for our well-being and that we lack the personal agency to transform our circumstances” (p. 93). These internal shifts can be confusing  and complicated to name without support. 

While everyone metabolises trauma exposure different, there are commonly experienced symptoms, some of which include:

• Exhaustion on every level--mental, physical and emotional

• Intrusive thoughts of disturbing images you’ve heard about or seen at work

• Nightmares

• Hypervigilance

• Grandiosity

• A sense that you can never do enough

Getting Help

Working with a therapist who has awareness of and experience with vicarious trauma can help you identify how trauma exposure responses show up in your life. Awareness is the first step towards making lasting change. With the support of a therapist, you can create new ways to relate to yourself and others with renewed compassion. 

Pearlman, L.A., & Mac Ian, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26(6), 558.

5 Tips for Navigating Pandemic-Related Stress

by Melody Wright, LMFT

Now that the one-year anniversary of the COVID-19 lockdown has come and gone, many of us are reflecting on the ways our lives have changed as a result of the pandemic. Some of those changes may be positive, such as spending more time on hobbies while we're at home. However, many of them may be the result of pandemic-related stress that we're still navigating, more than 365 days later. Our children's schools may not have reopened, so we may still be watching them, or we may still be adjusting to working from home.

And, with the vaccine becoming more widely available, many of us are facing renewed anxiety around COVID-19. There are dozens of questions on our minds: when will we be able to get vaccinated? When will we be able to stop wearing a mask? Will we be able to go on our summer vacation? In other words, just because there is hope on the horizon does not mean that pandemic-related stress is going to disappear overnight. We still need to develop healthy ways to cope with the aftermath of the COVID-19 pandemic.

These five essential tips will help you navigate pandemic-related stress in a proactive way. Strengthening your coping skills will not only serve you during the pandemic, but it will continue to improve your stress management in your everyday life.

1. Take a break from the news.

As critical as it is to stay informed, you should limit the amount of time you spend consuming news about the pandemic. Information about social distancing and vaccine scheduling matters, but it can also be incredibly disheartening when it is all we are hearing about. It's important to take time away from the news to engage in conversation about ordinary life: people we know, things we enjoy, and all the things we would talk about under "normal" circumstances! ("News" includes social media, too.)

2. Connect with loved ones.

Many of us have been isolated for some time due to the coronavirus pandemic, leaving us feeling down in the dumps. Maintaining strong social connections is essential to our mental health. Luckily, thanks to modern technology, we can still connect with friends and family from a safe distance. Scheduling virtual lunch or dinner dates, or simply picking up the phone to call a friend, can make a huge difference in helping you feel less lonely during the pandemic.

3. Follow your daily routine.

When working from home, or otherwise experiencing interruptions in your daily routine, it's easy to start the day off on the wrong foot. It may be tempting to wear pajamas to work all day (who would ever know?) or order takeout every day for dinner instead of cooking. However, keeping up with as much of your regular routine as possible can help you restore some sense of normalcy to your life. You can't control when the country reopens, but you can decide to get dressed in the morning as if you were going to the office or to meal plan the same way you would if the kids were going to school.

4. Incorporate light physical activity.

Exercise releases endorphins that boost our mood and relieve stress. The thought of going to the gym or for an hour-long run during a global pandemic may feel overwhelming, but exercise doesn't have to be structured. Your daily "workout" might include walking the dog, jumping on the trampoline with your kids, or even cleaning the house. Even simply standing up every 30 minutes while working from home can benefit your health. The key is to find easy activities you love to do that don't feel like work! 

5. Speak to your employer.

Lots of workers, especially healthcare workers and essential workers, are feeling the effects of pandemic-related stress in the office, and many employers have set up infrastructures to help employees cope. If working from home with kids or working long shifts in an essential workplace is becoming overwhelming, speak to your employer to see if there are wellness supports in place to help make things easier. You might even be able to move your shifts around or get more flexibility with time off to take care of the kids and other responsibilities at home, alleviating some of the stress of the pandemic.

In Pursuit of Clarity About Boundaries and Power

by Ashley Gregory, LMFT

“Boundaries are the distance at which I can love you and me simultaneously.” --Prentis Hemphill

Boundary Beginnings

For me, the term “boundaries” did not become a part of my regular vocabulary until graduate school. This may be partially explained by the fact that I cannot recall having explicit conversations about the meaning of personal boundaries as a child. What I do remember are the places I was told I was not allowed to go, like beyond the borders of the complex where my cousins and I lived. On at least one occasion, as children do, I tested those limitations. The consequence for which left a red handprint on my backside.  

Boundaries maintain one’s sense of safety and autonomy. As such, experiences of abuse and trauma are boundary violations which often dramatically shifts one’s perception of their external and internal boundary systems. 

The Two Parts of External Boundaries

As children we learn about boundaries from our caregivers, from those around us and from our cultural context. While we may not be talked to outright about how boundaries exist in our world, we are immersed in lessons about them. Pia Mellody, author of Facing Codependency, identifies two boundary systems: external and internal. Body boundaries are an example of our external boundary system. These boundaries are our personal space bubbles and are composed of two parts--physical and sexual. External boundaries protect you and those around you, both giving you a sense of when you begin and end as well as an ability to consider the safety and needs of others (Mellody, 11). Someone with intact physical boundaries is able to understand another person’s need for space or their preferences around touch. They would also be able to communicate their own needs to others. Similarly, an example of intact sexual boundaries is an awareness of what you are and are not comfortable doing sexually as well as being able to share your needs and preferences regarding sexual contact with others. 

What are Internal Boundaries? 

The other kind of boundary system identified by Mellody are internal boundaries. Having intact internal boundaries means that “we can take responsibility for our thinking, feelings, and behavior and keep them separate from others, and stop blaming them for what we think, feel and do (Mellody, 12).” On the other hand, when internal boundaries are impaired, one person may blame another for their feelings, thoughts or behaviors, leading to shame, manipulation or even serious harm. Mellody goes on to explain that internal boundaries may be mostly intact, however, in certain situations may be damaged. Someone may, for example, be able to convey their need for choice with their partner but have trouble doing so with their caregivers. Acknowledging and honoring our internal boundaries is a commitment and on-going process. 

Power and Boundaries 

Crossing the internal boundaries of others is a deeply entrenched practice in our world which takes many forms within relationships and societal systems (think schools, workplaces, legal, etc). For example, heinous acts of violence have been justified using the LGBTQ+ “panic” defense.* This legal strategy claims that a person’s sexual identity or gender identity/expression caused another person so much distress that a reasonable response was to seriously injure or kill them. Clearly, boundaries are inextricably linked to legacies of deep power imbalances. 

Adultism* is another example of normalized boundary violations. Children and youth are systematically discriminated against because of their age. Young people are afforded less respect and consideration than people who are considered adults. Seemingly innocuous transgressions act to re-create harmful behaviors and beliefs about personal boundaries. Adults invading a young person’s space without permission, dismissing their needs or being subject to punishment without cause. Importantly, adultism intersects with racism, sexism, classism, ableism, heterosexism and cisgenderism.* In other words, a transgender young person of color faces different and compounding harms than a white cisgender youth. 

Boundary Work in Therapy

Embodying our own boundaries lends to respecting the boundaries of others. Therapy may be a place for you to work through, and find ways to let go of, regretful moments or unhelpful patterns involving the boundaries of others. This is imperative work for all of us and of particular urgency for many. Building a trusting relationship with a therapist can offer profound experiences in getting a deeper sense of your internal and external boundary systems. 

*For more information on the LGBTQ+ “panic” defense, see https://lgbtbar.org/programs/advocacy/gay-trans-panic-defense/

*For more information about adultism: https://www.youthrights.org/blog/understanding-adultism/

*Cisgenderism: “Cisgenderism refers to the cultural and systemic ideology that denies, denigrates, or pathologizes  self-identified gender identities that do not align with assigned gender at birth as well as resulting behavior, expression, and community. This ideology endorses and perpetuates the belief that cisgender identities and expression are to be valued more than transgender identities and expression and creates an inherent system of associated power and privilege. The presence of cisgenderism exists in many cultural institutions, including language and the law, and consequently enables prejudice and discrimination against the transgender community.”

(https://read.dukeupress.edu/tsq/article/1/1-2/63/92024/Cisgenderism)

Dating a Narcissist? Here's How You Can Tell

by Melody Wright, LMFT

First, we want to acknowledge how challenging it is to be in a relationship with someone who is a narcissist or who has narcissistic behaviors. While this blog is not meant to minimize the impact of unhealthy behaviors on your relationship, we also want to be aware of mislabeling and pathologizing someone’s behaviors.  This blog is meant to provide reflection and tools to identify narcissistic behaviors of relating to others, as well as things to consider if you think you are dating a narcissist.

Relationships are hard -- but relationships with a narcissist can feel borderline impossible. If your partner struggles with Narcissistic Personality Disorder (NPD), they may have an inflated sense of self-importance and a need for attention that becomes overwhelming in your relationship.

Someone who has been diagnosed with NPD may have little regard for other people's feelings, making them challenging partners to be in a relationship with. When you're dating a narcissist, you may suffer from emotional abuse, manipulation and a lack of long-term commitment. 

Does this remind you of your romantic relationship? Here's how to tell if you might be dating a narcissist -- and what to do about it if you are dating one.

Signs of Narcissistic Personality Disorder

So, think you might be dating a narcissist? If you suspect your partner may have NPD, you may recognize some of the following characteristics in their behavior:

• They are condescending and believe they are better than others

• They engage in excessive attempts to seek attention and admiration from others

• Their self-esteem may be overly dependent on others and/or fluctuate with their mood

• They may set unrealistically high goals based on an inflated sense of their own performance, or hold themselves to low standards due to a sense of entitlement

• They are excessively attuned to others' reactions when it comes to themselves, but they have an impaired ability to empathize with other people

• Their relationships are largely superficial and serve to boost their self-esteem

If your partner has NPD, these traits will likely manifest themselves in your relationship. For example, a narcissistic partner might be overly critical of you, fail to value you or seek excessive attention from you in your relationship. 

What to Do If You're Dating a Narcissist

Dating a narcissist can take a toll on your self-esteem. Your partner may engage in gaslighting behavior, making you feel you are crazy or forgetful; sabotage your relationship or other friendships; turn all the blame in the relationship towards you; or even deliver intense praise, followed by verbal abuse. All of these experiences can make you begin to doubt your own reality and start to wonder if the problem is you, rather than your partner. 

So, what should you do if you suspect your partner suffers from NPD? Because NPD can take such a difficult toll on your self-esteem, it's important that you consider if this is the type of relationship you want to be in, since staying in any relationship is a choice you need to make for yourself. There are two ways you can do this: encouraging your narcissistic partner to seek help for their NPD or leaving the relationship altogether.

Encouraging Your Partner to Seek Help

It's important not to stay in a relationship with a narcissist because you feel obligated to "fix" them. However, if you decide to stay in the relationship, you should make it clear to your partner that you will not tolerate their narcissistic behaviors and that they should seek help for their NPD.

Treatment for NPD typically consists of long-term, intensive therapy that will allow your partner to come to grips with how their disorder has impacted their life and prevented them from reaching their full potential. 

You may also consider couples' therapy in addition to individual therapy for your partner's NPD since their personality disorder affects you as well as them. Involving loved ones like you in the healing process will help your partner see how their NPD has negatively affected others in their life and understand the true ramifications of their behavior.

Leaving a Narcissistic Relationship

Leaving a narcissist can feel difficult, especially since they are often charming and will shower you with praise to make up for their negative behaviors. Still, for many people, leaving a toxic, narcissistic relationship is the best option.

When leaving a narcissist, it may be best to avoid contacting your ex following the relationship. That person may try to guilt you into taking the blame for the breakup or tell you what you want to hear so you will get back together for them. Taking space from that person will allow you to repair your self-esteem and get back in touch with what you really want in a relationship. 

You may miss your narcissistic partner at first -- and that is completely normal. Even if your partner was emotionally and verbally abusive, you may have formed a deep attachment to them in the trauma of your relationship that can make it more difficult to leave them behind. Seeking help from a qualified therapist who can support you during the healing process may make it easier to recover from the fallout of the relationship.

DBT Part 2: The Four Skills

by Ashley Gregory, LMFT

As mentioned in part one, Dialectical Behavioral Therapy (DBT) is a widely applicable practice combining a variety of concepts and skills. Marsha Linehan created DBT in the late 1970’s, inspired by her own personal experience to dedicate her life to supporting people in severe distress. Marsha wove together concepts and interventions from Zen Buddhism, behavioral and humanistic approaches to arrive at four essential DBT skills: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. Radical acceptance is an essential belief in DBT, grounding the skills practice in embracing one’s present moment experience. 

What does Radical Acceptance mean?

Each of the DBT skills is designed to offer relief during different points throughout an experience of emotional pain. From moment to moment, emotional pain shifts and changes. DBT stresses the importance of understanding choice and control. A key concept and practice of DBT is radical acceptance. Radical acceptance means accepting the past and focusing on the present moment, without inflicting criticism, blame or judgment. It is in the present moment where we have the most power to make change. Only by accepting the present may we create something different in the future. 

Mindfulness is Noticing Without Judgment

DBT is grounded in the practice of mindfulness. Mindfulness is not the same as meditation. In fact, Marsha found that many of the people she worked with in her early work with clients became overwhelmed when directed to focus on their breath. In the experience of many trauma survivors, focusing on the breath can bring up terrifying memories. Instead, mindfulness is directing one’s attention to the present moment without judgment. It is the practice of simply noticing. Simply noticing thoughts, feelings, impulses, sensations or images arising in one’s own experience. Noticing without judgment means letting go of labels such as “good” or “bad,” “healthy” or “unhealthy” and trusting that your experience is your experience. In most DBT groups, mindfulness is repeatedly practiced throughout the course of learning all of the other skills. 

Distraction and Self-Soothing in Order to Cope 

Being in extreme emotional distress may lead to impulsive reactions and coping in ways which lead to more suffering, like hurting yourself or someone else. Distraction and self-soothing skills are distress tolerance tools which increase capacity to deal with overwhelming emotions. Authors of The Dialectical Behavioral Therapy Skills Workbook stress “do not confuse distraction with avoidance. When you avoid a distressing situation, you choose not to deal with it. But when you distract yourself from a distressing situation, you still intend to deal with it in the future, when your emotions have calmed to a tolerable level” (p. 9). Distraction skills may include holding an ice cube, engaging in enjoyable activities like playing with a pet, going outside, learning a new language, playing a card game or writing in a journal. Other skills include picking something in your environment to count or completing chores like cleaning behind the refrigerator. The idea behind distraction skills is to create some space to be able to work through overwhelming emotions. Self-soothing practices are ways to create increased calm and improved focus. Most often, self-soothing skills engage the senses. Examples include listening to music (sense of hearing), lighting a candle of your favorite scent (sense of smell), looking at pictures of nature (sense of sight), slowly drinking tea or chewing gum (sense of taste) and wearing your most comfortable clothes (sense of touch). What may be most supportive for one person will most likely be different from another person. Each distraction and self-soothing plan is a reflection of your unique needs and interests. 

Interlocking Skills

Many of the skills taught in DBT overlap and reinforce each other. Emotion regulation skills, for example, are also mindfulness and distress tolerance skills. One way to slow down to create more space and choice between emotion and action is to speak your feelings out loud. Becoming aware of the relationships between emotions, thoughts and behaviors in your own life can be an empowering process. Identifying coping thoughts, such as “Mistakes happen, nobody’s perfect” may offer relief and allow for radical acceptance and self-compassion to be more accessible. 

Finally, interpersonal effectiveness skills integrate mindful awareness of yourself and others within relationships. The Dialectical Behavioral Therapy Skills Workbook describes six core interpersonal effectiveness skills: knowing what you want, asking for what you want, negotiating conflicting wants, getting information, saying “no” in a way that protects the relationship and acting according to your values (p. 187-188). These skills support you in identifying barriers to creating and maintaining nourishing relationships in your life. 

Your Unique Healing Journey

DBT stresses the importance of cultivating awareness, following intuition, creating effective plans, taking wise action and honestly reflecting. In my practice with clients, I also draw upon a combination of these practices with gentleness, humor and acceptance. Together we can weave an experience of therapy unique to you, meeting you where you are while building your capacity for change. 

The Dialectical Behavioral Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation & Distress Tolerance by Matthew McKay, Ph.D, Jeffrey C. Wood, Psy. D, and Jeffrey Brantley, MD.  

The Foundations of DBT

by Ashley Gregory, LMFT

Throughout my experience as a clinician, I have come across DBT on numerous occasions. In my work with adolescents, I have been fortunate enough to partner with community mental health organizations implementing DBT groups for young people struggling with serious depression, persistent trauma and crippling anxiety. This piece is meant to be a very brief introduction to DBT; a glimpse into its early beginnings and to the concepts underpinning its practice.

Where did DBT come from?  

DBT stands for Dialectical Behavioral Therapy. Marsha Linehan developed DBT in the late 1970’s throughout her work with people who were highly suicidal. She literally went to hospitals and asked them to refer the people who were most acutely suicidal to her. Marsha is credited for creating a treatment for Borderline Personality Disorder, which is what DBT is most known for, however Marsha asserts that her initial aim was to address suicidal and self-harming behaviors. Now, DBT is widely accepted as applicable for a variety of mental health conditions, including Posttraumatic Stress Disorder (PTSD), depression, anxiety, substance use disorders, obsessive-compulsive disorder (OCD) and more. In many clinical settings, DBT is practiced in groups and with an individual therapist simultaneously. Treatment includes skills training to improve emotional regulation, interpersonal effectiveness, distress tolerance and mindfulness. 

Marsha had herself been through a lengthy hospital stay in her early life. For two years, she was institutionalized and isolated for months on end. She developed self-harming and suicidal behaviors and was subjected to numerous drug trials and electroconvulsive therapy (ECT). At this very same time, through her personal struggle, she dedicated herself to supporting others’ well-being.

What is Dialectics?

One way to understand the “dialectics” part of DBT is to think about it as a “both/and” perspective. Rather than label someone’s perspective as “right” or “wrong,” dialectics suggests that multiple truths exist at the same time, neither truth more important or more true than the other. In a dialectical approach, therapists and clients are encouraged to consider holding apparent contradictions at the same time. This perspective creates space for seemingly opposite experiences, for example both wanting to live and wanting to die, to exist simultaneously. In this way, DBT practices a validating stance towards another person’s experience and perspective. 

DBT is an approach which combines behavioral and humanistic interventions. In her work, Marsha found that the people she sought to support in “creating a life worth living” did not respond well to either approach applied on it’s own. Instead, she realized that what was most helpful was finding a balance between change and acceptance. What she found in her research was this: on the one hand, people did not want to be told that they are the problem and something is wrong with them. On the other hand, people were suffering tremendously and needed skills to “find a way out of hell.” Interestingly, DBT was actually the first widely practiced treatment to incorporate mindfulness skills. It is a core practice in DBT, derived from Marsha’s own experience with Zen Buddhism. She explains that this foundational practice is all about non-judgmentally embracing moment and focusing on the only reality that exists: the present. 

What is Wise Mind?

DBT stresses the importance of cultivating a Wise Mind. First, let’s look at the three states of mind in DBT: Emotion Mind, Reasonable Mind and Wise Mind. Emotion Mind is the state of being where feelings are overwhelming and actions are impulsive. Reasonable Mind is the state of being where rationality is most in control; it is used to solve problems and pushes away emotional experience. Wise Mind is the combination of Emotion Mind and Reasonable Mind, drawing upon knowledge, emotional experience and intuitive knowing. 

A Bit of Practice

As mentioned above, mindfulness is an essential tool and practice in DBT. To further your own awareness, you may wish to explore your own experience of Emotion Mind, Reasonable Mind and Wise Mind. 

*How do you know you are in Emotion Mind? What are your personal cues (thoughts, feelings, sensations) pointing you to knowing when you are taking actions from an impulsive or overwhelmed place? What might be the cost of being reactive, without taking time to consider consequences, in relationships with others? How about any benefits? 

*In what kinds of situations do you utilize Reasonable Mind? How do you know you are in Reasonable Mind (thoughts, feelings, sensations)? What happens when you make choices without taking a moment to consider your emotions? What might be the cost of being fact-based and analytical in relationships with others? How about any benefits? 

*How do you know you are in Wise Mind, having a sense of balance between being in touch with your emotions and able to consider the facts? How do you notice the differences and similarities between Wise Mind, Emotion Mind and Reasonable Mind in your thoughts, feelings and sensations? When are you most in touch with your intuition?

I am drawn to DBT because it is all about balance and radical acceptance. It is an approach and a practice that prioritizes and trusts one’s own experience of themselves and the world. In forthcoming writings, I will explore further the skills DBT draws upon to maintain balance, to offer clarity and to cultivate the inner knowing of Wise Mind. 

For a review of Marsha Linehan’s memoir:

https://themighty.com/2020/03/marsha-linehan-memoir-summary-dialectical-behavior-therapy-dbt/

3 Common Questions about Play Therapy for Children

by Dr. Nia

Play is often called “the language of children.” How many times have you had a feeling and struggled to put it into words? Like adults, children experience a full range of emotions but they don’t yet have the words to express them. They are still developing the skills to be able to recognize and tolerate their emotions, especially the uncomfortable ones. 

Maybe you’ve heard of play therapy but aren’t really sure what it is and how your child can benefit from it. Of course you want the best for your child and want to make sure you are paying for a treatment that will support them. In addition to my work with adults, I’ve been doing play therapy with children for several years. Play therapy is a useful treatment approach due to children’s developmental level. Here are three of the most common questions I receive from parents and caregivers:

1. How is playing with my child actually therapy?  

Although it looks different from traditional talk therapy with adults, play therapy with children has many of the same therapeutic benefits such as identifying and expressing feelings, problem-solving, and practicing new skills. These benefits stem from developing a trusting relationship where a child feels safe to express their unique feelings without fear of judgement. Play therapy helps children to deal with their BIG feelings. Play also gives them a level of distance so these feelings don’t feel so overwhelming. 

For example, a child of divorce may be feeling distressed but it may be too threatening to talk about directly. In session, the child may use puppets or a dollhouse to play out family conflict. The therapist can observe themes and support the child with identifying the feelings in their play. The therapist might say something like “The child puppet feels scared when the parents argue. He is worried they are angry at him.” The child learns that his feelings are normal and are okay to express. In this way a child learns language to describe and organize his experiences, which reduces distress. The child also learns that he doesn't have to deal with these difficult emotions alone. The therapist can share with the parents that the child may be feeling responsible for the divorce (a common belief in children) and needs reassurance that the divorce is not his fault, the parents will never stop loving him, and they will always keep him safe. 

2. What can you really learn about a child through playing?

A therapist who is trained in play therapy can learn so much! Children enjoy getting one-on-one attention from a supportive adult, where they get to be in control (with appropriate limits around safety). This develops a sense of safety and freedom to explore. As such, a therapist gains insight into a child’s perception of the world. For example, during doll play, are the adults and other kids kind and helpful? If so, a therapist might imagine this child feels worthy of love and care and sees other people as supportive. On the other hand, a child may create a scene in which bombs go off without notice (sometimes playfully scaring the therapist!). One possible interpretation is that their world feels scary and unpredictable. It’s important to note here that children often mimic what they see on TV, older siblings, and adults around them. Rather than make interpretations based on one interaction, a child therapist looks for repeated themes. Play gives the therapist a window into the child’s inner world. It can help therapists identify the child and family’s strengths as well as the areas where they may need more support.

3. How can play therapy support my child at home and at school? 

By observing and interacting with a child in a safe place, the therapist gathers information about tools that can support the child to be successful in other areas of their life. This information is useful for parents/caregivers, schools, and any other meaningful relationships in the child’s life. Helping adults recognize a child’s emotional needs can help prevent the behaviors that cause frustration for everyone. For example, a therapist may notice a child has difficulty with transitions and needs a few reminders before switching to a new activity. This may help explain why the child has a tantrum at school whenever recess is over or at home when bedtime is announced. 

The therapist-child relationship and how it develops can give insight about a child’s relationships with others and with themselves. Does the child have trouble taking turns? This child may need support with social skills or impulse control. Do they become really upset when they lose? A child who cheats in a game may be expressing their feeling that the odds are always against them. This can suggest some points of intervention such as strengthening the child’s self-esteem or supporting them with social communication skills. The therapist can learn about the child’s difficulties and how they are likely impacting their family relationships and their friendships with other children. 

I hope this answers your questions and you feel more confident that play therapy is useful for supporting children at home, school, and in their communities. 

Take care and be playful!

-Dr. Nia

Further resources: 

Association for Play Therapy: https://www.a4pt.org/

Psychology Today: https://www.psychologytoday.com/us/therapy-types/play-therapy

Play Therapy International: http://playtherapy.org/

5 Tips For Communicating With Your Teen

by Nia Saunders, PhD

There are many reasons for conflict between teens and their parents/families. Teens are starting to be more independent, they become increasingly more oriented towards their friends, and they can make impulsive decisions. For parents, there can be conflict around teens challenging adult authority and exploring their identities. All of these factors make it a common time for increased tension in families with teens. The following tips will show how to improve communication with your teens and build stronger relationships. 

1. Listen and show respect for their voice: 

As a psychologist who works with teens, one of the most frequent concerns that teens share with me is that their parent or caregiver “doesn’t listen.” The examples they share include: parents judging, dismissing their opinions, or giving unasked for advice.When talking with your teen, listen attentively and hold judgment. Listening means actively trying to understand what they are saying, not just listening to respond. Ask if they need to vent or if they need advice. Sometimes, they may just want you to listen, rather than go into fix-it mode. Remember, part of their task at this stage of development is to find their voice. You can support them to do this by listening and reassuring them that their voice matters. 

2. Validate their feelings: 

Think about how it feels when you share a story about something that upset you, and the response you get is “why are you making such a big deal.” Does that make you want to share more? Probably not. One way to show teens respect is to validate their emotions. This means to show that you understand how something may be affecting them. Things that seem minor from our adult perspectives are really important to them. For example, teens tend to think about their lives as a “personal fable,” a unique story in which they are the star character. This means getting a pimple or going through a breakup can feel like the end of the world. Suggesting they are being dramatic or saying “it’s not that big a deal” invalidates their emotions and causes them to shut down. It can also cause feelings of shame.   

Using language like “That’s frustrating” or “I see why this is upsetting” makes them feel understood and encourages them to express themselves. This ultimately helps them feel more in control of their emotions. Validation doesn’t mean agreement. You may not think their recent fight with a friend is a big deal in the grand scheme of things. Validation means that you acknowledge it’s important to them and you’re recognizing their emotions in the moment. Acknowledging their feelings supports them to feel their emotions, without dismissing, minimizing, or trying to immediately fix them. Validation is a powerful strategy for helping teens feel heard and valued. 

3. Control your own emotions. 

Parents and families can be triggered by their teens’ emotions or behaviors for many reasons. There may be cultural factors, increased family stress, or the parent/caregiver’s own trauma. It’s important to check in with yourself to determine why the teen is triggering a negative emotion. Teens are still learning and growing. The prefrontal cortex (part of the brain that controls impulses and regulates emotions and behaviors) doesn’t finish developing until the age of 25! This means teens still need a calm, trusted adult to help them navigate everyday life. Teens tend to be hypersensitive to facial expressions and tone of voice. They can detect sarcasm and when they’re being criticized or judged. Staying neutral when communicating with them can prevent escalation of a situation, especially if they’re already upset. 

4. Know the common stressors for teens: 

There is so much happening during the teenage years. They deal with increased academic pressure at school. Physically, they are going through the changes of puberty and may be more self-conscious about their appearance. Socially, they may be exposed to peer pressure during a time when approval by their friends is so important to them. Friend groups change and they may begin dating. This makes them more sensitive to social rejection and how they are perceived. Teens are also aware of the social and political climate and youth of color experience distress related to current events. Teens who belong to marginalized groups, like LGB, trans, or gender nonconforming youth,  are at increased risk of bullying, homelessness, and mental health concerns like depression or anxiety. Knowing what teens are dealing with can help adults have more compassion and recognize the importance of supportive relationships with good communication. 

5. Give them credit: 

Sometimes, adults have a dismissive “you’re just a teen” attitude.This comes across as condescending. Even though teens care what their friends think, they still care about their family’s opinion of them. They want to know you think they’re great. It’s important to highlight their strengths and what you admire about them. This helps strengthen their self-esteem and motivates them to keep up the good work. Even when you disapprove of their choices or behavior, it’s important for them to know you still think they are good people. Giving teens credit and praising them for the things they are doing right helps them to feel good about themselves. 

There are so many things that are exciting about the teen years. Teens seek out new experiences, have creative ideas, and explore their identities in ways that differ from other age groups. Using these tips to communicate can help your teen in feeling valued and important. It also makes them more likely to turn towards you, rather than away, in times of need. 

Therapy reflections:

• What was your experience of being a teen like?

• Did you feel like you could talk to adults about what was going on? Why or why not?

• How can you use these tips for talking to the teens in your life? 

Resources: 

Michaela Horn: Teen Stress from a Teen Perspective: https://youtu.be/FhG-VoRtkKY

Dr. Adriana Galvan: Insight into the Teenage Brain- Ted Talk: https://youtu.be/LWUkW4s3XxY

Dr. Dan Siegel : The Adolescent Brain: https://youtu.be/0O1u5OEc5eY

Reflections on Reaching Out

by Ashley Gregory, LMFT

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How many times have you heard someone say, “I’m so bad at reaching out!” Or maybe you have heard yourself say something like, “I just have such a hard time picking up the phone!” In my experience, the next phrase is something like, “It’s not personal, I do it with everyone.” For so many of us, reaching out is really hard. We can be deeply hurt when we reach out, only to feel rejected. Our feelings towards reaching out may even be confusing. 

On A Personal Note

Earlier last year I had a profound reminder about the importance of reaching out. Someone really close to me who lives in another part of California had to go into the hospital for a procedure. The purpose of the hospital visit was to determine if more intrusive measures were needed--a potentially life threatening experience. It just so happened that several family members lived near the hospital. The thing was, I had not seen them in years. Of course, there are many painful reasons why I had not been to visit my family in a long time. Would it be a mistake to reach out? Given our experiences in the past, would it be easier to just keep our distance? I checked in with my loved one. Was it okay for me to reach out and let my nearby family know about the situation? I wanted to respect the patient's wishes. We talked through the possible outcomes and concerns. Ultimately, we agreed that I would let our family in the area know. Then the unexpected happened: they went above and beyond to support the whole scary process from beginning to end. Our family offered rides when we needed them, food to keep us going and visits and calls to remind us that they care. Turns out, we even have a nurse in the family who could advocate for accommodations and offer information throughout the whole frightening process. And the results were very heartening--no need for surgery after all. What a relief! Now that we are on the other side of the unknown, we cannot imagine how we could have gotten through it without the support we received. 

From the Very Beginning

To learn more about “reaching out” we can look to attachment and development. The act of reaching is a part of our initial movements as infants, in addition to yielding, pushing, holding and pulling. Ruella Frank, Ph. D. shares in his book Somatic Awareness:

Infants rely on a developing language of body that enables them to reach out and experience the other, and in so doing, to experience themselves. Every infant’s reaching pattern evolves as a pathway toward solving developmental problems or tasks. In the process of discovering the solution, a reach is made (109). 

In essence, our very early experiences shape us--our reflexive movements and core beliefs. The ways in which our caregivers responded to our needs, at a time when getting our needs met were most dependent on others, gives form to our shape. We learn about who we are and what we can expect in the world through our relationships with others. We create adaptations to get through disappointments and abandonment. 

From infancy to old age, we all have needs. Part of what makes each of us unique is how we go about meeting our needs. Deirdre Fay, in her book Attachment-Based Yoga & Meditation, states that “Reaching is about exploring, moving toward, asking, wanting, needing (284).” Just as a child needs a sense of security to feel safe to explore their surroundings away from their caregiver, each of us wants to know that everything will be “okay” when we take the risk of reaching out. 

Somatic psychotherapy acknowledges the body-mind connection between the physical and psychological parallel of “reaching out.” You may try the experiment offered below to explore your relationship to reaching out. 

An Experiment in Reaching Out

Briefly bring to mind whatever it is you want to explore your reaching relationship to--a person or a goal, perhaps. Next find a comfortable seat with your feet on the floor, toes facing forward. Allow your back to rest in a supported position. Rest your gaze forward or close your eyes gently. Bring your attention to the top of your spine, the space between your shoulders, mid-back, lower back and tailbone. With a continued awareness on your back, recall your exploration topic and imagine it in a space a short distance from you, out of reach. Slowly, mindfully, notice what happens when you begin to think about moving an arm towards that space. Notice thoughts, sensations (weight, movement, tension, temperature) and feelings. If it feels right, begin the arm movement towards the space you are focusing on. Take time to allow your awareness to deepen, noticing what arises in your experience. When you sense the action is complete, mindfully drop the arm. Pause for a moment to reflect on your experience. 

As a reminder, mindful experiments create opportunities for clarity; opening to more choice and compassion for ourselves and others.  Using mindfulness in therapy can provide insight and clarity around important topics where you may feel stuck.

How to Cope with Holiday Family Gatherings During COVID

by Melody Wright, LMFT

The holidays are a time ripe for family gatherings. While those gatherings may look different this year, getting together with family members can present challenges no matter what. 
As much as we appreciate getting to spend time with our loved ones, the holidays often mean spending time with some difficult relatives. This year especially, it could mean spending time with people who don't take the COVID-19 pandemic seriously.

Preparing in advance for the challenges and disappointments you may face during the holidays can help you better cope with this hectic time of year. Here is some advice to keep in mind as you navigate the 2020 holiday season with your family.

How to Handle Difficult Relatives

We all have relatives we would rather avoid whenever possible. Our relationships with some relatives can range from uncomfortable to toxic. Regardless of why you prefer to stay away from a certain relative, the holidays can make it challenging or even impossible to sever contact with that person. That being said, there are still steps you can take to protect your mental health and minimize discomfort during the holiday season.

Set Firm Boundaries

As much as we would love to give people the benefit of the doubt, chances are that your relative is going to behave exactly as you expect them to. You may not be able to change their behavior, but you can at least prepare for how you're going to respond to it. 

The key to setting firm but fair boundaries is to lay down clear ground rules in advance. You may not feel comfortable talking to your relative about their behavior, but you can make it clear to other guests whom you do trust that you would prefer not to discuss a certain topic or have a physical boundary violated. This way, your other family members can back you up when you assert your boundaries.

Asserting your boundaries does not need to mean sparking a conflict. You might be worried about standing up for yourself for fear it will ruin the holidays with an argument -- but oftentimes, saying something as simple as "I'd rather not talk about that right now" or changing the subject is enough for most people to get the hint.

Accept What You Can't Control

As we mentioned before, you can't change your family member's inappropriate behavior. It can be difficult, saddening, or even enraging to confront the idea that your family member may never change. After all, we would all rather have a positive relationship with our relatives whenever possible. 

However, spending time wishing that you had a different relationship with your relatives, or that their behavior was different, does little to actually change the situation. Instead, it's better to focus on the parts of your interactions that you can control. 

You cannot necessarily stop your relative from asking uncomfortable questions or infringing upon your personal boundaries, but you can at least plan for how you will respond to it. While their behavior is not within your control, your reaction to it always is.

Excuse Yourself As Needed

Frequently, it's easier said than done to navigate a difficult family relationship with patience and grace. You are only human, and you cannot blame yourself for becoming angry, uncomfortable, or embarrassed in light of your relative's behavior toward you. What you can do is create an exit strategy in case of an emergency. 

You may be concerned about sparking conflict or losing control of your temper in the event your emotions become overwhelming. If you feel yourself starting to get caught up in uncomfortable emotions, plan to excuse yourself from the conversation -- or even the gathering as a whole. Feigning the need for a bathroom break, or heading to the table for seconds, is a polite but effective way to excuse yourself from an unpleasant family interaction. 

That being said, it may not always be possible to physically leave the presence of your relative, such as during a virtual gathering. In that case, consider mentally excusing yourself for a break: take five deep breaths before returning to the conversation feeling calmer and more collected.

When Guests Won't Follow COVID-19 Rules

This year, the holidays present a unique challenge. Most of the time, dealing with relatives we disagree with can lead to awkward silence or uncomfortable conversations. However, in light of COVID-19, being around relatives who do not take the pandemic seriously could put your health and safety at serious risk. You may find yourself facing difficult decisions as you weigh the pros and cons of getting together with certain family members during the holidays. If you expect that the changes due to COVID-19 will disappoint or anger a particular relative, here's what you can do in advance to cope with the situation at hand. 

Move Your Holiday Gathering Online

Getting together with family over the holidays presents a number of causes for concern. For one thing, there is the question of what precautions to take: will your family be willing to hold their celebrations outdoors, forego certain traditions, or wear masks throughout the festivities? You may also be concerned about the safety of your elderly and immunocompromised relatives, and whether it is worth compromising their health to see them in person during the holidays.

Whatever you and your family decide, it's more than likely that at least one member of your family will disagree over what precautions to take or how careful you should be during the holiday season. Regardless of that person's feelings on the matter, however, it is not worth compromising everyone else's health and safety to accommodate their difference in beliefs.

The safest decision is to hold your holiday celebrations online rather than in-person. While some relatives will undoubtedly disagree with your choice, virtual holiday gatherings eliminate the need for concern over what precautions to take when meeting in person. This way, everyone can stay safe and protect their health -- even if others in the family choose not to wear masks.

Avoid a Debate

Unfortunately, wearing a mask or protecting yourself from COVID-19 has become a political issue, when it should be a health and safety issue. That being said, there's not much we can do about it, other than to accept the situation for what it is. 

When it comes to spending time with loved ones over the holidays, that means acknowledging that someone's opinion on the pandemic cannot be easily swayed. Trying to change your relative's mind about COVID-19 will almost never succeed, but it will almost always spark a debate. Conflict over political issues gets in the way of having a holly jolly holiday season and may upset or disappoint other relatives.

Ultimately, what matters isn't that everyone in your family believes COVID-19 is serious or not, or whether or not they listen to scientists or doctors. Even if you think the right answer is obvious, other people's minds are not so easily changed. The most important thing is that you and your family stay safe. Regardless of whether your relative understands your reasoning or believes in the safety guidelines, you can still be firm with your boundaries to keep yourself and your other family members happy and healthy.

Accept Inevitable Disappointment

If you struggle with people-pleasing, the idea of letting down your relatives this holiday season is probably stressful at best. Nobody wants to disappoint the people they care about -- but when pleasing everyone could come at the expense of another person's health, it isn't worth trying to placate your entire family.

As much as it can hurt to know we are upsetting someone we love, it's important to acknowledge and accept the fact that at least one person will most likely disagree with your decisions. At a time like this, you cannot stave off everyone's disappointment without putting your health and safety at risk. 

Most importantly, you cannot change their emotions through sheer force of will. Some disappointment is inevitable when it comes to canceling beloved holiday traditions or foregoing an in-person celebration -- chances are, you're feeling it, too. Without compromising your boundaries, which you are in no way obligated to do, the most you can do for your loved ones is apologize and commiserate about your shared disappointment.

Regardless of your plans this holiday season or your relationships with your family members, navigating holiday family gatherings in such a challenging time can lead to stress, anxiety, and depression. Should you find yourself in need of additional support this winter, Life by Design Therapy's expert providers are here for you. Contact us today to schedule a free phone consultation and learn if therapy may be helpful to you this holiday season.

Coronavirus Holiday Tips for Celebrating Safely

by Melody Wright, LMFT

Life by Design Therapy wishes all of our clients a happy Thanksgiving and a very merry holiday season! As we approach a long string of winter holidays, COVID-19 is on everyone's minds. The holidays offer an important opportunity to reconnect with family and friends, which we could all use right now given the stress of current events -- but many of us are wondering if it is feasible or even safe to plan a holiday celebration during a global pandemic.

While this year's celebrations may need to look different, we believe it is vital to embrace the holidays as best as we can. After all, the holidays offer opportunities for slowing down, connecting with loved ones, and nourishing our minds, bodies, and spirits with food and festivities -- all of which can contribute positively to our mental health. With that in mind, here are our best tips for celebrating the holidays safely despite the coronavirus pandemic.

Important Guidelines for Celebrating the Holidays

The Centers for Disease Control and Prevention (CDC) has issued a set of guidelines for celebrating the holidays safely. To do our part toward slowing the spread of the coronavirus, we should all implement these measures into our holiday celebrations to the best of our ability. Currently, the CDC's guidelines include:

• Celebrating with members of your immediate household or holding a virtual celebration

• Avoid traveling for the holidays as much as possible

• Consider gathering outdoors, as the risk of spread is lower than indoors

• Practice safety measures like hand-washing and mask-wearing at holiday events

• Limit alcohol consumption, which impairs our judgment, making it harder to stick to safety regulations and social distancing

• Do not attend holiday celebrations if you have tested positive for or have symptoms of COVID-19

Here in California, where Life by Design Therapy is located, there is a limited stay-at-home order in effect for certain counties. People who live in high-spread areas are advised to stop all non-essential work and activities and stay home between 10 am and 5 pm. It's unclear how long this order will last or how it might impact your holiday celebrations. You may want to plan a virtual gathering in the event that in-person celebrations are no longer possible.

California has also prohibited all gatherings where more than three households are present until further notice. This means that you can gather with your immediate household and two other households. (College students and family members who don't live with you should be considered members of separate households.) These rules apply to both indoor and outdoor gatherings.

Tips for Celebrating Safely with Loved Ones

Celebrating the holidays during a pandemic does not need to mean isolating yourself from your loved ones or letting go of important traditions. You can still celebrate the holidays safely despite the COVID-19 pandemic. Here are some tips for making the most of your holiday celebrations during this unconventional year:

• Plan virtual celebrations. The safest way to celebrate during the COVID-19 pandemic is online. Best of all, celebrating online means you do not need to leave vulnerable relatives, such as the sick and elderly, out of your celebrations. Zoom, Skype, and FaceTime are great options for connecting with loved ones from the safety of your home.

• Take advantage of modern technology. These days, phone calls and video chat are just the beginning of ways to connect with your loved ones online. Nowadays, there are multiplayer games that can be played by family members across the country and browser extensions for holding synchronized movie nights from afar. Look into what technology is available to make your celebrations more creative.

• Watch movies or television. Normally, the holidays offer an opportunity to get away from the screens -- but watching a favorite holiday movie or the Thanksgiving Day parade on TV is a safe, socially distanced way to enjoy holiday celebrations from afar. Virtual traditions like these are some of the only ones that won't need to change to accommodate the pandemic, so embrace them! 

• Practice gratitude. Thanksgiving and the rest of the winter holidays are a wonderful time to express appreciation for all we have. It can be challenging to feel grateful when it feels like so much has been lost to the pandemic, but the holidays offer an important reminder of all of our blessings. Acknowledging and honoring all the things you have to be grateful for can even boost your mood and improve your overall sense of well-being. 

• Send snail-mail. These days, getting snail-mail is a bit of a novelty. Sending a holiday card is a socially distanced way to let your loved ones know you are thinking of them, especially for elderly relatives who may not feel comfortable using modern technology. Kids may even enjoy crafting their own holiday cards as a way to keep busy on their holiday break.

• Embrace gift-giving. Giving gifts is a time-honored holiday tradition. Right now, sending a gift is one of the safest ways to show a loved one you care about them and are thinking of them during the holidays. For many people, receiving a gift helps them feel appreciated and loved, even if it is small or inexpensive.

• Reach out for support. This time of year, it is normal to experience increased stress or the "holiday blues." It's even more normal to feel this way during a global pandemic that has completely upended the ways we celebrate the holidays with family and friends. Know that there is nothing wrong with needing a bit of extra support as we approach this challenging season. Keep in touch with your support systems in a safe way, and don't be afraid to reach out to a Life by Design Therapy provider if you need professional support to help you through the holidays.