Stigma around Mental Health

I get asked all of the time if my clinic is busy due to the aftermath of COVID and the impending recession. My answer is ‘Yes’ and I am so grateful many people are starting to value their mental health as much as their physical health. I would not have wished a pandemic to happen in order for people to realize how important mental health is, however, I do appreciate that it is forcing people to get the support they now know they need. Additionally, why not get the skills and tools now instead of dragging through life wondering why it feels so hard. It doesn’t have to.
Working on your mental health is just as important and time consuming as your physical health, the best part about that is, when you are working on one, you are also benefiting the other. How many times have you gone for a walk and felt worse? How many times have you opened up to a friend or a family member about a personal issue and felt worse? My guess would be, never. Humans need regular exercise just as much as we need to have someone to talk to.
Understanding the importance of mental health and admitting that you have mental health helps all of us. Most people don’t have to see a therapist to deal with their mental health issues, but many people do and we need to continue to make this just as important as visiting your doctor.
I don’t remember I single time growing up that I heard the term, ‘mental health’, yet we talked about our physical health every time we went to the doctor, or participated in gym or health class. I believe that as our country and the world matures, so does our view on the importance of mental health. If we talked about mental health from a young age in a positive light, we would take away the stigma around it and it would be a part of our everyday conversations. Previous generations would often times not only keep their thoughts about mental health to themselves, but would also talk about it as if it was a sign of weakness. I can’t tell you how many times I’ve heard, “that’s not a big deal, just move on” or “you are making that bigger in your head than it needs to be”. Or how about, “I don’t know what Aunt Sue had, everyone just knew she was crazy”. It seems as if admitting you are nervous, scared, sad, intimidated, fearful, self-conscious, worried or unjustifiably angry that something was wrong with you and you should just keep it to yourself.
As a professional in the mental health field, I can assure you, your thoughts and behaviors don’t just change by someone telling you to, ‘move on’. It often times has the complete opposite effect. You may start to question if there is something wrong with you, compounding the issue. The image above gives some statistics around how many people are impacted by their mental health. I would argue that 10 out of 10 have been impacted even if it was for a few days or weeks. We don’t have our physical health at 100% all of the time just as we don’t have our mental health at 100% all of the time. Each one of us can make an impact on how we value mental health in our country. Be curious, ask questions, do research, share your experiences and if life feels overwhelming or confusing, something is not ‘wrong’ with you, your mental health is just struggling a bit. I encourage you to talk to your friend about it and if they aren’t helpful seek out a professional. You may only need to come in a few times to sort out an issue or you could benefit from a treatment plan that addresses several issues over the course of 2-3 months. Therapy is often brief and the skills you learn will last a lifetime.


Time Management

blog time management tips

It is back to school time and most people are feeling pretty stressed out right now. The beginning of school and the holidays tends to max out energy and leave many people feeling pretty depleted. The season change is also difficult to adjust to because even though the most popular season of fall is upon us, winter is just behind it. Mastering time management is a great goal to decrease stress and avoid heavier burn out that can lead to Generalized Anxiety or Depression. By adding just a few extra intentional skills a day can help you feel more in control and also gives you more time to be present for yourself, family and your job. As the nursing center suggests, using a proactive mind set can help you organize not only your home but also your mind. Just the simple tool of writing down tasks, allows more space in your head to stay calm and take one task on at a time. My favorite skill when it come to time management is to write all the tasks that are playing in your head, then write down the estimated time it will take, finally rewrite the list in the order of priority. I suggest not letting it add up to more than an hour a day. I call it ‘power hour’. It can be any time of the day but it should be carved out and consistent. If you are struggling with time management and feel it might be adding to other symptoms you are experiencing, stepping in for some therapy may be helpful.



It is Mental Health Awareness Month and I’m here to bring attention to Depression.

Depression does not leave us when the sun comes out. Many people don’t even realize they are suffering from symptoms of depression. The most common perception of depression is a person who can’t get out of bed, struggles to keep a job and hangs their head low. It is often thought to be a disease that takes over the whole body, but that is only true for a small portion of the population, some of the time. Since there is very little education in the general population of what depression is, many people don’t realize that they may be suffering from more mild symptoms of the disease. The disease is progressive like so many other diseases if it is left un-treated. If you are suffering from 5 or more of the following for the same 2-week period, you should seek help.

1.) Depressed mood most of the day, nearly ever day.

2.) Loss of interest in previously enjoyed activities

3.)Weight loss or gains, appetite increase or decrease that is significant.

4.)Thoughts and movement reduction noticeable to others. (IE: Brain fog that won’t go away or Chronic laziness)

5.)Fatigue and loss of energy nearly every day

6.) Feelings of worthlessness or excessive guilt

7.)Diminished ability to think or concentrate. Not able to make decisions, small or big.

8.) Recurrent thoughts of death or suicidal ideation, sometimes with a plan, sometimes without

Additionally, if you feel irritable most days, feel over-reactive or overly sensitive to situations, low energy, impulsive behavior, spending too much time doing one activity (ie: on your phone, binge watching shows, abusing alcohol, sleeping too much, gossiping, shopping), you also may be experiencing more mild forms of depression that could lead to bigger problems in your life. One way to get a better understanding is to ask people around you. “Have I been hard to be around? What makes me hard to be around?” Sometimes we don’t have the insight to see the symptoms we are experiencing because we are busy distracting ourselves with vices such as the one’s mentioned above.

If you or someone you know is struggling with depressive symptoms that don’t seem to be going away, please get help or have an open conversation with your loved one. The image above are treatment strategies that are helpful to keeping your mental health in check. If you are going to keep your mental health stable over a lifetime (pretty rare) then you will have to be working each day to add positive activities to your schedule. It rarely comes naturally.


New Year New You

When you live in Minnesota, January is the hardest month to make it through. There is still limited light, sun and the temperatures are not very appealing to get outside for fresh air. Most of us tend to loose motivation and when coping skills start to decrease, the chemicals in our brain that are keeping us healthy also suffer. We all know the “things” we are supposed to do. Eat healthy, exercise 3-4 times a week, sleep 7-8 hrs and get outside. This isn’t hard to do when the weather participates but for the next 3 months it will continue to be challenging. This would be the time to start therapy. It can help you sort out the ruminating thoughts you are struggling with, the communication patterns we get stuck in and could also help you start healthy habits that will last you for the rest of your life. Starting therapy can be intimidating but all it takes is one session to understand the benefits and how easy it is to talked to a trained professional. Our job is to make you feel at ease so you can process your mental health concerns. If you have always wanted to start getting help for your depressive, anxious or obsessive symptoms, contact us today.


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Healthy Boundaries

Most of us were not taught about boundaries growing up with the rare exception of, “don’t talk to strangers” or “don’t get in strangers cars” or maybe, “don’t let anyone touch you where you don’t want to be touched.” These are a starting point for discussion around boundaries but also have mixed messages in them. We are also told, “be polite when people talk to you” and “if someone gives you something, accept it and say thank you.” Having been told mixed messages around boundaries is confusing and often times leads us to feelings of despair over making the right decision or it could lead us to doing something we are not comfortable with. Boundaries are necessary in all relationships and most importantly in our most intimate and closest relationships because that is how we keep them healthy. The above worksheet shows some important boundaries you should be setting in your relationships. If you find truths in the right column in your current relationships, you may want to step back and do some reflecting. There are plenty of ways to get a relationship back on track by asking for boundaries to be respected. You should always feel safe in your relationships, including in professional relationships and even one’s within your community or church. Know what healthy boundaries are in the first place is a good place to start and then being more assertive with asking for them is the next step. If you find yourself constantly asking for a boundary to be respected only to find them being broken again, may need a real assessment if the relationship is worth it. Seeking a counselor to help you with this could be helpful. The path to health, mental and physical is ridding your life of toxic relationships where boundaries are not respected. Don’t wait any longer.


Healthy Coping Skills

Are you feeling like you can’t gain control over your days and weeks? We all know it is very difficult with all of the pressures of Adulting, to keep our head on straight and our body’s grounded. When I work with clients, we discuss what they are doing each day and week that is ‘healthy’. I call these ‘proactive coping skills’ and some days/weeks, we just need our base coping skills and sometimes due to un-foreseen circumstances or taking on too much responsibility, we need to add extra coping skills. The above model gives clients an idea of health coping skills and also identifies, defense mechanism’s that may also be present too much of your day. If this is the case with you, take a look at the things that bring you feeling of content and joy. If they make you feel good while you are doing them and after you are finished, these are health coping skills. If they make you feel good while you are doing them but bring you down when you are done, such as consuming too much alcohol, gambling, binge watching TV or over exercising, then they have become a vice. The more healthy proactive coping skills you bring into your life, you are unlikely to fall prey to your vices. As the model shows, without leaning on healthy coping skills, you are likely to become more defensive which leads to a more negative emotional space and eventually a feeling of ‘loss of control’. If you think of your life as a ledger system, the more healthy coping skills you use, the less likely you will become defensive, which ultimately leads to positive feelings and a sense of control. This leaves the door open to feelings of content, happiness and joy.


Sleep Hygiene

One of the most common symptoms I hear in my office is the inability to sleep at night or not feeling rested in the morning. Sleep directly impacts our mental health whether we are getting good quality sleep or sleep that is not restful. I rarely get someone in my office that is struggling with an issue or concern that reports to getting fantastic sleep. It is often times hard to figure out which came first, poor sleep and then symptoms of anxiety or depression or did anxiety or depression start causing the poor sleep. Since it is next to impossible to decipher the two, and because the order they occurred doesn’t change the treatment outcome, focusing on good sleep hygiene is ‘a must’ for mental health. The biggest culprit to poor sleep is our own choices we make leading up to sleep. Our cell phones lend the most problems when it comes to self-discipline around sleep. Technology and marketing companies have poured million if not billions of dollars into keeping you on your phone. The longer you are on your phone the better chance you will see their advertisement targeted at you. The longer you are on your phone, you are also less likely to be making healthy decisions as well. Our brains get lazy once we have been on our devices too long so we are more likely to make a choice that we wouldn’t when our brains are sharp and rested. If you follow the list above of 10 keys ways to improve your sleep, I can promise you, you will be feeling better in a few weeks. You have to truly want to feel better to take action, be committed to making the behavior changes and refer to the list everyday until you are in the routine of good sleep habits.


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New Brain Old Brain

Have you found yourself feeling overwhelmed with emotions and feel like you are overreacting or not reacting in ways that reflect your values? If this is happening more often than you would like, you may be operating in your Old brain. The New brain Old Brain theory suggests that our Old Brain is the area of our brain that is more primitive in nature and is what many call, ‘the flight or fight’ zone. Our Old brain is very important to our survival when it is called upon during a urgent or crisis situation. It shuts down other regions of our brain and hyper-focuses on how to survive the present moment. For example, if someone is about attack you from behind, you don’t want to think about all of your options to defend yourself, you just want to react, either run or defend (fight or flight). Due to stress in our lives and chemicals being off balance, we may find our Old brain being over reactive and this doesn’t allow us to behave in respectful ways to ourselves or to others. Lets say you are having a tough day, one thing after another seems more challenging and energy seems to be against you. You stop to pick up some groceries and as you are coming in the house, the grocery bag rips, the eggs drop out the bottom and you find yourself in a puddle of egg yolks. This is indeed frustrating, however your life is safe and you are not in any real threat. That makes sense if you are using your New brain, not if you are functioning from only your Old brain. If your Old brain is over reactive, you may scream, swear, throw something or maybe even blame someone else. All of these choices lead to further consequences. When the New brain is available due to feeling grounded and level headed, we will use our logic and reasoning to react. This would look something like this: 1.)take note that what is in front of you is not ideal 2.)remind yourself you are in control and can react how you choose to 3.)take a really big deep breath in through your noise and out through your mouth 4.)if this did not provide relief, repeat 5.)self talk is necessary, remind self that you are not in danger, these are not predators on the ground and no one set you up for this 6.)problem solve 7.)clean up the mess and get more eggs the next time you are at the grocery store.

As simple as this may sound, many of us struggle with this on a daily and weekly basis. One option with therapy is learning how to master the skills of controlling our emotions and behaviors. It is a really empowering skill to learn and once you have learned it and practice it several times, you now have it for the rest of your life. This skill is just one element to therapy that many people benefit from when they engage in the therapeutic process.


Gut Health

We are inundated with information everyday about our health and what we should and should not do to improve our well-being. Most people I talk to about their nutrition, feel overwhelmed with the information that is out there and also don’t trust the sources. In the US, the FDA regulates our food processes and accessibility. They also come up with new guidelines every 5 years based on more in depth research. I think some of the mistrust that people feel towards the FDA has to do with major food industry such as sugar and dairy and how much influence they may have swayed the guidelines in the past. It’s hard to know who to believe and where to turn for answers. The guide above was produced by Harvard Health based on extensive research. When you look it over, none of the food suggested come as a surprise. Looking at the food that cause inflammation are also well known to avoid. When we eat too many foods that cause inflammation, not only does it leave us feeling lethargic and makes our digestive system work against us, but it also strongly impacts our mental health. In order to keep us physically and mentally healthy, we need to be making daily choices to put anti-inflammatory food into our bodies. I ask my clients to put this chart on their refrigerator as a daily reminder of how they can make food choices that will also make them feel more motivated and content. It’s your choice! Each little decision you make through-out the day, either helps you feel empowered or makes you feel stuck. If you need help with more accountability, therapy may be the answer you are looking for.


New Year New You

Who would have ever known that 2020 would have been as shocking and deadly as it was. Life tends to give us enough challenges on a daily and weekly basis to keep us engaged, we rarely ask for more. The other unique circumstance that 2020 brought us was the fact that for the first time in many people’s lives, we were dealing with a crisis that impacted everyone in the world. To think that there was not one person in the entire world who did not feel the impact of the Global Pandemic we call Covid-19 is uniquely unifying and relatable. It is truly a world event. The disparities of the reach is still being processed and to a large extent still unknown. What we do know is that some experienced several deaths in their families, long term affects from contracting COVID and others may have only had to make small changes to their routines or who they saw. No matter what the impact was to you personally, there certainly was one. As a clinician in the mental health field, I have seen a few silver linings to the pandemic. One of which is that people no longer have distractions that are keeping them from noticing they need more support or skills to tackle life. I have seen people come to me who have said, “I have needed to do this for so long but couldn’t find the time and kept pushing it off”. Now they are sitting at home, with very little to do, nobody to visit, no sports events to run off to or weekend work and their mental health is staring them in the face. They realize that they don’t really like themselves in quiet moments or they are dwelling an old issue that haven’t been resolved or aren’t sleeping. If this is you, you should really consider starting therapy. It does not need to be a time consuming process as most people start feeling better after they first reach out. Depending on the therapy method used, you may only need to be seen 3-5 times or may need more. This all depends on what you are needing to be seen for and what your goals are. You get to decide both of these, you are the driver of change. There is a misconception with therapy that you will be “psycho-analyzed” and have to hear and learn a bunch of “stuff” you don’t want to know. This is not the case. You will only learn what you seek to learn and will only change what you seek to change. You know yourself better than your therapist does and we are simply here to help you articulate what you want different in your life and then give you the skills to accomplish those changes. 2021 will bring about global changes and lets hope with the start of therapy, internal changes.