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Mapping out Therapy - An Interview with founder Danielle Zawadzki
Have questions about what to expect when coming to therapy? What types of therapy are there? How to know if a therapist is a good fit? Empowered Connections Counseling Founder, Danielle Zawadzki, LMFT sat down with Palos Heights’ (PHTV4) Living Well program to discuss the ins and outs of therapy. Below is a brief summary of her interview, and be sure to check out the full length interview with more in depth insights at the link below.
Have questions about what to expect when coming to therapy? What types of therapy are there? How to know if a therapist is a good fit? Empowered Connections Counseling Founder, Danielle Zawadzki, LMFT sat down with Palos Heights’ (PHTV4) Living Well program to discuss the ins and outs of therapy. Below is a brief summary of her interview, and be sure to check out the full length interview with more in depth insights at the link below.
Q: What are the different types of therapy out there?
A: If you were to see a therapist once a week that would be considered outpatient, and this can be in the context of individual therapy, relational therapy, family therapy, or group therapy. Individual therapy is for people of all ages, couple or relationship therapy would typically be with you and your partner(s), family therapy is with all members of a family or certain members of the family, and group therapy is usually a person joining a group of people who are working on a similar topic or goal.
Q: What types of presenting issues bring people into therapy, whether individual, relationship, or family?
A: On the individual level there are a wide range of topics including anxiety, depression, eating issues, substance use, life transitions, interpersonal support, etc. For relationships you might find people coming in for conflict involving destructive arguments, infidelity, divorce or separation, and even premarital counseling. For family therapy presenting topics might include conflict, life transition like an adult child returning home, or even a young child struggling with behavioral issues.
Q: How do you find a therapist and how do you know if they are a good fit? A: You can start by searching for a therapist in a few ways. One way is by asking close friends or family for a word of mouth referral, doing a google search in your area by inserting your zip code, or using Psychology Today.
As far as whether or not they are a good fit, it is best to consider a few things first. Do you have a preference of the therapist’s gender? What level of experience or specialties are you looking for? After you identify those things, what is most important is the feeling you get when you are in the room with them. Do you feel safe? Do you feel like you can trust them?
Q: What can people expect in their first session?
A: Every therapist has a different structure, but generally you can expect to first review any paperwork with your therapist. Then, you might walk through the structure of therapy, what to expect, how long sessions will be. Next, you might start to get into your history, background information, and relevant information relating to your presenting issues. Last, you
will have an opportunity to ask any questions. Examples of important questions to ask might be, what approach do you take? What does that look like? What does that mean? What will we be doing?
Final Thoughts:
Therapy is an active process, on the part of the therapist and the client. It involves an active role. We are not “doing” something to you. Together you are on the journey actively walking the path together. It is never too late to get therapy! It can be beneficial to get it sooner rather than later, but there is always help available.
Living Well - PHTV4 Interview with founder Danielle Zawadzki
5 Quick Ways to Manage Anxiety
Anxiety gets the best of us from time-to-time. In this blog post you will find five quick practical ways to manage anxiety, some takeaways to plan ahead, and other tips you can implement when you feel like the anxiety is building up.
Anxiety gets the best of us from time-to-time. In this blog post you will find five quick practical ways to manage anxiety, some takeaways to plan ahead, and other tips you can implement when you feel like the anxiety is building up.
Engage Your Senses
Often anxiety will build into sweeping thoughts and an intense emotional experience. Using the sense of touch, taste, sight, smell, and hearing allows you to escape your internal experience by using your external experience to get lost in the moment.
Breathe with Mantra
If we can remember back to the nightmare that was gym class, telling ourselves as we were running laps, “just one more. I can do this!” while controlling your asthmatic breathing, we can use the same concept with anxiety. When we focus on a concept, we can force it into existence. Calm words, breed calm thoughts. Calm thoughts, breed calm experiences.
Schedule and Follow
A lot of anxiety could be eliminated if we scheduled our day in a predictable way, to understand what emotions we can prepare for. Not just our work obligations and the exciting new restaurant we are going to on the weekend, but the boring things like laundry, and necessities like cooking, grocery shopping, seeing friends, and cleaning your home. This allows us to anticipate the future and be able to plan accordingly.
What You Eat Matters
The old saying is true, when you eat well, you feel well. When we eat healthier foods, we feel better and we can better control our anxiety, instead of our anxiety controlling us. Eating more fruits and vegetables, while lowering our sugar and carbohydrates will help you with anxiety.
Exercise
When we move during exercise serotonin is increased, which is a natural anti-anxiety neuro-chemical. Taking a morning walk and talking to a friend can help make exercise more enjoyable than a dreaded activity.
Further Resources:
Podcast – Huberman Lab: How Food and Nutrient Control Our Moods. Dr. Andrew Huberman is an associate professor at Stanford University School of Medicine, Department of Neurobiology.
Blog – Men’s Health: Eat These Food to Beat Anxiety
Drew Ramsey, MD gives several food that can help reduce anxiety.
Book – Chatter: The Voice in Our head, Why It Matters, and Hot to Harness It
National Bestseller and Conscious mind expert Dr. Ethan Kross’ book on helping calm the inner voice.
Your Brain and Booze
Have you ever had a night out where everyone consumed so much alcohol that everyone was drunk? Maybe it was fun and elating at the start of the night, then quickly turned to drama? One of your friends said something hurtful, and your other friends tried to comfort you by saying, “they didn’t mean that, they are drunk” or “their personality changes after they’ve had alcohol”. These are common statements you might hear when alcohol is involved, the personality of the person changes. In reality, our brain chemistry is being impacted by alcohol, and there is still much to be learned about how.
Have you ever had a night out where everyone consumed so much alcohol that everyone was drunk? Maybe it was fun and elating at the start of the night, then quickly turned to drama? One of your friends said something hurtful, and your other friends tried to comfort you by saying, “they didn’t mean that, they are drunk” or “their personality changes after they’ve had alcohol”. These are common statements you might hear when alcohol is involved, the personality of the person changes. In reality, our brain chemistry is being impacted by alcohol, and there is still much to be learned about how.
Alcohol is known as a depressant, however research shows that as you begin to consume alcohol, your BAC (blood alcohol content) is rising. As the night progresses and the drinking starts to slow down, the alcohol acts more as a sedative. This can explain the behaviors at the start of the night where we might be feeling a burst of energy and rowdy, then as the night progresses we feel more fatigue and confusion.
Although there are years of research, there’s still much to be learned in terms of neuroscience impact. One study looked at the brain chemistry and possible linkage between norepinephrine and a major neurotransmitter inhibitor called gamma-Aminobutyric acid, also known as GABA (Banerjee. 2014). Due to alcohol acting as a depressant with similar chemical qualities such as valium, norepinephrine production increases. Norepinephrine affects the GABA receptors, which is responsible for regulating the nervous system (Georgetown Behavioral Hospital, 2021).
The nervous system communicates with our body and controls important functions such as our balance/walking ability, breathing, thinking, our 5 senses, and more (National Institute of Child Health and Human Development, 2018). When this is impaired, our ability to control our motor function slows down and reduces our ability to think and respond to situations quickly, causing those “drunk nights” out.
Another study found through a PET scan that the prefrontal cortex and temporal cortex in the brain showed the greatest decrease in activity. This could conclude an impairment in decision making and rational thought, as the prefrontal cortex is responsible for these processes. Inside the temporal cortex, the hippocampus is responsible for developing new memories. However, with the decrease in activity to this region of the brain as well, this could explain the reason for people not remembering their activities from the night before (Gowin, 2010).
We still have much to learn regarding neuroscience and its correlation with alcohol and GABA. Knowledge is power when consuming alcohol. Knowing its impact on brain activity can bring clarity to a lot of the confusion that might come with a long night of it.
Sources:
Banerjee N. (2014). Neurotransmitters in alcoholism: A review of neurobiological and genetic studies. Indian journal of human genetics, 20(1), 20–31. https://doi.org/10.4103/0971-6866.132750
Georgetown Behavioral Hospital. (2021). GABA and alcohol: How drinking leads to anxiety. Retrieved from: https://www.gbhoh.com/gaba-and-alcohol-how-drinking-leads-to-anxiety/
Gowin, J. (2010) Your Brain on Alcohol: Is the conventional wisdom wrong about booze? Psychology Today. Retrieved from: https://www.psychologytoday.com/us/blog/you-illuminated/201006/your-brain-alcohol#:~:text=Elevated%20levels%20of%20norepinephrine%20increase,ups%20happen%20after%20happy%20hour
National Institute of Child Health and Human Development. (2018). What are the parts of the nervous system. Retrieved from: https://www.nichd.nih.gov/health/topics/neuro/conditioninfo/parts#:~:text=The%20nervous%20system%20has%20two,all%20parts%20of%20the%20body.
How to Support a Loved One with an Eating Disorder
Eating disorders are serious life threatening illnesses, and they do not discriminate regardless of age, race, gender identity, sexual orientation, or background. Most often you cannot infer from the outside an individual is struggling with an eating disorder. The thought that weight is the only indicator someone is struggling, can perpetuate the secrecy and shame surrounding the struggle. Once you pull back the shade around this stigma, you can then keep an eye out for the warning signs.
Eating disorders are serious life threatening illnesses, and they do not discriminate regardless of age, race, gender identity, sexual orientation, or background. Most often you cannot infer from the outside an individual is struggling with an eating disorder. The thought that weight is the only indicator someone is struggling, can perpetuate the secrecy and shame surrounding the struggle. Once you pull back the shade around this stigma, you can then keep an eye out for the warning signs.
Supporting a loved one who is struggling with an eating disorder can be frightening and overwhelming; however, connection and communal support are key to recovery. Here are some quick tips to consider if you want to provide care for someone struggling with an eating disorder:
Tip #1 Educate yourself and make a plan: It can be difficult to approach your loved one about their eating disorder. There can be a lot of fear and emotions involved, so it is important to feel prepared. Prepare what you want to say and how. Invest in further reading about eating disorders to gain a deeper understanding and compassion for the struggle your loved one is experiencing. Avoid suggestions, and general statements like, “you need to stop.” Map out your key main points, then find a private location and time to talk (How to help a loved one. (2017, February 26).
Tip # 2 Approach with care: The pain your loved one is experiencing can be rooted in deep shame. It is vital to approach from a neutral and loving standpoint. Be sure to use I-statements, like, “I notice you are going to the gym a lot, and I am worried about you. I want to find a way to help you” (Eating disorders: Common warning signs. (2021, June 7).
Tip #3 Don’t give up: Know that they might not initially accept your support, but do not give up. It is important to find the balance between compassion and assertiveness, as getting them the help they need is vital. Allow space for them to express their potential worries, and offer to make the first treatment phone call with them (Eating disorders: Common warning signs. (2021, June 7).
Tip #4 Separate them from their eating disorder: Your loved one is not their eating disorder, and separating the two shows it can be tackled. Find windows where they acknowledge their symptoms, and how it might impact what they want for themselves. For example, if they love the outdoors, but are feeling tired and lethargic. Use that as a chance to express how you want them to gain back their energy in order to go camping and hiking like they’ve wanted to.
Tip # 5 Find support for YOU: Being a supporter to your loved one and their eating disorder can be an emotional journey. Not only does your loved one need to know they are not alone, so do you. Find a family member support group, or seek individual therapy so you have a space to process your experiences.
Sources:
Eating disorders: Common warning signs. (2021, June 7). National Association of Anorexia Nervosa and Associated Disorders. https://anad.org/get-informed/eating-disorders-warning-signs/
How to help a loved one. (2017, February 26). National Eating Disorders Association. https://www.nationaleatingdisorders.org/learn/help/caregivers
Additional Resources:
What is Self-Care?
Self-care has become a buzzword on the internet and across social media platforms. Google’s formal definition states, “the practice of taking an active role in protecting one's well-being and happiness, in particular during periods of stress.” Self-care is vital during moments of stress. However, creating purposeful rituals is most helpful when they are established before those periods of stress. Have you ever heard the phrase, you can’t pour from an empty cup? Well, someone once told me, the truth is hidden behind the word cliché.
Self-care has become a buzzword on the internet and across social media platforms. Google’s formal definition states, “the practice of taking an active role in protecting one's well-being and happiness, in particular during periods of stress.” Self-care is vital during moments of stress. However, creating purposeful rituals is most helpful when they are established before those periods of stress. Have you ever heard the phrase, you can’t pour from an empty cup? Well, someone once told me, the truth is hidden behind the word cliché.
You might envision self-care to be a day at the nail salon with a mimosa in hand, a pizza night streaming your favorite show, or taking a lavish beach vacation. Can those things be considered enjoyable and a way to decompress? Absolutely. Self-care is so much more than that though. It is meant to be intentional, and supports your overall well-being in a variety of ways. I often discuss it with clients as multiple buckets that you continuously pour into. Read on for the five buckets of self-care that I have categorized.
Physical: Fuel the endorphins with a HIIT workout, yoga, or walks around the park. Then drop that into your physical self-care bucket! It is not just about routine exercise though. Physical self-care can include your annual doctor visits, the nutrition you feed your body, and a good night's rest.
Mental: Take a break from the day-to-day by gently exercising your mind. Schedule just 5 minutes of book time before bed. Pull out a 1,000 piece puzzle, or challenge yourself with a daily Wordle puzzle.
Emotional: Connecting with your emotional world is vital. Consider a check-in with reflective journaling. There are great journal prompts online to support this. Write a few on a sticky note, place them into a jar, and pull one out a few times a week. Now this might be a given, but therapy! Are you anxious about a presentation? Talk to your therapist, and build out a cope-ahead strategy. Therapy is an hour a week dedicated just for you.
Relational: Find ways to connect regularly with the ones you feel supported by. Set a reminder on your phone to call one person every Friday afternoon. Attend a community event like a block party with your partner. Pick out an organization or social cause, and find ways to support it. Find a conversation starter card deck, and pull them out during a family dinner. These are just a few ways you can deepen and expand your relationships.
Spiritual: For some it can be a religious practice like prayer, or readings. However, spirituality can also be defined by activities that help nurture your spirit. Things that help you connect to your physical self. A mindful walk around the park engaging your senses, or a meditative yoga flow. A visit to a forest preserve with no technology. Identify what will help you step away from that monkey mind, and connect within.
Additional Resources: A highly recommended TedTalk by Portia Jackson-Preston.
Portia Jackson-Preston Discusses the Missing Ingredient in Self-Care