Although more recently popularized at the turn of the millennium, meditation was first documented in 5000 B.C. via cave art, which depicted people sitting crossed legged with their eyes halfway closed. During recent years as scientific advancements have made the study of meditation more accessible, therapists and doctors are suggesting it be implemented into your daily routine.

This is no wonder given the scientific benefits of meditation. There is evidence to show that it actually changes the chemistry of the brain, which leads to improved physiological and psychological reactions to stress. Brain-imaging studies reveal that meditation not only changes the brain’s structure, but it also changes the brain’s activation patterns, altering activation of brain regions involved with emotional regulation, attention, and self-awareness.

Despite the numerous proven benefits of meditation for mental health, this coping skill can be challenging to put into practice for a number of reasons. Based on my own personal experience and experience as a therapist, some of the common challenges to implementing regular meditation practice include difficulties finding time to slow down, the lack of a non-distracting environment available, the challenge of slowing down thoughts while meditating, and the frustrations with lack of progress. The majority of these challenges can be mitigated with one simple suggestion-managing our expectations about meditation.

Meditation is counterintuitive to our culture. We are constantly on the go, priding ourselves in our ability to multitask and fit as many activities as we can into one day. When we are not “doing,” we are on our phones and other devices and rarely engaging in the present moment. Even entertainment throughout recent years reflects our limited attention spans, as movies and television have gotten increasingly more action-packed and faster moving. However, although these factors may make meditation seem difficult to put into practice, they actually serve as proof that we need meditation more now than ever.

Meditation does not have to involve sitting cross legged with hands in prayer and chanting for it to be effective. Meditation should fit the individual, starting with small and reasonable objectives. The purpose of meditation is to bring your body and mind to the present moment. A good way to start is by counting your breaths. State to yourself, “Breathe in….breathe out….1; Breath in…breathe out…2.” See how high you can count without getting distracted. In the beginning, you may only reach 5 or 10, but with time and commitment you will see your progress. Be patient with yourself.

Another technique that can be beneficial is implementing the use of guided meditations. There are many applications and YouTube videos that offer free guided meditations for a variety of topics. Start with a 2-minute meditation, and work your way up to a 5-minute meditation. It is better to start small and be successful than to set your standards too high and fail to achieve them.

A third strategy that can get you started on your journey is what is referred to as “moving meditation.” This involves engaging in an activity while being fully engaged in said activity, such as walking, dancing, riding a bike, cooking, or any other task that engages your five senses. While completing the activity, focus intently on what you are doing rather than your internal dialogue. This will take constant redirection back to the present until you gain the ability to do so.

Meditation can be challenging, however the more you practice the more you will build up your mental muscle. The most important thing is to be open minded and kind to yourself along this journey. The amount of peace and feelings of well-being waiting for you on the other side is worth the wait.

-Alexandria Baxter, LMSW

How Does Trauma to One Family Member Affect the Entire Family Unit?

What Does This Look Like When a Child is the Victim of Trauma?

Children are incredibly resilient beings and can overcome trauma or have the effects significantly minimized by having supportive, empowering and understanding parents. When the parents' response to the traumatic situation is negative it can be more traumatized to the child then the direct trauma exposure.

For example, if a teenage girl is raped by a stranger and the parents belittel and blame the teenager for “being stupid”, not “knowing better”, dressing a certain way or being in a certain place- this inevitably leaves that child feeling like they are to blame for what happened to them and something is inherently wrong with them to have caused such a thing to occur. This can leave that teenage girl feeling hopeless, lost, unsupported and very alone. If she then begins to act out and becomes promiscuous, or her grades drop because she has PTSD and cannot focus as well, or become irritable and has more outbursts towards the parents, the child again will likely be blamed for their behavior. All of her cries for support, her showing she is struggling will only continue to serve the narrative that that child is inherently bad, defective, and unlovable. The parents' reaction to her only continues to show her the world is unsafe, unsupportive, and people in general are not to be counted on or trusted. 

Consequences of When it is Not Discussed

In both cases, parents' own trauma may account for their responses. A parent may be too triggered by that child’s sexual abuse to listen to them discuss it causing scenario 2. Alternatively, the parent could have their own history of sexual assault and blame themselves so they project their anger and blame on the child as they never fully coped with what happened to them. Furthermore, a parent’s lack of experience dealing with trauma themselves can cause them to feel inadequate in supporting their child in coping with trauma.

What Effect Can a Traumatized Parent Have on Their Children?

There are two main ways that children are affected when a parent is traumatized:

1. Witnessing a parent’s trauma.
2. Experiencing posttraumatic symptoms of the parent.

1. Witnessing a Parents Trauma

Witnessing could be through a child witnessing domestic violence or sexual assault of their parent. Children who witness a parent’s trauma may feel fearful and anxious. They may always be on guard, wondering when the next violent event will happen, waiting for the next shoe to drop. This can be seen in different behaviors depending on the child’s age.

Family Trauma Signs in Children under 5:

• Regressive behaviors such as bed wetting, thumb sucking and increased need for attention (whining/crying). 
• Difficulty falling and/or staying asleep
• Development stutters
• Development of fear-based behaviors such as hiding
• Severe symptoms of separation anxiety

Signs in Elementary School Children:

• Feelings of guilt and self-blame for the abuse
• Low self esteem
• Decrease in academic performance
• Increased behavioral issues at school
• Difficult making and keeping friends
• Somatic complaints such as stomach aches or headaches with no known medical cause

Signs in Teens:

• Acting out or oppositional behaviors
• High-Risk Behaviors such as unprotected sex, drug/aclohcol use, stealing, crimal behaviors
• Low self-esteem
• Low threshold for stress

It is important to note that there is a distinction between common behaviors for girls and boys- though this does not mean it cannot present in the opposite way. Boys are more likely to engage in oppositional, aggressive, and what we would generally call “acting-out” activities. Girls are more likely to “act-inward” and thus struggle with low-self esteem, depression, self-harming, and socially isolative behaviors.

2. Experiencing posttraumatic symptoms of the parent

When individuals struggle with PTSD they can have a range of symptoms that have an effect on their children and spouse. The 2 most common that affect the family unit are: re-experiencing symptoms and avoidance and numbing symptoms. 

Re-Experiencing Symptoms:

PTSD can cause flashbacks and/or nightmares which are what we call re-experiencing symptoms. These symptoms can occur quickly and seemingly to bystanders as “out of nowhere”. They usually bring with them strong feelings and emotions of guilt, shame, anger, grief or fear. For some individuals the flashbacks can be so severe they feel as if the memory is occurring in real time. To children and partners this can be quite scary. The parent’s behavior is unpredictable. They may not understand why the family member is acting this way or what caused it. It can cause children to worry about that parent or feel that their parent is too fragile or unstable to take care of them. For a partner it can put them in a caregiver role and make them feel hopeless about how to get their partner back to who they were before the trauma. 

Avoidance and Numbing Symptoms:

It is common for anyone experiencing PTSD to try to avoid trauma reminders and/or triggers. This may cause them to avoid people, places and things that remind them of their trauma. It can also cause them difficulty in experiencing joy and pleasure in things they used to love. Leaving that family member to feel detached or cut-off from their partner and children. Avoidance and Numbing can leave partners and children feeling unloved, unsupported and unimportant. As the trauma survivor may be hesitant to go to family events, holidays, kids games and struggle to connect with and engage with their loved ones like they used to. 

Because the re-experiencing symptoms are so upsetting, people with PTSD try not to think about the event. If you have PTSD, you may also try to avoid places and things that remind you of the trauma. Or you may not feel like doing things that used to be fun, like going to the movies or your child's event. It can also be hard for people with PTSD to have good feelings. You may feel "cut off" from family and children. As a result, children may feel that the parent with PTSD does not care about them.

How Does Trauma of One Sibling Effects the Other Siblings?

In my work, I have seen children whose siblings have experienced trauma struggle with many of the same trauma reactions and negative core beliefs. This is often due to parents focusing on trying to help the traumatized child and thus the sibling feeling neglected or pushed aside and unsupported. These children then tend to have a lot of the same acting-out or acting-in behaviors we described above. Many of them struggle with core beliefs of “I am responsible” “I have to be in control”; “I am unimportant/unlovable/defective”. This also occurs in children who are just so terrified of what happened to their sibling happening to them or anyone else they love that they are chronically anxious and fearful of the world.

Where to Start if You're Struggling With Family Trauma

What Therapy Will Look Like for Family Trauma:

Our assessments will focus on both individual and interpersonal consequences of the trauma, including parent-child interactions, discipline, communication and other areas of family functioning. Depending on your family situation, we may recommend individual sessions for multiple family members who are being affected by the aftermath of the trauma, in conjunction with family sessions to work on the interpersonal relationships when everyone is ready. As always our approach will be tailored to each unique family and individual. We have a range of therapists and modalities, including: EMDR, TF-CBT, art therapy, bereavement counseling and couples counseling, to ensure that each family and family member has an approach that works for them.

What Does it Mean to be an LGBTQ Affirming Therapist?

As LGBTQ Affirming Therapist in Suffolk County, NY we take an approach to therapy that embraces a positive view of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) identities and relationships. We also are intently aware and proactive in addressing the negative influences that homophobia, transphobia, and heterosexism have on the lives of our LGBTQ clients.

How We Ensure That Our Providers are Truly Affirming Therapists

1. Self-reflection: All of our clinicians engage in supervision in which we explore and address biases, beliefs and attitudes from their own upbringing. It is important for us as a practice that all of our therapists have either been in therapy and/or are actively engaged in therapy so they are aware of their own biases (not just of the LGBTQ community but also, race, socioeconomic status, ethnicity, etc.).
2. Involvement in the community: Our practice engages in many LGBTQIA+ events and networking with other agencies and business owners who work with and/or are part of these communities. Several members of our team are members of the community themselves and our cis gendered clinicians, when needed, consult with them in group supervision to get their prospective on client’s concerns.
3. LGBT Affirming paperwork: Our intake documents account for those that do not fit the herternormative boxes. For those planning to bill insurance it must be  under your legal name but we do have a “Preferred” name box as well to ensure all staff address you by your chosen name and pronouns. 
4. Education- We encourage and promote our clinicians attending training related to LGBTQIA community concerns.

What You Can Expect From Our LGBTQ Affirming Therapists LGBTQ in Suffolk County, NY

All of our therapists are extremely interpersonal. They want to know you: Your story. Where you came from. What happened to you. We pride ourselves in being a practice of “above and beyonders” who really want to know our clients and understand them. Part of being an LGBTQ affirming therapist in Suffolk County, NY is being a therapist that does not make assumptions about our clients but being open to hearing their stories and experiences. Every coming out story is different. Everyone’s level of comfort and openness about their sexuality and gender expression is different. We won’t put you in a box because you are part of the community. Your experience as a member in the community is still uniquely your own. We wholeheartedly believe and understand that your sexual identity and gender expression is no where near the only thing that defines your you-ness.

Being affirmative means we strive to treat all of our LGBTQ clients and their families with the respect and dignity they deserve. Our role is to support you, to uplift you, to empower you to make the changes you would like to see in your daily lives and heal from past hurts. We want you to know you are absolutely fine just the way you are.

Ready to See an LGBTQ Affirming Therapists LGBTQ in Suffolk County, NY?

Contact us now to schedule an appointment to meet with one of our amazing affirming therapists. We truly would love to help you through whatever is bringing you to counseling. Our providers have a range of expertise including: couples, trauma, grief & loss, anxiety, OCD, depression and BPD. There are also many modalities used within the practice including: EMDR, TF-CBT, mindfulness, CBT, solutions-focused, and strengths-based counseling. Our administrative assistant will match you with a therapist who is not only affirming but can also address the underlying concern that has brought you to seek treatment.

Sending Love & Light,

-Jamie K Vollmoeller, LCSW

Relaxation is defined as the state of being free from tension and anxiety. Relaxation has many health benefits, both mental and physical. Some examples include reducing symptoms of anxiety and depression, lowering heart rate and blood pressure, improving concentration and mood, reducing fatigue, reducing anger and frustration, and boosting confidence to handle problems. So, what are some simple things you can do to help feel more relaxed? Here are some ideas!

1. Breathe

We’re always breathing, but sometimes when we’re stressed or overwhelmed our breathing rate is affected. You may find yourself holding your breath, taking shallow breaths, or even hyperventilating. When this happens, you’re most likely adding to the stress response in your body, or in other words, making things worse.

Breathing exercises are one of the easiest relaxation strategies and there are many different ways to do them, but here’s one example. Sit or lay in a quiet, comfortable space. Breathe in to a slow count of three, hold for a slow count of three, and then exhale to the same slow count of three. Repeat this five times, or as long as you need to feel relaxed.

2. Meditate

During meditation, the goal is to focus your attention and eliminate any jumbled thoughts that may be causing you stress.  Meditation is a great way to bring yourself to a deep state of relaxation. And thanks to the internet, tips and resources for meditating are always readily available at your fingertips. Check out some guided meditations on YouTube, or research some apps like “Calm” and “Insight Timer.” There’s also a series on Netflix called “Headspace” where you can find some useful information about meditation and being mindful!

3. Write Down Your Thoughts

If you’re feeling overwhelmed with your own thoughts, it may help to get your mind off things by writing them down. If you prefer handwriting, get yourself a notebook or some scrap paper, but you can also do this on a computer or smartphone if that’s easier for you. When you’re feeling stressed, take a few minutes to write down short notes about how you’re feeling or how your day is going. And you don’t have to worry about things like grammar and spelling. Just focus on expressing yourself to help release some of that stress!

4. Get Outside

Being outside in nature has many health benefits, and helping us relax is one of them. When you’re feeling stressed, spending even a few minutes outside can help you feel better. You can go for a short walk, read a book at the beach, or simply find a comfortable place to sit outside and take in all of nature’s beauty. 

5. Listen to Your Favorite Music

Music can affect our emotions in different ways, and it has been shown that just listening to music has relaxation benefits. If we listen to calming music, we can expect our mind and body to follow suit and feel more relaxed. It has also been proven that upbeat, cheerful music causes our brains to produce chemicals like dopamine and serotonin, which makes us feel happy. So if you’re feeling stressed out, put on your favorite playlist and turn it up. Go ahead, sing along! You know you want to.

6. Laugh

We’ve all heard the quote, ‘laughter is the best medicine.’ But why is that such a popular phrase? Science has shown that laughing not only decreases stress hormones, but can also increase immune cells and infection-fighting antibodies. Quite literally medicine! Laughter triggers the release of endorphins, the body’s natural feel-good chemicals. So, if you’re not feeling so good, call up a friend who you know will make you laugh, or put on a funny video that you know will get a few giggles out of you.

7. Start Planning a Trip

Take a break and start browsing some vacation spots. We all need to take a vacation from work every once in a while, but taking a break from life is just as important! Even if it’s just a day trip somewhere local- schedule some time to disconnect from all of life’s stressors and be in the present moment. You won’t regret it!

-Jennifer Tietjen, LMSW

For starters, someone’s own gender identity is a process that may come naturally to some, though for others it may not be as easy. Whether it be exploring your own gender identity, sexual orientation, or even just working through your own curiosities, everyone should have a support system to help them along the way. Here we will discuss LGBTQIA+, the different sexual orientations, gender identities, as well as how seeking therapy can support you in this process.

Firstly, here are gender definitions to become familiar with:

● Gender Expression - the outwards expression of gender, typically expressed/observed through people’s names, pronouns, clothing, behaviors, body characteristics, and more.
● Gender Identity - invisible to other people, one’s internal definition of their own gender. Some people may feel comfortable with the gender that they are given at birth, though others may not.
● Sex - oftentimes confused with one’s gender, but someone’s sex identity is more-so biological than anything else. Someone’s sex is the combination of body characteristics (hormones, chromosomes, reproductive organs, etc.), thus being more than just two sexes.

There is a wide range of gender identities that people fall under and identify with. It is crucial to validate the feelings of someone who may be uncomfortable with their gender identity, as it is a significant life event that causes stress. Whether you already know your own gender identity, or if you are currently exploring that area of your life, seeking support can be helpful!

Secondly, here are some LGBTQIA+ sexual orientations:

● Asexual - someone who experiences minimal to no sexual attraction, though may still experience romantic attraction.
● Bisexual - someone who experiences an attraction to others of the same gender as well as people of another gender.
● Gay - someone, typically a male, who experiences attraction to someone else of the same gender.
● Lesbian - a woman who is attracted to another woman, ‘lesbian’ and ‘gay’ are sometimes interchangeable.
● Pansexual - someone who experiences an attraction towards another person regardless of their gender
● Queer - an umbrella term for anyone who does not identify as heterosexual or cisgendered.

Even though these are just a few definitions, there are many more sexual orientations that people feel attached to. Some people may question why there is a need for so many orientations or why there is a necessity to bring about awareness to this subject. However, it is so crucial to spread the word and to educate on these matters to increase the inclusivity of this community. Many people find plenty of comfort in connecting with one of the above, or many other, sexual orientations. Something as simple as “putting a label” to what one may be feeling can offer a sense of freedom as well as offer someone answers they didn’t have before.

Walking on the path of self-discovery at any stage of life can become too much for some to handle at times. Seeking mental health treatment is a great way to support yourself on this journey. Historically, the LGBTQIA+ community has faced discrimination as well as prejudice which is why our mission here at Long Island EMDR is to be a guide for those who may need it. We believe that therapy should be a place of comfort and safety, therefore we will do our best to ensure that we offer the best support that we can. There’s no reason to change who you are, only a reason to find out who you truly are on the inside!

-Conor Ohland, MHC-LP

In the chaos and rush of the modern world, do you feel stressed, tired, and disconnected? Do you experience racing thoughts, feel “on edge” to meet the demands of a deadline, or yearn for a break? If so, forest therapy is for you! Forest therapy is found to reduce the production of cortisol, a stress hormone.

Do you experience depression or anxiety?

Forest therapy can help. It is clinically supported to improve cognition and mood.

Do you struggle to concentrate or pay attention?

Forest therapy is shown to improve directed attention and boost executive functioning skills.

Do you love the outdoors, but have limitations due to mobility challenges or a significant health issue?

Yes, forest therapy is for you, too. Unlike hiking, forest therapy is a slow walk, generally in an accessible area, which makes it suitable for various populations. Forest therapy can even be done remotely, only requiring access to a window.

Do you want to improve your physical health?

Forest therapy is evidenced to lower blood pressure, improve cardiovascular health, boost immune system function, and even combat cells associated with cancer risk.

And finally… do you want to try forest therapy, but fear the possibility of injury, illness, or accident?

All forest therapy guides (or “guides”) are required to be certified in Wilderness First Aid and Infant/Child/Adult CPR, at minimum. They also have training in herbalism, thus can teach you of edible and medicinal plants.

At Long Island EMDR, we proudly have a certified forest therapy guide, Valerie Smith, LMSW, who's been trained by the world’s leading school on the topic pf Forest Therapy. 

Join Valerie in experiencing simple yet powerful techniques to help you feel whole and well again, while celebrating our kinship with the earth. Mindful and bodyful practices that bring about serenity and can foster a newfound awakening for what is most significant to you. Valerie will lead you through sensory encounters which allow for care, compassion, and connection toward yourself and all other beings in this world.

What is a Forest Therapy Walk?

A forest therapy walk (hereon also referred to as forest therapy for simplicity purposes), is a platform for fostering wellness, healing, and wholeness through engagement in natural settings. Forest therapy is inspired by the Japanese practice of shinrin-yoku (“forest bathing”), but they are not synonymous concepts.

Research indicates forest bathing carries a myriad of health advantages in the immune and cardiovascular systems, as well as psychological benefits such as mood improvement. From this foundation, forest bathing seeks to move beyond the health benefits alone and to instead celebrate that humankind is in kinship with nature, not above or separate from it.

Forest therapy is a practice; a gateway to allow a relationship of reciprocity to develop and strengthen, whereby the guide and forest (or other setting) partner together to allow for both to feel complete. The guide is useful in that they can navigate the participants through a particular sequence of events that provide a foundation for the experience. However, there are no set expectations of what should or could happen – participants are given freedom to interpret the experiences as they desire.

Forest therapy is about creating relationships between humans and the more-than-human world, in which the relationship itself becomes a source of healing and joyful well-being. Besides being a deeply healing practice, Forest Therapy is also an emerging community of friends and activists who are making a global impact. As we learn to love the forests, this connection leads naturally to an ethic of tenderness and reciprocity, we become more engaged in working for their well-being.

Most importantly, such walks are focused on the heart rather than the brain, and they celebrate the significance of the kinship between humans and nature. Forest therapy walks are effective, non-prescriptive, and simple, which encourages each participant to have the experience on their own terms and to bring meaning to it all on their own accord, rather than expecting the participant to feel or think a certain way. As a result, forest therapy should never be mistaken for psychotherapy, which is about the treatment of a diagnosis and/or life issue.

Ultimately, the aim for all forest therapy guides is to serve as the “doorway” between humans and other beings, in which the relationship becomes the source of healing and serenity. And so by having a reciprocal relationship with the more-than-human world, we all benefit in increased connection and wellbeing — from the smallest mushroom to the grandest of trees.

“And into the forest I go, to lose my mind and find my soul.” – John Muir

Forest Therapy is Not...

Forest therapy should not be confused with hiking. When a person hikes, they tend to have a set destination in mind. They want to ascend to the summit of the mountain, reach that hidden beach, or traverse that one crevice at the top of the mesa. Hiking also tends to be a timed event, with people competing against each other for the newest record.

Forest therapy is different because it uses the aspects of nature in a way that amplifies our senses to let us know the forest in a new way. For one, a forest therapy walk is slow and usually is restricted to a small area. A walk can last for up to 3 hours and the entire experience can be held in a few acres. Furthermore, beings are not things to be passed by on by, but rather to be recognized and explored. Beings are not only organisms, such as the birds and the plants, but also include abiotic entities such as rocks, sunshine, and weather.

Thus, it is more appropriate to think of such forest therapy walks as sensory immersions to foster mindfulness and body-fulness in a natural setting. Whereas mindfulness is about awareness of the present moment without judgment, body-fulness is for harboring that awareness through the senses and experiences within the body. The immersion is done through a sequence of invitations (activities) that participants are allowed to adapt if needed.

Finally, forest therapy should never be mistaken for psychotherapy, which is about the treatment of a diagnosis and/or life issue.

Health Benefits of Forest Therapy

As was previously stated, forest therapy is inspired by shinrin-yoku.

Shinrin-yoku is a wellness practice that came from Japan in the 1980s by the Ministry of Health to promote improved health across the urbanized, changing population. At the time, Japan was transforming into a technological leader, which the government noted was resulting in diseases related to sedentary lifestyles and chronic stress.

Over the next two decades, Japanese research has showcased the myriad health benefits of forest bathing. These include, but are not limited to:

• Lower stress
• Reduce blood pressure
• Improve metabolic and cardiovascular health
• Weight loss/weight management
• Lower blood sugar levels Improve memory and concentration
• Improve mood disorders, especially depression
• Increase pain tolerance
• Boost energy
• Improve the immune system with an increase in natural killer (NK) cells

In more recent years, research across the United States and the United Kingdom has supported the association between time spent in nature and directed attention. Directed attention is one of the primary functions of the frontal lobe in the brain, which is also in control of other executive functions like critical thinking and problem-solving. The stressors of modern living burden us with attention demands that are more exhausting versus that of mankind in the past. This is a reason why we may “space out” when trying to complete a task, feel sluggish, or struggle to concentrate. Much like a computer needs to be rebooted when it freezes, so too, do our brains.

Fortunately, through immersion in nature, the executive functions of our brains are allowed to rest and become replenished. This results in improved directed attention later. In addition, nature experiences offer other psychological benefits such as overall improvement in mood, including in people with depressive disorders.

Perhaps most fascinating of all, ongoing research from Nippon University suggests that phytoncides, the chemicals found within conifers and some other plants, may be effective in cancer prevention. When breathed in, the phytoncides fight infection while also increasing the number of NK cells, which increase anti-cancer proteins.

For more information on the health benefits of shinrin-yoku, along with links to the studies to support the research, please click here.

Want a Forest Therapy Walk?

Valerie Smith hosts forest therapy walks throughout Suffolk and Nassau. These walks are open to the public; thus, you do not need to be a client at Long Island EMDR to participate. Bring your friends and family!
Please note: All walks require prior registration, payment, and completion of paperwork. Valerie cannot accommodate “walk-ins”.
To learn more and/or to arrange a walk, contact valerie@ericam206.sg-host.com

 

-Valerie Smith, LMSW

California was the first state to legalize marijuana for medical purposes in 1996, having come a long way since marijuana was placed as a Schedule 1 drug in the Controlled Substances Act of 1970. Since then, there have been many debates surrounding the medical benefits of marijuana.

While many states have legalized marijuana for medical purposes, the FDA has only approved the use of medical marijuana for two rare forms of epilepsy, Dravet syndrome and Lennox Gastaut syndrome. With regards to mental health, some states have approved medical marijuana in the treatment of PTSD. While research into medical marijuana and its effect on PTSD is underdeveloped, clinical trials and anecdotal evidence from PTSD sufferers demonstrate the positive impact of the drug on their symptoms. This may be due to the fact that cannabis can reduce activity in the amygdala, the brains “fight or flight” center. There is also some evidence that demonstrates the plant’s cannabinoids could play a role in extinguishing traumatic memories.

Advocates for the drug claim it has therapeutic benefits for a variety of mental health conditions, including insomnia, depression, anxiety, stress, and schizophrenia. An internet search on the topic will lead you to believe that medical marijuana is a “cure all”; a natural remedy that has endless benefits. However, when you take a closer look at the information available, one thing becomes clear: there is just not enough research to draw any substantial conclusions regarding the benefit of medical marijuana for mental health. 

Research on medical marijuana extremely limited in the United States. This is due to the fact that it is still not legal on a federal level. From 1968 until now, researchers have only been allowed to use cannabis from one source for research, a facility at the University of Mississippi. However, as of May of 2021, the DEA stated its plan approve more growers, which will allow for more widespread research to be conducted.

Until then, here’s what we know when it comes to marijuana as it pertains to mental health. The main psychoactive ingredient in marijuana, THC, stimulates the part of your brain that responds to pleasure. This results in production of the dopamine, a neurotransmitter that results in relaxation and euphoria. Subjective experiences and limited research indicate marijuana may have a positive effect on anxiety and insomnia. However, not everyone’s experience with marijuana is the same. Some users experience increased anxiety, fear, panic, or paranoia. Using marijuana also has the potential to increase the likelihood of clinical depression, or worsen the symptoms of any mental health challenges you already have.

Due to the above risks and lack of evidence of the benefits, self-medicating with marijuana to manage your mental health symptoms is not advisible. However, whatever you chose to do, the most important thing is to talk openly with your doctor, psychiatrist, and/or therapist about your usage and how it impacts your mental health. If you believe medical marijuana to be of benefit for your mental health, ideally it would be prescribed and regulated by a doctor. Due to current laws in the state in which you reside, this may not be an option. In the meantime in addition to being honest with your providers, be sure to explore alternative techniques to manage your symptoms, including mindfulness, psychiatric medications, meditation, herbs/supplements, and exercise.

- Alexandria Baxter, LMSW

Because therapy and mental health are much more than just showing up every week!

What we know and understand about mental health has come a long way in recent years. Between that and everything else going on in the world, it’s no surprise that many people have been more open to receiving mental health treatment. This is great news, but it can also be hard to know where to start and how to get the most of this to improve mental health, especially if this is your first time in therapy. So, where do you begin?

1. Do your mental health related research

It’s always a good idea to do a little bit of research to find a therapist that best suits your needs. Although most therapists are educated and trained on a wide range of issues, some therapists have spent a lot of time working with specific populations and consider that to be their ‘specialty.’ If you’re seeking help for a specific issue, it may be beneficial to see someone who already has experience in that area.

In addition, it’s very important that you feel comfortable with your therapist. People usually go to therapy to discuss challenging things in their lives and mental health issues, and if you’re not comfortable with the person sitting across from you, it will only make talking about those things more difficult. Most therapists post a little bit about themselves in a bio online, or even write blog posts like this one about things that interest them! Doing research about different therapists can give you an idea if he/she would be a good fit for you.

And if you find yourself working with a therapist that you feel isn’t a good fit, speak up about it! Chances are your therapist will be understanding and can even provide referrals for other therapists in the area.

2. Think about you’re mental health goals and what you're hoping to get out of therapy

You will most likely start your first appointment by discussing what brings you to therapy and some of your history. It can be helpful if you’ve already put some thought into the issues you’re hoping to address. Are you looking to change some negative behaviors, or learn healthy coping skills? Maybe you want to improve your interpersonal relationships by learning better communication skills, or manage symptoms of anxiety or depression. Whatever it is you’re looking to address, being prepared with clear goals can help keep your sessions focused so you’re getting the most of your time each week. It can also help to think about any significant experiences from your past that may be impacting you currently, as that can be helpful information that therapists will want to know about you.

3. Don’t be afraid to ask questions

Therapy is a safe place where you should feel comfortable sharing your deepest insecurities or struggles. You should also feel comfortable enough to speak up and ask questions if something isn’t making sense to you or isn’t working for you. Your therapist can only work with the information you bring to the session, so if you feel like those breathing exercises you keep talking about each week just aren’t working, be honest and say that. Then we can try to explore what isn’t working with the breathing exercises, or maybe even discuss different calming techniques altogether.

Therapy is also a great place to practice things like communication skills, setting or enforcing boundaries, and being assertive (like saying ‘hey, these breathing exercises aren’t working for me!’). If these are things you struggle with, discuss it with your therapist so they can be sure to address these issues during the session.

4. Be positive but also realistic

It’s a pretty common misconception that you’ll receive some advice from a therapist in one or two sessions and you’ll be able to apply that advice to your life and move on. It’s important to understand that therapy is a process that often requires some patience. For some people it takes more than one or two sessions to even feel comfortable enough to discuss some of those deepest insecurities, and that’s okay. Treatment will be ongoing. There’s no set number of sessions and it can differ for everyone.

It can be helpful to approach therapy with curiosity. Be curious about the ways you currently behave, think, and feel. Have you experienced anything in life that may be contributing to these behaviors, thoughts, and feelings?

5. Do your homework

Therapy is much more than simply showing up for your session each week. Some therapists may give ‘homework assignments’ hoping to keep you engaged in between sessions. Homework could be asking you to journal and reflect on certain areas of your life. It may be simply noticing when something you discussed in session comes up, or even practicing certain skills like breathing exercises, grounding techniques, and self-care, all which help improve mental health.

Even if your therapist doesn’t assign you specific tasks, you should still be putting in work outside of session. Therapy is a great place to receive tips, guidance, and education about things you’re struggling with, but the actual change takes place when you start applying those tips to your everyday life.

- Jennifer Tietjen, LMSW

As an LGBTQIA+ affirming practice Long Island EMDR is so proud to be a sponsor for Bay Ridge's first "Pride" event! Being involved and active in the gay community is so important to our mission of increasing visibility of this community and understanding the challenges and obstacles its members face on a daily basis. Please join us Sunday June 5th, 2022 from 12-5pm in Owl’s Head Park for a picnic accompanied with music, games, a queer pet march & much more.

For more information please check out the following sites:

Brooklyn Paper

Gay Ridge

There are many differences between experiencing trauma as an adult and experiencing trauma as a child. One difference is that experiencing a stressful event as a child can cause an everlasting impact throughout adulthood. This everlasting impact is what affects the ‘inner child’ when those children become adults. The inner child is something that exists within everyone. It is the playful, fun, cheerful, hurt, as well as saddened child we once were. Any traumatic or stressful event that was experienced as a child is remembered by the body, and that is how it continues to affect us into adulthood.

"A child who does not play is not a child, but the man who does not play has lost forever the child who lived in him." - Pablo Neruda

The obstacle to overcome when attempting to heal the inner child is being able to understand, connect with, and accept the child within. Inner child wounds can be because of abuse that was experienced as a child, neglect, distressful events, loss of a loved one at an early age, as well as many more. Tending to the inner child can allow for growth and prosperity for later life.

Some Signs That Your Inner Child May Be Impacting You:

• Having feelings of shame, guilt, inner restlessness
• Having feelings of worthlessness, never feeling satisfied with self
• Negative self-talk
• Having the need to be a perfectionist with responsibilities or tasks
• Self-sabotage, self-destructive behaviors
• Excessive work ethic
• A pattern of unhealthy/unstable relationships
• Chronic overworking and overachievement (to knowingly or unknowingly gain approval, praise or belonging)
• Not being able to be in the here and now (present moment)

Taking steps towards healing the inner child can be done with seeking therapy, practicing mindfulness skills, as well as increasing one’s own level of self-awareness. Navigating inner child work with a therapist can allow you to work through that trauma, distressing memories and emotions. Working through these events can be distressing in and of itself, though having someone who is trained to support people with these types of issues can allow for many doors to open. The goal of inner child work within therapy is to explore these past events, with an emphasis on early memories to learn skills on how to regulate the self. 

Some Inner Child Mindfulness Practice:

Heal Your Inner Child Meditation

-Conor Ohland, MHC-LP