Childhood trauma can have lasting effects on a person's mental health and wellbeing. Clinical practitioners are increasingly turning to Eye Movement Desensitization and Reprocessing (EMDR) as a safe and effective way to help children and adolescents manage the effects of traumatic experiences. In this blog post, we'll explore the clinical application of EMDR in treating childhood trauma and discuss the benefits it can provide to young minds.
Childhood trauma can have a profound impact on a person's emotional and developmental well-being. It can manifest in a variety of ways, such as behavioral issues, ADHD, attachment difficulties, and even dissociation. These experiences can deeply affect a child's ability to form healthy relationships, regulate their emotions, and feel safe in the world.
Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic approach that has gained recognition for its effectiveness in treating trauma, including childhood trauma. EMDR aims to help individuals process distressing memories and experiences that have become stuck or unprocessed in the brain. This therapy works by utilizing bilateral stimulation, such as eye movements, to facilitate the brain's natural healing processes.
Children and adolescents who have experienced trauma can greatly benefit from the use of Eye Movement Desensitization and Reprocessing (EMDR) therapy. This approach offers unique advantages for young minds, allowing them to heal and build resilience in a safe and supportive environment.
One of the key benefits of EMDR for children and adolescents is its non-intrusive nature. Unlike traditional talk therapies, EMDR focuses on accessing and processing traumatic memories without requiring the child to verbally recount the details of their experiences. This can be especially helpful for young clients who may struggle to express themselves or have difficulty verbalizing their emotions.
Another advantage of EMDR is its ability to target the root causes of distress. Through bilateral stimulation, such as eye movements or other forms of rhythmic stimulation, EMDR helps children and adolescents reprocess and integrate traumatic memories into their existing networks. This allows them to form new associations and narratives around their experiences, ultimately leading to a reduction in symptoms and an increase in overall well-being.
EMDR also provides young clients with a sense of control and empowerment. By actively participating in their healing process, children and adolescents can develop a greater understanding of their emotions and learn effective coping strategies to manage future challenges. EMDR helps them regain a sense of agency and resilience, promoting long-term emotional growth and recovery.
Preparing for EMDR therapy with young clients is an essential step towards ensuring a safe and effective healing process. Here are some important considerations for practitioners when working with children and adolescents:
EMDR therapy for children and adolescents typically follows a structured set of phases to ensure a comprehensive healing process. These phases provide a roadmap for practitioners to guide young clients through their journey towards recovery.
The first phase, history taking and treatment planning, focuses on building rapport, establishing trust, and educating both the young client and their caregivers about the EMDR process. It is important to ensure that the child or adolescent feels safe and supported before proceeding to the next phase.
The second phase is preparation or as we like to call it "resourcing". This ensures your child is able to bring their nervous system back into equilibrium after thinking about a distressing event. this is where we teach all the great coping skills to help them regulate when triggered.
The third phase, assessment, involves identifying and prioritizing the traumatic memories or experiences that will be targeted during therapy. This includes understanding the associated emotions, beliefs, and physical sensations that arise when these memories are recalled.
The fourth phase, desensitization, is the core component of EMDR therapy. Here, bilateral stimulation techniques are used to facilitate the reprocessing of traumatic memories. These techniques may include eye movements, taps, or auditory stimulation.
The fifth stage installation, focuses on strengthening positive beliefs and emotions to replace negative or maladaptive ones. This phase helps young clients develop resilience and a sense of empowerment.
The six phase, body scan, involves assessing the client's physical sensations to ensure that all distress related to the traumatic memories has been resolved.
The seventh phase, closure, is aimed at bringing the therapy session to a positive conclusion. This includes ensuring the client feels grounded and safe, discussing any ongoing emotions or sensations, and setting goals for future sessions.
The final stage is re-evaluation, to ensure the entire memory or target was fully processed, meaning zero internal disturbance and that the body scan is clear. If scan is not clear- meaning there is still physical symptoms in response to thinking about the incident we start again at stage 4 or 5.
Working with young clients during Eye Movement Desensitization and Reprocessing (EMDR) therapy requires a thoughtful and tailored approach. Here are some tips to help practitioners navigate the unique challenges of working with children and adolescents:
While Eye Movement Desensitization and Reprocessing (EMDR) therapy has proven to be highly effective in treating childhood trauma, there are some unique challenges that practitioners may encounter when working with children and adolescents. One potential challenge is the limited attention span and ability to focus for extended periods. Young minds may become restless or disengaged during therapy sessions, making it difficult to fully process traumatic memories.
To overcome this challenge, practitioners can incorporate creative activities or play therapy techniques into the session to keep young clients engaged and interested. By using drawing, storytelling, or playing with toys, children and adolescents can express their emotions and experiences in a more accessible and non-threatening way.
Another challenge is the difficulty children may have in articulating their emotions or experiences verbally. Young clients may struggle to find the right words or may not have developed the language skills to fully express themselves.
In this case, practitioners can utilize alternative methods of communication, such as art or play therapy, to help young clients express their feelings and experiences. These non-verbal techniques can bypass the limitations of language and provide a safe and effective way for children and adolescents to process their trauma.
Additionally, children and adolescents may require more support and guidance outside of therapy sessions. This can be challenging if they do not have a stable support system or caregivers who are actively involved in their healing process.
To address this challenge, practitioners can collaborate with parents or caregivers, providing them with resources and strategies to support their child's recovery. Regular communication and check-ins can help identify any additional needs or concerns and ensure that the young client receives consistent support throughout their healing journey.
As always, if you feel your child could benefit from EMDR therapy please reach out and give out office a call at 631-503-1539 or fill out a consultation request form.
When it comes to raising emotionally healthy and confident children, parents need to take a proactive approach. Therapy for parents is an important part of this process, as it provides an opportunity for parents to work through their own hurts and emotional struggles in order to model appropriate behavior for their kids. In this guide, we'll be looking at tips for parents to facilitate confidence, good boundaries, and healthy self-esteem, as well as why working through our own hurts and emotional struggles is necessary in order to help our children develop emotional well-being and confidence.
Emotional health and confidence are crucial aspects of a child's overall well-being. When children have a strong foundation of emotional health, they are better equipped to handle life's challenges, form positive relationships, and achieve success in various areas of their lives.
One of the key reasons why emotional health is important for children is its impact on their mental well-being. Children who have good emotional health are more likely to have a positive self-image, feel a sense of belonging, and have a strong sense of self-worth. They are also better able to regulate their emotions and cope with stress, which leads to improved mental health outcomes.
Confidence is another crucial component of a child's emotional well-being. When children are confident, they are more likely to take on challenges and persevere in the face of adversity. They believe in their abilities and are willing to take risks, which fosters resilience and a growth mindset. Confident children are also more likely to have positive social interactions, as they feel comfortable expressing themselves and engaging with others.
Furthermore, emotional health and confidence have a significant impact on a child's social development. Children who are emotionally healthy are better able to understand and manage their own emotions, as well as empathize with the feelings of others. This leads to healthier relationships, effective communication, and increased social competence. Additionally, confident children are more likely to assert their boundaries, stand up for themselves, and make decisions that align with their values, which are essential skills for navigating various social situations.
Moreover, emotional health and confidence play a crucial role in academic success. When children have a strong emotional foundation, they are better able to focus, concentrate, and engage in their learning. They are more likely to have a positive attitude towards school, feel motivated to succeed, and have the resilience to overcome academic challenges. Confidence also impacts a child's willingness to ask questions, seek help when needed, and take on new academic tasks, which contributes to their overall educational achievement.
Therapy for parents is an essential component in promoting emotional health and confidence in children. By addressing their own emotional struggles, parents can better understand and regulate their own emotions, providing a stable and nurturing environment for their children. Furthermore, therapy allows parents to develop healthy communication and problem-solving skills, which can positively impact their interactions with their children.
In summary, emotional health and confidence are vital for children's overall well-being. They impact mental health, social development, and academic success. By fostering emotional well-being and confidence in children, parents can set them up for a lifetime of resilience, self-esteem, and success.
When it comes to facilitating your child's emotional well-being, there are several key strategies that parents can implement. By being proactive and intentional in your approach, you can help your child develop the emotional skills and resilience needed to navigate life's challenges. Therapy for parents to work help achieve these tips is recommended, especially for those with childhood trauma histories. Here are some tips to facilitate your child's emotional well-being:
Teaching healthy boundaries is an essential part of raising emotionally healthy and confident children. Boundaries help children understand their own needs and limits, as well as respect the needs and limits of others. By teaching children about boundaries, parents empower them to develop healthy relationships, assert themselves, and establish their own sense of autonomy. Boundary setting is an important part of parenting and therapy for parents can assist in this endeavor.
Here are some strategies for teaching healthy boundaries to your child:
Building self-esteem is a crucial aspect of raising emotionally healthy and confident children. Self-esteem refers to the overall evaluation and perception that individuals have of themselves. It plays a significant role in how children navigate their lives, form relationships, and achieve their goals.
There are several strategies that parents can employ to help build their child's self-esteem:
As parents, one of the most powerful ways we can support our children's emotional well-being and confidence is by modeling appropriate behavior. Children learn by observing the actions and attitudes of their parents, and they look to us as role models for how to navigate the world. By consistently demonstrating healthy behaviors, we can teach our children valuable life skills and help them develop their own emotional intelligence.
One of the first steps in modeling appropriate behavior is practicing effective communication. This includes active listening, expressing emotions in a healthy way, and resolving conflicts peacefully. When children see their parents communicate respectfully and honestly, they learn how to express their own thoughts and feelings effectively. They also learn how to navigate disagreements and conflicts with empathy and understanding.
In addition to communication, it is important to model self-care. Showing our children that we prioritize our own mental and emotional well-being teaches them the importance of taking care of themselves. This can include setting boundaries, practicing stress-reduction techniques, and engaging in activities that bring us joy. By modeling self-care, we teach our children the value of self-nurturing and how to prioritize their own needs.
Another aspect of modeling appropriate behavior is demonstrating resilience in the face of challenges. Life is full of ups and downs, and our children will inevitably face setbacks and obstacles. By showing them how to handle adversity with grace and determination, we can teach them resilience and perseverance. When children see their parents navigate difficult situations with resilience, they learn that setbacks are temporary and can be overcome with determination and a positive mindset.
Furthermore, modeling empathy and kindness is crucial for promoting healthy relationships and social interactions. By treating others with respect, compassion, and understanding, we show our children the importance of empathy. When they see us demonstrating kindness towards others, they learn the value of compassion and how to build positive relationships.
In summary, modeling appropriate behavior is essential for fostering our children's emotional well-being and confidence. By practicing effective communication, demonstrating self-care, showing resilience, and modeling empathy and kindness, we can provide our children with the tools they need to navigate life's challenges and form healthy relationships. Remember, our actions speak louder than words, and by consistently modeling positive behaviors, we can positively impact our children's emotional development and set them up for a lifetime of emotional well-being and confidence.
As parents, it is essential to recognize the significance of working through our own emotional struggles in order to support our children's emotional well-being and confidence. When we address our own hurts and emotional challenges, we become better equipped to model appropriate behavior and provide a nurturing environment for our children to thrive.
One of the key reasons why working through our own emotional struggles is crucial is the impact it has on our ability to regulate our own emotions. As parents, our emotions can influence the emotional climate of our homes. If we are constantly overwhelmed or unable to manage our own emotions, it becomes challenging to create a safe and stable environment for our children. By addressing our own emotional struggles, whether through therapy, self-reflection, or support networks, we can develop healthy coping mechanisms and emotional regulation skills that allow us to respond to our children's emotions in a calm and supportive manner.
Working through our own emotional struggles also helps us model appropriate behavior for our children. Children learn by observing and imitating their parents, and when they see us addressing our emotional challenges, they learn that it is okay to seek help and support when needed. By being open about our own vulnerabilities and actively working towards emotional well-being, we show our children that it is normal to experience difficulties and that it is important to prioritize our mental and emotional health.
Furthermore, when we work through our own emotional struggles, we develop greater empathy and understanding towards our children's experiences. It allows us to approach their emotions with compassion and sensitivity, rather than reacting from our own unresolved issues. This empathy creates a deeper connection with our children and fosters a sense of trust and emotional safety.
In addition, addressing our own emotional struggles can also prevent us from projecting our unresolved issues onto our children. Sometimes, our own unresolved emotions can unintentionally manifest in our parenting behaviors. By working through our own hurts, we can minimize the likelihood of repeating unhealthy patterns or inadvertently passing on emotional baggage to our children.
Overall, addressing our own emotional struggles is an important aspect of parenting. It allows us to create a supportive and emotionally healthy environment for our children, while also equipping us with the skills and awareness to model appropriate behavior. By prioritizing our own emotional well-being, we set the foundation for our children to develop their own emotional well-being and confidence, ultimately fostering a lifetime of resilience, self-esteem, and success.
Sending Love & Light,
Art therapy is an incredibly powerful modality for treating mental health conditions in children. This type of therapy uses art and creative expression to help children work through emotions, worries, and trauma. A child therapist trained in art therapy can create a safe and supportive environment for children to explore their feelings and gain insight. Art therapy allows children to communicate what they might not be able to express in words and can be extremely beneficial in helping them work through their issues. With the help of an experienced child therapist, art therapy can be an invaluable tool for treating mental health conditions in children.
Art has a unique way of transcending language and allowing individuals to express themselves in a deeply meaningful way. For children, who may struggle with verbalizing their thoughts and emotions, art therapy provides a powerful tool for communication and expression.
When a child engages in art therapy, they are given the freedom to explore and create without judgment. Through various art mediums such as drawing, painting, and sculpting, they can externalize their internal world, giving a voice to their feelings and experiences.
One of the remarkable aspects of art therapy is that it goes beyond the limitations of traditional talk therapy. Children who may find it difficult to articulate their thoughts or are unable to put words to their emotions can find solace and relief in the process of creating art.
Art therapy provides a safe and non-threatening environment where a child therapist, who specializes in this modality, can guide and support them. Through their art, children are able to express emotions, process traumatic experiences, and gain insights into their own thoughts and behaviors.
The magic of communication and expression through art is not limited to a single session. Over time, art therapy can help children build self-awareness, improve coping skills, and enhance their overall mental well-being.
If your child is struggling with emotional or behavioral challenges, consider the power of art therapy. Our board-certified art therapist is here to help your child find their voice, discover their inner strengths, and create a path towards healing and growth.
Art therapy is a highly effective modality for children because it provides them with a safe and non-threatening way to express themselves. Children may not always have the verbal skills to articulate their emotions or experiences, but through art, they can communicate their thoughts, feelings, and experiences in a tangible and creative way.
Art therapy allows children to explore their inner world and externalize their emotions in a visual form. It provides a space for self-expression and self-discovery, allowing them to process difficult emotions and experiences that they may not be able to put into words.
Art therapy also helps children develop important coping skills and resilience. By engaging in the creative process, they learn to problem-solve, regulate their emotions, and gain a sense of control over their lives. This can be particularly beneficial for children who have experienced trauma or are struggling with mental health conditions such as anxiety or depression.
Additionally, art therapy provides a supportive and nurturing environment. Working with a trained child therapist, who specializes in art therapy, ensures that the child receives individualized attention and guidance. The therapist can help the child explore their artwork, facilitate discussions about their emotions, and help them make connections between their art and their experiences.
Overall, art therapy is a valuable modality for children as it fosters self-expression, emotional growth, and healing. If your child is struggling with mental health challenges, consider booking a session with our board-certified art therapist to provide them with the support and tools they need to thrive.
Art therapy offers a range of techniques that are specifically tailored to engage children and help them express their emotions and experiences. These techniques, guided by a trained child therapist, create a safe and nurturing environment for children to communicate and heal. Here are some common techniques used in art therapy for kids:
1. Art Therapy Assessments: Child therapists may use assessments to understand a child's emotional state and any potential mental health conditions. These assessments can include drawing tasks like "Draw a Person" or "House-Tree-Person" that allow the therapist to gain insight into the child's thoughts and feelings.
2. Visual Art Techniques: Using different art materials and techniques, children can express their emotions, thoughts, and experiences visually. This can include spontaneous drawing, collages, sculptures, mandalas, or drawing their family. By discussing their choices and themes, the therapist can help the child explore and process their emotions.
3. Dramatic Techniques: Through psychodrama techniques like the "empty chair" or family sculpting, children can act out scenarios and explore their emotions in a safe and controlled way. These techniques allow the child therapist to better understand the child's disorder, patterns, and provide opportunities for emotional regulation.
4. Writing Techniques: Writing assignments such as letter writing, journaling, or poetry can help children express complicated feelings and experiences. These techniques provide a constructive outlet for emotional expression and can foster post-traumatic growth.
5. Movement/Somatic Techniques: Movement techniques like dance and pantomime enables children to physically express their emotions and explore new behaviors. This allows them to develop a deeper understanding of their emotions and develop healthy coping mechanisms.
6. Music Techniques: Appreciating and identifying music that elicits different mood states can teach children mindfulness skills, mood management, and enhance their ability to express emotions. Activities like drum circles, playing instruments together, and group listening can further support the development of these skills in social settings.
Overall, these techniques provide children with a variety of creative ways to communicate, process emotions, and develop resilience. By working with a trained child therapist in art therapy, children can find healing and growth through self-expression.
Art therapy has been proven to be a powerful modality for treating a variety of mental health conditions in children and adolescents. With the guidance of a trained child therapist, art therapy can provide a safe and creative outlet for children to express and process their emotions.
Children who experience anxiety, depression, and post-traumatic stress disorder (PTSD) can greatly benefit from art therapy. Through the use of art materials, children can externalize their inner struggles and fears, allowing them to gain a better understanding of their emotions and experiences.
For children who are dealing with psychosis or medical conditions like cancer and traumatic brain injury (TBI), art therapy can provide a sense of control and empowerment. Creating artwork can help these children regain a sense of identity and agency in the face of their illness or condition.
Art therapy can also be effective for children who are struggling with family or marriage concerns. By engaging in art-making activities, children can explore their family dynamics and communicate their thoughts and feelings in a non-verbal way.
In addition, art therapy has shown positive outcomes in treating children with low self-esteem, substance use disorders, and eating disorders. Through the art-making process, children can build self-confidence, develop healthier coping strategies, and improve their body image and self-perception.
If your child is experiencing any of these mental health conditions, consider booking a session with our board-certified art therapist today. They will work with your child to create a safe and supportive environment for them to explore their emotions and heal through art. Art therapy truly has the power to transform the lives of children and adolescents, offering them a path toward healing and self-discovery.
Are you looking for a qualified and compassionate child therapist who specializes in art therapy? Look no further than Sarah Cupka, LCAT our board-certified art therapist. Sarah has a passion for working with populations of trauma of all ages, particularly children. Her journey of healing from intimate partner violence has inspired her to help others on their path to recovery.
Sarah completed her Master of Arts in Art Therapy and Counseling and Master of Science in Clinical Mental Health Counseling at Long Island University Post. During her studies, Sarah completed several internships, gaining valuable experience working with children and adolescents in both individual and group art therapy settings. She has witnessed firsthand the transformative power of art therapy in helping children communicate and express themselves in ways that words often cannot.
As a board-certified art therapist, Sarah is committed to providing a safe and supportive space for children to explore their emotions and develop healthy coping skills. Whether your child is struggling with anxiety, depression, trauma, or other mental health conditions, art therapy can be a powerful modality for healing.
Don't wait any longer to give your child the support they need. Book a session with Sarah, our board-certified art therapist, and begin the journey toward healing and growth. Contact us today to schedule an appointment. Your child deserves the transformative benefits of art therapy.
Sending Love & Light,
As a parent of a college-aged student, you may be feeling a mix of emotions: pride, excitement, and a little apprehension. With the transition to college comes newfound independence and a new set of challenges that can be difficult to navigate. Enter therapy for college students: an invaluable tool that can help your student address their common struggles as they transition into adulthood. In this blog post, we'll explore how therapy for college students can help overcome some of the most common challenges college students face, as well as ways to support your child during this exciting time.
The challenge of transitioning to college life can be daunting for many students. It marks a significant shift from the familiar routine of high school to a new environment filled with unfamiliar faces and expectations. The excitement and freedom that come with college can also bring about a great deal of anxiety and stress. For some students, this transition may lead to feelings of loneliness, homesickness, and even depression.
This is where therapy for college students can play a crucial role. Therapy provides a safe and supportive space for students to navigate these challenges and explore their thoughts and emotions. It can help students develop coping strategies, manage stress, and improve their overall well-being. Therapy for college students focuses on addressing the specific issues and struggles that arise during this period of transition, such as academic pressure, relationship challenges, and identity exploration.
By seeking therapy for college students, your child can gain valuable skills and insights that will not only help them navigate their college years but also serve them well throughout their lives. It provides an opportunity for personal growth, self-discovery, and building resilience. With the right support, college can be a transformative and fulfilling experience for your child, and therapy can be an invaluable tool to help them overcome the challenges they may face during this transition.
New college students often face a variety of challenges and pain points as they navigate the transition into college life. One significant struggle is financial troubles. Many students find themselves overwhelmed by the cost of tuition, textbooks, and living expenses. These financial burdens can significantly impact their overall college experience. To overcome this challenge, students can establish a realistic budget and track their spending to gain better control over their finances. Additionally, exploring financial aid options, scholarships, or obtaining a part-time job can help ease the financial burden.
Another common struggle faced by college students is mental health issues. Almost half of college students experience symptoms of depression and anxiety, yet 75% of them are reluctant to seek help. Therapy for college students can provide the necessary support and guidance to address these mental health challenges. By seeking therapy, students can learn effective coping mechanisms and develop strategies to manage their mental well-being.
Time management is another area where new college students often struggle. With newfound freedom and a busy academic schedule, students may find it challenging to balance their time effectively. Creating daily, weekly, or monthly schedules, setting priorities, and avoiding procrastination can help students manage their time more efficiently and reduce stress.
Homesickness is another common pain point for college students, especially those who are living away from home for the first time. One effective way to overcome homesickness is to connect with new friends. Building relationships and finding a sense of community on campus can help ease feelings of loneliness and provide a support system.
Finally, finding a healthy balance between personal life, academic responsibilities, and social engagements can be a struggle for college students. Prioritization and setting boundaries are crucial in maintaining this balance. Therapy for college students can help students develop the necessary skills to prioritize their time effectively and set boundaries to maintain their mental and emotional well-being.
Therapy for college students is incredibly important for a variety of reasons. It provides a safe and supportive space for students to address their unique challenges and struggles during the transition to college life. One of the primary benefits of therapy is that it allows students to clarify and understand the specific problems they may be facing. By working with a therapist, college students can gain a clearer perspective on their situation and develop strategies for overcoming obstacles.
Additionally, therapy for college students can help manage anxiety, a common mental health issue among this age group. College can be a stressful time, and therapy offers tools and techniques to help students cope with anxiety and reduce its impact on their overall well-being. Through therapy, students can also improve personal skills, such as communication, problem-solving, and self-awareness, which are vital for success both in college and beyond.
Exploring opportunities for change is another crucial aspect of therapy for college students. It allows them to delve into their personal goals, values, and aspirations and identify areas where they want to grow and make positive changes. Therapy can also provide students with increased confidence as they learn and develop new skills and gain a deeper understanding of themselves.
Finally, therapy for college students can help in coping with depression, a common mental health challenge during the college years. With the guidance and support of a therapist, students can learn effective strategies for managing depression and developing healthy coping mechanisms.
Overall, therapy for college students is invaluable for addressing the specific challenges and struggles that arise during this transformative time. It provides a foundation for personal growth, resilience, and success both academically and personally. By seeking therapy, college students can gain the tools and insights they need to navigate the transition to college with confidence and well-being.
Therapy for college students can be a crucial support system during the transition to college life. It provides a safe and non-judgmental space for students to explore their thoughts, emotions, and challenges. Here are some ways therapy can specifically help college students during this time:
During this transition, parents play a vital role in supporting their child's college journey. Here are some ways parents can provide support:
Sending Love & Light,
We’ve all been there. We feel distressed, burdened by too many symptoms, and turn to Google with the hope of learning our ailment. We know “don’t go on WebMD” but do it anyway, and soon enough our somewhat mild anxiety spirals downward into the worst-case scenario; that catastrophic condition. We attribute a headache to an aneurysm, a persistent cough to lung cancer, or chest pain to a heart attack. Sometimes this investigative work is a good idea -- it may be that there is in fact a serious medical problem, and now that you are aware you are seeking immediate medical attention. There are times, too, where researching mental disorders can be beneficial as well if it warrants the desire to get a professional diagnosis, thus allowing for treatment.
However, as the mental health crisis among American youth intensifies, more are utilizing the internet for information rather than turning to trusted people in the past, such as health teachers. They are seeking out answers on social media platforms, particularly TikTok, to self-diagnosis with severe mental health problems. The video-makers may have no training or education in psychopathology, and even if they do, the viewers may not understand the subtle differences that come with formal diagnosis.
Until somewhat recently, I was overall in favor of social media-based psychoeducation. And even now, I still do think this platform for psychoeducation has its purposes… but when done right. There are some clinicians who pioneered it, such as Kati Morton, LMFT, a well-recognized therapist on YouTube who has made dozens of relevant, accurate, well-researched videos on everything from coping skills to bereavement, generalized anxiety disorder to schizoid personality disorder. You name it, Kati has a video. And with over 15 years of impressive clinical experience, she knows her stuff!
But times have changed. Suddenly, the clinicians like Kati are not getting the ratings they once did. No longer considered viral, their approach to psychoeducation is now considered dry, boring, and just too long. Some youth do not want to watch 15 minutes of a clinician explaining every symptom of a disorder in the DSM-5 and getting into the nuances. They would prefer to see borderline personality disorder or schizophrenia explained by anyone – anyone – in a mere 15 to 30 seconds.
One of the greatest concerns is when questioning who is explaining these diagnoses to youth. Often it is a person with a casual interest in psychopathology who bought a copy of the DSM-5 (Diagnostic and Statistical Manual, the bible of psychiatric diagnoses) and read through it. The problem is that the DSM-5 was never meant to be used as the one and only source of information on mental disorders, but only as a reference for clinicians. It is much like holding onto a textbook from a college biology class – sure, the text will provide reliable, accurate information, but it is not meant to be considered the only source for knowledge. Much like it would be wrong to call oneself a biologist for having read one book on the subject, so too is it wrong to act like a clinician for reading the DSM-5.
Diagnosis is an artform as much as it is a science. It is taught through knowledge, then refined through experience and keen observation. Like it takes a pianist years of practicing the piano rather than only reading music theory, it is the same as a clinician. Practice is paramount.
You may be thinking, “I get what you’re trying to say, but surely, it’s not that big of a deal, right? I mean, it’s not like psychotherapists are diagnosing something like cancer. And it doesn’t seem like therapists really know all that much.”
In short, it takes a long time to be considered a mental health professional. The process varies by the profession itself, but for the purpose of this writing, let us examine the journey from a social work student up to a licensed clinical social worker (LCSW).
To be recognized as a licensed clinical social worker (LCSW) in New York State, which allows a person to diagnose, assess, and treat a mental disorder, one must have completed the following in this order:
1) Have an education that includes a master’s degree in social work (MSW), not a similar degree, with at least 12 semester hours of clinical coursework acceptable to the New York State Education Department (NYSED). The MSW must from a school accredited by the Council on Social Work Education (CSWE).
2) Next, pass a standardized, costly exam to become a licensed master social worker (LMSW). **A LMSW is unable to diagnose or treat a mental disorder unless under direct supervision.
3) After, accumulate at least 3 years of post-MSW supervised experience in psychotherapy, diagnosis and assessment-based treatment planning acceptable to the NYSED. This supervisor must be the person’s employer (no “outside” supervisors), and the supervisor must be a LCSW, psychologist, or psychiatrist. The 3 years is considered 2,000 hours, but the person must still wait 3 years even if they gain the 2,000 hours first.
4) Complete additional trainings, such as the identification and reporting of child abuse.
5) Take the clinical social worker exam, another expensive standardized test.
6) After becoming a LCSW, the person must then complete 36 hours of acceptable formal continuing education during every 3-year registration period.
In other words, being able to truly comprehend the DSM-5 from reading up to practice is a long, lengthy journey!
Knowing this now, can you see why clinicians raise their eyebrows when a 16-year-old on TikTok is providing psychoeducation and self-diagnosing themselves?
As a clinician, I have witnessed an uptick in adolescents and young adults who have fallen into the self-diagnosis trap. This can be a good thing -- the newfound information can direct them toward getting professional help.
Additionally, turning to TikTok and social media in general can be psychologically positive for youth because it can remind them that they are not alone in their struggles. It can validate their experience by putting a label to it.
Even though there can be benefits to self-diagnosis, it is a slippery slope. It may cause people to incorrectly diagnose themselves, which in turn can make them avoid a professional assessment and turn to the wrong treatments.
I can attest that during some intakes, clients have told me they terminated with their previous therapist and psychiatrist because they were in very strong disagreement with the diagnosis. (There is the occasional case where a diagnosis can in fact be wrong since unlike medicine, behavioral health is based on observation, not something black-and-white such as an MRI or bloodwork.)
TikTok and social media can provide false information since they do not tend to consider the subtleties of diagnosis and assessment. As I previously said, the time limits only allow for the symptoms to be bullet-listed at best. Yet even still, another alarming reason for the argument against self-diagnosis is due to biased self-perception – that is, we tend to think and believe differently about ourselves than what is observed, since it can be hard to have complete self-awareness.
Furthermore, diagnosis is further complicated by the fact that the same condition can present itself differently in a child, adolescent, or adult. Put simply, the same symptoms may not apply to every developmental stage or age bracket. To provide an example, it is considered premature and reckless to diagnose a 13-year-old suffering from mood swings with borderline personality disorder or bipolar disorder. Rather, it must be considered that it is normal for a young adolescent to experience shifts in emotion. And there is a pediatric disorder to account for such mood swings in their most extreme form, known as disruptive mood dysregulation disorder (DMDD). Adolescent depression is another excellent example; its symptoms and presentation can be different from that witnessed in adult depression.
When it comes to diagnosis, therapists must consider the spectrum of experiences a person is experiencing, along with when they happen, the severity, and the duration. Mainly, how all these issues come together to impact someone in their daily living.
First, this is nothing to be ashamed of! It is normal for people to want to learn more about themselves. Developing a core sense of identity is a developmental goal to achieve throughout adolescence and young adulthood, and with that desire comes introspection. You are not “odd” for wanting to discover yourself – you are doing exactly what you need to do.
But if you have turned to TikTok as the authority for anything on mental illness, and you have found yourself thinking “yep, I have this… and that… and that…” ask yourself, “so what is keeping me from a formal diagnosis from a clinician?” or “so why do I not trust in my clinician?”. Listen to your intuition. Dive deeper. Perhaps you are in denial about something suggested to you about yourself by your clinician. It could be you are fearful to know what a healthcare professional has determined. Maybe you find having a self-diagnosed condition makes you feel included into a part of a community; it brings words to your experience. Whatever the reason, you are not at fault. You are only trying to make sense of things.
But maybe, just maybe, consider that TikTok should be for entertainment purposes only – not the replacement for professional help! If you are ready to seek help from a licensed professional our team would love to assist you. Contact us today.
- Valerie Smith, LMSW
According to the Learning Disabilities Association of America (LDA), across the United States, 1 in 5 or 20% of adults have a learning disability (LD). As of the 2019 population, 20% is representative of 65.6 million individuals have serious learning and attention difficulties. Meanwhile, there are 56.6 million students in elementary and secondary schools across the county; of them, 1 in 5 or 11.2 million students have such difficulties, too. This is a tragic statistic due to its effects. Consider the following…
I graduated summa cum laude twice, having earned my Bachelor and Master of Social Work degrees from Adelphi University and the highly renowned Fordham University. Yet what if I were to tell you that my teachers and school guidance counselor were convinced that I would become a statistic, part of the 57% of students who drop out of high school? I struggled with making and maintaining friendships, was bullied by my peers, and literally cried while receiving private instruction for remedial mathematics because no matter how much I studied, despite all the endless hours of repetition and practice, it just did not make sense to me at all.
At thirty-five years old, I cannot multiply or divide, and still count on my fingers for addition or subtraction. I suffer from visuospatial difficulties, making it so I am unable to orient myself in reference to the directions. I also do not have a driver’s license because I am unable to properly judge distance and time. I have time blindness and even cannot read an analog clock – if it were not for that I use a timer, I would be unable to tell my clients how much time remains in their session. I have to “eyeball” ingredients in cooking recipes because fractions are foreign to me. I struggle with coordination. My bills are all on autopay, not for practicality reasons but to prevent the awkwardness of not knowing if I have enough money (thank goodness my financial institution has overdraft protections!).
I am that awkward person who has come up too short on money when at the check-out, forcing the cashier to have to unload some items.
I am that person who has been the cashier and has given back $23 when the amount owed was only $19 – and fired for being accused of stealing from the till.
I am that person who has heard people mutter “f-ing idiot” under their breath when I make a mistake with arithmetic.
If you’re like me, someone with dyscalculia or another learning disability, you know all about the daily pressure to effectively cope with the chronic stress and limitations of your abilities – things which may be unfathomable to others.
A learning disability is a neurodevelopmental disorder, meaning you were born with it. Even with sufficient treatment and the appropriate accommodations, you will never truly recover from it. Thus, it is better to make peace with your disability by coming to terms with your limitations, while embracing your strengths such as creative solutions, resiliency, and empathy.
Also, a learning disability is not a mental disorder. No amount of psychotherapy will help you overcome it. However, psychotherapy can be a valuable tool for learning how to work toward acceptance of it and to develop helpful coping skills. It can also help you tackle the negative core beliefs that can develop from having such a condition by replacing them with a positive belief (i.e., changing “I’m stupid” to “I’m smart and it is okay for some things to be harder for me”). Don’t know where to start? Consider EMDR which specializes in targeting beliefs – an approach we offer at Long Island EMDR!
As a person with dyscalculia, one of my greatest obstacles was having to accept my true passion could not become my career. No, that is not as self-defeating as it sounds. If anything, I appreciate that I came to radically accept my circumstances.
At first, I attended a small environmental college in Maine where I was studying wildlife conservation with the intention to become a wildlife biologist and canid specialist. While the lecture portion of the biology courses came easy to me, the labs and intensive mathematics had me spending many hours in the tutoring center – and just like a repeat of my earlier days, not understanding any of the information no matter the approach. It seemed impossible for me to get ahead.
After much introspection and honesty with myself, I decided to redefine my goals for myself. I changed my major to social work which replaced my math-heavy academic requirements with courses mainly focused on the humanities and the social sciences. Through that one profound change, I no longer needed the tutoring center, got to embrace my strength of writing rather than bury it, and realized I can have other career interests outside of wildlife biology.
Furthermore, becoming a social worker allowed me to feel attached to something greater than myself – through connecting with my clients to help them find their own sense of purpose in their lives, I feel benefitted in knowing I have made a difference. It is a reciprocal relationship.
Peer support is an important – and often overlooked – component to learning to manage having a lifelong condition. It offers mutual understanding between equals, in which people truly get it. It is a safe, nonjudgmental platform for people to reveal the struggles of having a misunderstood condition while knowing that they feel supported.
Learn about and understand your learning disability. By doing so, you will have the information and knowledge needed to make the wisest decisions to help you feel more in control, which is essential to coping with your LD.
However, a word of advice -- I strongly urge that you seek credible sources during your research, some of which are included at the bottom of this article. While platforms like TikTok can be helpful for peer support or the basics, they can also be littered with misinformation because there is no way to verify the person’s level of expertise. Exercise social media with caution.
Learning disabilities are recognized, protected conditions under the Americans with Disabilities Act (ADA). If you are an adult, you may be eligible for workplace accommodations if they are appropriate in line with the type of job. You may read more about that here.
If it is your child that has a LD, he or she qualifies for an Individualized Education Plan (IEP) to help him or her reach her academic goals. An IEP is a documented plan to provide your child with free, appropriate education in their least restrictive environment. You can read more about the IEP here on the NYC Public Schools website.
If you are a college student, you also may receive academic accommodations but you must advocate for yourself. More than likely, you will need to provide your college with a neuropsychological exam dated from within the past 4 years. This document will determine what kinds of services will benefit you. Contact the disability department at your college for further information on how to navigate the process.
LD Resources Foundation (LDRFA)
www.ldrfa.org
Learning Disabilities Association of America (LDA)
www.ldaamerica.org
National Center for Learning Disabilities (NCLD)
www.ncld.org
National Institute of Neurological Disorders and Stroke
www.ninds.nih.gov/health-information/disorders/learning-disabilities
Understood.org
www.understood.org
Sources Cited:
Barto, A. (n.d.). The State of Learning Disabilities Today. Learning Disabilities Association of America. Retrieved April 20, 2023, from https://ldaamerica.org/lda_today/the-state-of-learning-disabilities-today
- Valerie Smith, LMSW
Art therapy is a newer form of therapy. It is an integrative mental health practice that is designed to improve the lives of individuals, families, and communities through the process of art-making, creative process, applied psychological theory, and human experience within a therapeutic relationship.
Art therapy should be done by a trained professional of art therapy. This will improve the effectiveness as art therapists are trained to create art therapy exercises that are designed to not only support you but also to help move deeper into your therapeutic goal. Art therapists are trained to use their knowledge to support your personal and therapeutic treatment goals throughout treatment. Art therapy has been used to improve cognitive and sensorimotor functions, help support a better relationship with self-esteem and self-awareness, produce emotional resilience, promote insight, enhance social skills, reduce and resolve conflicts and distress.
Art therapy is a wonderful tool therapists use to help patients interpret, express, and resolve their emotions and thoughts. This is a newer type of therapy and was first established in the 1940s however the practice did not become more widespread till the 1970s. Like other expressive arts therapy, such as dance therapy or music therapy, it draws on creativity.
Often people mistake “Art therapy” for things that are not necessarily due to a lack of knowledge about the profession. However these situations provide an opportunity to offer accurate information and educate the public. This modality must be done by a trained art therapist or it is technically not art therapy. Some products that are mistaken for art therapy are adult coloring books and paint by numbers. Art therapists are not art teachers, their goal is not to make you a better artist but to help you improve your mental state through the use of art.
Many people ask "What is art therapy and how does it work?" It is all about expression. The process of creating is the most important thing, not the end product which is why anyone can do it. Often many people shy away due to a fear of not being an artist but this type of therapy is for anyone. It is designed to use the expressive arts as a way for people to understand and respond to their emotions and thoughts with a valuable new perspective, not only that artistic expression is good for mental health as it is often related to relaxation.
During a session, an art therapist works with clients to understand what is causing them distress. Then the therapist guides the client to create art with an art directive that addresses the cause of their issue or explores it further. During a session, art therapists may:
Through different mediums and art techniques art therapy engages the mind, body, and spirit in ways that are not dependent on verbal articulation alone. Due to the way it engages the body and mind it causes various symbols to be created through the art process, this process also invites modes of receptive and expressive communication, which can benefit those who have limitations of language.
Art therapists are clinicians who are trained both in traditional clinical therapy and art therapy. Art therapists work with people of all ages and various populations. All art therapists are required to follow an ethical code. All art therapists are also required to have a master’s level education, as well as engage in supervision hours under a trained professional in order to obtain their license. This prepares them for various populations and gives them the ability to perfect their work.
Art therapists work with individuals, couples, families, and groups in diverse settings. Some examples include:
There is growing evidence that art therapy helps conditions such as anxiety and depression, trauma, low self-esteem, PTSD, Bipolar and similar disorders. It has also been used with those facing terminal illnesses such as cancer and those hospitalized experiencing pain, as well as it has been used with people working to develop effective coping skills, including prison inmates
Many clients are reluctant to explore art therapy because they think that they have to have artistic talent for it to work or see it as "arts and crafts" rather than see it as an effective tool. This mindset can be very limiting and can hinder the effectiveness for these clients. It is important to go in with an open mind.
There's no way to tell for certain whether art therapy is a good fit for any given person. Therapy is not one-size-fits-all, and a client and therapist may need to use multiple different approaches and techniques in order to find what works best for you. However, if a patient is drawn to art or has had trouble expressing with traditional therapy, art therapy may be a wonderful fit for you.
When choosing a therapist it is good to consider the following. As a potential client, ask about:
Often you should be able to tell in 1-3 sessions if this works for you.
If you feel like art may be a good avenue for you to work through your mental health concerns please call our office and ask for Jillian Martino. Jill is our art therapist on staff and would be more than happy to help you work through your concerns through art. Jill specializes in LGBT issues, trauma, children and couples. Contact our office today to set up a free 15 minute consultation.
School counselors are an invaluable resource to students, parents, and teachers. Counselors provide guidance to help students navigate the sometimes turbulent waters of social, academic, and behavioral development. School counselors also help connect students with the appropriate resources to achieve academic success. Finding child therapy in Suffolk County, NY by a qualified and quality child specialist is within your reach.
Sometimes, a school counselor will refer a student to an outside behavioral health provider (i.e., counselor, therapist, psychologist, etc.) that specializes in child therapy in Suffolk County, NY. When this happens, the student and their guardians may have questions about why the referral is being made and what will happen next.
Long Island EMDR LCSW PC takes the guesswork out of finding the right therapist for your child or your family. Contact us to be connected with a child therapist today.
As parents we strive to keep our kids, safe, healthy and happy. We tire endlessly in this pursuit from the minute they’re born to when they leave the nest. From baby proofing, to being a personal chauffeur to their many activities; monitoring their online activity to trying to hide vegetables in their dinner- its a job that never does seem to end. Teen depression is a factor that can complicate our job even further.
Despite our best efforts to keep them safe, healthy and happy, it is increasingly difficult to protect our kids from mental health concerns like depression. According to the National Comorbidity Survey-Adolescent Supplement (NCS-A), depression affects roughly 11% of adolescents by age 18.
If you are unsure as to whether your own child may be suffering from depression, here are 6 signs to look for:
All teens struggle with raging hormones that do make mood swings just par for the course when raising a teen. However, teens with depression experience mood swings on another level. They display more frequent and intense mood swings in and out of anger, sadness and irritability.
A drop in grades or sudden apathy for school in general can be a sign that your teen is struggling with depression. Cutting classes, lateness or missing assignments can be a signal that something isn’t quite right. Especially, when your child was one that had been previously a pretty good student.
Many teens isolate when they become depressed. They stop seeing friends, retreat to their rooms and stop talking so much about what’s going on in their day. Other kids who are depressed will have a change in social group, maybe with some peers that you may find questionable. To manage how they feel they may begin to engage in some self-destructive behavior. Changes in social behavior are another big sign that your teen may be struggling with depression.
If your child has stopped engaging in some of the things you know they once really loved and enjoyed, it’s an indication that something is not right. Apathy and lack of interest are signs of depression. Yes some children do “grow out” of activities, be it sports, music or art. But if what they loved to do is not replaced by a new passion or hobby, it may be that they are really struggling to feel happy engaging in anything- even the things that used to bring them immense joy.
I know teens are generally not known for being super motivated. However teens with depression you will see a significant decrease in their motivation level. This may show up in school, in their desire to go to extra curricular activities, see friends, or comply with chores around the home.
Depression can be genetic. So if you have a family history of depression, there is a chance that your teen will struggle with depression as well.
If you have noticed any of these signs in your teen, it is important to seek help. You can start with your school guidance counselor or pediatrician to get their feedback on if they think depression may be the cause.
Therapy can help teens to cope with their symptoms, learn their triggers and develop healthy ways of managing their emotions. If you are concerned for your teen’s safety or mental health, please contact us today.
Stay Shining,
In todays society I feel many people, especially the younger generations are just completely absorbed in technology. They stare mindlessly into their smart phones, I-pad, laptop etc. and unfortunately miss the beauty that surrounds them. It can be a very humbling and awe inspiring experience when you realize the vastness of nature that surrounds you; even in midst of heavily trafficked suburban areas or on your drive to work, nature is pervasive.
Walking through your local parks, forests, etc. with your children and really looking around and enjoying the present moment yields a much different experience than that of what many experience in todays modern society. It promotes mindfulness, connectedness, togetherness and an appreciation for our earth. Getting your child away from the screens and bringing them through the trails of one of your local parks can be a great way to facilitate that connectivity between your surroundings and your family. To take it a step further, learning about the local plant life and the role it plays in your environment will not only deepen the bond that you and your child form with nature and your local habitat, but can also be a deeply satisfying and rewarding experience; soon enough your child may even be teaching you a few things. If just getting your little one away from paw patrol or bubble guppies and out into nature is enough of a task right now, that is perfectly fine. Maybe once out into the woods you create your own show (Pine Cone Patrol) that can only be experienced out in the wild (you would have to come up with the characters, character development, plot, illustrations, lighting, etc.; I can’t do everything).
If the prospect of leaving the warm comfy couch cushions that have molded to the shapes of you and your little ones bodies is still too uncomfortable of a thought, listen up because there has actually been some very interesting research on the benefits of immersing oneself in nature and how it may benefit your overall health (I don’t think watching a few episodes of man vs. wild will have the same therapeutic effect).One such study conducted by Repke, Berry, Conway, Metcalf, Hensen and Phelan (2018) found that study participants who scored high on items determining their accessibility to nature (accessibility to nature measured as prevalence of parks or other pleasant natural features nearby, amount of time spent outdoors and how safe one feels being outdoors in the area they live) found that those that scored high on the accessibility to nature measure also showed statistically significant higher scores on mental health measures. Another interesting finding in this study is that those participants who had increased accessibility to nature also showed lower scores on a task that measured impulsivity in decision-making. More interesting yet, participants place of residence was also examined to assess their proximity to nature (natural land cover) in their area. Interestingly enough, it was found that geospatial proximity of the participants to nature had no significant effect on health measures or reducing impulsive decision-making.
These findings are interesting in that they may suggest that there is not so much a link between your proximity to nature and mental/physical health, but rather your relationship with the nature in your surrounding area is what positively impacts your health. Let’s be honest, we could all use some decreases in impulsivity and definitely decreases in stress! Knowing that simply exposing yourself to nature (No, not in that way!) can potentially provide these benefits for you and your child (did I mention it’s free…), why would you not take advantage of this? Go out there and hug a tree; connect with your children, your environment and become healthier in the process.
Stay Shining,
Reference:
Repke MA, Berry MS, Conway LG, III, Metcalf A, Hensen RM, Phelan C (2018) How does nature exposure make people healthier?: Evidence for the role of impulsivity and expanded space perception. PLoS ONE 13(8): e0202246. https:// doi.org/10.1371/journal.pone.0202246