Your Voice Matters: Honest Discussion about Mental Health and Addiction

By Concentric Counselor Jennifer Larson, LCPC, NCC

It’s been about 3 months since Concentric Counseling & Consulting hosted its first On The Table 2017 conversation, and I am still impacted by the experience.  First let me backpedal to how I first learned about The Kennedy Forum, one of the co-sponsors of On The Table. 

It was the Fall of 2015 and I was having a conversation with my friend Caroline McAteer about various social issues and she had asked me if I heard of The Kennedy Forum.  Much to my chagrin, I had sheepishly told her that I hadn’t.  She told me about The Kennedy Forum’s mission and details of their annual meeting.  I was instantly intrigued and had to dig in.

Of the many things learned, one of them was Patrick Kennedy of The Kennedy Forum and his involvement with The Mental Health and Addiction Parity Act of 2008; he is still putting forth advocacy efforts to have The Act enforced on a national level.  I remember the buzz just before The Act went into federal law as I knew all too well the red tape and consequences people, including my own therapy clients, faced with limited mental health sessions imposed by insurance companies.

Fast forward to Spring 2017, and I learned about On The Table initiatives (co-sponsored by The Kennedy Forum and The Chicago Community Trust). Once again, I was intrigued.  On The Table initiative is about having people host open and honest conversations about mental health and addiction in effort to #BreakTheSilence and eliminate the stigma around mental illness and addiction that still greatly exists. 

As a counselor, I regularly encourage my clients to use their voice whether it is to share, increase vulnerability or intimacy, honor or advocate for oneself, and to work through the shame that often plagues people with mental illness and addiction. 

The focus of psychotherapy with my clients typically entails understanding and resolving challenges with one’s intrapsychic and interpersonal relationships (represented by inner concentric circles, hence the name Concentric) versus the larger, social systems (outer concentric circles).  Participating and joining forces with other hosts to help end the stigma associated with mental health and addiction while giving people an opportunity to use their voice fit Concentric’s mission with helping others to your their voice – but this time on a macro level.    

On May 16, 2017, the therapists at Concentric Counseling & Consulting hosted its first On The Table 2017 conversation in Millennium Park, across the street from our office.  It was an unseasonably warm and windy day, and our topic was "Your Voice Matters: Mental Health and Addiction.  Honest Discussion About Why More People Don't Seek Out Help." 

We had an incredibly diverse group of people who actively participated.  It was such an honor to hear people’s stories and ideas about why more people don’t seek out help.  So many stories and barriers were shared.  Common themes emerged and were extracted.  Follows are some of the common themes people described that either prevented them or others they know from seeking services:

• Stigma, embarrassment, and shame. Seeking help is seen as a weakness. What will my family and friends really think about me? Will I be seen as a ‘nutcase?’ Denial about having a problem or my ego getting in the way.

• Financial burden and obligations. Lacking financial resources all together. Treatment is a privilege for only those who can afford it. Lack or poor insurance coverage. All of the convoluted layers to insurance coverage.

• Lack of information and available resources on how and where to find mental health and addiction services. Example given was local university offered free counseling services to its students but was not aware of services until his senior year of college. Not knowing how to access services or where to start. Location and other barriers to gaining access to solid services.

• Cultural barriers and roadblocks, including families of certain cultures not supportive of mental health services. Experience with providers who lack cultural, gender identity, and sexual orientation competence. Religious barriers and lack of supports within religious communities.

It is a reminder to all of that us that suffering from mental illness and/or addition is hard in of itself, not to mention having to endure additional barriers that get in the way of seeking and accessing help.  Some of the solutions shared were not only to address or remove the aforementioned barriers and roadblocks, but to focus on the equity of mental and physical health. 

People remarked how it is much easier and more acceptable to talk about their physical ailments, but not their mental health.  Let’s look at people wholistically and give the mental health side the same due attention and respect.  Another solution shared was to target childhood prevention. 

One of the guests remarked in early childhood, we learn the importance of daily hygiene, such as brushing our teeth daily.  Why not introduce conversation around mental health care at an early age or make mental health education mandatory in schools.   Also, when providing education on mental illness and addiction, don’t use extreme or scare tactics, such as the “This is Your Brain” drug campaign did in the 1980s.  Guests remarked it only silences people more. Instead, provide a spectrum of information that can resonate with or speak to a variety of people across all ages and cultures.

My hope is that the information shared from our diverse group in Chicago can continue to be shared with others. And importantly, inspire all of us to participate in more active conversations about mental health and addiction whether it’s in your home, at work, in your community or as an On The Table host.  Because Your Voice Does Matter!      

Moms -- You Hold the Key to Your Daughter's Healthy Body Image

By Concentric Counselor Michelle Taufmann, LCSW

Excerpt from Neighborhood Parents Network (NPN) blog: Moms, You're The Key To Your Daughters' Positive Body Image

How do we equip girls with a positive body image? It’s a never-ending question that doesn’t seem to wane no matter the advances of women in society. Articles in the press in recent years suggest that mothers are the most influential when it comes to girls’ attitudes toward their bodies. While societal messages, stereotypes and peers are influential forces, mothers are their daughters' primary teacher when it comes to beliefs toward body and physical mage. 

How do mothers influence their daughters’ body image a healthy way? Focus your attention on the function and ability of body. When mothers appreciate their own and their daughters’ bodies for what they are capable of— resilience, flexibility, strength, and endurance —they help their daughters develop a positive perspective on their bodies. This one may be obvious, but is worth saying for those who have any doubts: Do not make negative comments or claims about your daughter’s body (e.g., “Wow, you sure got my thick ankles, didn’t you?"). It’s even best to keep favorable comments about your daughter's image to a minimum in effort to prevent over-identification with the body. Another “no-no” is supporting your daughter to diet or “watch her weight” (unless it’s medically necessary). Even if dieting is her idea or because her friends are doing it.  Discourage it and take some time to have a healthy discussion about it.

Want to know more about how to be how you can help your daugther have a positive body image?  The entire blog can be found by clicking here.

How To Talk to Your Child About Sexuality and Gender Identity

By Concentric Counselor Myron Nelson, LCPC

Excerpt from Neighborhood Parents Network (NPN) blog: Is Your Child Questioning Sexuality or Gender? 

You have noticed that your child is becoming attracted to a child of the same sex or is engaging in cross-dressing.  Possibly your child is asking you questions about your own gender or sexual orientation.  You're probably wondering, Is this just a phase? Buckle up, because it’s not simple.

The answer is yes and no. Some children have a clear sense whether they’re lesbian, gay, bisexual, transgender or queer (LGBTQ) from an early age and it never changes, while others might question and experiment with those identities only for a period of time. Most people report they have a sense of their sexual orientation and gender identity around 10–13 years old. But that does not mean several people won’t experience periods of time where they may be attracted to someone of the same sex or wish to express their gender differently at any age.

Thinking about whether these changes are temporary is really just the beginning step to asking, What should I do? And luckily that answer is simple and can be summed up in 3 tactics: Be loving, ask questions and educate yourself. Before I explain the benefits of following these 3 important steps, I’ll make a case against why not.

Want to know more about how to these 3 steps as well as what to avoid saying or doing with your child?  The entire blog can be found by clicking here.    

A Window Into Helping You Understand Boys And Emotions

By Concentric Counselor Myron Nelson, LPC, LCPC

Excerpt from Neighborhood Parents Network (NPN) blog: Help Your Boy Express All of His Emotions  

The contributing factors and consequences on why boys are viewed as less emotional is an area worth consideration, but for purposes of this post, it is simply for those who see it as an issue and yearn to address it. I want to share some helpful and practical ways for you to improve young boys’ emotional IQ.

The best kind of care is preventative.  A good starting point is helping boys explore emotions by starting with what they know. Look to the people they interact with regularly —in person or in fantasy—as a way to talk about emotions and feelings. Bring up emotions in their space and domain. Books, video games, and movies are all driven by character interactions and are full of openings to begin conversing about feelings, especially if there is a mismatch and incongruency between what someone is saying and what someone is doing.

If boys mention that someone was angry or nervous, you could ask, “How did you know?” Inquire about what cues they observed: Was it their body language?  Facial expression? Words they verbalized?  It can often feel safer to talk about other people’s experiences and emotions instead of ourselves.

To read the full blog, please go to Help Your Boy Express All of His Emotions post.

Ask the Therapist? How to Help a Young Child with Anxiety Issues?

By Concentric Counselors Jennifer Larson, LCPC, NCC & Ashley Allis, LCPC, NCC

Over this past weekend, we participated as one of the local small businesses at the Sauganash Small Business & Eco Fair.  This Fair was open to the public and was an opportunity to build relationships within the community as well as to raise money for Sauganash Elementary, a Chicago Public Schools (CPS), which continues to experience cuts that impact the educational needs of the students and teachers.

At this event, we offered Ask The Therapist? -- an opportunity for people who visited our table to write down an anonymous question related to mental health and well-being issues that they or a loved one may be facing.  Over the upcoming weeks, we will be posting the anonymous questions and our answers.  So, feel free to re-visit this blog.

Ask The Therapist? is to provide some helpful information, guidance, and resources only.  This information is not intended to give a diagnosis, replace child, adolescent & family therapy, or provide treatment recommendations for a mental health disorder. Make sure you see your doctor or mental health provider if you think you or a loved one may have symptoms of a mental health disorder which warrants professional help.

HOW DO YOU HELP A YOUNG CHILD WITH ANXIETY ISSUES?

Parents play a big role in helping young children manage their anxiety. When a child uses coping tools and their brave behavior is praised, young children can learn to manage their anxiety and gain confidence.  Sometimes parents become anxious when their child experiences anxiety that they think the best option is to become overprotective or to enable the child to avoid the very thing or situation that triggers anxiety.  Avoidance can lead to fueling and increasing the anxiety.

The first step would be to tell your child what anxiety is, how it shows up in our thoughts, physical sensations, emotions, and behaviors, and that anxiety is normal to experience.  You can help your child identify how he or she experiences worry physically in his or her body, such as some children feel butterflies in their stomach, their hands may get sweaty, or behaviorally as they may want to hide. If you as a parent have anxiety, you can share your anxiety which can be validating and normalizing for your child.   

The next step would be to identify the type of anxiety (and its respective triggers) and to learn tools that can help your child reduce their anxiety.  You can become educated by learning the many tools for helping your child learn how to manage his or her thoughts, physical sensations, emotions, and behaviors. 

Filling up a toolbox of tools can be one of the most helpful ways to assist your child with anxiety issues.  Examples of some coping tools could be coloring, squeezing a ball, deep breathing, engaging in positive thoughts, and coming up with comforting, visual imagery.  You can encourage your child to ‘test’ those tools out and see which ones are more effective.   Also, encourage your child to come up with ideas that will help the anxiety.  This ownership can instill confidence, a sense of responsibility, and hopefulness. 

For more resources on childhood anxiety, check out:  http://www.anxietybc.com/parenting/childhood-anxiety  http://www.anxietybc.com/parenting/complete-home-tool-kit

To learn more about our specific services, check out:  Child, Adolescent & Family Therapy AND Solution-Focused Services for Parents