Terminating the client-counselor relationship

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What is the best way to end the counseling relationship?  A counselor’s hope is with the client in a better place and with a higher level of awareness.  Of course we want to know that we made a difference, but that’s the tricky part of working with humans.  We are all unique and results are measured differently.  With one client a certain level of progress may not seem very significant, but with others that same type of progress may be just enough to leave a lasting effect.  No matter how significant the results, terminating the counseling relationship is just as important as beginning it.

When meeting with a client, I like to be as proactive as possible.  The more information my clients have the better, that way there are no surprises.  Counseling is a very intimate relationship.  People don’t generally put their whole selves along with their secrets on the table for all to see, so developing the counseling relationship is instrumental.  Part of gaining trust comes with informed consent, making sure they know what to expect from you, and ending treatment in a respectful way.  Carl Rogers theory, person-centered approach, is drilled into your counseling education for a reason.  The three aspects Rogers believed are critical to the counseling relationship are unconditional positive regard, empathy, and genuineness.  If your clients feel that you are present-engaged- participating- and you care, they are much more inclined to do the work.  Get them started with an understanding that there will be an end within a timeline. This gives them a metaphorical carrot to chase; an outcome to look forward to.  One caution – you can be a part of the journey without getting on the bus.  Meaning, maintain your differentiation to prevent transference and countertransference.  It takes practice, patience, and diligence to confront your own emotions after a difficult session.  Be sure to take the time to meet with a supervisor or peer to process the session, your feelings and move through it.  We must constantly take care of ourselves, spend too much time giving all you have to everyone else, and there is little left to work with.  This work helps you and ultimately makes you a better counselor.   

The interesting part of counseling is when your clients surprise you.  Sometimes we can make termination such a big deal in our heads, and admittedly feel a bit disappointed when they are not nearly as bummed as we are to end the counseling relationship.  Bottom line…Inform them, Rogers them, and give them a loose outline so they can take you on an incredible journey!

Transformation is an experience that few of us have a front row ticket to, get in that mosh pit, get engaged, and take it all in. It will change your life as well.

Happiness…

Courtesy of weheartit.com

I found this picture and it makes me think of happy times.  I grew up in Florida and I was married on the beach, so it is one of those places that feels like home.  The sound of the waves crashing into the shore, the birds chirping, the sound of kids playing and laughing, and the ever flowing water.  Remembering these things instantly makes me happy.  So, how does it happen?  Where does happiness come from?  How can we all get a slice?  I did some research and it looks like happiness means something different to all of us, but a recent study shows 56% of happiness comes from mental attitude, 25% from love, and incredibly only 4% from money, the other 15% comes from accomplishments and creative activity.  So, if it’s true – that the majority of my happiness comes from me, how can we all
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Having a baby – you want me to do what?

A friend recently asked me to write about expectations of a man and a woman when having a baby. Well, we talked about expectations a bit in my recent blog, so let’s reframe that to, understanding the relationship transition with a newborn. When two people decide to have or are blessed with the joy of children, there is a 9 month delay for good reason. Even with adoptions, the process takes time. Being a parent is an awesome responsibility and notably the hardest job on the planet. When embarking upon this new life, it may be easier if you are able to prepare more than 9 months out.

Discussions about values, beliefs, and family rules are a great way to start preparing. Just like navigating the rules in the relationship, new patterns and processes will be an important aspect of your new family dynamic. There will be some things that are extremely important to each parent as your child develops. Having the conversations about what is most important to you, prior to pregnancy, may help alleviate future disagreements or misunderstandings. And then, there are those grand ideas you may have that just don’t work out the way you envisioned. Establishing open, collaborative lines of communication will make future decision making easier.

Written and unwritten or verbal and nonverbal rules exist in all families. A written rule may be – we shower before bedtime, no eating in the bedrooms, saying please and thank you, or no feet on the furniture. An unwritten rule might be something that children observe about the way to behave or what is accepted in the family. Children look to their parents to know what is right or wrong. For example, if the child normally goes to the grocery store with mom, but this week goes with dad, the child may inform dad that they are picking the “wrong” items. The mom never said Cheerios were the “right” cereal, however over time, the child observed the mother’s behavior and determined what was “right.” This concept is extremely important to embrace as a future parent. You have the single most important influence on this little person, more than any other person will have. Have you looked at yourself? Have you thought about the legacy you want to leave behind? Have you identified the issues you struggle with so you can change them, so your children don’t inherit those same behaviors, thoughts, or beliefs?

I grew up knowing that dating outside my race wasn’t acceptable. Nothing explicit was said, but there were comments made that implied it would not be accepted. I didn’t believe the things I heard about other groups of people, and was fortunate to attend school with a diverse student body who I came to know for who they were, not only by the color of their skin. This experience helped me understand how important it is to teach my kids to evaluate people on their characteristics, and to not pass judgment based on what I see.

The hard part was taking my new knowledge of people and weaving it into my family dynamic. The implied or unwritten rules just didn’t make sense anymore, and if my parents were wrong about this, I wondered: what else were they wrong about? It is the little things that are seen and heard, kids don’t miss a thing! As a parent, I know there will be times when I make mistakes, but I truly hope the legacy I leave with them is to love and care for people, to constantly learn and ask questions before they make decisions about people, situations, or their own actions, and to become responsible engagers in the world around them.

So, the day arrives, Mom successfully delivers a healthy baby and you ecstatically, yet almost neurotically bring your bundle of joy home. During this time Mom will be experiencing the effects of her changing body, a very different schedule, and responsibilities will multiply and change.

All of a sudden there are a million more things to do, you’re nervous, worried, in awe of this little person you created, and exuberant all at once. Tasks like who will change diapers or get up in the middle of the night are important questions to negotiate.

Answering those questions will help you both identify which roles each parent will take on. Some partners may not be able to take much time off, so mom is home alone all day. Partners, be sure to help mom out when you get home from work and be patient with the transition.

Expectations may begin to seep in and get in the way of this beautiful journey. The lack of sleep doesn’t help things either, and Dad may feel dethroned, or left out. Making time for each other may seem like the last thing you can squeeze into your busy schedule, but even taking a few moments a day to see each other – not just exist side by side, but see the love of your life, and remember why you got into this relationship may help smooth out the rough parts.

Some parents prefer certain activities over others, but a partnership is the most realistic way to go so both parties don’t feel unappreciated or overworked. The most important thing is to talk to each other. When one person in the relationship feels angry, overwhelmed, depressed, uncertain, scared, or any other range of emotion and does not share it, that is the beginning of a slippery slope. I liken it to a funnel cloud that in time will turn into a tornado, unexpectedly wiping everything in its path.

If you say it out loud, then you can do something with it. Counseling may be a great way to learn effective negotiating strategies during this time of great transition, even if only Mom gets a chance to talk to someone, it may be incredibly helpful. Many moms experience the baby blues due to hormonal rebalancing from 4-5 days after delivery until about 14 days post delivery. If you do not notice an improvement in your mood, you may have postpartum depression. Please seek help from your care provider.

As stated previously, parenting is a lot of work, the folks who do it on their own definitely deserve some type of award nomination. I mean — how do you do it? Single parents – you are amazing people, give yourself a break, you are doing the best you can. As long as your kids know you love them – you are doing it right!

Helpful websites for new parents:

babycenter.com app available for smartphones

thebump.com app available for smartphones

parenting.com

dr.spock.com

parents.com app for the magazine available, have to pay for the magazine

Please share your tips and comments on parenting!

Drawing the line, expectations and roles in the relationship

“Love has nothing to do with what you are expecting to get – only what you are expecting to give.” – Katherine Hepburn

Men and women enter into relationships for many different reasons, but maintaining them is the tricky part.  Recently, some friends asked to hear about expectations in the relationship, new rules in the modern household, and how bringing a child into the home influences expectations.  Today’s post will address the former, as bringing a baby into a relationship merits a post on its own.

In my last class as a budding counselor, I learned one of my most valuable lessons – Expectations.  It really is a loaded word.  We discussed expectations for ourselves and the client as well as how to be present with people so that both parties are less likely to be disappointed.  When you are present in the current moment, fully engaged, and remove expectations; a space is offered that nurtures mutual respect and encourages growth.

Think about when you are learning something new or engaging in a new environment.  Be it work, educational, or social; you try so hard to “get it right”, so you are all in your head, working overtime to use the proper procedure, ask the right questions, and deliver the correct results or behaviors.  This can happen in a new relationship as well.

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Life and Death

We swirl around inundated by trivial items like a bad hair day, a TV show, celebrity news, decorating, shopping, annoying people, bad drivers, cranky partners, dirty dishes, laundry, bills…and the list could go on. But then you get a phone call that slaps you into reality and makes you realize how unimportant that stuff is in the scheme of things. We want people to show up for us, but do we show up?

Celebrate life, spend time with family, get to know your elders, its about quality time, being there — because one day you….or they may not be.

Is Physical Attraction Everything?

holding handspsychology of attraction review

Do you remember it?  That moment when you laid eyes on your person?  The first encounter – when you were intrigued, attracted, drawn in.  It may be hard to remember what first drew you to them – or perhaps you remember it like it was yesterday.  Was it their eyes, their laugh, their smile, that smokin’ hot body?  The way you felt in their presence?  You may be able to think back and remember the exact outfit you wore and place you met. Christy Cooper recently asked, “can you grow to love someone or is physical attraction everything?”

Men are physical beings, so of course physical attraction is a key factor to choosing a mate. Both genders are initially drawn to each other by physical appearance, but is it everything? From what I have seen – NO.  Love transcends the physical body, if not how could we explain Read More

Burnout

5amIt’s 5am, the alarm goes off and I realize another day awaits, but it’s hard to get out of bed. My body doesn’t feel rested, my eyes burn and my head aches. My jaw feels sore, probably from the clenching or grinding in my sleep. Coffee may not be enough to activate me this morning. When I get to work, Read More

Laughter…the best medicine

You ever have one of those weeks that just dragged on and on and on with no hope of ending, or accomplishing the thousands of tasks at hand? It happens to us all.  The best medicine doesn’t cost a thing. Find a friend or loved one to spend some time with and tell funny stories, people watch, make fun of each other, and just plain ol’ belly laugh. You know the type – – when you laugh so hard your eyes water, your cheeks hurt, and your tummy starts to spasm from overuse. After a couple hours of engaging in great conversation, and letting yourself forget about all the things you have no control over in this moment seem to melt away, effortlessly. Thanks friend for the great laughs tonight!  I needed it!

Managing Stress

Whats the old adage about moderation?  “Everything in moderation, including moderation.”  That applies to stress as well. Stress can be a good thing, it can motivate you to get things done, to push harder, to go past limits you thought possible – which leads to growth.  It also helps you avoid danger and keeps you alert.  Then there are the times when stress isn’t such a good thing. There may be times it feels like you have no control over the stressors in your life. This may be true to a point.  You may have no control over what comes your way, but you do have control over the most powerful determinant of how stress manifests in your life – how you respond. Read More

Creating a Vision for your Future

One of my favorite exercises in the substance abuse IOP group therapy sessions was Life Mapping. My supervisor used to remind our clients that the work we were doing was great work for all people, including folks with addictions. It was just plain old, good therapy! This exercise helps clients create a clear picture for what they want in their lives. It grew out of some work one of my previous supervisors had done with a Covey leadership development class.

So, how does it work? First, you identify your core values. Examples may include family, career, spirituality, integrity, health, education and sobriety. Then you identify how your current behaviors go against those values. How are the choices and decisions I make dishonoring my core values? For example, if family is your value, perhaps your current behavior is isolating you from your family or causing arguments. Or for career, perhaps your lack of follow through or completion of deadlines is inhibiting your career growth. Here is a worksheet to get you started: VALUES WORKSHEET

Next, you identify what outcomes you would like to see for each value. What do you want in your life? For family, perhaps it is a closer relationship with loved ones, for spirituality maybe it means a closer relationship with God, and for health perhaps your outcome would be feeling well, reducing risk factors or unhealthy behaviors.

Next, you identify the tasks associated with each outcome. These would be the specific behaviors or actions that are critical to accomplishing your outcomes and staying true to your core values.

Examples of tasks for health may be: eat 5 small meals a day, count my calories, exercise 3 days per week for 30 minutes, practice meditation 5 minutes each day.

For family, some examples might include: eat dinner together every night at 6pm, spend time as a family outside the home 2 times per month for at least 2 hours doing an activity in which we are engaged with each other (not going to a movie), implement a date night on Fridays with my spouse.

For career, tasks may include: get to work 5 minutes early each day, ask for additional training, meet with my supervisor to develop a development plan. I created this worksheet: LIFE MAPPING WORKSHEET to assist you in Creating your Vision.

The next phase is consolidating your Life Map into a Vision Statement. This one can take some time, and I recommend doing a talk-through-walk-through first.

Pretend I am an old friend and have not seen you for a year, and I see you at the supermarket and say, “Hey there! I haven’t seen you in such a long time. How are you? Tell me what’s new in your life?” Using the information you gathered about what outcomes you want for your life from your Life Map, speak as though you are currently living the life you have envisioned in your diagram. Use the tasks and outcomes to describe the changes that have occurred in your life. An example may be something like this:

Gosh, Missy, so much has happened! Life is great! I feel calm and peaceful, my family relationships are loving and connected and we spend time together having fun and learning. My body is strong and ready for each new day that comes. My career has moved to a new level where I feel proud and motivated each day. My relationship with God grows each day through prayer and meditation.

As I blogged about before, creating clarity is the beginning of the process of change. Iyanla Vanzant said in a speech she gave on Oprah’s Super Soul Sunday, “Your eyes adjust to the amount of deficiency present.” Think about that.

Read it again….Your eyes….adjust….to the amount of deficiency present.

So you get used to deciphering life through fuzzy eyes, you adapt and compensate, and inevitably miss things. If our vision for our lives is unclear, or we cannot even see an outcome that we would like or need, than we begin to believe that the possibility of our hopes and dreams are unachievable.

The deficiency may be the story we tell ourselves, the doubts we allow others to speak into us, or the insecurities that stifle us. Sometimes we let others talk us into or out of what we truly want and sometimes we do not need any help setting ourselves back. We may even begin to believe that the dreams we have are unrealistic. How will you nurture and foster your dreams to create a vision for your future?

“The man who thinks he can and the man who thinks he can’t are both right. Which one are you?” ~ Henry Ford