Is it Safe to Go Back to In-Person Therapy Sessions?

Is it Safe to Go Back to In-Person Therapy Sessions?

Just a few short months ago, none of us could have imagined how our lives would change at the onset of the Corona Virus. Now, several months into a global pandemic and resulting global quarantine, the world is slowly starting to open back up.

But a lot of people wonder how long it will take before things fully return to normal. And many now wonder if it’s safe to go back into therapy?

This is an interesting question and dilemma, because now more than ever, people need to be able to get the help they need to cope with the stress and loneliness of quarantine and the economic shutdown.

Speak to Your Therapist About Other Options

Just as every city, state, and nation are opening back up at their own pace, individual business owners and practice owners will also decide when and how they will open back up. If you were actively working with a therapist before the pandemic, you more than likely continued to work with them either via phone or online chat.

But admittedly, while these helped people get the help they need during the crisis, many clients and counselors are itching to get back to face-to-face therapy sessions. But is it safe yet to do so? When and how should counselors start seeing clients face-to-face?

To answer these questions, counselors and their clients will have to make some considerations:

What are the Risks?

Both the clients’ health and the therapist’s health must be taken into consideration. Is anyone at a higher risk for COVID-19? Does the office space allow for sessions that adhere to the CDC’s safety guidelines? Are you and clients comfortable wearing masks during a session and/or is there enough space to remain 6 feet apart?

State Guidelines

Another piece to the safety puzzle is your own state’s guidelines. What are those recommendations regarding residents leaving home? Are you in a COVID-19 hotspot?

While telehealth has been a blessing for many, for others there have been technical difficulties, wi-fi lag times, and difficulty finding a private space in their home to hold a session. If you prefer a face-to-face session with your therapist, speak with him or her about their protocols moving forward.

Share any concerns you may have and feel free to ask questions. Right now we all need to communicate with each other and be as transparent as we can be. Doing so, as well as weighing the risks, will help life get back to normal for everyone as safe as possible.

 

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Fighting Loneliness During Quarantine

Not many of us have ever experienced the kind of isolation that this COVID-19 pandemic has brought about. While quarantine for some has been a welcomed break from the hustle and bustle of life and a chance to spend more quality time with the family, for others it has been an incredibly lonely experience away from coworkers, friends, and those they love and need most.

In addition, and to make matters worse, loneliness can make managing stress more difficult. And let’s be honest, we are all surrounded by stress these days from worrying about when the world will open up again, when we can start working and earning a living and when life will get back to normal.

Fighting Loneliness in Healthy Ways

Sadly, during times like these, many people turn to alcohol and other substances as a way to cope with stress and loneliness. But there are healthier ways you can fight it.

Plan to Stay Connected

During this time it’s important to create a plan to safely stay in regular contact with family and friends. If you are an older person, be sure to confirm who you can reach out to if you need help getting food, medications, and other supplies.

Leverage Technology

While many of us still cannot be in the same space as our loved ones, we are very lucky we live in a time when phones and digital technology can help us all stay connected. Be sure to schedule regular phone calls and online video chats using apps like Skype or FaceTime.

Get in Touch with Old Friends

Most of us, at some point in our life, lose touch with friends and acquaintances we once shared our lives with. Now is the perfect time to reconnect. And social media makes it very easy to find someone you may have lost contact with years ago.

Seek Help

During this pandemic, many counselors and therapists are helping clients via telehealth services. This means instead of going into a therapist’s office, you can speak to them on the phone or over a video conference. A therapist can help you navigate this forced isolation and offer coping strategies to get you through.

If you or someone you love is having a difficult time dealing with loneliness right now, please reach out to me. I would be more than happy to discuss how I may be able to help.

 

SOURCES:

How Telehealth May Change the Future of Therapy

A while back there was a very funny television show starring Lisa Kudrow (ditzy Phoebe from Friends) called “Web Therapy.” It was an improvised show and Lisa played a therapist who treated her patients over the Internet. Hence the title of the show.

Well, back when the show was on, the idea of treating mental health patients via a webcam seemed ludicrous. And the show did a great job at poking fun of Lisa’s character and her “wacky idea” of web therapy.

Fast forward 12 years after the show’s debut, and web therapy is now “a thing” thanks to telehealth technology. Yes, psychotherapy appointments can be held between therapist and patient while one is in one building, state, or country and the other is somewhere else entirely.

Why was web therapy a joke 12 years ago but telehealth is now gaining in popularity? The shift is most likely due to the growing popularity of tech solutions among younger generations. There’s also something very attractive about the ease of telehealth; of not having to leave your house or office to get the help you need.

As younger generations have become accustomed to using apps to have food, beer and groceries delivered right to their door, they expect these same conveniences from their health providers. While it may take a few more years before telehealth becomes truly mainstream, indicators suggest that push is more than likely to happen.

Benefits of Telehealth

We’ve already discussed the most obvious benefit of telehealth to consumers, and that is ease. But what about the benefits to the therapists?

To start, telehealth means those people who would otherwise feel too uncomfortable seeking therapy in person will now be open to seeing a therapist “privately.” This means a therapist has a larger number of people to deliver their services to.

Also, since these services can be delivered from a home office, a therapist can easily reduce their practice’s operating costs and overhead expenses.

Many therapists are saying the adoption of telehealth should have come sooner, but support and guidance on telehealth are finally coming from the American Psychological Association (APA) and other psychological organizations.

Therapist Need to Get Ready for the Switch

You can’t expect a therapist who has been treating patients face-to-face for x number of years to suddenly do well sitting in front of their computer’s camera. There are some subtle but important differences in working with patients over electronic connections.

For instance, in person, when a therapist breaks eye contact with a patient to take down a few notes, there is still a connection there because they are still in the same physical space. But over the Internet, when a therapist looks away to take notes, it may seem to the patient that the client is distracted. Providers interested in offering telehealth services to their patients will have to keep things like this in mind and always assure they are paying attention.

The APA offers continuing-education workshops on telehealth at its Annual Convention, and several divisions have begun providing training in telehealth as well. Therapists can also find online courses and training offered by the American Telemedicine Association.

No one is laughing any longer at the idea of web therapy. Instead, both consumers and therapists are embracing technology to bring about positive change and outcomes.

 

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Coping with Working from Home During COVID-19

How many mornings have you shut off that alarm, wishing you could just work from home in your PJs? Well now many of us are getting our wish thanks to COVID-19.

While in theory working from home may seem ideal, the reality for many of us is that it’s, well, kind of a pain. Particularly if you have young children home from school that you now have to teach while still keeping productive at work.

The fact is, this sudden and unexpected disruption to our daily lives has many of us feeling stressed!

Here are some ways you can cope with working from home for the unforeseeable future.

1. Get Your Space Right

If you don’t have a dedicated home office, you’ll want to figure something out ASAP. Having the right space at home will help you focus on the tasks at hand. It will also automatically set boundaries with family.

Do you have a spare room you can use? Is there an area in your finished basement that could work? If not, clear off the dining table and set up there.

2. Keep Your Regular Schedule

You may want to treat the next 2-3 weeks as a sort of family vacation, but it’s best if you and the kids stick to your regular routines. That means getting up and going to bed at the same time, showering, getting dressed and having breakfast as you normally would. Straying from routine will demotivate you to complete the work that needs to get done.

3. Take Advantage of the Flexibility

While it’s important to keep to your routines, that doesn’t mean you can’t take advantage of having more time on your hands. Instead of spending an hour plus on a commute each day, you could use that time to catch up on home projects that have been on your to-do list for a while. You can also use the added time to reconnect with your family.

4. Give Your Kids Structure

Kids need structure, so give them some each day. This could mean giving them three options of how they will spend the afternoon: playing with Legos in the living room, watching a movie or quiet reading in their bedrooms. Be sure to take a break from work every couple of hours to check in with your kids to answer any questions they may have. Lord knows they ALWAYS have some!

5. Get Some Virtual Babysitters

On those days when you have to conduct many meetings and get much done, consider reaching out to family and friends to arrange virtual playdates with the kids. Thanks to Skype and FaceTime, your virtual babysitters can read, play games and interact with your kids online while you get some important work done.

If you find you are getting a bit squirrelly, even after following these tips, you can always reach out to a mental healthcare provider who can give you some more ideas of how to manage the stress.

If you’d like to speak to someone, please reach out to me. At this time, I am able to conduct sessions via phone or Skype, so you don’t even have to leave your home if your state is on lockdown.


SOURCES:

https://www.psychologytoday.com/us/blog/biofeedback-and-mindfulness-in-everyday-life/202003/77-strategies-working-home-during-covid-19

https://www.cnbc.com/2020/03/17/working-at-home-with-kids-during-covid-19-crisis-with-kids-underfoot.html

How to Cope with the Stress and Anxiety Caused by COVID-19

If you’re like most people, you are doing your best to stay calm during COVID-19 pandemic. But that can feel incredibly difficult at times. When not worrying about friends and loved one’s health, there’s also the conflicting information provided by the media and the economic ramifications of the virus that have people on edge.

Signs of Emotional Distress and 6 Ways to Cope

Everyone reacts differently to stressful situations, but most will exhibit some of the following signs:

  • Changes in sleep or eating patterns
  • Difficulty concentrating
  • Worsening of chronic health problems
  • Increased use of alcohol, tobacco or other drugs

If you are experiencing significant stress right now, here are some ways you can cope:

1. Limit Media Consumption

Hearing the media constantly spread panic isn’t good for anyone. It’s important to stay rational and do your own research to uncover facts from fiction as well as stay positive.

2. Nurture Your Body and Spirit

Be sure to get outside for some fresh air and go for a walk. Eat right and make sure to stay hydrated and get plenty of sleep. Avoid consuming too much alcohol and try and find fun ways to reconnect with your family.

3. Tap into Your Sense of Fun

If you have kids, look to them for some good old-fashioned playtime. Play hide and seek in the house. Create an obstacle course in the back yard. Watch some of your favorite funny movies. Laughter really is the best medicine so get plenty of it!

4. Support Your Local Community

Many local businesses are hurting right now. If you’re still getting a paycheck, consider buying a gift card from a local restaurant, gym, hair salon, etc. to give them revenue now and you can use the card later. This will make you feel great at the same time.

5. Be a Role Model

Remember, your kids will ALWAYS look to you first to see how they should be thinking and feeling about something. So move about each day calmly and confidently and reassure your kids everything will be okay because it will be.

6. Use Your Time Constructively

For many of us, there is a silver lining in this situation in the form of extra time. What can you do with the extra time that isn’t being used to drive an hour or more each day in commuting? Focus on using this time wisely. Maybe you have an ever-growing list of home projects that you just never have time to tackle. Tackle them now, you’ll feel great about it later.

 

If you find yourself becoming too stressed or depressed during this time, I encourage you to connect with me. Speaking with a therapist can help you cope with the situation and navigate the days ahead. I am currently able to conduct sessions over the phone or via Skype, so you won’t even have to leave your home if your state is in lockdown.


SOURCES:

https://www.ucihealth.org/news/2020/03/covid-19-anxiety

https://www.health.state.mn.us/communities/ep/behavioral/stress_covid19.pdf

The Amazing Benefits of Meditation

There are plenty of things that occur in our daily lives that cause us stress: commuter traffic, hassles at work, and tension in our personal relationships to name just a few. If we don’t find healthy ways to deal with this stress, it can fester, eventually causing anxiety, depression, and even health issues such as hypertension and heart disease.

One of the best ways to beat stress is through mindfulness meditation. This practice helps train you to keep your attention “in the now.” By training your mind to stay in the present moment, you stop it from ruminating on all of the things that bring you stress. While it can be challenging in the beginning, many practitioners of meditation receive amazing benefits:

A Better Night’s Sleep

If you’re someone who suffers from a lack of sleep, you know how it can affect your mood and ability to focus clearly. Research has found that in adults diagnosed with sleep disturbances, meditation improves the quality of sleep obtained each night.

Lowers Stress Levels

Studies have also found that mindfulness meditation can reduce the cortisol levels produced in the body. Cortisol is a stress hormone. When levels of cortisol remain high, it can negatively impact your health.

Decreases Loneliness in Older Adults

Many older adults experience loneliness and isolation due to the loss of their spouse combined with an inability to lead an independent social life. One study found that an 8-week mindfulness-based stress reduction (MBSR) program decreased loneliness and related pro-inflammatory gene expression in seniors.

These are only a handful of the many benefits of practicing meditation.

Getting Started with Meditation

Starting a meditation practice does not have to feel overwhelming and it doesn’t require you to make big lifestyle changes. It simply requires you to dedicate 10-20 minutes each day in your practice.

You may want to look for group meditation classes in your local area to get a feel for how it works. There are also plenty of guided meditations online to choose from.

The biggest thing to remember is that it is called a meditation practice for a reason: you won’t get it “right” right out of the gate. And truthfully, there is no right or wrong. There is only a desire and intent to let go of the chatter in your mind and focus on the present moment. That’s it. Once you get the hang of things, you too can experience some amazing benefits.

The Caregiver’s Guide to Self-Care

Are you acting as a caregiver to a loved one? Maybe your elderly parent or a spouse or child that is battling a serious illness?

According to womenshealth.gov, 36% of Americans provided unpaid care to another adult with an illness or disability in 2012, and that number has almost certainly climbed as the baby boomer population continues to age.

Acting as a caregiver to another is definitely a labor of love, but it can also take a physical, mental and emotional toll on a person. When you focus all of your energy on the needs of other people, it is entirely too easy to put your own needs on the back burner.

Do You Have Caregiver Burnout?

Here are some of the most common signs of caregiver burnout:

  • Uncharacteristic irritability and impatience
  • Poor sleep
  • Forgetfulness
  • Somatic symptoms, such as headaches and gastrointestinal distress
  • Changes in appetite
  • Turning to substances to self-medicate
  • Lack of interest in friendships and hobbies
  • Thoughts of harming oneself or the person being cared for
  • Increased illness
  • Anxiety and/or depression

With so many people relying on caregivers, it’s important that these people learn to take good care of themselves!

Here are some ways you can begin practicing self-care so you don’t experience burnout:

Get More Sleep

The quantity and quality of sleep you get each night will have a huge impact on how you feel physically, mentally and emotionally. Stress can make it hard for us to get good sleep, so don’t make it any harder.

Avoid caffeinated beverages after 2 pm as well as using any digital screens at night. The blue light emitted from these devices messes with our sleep cycle. You may also want to use room-darkening curtains to make your bedroom dark in the morning so you don’t awaken too early.

Get Plenty of Exercise

All of the stress, tension, and balled-up emotions need to go somewhere, or you’re likely to become sick yourself. Exercise is a great way to work all of this… “stuff” out of you. As a bonus, your body releases endorphins after a good workout, and these chemicals give your mood a nice boost.

Eat Right

Your instinct may be to reach for sugary comfort foods but you need to stay healthy and strong. Opt for protein and healthy fats along with some organic produce.

Ask for Help

While everyone around you may refer to you as “superhuman,” the truth is, you’re just human, and you can’t handle everything by yourself ALL of the time. Ask people to help you provide care once or twice a week so that you may have a little bit of time for yourself.

Talk to Someone

If you are dealing with your own depression and anxiety, it’s important that you speak with someone who can offer coping strategies.

If you or someone you know is a caregiver that could use someone to talk to, please feel free to be in touch. I would be more than happy to discuss how I may be able to help.

 

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