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Are You Worried About Your Daughter?

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Adolescence is a tumultuous time, in which rapid physical, emotional and mental changes occur, along with profound environmental transitions. Over the past decade, parents, teachers and therapists have become increasingly concerned with the effects of this period of development, and particularly with how adolescent girls are managing this critical time. Research has shown that adolescent girls are twice as likely as boys to suffer from depression, and the causes contributing to the prevalence of this problem are varied. Society pressures, combined with their desire or need for the approval of others, makes these girls overly sensitive to signals from other people that confirm or deny their feelings and behaviors as appropriate. Unfortunately, our society may be guilty of socializing young girls into depression proneness.

Friendship attachment has been proven a strong predictor of healthy mental development in adolescent females, and girls with lower levels of friendship experience higher levels of anxiety and depression, and exhibit less effective coping skills. Another study indicates that girls cite disconnection from important people in their lives, including peers and family members, as a major factor in causing depression.

The 2005 Youth Risk Behavior Surveillance survey, conducted by the federal Centers for Disease Control and Prevention, reveals some troubling facts about adolescent girls in the United States. According to the data collected from almost 7,000 high school age girls, 37% of them reported having felt sad or hopeless to the point that they ceased their usual activities for two or more weeks during the year preceding the survey, and almost 22% of them had seriously considered attempting suicide. The incidence of depression in adolescent girls is prevalent at a serious level and can lead to a wide range of social, physical and mental problems. Mary Pipher in her bestselling book Reviving Ophelia points out that depression in adolescent girls ranges in degree from ordinary adolescent misery to the extreme of severe clinical depression, but that given the impulsivity of this age group, any degree of adolescent depression should be taken seriously.

Research on the effects of socio-evaluative concerns theorizes that girls experience depression at higher rates than boys, because they are more concerned with what their peers think of them. Although there are benefits to the importance that girls place on interpersonal relationships and the support that they provide, there are also negative consequences when an adolescent girl worries incessantly about concerns such as her appearance and being accepted by her peers. Adolescent girls cite feelings of loneliness and lack of support as contributors to a purposeful withdrawal from social interaction, leading to depression.

As a concerned parent of an adolescent girl, what can you do? First, pay attention to your daughter. Get to know her friends, be supportive of healthy friendships, and acknowledge her dreams as well as her fears. In order to keep their true selves and grow into healthy adults, girls need support and acceptance from both family and friends, meaningful goals, and respect, as well as physical and psychological safety. They need identities based on talents or interests rather than appearance, popularity, or sexuality. They need good habits for coping with stress, skills for self-nurturing, and a sense of purpose and perspective.  They need quiet places and quiet times, and they need to feel a part of something larger than their own lives.

Secondly, allow your daughter enough freedom to make some of her own choices, with clear and consistent consequences. Girls need homes that offer both protection and challenges.  Inside that home, they need both affection and structure.  The best message for teenage girls is “I love you, and I have expectations.” Ask your daughter questions that encourage her to think clearly for herself.  Listen for what you can respect and praise in what your daughter says, and whenever possible, congratulate her on her maturity, insight, or good judgment.  In other words, “Catch her doing good.”

At Southlake Counseling, we offer individual, family and group therapy services for adolescent girls and their families. If you are concerned about your daughter’s well-being, schedule a confidential assessment and allow us the opportunity to provide the guidance and support that she may need to thrive during this difficult phase of her development.

Be Well,

Debbie

Debbie Parrott, MSW, P-LCSW
Southlake Counseling

Surviving the Holidays

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Like it or not, ready or not, once again they are coming. Before we’ve even processed Labor Day, we see the decorations going up for Halloween. Halloween is not even over and already there are stuffed turkeys and pilgrim hats lining the shelves. And about a week before Thanksgiving we find ourselves getting confused about which holiday to prepare for because everywhere we look, we see nothing but mistletoe and fake icicles and Santa Claus.

Sometimes it seems like the media and corporate America get more excited about the holidays than we do….because we are too busy managing the anxiety and stress caused by non-stop pressures to buy more than we can afford, see people we don’t like or don’t know (or both), and eat foods we would never otherwise consider consuming just to be accommodating to great aunt Lucy who has been cooking her signature pumpkin pie-flavored raisin fruitcake since the early 1900’s…..

But this year, the holidays can be different. Each holiday season is like a milestone in our lives, when we can look back on where we were and what worked (and what didn’t) the year before and celebrate how much we’ve learned and grown in the twelve months in between.

This is why the best way to tackle the holidays this year is to examine what worked and what didn’t last year and make adjustments from there. So here are some questions to contemplate and journal about that can help make the holidays feel less like an onslaught and more like a celebration:

Where did you struggle the most during last year’s holiday gatherings (dinner table, family interactions, isolating to avoid conflict, whatever it is)?

What ideas do you have to prepare in advance for how to navigate similar challenging moments that may reoccur this year?

What kind of support did you need last year that you didn’t have that could have made a difference?

Do you have a strong support team (professional and loved ones) going into this holiday season?

If not, what can you do now – today – to add supportive others to your team?

At Southlake Counseling, we know how it feels to watch the holidays rushing headlong at us, delighting our eating disorder/anxiety/depression and terrifying us. We also know that what is great about the holidays is that they force us to take action – NOW – to protect and care for ourselves.

If you need help and support as the holiday season approaches, we invite you to contact us today. We are looking forward to partnering with you to find ways you can say “no” to holiday stress and “yes” to a celebration of love, gratitude, and life!

Be Well,

Kimberly

Going Through a Divorce? What Parents Can Do to Help Their Children NOW!

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A parents’ divorce or separation can be very difficult for a child.  The child may be confused, scared, angry, or sad, and be unable to express how he or she feels or have difficulty talking about what is going on.  This can manifest in many different ways, including problems at school or with friends, feelings of anxiety or sadness, difficulty concentrating or focusing, or physical illness such as headaches.

Children may feel as though they are alone, and that no one else has ever gone through something like this.  They may feel torn between their parents, and worry about the future.  Children could hold fantasies that their parents may reconcile, but many times, this desire does not come true.

What can you, as a parent, do to help your child?

In experiences like these, parents may feel over-whelmed and unsure of how they can best help their child through the transition of divorce or separation.  A step that is beneficial is meeting with a child and family therapist.  Working together, the therapist and the parents can develop a therapeutic plan that aims to help the child in a developmentally-appropriate and kid-friendly way.  A therapeutic plan could incorporate different types of therapy, including play therapy techniques, peer-group sessions, or some traditional talk-therapy, depending on the child’s age and comfort level.

The therapist can also work with the entire family, and collaboratively, develop ways to make the adjustment to co-parenting smoother.  As the transition through divorce can bring many changes, strategies and techniques can be discussed that help the family re-define the rules and responsibilities to better meet the most recent needs of each person.

A compliment to child and family therapy is joining a peer-support group for children.  Groups like these explore age-appropriate activities designed to increase positive coping skills in a fun and encouraging environment.  It’s a great way for child to learn that they are not alone in what they are going through, while also gaining knowledge of child-friendly methods and techniques that they can integrate into different aspects of their lives.  A sense of camaraderie and accomplishment is encouraged, and children work through their issues in their own way, while making friends and having fun.

How can therapy help you and your child?

In my work with child and family clients, I feel it is important to create a safe and engaging therapeutic environment where each family member is able to express themselves and work together to develop solutions to problematic issues.  Using play therapy techniques, children can create artwork or engage in various activities that give them a way to explore what’s going on in their family and the emotions that go along with it, but in a way that is comfortable and friendly to them.  During family therapy sessions, family members can talk together about problems in a secure setting, with myself as an advocate to help navigate this transition.

In the peer-support group Shining Stars, myself, along with Mike Tanis, LPC, LMFT, will lead a group full of fun and child-friendly activities designed to encourage children in the development of coping skills and collaboration of age-appropriate techniques to deal with issues relating to divorce or separation.

Additional Resources for Parents and Children

  • For children ages 4-8, a book called “Two Homes” by Clare Masurel is an excellent resource to talk to younger children about divorce and separation.  In this picture book, the main character of the story discusses how he has two of everything, houses, rooms, etc., but both of his parents love him very much.
  • For children ages 9-12, parents may be interested in the book “What in the World Do You Do When Your Parents Divorce? A Survival Guide for Kids” by Kent Winchester, J.D. and Roberta Beyer, J.D.
  • A book for adolescents, “The Divorce Helpbook for Teens” by Cynthia MacGregor is a wonderful resource for teens and families going through a divorce transition.
  • For parents, a book called “The Good Divorce” by Constance Ahrons can be beneficial.  Common issues such as co-parenting are discussed and the author’s own life experiences are inter-woven throughout.

Carina Wise, MFTA is a marriage and family therapist who specializes in working with children and families, many of whom are traveling through a divorce transition.  To learn more, contact Carina at Southlake Counseling (704) 896-7776

Why Can’t I Ever Be Good Enough?

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Do you often find yourself thinking you are not smart enough, not pretty enough, not thin enough, not strong enough, not talented enough, not loving enough, not disciplined enough, not brave enough, not generous enough…fill-in-the-blanks NOT ENOUGH.

 “Not enough” often begins as a simple quest to be a better you. At first it feels normal, natural, reasonable even. You want to excel, to achieve, to do your best.

But somewhere along the way, the “enough” line in the sand gets moved, and before long you are routinely holding yourself to standards you would never dream of imposing on those around you. You wake up each morning, and instead of jumping out of bed feeling inspired and excited, you are battling waves of exhaustion and fear before the day has even begun. And even when success comes your way, you cannot allow yourself to enjoy it, because you are always bracing yourself against the next wave of self-disappointment.

Before long it feels like your life is one long hopeless lunge towards the carrot you no longer believe you have any right or ability to catch.

 How does this happen?  How could our good intentions to be our best get so twisted and tangled?

The foundation is often laid in our early years, long before our brains possess the abstract reasoning abilities to separate out the negative messages swirling around us from our internal assessments of those messages’ validity. When those around us experience shame, assign blame, externalize anger, or otherwise involve us in their own power struggles with themselves, we come away thinking their emotions, feelings, and thoughts are our own.  They feel inadequate…we are the inadequate one. They struggle with poor body image….we perceive ourselves as “fat” or “ugly.”  They have a bad day at work….it is our fault for not being “good” enough.

In short, we do not learn well where they end and we begin.

So what is the solution?  The simplest answer is found when we examine what happens when someone throws a boomerang in our direction. When we catch it, we send the sender – and ourselves – the message that whatever it brings to us is ours. But what happens if we don’t choose to catch it? When we refuse to reach out and catch a boomerang, it has no other choice but to return back to its sender, and we are freed from the burden of a battle that is not our own.

I used to catch the boomerang every time. I took in each message the world around me threw me that I was not enough as I was, that I needed to prove myself to earn my place, that I needed to change my outsides before my insides would be acceptable, that all my worth was tied up in my accomplishments. When “good” things would happen, I would experience a momentary high, only to be laid so low again when the tide inevitably turned. “Not enough” became my middle name…and in time it was the only name I recognized as my own.

When I entered my own process of recovery, I heard over and over again that “the definition of insanity is doing the same thing over again expecting different results.” Slowly but surely, I learned how to catch myself when I was about to step onto the hamster wheel of “not enough” once again, and I learned that I could back away and head off in a new direction instead…a direction that felt more self-affirming, more self-loving, and more interested in the quality of the journey rather than in arriving at any specific destination.

Since then, I have dedicated my life to the pursuit of unconditional self-love and self-acceptance. I have realized over the years that it simply feels better to be my own friend, to stand on my own side. I have also realized that when I feel better about me, it becomes easier to allow myself to succeed, because my definition of success has changed accordingly.

When I view myself as “enough”, regardless of what a single day’s events may bring, I allow myself to celebrate even my foibles and fears as the teachers they are, and I hold up hope high in front of my own eyes as the carrot I have already attained.

An Experiential Example: Go Ahead, Compare Yourself

When you read the phrase above, you probably caught yourself saying, “What? Compare myself? But I’ve been told comparing myself to others is the root of all my problems!”

My answer to this is, “It depends on what you focus on.” For instance, what normally happens when we compare ourselves to others is that we think we are comparing apples to apples as we are focusing on specific areas where we believe we don’t measure up.

However, we rarely spend any time examining our standards for comparison. Are they realistic? Can the subject of our comparison even meet those standards – in other words, are they even attainable?

So let’s take a simple example to illustrate the point. You might want to have your journal handy for this exercise.

For part one of the exercise, think of someone whom you believe embodies your “physical ideal” – the person you most wish you looked like. Now compare your own physical measurements to that person. Spend a few moments dwelling on the differences you perceive between you and the target of your comparison. Notice your inner state, your thoughts and the emotions you are experiencing as you ponder those perceived differences. How do you feel? How willing are you to actually “go for it” and reach for your own stars while you are experiencing these types of thoughts and emotions? Jot down some notes in your journal.

Next, make a list of all the achievements you are proud of, from early childhood to the present day. Be sure to list out every accomplishment you can recall – big or small. Now, compare your list to that of composer Wolfgang Amadeus Mozart at age twelve. Consider as you are reviewing your own list of accomplishments to date that, by that time Mozart was twelve years old, he already spoke fifteen languages and had composed numerous major pieces of music, including an opera. Again, spend a few moments dwelling on the differences between your list and Mozart’s list of accomplishments. Notice your inner state, your thoughts and the emotions you are experiencing as you ponder those perceived differences. Ask yourself how willing you are to actually “go for it” and reach for your own stars while you are experiencing these types of thoughts and emotions. How do you feel? Jot down any notes in your journal.

The first time I did this exercise, I felt predictably miserable by the time I reached this point. I was also wondering what the heck the purpose of the exercise was – I was perfectly capable of making myself miserable without any extra help, thank you very much!

And that is precisely the point. Let’s just say you have believed for quite some time that, if only your outer appearance looked different, or if only your list of accomplishments were longer, you would feel so much better and be so much happier, more successful, and more accepted.

Yet you are wasting so much perfectly valuable energy that is gridlocked in just getting you through a day bogged down by impossible comparisons – energy you could be pouring into your work, your family life, your relationships, and your relationship with YOU. You think the comparisons will help you feel better, do better, be better.

But they are the obstacle – the only obstacle – in your path.

So the question then becomes, “When does it make sense to let those comparisons go, in the name of actually experiencing that happiness, joy, success, satisfaction, body- and self-love they have been promising to deliver to you one day, some day, when you finally measure up?”

And the answer is, “NOW.”

Letting go of “not enough” can feel daunting when you are facing down the challenge alone. But help is available. At Southlake Counseling, we know firsthand how painful it feels to live in a constant state of self-disappointment. We understand how powerful “not enough” can be as a negative motivator. Most importantly, we know that it is possible to break free into “enough” – to learn to love ourselves, our bodies, our relationships, our lives, and ourselves, right where we are, as we are.

If you want to say NO to “not enough” and say YES to life, contact us today at 704.896.7776 or Kkrueger@centerforselfdisocovery.com  We look forward to meeting you and celebrating the day you look “not enough” straight in the eyes and say “never again!”

Be well,

Kimberly

p.s. Stay tuned for next week’s Say Yes to Life Monday Motivator for more on this important topic.