Weekly Meditation: I Have the Right to Discover and Celebrate My Unique Beauty

This week marks National Eating Disorders Awareness Week (February 20-26, 2011). During this week each year, we honor those who struggle to recover from life-threatening eating disorders, and we resolve to do what we can within our spheres of influence to create a space for all body shapes and sizes to be honored and appreciated for the unique beauty they convey. We can start with ourselves. We can start by noticing where we are tempted to see the absence of beauty in ourselves and others, and strive to perceive its presence instead.

This week I resolve to: Remember that I bring a unique and unrepeatable beauty into this world, and I deserve to celebrate and enjoy this beauty, and encourage others to see and celebrate their unique beauty as well.


Your Say Yes to Life Monday Motivator: Emotions and Food – Friends or Enemies?

We all know what it is like to have a love-hate relationship with someone.

Or something.

One minute, this is the best thing that ever happened to us. Thank goodness for whatever-it-is. The next minute, we can’t imagine how we will survive another minute without changing everything about our situation as it relates to that someone or something.

This is what it is like trying to introduce emotions to nutrition, and nutrition to emotion. Some days, our emotions and our eating habits may feel in sync and balanced. Other days, well….we get to the end of the day and look back at our food choices and eating patterns in wonder – or shock.

We may not perceive it right from the start, but we eat for so many reasons. Some of our reasons are nutritional. We are concerned about the strength of our bones so we eat foods rich in calcium. We are concerned about our digestion so we add more fiber choices to our diet.

But then other times our reasons for eating are emotional. We are feeling victorious or overjoyed, and so we eat to celebrate with ourselves. We are feeling sad or fearful, and so we eat to commiserate with ourselves.

How do we learn to tell the difference? Why would we want to? Does it really matter why we’re eating – if we eat, we must be hungry, right?

Well, yes. If we eat, we are definitely hungry….on some level, and for something.

But the trick to consumption is to figure out what we are hungry for, and then to “eat” that, and not something else.

For instance, if our body is hungry for nutritious food, it is wise to eat that food and give our body what it needs and requires to function optimally. But if our emotions or hearts are hungry for a hug, for company, for rest, then eating food is not the wise choice, and will leave us even hungrier in a way that no amount of food can fill.

When we eat for emotional instead of nutritional reasons, this is called “emotional eating.”

While the presence of a strong emotion can trigger a feeling of “hunger,” if we pay close attention, our experience of this type of hunger is not the same as the physical empty feeling we get when our body needs fuel.

It may not be easy at first to distinguish emotional hunger from physical hunger, but it is a skill we can learn with time and practice. According to the University of Texas Counseling and Mental Health Center website, there are several key signs to help us tell the difference between different types of hunger:

  1. Emotional hunger comes on suddenly, while physical hunger builds more gradually
  2. Emotional hunger tends to fixate on a ‘comfort food’ (ice cream, chips, etc), while physical hunger tends to focus on foods with distinct nutritional value
  3. Emotional hunger will not wait; physical hunger usually will
  4. Emotional hunger doesn’t respect fullness cues; physical hunger does
  5. Emotional hunger often leaves guilt in its wake; physical hunger leaves comfort and peace

Using these clues, we can start to decipher why we choose to eat, and why we make the food choices that we do. We can become students of our hunger and fullness cues, our body’s needs, and our other needs for nourishment and nurturing that food cannot fulfill.

In this way, we can begin to once again experience the kitchen, the dining room table, the coffee shop, as a safe place to be, and even feel grateful for food’s role and presence in our lives to sustain the body within which our emotional life plays out.

We can “eat” in healthy ways for our body and our mind. We can sit with ourselves in the presence of our emotions and exhibit patience to seek out the appropriate type of nurturing rather than rushing to food as a quick fix. We can move towards our physical health and fitness goals at an equal pace as we move towards our emotional health and fitness goals.

We can feel confident and comfortable in our own skin on every level of our being.

If you are struggling to relate to food in a healthy, self-nurturing way, Southlake Counseling can help. Our evidence-based, empirically-supported nutrition and eating disorders programs provide you with the skills and tools you need to feel confident both in the kitchen and in the rhythm of your daily emotional life. Our skilled and compassionate professional staff has more than two decades of experience facilitating individual transformation in the areas of recovery, health, and wellness. If you are ready to say “no” to emotional eating and “yes” to healthy, balanced, living, visit us at www.southlakecounseling.com to learn more!

Be Well,

Kimberly

Your Say Yes to Life Monday Motivator: Resisting the Urge to Surf

Surf? You probably saw the title to this week’s Monday Motivator and thought, “What does surfing have to do with a blog about recovery, health, and wellness?”

Not much, if we are talking about the kind of surfing that comes with an oblong flat board, sleek black wetsuit, and a bank of high, toasty waves.

But when it comes to facilitating a continuity of wellness that exhibits consistent restraint in the face of compulsive, urge-like addictive tendencies, we can learn a lot from surfing.

“Urge surfing” is a term coined by Alan Marlatt, director of the University of Washington’s Addictive Behaviors Research Center. The technique was developed by Marlatt to combat the “abstinence-violation effect,” or the feeling of internal powerlessness we get after we have transgressed against our self-imposed health or wellness standards. Once we have crossed that internal line over into following our urges instead of exhibiting restraint, Marlatt explains, we may feel an intense discouragement and reason that our course is already set, so we might as well continue down the damage path rather than correcting our course.

This, as you might imagine, not only feels awful, but has fairly unpleasant effects upon our lives and in our relationships.

In Marlatt’s many years of experience as one of the leading authorities on preventing relapse, how we relate to our lapses is the primary contributing factor as to whether we will engage in further urge-type behaviors.

To combat the downward spiral that the abstinence-violation effect induces, Marlatt suggests a healthy and consistent application of “urge surfing.”  Urge surfing refers to an effective relapse prevention technique we can use to “ride out” the relatively brief span of time in which our urges feel powerful enough to potentially overtake us.

Urges, Marlatt explains, are like waves. They roll in, and then they roll out again. Most urges arise and subside within a thirty minute time period. So if we learn how to “ride out” the urge without resisting, judging, or otherwise jumping on the urge bandwagon, it will eventually subside naturally with no undue ill effects.

When practicing urge surfing, Marlatt teaches, we do not fight with our urges. Fighting with our urges gives them additional power and potency in our awareness, which just makes it that much harder for us to resist them.

So instead, we just observe them, like a surfer would observe a wave that he or she did not want to catch. Eventually, the wave would unfurl itself completely and dissolve back into the ocean, leaving us with calm seas in its wake.

So the next time you feel the temptation to engage with urge-related thoughts that have the potential to lead to relapse behaviors, follow these simple steps to try urge surfing instead:

  1. Simply observe the urge as it arises. Tell yourself, “There is no harm or judgment in acknowledging that I am feeling an urge. It is just a wave. I will watch but not act.”
  2. Pay attention to your breath as an aid to keeping a big-picture perspective. This helps you avoid the tendency to develop “urge tunnel vision,” which focuses your awareness so intensely on the urge that it begins to feel unstoppable and overwhelming.
  3. Notice the types of thoughts you are having around the urge…for instance, “Wow I sure would love to (fill-in-the-blank) right now. Boy that would feel/taste/etc good. Hmmm. Yes. I sure wish I could do/say/experience (fill-in-the-blank)right now. Yup. Very interesting.” Keep observing and notice how your own experience of having the urge shifts and changes in intensity, focus, and duration as the wave continues to roll in and then right by you.
  4. Instead of fearing the sensation of the urge and of the consequences should you choose to follow it, maintain an objective, scientific, “research” mindset. Study the urge as if you were a scientist noting down observations so you could write up a report about it later. If it helps, pretend it is not your urge, but someone else’s urge that you are documenting.
  5. As the urge subsides, be prepared to journal about your findings. Note especially how the craving eventually subsided and how the experience of watching and observing the urge was different from the experience of fighting with, resisting, or attempting to ignore the presence of the urge.
  6. Be sure to congratulate and celebrate yourself for trying on a new approach to your urges!

Urge surfing is a powerful, empirically-supported relapse prevention technique that has helped many individuals change their relationship with their urges to smoke, binge eat, use substances, drink, and other self-damaging, unhealthy behaviors. Marlatt encourages first time urge surfing practitioners to remember that learning any new skill is like learning to ride a bicycle – we are bound to fall off a few times as we learn. But as we continue to persevere, the skill feels more natural and innate, and slowly but surely urge surfing becomes part of our repertoire of trusted tools we can use to reclaim the health and balance in our daily lives.

If you are struggling to relate in healthy and life-affirming ways to the presence of your urges, Southlake Counseling can help. Our compassionate, skilled professional staff is well-versed in Mindfulness techniques like urge surfing. We know what it feels like to confront a significant life challenge such as relapse in a recovery or health program, and we have supported many individuals to make lasting positive changes in their relationship with their bodies, minds, relationships, and environments. Contact us today to learn more about how urge surfing and Mindfulness can be an aid and a support to you in saying “no” to urges and “yes” to wellness and balance in 2011 and beyond!

Be Well,

Kimberly


Wednesday’s Weekly Inspiration: Today is Always a Good Day to Persevere

Our own perseverance is a quality we often both discount and take for granted. In so many tasks we persevere seemingly effortlessly, because we perceive that we have no other choice. For instance, no matter how much we worry or complain, bringing a child into this world will always take approximately nine months. We know this going in, so we are willing to persevere through the uncertainty, the discomfort, the fear of the unknown. We take it day-by-day, without even realizing that this is what we are doing, as we patiently wait for the brilliant results we know are coming.

But when it comes to working toward our own recovery, health, and wellbeing, we give up so easily! We don’t know that we have that same ability to work at it day-by-day, to persevere, and to patiently wait for equally brilliant results.


Today’s affirmation: Today I will remember to keep my eye on the prize, be patient, and persevere.

 

Wednesday’s Weekly Inspiration: Are You Choosy About Offering Your Support?

As women, we often assume that we must bear the relational weight of the world on our shoulders. We are so accustomed to supporting everyone – from kids to pets to neighbors to colleagues to spouses to friends to family – that sometimes we forget we never gave up our right to say “yes” or “no”!

As you go about your day today, make a mental list of everyone you offer your support to. Then make another little note beside each person’s name about why you offered your support. Did you want to? Did you instead do it because you felt obligated? Did you offer support just because you were worried about what they would think or say about you if you said no? Or was it a joy to reach out a hand, speak a kind word, offer a hug?

Today, remind yourself that you have the right to be choosy about whom you offer your time, your energy, your strength, and your heart to.

Today’s affirmation: Today, I will be choosy about saying “yes” and “no” to requests for support

© Kimberly Krueger- Meditations for Recovery

 

Wednesday’s Weekly Inspiration: A Promise Is As A Promise Does

We probably wouldn’t dream of breaking even the tiniest promise we make to our child, our spouse, or our best friend. We know how much it would hurt them – the pain it would cause when our words say one thing about how much they matter to us, but then our actions show them another.

Yet we often think nothing of breaking promises to ourselves – the little promises like “I will take more me-time when I need it” and the big promises like “I will take better care of my body so I can grow old with my loved ones.”  We honor those we love by keeping our promises to them.

Isn’t it about time we show ourselves the same honor and respect?

Today’s affirmation

Today, I will honor and respect myself by keeping the promises I make to myself.

© Kimberly Krueger- Meditations for Recovery

If you want recovery, then CHOOSE it!

If you won a free shopping spree to your favorite store, would you hesitate to redeem your prize? Absolutely not – you’d head right on over to the store, award in hand, to start shopping away!

But what if you were handed a free pass to recover from your eating disorder? Would you turn it in to collect your winnings or just leave it sitting on the kitchen table?

You are intelligent. You are resourceful. You are creative. You are determined. In other words, you already possess the winning lottery ticket of recovery.

But it avails you nothing until you redeem it.

Today’s affirmation: I can and DO choose recovery today!

From Frozen to Fantastic: Ten Tips for Tackling a Child’s Eating Disorder as a Family

Eating disorders are bio-psycho-social illnesses. They are also very treatable. With the right treatment, in appropriate doses, at appropriate times, and for an appropriate length of time, they are even curable.

But medical limitations, patient reluctance, or even media messages are not the primary deterrent to recovery.

The number one reason patients do not get better faster is a plain and simple deficit of information.

In my more than two decades of treating and supporting both eating disordered patients and their loved ones, I have learned a great deal about the type of information that is needed to effectively mobilize a family around a child who is suffering. This article addresses ten key learnings that can take your family from frozen to fantastic in how you collectively band together to combat a child’s life threatening illness.

The first key learning is – do not blame yourself. And do not blame your child. It is nobody’s fault when the biologically-based illness that is an eating disorder arises, in the same way that it is nobody’s fault when a child develops leukemia or autism, or an adult woman develops endometriosis. What is needed and effective is not blame, but rather action in the form of appropriate professional care and informed family and community support.

The second key learning is – an eating disorder is a bio-psycho-social illness with genetic links. Eating disorders have their underpinnings in a biological brain imbalance that results in the affected individual processing the presence of nutrients differently than someone without that imbalance would. As the National Eating Disorders Association states, “biology loads the gun, and environment pulls the trigger.”  In the thin-obsessed culture we live in today, there is a clear biological reason why not every exposed individual develops a diagnosable eating disorder. Not everyone is at risk, because not everyone carries the genetic linkages that predispose an individual to develop an eating disorder. Those who develop an eating disorder are life-threateningly ill and require prompt and comprehensive care.

The third key learning is – do not panic. Instead, learn all you can.  Getting educated by reading high quality books and visiting nonprofit and medical websites that contain accurate information about eating disorders will help you and your family understand what you are dealing with, in the same way that a diagnosis of breast or prostate cancer might prompt the affected individual and their family to carefully review current treatments, options, success rates, and risks involved. In the case of an adolescent who is affected, the responsibility clearly rests with the parents to do the homework necessary to pick the best course of care. The more you are able to learn about what to expect, the timeline involved in recovery, what works better in which kinds of cases, and who in your area has expertise in treating eating disorders, the less energy you will waste in fear, indecision, self doubt, and frustration with the recovery process.

The fourth key learning is – get help. Do not attempt to self-diagnose or self-treat an ill child or loved one. Eating disorders are the most lethal of all psychiatric-based diseases. They are treatable and even curable – with appropriate professional care. For adolescents in particular, learn as much as you can about newer cutting edge protocols such as Family Based (Maudsley) Method (FBT) or Dialectical Behavioral Therapy (DBT), both of which have shown excellent results in improving symptoms and returning the affected individual to a healthy state.

The fifth key learning is – don’t forget about your own self-care needs. Supporting your child will take an incredible amount of time and energy. There will be times when you will feel hopeless, exhausted, frustrated, confused. To avoid burning out during each leg of the recovery process, remember that you can accept support and you deserve support . You are working as hard as your child, albeit from a different perspective, and you need to apply good self-care or you will not have the stamina you need to see the recovery process through to its successful conclusion. Seek out supportive groups online or in your area – for example, FEAST-ED.org is an excellent parent support site that offers parent-to-parent mentoring via an online forum called “Around the Dinner Table.”

The sixth key learning is – shame has no place in recovery from any illness, including an eating disorder. We have come a long way from the “don’t ask – don’t tell” generation our parents and grandparents labored under. We know so much more now about what causes psychiatric illness and how to help affected individuals and their loved ones navigate the recovery process. Whether it is cancer, loss, unemployment, divorce, or another personal tragedy, no one is a stranger to the need to recover from life’s unexpected challenges. With your acceptance and validation of your child’s illness, you strengthen your child and your entire family to own the challenge ahead as a learning process and a chance to grow stronger. Don’t let shame rob your child and your family of that energizing and motivating gift.

The seventh key learning is – remember that your child and your child’s illness are not one and the same. Your child is a unique, wonderful individual with endless promise and potential. Your child’s illness is something that he or she struggles with that requires appropriate treatment to overcome. They are two different things. It is important to start immediately to emotionally separate out who your child is from what your child is struggling with. Love the child, treat the disorder – they are not one and the same.

The eight key learning is –DO NOT WAIT.  An eating disorder will not suddenly get better or go away if ignored. Pretending the disorder is not there may cause the child to hide the symptoms out of shame or fear, but disappearance of symptoms is cause for increased rather than decreased concern. Act immediately the moment you see the first sign of symptoms. Research has shown that the sooner an eating disorder is intervened upon, the faster and shorter the recovery period will be.

The ninth key learning is – make sure the treatment you choose is evidence-based. What this means is that, with the wealth of options available today, it is easy to get confused about what is the best choice for your child. Go with where the evidence is. Interview medical professionals and ask for success rates. Contact nonprofit and professional organizations and ask to read recent medical journal and research reports concerning treatment protocols you are interested in pursuing.  Talk with other families about what worked for them. Ask medical professionals for references and call those references to find out what their experiences have been like. Most of all, seek a treatment protocol for your child that is well researched and shows consistent positive results. Treatment is expensive no matter what route you choose, so go for what works.

The tenth key learning is – never discount the transformative power of unconditional love. As the disease takes hold, you may find yourself thinking, “Is this my child?” The answer is “No.” The voice of the disorder at work within your child’s brain may create a different relational dynamic for awhile, as her relationship with food and fear changes and then changes again throughout each phase of the recovery process. Fear is a powerful agent, and may produce bouts of rebellion, resistance, even rage. But underneath any show of resistance, bravado, or anger is a frightened child who is doing her best to understand what is happening and figure out what to do about it. It is no different than the brain changes a bout of chemotherapy or radiation might cause – it is temporary, and reversible with application of proper nutrient levels that produce brain re-balancing with a corresponding return of emotional stability. Love your child, treat the disease, fight it together as a family.

At Southlake Counseling, we have more than two decades of expertise in treating adolescents and families affected by eating disorders. Our specializations include Family Based (Maudsley) Training (FBT) and Dialectical Behavioral Therapy (DBT). Our founder and staff received training directly from Dr. Nancy Zucker, the director of the Duke University Eating Disorders Program, which incorporates both FBT and DBT protocols in their highly successful family-based treatment program. Our clinical director has also received training directly from Dr. Locke and Dr. Le Grange, authors of Helping your Teenager Beat an Eating Disorder. At Southlake Counseling, we have seen firsthand how families that recover together grow closer and stronger together. We encourage you to reach out for help and experience the difference expert, compassionate professional care can make in your family’s life. Visit us today at www.southlakecounseling.com to learn more.

Be Well,

Kimberly

Family-Based Therapy: Three Steps to Anorexia Recovery, Part 2

As we continue our exploration of the application of Family-Based Therapy for recovery from anorexia nervosa, it might be helpful if we first do a quick review.

In Part 1 of this series we discussed why parental involvement in a child or adolescent’s recovery process is so vital to recovery success. Children need their parents. Parents want and need to be involved. Beyond these simple relational facts, research results have proven that a parent’s active involvement in a child’s recovery process is often a major determinant of a successful outcome.

There are three main stages for implementing a Maudsley or Family-Based Therapy (FBT) approach. The first stage is weight restoration. This phase is nearly guaranteed to strike fear into the hearts of even the most stalwart parents. The basis of this fear and trepidation, accordingly to treating professionals and parents active in the FBT approach, is a simple misunderstanding. Maudsley Parents, another parent support and advocacy organization, explains that the confusion comes in when a parent sees food as different from medicine. FBT treating professionals are able to clear up much of the confusion and fear when they explain to the parents that food is medicine, and as such it is both medically-prescribed and absolutely necessary for the reversal of the anorexic adolescent’s malnourishment.

During the weight restoration phase, the treating team, which often and ideally includes a medical doctor, therapist, dietician, and psychiatrist, coaches the parents on the proper administration and dosages of “food as medicine.” With coaching and support, parents learn how to empathize with the pain, fear, and anger their adolescent may express, while continuing to insist that the child take in proper dosages of the necessary medicine. Family mealtimes and parental supervision of caloric and nutrient intake is a vital part of the success of this phase. Simultaneously, siblings are taught how to support the patient, and the treating team works to help the patient reintegrate with siblings and with the family unit. Parents who persist and learn the skills necessary to successfully navigate the weight restoration phase find that it is tremendously healing and nurturing for both the patient and for the family unit as a whole.

The next phase is one parents will look forward to during the entirety of phase one, because in phase two parents begin turning control of eating back over to the adolescent. The family unit’s ability to transition to this phase is dependent upon the patient’s continued weight gain, acquiescence to continual increases in food intake, and a positive change in the demeanor and dynamic of the family unit. Often at this phase, everyone from the patient to the parents to the siblings is feeling relief that the eating disorder symptoms are being effectively and consistently addressed, and this relief changes the family interactions for the better, reducing resistance and strengthening resolve. Parents can then begin to give the patient more control over food choice and eating. There is a trust bond that is mutually demonstrated and earned again with each meal as parents see that the adolescent is both willing and medically able to make their own sound and healthy food choices. The patient is also able to eat away from the parents to such an extent as they are able to demonstrate the same healthy choices with friends, peers, and other family members that they do in the home. While this phase can feel stop-and-start especially at first, the entire family is encouraged by the patient’s progress through dependence to interdependence to eventual independence in making healthy nutritional choices and practicing effective body care.

During phase three, the focus moves beyond the food to a re-establishment of a healthy adolescent identity. This is the most exciting phase when parents, siblings, and the patient begin to see the real fruits of persistence with the FBT approach. Here, the adolescent is able to maintain 95% of their ideal weight consistently. Signs of desire or intent to self-starve have abated. The patient has newfound ability to navigate mealtimes with relative ease whether in the home or while out with friends or family. Privileges around food come back into alignment with other privileges that signal a growth from child to adolescent into the teen and young adult years. Often there is a much increased closeness within the family unit and signs of the fear, anger, and resistance that characterized much of phase one and into phase two have vanished (also easing residual parent concerns that phase one and two supervision may somehow irreparably harm the parent-child relationship – research results show that for most families the exact opposite is the case). With weight restoration and stabilization and mealtime autonomy also comes a willingness and ability on the part of the patient to look at some of the underlying triggers and issues that may have contributed to the anorexia. In phase three, the patient can begin or resume work with a therapist and other treating professionals to further discuss healthy life coping skills, identity development, and pursuit of life dreams and goals.

Emergence from phase three shows a young, bright, promising future where the anorexia used to be. The entire family continues to exercise vigilance even amidst beaming smiles and a huge, long sigh of RELIEF.

At Southlake Counseling, we have more than twenty years’ experience with successfully treating eating disorders, disordered eating, body image, self esteem, recovery, health, and wellness concerns in children, adolescents, young and mature adults. Our caring, compassionate, professional and highly trained staff partner with you and your family to smoothly navigate all three phases of the Family-Based Therapy (FBT) process. Discover how rewarding and satisfying it can be to become an active participant in your child or adolescent’s health and wellness by contacting us at www.southlakecounseling.com

Be Well,

Kimberly


Family-Based Therapy: Three Steps to Anorexia Recovery, Part I

When I read the words “three steps to…” I usually think, “Oh, here we go. Someone is about to tell me that something very difficult is really very easy.”

Rest assured, that is not going to happen here. I am a licensed treating professional with more than two decades of experience treating eating disorders, but I am first and foremost a parent too, and I know that all individual or family-based positive change takes persistence, patience, effort, and time.

So what I am about to share with you is not easy at all – but it is very possible, and it is highly effective. In this two-part blog series on implementing Family-Based Therapy (also called the Maudsley Method) for recovery from anorexia nervosa, we will examine the reasons behind the newfound acceptance and popularity of a family-based approach to treatment, as well as the three steps every family will follow to implement family-based therapy in the home.

The role of the parent in eating disorders recovery has long been a controversial one. In the past, treating professionals have commonly regarded parents as, if not the main culprits, at the very least a large part of the problem. Parents have been cordoned off from the treating area, banned from the therapy room, locked out of the kitchen.

Today that thought process is changing. Efforts from concerned parents such as Laura Collins, the author of “Eating With Your Anorexic” and founder of the F.E.A.S.T. parent support and advocacy group, and treating professionals like Dr. James Lock, co-author of the “Treatment Method for Anorexia Nervosa: A Family-Based Approach,” have reassured parents that they do have a place in the treatment process – and a vital role that only a parent can fill.

Additionally, there is a growing body of scientifically-sound research that highlights the efficacy of involving the parent in the adolescent’s recovery. The message is clear – parents can learn, parents can help, parents are needed.

For parents of an anorexic child or adolescent, this is very, very good news!

For single parents who are concerned that the process won’t work without a parental team, there is even more good news. Recent research has shown that the FBT approach can work equally well with a single parent head of household. The main determinant of success is not dual parenting but rather parent education, commitment, and involvement in the process.

Stay tuned next week for Part 2 when we examine the three phases of FBT, what a parent can expect during each phase, and a big picture look at a typical outcome for families who adopt the FBT approach.

At Southlake Counseling, we have more than twenty years’ experience with successfully treating eating disorders, disordered eating, body image, self esteem, recovery, health, and wellness concerns in children, adolescents, young and mature adults. Our caring, compassionate, professional and highly trained staff partners with you and your family to smoothly navigate all three phases of the Family-Based Therapy (FBT) process. Discover how rewarding and satisfying it can be to become an active participant in your child or adolescent’s health and wellness by contacting us at www.southlakecounseling.com

Be Well,

Kimberly