Tag: <span>Therapy</span>

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Not Feeling “Hot Girl Summer?” 5 Tips to Take…

Dreading summer already and it just started?  Thoughts of your giant arms, cellulite-filled legs, and extra belly fat flying through your head like a whirlwind?  You’re looking at the cute bathing suits, tank tops, crop tops and shorts and wishing you had the right body to wear them.  If so, you’re not alone.  Unfortunately, body image dissatisfaction is extraordinarily high among girls and women, but boys and men are not immune.  

What is Body Image?

Body image is how we feel about our physical appearance.  This includes attitudes and perceptions, thoughts, behaviors and feelings toward how we look.  Body image starts to develop when we’re quite young, looking to fit in, and be liked by others.  We seek information from social media, images on the television or internet, friends, magazines, etc. to determine what’s an “acceptable” body.  If our appearance doesn’t match what we think it should, we will likely start down the path of having a negative body image.  Unfortunately, this can start as early as 3-5 years old.  

woman in black tank top and black pants

How Body Image Impacts Mental Health

A negative body image can wreak havoc on our mental health.  Depression, anxiety, social isolation, self-consciousness, and shame are just some of the feelings involved with body dissatisfaction.  Some people with a distorted or negative view of their body either have or consider cosmetic surgery and others fall into disordered eating habits.  Not everyone who experiences being “unhappy” with their body, falls into one of these categories, but the statistics are disheartening.  To read more on the specific statistics, see this post from the National Organization for Women Foundation.  Any degree of these negative mental health impacts can be life altering.  

Strategies to Battle Negative Body Image

The following are just a few tips and tricks to start taking your mental energy away from your appearance and spending that energy somewhere more productive:

Values:

Identify how appearance aligns (or doesn’t) with your values:

When I ask most people where physical appearance falls in line with their personal values, the answer is typically pretty low on the list.  Even though this is the case, it brings awareness that their behaviors and mindset are definitely putting their appearance above a number of other values (i.e., adventure, friendship, experiences, etc.).  If you want the summer to be value-driven, I would encourage you to actually look at what your values are.  You can find a thorough list of values here.  They don’t have to be the same as anyone else’s. Your values don’t have to be what you think others “expect” them to be. They just have to be aligned with you.  If you want to look back on your summer with joy and excitement, focusing on your true values is a key step on that path.

Self-Compassion

Practice self-compassion:

No matter what we think or feel, practicing self-compassion is something that we can all benefit from.  Self-compassion is the act of treating yourself with kindness and respect, just as you would treat your friends.  Here is an assessment of your current level of self-compassion.

Most of us have an inner critic that likes to judge us and remind us just how much we are messing up.  This critic often attaches to body image.  For example: Why did I eat that much?  Why didn’t I go to the gym? Look at them, they’re running, why aren’t you?  You’re lazy!  You’re fat!  And the list keeps going.  The question I’ll pose to you…Would you say that to anyone else?  Would you actually tell someone they’re lazy, fat, shouldn’t eat something, etc.?  Probably not.  If not, what makes this okay to do to yourself?  Actively practicing self-compassion can help counter this inner critic.

Self-compassion includes being mindful and aware of your current experience.  For example, I’m feeling very upset with myself for eating past full and I feel uncomfortable in my body right now.   Next, we want to connect your experience to the experience of others, referred to as common humanity.  For example, I know I am not alone in this.  So many people struggle with a negative body image.  Other people understand what I’m going through right now.  This is not to invalidate the experience, rather it’s to connect you to others in a way that reminds you that you are not alone.  The last step is to provide yourself with kindness.  Reminding yourself that it’s okay that you’re experiencing this and that you can get through it.

Mindfulness

Focus on the experiences and memories you’re making:

Using mindfulness to stay in-the-moment and take in your experiences.  Really trying to connect with what you’re doing, who you’re with and the experience you’re having outside of your self-critical thoughts and feelings.  Consider the beautiful waterfall you hiked to, or the sound of laughter at a cookout.  Either way, use your five senses to bring you into the moment.  The last thing we want to do is recall an experience and wish we would’ve spent more time taking it all in.  And that takes practice.  

Perfectionism

Look at the bigger picture (literally):

Many people look at images or pictures of themselves and pick out their flaws.  This can be anything from “big” arms, to a “puffy” face and everything in between.  What’s missing when they look at the pictures that way?  Well, the entire point of the picture…to capture the moment and the experience.  Maybe it was going somewhere exciting, seeing an old friend, being able to spend time with family, etc.  That is what those pictures are for, not for us to pick apart every imperfection we see on our body.  Here, I encourage you to zoom out and look at the picture as a whole and try to reconnect with your thoughts and feelings you can recall during the moment.  Focus your attention on the experience and purpose of the picture.  Hopefully, as you just read, you enjoyed the experience and weren’t stuck in your head about your appearance.  

Comparison

Notice when you’re comparing yourself to others:

Whoa…this is a big one!  Comparison is literally built into our world.  We compare how we did on something, skills at sports, grades on tests, what we know via trivia, etc.  What we usually don’t consider is that even though it looks like there might be enough similarities for an “apples to apples” comparison, this is not possible when it comes to the individuality of people.  From health, to genetics, to upbringing, to preferences, no matter what, using others as a “guide” or “goal” will usually lead to heartbreak and disappointment.  Especially when it comes to body image. 

When we see a picture, or even a person, we don’t have any context. We don’t know if they have a health condition, if they’re a personal trainer and spend all day at the gym, do they have a personal chef, do they have to split time between themselves, kids and jobs.  We don’t have any of this information.  Yet, we think it’s fair to assume that if they can look one way, so can we.  We don’t often look at a pilot, for example, and say, I can do that.  Some of us might and we might actually make it happen.  For others, it’s not a high enough priority to learn how to fly (see tip 1 on values).  Some also might not want to dedicate the time and energy necessary to learn how to fly.  Others have medical conditions and are not cleared to fly. As you can see, the list of things goes on and on.  The same is true for body image. 

In the words of Theodore Roosevelt, “Comparison is the thief of joy” (although the quote is often attributed to Theodore Roosevelt, the actual origins are unknown).   If this sentiment has been known and discussed for at least over a century, it is mind-blowing that we continue to struggle with it.  To believe that anyone else’s appearance (since we’re focused on body image here) has anything to do with ours is preposterous!  Easier said than done, but try to keep this idea in your mind when you look at someone and think “that’s my goal.”  Remind yourself that body is literally irrelevant to you and your body.

      More Resources for Negative Body Image

      Each of these tips are worthy of their own dedicated blog post.  For now, the idea is to give you a place to start.  This will not make you love your body immediately, but if we can quiet the inner critic and the negative self-talk, then maybe we won’t be so quick to believe it when it is there.  If you believe your negative body image is holding you back and/or turning into a more serious eating disorder, please seek professional help.  In the meantime, here are some helpful resources:

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      What Should I Expect?

      The decision to seek out therapy is often one that is not made lightly.  Occasionally, people may grapple with this decision for quite some time before actually contacting a treatment provider.  There are many reasons for this. They may:

      • be unsure what to expect
      • feel nervous about what people will think of them
      • be concerned about therapist judging them
      • have financial obstacles
      • be concerned about repercussions if insurance “finds out” about their treatment

      Although the list continues, I want to provide insight into what those of you, who may be new to seeking out therapy, can expect.  The goal of this post is to give a general outline of the therapy process. Ideally, you’ll make the decision to start therapy based on your needs and not on the above concerns.  

      First Contact (Call or Email)

      Typically, when you call to inquire about services, my first step is to understand if I would be able to help based on what concerns you have.  For example, I am highly specialized in cognitive behavioral therapy (CBT) for anxiety, OCD and related disorders. Therefore, if you call asking for help with alcohol addiction, I would not feel like the appropriate person to help.  If the concern is outside of my skill set, I discuss that and provide appropriate referrals I have that are better equip to meet your needs.

      If you are in need of services that I provide, we then discuss the process of therapy (outlined more in this blog) and logistics.  This administration discussion includes fees and payment policies, questions regarding out-of-network benefits, scheduling, and method of meeting (i.e., virtual or in-person).  Other questions and concerns are answered and addressed so you can make an informed decision about proceeding with scheduling an appointment.  

      The First Session

      During the first session, you will be asked a number of questions.  Most health providers in various disciplines as many of the following basic questions.  They may include:

      • Why you’re looking for treatment
      • History of what you’ve been experiencing
      • Medical/medication questions
      • Family background
      • Education/Occupation background
      • Social support system

      Now, these questions may seem like a lot, but they all serve a purpose.  One of the main goals is to understand what’s going on with you and the various ways your symptoms interfere, or don’t, in different parts of your life.  It also helps me understand you as a whole person and not just as the presenting.  I do my best to make this a comfortable discussion and try to keep things light hearted along the way, as I understand it may have taken quite a bit of bravery to take this step.

      At the end of this session, the assessment may not be finished. Therefore, during the next session, I finish gathering necessary information to ensure that I have a full understanding of your concerns.  I do it this way to make sure that when we set out on our treatment path (discussed shortly), something else doesn’t unexpectedly come up that would’ve been helpful to know in the beginning.  This still happens and can be addressed effectively. However, the treatment plan will be more accurate if I have most of the information early in the process.  After we wrap up, I typically ask if you’re willing to schedule another appointment.  If you don’t feel comfortable with me, there is no pressure to schedule a second appointment.  This saves the hassle of you canceling later or showing up and feel uncomfortable.  If you agree to continue, we’ll schedule and you get your first homework assignment(s). That’s right…you get homework and I’ll explain why shortly 😉

      Subsequent Sessions

      After the completion of the assessment/intake questions, we develop your individualized treatment plan together.  This plan is specific to your personal goals you have for therapy.  There may be times when we have to discuss the goals you set. For example, we don’t want unattainable or unrealistic goals (i.e., never be anxious again).  Typically, I like to set goals that will help us understand if we are making progress in therapy. For example, get to sleep by 10pm 5 of 7 nights per week.  

      Once we have agreed on the treatment goals, I will educate you on what we’ll be doing.  We will likely spend about one full session on cognitive behavioral therapy (CBT). This gives you a good understanding of why we will approach your treatment goals using those techniques.  I’ll also teach you about anxiety/OCD/other presenting problem(s), again so you can see how CBT works toward meeting your specific treatment goals and better managing your symptoms.  

      After we’ve developed the treatment plan and done the education, we begin with the treatment.  Treatment looks different for everyone based on individual symptoms and goals.  However, there will almost always be a homework component.  

      Use of Homework in Therapy

      Homework is a very useful tool for building new skills and learning new ways to respond to things.  Ultimately, CBT is a very active treatment process and homework helps you develop your skills between sessions.  As most of us know, the more you practice something, the better, and easier, it usually gets.  We apply this same idea to the skills and strategies learned in therapy as well.  Ideally, homework encourages treatment progress, so you can spend less total time in treatment.  

      Getting Started

      This may sound like a great plan, but it can still be pretty overwhelming to figure out where to start.  There are many ways to approach this daunting task.

      • Talk to friends or family who you know have been/are in therapy.  Even if their therapy focuses on something else, they can ask their therapist for an appropriate referral.  This way, you’re getting a name from a trusted source. 
      • Conduct an online search in your area.  This will provide a large number of responses, which can be difficult to sort through.  To narrow the results, put in specific search terms that detail the type of therapy you’re looking for (if you have this information), or the type of problem you’re experiencing. 
      • Post for a recommendation on a neighborhood/city social media page or email listserv if you have that available. 

      Regardless of how you connect with a therapist, please ask them questions to make sure they are competent in what you’re seeking.  No matter who you see, you can always ask for, or look for, a new therapist if it isn’t a good fit.  This is your treatment and your life! As a therapist, most of us truly want to help you reach your goals and live the life you want!