Thursday, April 24, 2014

Develop Healthy Family Rules: Encouraging Emotions Part 2


Fostering an environment allowing any emotion (not behavior) creates healthy families. Unfortunately, many times families have an unspoken rule that emotions are not valid OR certain feelings are not acceptable. Being too sad, mad, or even "too happy" is discouraged as dramatic or unimportant. "Pull yourself up by the bootstraps." "Stop crying." "Suck it up." are common expressions perpetuating these myths. Other times only a select emotion is allowed, such as anger. While other feelings are dismissed or invalidated, anger expressions are given free reign. Occasionally, families can develop roles giving only certain family members permission to express a feeling. Traditionally, girls can cry and be sad more and boys can get angry more. Or, perhaps only one family member can express intense emotions. When alcoholism, substance abuse, or mental illness seeps into the family tree, the maladaptive coping skill, suppressed emotion, can influence the generations of families.

When we do not allow our children and teenagers to own their own emotions, we teach them danger in being vulnerable in relationships. A young lady once told me every time she cried her father became angry and walked out of the room. The vulnerability of crying was rejected in what could have been a close relationship between daughter and father. This breaks down family relationships. Researcher Brene Brown says, "Vulnerability is not a weakness. And that myth is profoundly dangerous." Healthier families vulnerably share feelings knowing they will be heard in safety and support. Each family member has a right to their own feeling regardless. This doesn’t mean all behaviors are permissible. This also does not mean all negative emotions must be ‘fixed’ or rescued. Part of a healthy emotional family is the respect and personal ownership of feelings. For example:
Sister is very upset she can't go to her friend's house. She is crying and arguing. Parents can listen and validate her emotion ("That makes sense you are disappointed you can't go to your friend's home.") and still set limits ("Nevertheless, this is the decision made. If there is going to be continued arguing, you will need to go to your room. "). Offering a consolation hug can let her know her sadness is recognized. Stopping the arguing lets her know the behavior is unacceptable. 

Are each of your family members allowed to have their own feelings?

Is anger one of the only acceptable emotions in the house?   

Young people keep their feelings to themselves because they fear grownups will:
a.) ignore them
b.) diminish or respond sarcastically
c.) become more upset than the person sharing
d.) become angry. Almost daily, I hear from families that they cannot communicate feelings out of protection- either for themselves or for others.

To facilitate healthier communication families must be able to share emotions safely. It takes vulnerability to share emotions freely. This not a skill we are born with and may not have learned growing up. Sometimes the only safe place initially, is a counselors office, having a 3rd party mediate. It is a practiced skill that can be developed. If you are having difficulty identifying feelings, use this chart below to fine tune your own emotional sense. Once you are able to identify your own feelings better, you will be able to help other family members with this as well.


I’m Feeling…                                                                                                 Note: Some feelings overlap.
Happy
Misc
Stressed
Scared
Mad
Sad
Alive
Appreciative
Awed
Blessed
Blissful
Calm
Capable
Cheerful
Confident
Content
Delighted
Eager
Elated
Empowered
Enchanted Energetic
Enthusiastic
Excited
Flirty
Free
Fulfilled
Full
Glad
Grateful
Gratified
High
Honored
Hopeful
Important
In Love
Infatuated
Inspired
Joy
Justified
Loved
Loving
Lucky
Marvelous
Optimistic
Overjoyed
Peaceful
Pleased
Proud Refreshed
Relaxed
Relieved Resolved
Respected
Safe
Satisfied
Secure
Silly
Thrilled
Tranquil
Twitterpated  Validated
Valued
Wanted
Wonderful
Zany
Achy
Ambivalent
Apathetic
Attached
Avoidant
Bored
Bold
Brave
Bubbly
Cold
Curious
Determined
Distant
Exhausted
Fascinated
Green
Haunted
Hot
Humble
Hungry
Hypocritical
Impatient Impressed
Interested
Lethargic
Mischievous
Nauseated
Meek
Numb
Robotic
Sexy
Shocked
Sick
Stifled
Stubborn Surprised
Tickled Pink
Uncomfortable
Weary
Whiny
Zoned Out

Agitated
Anxious
Apprehensive
Awkward
Bashful
Bulldozed
Cautious
Conspicuous
Flustered
Frenzied
Nervous
Paranoid
Self-conscious
Shaky
Sheepish
Shy
Smothered
Startled
Swamped
Tense
Timid
Uneasy
Wary
Worried


Confused

Baffled
Deceived
Disorganized
Distracted
Divided
Doubtful
Foggy
Indecisive
Misled
Out of it
Overwhelmed Perplexed
Preoccupied Skeptical
Torn
Uncertain

Afraid
Alarmed
Arrested
Betrayed
Desperate
Dominated
Doomed
Dread
Fearful
Frightened
Guarded
Guilty
 Hesitant
Horror
Inept
Inferior
Insecure
Intimidated
Isolated
Panic
Paralyzed
Petrified
Powerless
Reluctant
Reserved
Sabotaged
Shaken
Suspicious
Terrified
Threatened
Tormented
Trapped
Vulnerable
Withdrawn

Angry
Annoyed
       Appalled
Argumentative
Belittled
Bitter
Cheated
Coerced
Controlled
Crabby
Cranky
Criticized
Defensive
Disgusted
Disrespected
Enraged
Exasperated
Frustrated
Fuming
Furious
Grouchy
Grumpy
Harassed
Hostile
Incensed
Indignant
Infuriated
Insulted
Irked
Irritated
Jealous
Judged
Miffed
Obnoxious
Offended
Outraged
Patronized
Peeved
Pissed
Provoked
Rage
Rebellious
Resentful
Scorn
Seething
Sulky
Sullen
Ticked
Upset
Used
Abandoned
Agonized
Alienated
Ashamed
Blue
Broken
Bummed
Burdened
Condemned
Contrite
Crushed
Dead
Defeated
Dejected
Depressed
Deprived
Deserted
Despair
Devastated
Diminished
Disappointed
Discouraged
Discriminated
Disillusioned
Dismal
Distraught
Distressed
Disturbed
Drained
Embarrassed
Empty
Gloomy
Grief
Helpless
Hopeless
Humiliated
Hurt
Ignored
Lifeless
Lonely
Lost
Melancholy
Miserable
Misunderstood
Moody
Morose
Mournful
Pathetic
Pessimistic
Pity
Regret
Rejected
Shame
Slighted
Solemn
Sorrow
Stuck
Tearful
Unloved
Unwanted Victimized

Monday, March 24, 2014

Develop Healthy Family Rules: Talking Part 1


All families have rules. Some rules are spoken or written down, some are unspoken. Perhaps "Be respectful" is on the list of rules posted. "Don't talk to Mom before she's has her cup of coffee in the morning." is a rule everyone may know without having to say it aloud. Rules of families, whether spoken or unspoken, are for the safety of everyone in the home. Sometimes rules are to help family members cope with challenges.

One unspoken rules many families develop to survive is silence. In many families talking about problems, feelings, and dreams are not allowed. Talking becomes against the rules in order to keep the peace. One woman told me if she didn't talk about the problems, they didn't exist. This type of pretense glosses over issues that will otherwise continue to fester until resolved. Over time this rule can be passed down from generation to generation like a genetic disease. Sometimes alcoholism, substance abuse, or mental illness influences the development of this damaging trait. Long term, this maladaptive coping skill negatively effects emotional and relational growth.  

Is your family allowed to talk about problems, emotions, dreams, and passions? Do the adults in the family encourage open communication without negative emotional repercussions? To be clear, this is a separate topic from holding teenagers responsible for their behaviors. Of course, there need to be consequences for behaviors. But, is there room in the family to discuss almost anything? Do we try to protect certain people by not mentioning certain topics? Do we find ourselves blaming the speaker when the receiver becomes angry or upset? 

Talking about challenges and problems is the way people work through them rather than getting stuck. Fred Roger's from PBS's Mr. Roger's Neighborhood once said "When we can talk about our feelings, they become less overwhelming, less upsetting and less scary." The opposite is also true. When we cannot talk about our feelings they become more overwhelming, upsetting and scary. The idea filters to teens that their emotions need to be kept to themselves because the grownups may do one of the following:

1.) Ignore or dismiss feelings expressed. One young lady told me every time she cried, her father walked out of the room. 
2.) Respond sarcastically. Sarcasm can shut down productive conversation quickly. 
3.) Cry and become upset. If the teen has to comfort the parent, why even tell them? The lack of communication stems from a need to protect another family member. 
4.) Become angry. Statements like "I've raised you better than this." or "How could you do this to me?" discourage any open communication. 

To facilitate healthier communication, families must be able to share emotions and thoughts safely. This not a skill we are born with and may not have learned growing up. Initially, the only safe place may be a counselor's office. It can be helpful to have a 3rd party mediating if discussions become too heated at home. If teens are told they can talk about anything, parents have the responsibility to stay calm in the face of challenging revelations. Nobody ever said it would be easy. If you have trouble staying calm, seek help and support. 


Monday, February 03, 2014

Helping Teenagers Find Solutions


One of the pieces of counseling teenagers is problem solving. Teenagers struggle with many life problems from handling peer conflict to coping with a mentally ill parent. If adults rush to fix the issue, not only do we rob the teenager of the opportunity to find their own answer, we can lose their investment in the solution process.  A good counselor’s goal is to work their way out of a job by teaching clients skills. Counselors teach teenagers how to find solutions to their problems on their own. 

One tool used is the decision making tree (coming from the DBT model of counseling). In this form of counseling, all problems have four possible solutions:

1.)    Fix it-- What can be done to make this issue better?  How can the outcome be influenced? This may include consulting with trusted people, utilizing assertive communication, and making necessary changes to behavior. For example, a client is struggling with fatigue. Improving sleep hygiene, utilizing calming strategies, and even working with a doctor or sleep clinic are all attempts to "fix" the situation. 
2.)    Change how you feel about it--changing our feelings can be tricky but effective. For example, a client gets upset whenever they are yelled at by a parent resulting in worthlessness, depression, and self harm. Changing feelings may include retraining thoughts to put the responsibility of yelling back on the parent rather than self blaming. The client can also practice skills to lower interpersonal reactivity. 
3.)    Radically accept-- Have you ever gone to an unavoidable lecture with lowered expectations only to be pleasantly surprised afterward  it didn't bother you as much as you expected? Accepting a situation fully, minimizes distress. If clients are able to radically accept a difficult life circumstance, they get through it much easier. Trying to change what we have no control over leads to increased frustration, anxiety, and depression 
4.)    Stay miserable-- While this may not seem like an option, many times clients can choose to stay miserable. Often times clients aren't motivated enough to use one of the previous three solutions. There is something to be said for comfortable misery and it is a choice to stay there. 


Helping teenagers utilize these tools empowers them to sort out their own problems. Practice these skills in your own life as a role model and you empower their futures. These skills are not innate but need to be taught and practiced regularly.

Wednesday, December 11, 2013

Encouraging Teenage Joy





Have you ever had high hopes for an event only to be sorely disappointed? Or perhaps you came with very low expectations and were pleasantly surprised.  Expectations can make or break a holiday season. High expectations for the holidays can steal joy in anyone. On the other hand, can low expectations turn you into Scrooge no one wants to be around? While predicting doom and gloom may not be the solution, it is important to sit down and discuss what is realistic.

As each family member has their own ideas about the season, stress, disappointment, and miscommunication are common joy thieves.  Teenagers may be grieving the magic of holidays as a child, while struggling with more grown up responsibilities. With school out for a couple of weeks, more family interaction can lead to more conflict than yuletide joy. As adults we want to encourage joy, thankfulness, and peace more than ever. In this particularly busy season of the year, how do we encourage teenagers to develop true joy when we struggle to maintain our own joy?


Look out for joy robbers
  • People who won’t take no for an answer-- Its okay for you and your family to need down time and not participate in every holiday activity. It may not make you as popular but a hectic schedule is the quickest way to lose your joy. 
  • Financial stress—agree and stick to a realistic budget. Don’t forget to factor in extra money for gas, holiday cooking/baking, secret Santa, and decor. 
  • Commercialism have you down? Adopt a needy family through your local church, volunteer at a homeless shelter, reach out to the elderly, foster care children, or lonely people in your life. Focusing on other's in need reminds your teen and family of the true values of the season.

Be a joyous role model
  • Schedule down time—teenagers often want to be in the middle of all the fun, robbing them of sleep and, sometimes, sanity (we all go crazy without sleep). 
  • Keep up your healthy routine: exercise, eat those veggies, fruits, sleep.
  • Limit your alcohol use—Let teens know alcohol is not needed to celebrate or find joy (Teens often are peer pressured to use alcohol (and drugs)  more often during the holiday break.).
  • Look for joy in the little things: cup of cocoa, child's smile, frost lined country side, a favorite carol, warmth of a fire.
Let go
  • Romanticized ideas about holidays and family life lead to let down—let them go; it’s not real anyway.
  • Recognize you are human and can only do so much.
  • Realize other’s moods and emotions are under their control; ultimately, it is not your job to make other’s happy—that’s their own job.
  • Resolve potentially explosive family differences during a better time.

Each day we have is a gift. Recently, I came across this quote: 

"If you have food in your fridge, clothes on your back, a roof over your head, and a place to sleep, you are richer than  75% of the world. If you have money in the bank, your wallet, and some spare change, you are among the top 8% of the world's wealthy. If you woke up this morning with more health than illness, you are more blessed than the million people who will not survive this week. If you have never experienced the danger of battle, the agony of imprisonment, or torture, or the horrible pangs of starvation, you are luckier than 500 million people alive and suffering. If you can read this message, you are more fortunate than 3 billion people in the world who cannot read it at all."

Perspective is every. Enjoy a blessed holiday season. 





Monday, November 18, 2013

Helping Teenagers Cope with Holiday Blues


As long as I have been in the field of mental health, I have observed a significant increase in new clients starting around Halloween and lasting through Valentine's Day. While there are multiple factors contributing to this phenomena (e.g. more rain and clouds, school), a significant source of distress seems to be the holidays. Teenagers can feel this most keenly as they have little power over their circumstances and are old enough to know what expectations the holidays bring. Two huge contributors to holiday gloom are finances and loss.


Finances—Many teenagers are intensely aware of the family's financial situation. If it is hard for caregivers to make ends meet during the year, this is amply magnified during the holidays. They may know they will have food but dread hearing about all the electronic and expensive gifts their peers receive. They may sit quietly in shame, or lie about the reality of the holidays to avoid pity. Often, they won’t share this feeling with anyone because they don’t want their caregivers to feel worse about tight finances than they already do. While it can be character building to recognize the greed of "keeping up with the Joneses", teenagers who get next to nothing during the holidays may feel unimportant or even unloved. 

What can help: Encourage teenagers to pick up holiday jobs, babysitting, yard work to earn some extra money. It empowers them and increases self-esteem. Encourage volunteer work in local homeless shelters. Seeing those who struggle to have a roof , puts our own wants into perspective. Be a listening ear to financial struggles.  Find an organization who can sponsor families with limited income (i.e. your local church, Salvation Army). What other ways have you found to help encourage teenagers when finances are tight at home?

Loss— Loss comes in many forms. For children with divorced parents or foster/adopted children, the holidays result in missing a parent and/or family traditions. For families who have had a loved one die, the holidays highlight that pain deeply. Even for the lonely or isolated teenager, never it is more felt than the time of year we gather together to celebrate the holidays.

What can help:  One of the best ways to help a teenager struggling with loss is asking “What would make it feel like ___________ (holiday of your choice) for you?” Even the opportunity of expressing their desires helps them process the loss. Encourage the teenagers to set aside some time during the holiday to honor their loss through writing a letter to the one they miss, looking at photos, listening to music, or even creating a “loss box” where they can put in something to represent the loss and review it at their leisure. By setting aside time to honor the loss, it helps the teenager regulate their grief; it help to move on with the day rather than trying to push aside thoughts or focusing on the loss all day. Mourning is different for everyone. Allow people to choose how they want to honor their losses. For a lonely or isolated teen, invite them to join in on a holiday activity. Giving a teenager a place to belong is a priceless gift. Regardless of the type of loss, be available to talk to and make sure they know they are important to you. What other ways have you found to support teens experiences loss during the holidays?