Showing posts with label Addiction Counseling. Show all posts
Showing posts with label Addiction Counseling. Show all posts

Thursday, January 30, 2020

Embracing Vulnerability

Counseling, Christian, Depression, Anxiety, StressIt is difficult to stay positive in the face of adversity. One of the main reasons is because adversity can trigger a vulnerable emotion. Many times we don’t recognize when we are feeling vulnerable because we have mastered coping through detachment. But there are those days that too many triggers happen back to back, which can lead to vulnerable emotions such as sadness, anger, and despair. Typically these types of emotions come with negative thoughts such as I am not good enough, this is never going to end and I should have done it differently. 

How do you know when you are vulnerable? One thing that I can tell you is that you will most likely notice changes in your body first. It can show up in a variety of ways such as sudden stomach cramps, tension in your neck and shoulders, sweating, or your eyes well up with tears. You may think that this has come upon you out of nowhere; however, if you think about those times, I am certain that you got bombarded with triggers that led to a vulnerable state. And our body never forgets those times when you have felt the same discomfort in the past, which only compounds what you feel in the present. 

Learning how to recognize when you are vulnerable is important because it helps us figure out how to positively manage our emotions rather than dismiss them. Second, by validating how we are feeling in the moment, we can respond better, decreasing our chances of becoming defensive, aggressive or dismissive in our thoughts and actions towards ourselves and others. Lastly, it helps us to reframe interactions that may have been less painful if we weren't already in a vulnerable state. 

Rachel Rowitt, Ed.D., LMHC, CAP | Grace Counseling, Inc. | Mental Health Blog in Parkland and Coral Springs  

Tuesday, November 29, 2016

Wolf in Sheep's Clothing

It has occurred to me that there are not a lot genuine people left in our industry. It seems that what used to be mom and pop business has turned into big money corporations. It has become increasingly difficult to recommend a treatment center, half way house or case management service to my clients. I often wonder if the quality of treatment will be as attentive as the admissions process. 

Some treatment centers build these immaculate buildings that house chaos. Treatment length is based on whether or not the insurance is a good payor. Our clients become slaves to the insurance designated time because otherwise they could not afford the immaculate treatment center. Sometimes clients have to leave abruptly long before rehabilitation has taken place. Medical necessity, documentation and utilization review become the main focus instead of individual care. 

Rather than this just being a vent of frustration, I do offer an alternative perspective. Since most of our clients are insurance dependent, we should see going to treatment as stabilization vs. rehabilitation. Next, before we even refer our clients to these treatment centers, we can engage families and clients about the aftercare plan solidifying the continuity of care. Lastly, speak with the clinical director of the treatment program you choose. Quality of care, good clinical direction and communication standards come from excellent leadership. 

Rachel Rowitt, Ed.D., LMHC, CAP