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  • Who We Are
    • Heidi Jameson, LMHC
    • Cece Estrada, LCSW, QS
    • Margarita "Yuri" Medina, Ph.D., LPC-S
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No More Resolutions - 8 Steps to Real Change

12/28/2023

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The last resolution I made is the only one I’ve kept - to stop making New Year’s Resolutions.  While the new year is a great opportunity for a fresh start, making a resolution is not always the best idea for long term behavioral change success.  The pressure of striving for perfection so as not to “break” our resolutions can be counterproductive, causing us to feel like failures when we make a mistake, but making mistakes is a very human thing to do!

So, how do we take advantage of the motivation and inspiration the new year brings, while setting ourselves up for success?   It’s as simple and as hard as changing our mindsets.  

In Cognitive Behavioral Therapy, we teach clients about the Cognitive Triangle.  The Cognitive Triangle (or Cognitive Triad) is a way of picturing how we operate as humans.  Each point of the triangle is labeled as either Thoughts, Feelings, or Actions, and arrows indicate the multidirectional influence each of these have on the other.  

This means that we can influence our own behavior by changing our thoughts and our feelings.  We can influence our feelings by changing our thoughts and our behaviors, and we can influence our thoughts by changing our feelings and behaviors.  Easier said than done, right?  This is why it’s helpful to have a good mental heatlh counselor on your team to help you through the process.

We can still make changes on our own as long as we plan ahead, set specific goals, and track our progress - not perfection!  

  1. Do your research!  Do you want to lose weight?  Stop smoking?  Get a better job?  Do a little internet searching to find methods that will work for your personality and lifestyle.   
  2. Set a SMART goal.  SMART is an acronym meaning Specific, Measurable, Actionable, Realistic, and Timely.   An example of a SMART goal might be something like “By the end of 1 year, I will have lost 25 lbs. by reducing carbs and increasing exercise each week.”   I highly recommend you only choose ONE goal to work on at a time.  Otherwise, it’s easy to get frustrated and feel overwhelmed, which discourages progress. 
  3. Break your goal into baby steps.  Once you have your SMART goal written, break it down into smaller steps that you can easily achieve a little at a time, so you can succeed quickly and build on your successes.  For example, if your goal is to be able to do 100 crunches within six months, you might start with doing 10 crunches a day, 5 days a week for the first week, and adding 5 more a week after that.  This helps you feel good about your accomplishments and gives you confidence that you can continue, touching on the Emotions corner of your cognitive triangle.  
  4. Find an ongoing distraction.  You’re going to need something to occupy that time and space in your mind so you don’t dwell on what you’re “giving up”.  This list of over 100 hobbies is a great place to start if you’re looking for ideas.  Hobbies distract us from cravings and cognitive distortions, which will be covered in a later post.   A new hobby is a great way to use our Behaviors triangle point to positively influence our Thinking triangle point.  
  5. Lower your overall stress levels.  Keeping your stress levels low will help you succeed, as we often turn to bad habits to make ourselves feel better when we are stressed.  In an earlier post, I touched on the use of nature to reduce stress.  
  6. Plan ahead for cravings and mistakes.  We’re human.  We’re going to have moments when we crave what we’re avoiding or cave into temptation.  It happens.  Don’t let it derail you!  Make a shortlist of things you can do (behaviors) and things you can tell yourself (thoughts) when you’re really wanting to give up, and keep it on your phone, or something else that is always with you.  Before you pick up that doughnut, or cigarette, etc. - call a friend who has agreed to talk with you during these times.  Go for a walk and breathe in the fresh air.  Get in the car and drive away from the temptation.  Anything that will distract you, get you away from the situation, or occupy your brain and time are good ideas for your shortlist.  Then, if it does happen, brush it off.  Progress is not a straight line.  Progress has ups and downs.  That’s normal.   
  7. Journal.  I know, I know, some of us hate to journal, myself included, but when you are fighting those angry feelings or riding high on a wave of success, getting it down on paper or a keyboard helps us feel better.  This is a great way to track your progress, so you know how you’re doing.  ​
  8. Reward yourself!  Celebrate your victories, you deserve it!  Some of my clients have bought themselves tools for their hobbies, made sticker charts just like when they were kids and added stickers to their calendar until they met weekly and monthly goals for bigger rewards, or used quality time with someone important to them as rewards.  
Please also remember - if you would like help making your life better, please contact me for individual counseling.  

Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC.  You can read more about her here. ​


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Grief and the Holidays

12/21/2023

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Ah, the holidays… the universal time of giving thanks, good cheer, peace, family… and pain.  Nothing is ever the same after the death of someone we love, and that stark contrast between life “before” and life “after” is never so sharp as in the holiday season.  Everyone seems to be happy, while we are stifling the urge to shout, “Stop! How can you go on as if nothing has happened, as if my world hasn’t just ended?” 

The year my father died, it was right before Halloween.  Although I knew it was coming, it felt like a sucker punch to the gut when it happened.  I had a lot of regrets that first holiday season.  I regretted not spending more time talking with him and visiting him.  I regretted gently teasing him the previous year for the repeated “Happy Thanksgiving” phone calls when the Alzheimer’s caused him to forget that he had already called.  I regretted taking it for granted that he’d still be around for a long time.  I regretted that I hadn’t asked more questions about his early childhood memories and his grandparents who died before I was born.  And that first Christmas without him?  That was the first Christmas I didn’t have the heart to decorate.  

It’s been six years now, and I’ve lost a few more people - some to natural causes, some to suicide.  The horror is fresh every time.  I am still adjusting to a world without my Dad in it, but the passage of time has brought some healing, some insight, and some new skills with which to handle the grief.  

Here are some ways that can help you through the holidays: 

  • Pick a close friend or family member and set aside time to share your memories.  People generally want to help, but they don’t know how, and are afraid to bring up your loss for fear of causing you pain.  Asking if you can talk about your loved one, maybe over a meal, helps you acknowledge your loss and gives your loved one the opportunity to support you.  
 
  • Schedule a cry.  I know, I know, it sounds silly, and sometimes the idea of catharsis is controversial, but I find that letting it out with a good cry can release the tension that is building up and helps prevent emotional moments at other times.  All it takes is the opening strains of Elvis’ Blue Christmas or Bing Crosby’s I’ll be Home for Christmas, and I’m pulling out the tissues.  
 
  • Find a way to honor them in a way they would have liked.  Whether you have that moment alone in silent reverence or with a few close friends or family, raise a glass, plant a tree, go for a hike, make a donation to a cause they supported - any little activity that gives you that moment.  One of my clients would eat at their loved one’s favorite restaurant every year.  Another bought a rosebush in their loved one’s favorite variety and color.  Yet another established a scholarship for single Moms.   
 
  • Talk to a professional counselor.  Seriously.  We can help you learn new ways to cope with your new reality and provide a safe place for you to express your full range of emotions.  You can even cuss or ugly cry if needed.    
 
  • Practice your faith.  The familiarity of tradition and ritual can be a comfort and provide us with the recognition that some things continue beyond the human lifespan.  Scriptures give wisdom at a time when we are asking questions that sometimes have no answer.   Some clients have had a crisis of faith when their loved one died, but that battle through resulted in peace and a deeper connection with God. 

If you’ve experienced a loss and need help through this time, please contact me to schedule an appointment.  I’m here to help.  

Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC.  You can read more about her here. ​


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Adopted from Foster Care: Tips for Parents

12/14/2023

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Image credit: Fostering Forever
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Congratulations on adding to your family!  Nothing compares to the joy of being a parent - but as we parents know, there are moments when we feel inadequate to the task.  When we adopt from foster care, there are resources we can access, at little to no cost to the family.  


First Things First

While adoption day is a significant and joyful milestone in a family’s life, it can be bittersweet for the child.  Yes, they are “officially” a member of the family, but they are also re-experiencing the loss of their biological family.  Depending on the age of the child, developmental level, the number of Adverse Childhood Experiences (ACEs) they’ve had, and the number of placements they have been in before the adoption, they may have mixed feelings that are expressed behaviorally.  Even children adopted at birth may later express feelings of loss, as they had a bond with their biological parents while in the womb. 

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Each time your child was removed from one home and placed in another, they experienced trauma.  This is magnified exponentially with each new placement, and is a major contributor to the Foster Care to Prison Pipeline.  

Common Challenges

Traumatized children communicate through their behavior, and yes, that includes teens.  Parents sometimes express concern that a well-behaved child has “suddenly” become very poorly behaved when they hit the teen years.  This is to be expected, and can be planned for and handled sensitively to guide the child into improved behavior.

Some common challenges with kids who have been in foster care are:
  • Lying
  • Stealing (especially food)
  • Collecting small items
  • Bedwetting
  • Defiance
  • Emotional outbursts

Fortunately, with the loving support of parents and knowledgeable counselors, our children can and do make it through these challenges, avoid the pipeline, and become healthy adults.  
​

What Do We Do?
​

You may have heard the Nigerian expression “It takes a village to raise a child”, and in this case, it’s certainly helpful to have a supportive community.   Parents, however, are the key to success.  This is not a situation in which parents can drop a child off for an hour of counseling every week and expect everything to be okay.  This is the type of situation in which parenting becomes the remedy.  Your effort is a major key to your child’s success.  With that understanding, here are my top tips for parenting children who have been traumatized through the foster care system.  N.B. This is not a comprehensive list, and is not a substitute for professional mental health counseling. 
​
 
  • Contact your Post Adoption Case Manager for assistance.
  • Find a Mental Health Counselor, preferably one who is Adoption Competency certified, and begin services.
  • Don’t sweat the small stuff - keep the rules to a couple of safety issues only, depending on age and developmental level of the child.  Creating a long list of rules is self-defeating and sends the wrong message to the child.  
  • Do keep a basket or drawer full of snacks that your child can help themselves to at any time, day or night, with no repercussions.  Keep it stocked. 
  • Do constantly build the relationship by spending significant quality time with your child (this can include doing tasks together, such as cooking the family meal, as well as fun time).  Your mental health counselor can advise you on activities that enhance bonding/attachment that are appropriate to your child’s age and developmental level.  
  • Do learn what’s normal teenage behavior.  Sassy comments, testing limits, and “rejecting” parents are all part of the normal developmental process and are not cause for alarm.  Biological children do this, too!
  • Do get your child involved in sports, clubs, or other activities that he/she enjoys.  This directs their energy in a positive direction and builds their sense of community.  
  • Do not prevent your child from attending activities or participating in holidays or friends’ birthdays as a punishment. 
  • Do use praise to highlight your child’s efforts, not results.  Example:  “I noticed how well you took notes in math, and did your homework without being asked.  I’m so proud of you for working so hard!” 
  • Do allow your child to experience the natural consequences of their actions when they have made a bad choice.  

The most important thing is to put in the time doing the things that will help your child get through these rough patches.  Parenting, especially of traumatized children, is different and often not instinctual like we expect it will be before we become parents.  Be open to advice from professionals, be patient (it takes time!), and enjoy the experience.  You’re building history.  
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Heidi Jameson, LMHC is the founder of The Mangroves Seeds of Change, LLC.  You can read more about her here. 

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First Responders and Health Professionals

12/5/2023

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Imagine being the first police officers or paramedics to arrive on a scene after a child has been the victim of an acid attack, a wife has been killed by her husband in front of their children, or a teen is tearfully reporting the details of a sexual assault.  

Imagine being the doctor, nurse, or emergency room staff who treat these victims, or the medical examiners and morticians who respectfully care for a victim’s remains while answering calls from grieving family members.  

Now imagine having these experiences a few times a month or more, depending on where you live.  Imagine doing this over and over while sleep-deprived, under pressure to perform your job to ensure the best possible outcome for the victims, and sometimes putting your own life at stake in the process.  

The scenarios in the first paragraph come from my own professional experiences as a mental health counselor, and even just hearing the victims tell their stories can lead to vicarious trauma over time - and that’s not even seeing the events as they are happening!  Luckily, mental health counselors have an ethical obligation to maintain our own mental health by regularly checking in with our own counselors and maintaining a strong self-care routine.  

However, those doing battle on the front lines, whether actual military engaged in war or law enforcement and healthcare professionals on the front lines of rescue, often suffer silently.  They frequently experience Post Traumatic Stress Disorder (PTSD), depression, and suicidal ideation, and often attempt to cope with their distress by substance use.  They have increased suicide rates, as more die by suicide than in the line of duty (Tiesman et al., 2021).  Both the symptoms experienced and the suicide rates occur at rates significantly higher than the general population.  

Despite this clear indicator of emotional and mental anguish, few in these rescue fields seek mental health treatment.  Their reasons for not seeking treatment include, but are not limited to worries about remaining on the job and the lack of providers who understand the first responders’ unique experiences (Luster, 2022). 

If you are one of these men or women who needs some relief from the despair or wants to build resilience before it happens, from someone who “gets it” a little more than the average provider, please contact me.  Your privacy and pain relief are my highest concerns.  

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References
​

Luster, R. (2022, September 9). First responders and mental health: When heroes
     need Rescuing
. 
Psychiatric Times. Retrieved December 5, 2023, from
     https://www.psychiatrictimes.com/view/
First-responders-and-mental-health-
     when-heroes-need-rescuing
​

Tiesman, H. M., Elkins, K. L., Brown, M., Marsh, S., & Carson, L. M. (2021, April 6).
     
Suicides among 
first responders: A call to action. Centers for Disease Control and
     Prevention
. Retrieved 
December 5, 2023, from https://blogs.cdc.gov/niosh-science-
     blog/2021/04/06/
suicides-first-responders/
​

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