Tag Archives: Counseling Connoisseur

The Counseling Connoisseur: Enough: A call to action

By Cheryl Fisher July 20, 2018

“Thou shalt not be a  perpetrator, thou shalt not be a victim, and thou shalt never, but never be a bystander.” ― Yehuda Bauer

 

The sun warmed my body. Blissfully fatigued following several laps around the pool, I stretched out on the chaise lounge chair. I sipped my cool lemonade and haphazardly lifted my phone which had been vibrating endlessly. Who on earth was trying to reach me? I had prepared my clients for weeks regarding my vacation. I had set my away message on my phone. Who could possibly need me right now? My eyes squinted at the list of messages. “Are you ok?” “Where are you? I am worried?” “Please tell me you are safe?!”

My lazy summer mental fog abruptly dissipated as I sat up in my chair and began to read through the barrage of inquiries. What on earth is going on? I quickly tapped my responses. “I am fine. At the beach. What is happening?” I read the responses over and over waiting for the punch line, but there was none. My beloved community of Annapolis joined the ever-growing fraternity of gun violence and those men and women who reported the daily news were the target this time. The Capital Gazette was under attack with several fatalities and multiple injuries.

Reaction

I have been a counselor for twenty-plus years. I am a volunteer for the American Red Cross disaster mental health team and Maryland Responds Medical Corps. I have been deployed and provided crisis intervention to victims, and offered crisis debriefing to first responders. Professionally, this work is not new to me. However, to watch the devastation and suffering of my community from one hundred miles away was excruciating. I watched as the first responders whom I had brought homemade cookies to during the holidays risked their lives to enter the building under attack. I witnessed people I know being escorted from the building — the same building I had visited a week earlier for an endodontist appointment. I observed the swift and definitive execution of the emergency plan play out on national television. including scenes of the ambulance taking victims to the emergency room where I had served as an on-call counselor for 10 years. These were my people! The agony was palpable even from the safety of the beach. Rumors flooded social media, and I waited for news of missing persons.

I took inventory of my internal status. I am, after all, a therapist. I felt frightened for the families who had to sit with so many unknowns about the well-being of their loved ones. I felt helpless being so far away. I felt angry that we continue to experience this type of violence. Enough is enough! It is past time for counselors to make decisions and act.

Action

Counselors have a unique role following a disaster in that we are called to help heal a community’s trauma. We counsel survivors and families and debrief first responders. We help bring agency back to a community that may feel disempowered and devastated. The safety once experienced, crumbles and we aid in the creation of a new normal.

My first act was to contact Maryland Responds to see if we were going to deploy. The local Warmline — a non-emergency helpline that offers immediate counseling or referral services — had begun advertising grief counseling services and I knew that the first responder employee assistance programs would soon reach out for aid in debriefing the responders. However, like many communities, the Annapolis area is tight-knit, so the traumatic effects of the tragedy would be widespread. One of the local mental health networking groups spearheaded the creation of a list of providers willing to volunteer both medical and mental health services over the next several weeks. Clinicians from all over the county responded, zealous to do their part to help in the recovery effort. As clinicians, we know that initially there are rituals, memorials, vigils and casseroles that remind us of the solidarity of experience in these losses. However, when people attempt to resume their previous lives, they trip over metaphorical landmines that they don’t expect. Counselors can help clients to anticipate and disarm the mines.

Change

On February 27, ACA adopted a resolution supporting and highlighting the role that school counselors and other professional counselors play in addressing the anxiety, stress and trauma students experience after a school shooting.  The resolution also calls for adequate federal funding for research into the public health impact of gun violence and evidenced-based strategies for preventing and addressing gun violence.

In an Annals of Epidemiology article published in 2015, researchers Jeffrey W. Swanson, E. Elizabeth McGinty, Seena Fazel, and Vickie M. Mays reviewed research on the relationship between violence and mental illness. They found that the presence of mental illness is not an effective predictive factor for violence against others. Instead, they advise policymakers to focus on evidence-based risk factors such as previous violent behavior. They advocate for “time-sensitive risk assessment for violence as the foundation of evidence-based criteria for prohibiting firearms access, rather than focusing broadly on mental illness diagnoses and a record of involuntary psychiatric hospitalization at any time in one’s life.”

The authors’ conclusions highlight the need to train all mental health providers in violence assessment. The use of evidence-based criteria — rather than a diagnosis of mental illness — to prohibit firearm access requires a change in current policies and procedures. Saying “enough!” in the face of gun violence is neither a partisan statement nor an opposition to the Second Amendment. It’s a call for an end to the death and trauma. Gun violence permeates our society in multiple ways — not just in mass shootings but also through gun-related crime and suicide. Complex issues surround this violence, but there are definite steps we as a society can take such as reexamining gun control policy, demanding further research on predicting violent behavior, addressing insufficient access to mental health care and reducing the stigma attached to seeking care.

As counselors, we are trained to be value-neutral. We support the goals of our clients even when they directly oppose our own beliefs. We offer a non-judgmental presence. Regarding mental health care accessibility and gun violence, we need to dare to have an opinion. We need to know the platforms of our representatives and have their office number on speed dial. We need to use the strength of our collective voices and demand change.

Conclusion

Annapolis, Maryland, USA downtown view over Main Street with the State House.In the wake of the attack, I heard my community’s resounding cry of solidarity with all the victims of gun violence. Naptown Strong! We love you, Annapolis! And just like every other school, church, concert, movie theater and community affected by gun violence, we are striving to put the pieces back together from a horror that will forever inform our narrative. Enough is enough! Prayers and thoughts must be followed with action!

Annapolis and the Capital Gazette will not be defeated by violence. In the immediate aftermath of the shooting, the staff at the Gazette refused to be silenced. “I can tell you this: We are putting out at damn paper tomorrow,” tweeted reporter Chase Cook. And they did. Let us all be inspired by the courage and the conviction of these journalists.

 

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Resources from ACA relating to gun violence and trauma for, both counselors and consumers: counseling.org/knowledge-center/gun-violence-trauma-resources

 

 

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Cheryl Fisher

Cheryl Fisher is a licensed clinical professional counselor in private practice in Annapolis, Maryland. She is director and assistant professor for Alliant International University California School of Professional Psychology’s online MA in Clinical Counseling.  Her research interests include examining sexuality and spirituality in young women with advanced breast cancer; nature-informed therapy: and geek therapy. She may be contacted at cyfisherphd@gmail.com.

 

 

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

 

Counseling Connoisseur: Thanatechnology – Grief and loss in a digital world

By Cheryl Fisher June 8, 2018

Thanatechnology: Any kind of technology that can be used to deal with death, dying, grief, loss and illness.

 

Kelly (an alias), an eighth-grader, sits with her friends in the school auditorium as her principal calls out the names of each of her classmates who were killed in the recent shooting. To honor the lives of these young people, the school is hosting a remembrance ceremony. As tears run down her face, Kelly huddles close to her schoolmates and clicks away on her phone posting messages on several social network sites and a memorial site that she and her friends created. A text message pops up from a boy she met on one of the sites. He is a survivor of a school shooting that happened a couple of years ago — he understands.

Tony’s (alias) phone vibrates, rousing him from his slumber. He looks at the clock – it’s 2 a.m. He has to be up for school in just a few hours. He squints, trying to read the alert on his phone. Another teenager has died from drug overdose. He heaves a mournful sigh and turns on the bedside lamp. His phone begins to blow up with social media posts. The deceased didn’t attend his school but is related to his girlfriend’s best friend. Tony attempts to return to sleep, but he keeps thinking about the teenager [and] wondering why it happened.

Without a doubt, the youth of today are often exposed to significant and traumatic losses. Traditionally, we have marked death with rituals such as funerals and memorials and grieved with the support of counseling, faith communities and neighbors. In more recent years, technology has provided additional ways to remember and mourn, such as creating online memorials, seeking distant or virtual grief counseling and connecting with family, friends and even strangers without geographical limitations. It erases time and distance and allows for virtual experiences and expressions that promote a narrative that lives forever.

Digital Presence and Youth

In Dying, Death, and Grief in an Online Universe, researchers Kathleen R. Gilbert and Michael Massimi observe that digital technology can “bring people together for social support, provide information, and offer a venue for conducting grief work such as telling stories or building digital memorials.”

In another section of the book, researcher Carla Sofka writes that young people are even more likely to seek grief support online. Sofka explains that the internet, social media and other digital platforms are where younger generations are most comfortable because they provide opportunities for social interaction; a sense of independence and privacy; the ability to express and form their own identity; a sense of community that includes those that are marginalized; and instant alerts and communication. All of these elements allow youth to seek and find like-minded communities that can provide immediate support and strategies for coping with myriad life issues — including death and dying, and grief and loss.

 

Social Interaction

Online bereavement forums and chat rooms provide a sense of social connection with users. Sites such as Caring Bridge allow multiple users to maintain a virtual journal offering information and capturing narratives that are accessible to members. Tumblr, Facebook and Instagram create spaces where youth can just “hang out.” Video calling technology such as FaceTime and Skype bridge the distance between users and promote interaction and communication. Additionally, grief counseling may be offered via video, phone, chat or email formats.

Independence and Sense of Privacy

Teens turn to technology to carve out a private space for self-expression. However, research indicates that internet use often provides the illusion of anonymity, which may encourage a false sense of privacy. The struggle for privacy is nothing new: The tension between privacy and personal expression has existed between teens and parents for decades. In It’s Complicated: The Social Lives of Networked Teens, danah boyd*, principal researcher at Microsoft Research notes that social media introduced a new dimension to this age-old power struggle. Instead of worrying about what teens wear outside, parents are concerned about what pictures teens are posting about what they wear outside.

[*boyd prefers to spell her name with lowercase letters.]

“Although teens grapple with managing their identity and navigating youth-centric communities while simultaneously maintaining spaces for intimacy, they do so under the spotlight of a media ecosystem designed to publicize every teen fad, moral panic, and new hyped technology,” writes boyd.

Yet, online spaces allow for exploration of feelings and thoughts, examination of death anxiety, and expression of grief and loss. For example, a 14 year- old client crafted an entire mix of music and prose around the complicated emotions she experienced related to the death of her estranged father who had abused her as a little girl. Using an alias, she posted the eulogy online and watched as strangers connected with her, validating her feelings and experience.

Expression and Influence of Identity Formation

The internet provides creative space for expressing grief and honoring loved ones. Sites such as KIDSAID.com, offer children the opportunity to connect, interact and creatively express their grief. In addition to expressive sites and online memorial services such as Legacy, Remembered.com and Your Tribute provide an unfettered opportunity to honor loss, especially for those who are marginalized or disenfranchised. The use of letters, photos and sound provide rich and detailed memorials that allow users to express their grief, absorb their loss and ultimately move forward.

Sense of Community

Blogs provide a venue to capture experiences and to cultivate topic-based virtual communities. Boyd suggests that these constructed networks serve as a public place to interact with real and imagined communities, thus satisfying a desire to be part of a broader world.

Instant Alerts

Online communication is often in real time. Twitter, Snapchat and a variety of other digital sites offer instant notifications and ongoing engagement. Technology allows users to gather multiple streams of almost instantaneous information from afar. For example, recently I was at a social gathering where a young woman, glued to her phone, was continuously texting. At one point I interjected, “Is everything alright?” She looked up and shook her head. “No, I have a friend who was just in a car accident and the medics are transporting her to shock trauma. Her parents are on their way to the hospital — but no one thinks she’s going to make it.”

The accident occurred in another state, yet this young woman was experiencing the event minute by minute via her phone messaging.

There are numerous attractive features to thanatechnology. Information is persistent and endures. There is a sense of immortality and legacy when a person’s comments, photos and work is posted in cyberspace. It is visible to infinite numbers of individuals. It is spreadable, and with one repost or share, hundreds more are invited into our experience. It is searchable. Just yesterday someone emailed me after reading my article on pet loss and grief. She had been Googling information about pet loss and my article popped up. I was able to provide her with additional support resources.

While there are many helpful aspects of using technology for grief support, there are some serious causes for pause. Are the online interactions healthy? Who is actually participating in the network communities? Are youth oversharing personal information while in a vulnerable state? How pervasive are social divisions and are they perpetuated in the participating forums?

Clinicians, parents and educators must be digitally literate and provide opportunities for genuine face to face connection while acknowledging the cyberworld of teens. Using technology during this very vulnerable time can provide tremendous support and healing, but it may pose risks. Counselors have the responsibility to help youth develop the skills to navigate technology in a way that creates a safe environment for their grief experience and promotes bereavement support.

 

 

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Cheryl Fisher

Cheryl Fisher is a licensed clinical professional counselor in private practice in Annapolis, Maryland. She is director and assistant professor for Alliant International University California School of Professional Psychology’s online MA in Clinical Counseling.  Her research interests include examining sexuality and spirituality in young women with advanced breast cancer; nature-informed therapy: and geek therapy. She may be contacted at cyfisherphd@gmail.com.

 

 

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

The Counseling Connoisseur: The contour of hope in trauma

By Cheryl Fisher March 30, 2018

“Nothing is hopeless; we must hope for everything.”― Euripides

 

Recently I was invited to provide an afternoon keynote at a conference examining community trauma and human violence. The morning keynote speaker, Reverend Matt Crebbin, gave a compelling presentation about his congregation’s role in helping Newtown, Connecticut rise from the violence that devastated Sandy Hook Elementary School and the surrounding community on December 14, 2012. In his speech, Crebbin discussed the reality of the pain and suffering resulting from the fatal shooting of 20 elementary school-aged children* and noted that the scars would forever run deep as Newtown attempts to create a “new normal.” The keynote ended with his personal call to advocacy aimed at ending the cycle of gun violence. The conference was held just two weeks after the Parkland High School shooting.

(*The Dec. 14, 2012, shooting at Sandy Hook Elementary School left six adults and 20 children dead, as well as the 20-year-old shooter, who took his own life. His mother was killed earlier that day in her Newtown home.)

Later that day, I presented a summary of vicarious and secondary trauma, moral distress and introduced a nature-informed resiliency model of care for caregivers. How do we, as counselors, take care of ourselves amid such tragedy and pain? How do we hold the space for devastation and not become prey to its effects? How can we use this space for healing?

Although the session was well-received, I found my words lacking substance and weight — a thin veneer of comfort in the face of the morning’s recounting of despair. There are no answers that can return these children to their families; no words that can mend the broken hearts or rebuild the shattered dreams of these communities. I wondered, if, as a grieving counselor-client once proclaimed to me, we are all frauds.

The conference ended with a panel discussion I took part in. As I perched in my seat next to Rev. Crebbin, microphone in hand, the moderator asked me, “What about hope?” I sat baffled for a moment as I searched for a few bits of wisdom to impart. After all, I imbue my graduate students with the title of Ambassadors of Hope because we hold the space for hope to ignite within our clients. I muttered a few brief, albeit flimsy, answers and concluded. However, the question lingered long after the panel had ended: “What about hope?”

Hope

Hope theory, developed by the researcher, author and psychologist Charles R. Snyder and colleagues, describes hope as a process characterized by the determination to reach one’s goals and the ability to make plans to meet those goals. Erik Erikson defined hope as “both the earliest and the most indispensable virtue inherent in the state of being alive.” There are agency and action in the experience of hope. The research is undeniable — experiencing hope is associated with life satisfaction and positive aspects of well-being. Conversely, an absence of hope is related to depression, anxiety and an overall sense of despair.

Therefore, how do we help clients access hope? Pamela McCarroll, in her book The End of Hope-The Beginning: Narratives of Hope in the Face of Death and Trauma describes five experiences of hope in an attempt to capture some of its complexity “in the face of endings, in the face of death and trauma, in the face of the unalterable and unwanted crises in life.”  McCarroll asserts that hope and despair are not binary, but a continuum mediated by time where “hope represents a future filled with possibilities.”

According to McCarroll, these are the five ways in which we express hope:

  • Fight: Hope as fight capitalizes on the tension between giving up and moving forward. Hope is cultivated as one discerns a path to forge in battle. As counselors, we can help clients identify what is worth fighting for, such as “that which feeds life, love, connectedness, gratitude, meaning and transcendent possibility.”
  • Meaning: Hope as meaning is manifested in the ways that we honor the lives of our loved ones. Recently I was invited to be the presenter on the topic of children’s grief and spirituality at a lecture series. The series was named after a college freshman who had been killed in a car accident tragically. Her parents created this lecture series to honor the life of their daughter, a talented athlete and dedicated student.
  • Survival: Hope as survival is complex. The survivor often feels stuck between the past and the present. Care requires concern for safety, remembrance of events and mourning losses, reconnection to self, others and something sacred, and ultimately channeling trauma to a greater good. Hope as survival is lived through the recovery process of survivors. Just today a client disclosed [to me] that as a survivor of a sexual assault, she speaks out to other women in the hope of helping to empower others.
  • Lament: Hope as lament can be understood in the cries of the families who mourn the tragic loss of loved ones from violence. Lamenting demonstrates the meaningfulness of relationship and the pain of endings. To lament is to love; to love is to hope. According to McCarroll, “hope murmurs in the expression of ruptured love” and “sometimes it is the only language of hope available.” This is a language that seeks to be heard and shared. The funeral or memorial is a space where lamenting is welcomed and shared.
  • Surrender: Hope as surrender invites letting go and letting as is translate to living moment-by-moment. McCarroll suggests that “surrender feeds hope by engaging a posture of trust and receptivity-rather than defeat.” It embraces that which cannot be changed and allows space for forgiveness to enter.

 

Hope may present as an act of advocacy (fight), or the development of a lecture series (meaning), or community efforts for trauma recovery (survival), or memorials (lament) or rituals for release (surrender).

We, as counselors, hold the space for pain and suffering to reside while we attempt to help our clients make sense of their broken worlds. In order to be an anchor, we must spend some time with our own meaning-making philosophy or theology. How do we understand the suffering of the world? Maybe our understanding is simply that we don’t understand. We don’t have the answers. McCarroll proposes that many have lost hope amid such suffering and tragedies.

Further, we need to craft a common story with a shared vision that allows for differences and complexity and affords a unified message of hope. Maybe we need to be more than Ambassadors of Hope. Maybe, as suggested by the character Mrs.Which in Madeleine L’Engle’s, A Wrinkle in Time, we must dare to be warriors. Warriors of hope.

 

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Cheryl Fisher

Cheryl Fisher is a licensed clinical professional counselor in private practice in Annapolis, Maryland. She is an assistant professor and program coordinator for the Alliant International University- California School of Professional Psychology online clinical counseling program. Her research interests include spirituality and meaning-construction; nature-informed therapy; and geek therapy. She will be presenting “Superhero Therapy 101” and “Homegrown Psychotherapy: Nature-Enhanced Counseling” at the Association for Creativity in Counseling conference in September. Contact her at cyfisherphd@gmail.com.

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

The Counseling Connoisseur: Compassion and self-care during flu season

By Cheryl Fisher February 16, 2018

“Caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare.” ― Audre Lorde

 

The familiar buzz from my bedside wakes me. Squinting, I pick up my cell phone, and I see that a client is notifying me of her current malady. She describes, in detail, her symptoms which include a fever, digestive discontent and upper respiratory discomfort. “But I plan on coming to my appointment tomorrow, Dr. Fisher,” she writes. I bolt up from the comfort of my bed, now fully awake at the thought of this client infecting my office, and reply as therapeutically as I can at 2 a.m., “Oh my goodness, no. Please stay home, drink lots of liquids and get your rest. We can reschedule for next week.” Whew! Crisis averted. Dodged that one! I roll over and resume my sleep, albeit a bit less restful.

A few hours later, I am (again) awakened by my phone. It is another client who has been up all night vomiting. She will not be in today. Thank goodness! Again, I write a compassionate and caring response wishing her a speedy recovery. I roll over and surrender to an extra hour of sleep.

My alarm sounds and I roll out of bed and prepare for my very full day — minus the two clients who are ill.

My phone rings. It’s a client who was driving to the office and had to stop because she doubled over in intestinal distress. Another client ill! No worries —

I have paperwork to do. I settle in front of my computer, and I notice an email — another client is sick and won’t be making her appointment.

I begin making calls from my cancellation list as I wait for my next client. I am able to fill most of the open spaces. I note the time — my next client should have arrived. I open my office door and walk to the waiting area, where my next client sits, complete with glazed and droopy eyes and a red runny nose. With a deep cough, he stands and extends his hand, which is stuffed with tissues.

It’s flu season!

As counselors, we sit with people who are in emotional and psychological pain and discomfort. We provide them with a compassionate and welcoming space to express their pain with the hope of lightening the load and identifying strategies for care. Our physical wellness informs our mental comfort and we certainly want to be available for our clients. I would like to think of myself as a compassionate person. I know my clients certainly hold me to this standard. However, how do we offer compassion and promote self-care?

Here are a few tips to get you and your clients through this cold and flu season:

  1. Wash your hands frequently: The U.S. Centers for Disease Control and Prevention (CDC) recommends thoroughly washing hands frequently throughout the day. If soap and water are not accessible, keep a bottle of alcohol-based hand sanitizer in your office and waiting area.
  2. Offer tissues: As counselors, we understand the comfort in a box of tissues. Be certain to have several boxes on hand for clients. Do not forget to also have multiple trash receptacles available.
  3. Keep fluids on hand: I offer my clients filtered water, coffee, hot chocolate, or tea. I like to keep a variety of teas including echinacea, peppermint, ginger and chamomile for their various soothing qualities. I also have local honey on hand.
  4. Assemble a care kit: Keep a care kit of lip balm (for yourself), lotion and hard candies. I keep separate hand lotion for clients by the sinks in my kitchenette and in the bathroom. I have a bowl of Key lime-flavored hard candy in my office and waiting areas. This extra effort can offer great comfort during the cold season.
  5. Disinfect your office: I spray my office at the beginning and end of my day with a natural disinfectant spray to eliminate possible contaminants. It cleanses the air and makes the office smell great.
  6. Use sanitary wipes to clean surfaces: I keep a container of sanitary wipes on hand to wipe down my phone, desktop, computer and the arms and backs of furniture. Body oils (and germs) can build up and remain on furniture.
  7. Clarify your cancellation policy: I inform my clients during the intake that I will waive the late cancellation fee for illness. I prefer that they stay home and rest rather than come into the office — for everyone’s sake.
  8. Consider offering teletherapy: I became a distance certified counselor (DCC) many years ago and provide phone and web-based counseling sessions under a variety of circumstances. Many of my clients opt for teletherapy when the weather is poor while caring for a sick relative, or when they are not feeling well but want the support of therapy. Counselors need not be certified to offer teletherapy, but I highly recommend it. Some insurance companies offer reimbursement for distance counseling, so check with your provider.

 

This time of year offers multiple challenges including colds and flu. As counselors, we can provide our clients with psychoeducation around the importance of self-care, rest, nutrition, exercise and fresh air. We can model good care by engaging in a healthy lifestyle. And, when we do succumb to the flu, we can demonstrate care by taking the time off to get the rest we need. We can offer compassion while promoting self-care.

 

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Cheryl Fisher

Cheryl Fisher is a licensed clinical professional counselor in private practice in Annapolis, Maryland. She is affiliate faculty at Loyola and Fordham Universities. Her research interests include examining sexuality and spirituality in young women with advanced breast cancer; nature-informed therapy; and geek therapy. She may be contacted at cyfisherphd@gmail.com.

 

 

 

 

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.

 

 

 

 

 

The Counseling Connoisseur: New Year’s resolutions

By Cheryl Fisher January 12, 2018

“When the well is dry, we know the worth of the water.” — Benjamin Franklin

 

The holidays are over. The ornaments are boxed and put away. The tree is at the curb ready to be recycled for mulch. The eggnog and cookies are gone leaving behind only the memory as I tug my snug jeans over my more rounded hips. I sit back in my recliner and sip my holiday tea which offers hints of mocha and peppermint, evaluating this past year’s events.

It was a year filled with grief and transition: The death of a beloved pet, job transitions and surgeries. It was also a year of beginnings and opportunities: New speaking engagements, a book contract and a new academic position. In 2017, life continuously oscillated between joyous highs to devastating lows. What a ride!

I evaluated my self-care over this past year and (like many) I find I fell short in some areas. I exercise regularly and eat well, but I still don’t drink enough water. I overschedule, loving everything I have the privilege to do — but leaving little space for much needed quiet. I want to write more and that requires (at least for me) quiet and time. So, I put pen to paper and begin my process of resolving to offer myself better care in the New Year … and so it begins.

 

Wellness Wheel

The idea of self-care, although essential, tends to elude caregivers and those of us in the helping professions. We preach it to our clients. However, we become our own exception to the rules of wellness. Further, overall wellness encompasses all aspects of our life to include relationships and finances. The United States Substance Abuse and Mental Health Services Administration (SAMHSA) has created a wellness model that includes eight dimensions that contribute to physical and mental health.

  1. Emotional

Helpers need help, at times, in processing difficult experiences. Recently, a grieving therapist-friend lamented: “We are all liars! We tell our clients all about grief and loss, assuring them that things get better … but they don’t!”

I allowed her to continue her disgruntled evaluation of the pain and suffering that accompanies grief and then asked, “So, you are saying that just because we as clinicians know the grief process we are not immune to the actual pain?”

We bleed just like any other human, I reminded her. We feel hurt, and pain — and we suffer. Even if we have an intellectual understanding of the process, we still must endure the journey.

What supports do you have in place? Who can you call upon for guidance? How are you coping with your life’s challenges?

  1. Environmental

Our internal wellness is informed by our external surroundings. When I decided to start a private practice, I created a vision around the environment in which I wanted to spend six to eight hours each day seeing clients. I thought of my favorite colors, turquoise and green, and the most peaceful setting: the beach. I went to my nearest Pier 1 Imports store and let the designer go to town picking out dark-stained wicker furniture with pillows and wall art of batik with inspirational hand-painted words such as love, inspire, believe, peace. I added a few pieces of sea glass and shells from my travels and voila!

How do your personal and professional environments support you? Do they offer a peaceful haven or chaos and disorganization?

  1. Financial

Financial wellness is an area that many individuals find difficult to examine. Early in my career I was barely making enough to pay my bills, let alone think about a portfolio. However, what I have learned is that seeking the expertise of a financial professional helped me begin to see how I could create a solid personal plan — even with meager beginnings. There are numerous resources that can help address your financial needs and help you develop a realistic plan. It is easier than you think!

How are you contributing to your financial health?

  1. Intellectual

We are creative beings. We need stimulation and imaginative ways to express and expand our knowledge and skills. For example, a year before ACA’s 2016 Conference & Expo in Montréal, I committed to learning a bit of French. I spent every morning rehearsing. My mother, who is French- Canadian, tested me as we ventured through the produce isle of a grocery store.  More recently, I became a student of backyard foraging. Yes, I walk the trails looking for bounty: wild berries, mushrooms, rose hips and greens. My passion for nature therapy ignites as I learn more about the intricate communication between the plants and animals. I get excited when I put together a delicious feast from my foraged treasure.

In what ways are you stimulating your mind?

  1. Occupational

I love my work! Each day I experience variety in client needs. I enjoy sharing theory and application with my students. Writing joins my clinical and academic work to complete my professional trifecta. I love my work so much that I often overschedule: I see 30 clients in my practice, I teach six classes for three universities, I am a national presenter, I have a column that I contribute to monthly, and now I have a book contract and a full-time university faculty offer. Clearly, something has to give (stay tuned!).

How does your occupation meet your needs? Are you satisfied with your work-life-balance? Or, like me, is it time for you to re-evaluate?

  1. Physical

Our bodies need attention. We need food, water, rest — and to be active. Exercise is such an important part of my life. I like to move. It feels good to sweat. Yet, I have an incredibly sedentary job — I sit all day long. In addition to my hour-long gym class, I’ve created movement throughout my day to mediate the effects of hours of sitting. Others with sedentary jobs are employing standing desks, or taking short walks around the office just to stretch. My Fitbit reminds me to attend to all of the elements of physical health.

How are you taking care of your physical wellness? Do you carry a water bottle to hydrate? Do you take walks regularly and get fresh air?

  1. Social

We are social creatures. Abraham Maslow pointed out decades ago that once the immediate needs of food, shelter and safety have been met, we need to feel like we belong. That sense of belonging comes from having the support of others. For some, family may not serve as a support system. While my family is a source of great support, I also like to create a network within my community. For example, when I moved to Annapolis (almost 20 years ago), I did drive-by visits to my most important sources of connection. I interviewed churches. I located gyms. I identified several coffee shops. I found dog parks and trails.  Clients have since told me about the Meetup.com concept of identifying groups of like-minded persons.

How is your social wellness?

  1. Spiritual

In The Gifts of Imperfection: Let Go of Who You Think You’re Supposed to Be and Embrace Who You Are, author and researcher Brené Brown writes:

“Spirituality is recognizing and celebrating that we are all inextricably connected to each other by a power greater than us, and that our connection to that power and to one another is grounded in love and compassion.”

Research continues to find that experiencing the sacred provides us with wellness, healing, support and a sense of meaning.  Years ago, I helped my faith community start a Prayer Shawl Ministry (a spiritual practice that involves shawls that provide comfort and solace to those in need). As a card-carrying feminist, I am drawn toward the feminine sacred, even within traditional religious practices. So, it was such a great opportunity to convene with other women in meditation and click our needles together with intention as we crafted shawls for ill church members. Influenced by my Celtic heritage, I find beauty and the divine in natural settings. Engaging in nature is sacred for me and promotes moments of awe and wonder. It nourishes my spirit.

 

How do you cultivate awe and wonder in your life? What do you find sacred and meaningful? How do you craft opportunities to nourish your spiritual health?

  

Conclusion

It is a new year. A time to ponder past experiences and future dreams, re-evaluate relationships and let go of old habits and develop newer, more nourishing, ones. As I review my wellness wheel, I find that there are several areas with which I am pleased — and a few that I will choose to modify in order to bring greater balance to my rich, full life.

 

Be kind to your body, gentle with your mind and patient with your heart.

Stay true to your spirit, cherish your soul and never doubt yourself.

You are still becoming, my love, and there is no one more deserving

of the nurturing grace of your love.

“Kindness” -Becca Lee

 

Happy New Year!

 

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Cheryl Fisher

Cheryl Fisher is a licensed clinical professional counselor in private practice in Annapolis, Maryland. She is affiliate faculty at Loyola and Fordham Universities. Her research interests include examining sexuality and spirituality in young women with advanced breast cancer; nature-informed therapy; and geek therapy. She may be contacted at cyfisherphd@gmail.com.

 

 

 

 

 

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Opinions expressed and statements made in articles appearing on CT Online should not be assumed to represent the opinions of the editors or policies of the American Counseling Association.