From the Desk of Sarah Claus

Insurance

I’m a private pay therapist, meaning I don’t accept insurance.  Folks ask me about this, and I thought it might be helpful to explain why more and more therapists are opting out of being paneled with insurance companies.

When accepting insurance (even if out-of-network), therapists must play by insurance rules:
giving THEM access to lots of YOUR info,
giving YOU a diagnosis because THEY want it,
letting THEM determine what YOUR treatment looks like, and
letting THEM assign a price for YOUR therapy.

That being said, I get it.  As a client, I SOOOO get it.  And if you feel like using insurance is the best route for yourself, I honor and support that.  

And reading all of these capitalize words, you can tell that it rubs me the wrong way as a provider, to put it mildly.  So, by not taking insurance,

  • I am able to guide YOUR care based upon YOUR needs. 
  • I am able to avoid diagnosing YOU just for the sake of it.
  • I am able to keep YOUR confidentiality sacred and uncompromised.
  • I am able to afford to work with YOU without burning out — which doesn’t help myself or YOU in the least.

That’s really it: I’m able to honor my ethics and knowledge of providing YOU with the best care as being my #1 priority.  If you have questions about any of these pieces, let’s chat.

And if you’d like to know of some fabulous providers I know who do accept particular insurance companies, I’m always happy to pass along names, too.

A Holiday Gift: 5 FREE Self-Care Challenges to Carry You Through This Week

Sometimes my clients think that self-care requires more time or money than they have to spare.   Usually, though, getting overwhelmed at fitting in self-care is a good sign that you would actually benefit from that self-care.  These past two sentences only become more true around the holidays.  Let’s remember that it does not have to be time consuming or expensive, and that it’s important.

Here are 5 challenges for you to consider this upcoming week of holiday time.  Check them off and see if you can encourage your loved ones of all ages to try them, too!

Challenge 1: Breathe in Sunlight

Next time you feel the sunshine, stop and take five deep breaths in.  Colorado is known for its sunshine, and even when it’s overcast, the sunlight is powerful.  Feel its warmth and strength.  Let it infuse you and boost your Vitamin D.  Doing this throughout your week for 5-15 minutes per day may help you with seasonal depression, inflammation, blood pressure, muscles, and brain function.  If you’re getting more than that, be sure to consider sun protection during peak hours.

Take it to the next level: Step outside for your five breaths every day outside.

Challenge 2: Silence

If you love holiday songs, this might be a true challenge.  While you drive, leave the music off and stay off the phone.  Pay attention to what you see and hear as you drive.  In doing this, you can tend to whatever arises in you.  Notice those thoughts and feelings that arise when you’re in silence.

Take it to the next level: Invite others in your car to enjoy this silence practice, too.

Challenge 3: Guiding Words

Remind yourself of how you want the holidays to feel for yourself and for those around you.  Is it about feeling flawless?  Warm?  Busy?  Relaxed?  Connected?  Energetic?  Why are those feelings so important?  Choose some words to guide your approach to this month.  Now, as an event or a thought arises and conflicts with those guiding words, just notice it.  You can step away from the guiding words or stick to them.  It’s your choice, and there’s no right or wrong.  Just remember that how you choose to approach the holidays is your choice.

Take it to the next level: Share with with someone what your guiding words are and explain why you chose them.  Let them know if there’s a way they can support your path.

Challenge 4: Nope.

Remember that self-care isn’t always about what you DO do, it’s sometimes about what you don’t do.  Simply say, “No, but thank you so much for the offer,” to an invitation to join something when you feel spread too thin or simply do not want to attend.  No excuses are needed!  Give yourself permission to feel obligated to taking care of yourself rather than meeting the social obligations.  And if you’d like, you can explain that you’re gifting yourself and/or your family with fewer commitments this season.

Take it to the next level:  Think about what you think you MUST do over the next couple weeks.  Now, cross 1-3 items off that list and give yourself permission to say NO to yourself!  

Challenge 5: Walk More.

Okay, this sounds like a sneaky one.  The others require little to no extra time, but now I’m asking you to find time to exercise?  Well, I’m asking you to move.  Start small.  Answer honestly, are you able to take a walk around the block today?  Or could you add a block to your regular walk?  Could you park ten spots farther away in the parking lot?  Could you walk through the house each time you find something that needs to be put away a few more times than you usually would?  Or, if you’re working this week, could you walk to talk with someone instead of sending an email?  Adding 5 minutes of walking a few times throughout your day has been proven to improve one’s mood, decrease one’s appetite, and lessen one’s fatigue.

Take it to the next level: Move for five minutes every hour.  Set a timer if needed, or if you like accountability, get a partner to do it, too, for your first day.

Following Las Vegas: 7 tips to handle a social media hangover (and to prevent vicarious trauma)

Like many others checking social media this morning, I received a Facebook notification that a good friend had “marked herself as safe” during a shooting that had occurred last night in Las Vegas where she lives.  I felt my eyebrows press together in confusion and alarm.  I quickly thumbed through tabs on my phone to see what had happened.

Over the next 20-30 minutes, I viewed the shooting timeline, photos from people hiding from the shooting, infographics comparing the “deadliest” shootings in our country’s recent history, remarkably high numbers of people who were injured and killed, and a description of the shock experienced by the shooter’s brother upon hearing the news.

Dozens of friends’ posts poured into my feed with their own reactions to the news.  There was no shortage of coverage, and I could have continued poring over details and commentaries for hours as updates were posted.

As I considered the reach a shooting like this would have in our country, my mind shifted to how many people throughout our nation would experience vicarious trauma.

Vicarious Trauma

The American Counseling Association describes vicarious trauma as “the emotional residue of exposure” that people in the mental health field may experience after working with so many clients who are processing trauma and pain.

All to say, a person does not have to actually experience a trauma firsthand to be impacted deeply.

Fast forward to this morning.  Millions of people are following the story, seeing first-hand details, photos, and tweets emerge–and many of which are very much unedited.  Then, there are those who were supposed to have been there that night. Those who are awaiting to hear an update about loved ones.  Those who had recently been to Vegas, a popular “getaway.”  Those who had been to that performer’s concerts in the past or who were to see him the next week.  Those whose watching this story reminded them of a different memory.

“Can I really feel the impacts of trauma simply by reading about an event on Facebook?”

In a study by the British Psychology Society, almost 200 people were assessed for trauma after they’d used social media covering major tragedies, such as mass shootings and the collapse of the twin towers.  Almost a quarter of those in the study scored high on clinical PTSD assessments, despite not having previous trauma or being present for the event.  The study showed that the more a person watched an event, the more they were impacted. And, those with “outgoing, extroverted personalities” appeared to have higher risk of experience significant symptoms of trauma.

7 Tips for Preventing Vicarious Trauma

  1. Limit your exposure.  Move away from the conversations, switch and look at different stories, and focus yourself in your body in this moment.  You don’t necessarily have to avoid it 100%, but regulate your exposure and make sure you are paying attention to your sense of “Is it enough?” to consider if it’s time to step away.  Especially avoid repetitive exposure to the same stories, sound bytes, and facts.
  2. Don’t judge yourself for feeling helpless or by having good moments.  In an article by CNN after the shootings in Paris, Ali Dixon from the Anxiety & Stress Management Institute in Atlanta discussed, “It’s common to feel guilty when our lives are going well, and we see so much devastation around us.  One reason this occurs is because we feel out of control and wish we could help. If we can continue to engage in activities that create positive energy for us, we can in turn give that positive energy back to the world around us.”
  3. Strengthen your odds for resiliency.  Go for a walk.  Break a sweat.  Exercise has a strong association with those who have a greater resilience to such stressful events.
  4. Say “no.”  Take things a little more slowly.  Don’t drain yourself by going at your same pace when you have been struggling with the news headlines from this week.  You don’t have to be there for everything and everyone this week.  Just be bit more mindful and more gentle with how much you can take and where your boundaries are.
  5. Root yourself in gratitude.  Give thoughtful comments to those around you for what about them you’re specifically grateful for.  Make a list of all of the good you see in the world.  Every little bit counts.  The car that lets you cross over.  The chance to feel sunlight on your face.  The food you have that gives you strength. Not only does this help you focus on the good and positive in the world, it also helps you focus on the good you’re capable of creating and how to get outside any anxiety or depression you may be experiencing.
  6. Postpone social media by 15 seconds.  Anytime you have the inclination to check inclination, first feel present in your body: take 3 deep belly breaths and press your feet against the ground and your back against the chair.  Then, tell yourself what you are grateful for about who you are and what is good in your life.  This can take just 15 seconds, but it lets YOU determine how you are, not social media.
  7. Talk to a professional.  Even if it’s just a session or two, it might be worth talking to someone who can help you handle any feelings that are overwhelming you from this headlining story.  If you notice your physical health (eating, sleeping, activity) or emotional and mental wellbeing (stress level, fears, sadness, social activities) no longer aligning with the life that you want, consider if talking to a professional may be right for you.

References

Click to access Interview-with-Dr.-Pearlman.pdf

https://www.sciencedaily.com/releases/2015/05/150506164240.htm

http://www.cnn.com/2016/07/20/health/how-to-deal-with-traumatic-news-trnd/index.html

Childs, E., & de Wit, H. (2014). Regular exercise is associated with emotional resilience to acute stress in healthy adults. Frontiers In Physiology, 5161. doi:10.3389/fphys.2014.00161

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