Dealing with Changing Life Stages

Posted by on Nov 9, 2018 in Hot Topics | 0 comments

As you have gotten older, you have probably noticed your life becoming very different as each chapter unfolds. For example, as we get older and life goes on, it is harder to stay in contact with dear friends. These transitions can be difficult and lonely at times. It can be tough to accept the fact that every day life can be tirelessly mundane and boring at times. This is how people get stuck in “the good old days” and don’t necessarily enjoy the stage they are at.

There is no getting around the idea that life is going to change. Not only within yourself, but the people around you will also change, grow, move, have kids, get married, etc. Trying to stay in the past will ultimately hinder your future. It is important to be thankful for today. Living in the present moment is all we can do because nothing else is certain, and the past is the past.

If you are currently in a stage of life where you are in a transitional period, enjoy that too. You have so much to look forward to. However, even enjoying the thought of the future only can negatively affect this present moment. Be excited for the future, but do not put all of your happiness in one place.

Learn from today, and never miss an opportunity to learn something new. Our lives can change in 5 seconds, so be grateful for what we have today. This in turn will make life’s crazy changes easier to cope with, and hopefully make it easier for you to continue to learn and grow.

Comfort Zone

Posted by on Oct 31, 2018 in Blog From The Experts | 0 comments

They say that the magic happens outside of your comfort zone. However, stepping out of our comfort zones can be a very difficult thing to muster up. At times, it can feel like you’re just stuck in one place. How can we teach ourselves to be the brave g0-getters we so heavily admire?

The very first thing to do is accept that you are going to be uneasy at first. Doing something that strays away from our everyday norms is almost always the harder choice. If we can accept this uncomfortable feeling and embrace the change, you will be in a mindset that sets you up for success.

Something else that might help you, is to sit down and assess your goal. What resources do you need to achieve it? Time? Money? Support? Once you have a clear path, the anxieties associated with the unknown will slowly slip away. Planning is a great way to combat anxiety in general. If you are unsure how to do what you need to do, talk to someone you are close to and get their advice. Learning what you need to do and setting a realistic timeline will make any life transition much easier to digest.

Breast Cancer Awareness Month

Posted by on Oct 8, 2018 in Hot Topics | 0 comments

We all know someone affected by Breast Cancer. Whether it is themselves, or a loved friend or family member, it is know to affect 1 in 8 women. Breast Cancer is also the second leading cause of death for women. However, this disease not only falls upon women, but it is known to develop in men, although rare. Awareness is important for everyone, because some people may come across a lump, but dismiss it. According to the World Health Organization, breast cancer is the most common cancer among women worldwide, claiming the lives of hundreds of thousands of women each year and affecting countries at all levels of modernization. This disease being worldwide is the reason awareness is so important. Learning the facts and symptoms can help save lives.


According to, genetic factors include: 

  • Gender:  Breast cancer occurs nearly 100 times more often in women than in men.
  • Age:  Two out of three women with invasive cancer are diagnosed after age 55.
  • Race:  Breast cancer is diagnosed more often in caucasian women than women of other races.
  • Family History and Genetic Factors:  If your mother, sister, father or child has been diagnosed with breast or ovarian cancer, you have a higher risk of being diagnosed with breast cancer in the future. Your risk increases if your relative was diagnosed before the age of 50.
  • Personal Health History:  If you have been diagnosed with breast cancer in one breast, you have an increased risk of being diagnosed with breast cancer in the other breast in the future. Also, your risk increases if abnormal breast cells have been detected before (such as atypical hyperplasia, lobular carcinoma in situ (LCIS) or ductal carcinoma in situ (DCIS)).
  • Menstrual and Reproductive History:  Early menstruation (before age 12), late menopause (after 55), having your first child at an older age, or never having given birth can also increase your risk for breast cancer.
  • Certain Genome Changes:  Mutations in certain genes, such as BRCA1 and BRCA2, can increase your risk for breast cancer. This is determined through a genetic test, which you may consider taking if you have a family history of breast cancer. Individuals with these gene mutations can pass the gene mutation onto their children.
  • Dense Breast Tissue:  Having dense breast tissue can increase your risk for breast cancer and make lumps harder to detect. Several states have passed laws requiring physicians to disclose to women if their mammogram indicates that they have dense breasts so that they are aware of this risk. Be sure to ask your physician if you have dense breasts and what the implications of  having dense breasts are.

Moods Changing with the Seasons

Posted by on Sep 19, 2018 in Hot Topics | 0 comments

The longer you live, the more you may start to notice just how much the seasons can affect our mood. If you really dive in, it makes perfect sense. There are so many changing factors that we tend to feel changes in more areas than just the weather outside. For example, family may be coming in for the holidays, our weight fluctuates, and kids are in and out of school.

How do we cope with these changes that come with the seasons? Take the time to carve out a routine that works for you. Sometimes, having a set schedule that we enjoy can help us feel at ease in a chaotic and changing world. This includes adding in leisure activities you enjoy along with the work.

Also, embrace the change. Accept that the world around you is going to change, but that certain things can still be controlled. Having the mindset of living in the present can make the colder weather feel much more comfortable.

Mental Health Stigma for Men

Posted by on Aug 21, 2018 in Hot Topics | 0 comments

Mental health as a whole can be a touchy subject for anyone. In the recent years, people are more likely to speak out about their struggles. However, it was not up until recently that the fact men have a worry of sharing their struggles has come to light. The fact is that everyone goes through something, and it is not limited by gender, race, or age.

As a whole and as a community, it is important that any demographic that is under-represented get its proper attention. Unfortunately, one thing that gets set aside often times, is how men are dealing with their emotions and lives.


How Can Men Help Other Men?

Feeling alone when you are going through a tough time in life makes the situation 100% harder. As a man going through something, simply talking about it with the other men around you can really help them. It may be difficult at first, but the more communication that is among a group of people, the better the understanding.

Problems arise when we try to put on a front for someone. The people around us normally know us pretty well, and even if we think we are doing a good job of hiding it, they can usually tell how we’re feeling. If we are all honest about how we’re feeling to ourselves and the people around us, the less it will fester in our minds. It also helps with dealing with something head-on, rather than trying to tiptoe around the problem to hide it from our friends or family.


We have said it before and we’ll say it again: seeking help does NOT make you weak. Counseling can help improve your life in ways you did not even know was possible. The more we share our stories and have empathy for the people around us, the better off we all will be.

Postpartum Depression Awareness

Posted by on Aug 7, 2018 in Hot Topics | 0 comments

Did you know that according to 70-80% of women who just gave birth, at minimum, experience what is often referred to as, “the baby blues.” This is what a majority of women experience and is normal for moms. However, when the depression becomes more and more persistent, and lasts many months, that is what is called “postpartum depression” or PPD. According to that same website, anywhere from 10-20% of women experience this.


Postpartum depression can be something that is difficult to discuss among new mothers for many reasons. For one, a lot of moms feel as though they are taking their new baby for granted, or not appreciative enough. It is very unfortunate that new moms can feel this way because of the stigma.


The most important thing in helping someone with PPD is an ongoing professional treatment to help manage. However, only a small amount of women seek help. The awareness that PPD is a global health issue. It can affect all races, ethnicities, cultures, education and socioeconomic levels. Postpartum depression doesn’t only affect new mothers. It can affect fathers and adoptive parents as well.


Whether it is yourself or someone you know experiencing postpartum depression, be patient. Staying kind to yourself or the affected person can make seeking out help and staying on the road to recovery much easier.

Autism Awareness: Focus on Early Detection and Intervention

Posted by on Jul 17, 2018 in Ask The Therapist | 0 comments

Information about Autism Spectrum Disorder (ASD) awareness is very important for an early diagnosis and intervention is to an individual’s success. ASD refers to a collection of developmental disorders that relate specifically to communication, socialization and learning challenges, as well as restrictive or repetitive behaviors. People with ASD often have trouble communicating and interacting with others, understanding emotional nuances and social cues, and adjusting to minor changes in routine or surroundings. There is also a wide range, or “spectrum,” of symptoms and levels of severity that accompany it. Some people are very mildly affected, while others have significant challenges in their daily life. The definition of ASD now also encompasses what was known as Asperger Syndrome, which is a higher functioning version of the disorder.

How do I know if my child has ASD? In recent years, the rates of children identified with ASD have increased. It can be diagnosed early in life, at 2 to 3 years old and sometimes earlier; however, ti is still a challenging diagnosis to make. Some children with the typical symptoms may not have autism, and not all children with autism exhibit the typical symptoms. Some children will show signs in early infancy, others develop normally for the first couple of years of life, then stop meeting developmental markers or lose skills they have already learned. Some children have difficulty learning and gave signs of lower intelligence, while other children learn quickly and have normal to high intelligence. Some of the common red flags for ASD in infants/toddlers are:

  • Limited or no eye contact
  • Limited or no smiling/joyful expressions when interacting with others
  • No response to name when called
  • Minimal to no reaching for affection or being held
  • Lack of hitting developmental markers or regression of previously learned skills (i.e. speech/social skills)

Prevention and Treatment: There’s no way to prevent ASD, but early diagnosis and intervention is crucial for improving behavior, skills and language development. The first step is to set up an evaluation with a specialist in ASD, who can do a clinical interview and evaluate your child using standardized diagnostic instruments to assess ASD (such as the Autism Diagnostic Observation Schedule or ADOS) and help develop a plan for treatment. Treatment is helpful at any age, even in adulthood. There are a variety of treatment options available; behavioral, communication, educational, and family therapies. Medication is also helpful. There is no “one size fits all” treatment plan, and your child’s treatment needs could change over time. Working closely with your child’s medical or mental health professional is key to determining the right treatment plan.


Written by Dr. Beth Holmes, Ph.D., Clinical Psychologist

How to Talk to Your Kids About School Shootings

Posted by on Jul 9, 2018 in Ask The Therapist | 0 comments

When a tragedy like a recent school shooting occurs, we all feel a little shaken up. Some very tough questions also come up, for kids and adults alike. “Why did this happen? Is anyone really safe? Can this happen in my town?” It’s likely your kids are thinking about it. While they may need an adult to coax them into a discussion, it’s important for parents to use this traumatic event as an opportunity to talk to their children about their fears involving school safety and reassure them that the adults around them are doing everything they can to keep them safe.

But what is the best way to do this? Well, it depends on the child. Here are some tips to follow when bringing with the topic:

The Right Time and Place: Bring up the discussion with enough time to let your child be fully heard and when you are able to address all your child’s concerns, like right after dinner. Avoid right before bedtime, so your child can process and “wind down” afterward.

Listen: It’s important that you give your child the chance to talk about his/her feelings, but keep in mind that younger children might not know how to express their concerns. You could start the conversation by asking if they “feel safe at school.” Remember to talk to your child at their level in your response. With younger kids, stick to the basic facts, using words that are meaningful to them. Too much detail can be scary and less understood.

Be Honest, But Reassuring: It’s important to acknowledge that bad things do happen sometimes, but make it clear that their entire community (parents, teachers, law enforcement) are doing everything they can to keep kids safe in school so they can learn. Discuss the safety procedures that are in place at school: visitors need to check in at office, some doors are locked during the school day, etc. These are all precautions to ensure his or her safety.

Encourage and Empower: Find ways to empower your children to take part in school safety and find positive outcomes. For younger children, if they hear that another student is getting bullied or has mentioned suicide, encourage them to notify their teacher or guidance counselor. For older children, encourage them to raise money for the families affected by the event or participate in a student run anti-violence program. Even small activities can make a difference, such as drawing or writing poetry about the experience.

Limit Exposure to News: Monitor how much exposure your child gets to media coverage about the event.

Seek Help When Needed: Most children are resilient and bounce back to normal after a couples of days. If you are noticing significant changes in your child’s behavior after that point (isolation, withdrawal, excessive worry, fear of returning to school, sleeplessness, etc.) seek out guidance from a mental health professional.


Written by Lisa Borchert-Hrivnak M.A.Ed., LPCC, Owner of Avenues of Counseling and Mediation, LLC

Starting Mental Health Treatment for the First Time

Posted by on Jul 2, 2018 in Hot Topics | 0 comments

Seeking out and starting a mental health treatment such as a counselor or a psychiatrist can be a very intimidating task. It is difficult to know who would be right for you. Luckily, there are plenty of people along the way to help you out, and all the decisions are not just on your shoulders.


How the Process Normally Goes

Typically, the best way to shop around for a mental health provider is to take a look at where you are in life. Do you already have a Primary Care Physician (PCP)? If so, they may have referrals for you. If you do not have a PCP, you could call your insurance and ask them for providers in your network. If you do not have insurance, you pretty much have your pick and will be self-pay. Try to find someone online from there. Most website of practices have bios for their clinicians including their specialties, and style.

Once you have decided on a clinician, get in touch with them through their practice. When you call, most places have a screening process to get a feel of your needs. They will likely ask you to give a brief description on any issues you are having, and why you are seeking out counseling. You do not have to go into a lot of detail, but it is helpful for them to get you set up. When trying to get a certain clinician, you may or may not be able to be seen by the person you had chosen. It largely has to do with the provider’s availability and specialties. Trust the person you are speaking with from their practice. They will set you up as best as they can with someone who fits your needs.

It is important to know if you meet a couple times with your new clinician, and they just aren’t working out, it is okay to switch clinicians. Sometimes styles just do not match up with needs, and that’s okay. Do note however, that sometimes it can take a couple sessions to fully build rapport.

Your first session will mostly be paperwork and talking with your clinician about things going on in your life. They will have a lot of questions for you, so try not to be intimidated and be honest. If you feel uncomfortable talking about something, tell them. You can always go back to it another time. Do remember that you need to put in effort as well. The clinician can’t do the work for you.

After you have been seeing your clinician for a while, you both will decide if you feel like you need medication or not. Sometimes, you will be recommended to seek out a Psychiatrist in addition to going to counseling. They may have someone in-house who is qualified to prescribe medication, but sometimes you may have to find someone else outside of the practice. It is likely they will have referrals of psychiatrists, and not everyone may need medications, but these are all things to be discussed and decided in your sessions to come.

A Nurse Practitioner’s Perspective on Mental Health

Posted by on Jun 25, 2018 in Blog From The Experts | 0 comments


What are Some Causes of Depression and Anxiety?

Depression and anxiety are very common in the US. High stress with work, family commitments, or pressure to instantly respond with social media are just a few common causes. Anxiety with overwhelming worry and difficulty letting the worry go can be very uncomfortable physically and can interfere with normal functioning.


How to Handle Depression and Anxiety

If you have depression or anxiety that is affecting your day-to-day life (for example: your sleeping or eating habits are disrupted, you are struggling to manage daily tasks at work or home that you didn’t have trouble with before, you feel like your relationships with family, friends, or coworkers are becoming strained, or you are having physical symptoms like headaches or stomach aches that do not have medical causes), the key to recovery is to learn strategies for managing the anxiety and depression in combination with medication for stabilizing the symptoms.


You Need a Team

It’s important to have professionals on your team who are on the same page for your care. Your counselor and prescriber should be coordinating together to make sure you are getting what you need. Your prescriber should follow you closely to monitor your medications, symptoms, and adjust your dosages to fit you. There are many medications that are non-addictive; prescribed to help you feel better so you can utilize what you learn in counseling and build on your strengths to cope with life’s changes and challenges. Many people have never been on medications for issues like this, so if you have questions, don’t hesitate to talk to your prescriber about your concerns or fears. Worries and fears are part of anxiety and addressing the concerns is essential to a positive outcome. If you are currently taking medication for anxiety or depression but you are still experiencing symptoms, it might be good to seek a second opinion.


Written by Lois Nicholson, MSN, CNS Certified Psychiatric Clinical Nurse Specialist, Adult Psychiatry