Last Saturday I was so fortunate to take part in a Pure Barre class at the Jacksonville Jaguars Flex Field. The class was led by the owners of the Jacksonville and Ponte Vedra Beach Pure Barre studios and the field was packed! Pure Barre among other activities such as looking for shark teeth, surfing, are just some of the ways I nourish my own wellness. When I am well, I am able to connect with my clients, be more attentive and creative in my work. In taking time to prioritize my own wellness, I am able to be authentic and nurture my razor-sharp ability to attune to the needs of my clients.
Wellness is one of the critical factors in being a mental health care provider. Wellness is especially important because mental health providers are one of the primary instruments in their own work. I feel it is incredibly important to walk the talk when it comes to offering a model of wellness or self care for clients.
There are a variety of existing methods already in place to improve self-care. However, self-awareness is the first step to identify and configure a formula that will work best to create homeostasis between work, play, giving and receiving, accomplishing tasks, and doing absolutely nothing. The key to ongoing and lasting change is to pay attention to you and your body. Whatever profession you are in, the work itself can get in the way of your own wellness. And although you may be full of wellness tips for others, knowledge doesn't always translate into action for yourself. Awareness is the catalyst to change and if you can give yourself permission to change one thing, start small. Perhaps you will decide to change routine on your way home from work by practicing sets of deep breathing at each red light. Or take a moment to go outside just to feel the warmth of your sun on your skin during a bathroom break. How do you incorporate wellness into your routine? Share by leaving a comment below!
I recently came across an article on the NBA's official website from March 12, 2019, describing a league-wide mental health initiative taking aim at addressing mental health and wellness issues for players.
This is wonderful news for athletes, the NBA, and families and loved ones of athletes as well! The battles professional athletes have with mental health issues shows that money nor fame can solve everything. More importantly, it shows mental illness does not discriminate. It can affect anyone.
Whether you are struggling with a mental health illness, or you simply want to perform better mentally, the first step to working on your mental-emotional health is to be unapologetically open with yourself and recognize the emotions you are feeling. Above all, don't feel scared to reach out if you need someone to talk to. I am here to support you in all areas of your health.
Mental health matters to everyone and I think this is an amazing step in the right direction for our athletes! You can read the original article by clicking here.
What kind of space are you holding for others? Ask yourself this: am I listening to really hear what someone has to say? Or am I listening to respond?
If you listen to respond you will communicate with defensiveness. If you listen with curiosity you will communicate validation.
When your child, partner, friend, and so forth wants to share something with you, he or she wants to be heard. Listen with curiosity, reflect what you heard, and offer validation even if you don't agree. Often times I am approached by parents who are seeking guidance to better understand and "get through" to his or her child. My response is usually simple and to the effect of: "Your child is telling you what they want and how they feel, the solution is to hear what he or she is saying". Seriously. Communicating with children and adolescents is easy when barriers to understanding are removed and words are genuinely heard. I always say, "healing begins the moment we feel heard". If or when you find yourself in a dialogue with your child, spouse, friend, and so forth, I invite you to really take a moment to listen and hear what is being said.
Think of your mind as real estate property. Each time the wheels in your mind begin turning (e.g. thinking of a response, forming a judgment) the valuable property in your mind is being sold to ownership by judgment, emotion, and/or defensive thought. Using this metaphorical mental space example, giving the real estate to listening just to hear, sets the conditions for the development of mental property that is free from judgment and can gain equity through mutual understanding and connection. Remember, you can decide at any moment to designate the real estate in your mind to become open to limitless possibilities, including the possibility of holding a space for someone else to heal and feel safe.
With all this big said, there is a beautiful quote I am so excited to share with you today and it is right below these final sentences. I hope you have a great start to your week!
"The most basic and powerful way to connect to another person is to listen. Just listen. Perhaps the most important thing we ever give each other is our attention...A loving silence often has far more power to heal and to connect than the most well-intentioned words" - Rachel Naomi Remen
It was such an honor to spend time with one of my most beloved musical artists, Mike Love last Friday here in Jacksonville, Florida. Mike's son, Christian performed lead vocals for "God Only Knows" during this performance and it was truly a beautiful moment in time to be part of the experience. Amazing how a musical performance can really pump the breaks on the world as it exists for just a moment.
So excited to announce that after two years of intensive training, I have been approved for certification as a Certified EMDR therapist!
What is the difference between EMDR trained and Certified? Clients will ask me, "what does it mean if I read that a therapist says he or she is Level 1 or Level 2 trained?". Generally speaking, EMDR basic trainings require a minimum of six days and a majority of EMDR trainings will break up the six day requirement by hosting two-three day weekend training events held on different assigned weekends of a specific month. When a clinician will state that he or she is "LEVEL 1 EMDR Trained", he or she has technically only completed the first three days of basic training. Subsequently, when a clinician states he or she is "LEVEL 2 EMDR Trained", he or she has completed the six days of basic training. Some therapists may find the basic training to be sufficient for what he or she is looking to add to his or her own practice. Once I completed basic training I immediately began applying the skills I learned and provided EMDR therapy in my sessions. I began to notice that my clients symptoms began to resolve almost immediately. How cool is that? People feeling better? I was hooked!
After completing basic training I was presented the opportunity to invest in furthering my knowledge of EMDR treatment even more and I went for it! I dedicated the next two years of my life utilizing EMDR and somatic processing in my sessions, attending monthly meetings with an EMDRIA approved consultant for case consultation, and learning even more about the history, mechanism of action, and function of EMDR. In my down time I spent hours studying the limbic system, neurobiology of trauma, and human anatomy so that I could truly understand the biology of stress on a cellular level. My training and certification was unique in that the founder of the Somatic Attachment Focused EMDR protocol (S.A.F.E) interweaved a concept of noticing and understanding how the body will tell us what the client needs and how a feeling, movement, or overall posture may be linked to the emotion(s) associated with a disturbing memory. Being an EMDR provider requires a great depth of understanding and dedication to understanding how the human body reacts to stress, perceived danger, and how to work with a client when he or she may be beyond a window of tolerance to keep him or her safe. As a Certified EMDR therapist, part of my intensive training focused primarily on safety. This type of treatment necessitates a high level of competency and should not be used as a treatment unless the clinician has the qualifications, experience, and training to do so. I understand the necessity of keeping my clients safe and closely monitor each session, ensuring a person does not leave the session until he or she feels grounded enough to do so.
So what's next? I look forward to continuing to utilize EMDR in my practice and would like to become an EMDRIA approved consultant. As a consultant, I would have the privilege of working with mental health professionals in the field who are interested in deepening his or her understanding of EMDR treatment. Regardless, the journey is far from over! If you have any questions regarding EMDR, Certification in EMDR, or would like to make an appointment, please feel free to give me a call: 904-280-8006
With all the energy and excitement surrounding Super Bowl 53 this upcoming Sunday, this is a perfect opportunity to talk about a topic within sports culture most fans would rarely begin to consider first when they think of his or her favorite athlete: MENTAL HEALTH.
I recently came across a wonderful article written by Jasmyn Wimbish on http://www.fansided.com. In the article, Wimbish talks about a mental health initiative for NFL players that focuses on eliminating the veil of shame for players so they can talk openly and honestly about mental health concerns. Former San Diego Chargers quarterback, Ryan Leaf who is the chairman of the Focus Intensity Foundation, is advocating for NFL players to feel comfortable being proactive in taking a more well-rounded approach to wellness and fitness by having the conversation about mental health just as easily as players can talk about physical injury and other medical concerns.
Athletes should be able to check in about how they are feeling just as routinely as getting a physical for medical clearance to play. Professional athletes have a lot of support from medical and alternative health professionals to ensure they are capable of performing well on the field. What about psychological and emotional health? Is there any consideration for the stress, grief, conflict, and emotions of these elite athletes? I would like to know how athletes are coping when they aren't in uniform.
One aspect of being a professional, high performance athlete requires adjustment to a new environment that not only impacts the player, but instant fame and celebrity status impacts family members and loved ones who similarly must adapt and navigate through new social territories. This "status" can also open the doors to high-risk behaviors such as substance use, violence, and other maladaptive behaviors that function as ways for athletes to cope with the multifaceted stressors of being an elite athlete and human being.
My hope is to see a development of further initiatives and programs that focus on recognizing the person beyond the number jersey he or she wears. It all begins with awareness and I am so excited to see an increase in dialogue about mental health and professional sports.
You can read the full article by clicking here.
Grief is not a linear process. Grief changes the various ways we make sense of our world with one less important person in it. When I encounter things such as these John Lennon stamps, I don't think back to the Beatles themselves. My thoughts take me back to warm memories of a beloved best friend and our connection that was founded on the Beatles and their music and I am so grateful for receiving this random yet powerful reminder of her. Find what soothes you and connect to that. Find refuse in your memories.
Do not let fear steer the wheel of your life decisions. You can accomplish a lot more looking at things through the lens of love rather than the lens of fear. Once we can acknowledge we are saying no with love instead of saying yes with fear, setting boundaries could become a lot less painful for some. Have a great start to your week!
Generally speaking, Cognitive Behavioral Therapy (CBT) works by breaking down the thoughts, images, beliefs and attitudes and how these processes relate to how a person behaves (and emotionally responds).
Let’s look at this model from a different lens, or a somatic lens: you experience an event your BODY responds with a feeling (e.g danger, fear, excitement, happiness, pain) feeling gets translated into thought/opinion/memory (e.g Is it safe? Is it going to be painful? Can I get hurt from it? Maybe I should post that selfie to show my ex how I’m thriving) you respond and go from there (aka your behavior)
What’s my point? I hear A LOT of horror stories of folks having their feelings invalidated. Your feelings are so important. YOU are important. And when you are able to identify what you FEEL you can identify the thought and if you can do that, you can do ANYTHING.
Today we will go a little deeper in trauma. Dr. Stephen Porges developed Polyvagal theory to expand our understanding of how the nervous system responds to threat and trauma.
In our last post we briefly talked about the nervous system and it's role in trauma. Dr. Porges added a third factor: the vagus nerve. The vagal nerve plays a role in regulating the heart, face, stomach, and breath. The nerve also communicates with the brain. When talking about the nervous system, we will need to use some anatomical terms to orient ourselves:
Ventral: towards the front of the torso. The navel (belly button) is on the ventral or anterior part of the body.
Dorsal: towards the back of the torso. For example, the shoulder blades are dorsal or posterior to the ribs.
The vagus nerve, or more specifically the ventral branch of the vagus nerve, controls the muscles of the face. The face, heart, and lungs are all used when we interact with others (e.g. smiling or making eye contact, feeling our heart beating faster, using our lungs to speak and breathe). This is what Dr. Porges calls "social engagement". In other words, it is through our face, heart, and brain connection that we learn to respond to interpersonal threats and challenges. Let's use a worst-case scenario as an example of how this works. Imagine this: you are walking down a dark alley alone and you see a dark shadow in the distance approaching you. Your face (eyes, nose, and ears) capture the image, hear the footsteps, and smell any scents or aromas in the air. Your brain takes in all the information your sensory organs are sending and tries to make sense of the shadowy figure. As this takes place, your heart begins pumping a lot harder to disperse blood flow to your muscles just in case you need to fight or make a run for it (flee/flight) from this unfamiliar and potentially dangerous shadowy figure. So what just happened? Your vagal nerve was working in overdrive, working hard as gatekeeper of your body's responses to the environment, moderating a conversation between your brain and body during a moment of possible danger. Another branch of the vagus, the dorsal vagus, regulates organs below the diaphragm (e.g. stomach, intestines). The dorsal vagus activates what we call "shutting down" during overwhelming trauma.
Polyvagal theory emphasizes that our nervous system has more than one defense strategy and whether we use fight-or-fight or shut down, is not a decision we actively decide to use. But if we are trapped, or feel unsafe, our nervous system reads those cues and makes a decision from there. I should note these responses were adaptive to the environment or situation that an event or trauma occurred at a moment in time. This is where Somatic and Attachment-focused EMDR (Eye Movement Desensitization Reprocessing) can really help clients identify these patterns and work WITH the vagal responses to process painful memories and heal. Somatic and Attachment-Focused EMDR or SAFE EMDR model is compatible in treating most psychiatric diagnoses including but not limited to PTSD, trauma, anxiety, and depression.
This concludes our discussion about the neurobiology of trauma. If you or a loved one have any questions, would like further information on EMDR, or would like to set up an appointment. Please feel free to give me a call at 904.404.1763.
Amy Pope-Latham, LCSW is a clinical psychotherapist in Ponte Vedra Beach, FL.