Showing posts with label Psychotherapy. Show all posts
Showing posts with label Psychotherapy. Show all posts

Tuesday, December 20, 2011

The Gift of Counseling


If you have become aware of the need to seek outside help for yourself or a family member, you may be intimidated by the seemingly high cost of seeking personal counseling. In these times of economic stress, when all but our most immediate needs can be put on the back burner for lack of funds or the desire to save for a rainy day, the issue of cost becomes even more pertinent.  However, much as leaving a cavity unfilled can later become a larger problem, perhaps even requiring a root canal, emotional issues left unresolved can grow into a situation requiring more extensive (and expensive) intervention. It’s often wiser to meet the problem head-on while still in the early stages.  If the early stages have passed, there are still ways to get this help without losing your retirement savings. Some simple strategies can help you pay for the help while getting a bang for your buck.

To find out what counseling would cost you, the first place to start looking is your health insurance policy. Mental health benefits are provided by most major insurance companies. Your policy should tell you what benefits you have, and give you an idea of your out-of-pocket costs. Next you want to call your insurance company and get a list of counseling providers in your area. Much like doctors, you will probably pay less by going to a mental health professional who is “in-network” for your insurance company. While you are on the phone, it’s also a good idea to verify your benefits with an actual person.

Let’s say your insurance does not pay for counseling, or worse yet, have lost your job and insurance with it. Have courage! Many agencies have a sliding fee scale. You can get this information by calling your local Community Mental Health office. If you would rather seek out a specific therapist by referral or reputation, call their office and ask to speak briefly with the therapist on the phone before setting up an appointment. While on the phone, find out about any special fee rates they might offer. In fact, call a few different counselors to get an idea of who you think you might want to see, before paying a dime. Often the counselor who is the “best fit” for you can also be the most cost-effective, even if their fees are not discounted.

Continuing this proactive approach once you begin counseling can also result in significant cost savings, and ultimately make counseling affordable. For instance, go prepared for your first visit having thought about the specific information you want to share and the goals you would like to accomplish. Ask if the therapist assigns “homework” outside of the therapy hour. Doing recommended assignments can often shorten the course of treatment. Ask if you can call your therapist for a brief consult between sessions. Go prepared for every session, having thought through what you would like to share about the time in between sessions. In other words, make the most use of the time that you are paying for, and the fees….well, they won’t magically disappear, but you’ll certainly be getting your money’s worth.

This holiday season, consider giving the gift of counseling to yourself or a family member. Remember counseling could be the gift of a lifetime, or maybe even the gift of life itself.  In many cities the Chamber of Commerce sells gift certificates for use at local member businesses. Call you local Chamber of Commerce to see if gift certificates are available for the practice where you want to seek help.

Saturday, July 30, 2011

The Elephant and the Rider


Most of us can relate to the idea that our brain has two independent systems – the emotional one and the rational one. If you have ever overslept, overworked, eaten too much, skipped your exercise (or not started your exercise program at all), become angry and said something you later regretted, become depressed because your best friend said something very small but negative about you, tried to quit drinking and failed, or experienced any one of a million such scenarios, you have experienced a war of the rational and emotional systems (and lost to the emotional side). Jonathan Haidt, a University of Virginia psychologist, aptly names these two aspects the Elephant and the Rider.

To understand better what this analogy implies, visualize what Haidt describes as a 6-ton elephant, with a tiny rider sitting on top holding the reins and trying to guide the elephant. The rider tries to direct the elephant, but if the elephant decides otherwise, the battle is easily lost. On the other hand, if the elephant and rider agree on a direction, it makes for a very smooth ride. The elephant does indeed have strengths, often motivating and providing the energy needed to move in a certain direction. The question is, how does one keep the elephant from going off the path, or worse yet, completely taking over the rider.

“Clocky” is a tongue-in-cheek solution that an enterprising MIT student came up with – a clock that has wheels and runs away from you after the alarm goes off in the mornings, forcing you to run after it in order to turn it off. The elephant (your desire to sleep) is tamed by a tiny device (the clock) because it forces you to climb out of bed, waking yourself up in the process! Now the rider has a fighting chance to be in charge for the rest of your morning. Many of us, however, don't have or can't afford a clocky (at 50 bucks apiece) and have to come up with other creative devices to deal with our inner elephants.

A simple (not necessarily easy) way is to practicing taming your ANT's (Automatic Negative Thoughts). Imagine for instance, that you have started feeling a pain in your tooth. One way the elephant takes over is for you to start going, “oh my gosh, there must be something wrong, I must have a cavity, I'm going to need a filling or maybe a root canal...oh my GOSH...THAT”S GOING TO HURT, and HOW MUCH IS THAT GOING TO COST.” The pain gets worse, of course! Suddenly (in all of 2 seconds) your rider has fallen off, and he elephant has taken over. Contrast this with taking a second to observe...”hmmm.. my tooth hurts...wonder what that could be...” You may still conclude that you have a cavity, but in those few moments of self observation and non-reactivity, you have given your rider a fighting chance. Perhaps a new series of thoughts will emerge (I could take something for the pain and then call the dentist), or perhaps the pain will subside in a few minutes... and you can go on with the rest of your day. It takes practice, but yes, taming an ANT can help tame an Elephant.

More to come on Elephant and Rider scenarios and fixes...