Maddy has experience working in various roles and settings with adults and adolescents. She graduated with a master’s degree in Counseling for Co-Occurring Disorders from Hazelden Betty Ford Graduate School of Addiction Studies. She is a Licensed Alcohol and Drug Counselor (LADC) and is currently under supervision while working toward Licensed Professional Clinical Counselor (LPCC) licensure.
Maddy is passionate about working with individuals ages 15+ who are experiencing trauma, addiction, anxiety and particularly enjoys working members of the LGBTQIA+ community. Maddy uses a person-centered lens and brings curiosity, empathy, compassion, and humor to her work. She creates a safe environment and builds strong therapeutic relationships. Cognitive Behavioral Therapy (CBT) and Mindful Self-Compassion (MSC) interventions are frequently used tools. Maddy is trained in Eye Movement Desensitization and Reprocessing (EMDR).
Outside of work, Maddy enjoys spending time with friends and family. She loves crossword puzzles, watching movies, and reading. Maddy enjoys rock climbing and tries to be outdoors as much as possible.
Welcoming in September: Andrea Nelson, MA
We are excited to announce that Andrea Nelson, MA will be joining us September 11.
Andrea is graduating with a Master’s degree in Addiction Counseling from Hazelden Betty Ford Graduate School, with an emphasis on integrated recovery for co-occurring disorders. She will be working toward dual licensure as an alcohol and drug counselor and independent clinical licensure (LADC and LPCC). Andrea is passionate about helping people gain control of their lives, overcome challenges, and achieve their goals.
JOINING US IN AUGUST: SONIA COBOS, MS
Sonia (she/her) is passionate about mental health and behavioral science and considers herself privileged to work in this field. Sonia recently completed a Master’s degree in rehabilitation and addiction counseling. Her training was focused on addiction and mental health counseling, including the special needs of individuals living with disability, congenital or acquired.
Sonia takes a holistic and goal-oriented Adlerian approach. Informed by this perspective, Sonia believes that the person’s wholeness or holistic nature is irreducible, therefore considering parts of the personality while ignoring others undermines the understanding of the individual. Sonia likes to apply contextual psychology, family system theory, cognitive behavioral therapy, and motivational interviewing in her practice.
As an immigrant, Sonia is mindful of cultural influences as well as the trauma and generational trauma experienced by the immigrant and first and second generation Americans. She approaches multiculturalism as an enriching opportunity to expand our humanity and grow consciousness.
Sonia’s clinical training is patient centered and non-directive. Sonia’s research during graduate school was in neuroplasticity and the promotion of neurogenesis as part of the therapeutic approach for individuals with addictions and co-occurring mental illness.
Sonia enjoys working with individuals of all ages and backgrounds, and has special interest in helping those who experience addictions, domestic violence, developmental trauma, PTSD, grief and traumatic grief, and patients with long-term disability.
Announcing Men's Support Group: Swinging from Birches
We are pleased to announce the beginnings of a new support group, which will be facilitated by Birch Counseling provider Brian Rose, MA, LADC. This group is welcoming men who are facing questions about substance use as well as other pertinent life problems. The group will be held on Monday evenings, 5:00 - 6:30pm at our Hopkins location (904 Mainstreet, #200). If you are interested in becoming a member, please contact our front office at (866) 522-2472, ext. 0. They will be happy to schedule a pre-admission meeting with Brian, who will make sure you are a good fit for the group. This men’s group will be limited to a maximum of 8 active members.
Below is Brian Rose’s description of the group:
The pandemic has been tough. It has broken our connection with many sources of support and the routines that anchored us. This group’s purpose is to connect with other men for support to help answer questions about issues that have arisen in our lives, such as questions about substance use, interpersonal relationships, as well as anxiety and depression. While such issues may have predated the pandemic , the isolation of the lock-downs has made these concerns more visible and pressing for many.
Some of the topics discussed in this group will cover substance use, improving communication in our relationships, repairing connections with friends and family, coping with symptoms of anxiety and depression, and the facing lonliness that has increased with isolation. This will be a process group with a strong focus on learning to connect and trust others.
The group will meet Mondays, from 5:00pm to 6:30pm, in person.
Birches
Poem by Robert frost
When I see birches bend to left and right
Across the lines of straighter darker trees,
I like to think some boy's been swinging them.
But swinging doesn't bend them down to stay
As ice-storms do. Often you must have seen them
Loaded with ice a sunny winter morning
After a rain. They click upon themselves
As the breeze rises, and turn many-colored
As the stir cracks and crazes their enamel
Soon the sun's warmth makes them shed crystal shells
Shattering and avalanching on the snow-crust —
Such heaps of broken glass to sweep away
You'd think the inner dome of heaven had fallen.
They are dragged to the withered bracken by the load,
And they seem not to break; though once they are bowed
So low for long, they never right themselves:
You may see their trunks arching in the woods
Years afterwards, trailing their leaves on the ground
Like girls on hands and knees that throw their hair
Before them over their heads to dry in the sun.
But I was going to say when Truth broke in
With all her matter-of-fact about the ice-storm
I should prefer to have some boy bend them
As he went out and in to fetch the cows —
Some boy too far from town to learn baseball,
Whose only play was what he found himself,
Summer or winter, and could play alone.
One by one he subdued his father's trees
By riding them down over and over again
Until he took the stiffness out of them,
And not one but hung limp, not one was left
For him to conquer. He learned all there was
To learn about not launching out too soon
And so not carrying the tree away
Clear to the ground. He always kept his poise
To the top branches, climbing carefully
With the same pains you use to fill a cup
Up to the brim, and even above the brim.
Then he flung outward, feet first, with a swish,
Kicking his way down through the air to the ground.
So was I once myself a swinger of birches.
And so I dream of going back to be.
It's when I'm weary of considerations,
And life is too much like a pathless wood
Where your face burns and tickles with the cobwebs
Broken across it, and one eye is weeping
From a twig's having my lashed opened.
I'd like to get away from earth awhile
And then come back to it and begin over.
May no fate willfully misunderstand me
And half grant what I wish and snatch me away
Not to return. Earth's the right place for love:
I don't know where it's likely to go better.
I'd like to go by climbing a birch tree,
And climb black branches up a snow-white trunk
Toward heaven, till the tree could bear no more,
But dipped its top and set me down again.
That would be good both going and coming back.
One could do worse than be a swinger of birches.
What Trauma Looks Likes →
In this powerful short film from producers Nathanael Matanick and Christina Matanick, we witness the impact of domestic violence on a young girl. The consequences of her caregivers’ violence are far-reaching. The girl's world is shattered, her family breaks apart, and her life is turned up-side-down.
This is trauma.
This film shows graphically how trauma fragments the world outside. But it also depicts how the world within is injured. Trauma undermines self-esteem and erodes trust, setting the stage for difficulties ahead.
As difficult as it is to watch, the film illuminates the core elements of trauma. It offers a starting place for understanding, repair, and hope.
You are NOT your problems.
It takes a lot of courage to ask for help. And, it usually takes a lot of time to muster up that courage.
But, by the time you ask, you’ve most likely internalized your problems.
Internalizing problems over a long period of time can lead to ‘absorbing’ the problems into our identity, meaning you begin to define yourself by the problems. This not only exacerbates your problems, but it also becomes a malicious adversary in our lives.
When you realize this, it’s time to begin to view problems as being ‘other’ and therefore able to be influenced, challenged, changed, even eradicated.
Therapy can help challenge any preexisting internalization of the problem. That is to say, therapy can be understood, in part, as a process by which the individual can begin to be separated from his/her problematic symptoms.
No matter how educated we may be and intellectually or emotionally sophisticated; in the quiet moments when our problem presents as overwhelming how long until some version of the internal message ‘what is wrong with me?’ enters into our consciousness.
We live in a society that relentlessly facilitates the internalization of our problems; intertwined into the habitual fabric of our lives. Some of us grow up in homes where shameful messages were ever present. ‘Something is wrong’ so often became ‘something is wrong with me’. If our problematic symptoms are indivisible from ourselves then we are condemned to being ‘less than’, ‘broken’, being ‘apart from’.
But this is not true.
- You are NOT your symptoms.
- You are NOT your problems.
- You are NOT your thoughts.
- You are NOT your problems.
Through Narrative Therapy, we can help you externalize the problems and affirm that you are not the problem, rather the problem is the problem.
We are here to help.
Families Impacted by Addiction: An Underserved Population
If you have any connection to the recovery community you most likely have heard the adage: “addiction is a family disease”. This idea is the rationale behind treatment centers having Family Programs for the loved ones of an addict/alcoholic in treatment. There are many wonderful treatment centers offering family programs, staffed by talented counselors, to coincide with their loved one’s treatment program. Unfortunately, most family programs are limited to a “family day” (once weekly for an hour or two, occasionally offered a couple days in total), rarely -if ever- with ongoing professional family therapy. Given this lack of emphasis, recommended continuing care from a family program is the singular advice: "go to Al-anon". This is inadequate. Which is not to say that 12-Step programs for family members and loved ones do not play a crucial role in coping with the addiction/alcoholism in their family life. Al-anon and Al-ateen, similar to Alcoholics Anonymous and Narcotics Anonymous, continue to be the foundation of countless people’s recovery from drugs and alcohol. Yet, I implore you to challenge old ways of thinking.
If we actually believe addiction is a family disease (and most addiction experts emphatically agree that it is), the question arises: are family members receiving enough clinical support? Now, let’s contrast the ongoing care generally recommended to patients discharged from an inpatient treatment program. A continuing care recommendation for the recovering addict/ alcoholic often has an outpatient treatment component where they might participate in Day Treatment (an outpatient treatment program, typically meeting 6-7 hours per day (during business hours), 4-5 times weekly for about one month). Followed by Intensive Outpatient Treatment (“IOP” often meeting 2-3 hours per day, 3-4 times weekly for a couple months or more). Additionally, the outpatient recommendation can include a move to a sober house, recovery case management, ongoing work with a mental health professional, and most often active engagement in a 12-Step program. In the context of time investment, it really does equate to a full time job for some and a part-time job for the rest. Totaling some form of treatment for an average of six months, with decreasing levels of care and time investment, has arguably become the minimum continuing care recommendation with those struggling with severe substance use disorders. Let me be clear about the recommended investment that addiction professionals and treatment centers usually suggest to the recovering addict/alcoholic: it is a good thing. A very good thing. It is saving lives. My concern is the lack of referrals and resources provided to family members following their loved one’s treatment program. There are, of course, exceptions where addiction professionals are coordinating services for family members in need of support with mental health professionals experienced with family therapy. Al-anon, while infinitely important to those who engage it, is not treatment or therapy. I would be curious to see a research study tracking the percentage of people attending a family program at a treatment center, subsequently going on to participate in a 12-Step Program (such as Al-anon), for more than one meeting. While only anecdotal, I would argue it being far less than the actual need.
One possible response to the shockingly under-served population is the obvious: connect family members, in need of support, with family therapists.
I clearly cannot be the first person submitting this notion. The fact that coordinating resources for families is not a standard part of best practice policies within the addiction treatment field is quite perplexing. I am open to any coherent explanation as to why families are routinely not connected with experienced therapists in family therapy, as well as being provided with other necessary resources.
Having asked many professionals in the field, I have yet to find one. When addiction is in the household, often many other issues are close at hand including depression, anxiety, legal issues, poor boundaries, unhealthy communication, abuse, trauma, and grief. Antiquated arguments such as “family members need to work their own recovery programs separately” or “the addict/alcoholic needs to establish his/her own recovery before they can focus on their relationships” only serve to contradict the original assertion that addiction is a family disease. The systemic nature of relationships and family dynamics dictates that something so transformative as recovery does not, and cannot, exist in a vacuum. Change is hard. Healthy change is stressful and puts strain on relationships.
Having clear and healthy boundaries between family members’ recovery programs is definitely a positive thing, but we should not lose sight of how addiction has a ripple effect of discord permeating all intimate relationships.
Family therapy can help support and facilitate navigation on the often arduous path of recovery. Generally speaking I commend and support the ever evolving and improving field of addiction treatment. But would be remiss without encouraging an expanded vision of adequately supporting family members still suffering in the wake from addiction. Accountability, structure, and support are needed by all.
Am I ready to change?
Most of us have some understanding that in order for our situation to improve something will have to be adjusted, amended, eradicated, enhanced. . .changed. While the fact that nothing changes without change is no doubt stating the obvious, when applied to our complicated lives filled with infinite distractions and rotating priorities our ability to do so is not so simple.
Read moreBirch Expands and Announces Appointments Within 24 Hours
Press Release
For Immediate Release
Contact
John Komarek
john@curlycreative.us
BIRCH EXPANDS, ANNOUNCES APPOINTMENTS WITHIN 24- HOURS AT NEW LOCATION
Golden Valley, Minn. – Birch Counseling announces the addition of Appointments Within 24-hours at its new location in Golden Valley.
“People experiencing a Mental Health Crisis are sometimes asked to wait for weeks, sometimes months.” Surerus said. “As a counselor, asking a client to wait for help during a crisis is unacceptable. We needed to eliminate that barrier.”
For ten years and counting, Birch has been dedicated to making essential counseling services more accessible, and through this new location and new service they increase that accessibility.
“A Mental Health Crisis doesn’t follow an appointment calendar, so why are people asked to wait?” Founder Christa Surerus said. “Birch is proud to offer counseling when a person needs it most: when they muster up the courage to call for help.”
Every year, 1 in 5 people live with mental illness and will need Mental Health Counseling during their lifetime Currently, it’s not unheard of to be put on a two-month wait list just to be seen.
“Life changing events happen to us all, and that can lead to the need for Mental Health Counseling.” Surerus said. “And during a crisis, minutes count. A small barrier like waiting for a scheduled appointment may have a large impact.”
Appointments Within 24-Hours are now offered at Birch’s Golden Valley location and will occur during business hours: 7am-6pm.
Birch Counseling serves Minnesotans with safe, compassionate, and confidential Mental Health and Substance Abuse Counseling. They have locations in Minneapolis, Hopkins, and now Golden Valley.
Birch Counseling Announces No More Wait Lists
Birch Counseling's Founder Christa Surerus announces that they will offer Appointments Within 24 Hours for mental health counseling at their location in Golden Valley.
Help is available
If you believe a loved one is considering suicide, you should know that help is available. In addition to Emergency rooms and crisis hotlines, every county in the metropolitan Twin Cities area has a mobile crisis team. Mobile crisis teams are trained to help. They can talk to your loved one, offer transportation to a safe place, and connect them with resources and professional support.
Response time for a mobile crisis team can be a few hours.
In immediately life-threatening or extremely dangerous situations, please call 911.
Examples of situations when the local county Mobile Crisis Team should be called:
- When you think someone you know is in danger of committing suicide
- When you notice disruptive, suddenly bizarre, or out-of-control behavior of an adult or child.
- When you are a parent who needs to place your children in the Crisis Nursery.
- When you need support in caring for someone who is struggling with mental illness or emotional disturbance.
- When there has been a domestic or sexual assault.
- If you have general questions about handling a crisis or need to be referred to professional resources.
How to reach your local crisis team:
- Anoka (763) 755-3801
- Carver/Scott (952) 442-7601
- Dakota (952) 891-7171
- Hennepin (612) 596-1223 (adults) (612) 348-2233 (children)
- Ramsey (651) 266-7900 (adults) (651) 774-7000 (children)
- Washington (651) 777-5222
10 Questions to Help Identify Suicide Warning Signs
Most who consider suicide will give a loved one warning signs about their plans for suicide. But what exactly are those?
To identify warning signs, ask yourself these 10 questions:
- Do they exhibit or talk about feeling a deep sense of hopelessness about the future, with little expectation that circumstances can improve?
- Are they talking about death a lot or making oblique references to it?
- After a period of depression/moodiness, have they suddenly and unexpectedly become calm?
- Are they withdrawing from social activities - especially ones they previously enjoyed?
- Have they stopped caring about personal appearance?
- Are they engaging in risky behaviors? Reckless driving? Drugs/Alcohol? Unsafe sex?
- Has a major life crisis occurred? Death of recent loved one? Divorce? Bankruptcy?
- Are they putting a lot of their affairs in order? This might include visiting loved ones members, giving away possessions, making a will, and cleaning up his or her room or home.
If you answer yes to these questions, check in with your friend or loved one. Tell them you’re concerned about them. Tell them that you care. Ask them if they’re having suicidal thoughts. Call the National Suicide Prevention line 1 (800) 273-8255.
What should I expect in my counseling session?
Empowering you is the primary focus of counseling.
This is your space.
This is your time.
You are in charge.
You tell us what you wish to accomplish.
Our providers focus on getting to know you. What matters to you, what is important? What keeps you going? What is your idea of a fulfilling, meaningful life?
Birch counselors help you identify obstacles that seem to keep you from living the life you want.
Let us help you get back on track.
Counseling is Confidential
According to the Association for Psychological Services, only 40 percent of the 60 million people who experience concerns about their emotional health actually seek help.
Common concerns and barriers to seeking assistance involve fear of judgment, or a deep-seated sense of “is this even worth talking about?” Some individuals are too ashamed of their problems, particularly in this age of Facebook, where we are constantly inundated with the airbrushed profiles of what appear to be “perfect lives.”
Contrary to popular opinion, the bravest move you can make is reaching out for help. You may have been raised with the idea of self-reliance: you should be able to solve your problems alone, at most with the assistance of a few trusted friends or family members.
For many of our problems, this may actually be sufficient. For many others, it is not. Examples include addictive behaviors, relationship problems, unexplainable feelings of sadness or a sense of emptiness despite life seemingly going well, excessive worry or anxiety, feeling inadequate or somehow defective. Such problems can trigger shame, which keeps us from reaching out. There is fear of judgment or abandonment, fear of our problems being shared with others.
As mental health professionals, we are bound by law to keep your matters confidential. We offer a neutral perspective, and are trained to help you gain a better understanding of what troubles you. Counselors help guide your thinking in the direction of solutions that are right for you, given the context of your particular life circumstances.
The purpose of counseling is empowerment. It is our goal to help you take charge of your own life. We help you choose goals that are aligned with who you are and what is important to you.
Don’t Let Insurance Stop You from Seeking Help
According to the Association for Psychological Sciences, the stigma of seeking help from a mental health provider continue to stop 60 percent of the estimated 60 million people who experience problems with depression, anxiety, substance use, behavioral or relationship concerns.
Those who consider seeking help are often deterred by financial concerns: will my insurance cover this service?
Fortunately, mental health counseling today is covered by most insurance plans.
Birch Counseling is contracted with a number of insurance plans, making care with our providers accessible and affordable.
We would be delighted to assist you with any questions you might have about your insurance coverage for counseling services.
Birch Counseling Now Accepts Blue Cross/Blue Shield Health Insurance
Birch Counseling is so pleased to announce we now accept Blue Cross/Shield Health Insurance, one of the largest providers of insurance nationwide.
In addition to Blue Cross, we accept most PreferredOne plans, UCare, Medica, United, Aetna, UMR, Metropolitan Health, Medical Assistance, ChampVA, Value Options and more.
How to deal with a teen with a drinking problem
With the recent court case regarding “Affluenza,” or the wealthy teen with a drinking problem, plus more stories daily about teen drinking, it’s important to review what a parent can do to help curb problem drinking.
First and foremost, it’s important to remain calm when confronting your teen. Explain your concerns and make it clear that your concern comes from a place of love and support. And make sure everyone is sober during this discussion.
Create and Enforce Rules and Consequences
Your teen should understand that drinking alcohol comes with specific consequences. Do not make hollow threats or rules you can’t enforce. Make sure your spouse agrees and is prepared to enforce them.
Monitor activity
Explain that your teen will have a lack of privacy as a consequence of using alcohol. Monitor the location, activities and friends of your teen. Routinely check hiding places for alcohol in your home.
Encourage healthy interests and activities
Expose your teen to healthy hobbies and activities, such as team sports, Scouts, and after school clubs.
Discuss potential underlying issues
Drinking can be the result of other problems. Is your child having trouble fitting in? Has there been a recent major change, like a move or divorce, which is causing stress?
Get help
It takes a village to raise a child. Teens often don’t listen to parents, but if another authority figure says the same thing, they may be more inclined to listen. Try seeking help from a sports coach, family doctor, therapist, or counselor.
Denial about Problem Drinking
One of the biggest hurdles for a problem drinker to overcome is denial. It leads to rationalization, because the desire to drink is so strong. Denial stops a problem drinker from getting help and exacerbates alcohol-related problems with work, finances, and relationships.
While work, relationship, and financial stresses happen to everyone, an overall pattern of deterioration and blaming others may be a sign of trouble.
Common Rationalizations
Drastically underestimating how much you drink
Downplaying the negative consequences of your drinking
Complaining that family and friends are exaggerating the problem
Blaming your drinking or drinking-related problems on others
If you find yourself rationalizing your drinking habits, lying about them, or refusing to discuss the subject, take a moment to consider why you’re so defensive. If you truly believe you don’t have a problem, there should be no reason for you to cover up your drinking or make excuses.
You can always find support from friends, family or a trusted therapist.
Myths about Problem Drinking
“I can stop drinking anytime I want to.”
Telling yourself you can quit makes you feel in control, despite all evidence to the contrary and no matter the damage it’s doing.
“My drinking is my problem. I’m the one it hurts, so no one has the right to tell me to stop.”
The decision to quit drinking is up to you, however it’s a rationalization that says you’re the only person it hurts. Alcoholism affects everyone around you—especially loved ones.
“I don’t drink every day, so I can’t be an alcoholic.”
—Or—
“I only drink wine or beer, so I can’t be an alcoholic.”
It’s not about what you drink, when you drink it, or how much you drink. It’s the effects of your drinking. If your drinking is causing problems in your home or work life, you have a drinking problem.
“I’m not an alcoholic because I have a job and I’m doing okay.”
It’s not just homeless people drinking out of paper bags, there are many ‘high functioning’ problem drinkers with prestigious jobs, like lawyers. But just because you’re a high-functioning alcoholic doesn’t mean you’re not putting yourself or others in danger.
“Drinking is not a ‘real’ addiction like drug abuse.”
Alcoholics go through physical withdrawal when they stop drinking, just like drug users do when they quit. Alcohol is a drug. It causes changes in the body and brain.
How to support a loved one with alcoholism or alcohol abuse
Living with a loved one’s alcohol problem can be an emotional roller coaster. First and foremost, it’s vital that you take care of yourself and get support. You will need to have people you can talk honestly and openly with about the situation.
Truths about Alcoholism, Alcohol Abuse and Recovery
- You cannot force someone to stop abusing alcohol. The choice is theirs alone.
- A problem drinker cannot stop drinking without help.
- Recovery is an ongoing process that requires time and patience. The underlying problems that led to the problem drinking take time to unpack.
- You’re not alone. Alcoholism and alcohol abuse affects millions of people from every social class, race, and culture.
DON’T
When supporting a problem drinker, there are many things you shouldn’t do.
Don't attempt to punish, threaten, bribe, or preach.
Don’t use emotional appeals. They may increase feelings of guilt and the compulsion to drink or use other drugs.
Don't cover up or make excuses for the alcoholic or problem drinker.
Don't take over their responsibilities, leaving them with no sense of importance or dignity.
Don't hide or dump bottles, throw out drugs, or shelter them from situations where alcohol is present.
Don't argue with the person when they are impaired.
Don't drink with the problem drinker.
Don't feel guilty or responsible for their behavior.
DO
Do seek help from a group like Alcoholics-Anonymous.
Do seek out trusted friends, a therapist, or people in your faith community.
Do get help. You need support, too.