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.
Introducing: Jessica Ritchey, MA, LMFT
We are so happy to welcome Jessica to our Team! Jessica is a Licensed Marriage & Family Therapist with a Master's degree from Saint Mary's University of Minnesota. She has 10+ years of experience working in the mental health field and is excited to continue this work with Birch. She enjoys working with individuals ages 16+ and has a special interest working with couples.
Jessica's areas of specialty include mood-spectrum disorders, trauma, relationship issues, coping with mental illness at home, parenting interventions, as well as grief and loss. Her therapeutic roots are with Gottman Theory and Emotion-Focused Therapy (EFT) for couples, Accelerated Resolution Therapy (ART) and Brainspotting for trauma treatment, and Dialectical Behavior Therapy (DBT) for emotion dysregulation challenges, however she tends to be integrative and brings in tools from Internal Family Systems (IFS), as well as mindfulness-based and strengths-based interventions as appropriate with clients.
Outside of the office Jessica enjoys spending time with friends and family, going for walks and hikes with the dog, working on jigsaw puzzles, trying new foods/restaurants, visiting the ocean, and tending to her garden.
Welcoming in January: Student Therapist Jayme Hanson
Growing up Jayme’s parents struggled with mood disorders, depression, and substance abuse. Exposure to their wellness journeys embedded a deep interest in the workings of the human brain and nervous system along with the healing potential of therapy.
Jayme is a connector at her core, she aims to develop deep trust with her clients as they journey through the process of discovery and healing. She is passionate about adults struggling with relationship concerns, anxiety/depression, chronic illness, parenting, work stress, and racial trauma.
Before psychotherapy, Jayme held executive leadership roles within healthcare companies and co-founded a successful medical technology startup that improved treatment access for people living with chronic illnesses. She received her Bachelor's in Psychology from DePaul University and is in the process of obtaining a Master's in Clinical Mental Health from Northwestern University. Upon completion of her clinical rotation and graduation, she will pursue credentials as a Licensed Professional Counselor (LPCC).
Welcoming January 15: Student Therapist Kaelyn Dagon
Kaelyn currently is a graduate student at the Saint Mary’s Master’s Counseling and Psychological Services Program. She is working toward becoming a Licensed Professional Clinical Counselor (LPCC). Kaelyn received her bachelors degree in psychology from the University of Wisconsin Oshkosh. She is passionate about working with emerging adults, older adolescents, and professionals in education with a focus on life changes, stress, occupation burnout, goal-setting, performance enhancement, anxiety, and depression. She enjoys working with a diverse population of individuals from different backgrounds and cultures and believes in incorporating one's unique experience into their healing journey. She looks forward to building a safe and welcoming environment where clients are able to build skills in order to achieve their goals. Kaelyn incorporate strategies and concepts from Cognitive Behavioral Therapy, mindfulness based and strength based practices, Narrative Therapy, art therapy, and strengths-based approaches.
In her free time, Kaelyn I enjoys working out, listening to music, watching sports, painting and spending time with family and friends.
Welcoming August 21: Ashley Helgeson
Ashley is currently a graduate student in the Clinical Mental Health program at Minnesota State University Moorhead. She is looking forward to graduating in May (2024) and is currently pursuing licensure in clinical counseling (LPCC). Ashley enjoys using person-centered, strength based and positive psychotherapy and is passionate about working with those who are experiencing depression, anxiety, stress, substance use, and co-dependency. She strives to create a safe, affirming, and non-judgmental environment. She looks forward to working with a diverse group of clienteles and is open to work with children, teens, and adults. Ashley looks forward to helping clients gain insight on how life events can affect one’s approach to life and she hopes to support and empower individuals as they take their next steps into that journey.
Outside of work and school, Ashley enjoys spending time with friends and family. She also enjoys crocheting, rollerblading and getting outside as much as she can during the summer months.
Welcoming July 10: Kimberly Debeer, MSW, LICSW
Kimberly is a Licensed Independent Clinical Social Worker with a Masters degree in Social Work from the University of Minnesota. She has been practicing outpatient therapy since 2018. Kimberly has experience in both private practice and community based settings. She serves a wide variety of populations and especially enjoys working with adults who are in transitional phases of life.
Kimberly works with individuals who are struggling with managing life transitions or changes, grief and loss, trauma, maladaptive attachment patterns, chronic illness, anxiety, depression, autism, interpersonal challenges, and self-esteem and self awareness issues. Kimberly utilizes a biopsychosocial approach that draws upon psychoeducation and many different modalities of therapy to develop a therapeutic experience that is designed to meet the goals and needs of each individual. Kimberly uses strategies and concepts from Cognitive Behavioral Therapy (CBT), Narrative Exposure Therapy (NET), Internal Family Systems (IFS), Attachment Repair Modalities, mindfulness based practices, and strengths-based approaches.
Kimberly is committed to supporting clients as they navigate life challenges and overcome barriers to change. She believes that all people have great capacity for change within themselves, and utilizes a strong therapeutic relationship as a foundation to support clients in fostering self directed growth and change. Kimberly helps clients to recognize that human development and learning occurs throughout the lifespan and the impact of past experiences on their current presentation. Through a kind and empathic approach Kimberly strives to cultivate a warm and inviting experience for all clients.
Welcoming at Birch Walk-In: Hannah Conaway, MSW, LGSW
Hannah (she/her) is a graduate social worker, currently working toward independent clinical licensure (LICSW). She has worked in community-based settings and private practice, serving a variety of client populations and needs. She has a passion for working with children, teens, adults, and families and is familiar working with a wide range of backgrounds and mental health diagnoses. She has experience helping clients through trauma, life stressors, life transitions, suicidal ideations, eating disorders, substance use, grief, and emotion regulation. Hannah particularly enjoys working with clients who present with ADHD, anxiety, depression, autism, OCD, and behavioral disorders.
Hannah uses Cognitive Behavior Therapy, Dialectical Behavior Therapy, Play Therapy, Person-Centered Approach, Trauma-Informed Therapy, and other approaches/interventions. She provides a calm, safe space for clients to be free of judgment, explore their thoughts and emotions.
Hannah obtained her Masters in Social Work from the University of Memphis in Memphis, Tennessee, along with a certificate in Clinical Social Work.
In her free time, she likes to spend time with family, go for a run, watch her favorite shows, listen to music, and explore the city.
Welcoming in April: Carmen Avendano, MA, LMFT
Carmen has fifteen years of experience as a Mental Health Professional, twenty-five years of experience as a cross-cultural trainer and over thirty years of experience as a teacher, including the past ten years as an assistant professor for Counseling Psychology, Health and Human Services, and Marriage & Family Therapy graduate programs at St. Mary’s University of Minnesota.
Carmen is passionate about helping her clients achieve their goals and finding effective ways to deal with life’s challenges. It is her goal to help clients heal, achieve their fullest potential, have mutually supportive relationships and improve their overall well being. Carmen offers client centered care and understands the power of diversity, equity, and inclusion.
Welcoming in May: Austin Koester
Austin (He / Him) joins us from Saint Mary’s Master’s in Counseling and Psychological Services Program. He is working on becoming a Licensed Professional Clinical Counselor (LPCC). Austin received a Bachelor’s degree in Psychology from St. John’s University. Currently, Austin works at St. David’s Center for Child and Family Development where he helps to facilitate positive interactions and promote the social development of his clients.
Austin was drawn to the helping profession through his personal experiences and a deep desire to understand emotional processes and healing. He has a passion for emotional healing that improves relationships and the overall quality of daily experiences for each individual and their family.
Austin enjoys working with teens and adults from all walks of life who are experiencing low self-esteem, anxiety, low mood, substance use challenges, and trauma-related symptoms. His goal is to serve others and make a difference as he assists in navigating the life challenges clients may face and aid them in finding wholeness for themselves and in their relationships.
Austin believes that therapy, in part, is taking time to learn “why do I feel the way I feel, and what can I do to change how I feel.” He deems therapy a forward-looking process of what can be done now in order to be more effective in our lives and relationships. His commitment is to have a safe and trusting relationship without judgment and for you to feel heard, understood, and respected. He’s driven by making sure you’re okay, you got what you need, and you are growing into a better version of yourself. He incorporates several approaches to his person-centered counseling, including cognitive behavioral therapy, acceptance, commitment therapy, and solution-focused therapy.
In his free time Austin enjoys playing music, reading, running, and spending time with family and friends.
Working With your ADHD
Do you often find it difficult to finish something you have started? Is it more difficult for you to “kick into gear” or find the motivation and follow-through that other people seem to conjure up easily? In school, was it more challenging to focus and complete your homework? Do you find yourself lunging into new projects without finishing the ones you had already started? Do you often find yourself restless, bored, and seeking stimulation?
If you have adult ADHD, struggling with these issues may have led you to feel guilt, shame, and frustration over the course of your life. If only something in your mind would “click” so you could finish the job.
Here are the facts:
• ADHD is not just a childhood disorder
• ADHD does not only present as hyperactivity
• Very few people outgrow ADHD completely. For most, symptoms remain in adulthood.
While there is no magic cure, working with rather than against the symptoms of ADHD may help. The ADHD mind seeks novelty, excitement, and creativity. Enlisting these motivators can help you reach your goals. Approaching a problem from a novel perspective or seeking new tools can re-invent tedious processes. The next time you feel confined by routine and rigid procedures, consider out-of-the-box solutions to your projects.
Remember that motivation, energy, and focus are different for everyone. When you face a difficult task, you can start by:
• Accepting your limitations and expanding from there. Too often, we waste mental energy on what we cannot do or haven’t done, leaving little for what we can do now.
• Breaking a daunting goal into small, incremental steps while committing to daily action.
• Setting realistic and attainable goals. Creating a habit of consistently accomplishing small tasks makes loftier goals more realistic.
• Entertaining new and creative approaches that capitalize on your unique strengths.
ADHD is challenging; however, you can become more functional and successful by building on your unique strengths. In time, you can develop new approaches to tackle daily tasks and challenges in ways that work with who you are.
Joining us July 1: Laura Linner, MA, LICSW
Laura (she/her) genuinely loves this work and brings authenticity, hope and humor to sessions with individuals and families. She considers it an honor to have the opportunity to walk alongside others in recognizing, accessing, and developing their own resiliency, and in building a rich, full and meaningful life (as they define it!). Laura is mindful of creating a non-judgmental, anti-oppressive, anti-racist, LGBTQIA-affirming space for the clients with whom she works. She views therapy as a collaborative process and values feedback from clients.
Laura’s foundational clinical training is in non-directive Rogerian client-centered therapy from her time as a clinical intern then post-graduate psychotherapy fellow in a group practice in Chicago. This humanistic approach continues to serve as the clinical underpinning of her work with clients. That being said, Laura takes an eclectic approach and aligns with concepts of clinical pragmatism – offering and using what therapeutic intervention works - tailored to each individual. Laura sees therapy as an opportunity to pause, reflect, and take an inventory of how our lives are going, identify what’s working and what isn’t, and make effective change in moving closer to the life we hope for ourselves. Laura brings an attitude of openness, curiosity and compassion with clients. She has benefitted greatly from her own therapy over the years and strives to provide a similarly beneficial experience to those with whom she has the honor of working with.
Laura is trained in, integrates, and draws from a number of therapeutic approaches including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, trauma-informed therapy (TF-ACT and TF-CBT), CBT for psychosis (CBT-p), ACT for psychosis, psychodynamic theory, polyvagal theory, motivational interviewing, harm-reduction, and also employs a neuroscientific lens to reinforce concepts of regulation, zones of optimal functioning and neuroplasticity/opportunity for growth and change. Laura is also trained in child-centered play therapy from when she worked with youth impacted by domestic violence.
Laura completed her graduate degree in clinical social work at The University of Chicago’s School of Social Service Administration. For the past four years, Laura has worked for the University of Minnesota Department of Psychiatry as an individual and family therapist specializing in first-episode psychosis and schizophrenia spectrum disorders. She has a passion for working with individuals and families in processing new diagnoses and identifying ways of being that work for all who are impacted in their own unique ways. Prior to this, Laura has experience providing therapy and support to individuals in life transitions, relationship challenges, identity exploration and development, finding a sense of meaning and purpose, working through grief and loss, coping with the impact of domestic violence and trauma, and effectively coping with life stressors. She has also worked both internationally and stateside in violence recovery services and human rights work. Diagnostically, Laura has experience working with individuals who have been diagnosed with anxiety, depression, PTSD, OCD, disordered eating, substance use disorders, mood disorders, dissociative disorders, and schizophrenia spectrum disorders.
Laura believes an individual is not their diagnosis, and joins alongside clients to explore meaning of diagnosis in a way that is adaptive and feels authentic to them.
Laura believes life and humans can be messy, confusing, amazing, doubtful, inspired, worried, scared, brave, determined, hopeless, hopeful and many more things all at the same time. Laura is inspired by people’s willingness and ability to move into discomfort, try new ways of being and make change in ways that feel valuable to them, and she is grateful for being able to provide support along the way.
When Laura isn’t working she enjoys reading, spending time with family and friends, snuggling her two cats, needlepointing, watching cooking shows, trying to learn to cook herself, playing outside and learning.
Welcoming in September: Alison Campbell, MSW, LICSW
We are very excited to announce the newest addition to the Birch Counseling Team: Alison Campbell, MSW, LICSW!
Alison enjoys working with both adult individuals and couples across the lifespan from all walks of life. She uses a holistic, mind-body perspective and recognizes that a wide range of past and present influences effect both our individual well being and our relationships. With a collaborative, kind and practical approach, Alison helps people explore patterns that may not be serving them and offers guidance and tools for better coping, balance and resiliency so that they can feel more empowered to make the changes they desire. She uses a strengths based, person centered approach with evidence based practices informed by a blend of frameworks. She has had extensive training in mindfulness and somatic practices.
Alison has experience addressing depression, anxiety, stress reduction, trauma, health issues, substance use, relationship difficulties, grief and loss and personal growth. She has lived on both coasts of the US and has worked with people in a variety of settings including low-come housing, correctional facilities, long term care facilities and hospice and community counseling centers. She received her Master’s degree in Social Work from Washington University in St Louis.
Alison has two children, enjoys good books, good cooking, meeting new people and being in the outdoors. She is also a certified yoga teacher.
Spotlight with Brian Borre: Metacognitive Therapy
Before we get into theory, or how this approach might apply to you, let’s take a detour into language. When used as a prefix in the English language, “meta-”, stemming from the Greek for “after” or “beyond”, means something that goes beyond, to be all-encompassing, or become transcendent. When “Meta” and “Cognitive” are put together, the result essentially means “thinking about thinking.” For example, have you ever had an experience where you’re certain you know the name of something--a person, product, or place--but you can’t recall it? This “tip of the tongue” experience is just one example of how metacognitions work to inform our everyday lives--we’re thinking about how we’re thinking. While most of our meta-processes aren’t so conscious, our metacognitions are in the background actively controlling and influencing our conscious experience of the world,
Metacognitive Therapy (MCT) focuses on targeting and modifying our deeply held beliefs--the thinking about our thinking--that fosters states of perpetual worry, rumination, and/or fixation. For example, if you say to yourself, “worrying about this keeps me safe,” or “I have no control over my thoughts,” you are both observing your own thinkingand having thoughts about thinking. The goal of MCT is simple: identify, challenge, and reduce what they dub, “Cognitive-Attentional Syndrome” (CAS). CAS is an umbrella term that refers to the kinds of beliefs that imply: we need worry, are incapable of stopping worry, and would be better off if we hyperfocus on tackling each individual worry.
You might be thinking to yourself, “Birch Counseling, this is starting to sound a lot like CBT,” (Cognitive Behavioral Therapy). The truth is, you aren’t exactly wrong. In CBT, we are dealing with our thoughts. For example, if we were to use CBT to challenge our social anxiety, we might ask ourselves, “how likely will this outcome be, and will it be as bad as we’re thinking it will be?” Essentially, we identify an irrational thought and we challenge it with a more realistic lens.
In comparison, with MCT, we are dealing with how we think about our thinking. We don’t give a lot of attention to the individual thoughts. Instead, we challenge the thinking around the thoughts themselves by asking ourselves, “should I spend my time worrying if the worry doesn’t make it less likely to happen? And if I already worried about it and made a decision, why am I re-worrying about this when I don’t have any new information?” This process, which encourages us to refuse to engage with unhelpful thinking, is called “Detached Mindfulness.” It works because it isn’t avoidance--it challenges people to view their worry and irrational beliefs as something that is outside of their core, observe the thoughts, stay non-reactive to them, and choose to respond without the preoccupation with worry about worried thinking.
Why does Brian like it? Besides being a philosophical guy interested in all things “meta” (emotions, beliefs, and communication), Brian saw that CBT wasn’t always helpful with anxious, depressed, or addiction-driven thinking. From his perspective, it can be equally harmful to hyper-focus on our worry if we feel utterly incapable of controlling or changing it. He thinks about it like “giving in to a screaming toddler you know is just seeking attention because they want something from you, and you don’t know how to handle the upset anymore. Ultimately, it doesn’t help you, or them, to keep caving in or feeling totally helpless to stop it.” Instead, you can learn how to provide the tantruming child in your brain--the anxiety, depression, or addiction monster’s voice--the reassurance that you know what’s best, have a plan, can essentially “pivot” yourself out of the situation, or rebound if you make a mistake. It deflates the tantrum in your brain. And that’s a powerful tool.
If you think Brian might be a fit for you, or have any additional questions about metacognitive therapy, please feel free to reach out to our team at BizOffice@birchcounseling.com.
References:
Going Out On A Limb With Brian Borre, MA, LMFT, LADC
In another life, Brian would have been any college student’s dream Philosophy or Creative Writing professor because he makes you think without feeling judged. He doesn’t pepper you with questions, or reflexively challenge your answers for the sake of being contrarian. And while you can tell that there is always something percolating just beneath the surface, it never feels like he’s holding something back from you, creating a power imbalance, or checked-out in the moment. He’s just effortlessly curious, compassionate, and clear about his boundaries: he won’t work harder than you do.
Perhaps part of what makes Brian a refreshing therapist to Minnesotans is that he’s not from here; being a Chicago native, he can observe the “Minnesota Nice” practices of passivity, but he’s not limited to them. He’s not afraid to sit in silence, push on a button, or meet clients where they are at--it all just depends on what the client’s needs are. While he identifies as more of a “generalist,” or someone who sees a variety of client populations, Brian likes to work with blended families, young professionals, and couples because of his own personal experiences. When it’s appropriate, Brian has found it can really help to have someone who has been through some of those experiences help validate your feelings, normalize what’s happening, and help figure out what comes next.
One thing you might find surprising about Brian: His first professional venture had nothing to do with therapy! While he always felt a calling towards private practice, and his undergraduate major focused on Psychology and Sociology, Brian took a several-year detour into the Culinary Arts! Brian worked in professional kitchens near Yosemite National Park and “really loved it.” What’s really surprising about this tidbit isn’t even the professional pivot, it’s the fact that he identifies as a “professional chef who now doesn’t cook.” He’s clear he’s diplomatic about shared household labor, but in terms of creative expression and self-care, he’d rather spend his time watching or reading Science Fiction, having adventures with his kids, or playing guitar.
On coping with the pandemic: Brian admits that his coping with the pandemic has shifted as the world starts to open up again. Early on, his coping came from fitness, work, reading, and nature; things that would help him to ground or find some semblance of normalcy. Now that we’re able to explore more, he finds himself coping with the uncertainty by noticing the “absolute, purest joy” that his children are experiencing. Even if vicarious, the “wonder they have and excitement for everything they’re doing, it’s like watching them discover it all for the first time,” which helps him hold on to gratitude, wonder, and simplicity, even in the most uncertain or ambiguous of times.
Walk-Up Song: Brian’s ideal walk-up song, “would be something like a mash-up between The Sex Pistols and Beethoven,” which we think is pretty indicative of his style: a balance between classical approaches and total anarchy. Since that song doesn’t technically exist yet (and Brian’s musical skills are limited to the guitar), the closest thing he could think of was London Punkharmonic Orchestra’s cover of “Pretty Vacant” (originally by The Sex Pistols). While we were skeptical at first, we might be able to add this to our waiting room playlist…
Professional pet-peeve: Brian is “other professionals who stop learning or continue to learn in a singular way.” From Brian’s perspective, having an interest as a clinician in anything ranging from music to Mythology, Stoicism to sports, nature or technology, literally whatever you choose to learn about, can inform how we experience our lives and others. Brian believes that a narrow focus or general lack of curiosity can contribute to the greatest of professional offenses: shaming and invalidating clients.
Favorite tool in the Therapist Toolbox: By this point in the blog, you’re probably not going to be surprised that Brian is anti-assessment and scales. To be fair, he does believe in referring to psych testing, understands the value of tracking relevant data, and ongoing anecdotal assessments. He just doesn’t believe in universal measures of unique situations, or snapshots in time meant to reflect something grander. In his experience, some of the most standardized tools can bring about shame for clients because they “didn’t make progress fast enough, or felt like they had a better week but their depression assessment is high today,” and it can cause undue harm. Instead, Brian often uses an ecological approach to help clients reflect on what is going on in their life at any given moment, on a bunch of different levels. If you’ve never had one, it can sort of look like a target with each ring reflecting a different domain of our life. This way, “we’re checking the health of their system as it is today--not just focusing on all the bad at work or home, it’s bringing it back into a larger context and perspective so there’s more balance and insight.”
If you have any questions about Brian, his approach, or think he might be a fit for you, please reach out to us at bizoffice@birchcounseling.com or get in touch through the “Contact Us” tab on our website. Otherwise, stay tuned for our next blog post where we put the spotlight on how Brian’s “Meta” thinking translates into Metacognitive Therapy with clients!
Spotlight with Pam Hyatt: Self-of-the-Therapist
If you’ve ever been in a position where you are trying to get to know someone, such as a kid or someone shy, it’s not an unusual tactic to try to open up a little to them. The hope is, of course, that by making a disclosure about ourselves, that they will reciprocate in kind. Even though it’s used as a common intervention between teachers and students, spiritual leaders and practitioners, and in various professional settings, it’s often considered taboo for a therapist to disclose about themself during a client session. After all, no client comes to therapy to listen to their therapist talk about themself!
Self-of-the-Therapist isn’t used by therapists to update you about their life, confide in you about the drama in their relationship, or process their past. It’s when a highly skilled therapist is able to use the work they have done on themself, insight they have gained or skills they have learned along the way, and share it intentionally with a client to create a teachable moment, joining opportunity, or as a measure of sorts to assess a client’s morals, values, and idiosyncrasies. If done correctly, a shared understanding of the world starts to develop from the shared--and contrasting--experiences of the world. From there, a certain degree of comradery starts to develop between the client and the therapist, a feeling like, “okay, we’re really in this together... we get and want to talk about this thing that not everyone else does or can!”
The problem is: it’s considered taboo or unusual for a reason. For it to be an effective technique, the therapist doing it has to be well, having done (and continuing to do) the work on themself. They would also have to be able to be their most authentic and vulnerable self, present and dynamic, ethical and informative, all while tailoring the right disclosure, at the right moment, for the right person. Plus, they have to do it without having a formal class on it in graduate school! In short, it’s taboo because not all therapists do it well, and when done poorly, it can cause irreparable harm to the therapeutic relationship and/or the client.
Why does Pam like it? “It helps clients open up,” she says, and she believes it builds a trust that she “might be able to get it in a way that their past therapists, friends, or families don’t.” She uses her experiences as a mom, as a professional across different industries, experiences in different times or relationships, whatever might prove insightful, curious, or normalizing in the moment to the client. “It’s always about building that different understanding, that sort of magic moment when you both just get it, that can make this work so rewarding” to Pam.
It also helps that Pam is good at it. Whether in client sessions or consultation with other therapists, Pam is a wealth of knowledge and insight, warmth and grounding, as well as compassion and empathy, which translate whether you're in the office with her or having a virtual meeting. Her skill comes from her experiences doing her own work, and having had a therapist who “could talk about himself for a half hour without even noticing.” She wants to ensure clients never have to experience that, and welcomes the feedback if you find her “a little chatty sometimes.”
If you think Pam or another Self-of-the-Therapist provider at our practice might be a fit for you, or have any additional questions about this approach, please feel free to reach out to our team at BizOffice@birchcounseling.com. We look forward to introducing you to another team member in June!
References:
https://journals.sagepub.com/doi/10.1177/160940691201100504
https://www.psychologytoday.com/us/blog/experimentations/202001/how-thera pists-use-the-self-during-therapy https://www.wyomingcounselingassociation.com/wp-content/uploads/Lum-200 2-Self-Of-Therapist-Satir.pdf
Going Out On A Limb With: Mark Bartley, MA, LPC
Mark is a “Meat and Potatoes” kind of guy, both literally and metaphorically. In the literal sense, he’s definitely the kind of guy who enjoys a solid protein and an Idaho spud, and he’d probably do so wearing his flannel shirt after a day of ice fishing. He was, after all, born and raised in Blue Earth, so hunting, wood-working, and carpentry are part of the bloodline.
Sitting down with Mark evokes the kind of built-in comfort which is hard to quantify. It may be a bit like sitting down to a hearty beef stew on a cold winter night, or having a burger with fries in the summer with friends. Those kinds of foods and experiences, no matter where you go or how it’s prepared, feel familiar and tender, down-home and straight forward. Sitting with Mark helps you relax, be present, slow down, and appreciate the simple things in life. It just feels natural doing the work with him, and it very rarely feels like work.
One thing you might find surprising about Mark: He actually enjoys Telehealth! Don’t get him wrong, he’s also excited to be back in the office again with real live people. When working Telehealth, he appreciates how a client can spontaneously grab a picture, book, or instrument that helps them explain their feelings or experience. As therapists, we don’t usually get that kind of spontaneity or context in our office.
On coping with the pandemic: Mark’s done his own work enough to realize that for him to cope effectively with any situation, he needs two things: variety and access to “doing stuff.” He identifies as a kinesthetic processor, or someone who does better with movement when processing. Things like woodworking, being out in nature, or throwing a ball back and forth, helps him digest what he needs about the world. True to form, there isn’t “one way” that works best for him all the time. That’s why he enjoys a variety of clients, activities, and approaches to life because it keeps him more engaged and motivated.
Walk-Up Song: If you’ve never heard Bishop Gunn’s, “Shine,” it’s a unique combination of Blues, Country, and Rock and Roll that sets the perfect backdrop for a care-free summer scene, like driving with the top down or being out at the beach with friends. While the vibe is relaxed, If you reflect on the lyrics, you’ll hear a clear call-to-action to: find peace of mind, ground yourself, and repair emotional wounds. In other words, the song’s deceivingly simple sound allows for it’s otherwise hyper-conscious lyrics to float out there for us to think about and fully appreciate at our own speeds. For that reason, we think it’s a perfect encapsulation of Mark’s style!
Professional pet-peeve: Mark’s answer is succinct: “Therapists who don’t normalize feedback to their clients.” Mark doesn’t view feedback as a bad thing. Instead, he thinks feedback can make therapy, and most relationships, more productive because it creates an open dialogue on how it’s going and what can work better. By helping clients get more comfortable with feedback, he hopes clients will feel more comfortable advocating for themselves.
Favorite tool in the Therapist Toolbox: He’s about solutions, not particular skill sets. That’s why he borrows from modalities like Solution-Focused and Narrative approaches to therapy. But if there was one tool he had to identify with, he picked Cognitive Behavioral Therapy (CBT). When asked why, he said because “it’s the one most focused on going from unhelpful to helpful thinking,” and thinks he gets “a ton of energy” from collaborating with clients on finding and applying the right re-frame for them.
If you think Mark might be a fit for you, or have any additional questions about his approach, please reach out to our team at bizoffice@birchcounseling.com.
Spotlight with Mark Bartley: CBT Therapy
To keep with the food analogies, if Mark is like “Meat and Potatoes,” then Cognitive Behavioral Therapy (CBT) is the “Bread and Butter” of modern psychology. In other words, it’s the Hallmark or cornerstone to a lot of the work clinicians do. CBT can be used with individuals, groups, or couples. It works to treat common issues, such as depression and anxiety, but also offers the option to specialize in a more concentrated scope, such as with Trauma (TF-CBT) or Insomnia (CBT-I). And it often works for people regardless of their age, race, or background. So why does a guy who likes variety borrow most heavily from one style?
To provide some context for his rationale, Mark wasn’t especially interested in school growing up. Frankly, he found it boring. It wasn’t until he went to college and took his first psychology class that he even understood how to make learning work for him: it had to be applied. Experiences that had historically gone unnamed for him, things like “Automatic Thoughts” and “Cognitive Distortions” were now not only nameable, but also normalized enough that they were being taught in class. They were relatable. They had solutions. And the solutions made sense!
What Mark liked about CBT roughly a decade ago is still what he likes about it today: it makes sense and it can be applied in the moment with clients. Having thoughts you can’t control? Experiencing distress that is out of proportion to the situation? CBT helps you re-author your thinking by helping you slow it down and more objectively assess how your thoughts, feelings, and behaviors are all interacting with each other. And it does so without judgement. In fact, one of the core assumptions is that almost all people experience distress from how we interpret ourselves, others, and our world. By teaching people how to recognize what’s helpful/unhelpful about their thinking, observe themselves, and challenge their assumptions through small behavioral experiments, we can increase our faith in our own ability to respond to stressors differently.
CBT has a variety of tools that can be used to get you from where you feel stuck to where you’re trying to go. That’s also part of why Mark likes it. If you’re the kind of person who does well with journaling? Great! Prefer experiential learning through debate or role plays? That works too! CBT isn’t about a tool-box, it’s an entire tool shed. That means that regardless of your issue or perceived level of distress, CBT can be tailored to meet the needs of any individual without losing it’s core principle: if we want your feelings and behaviors to change, we have to change how you think about things. For Mark, there’s a “best of both worlds” element to that: familiar and flexible, customized and generalized, both in theory and practice.
Mark knows when CBT has been effective because clients “don’t need [him] to think of different ways they can interpret or respond to the situation anymore.” Essentially, he wants to teach you how to talk yourself out of needing him. Mark also realizes that new things come up over time, and the kinds of thinking you once had managed might come back with a vengeance. Don’t fret! He’ll be here to help you reflect, reframe, and re-work new adversities, should they arise along the way.
HOLIDAYS DURING THE PANDEMIC: ADAPTING OUR TRADITIONS
We like to anticipate the holidays. This special time includes food, family, friends, and a built-in break from the daily grind.
However even in the best of holiday circumstances, sometimes the idea of the holidays is more enjoyable than the reality. With all organizing, cleaning and cooking, combined with the uncertainty of who will show up, it's no wonder a 2014 survey found that "64% of people with mental illness report holidays make their conditions worse." In 2020 we need to add to the mix chronic uncertainty, cabin fever, a pandemic, and a special stocking-stuffer: Ambiguous Loss.
Ambiguous loss differs from traditional loss in that the loss itself is unclear; we don't fully know what or how much we have lost or if it's ever going to return to what used to be. Symptoms of ambiguous loss can include anxiety, depression, grief, and difficulty in making decisions.
Holiday rituals can be a powerful tool to help us feel a sense of familiarity and help us bounce back from feeling off. Since practicing most traditions is complicated during the pandemic, some non-traditional takes on holiday classics can help:
Keep the Best Parts
Getting together with loved ones: Start quarantining two weeks in advance and get a rapid covid test before getting together, keep groups small, and ensure that your group is all on the same page with social distancing practices.
Sharing Food with Loved Ones: Create a plan to divide the cooking between family or friends and drop off portions for each household.
Eating with loved ones remotely: Set up computers or cell phones with their own place settings; each device can correspond to a different person or household so everyone can still gather at the table and eat together. Or decide to eat together at a virtual table. Games like Animal Crossing, Minecraft, and Sims allow people, in avatar form, to gather around a table and eat in real-time.
Hanging out Virtually with Loved Ones: Set up online games you all can play together through programs like JackBoxGames.com or HouseParty.co
Be creative with the Challenging Parts
Guests who stop by unexpectedly: Keep a Zoom room open all day and send out your link to loved ones. People will be able to pop in and surprise you all day.
The Stress of Cooking for an Army: Try a few recipes you've always wanted to make because this year, the pressure is off. Or even better, avoid the stress of cooking altogether and support a local restaurant by ordering your dinner to go.
Awkward Conversations with Family: Get an awkward conversation card deck to get to know your household better or get them more prepared for next year's embarrassing moments.
Going broke Buying (and shipping) Gifts: A "round-robin" gift exchange--with a set budget-- for different households is easier and cheaper than buying gifts for every person. You can also purchase a gift card or have food delivered from a local restaurant, make a gift donation to a charity, or encourage self-care with care packages!
For most people, 2020 has been a challenging year. If you or a loved one are struggling, are experiencing mental health concerns over this holiday season, or simply feel stuck on how to combat the holiday blues, please reach out to us at Birch Counseling. We are here to help.
Stress in a Stressful Time
Even if your life before this year was relatively smooth sailing, likely, you are not making it through this year unscathed. After all, who could mentally prepared for civil unrest, unemployment, natural disasters, and a global pandemic all at once?
The dramatic events of 2020 are especially difficult for those with a trauma history. People with trauma include those whose past is marked by economic insecurity, frequent moving, homelessness, food insecurity, sudden or unexpected loss, or medical trauma.
Trauma survivors typically develop an “Early Warning System,” alerting against perceived danger. For example, suppose your parents fought a lot when you were a child. In that case, you are likely to be especially sensitive to tension, conflict, or discord around you. This additional sensitivity offers insight as to why today’s upheavals are incredibly stressful for trauma survivors.
If this sounds like you or someone you know, what can you do?
Become fully aware of your feelings and name them.
If you’re watching the news at home and feel panic starting to flood your system, become consciously aware of your reactions. After acknowledging your feelings, recall that you have heightened sensitivity to current events because of your past traumas. Try watching the feelings as, in most cases, they will fade in time. Also, this is an excellent time to change your environment, like going for a walk.
Use your support system.
By putting your truth on the table with someone you trust and acknowledging the impact it’s having on you, you’re gaining control over the uncontrollable. You’re also modeling to others that it’s okay for them to share with you. If you have a limited support system, it might help do some resourcing online or in therapy.
Self-care is important.
Stretching, yoga, journaling, meditation, cooking, or watching comedy can help you feel safe and present. Taking good care of ourselves requires making your needs a priority. As we take better care of ourselves, we will show up as a better partner, parent, worker, and friend.
If what helps you happens to be watching puppy videos on Instagram, please tag us so we can also enjoy a little puppy Prozac!
Be kind to yourself.
The world was stressful before 2020, and it certainly doesn’t seem to be winding down any time soon. Allow yourself to feel sad, scared, stressed, exhausted—whatever comes up. Give yourself time to acknowledge and validate these feelings. You may find it helpful to acknowledge at least one positive for every negative thing you noticed.Are you struggling to go back into the office? Remember that you now have half the traffic you used to Struggling trusting yourself? Remember, it’s okay to not feel like the authority after your entire world has changed. Ask someone you trust what their honest evaluation is of the situation.
Making small adjustments like this work to help you to keep you in balance.
If there was ever an appropriate time to feel a little crazy, this is it. If you find that your internal alarms are going off an awful lot lately, remember you are hardly alone, and at least you know your system is working! Finally, if you are struggling to turn them off, we are happy to connect you with help. Feel free to call us at 866-522-2472 or drop us a line at bizoffice@birchcounseling.com.
