motivation

The Human in the Helper: You cannot heal what you don’t reveal

Dr. Kendal Wellington Humes is a trailblazer. As a doctorate-level psychotherapist in private practice, he’s recently taken on the task of building a behavioral health program from the ground up in academia, as it’s first department chair. He’s had a busy few years, however they haven’t been without challenges. “I’m winning and I’m losing irreplaceable things.” In the past 8 years in Colorado, Dr. Kendal has experienced the loss of a parent, godparent, pet loss, and two painful divorces. “My private practice has kept me alive,” he shared.

 

“People see my progress but not my process,” Dr. Kendal reflected. He’s no stranger to wanting to excel since he’s achieved four degrees and multiple letters after his name before his mid-thirties. Educational and career achievements provided him a sense of purpose and control when his personal life felt rocky. “No one can take that from me,” he reflected.

 

Dr. Kendal named the pressure he feels to succeed. “I can’t afford to be mediocre. I’m Black. I’m an immigrant. I’m tall. I’m dark-skinned. And I’m openly gay. I don’t have the privilege of being mediocre.” He’s achieved quite a bit in his career so far, working in community mental health, offering supervision, starting a private practice, and now working in academia. He spoke of the bittersweetness of achieving success while grieving. “People are celebrating the successes but not the losses. Transparency can be weaponized.” Dr. Kendal also spoke to the pressure mental health professionals feel to have things all figured out. “We get the message that we should know better. We should be better.” As a mentor to younger generations of therapists and professionals, It hasn’t stopped him from sharing the hardships as well as the victories.

 

“I’ve been through divorce. My father died.” Dr. Kendal has experienced depression and he’s felt immense grief. “I didn’t feel like I could give people an honest answer about how I was doing. People don’t always understand what sacrifices have to be made for the successes they see.” Dr. Kendal also recognizes he’s hardest on himself. When experiencing divorce, he found himself saying, “I can’t even heal my own person. I can’t heal my own shit.”

 

Now Dr. Kendal is all about seeing both sides. “I can see the good and the bad. You cannot heal what you don’t reveal.” He describes his approach as strengths-based and holds onto some humor, even when things get heavy. “I have a strong sense of self. I had to forgive myself.” Dr. Kendal has similar ideas for others going through immense pain in their personal life. “Keep moving. Fall on your back instead of your face. When you fall on your back, you can still see what direction you need to go.”

 

As for himself, Dr. Kendal’s purpose has become clearer thanks to added perspective and deeper insight from the losses he’s experienced. “Sometimes letting go will put you right where you need to be. Stop fighting.” He’s attempting to take the changes in stride, knowing he has more people to meet and engage in his journey as a psychotherapist. “I’m a wounded healer,” he named. “Failures can be a win too. How will failures help us grow?”

Things happen to us as humans, even as we support our clients as professional helpers. Do you have a story you want to share the mental health community? Email us at croswaitecounselingpllc@gmail.com to learn more about the Human in the Helper Series!

Action Over Insight: Why You Should Be Asking “What?”

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There’s the old saying that, “deeds are more powerful than words.” It means that action is just as important, if not more so than simply talking. Although finding insight and discussing your intentions are valuable, the more critical step is actually taking action. It’s also the hardest as it means committing to a path, course, or direction.

Also, it means taking a risk, with the haunting possibility of failure. Yet, an action also has the greatest chance of success. After all, if you choose to do nothing then there will certainly be no benefit. Therefore, consider the importance of action and why you should be asking “what?”

Understand Action and Empowerment

When you commit to action and focus on the “what” you are empowering yourself. You are the person who is choosing to do something. This is much more strength-based as opposed to letting others do things for you. Or, to allow events to direct you instead of you being the one to take direction. If this is new for you then taking action may be intimidating or even scary. However, it is also thrilling and exciting to be the one committing to action. It’s led to some of the defining moments of our history. For example, it was the simple act of refusing to move from a bus seat that sparked the modern civil rights movement.

Focus on the “What” Versus “What Ifs”

When considering action, it’s easy to get caught up in the “what ifs” rather than the “what.” For example, you may spin your wheels considering all of the possible outcomes of a situation. Although both the positive and negatives outcomes exist, it’s not uncommon to solely focus on the negative ones. In turn, this can quickly lead to inaction. Instead, direct your attention to the “what” and doing the action. Yes, considering the outcome of your decision is important. Yet, if you get too stuck on the “what ifs” then you will never actually do anything.

Know That There Is No Perfect Choice

Another problem that you might have is focusing on the “perfect” decision. If you don’t make the perfect decision, what could happen? The possibilities are endless, no doubt. The reality is that there is no perfect choice. There is simply the choice (or choices) in front of you. Therefore, decide what you can do right now. In short, choose your “what.” Otherwise, you will again be stuck in the zone of crippling indecisiveness.

Find Purpose with Your “What”

You may feel that you don’t have any purpose in life. Thus, you are listless, drifting about in the world. This doesn’t have to relate only to your professional life or job. It could have to do with anything in your life. Are you just waiting for something to happen? Maybe you’re waiting for life to come to find you, fulfilling your goals and dreams. Waiting won’t fill the void that you are looking to fill.

Instead, the fastest way to discover your purpose is to choose your “what.” The reason is that your “what may take you down a path you weren’t expecting, leading to new possibilities that you never even considered. Or, perhaps you discover that you have chosen a dead-end. So what do you do now? Make a new choice and take a different course of action. Both paths are ways to finding your purpose.

Be Willing to Commit

When you choose your “what,” you are committing to something. Despite commitment being a word you may frequently hear, do you truly understand its meaning? Committing to something means a willingness to stick with it, even with the ups and downs. It means being in it for the long haul and being dedicated to the action. It’s easy to be scared away from your “what” because of the commitment. Yet, committing is necessary in order to find success. When you are asking “what,” you are directing yourself toward action. Even if you decide later on down the road that it was the wrong decision, you’re still on a successful journey to your purpose. You can always make another choice. For now, being willing to commit to the “what” and to the direction you take.


Guest post written by Brenda Bomgardner, LPC, BCC, ACS

Guest post written by Brenda Bomgardner, LPC, BCC, ACS

After completing a successful 17-year career in Human Resources at a Fortune 500 Company Brenda returned to school to earn her master’s degree in community counseling and a certificate as a board certified coach. She then launched a private practice, Creating Your Beyond, LLC.  Working with adult survivors of childhood sexual abuse and providing entrepreneurial guidance along with career coaching brings her fulfillment and joy. She is described by her peers as an expert on Acceptance and Commitment Therapy (ACT). Her new book, Sweet Spot: Finding Your Private Practice Groove with Principles for ACT, will be released in the summer of 2019. Chocolate is her favorite food group and adventure is her passion pursuit. She loves visitors and invites you pop on over to her website at Creating Your Beyond and take a look around. https://brendabomgardner.com  

Goal Setting: Measurable Motivation

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As the year comes to a close, you may be looking to the new year to create resolution or revisit goals in the hope of change. It’s a time to explore goals that are measurable and attainable; it’s a time to create small steps to build self-confidence to remain motivated and hopeful. Perhaps you say “I want to join a gym to help my depression.” You want to work out every day to help your mood but aren’t currently working out on a consistent basis, and not at a gym. So, you find it important to explore your motivation as well as the perceived strengths and challenges of reaching your goal. You learn that smaller steps can support success and agree to working on short-term goals to build confidence and to move towards your long-term goal of working out daily.

 

Monitoring Motivation

Why is it important to explore motivation around a goal? Research tells us goals around fitness and gym attendance peak in January and dramatically decline by February and March every year. Additional research tells us that we must do something consistently for a minimum of 30 days for it to become a habit. What this conveys to us as human beings is that we need to see results or progress to continue to work hard at a goal. You may normalize this for yourself in understanding the pattern of motivation. You may also explore research on the Stages of Change from Motivational Interviewing as a visual to support yourself in identifying strengths and barriers to change. By being open and honest with yourself, you will be setting yourself up for success. Ask yourself the following questions to fully discover where your motivation lies (and note the Stages of Change in parentheses):

  • What do you want to change? (Precontemplation to Contemplation)

  • What makes that a problem for you? (Contemplation)

  • Is it a big enough problem to want something different? (Contemplation)

  • How would you achieve the desired change? (Preparation)

  • What do you need to support change? (Preparation)

  • What would help you to begin? (Action)

  • How will you know when you are ready for change? (Action)

  • What would help you keep going? (Maintenance)

  • Who/What would hold you accountable?

  • What would happen if you don’t succeed?

By exploring these questions, you can identify any current strengths or barriers to succeeding and further explore what is needed to progress through the Stages of Change.

 

Make it Measurable

It isn’t uncommon for someone to identify a goal but not know how to attain it, thus remaining in the stage of contemplation. It becomes our responsibility to break down a long-term or larger goal into measurable, smaller pieces for it to feel worthwhile. Here are some examples of how to make it measurable when identifying a larger, more abstract goal:

Chart

Smaller, more measurable efforts can support short-term goals blending into long-term goals over time. By identifying and writing down goals that are measurable, can be reviewed regularly, and can be celebrated when attained, the effort it takes to achieve these goals can feel validated and encourage motivation for the long-term work as well.

 

Accountability Buddy 

Motivation can be internal such as, “I can do this” or external, “she said I can do this.” Identifying a trusted support as an Accountability Buddy can help you achieve your goals. Accountability Buddies are selected as a support person who is aware of your goals and holds you accountable by remaining in regular contact with you on your progress. They may meet with you weekly, monthly or on whatever schedule can help you remain focused and present on the goals you are working towards. Sometimes Accountability Buddies have a similar goal and may participate alongside you, such as going to the gym with you three times per week. Not having to work towards a goal alone can serve as an incentive in absorbing someone else’s positivity when you begin to question your own motivation. You may struggle to recognize the small but important shifts in progress and begin to question why you are working so hard for minimal results. Perhaps they help you recognize the smaller changes that have taken place when you feel the seeds of doubt are planted, thus preventing you from giving up on a goal that is supporting healthy change. By identifying an Accountability Buddy that is supportive throughout the process, you can experience motivation and recognize goal progression, allowing the ongoing growth and change you desire.

Change will not come if we wait for some other person or some other time. We are the ones we’ve been waiting for. We are the change that we seek.” Barack Obama.

Getting To The Goals - The Journey of Setting Them And Getting Them

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When doing a “goals list” exercise in therapy sessions, start by telling telling clients to DREAM BIG!

Formulating a goals list is different for every individual. Counselors can be interested not only in the goals people choose but also in their reaction to creating the list itself. Sometimes people say they can’t think of any goals, which is an informative statement. It sends an important message about the person’s sense of value in the world. When a therapy client makes this statement, he/she provides the counselor with incentive and direction. It is rewarding to watch clients who start out by saying they have no goals, or can’t think of any goals, only to end the session with a goals list to take away with them for future reference.

In developing this exercise, counselors can work with clients to tap into their resilience, a tool which is helpful when attempting to work through a personal or professional setback. Also, the hope is that by creating this goals list a client will be improving their positive self-esteem. Next is the hope that a client will utilize the goals list to open his/her mind to a positive outlook - a world where the glass might be half full as opposed to half empty. Even if the goals list is not ‘realistic’ in terms of real life, just the actual act of writing down any dream or thought or hope a client might have is an exercise for the mind and the spirit.

Some clients have no problem coming up with long and varied goals lists. For them, the challenge is the move toward action in achieving the goals on their lists. In other instances, however, clients say they can’t think of goals because they believe they are not “allowed” to have goals for themselves. For whatever reason, throughout their lives, these clients were “programmed” not to consider their own individual thoughts, feelings, hopes, plans and dreams. Resistance is high with these clients, and asking them to think of goals for themselves stumps them, because it almost feels “wrong” for them to consider what THEY want.

There are other clients who come up with well planned and realistic goals, only to reject them because to follow these would somehow be “too good.” It’s as if they are so invested in the chaos of being “stuck” that even a glimmer of the possible is too scary, because then they have to give up a lifetime of investment in the chaotic lifestyles they have come to find “safe” or “comfortable” which is really code for “familiar” or “known.” Again, this gives the counselor clues in terms of directions forward therapeutically, in that the counselor is faced with massive resistance to change, even though the client talks the game of wanting change - a typical paradox.

When formulating goals lists with clients, there are some guidelines. First and most important, the items on the lists are to be goals they want for themselves, not based on the others in their lives, and not based on what they think they are “supposed to” want as goals. For example, of course I’m not opposed to the “get married and have a family” goal or the “graduate from college” goal, if those are on someone’s list. However, that still seems like something someone else (society, our parents, peers, etc.) tells us we’re “supposed to” want or do.

In terms of considering goals, counselors can encourage people not to think in terms of “supposed to.” Also, there are no restrictions - money or time or age or marital status or children or aging parents - or any of the other “reasons” people will identify as obstacles preventing them from achieving their goals. For example, people with children don’t need to write down, “I want to see my kids grow up and be happy and successful.” Counselors can remind people who are parents that the goals lists are to be about nobody else but themselves. Also, there can be no time deadlines - the “by a certain age I have to make a certain amount of money,” kind of thinking. And regarding the the subject of money, there can’t be dictates from others about how much money is “enough,” or that earning some amount of money will imply success. Again, it’s about what the individual believes for him or herself, not what someone has “programmed” the person to believe about money or success.

As mentioned above, the point of this exercise is to help clients open their minds to the limitless possibilities of life. For some, this is a difficult concept because they believe life is about a certain way of doing things, usually whatever way they were taught to believe as they were growing up. Then the ideas they were taught were further reinforced by others in their peer group. After all, most people want to “fit in” or be the “same as.” To be different from, or be the rugged individual in the group is sometimes to feel isolated and outcast. However, at this stage, clients are in a counselor’s office because of trying to fit in or be like everyone else, and discovering the emotional problems that go along with those efforts. They come in with their resistance, their unwillingness to change, even as they are acknowledging that they want things to be different from how they have been in the past. A paradox to be sure.

With the goals list, therefore, the counselor introduces the concept of all things possible, including the exercise of thinking about themselves in a selfish way. The counselor challenges clients to put their own needs first, to think in terms of their own personal priorities. The counselor encourages clients to define success as it relates to them personally, not in terms of money or possessions, but in terms of emotional well being. The role of the counselor is to provide a brainstorming conversation with the client in which resistance may be addressed, because there may be resistance to even attempting a goals list. Sometimes clients ask why they even need to have goals. Just the fact that they choose the word ‘need’ answers the question, doesn’t it?

Once the guidelines are out there, counselors can again encourage people to dream big! Some folks have an understanding of how this is helpful, and they start to write down their goals - large and small, real or imagined, practical or impractical, perhaps possible, perhaps not. For others there are still difficulties around feeling compelled to “be practical” or using phrases like, “that could never happen.” Not everyone is able to envision right away what it feels like to be selfish in a good way, thinking of self not in terms of anyone else. For them, the counselor can encourage continued talking and thinking and imagining. Eventually, just about every client understands how this exercise is worthwhile, because it takes clients out of the problem place and into the possible place - never a bad thing, right?

Do you have a goals list? Try it for yourself, and then keep it and refer to it from time to time. For one thing it’s a chance to dream, always worth some head time and space. For another, isn’t

it satisfying to achieve what you strive for? And lastly, it keeps clients in touch with forward motion, with listening to and following their hearts and thinking from a self place. Remember, when clients learn to put themselves and what they need at the head of their lists, they have that much more to give to the others in their lives who are valuable to them. Learning to do that and then putting it into action is in itself an excellent goal. When this is achieved, so much else is able to be done, and clients will know what it is to live life in that possible place.


Guest post written by Valerie J. Shinbaum, MS, LPC, MAC, NCC

Guest post written by Valerie J. Shinbaum, MS, LPC, MAC, NCC

Valerie J. Shinbaum, MS, LPC, MAC, NCC, is a practicing psychotherapist since 1992. She is a published author, national speaker, college professor, and former radio talk show host. Ms. Shinbaum is a Licensed Professional Counselor, Master Addictions Counselor and National Certified Counselor. She works with individuals, couples, teens, and families. Her areas of expertise include addictions (process and substance), marital/couples treatment, adolescent issues, family of origin/inner child work, empowerment/self esteem building, career choices/changes, trauma, learning differences, relationship obstacles, mindfulness, grief/loss, and more. www.bodymindandbalance.com.

Geared towards Growth: Exploring Maslow’s Hierarchy of Needs

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Have you had a client come into your office wanting to work on their relationships? What about a client who wants to work on self-worth and self-esteem? These goals are valuable and achievable, and could greatly benefit your client in their functioning and connection in the world.  However, depending on your client’s stressors and current life events, basic needs may need to be attended to first in order to achieve the growth and progress desired within your therapeutic work.

 

Hierarchy of Needs

Abraham Maslow first introduced the concept of a Hierarchy of Needs in a paper published in 1943. The image found most often in reference to his concept is a pyramid with the bottom representing the building block or foundation for higher functioning. According to Maslow, every human being has needs that must be met and stable prior to advancement to another level of human need. The levels he identified begin with physiological needs, followed by safety needs, love and belonging, esteem, and finally, self-actualization. Below are some examples of needs for each level:

  • Physiological: food, water, oxygen, sex, sleep, excretion
  • Safety: security of shelter, employment, resources, health, body
  • Love & Belonging: family, friends, intimate partners
  • Esteem: confidence, self-esteem, respect by others, respect for self
  • Self-Actualization: Acceptance, lack of prejudice, enlightenment

 

Goals for Growth

So how do the levels of need impact your client’s therapeutic work? For many helping professionals, the awareness of the hierarchy manifest through client psychoeducation around basic needs. Perhaps your client wants to work fully on their relationships, but is impacted by the stress of not having a job to pay their bills. Maybe your client wants to strengthen self-esteem, but can’t identify housing in suffering from an eviction this month. The present crises will require therapeutic attention and intervention first prior to a client allotting mental energy to higher levels of functioning.

Within your work, it can be helpful to normalize and educate your clients on basic needs being the foundation for functioning. You may consider describing the imagery as basic needs being the foundation of a house. If the foundation is crumbling, the other parts of the house become low priority or unseen in trying to stabilize the problem due to risks of it all collapsing around them. With this analogy, clients can absorb the importance of a stable foundation of basic needs requiring their attention before other goals can be successfully met.

 

Accessing Needs

A stable foundation may require other resources outside of your office. As a helping professional, it is in your best interest to be aware of resources to provide additional support to your client. The databases in your state, (Colorado Crisis Services and Colorado 2-1-1 for example) can be helpful in identifying food, shelter, clothing, legal advice and more.  You may also consider coordination with helpful organizations that would warrant a release from your client in order to collaborate.

Assessing needs can also occur from a place of looking at client resistance. One way this may manifest is through your client’s capacity to work on homework or assigned tasks between sessions.  Although some clients don’t like homework out of personal choice, other clients may struggle to articulate the crises that prevent progress on the homework you assigned, including forgetfulness, loss of focus, or stressors demanding their attention instead. This attempt at juggling varying demands could even translate to cancelled sessions in trying to handle the stressors at home or work. By being aware of basic needs, it can help you as the professional to better understand contributing factors that may present like resistance as elements requiring attention to support client progress.

 

Maintenance and Motivation

With collaboration and stabilization of basic needs come the client’s motivation for maintaining the foundation.  It is the hope that client’s basic needs, once addressed, remain in good standing.  However, with clients experiencing poverty, trauma, or other adversity, the fluctuating circumstances of their life can delay progress on higher functioning goals. Encouraging ongoing boundaries and self-care can support the client in reaching higher goals around self-esteem and relationships. With awareness and effort, a client can harness a healthy sense of control and autonomy in their life. Remaining flexible to the stressors that may occur between sessions, it is important that you and your client continue to be mindful of what takes precedence to allow the deeper, meaningful work you both value to occur at the appropriate time.

Therapeutic Goal Setting: Measurable Motivation

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As December comes to a close, your clients could be looking to the new year to create resolution or revisit their treatment goals in the hope of change. It’s a time to explore goals that are measurable and attainable; it’s a time to create small steps to build self-confidence so they remain motivated and hopeful. Perhaps your client comes into your office saying “I want to join a gym to help my depression.” You meet their disclosure with compassion and curiosity and ask them to share more. You learn they want to work out every day to help their mood but aren’t currently working out on a consistent basis, and not ever at a gym. So you find it important to explore with them their motivation as well as the perceived strengths and challenges of reaching their goal. Your client learns that smaller steps can support success and agrees to working on short-term goals to build confidence and to move towards their long-term goal of working out daily.

 

Monitoring Motivation

Why is it important to explore motivation around a goal? Research tells us goals around fitness and gym attendance peak in January and dramatically decline by February and March every year. Additional research tells us that we must do something consistently for a minimum of 30 days for it to become a habit. What this conveys to us as human beings is that we need to see results or progress to continue to work hard at a goal. You may normalize this for your client. You may also provide psychoeducation on the Stages of Change from Motivational Interviewing as a visual to support your client in identifying strengths and barriers to change. In meeting your client where they are at, consider the questions below to explore motivation with your client:

  • What do you want to change? (Precontemplation to Contemplation)
  • What makes that a problem for you? (Contemplation)
  • Is it a big enough problem to want something different? (Contemplation)
  • How would you achieve the desired change? (Preparation)
  • What do you need to support change? (Preparation)
  • What would help you to begin? (Action)
  • How will you know when you are ready for change? (Action)
  • What would help you keep going? (Maintenance)
  • Who/What would hold you accountable?
  • What would happen if you don’t succeed?

By engaging your client in exploring these questions, they can identify any current strengths or barriers to succeeding and further explore what is needed to progress through the stages of change.

 

Make it Measurable

It isn’t uncommon for a client to identify a goal but not know how to attain it, thus remaining in the stage of contemplation. It becomes our responsibility as their support to break down a long-term or larger goal into measurable, smaller pieces. Here are some examples of how to make it measurable when a client identifies a larger, more abstract goal in therapy:

Chart

Our therapeutic interventions can support short-term goals blending into long-term goals over time. By identifying and writing treatment goals that are measurable and can be reviewed with your client regularly, the effort it takes to achieve these goals can feel validated and attainable for your client.

 

Supporting Strengths

Validation can be a strong motivator. Helping clients slow down to identify their strengths throughout the process can be motivating in and of itself. It isn’t surprising that clients can find themselves stuck in the past, such as awareness of how they used to be able to achieve goals with no effort and frustration that they cannot find that same success today. Or perhaps they are so future focused they aren’t able to recognize the smaller changes that have taken place. One of the most rewarding elements of therapy can be reviewing goals and progress towards those goals. Your clients may be unable to recognize the small but important shifts in their functioning and therefore it can be impactful to help them remember where they started in this process and how their hard work is supporting healthy change. By identifying their strengths and supporting them throughout the process, clients can experience motivation and recognize goal progression, allowing the ongoing growth and change they seek.

Change will not come if we wait for some other person or some other time. We are the ones we’ve been waiting for. We are the change that we seek.” Barack Obama.