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FAQ: Why do Christians get depressed?

June 20th, 2011

Christians are not immune to depression.  Christians face the same challenges as non-Christians.  Depression can affect anyone, at any age, race or ethnic group.  According to the National Institute for Mental Health, clinical depression affects more than 19 million Americans each year.  Some Christians do not seek help for depression when prayer alone has not led to relief.  Spiritual factors may not be the only contributing factor to one’s experience of depression.  Christian Family Institute specializes in treating the spiritual, emotional, and mental health needs of individuals, couples and families.

FAQ: Who can prescribe medication?

June 20th, 2011

Only a physician, such as your family doctor or a psychiatrist, can prescribe medication.  A psychiatrist is specially trained in managing psychological issues using psychotropic medications. We are available to consult with the physician of your choice to collaborate on your mental health/medication needs when indicated by assessment and a mutually agreed-upon treatment plan.

FAQ: How Often do I have to Come for Counseling?

June 20th, 2011

The frequency with which you meet with your counselor will be part of an agreement that you and the counselor will come to, ideally at the conclusion of the first session.

At Christian Family Institute, we do our best to tailor a custom treatment plan for each individual, couple or family with whom we work.  Most clients attend treatment approximately once a week, particularly in the beginning stages of counseling. As desired changes are attained, visits tend to be scheduled farther apart, such as every-other-week or monthly to help monitor and support ongoing change.

As the need arises and as schedules allow, we can also offer more intensive assistance (two or three meetings in one week) in order to stabilize a crisis situation.

FAQ: Will medication help?

June 20th, 2011

Sometimes!  Medication is not the ONLY answer to many psychological, mental health or life stress concerns. However, medication is sometimes indicated during the process of evaluating and treating an issue with long-standing history and severe symptoms.  For example we compare taking medication for severe depression to taking medication for a chronic illness like diabetes.  A diabetic would not have as much success in their overall health, if they were not on a regimen of healthy eating, exercise, and appropriate medical care.  This is true for some mental health concerns as well.  Research has shown that a combination of talk therapy and medication, under the care of a psychiatrist or primary care doctor, can be the best treatment for chronic or ongoing mental health concerns.

Many situations in life do not require medication, but if during the course of treatment, symptoms persist or increase in intensity, your counselor may recommend a consultation with your primary care doctor or a psychiatrist.

Adjustments in the Early Years of Marriage

June 17th, 2011

When couples realize marriage is not what they expected, they often think life would have been better in a different marriage to a different person.  That, however, is not necessarily true.

Many couples experience some level of disappointment while adjusting to the first year of marriage.   One reason disappointment occurs is that American culture views a “happy” marriage as one with unending romance.  This romantic view leads to idealizing your spouse and the relationship unrealistically.  A second reason for disappointment is couples fail to see the “red flags” that were prominently displayed prior to marriage.

Spouses may accuse each other of changing after marriage, but more likely, they are now seeing each other without the benefit of “rose colored glasses.”  Once a spouse accepts the other for who they are, a bond that is durable, secure, and rewarding begins to develop.  Here are a few adjustments to try that can keep the relationship on solid ground:

1.    Look at this period as a normal transition that all couples experience and not necessarily as a sign of a bad marriage.  Have the view that the marriage interactions need to change, not the partners.

2.    Concentrate on changing yourself rather than trying to change your spouse.  Talk with your spouse with the intention of giving feedback vs. giving criticism.

3.    Share your feelings with your spouse, but watch how you approach the subject.  “I don’t know about you, but I’m feeling like things are different than I expected” can open the door for discussion.  Your spouse may also feel disappointment and the need for change.  Discuss the changes that would make the marriage more rewarding for each of you.   A counselor may be needed to assist you in learning to talk with one another in this way.

4.    Strengthen the marital commitment.  Instead of using energy wishing for someone else (with whom there will be just as many or more adjustments), invest effort in being a better partner.

5.    Pour on the positives.  One of the simplest and most significant things a couple can do is ignore the negative. Instead, shower each other with positive appreciation, praise and affection.  Strong marriages need a balance of five positives to one negative.

A healthy marriage grows as the individuals in it change and mature.  Adjustments are an opportunity to strengthen the connection between you.  Don’t fear change, it can be a good thing..

If we can be of service to help you strengthen your marriage, please contact us at 918.745.0095

Lois Trost, M.S.W., LCSW

Surviving the Summer Series: Family Reunions

June 17th, 2011

Summer is a time for “baseball and apple pie”, for relaxing and being outdoors. Children are out of school and families take vacations. It’s also a time for family reunions. Although these reunions are exciting, they can also lead to increased stress for individuals and families. For some, family reunions are a time to reconnect with relatives and meet new additions to the family. For others, being with extended family is difficult. Whether it’s trying to maintain a happy facade when your marriage is struggling or enduring Uncle Bob’s lengthy stories, these gatherings can be highly emotional. If there has been discord or abuse in the family, reunions might reignite uncomfortable memories. These gatherings can also be difficult due to missing family members who are deceased. It’s important to be aware of your own state of mind and emotional well-being prior to entering this possibly stressful situation.

The Mayo Clinic recommends the following strategies:

1) Plan ahead how you will handle unpleasant situations – role-playing can help

2) Have realistic expectations – family members may not have changed

3) Limit time there – have a pre-planned exit strategy

4) Self-care – get plenty of rest and use exercise for stress relief

5) Avoid sensitive subjects – such as politics

6) Take a break while there – go sight-seeing or play a game

7) Spend time with family members with whom you are comfortable

8 ) Memorialize deceased family members – bring their favorite food or music, share memories, have pictures/slides, donate to charity in their memory Counseling can be helpful in preparing for and recovering from a stressful event.

Let us help you thrive, rather than just survive this summer. Call our office at 918-745-0095 for more information.

Krista Caveny, M.A

CFI’s Jamie Brandon Quoted in Response to Katy Perry

May 6th, 2011

Jamie Brandon (Twitter @jkbrandon) was quoted in an article on ChristianPost.com entitled: “Katy Perry’s Comments Prompt the Question: How Strict Is Too Strict?”

The article discusses the importance of relational parenting in combination with Christian upbringing.  Stay tuned for a follow-up article to appear on CFI’s blog page from Ms. Brandon.

What is the age to teach children about sex?

May 3rd, 2011

You can’t begin too soon.  Sex education is not a single tell-all discussion.   When a child’s curiosity about body parts begins, open the door to sex education by teaching the proper names of his/her anatomy.  This is also an appropriate time to explain which parts of the body are private and that no one is allowed to touch these private parts.

Having open and honest discussions with your child about a variety of topics will normalize the topic of sex when it is addressed.

Is anxiety/depression hereditary?

May 3rd, 2011

This is the age-old question of nature vs. nurture.  Are mood disorders (depression/anxiety) a result of nature (genetics/brain chemistry) or nurture (upbringing/environment)?

It may be beneficial to think in terms of risk factors: the more risk factors that are present, the more likely depression or anxiety is to develop.  Having family members with a mood disorder may elevate the risk, but it doesn’t doom someone to the disorder.

At Christian Family Institute we view anxiety and depression as a combination of biological, psychological, social and spiritual factors.  All of these components are considered when treating mood disorders.

Trust Is A Clinical Issue, Part 1

May 2nd, 2011

An issue often encountered in treating relationships is the problem of mistrust. Most often the problem arises in the context of some boundary violation that has occurred in a relationship. Behaviors that are most damaging are easily recognized such as infidelity, inappropriate use of the internet such as viewing pornography or emailing or texting some sexual or romantic content without a partners knowledge, or lies of almost any sort. Some preliminary research has indicated that a partner lying about finances was nearly as damaging to trust as sexual impropriety.

When partners have established shared expectations, any behavior that deviates from the expected damages trust. Sometimes expectations were not clear and mistrust results. Ineffective communication and conflict resolution also results in broken and damaged trust when partners are not able to negotiate mutually agreed expectations. Without trust, it is difficult to achieve and sustain any significant level of intimacy in a relationship.

Trust produces comfort and minimizes anxiety. Not knowing what to expect from a partner in any relationship keeps the level of anxiety so high that it is difficult to sustain a relationship.

To treat relationships in which trust is low, a therapist must first identify the source of damage to trust. Clients can often identify the behavior their partner has engaged in that has caused the injury to trust.

Common patterns that produce broken trust include:

Deliberate acts by a partner who knows full well that their behavior will be unacceptable to their partner. The behavior that is unacceptable to a partner may be completely acceptable in other relationships, but is known to be unacceptable to the current partner. The behavior, on the other hand, may involve violating accepted cultural norms and may be considered “immoral,” or “sinful.” In either case, a partner rationalizes to themselves that what they are doing is justified, or that they can keep their acts secret from their partner. An even more serious form of betrayal is the behavior that is known to be harmful to a partner, but where there is a disregard for how the partner will feel when the behavior is likely to be known. Such acts are not accompanied by any sorrow or remorse, or plan to change (repentance). Intentional behavior known to cause hurt has an “evil quality.”
Misunderstanding occurs when partners miscommunicate. True misunderstandings occur in the context of loving and caring relationships, but where partners have not employed good communications skills. Misunderstandings occur in nearly all long-term relationships. If misunderstanding does not occur often, and partners have realistic expectations, serious harm is not done to trust. When partners have rigid or unrealistic expectations, or have low capacity for forgiveness, then much greater harm can be done to the trust in the relationship to both partners.
Accidental relationship injuries occur when there is a momentary lapse in judgment. A partner may not recognize the significance of their choices to their partner. Only when a person receives feedback from their partner does it become clear that their decision was unacceptable. In getting to know another person, not every scenario can be predicted and discussed in advance in order to arrive at shared expectations. Unfortunately, we sometimes do not realize where the land mines are buried until you step on one.
Unrealistic expectations by one partner may cause damage to trust to both parties. A failure to accept legitimate differences, and an expectation that partners should always agree, or should always think alike creates significant distress, and can lead to hostile escalations during disagreements.
Ineffective communication and conflict resolution fails to lower distress, thus resulting in unresolved differences. High levels of such distress over time, even over insignificant issues, erodes trust.
The inability to forgive sustains high levels of relationship anxiety. The difficulty in forgiving may be a result of repeated relationship injury by the current partner, or trauma from past relationships. The difficulty in forgiving may also result from personality variables such as a narcissistic and grandiose sense of self value and perfectionism. In any case, trust cannot exist in long term relationships without the ability to forgive past hurts.

In Part Two, we will take a look at: A Systemic View of Rebuilding Trust which includes

  • Ending hurtful behavior responsible for damaging trust.
  • Forgiving past hurts.
  • Facilitating communication between relationship partners and learning new communication skills.
  • Negotiating mutually agreeable expectations.
  • Terminating a relationship.
  • Dealing with past trauma.

Dale R. Doty, Ph.D.