The Shrink’s Links: Web Therapy

Bringing you the best of mental health and relationship articles on the internet.

Links

Today’s link from the shrink is:

Web Therapy

Lisa Kudrow demonstrates how not to be a therapist on Web Therapy.

Click here to go to the link

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Relationships, Part 6: The Mind Map

It’s difficult to know what goes on in another person’s mind, often we don’t even know our own mind; but that doesn’t mean we won’t try. Being able to predict the behavior of others is vital in so many things, it’s impossible to resist attempting to do so, even though we are often wrong.

More often we are right. The human mind is exquisitely sensitive to detecting changes in emotion, attention, attitude, and mood. We constantly scan the faces of people we are with for this information. We are often accurate, even though we may not be able to verbalize why or what led us to that conclusion. However, what we get from all this ceaseless scanning is broad strokes and few details. Often we are dead wrong about the reasons people have.

Undifferentiated, dependent people will scrutinize your reactions to determine how they think and feel. They will want to go for Chinese, as opposed to Italian food, because they see you have more interest in General Tso and want to please you. Maybe you had another reason to perk up when the General’s chicken was mentioned. Regardless of the actual reason and their own desires, soon you will be eating with chopsticks.

Undifferentiated, dependent people use this ability to make you responsible for the choices made, but we all need to be able to enter the mind of others. When I am teaching, I am always watching faces to see if I lose anyone. I won’t know why I lose them, maybe they’re worried about something at home, maybe they don’t feel well, maybe they have ADD, or maybe I’m not explaining well. I’d better be watching, because if I start to lose someone, I can make corrections, repeat myself, or explain differently.

We call this ability mind mapping. A map does not contain all there is to know about a territory, but a good map gives you enough information to get around. We need accurate maps of the inside of another’s mind. This is especially true in the case of someone we are intimate with. Married people need an accurate map of the inside of their partner’s mind. In order to get one, it is not enough to scan faces; you have to talk.

You need to know what matters to your partner, why it does, and what barriers they face. You need to know what their work is like, what it’s like to stay home with the kids, who their friends are, and whether they are planning on playing golf all day Saturday. If you don’t know: if you don’t care, or if you aren’t paying attention, or if they don’t tell you, problems will ensue.

When we all lived down on the farm and rarely left home, it was not too hard to know your partner’s mind. However, most of us don’t live this way. Couples go to separate places during the day, and often at night, too, they often have different circles of friends, or may be absorbed by their own family of origin. It is very easy for couples living a modern life to get disconnected and lose each other.

Downloading a new mind map needs to be something you do daily. It has to be a priority, or you will lose each other. In my next posts, I’ll show you a couple of exercises that will help you.

Click here to go to the entire Relationships series.

The Shrink’s Links: Difficult Conversations

Bringing you the best of mental health and relationship articles on the internet.

Links

Today’s link from the shrink is:

Difficult Conversations

We all have to have them. Many avoid them. Many screw them up by being too aggressive. There’s a book that tells you how to have a productive difficult conversation. This link summarizes the book.

Click here to go to the link

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Relationships, Part 5: Getting behind the masks

maskYou know the drill. You start dating someone and they seem like the most wonderful person in the world. Then you become familiar with each other and, all of a sudden, they are the spawn of the devil.

You know the reasons. People are polite on their first dates. They’re putting their best feet forward. They want you to like them. And you are doing the same thing. When you begin to date, you are not getting to know the real person, you are getting to know that person’s masks. And they are only seeing yours.

I believe that the masks you choose are as authentic a part of your self as what lies beneath. Appearances do matter. The fact that you select, for instance, a bragging, audacious persona versus a reserved, deferential one says something, even though both may hide a fragile ego.

However, the mask is not the whole story. Sooner or later, in any meaningful relationship, the hidden person shows up. Then you have a choice. You can:

  1. Split up and start the whole process over again with someone else.
  2. Try to change your partner so that the inside of him matches the outside.
  3. Deal with the reality of the situation and learn to respect your partner, even the things you don’t initially like.
  4. Put on a new mask and collude as your partner puts on a new one himself.

Number 4 is a common choice that people make. It leads to trouble. In the next post, I will show you how.

Click here to go to the entire Relationships series.

The Shrink’s Links: Subtext

Bringing you the best of mental health and relationship articles on the internet.

Links

Today’s link from the shrink is:

SubText Consultations & Writer’s Clinic

Sometimes fictional characters need to see a shrink, too. They have angst, just like anyone else. If you know a fictional character that needs to have their head examined, refer them to this clinic. Martha M. Crawford and David Amarel will put them on the couch and scan for psychological continuity. They will also minister to their authors who suffer from writer’s block.

Click here to go to the link

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Announcement: Impaired Driver Assessments

It’s official. I’m now recognized by the New York State Office of Alcoholism and Substance Abuse Services (OASAS) as an Impaired Driving Offender Clinical Screening and Assessment Provider.

Please read that sentence carefully before jumping to any conclusions.

No, I was not convicted of drunk driving. But, if you have been, or if you are just facing charges, I may be able to help you get your license back and ensure that you don’t make that mistake again.

Lots of things happen when you are arrested for a DUI or DWI. You might have to meet with an Impaired Driving Offender Clinical Screening and Assessment Provider. That person will determine whether you need chemical dependency treatment.

There are certain regulations that dictate how we make an assessment, as well there should be.

If you come to me for an assessment, I’ll have to meet with you at least twice: two fifty minute sessions.

In the first, we will talk about the incident, what and how much you used, what were the circumstances, and how you came to get arrested. Was there an accident? Were there any injuries? So on and so forth.

We will also talk about your general relationship with substances, if this has been a problem in other ways or if you’ve had other arrests. We’ll also have to talk about the rest of your life, just to put the incident into context. I’ll ask about your job, your relationships, your family, your health, what you do for recreation, other legal issues. I’ll assess for mental health problems.

You’ll have to give me permission to review your driving record and interview at least two others who know you well, about your substance use.

You’ll have to go to an ACM Medical Laboratory Patient Service Center and pee in a cup.

We’ll meet a second time to go over all the information I have collected, I’ll tell you my assessment, and we’ll devise a plan.

In some cases, no treatment will be necessary. If it is, I may be able to provide it. If you need more intensive help, I can refer you to a group or rehab, or another counselor if we don’t click.

I will enter all of our findings in the Impaired Driver System (IDS), a state-wide database. The courts, the Department of Motor Vehicles, and OASAS have access to the IDS.

If you disagree with my assessment, you’re free to get a second opinion, but you have to comply with the second one. Are you feeling lucky?

The cost for the whole assessment is $350. That’s two sessions, reviewing the record, the lab results, interviewing the collateral sources, and writing it up. It doesn’t include any treatment. It does include the cost of peeing in the cup.

Next time, for God’s sake, call a cab.

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Announcement: New Office

It’s moving time again for me.  The lease will soon be up for my office on East Ridge Road. Therefore, I will be moving to a new location at 1596 Monroe Avenue, near Twelve Corners, in Brighton, and will begin seeing clients there on December 2nd, 2013.

Monroe Ave OfficeThe new office is on the first floor of a former residence, constructed in the 1920s, with gumwood trim and leaded glass windows. Drive through a carriage porch on the side and there’s plenty of parking in the back. Enter through the front door if aesthetics are important or through the back door if you’d prefer to cut down on steps. I’ll have a private waiting room, well stocked with newish magazines and coffee and tea. There’s a rest room downstairs. The building also houses a lawyer upstairs, a dressmaker on the first floor, and a collection agency and computer genie in the basement. It’s unfortunately too old a structure to be handicap accessible.

I will no longer be seeing clients at East Ridge on December 2nd and will begin to phase out the Victor Office as well. Stop in a see me sometime; or, better yet, make an appointment.

My new address, as of December 2, 2013:

Keith Wilson – Counseling
1596 Monroe Ave
Rochester, NY 14618
Cell 585-732-1970
FAX 585-486-1960
keithwilsoncounseling@gmail.com
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The Shrink’s Links: Sleep Time

Bringing you the best of mental health and relationship articles on the internet.

Links

Today’s link from the shrink is:

Sleep Time

If you have an iPhone and ever wondered what happens when you fall asleep, then Sleep Time is the app for you. Put it under your pillow at night, and, using the phone’s accelerometer, the app will deduce your sleep cycle from your movements. When you wake up, you’ll get a display that looks something like this:

Sleeptime

It has an alarm clock that will wake you gently out of light sleep, not jolt you from the depths. The app is free, but paying a few cents extra gives you the ability to save as many reports as you want for thorough analysis. It’ll also give you soothing sounds for dropping off.

Click here to go to the link

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Relationships, Part 3: Be careful how you tie yourself

Pair of black man shoes tied togetherLook at a shoes you’re wearing. Your two shoes go together, they match. No one can say that they don’t. Even if you lose one and leave it behind in the road, they are still a pair of shoes.

Now tie them together, one to the other. Go ahead.

Now try to walk.

You’ll be able to do it. You’ll take short, mincing steps. If you had to walk that way, you could. If you lived in a world where everyone tied their shoes together that way and walked, you might not think to do it differently. However, I think you’ll agree it doesn’t work well that way.

Go ahead and retie them the way they are supposed to be tied. This is the end of the demonstration.

Now think about your relationships. How do you tie people to you? Why do you do this? Do you keep them close so that there can be no question that you are a pair? Are you afraid to lose your partner? Or is it you that might get lost?

Think about how you lose a shoe. You don’t lose a shoe because it’s not tied to its partner. You lose it when it’s not tied to itself.

Keep yourself tied to yourself and you won’t get lost. In other words, be a fully functioning adult. Take responsibility, have composure, and practice moderation and meaningful endurance.

When your partner keeps him or herself tied, he or she won’t get lost, either. Both of you, keep yourselves tied and you’ll be able to walk, together.

Click here to go to the entire Relationships series.

The Shrink’s Links: The Gottman Institute

LinksBringing you the best of mental health on the internet every week.

Today’s Shrink’s link of the week is

The Gottman Institute

As I sat down to write a new series on relationships, I drew my inspiration from two influential writers in the field. One is David Schnarch. The second are John and Julie Gottman.

English: John Gottman with His Wife, Julie Gottman
English: John Gottman with His Wife, Julie Gottman (Photo credit: Wikipedia)

The Gottmans, a husband and wife team from Seattle, are known for the painstaking empirical research they take into marital behavior. When other writers on relationships pull their ideas out of thin air, or from another, nether, part of their anatomy, the Gottmans conducted interviews with 95 newlyweds and followed them over years. They not only listened to what those couples had to say, they also scrutinized physical data taken during those interviews: heart rate, sweating, skin temperature, as well as microexpressions. They not only paid attention to how they fought, they also noted how they made up, and if they did. They collected the best data we have on the predictors of divorce.

As you might expect from those who take a geeky approach to determining truth, little of Gottmania has made its way into the popular culture. They are not the people to go to if you are looking for sweeping theoretical constructs or whopping generalizations. They are the people you want to quote if you want to be right.

Click here to go to the link

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