The step-by-step approach we will take together: In the beginning of our work together I will be assessing your overall functioning. We will likely discuss what life was like before your loss, and identify what areas of your life have been directly and indirectly impacted as a result. The next step is to make a plan for treatment together. Grief and depression can often interfere with your ability to meet your basic needs (physiological and safety), which can have a negative ripple effect on your relationships with others, as well as on your self-confidence. We begin by creating a plan based on how severely your symptoms are impacting your daily life. We begin by addressing basic needs and building goals around meeting those needs. We view CBT for grief and depression as having two overarching goals for symptom reduction and our work in therapy: Restore healthy functioning in thoughts, perceptions and beliefs Restore healthy functioning in ability and behavior In trying to meet these goals, we may assign homework to attempt between sessions, and then act as an accountability resource for this homework. This homework will likely include using coping skills we have discussed in session together. We often provide you with a few options for homework assignments, and then empower you to choose the one that seems both doable and still somewhat challenging. In session together, we will discuss how the loss or depression has affected your thoughts and perceptions about yourself, the world and how can function in it. We will work to challenge thoughts and perceptions that may have been negatively skewed by your experience. Examples of these may be: “The whole world is unsafe.” “Everyone is out to get me.” “I will never feel normal/like myself again.” “I’m not worthy of….” “I need this (unhealthy habit) to escape how I feel every day.” As we go along, we will continue to acknowledge and celebrate your successes as well as re-evaluate what parts of treatment are helpful, and what parts of treatment need fine tuning to better meet your needs. Together we will get you back to living the life you deserve.
If you are struggling with inattention or hyperactivity but wonder if you are too old to be diagnosed with ADHD, you are not alone. What is ADHD? Attention Deficit Hyperactivity Disorder presents as a persistent pattern of inattention and/or hyperactivity-impulsivity. Sometimes inattention is dominant, sometimes hyperactivity is dominant, and sometimes there is a combination of the two. Undiagnosed ADHD is one of the most common developmental disorders, affecting millions of adults each year, along with their relationships. A common misunderstanding about ADHD is that it is a diagnosis that only applies to kids. But the reality is that many bright, high-achieving, and successful professionals struggle with distractibility and hyperactivity. Children with ADHD grow up to be adults with ADHD. Adults who made it through childhood without a diagnosis might only start to notice that their inattention in getting in the way of their goals or relationships as life becomes increasingly more complex and challenging. 3 signs that you may have symptoms of ADHD: ADHD is characterized by a persistent pattern of impulsivity and/or inattention that interferes with your ability to function in nearly all spheres of life including work and school, managing finances, relationships, and parenting. Here are 3 common symptoms that may indicate that you are struggling with symptoms of ADHD: Impulsivity. Decisions are made quickly and it is easy for you to get derailed. Instant gratification often wins over long-term rewards. Impulsivity might sometimes look like being abrupt in social settings. Inattention. You lose focus easily, and find difficulty getting started with or staying focused on tasks. You might also notice that you especially struggle with activities that require sustained mental effort, and have difficulty getting organized. Hyperactivity. In your adult self, you might notice that hyperactivity manifests as extreme restlessness, talking, or wearing others out with constant activity. If you think back to your behavior as a kid, you might have memories of excessive fidgeting and restlessness when you were supposed to be sitting still and focusing. But I can get by (most of the time)... If you a high achieving adult who live with undiagnosed ADHD, you have likely adjusted your life to accommodate your inattention. Maybe you are a perennial entrepreneur, or someone who likes to have a lot of tasks and projects going on at the same time. Perhaps you have even scheduled your work day to meet your hyperactivity needs, creating a flexible schedule for yourself and working in a variety of settings. For the most part, it seems like your ADHD symptoms aren’t getting in your way. Maybe they even drive you and work in your favor most of the time. Except for when they don’t. The first step in tackling the problem is getting the proper diagnosis. We want to empower you to keep up with what's working, and find alternatives for what is not. We only want to help you change what you want to change. We are here to help you recognize your strengths, and overcome the embarrassment and insecurities that may have accumulated as a result of your undiagnosed symptoms. We will work with you to develop behavioral techniques to minimize the disruption and emotional toll ADHD can cause in your life. Our goal for you is that you feel more at peace and empowered in your life and relationships.
HOW DOES THERAPY FOR ANXIETY WORK? At Oasis, we will teach you to tame your anxiety. If you experience panic symptoms or panic attacks, we will arm you with tools to manage these moments, and over time come to fear them less. Secondarily, we will help you work on the deeper challenges that may be contributing to your anxiety, so over time, you experience fewer panic symptoms. If you anxiety is connected to big life decisions, we will help you build resilience, and confidence in your choices. We’ll do this by shoring up your strengths and tackling the obstacles. You will learn to better assert your needs to yourself and others, and create healthy boundaries. Over time, your brain and nervous system will learn that they don’t need to create a stress response every time a new transition or big decision comes your way. We have seen this approach work time and time again to help reduce symptoms of anxiety and stress both for individuals and couples. When you feel more mental and emotional safety, you are freed up to move through life more mindfully, and less anxiously. The way we do this practically in therapy... First, we want to know all about your strengths and how we can build on them. I want to know how you’ve gotten out of tough times before. Then we want to know what’s getting in your way? Where are you getting stuck? We use a really practical approach of teaching skills and tools that you can start using right away. By lowering your day to day stress, we will free up space to work on the root issue of building confidence. Our goal is long term change, so you can tackle any challenge life throws at you. What about medication? If you are currently on medication, we are happy to work with your psychiatrist or physician to coordinate treatment planning. And if you think medication might be necessary, we will refer you to one of our trusted medical partners. While medication is a common treatment approach for symptoms of anxiety, studies show that therapy is as effective as or more effective than medication alone. And, psychotherapy has been found to offer benefits that last long after treatment has ended. Ready to get started?