My name is Derrick Javan Hoard an I am completely frustrated with the mental health system in America.
Licensed Marriage & Family Therapist in , WA
Couple's Counseling is extremely difficult from the therapist's perspective. I have to help two people who have two completely different points of view, about the same situation, find some way to come to an agreement while remaining neutral and empathic to both points of view. I also have to teach you how to do something you have been doing your entire life and only seem to not do it correctly when you're with your person. Long story short, there is a lot of humor involved.
Yeah, I am not really a fan of CBT. I listed it because it is the one people most readily know. The problem with CBT is that it is Just. So. Basic. That doesn't mean I don't know to use it, but if I do use it, you probably wouldn't know that it was happening. I know the concepts and how to apply them, but the most important aspect of change is the relationship between me and you. However, if you would like to quiz me on it, I am up for the challenge.
What is the problem? How is it a problem? What have you been trying to do to solve it? Imagine if the problem was already solved, what is the first thing that you would notice? These questions form the basis of the solution-focused brief therapy model. The art is in how the questions are asked. Instead feeling like an interview, I ask them in the form of a conversation. It is through this conversation that I will pull on your inner resources for change.
The biggest problem with anxiety is the way in which people conceptualize it. Anxiety is not bad. Anxiety is an autonomic response to internal or external stimuli. The problem is when you become anxious about being anxious. It creates a vicious cycle of anxiety that ultimately culminates in a panic attack. I instruct you on exactly how to identify situations that make you anxious and changing what you can and accepting what you cant.
I am not sure what you have read or who you follow about your relationship, but I would venture it is probably terrible advice. A relationship is built upon a simple logic statement. "I'll do this for you if you do this for me". This is the basis of what a relationship is. If this "work" of your relationship is not hashed out specifically, measurably and to both partners understanding as satisfaction you will have relationship issues. I help you work out the quid-pro-quo of your relationship.
Expressions of ADHD symptoms are on a spectrum from unnoticeable to threatening livelihoods or causing the end of relationships. The Situations in which these symptoms are expressed are different as well. Situational Therapy for ADHD focuses on providing instruction on how to change situations that lead to procrastination, low-frustration tolerance, and self-loathing. My ADHD clients often know exactly what they need to do in order to make changes. I show them how to do it.