Therapist giving ADHD assessment to client with ADHD to diagnose ADHD and comorbid ADHD diagnoses
ADHD, Managing emotions

ADHD Often Comes with a Partner: How Comorbid ADHD Diagnoses May be Affecting Your Focus

Written by Here Counseling

Comorbid ADHD Diagnoses: What does it mean?

Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder with a high frequency of comorbid ADHD diagnoses. A decade ago, many psychologists worried that ADHD was being “over-diagnosed.” However, in recent years, psychological research has proven that almost 10% of the population has ADHD (6 million children: 9.8%, according to the CDC). In 2003, this number was estimated to be only 4.3% of children in the United States.

Interestingly, researchers now understand this 9.8% statistic to be global. Thus, this implies that it is not culture or ethnicity-dependent but, rather, universally prevalent. People diagnosed with ADHD may have ADHD, Predominantly Inattentive Presentation, Predominantly Hyperactive Presentation, or Combined Presentation. This is dependent on their diagnosable symptoms: are they predominantly focus and attention based? Hyperactivity and impulsivity based? Alternatively, do they meet clinical criteria for a number of both types of symptoms?

A statistic that is not often discussed, however, is how common it is for people with ADHD to also have comorbid ADHD diagnoses. A comorbid diagnosis is a co-occurring diagnosis. In other words, it is common for an individual to not only have ADHD, but also have one or more diagnoses simultaneously. This is an important fact, as many people misdiagnose their anxiety, depression, bipolar, or other such disorders as ADHD. Then, they do not seek or receive the help they need to best cope with these additional disorders. Treating ADHD is so important. However, so is treating comorbid diagnoses for truly effective symptom management.

What are some Common Comorbid ADHD Diagnoses? How common are they?

In short, the answer is: very common! Approximately 65% of all individuals diagnosed with ADHD meet diagnostic criteria for a comorbid mental, emotional, or behavioral disorder. This is a higher comorbidity rate than with many other well-known psychological diagnoses. Here are some specifics. Of all individuals in the U.S. diagnosed with ADHD, the following percentages meet criteria for these diagnoses:

  • 52% have a behavior or conduct disorder
  • 50% have a sleep disorder (such as insomnia)
  • 50% have ODD (Oppositional Defiant Disorder) as children, developing into a behavioral disorder in adulthood
  • 45% have a learning disorder.
    • This is believed to contribute to the finding that 33% of students with ADHD drop out of high school.
    • Notably, research has found that males diagnosed with ADHD have an approximate 65% risk of developing dyslexia or another form of writing disorder, while females have a 57% risk
  • 33% have anxiety (e.g.: Generalized Anxiety Disorder or Social Anxiety)
  • 20% have bipolar disorder
  • 17% have depression
  • 14-25% have ASD: Autism Spectrum Disorder
  • 10% of children with ADHD will develop Tourette syndrome (tics, etc.); 1-2% of whom maintain this syndrome into adulthood
  • 10% have a speech disorder
  • 10% will develop substance use disorder (alcohol or drugs)

To put this into context, this means that more than 2 out of every 3 individuals with ADHD also have a comorbid disorder. It is important to note that these statistics are based on diagnosed disorders. That implies that far more individuals with ADHD actually have these comorbid ADHD diagnoses than we psychologists have discovered through research thus far. You can learn more about ADHD statistics here:

  1. CDC’s ADHD Facts and Figures 
  2. ADDitude’s ADHD Statistics

How do I know if I or my Loved One has a Comorbid ADHD Diagnosis?

Understanding the link between ADHD and its common comorbid diagnoses: how they overlap, are separate, and interact, is key for effective treatment. The high degree of overlap can make it challenging for non-psychologists to differentiate them without a trained professional. For instance, individuals with ADHD may struggle to relax and focus. In combination with other symptoms, this may indicate a comorbid diagnosis of Generalized Anxiety Disorder. People with ASD (Autism Spectrum Disorder) can struggle with Inattention and Impulsivity: two hallmark characteristics of ADHD, Combined Presentation. Therapy and assessment with a psychologist who specializes in ADHD and comorbid diagnoses are your two tools to clarify this overlap.

When an individual calls me wondering if they qualify for multiple diagnoses, including ADHD, the first step is assessment (psychological testing). There are two types of ADHD testing. The more expedient and moderately less expensive option is an ADHD testing. However, this only tests for ADHD. Choosing to be assessed through a psychologist qualifies individuals who are diagnosed with ADHD for stimulant medication through a psychiatrist, should they choose this treatment route, and accommodations at work or school. The second type is a comprehensive testing. This is referred to as a “psychodiagnostic” assessment. It assesses for all relevant diagnoses listed above. It can help individuals understand the links and differentiate the overlap between these various diagnoses’ symptoms.

How do I Learn more about Assessment?

If you feel you may benefit from an ADHD or Comprehensive ADHD Psychodiagnostic Assessment, then contact me today for a free consultation call. I’ll talk you through the benefits of the various options as well as discuss the next steps, fee, insurance reimbursement, and scheduling with you to make the process clear, calming, and effective. By reaching out today, you can learn more about your ADHD testing options and schedule an intake interview to begin your ADHD testing process. You’ll be that much closer to getting the answers you need to manage your symptoms and live a more balanced, fulfilling life.

Differentiating your diagnoses and how they interact is key for effective therapeutic treatment in the future. It provides clarity as to what you need to work on in therapy. Then, you will know what you need your psychologist to specialize in to ensure you receive the most effective treatment.

Many of my clients who came to me for testing transitioned to working with me for therapy for their ADHD and comorbid diagnoses. This is my speciality: an area of expertise I am passionate about and eager to help my clients in as we collaboratively work towards therapeutic treatment goals that are directly improving each of their comorbid ADHD diagnoses.

Remember, a psychological assessment is an investment in yourself. In your future. In your potential to discover clarity about your diagnoses and certainty about the path forward. I provide extensive and personalized recommendations to your unique case to help you develop the effective behavioral strategies needed to thrive with symptom management and alleviation. Reach out to me today to schedule a complimentary consultation call and take the first step towards gaining clarity and understanding.

 

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Anxiety, EMDR, Managing emotions, Neurology

Maximize EMDR Therapy: How to Find a Good Therapist

Written by Connor McClenahan

Maybe you’re wondering about how EMDR therapy can treat trauma. Trauma can negatively impact an individual’s life and well-being for years, even decades, after the traumatic event has passed. Trauma is a natural survival response to any life-threatening situation. If you’ve experienced trauma, you may notice how it seems to intrude into everyday situations.

Trauma can impact:

  • Sleep: the quality and restfulness of your sleep
  • Relationships: increase feelings of insecurity and fear
  • Anxiety: increase blood pressure, heart rate, jumpiness
  • Addiction: increased dependence on external substances to reduce symptoms
  • Focus: increased scattered, intrusive thoughts

Our brains heal from trauma.

In fact, like a wound that simply needs rest and clean bandages, there’s a natural reparative process that takes place – all on its own – when our minds feel safe enough. We find ourselves sharing more, feeling more, telling the story of what happened with a trusted other. EMDR therapy taps into this natural healing process.

EMDR (Eye Movement Desensitization and Reprocessing) therapy is a powerful tool in helping individuals overcome trauma and regain control of their lives. In this article, you’ll learn how EMDR works for you, and why the relationship between the therapist and client is key in producing long-term change.

How EMDR works

EMDR therapy is based on the idea that traumatic memories are stored in a person’s brain in an unintegrated form. Normally, in non-traumatic experiences, memories of the experience can be retrieved and shelved easily with language (think of checking out a video at a library), giving us control and mastery. When someone experiences a traumatic event, however, their brain shields itself from the painful memory, leading to the memory becoming “stuck” in the right prefrontal cortex and limbic system. This can result in persistent symptoms such as anxiety, depression, and post-traumatic stress disorder (PTSD). EMDR therapy works by accessing these stored memories and integrating them through a shared experience with the therapist.  

EMDR Therapy and Tapping

The key component of EMDR therapy is the rapid back-and-forth movement of the eyes, also known as “tapping.” This tapping is believed to stimulate the brain’s information processing system, allowing it to process and integrate the traumatic memories. As a result, the negative emotions and physical sensations associated with the trauma are reduced. The individual is then able to move beyond the event and regain control of their life.

EMDR Therapy and the hidden ingredient: Your therapist

While the tapping component of EMDR therapy is crucial, it is not the only factor that leads to successful outcomes. In fact, research has shown that the therapeutic relationship between the client and the therapist is even more important in producing long-term change in trauma. A strong therapeutic relationship provides a safe and supportive environment for the individual to explore their traumatic experiences and work through them in a controlled and guided manner.

Your brain wants – and even needs – to process trauma. Biologically, your brain is looking for safety. While safety can come from trusting a specific intervention or technique, such as EMDR, it will primarily come from your relationship with your therapist. Your ability to feel comfortable and safe with your therapist is exactly the environment your brain is looking for to integrate a painful emotional experience.

EMDR Therapy Girl wanting to process trauma with an EMDR therapist

A good EMDR therapist will help you

  • Gingerly approach the trauma, listening to your comfort level
  • Will appropriately challenge you to trust yourself to share
  • Give you space to stop when you’re feeling overwhelmed
  • Review and help you understand what you’re feeling
  • Check in about your symptoms

In conclusion, EMDR therapy is a powerful tool in helping individuals overcome trauma and regain control of their lives. The rapid back-and-forth movement of the eyes (tapping) stimulates the brain’s information processing system, allowing it to process and integrate traumatic memories. However, it is the therapeutic relationship between the client and therapist that is the most important factor in producing long-term change. A strong therapeutic relationship provides a safe and supportive environment for the individual to work through their traumatic experiences, leading to a more successful outcome.

EMDR Therapy can help you

Consider reaching out to a qualified EMDR therapist. With the right support and guidance, it is possible to overcome trauma and reclaim your life.

You want a therapist who fits you, who you feel safe talking with. I promise, it’s worth it to work through trauma. We can help you find the right fit so you can regain health and peace.

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Client working with best fit mental health professional: a therapist who fits her needs to develop coping skills for anxiety and depression and ADHD symptoms
Managing emotions

What kind of therapist do I need? How to choose the right mental health professional

Written by Here Counseling

It’s a huge relief to finally find the mental health professional who is your “right fit.” Not only will you be able to receive the help and support you need, but you may also find that your overall sense of well-being improves as you work through your unique issues with the guidance of a compassionate and understanding professional. Certainly, when beginning the process of finding the right mental health professional, it can be difficult to know where to start. However, it is well worth the effort.

Sometimes, the decision is simple. If your goal is solely to seek information or a psychiatric medication prescription, then a psychiatrist is likely the best fit. Additionally, if you seek assessment to determine your diagnoses or if you qualify for accommodations, then you likely need a psychologist. However, if you are looking for therapy, then you have numerous options.

Why does it matter which type of mental health professional I choose?

Mental health is an important aspect of overall well-being. Thus, seeking out the right type of mental health professional for your needs can make a significant difference in your journey towards healing and self-improvement. Finding the right fit is crucial. It can impact the effectiveness of treatment and how comfortable you feel opening up and discussing sensitive topics. Presently, in this blog we’ll explore factors to consider when choosing a mental health professional so that you can choose the right type of therapist to best match your needs.

Mental health professionals are trained professionals who provide support, treatment, and care to people experiencing mental health challenges. There are many different types of mental health professionals, each with their own specific training and areas of expertise. Understanding the role of each type of mental health professional can help you find the right support for your needs.

How to Find the Right Mental Health Professional

I hope this chart helps you decide which type of mental health professional best meets your needs. To make an informed decision, I broke this chart down into detailed information about each type of therapist who can help you accomplish your treatment goals for therapy, assessment, or medication.

Mental Health Professional Graph

Types of Mental Health Professionals:

  1. Psychiatrists

    A lot of patients call me and are unsure of whether they need a psychiatrist vs psychologist. Psychiatrists are medical doctors who specialize in the treatment of mental health conditions. They can prescribe medication, provide therapy, and order laboratory tests or other diagnostic procedures to help diagnose and treat mental health conditions.
    • Training: They went to medical school, as opposed to graduate school for psychology/therapy. In California they are the only professionals on this list who can prescribe medication. Their training includes 4 years of medical school and another 4 years of residency in psychiatry.

  1. Psychologists

    Psychologists (like myself) are trained in the science of the mind and behavior. They can provide therapy to help individuals understand and cope with their thoughts, feelings, and behavior. They may do this by helping clients process their experience, identify patterns, and develop coping and problem-solving skills to better cope with or eradicate their symptoms.
    • Therapeutic Approach: They may use a variety of therapeutic approaches to help people change negative patterns of thought and behavior. This can include a wide variety of psychodynamic, humanistic, or cognitive-behavioral therapy (CBT). This could include ACT, solution-focused therapy, relational, DBT, and so many other potential modalities. If you are looking for depth-oriented short or long-term psychotherapy with a specialist trained to work with your specific symptoms, a psychologist may be your best fit.
    • Training: Psychologists’ training includes 4-6 years of post-undergraduate additional schooling and specialization that incorporate clinical work throughout. This is followed by 2-3 years of pre- and post-doctoral clinical training. 
    • Assessments: Psychologists are also trained to administer psychological assessments. This involves administering and interpreting tests to help understand an individual’s cognitive, emotional, and behavioral functioning. If you aim to learn whether you qualify for diagnoses (and associated work or school accommodations), psychologists can conduct a wide variety of assessments.
      • For instance, do you think you might have ADHD? Do you feel you may qualify for many different diagnoses and aim to learn which actually apply to you? If so, then assessment can help you gain these answers as well as receive personalized recommendations about how to more effectively manage or eradicate your symptoms
      Degree Types: It is important to note that there are two different types of psychologist degrees: PhD and PsyD. PhD’s are doctors of Philosophy, whereas PsyD’s are doctors of Psychology. PsyD graduate programs prepare graduates to apply scientific knowledge to working with clients therapeutically. PhD programs emphasize research by preparing graduates to study the theories behind psychological principles and practices. Many PhD programs also require applied clinical training. However, the major difference frequently lies in PhD programs requiring double the research as PsyD’s, and PsyD programs requiring double the clinical work (conducting patient therapy and assessment) as PhD programs.

  1. Marriage and Family Therapists

    Another common question I receive is about the differences between a psychologist vs MFT. Marriage and family therapists are trained to work with individuals, couples, and families to address relationship issues, communication, and problem-solving. They may work with people who are dealing with a wide range of issues. This may include mental health conditions, relationship problems, and parenting challenges.
    • Training: MFT’s are typically the second most trained type of therapist (excluding psychiatrists) after psychologists on this list. Their training includes a two-year graduate program followed by approximately two years of working with clients pre-licensure.
    • MFT vs Psychologist: Ultimately, the decision between a psychologist and an MFT will depend on your specific needs and preferences. If you are seeking support for a specific mental health condition, such as anxiety or depression, a psychologist may be a good choice. If you seek support for relationship issues or to improve communication and problem-solving skills within your family, an MFT may be a better fit.

  1. Clinical Social Workers

    Clinical social workers train to provide therapy, support, and advocacy to individuals, families, and groups. They may work with people who are dealing with a wide range of issues, including mental health conditions, relationship problems, and substance abuse. Social workers often work for organizations that provide community services, such as in government agencies or non-profit organizations.
    • Training: Similar to MFT’s, social workers’ training includes a two year graduate program. MFT’s typically follow this with approximately two years of training in the field.

  1. Counselors

    Many people wonder about the difference between a counselor vs clinical social worker. Counselors can provide therapy and support to people facing a variety of challenges. This includes mental health conditions, relationship issues, and career problems. They may use a variety of therapeutic approaches, such as CBT or mindfulness-based therapy, to help people overcome their challenges.
    • Training: MFT training tends to be more variable. Depending on their qualifications, it often includes a 1-3 year training course followed by clinical work pre-qualification.

So which Mental Health Professional is right for you?

In summary, each type of mental health professional has different training and qualifications. Therefore, it’s important to find the right fit for your needs. It’s important to choose a mental health professional with whom you feel comfortable and safe. Trust and rapport are key to the therapeutic relationship. Therefore, it’s important to find someone whom you feel comfortable talking to about personal issues. Most mental health professionals offer a free consultation call to discern goodness of fit. Remember, if a therapist feels you are looking for something beyond their scope of practice, they should discuss your options. They may refer you to the type of mental health professional that is most likely to best meet your needs. Keep in mind, may take some trial and error to find the right fit. However, the effort is worth it for the benefits of effective treatment.

Understanding the Letters Behind the Name (PhD, LMFT, etc)

Understanding the letters behind a therapist’s name can help you decipher which type of professional you are reading about when you see someone’s title:

Psychiatrists:

  • Doctor of Medicine (MD)
  • Doctor of Osteopathic Medicine (DO)

Psychologists:

  • Doctor of Philosophy (PhD) in the field of psychology
  • Doctor of Psychology (PsyD)

Counselors and Therapists:

  • LMFT, Licensed Marriage and Family Therapist
  • LPC, Licensed Professional Counselor
  • LCADAC, Licensed Clinical Alcohol & Drug Abuse Counselor

Social Workers:

  • LICSW, Licensed Independent Social Workers
  • LCSW, Licensed Clinical Social Worker
  • ACSW, Academy of Certified Social Worker

Finally, remember that it’s okay to take your time and be selective in your search for a mental health professional. Your mental health is just as important as your physical health. Finding the right person to work with can make all the difference in your journey towards healing and growth. So, when you’re ready to take the next step and begin therapy or seek assessment, fill this out to schedule a free consultation call. Begin your journey today: contact a therapist

 

Shannon N. Thomas, Psy.D.
Shannon N. Thomas, Psy.D.

I work with individuals and couples struggling with ADHD, anxiety, vocational, or relational issues who seek to thrive emotionally, individually, and relationally.

LEARN ABOUT SHANNON
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Managing emotions

How to have Holiday Conversations with Family

Written by herecounseling

Times around the Holidays can be a mixed bag of emotions. With the joy and excitement around this time of year, there may also be anxiety and the anticipation of hard conversations with family members and loved ones. We have all felt that pressure, regardless of dynamics, connecting with loved ones can be difficult. 

However, maybe it’s about reframing your mindset around these talks. Instead of assuming it will be hard or uncomfortable, why not go into these environments with a few topic ideas? Let’s give a few tips and tricks for navigating your holiday conversations. 

Choose your Holiday audience wisely. 

It may not be beneficial to talk to your conservative uncle about the political climate as it always results in tension or resentment. Go into conversation knowing that the other is a safe person for you, even if that circle is small. 

How do you choose who is safe? Ask yourself these questions before the gathering: 

  • Who here makes me feel heard? 
  • Where do I feel cared for? 
  • Am I accepted by this person? 

Pick topics that add connection than isolation around the table. 

There’s not an issue talking about what you do for a living or if you’re in a relationship, but these kinds of questions can feel singular and dry and somewhat uncomfortable to answer. Adding in some vulnerability offers an open space for warmth and connection, without feeling too pointed. 

Asking questions with intention can sound like this: 

  • Who in your life are you enjoying time with? 
  • What are you finding fulfillment in these days? 
  • What activities have you been excited about lately? 

Small talk topics don’t have to be so forced. 

Personally, small talk bores me and I can’t bring myself to tune into what the other person is saying. Questions about the weather or latest news only get you so far. But small talk can be intriguing and fun if you take a different take on questions. 

Taking an interest in the lives of others with small talk questions like these: 

Ask about their routines! 

  • Their morning or evening routines create a layer of connection and you may find some inspiration to try something new in your own routines. 

Low stake debates. 

  • Do you think the Nightmare Before Christmas is a Christmas movie or a Halloween? What fashion trends should never come back in style? Asking fun, engaging questions lightens tension and feels inclusive with others.

Heres the bottom line. 

Holidays can feel hard when we let our anxiety, past interactions, or history outweigh what’s in front of us. Remember, it is not your responsibility to keep the energy in a room flowing but it is your responsibility to manage your own. 

If all of this feels overwhelming, if the holidays are painful for you, please reach out to our offices to set up a consultation. After all, the Holidays are meant to be spent in community and we hope to be here for you. 

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Man with ADHD procrastinating distracted from remote work.
ADHD, Managing emotions

5 ADHD Myths Debunked

Written by Here Counseling

When you’re diagnosed with ADHD, it can be difficult to discern facts from reality. The same is true if you are in the contemplation phase; wondering if you qualify for an ADHD diagnosis can be difficult while sifting through all the misinformation on social media that is perpetuated across the internet and pop-culture. Here I explain the reality behind the five main ADHD myths I encounter the most when working with new clients who struggle with symptoms of ADHD.

ADHD Myth #1: “You’re just lazy”

One of the biggest misconceptions about undiagnosed people with ADHD is that they just aren’t trying hard enough. Over half of the patients with ADHD I work with have been blamed for their untreated symptoms. Do any of these statements sound familiar?

  • “You’re just not trying hard enough!” 
  • “Everyone else can get it done in time!” 
  • “You just need to be more determined.”

These are fallacies! Not to mention incredibly damaging and demoralizing. The reality is that there is NO psychological correlation between ADHD and laziness.  Lack of effort is NOT a symptom of ADHD. In fact, most people with ADHD work harder than their neuro-typical counterparts because of the symptoms they’re knowingly or, too often, unknowingly combating.

ADHD Myth #2: Symptoms include…”

If you have TikTok or Instagram then you probably haven’t managed to avoid the endless cycle of videos explaining what ADHD looks like.

Social media would have us believe that everyone qualifies for an ADHD diagnosis. Now, social media has done a great job of raising awareness about disorders that people may otherwise not have thought to explore, get tested for, and treat. 

However, they also contain a lot of myths about ADHD. I’ve lost track of how many completely incorrect symptoms I’ve heard on social media, from symptoms that actually indicate other disorders altogether to “frequent tripping.” 

The truth is, whenever you want to learn the specifics of psychological disorders, social media is such a mixed bag of fact and fiction that you’re likely to encounter too many of they myths we’ve discussed so far. 

Instead, consult with a psychologist or the DSM. The DSM is our Diagnostic Statistical Manual, which we use for differential diagnosis. It describes the symptoms of every psychological disorder and how many of them you need to experience in a certain time frame to qualify for various disorders and specifiers. 

In short, there are three subtypes for ADHD:

  • Predominantly Inattention Presentation
  • Predominantly Hyperactivity Presentation
  • And ADHD, Combined Presentation

Depending on how many of each type of symptom you meet, you can be diagnosed with one of these specifiers. In a future blog, I’ll break down each of these specifiers in greater detail. In the meantime, you can check the DSM (our current version is the DSM-5-TR) to learn more.

ADHD Myth #3: “Adderall is always dangerous and addictive”

A lot of people have concerns about taking medication for ADHD. This isn’t incorrect, but there are also a lot of myths about the statistics of how medication can impact you. In short, there are numerous types of medications that can be used to treat ADHD. Some of these are stimulants, such as Adderall and Ritalin, and some are non-stimulants, such as Wellbutrin and Stratera which can also be used to treat depression. 

  1. Just as psychologists are the experts on therapy, psychiatrists are the experts on medication. Your psychiatrist can provide education about the different types of medications and which may be the best suited to your specific needs and concerns. 

Adderall is a class-A stimulant, which is why it needs to be carefully monitored by your psychiatrist. It certainly has the potential to be addictive, and can be dangerous due to its side effects such as appetite suppression which can lead to dangerous weight levels. 

However, if used correctly and monitored responsibly, many people find Adderall to be highly effective to help mitigate their symptoms. But, then there’s the other side of the coin…

ADHD Myth #4: “Adderall is a magic pill; it fixes ADHD”

Adderall is not a one-stop-shop magic pill that will get rid of your symptoms. It won’t suddenly make you stop procrastinating or maintain focus on what you feel that you should be focusing on. However, many people find that it can give you a choice. In other words, it can help you feel capable of, for instance, maintaining attention, but that doesn’t mean that you aren’t still capable of procrastinating just like a person without ADHD can.

    Some people do find that Adderall feels like this “night and day” experience that drastically helps them manage their symptoms. If you try it and find that is not your experience, remember that there are plenty of medication options and that plenty of people try various medications or dosages before finding the right fit.

    I like to recall the mantra that a psychiatrist I used to work with utilized when advising patients beginning ADHD medication: start low, go slow. 

    ADHD Myth #5: You grow out of ADHD, it’s “a childhood thing”

    This popular myth may have stemmed from the fact that, in order for a psychologist to diagnose you with ADHD, your symptoms must have manifested prior to age 12. So yes, ADHD must be present in childhood, but it isn’t confined to childhood. 

    Some people do find that their symptoms lessen with age. Some people needed medication while in school, for instance, but find it less necessary to take medication in later life. 

    Remember, however, that many people do not find that their symptoms decrease as they age. Many people report that they discovered coping mechanisms to aid their ADHD symptoms, which may contribute to them feeling that their symptoms lessened as they got older. These strategies may include the following, which I’ll expand upon in a future blog:

    • Breaking larger projects down into its minor components
    • Setting reminders for daily or important tasks 
    • Taking regular breaks when studying or working, such as employing the Pomodoro technique
    • Making their work/study environment as distraction free as possible
    • Using rewards to motivate themselves
    • Identifying and utilizing an “acountabili-buddy.”

    Next Steps

    Separating the myth from reality is key when learning about your new or suspected ADHD diagnosis. ADHD is a diagnosis with a high percentage of comorbidity, which means that people with ADHD sometimes also have another diagnosis, such as Anxiety, Depression, or ASD (Autism Spectrum Disorder).

    When the line between myth and reality becomes murky, it can be difficult to discern which diagnosis (if any) is currently impacting you. That can make it hard to figure out the best “next steps.” These next steps likely include working with a psychologist to be assessed for ADHD and learn if you qualify for a diagnosis. A psychologist will help you develop behavioral strategies to alleviate your symptoms or differentiate the impact of multiple diagnoses. Your psychologist may also help you meet with a psychiatrist to learn if medication could help you manage your symptoms more effectively. My hope is that this blog will help dispel some myths, arm you with truths, and help you begin to discern the next step that will be most beneficial for you. 

    Don’t know if you have ADHD?

    I can help you answer that question.

    A clear assessment can make all the difference in your life. Find out how we can help you

    ADHD Testing Options

     

    Shannon Thomas, PsyD
    Shannon Thomas, PsyD

    I work with individuals and couples struggling with ADHD, anxiety, vocational, or relational issues who seek to thrive emotionally, individually, and relationally.

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    Managing emotions

    Am I Too Stressed? 3 Indicators Men Don’t Notice!

    Written by Here Counseling
    Stressed man worried about his relationships

    Stress hits every individual differently, regardless of gender orientation or expression. But men struggling with too much stress often adopt negative coping skills that may not always be obvious. These negative coping skills, such as irritation, escape, unhealthy eating, and maladaptive digestion to name only a few, can effect way more than just your mental health. 

    Stress is sometimes good. It can keep you motivated to get your work done, stay social, and maintain a healthy lifestyle. But chronic stress results in health complications that can limit your quality of life.

    Here are the physical, mental, and emotional signs that indicate you’re at risk of developing chronic stress.

    What are Physical Indicators of Stress in Men?

    We often think of stress as worry or fear of that upcoming deadline or of checking off enough items on the to-do list. But often we fail to realize that stress comes with many physical symptoms as well.

    Chronic stress is evidence of an overactive fight or flight response which, by nature, draws your body’s attention away from important functions like digestion and immunity, and instead increases your heart rate, muscle energy, and breathing. Chronic stress can therefore increase infection risk and slow healing, and cause problems in your gut and nutrition absorption. 

    Physical indicators of stress:

    • Chest pain
    • Irregular heartbeats
    • Elevated blood pressure
    • Body weakness or fatigue
    • Shortness of breath
    • Muscle spasms
    • Neck or lower back pain
    • Vertigo or Dizziness
    • Tension Headaches

    In addition, you may also experience:

    • Tightness in the throat
    • Increased thirst or mouth dryness
    • Teeth grinding or locked jaw
    • Frequent sweating
    • Abdominal cramps
    • Digestive issues such as constipation, diarrhea, or indigestion
    • Skin problems such as acne or blemishes
    • Weight gain or loss

    If you’re experiencing any physical signs of stress, do not ignore them. Find the right therapist and visit your doctor to make sure you’re not suffering from any underlying medical issues.

    What are the Psychological Indicators of Stress in Men?

    When your body is under the influence of stress, it produces hormones like cortisol, affecting your thinking pattern.

    Stress also blocks the release of happy hormones from your brain, such as serotonin and dopamine.

    Psychological indicators of stress include:

    • Lack of sleep or insomnia
    • Social withdrawal
    • Inconsistent sex drive or libido
    • Constant mood swings
    • Fidgeting or irritability
    • Frequent hunger pangs or starvation
    • Escape to alcohol or other substances
    • Diminished productivity or creativity

    If you find yourself checking off items from these lists, check out Kristi’s recent post on 3 tried-tested ways to clear your mind. It’s pure gold! And if you find yourself craving extra guidance, reach out to us for a free consult. 

    What are the Emotional Indicators of Stress in Men?

    Whenever stressed, your brain tends to entertain irrational beliefs. These unhelpful thoughts can cause incredibly painful emotions, and sometimes harmful choices that can lead you down a direction contrary to what you imagined for yourself. 

    Emotional indicators of stress:

    • Regular crying spells
    • Staying at home more than usual
    • Avoiding friends or family
    • Saying “no” to activities you usually enjoy
    • Frequent nightmares
    • Obsessive or compulsive behaviors 
    • Escape to alcohol or substance use

    Find ways to bring oxygen to your difficult emotions by opening up with safe individuals. By releasing tough feelings from your body, you free your body to return to its baseline, peaceful functioning. 

    Does Stress Make You Sick?

    With your fight or flight system calling the shots, your body’s ability to maintain your physical health is hijacked. This can put you at risk of cardiac disorders, gastrointestinal disorders, increased virus risk, sexual dysfunction, or other physical difficulties. 

    Here’s the bottom line:

    Stress disrupts every phase of your life and snatches your independence by putting you at a higher risk of developing multiple mental and physical disorders. If you’re experiencing a majority of the above-mentioned physical, mental, or emotional factors, you might be at risk of chronic stress. 

    You owe it to yourself to seek help. Visit your doctor to insure you aren’t suffering from a medical condition. Feel free to reach out to me or the other therapists at Here Counseling if you’d like an experienced guide on your side as you navigate your way out of chronic stress. 

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    Anxiety, Managing emotions

    Navigating stress as a college student

    Written by Here Counseling

    This week, a 12am deadline came on the same day a super cute someone invited you to the event with the film club after class. And last week, hours of YouTube searches didn’t help you narrow down between your 3 top potential majors. You know you need to navigate between sleep and deadlines and family and dating and maintaining friends, but it all seems too much. 

    Being a college student comes with a fair amount of stress. Trying to balance these never ending elements can make us feel like we aren’t measuring up. What’s worse is that during such periods of stress, our brains are primed to adopt a negative self-monologue. 

    Turn down the stress voice

    Underneath these negative monologues is an unhelpful belief about the self. See if any of these messages fit with your experience, or if perhaps you can come up with one not listed:

    “I’m alone.” 

    “I’m not good enough.” 

    “I’m not safe.” 

    “I’m not loved.” 

    Take a moment to reflect and analyze what your recent train of thought has been. Asking yourself these questions, could help you narrow it all down: 

    • How has it made you feel? 
    • Do you have that constant trepidation that everything is going to get worse? 
    • Are you replaying all the ways certain people or events have made you feel like you’re not good enough? 
    • Do your dreams feel far from reach? 

    Raise the volume on your empowerment voice

    Slow down for a moment. Take a look at how far you’ve come. It’s easy to focus on how much you’ve not done or the mistakes you’ve made. 

    You cooked dinner for yourself? That’s amazing. 

    Came to class even though you were emotionally exhausted? You’re doing your best. 

    Have you fought the onslaught of negative words? That’s bravery.

    In taking the chance to celebrate your wins, you adopt a more empowering self belief. See if any of these empowering identity messages fit for you, or if perhaps you can come up with one not listed:

    “I have plenty of support around me.”

    “I’m good at many things.”

    “I can be safe with healthy boundaries.”

    “I know people who love me.”

    Try spending the first 2-5 minutes of your day celebrating what’s right in your life and what that means about your empowering identity message. You can go on preparing for your day. Celebrate all the wins you can in this time. Clap for yourself; applaud your endeavors, high five your mirror reflection! 

    Live in your newfound empowerment. 

    Think of these identity volumes as operating frameworks. When you step into the day from the framework of “I’m not good enough”, you second guess decisions, taking a long time to make any choice. Perhaps you’ll avoid talking to someone you find attractive. And sitting to write that term paper feels like running a marathon. 

    When you increase the volume on your positive identity beliefs such as “I’m good at many things”, you experience the confidence to step out of your comfort zone. You discover an empowerment to make good choices quickly. You find that the term paper doesn’t bring as much stress as before. 

    Knowing when you need therapy

    Choosing to alter your operating framework to a more empowering self belief is not so simple all the time. Very often, we need to pick apart our life stories and our present stresses in order to understand and even believe what is truly positive and strong about who we are. This journey of exploration can easily be facilitated in a therapy setting. In therapy, we’ll peer underneath the messages and events holding you back from the goals you’ve set for yourself, uncovering and dismantling their negative power on your progress. 

    Fill out a contact form or call our office to set up a free 15-minute consultation if you’d like to discuss how therapy could help you navigate through the stresses of college life. 

    Gavin Cross, LMFT
    Gavin Cross, LMFT

    Counseling for men and couples
    I empower men and couples to embrace an authentic sense of self.

    Website Link Here!
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    Managing emotions

    How to Find the Right Therapist for You

    Written by herecounseling

    I know it might sound a little wild but finding a therapist is a lot like dating. Think about it: you go through the classic online searches and scrolls, you ask your peers if they have anyone in mind, and you spend a considerable amount of time and money getting to know potential prospects in the hopes that something clicks. 

    “Therapy can be an important investment in your mental health. Finding the right therapist will benefit you immeasurably for life.”

    If you have felt like the journey to find “the one” has been overwhelming and seemingly impossible, you are not alone. There are plenty of things that do not work when finding a therapist. However there are some great things that do! Below are three tips to help you find that match for you: 

    Knowing what to look for in a therapist can feel never ending. Let’s narrow it down!

    1.) Get clear about what you are hoping to find in therapy. 

    There are many different types of therapy to choose from and some may not work for your needs. Even if your friend swears by their therapist, your needs may be different. It’s important to ask yourself questions before getting out there to search. 

    These questions can sound like: 

    • What trauma am I needing to heal? Whats my reasoning for seeking therapy?
    • What kinds of therapy are helpful to that healing? 
    • Am I in a place where I can accept hard truths about myself? 

    Bottom line here is that we know ourselves well enough to know when something feels off. It’s important to take time to process these feelings and experiences as you start your search. Use this time for self reflection and make a list of needs!

    Your needs are important to your healing

    2.) Search for a therapist based on your area of need. 

    Now that you have answered those harder personal questions, it’s time to start your search. Begin by researching clinicians in your area and narrow down a few that look promising and call to set up a few consultations. 

    Here are some helpful links to reference in your search:

    Helpful Hint: Remember the dating rule 

    It’s okay to date around here! Make a few appointments with different people, schedule a second if you feel comfortable. At the end of the day, it’s more about how you feel about them than how you think they are viewing you. Ask about their practices, their training and be clear with them about what you’re expecting from your experience. 

    Look for a therapist, not just therapy

    3.) Understanding that therapy is not a one size fits all 

    Hard to believe, but not every therapist will work for you. Like dating, you may think they are nice to talk to but if they are not able to provide what you are needing in order to grow, it’s okay to move on. It can be a timely process so remember to be patient and understanding with yourself and others as you navigate this journey. 

    Once you find a therapist that clicks with you, it’s time for the harder work to begin. Therapy is not the end of a healing journey but the very beginning. It won’t always feel good and it can be hard to hear what your therapist has to say.

    Maybe framing it this way will be helpful: 

    “You don’t go to therapy, you go to a therapist. Ultimately, it is not the manual used treatment that will be helpful and meaningful to you, it will be a specific person who has walked through this journey with you.”

    The goal of therapy is to walk away knowing you have taken the proper steps to care for your mental health. Finding a therapist that aims to guide you in that journey, makes all the difference.

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    Managing emotions

    Is this normal teenage moodiness or depression?

    Written by Kristi Wollbrink

    Am I overthinking my teen’s moodiness? 

    Teen years are some of the most essential years for development and also bring a great range of experiences. Sometimes, in the midst of these many changes, teens may display an increase in expressions of emotional highs and lows. The teenage years are a time of self exploration and development which can feel exhilarating! On the other side of this, there can be a deepening of experiences that feel uncertain and can involve feelings of lowered self worth and depression. While it is normal for teens to experience a variety of emotions, it is important to be aware of what may be a sign that your teenager could be experiencing a depressive episode. 

    Before you assume depression, look deeper 

    You may be asking yourself whether or not your teen is experiencing what would be considered normal changes in temperament and mood within these teenage years – or if this could be an indicator of depression?  Often parents of teenagers find themselves worried that they may be brushing things off, when in fact the things they are seeing are something that needs greater attention and concern.  Other times, parents find themselves feeling anxious that they aren’t doing enough and fear that they may miss some important sign that could signal greater danger for their teenagers personal well being. Having some clearer guidelines for knowing when things fall outside of the normal range can help you to know if your concerns for your teenagers behaviors are signs of depression.

    It could be helpful to use these three simple indicators to help in understanding if your teenager is experiencing a depressive episode.


    How long is too long for my teen’s mood?

    Change in mood can happen for a variety of reasons, especially in the years of adolescence. However, the difference here is a matter of consistency. It is important to note that just because a teen may seem a little more reserved or withdrawn it does not necessarily indicate the presence of a depressive episode. Teens often have times when they will be more withdrawn or tend to pull back in their normal interactions at home. This can often be a natural shift toward the importance of peers or other relationships in their lives. A good indicator of a change in mood that may be of greater concern for your teen is that of

    • experiencing a low or diminished mood for two weeks or longer
    • continued sadness
    • feelings of hopelessness
    • tearful spells
    • displaying a lack of desire or engagement in activities that they find pleasurable

    Is my teen’s mood effecting their daily life?

    It is important to consider the effects regarding changes in mood and behavior, including any of the following changes:

    •  significant change in weight or a change in appetite
    •  change in sleep patterns: either a decrease in sleep patterns (difficulty falling or staying asleep) or increase in sleep (greater than the normal range of 8-10 hours of sleep)
    •  consistency in feelings of fatigue or lack of energy
    •  lowered ability to concentrate or difficulty in making decisions on a consistent daily basis
    •  the feeling of lowered motor physical ability or feelings of physical sluggishness happening nearly every day

      These may be things you hear your teenager complaining about or may be things that you or others are noticing for your teenager. If at least two or more of these are present and happening nearly every day, then this may be an indicator that your teen is experiencing something greater than just a normal change in mood.

    How is their mood impacting their academic and social performance?

    The change in functioning is one that is also very important to consider for your teen.  A question you may want to consider is how the change in your teens mood is affecting their ability to perform normal daily activities. Some things to consider for this include:

    • if the change in their mood has had an impact on their school attendance or punctuality, the ability to maintain part time work of any kind
    • their ability to maintain their social or peer engagements such as normal activities at school, church or other social activities.
    • change in mood is having any effect on their level and engagement in usual self care such as hygiene and personal care, or ability to make a keep a schedule (ie eating regular meals or completing required homework).

    Understanding the changes that your teenager may be going through can prove difficult. Ensuring that your teen has the support they need to help them to understand what they are experiencing can be essential.  I would love to set up a time to be able to schedule an initial consultation to help your teen find what they need to navigate their teenage years.

    Kristi Wollbrink, AMFT 
    Kristi Wollbrink, AMFT 

    I help teens and couples decrease anxiety to find meaningful connection.

    LEARN ABOUT KRISTI
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    Managing emotions

    Fighting with your partner? How to restore connection today

    Written by Kristi Wollbrink

    Are you having that feeling that somehow your partner just doesn’t seem to really understand, no matter how many times you try to tell them what you’re feeling? You ask them to be sure to let you know if they are going to be home late, yet they continue to do this. It infuriates you and it becomes another fight. Couldn’t they just take the time to send a text?

    Why is this always the fight?

    It’s in these moments that one can begin thinking something like “this is just how things will be” – and we find ourselves giving up hope that connection will be restored.

    Often times our attempts to solve the problem feel like they keep causing further frustration and the feeling that things didn’t really change. This may be because we are not addressing the issue that is truly the source of our frustration.

    Learning to fight the issue, not your partner

    For each of us, there is a desire to know that we have secure attachments. Finding where we can feel safe and can be loved, even at our worst. At times something interrupts our feeling of security and safety with the people we are closest with, and we find ourselves feeling a sense of threat to our well-being. This can cause us to react in an effort to thwart the threat that is detected.

    • If our spouse doesn’t respond to our request for communication, it may be triggering an internal feeling of lack of safety. We may not feel that we are in any physical danger, but there is a feeling that we are not valuable in the relationship. This becomes the primary source of concern, and we begin to find ourselves trying to protect our need to feel safe and secure.

    As you are able to slow down and understand what it is that is really going on, you can then utilize these steps to help communicate your needs more directly.

    • Take time to slow down and ask yourself what it is that the other person’s words or actions brought up for you.
    • Name the emotion or feeling. It can help to utilize assertive expression to help in explaining what it is you want to communicate (which can help to limit blaming) and instead express your feelings clearly. An example of this might be: “When you didn’t give me a heads up about coming home late, it made me feel not valued and not important.”
    • Allow time for your partner to respond and really listen to them. If needed, repeat back the feelings you had in the situation without placing blame on them or dismissing your own experience.

    Bottom line, restoring connection should remain the focus

    It’s important that we are able to notice and express our own experience, rather than pointing fingers or trying to defend ourselves. In doing so, you can move into a place of understanding your emotional experience. By helping your partner better understand the impact of these interactions, your connection will increase and further establish safety and security.

    At times, it can be helpful to have a therapist or other professional who can help you to identify these deeper emotional experiences as a way to help increase your feeling of connection within your relationships.

    Kristi Wollbrink, AMFT
    Kristi Wollbrink, AMFT

    I help individuals and couples decrease anxiety in order to find meaningful connection.

    Learn About Kristi
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