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Calming Dysregulation

Calming Dysregulation

There are so many options when a child is upset. You can endure the power struggle and wait it out. You can set a firm limit and brace for the storm. You can give in to the tantrum and revisit the same issue later. You can seize the opportunity and teach coping skills.

Once a family struggle reaches our clinical office, most or all these options have been attempted. Parents typically wait until their tank is empty before investing in professional help. As it should be, we are a last resort.

Once the problem-solving challenge is in our hands, we try to put ourselves out of a job as soon as possible. The solution needs to work outside of the safety of the clinical setting. Once the family has the tools they need to navigate their circumstances more effectively, the therapist backs away.

The professional options are typically not discovered by trial-and-error. They are the tools learned in years of clinical training. Teaching heart rate variability, diaphragmatic breathing, and biofeedback techniques requires credentials and experience. What’s more, the technology employed to enable these interventions is not cheap.

Exhaust your common-sense solutions before you purchase a therapy engagement. But understand that reaching out to a professionally trained therapist is never a parenting failure – it is a path to the next level of resources. We are happy to transfer our knowledge to your family and then get out of the way when you’re ready to go it alone.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Apologizing is Difficult

Apologizing is Difficult

There was a bad decision. It didn’t work out. People are talking. Your reputation has been stained. Now what? Own it? Full disclosure? “Umm…this happened. We’re sorry for the consequences. We wish we could take it back but, unfortunately, the damage is done. Here’s what we’re going to do next.”

Many years ago, I was heckled by two professors who believed I was under-credentialed to be speaking on the topic I had been hired by the college to present. When word of the event got to the college president, he was mortified by his faculty’s behavior, and he required my colleagues to formally apologize.

It was easy for the ringleader. In a monotone, he said, “sorry.” Absent of meaning, it sounded like a kid trying to get out of trouble. So, I said, “Say it like you mean it.” He paused, rolled his eyes, let out a deep sigh, and said, “SORRY.” Done.

His co-heckler took a different approach. She was embarrassed by having been led into unprofessionalism and wished she could rewind history. She sheepishly approached me, and she fell to tears. She explained that she had gotten caught up in the moment and had regretted her actions ever since.

Seeing that she was unable to find the right words to apologize, I encouraged her to let it go. Lesson learned. There was nothing more that either of us needed to make it right. Move on.

Apologizing is difficult. Here’s a template: I effed up. I didn’t intend to eff up, but I now see that I did. I’m sorry. I wish I could have a do-over, but that’s not the way life works. So, all I can do is apologize and try to do better in the future.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Where Did You Get Your Spirit?

Where Did You Get Your Spirit?

We are all some blend of our ancestors’ genetics and the environmental experience we’ve traveled. My mom was a creative and my dad was an engineer. She told captivating stories while he studied the ingredients on a catsup bottle. I got a little of both. But my environment shaped the outcome.

Nature or nurture? Face it, we all become some variation of our parents eventually – unless we see the landmines and decide to make changes. Perhaps the goal is to capture the best of previous generations and avoid the pitfalls of passing our pathology on to the next generation.

So how do you do that when most of the pathology you prefer not to pass along exists in your blind spot? An accountability partner is the answer. Maybe it’s your spouse who annoyingly points out all the words and behaviors that get under their skin. Perhaps it’s your most trusted coworker who has your best interests at heart and is awkwardly trying to find a tactful way to give you sensitive feedback.

Sometimes it’s your middle-of-the-night epiphany when you realize you are stepping in the same pile of dog do you stepped in before. The source of your insight matters less than the choice about what to do about it. Insight is worthless without action. Action is, likewise, meaningless unless it is sustained.

It’s about how you show up – not under normal circumstances – but under stressful conditions when your blind spots get activated. Make the unconscious conscious. Listen to the whispers that you might be, once again, becoming the parent you were trying not to be. Instead, become the person that your kids, friends, and coworkers will see as a role model.

This is how nurture beats nature.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Macro, Mezzo, and Micro Wellness

Macro, Mezzo, and Micro Wellness

It would be a mistake to view your work team, your closest interpersonal relationship, and your own growth and development as separate experiences. You are at the center of each of these universes and uniquely drive the wellness and vibe of each one. Your strengths dictate how well you interact with the environment (micro), your friends and family (mezzo), and your workplace culture (macro). Unfortunately (or fortunately), your personality glitches, poor coping skills under stress, and unresolved psychological issues have plenty of impact, too.

The reason this might be fortunate is because the same arrow points to the same opportunity within all your walks of life. If you don’t play nice in the sandbox at work, you probably don’t at home either. If you struggle with social anxiety, you probably battle stress demons personally, as well. If you are struggling to find direction in life, it’s pretty likely that your career path is not perfectly aligned with your values. Our strengths and struggles both play out wherever and however we spend our waking hours (probably our sleeping hours, too).

The opportunity is to find the commonalities in all three venues, micro, mezzo, and macro. Ask the same question in three different phrasings. Most likely, all three answers will be the same. If they are, it may be time to address the issue that seems to have become pervasive. Life is short. Why not now? Does it hurt enough yet?

Here are some examples of questions that might unveil growth opportunities (and perhaps lead to a better night’s sleep):

You tolerate disrespect.

  • Micro: Am I neglecting my health and wellness in any way?
  • Mezzo: Do I allow others to say or do hurtful things to me?
  • Macro: Are words and actions that could undermine our team culture tolerated?

The discomfort of conflict leads you to not stand up for yourself.

  • Micro: Does life seem to go better when I avoid confrontation?
  • Mezzo: Do we take time to process the changes that unfold in our relationship?
  • Macro: Does my team work best when conflict is avoided?

You struggle with accountability.

  • Micro: Can I be trusted to follow through with my commitments?
  • Mezzo: Are expectations and responsibilities clear in our partnership?
  • Macro: Does my team have a clear understanding of our collective roles?

You fear the vulnerability of closeness.

  • Micro: Do I feel close to those in my inner circle?
  • Mezzo: Is our connection growing closer or more distant?
  • Macro: Do I have trusted colleagues on my team?

You settle for ‘good enough’ instead of trying new things.

  • Micro: Do I hesitate to stretch myself and try new things?
  • Mezzo: Do we support each other’s growth?
  • Macro: Is creativity encouraged or do we tend to stick to what’s worked in the past?

You find it difficult to bounce back after a disappointment.

  • Micro: Am I able to move forward following a setback?
  • Mezzo: Are we able to see the opportunities that arise from change?
  • Macro: Does our team have trouble getting back on track following a loss?

It is the rare human who is consistently free of struggle. Whether the pain manifests itself at work, home, or in exchanges with friends and/or lovers is merely symptom identification. The problem that generates the system affects all three, whether or not it’s being telegraphed.

That’s the good news. If you fix it in one place, the other locales enjoy the benefit. Both pain and pleasure are shared experiences and are wildly contagious. Your mirror, friends, and colleagues will thank you. They might not understand why things with you are better, but everyone, everywhere, will feel the difference.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Does Your Mirror Offer a Kind Reflection?

Does Your Mirror Offer a Kind Reflection?

How are you? Really – not the ‘How ya doin’ that isn’t really a question but more of a greeting – but a genuine curiosity about how you’re actually coping these days. Have you been able to live day-to-day according to your values? Are your interactions with your family, friends, and colleagues meaningful? Are you growing? Are you navigating change – both the expected and unexpected kinds – with resilience?

Take a snapshot. At any given phase of life, some of these aspirations may have become compromised. There’s always a reason and, often, it feels beyond your control. Other than the times when we’re all capable of making a regrettable choice, the bulk of our challenges require creative problem-solving. So, the ‘How are you?’ question is really an invitation to do a quick assessment. Take a look in the mirror, make eye contact, and evaluate yourself in this moment in time.

Try to imagine some of the possible outcomes. After looking in the mirror and asking the tough questions, you might discover (or, once again, be reminded that):

  • You tolerate disrespect from others.
  • You have made choices that don’t align with your values.
  • The discomfort of conflict leads you to not stand up for yourself.
  • You tend not to follow through with commitments.
  • You fear the vulnerability of closeness.
  • You settle for ‘good enough’ instead of trying new things.
  • Your anxiety becomes overwhelming during periods of change.
  • You find it difficult to bounce back after a disappointment.

Any one of these examples will become life game-changers if addressed. The cost of normalizing their consequences has probably worn you down for a long time. You either didn’t know what to do or you decided that the consequences aren’t as painful as the fix. Either way, a fresh opportunity is now before you.

Or – maybe – your mirror offered a kind reflection. If so, you’re in one of those rare moments when the wind is at your back and the sun is shining. All is well. Nothing is broken so nothing needs to be fixed. Your health is good, your career is on a positive trajectory, and all of your relationships are thriving. Grab your gratitude journal and make an entry.

But if your moment with your mirror reveals otherwise, you’ve been given the gift of insight. Now what? You can either let the clarifying perspective be enough or you can use it as fuel for action. As we’ve all learned many times over, knowing what to do and doing it are different competencies. All you have to do is return to the mirror exercise in about a month to see which path you took.

Because if nothing changes, nothing changes.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

The Case for Co-treatment

The Case for Co-treatment

At Elmhurst Counseling, we often receive referrals that are best served by combining the expertise of multiple therapists. The most common examples are Occupational Therapy and Speech Pathology. OT and social work are similarly intuitive. The credentials and expertise of these specialists blend naturally on behalf of the child. Let’s consider these two examples.

Many kids fall short of school district thresholds for speech & language and/or occupational therapy services. Yet each of these children displays concerning symptoms, whether that be difficulties with motor planning or self-regulation. What is a parent to do?

You can wait for the kiddo to ‘grow out’ of their symptoms, assuming the lag is within the developmental norm. Or you can engage your own resource network proactively with the understanding that early detection pays dividends.

It is probably no surprise that both speech and motor delays are partnered with most kids. The same goes for sensory processing and social pragmatics. An hour with either the Speech Pathologist or the Occupational Therapist addresses many of the same developmental challenges. When you put them together in the same room with a child, magic happens.

The same magic occurs when you add a Social Worker to the mix. It is the rare ‘OT’ or ‘SLP’ client who doesn’t have a strong social-emotional component to their clinical picture. The ability to address the childhood traumas and family dynamics that impact normal development is, in essence, prevention. Speech/language, social work, and occupational therapy interventions thus all become strengthened in a multidisciplinary approach.

The cost/benefit analysis is clear. Collaborative interventions in co-treatment models have measurable clinical efficacy. It’s just hard to find a practice that offers hybrid services. Most often, parents need to act as project managers and patchwork professionals together on their own. If you can find a clinician that partners in an interdisciplinary practice, sign your kid up!

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.