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Just When We Thought We Had Seen It All

Just When We Thought We Had Seen It All

As a clinical practice serving families for 38 years, sometimes our clinicians think they have seen it all. Two factors bring us to our senses. First, you cannot have a career in the human services and see everything. Human behavior is complex, and the complexity intensifies when you blend it into relationships and families. Second, the world has gotten more complicated, and the magnified stressors are affecting families like never before.

As a result, our therapists have committed themselves to being curious. With every client and each set of circumstances, we ask the question, “What would need to be true to make these struggles make sense?” More important than our educational training or theoretical orientation is our understanding of the family’s unique situation. You do not need an advanced degree to understand a complex behavior when you are willing to assess through the lens of curiosity.

Yet, three things remain universally true.

  • Symptoms intensify following trauma.
  • Resolution is easier when we can intervene earlier in the progression of struggle.
  • The struggle usually shines a light on the problem if you let it.

Symptoms intensify following trauma. ‘Normal development’ is only normal when everything goes smoothly. Disruptions are valuable indicators and frequently answer the ‘why.’

Resolution is easier when we can intervene earlier in the progression of struggle. Early detection is vital in every healthcare challenge. Once things take root and get normalized, the chances for a quick and effective solution decline.

The struggle usually shines a light on the problem if you let it. We live in an age of symptom reduction. Unfortunately, when you relieve the symptom, the path to the cause gets obscured. Let the pain last long enough to see why it is there if you want to know what to address.

Stay curious. Resist the urge to diagnose. As soon as you zero in on an answer, you eliminate other possibilities. We live in a complicated world and not knowing something right away can offer the gift of discovery. Human lifespans are simply not long enough to solve the puzzle of human relationships. But fortunately, we get to work on the puzzle together.

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.

I Get To…

I Get To…

Spring activities have begun, end-of-school-year craziness is starting to fill your calendar, and your family’s long-sheltered immune systems are struggling to keep up against the season’s usual bugs. All of this is piling on top of the usual stressors: the house is a mess, the weekend grocery haul already ran out, there’s another note from school, the mail’s stacking up, and you have to make dinner again. You’re pretty much running on fumes.

Just for fun, let’s add one more thing to your list. You’ve probably been encouraged for the thousandth time by yet another blog or a well-intentioned friend to also “practice self-care”. The phrase is as overused these days as “unprecedented times” and “new normal”. But please try to hear me out as I join the bandwagon – because I’m about to propose a gratitude exercise.

Seems like a ridiculous suggestion when you can’t even shower without interruption, I know. I’m the first to admit that it feels impossible some (most?) days. Yet gratitude remains one of the most overlooked tools that we all have access to every day, and the benefits are enormous.

Dozens of studies tell us that feeling gratitude has a wide range of perks, including reducing stress and improving relationships. Scientists at Indiana University even found that it can change your brain, making you happier and less prone to depression. Maybe even more importantly, they discovered that it makes you more receptive to gratitude experiences down the road. In other words, it can kickstart a positive snowball effect.

So how can we realistically get more gratitude into our stressful days? Here’s a fairly easy trick to try out. The next time something makes you smile, just make note of it in your head, but start with the words, “I get to.”

 

Begin with the easy observations:

I get to watch my son shine on the soccer field.”

I get to enjoy a fun evening out.”

 

Once you have that nailed, do the same thing with the less obvious stuff:

I get to have some alone time at Target”

I get to savor this sip of coffee.”

 

Finally, the real challenge – apply the words to the moments that make you want to escape:

I get to practice patience while stuck in bad traffic.”

I get to help my daughter navigate this tantrum.”

 

No one can do this successfully all of the time, or even always believe the words in the moment (I’m looking at you, tantrum example). But those three little words – “I get to” – are deceptively powerful, because they lend you an important, subconscious shift in perspective. The word gratitude is derived from the Latin word gratia, which means grace.  Even the tough stuff means that you get to experience life in all its beautiful and ugly splendor. And acknowledging that simple fact is the true essence of gratitude.

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and an occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.

How To Live In 1,440 Minutes

How To Live In 1,440 Minutes

Back when my husband and I were first dating, he gave me a book entitled, “The Art of Doing Nothing.” At that time, I was a full-time college student with two part-time jobs plus a 3-times-a-week rehab course as I recovered from an accident earlier that year. Curiously, my mom laughed when she saw the book. “It seems like you’re really good at that already,” she chuckled.

Despite my hectic schedule, I found myself agreeing with her. It was true. I could spend forever on the porch swing just listening to birds or reading a book. I was also pretty good at saying no to plans and having quiet evenings staying in to do, well, pretty much nothing. The 42-year-old me now understands that the ‘nothing’ time I instinctually build into my day was refueling and protective…but the 20-year-old me simply felt shame over my mom’s comment.

It was another reminder that as a newly-minted adult, I was expected to productively fill my day – not to let the day fill me. No more slacking, I told myself. Nobody gets to where they need to go by staring out a window in the middle of the afternoon. As I buckled down, I came to regard my downtime (now mostly relegated to the late evenings) with alternating consternation and relief.

Like many people, I learned to stay focused on getting through my to-do list in order to reach some imaginary daily finish line. If I was able to get to the end of a sufficiently-long list, I could then get to my ‘indulgences’ – the things that called to my introverted soul. But instead of picking up a book or watching the birds with my precious extra time, I often found myself filling the extra time with ever more demands.

Unless I was intentional, I easily defaulted to habit. Even though I knew better intellectually, I still fell prey to the imagined expectation that quantity (checking off tasks) was more important than quality (fueling my soul). Finding one more to-do item from an endless list was somehow easier to justify than quietly listening to the wind rustling through the trees.

Becoming good at handling busyness begets ever more busyness, it seems. There’s always another task, always another email popping up, always another text awaiting your reply. Parents of young kids have to manage a particularly intense 24-hour influx of demands. It’s exhausting.

Yet we often wear our busyness as a strange badge of self-worth. We bond and commiserate with others by airing and comparing our lists. We might even feel an impulse to hide, account for, or explain our unstructured minutes and hours instead of simply relishing them. Oddly, refueling and self-care become secret indulgences.

Here’s the truth of it: we’re continually gifted 1,440 minutes with each rotation of the earth to fill as we see fit. What if we chose more stillness at the expense of productivity? Would those minutes expand and become more enriched by pausing often enough to completely absorb the people, activity, and environment around us? At the end of the day, the minutes I always treasure most are the ones I slowed down enough to notice.  

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and an occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.

Nourish = Flourish

Nourish = Flourish

It’s hard to find someone who doesn’t want to improve. Even when it’s uncomfortable, most people spend time in private thinking about the parts of themselves that could use a tune-up. Learning something new, finding a better job, working on a healthier body, abandoning a questionable habit…there’s usually some renovation calling.

Fortunately, we’re wired to view our personal futures with hope. The vast majority of us have a tendency to overestimate the likelihood of positive things happening while simultaneously underestimating the potential for negative ones. The phenomenon of “optimism bias” has an evolutionary function since it allows us to see possibilities and approach our days with both courage and imagination.

This taps Carol Dweck’s fixed versus growth mindset work. Nearly every human endeavor is influenced by how we think about our talents and abilities. When a person’s mindset is driven by a belief in the ability to grow, they are more likely to grow. The view you adopt for yourself profoundly affects the way you lead your life.

Future optimism is obviously a useful trait, but here’s the rub: favorable events don’t just happen by magic. The best outcomes are usually the result of deliberate attention and action. Parents know this intuitively; it’s a primary reason for the time, energy, and resources funneled into children’s development.

We don’t dispute the benefits of devoting effort toward helping our kids develop in the best way possible. Yet somehow we fail to apply the same concept to our own lives. Why? Just because we’re done growing physiologically and we’ve found ways to function in the adult world doesn’t mean we’re done facing new changes and challenges.

The answer might be that because, as adults, we don’t always see ourselves as “becoming.” There’s a perception that once we reach a certain threshold (stage of life, milestone, etc.) and check off certain boxes, we’ve “arrived.” We learn to take small disappointments and unmet goals in stride with quiet resignation and accept our lot in life.

On the other hand, maybe you know someone who is a shining example of striving to improve but it’s at the expense of other areas of their life. Perhaps it’s the friend who directs all of their focus toward building a career but leaves their health on the backburner. Or the mom who throws herself into raising a family with passion, but forgets important parts of herself in the process.

Whatever the case, it’s never too late to find better balance and shift things into a forward gear again. The potential for the generous cultivation of oneself is always right there; it merely takes some deliberate, self-focused TLC. Unlike a pitch for selfishness, this is a call for investment. Positive change is always possible and follows a very simple equation:    nourish = flourish.

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and an occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.

Choose Your Own Adventure

Choose Your Own Adventure

Imagine if you could compose a story about your ideal day – from the first thing you see when you wake up to every little interaction that fills each minute, all the way up to the moment your head hits the pillow again at night. Who and what would you include? Now, what if you could somehow magically turn all of that into your real, lived experience?

We don’t have any actual magic to make this happen, of course. What we do have is the power of choice. Believe it or not, you get to choose exactly the type of day you’ll have, beginning with each new sunrise. You might feel an urge to argue about that. “Choice is a luxury I don’t have!” I get it.

Our worlds expand quickly as adults – less freedom and more responsibility. Our waking hours get filled by the taxi service to soccer practices and dance classes. Once the kiddos are in bed, it’s all we can do to tackle the day’s checklist before conking out. Choose my adventure?

You’d be absolutely right in many ways. I’ll admit that we can’t avoid many of the monotonous parts of “adulting”: making enough money to keep food on the table and a roof over our head, fulfilling our responsibilities, and providing for those who depend upon us. Laundry, dishes, taking the garbage out, hygiene, preventing our kids from self-destruction…they’re all very real and unavoidable tasks.

We also don’t get to choose where and to whom we’re born, what kind of DNA we possess, the precise content of our experiences, most of the people who enter and exit our days, or how any of those aforementioned people behave in relation to us.

All true.

 

But here’s what we do get to choose…

…how much time to carve out for the things that feed our soul.

…the sacrifices and consequences we’re willing to accept to protect that time.

…whether to indulge ourselves in the moment, or exercise self-control in favor of greater goals.

…whether to plan for the future, or to allow things to unfold.

…whether to push toward bigger and better things, or to play it safe.

 

And let’s widen the lens. We also get to choose…

…the moods we indulge.

…how we interpret the things people do and say.

…the specific ways we react to situations and interactions.

…the things we notice about the world around us (& whether to color them as ‘beautiful’ or ‘ugly’).

…how and where to spend our finite attention and resources.

…which things and people we value most, in our hearts and through our actions.

 

The list is long, and could be made much, much longer. It’s these choices that shape our days, and ultimately shape our lives.

Emily Dickinson said it simply: “Forever – Is composed of Nows –”

 

Nobody else can make your choices for you. Rather than be intimidated by your power to choose, or pretend it’s not there, try intentionally taking it by the reigns. Are you the driver or the passenger in your life? Are you reacting to where life takes you or steering to the places you’d most like to go?

Just like in those children’s books that allow you to make the decisions for the characters and therefore alter their journeys, each choice you make will inevitably lead to a better or worse outcome. The day you’ll experience and the path you’ll traverse is entirely up to you. You might be surprised by how much better you begin to feel when you remember that you’re always in control of your own adventure, in all the ways that matter most.

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and an occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.

The Good Things

The Good Things

It’s been an almost laughably rough stretch of time. No one has been immune to the emotional repercussions of the changes that began in early 2020 when Covid-19 first entered our awareness, but the particulars of each of our struggles have differed. Some of us have grappled with disruptions to our vital routines and healthy outlets, while others have been consumed by isolation and innumerable examples of loss. And let’s not make the mistake of discounting the ripple effects of prolonged fear and uncertainty on wellness in each of our lives.

Even in a relatively calm phase, moms and dads are usually experts at navigating challenges of their kids. It comes with the territory. But now, even after nearly two years, we continue to find ourselves in uncharted waters. In addition to the usual parenting stressors, we’re faced with ongoing upset to school schedules and relationships, the task of helping our children understand the reasons for each of the disruptions, and – perhaps hardest of all – the weight of having to be role models of adaptability at a time when our own footing is off balance.

It’s clear that modern-day parenting is not for the faint of heart, so it’s more important than ever to fortify ourselves by focusing on some of the good stuff. Just as you would take a vitamin to boost your health, make sure to carve out some time to remember life’s high points, both big and small. Many wonderful things can be found in the minutia of your days, even the bad ones. There are lovely truths about parenting (and life) that transcend the difficult period of history we’re living, and there are even more personal bits of goodness that are exclusive to just your family.

Here are just a handful of the universal good things to get you started:

  • The sun keeps rising. We get to open our eyes to a new day.
  • There is always so much love in our lives, even when it feels obscured.
  • No matter the challenge, the formula for blue-ribbon parenting remains beautifully basic: simply keep showing up with compassion & good intention.
  • Possibilities never, ever run out. For each door that closes, another is guaranteed to have opened somewhere else.
  • Family foundations tend to get bolstered and strengthened with shared experience – especially experience with the tough stuff.
  • Your bond with your child is far more enduring than any passing trial…and they’re all passing trials.

Now it’s your turn. What are your universal “good things”? The way your cat purrs when sitting in your lap? The smell of soup cooking in the kitchen on the first cool autumn day? The sound of the belly laugh your son or daughter emits when they are playing on their own? The same irresistible dimples appearing on both your child and your spouse whenever they smile? The list is endless. Expand the list and keep it near & dear to your heart. Revisit it often.

 

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and an occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.