Monday, October 27, 2014

Preparing for the Emotional Shift of Retirement

Depending on how you feel about your work, moving towards retirement can feel like a loss. It's certainly a big transition for most people, and especially so if you liked your work and enjoyed the people you worked with. It's important to consider what you will be retiring to do in the years ahead. I've heard it suggested that we should REFIRE rather than retire.

I'm working in life coaching with people who are coming up on the retirement transition, and planning for their next chapter of life. Here are some factors you may want to consider when you begin planning yours:

1. Figure out how you are going to stay active and keep moving. We know people age better if they keep active, so figuring out how you can safely get your 10,000 steps a day is key. Can you walk where you live? Swim? Go to a gym or exercise class regularly?

2. How are you going to contribute to others? Can you continue some volunteer work you have done earlier in your life? Do you have some ideas about how you could help a cause you care about, like seniors, animals, the environment, people with disabilities, children and youth, church, politics, hospitals, or something else? If you are not sure and need ideas, google your local volunteer center. In Orange County, California, where I have my counseling practice, we have a great organization called One OC that has a job bank for both board positions and direct service volunteer positions from non-profits all across the county (www.oneoc.org).

Think about whether you want to use the same skills you've used at work, or have a chance to do something different. Would you like to work on projects alone and independently, or work with people? Volunteer work is a source of meaning and contribution. It's also a great venue for making new friends with great people with whom you share some common values with.

3. Keep learning new things. Upgrade your computer skills, take a class at the community college, look for opportunities with your local city community services, work crossword puzzles and otherwise challenge your brain to stay engaged. I like to encourage being a lifelong learner, so look for activities that will keep you learning and thinking. Would you like to join a film society, book club, or check your local university for continuing learning opportunities for seniors? Many retirees find new groups to learn with or do activities with on meetup.com. In Orange County, Cal State University, Fullerton has the Osher Lifelong Learning Institute (OLLI) with wonderful classes for retired and almost retired adults. You can contact them by phone or email, (olli-info@fullerton.edu, or 657-278-24460).

4. Keep up your people contact daily. Don't get isolated. Figure out how you can set a goal of being in contact with four or more people each day for maximum wellness. In the 1980's, the California Department of Mental Health did a campaign called, "Friends Can Be Good Medicine" about the mental and physical health benefits to being in relationships with others. It's still true. Put it into practice in your retirement, when you will need to reach out more to others than you did before.

5. Consider working part-time or reducing your hours gradually to ease the transition.

6. Consciously add new friends to your group.

7. Make sure to do at least an outing every day. Don't become a recluse.

8. If you are married or partnered, you will need time together, but you will be happier if you maintain some separate activities. You may be retired, but you still need some autonomy and different interests to keep things fresh. You don't want to suffocate each other. I've heard this called "retired to have dinner together, but not always lunch". You will have more to share with each other if you each pursue some of your own things. Everyone needs a separate sense of self.

9. If you are already, or become a grandparent during your retirement, that's another incredible opportunity for reaching out, transcending self, and creating meaning. Wouldn't it be meaningful to make the grandparenting role an important one? You may have skills to teach or be more available or patient than the children's parents who are at a busy stage in their lives. Making positive memories with your grandchildren is an incredible legacy. I know my girls will never forget Gram teaching them to make homemade pasta and bake pies, or Gramps teaching them to drive and garden.

10. Cultivate flexibility. There are losses that occur as we age, with our own aging process and with our partners. Try to develop an ability to adjust gracefully when it's time, knowing that the changes will continue.

If you begin thinking creatively, your retirement years could be some of your very best ones. People are living longer, so recreating your life after the working years is a whole new chapter to choreograph and build health, connection, learning and contribution. Now that's a life well lived. Let's think not just about retiring from, but retiring to.

Monday, October 20, 2014

Your Family of Origin: It's Where Your Story Begins

You get more than your eye and hair color from your family. Understanding as much as you can about your family of origin is incredibly helpful as a starting place for working on yourself. Just as we inherit DNA, we also get patterns of behavior and ways of being in relationships scripted for us. If we have insight about what our parents' and grandparents' lives were like, how they related to others, and what their emotional lives were like, we can better understand ourselves.

As a structural family therapist, I often draw out maps of family experience known as genograms. In them, I work with individuals, couples and families to illuminate and bring the family history to life. We go as many generations back as we have information about. Here are some family patterns to consider:

1. Where were your family members raised? Did they immigrate from somewhere else? Why?

2. What do you know about their childhood experiences? Socio-economic status of each part of the family?

3. What educational level did people have? What kind of work did they do?

4. What do you know about how happy the marriages were in both sides of your family? Were family members expressive? Unexpressive? Affectionate? Aloof?

5. Are there family members who struggled with alcohol or substance abuse? Was it treated or untreated? How did family cope with challenges in healthy or unhealthy ways?

6. Who struggled with anxiety or depression? Was it treated or untreated?

7. For deceased family members, at what age did they die, and from what cause? How did losses impact the family? Are there suicides in the family? Are there chronic or life threatening illnesses? Deaths from war?

8. Who stays married no matter what ? Do people divorce and/or remarry? Are there patterns of infidelity?

9. What role does faith play in any of the family?

10. What is each generations' style of parenting? How small or large are the families? How did parents discipline? Do families stay close, or splinter apart?

11. Where are the alliances? Who is close to who? Who fights with who?

12.What are the family traditions and values on each side of the family?

13. Who moves away? Who stays close to home?

14. Who cares for aging relatives? What is home like?

15.What is the family most proud of in terms of accomplishments?

There are many subtle impacts of your family of origin role models. For example, if your parents fought a great deal and were not openly kind or affectionate with each other, that's the script you get by growing up with them. If you understand that, you can choose to love your parents but decide to rewrite how couples interact with each other. You can decide to be caring and loving, and model something completely different to your own children. That's powerful change.

Knowing your family genogram isn't about blame. It's about understanding where and how your story begins and what feels "normal" to you. When you marry, your partner comes with their own family story. Neither one is all good or all bad. It's just where you start. The more honest, open and non-defensive you can be about the patterns in your family, the better. It allows you the emotional freedom to make choices about which parts of the family transmission pattern you want to continue, and where you chose to edit and rewrite your own life story.

Monday, October 13, 2014

Choosing a Therapist and Making Therapy Effective

In a recent issue of the Wall Street Journal (9/25/14), they ran a helpful article by reporter Elizabeth Bernstein in the Health and Wellness section about how to choose the right therapist. It got me thinking about how important it is for patients to be active in the process of choosing a therapist, and then to actively participate in therapy in order to get the highest benefit from it.

Choosing a therapist is a very personal choice. You need to select someone who you can feel comfortable with, and open up with. You may not know where to start the search. Here are some things to consider:

1. No therapist is an expert at everything. Most therapists have a scope of practice. Ask potential therapists about their areas of practice. Do they see adults? Teens? Children? Couples? Families? In general, MFT's (marriage and family therapists) have special emphasis in helping with relationships. Psychologists do testing as well as individual counseling. Psychiatrists assess for medication. Social workers have special training with linking to community resources, and LCSW's have experience doing counseling as well. Find out how many years they have been in practice. Make sure they hold a state license in their field.

2.Ask people you trust for referrals. You can get names from friends, family members, co-workers, your child's school counselor, your family physician, the pediatrician, your Ob/Gyn. Think about whether your preferences (gender, age, language). Even if you are bi-lingual, most people feel more comfortable speaking about feelings in their first language.

3. Check the therapist's website. It should give you some ideas about their background, experience, training, specialties and office location.

4. Call several therapists. Start by screening them by phone. You should get a call the same day you call if it's a weekday, unless their message says they are out of the office. Responsiveness is important. Ask about their office location, availability, how far out you have to book an appointment, how long their appointments last (this can range from 45-60 minutes). Ask about hourly fees. Find out if you can pay by cash, check, debit, or credit card. Ask if they can bill insurance or provide receipts so you can submit them to insurance for reimbursement. You may want to ask if they are in full-time private practice, or part-time. Ask if they offer a brief complimentary meeting, so that you can meet with  a couple therapists in person, and determine the best fit. The therapist should ask you some questions too, to determine that it's an appropriate fit.

5. Meet in person. They should be on time, and have an office that makes you feel at ease. The office setting should be private and quiet.

6. Good therapists are good listeners. Make sure you feel comfortable with their style. Do you feel like this individual would be someone you could let in more deeply over time?

7. The best therapists are curious about you. They don't box you in or act like they know it all. They want to understand you in all your complexity. They don't jump to conclusions.

Once you select a therapist and begin treatment, stay involved. You will maximize the effectiveness of therapy if you:

1. Ask questions. Ask them to clarify if you're not following them.

2. If you have had previous therapy, the clinician should ask (or you can volunteer) what has been helpful and not helpful in the past. In the first few sessions, the counselor should take a thorough history.

3. Together with the therapist, define what you want to accomplish. Set goals. Within a few meetings, the therapist should be able to give you the diagnosis they have made, and what the treatment plan is. They need to explain how they can help.

4. Don't edit yourself in therapy. You need to be able to talk freely about anything that's on your mind. You need to speak up in counseling, because your therapist can't do therapy without your involvement. Anything is okay to talk about in therapy. There are no limits.

5. Good therapy is collaborative. It's a journey to understand yourself and to grow emotionally, and you and your therapist are on it together.

6. Try to do some of the constructive action your therapist asks you to. They should have your best interest at heart, but if you don't incorporate some of their suggestions you may be missing some of your potential growth.

7. Therapists need feedback. I try to always encourage my patients to give me some. Share positive and negative reactions. It may be critical for moving your therapy forward, as the therapeutic relationship between therapist and patient needs to be a safe place to learn about yourself in relationships, and how to express yourself and develop your voice. Therapist make interpretations, and we can be wrong. It's okay to feel angry with your therapist. Let them know and work it through.

8. Discuss with your therapist if you want to change the frequency of sessions, or need a change. Sometimes you can only do part of your journey with one therapist, and your therapist should be open to helping you work through making a change if you need it. They shouldn't be defensive. Therapy doesn't go on forever, so it's important to talk about when therapy will end, and how you can continue to grow after it terminates. It is a great joy for me when my patients complete therapy and then call later in their lives to come in and check-in and perhaps work on a different life stage.

9. A good therapist should challenge you to grow. They should care about you, but they aren't your friend. You should be continuing to learn new things about yourself. They shouldn't JUST be listening, you also want feedback.

10. No therapist is an island. They should be networked with other helping professionals, so that they can make referrals for you as needed, for educational testing, career testing, medication evaluation, dieticians, support groups, parenting classes, divorce recovery programs and more.

Choosing the right therapist and actively collaborating with the therapist you choose can be the beginning of greater self-understanding, insight, healing and  healthier relationships. It might be one of your most important decisions.



Monday, October 6, 2014

What Do Our Children Want Us to Know? (15 Tips)

Over the years, as I meet for counseling with children and teens, I often wish parents could listen in and be moved by their children's reflections about what they really need and want. It isn't stuff. If we can think about the great honor it is to become a parent, it puts our hearts in the right place. Instead of mold children into shapes, I like to think of parents being curious about who we've been sent, and doing your best to help them develop their skills, abilities and unique interests.

So, what do children want from parents?

1. Not to be compared to others: siblings, classmates, or you at their age. Don't play favorites.

2. Listen, really listen from the heart.

3. Put down our phones and tablets and be present.

4.  Give our attention. Our children and teens want it, and if they can't get it in a positive attention, they will often try for negative attention.

5.  Offer constancy and predictability. Children like the structure of family dinners, activities, movie nights, and bedtimes. Teens need all these things, too, even though they give pushback. (It's their job to push away from us.)

6. Give encouragement. Notice their strengths. Comment on hard work, effort and improvement.

7.  Provide acceptance. Our children need us to accept their innate temperament, their body type, their interests. If your child is an introvert, don't try to 'remake' them into an extrovert.

8.Don't lecture. It makes your kids tune out.

9. Don't embarrass them. If you have to discipline, do it in private. Watch pictures you post about them on social media, that they don't embarrass.

10. Be a good role model. Work on yourself. They learn more from what you do than what you say. By being kind, treating other people well, picking up after yourself, working hard, etc. you teach these things best.

11. Remember it's not YOUR childhood, and they're not YOU. Don't try to get them to ice skate, play lacrosse, be on debate team, major in accounting or become a doctor because you did or you wish you did. We call that projection, and it's not fair.

12. Have some fun together. All of life shouldn't be a drag. Kids often tell me they wish they could engage and play more with parents. Think board games, outings, hiking, biking, baking, crafting, art, and more.

13. Teach them skills. Self-esteem comes from feeling capable. Have them tell you things they want to learn. Keep teaching independent living skills all the way along, as it's age appropriate. Even four year-olds can set the table, and enjoy helping.

14. Help them understand their emotions. Don't tell them not to feel what they are feeling.  Let them know that all feelings are okay, it's your internal experience and it's understanding it that's key. Help them to sort out what they are feeling, and how to express it to others.

15. Don't yell.  It makes you scary. It doesn't motivate your children to do better. Speak calmly and carry reasonable consequences you can follow through with.


Think of your child as you would a beautiful sunset at the beach, or a rose that's opening. You wouldn't critique them as not quite the right color. You wouldn't judge them as not as good as others,  not smart enough or pretty enough. You accept them for the unique gifts they bring to life. We need to value each child or teen for their uniqueness, what they bring to teach us and give to the planet.

Monday, September 29, 2014

Teaming with your College Student for Successful Launching

During the past few years, I've been doing more counseling than ever with college-age students and/or their parents.  I've observed, both from my working with patients, and from my husband and I launching our three into college, grad school and adult life, that this launching phase has gotten harder than it was when parents did it years ago. The job market is increasingly competitive, and the cost of living is so high. For many college grads, there is some disappointment, sadness and loss after graduating and seeing how excruciatingly slow the job search process is.

What can parents do to help their college-age sons and daughters launch successfully? How do we help them grow stronger and prepare real life skills which will help them in the post-college transition?


 Here are some tips for mom and dad:


1. Help, but not too much. Have them do as much for themselves as you think they can do, more each year during college. Have them get their car serviced and maintained, make all their own appointments with professionals. Down shift your parenting.


2. Help them create a budget and clearly define what you are and are not paying for. It's a good idea to begin having them pay one small bill monthly as a way to get started on financial responsibility. Take them with you to a simple financial/budgeting workshop, which discusses not getting into debt. Dave Ramsey has some one-day workshops across the country that are inexpensive and will do the job.


3. Strongly encourage internships, beginning by junior year in college. Ideally, it will make your grad stand out to potential employers to have had several internships for their resume after graduation. At many colleges, no one will bring up this option to your student, so encourage your student to be their own advocate and go visit their academic department office and professors to ask about internship possibilities by spring of sophomore year. Internships help familiarize your son/daughter with the world of work.


4. After the initial first freshman semester adjustment, have your student work part-time a few hours a week. On-campus jobs often pay well and will work with their class schedule.


5. Whenever possible, let them fight their own battles without parents getting involved.


6. When they move back home during or after college, set clear expectations about what you need them to handle at home and how they can fit in the quieter household with mom and dad.


7. Consider having college grads who are living at home and working pay rent monthly so that can get accustomed to it. You can always surprise them with a gift of some or all of the money back when they move out.


8. Remind your student that if they are struggling with a lack of direction they can get career testing done on campus or privately. Most students benefit from getting a battery of career and skills testing done so that they can choose a major that makes sense and will lead to a job they will like.


9. Make your student aware that if they are struggling with adjusting to college, managing their time or studying, balancing building a new college social identity and finding friends, dealing with a romantic break up, anxiety, depression, or loneliness that even a few sessions of supportive counseling can really help. They can visit the college counseling center for a few sessions, or get some private counseling.


10. Let your adult son or daughter take the lead in contacting you. Don't helicopter parent.


11. When they are home, don't do their laundry, clean their room/bathroom, or prepare all their meals. Have groceries, offer some dinners when you are cooking, but don't enable regression into childhood.


12. Praise and encourage self-sufficiency and resourcefulness. If they come to you with problems, do reflective listening, and follow up by asking them what they think they should do to improve a situation they are concerned about.


Parents of college-age students must step in if you believe your student is failing classes, depressed, or anxious to make sure those important issues are addressed. Otherwise, prepare to shift your thinking about the parenting of your adult child when they are in college and preparing for launch. Be a part of the launch, not over-functioning in a way that interferes with their success. You may really enjoy the new adult to adult relationship that emerges. We're really liking it in my family.


A few thoughts on the college transition from my daughter Ally, age 20 and a college junior...

Being an adult to me is handling situations with more maturity and being able to balance your own activities independently. There is a common saying, "Grades, sleep and social life. Pick two." And that doesn't include outside obligations like work or internships! It's important to find the harmony in your schedule and to not get overwhelmed. Students need to work out the right amount of time for friends, family and themselves. As a parent, you can start helping your student schedule their time in high school so they are adjusted by the time they get to college.


As a college student, it is tough to balance being an adult and not yet being financially independent. You are old enough to take care of yourself but not yet equipped with the tools you need to do it. Being financially responsible is a big part of separating from your parents. Working a part-time job is great experience in working hard and staying humble. Minimum wage paying jobs in restaurants and retail helped me respect money and think carefully about where I spend it. Parents can be clear with students about what they are paying for so students know how to spend their money and decide if they need to work. Students often feel guilty taking money from their parents for tuition, rent and outside activities as they don't feel they are contributing enough. Making sure you save and spend responsibility can alleviate some stress and know that you have a lifetime left to repay your parents in other ways. 

Monday, September 22, 2014

Rethinking Your Anger

Anger isn't all bad. Growing up, many of us got raised to believe anger is wrong, unladylike or uncivilized. Anger often travels with emotional partners, like hurt. Direct and appropriate expression of anger is a skill that emotionally healthy people need to develop. Cultivating a healthy respect for managing stress, frustration and anger is a key skill.

Nobody gets what they want all the time. You will run into traffic. Your boss will demand unreasonable things. Your partner and your children won't always read your script. Things will break. How you handle that frustration makes an incredible difference to your health and your close relationships.

If you don't manage anger well, it can negatively impact your health. One study in Psychosomatic Medicine (January, 1998) identified a correlation between anger and high blood pressure and heart rate, as well as neuroendocrine and cardiovascular responses. More recent studies suggest a link between anger or repressed anger and elevated cholesterol, hypertension, heart attacks and cardiovascular disease, immune system disorders, asthma, diabetes, anorexia nervosa, backaches, headaches, stomachaches, diabetes and increased susceptibility to pain.

There are patterns of aggression in close relationships which can drive others away. Threat-based aggression includes threatening things when you don't get your way. I've treated couples where one partner threatened to end the relationship or divorce almost every time they didn't get what they wanted. This is both immature and exhausting.

Irritable aggression includes lashing out at others when you are in pain, uncomfortable, or annoyed. It's like having the people close to you take a verbal lashing because of your discomfort. This is not a good way to manage your stress.

Frustration-based aggression involves a person being stopped from what they desire, when they really expected to get it.

Instrumental aggression happens when we take aggressive action to get something we want, like a child who hits their sibling to take a toy.

Indirect aggression is sort of a sneak attack that instigates a problem situation.

In relationships, individuals need to listen deeply, and also speak up assertively and respectfully about how each wants to be treated.  It's much healthier to go direct to the person you are hurt, angry or disappointed with than to hold it in or be indirect with passive digs at the person. Direct and appropriately expressed anger or hurt can be a relief, healing and constructive. Pouting, sulking and suffering in silence get the relationship nowhere.

Being appropriate with anger means talking with that person one on one. (No audience, please.) Don't yell or scream. Talk about how their behavior made you feel, and what you want from them in the future. Focus on one issue only. Don't label the other person or hurl insults. In close relationships we have to train the other person how we want to be treated. Not everything is okay in terms of behavior, and expressing justified anger directly and appropriately is an important counterbalance in the relationship. Withdrawal is not always healthy.

The National Institute of Mental Health suggests using the acronym RETHINK to better manage anger:

R- Recognize what you are feeling.

E- Empathize with the other person. Use "I" messages, not "You" messages.

T- Think about your thinking. Am I being reasonable? Will it matter next month or next year?

H- Hear what the other person is communicating to you.

I- Integrate respect for every human being. (I'm mad, but I still love you.)

N- Notice your own body responses. Take time to calm yourself down. Most of us need 20 minutes to cool the fight or flight responses to strong anger.

K- Keep on topic.

All feelings are okay, including anger. It's what you do with it that matters. Being effective at expressing anger directly and appropriately will help you have more satisfying relationships and optimum physical health. Anger sometimes has important information for us, like boundaries we need to set. Identify when you are angry and what you need to do about it to be a good role model and someone who is safe to be close to.

Monday, September 15, 2014

What's Your Attachment Style?


Attachment is the way you connect with other people. We learn it from our parents and attachment figures while we are growing up. We carry our attachment style into our adult relationships, and it helps to shape who we become as a parent and partner.There are four types: preoccupied, fearful, dismissing and secure. None of the styles is bad, just part of who you are and the life experiences you've had. We may each be able to shift our style of attaching over time and through healing experiences.

If you are securely attached, you can trust others and let them close to support you. In this style, you allow yourself a full range of emotions, knowing that all feelings are okay. Securely attached people feel basically happy and capable, and they tend to view their partner as well-intentioned and trustworthy. If you have an anxious attachment style and choose a securely attached partner you are likely to find that the reliable bond with them helps you to grow more secure over time. You don't overreact to a partner's small mistakes or slights.

What if you have the preoccupied style of attachment? You may feel fearful of rejection. You might overreact to problems, and easy jump to the feeling that you can't cope. This type can drain a partner with a sense of being perpetually overwhelmed, vulnerable and needy. Your sensitivity may cause you to overreact to perceived slights by a romantic partner. It may mean that you pick fights or instigate conflict which may exhaust your partner. The attachment need feels so strong and the fear of not getting needs met is so intense that little things can have huge meaning for you. A slow response to a call or text message may create high levels of anxiety and upset, and cause you to jump to (negative) conclusions. No partner is ever going to intuit your every need perfectly. Preoccupied style of attachers "activate" their strategy to sort of scan for any possible problems in relationships in a hyper-vigilant way, which can cause stress and anxiety.

If you have the dismissing style of attachment, you move away from attachment and fight strongly for your autonomy and independence. You also predict that important people in your life will not be there for you when you need them, so you avoid your own feelings and the feelings of others. You may withhold from expressing affection to a partner and make an insecure partner feel more insecure. You probably feel conflicted about both wanting love, comfort and connection and also wanting to protect yourself from the risk of it. You want to believe you don't need love, but you do.

People with the fearful attachment style feel that they aren't loveable. Attachment figures growing up may have been unavailable, perhaps having their own problems. They deeply desire connection and closeness, but can avoid or send mixed messages to their partner. These individuals can be vulnerable to depression, anxiety and passivity, and need to express their needs directly. Individuals who have the fearful style of attachment often view their partner negatively and can't empathize much with them.

Understanding how your style of attaching creates challenges for you in building a satisfying, secure and joyful relationship gives you a good start. Close relationships give us emotional availability, safe haven and a secure base. Insight for how your early attachments with parents influenced your ability to attach will help you develop self-compassion for why you struggle with certain things. It may also help you build more compassion for your intimate partner as you discuss how your childhoods and past relationships colored your ability to get close.

Leslie Becker-Phelps has an insightful new book on this topic called, "Insecure In Love: How Anxious Attachment Can Make You Feel Jealous, Needy, and Worried and What You Can Do About It" (New Harbinger Publications, 2014). Becker-Phelps offers strategies for becoming a more securely attached person and partner.

We want to both become and look for a partner who can be securely attached, mature, non-defensive, effective at communication, appreciative, and affectionate. All intimate relationships will have some miscommunication at times. The best we can do is to choose wisely, have compassion for ourselves and the beloved, risk our own vulnerability, and try our best not to avoid, distance or act out of insecurity.