Understanding Depression: Learn more about the disorder to find the right online therapist best suited to your needs
Chances are that you or someone you know has struggled with depression. A major episode can last at least two weeks, but stretch on much longer as a loss of interest in daily activities and other complications take hold. In the U.S., depression affects around 17 million adults, the National Library of Medicine recorded, though that count is likely an underestimate because many people don’t seek medical attention. But that doesn’t have to be the case. Online therapy for depression is one of the best ways for those grappling with the disorder to connect with a qualified professional and gain an individualized approach to effectively manage otherwise exhausting symptoms.
According to the American Psychiatric Association, depression is a “common and serious mental disorder that negatively affects how you feel, think, act, and perceive the world.” A diagnosis likely arises if you report prolonged feelings of sadness, fatigue, difficulty focusing, and diminished self-worth. Depression often involves significant changes to previously established aspects of your life, as activities you once took pleasure in become no longer enjoyable.
Some people experience repeating episodes of depression, while others undergo persistent periods, struggling with it seasonally or after childbirth. If gone untreated, the disorder may result in suicidal ideation — if you’re having thoughts of suicide, call or text 988 to reach the Suicide and Crisis Lifeline.
Symptoms and serverity of this disorder ultimately vary, but three general indicators tend to surface in those who need online therapy for depression:
Consider these signs to determine if you might want to pursue an online therapist for depression.
There’s good reason to be sad about many things in life, but it becomes a different matter if you experience depression every day. People wrestling with depression tend to describe enduring bouts of emptiness, in which the drive to pursue new or exciting things has crumbled away.
Crucially, depression in this case is not merely a “rut” or a particularly intense case of the blues that someone can simply break out of on their own. People diagnosed with depression often report getting less from the world around them.
Depression often negatively affects what fundamentally helps regulate a person’s mood. For example, around 40 percent of people diagnosed with insomnia also have clinical depression, a Sleep Medicine Reviews study found. Without the restorative hours of rest needed to feel balanced, fatigue strains the ability to stay concentrated. Likewise, depression’s knack for sapping away happiness means it may unfortunately seem more appealing to stay in bed and just sleep.
What’s more, depression can result in fluctuations to appetite, as past favorite food becomes no longer enjoyable, or you turn to eating as a coping mechanism. The resulting change in one’s body weight may further disrupt their feeling of autonomy.
Without the motivation to do simple things like get out of bed, get in the shower and get dressed, it may feel impossible to muster the energy needed to take on the rest of life’s many complex but rewarding challenges. Depression is a draining disorder precisely because it makes it difficult to feel good about one’s self in light of prolonged periods of not accomplishing tasks.
This becomes particularly challenging when it spurs a self-repeating cycle: withdrawing from the hobbies that previously provided a steady stream of fulfillment may give way to a pattern of self-isolation after it feels too daunting to re-engage.
Beginning the search for online therapy for depression might seem overwhelming at first, given the number of therapists and treatment options available. Inner Clarity can help you identify the characteristics of an online therapist for treating depression who can tailor a treatment program to meet your needs.
As depression is one of the more common mental disorders, a good portion of therapists have experience in treating it. However, some counselors who offer online therapy for depression have more specific qualifications or certifications that distinguish their experience. Furthermore, symptoms of depression can arise or manifest in ways unique to your life. Weigh whether you’d like to prioritize working with an online therapist for depression who relates to your gender identity or culture background in order to feel the most comfortable in discussing sensitive matters.
One method toward treating depression may work better for you than others. Some counselors employ Cognitive Behavioral Therapy, which addresses the disorder by recognizing and disrupting learned-patterns of negative thinking. Others are trained in Interpersonal Therapy, which provides a more structured process towards addressing your relationships to others by targeting four main areas of stress. Whichever therapy approach you prefer, an online therapist can tailor its steps, its process to fit around your specific goals.
Online therapy for depression is unique in that it’s one of the most accessible forms of health care. By tuning into a secure video call from the privacy of your own residence, you cut out potential barriers that could have otherwise prevented you from joining a session. Say goodbye to time-consuming commutes to distant offices, and hello to flexible scheduling instead. Furthermore, countless American communities suffer from a shortage of mental health providers. Online therapy platforms allow you to access counselors you would otherwise never have available nearby — professionals willing to meet you where and whenever you are.
Depression isn’t something that should be swept under the rug. Its symptoms can be deceptively enervating, or outright debilitating. Protracted feelings of hopelessness, exacerbated by an altered sleep schedule, abnormal appetite and loss of energy all spell out a need for professional mental health support. Inner Clarity offers you an opportunity to match with an online therapist for depression who can provide substantial help through individual, marital or even group-focused models. Request an appointment to learn more about how you can gain a a clear mind for a healthy life.
We have all heard clients use this phrase in sessions. They, like us, can describe themselves using "parts" language.
We have all heard clients use this phrase in sessions. They, like us, can describe themselves using “parts” language. Something like this may sound familiar, “A part of me wants to do this but another part of me wants to do that.” Internal Family Systems (IFS) is a model of therapy that helps clients to develop relationships with their various parts in a way that feels integrative, healthy, and clear, thereby alleviating the symptoms causing them distress. There are many “parts” to this model, but for this blog’s purposes, I will help illustrate how to utilize IFS language in a clinical encounter and also speak to the conceptual nature of this model that serves as its foundation.
Parts
Parts are categorized into “firefighters”, “managers”, and “exiles” to help categorize their function in the client’s system. A firefighter is a protector part that acts swiftly, quickly, and intensely to help manage a situation that feels overwhelming or too scary. For example, a firefighter part may tell a client to drink alcohol excessively to avoid something too big, too much. A manager part (also a protector) may tell a client to work excessive hours at his job to help manage the uncomfortable feelings of fear, anxiety, sadness, grief, etc. An exile is a part that typically has gone “underground” for a significant period of time due to the pain, shame, or fear it once experienced at an earlier time, and the manager and firefighters have come on the scene to help protect these exiles from ever having to feel that pain again.
You might be wondering at this point how this model of therapy can help with the many issues clients bring to therapy. IFS therapists devote a lot of time helping clients appreciate the positive intentions of these protector parts in their systems. These parts are very used to feeling shamed, criticized, or “bad” for how they go about protecting the client from feeling pain. We help clients develop a new relationship to these parts that feels more accepting, nurturing, and understanding. This relational shift opens an opportunity for these parts to change roles in the client’s system. A firefighter part who tells a client she has to binge eat in order to avoid an aversive feeling or to possibly feel more control in an overwhelming situation, will inevitably feel the freedom to support the client in more adaptive, healthy ways. However, first, this part has to feel the freedom to shift into its new role, and that comes with the confidence that the client can handle life’s circumstances on her own.
Curiosity
Where to begin you may ask? Well, curiosity is a great access point to making contact with these protector parts in non-judgmental, open, accepting ways to help understand their positive intentions. It’s remarkable how these parts reveal their concerns, beliefs, and worries when approached with open curiosity. They sense the spaciousness the curious energy brings with it and can rest in the awareness of new possibilities. This awareness serves to soften its edges. The softening of the edges and dampening down of the intensity of these protectors allows for the space to trust the client’s Self Energy. Once trust is established between these protectors and the client’s Self, the IFS therapist works to expand this Self Energy as it’s energy knows no bounds.
Self Energy
In the IFS model, Self is energy we all possess. It comprises of curiosity, compassion, courage, clarity, confidence, connection, calm, and creativity. This is the energy we can bring to our protector parts who play their respective roles only with the intention to help and protect, always with unintended consequences. Think of the person who tends to criticize or shame himself before someone else does or the person who incessantly stays busy to feel competent or in control. These are protectors doing their due diligence so intolerable pain and vulnerability can be thwarted. An IFS therapist will help orient the client toward this Self Energy before nearing toward the exiles, or old wounded parts of the client. This is where trauma resides, frozen in time, fiercely protected by Protectors.
Final Thoughts
There are additional stages to this model such as the Witnessing and Unburdening stages which carry with them their own techniques for trauma reprocessing and/or symptom relief. However, I honed in on the aspects of curiosity and Self Energy to illuminate the transformative, resourceful energy we all possess and how to see our individual protector parts more clearly for all their positive intentions. I find this aspect of the model to be so crucial because it offers hope and compassion, and orients our clients to a path forward out of their pain.
Stephanie Carpizo, LPC is trained in the IFS model and currently taking new clients through Telehealth.
Please call 732 639 0232 to schedule an appointment, or click here to schedule.
It's that time of year again for parents (whether your children are having virtual or in-person experiences)!
It’s that time of year again for parents (whether your children are having virtual or in-person experiences)! This year, of course, poses more questions and uncertainties than previous years due to the ongoing effect of COVID-19 on our personal lives, families, and surrounding communities. Suffice to say, we are all experiencing different levels of anxiety due to the uncertain nature of our lives at the moment. As a parent to young children, I have been reflecting on my own stress levels due to the current circumstances, and have been more intentional in tracking the shifts from “good” stress to “bad” stress and how these shifts impact my parenting.
Good stress is motivating and provides just enough arousal to move us towards our goals. Bad stress exceeds our window of tolerance, a term typically used to describe the zone of arousal in which a person is able to function most effectively. This can happen either because the stress is too overwhelming and going on for too long or our window of tolerance is too narrow or both issues may be at play simultaneously!
This pandemic has been such a destabilizing force for individuals, families, and communities for a myriad of social, political, and economic reasons. We humans like certainty and end-points at the end of the tunnel to help us make meaning out of situations and find solutions to move us forward. Whether your kids are learning from home or back at school, the ongoing uncertainty and ambiguous end point to everything COVID-19 related remains front and center in our minds.
When stress is front and center and begins to overstay its welcome, it has the capacity to wreak havoc on our bodies and minds. When we parent from a place of stress and/or fear, we become rigid, inflexible, and controlling to install some sense of safety into our systems for calming, most of which is happening out of our awareness. And this is where the work begins. It is too easy to direct our frustration towards our children who, let’s face it, are easy targets. They will rebel, test boundaries, make poor judgement calls, spill the milk we just bought, you get the idea! They have the ability to set up a minefield of triggers for us to step into setting off a pattern of reactivity that tends to be contagious. This generates a cycle of more impulsive reactivity in relation to each other which will inevitably spill out into their school lives and friend relationships. What to do?
Step 1: Respond rather than react
First, notice the initial tendency to look outwards for the reason for your stress. This is a reactive response to a trigger. This typically looks like blaming behaviors or having a level 10 reaction to an issue that maybe warranted a level 3 reaction? The act of looking for external reasons for our stress or anger or turmoil is actually a very natural reaction (it hurts to notice our own inadequacies), so try and offer yourself some reassurance during this process instead of judgement. It is through this process of slowing down enough to notice your reactivity that you will develop a more effective response to your trigger.
Step 2: The Mindful Pause
The awareness of responding vs. reacting leads us to step two, (which I think is the hardest part). Step two involves the “pause” we hear so much about in mindfulness training and actually is difficult to put into practice if you’re chronically stressed, or as some of my clients like to say, “revved up.” I like to insert some body awareness into this step which can look like following your breath during this pause or allowing yourself to feel the ground beneath your feet as you count your breaths. If you need more sensory input, this can look like running cold water over your hands or face or utilizing your favorite smell or music to shift your attention. The good news is that urges really do pass quickly when we open up the space to actually feel them and allow them to pass.
Step 3: Choose your Choice
Lastly, make a different choice, do something different, say something different, go somewhere different, you get the point! Victor Frankl famously said, “Between the stimulus and response there is space. In that space is our power to choose our response. In our response lies our growth and freedom.” Give yourself the space to choose the most effective response in that moment and in that day with your child and your child’s response will mirror your own. It might (and probably will) take several tries (or more) to undo an ongoing pattern of unhealthy reactivity, but as I tell my kids, just keep trying. Each time you will learn something new. And this is how we will get through this unprecedented time, together.
We are here to get through this together and it is important to know that you do not have to cope through this alone. Click Here to find out more about the services we offer and request an appointment with one of our highly skilled therapists
June is PTSD awareness month, and I believe it is crucial to not only understand the clinical presentation of PTSD, but also understand the treatment options. There are many trauma-informed treatments out there. To be “trauma-informed”, simply stated, is to be aware of how trauma impacts a person’s physical and psychological health.
June is PTSD awareness month, and I believe it is crucial to not only understand the clinical presentation of PTSD, but also understand the treatment options. There are many trauma-informed treatments out there. To be “trauma-informed”, simply stated, is to be aware of how trauma impacts a person’s physical and psychological health and to use therapeutic interventions that address the whole person, rather than a sole-focus on the problem behavior.
However, it is important to note that research has shown that the modality of treatment is less of a predictor of effectiveness than the quality of the relationship between therapist and client, otherwise known as “dual attunement” in a model of trauma-informed treatment called, Brainspotting (BSP). In BSP, the ultimate resource is the relationship between therapist and client within the Dual Attunement Frame. It is within this frame that clients are guided through a transformative healing process.
What is Brainspotting?
Brainspotting is a model of therapy developed by Dr. David Grand in 2003 that has shown ground breaking and research supported results in helping people process and resolve the traumatic events that have previously left them feeling “stuck”, emotionally and physically depleted, and/or ashamed. Brainspotting locates points in the client’s visual field that help to access unprocessed trauma in the deeper, older parts of the brain. It is believed that (BSP) taps into and harnesses the body’s natural self-scanning, self-healing ability.
What is Trauma?
Trauma is loosely defined as an emotional response to a terrible event, like an accident, rape, or a natural disaster. An emotional response to a terrible event is natural, of course! However, emotional responses are supposed to “complete their cycles”, so to speak. When an emotional response to a triggering event becomes frozen and unresolved in the person, a traumatic response then takes its place. The category of “trauma” encapsulates such a broad spectrum of experiences, and these experiences can overwhelm the person’s capacity to effectively cope. In addition, some people have no language or memory of the traumatic event(s). Yet, they report a longstanding feeling of restlessness, irritation, boredom, and/or lethargy that they just can’t explain or “shake.” Further, some people have memory of the trauma event(s), yet, avoid discussing the details surrounding the event(s). Clients use avoidance strategies for all different reasons, but commonly they fear the emotional overwhelm that comes with the memory of the traumatic event.
How Can Brainspotting Help with Trauma?
In (BSP), the client explains the concern, worry, or simply states a feeling of agitation that he/she/they cannot explain. Then, a body-resource is located (positive felt-sense in the body) and then paired with a Brainspot, a spot in the person’s visual field that indicates some reactivity, this could look like a blink, a yawn, a twitch, feelings of nausea, etc. The therapist then guides the client through a mindfulness process within the dual attunement frame: the empathic, witnessing presence of the therapist as the client focuses on the Brainspot. Clients may even stay silent if they wish! The therapist purely works with the sensations in the body as it relates to the triggering event, thought, or story. It is within this body-based, deeply attuned process I have witnessed the body unearth and release various forms of trauma. This release opens up a space for clarity, calm, and a newfound sense of compassion for self and others in many clients. As Bessel VanderKolk says, “the body keeps the score”, and just as the body keeps the score, the body also intrinsically knows how to heal. The trained therapist guides and holds the space for this process with curiosity and compassion.(BSP) provides the container for trauma to find its way through and out the body, just as nature intended.
If you or someone you know is seeking a gentle way to approach working through a traumatic event or an event they don’t fully remember or understand, then Brainspotting may be the appropriate treatment. Stephanie Carpizo, LPC is a certified Brainspotting therapist who works remotely so clients can engage in therapeutic work in the safety and comfort of their own homes. Brainspotting can be done with children as young as six. Read more about Stephanie and schedule an appointment with her HERE.
