Ending Painful Chapters

Ending painful chapters of one’s life.

People often refer to personal experiences or stories, both as happy or painful “chapters” of one’s life. It helps to think about the past when friends, school associates, work life, or romantic partners were different. It is also helps to mine these memories for both happy and painful times, and to see what made this difference. Who or what helped you feel well or unwell for example.

The view that a chapter of one’s life may come to an end is very helpful to people undergoing significant changes in their own lives. An end to a marriage, longstanding romantic relationship, a professional career, or voluntary or community position are all very stressful each in their own way. People often seek the support of a clinical social worker, psychotherapist, or counsellor to help mitigate normative emotional disturbances caused when one chapter of life comes to an end. What or who played a disruptive or agitating role in your life? Are you able to identify a repetitive pattern or trend?

To me these transitional times between chapters where one chapter is closing and another begins is a nanometric space of personal change. Tasks of identity are dynamic and constantly growing over time from childhood to senior living. The idea that people grow and change over a lifetime is widely accepted, and perhaps even expected more now than ever. It used to be common to remain in the same profession, marriage, house, parish, community or country for years and years.

Using this literary metaphor in clinical counselling sessions creates a conceptual framework in which to contain, and process otherwise overwhelming, and at times, debilitating emotions. This is especially true when events occur beyond one’s control or in unexpected ways. Most people experience symptoms of depression and/or anxiety when marriages end due to infidelity or sudden death.

Knowing that everyone shares similar vulnerabilities is in and of itself healing. Knowing that there is a temporality or timeline for emotional disruptions caused by life is also healing. Believing that people are able to move on, grow from, and flourish after devastating events or unexpected change is a fundamental underpinning to all approaches of clinical social work and psychotherapy.

Processes of healing are not possible without the view that painful chapters come to end. Processes of healing begin when the human heart opens up to the unfolding of life in a new chapter. This new chapter of life usually involves some of the people, roles, places and interests from the past, and sometimes not. You will know who or what you wish to remain in your life by the way you feel, and only you know that. Be confident in your personal feelings and embrace what your own heart and intuition reveals to you.

What are some of the ways you help your clients identify health and wellbeing following devastating news or events? How do you confidently and deliberately support your clients to recognize their own growth and support them in cultivating and growing health in new and exciting ways? How do you validate insights into harmful people or messages from the past? What approaches do you use to empower clients to move through and beyond this pain? Do you fundamentally believe that your therapeutic interventions work? If not, what are you doing to improve your own conceptual and practical knowledge base and skills to ensure therapy people deserve?

#healing #wellness #growth #change #personal

Healing Processes & Options

It is the mark of an educated mind to be able to entertain a thought without accepting it. Aristotle

There are several forms of independent health practices in the Greater Toronto Area. Similar to other large cities across North America, people are interested in a variety of treatment options to heal. Over the past twenty-five years, the field of regulated independent health practices has grown. Individuals have direct access to a continuum of health services that are increasingly covered by employee assistance and personal health insurance benefit plans. Most survey data suggests that individuals prefer to direct personal healthcare for non-crisis or emergency-based health problems. People with persistent or episodic physical or mental health challenges report having a choice in a robust range of health modalities increases their sense of control over personal wellness. This empowering aspect of healing is critical to the getter better phenomenon. Having the option to see a physiotherapist, massage therapist, or osteopath for arthritic pain diagnosed by your primary family medical doctor for example, allows the patient, client, or person to self-direct their own options for treatment and healing. Many people are willing to pay out of pocket for regulated and alternative health care services due to this increased sense of wellbeing that derives from directing one’s own treatment plan under the care of credentialed experts. There is a strong network of professional colleges that regulate healthcare practice standards for each of these credentialed services. For those that are currently unregulated, efforts are being made to meet the eligibility criteria under the law in health depending on the area in which the service is provided. This regulatory function and the interface with insurance company coverage plans increases the level of trust and protection that individuals are receiving expert health care. Long gone are the days where people without the appropriate education, credentials, or supervised standards of practice are able to provide fraudulent services to the public without protection. When I entered the social services field in 1984, almost everyone was referring to themselves as a social worker. Today, the title is protected under the law and practices regulated, so that individuals engaged in services are also protected. Recently, the controlled act of psychotherapy was introduced to further protect the public from unregulated practices and the possible risks associated with treatments provided by uncredentialled practitioners. Do you have the education, experience, and membership in a regulatory college to claim your credentials? What are the ways you engage with your local professional associations to ensure that your treatment modalities and interventions are evidence-informed, modern, ethical, and effective? What more can you do to further ensure that members of the public are guaranteed access to a range of best possible health care options for their own healing?

#wellness #health #healthy #wellbeing #healthcare

Family Day

All families begin as strangers who grow in love & trust to include children.

Family Day is a relatively new holiday in most Canadian provinces. Falling on the third weekend in February, Family Day was created to provide people with one long weekend during the winter months. Clinical social workers offer services to children and families in settings designed for children such as education, children’s mental health, and adolescent health. Specializations in these areas develop over many years in the field. A deep understanding about childhood development is critical for effective counselling interventions to occur. It is not fair to expect that children, pre-teens, and perhaps even young adults respond to challenges at home or school in the same ways that adults do. It is also not reasonable for social workers with little to no direct experiences working with children to provide individualized support without close clinical supervision and/or additional training on work with children and families.

All families begin with the union of two people who likely first meet as strangers. Where a decision is made to have children and grow a family together, couples embark on the most important job they will ever undertake together as parents. There are several issues that emerge over a lifetime of raising children together. Not all problems require the supportive intervention of a clinical social worker, but some do. Deciding to provide private social work counselling support to children requires a reflective practitioner qualified to provide child-centered work. Children and families benefit from interventions mediated by professional clinicians who are not directly involved in the problems reported. Many parents are both pleased and grateful to learn their children are able to speak to a trusted adult about a problem at home, school or in the community. Opting to work with a private clinical social worker and child therapist is a personal choice that families have in a comprehensive continuum of service delivery models. Do you believe that you are qualified to provide child-centered work? Do you collaborate with registered social workers or psychologists with enhanced specializations for work with children, pre-teens, and young adults? If not, how will you develop a list of qualified experts to assist with requests for support with children and families moving forward?

#family #children #wellbeing #clinicians #health #healthy #wellness #childpsychology #healing