The process of treatment and planning of therapy often involves three distinct phases, each with its own set of goals and interventions. These phases are:

1. Stabilization Phase: The first phase of trauma treatment planning focuses on establishing safety, building trust, and stabilizing the individual's emotional and psychological state. The primary goal is to help an individual feel secure enough to begin processing their traumatic experiences. Interventions during this phase may include safety planning, mindfulness techniques, relaxation exercises, and education about trauma and its effects. 

2. Processing Phase: The second phase of trauma treatment planning involves processing the traumatic experiences and memories. The goal is to help an individual gain a deeper understanding of what happened and how it has affected them, as well as to desensitize them to the trauma. Interventions during this phase may include, somatic psychology, sensorimotor psychotherapy, tracking the levels of arousal in the nervous system, cognitive restructuring,  and other trauma informed techniques.

3. Integration Phase: The third and final phase of trauma treatment planning focuses on helping an individual to integrate their experiences into their larger life narrative, and to develop new coping skills and strategies to help them move forward. Moving from a place of survival to thriving. The goal is to help the individual feel empowered and able to resume normal functioning in their daily life. Interventions during this phase may include psychoeducation, addressing social supports, and integration of learning, including the link and balance between cognitive understanding, and somatic awareness.  

Trauma treatment planning is not a linear process, and individuals may move back and forth between these phases depending on their individual needs and progress. Trauma informed treatment is tailored to meet the unique needs of each individual.

What is anxiety ?

Anxiety can be both an emotion and a feeling, depending on how it is experienced and understood.

From an emotional perspective, anxiety is considered a complex emotion that includes feelings of apprehension, fear, worry, and nervousness, among others. These emotions can be triggered by a variety of internal and external stimuli, such as stress, uncertainty, or danger.

From a more physiological perspective, anxiety can be experienced as a feeling or sensation, often manifested as a tightening in the chest or a feeling of unease in the stomach. This feeling may be accompanied by other physical symptoms, such as sweating, shaking, or rapid heartbeat.

Overall, anxiety involves both emotional and physical components, and it is considered a complex psychological response to a perceived threat or danger.

How can anxiety affect our day to day lives ?

Anxiety can have a significant impact on an individual's daily life. It can cause a range of physical symptoms, such as rapid heartbeat, sweating, and muscle tension, which can be uncomfortable and interfere with daily activities. Anxiety can also lead to difficulty concentrating, social and occupational impairment, and sleep disturbances, which can negatively affect a person's overall well-being. Avoidance behaviour, irritability, and negative self-talk and self-doubt are also common features of anxiety. Seeking support from a mental health professional can help individuals develop coping strategies, challenge negative thought patterns, and develop a greater sense of self-awareness and control over their anxiety.

Can psychotherapy help with anxiety ?

Psychotherapy can help with anxiety by providing individuals with coping strategies, relaxation techniques, and tools for managing their anxiety symptoms. Therapists can help individuals identify and challenge negative thought patterns that contribute to their anxiety and provide support and guidance for gradually facing and overcoming feared situations. Additionally, therapy can help individuals develop a greater sense of self-awareness and self-acceptance, leading to improved emotional regulation and a greater sense of control over their anxiety.

Online usage has soared over the last number of years, and even more so during COVID. During this period many people have moved aspects of their lives online. People no longer are just searching for information, but are shopping, working, socialising, accessing a vast range of services, including medical consultations and health care services.    

This increase of online activity, social media usage, and reliance on TV's, Laptops, Phones, Gaming Consoles, and a range of other devices has had a huge impact on the neurocircuitry of  our human brains.

Multiple studies have found strong links between heavy online activity, compulsive usage of devices and social media engagement, with an increased risk of anxiety, depression, loneliness, hyperactivity, sleep disruption, irritability, self-harm, and even suicidal thoughts.

What can we do about this?  

Everything that we do become a habit, and if you are looking at your phone enough, it will become a habit. To changes habit, we need to break those habitual cycles with replacement behaviours and better coping strategies. 

Your brain is seeking reward, and will be invested in engaging in something that feels good. Start small and consistent, and begin with interrupting the old habit with the new habit you want to form. Habits are formed through repetition. 

Everyone has to start somewhere. Be consistent, and most importantly, is follow through. 

Finally, give your brain, eyes, and body a rest from the screens, be new, be you, with a digital detox.

Friday 25th April 2020, 9am - 5pm, Glosna House, Athy.

https://www.facebook.com/events/181558989834661/

Shame is a painful interpersonal emotion that develops in early attachment relationships.

Children see themselves through the eyes of their attachment figure, and if they perceive disapproval, ridicule, or aversion, this affects their self esteem, sense of self, body, and emotions.

When shame is exposed, it creates a pain that is unbearable, thus concealing itself making it difficult for a client to acknowledge, and a practitioner to identify.

Chronic shame is a problematic symptom that is often endured by clients who have experienced complex trauma, creating alterations in selfhood which can generate stuckness and lack of progression in the therapeutic process. Since shame is experienced with symptoms that are comorbid with trauma, supporting a client requires careful navigation by a practitioner.

This workshop, will focus on the early roots of shame, including the impacts on the nervous system and body, and on patterns of cognitions, emotions, and beliefs. It will help practitioners recognise the role of autonomic arousal in the nervous system, exacerbating symptoms, by identify animal defense survival responses in client who have experienced trauma.

Practitioners can avoid shame in the therapy room, due to a difficultly with their own shame, so we will explore how to be with shame, of both the practitioner and client. We will focus on how an implicit and explicit relational attunement between therapist and client, can create a safe and compassionate relational container for our clients to begin the interpersonal healing of shame.

This workshop will incorporate a dynamic combination of theory, collaborative interaction and experiential learning.

Bio.

Carol Duffy (MIAHIP, MIACP, MEAP), is an accredited Psychotherapist & Supervisor. She currently works with Adults and Adolescents in Meath. During her career she has held roles as a senior clinical assessor, and psychotherapist in a number of charitable organisations.

Carol has training across the life span, with core training in Adult Psychotherapy, a Post Qual .Dip. in Adolescent Psychotherapy, and an MA in Integrative Psychotherapy & Play Therapy. She has additional training in Sensorimotor Psychotherapy which incorporates neuroscience, attachment theory, hakomi, somatic awareness and movement interventions rooted in mindfulness.

She brings to her work a solid MindBody connection, as a qualified yoga teacher, and grounding in her personal mediation and mindfulness practice, that began 30 years ago. She is currently undertaking a Diploma in Teaching in Mindfulness Based Interventions.

Carol has spent over a decade exploring the topic of shame and competed research in 2018. She believes in working with all parts of a person within the therapeutic relationship, and runs trainings for practitioners on shame, incorporating trauma, mindfulness and compassion.

Venue: Glosna House Holistic Centre, Ballylehane Lower, Wolfhill, Co Laois

Time: 9am to 5pm

Cost: €100

CPD - 7.5 hours

For Psychotherapists, Counsellors, (Trainees, Pre-Accrediated), and Psychologists

Phone: 087 7693966

Email: marie@glosnahouse.com 

Many people are affected by poor mental health either due to their work environment or personal life. Most jobs may leave you feeling like you are under pressure and as a result it is ok to feel stressed or anxious. However, if you regularly feel overwhelmed by these feelings this could begin to affect you health.

Stress and anxiety can be experienced because of work or due to other factors, such as, family, relationships or financial concerns. One issue could be causing you to feel stress and anxiety or it could be a build up of several things and this could make it difficult to identify what’s affecting you. When we feel stress or anxiety in one area of our life this can affect other areas also.

Our therapists are qualified to the highest standards and can support you with issues such as stress and anxiety what ever the causes.

Carol Duffy, Psychotherapist 

Perinatal anxiety and Tokophobia

Most people are aware that you can become depressed after having a baby known as prenatal or antenatal anxiety, however, less people are aware of Perinatal Anxiety. This can be experienced during pregnancy or in the year after childbirth. For some women they can experience a particular anxiety about childbirth, this is know as Tokophobia.

Tokophobia is a pathological fear of pregnancy, and can lead to avoidance of childbirth.  There are two classifications of tokophobia, Primary and Secondary. 

Primary tokophobia is morbid fear of childbirth in a woman, who has had no previous experience of pregnancy. Secondary tokophobia is morbid fear of childbirth which has developed after experiencing a traumatic obstetric event during a previous pregnancy.

Both of our therapists have training in sensorimotor psychotherapy, and can work with you to reduce symptoms, and phobic responses. We can help you to make sense of things and understand yourself better. Support you to recognise unhelpful patterns in the way you think or act and explore ways to change them in a safe space.

Carol Duffy, Psychotherapist 

Part of being human is to feel anger at times, it is a normal, healthy emotion. It isn’t necessarily a ‘bad’ emotion and can be very useful. Feeling angry about something can help us motivate us to create change or to achieve our goals, it can help us to stay safe and enables us to defend ourselves if we experience danger. Most people will experience bursts of anger which are manageable and don’t really impact their lives.

Anger becomes a problem when it gets out of control and could harm you or can harm another. We can express our anger in unhelpful and different ways such as:

• Inward aggression, telling yourself that you hate yourself, withdrawing from the world, not providing yourself your basic needs (like food)
• Outward aggression, such as shouting slamming doors being physically or verbally abusive towards others.
• Passive aggression such as ignoring people, refusing to do tasks, being sulky or even sarcastic but not saying anything directly aggressive or angry.

Learning healthy ways to recognise your anger and importantly how to deal with anger is vital for our mental and physical health.

Our therapists are experienced and accredited counsellors and psychotherapists and can help and support you.

Carol Duffy, Psychotherapist 

Image (c) Carol Duffy 2019

That repetitive loop of anxiety

Anxiety can take over a persons life often to the point that it becomes overwhelming, and exhausting. A person can be plagued by persistent thoughts and critical self commentary that can undermine self esteem, and instead creates self doubt and fear. Anxiety can then make it difficult to feel confident as a person, to feel happy with accomplishments, and interrupt our ability feel relaxed in social settings.

The repetitive cycle created by anxiety can lock us into to withdrawing from social interactions due to a fear of exposure. This creates a loss of potential support and sense of belonging, and instead we can be left with a sense of disconnection and isolation.

Addressing anxiety requires getting to know what way it is being experienced, and exploring a way to move beyond its associated symptoms, emotions, behaviours, and thoughts, towards feeling more at ease with ourselves and free to engage with others and with life.

Carol Duffy  Psychotherapist 

Image © Carol Duffy 2018

Everyone experiences stress at some point in their life, and most of the time we can manage the feelings that go along with stress. While it is uncomfortable, we do know that it will pass. 

But what happens when stress becomes intolerable? 

Many of us will have periods in our lives when we are experiencing an excessive amount of stress, that begins to affect our daily life: worrying thoughts, self doubt, indecisiveness, even sleepless nights, changes in appetite, and days filled with anxiety. 

Often, the people around us notice that we are stressed, but we may not even notice or realise ourselves, that our stress levels have gotten out of hand.

Here is a list of some of the signs and symptoms:

• irritability
• frustration
• angry outbursts
• inability to relax
• trouble concentrating
• feeling anxious
• difficulty sleeping
• headaches
• drinking too much
• racing heart
• stomach aches
• eating too much or too little.
  

In counselling, by getting to know what your personal symptoms of stress are, what factors contribute to increased levels of stress, will help you detect when you are getting overstressed. Therapy will also bring a focus to identifying what measures to put in place before you arrive in a place of overwhelm, and help you get back on track to well being.

Carol Duffy Psychotherapist 

Only Then

To know the meaning of transformation,
I must embrace all the grief that lies within me.
Only then will I be shown the true meaning of change.

To use all of my senses in my every experience,
I will then desire the richness of real living.
Only then will I know what it means to be passionate.

To embrace everything in my being and let go of my mind,
I will open my heart and pure light will radiate through me.
Only then will I experience the essence of true love.

To dare the risk of exposing my vulnerability and step beyond the illusions of fear,
I face the challenge of embracing the truth of my existence and death.
Only then am I bound by nothing and will I experience real freedom.

To dive into the river that is my soul,
I will swim with everything that lives within me.
Only then will I truly recognise the depths of simplicity.

To open my very essence and become one with all that surrounds me,
I will feel time slow down and be filled with the wisdom of all eternity.
Only then will I understand true stillness and smile with enlightenment.