How to Recognize Toxic People

The situation is more common than you may think…. Your partner mentions that she/he talked to THAT friend and wants to all meet for dinner this weekend. Your stomach drops, you may feel a little sweaty, and your head fills with absolute dread. Not THAT friend… “Can’t we meet with any other friends but THAT friend…?”

Cue the signs of a toxic friendship. Toxic relationships can exist for any type of relationship, including friends, family, romantic relationships, coworkers, etc. Toxic relationships can include a range of symptoms, but many exist with similar types of signs. Many of these signs include:

·       People that continually violate boundaries that you have set for yourself and your relationships (including your expressed needs or desires)

·       People that blame you or other people for circumstances that aren’t your fault

·       People that continually cause you to feel guilty for some reason or another after your interactions with them

·       People that you don’t genuinely look forward to seeing, and you dread your interactions with them

·       People that criticize you frequently, rather than encourage you or support you

·       People that tend to be negative frequently or complain often

·       People that gossip frequently, are often jealous of others, or put others down often

There are some common reasons that people feel unable to end toxic relationships for good, that may fall into certain categories:

·      Family or Proximity: This person comes as a package deal. It could be a friend or family member of your partner, or a close friend of one of your good friends. Maybe it’s your own family member, and it’s a complicated relationship that would mean having to cut off relationships with other family members too.

·       Context: This person is someone who you may only see in certain contexts. As a result, it can be easy to brush off their toxicity or tell yourself that “if I only see this person in certain contexts then their toxicity isn’t really affecting me…”.

·       History: This is a person that you have known forever. Ending the relationship would feel like a BIG deal, due to the shared history you have. Because of your history together, you may have shared relationships or friends. You feel personally invested due to how much time you have put into this relationship.

·       Romance: Ahhh….. romance. When “like” or “love” is involved, it becomes even more difficult to see someone’s toxicity clearly. You may stay with the toxic person because you hope that they may eventually change or you reason that their good qualities outweigh their toxic patterns.

Whatever the reason may be, you deserve to have supportive and loving relationships that aren’t toxic! Improving or ending a toxic relationship can feel like a big decision and may take courage or weighing the pros and cons. If you’d like to talk to an unbiased professional about coping with your toxic relationship, contact Type1Talk Counseling at dr.carroll@type1talkcounseling.com or 469-404-8007

Mental Health Tips for People with Type 1 Diabetes During the Coronavirus

Whether you feel comfortable talking about it or not, the coronavirus has likely impacted your mental health in some way or another…

 The coronavirus has negatively impacted the mental health of Americans in a number of different ways, with social distancing and health anxiety being two of the biggest factors. People with Type 1 Diabetes are already more likely than the general population to experience stress (McCarthy, Whittemore, Gholson, & Grey,  2019), depression (McCarthy, Whittemore, Gholson, & Grey,  2019), and anxiety (de Groot, Golden & Wagner, 2016). Therefore, people with Type 1 Diabetes need to be especially mindful of their mental health during this time period. Listed below are some mental health tips:

*Lean on family and friends who listen well for support. Be wiling to be honest about what you are feeling. If you find yourself having a tough coronavirus day, pick up the phone and call a family member or friend who listens well. Ask if they’d be willing to simply listen to you for 10 minutes while you talk about your day.

*Designate a “coronavirus buddy”. Tell a friend or family member that you’d like to be there for them if they’re having a hard day and that you will answer the phone if they call. Promise to them that you will just listen for 20 minutes so they can vent, complain, or cry it out. Ask them if they would be willing to do the same for you.

*This is a great time to work on our awareness of our feelings (i.e. mindfulness). Each day brings new feelings and different moods. Being able to identify what you’re feeling/what mood you are in can help you better understand what you need for your mental health that day, as well as identify patterns in your feelings, and what might have influenced your mood.

*Adjust your personal expectations for yourself. Be willing to be flexible in your expectations for yourself each day. We are all experiencing a collective trauma. During this difficult time period, not every day is going to bring you the same energy, motivation, or positive attitude. Be kind to yourself, these are not normal circumstances.

*Your physical health and mental health interact with and influence each other. One of the biggest themes of Type 1 mental health research is that diabetes management and mental health influence each other. As mental health issues increase, diabetes control tends to decline. Keeping an eye on your diabetes control  during this time is not only important for your physical health but your mental health too!

*Plan self-care breaks for yourself. Many of us have had to cancel summer vacations or other similar plans for breaks due to the coronavirus. However, continue to plan a break for a self-care activity at least one day a week. Be consistent about planning self-care and plan an activity that you personally enjoy. There are lots of ideas out there, but try to find something that works for you.

As always, if you find that your mental health issues have become overwhelming or you’d like to get support and talk to a mental health professional, please reach out to us via email dr.carroll@type1talkcounseling.

7 Myths About Mental Health Counseling for Teens

It’s normal to feel hesitant or nervous to sign your adolescent up for counseling, especially if you have no previous personal experience with counseling. Television episodes, movies, and social media often portray mental health counseling with an altered perception that is at times inaccurate. Many parents are unsure about the mystery of mental health counseling and can feel hesitant if they have heard or believe common “myths”. Have you heard these myths?

1) “Counseling is Only For Teens with Serious Issues”

Your adolescent doesn’t need to be diagnosed with a mental health disorder in order to seek counseling. Counseling can be beneficial for a wide range of mental health issues. Many therapists work with adolescents who have common relationship struggles or are facing issues that are typically encountered by many adolescents, such as stress, adjustment problems, self-esteem issues, or conflict with peers.

2) “I Don’t Want Anyone Finding Out My Adolescent is in Counseling”

Most mental health professionals, including Licensed Professional Counselors (LPC’s), follow strict HIPAA/confidentiality guidelines and aren’t allowed to discuss or contact someone about your adolescent’s counseling without your prior permission, including schools and doctors. This even includes being unable to confirm to another individual (without your permission) that your child is currently receiving counseling. Exceptions to these rules do exist for emergency situations involving the physical safety of your adolescent or other people, or when the counselor is required by law or court order to disclose information.

3) “Why Pay for Counseling When I Can Get Advice From Other Parents?” and “What the Counselor Will Say Is Common Sense”

The importance of the support, encouragement, and advice of family and friends should never be undervalued. However, an unbiased professional is likely able to give your teen insight into issues and greater understanding in relationships that a friend or family member may be unable to. Mental health professionals are specifically educated in the dynamics of relationships, in a deeper understanding of various mental health concerns, and help in better understanding reasons behind feelings and behaviors.

4) “Counseling is Too Expensive”

Costs of counseling vary based on a number of factors. If a counselor is unable to meet you at your needs-level, he/she can refer you to a counselor who can. Many health insurance companies are able to compensate, and counselors who operate out-of-network with insurance companies can provide necessary paperwork for you to submit to your health insurance company for reimbursement.

5) “The Counselor Will Judge Me or Think I’m a Bad Parent”

Seeking help for mental health issues means taking action. Parents who seek out help for issues before they become more deep-rooted have insight and inner strength as parents. Much the same as physical health and going to see a doctor, it is important to take your child to a professional when there is an issue or something feels “off”. A counselor is there to encourage you as a parent and provide helpful techniques if you’re interested. There are many reasons behind adolescent’s behaviors and feelings, and counselors understand how stressful parenting can be.

6) “I Don’t Have Time to Take My Teen to Counseling”

Life can be busy and stressful, especially when you have a busy teenager as well. Counseling can often improve your teen’s behavior and help your teen manage stress, therefore, improving the difficulty of the day-to-day of your teen’s packed schedule. Counselors can schedule your teen’s appointments in different ways to fit their schedule, such as offering early evening appointments. One of the benefits of online counseling is that your teen is able to receive counseling from home, and there is no commute time needed. Counseling is most often scheduled as a one-hour session once a week.

And last but not least….

7) “I’ll Just Wait to See If Things Get Better”

It’s very common for counselors to hear from parents upon initial phone call that they wanted to wait and see if things improved on their own first. So, if you as a parent have thought this, you aren’t alone and shouldn’t feel embarrassed. However, what we know from mental health counseling and research is that most often mental health issues don’t improve without intervention or help. In fact, typically mental health issues can get worse or increase over time without intervention/help. However, it’s never too early or too late to seek help for an issue, no matter how long it has been a problem.

One related concern is that parents may feel uncertain about whether or not their teen is actually experiencing a mental health issue. The great news is that if you are unsure, a counselor will be able to evaluate/assess the possibility or likelihood of this during an initial appointment with you and your teen. Your counselor will give you feedback and let you know if counseling is recommended.

If you have any questions or concerns related to seeking counseling for your teenager, we are always here and available to talk.

Nicole Carroll, Ph.D., LPC, RPT

Ph.D. in Early Childhood Development, Licensed Professional Counselor

Email: Dr. Carroll@type1talkcounseling.com

10 Things to Know When You Talk to Your Children/Teens About Coronavirus

News of the coronavirus is everywhere, and many of you may be wondering how to talk to your children or teens about the pandemic in a way that will be reassuring and help them with anxiety or fear that they could be experiencing.

1) Don’t avoid talking about it. Most children will have already heard about the virus, so parents shouldn’t avoid talking about it. Not talking about something can actually make kids worry more. Look at the conversation as an opportunity to convey facts and set the emotional tone. You want to help your children feel informed and get fact-based information that is likely to be more reassuring than whatever they may be hearing from friends or on the news.

2) Take cues from your child. Begin by inviting your child to tell you anything they may have heard about the coronavirus, and how they feel. Give them lots of time to ask questions. You should avoid encouraging more confusion or anxiety. Let your child take the lead in the direction of the conversation, which will help them feel empowered.

3) Be developmentally appropriate. Don’t volunteer too much information, as this may be overwhelming. More details for teens, less details for young children. Instead, have your goal to be to try to answer your child’s questions. Do your best to answer honestly and clearly. It’s okay if you can’t answer something! Being available to your child and open to talking to them about this topic is what matters.

4) Focus on feelings. If you notice your child experiencing anxiety or fear, whether within the conversation or throughout the day, be sure to address these feelings. Simply saying “You feel anxious” or “I see that this makes you feel scared/worried”, serves a few different purposes: a) helping your child identify their own feelings b) letting your child know it’s okay and encouraged to talk about his/her feelings c) letting your child know that you understand and care.

5) Recognize and address your own anxiety. When you’re feeling most anxious or panicked is not
the time to talk to your kids about the coronavirus. If you notice that you are feeling anxious, take some time to calm down before trying to have a conversation or answer your child’s questions.

6) Be reassuring. For young children, hearing about the coronavirus on the news or from friends may be enough to make them seriously worry that they’ll catch it. It’s helpful to reassure your child/teen with some general facts about coronavirus. For example, the fact that following CDC recommendations decreases likelihood of getting it and the fact that kids seem to have milder symptoms.

7) Focus on what you CAN control or change. In this time of uncertainty and many changes, it is helpful to focus your thoughts, time, and effort on aspects of your life which you can control, rather than on aspects of your life that you cannot control. For example, aspects of life that many of us can’t control or change include the actions of other people, how others react, predicting what will happen, how long this will last, or if others follow the CDC guidelines.

However, aspects of life that most of us CAN control or change include your own personal attitude (whether I choose that to be positive or negative), how you follow CDC recommendations, your own physical distancing, how much TV and media you watch, and how you choose to spend your time at home. When it comes to Type 1, what we can control or change is taking steps towards being prepared (stocking up on prescriptions and supplies), staying healthy, and keeping blood sugars under control the best we can.

8) Focus on what you do to stay safe. It’s important to reassure kids to focus on what you are doing to be safe and the precautions that you can take. Kids feel empowered when they know what to do to stay safe. We know that the coronavirus is transmitted mostly by coughing and touching surfaces. So, remind kids that they are taking care of themselves by washing their hands with soap and water, and also by keeping “physical distance”. “Social distancing” is unfortunately the term that has caught on by media. It is definitely preferred to say “physical distance” rather than “social distance”. Physical distance is correct terminology. However, “social distancing” implies that we need to keep away from our family, friends, and social connections. We need family, friends, and social connections during this difficult time more than we ever have. Thankfully, with the use of technology, we can certainly keep the recommended physical distance from others, without having to socially distance ourselves.

9) Routine. Children and teens in general have difficulty with changes or uncertainty, so sticking to consistency and predictability is going to be helpful right now. This is especially important if your child’s school or daycare shuts down or goes online, as most have. Make sure you are sticking to a general structure just like you would during any other spring break or a summer vacation. Structured days with regular mealtimes and bedtimes are an essential part of maintaining predictability. Take note that free time and play time is still very important now too.

10) Encourage talking more about it. Tell kids that you will continue to keep them updated as you learn more. Let them know that communication about this topic is open and they can ask questions at any time. You can say, “Even though we don’t have the answers to everything right now, when I know more, I will let you know, too.”

As always, if you find that your own or your child’s/teen’s anxiety or fear during this time feels overwhelming, please reach out to a mental health professional. Don’t allow the current coronavirus physical distancing recommendations to be a barrier to seeking out mental health support, because tele-mental health exists! Tele-mental health is the use of online video chat (similar to Skype or Facetime) to have appointments with your mental health counselor while sitting on your couch.

Tele-mental health is easy and convenient, and thankfully, Type1Talk Counseling is run completely using tele-mental health. Specializing in people with Type 1 Diabetes, adolescents (ages 10 and up) and adults with Type 1, and parents in individual counseling. I also provide parenting education for parents of children/teens with Type 1.

Stay safe and remember to keep physical distance, not social distance. 😊

-Dr. Carroll