by Counseling and Wellness Center of PittsburghMarch 12, 2019 bdfn, brain health, healthy food, NIH, Uncategorized0 comments
How to Boost Your Brain Health, BDNF!
If you knew that tweaking some lifestyle habits could act like brain fertilizer, building new connections to reduce your risk of dementia, improve mood and reduce depression, improve heart function, and more, would you want to learn about it? Lauri Lang, RDN, LDN, is here as your licensed nutritionist to help you navigate those changes and learn about the best ways that nutrition can support your wellness.
Then read on! Above I have provided a brief explanation of a protein that impacts all of this, and possibly even lifespan, greatly, and below you will find multiple ways that we can increase its production. This magical protein is BDNF (Brain Derived Neurotrophic Factor) and while some details of our individual levels are genetically determined, and it naturally wanes as we age, we have great agency in boosting its production through lifestyle choices and habits we make.
- Eat more oily fish! Omega-3 fatty acids, particularly EPA or Eicosapentaenoic Acid, a neuroprotective nutrient found in the brain. Also, DHA Docosahexaenoic acid, or DHA, is a type of omega-3 fatty acid, found in fish. Both of these nutrients have many benefits including increasing BDNF (it also has the most anti-inflammatory action). This is an essential nutrient, and studies show up to 95% of Americans are deficient in it. SMASH is acronym for high omega-3, low contaminant fish: salmon, mackerel, anchovies, sardines, herring.
- If fish consumption is not for you, supplements are also available, check for molecularly distilled 3rd party analysis and therapeutic dose levels. Omega-3’s are also found in vegetable sources like flax, chia and walnuts, and while still beneficial, contain ALA which may not convert well to EPA and DHA.
- Increase intake of Turmeric and Curry, Blueberries and Red grapes! Turmeric is the spice that gives curry its yellow color, and has a plethora of health benefits, including boosting BDNF. It has been recognized for many epidemiological aspects of better health in cultures where it is a staple, such as lower Alzheimer’s and other forms of dementia, and less inflammation. Try a golden milk recipe, or cauliflower turmeric flatbread. It can be added to many dishes, with a sprinkle of black pepper to increase bioavailability. It is also available in supplement form. The pigment that gives blueberries their color, anthocyanin, and a phytochemical, resveratrol, found in red grapes also raise BDNF levels.
- Avoid sugar, processed foods and HFCS (high fructose corn syrup) these items have the opposite action, as the SAD (Standard American Diet) which are high in these elements, has been shown to result in lower BDNF levels. For optimal brain and all around function, we have to put optimal fuel into the body.
- Intermittent Fasting is another way to increase BDNF, there is increasing evidence that periods of gut rest, as short as 12 hours, can boost our bodies repair mechanisms. While this is not for everyone, there is a growing body of research on the topic.
- Exercise!!! It is the best way to boost our BDNF levels. Find ways that work with your life, and that you enjoy, as developing this habit is a huge key to keeping our brain and hearts functioning optimally throughout our lifespan.
- Social Connection, Stress Reduction and Mental Stimulation! Nurturing relationships with close friends and family members, and spending time where authentic communication, love and acceptance are present provides a boost. People under a lot of stress produce less BDNF, so finding ways to reduce stress including meditation, yoga, exercise and mindfulness practices, getting out in nature, are critical.
- Sun can boost BDNF levels. This can be short amounts daily, while practicing skin cancer awareness and limits.
- Sleep….last but not least! Aim for at least 7 hours of sleep, this is critical to general health. BDNF is reduced with sleep deprivation. If you struggle with this, investigate changing your sleep hygiene habits, including trying a guided meditation for sleep.
So many great choices….where will you begin with your health and wellness goals???
If you are thinking about how nutrition counseling can help you or looking for a near by nutrition counselor, Lauri Lang, RDN, LDN is glad to help. Call us at 412-322-2129 or find our counselors near you at;Learn More
When individuals experience trauma or toxic stress it is not uncommon to need therapeutic support and guidance. Samantha Ricci, MS, LPC is passionate about helping to create a safe and effective space for individuals to explore emotions and traumatic/ stressful experiences. To help her clients, who include children, adults, couples, and families who are experiencing emotional or relationship distress. Samantha’s therapeutic approach is devoted to help her clients create healthy perceptions of themselves, to strengthen their relationships, to promote balanced and strong attachments, full and rich emotional bonds. Samantha is trained to help you experience change, through these systematic and evidence based strategies her clients reports that their innate capacity for trust, empathy, and compassion emerges to greater joy. Samantha’s area of clinical expertise include helping her clients recover from Stress/Anxiety, Mood Disorders, Adjustment disorders, Trauma focused care, Attachment disorders, Child Therapy, and Emotionally Focused Couples Therapy.
Samantha’s clinical focus is on treatment that utilizes an attachment informed lens and trauma focused care with children, adults, couples, and families. Specifically, Samantha is rostered in Child-Parent Psychotherapy (CPP) is an empirically-supported treatment model which is scientifically shown to enhance the emotional health of young children from infancy through seven years old. CPP is a unique and specific relationship-based therapy in which the clinician collaboratively engages in play and treatment with the child and caregivers. CPP positively impacts children’s behavioral and mental health outcomes while promoting protective factors and strengths, such as stable, warm relationships with parents and caregivers.
Samantha’s educational background includes a Master of Science in Counseling Psychology and a graduate Certificate in Infant Mental Health from Chatham University, Pittsburgh, PA. She has a Dual Degree, Bachelor of Science in Rehabilitation and Human Services as well as Communication Science and Disorders from The Pennsylvania State University, State College, PA. In addition to Samanthas work with Counseling and Wellness Center of Pittsburgh, she also works with UPMC in their Mathilda Theiss center where she specializes in pediatric and family counseling. In her free time, Samantha enjoys exploring new restaurants in the city of Pittsburgh, traveling, spending time with family and friends, and being a dog mom to her well loved frenchie/pug, Luna. Samantha also has a fervent passion for Pittsburgh and local sports and enthusiastically spends her Saturdays watching Penn State Football games with her fiance.Learn More
Anti-Inflammatory Diet – Including Meal Plan by Licensed Nutrition Counselor, Liz Mckinney, CNS, LDN.
by Counseling and Wellness Center of PittsburghAugust 7, 2018 anti-inflammatory diet, chronic inflammation, diabetes, medicine, nutrition, Uncategorized, Wijkstrom0 comments
Anti-Inflammatory Diet, What it is, What it Does and Including a Meal Plan by Licensed Nutrition Counselor, Liz Mckinney, CNS, LDN.
Every standard anatomy course covers a section on inflammation, health circles and modern medicine studies how this physiological process effects our bodies. Modern science has uncovered much evidence related to how our dietary consumption fuels our internal inflammation. To understand inflammation, let’s talk what about what inflammation really is. Inflammation is a normal part of our body’s healing process. Think of the redness, pain and swelling that comes along with an acute injury. These are bio-markers that our white blood cells are migrating to the origin of a wound, when the white blood cells arrive they will unfold to facilitate the healing process. This mechanism is a normal and necessary indication that our immune response is hard at work. But what happens when our immune systems are working over time in a way we can’t see? This is a part of what is termed ‘chronic inflammation’, and our diet definitely plays a large role in both calming it down or conversely, throwing fuel on the flames.
Chronic inflammation is a contributing factor to many common diseases in the U.S today. Obesity, heart disease, and Type 2 Diabetes are some common diseases to which inflammation contributes to the onset and progression (Lopez-Condelez 2017). Additionally, according to a 2018 study Dr. Billmore et, al, which was published in Nature, there is also evidence that inflammation may contribute to certain forms of depression as well as aiding in the development and progression of this mental health disease, inflammation is also being study as a contributing factor in the development of other mood disorders. Of course diet alone can not provide total therapy for depression or disease but it is an important pathway to providing our best course to become well.
The fact is when our immune system becomes chronically activated, low-grade, systemic inflammation occurs. Even if you aren’t suffering from an overt disease, things like stress, leaky gut, food sensitivities and even an imbalance in our gut micro-biome all are capable of pushing our bodies into an inflammatory state. The consequences of chronic inflammation are serious. Increased risk of neuro-degenerative and cardiovascular disease, trouble losing weight, digestive problems, hormonal imbalances, and cellular damage may all occur as a result.
Our food choices can either promote or calm inflammation. Many of the diseases and problems listed above may be prevented or mitigated with an anti-inflammatory diet. The top foods that commonly contribute to chronic inflammation in the standard American diet are:
- Refined grains (bread, crackers, cookies, cakes, snack foods)
- Dairy (all cow dairy products including milk, ice cream, and yogurt
- Sugar (table sugar, high fructose corn syrup, sugar alcohols or artificial sweeteners)
- Vegetable oils (Canola, Corn, Safflower, Sunflower and Rapeseed oils)
- Trans fat (Margarine, peanut butter, mayonnaise, packaged snacks)
- Conventional/commercially raised meat
- Alcohol (More than 1 drink per day for women and 2 for men)
- Food additives (MSG, artificial flavors and food dyes)
On the flip side, nourishing foods can also accelerate healing in the body and prevent the inflammatory cascade from becoming chronic. For whole body health and wellness, add these anti-inflammatory foods into your daily diet:
- Fatty fish (Halibut, salmon, sardines, trout)
- Coconut oil
- Olive oil
- Vegetables (Any and all kinds!)
- Chia seeds
- Flax seeds
- Grass-fed animal meats
We know that one of the barriers to incorporating dietary changes is that we simply don’t know where to begin. As an added bonus, we will share an example one-day meal plan, made by a certified and licensed Nutrition Counselor, Liz Mckinney, by using this plan, you can jump start your anti-inflammatory diet today!
- 2 scrambled eggs with sautéed spinach, mushrooms and garlic
- ½ avocado
- 2 cups mixed greens with 4 oz. salmon or chicken and walnuts with a turmeric ginger dressing (Juice from 2 large organic lemons, approximately 1/4 cup of fresh juice, 1″ fresh ginger, skin removed, 1 garlic clove, 2 teaspoon ground turmeric, 3 tablespoons extra virgin olive oil, 1 tablespoon apple cider vinegar, 1/4 teaspoon black pepper, Salt to taste – Blend in food processor)
- Sautéed lemon pepper shrimp over zucchini “noodles” sautéed in olive oil with salt and pepper
- 70% or greater dark chocolate, almonds/walnuts, rice cake with mashed avocado, hard boiled egg with spicy mustard, cut up veggies with hummus or another home made veggie dip
Additionally, by working with a licensed nutritionist or dietitian to identify food sensitivities, heal leaky gut, balance your gut micro-biome, eradicating bacterial overgrowth, and implementing a stress reduction plan into your daily life, your wellness, emotional, and physical health can be optimized. As always, wellness routines that include yoga, meditation, mindfulness, progressive muscle relaxation, spending time in nature, or deep breathing are all proven techniques to increase resilience to stress.
Blog article is written by Liz Mckinney, CNS, Liz is the licensed and certified nutritionist for the Counseling and Wellness Center of Pittsburgh, Liz can provide nutrition counseling near you, now accepting new patients in Western Pennsylvania.
edited, by Stephanie Wijkstrom, MS, LPC, NCCLearn More
by Counseling and Wellness Center of PittsburghMay 18, 2018 premarital counseling, premarital counseling questionnaire, premarriage counseling, Uncategorized, wellness counseling0 comments
Premarital Counseling Questionnaire
If you have recently answered ‘yes’ to a marriage proposal, then along with the rush of planning your version of the perfect wedding you also may also be considering whether you should be going to premarital counseling. Premarital counseling is a form of couples therapy that emphasizes wellness, you can learn more about the process here. Our counselors have put together a premarital checklist to look at your relationship and to determine if it makes the wellness grade for relationship health, this will help you and your partner to understand some parts of your relationship in a deeper way. Don’t be afraid to feel a little uncomfortable, these are not the kinds of questions that you normally think about but that also is what makes them especially powerful to assess the strengths and various qualities of your unique partnership. This does not replace premarital counseling but it does help you each to examine your relationship in a mindful and healthy way.
- Why do you want to get married?
- What roles do you see for yourself in your marriage?
- What do you imagine might be your biggest challenge in being married?
- What makes your relationship unique?
- How do your friends and family view your relationship with your partner?
- What is your idea of the perfect wedding?
Are there others who are close to you who have different ideas for how your wedding should go?
How do you each talk about your thoughts and needs on this topic?
- How do you manage conflict?
- What are each of your conflict resolutions styles?
- What has been a challenge for your conflict resolution?
- How you repair conflict?
- When you feel stress how can you partner help you?
- How would you describe your communication style?
Is it generally easy for you to talk about your needs?
Do you find you over communicate your needs?
Do you have an attacking communication style?
Do you become very emotional when you communicate?
- How similar or different are each of your sexual libidos?
Describe the amount of foreplay that you have with your partner on average?
Do you feel able to initiate lovemaking?
Do you feel able to decline sex with your partner?
Are you able to orgasm?
Do you have sex that is non-penetrative?
- What are some of your financial concerns about your future together?
- What is your ritual around managing the finances?
- How do you handle household maintenance like cooking and cleaning?
- Do you plan to have children together?
- What trait do you most admire in your partner?
- What is one mutual goal between the two of you?
- What do you see yourselves doing in 10 years?
- What do you see yourselves doing in 20 years?
With the help of questions like these, you and your partner can begin the lifelong process of deepening your understanding of yourselves and each other, keeping in mind, your answers to these questions will likely change over time. That is normal and to keep your marriage healthy, you should continually check in with each other and have hard conversations about things that matter to you. Wellness means that we manage and care for ourselves and our relationships in a way that keeps them strong and happy and that we strategically plan for success by growing our relationship to be stronger. Great marriages are created intentionally by addressing individual and relationship needs, prioritizing connection, listening and compromising. None of which are easy, but all of which are well worth it to live happily, in love, for the rest of your life.
The Counseling and Wellness Center of Pittsburgh
830 Western Avenue Pittsburgh PA 15233
4108 Monroeville PA 15146.
by Counseling and Wellness Center of PittsburghJanuary 6, 2018 meditation, mental health, mindfulness, personal growth, Uncategorized, wellness, wisdom, yoga0 comments
We love wellness and always are committed to bringing to you all the latest and often times most historically revered practices to sustain and support emotional, physical and spiritual health. This month we are highlighting Frankincense. Some of you may be familiar with the giving of Gold, Frankincense, and Myrrh, in ancient times, these were gifts offered to kings and royalty, they even mention them in the Christian Bible as offerings brought to baby Jesus Christ by The Three Wise Men. Why all of the spotlight on Frankincense? Well in indigenous cultures, Frankincense was treated as medicine to reduce symptoms and even cure diseases of inflammation.
Modern Science is exploring the many benefits of Frankincense, some studies offering evidence that this can be used to cure everything depression, anxiety, and even certain forms of cancer. While we can not conclude the effectiveness of these treatments because it has not been supported of verified by the food and drug administration plant oils and herbs offer a wonderful route to healing and treating our bodies holistically.
by Counseling and Wellness Center of PittsburghDecember 28, 2017 co-parenting, counseling, couples counseling, couples therapy, divorce, educational, marriage counseling, meditation, mental health, parenting, psychology, psychotherapy, therapist, therapists, therapy, Uncategorized, wellness0 comments
Our licensed professional counselors are here for the community offering evidence-based therapy, marriage counseling, family counseling, child therapy, art therapy, premarital counseling, all by top rated clinicians. Our team of therapists has over 150 years of experience between us, we offer therapy to heal from Depression, Anxiety, Obsessive Compulsive Disorder, Post-Traumatic Stress Disorder, and our Couples Therapists can treat a full range of relationship issues from conflict communication, to intimacy enhancement, and parenting concerns. In all of our centers, we also provide a menu of comprehensive wellness services. We offer wellness support including health treatment options from our certified nutritionist, kinesiologist, clinical herbalist who specialize in offering the people of The Greater Pittsburgh and Western Pennsylvania communities providing wellness solutions for mind, body, and spirit. Be well with us!
Contact us at our Pittsburgh location 830 Western Avenue Pittsburgh Pa, 15233 Our Pittsburgh center is located in the northshore of the downtown Pittsburgh. Therapy near Northside, Southside, Brighton heights, Lawrenceville, Shadyside, Bloomfield, Strip District, and Mt. Washington. Our hours are from 7-am-8 pm Monday through Sunday. We accept UPMC, Highmark, Blue Cross Blue Shield, United, Magellan, Aetna, and Comp Psych as well as Out of Network, Self Pay, and Sliding Scale options.
For a therapist near you – Call us at 412-322-2129Learn More
by Counseling and Wellness Center of PittsburghDecember 28, 2017 counseling, couples counseling, couples therapy, educational, marriage counseling, psychology, therapist, therapy, Uncategorized, wellness0 comments
Our Licensed Professional Counselors include therapists who are trained in a variety of specialties including Marriage and Family Therapists, Child Therapy, and Certified Nutritionist, Kinesiologist, Clinical Herbalist, and Meditation Instructor are proud to be Monroeville’s only Integrative Counseling Center. Our Counseling team include top-rated therapists with decades of experience in Mental Health and Marriage or Couples Counseling in Monroeville.
Our therapists serve Western Pennsylvania and our Counseling Center East is near you in Monroeville, Murrysville, Penn Hills, Plum, New Kensington, and Westmoreland County. We provide compassionate and scientifically validated therapy solutions specifically available for your emotional health and wellness. Our counselors treat individuals who are suffering from a broad range of mental health concerns such as anxiety, anger management, depression, chronic mental health diagnoses, trauma, bipolar disorder, late stage alcohol and substance abuse recovery, intimacy, life transitions, managing the emotional effects of a medical diagnosis, grief counseling, stress disorders, stress management, obsessive compulsive disorder, mood disorders, personality disorders, compassion fatigue, parenting, life balancing, postpartum depression and many more. Our child therapists help children who are dealing with bullying, trauma, grief, behavioral, and attentional disorders. The Counseling and Wellness Center of Pittsburgh has therapists with specialties in all ages and stages of development.
Some of the commonly treated disorders which can be helped by our Couples Therapy specialists are intimacy, communication, conflict, infidelity, parenting and co-parenting, as well as premarital counseling. Family counseling is also an option and our therapists have worked with families of all types and sizes including parent child, adult children and parents, step families, siblings, and grandparents.
As an integrative counseling center we utilize many approaches and offer solutions for emotional, relational, and physical health in our centers. Our counselors use cognitive behavioral therapy, mindfulness, humanistic, psycho-dynamic, and emotionally focused techniques as well art therapy for kids. We also have a wellness team to provide natural solutions to enhance well-being including herbalism, meditation, and nutrition counseling. In other instances we are glad to collaborate with psychiatrists and psychologists to provide continuity of care for those clients who hold psychiatric diagnoses. Please refer to our providers individual bio’s for a more comprehensive explanation of their professional styles, training, and educational backgrounds.
We accept many insurance companies including UPMC, Highmark Blue Cross Blue Shield, United, Aetna, and Cigna. Additionally and for your convenience we also accept HSA, credit and debit card for self paying clients. We staff therapists who care and who do offer the sliding scale so that all clients can access the mental health coverage that they need.
We do offer distance solutions at all of our centers and can provide counseling using skype.
If you have a question about whether we have a counselor to treat your specific concerns and emotional needs, please send an email and we will be glad to let you know or answer any other specific questions or inquiries.
Counseling and Wellness Center of Pittsburgh is conveniently located at 4108 Monroeville Blvd, Monroeville, PA, 15146. We are in a freestanding building with a large parking lot attached to our center.
Call us at 412-856-WELL or 412-856-9355
Sunday 7am-9pmLearn More
by Stephanie McCrackenDecember 31, 2014 counseling, mindfulness, new year 2015, personal growth, psychotherapy, resolutions, Uncategorized, wisdom0 comments
A New Year and A Blank Canvas
The infamous ball is approaching its apex, soon the confetti shall spill to the ground, the party music will envelops the night air, albeit briefly as the quiet is coming. Soon, our little nor’easter earth will become silent and still as the snow falls steadfastly ensuring the depths of our winter’s hibernation. Beneath all of this obligatory stillness our mind churns even if just dimly, yes, the mind does indeed churn, the powerhouse creating the thoughts convections which form and sustain our deliberate and unconscious motions in life. One of the greatest quests upon which we can embark is to live more deliberately, with greater awareness, to make conscious all of our human and unacknowledged motivations. How then can we honor our assumed attempts towards personal growth, these questions which are beckoned by the transition into yet another year? In exaltation of the grand pillar of knowingness which indicates another hallmark, we welcome you mindfully 2015.
Alas it is a 2015 and another succession of 365 tomorrows slumped forward and splayed out before us like a pristine canvas, acrylics atop the easel, how will we render our reality? Choose mindfully my friend, as you shift through the boxes of so many colors, which do you want to set the tone of your work? Our life is indeed the greatest act of deliberate creation which we can make and despite some utterances of powerlessness; we all preserve the power to choose how it is that we will respond to life’s grievances and successes, this is my solemn promise to you. So allow us to attune to the process of creation and examine the “how” it is that we paint our picture? This may be referred to as our personal style. What is the feeling which courses through your limbs as you reach for the brush and walk nearer the canvas? Is your heart beating in rapid succession, is your breathing sharp? Is there a sense of nervousness that you will make a blunder? If so that’s ok, there is still a choice in that, how do you respond to anxiety, do you allow fear to limit action? Perhaps you isolate from terror or embarrassment of your own emotional state, you sulk away or head back to the couch and put the blanket over your head, oh my friend, come on, come on back! While we have only one canvas, one year, time is our merciless provocateur, lest not we waste it all in perpetual forced solitude. Perhaps with some semblance of bravery you persevere, you fretfully and shakily reach for the paint, place a dollop upon the tray and allow your vision to take hold? Perhaps you grip the brush stiffly, pressing so forcefully into the canvas that miserly scrapings of paint are all that remains from your terrified attempt, yet when looking back you see that simply by loosening up just a bit, you could have rendered a fairly realistic still life of a sole granny smith apple, waxen gleam, atop your chosen ensemble of a purposefully barren cornucopia. Perhaps that is not like you at all, maybe you are characteristically bold, often finding yourself leaping first and thinking later. Perhaps you reach for the brush and feel brazen in your novice maneuvers, you haplessly secure the broad stroke brush and feverishly create only realizing when looking back that the form is sloppy and the colors have all bled together? Perhaps you are best maneuvering for more of an impressionistic feat, you can still make out the form of all of the people passing down the street that you relentlessly studied, in critiquing your work you imagine that you would like to render them with greater depth. Oh, our dear canvases abounded with stylistic features, the plentitude of variability towards the characteristics which allow us to create our world. What is your style, upon what could you hope to improve? What are your greatest regrets through the year? Perhaps you are like some of us and you wield your abundant energy to paint gloriously, for you it is an act of love and you would like all of the world to be an act of esteemed and exalted love,
fervor will thrust one far yet it is also easy to be burst into a perilous direction when making rapid and frenetic motions with ones paint brush. Yet this is the way you have always created your life’s work, still change can come when we concentrate our efforts and maybe this year something different is in order. When recalling the masterpieces and artistic disasters which your brush has bequeathed, on some days a dribble here and imperfection there, in which frame do you store your most treasured accolades. Perhaps it is the era of sketching out a design and landscape before putting brush to canvas, or perhaps for you it is moving beyond the sketch and working through the fears of actually committing to wielding motion to propel the brush. Some small motion towards growth, always it is intention and mindfulness that hold the key to most every great work, these are the skills which compel talent and desire. Happy New Year! Cheers to creating in the dazzling array of hues, in natural and free flowing form while still making space for artistic imperfections.
Happy New Year!
Stephanie McCracken MSPC
Nicole Monteleone NCC, NBCC, LPC
Reviving Minds Therapy
1010 Western Avenue Pittsburgh Pa 15233
by Stephanie McCrackenJune 9, 2014 counseling, couples counseling, couples therapy, psychology, Uncategorized0 comments
For any of you who have felt yourself a part of a relationship which was dizzying in its highs and staggering in its lows, no matter how brief or long, your head very well may be feeling woozy in recalling the rapidity of its pace. While there are indeed many personality types and pathologies which can lead themselves to destructive cycles in the interpersonal domain, we will today briefly explore Borderline Personality Disorder and what this kind of encounter may mean for someone who is attempting to heal and recover in its wake. Much literature has focused on the trait of borderline personality disorder as it relates to women yet in recent years clinicians have noted that there may be a growing number of males who meet the diagnostic criteria for the disorder.
While there are many typologies of the borderline character structure there will undoubtedly be an intensity to the initial meeting phase. For a woman meeting a borderline male it’s likely that she will be dazzled and showered with heaps of attention and affection, “at last a male who seems to thrive upon open emotional discourse”. Despite all of those enchanting words and the promise of the sort of intimate encounter that one has been eagerly waiting for, the Borderline male or female will inevitably change as soon as he or she detects that you have been won over. What was once Casanova like attention and praise will become brooding and coldness, likely even implacable possessiveness. The conundrums lies within the fact that the more closely one moves to the center of a borderline person’s inner constitution the more resistance that one will note. The borderline has a hallmark knack for stirring up fights and dramatic interplays which make them feel more alive, the function of the heated angst is to shield against the emptiness of their true center. A borderline likely has suffered some trauma or abuse in early childhood and the sustainment of true emotional intimacy is a most insurmountable task for this person. If this cursory note sounds like someone you or a loved one now or eventually it will be important to seek professional help and be careful. If you are in the process of leaving someone with Borderline Personality Disorder (or any other domestic abuser) this is the most dangerous time. The Borderline Personality will not respect or note boundaries or have any qualms about stalking or seeking to ruin a victim’s life. Their key note is abandonment and the game stakes have just begun increased for the borderline when a friend, lover, or casual acquaintance is attempting to diverge on life’s path. This often recreates a point of abandonment, abuse or neglect that the borderline had experienced in early childhood. The borderlines inability to come to terms with healthy boundaries and no means no mentality makes them a typical recipient of restraining orders and PFA’s.
Yet many people who are in a relationship with a person suffering from Borderline Personality disorder may not recognize the issue until months or even years into it, this is true even for intelligent and successful people who maintain such vivid memory of the courtship or fall victim to the Borderlines intense need to recouple after falling apart. If you were or are in relationship with a person who exhibits Borderline personality traits or a full blown disorder there is a chance that you too have had some trauma in your childhood or adulthood which puts you at risk to accept this kind of attachment. It can be significantly challenging to see the signs of the disorder as the Borderline is very skilled at using something clinicians call “Gaslighting,” for instance when this person goes into one of their episodic fight picking modes they will literally leave their victim with the feeling that it was their fault, they may cause a friend or partner physical, emotional, spiritual harm yet they will always leave their victim believing that they are to blame or even deny that anything even happened. The Borderline also may exhibit martyr like tendencies, spewing to all who will listen of how much they love their victim and how much they have suffered for their love, they can even make bystanders believe that the victim is the crazy one during their epic and frequent altercations. If you recognize yourself in either part of this description you may want to seek the help and advice of a psychotherapist or other mental health professional.
While diagnosing Borderline Personality Disorder is the domain of a psychological professional who has been trained to administer measures and tests, here is the DSM IV-TR criteria for achieving the diagnosis.
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning in early adulthood and present in a variety of contexts as indicated by 5 or more of the following.
1) Frantic efforts to avoid real or imagined abandonment.
2) A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
3) Identity disturbance: markedly and persistently unstable self-image or sense of self.
4) Impulsivity in at least two areas that could potentially be self-damaging. (Spending, sex, substance abuse, reckless driving, binge eating.)
5) Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
6) Affective instability due to a marked reactivity of mood (e.g. intense episodic dysphoria, irritability, or anxiety usually only lasting a few hours and rarely more than a few days.)
7) Chronic feelings of emptiness.
8) Inappropriate and intense anger or difficulty controlling anger (frequent displays of temper, constant anger, recurrent physical fights)
9) Transient stress related paranoid ideation or sever disassociate symptoms.
Keep in mind all of you singletons or those recovering from a whopping dating fiasco, that if something doesn’t feel right then it probably isn’t, if someone is moving too fast for your comfort then there may be something underlying all of that intensity and there is never any case in life which should permit a healthy person from recognizing that within life, love, and conversation, no means no just as well as yes means yes. J
In good health and love,
Stephanie McCracken MSPC
Offering Psychotherapy and Marriage Counseling
Reviving Minds Therapy
1010 Western Avenue Pittsburgh Pa 15233
by Stephanie McCrackenJune 3, 2014 counseling, couples counseling, marriage counseling, Uncategorized0 comments
Dishes and Dustpans, Couples Therapy in the 21st Century
Sweeping, chopping, dusting, mopping. It sure does take an obscene number of passes with the Swiffer to maintain gleamingly clean floors, not to mention streak free stainless steel and mirrored surfaces! Churning out all of that elbow grease but to be honest, how much time does one have left to maintain a vague notion of assembly on the home front? Considerations become compounded when we note that most families utilize some form of a two person income. Divide that amongst X number of young ones and suddenly you are welcome to an insurmountable heap of work and the typical affair of most Middle American families, in case you haven’t already encountered this nuance of cohabitation, division of household duties is an increasingly common source of marital strife. I assure you that more squabbles are provoked by who does the majority of toiling and bills than issues such as extra marital affairs or other relationship traumas. Division of labor is the kind of long standing issue which if not properly mediated, can and will chip away at the bond.
Lately have you been noticing that you’re feeling like some frazzled version of Cinderella or a haggard snow white minus all of those helpful dwarfs? Maybe your mate is beginning to remind you of that slovenly beast or some other godless tyrannical archetype? While such fairy tales speak to the deepest reaches of our consciousness because they are relatable, however when your life and relationship is out of balance these polarized versions of identity may feel even more relatable. Relationship erosion occurs with each member of the relationship becoming polarized on opposing ends of the spectrum.
When it comes to domestic chores in many homes there may be the expectation that the female gender take care of the cleaning and cooking. Superficially, perhaps even the woman herself having watched her mother and grandmother sew and cook and care for the sick and in her eagerness to live up to these ideals she goes beyond her own capacity gritting her teeth, smiling yet feels suffocated by the weight of responsibly. Growing children or not, piling heaps of dishes in the sink, those near and dear not quick to offer help in distributing an equality to household work, in homes such as this the sentiment for the domestic caretakers may be over worked and undervalued. Or perhaps you are a part of a family where both lovers do chip in and do their fair share of dishes and laundry it may not be without some ambivalence. For instance one gentleman who I know is easily able to incur the expenses of weekly made service in the family home, yet felt intensely confused about whether this was as ok as his wife was a stay at home mom, he was left wondering if this detracted from her worth as a caretaker. Still others who performing manual labor by their own toil, may wonder “Should I do these kinds of chores?” “I didn’t do them as a child and my mother is infuriated by my wife’s suggestion that I should lift a finger to pick up a mop or wipe a countertop!” The wealthy, the just scraping by, and indeed same sex marriages must contend with the distribution of household labors, gay and lesbian couples assign the role of which partner will do which tasks when it comes to cleaning, cooking, tending the yard, mending the broken cabinet handle and on and on. The problem comes into effect when the opportunity for productive conversations is not taken and one of the partners is unwelcomingly thrown into role of caretaking for all of the home, the mounting efforts may be taken for granted and the laboring partner feels that their values are not noted or received with gratitude.
Still another curveball is when inevitable change occurs, perhaps one of the spouses enters the workforce and is suddenly less willing to maintain the same level of responsibility which will be a time of renegotiating terms within the home. The opportunity is within the risk, these are all such productive considerations for the ever evolving family unit. As a psychotherapist however even when it comes to such tangible responsibilities the issue is seldom the issue, quaking under the veneer of dishes and dustpans are vast and bold themes of division of power, respect, communication, and even the unwelcome embodiment of bold archetypes, like some matronly version of Cinderella.
There is no one sized response which will or abolish these issues for the marriage or couple, the welcomed news is that by duly and mindfully approaching such sensitive topics more fair and logical distribution of domestic duties can be achieved. Even more importantly, a growing understanding of the self and opportunity to redefine the relationship is possible but only when taking the risk to assess both your and your partner’s deepest intimate selves. If you are too often gauging that mounting resentment within yourself for the unnoticed or barely noticed efforts which dominate your to-do list each day, perhaps feeling that familiar sensation of sadness or frustration maybe it’s time to try something different such as Couples Psychotherapy or Marriage Counseling.
In good health,
Stephanie McCracken MSPC
Offering Psychotherapy and Marriage Counseling
Reviving Minds Therapy
1010 Western Avenue Pittsburgh Pa 15233