Candace Sam, LICSW
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Crisis Management

6/23/2015

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Image courtesy of Simon Howden/FreeDigitalPhotos.Net
Safety planning and crisis management is important to everyone. There are going to be times in everyone’s lives that are ‘times of crisis.’ A time of crisis happens when people feel things are spiraling out of control, they don't feel like themselves and people become unsafe. Self-harming or suicidal thoughts may pop into our heads and we need to have a safety or crisis plan in place so we don’t act on them. Here are a few important pieces to crisis management.

1) Identify your warning signs
What does it look like when you are well? What does it looks like when you are not well? Be able to identify those changes in such things such as sleeping patterns, eating patterns, cleanliness behaviors, mood changes, and changes in thought patterns. 

2) Identify coping skills
What can you do to try and either distract yourself or take your mind off of these thoughts? Coping skills are very personal and what works for one person may not work for another. Coping skills can be listening to music, deep breathing, taking a walk, writing, taking a bath, etc. Write out a long list so that you have lot of options to choose from during rough times.

3) Identify people you can talk to
Who are the people you can trust with anything? Who do you turn to in times of trouble? These can be friends, family, or professionals. If they are professionals though, understand these people are not available 24/7 so identify more than just professionals. Don’t be afraid of “bugging” your support systems too much or worrying they may be too busy. They’ll be there for you whenever you need them. I know if a friend or family member told me they were feeling unsafe I would drop everything to help them out, no questions asked.

4) Put yourself in a safe environment
Take yourself out of the problem environment. Don’t isolate and don’t stay in your home alone. Take a walk, visit a library, go to the mall. Go somewhere public where you are less likely to do anything to harm yourself. Just surrounding yourself with people is enough and taking yourself away from any knives, sharps, guns, medications, or other tools is important for safety.

5) Identify one thing that is most important to you and worth living for
It’s pretty simple. Just one thing can help us get over that hump. Identify that one person, or that one thing that is happening in the future that is pretty exciting. Just one thing makes it completely worth it and helps to manage those thoughts.

6) Go to a hospital or call 9-1-1
After you’ve exhausted this list and you’re still feeling unsafe go to a hospital and get checked out. Professionals are always available to help and there is always a safe place to go in a medical center. Most cities have acute care units where people can go for exactly this reason. You might find people who are experiencing some of the exact same things you are.

Crisis times happen, just have a safety plan in place for when it comes around. And know that it's ok to ask for help.

Other resources: 
Suicide Prevention Lifeline Phone: 1-800-273-TALK (8255)
http://www.suicidepreventionlifeline.org

http://www.nimh.nih.gov/health/topics/suicide-prevention/index.shtml
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Am I a Bully?

6/17/2015

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PictureImage courtesy of Ambro/FreeDigitalPhotos.Net
I recently posted a blog post about bullying. In it I talked about what bullying is exactly. Let me first start out by reviewing some of that information. Bullying can take the form of physical, verbal or relational repeated behaviors towards another person. What most kids don't really is bullying can also be emotional which also consists of things such as name-calling, teasing, taunting, harassing, stealing, hazing, spreading rumors, excluding people or spreading lies. This can happen in person or online through cyber bullying. 

Most children often think of bullying as strictly physical and only recognize outright "meanness" happening. But a lot of kids (or adults for that matter) may actually be bullies themselves without realizing it.

Here are some questions kids can ask themselves or parents can ask their kids to keep bullying in check. 

1. Do I put people down to feel better about myself?
Where do your self-esteem come from? Does it come from others and putting other people down or does it come more from yourself? Are you proud of yourself no matter what you do? Someone who puts others down excludes other people at times because they do not want to be seen with them and they do not "fit in" as much. 

2. Do I listen to people and respond appropriately? 
Do I show empathy and understanding about people? Am I generally interested in what they have to say and want to help them? Do I generally care about them or do you give them automated responses? Other people make fun of others while they are talking or constantly interrupt them. That can be seen as bullying.

3. Do I want to be seen as tough?
Do you have more leadership qualities or are you the "tough" bully? If you use physical control and power to get your way such as shoving, taking, stealing, throwing, or teasing in a mean way then you might want to be seen as tough. A leader wouldn't have to do anything like that. Or they might stop something like that from happening.

4. Do I "call the shots" just because I can?
Do you boss people around just because you can and they are listening to your demands? Are you manipulative at times to get your way? Just because you can do something doesn't mean you necessarily should. It's ok to have that power and natural leadership ability, but again, doesn't mean it has to be used that way.

5. Do people trust me and come to me for advice?
You can't be a bully if this is true. Nobody wants to come to someone else if they are just going to be put down. Not many people open themselves up to that. If you generally care about people, it shows. 

6. Do I have an appropriate sense of humor?
By appropriate I mean not being rude or sarcastic while people are talking. Without meaning to kids sometimes make people laugh often at someone else's expense, especially at school. It's ok to make people laugh, but unnecessary to hurt someone else in the process.

7. Have I bullied anyone online?
Saying things someone you wouldn't say in person, sending out hidden messages in status updates or comments, spreading messages, or looking at someone else's profile and teasing them behind their back with some of your other friends is actually cyber bullying. 

8. Do you resolve conflicts appropriately?
The appropriate way to resolve conflict would be to confront the problem at the source directly. This does not include fighting or getting revenge either by yourself or through someone else. It also does not mean spreading rumors again, at the expense of someone else no matter how much they hurt you or have done something to wrong you.

9. Am I a bystander?
Do you sit by and watch some of these things happen without stopping them? Or are you the type of person to stop it in its tracks. A bystander is a bully by default or association. 

Most of us are probably not "bullies" but I bet there are elements in there that might ring true. This might be something you may be doing or have done in the past. Even as a therapist, I can admit that there are times in my past and sometimes even now when I am not as nice as I could be and may be a bully without realizing it. It's ok to make mistakes, but the important thing is what are we doing to reconcile our mistakes. Or as parents, how are we teaching our children to correct these mistakes and stop being a bully? 

It's nice to be important, but it's more important to be nice. What you say and do sticks with people and creates a lasting image for yourself and for their self and sense of self-worth. Let's all work to build each other up and not bring each other down.



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Bullying

6/9/2015

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Image courtesy of Stuart Miles/FreeDigitalPhotos.Net
A recent article posted by Psych Central identifies bullying in teens leads directly to depression as a young adult. See full article here. Researchers attributed up to 30% of depression cases in young adults as researched at Oxford had a direct relation to bullying. 

Bullying is a hard topic to speak about. So far there is no "cure" for bullying. Often times the new "Zero Tolerance Policies" schools have now adopted still don't work as well as they should. How do we both stop and handle this rampant problem?

First understand, what is bullying exactly. Bullying can take the form of physical, verbal or relational repeated behaviors towards another person. Bullying consists of things such as name-calling, teasing, taunting, harassing, stealing, hazing, spreading rumors, excluding people or spreading lies. This can happen in person, or more recently online with cyber bullying. A lot of kids don't realize they are being a bully by doing some of these things and only relate physical aggression as bullying. 

Second, it is important to teach children and adolescents possible reasons why bullying occurs. Bullies themselves often bully other people because they might be jealous, they might gain more popularity, it makes them feel more powerful, they are being bullied or abused themselves, or they are trying to escape from their own problems. There is no excuse for bullying, but sometimes there is a bigger picture.

Third, the victims need to focus in on themselves. Victims should work on building up their self-esteem and appreciating themselves for who they are. Learn to not blame yourself and shoulder that responsibility. Victims never earn or deserve bullying. Victims also should learn appropriate coping skills to handle stress and bullying appropriately in the moment. Look at the big picture and understand what is happening and focus more on the positive to not let it affect internal thoughts and feelings.

So what is your ultimate task list? First of all, always get help. Nobody should have to deal with bullying. Find a teacher or older adult to stop it from happening in the moment. Get a plan in place to handle it. Other things that you could do are simply to walk away and don't show that it affects you. Most bullies will eventually get bored and stop if they do not get the reaction they want. And lastly, remember to use appropriate skills to handle what is going on and not ignore it so it does not ultimately lead to depression later in life. There is help out there, most people just need to find what works for them.

Other helpful references:

HelpGuide.Org
KidsHealth
StopBullying.Gov
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Take Control of Your Stress

6/4/2015

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Image courtesy of Stuart Miles/FreeDigitalPhotos.Net
All of us deal with many stressors on a daily basis. Some stressors are more difficult to handle than others. On occasion, we lose control and enter a downward spiral; our stress seems to be too much to handle. For those times when your stressors are overwhelming, here is an activity that will help you see you have more control than you think.

1. Get a sheet of paper

2. Draw a line down the middle of your paper

3. On the left side write a list of your stressors. Below are some examples.

a.     Finances
b.     Relationship difficulties
c.     Household tasks such as cooking, cleaning
d.     Work stress
e.     Health related issues
f.      Etc…

4. Look at your list and circle the ones that you can control

Not much to circle is there? Most people find that very few stressors are really within their control. A lot of our stressors happen and are completely out of our control.

5. On the right side of your paper write at least one coping skill/problem solving skills or ways you can handle each stressor you wrote on the left side. An example is below.

a.     Learn to budget, keep practicing, don't give up when if it doesn't work out the first time
b.     Set boundaries, walk away
c.     Make a plan or check list, take breaks
d.     Take breaks and get up to stretch
e.     Go to appointments, take medication as directed, relaxation tips
f.      Etc…

6. Now circle what you can control.

All of them right? The purpose of this exercise is to take control of your stress and understand that it doesn't have to be completely overwhelming. While the events may be out of your control, there are elements of each stressor you can control again.

Did this turn things back in your favor? Hopefully this gives you more power over your stressors and gives you a little more hope when dealing with stressful situations. I have personally completed this activity many times and feel a little more relieved each time about my stressors. Repeat this activity as often as you need because stressors change all the time as well as coping skills.

Take control of your stress, don’t let it control you!

And p.s. You CAN do it! 
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