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Psych Byte: Thinking about Therapy

Happy New Year! New Year’s Day is traditionally ground zero for self-reflection and resolutions. We already know that we can increase our likelihood of success by about 50% in meeting a goal if we just establish one. Most common individual resolutions are superficial in nature and are to start, stop, increase, decrease, or improve something about ourselves, but it’s rarely internal. What if it is this time? What if our greatest need for change that just can’t be ignored anymore is rooted in our own mental health? We find our mental health often neglected indirectly because we usually find it much easier and safer to choose more superficial, feel-good quick resolutions to address than considering some of those deeper, more sensitive, interpersonal, and emotional issues we’ve carried with us for decades. If this is you, and you are ready to make your mental health a priority this year, here are some answers to some common questions most have before they decide to consider therapy for themselves…

What is “therapy?” Therapy is education, support, and assistance for issues, behaviors, behavioral reactions, functioning, psychological disorders, and/or various interventions from a safe, private, impartial setting. It’s a myth to think it’s just for the “crazy,” or “weak.” It’s for everyone, anyone, and for any reason.

What is a therapist? A ‘regular person’ who likes helping others, but is educated in psychology, behaviors, therapeutic approaches, and other areas who entered a helping field. A professional bound by standards of ethics and conduct who cares listens, and provides feedback in a healthy, safe place without drama, taking sides, judgment, shame, or negativity. Some have graduate degrees, some have doctoral degrees. Some are specialists in certain therapeutic approaches, areas of focus, or disorders. Some can prescribe medication and some can’t.

Why seek therapy? Therapy can help with gaining a better understanding of life, themselves, or what they do and why. Others want to address problems with the past, relationships, emotions, behaviors, trauma, making difficult choices, address life changes, or how to promote self-improvement.

Is it worth it? The value of therapy is different for everyone. It doesn’t work for everyone, but it does for most. It’s better to go and find out it’s not helpful than to avoid it and really need it.

Is it safe? All content is confidential and protected by laws and statutes. Therapists are bound by very high ethical and moral statutes and guidelines and can face criminal prosecution, incarceration, license forfeiture, expensive fines, or a combination of repercussions for any violations.

Are there different kinds of therapy? Yes. Some therapists carry specific credentials for certain kinds of therapeutic approaches or areas of focus, but most start by using an approach called CBT (Cognitive Behavior Therapy) which focuses on patterns of behavior, thinking, and developing effective coping skills. Sessions start with a weekly frequency, then may spread out to bi-monthly later depending on areas of focus and approaches used. Session length usually lasts 30-90 minutes but is often scheduled for 60 minutes. Most clients see a therapist 3-6 months on average or until their desired goals are met.

Is therapy expensive? Yes and no. A specialist or a specialized type of therapy may cost more. Private pay therapy is usually more expensive because you’re paying the entire fee instead of a portion called a co-pay, or the part that isn’t covered by your insurance. Some employers have an “Employee Assistance Program” that covers a certain amount of sessions, and not all insurance companies cover mental health counseling. Many agencies have “sliding fee scales” or payment plans available for those with financial limitations who qualify.

How do I know if my therapist is a good one? This varies widely. However, most “good” therapists will share these qualities: They are patient, empathetic, relatable, listen, flexible, genuine, realistic, observant, knowledgeable, participative, ask questions, provide feedback, motivational, challenging, hold you accountable, accept constructive criticism, and committed to your progress. Good therapy shares these qualities: it identifies issues, has specific goals and objectives, is relevant to the client, is realistic, is useful, is challenging, is client-centered, measures progress, provides purpose for the need for change, and rewards progress.

Shawn Roberts, LPC
Duncan Medical Associates

Sleeping Better in 2025!

We spend up to a third of our lives hoping to get the best sleep possible!  Here are some great tips to help you achieve this for 2025!

  • Try one Magnesium tablet, 250 mg or 400 mg tablet, orally, 1 hour prior to bedtime.
  • Sleep in a cool (as low as 65-68 degrees) and dark room.
  • Try sleeping under a “weighted blanket.”
  • Try a vibrating mattress massager, like the ComfortEase Sound Sleep Massager. If this works, consider a bed base with a vibrator built in.
  • Use a “brown noise” music channel for background noise, rather than white noise.
  • Don’t go to bed until you are sleepy.
  • Wear socks to bed! It works for many to decrease night awakenings!
  • Get up at the same time every day, seven days a week to set your body clock. No sleeping in. This disrupts your next night of sleep.
  • Expose your eyes to very bright light as soon as you wake up.
  • No caffeine within 8 hours of bedtime.
  • No alcohol or nicotine within 4 hours of bedtime.
  • No cardio exercise within 2 hours of bedtime.
  • No bright light exposure  within 2 hours of bedtime or when you wake up during the night.
  • No electronics, TV, phone or tablets, within 1 hour of bedtime, or during the night – these activate your brain. Instead read under a dim light, or listen to music, as book or a podcast.
  • Take a long, hot bath an hour before bedtime, then read under a dim light, or listen to music, a podcast, or a book to get sleepy.
  • Consider purchasing a sleep tracker to monitor your sleep times and sleep stages, so you can monitor your improvement.

These are proven lifestyle insomnia helps – try as many as you need.  Happy Sleeping in 2025!

Jeffrey C. Jones, MD
Medical Director, DRH Sleep Institute

Happy Moving in 2025!

Small Steps, Big Impact: Movement Ideas for Everyone!

The New Year is a perfect time to set health goals and boost your energy, mood, and overall well-being. One of the easiest and most effective resolutions is to stay active throughout the year. Whether you’re single, a busy parent, or an older adult, moving more is key for maintaining a healthy lifestyle. Here’s how you can incorporate movement into your day, no matter where you are:

1. At Work – Sitting for long hours at your desk can leave you feeling sluggish, but it’s easy to add movement into your workday:

  • Take mini breaks: Stand up every 30 minutes to stretch your neck, shoulders, back, and legs. You can also take short walks. 
  • Use a standing desk: Alternate between sitting and standing to improve your posture and keep your energy up.
  • Desk stretches: Simple neck rolls or shoulder stretches can relieve tension and improve circulation.
  • Movement breaks: Every 60 minutes, add in mini exercises like squats, push-ups, stretches, planks, tricep dips, or lunges.
  • Park further away: Walk extra steps by parking farther from the entrance.
  • Walking meetings: Suggest walking meetings to get your steps in while staying productive.

2. At Home – Staying active at home doesn’t need to be complicated:

  • Active housework: Gardening, yard work, vacuuming, sweeping, laundry, and washing windows are all great ways to move while you get things done.
  • Play with the kids or pets: Whether it’s a game of catch, riding bikes, playing tag, or chasing your dog around the yard, these activities are both fun and active.
  • Stretch or do yoga: Dedicate just 10-15 minutes each morning or evening to stretching or yoga to keep your muscles flexible and reduce stiffness.

3. On the Go – Even when you’re out and about, staying active is easy:

  • Take the stairs: Skip the elevator and climb the stairs when you can.
  • Walk or bike: Instead of driving short distances, walk or bike for a healthy and eco-friendly option.
  • Explore outdoor activities: Go hiking, discover new trails, visit new towns, or try water sports to stay active and enjoy the great outdoors.

4. For Families and Older Adults – Being active is important for everyone, and it’s even better when done together as a family:

  • Family walks: Take a daily walk with the family after dinner or on weekend mornings. Build activity into your routine to bond with your kids while staying active.
  • Games & sports: Enjoy fun family activities like soccer, basketball, football, biking, swimming, hiking, or tag.
  • Simple exercises for older adults: Try seated chair exercises, chair yoga, water aerobics, Tai Chi, or walking programs like “Walking with Ease.” These can improve flexibility, balance, and strength.

Why Movement Matters

Incorporating movement throughout the day helps you and your family maintain a healthy weight, improve cardiovascular health, and boost your mental well-being. It’s not about making big changes—it’s about making small, consistent changes to add in movement into your daily life. Starting may be the hardest part, but once you begin, the momentum will keep you going!

Start small, stay consistent, and remember, every step counts toward a healthier, happier you!

Happy Moving in 2025!

Zinnia Kamal, PT, DPT, PCS
Board Certified Clinical Specialist in Pediatric Physical Therapy