Counselor Toolbox Podcast with DocSnipes

- Learn about bariatric surgery - Explore reasons for the surgery and increase in popularity - Identify the psychosocial outcomes of bariatric surgery - Identify common presenting issues in persons seeking bariatric surgery - Explore current recommendations for assessment protocols and presurgical preparation for bariatric surgery - Identify postoperative mental and physical health issues which may occur and need to be addressed Types of Bariatric Surgery Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • There are many unknowns with the current coronavirus situation • The flu is widespread and catastrophic for tens of thousands of people in the US each year and we do not panic. • High levels of stress and anxiety however will reduce immunity and make people more susceptible to all types of illnesses • Steps to reduce anxiety • Get accurate information • Limit your exposure to negative media • Practice mindful acceptance of your reactions • Use belly breathing to help de-escalate the physical anxiety reactions • Identify proactive, positive ways to cope with the situation • Regularly evaluate your beliefs against the FACTS at that time Learn more about your ad choices. Visit megaphone.fm/adchoices

Coronavirus, election anxiety and financial stress is getting to people right now. This is the audio version of a three part series just released on YouTube on dealing with that stress. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • End of life care often involves multiple providers, the client and caregivers • It is essential to consider all biopsychosocial needs with a focus on integrative care • “Stress” and distress will increase HPA-Axis activation, impair sleep and immunity and contribute to worsening of health and wellbeing of both the patient and caregivers. • Children will need different approaches depending on their developmental level. Learn more about your ad choices. Visit megaphone.fm/adchoices

Every event is an opportunity to choose thoughts and behaviors that will help you use your energy to move toward your goals and values. Using the Flexibility Activity or worksheet youth can apply this on a daily basis. CEUs/OPDs are available for this podcast at allceus.com/counselortoolbox or if you are in Australia, Australia.allceus.com/counselortoolbox Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • People can have millions of automatic cognitive distortions. Addressing each one may not be possible. • Becoming aware of thought patterns, their function, their usefulness and alternatives underlies MCT. • MCT moves from addressing the content of thoughts (What is being thought?) to the function of those thoughts (Why are the thoughts occurring and are they helpful? Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • 46% of people in the US are exposed to adverse childhood experiences. (Early Intervention) • Instruction in skills to handle emotional dysregulation • Mindfulness • Vulnerability prevention and awareness • Emotion Regulation • Distress Tolerance • Problem Solving • Of those exposed to trauma, education about and normalization of heightened emotional reactivity and susceptibility to PTSD in the future may be helpful Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Information is key; people who are quarantined need to understand the situation ~ Effective and rapid communication is essential ~ Supplies (both general and medical) need to be provided or available (i.e. online shopping) ~ The quarantine period should be short and the duration should not be changed unless in extreme circumstances ~ Most of the adverse effects come from the imposition of a restriction of freedom ~ Voluntary quarantine is associated with less distress and fewer long-term complications ~ Public health officials should emphasise the altruistic choice of self-isolating Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary – Consistency: Rules, routines, reactions – Responsiveness: To individual needs and preferences – Attention: For being lovable and positive behaviors – Validation: Of their thoughts, feelings and way of being in the world – Empathy: For how their sensory and neurological differences impact them emotionally, cognitively, interpersonally, physically – Solutions: – To help them become more mindful and mitigate or prevent triggers for unwanted behaviors. – To help them develop the skills needed to engage with a neurotypical world. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Once clients are mindfully aware of their thoughts, sensations and urges and willing to accept the moment, they need skills to tolerate that distress ~ Help clients develop a menu of options which they can select from when they are in crisis. ~ They feel how they feel ~ Help them tolerate the distress until the intense emotions subside and they can get into their wise mind. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • Depression is the cluster of symptoms created when there is a neurochemical imbalance in the brain. • What causes the imbalance can be emotional, cognitive, physical, interpersonal, environmental or some combination of the above. • Part of the strengths based approach means helping people see what they already are doing to prevent or deal with the symptoms • Biopsychosocial means • Examining all causative factors • Recognizing that all factors are reciprocal in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • Anger and anxiety are normal emotions that help people survive. • Answers can often be found by asking: “What happened to this person that would trigger this reaction?” • Situations that trigger anger and anxiety often involve a sense of being unsafe, a loss of something, emotions that are unable to be handled effectively, and an alteration of how that person envisions the future. • Problems arise when anger and anxiety are misinterpreted or the person does not have the skills to deal with the problem • Anger is not a simple emotion, it often covers up shame, embarrassment, guilt and/or anxiety. • By helping people identify the roots of their anger and more effective strategies, they can be empowered to reduce the frequency and intensity of these emotions and more effectively cope when they do arise. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • There are many similarities between Pain, mood and addictive disorders • Integrated, concurrent, biopsychosocial treatment is vital • Mood impacts pain which impacts life satisfaction • Recovery supports realistic beliefs and identifies controllable factors àenhanced outcomes • Patients with current addictions or mental health issues need concurrent treatment Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • Self esteem begins in childhood • Being aware of self helps people identify their strengths and develop their “me” identity. • Part of self esteem development includes • Values identification • Understanding wants vs. needs • Addressing cognitive distortions • Being aware of sensations, feelings and thoughts • Helps choose behaviors which are in unison with values • Helps support people through the difficult moments • Silences the critics • Clarifies who people are and what people want Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • Losses encompass more than death or a person or loss of property • Failure to acknowledge losses can cause unhelpful reactions in similar future situations • It is important to explore feelings and reactions in terms of their functionality---how are they benefitting the person • It takes at least a year to deal with significant losses • Many times there are multiple ancillary losses that need to be addressed • How people deal with grief and loss varies widely. • Grieving is a form of crisis • The body is on high alert which likely impacts sleep, eating and energy to work or socialize • Minimizing vulnerabilities is important to reduce unnecessary frustration and avoid confirming helplessness • Ultimately it is hoped that the person can identify how they are stronger or better off from the experience Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Failure to develop a primary attachment relationship can be viewed as a loss (or something that was needed that was never achieved) ~ When examining the behaviors of adult or adolescent clients whose primary attachment was disrupted, the traumatic impact can be seen. ~ In order to help people reconcile the trauma it is essential to help them ~ Identify and grieve the losses ~ Review and remember realistically what happened (to combat inaccurate schema) ~ Review the assumptive world (if I just…then she will be love me) ~ Develop a new loving relationship with the self ~ Learn how to trust the self and others to form meaningful and supportive relationships Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • Contextual CBT involves understanding people’s phenomenological truth • Problems can arise when people • Thinks/feels that they are not who they should be or things are not as they should be • Are unaware of their internal feelings, thoughts, urges • Are unaware of the motivation (in context) of their feelings, thoughts, urges • Use rigid problem solving and conceptualization without considering context or perspective • Contextual CBT uses awareness, mindfulness, radical acceptance and psychological flexibility activities to help people move toward a rich and meaningful life instead of trying to escape or avoid discomfort. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Children’s cognitive, physical and experiential differences make their anxiety different than that of adults - Children’s symptoms of anxiety also often manifest differently with more irritability, defiance and somatic complaints. - Anxiety disorders are frequently misdiagnosed as ADD, autism, ODD and PTSD - Children’s fears often focus around Maslow’s lower three needs: Biological, Safety, Love and Belonging - Addressing anxiety means helping the child understand, in a developmentally appropriate way, that they will have what they need, they are safe and they will always belong and be loved. CHAPTERS: 00:00 Understanding Anxiety Through a Child’s Eyes 00:12 Objectives 00:29 What is Anxiety 05:20 Pediatric Anxiety and the HPA-Axis 07:33 Symptoms of Anxiety in Children (Emotional) 16:41 Symptoms of Anxiety in Children (Behavioral) 22:52 Symptoms of Anxiety in Children (Physical) 27:56 What is Causing Anxiety 34:34 Differential Diagnosis 37:56 Create a Secure Attachment 40:43 Not Little Adults (0-2) 42:08 Interventions 1 45:55 Interventions 2 46:58 Not Little Adults(2-7) 48:18 Interventions 1 49:10 Interventions 2 50:31 Interventions 3 51:46 Interventions 4 53:00 Interventions 5 54:00 Interventions 7+ Year Olds 55:00 Not Little Adults 7+ 56:15 Interventions 57:28 Tips 58:51 General Anxiety Management Skills 1:00:33 Summary Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Every person has within them a Self, exile, firefighter and manager ~ Each of these parts has a survival function ~ One goal is helping parts communicate and not overwhelm each other is essential ~ Another goal is helping the Self get back into a position in which it can listen and discern feedback from the parts to determine the best course of action Learn more about your ad choices. Visit megaphone.fm/adchoices

This is part 2. Both parts cover: Summary • There are endless things you can do with art therapy to: • Express emotions • Enhance mindfulness and self-awareness • Increase happiness • Improve interpersonal communication • Enhance fine and gross motor skills • Develop self-esteem • Teach teamwork Learn more about your ad choices. Visit megaphone.fm/adchoices

Part 1 and Part 2 teach: Summary • There are endless things you can do with art therapy to: • Express emotions • Enhance mindfulness and self-awareness • Increase happiness • Improve interpersonal communication • Enhance fine and gross motor skills • Develop self-esteem • Teach teamwork Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary • Depression is the cluster of symptoms created when there is a neurochemical imbalance in the brain. • What causes the imbalance can be emotional, cognitive, physical, interpersonal, environmental or some combination of the above. • Part of the strengths based approach means helping people see what they already are doing to prevent or deal with the symptoms • Biopsychosocial means • Examining all causative factors • Recognizing that all factors are reciprocal in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Positive self talk helps you feel empowered and good about being the best you that you can be. - Feelings of empowerment reduce feelings of helplessness and hopelessness and can protect against depression, anxiety and a host of stress related illnesses. - Positive self-talk does not mean ignoring the negative it means - Embracing the good with the bad - Learning to evaluate situations objectively - Seeing failure (or the potential for failure) as a learning opportunity - Fully recognizing your strengths and capabilities Learn more about your ad choices. Visit megaphone.fm/adchoices

• Guilt comes in many forms • It is largely anger at ourselves and energy tied up in the past. • Holding on to guilt weighs us down • Identifying your sources of guilt and addressing them is the first step. Learn more about your ad choices. Visit megaphone.fm/adchoices

Let Go of Emotional Overeating and Love Your Food This book is for anyone who would like to eat whatever they like, yet stop just at the point of satisfaction without overeating. Written by a Columbia University trained psychotherapist and former emotional overeater, Let Go of Emotional Overeating and Love Your Food offers psychologically sound techniques for recognizing the symptoms of emotional overeating and methods for addressing it in ways that are both effective and enjoyable. Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives • Explore the function of anger • Identify the types of threats that may prompt anger • Identify different types of anger to include • Run of the mill anger • Irritation • Resentment • Envy/Jealousy • Guilt/Regret Function of Anger • Anger is part of the fight or flight reaction which is your brain’s natural response to a perceived threat • Anger pushes away or helps you dominate a threat Learn more about your ad choices. Visit megaphone.fm/adchoices

A direct link to the CEU course is https://allceus.com/member/cart/index/product/id/29/c/ Objectives ~ Define behavior modification ~ Explore how behavior modification can be useful in practice ~ Learn basic behavior modification terms: ~ Unconditioned stimulus and response ~ Conditioned stimulus and response ~ Discriminitive stimuli ~ Learned helplessness Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Define stress and distress - Identify the impacts of stress - Explore sources of stress and interventions Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives • Briefly define attachment theory • Learn about the impact of attachment • Identify triggers for attachment behaviors • Explore the relationship between ACEs and attachment issues • Learn about adult attachment theory • Examine how attachment impacts emotional regulation and vice versa • Identify ways to help people become more securely attached. Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives ~ Review the symptoms of anxiety in adults and children ~ Explore the impacts of anxiety ~ Identify strategies for prevention and intervention Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives • Define FOMO • Explore reasons for FOMO • Identify consequences of FOMO • Review interventions to reduce the impact of FOMO Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives ~ Learn why these habits contribute to recovery from addiction and mood issues and techniques to help clients implement them ~ Habit: Awareness and Authenticity ~ Habit: Acceptance ~ Habit: Gratitude ~ Habit: Compassion ~ Habit: Breathing ~ Habit: Purposeful action and Long-Term Goals ~ Habit: Back-Talk ~ Habit: Thought Conditioning ~ Habit: Be Sense-sational Learn more about your ad choices. Visit megaphone.fm/adchoices

448 – Post Stroke Psychosocial Issues Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director: AllCEUs Podcast Host: Counselor Toolbox, Case Management Toolbox, NCMHCE Exam Review Objectives • Examine the prevalence of and risk factors for stroke • Identify Post-Stroke Psychosocial Issues Intro • Many of our clients are at high risk of stroke • People […] Learn more about your ad choices. Visit megaphone.fm/adchoices

447 – Gut Health & Mental Health: The Impact of the Second Brain Dr. Dawn-Elise Snipes PhD, LPC-MHSP, Executive Director: AllCEUs.com CEUs are available at allceus.com/counselortoolbox Get two free months of Therapy Notes by using the promocode CEU when you sign up for a free trial at TherapyNotes.com Between writing notes, filing insurance claims, and […] Learn more about your ad choices. Visit megaphone.fm/adchoices

446 – Relationship Insecurities Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC Executive Director, AllCEUs *Based in part on Love Me Don’t Leave Me by Michelle Skeen, PsyD. Objectives • Identify signs of relationship insecurities • Explore causes of relationship insecurities • Identify at least 5 interventions to address relationship insecurities Signs of Relationship Insecurities • […] Learn more about your ad choices. Visit megaphone.fm/adchoices

445 – Malnutrition Impact and Intervention Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs Podcast Host: Counselor Toolbox & NCMHCE Exam Review Podcast Objectives • Review the nutritional building blocks for health and wellness • Examine how these nutrients (or lack thereof) contribute to neurotransmitter balance • Identify several nutrient dense foods that you can […] Learn more about your ad choices. Visit megaphone.fm/adchoices

• Review a case study using the transdiagnostic, transtheoretical PACER approach • As they say on Law and Order… • The following story is fictional and does not depict any actual person or event.” Case • John is 48 years old. When he was 24 his house caught on fire due to faulty Christmas lights which were accidentally left on when the family went to bed. His wife and 2 children died in the fire. He has remarried and had 3 more children (14, 12, 9) since the event and continues to experience PTSD related symptoms. His wife insisted he come to counseling after he was caught having another affair. Learn more about your ad choices. Visit megaphone.fm/adchoices

443 – Sleep Disturbances: Impact and Intervention Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs Podcast Host: Counselor Toolbox & NCMHCE Exam Review Objectives • Learn about sleep • The function of sleep • Sleep cycles • How much is enough • How lack of sleep contributes to feelings of depression, anxiety and irritability • […] Learn more about your ad choices. Visit megaphone.fm/adchoices

442 – Adjustment Disorder Case Study Using the PACER Method Counselor Toolbox Podcast Episode 442 Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox and Case Management Toolbox Objectives • Review a case study using the transdiagnostic, transtheoretical PACER approach • As they say on Law and Order… • The following […] Learn more about your ad choices. Visit megaphone.fm/adchoices

441 – Biopsychosocial Aspects of HPA-Axis Dysfunction Objectives – Define and explain the HPA-Axis – Identify the impact of trauma on the HPA Axis – Identify the impact of chronic stress/cumulative trauma on the HPA-Axis – Identify symptoms of HPA-Axis dysfunction – Identify interventions useful for this population Based on – Post-traumatic stress disorder: the […] Learn more about your ad choices. Visit megaphone.fm/adchoices

440 – Addiction Case Study Using the PACER Method Counselor Toolbox Podcast Episode 440 Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox and Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives – Review a case study […] Learn more about your ad choices. Visit megaphone.fm/adchoices

439 – Biopsychosocial Impact of Hormone Imbalances Objectives – Review the sex hormones and their functions – Review the impact of sex hormones in the HPA-Axis – Review causes and consequences of imbalances in – Estrogen – Progesterone – Testosterone Estrogen – Multiple forms – Estradiol is predominant prior to menopause – Estrone is the […] Learn more about your ad choices. Visit megaphone.fm/adchoices

438 Depression Case Study Using the PACER Method Counselor Toolbox Podcast Episode 438 Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox and Case Management Toolbox Objectives – Review a case study using the transdiagnostic, transtheoretical PACER approach – As they say on Law and Order… – The following story is […] Learn more about your ad choices. Visit megaphone.fm/adchoices

437 -Social Work Considerations for Addressing Chronic Conditions Dr. Dawn-Elise Snipes Counselor Toolbox Podcast CEUs can be earned for this presentation at https://allceus.com/member/cart/index/product/id/1078/c/ ~ Chronic conditions such as diabetes, arthritis, chron’s disease, and depression Introduction ~ 60% of people in the US have a chronic illness ~ Many serious illnesses have a much longer course […] Learn more about your ad choices. Visit megaphone.fm/adchoices

436- Anxiety Case Study Using the PACER Method Counselor Toolbox Podcast Episode 436 Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Podcast Host: Counselor Toolbox and Case Management Toolbox Objectives – Review a case study using […] Learn more about your ad choices. Visit megaphone.fm/adchoices

435 – Biopsychosocial Impact and Strategies for Prevention and Intervention Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Podcast Host: Counselor Toolbox and Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives – Review the following effects of pain – Depression […] Learn more about your ad choices. Visit megaphone.fm/adchoices

434- Impact of Social Media on Mental Health Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director: AllCEUs.com Podcast Host: Counselor Toolbox Podcast, Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives – Examine the extent of social media use – Explore the […] Learn more about your ad choices. Visit megaphone.fm/adchoices

Mind-Body Connection: How Health, Thoughts, Feelings and Behaviors Interact Counselor Toolbox Podcast Episode 433 Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox, Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives – A healthy body is essential […] Learn more about your ad choices. Visit megaphone.fm/adchoices

432 -Animal Assisted Therapy Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox, Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives – Define Animal Assisted Therapy – Explore the research around animal assisted therapy – Review some […] Learn more about your ad choices. Visit megaphone.fm/adchoices

Overview of the PACER Method and Transdiagnostic Assessment Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox and Case Management Toolbox Sponsored by TherapyNotes.com Manage your practice securely and efficiently. Two free weeks of TherapyNotes with coupon code “CEU” Objectives – Define the PACER model – Explore how PACER dimensions interact […] Learn more about your ad choices. Visit megaphone.fm/adchoices