teen who is sad

 

Children are faced with many obstacles in their lives, like bullying, low self-esteem, and feeling anxious and discouraged. Some children try to self-soothe their symptoms through non-suicidal self-injury acts (e.g., cutting, burning, biting oneself, ingesting substances), and for others it can lead to fatalities like suicide or suicide by accident. If a parent learns their child is self-injuring, they are likely to experience a range of emotions, from shock or anger, to sadness or guilt. All of these feelings are valid. Parents, it takes a village and it is necessary to reach out for professional help when this occurs. Therapy is a safe place for parents and their kids to learn how to understand and support each other and grow through experiences like this. 

Parents must be equipped to tackle their child’s concerns by remaining calm and creating opportunities for connection. When your child attempts to reach out to you, take a moment, and respond with kindness and empathy. Your child has just made a big step in asking for help. 

Sometimes kids will show signs of self-injury without communicating directly, such as wounds on skin, staining on their clothing, inappropriate clothing for different climates, trying to cover up, and long sleeves. Caregivers and parents, avoid losing your cool, answer in ways that acknowledge and validate your child’s feelings and needs, such as “I am glad you told me about this” or “We are going to get through this as a family.” Do not punish the child, but instead work together to help the child understand what he/she is experiencing. These kinds of responses can make a huge difference in your child’s life.

Acknowledge that direct questions may feel overwhelming and anxiety producing for your child, especially coming from an attachment figure. Try to focus your questions on helping your child recognize the issue and the need for support. 

Here are some examples of what you might say:

  • “How do you feel before you self-injure? How do you feel after you self-injure?” Building an understanding of what led to this behavior —the events, thoughts, and feelings is so important to be able to change it. 
  • “How does self-injury help you feel better?”
  • “What is it like for you to talk with me about hurting yourself?”

If you are concerned about your child’s well being or safety due to a mental health crisis reach out to the following resources: 

  • Call 911 or visit your local ER
  • Call the Tucson Crisis Response Center (520) 622-6000
  • Call the Do not self-injure hotline 1 (800) 366-8288

 

Written by Jessica Barrera Castro

 

As a child and family therapist, my goal is to provide clients with a kind and compassionate ear. Someone who actively listens and validates their feelings while building a genuine and professional relationship. Therapy should not feel scary or boring; instead, it should be hopeful, flexible, creative, and safe. Children face numerous challenges as they grow up, and it’s essential for them to find a space that offers both autonomy and support. Therefore, I view therapy as an opportunity to build trust and collaborate with families to address their needs, guiding them toward the goals of their child or teen.

 

I am dedicated to understanding each client’s unique behavioral, emotional, and developmental needs, using evidence-based interventions to foster empowerment; promoting the well-being of clients and their families. I work with a diverse range of clients, focusing on issues such as anxiety, depression, trauma, and emotional and behavioral challenges. My clinical skills distinguish me because I truly care about my clients; I want them to succeed and have the tools available to them to achieve their goals outside of therapy.

 

For children requiring additional support, I create safety plans to address issues like self-harm or suicidal thoughts. Involving parents, caregivers, professionals, exploring triggers and warning signs as well as providing local and emergency resources to aid in a time of crisis. I also utilize play and art therapy, which is a creative modality that provides a safe space for kids to express themselves freely.  Cognitive behavioral therapy (CBT) is an effective and evidenced based treatment modality that I engage clients in. Research shows its efficacy in treating various symptoms, including depression, anxiety, stress, post-traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD). CBT involves examining a client’s thoughts, feelings, and behaviors, challenging distorted thoughts and improving emotion regulation. Psychoeducation on these modalities and interventions is also provided to parents and caregivers to prepare them and equip them for current and future events. Parents should also feel free to ask questions and raise their concerns, collaboration is key.

 

Overall, there are a variety of techniques that can be adapted to meet each child’s specific needs. Supporting clients through a solution based approach that fosters meaningful change and healthier coping strategies. In conclusion, therapy is about cultivating self-compassion and embracing both the good and the bad. It’s a chance to pause and remind oneself: “I am doing the best I can, and that’s okay.” In therapy, you don’t need to have everything figured out. It is not a race but a marathon, enjoying the path into your destination. Trust the process, and let’s work together to embark on a journey of love and healing.

 

Written by Jessica Barrera Castro, LMSW

 

 

 

Time to trade in bathing suits for backpacks as summer is coming to an end
and the start of a new school year is upon us! Back to school can be such an
exciting time for families but can also bring up a lot of mixed emotions. This time
of year presents an ideal opportunity to create new positive and constructive habits
for both children and caregivers. Setting children up for success is a community
effort as we all are aware that it indeed takes a village to raise a child.


My experience as both a school counselor and therapist has taught me how
much, most children respond to structure. Back to school is the ideal time to help
build new routines for families. While the school day provides a natural rhythm to
our days, afterschool and evening time can be more challenging. Spending quality
time with your child after school is proven to help boost their confidence and well-
being. Encourage your children to engage in family games or play time during
down time and they will learn better communication and teamwork skills.


This time of year is also a great time to increase positive reinforcement for
your child who may struggle with different aspects of school at times. If your child
sometimes lacks motivation for school, try integrating some type of positive
reinforcement. Even small rewards like a piece of candy or an ice cream cone can
be effective. Reinforcing positive behavior at school can really help kids feel seen
but the most meaningful reward you can give any child is your time. The more
quality time you can spend with your child the better so that they learn to
communicate and identify their feelings about the many changes happening to their
bodies and their brains.


If your child is struggling with some aspect of school, whether it be a
behavioral issue or social anxiety or some other challenge, you may consider
reaching out first to the school counselor or school social worker. Many
counselors offer small counseling groups as well as one-on-one support for
students. This is a great place to start to see how your child responds to working
with an adult in a counseling setting. If your child benefits from this kind of
support then you might also consider outside counseling. Some children are activated by therapy in as little as 12-15 sessions depending on what their goals look like and what kind of coping skills are taught.  We would love to support your child and family as you navigate the school year. Request a free 15 minute consultation with one of our compassionate therapists today!

Best of luck to you and your families as you take on the many challenges of a new school year.

 

Written By Elizabeth Scott

 

 

5 Years and 5 Things to Celebrate:

  1. Surviving/Thriving during Covid
    • We signed our office lease in January of 2020, excited and unknowing that the world would go into a shutdown in March. The COVID-19 pandemic changed how the world functioned for a long time and it caused so much emotional suffering. We knew we needed to pivot to telehealth services in order to support children and families in Tucson through this scary time. We were able to support many families through grief, anxiety and depression during this time. Eventually, we were able to start seeing clients again in the office and we were so happy to reconnect in person and get back to doing creative, fun and hands-on activities to engage children in therapy. 
  2. Growth of Office Space
    • We were able to expand office space that was designed with comfort and care in mind for the children and families we work with. We were able to add another office and expand our team! 
  3. Growth of Team
    • We expanded from a solo practice to a group practice in order to increase our impact in the community and meet the emotional wellness needs of children and families in Tucson. We were able to add a Spanish-speaking team member to better serve and represent our community. 
  4. Serving and Loving Our Tucson community
    • We find it meaningful to cultivate relationships with children and families in our community through short and long term relationships. We love to see the growth that takes place when children process emotions in therapy, feel supported & safe, and learn to cope with their emotions in a healthy way. We celebrate with them when they accomplish their emotional and relational wellness goals. 
    • We love volunteering and supporting non-profits in the community. Susie spent years on the board of Seeds Community Centerand this year Resilience Therapy was one of their community partners! 
    • Susie currently serves as the Director at the Becoming Grace Foundation
  5. Investing in the Emotional Wellness and Resilience of the Next Generation
    • We have worked with over 500 children
    • We have supported children and families in over 10,000 sessions 
    • We feel honored to be a part of hope, healing and resilience in the lives of children and families in Southern Arizona

 

 

 

Our Beloved City, Tucson. Our Compassion for the children and families in our Community. 5 Years of empathic connection, trust and safety.

We love our Southern Arizona community and that’s why we provide child and family therapy in Tucson that cultivates resilience and emotional wellness. We are committed to the families in Tucson and that is why we are taking the month of May to celebrate 5 years of Resilience Therapy’s impact! We have served over 500 families across southern Arizona including Tucson, Marana, Sahuarita, Vail & Oro Valley. We have seen the transformation of children’s, teens’ and families’ lives during their engagement in therapy and we feel honored to be a witness and helper in such wonderful growth and healing. We absolutely love the work we do and the relationships that we have the privilege to develop.

In between serving clients, we love to experience what this wonderful city has to offer such as go on hikes and bike rides, attend wildcat basketball games, savor the local cuisine and enjoy the Tucson Rodeo. We are proud to make our community stronger one family at a time through cultivating emotional wellness and resilience and creating spaces for hope and healing. The growth we see in the lives of children and families inspires us everyday. We look forward to investing in relationships with children and families in Tucson over the next 5 years and can’t wait to see the transformation that takes place.

What is one thing you love about our Tucson community?

 

Want to learn more about therapy for your child? Sign up here for a free consultation! 

 

 

Written By Elizabeth Scott 

            

I am passionate about exploring hypothetical situations through the lens of Sociodrama, a therapeutic group process that promotes listening, understanding, and empathy.  What is Sociodrama?  It is a live action modality that involves specific methods, all of which allow participants to be actively engaged, heard, and seen.  Sociodrama typically occurs in groups and is completely unscripted.  It is actively experienced through our bodies and minds in order to weigh different options of a given scenario or decision.  It is a process that unites all members of the group through a scaffolded approach to finding solutions and problem solving.   I love the holistic approach of Sociodrama and how it moves beyond just talking and enters the role of full engagement.

            An example of Sociodrama that might apply to family therapy would be a situation in which a family is hypothetically exploring whether to send their child to college out of state rather than the child staying at home and commuting to school.  The director would lead the family through the steps of the drama by beginning the warm-up period of the piece.  Sometimes the enactors or participants volunteer to take on different roles or they might be assigned different roles to portray throughout the drama.  During the main action phase of the piece the protagonist is guided by the director through a series of enactments in order to explore the essential issue in a structured way.  Following the main action there is always a sharing in which each participant has time to process their experience.

            There are many different warm-up exercises that set the stage for the spontaneous nature of Sociodrama and unite the group before delving into the meat of the hypothetical situation.  One example is Twenty-One, a game in which the enactors are challenged to count to twenty-one as a group with only one individual speaking at a time.  If two enactors say a given number at the same time, the leader starts over again with the number one.  This exercise requires concentration and teamwork, a great way to build the energy of a Sociodrama.  Any given warm-up exercise will help establish trust between enactors and will build a secure foundation of communication before the main action begins.

            The power of Sociodrama lies in the “what if?” nature of the form.  The spontaneous, playful elements of Sociodrama paired within a specific structure allows enactors to take risks and learn from each other.  Sociodrama is one of my favorite forms of group therapy because it is so flexible and creative.  It gives each participant a voice and encourages self-awareness through both enactment and reflection.  Sociodrama underlines communication and self-expression as well, which carries over well after a given session is over.

Interested in therapy for your child? Sign up here.

 

 

The Whole-Brain Child

 

Our awesome team member, Elizabeth Scott, read three books by Dr. Daniel Siegel and Dr. Tina Payne Bryson and has shared her thoughts on each book! We highly recommend these books for parents, caregivers and adults working with children. We hope you enjoy and learn from these books as much as our team has!

Whole Brain Child

I found this book to be both fascinating and helpful.  I learned a lot more about the different parts of the brain and how they impact children’s behavior and overall development.  The book broke down how the left hemisphere of the brain rules logic while the right side of the brain rules emotion.  It’s important for children to find a balance between using these different parts of their mind.  I also learned about the idea of the “upstairs” and “downstairs” brain and how children’s upstairs brains are not fully formed until they reach their 20’s.  Parents often react to the downstairs brain when it is important to nurture the upstairs brain through connection and communication.  The whole brain child, if appropriately encouraged, is explorative and creative in life and is able to develop his or her inner self.   Meanwhile, the “no brain” child is reactive and fearful.  Caregivers need to harness the tools necessary to encourage the whole brain child in order to promote healthy overall development of self and mind.

 

No-Drama Discipline

The underlying theme of this book is all about connection between caregivers and children.  I love the idea that the root of discipline breaks down to learning rather than punishment.  I learned that it’s vital to connect with children to shift from “reactivity to receptivity”.  To me this means that children are able to embrace the “why” of a given limit enforced by a parent instead of receiving redirection without a rationale.  The reason behind a child’s behavior is so important to address because it helps them advocate for themselves and develop their own voice.

I also enjoyed learning about how caregivers are encouraged to take a step back from overtalking to their children when different issues arise.  When a child is in need of redirecting, depending on their developmental stage they will likely tune you out if you overly explain your reasons for limiting screen time or demanding an earlier bedtime.  It’s also so necessary to ensure that children are calm before any kind of redirection takes place.  Consistency yet not rigidity as a caregiver ensures that you can take a realistic approach to everyday “discipline” situations that arise.

 

The Yes Brain

This book continues the theme of connection that is emphasized in No-Drama Discipline.  I love how the authors discuss the power of free play and how this has become a lost art in our modern culture and society.  The “Yes Brain” underlines a child’s ability to have an inner world and play is one crucial way to accomplish this.  It is hard to measure a child’s imagination but finding a balance of different types of brain activity will support the Yes Brain.  I also enjoyed the book’s discussion of Growth Mindset and the power of yet.  This consistently promotes children’s resiliency and encourages them to take risks in order to grow internal strength and flexibility.  

I love how this book provides concrete suggestions for developing a Yes Brain.  Children need enough sleep, for example, in order to positively function.  They also discuss that parents serve what the authors refer to as a “healthy mind platter” in which there are different times of brain work, from down time to focus time.  It’s also crucial to balance the family’s schedule so that children have a healthy balance of activity and that their inner world/imagination is being nourished.  I like the strategy of the “4 S’s” to provide to children: Safe, Seen, Soothed, and Secure.  

 

 

Embracing Love and Logic, A Parenting Strategy

By Elizabeth Scott 

 

            Parents these days are facing more challenges than ever before.  Children are being formally assessed and tested in school more often and from a younger age, with greater academic demands placed upon them.  Children as young as preschool age are asked to complete homework in order to prepare for the rigor of subsequent school grades.  In addition, so many children these days are involved in so many activities outside of school that they are drained of time, energy, and emotional resources.  They have little time for free time or down time.  All of these obstacles make it difficult for children to foster a strong sense of inner self as well as develop resiliency and flexibility.  Parents are faced with the need for tools to engage with their children in a trusting way while still maintaining a sense of structure and balance.

            The Love and Logic Solution is an ideal way to achieve this happy medium because it promotes empathy, love and understanding within a concrete framework.  Children are given choices and adults are able to use discipline as a teaching tool rather than a punishment.  Children learn how to problem solve and find their own voice.

            The Love and Logic Solution encourages parents to embrace one particular phrase that can become their repeated anthem.  These choice words like “this is so hard” allows children to be heard and seen, reinforcing their feelings and frustrations.  In addition, the way parents choose to speak to their children can be slightly altered using a love and logic technique in order to practice more open and productive communication.  For example, instead of making demands like ordering a child to clean their room, a parent can simply let the child know that they are welcome to join the rest of the family once their room is clean, maybe for a treat like dessert.  Small changes add up to bigger changes when it comes to the way language is conveyed and communicated.

            Ultimately parents desire for their children to grow into confident, happy, independent adults who have life skills.  This goal does not happen overnight but instead grows through years of practice and nourishment of the inner self.  The Love and Logic Solution requires a consistent approach on the part of parents but can have long-lasting benefits for children and families. 

To learn more about applying Love and Logic in your home, reach out to our clinicians or sign up for our waitlist.

 

 

When children are resistant to counseling, it can be frustrating. You, as the parent, want them to be happy and healthy, and to be able to process their emotions in healthy ways as they grow and experience new life experiences. You feel that counseling will be able to offer them tools and techniques that will help them tackle the trials they are facing. But, they say they say they don’t want to and continue to refuse no matter what you say. This is a completely natural response. It can seem like an intimidating thing to do. Talking to a stranger about your feelings is hard and initially can feel scary. A child refusing to go to therapy, may not be ready to engage in counseling presently, that is normal and ok, but there are a few more things you may decide to explore before moving on. 

Have an open-minded and empathy-filled conversation with your child when they (and you)  are in a calm and open mood. Many kids worry that the reason that their parents want them to go to counseling is because, “I am bad” or “something is wrong with me”. Right off the bat, normalize therapy, by explaining how it is similar to having a doctor to help our bodies. Most people go to the doctor to check up on, get help with and learn about their body. Connect this to how every human also has emotions, thoughts and behaviors and we also all need support with learning about and getting help with our emotional well-being. We don’t go to therapy because “something is wrong with us”. We go to therapy because we are human and we need a team of support to help us through the challenges of life. At Resilience Therapy, we take a strengths-based approach to working with children, youth and families. Throughout therapy the child will learn about and discover their own unique strengths and how those can be built upon to meet their goals and help that child or teen see just how resilient they truly are. 

When kids refuse to go to counseling a parent wonders, “why?”. Sometimes kids can’t exactly express their “why” for the choices they make or the things they say or do. Start with validating their emotions and possible hesitation. Then, rather than asking them “why”, see if you can have them talk about what their thoughts and feelings are surrounding the idea of counseling. What are the pros and cons of going? What do they think will happen if they go? Sometimes giving the example of your “why” can help kids find their own. Do they know why you want them to try counseling (i.e. share your hopes for ways they could feel better or understand themselves better, to learn about mental health together)? Better yet, try to help them uncover why they may want to go to counseling for themselves ( i.e. what goals do they have for their emotions and where could they see themselves benefiting from support). Helping them see their own desire or reasons to engage in counseling will increase their motivation to not only go but to be an active participant.  Perhaps, through these exploratory discussions, they can give you some insight into their world and what is making them reluctant or what they would find beneficial to work on. You may choose to empower them so that they can work on whatever they would find beneficial and create their own goals for therapy, as a nice starting point. From there, the child, parent and therapist can collaborate on a plan. Once you understand their worries and needs, you can address their concerns with facts about the experience that reduces their fears, helpful explanations that increase their understanding and problem solving together to make it a good and beneficial experience for them.

At Resilience Therapy, we love to engage children and youth in fun and creative ways. We often use crafts, games, activities, music and rewards to help children learn about and process their thoughts, emotions and behaviors. We also have fidget toys for the youth to play with while we talk. We find this brings a lot of joy and comfort to the kids we work with. 

We make every effort to help the child and teen feel heard, understood, appreciated, and cared for. They will never be forced to do or say anything in our counseling sessions. This is a non-judgemental and safe space for them, so we will do our best to make sure they feel at ease. We operate under the idea that no client cares what we know until they know that we care, so we always make sure that the first thing we communicate in therapy is the fact that we, as therapists, care about each child, their health and success in accomplishing their goals. We believe the number one success of therapy is the relationship that is developed between the therapist, client and family. We take the time, care and intentionality needed to build an individualized relationship that meets the unique needs of each child.

 

 

 

Have you experienced a life challenge or a trauma that simply has your brain stuck in a never-ending spiral? Many of us can relate to this never-ending spiral experience. However, the good news is that we as humans can overcome many of our challenges. EMDR is empirically supported by science and lots of research. So, what exactly is EMDR? EMDR stands for Eye Movement Desensitization and Reprocessing. With many years of treatment, EMDR continues to be very successful in treating a plethora of concerns. Some of these concerns include but are not limited to PTSD, trauma, anxiety, depression, issues with sleeping, grief/loss, and pain. Francine Shapiro is the mastermind behind EMDR, and through many years of research, all beginning from 1987 to the current day, EMDR has become an ideal therapy modality for individuals who prefer minimal talking and more processing. A trained and professionally licensed individual who works in the mental health field can conduct the EMDR practice. The professional will support their client in creating a safe space where healing can begin. 

 

Now let’s get into the mechanics of EMDR. It is said that our thoughts/distressing recollections are stored in the memory and are processed in their unique way. Oftentimes, we are exposed to these stressors, thus causing more continuous distress emotionally and physically. The brain will associate feelings, body sensations, and images with the stressful event(s), thus causing heightened stress and anxiety. EMDR is effective in allowing the thought to come to the surface and allows the individual the time and space to reprocess the stressors in a different way through bilateral stimulation (hand movements or tapping). Memories/thoughts from the past, present, and future are tackled to desensitize the individual to the maladaptive thought or memory. These thoughts are reformed or reborn into a thought or memory that has been resolved. When successful, the individual who has received EMDR treatment can now view the stressful memory or fear as a memory and can experience less fear and anxiety related to stressors. The EMDR approach includes 8 phases to help prepare individuals receiving treatment. The phases are as follows:

 

  • Phases 1: History taking and treatment planning 
  • Phase 2: Preparation and stabilization 
  • Phase 3: Target assessment 
  • Phase 4: Desensitization 
  • Phases 5: Installation 
  • Phase 6: Body scan 
  • Phase 7: Closure 
  • Phase 8: Reevaluation

 

Each phase is completed thoroughly and provides time for the client and professional to understand the underlying concerns and develop a method that works best for the client in reprocessing the memories/thoughts. Good rapport and communication are crucial for the EMDR experience. Children and adults will be equipped with proper knowledge and psychoeducation about EMDR to help them through the experience or process. If we can become unstuck from our negative thoughts, views, and memories, we might take a chance on EDMR. It is encouraged to discuss EMDR with trained professionals in the behavioral health field. You might be one step closer to healing. 

For more information about EMDR, please visit: About EMDR Therapy – EMDR International Association (emdria.org) 

 

For a visual experience on EMDR see the videos down below: 

 

https://www.youtube.com/watch?v=1IPsBPH2M1U 

 

https://www.youtube.com/watch?v=tLrmZXheY5c 

 

https://www.youtube.com/watch?v=hKrfH43srg8

 

Written by Celina Peña