Christine Matthews

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Life on the Spectrum: Getting Tested for Austim as an Adult

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Today, awareness of autism is at an all-time high. As an adult, you may look back on your childhood and realize that you’ve possibly had an autism diagnosis overlooked. If you’re a parent, you may have come to realizations about yourself after observing behaviors in your child. However you’ve come to notice the signs, you may suspect that you have autism. You may be wondering: can I, or should I, be tested for autism?

Adult Autism Diagnosis

It can be challenging for an undiagnosed adult to be evaluated for autism. The standardized diagnostics checklists commonly used for diagnosis were designed for children. While there is no diagnostic criteria available for adults, it is currently being developed.

However, it is still possible to be evaluated as an adult. First consult with your primary care physician, share your concerns and have her rule out any underlying physical or medical conditions for your symptoms. Your physician can then refer you to a psychiatrist or psychologist for an evaluation.

Why Get Tested?

While you’ve been successful thus far in moderating your possible symptoms of autism over the course of your life, you may have run into some challenges along the way. A formal evaluation and diagnosis can help you in several ways.

  • Work Life – An adult with autism may have difficulty with social interactions, verbal and nonverbal communication. You may have difficulty making eye contact with your boss, make involuntary noises during meetings or have trouble communicating with your co-workers. These symptoms can interfere with your ability to advance your career and reach your desired goals.
  • Relationships – Adults with autism can sometimes have trouble making or maintaining friendships or intimate relationships. If you’re in a quiet place, such as a movie theatre or library, you may make involuntary noises such as clearing your throat over and over. You may have trouble in social situations, or difficulty getting along with family or friends.
  • Everyday Life – You may have repetitive, obsessive or ritualistic behaviors that are interfering with your daily life or social interactions.

Therapy and some medications are available to help you manage and control these behaviors. Getting a diagnosis of autism as an adult can help you find solutions to symptoms that are interfering with your daily life.

Are you or a loved one living with autism? A licensed mental health professional can help you address compulsions or social skills, teach you coping methods to deal with anxiety and help you better manage your symptoms. Give my office a call today, and let’s schedule a time to talk.

Filed Under: Anxiety

What Is An Extroverted-Introvert – And Are YOU One?

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Are you one of those people who has never quite felt like an introvert but are definitely not an extrovert? Have you read descriptions of either personality and thought, “Mmmm, close, but not quite?” If so, you might be what is called an extroverted introvert (EI).

Extroverted introverts, also called “outgoing introverts” or “social introverts” have qualities of both personalities. They are not entirely loners but don’t necessarily enjoy spending time with large groups of people.

Most people are, in fact, somewhere in the middle of the extrovert/introvert spectrum, sharing qualities of both introversion and extroversion. Let’s take a look at some of the characteristics of an extroverted introvert.

You are Sensitive to Your Surroundings

How you feel can be directly linked to your environment. What kind of music is playing, how many people are there, and the overall noise level can affect you greatly. If you’re an EI, you will either feel energized or drained depending on your surroundings.

You Have a Love/Hate Relationship with People in General

There is a part of you that truly enjoys meeting new people and hearing their personal stories. Then there is the other part of you that loathes the idea of spending every second of the day with other people. You like people, but you can only take them in small doses.

You’re Both Outgoing and Introspective

You’ve been known to hold your own in witty small talk and can make a room full of people chuckle. But when alone, you are generally thinking about the meaning of life and other huge topics. You like to have fun, but if you’re honest, you prefer to be left alone to think things through.

You take A While to Warm Up Around Others

You’re more like a cat than a dog. While you can be outgoing and find other’s company enjoyable on occasion, you’re not going to feel comfortable around strangers right off the bat. It takes you awhile to warm up to new people and situations before you are truly comfortable enough to let loose and be yourself.

No One Believes You’re an Introvert

Whenever the topic comes up and you tell your friends and relatives that you’re actually an introvert, no one believes you.

If this sounds like you, welcome to the club. Many artists, writers and other creative types often identify as extroverted introverts so you are in good company!

Filed Under: General

How Chronic Illness Can Affect Your Mental Health

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If you are suffering from a chronic illness, you are not alone. Almost half of the population in the United States is currently battling some form of chronic physical illness. In fact, chronic illness is the number one driver of healthcare costs in America.

Some of the most prevalent examples of chronic illnesses are:

  • Epilepsy
  • HIV/AIDS
  • Endometriosis
  • Lupus
  • Arthritis
  • Diabetes
  • Heart disease
  • Fibromyalgia

Many people suffering from a chronic illness can become depressed. It is estimated that roughly one-third of chronic illness patients suffer from depression, a rate that is significantly higher than in the general population.

Depression is often an immediate response to the diagnosis. It can be overwhelming to be told you will need to be treated for your illness for weeks, perhaps even a lifetime. Certain types of chronic illness can also, and quite suddenly, change how a person lives their day-to-day life. They may not be able to do the same things and, in some cases, completely lose their independence.

There are physical illnesses which can cause depression by hampering the central nervous system or endocrine system. Some examples would include thyroid disease, Cushing’s disease, Parkinson’s disease and chronic pain.

Symptoms of Depression

If you or someone you know has recently been diagnosed with a chronic disease, it’s important to watch out for signs of depression. These can include:

  • Feeling sad and hopeless
  • Losing interest in once-loved hobbies and activities
  • Changes in appetite (eating too much or too little)
  • Trouble with sleep (sleeping too much or too little)
  • Lack of energy
  • Trouble focusing
  • Thoughts of suicide

Becoming educated about the link between chronic illness and depression is extremely important. So is seeking help. Be sure to discuss any symptoms with your doctor. He or she may be able to refer you to a therapist.

Many patients have found they can treat their depression right alongside their illness by using medication, psychotherapy or a combination of both. It is also helpful to surround yourself with a loving support network of friends and family.

If you or a loved one is experiencing depression as a result of living with a chronic illness and would like to explore treatment options, please be in touch. I would be more than happy to discuss how I may be able to help.

Filed Under: Depression, General

Tips to Manage Anger Around Your Family During the Holidays

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For many of us, spending time with family can be a grab bag of emotions. While you may feel love and familiarity, there’s also decades-long dynamics between you and your family members that may not be the most healthy. Your family might treat you like the teenager they remember, and you might revert to that role when you’re around your family without even realizing it.

There could be many things that make spending time with family a challenge. Old family conflicts, harbored resentments, and spoken or unspoken disagreements can make you dread seeing them again. If you have trouble managing your anger when you’re around your family, read on for some tips on how to keep your cool.

Define How You Experience Anger

People experience anger differently. Some might get more aggressive, some might withdraw, and some internalize the anger. By being aware of how you experience anger, you can better recognize when that emotion is starting to develop inside you so you can take control of how you respond.

Rehearse Responses

It’s very common for family to ask intrusive or inappropriate questions. You might have a busybody aunt who always asks about your relationships, or maybe your sister is constantly bugging you about starting a family. Come prepared with rehearsed responses so you won’t be caught off guard.

Set Boundaries

It’s important to set boundaries with family. If a family member is aggressive or rude to you, or is always making you the butt of their jokes, your silence acts as approval of their behavior. Because you don’t protest, they think what they’re saying or doing is fine with you. Furthermore, pretending their bad behavior is acceptable only gives them more room to continue the bad behavior, or to get worse. Set boundaries with family and let them know when things they’re saying or doing is not okay with you.

Cut the Visit Short

Sometimes the best option to keep the family peace (and your sanity) is to spend less time. If your family tends to have snacks or drinks before dinner, show up just in time to join the family for dinner at the table. You can also opt to skip dessert or coffee and leave a bit early.

Family relationships are complex and deep-rooted, and family are often the ones who know best how to push your buttons. While managing your anger can be challenging, learning to maintain control over your emotions is a healthy act of self-love. It will not only keep you sane, but it will keep your family relationships unharmed and intact.

If you’re having difficulty navigating complicated family relationships, a licensed therapist can help. Give my office a call today and let’s schedule a time to talk.

Filed Under: Anger, Family Therapy

How to Tell if Your Child is Being Bullied

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If you think back to your own childhood, you remember there are generally two types of kids: The bully and those that the bully bullies. Most of us fell into that second group of kids. And don’t think for a minute that girls can’t be bullies, because they can. Girls can actually be brutal to one another.

Not only are kids and teens bullied the old fashioned way with taunts in the hallway, shoving and tripping, but now thanks to a proliferation of social media, they can be bullied 24/7 365.

While no parent wants to think that their child is being bullied, it’s important to know the truth. And sometimes you have to find that truth out on your own, because your child won’t come to you.

Here are some ways you can tell if your child is being bullied:

Their Mood Has Suddenly Changed

Has your child suddenly become depressed or anxious and there is nothing in your home life that would warrant such a change? When you ask what is wrong, do they snap at you or avoid the conversation altogether?

They Begin to Not Want to Go to School

If your child used to enjoy school and is now reluctant to go most days, something is not right. They may pretend to get sick often, miss the bus on purpose or just refuse to get out of bed.

Their “Stuff” is Missing

Is your child’s school bag, toys or cellphone suddenly missing or broken? When you asked what happened, do they seem fearful to tell you? Bullies often oppress other kids by stealing or breaking their personal possessions.

They are Having Trouble Sleeping

Does your child come to you in the middle of the night unable to fall or stay asleep? Has their teacher spoken to you about them falling asleep in class? Children who are being bullied are often too anxious to sleep at night, worrying about the next day.

They Have Physical Marks

One of the most obvious signs of bullying is having marks such as scrapes, cuts and bruises. When you ask where they came from, it is very obvious they are not telling you the truth or the whole truth.

If you find out your child is being bullied, you will want to speak with school administrators to bring the situation to their attention so they can take necessary actions. Also, let your child know they may come to you at any time to talk about what’s happening. You may also want to have your child speak to a therapist who can help them deal with the fear and anxiety.

If your child is being bullied and you’d like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

Filed Under: Teens/Children

How to Talk to a Loved One About Getting Treatment for Their Mental Health

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Just about every family has a “black sheep”; someone who’s always causing trouble, or maybe is more of a free spirit. Sometimes however, the “black sheep” of the family is someone with a serious mental health issue. If you have a loved one who you believe may need mental health treatment, there are things you can do to try and convince them to seek help.

Family and Friends are First Responders

You should see yourself as a type of “first responder” for your loved one. Teachers, employers and even medical professionals that interact with your loved one aren’t likely to do anything to intervene if it appears they need mental health treatment. As their friend or family member, you are their first line for help.

The Importance of Early Intervention

Early intervention is key to improving your loved one’s quality of life. The longer a mental illness goes untreated, the shorter the intervals between the troubling episodes and behavior that’s drawn your concern. As the intervals shorten, the relapses increase in severity; and as their mental illness becomes more severe, the more resistant it will be to treatment. Intervening as early as possible will change the course of your loved one’s life, putting them on a positive trajectory.

Talking to Your Loved One

Prepare your loved one for this conversation by letting them know that you want to have a talk. Let them know it’s because you love them, and that the topic is very important. Make sure they know it’s nothing negative or scary. Set a date and time, and choose a neutral location where they will be most comfortable.

Keep the conversation in the context of your relationship with this person. Make sure they know you’re not rejecting or judging them, but that you love them and are concerned. Don’t attempt a diagnosis, such as “I think you’re bipolar”; leave diagnoses to the professionals. Talk about your feelings and be specific when you’re describing concerning behavior. Instead of vague statements like “you need help”, or “you’re acting strange” give specific examples. “It frightened me when you were yelling the other day,” or “You missed work four times in the last two weeks.”

The Goal of the Talk

Your goal in talking to your loved one should be for them to get a one-time evaluation. Offer to make the appointment, to pay for it, and/or to drive them.

Talking to someone you love about seeking mental health treatment is difficult and awkward, but it is important. Be prepared for them to have an angry response, and if they do, maintain your composure and stick to the theme of your love and concern. It may take multiple attempts to get your loved one to seek help. Don’t be nagging or harassing, but do be persistent.

If you or a loved one are in need of mental health treatment or a comprehensive evaluation, a licensed mental health professional can help. Call my office today, and let’s schedule a time to talk.

Filed Under: General

5 Ways to Get Your Teenager to Talk to You

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It’s tough trying to get your teen to talk. Science has shown that the teenager’s brain has yet to fully develop the frontal cortex, which is the area that controls our ability to reason, and to think before we act. As your teen’s brain develops, they’re also learning new things about themselves and their surrounding world; simultaneously, they’re dealing with hormonal changes out of their control.

For all of these reasons and more, it can be difficult to find ways to talk to your teen, or to get them to talk to you. Although it’s difficult, it’s not impossible; read on to find five ways to get your teenager to talk to you.

Learn to Listen

Take the time to listen to your teenager when they want to talk. Instead of saying you’ll talk to them later, step away from what you’re doing and listen to what they have to say. Don’t talk, interrupt or be quick to offer advice; just listen. Kids have thoughts and experiences that their parents don’t know about, and the best time to listen to them is when they’re asking to talk to you.

Put Yourself in Their Shoes

As you listen to your teen, your knee jerk response may be to quickly resolve their issue, offer advice or maybe even dismiss their complaints or opinions. Put yourself in your teen’s shoes; think about how you would feel if your spouse responded to you the way you respond to them.

Watch for Signs

Everyone has a desire to be heard and understood. As you talk to your teen, mirror back to them what you hear them saying. Watch for signs that they’re not being heard or understood by you. They might roll their eyes, shake their head, wave their hand at you or interrupt. When they’re nodding and/or silent, you’ll know you’ve understood.

Ask Specific Questions

Ask your teen specific questions rather than general “how was your day?” questions. Ask questions about a friend you know by name. Ask about a sport they participate in or a teacher they like. Ask open ended questions such as, “What was Mr. Burton’s class like today?”, or “What was the best thing that happened today? What was the worst thing?”

Location, Location, Location

When and where you try to talk to your teen matters. One of the worst times to talk to kids is after school. Just like you do after work, they need wind-down time. Instead, ask questions around the dinner table. It’s casual, and there’s no pressure for eye contact. The car is another great place to talk to your teen (unless their friends are in the back seat); they feel more comfortable because you’re not looking at them.

If you’re having difficulty communicating with your teenager and need some help and guidance, a licensed mental health professional can help. Call my office today and let’s set up a time to talk.

Filed Under: Parenting, Teens/Children

5 Subtle Exercises to Calm Anxiety in Public

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According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days.

When anxiety strikes, the world around us can become a sort of funhouse, only not that much fun. It’s important to be able to self-soothe in these instances. But how can you calm an anxiety attack subtly when you’re out in public?

 

Breath Work

As soon as you feel the anxiety coming on, focus intently on your breathing and nothing else. Begin to take slow… deep breaths. Inhale for a slow count of three… hold for a count of three… and exhale for a count of three. Slow deep breaths send a signal to our body that we are not under attack and everything is okay.

 

Talk to Yourself

In your mind, remind yourself that you are having an experience but that you are NOT that experience. While you feel that something is wrong, remind yourself that you are actually safe and all is well.

 

Visualize

Think of something that calms you. This may be your childhood bedroom or your grandparent’s home. It could be your favorite beach or your own bathtub. Simply put yourself IN that space. Use your full imagination to feel yourself there and allow the calm to settle over you.

 

Carry Lavender Oil

Keep a small vile of lavender oil in your purse or pocket and inhale its scent. You can even rub some between your finger and then rub on your temples to calm down.

 

Practice Listening Meditation

If you’ve never tried listening meditation, I highly recommend it for everyone. But it can be especially beneficial when you are feeling anxious, and here’s why. Listening requires you to stop thinking. Try it now. Stop reading and instead listen to all of the ambient sounds there in the room with you, outside the door and window.

What do you hear?

Let your sense of hearing grow and grow, picking up more subtle sounds. The buzz of the lights overhead… the noise of the ice maker… a bee at the window… your dog’s collar down the hall…

It’s actually a very fun exercise to do. And in order to REALLY GIVE SOUND YOUR FULL ATTENTION, you can’t think while listening. It’s a bit like trying to juggle while standing on your hands, it simply cannot be done.

Much of our anxiety comes from our anxious thoughts. It’s our reptilian brain trying to keep us alive by alerting us to all of the dangers around us. But when we meditate, this mind chatter goes away.

 

When an anxiety attack comes on, life can feel unbearable. The next time this happens to you in public, try one or more of these techniques.

And if you’d like to speak with someone about your anxiety, please get in touch. I’d be happy to explore treatment options.

Filed Under: Anxiety

How to Help Your Child Transition into a 2-Home Scenario After Divorce

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Going through a divorce can be a tumultuous time for any adult, and for children it can feel like their world is falling apart. It can be confusing for children to have two homes, particularly in the early stages of divorce. But there are ways to bring positivity and excitement to this change, while reducing your child’s stress significantly.

Provide Stability

Help your child adjust to the changes in your family by providing as much stability as possible. Having established routines and continuity between their two homes will help your son or daughter feel safe and secure. You don’t need to have a strict schedule, just routines that your child can expect when they wake up, before they go to bed and when they come home. For example, there’s always a bath or a story before bedtime, and a healthy snack when they get home. Resist the temptation to overcompensate by lavishing your child with gifts, or letting them get away with things they normally would not. Structure in your home will help your children feel calm and stable.

Ease The Transition

Help ease the transition for your children by having a neutral pickup and drop off spot, such as your child’s school. You can drop your son or daughter off at school in the morning, and your ex can pick them at the end of the school day. This also eliminates stress for the child and sad goodbyes. Children are very perceptive and will be keenly aware of any sadness, anger, or frustration you may be feeling if you drop them off at your ex’s new place.

Give Kids Choices

Allowing your child to have a say will help them feel empowered, lessening any feelings they may have about things being out of their control. Have them pick out a new bedspread or pillows to decorate their space, or ask them to decide on a special dinner over the weekend. You can make them their favorite meal, try something new, or they can choose a restaurant they’d like to go to.

Reduce Stress on Arrivals

You can help your child adjust to the changes between two homes by making their arrival from your ex’s house as positive and structured as possible. Come up with a special but simple routine for when they come home. Something pleasant and comforting, such as sharing a snack or playing a game. Resist the temptation to bombard them with questions; let them unwind and process the change in their own time.

 

Your child has two parents living in two separate homes, but they only have one childhood. By remaining a positive force in your child’s life and maintaining stability, you can help them transition into their new normal.

Are you struggling with divorce, and need the support and guidance of a licensed professional? I can help. Please give my office a call today, and let’s schedule a time to talk.

Filed Under: Couples/Marriage, Family Therapy, Teens/Children

How to Tell Your Partner About Your Past Sexual Abuse

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Relationships always start out on a high note. Your mutual attraction combined with your commonalities stirs up your feelings, while finding out about your differences and exploring the world together makes your relationship fresh and exciting. When your relationship starts to become more intimate, you may start to wonder when the right time is for you to open up to your partner about your past sexual abuse.

Being a survivor of sexual assault is, unfortunately, not uncommon. According to the National Sexual Violence Resource Center, one in three women and one in six men in the United States experience some form of contact sexual violence in their lifetime. So when is the right time to open up to your partner about your past, and how do you tell them?

Be Ready
It’s important as a survivor that you are in control of when you share your story. Center yourself around your own needs and share only when you’re ready, and not before. You may need to discuss it first with a therapist, counselor, friend or support group.

Know What You Need
Know in advance what you’ll need to get through this discussion. You may need your partner to not ask questions, or to not touch you while you’re talking. Be honest and upfront, and ask for support when you need it.

Prepare for a Response
How people respond to your story will vary widely. Hearing sexual abuse disclosures affect both the person telling the story, as well as the person listening. Your partner may be silent for a while as they take the information and consider what to say. Give them time to process it. If it will make you more comfortable, you can ask them to give you some time before you discuss the matter again.

 

Opening up and discussing difficult, sensitive topics with your partner is never easy. But these challenging times are often the ones that create milestones in your relationship, and will ultimately bring the two of you closer than ever.

Are you a sexual assault survivor and in need of guidance and counseling? A licensed therapist can help. Call my office today and let’s set up a time to talk.

Filed Under: Couples/Marriage, Sexual Abuse / Trauma