Tag Archives: Counselling

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The loss of a Giant

Shock woke us up on Sunday morning.

Instead of rooting out Munster scarves and jerseys and organising lifts in and out of town, my husband and I sat and stared at our phones in shock and disbelief.
And how do you explain to a five-year old that you’re upset because a man you’ve never met has died? How do you understand it yourself?
The ordinary tempo of the family home continued, as it must; after all, he wasn’t my husband, uncle, friend or cousin…
There’s no allowance for grief here.

Except for all of us, perhaps without even knowing it, that’s precisely who Anthony ‘Axel’ Foley had become. He, like others without us noticing, seep into our consciousness, and our lives. Often unspoken, we hold these men and women as personal heroes, as the standards we want to reach, what we want for our children. And when they go, the void that’s left is as shocking to us as it is painful.

The grief in Limerick this week is palpable.

This open pain is at once comforting and upsetting. It hurts to see others hurt, but it helps so very much, to know we are not the only one grieving for this loss, the loss of a stranger we knew so well.

Grief is a process, without efficient timelines or tidy linear progression. There is no correct way to heal. There is no point at which we should be over it by now. The heartfelt responses of his friends and teammates simultaneously speak to shock and anger, bargaining and depression. That it, “didn’t make any sense yesterday… it doesn’t make any sense today” (Keith Wood), echoes in us all. How many of us asked “Why Anthony Foley”, like David Corkery, feeling defeated in the face of such a cruel God?

But the solidarity in Limerick this week was humbling.

So I ask you to continue to be kind to yourself and to the person standing beside you.
Allow your grief to be. To happen. To take its path.

No, We don’t “accept”, in any way, this loss. To accept it would seem to legitimise it and that is certainly not the case. It’s not ok. We are all too shocked and angry, hurt and confused. But, in the past week, Limerick took his lead, shared in his strength and his leadership and unified. Shoulder to shoulder, side by side, we are standing strong for one another, and through tears, We are proud. Munster Proud.
Irish by birth, Munster by the grace of God.

R.I.P Axel.

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Working with Sufferers of Bulimia, part II

As mentioned in Working with Sufferers of Bulimia, part I the need for counsellors who work with sufferers of Anorexia, Bulimia, to enhance their understanding of these disorders in order to improve the quality of the therapy they provide is becoming more and more apparent as each new piece of research emerges. Furthermore, “Delineated treatment specifically tailored to the needs of each disorder” (Quinlan, 2013) as required for the treatment of eating disorders may be best accomplished by a full understanding of the differences in characteristics of these disorders.

Though there is no such thing as a typical patient or client, commonalities do emerge between sufferers of bulimia. It is often found that women who are engaged with the binge purge cycle, have been engaged with weight loss or have concerned with their weight and or a fear of being fat since their early teens (Beaumont, George and Smart, 1976). Additionally, further commonalities in personality traits have emerged among bulimic sufferers. Research into the personality traits of bulimic sufferers has show that they will often display more impulsive behaviours than those with Anorexia, (Garfinkel, Moldofsky and Gerner, 1980). These findings are confirmed by research carried out that showed a higher that average impulsivity often expressed by substance abuse (Pyle, Mitchell and Eckert 1981). In marked contrast to this, those sufferers of Anorexia are often “markedly obsessional, socially withdrawn” ( Bruch 1973). The rigid control of the anorexia patient is at variance with the more outgoing and extroverted style of behaviour of the bulimic patients. Bulimic patients however may alter their naturally outgoing social style as the binge purge cycle takes over their time and efforts, and they may become withdrawn and isolated. Add to this the on-going shame associated with bulimia and the sheer volume of time many bulimics give to their binge purge cycles and even though they may actually crave interaction, friendships and social encounters, they may find they withdraw and retreat into the comfort and familiarity of their food obsession rather than actively seek out and engage with others.

Once again given the propensity for sufferers of bulimia to maintain a fairly even weight, then identifying their eating disorder can be very difficult among their friends and family and so this eventual withdrawal can seem all the more difficult to explain and leave residual feelings of hurt or anger by those who cannot understand her behaviour.

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Coping with Child Sexual Abuse in Adult relationships. Part II

In the psychotherapeutic treatment of adult survivors of Child Sexual Abuse (CSA) therapists are often mistaken in treating the survivor in isolation and fail to include in their therapy, the role of the partner in their couple relationship. This is to limit and detract from the therapy on offer as “If, as we can all agree, healing takes place in moments of secure attachment (Solomon, 2003) then the opportunity provided for healing within the current couple relationship is a vital and dynamic opportunity that ought not be overlooked” (Quinlan, 2013).

In my practice at Midwest Counselling I too have found it common that adult survivors of CSA seek out and replicate the trauma of their abuse (Briere & Scott, 2006). Attachment theory, (Bowlby, 1988) may account for why in some cases the “normal” attachment processes formed in early childhood are replaced in adulthood by this re-enactment of disruptive relationships, and may even lead to re-enactment of traumatisation (Allen, 2001). Because of unresolved issues arising as a result of the CSA, such as fractured impressions of how adult sexual relationships are supposed to work, or errant self-images as a result of childhood programming, then often the adult generalised view is fractured and errant. For instance they may view all physical contact as frightening, painful or abusive, or that all men/women are inherently dangerous. It follows then that these views shadow them into their adult couple relationships.

Subsequently then in treating adult survivors of CSA, the circularity of systemic family therapy may also be helpful. As mentioned in Coping with Child Sexual Abuse in Adult relationships, Part I, in couple relationships, it is commonly found that the partner of the survivor of CSA is bringing with them their own problems of equal measure. Therefore, as the therapy investigates the paradigm that exists between the couple, a pattern of co-dependant coping strategies may emerge. This iterates the importance of treating the client in a holistic way, and of looking at more than just the trauma of the CSA but also at the extended influence this is having on their couple relationships. So too, the benefit to couples counselling is massive, it can help raise a number of questions that could facilitate to a great extent the investigation into the nature of the couple relationship that exists that is been brought to couple therapy for “fixing”.

Given the aforementioned propensity for adult survivors of CSA to seek out and form relationships that emulate patterns and elements of the original abuse, then the benefit of including the partner in therapy is inherent. By engaging with both partners the therapist can work on limiting the re-enactments and re-traumatisation of the client. Furthermore and equally as importantly by soliciting the participation of the clients partner, the therapist can encourage and facilitate the growth of understanding and respect, and the identification of mutually beneficial goals that may ultimately lead to a constructive and nourishing adult relationship.

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January Blues???

It’s dark, cold and a very long way to pay day.

Is it any wonder that the third Monday in January has been awarded the dubious honour of being called Blue Monday – the most depressing day in the year?

The resolution to begin a lifestyle overhaul got postponed till all the Quality Street were finished, the exercise regime is impossible in the dark and wet… and sure you can’t quit smoking when it’s this gloomy out?? Hardly inspiring stuff, is it?

Putting a little balance back into our lives is really what these resolutions are about and are a big help in finding a bit of peace for 2013.

Take 10 mins and look at your life in terms of 8 different categories and try to (honestly) give each one a rating out of 10 – if you’re falling below 5 in any of the areas it may be time to take a look at it and see what can be done.

  • Health
  • Money
  • Social life
  • Partner/relationship
  • Work/career
  • Friends/family
  • Home
  • Personal growth/spirituality (religion, interests, hobbies,)

Set yourself reasonable and attainable goals and as always feel free to fail and start again.

Best of Luck and Happy New Year!

If you feel you many benefit from talking to someone,

please feel free to call me on 087 709 74 77 or

email me in confidence at midwestcounselling@gmail.com.

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The Budget 2013; Financial Strain and Your Mental Health

Financial strain is probably one of the biggest causes of stress, especially in today’s economy and is only getting worse. With so many losing their jobs, cutbacks and tax increases just trying to make ends meet can cause immense stress to already stressful lives.

This year’s budget has promised to be tougher and more hard-hitting and may cause many of us to despair, panic and fear for the future.

If the stress and worry is becoming too much or if you feel you many benefit from talking to someone, please feel free to call me on 087 709 74 77 or email me in confidence at midwestcounselling@gmail.com

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Stress, Depression and Christmas.

Although Christmas is meant to be a time of happiness and joy for many, depression, sleep problems and anxiety and stress are the more common features of the holiday season.

It may be the season to be jolly, but between mounting financial strain and the pressure of spending prolonged hours with our families and in laws, it’s easy to see why many of us would prefer to pull the duvet back over our heads and hope the whole thing will just pass us by.

Although this may seem a bit un-festive, in reality anxiety over strains of Christmas can negatively affect our health in many ways and with the “festive” period upon us there is often more opportunity to avail of unhealthy coping behaviors.
We are often more likely to try and cope by drinking, smoking, overeating or staying up alone late at night.

If you are feeling the strain and would like someone to talk to, feel free to call me on 087 709 7477 or to email me in confidence at midwestcounselling@gmail.com and perhaps we can try to put some of the yuletide glow back into the holiday season.

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Understanding anxiety disorders

It’s normal to worry and feel tense or scared when under pressure or facing a stressful situation. Anxiety is the body’s natural response to danger, an automatic alarm that goes off when you feel threatened.
In moderation, anxiety isn’t always a bad thing. In fact, anxiety can help you stay alert and focused, spur you to action, and motivate you to solve problems. But when anxiety is constant, excessive or overwhelming, when it interferes with your relationships and activities, it stops being functional — that’s when you’ve crossed the line from ordinary, productive anxiety into the territory of anxiety disorders.

Do your symptoms indicate an anxiety disorder?

If you identify with several of the following signs and symptoms, and they just won’t go away, then it’s possible you may be suffering from an anxiety disorder.
• Are you constantly tense, worried, or on edge?
• Does your anxiety interfere with your work, school, or family responsibilities?
• Are you plagued by fears that you know are irrational, but can’t shake?
• Do you believe that something bad will happen if certain things aren’t done a certain way?
• Do you avoid everyday situations or activities because they cause you anxiety?
• Do you experience sudden, unexpected attacks of heart-pounding panic?
• Do you feel like danger and catastrophe are around every corner?

If you’re experiencing a lot of physical anxiety symptoms, consider getting a medical checkup. Your doctor can check to make sure that your anxiety isn’t caused by a medical condition, such as a thyroid problem, hypoglycemia, or asthma. Since certain drugs and supplements can cause anxiety, your doctor will also want to know about any prescriptions, over-the-counter medications, herbal remedies, and recreational drugs you’re taking.
If you can rule this out maybe you would benefit from speaking to a psychotherapist in your area. Anxiety disorders respond very well to psychotherapeutic treatment. The specific treatment approach depends on the type of anxiety disorder and its severity. But in general, most anxiety disorders are treated with behavioural therapy, medication, or some combination of the two. Sometimes complementary or alternative treatments may also be helpful.

Fell free to call me, in confidence, on 087 709 74 77 for an appointment.

Extract abridged from helpguide.org 22 July 2012

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Minister to meet constituents to discuss mental health law

Minister to meet constituents to discuss mental health law

11 July 2012

Cork representatives, including Kathleen Lynch, Minister of State with responsibility for Mental Health, will meet constituents to discuss improvements to Ireland’s Mental Health Act later today.

People with personal experience of mental health problems are meeting Minister Lynch, other Cork TDs and Senators to discuss their personal experiences with a view to influencing the Government’s current review of the Act.

Diarmaid Ring, service user activist and member of Amnesty International Ireland’s Expert by Experience Advisory Group said: “We as service users, family members and carers will be bringing our own grassroots experience of the mental health services to the table.

“It is crucial the experiences of service users are heard by those developing mental health law and policy, so they can introduce mental health law in line with the latest human rights standards.

“One of the key things we need to challenge is the current ethos of using mental health law to ‘contain’ and instead champion the ethos of recovery, as outlined in the Government’s mental health policy, A Vision for Change.”

Karol Balfe, Mental Health Campaign Coordinator, Amnesty International Ireland, said: “This is a great opportunity for politicians and policy makers to hear from those directly affected and ensure the changes they propose will really improve the experience for people with mental health problems.

“Today’s meeting is particularly timely as the Government is in the middle of its own review of the 2001 Mental Health Act and last month published its initial report.”

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Suicide Warning Signs

Article taken from

Suicide Ireland 13th July 2012

 Warning Signs

Information to help you spot the warning signs of depression and suicidal behaviour. We can all make a difference.

What are the warning signs?

These are some of the classic signs that someone you know may be in need of some help. Please watch for the following symptoms…

Talking About Dying

  • any mention of dying, disappearing, jumping, shooting oneself, or other types of self harm.

Recent Loss

 

  • through death, divorce, separation, broken relationship, loss of job, money, status, self-confidence, self-esteem, loss of religious faith, loss of interest in friends, sex, hobbies, activities previously enjoyed

Change in Personality

  • Sad, withdrawn, irritable, anxious, tired, indecisive, apathetic
  • Change in Behaviour
  • Can’t concentrate on school, work, routine tasks
  • Change in Sleep Patterns
  • Insomnia, often with early waking or oversleeping, nightmares
  • Change in Eating Habits
  • Loss of appetite and weight, or overeating
  • Diminished Sexual Interest
  • Impotence, menstrual abnormalities (often missed periods)
  • Fear of losing control
  • Harming self or others
  • Low self-esteem
  • Feeling worthless, shame, overwhelming guilt, self-hatred, “everyone would be better off without me”
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Report from RTE News on Suicide stats in Ireland 2011

Reported on RTE News 11th July 2010

 525 suicides, representing 11.4 per 100,000 of the population, were registered in 2011.

The vast majority of those who took their own lives were men.

The figures are contained in the Central Statistics Office Vital Statistics for 2011, which look at the numbers of births, deaths and marriages registered in that year.

The 2011 figures saw a rise in male suicides, which accounted for 84% of all suicide deaths.

Responding to the figures, the Irish Association of Suicidology said international research shows that for every 1% increase in unemployment there is a 0.78% increase in the rate of suicide.

It said that given the impact the economic downturn had had, especially on young males, it was not surprising that men were so at risk to suicide.

However, the association said that there is always help available to anyone suffering emotional distress or feeling suicidal, including through the samaritans or their family GP.

490 suicides were registered in Ireland in 2010.

Dan Neville TD, President of the Irish Association of Suicidology, said he was “extremely concerned” by the increase in the number of deaths by suicide.

Mr Neville said the figures were not a surprise because there was anecdotal evidence of an increase. He said the true figure was closer to 600 when “undetermined” deaths were taken into account.

He said the figure reflected the neglect of suicide prevention for decades, and the economic recession, which impacts on the levels of depression, anxiety and despair.

Mr Neville said that he has been assured that €35m allocated to the development of mental health services was safe from cutbacks.

He said in the past, the HSE did hive off money allocated to mental health for other services, and there must be vigilance that this doesn’t happen again.

He called for the urgent appointments of a Director of Mental Health Services, and a new director of the National Suicide Prevention Office.

“They are key positions that there should be no delay in the appointment of,” he said.

“Particularly the Director of Mental Health Services. This is a new position, promised by the government, by Dr Reilly. But it’s something we have been looking at for years.”