Archive of ‘Children’ category

Why Aren’t They Ready Yet?? The Stages of Change.

Have you ever been frustrated when you know somebody needs to change something in their life, but they just can’t seem to understand it the way you do? It could be anything from working on physical health, to drug addiction, to a quasi-bad habit that needs to be broken. The other person just doesn’t see how bad things are and that they need to change! What this COULD mean is that you and the other person are at different stages of change.

What are the Stages of Change?

The Stages of Change as discussed in this blog come from Motivational Interviewing, which is a type of therapy that can either be practiced independently or in conjunction with other therapeutic modalities. Here are the stages:

1. Precontemplation Stage

In this stage, someone would not even realize that there is something worth changing. They wouldn’t think they have a problem, and they wouldn’t be contemplating any change. They could be in denial, they could be back at square one after trying a change and giving up, they could be told by folks that they need to change/have a problem but they say “I’m the exception” or “That’ll never be me” statements. 

An example: Jonah smokes a pack of cigarettes a day, and his friends tell him they are worried about his long term health. Jonah responds to his friends “I’m not worried about it. It’s just a pack and I could stop any time I want to! Other people get cancer, but it doesn’t run in my family and it won’t happen to me!”

2. Contemplation Stage

This stage is when someone knows they want to make a change, and they begin weighing their options. Here, therapists and friends will often hear this person express ambivalence about making the change, fear talk, and “I would, but…” statements. 

An example: Mel has been having stomach problems with her anxiety for a few months and knows that a trip to the doctor would likely help her figure out ways to feel better. She is afraid that they may have to run invasive tests or change her diet, which give her even more anxiety and make her stomach issues worse. She has talked to her partner about her stomach issues and has said many times, “I should make that doctor’s appointment soon, but I’m just too busy with school to take a day off!”

3. Preparation Stage

Here, folks will start to get ready to make a change, or they may make small steps toward the change. This could be the point at which we hear someone say “I’m about to start doing ___” as they get ready to make their change. They may start sampling their new lifestyle, or dipping their toe in to test the waters, but haven’t taken any formal action toward the change. 

An example: Jess has become aware of the fact that social media consumption exacerbates her depression and anxiety. She decided that deleting her social media apps off of her phone will be a big step to helping her mental health. She recently posted to her friends that she will be deleting her apps and will be much harder to reach soon. She gave them her other contact information so they can still text and facetime, without the obligation to see everything that has been giving her FOMO and anxiety. The apps are still on her phone for the time being, and she is mentally preparing for the day next week that she will delete them. 

4. Action Stage

A person in this stage is actively trying to make their change happen. This is often where the bulk of therapy work occurs, as our clients have taken steps to call our office and schedule a session, sit with a therapist and discuss their concerns. It is possible to get to the Action stage multiple times (like, with a pesky New Years’ Resolution) only to revert to an earlier stage a few times over. 

An example: Evan started going to the gym Monday through Thursday after work, made an accountability buddy at the gym, and is loving it! He used to go to the gym about once or twice a year, and recently became fed up with his sedentary lifestyle. He is really trying to find ways to keep his gym habit sustainable this time. 

5. Maintenance Stage

This is the stage that we would aim to be in for the longest amount of time. Maintenance is the goal of making a change; we want to maintain our change over time. A person in this stage has become proficient at their action stage and is looking to maintain the change. 

An example: Ori calls himself a “recovering anger-holic.” He grew up with enormous difficulty with expressing his emotions, and often would have angry outbursts. When he became engaged to Amber in his thirties, she asked him to go to therapy for his anger. In this way, Amber helped Ori move from stage 1 through stage 4. He worked with his therapist to express his feelings in healthier ways, manage his anger, and grow his support network. Ori and Amber participated in couples therapy a few times over the years (especially when Ori’s anger looked like it was relapsing), but now that they are in their fifties, they hardly need outside help. He can still be triggered into what used to be fits of anger, but now are fits of coping and emotional expression. Amber knows all of his most reliable coping skills and they use code-words when he really needs to go cool off and take a walk. 

6. Relapse Stage

A relapse is when an individual returns to a previous stage for any amount of time. It is common, when making a change, to be tempted to return to the pre-change lifestyle. It is important during a relapse temptation to seek support and try not to relapse. A relapse could be small or large, and it doesn’t mean you or your treatment failed. After a relapse, an individual could return straight to maintenance, or it may require a return to an earlier stage. It is possible to return to precontemplation after a relapse, as someone could say “oh that wasn’t as bad as I remembered” and be enveloped once again with their pre-change lifestyle.  

An example: Ellee realized she had a gaming addiction when she was 22. After the challenge of quitting video games and seeking help, she maintains an abstinence from video games as a 28 year old. She recently relapsed when a new group of friends had a housewarming party for their friend. She didn’t know that there would be a console with the expectation to play some party games over drinks, and she had gone home afterward and continued a game-watching binge on Twitch. Ellee felt guilty and embarrassed the next day when she realized what she had done. She called her dad (her “biggest supporter”) the next day to tell him what happened, and told her therapist about it in their next session. She made a plan to tell the new group of friends how they can support her and why she has to stay away from video games. They worked together to make a plan to have console nights without her, and include her for other activities instead. It was her third ever relapse, and she commented in therapy that the aftercare seems to “get easier every time” when she relapses. She will easily get back into her maintenance stage, as she does not own any platforms that allow for her previous video game habits, and she has now blocked Twitch on her laptop to prevent another similar relapse. 

Fun Facts

Fun Fact 1: Someone can bounce around to various stages many times before coming to their “final” maintenance stage. Even then, relapses may occur and require a re-do of some earlier stages before returning to maintenance. 

Fun Fact 2: It can be extremely frustrating when you are at a different stage of change from a loved one with a change that needs to be made. These stages can be discussed with your therapist, and you and your loved one can come to a decision about how best to proceed together in sessions. 

If you are ready to talk about making a change in your life, reach out to us at [email protected] or 512-298-3381. 

(The Stages of Change discussed in this blog are taken from Prochaska and DiClemente’s 1983 Stages of Change Model, and the book Motivational Interviewing, Third Edition: Helping People Change by Miller and Rollnick)


The Myers-Briggs Type Indicator: A Tool for Understanding Yourself and Others

Would you like a tool to help you understand yourself and others? I highly recommend the Myers-Briggs Type Indicator (MBTI). There are many personality assessments. Some are large and cumbersome, while others are oversimplified. The Myers-Briggs seems to hit a sweet spot. As psychologist Dr. Richard Grant puts it, the Myers-Briggs is “simple, memorable, portable, and applicable.” 

Introduction


Based on theories by Swiss psychiatrist Carl Jung (1875-1961), the Myers-Briggs Type Indicator was developed by two American women, Katharine Briggs (1875-1968) and her daughter Isabel Briggs Myers (1897-1980). Although some academics dismissed their work because they did not have PhD’s, the two women persevered in their research. They were followed by Isabel’s son Peter B. Myers and many other researchers who continued their work. The Myers-Briggs Type Indicator now has over 70 years of solid research behind it. It has been shown to be reliable (consistent) and valid (meaningful). It has been translated into many languages, and is used throughout the world. 

The Myers-Briggs is a way to appreciate an invisible form of human diversity: our personalities. The Myers-Briggs sorts humankind into 16 distinct personality types. People of the same personality type have striking similarities in outlook, even if they come from opposite sides of the world. Indeed, at some international conferences on the Myers-Briggs, participants are grouped with others of their personality type. Participants find it invigorating to meet others of their own personality type, from various nationalities and cultures. 

The Myers-Briggs is 100% positive and favorable. All 16 personality types are good. In fact, all of the types benefit from one other. They are complementary. We are able to give feedback for each other’s blind spots. A classic book by Isabel Briggs Myers and Peter B. Myers is entitled “Gifts Differing,” from the Biblical verse “Having then gifts differing according to the grace that is given to us…” (Romans 12:6, KJV). One of the main things that we have learned from the COVID pandemic is that we need other human beings more than we previously realized. The Myers-Briggs gives us a way to look at our need for each other.

If we compare human beings to computers, we all have a dazzling array of “applications”—all the skills that we have learned. But under the surface, we appear to have 16 different “operating systems”—our innate way of viewing the world. If you can identify your “operating system,” and the “operating systems” of your loved ones, you have a powerful tool for understanding each other. 

You are unique. There has never been anyone like you in the history of the world, nor will there ever be. But you have some characteristics that you share with some other human beings: for instance, your nationality, your gender, and your age. And you have some characteristics that you share with every other human being: for instance, you have a brain and a heart. Your Myers-Briggs personality type is in that middle category: you share your personality type with some other human beings, but not with all. Your Myers-Briggs personality type doesn’t label or stereotype you. It is simply a useful tool. There is infinite diversity within each of the 16 types. 

The Myers-Briggs Preferences

The Myers-Briggs Type Indicator sorts people’s preferences according to four two-ended dimensions: 

  1. Extraversion (E) or Introversion (I);
  2. Sensing (S) or Intuition (N—since the letter “I” has already been used);
  3. Thinking (T) or Feeling (F); and
  4. Judging (J) or Perceiving (P).

Developmentally, we become conscious through our preferences within each of these pairs. Determining your preference in each of the four pairs determines your personality type, which is designated by four letters. For example, I am an ISFJ, meaning that I prefer Introversion, Sensing, Feeling, and Judging. As you can see, the two choices for each of the four pairs yields 2 x 2 x 2 x 2 = 16 types. 

Myths and Facts

Myth: My Myers-Briggs type has changed as I have matured.

Fact: Jung’s theory is that we are born with a “true type” that remains the same all our lives, even as we learn and grow. Your “true type” is worth learning, because it’s a fundamental part of who you are. 

Myth: The Myers-Briggs is unreliable, because I got a different result on two different occasions that I took it. 

Fact: No psychological assessment tool is perfect. Human beings are dazzlingly complex. Psychology is not an exact science like physics or math. The result that you get from the questionnaire, your “measured type,” may not be the same as your “true type.” Once you know your “measured type,” I recommend that you meet with a “Certified Practitioner of the MBTI” to determine your “true type.” Sometimes one letter, or even 2 letters, need to be adjusted. In my MBTI Certification class, there were 15 students. The instructor met with each of us individually to determine our “true type.” For 12 of us, our “true type” matched our “measured type.” For 2 students, one letter needed to be adjusted. For one student, 2 letters needed to be adjusted. For each of the 15 students, learning one’s “true type” was a wonderful “Aha!” moment, a moment of feeling understood, appreciated, and affirmed. 

Myth: I can’t be classified, because I am equally good at both choices, in some or all of the pairs.

Fact: You may have developed strong skills on both sides of a pair. However, one side of the pair is more natural for you, and the other is more of a learned skill. When answering the questionnaire, if you are in doubt about how to answer a question, ask yourself which felt more natural to you as you were growing up—and which you may have learned later, because you needed to. An analogy is that one of my friends was born left-handed in the 1930’s. According to the custom of the time, she was taught to write with her right hand. However, all her life, for all skills other than writing, her left hand was more adept. The goal of the Myers-Briggs is to identify your natural, innate preferences.

Myth: My score on Extraversion is only slightly higher than my score on Introversion. That means that I’m only slightly Extraverted.

Fact: The Myers-Briggs is simply a sorting procedure. It does not indicate the degree or extent to which you have a characteristic. It sorts people as having a preference for Extraversion, or for Introversion, one or the other, not “how much.” The scores indicate how confident we are about the accuracy of the sorting procedure. If you score high on Extraversion, we can be fairly sure that you have a preference for Extraversion. If you score only slightly higher for Extraversion than for Introversion, we can’t be too sure about that preference. In that case, you especially need a “Certified Practitioner of the MBTI” to help you discover your “true type.” 

Myth: Introverts are shy and don’t like being with people.

Fact: Introverts can be very friendly and outgoing. Introversion and Extraversion have nothing to do with whether you enjoy being with people. They have to do with how you “recharge your batteries.” When you are tired or stressed, does it re-energize you to be with other people? Or do you need some time by yourself to regain your energy? This is an example of how the words in the Myers-Briggs are used a little differently from the way they are used in everyday speech. Try to drop your preconceptions about the words, and learn their Myers-Briggs meaning. 

Myth: Judging types are judgmental.

Fact: Having a Judging preference does not mean that you are judgmental; nor does having a Perceiving preference mean that you are perceptive. Here is another place where Myers-Briggs terms are different from the related, everyday words. Remember that everything in the Myers-Briggs is positive. The word “judging” is used in a positive way, as when you say that a person “has good judgment.” People with a Judging preference like to make decisions, make plans, and have things settled. People with a Perceiving preference like to be spontaneous, keep their options open, and respond fluidly to new situations. 

Myth: Thinking types can’t feel, and Feeling types can’t think.

Fact: All humans think, and all humans feel. In the Myers-Briggs, having a Thinking preference means that you like to make decisions based on objective, logical analysis. Having a Feeling preference means that you like to make decisions based on people, values, and harmony. Both ways of making decisions are valuable.

How to Proceed

The most accurate way to find your personality type is to take the actual Myers-Briggs Type Indicator questionnaire, and then to fine-tune the result in collaboration with a “Certified Practitioner of the MBTI.” The real MBTI is available online at themyersbriggs.com, or in a self-scorable, printed version. The real MBTI (online or printed) can be completed in about half an hour. You can consult with a Certified Practitioner of the MBTI either online or in person. However, be cautious if you explore the Internet about the MBTI. As with many other topics, there is a lot of inaccurate information available.

Your goal, in collaboration with your Certified Practitioner, is to find your “true type.” Your practitioner can give you some written descriptions of your “measured type.” Please consider them as if you were trying on a pair of shoes. Let your practitioner know whether they fit or not. If they don’t fit, tell your practitioner where they rub. That will indicate what shoes to try on next. A good way to decide whether the descriptions fit is to highlight the phrases that fit you; put an X beside the phrases that are very different from you; and leave unmarked the phrases that are neutral. If there are a lot of X’s, you probably will want to try on another pair of “shoes.”

Once you know your “true type,” you and your practitioner can look at how your personality type interacts with those of the people close to you. This is a way of appreciating your unique gifts, and the gifts of those around you. I think that you will find this exploration helpful and affirming of you and your loved ones. 

[I wish to thank Richard D. Grant, Jr., Ph.D., and Gerald P. Macdaid for teaching me the above material.] 

Written by: Catherine C. Stansbury, LMSW, supervised by Melissa L. Gould, LCSW-S. Catherine is a therapist here at Austin Family Counseling. She is an EMDR Trained Therapist specializing in trauma therapy for adults. She has a Master of Social Work from Baylor University. She is a Certified Practitioner of the MBTI, trained by The Myers & Briggs Foundation; a PAC Certified Independent Consultant, trained by the Positive Approach to Care organization; an associate member of the Aging Life Care Association; and an associate member of the EMDR International Association (EMDRIA).




The Power of Pausing

In a world that constantly tries to make you feel like you’re not enough, resting can be a very brave thing.

A few weeks ago, I visited Montana to spend time with my family and friends. As I sat in the cabin on vacation, I was uncomfortably aware of the texts and emails popping up on my phone and going unanswered (first lesson: turn off your email notifications when you’re on vacation).

As our worlds become more and more virtual, the ability to take work with us wherever we go becomes more and more possible. We go on vacation, but why not bring the laptop and work while we’re there? We can be productive anywhere these days, even in a secluded cabin.

There seems to be an unspoken expectation to remain accessible. Always. I mean, who doesn’t have a smartphone these days?

The email notifications pop up. The text messages roll in.

Usually, they’re not all that urgent. And, usually, we attend to them as if they are.

As I pushed away the inner urge to pick up my phone and laptop during the trip (and failed a few times and succeeded a few times), I had several realizations:

Resting can feel awkward and foreign.

Not being readily available to others can feel uncomfortable.

Being present with people in real-time is good for our souls.

Most things can wait.

Yet, we live in a society that hasn’t normalized or encouraged rest and pausing.

And so, even when we find ourselves in remote locations surrounded by peaceful nature, it can feel strange to unplug – like we’re breaking some unwritten rule and wasting our week away in the land of unproductivity. 

Here is a case for pausing and why it’s more important than rushing to respond to that text: 

1. Your nervous system gets a break.

In 6 Ways to Give your Nervous System a Break, Crystal Hoshaw writes, “The nervous system truly craves space and silence. Every activity is a little stimulating. Truly giving our nerves a break means we’re feeding them the minimum amount of stimulation possible and maximizing rest and rejuvenation.”

2. You get to connect with yourself.

When we pause, we create space for reflection and tuning into how we feel. This leads to less knee-jerk reactions and more thoughtful responses.

3. You get to connect with so many other things:

nature, your meal, your breath, your family.

You take some of your power back.

Taking time to pause helps rewrite the story that says you have to be available to everyone all the time. That’s not true, not healthy and extremely draining.

You give yourself an opportunity to find meaning in more than achieving. 

I won’t pretend unplugging is easy. Here are a few small ideas that still have the power to add up to big shifts: 

A walk around your neighborhood or in nature without your phone

Putting your phone on airplane mode as you begin or end your day

Taking five minutes to close your eyes and breathe. Even one minute!

Making a conscious decision to respond to non urgent emails and texts at one designated time each day vs scattered throughout the day.

All of these acts allow us to become more intentional with our energy, more grounded in our bodies, and, frankly, more relieved.

You are more than what you do.

I felt that as I listened to the rushing river and the chirping birds. As I stared at the magnificent mountains. As I sipped a cup of tea and tuned into the conversations that were happening right in front of me.

Written by: Jamie Alger, LPC-Associate                                                                                                     Supervised by Lora Ferguson, LPC-S


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