TAPROOT BLOG: Psychoeducation for Clients and Providers
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TAPROOT BLOG: Psychoeducation for Clients and Providers
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Author: Rachel Silberman, Clinical Trainee In the realm of mental health care, the decision to pay out of pocket for therapy or counseling services is a nuanced one, influenced by a variety of factors ranging from privacy concerns to personal priorities. This choice is not only made by clients seeking therapy but also by therapists themselves who opt for a private pay model. Let's delve deeper into the rationale behind this decision and explore strategies for both clients and therapists navigating the landscape of private payments in mental health care.
Privacy Concerns: One significant reason individuals choose to pay out of pocket is to maintain confidentiality. In environments where mental health diagnoses may impact professional reputations, such as workplaces, private payments offer a shield against potential stigma or discrimination. Access to Specific Services: Another driving force behind private payments is the desire for access to specialized treatments or modalities that may not be covered by insurance. Additionally, some individuals may require more frequent sessions than insurance allows, making out-of-pocket payments a practical solution. High Deductibles and Out-of-Network Benefits: With the prevalence of high deductibles in many insurance plans, individuals often find that out-of-pocket payments are comparable to insurance copays. Moreover, paying privately allows individuals the flexibility to choose their preferred provider, even if they are out-of-network. Personal Priorities and Belief in the Therapist: People allocate funds to what they value, and mental health services often hold a high priority. Clients are willing to invest in private payments if they believe the therapist can effectively address their concerns and provide valuable support. While private payments offer numerous benefits, it's essential to acknowledge that not everyone can afford this option. Inclusive solutions such as pro-bono slots or sliding scales are crucial for ensuring that mental health care remains accessible to all individuals, regardless of financial constraints. Author: Fiona Smith Taproot Therapy offers two Autism Spectrum Disorder (ASD) evaluations with specially trained evaluators: the Autism Diagnostic Interview Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS). Many clients seeking autism evaluations wonder where to begin. Though both are effective diagnostic tools, there are key differences between the assessments. The ADOS evaluation was developed in the 1980s and updated in 2012. The ADI-R evaluation was updated in 2003, following its original development in 1989. The ADI-R is useful if the interviewee has knowledge or access to knowledge of their developmental history. This evaluation is conducted in a structured, interview-style format with the clinician posing questions to the interviewee and takes into account a client’s full history from childhood until present. The ADI-R can be completed by a caregiver, parent, or close affiliate with knowledge of one’s childhood history. If a young child is being tested for an autism diagnosis, this is often a helpful evaluation for a caregiver to complete. For example, this interview may ask about specific habits or routines in childhood, and dives into detail on topics such as pronominal reversal. This evaluation can also be helpful for high-masking individuals, as it delves into behaviors from early childhood and toddler years. The ADOS evaluation is useful if the interviewee does not have access to developmental history. It is very present-focused and is an observation-style session, where the clinician assesses the interviewee’s communication skills, social interactions, and imaginative use of materials through semi-structured directions. Some examples of ADOS related testing include the construction of a puzzle, telling of a story, discussion of future plans, and more. Present concerns are also discussed. This evaluation is helpful as it takes into account behaviors and actions in the room in front of the evaluator. It is entirely up to your specific needs and preferences as to which evaluation (or both!) to pursue. As these assessments offer results based on different frameworks (one, the past; the other, present observations), many clients choose to complete both evaluations for a complete picture, if feasible financially and time-wise. Either way, both evaluations provide accurate and clear indications of whether or not a diagnosis of ASD is necessary. Email Erin Iwanusa at erin@taproottherapynyc.com to learn more, or to schedule an evaluation!Author: Carly Barocas, Clinical Trainee Why ADI-Rs Matter in Autism Spectrum Disorder Diagnosis Autism Spectrum Disorder (ASD) is a complex developmental condition that involves persistent challenges in social interaction, speech, nonverbal communication, and restricted and repetitive behaviors. The range and severity of symptoms vary widely, making accurate diagnosis crucial for effective support and interventions. One of the most reliable tools in the assessment of ASD is the Autism Diagnostic Interview-Revised (ADI-R). Developed by leading experts, the ADI-R is a structured interview used by clinicians to assess autism in children and adults. It plays a pivotal role in understanding the nuances of ASD and ensuring accurate diagnosis. How ADI-Rs Work The ADI-R involves an interview between a trained examiner and the individual being assessed or the parent/caregiver of the individual being assessed. The interview focuses on four key areas:
This comprehensive interview typically takes about two hours to complete and covers various topics related to the individual’s developmental history and current behavior. Why Choose Taproot for ADI-Rs? At our practice, we prioritize accurate and compassionate evaluation. Our team is comprised of experienced professionals trained in the administration of ADI-Rs. We understand the nuances and complexities of ASD and are committed to providing thorough assessments that respect the individuality of each client. Our approach is not just about diagnosis; it’s about understanding and supporting our clients and their families through their journey with ASD. We believe in a holistic approach, where the ADI-R is the starting point for a pathway to effective intervention and support. At the end of your evaluation, we provide you with a thorough list of recommendations and a follow-up meeting to review all referrals. Email Erin Iwanusa at erin@taproottherapynyc.com to learn more, or to schedule an evaluation!
Author: Danielle Alberta, Taproot Therapy Clinical Trainee Summertime is finally here! For many of us, the warm weather may provide a much needed respite from the low-energy moods that we may feel in the colder months. Since we only have the warmth for a few short months, it might be beneficial to take advantage of it while it's here, spending more time outdoors or exploring new parts of the city. Mindfulness is a core skill of Dialectical Behavior Therapy that can be used this summer to allow us to be more present and appreciative of the good energy that the warmth brings with it. Mindfulness can be used to ground us in the present moment, fully engage with our surroundings, or notice any sensations or feelings arising within us.
The great thing about mindfulness is that we often engage in it without knowing that we are doing it. The mindful experience is fully immersing ourselves into one task, without multitasking or judging it. For example, this might happen naturally while washing the dishes, doing the laundry, or cooking a meal. Now, we can name these everyday activities as mindful activities and then employ them when we are feeling stressed, anxious, or are lost in our negative thoughts. A great and simple way to practice mindfulness at any time is to engage our senses (sight, sound, smell, taste, and touch) because they can help to ground us in the here and now or fully experience a moment. Here are some ways that we can engage our five senses this summer in New York City:
Mindfulness can be done in many small ways throughout the day. Recognizing opportunities to practice being mindful is the first step in cultivating self-awareness. If we can draw on our mindfulness skills in times of peace, we can more easily apply mindfulness skills when we are experiencing overwhelming emotional or physical responses. Try connecting with your five senses this summer using these examples. As you get more comfortable with identifying opportunities to be mindful, make your own list of mindfulness activities or ways to engage your senses throughout the day! By Rachel Silberman, Clinical TraineeJournaling can be an extremely effective mental health outlet and coping mechanism for many individuals. It provides a structured space for individuals to express and explore their thoughts and emotions in a non-judgmental environment. The act of putting thoughts onto paper can provide a cathartic release, helping individuals gain clarity and perspective on their feelings. Moreover, it offers a tangible record of one's emotional journey, allowing for reflection and identification of patterns over time. This self-awareness can be a crucial step in understanding triggers, managing stress, and fostering personal growth. Ultimately, the practice of journaling empowers individuals to cultivate a deeper connection with themselves, promoting emotional well-being and resilience in the face of life's challenges. Studies have found that journaling can reduce mental health distress significantly. A study (2023) conducted by Smyth et al. found that journaling can serve as an effective intervention for mitigating mental distress, increasing well-being, and enhancing positive physical functioning. It is also important to note that while journaling can be an effective tool for many individuals, it is most effective in combination with other modes of mental health assistance such as therapy. If you are struggling to get started, consider writing about some of the following journal prompts from Switch Research (2022)!
Smyth JM, Johnson JA, Auer BJ, Lehman E, Talamo G, Sciamanna CN. Online Positive Affect Journaling in the Improvement of Mental Distress and Well-Being in General Medical Patients With Elevated Anxiety Symptoms: A Preliminary Randomized Controlled Trial. JMIR Ment Health. 2018 Dec 10;5(4):e11290. doi: 10.2196/11290. PMID: 30530460; PMCID: PMC6305886. By Carly Barocas, Taproot Therapy Clinical Trainee Autism Spectrum Disorder (ASD) is a developmental condition that affects communication, behavior, and social interaction in varying degrees. As a mental health professional, it's crucial to approach ASD with both understanding and sensitivity. This blog post aims to shed light on ASD, debunk common myths, and offer guidance for individuals and families navigating this journey. What is Autism Spectrum Disorder? ASD is a complex neurodevelopmental disorder. It's characterized by challenges in communication, social interaction, restricted interests, and repetitive behaviors. The spectrum nature of ASD means that it affects individuals differently, with a range in severity of symptoms. Some people with ASD require significant support in their daily lives, while others may live entirely independently. Understanding “Spectrum Disorder” in ASD The term "spectrum" in ASD is crucial for understanding the nature of this condition. It reflects the wide variation in challenges and strengths of each person with ASD. The spectrum concept encompasses a range of symptoms, skills, and levels of different abilities. This diversity means that two people with the same diagnosis can have different presentations. Some might have significant challenges in their daily lives, requiring substantial support, while others might be highly skilled and live independently. Debunking Myths About ASD Myth 1: ASD is caused by poor parenting Historically, there was a belief in the concept of the "refrigerator mother" theory, which wrongfully attributed ASD to cold and distant parenting. Modern research has thoroughly debunked this theory. ASD is now understood as a neurodevelopmental condition with no single known cause. Instead, a combination of genetic and environmental factors is believed to contribute to its development. These factors are complex and varied, and parenting style is not a causative factor. Myth 2: ASD is a childhood condition While symptoms of ASD often appear in early childhood, it is not a condition that people outgrow. It is a lifelong condition, and its manifestations can change over time. As individuals on the Spectrum age, they may develop new skills and ways of coping that can alter how their symptoms present. However, the core characteristics of ASD typically remain and will influence their experiences throughout their entire lives. This lifelong perspective is essential for providing appropriate support and services for adults with ASD, who are often underrepresented in discussions about the disorder. Myth 3: People with ASD are anti-social Individuals with ASD may struggle with social skills and have different ways of interacting with the world around them, but they do enjoy having relationships. Social differences in people with ASD can manifest in different ways. For example, some may be quiet and shy, avoiding social situations, while others may be talkative, and others struggle with a general give-and-take of a conversation. Unspoken communication, such as body language, tone of voice, and sarcasm, can be confusing to those on the Spectrum. However, taking time to get to know individuals with ASD and understand their differences in an environment where they feel comfortable can make all the difference. Diagnosing ASD An ASD diagnosis can be quite helpful in learning to navigate life with ASD. Evaluations and diagnoses provide a breakdown of the specific differing abilities one might have, as well as areas where the individual can focus in order to lead their best life. At Taproot Therapy, we offer both the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS).
Supporting Individuals with ASD
Autism Spectrum Disorder presents unique challenges, but with the proper support and understanding, individuals with ASD can lead fulfilling lives. As mental health professionals, we provide compassionate care, tailored interventions, and ongoing support to these individuals and their families. Remember, every person with ASD is unique, and their experiences and needs will vary. Embracing these different abilities and advocating for inclusion is vital in our journey towards a more understanding society. To learn more about evaluations and therapy support, contact Erin at erin@taproottherapynyc.com for more information.
Author: Carly Barocas, Taproot Therapy Clinical Trainee Life is a masterpiece of contradictions and complexities, woven with intricate threads that shape
our experiences. As you embark on your therapeutic journey, it's essential to understand and embrace a powerful concept called dialectics, or both/and thinking. This way of approaching life and its challenges can help you find balance, emotional well-being, and personal growth. Let's explore how you can integrate this way of thinking into your life. What is Dialectics? ● Dialectics is the art of holding opposing ideas and feelings at the same time. It recognizes that life is rarely black or white; instead, it's filled with shades of gray. By accepting that multiple perspectives and emotions can coexist, dialectics opens the door to greater understanding and growth. ● By acknowledging that opposing ideas and feelings can coexist, we open ourselves to greater understanding and compassion. Let's allow the power of dialectics to inspire us to new heights of self-discovery and connection with those around us. Implementing Dialectics 1. Embrace the beauty of uncertainty. a. If you grapple with anxiety and feel overwhelmed when making decisions, dialectics offers a compassionate perspective. It encourages you to acknowledge that uncertainty is a natural aspect of life. Rather than perceiving it as something to be feared, embrace the discomfort of uncertainty and recognize the potential for personal growth when you step outside your comfort zone. By holding space for both the unease and the opportunity, you can approach decision-making with self- compassion and a gentle curiosity about the possibilities. 2. Honor different perspectives. a. In a disagreement with a loved one, dialectics invites you to consider the validity of both your perspective and theirs. Rather than clinging to the idea of being right, try to understand where the other person is coming from. By practicing active listening and empathy, you can create space for both viewpoints, fostering healthier communication and connection. 3. Embrace your complexity. a. As you navigate the therapeutic process, you may experience a mix of emotions, such as sadness and joy. Dialectics reminds you that it's possible to hold both emotions simultaneously. By allowing yourself to embrace the complexity of your experience, you can find moments of joy and hope amidst the challenges and setbacks. 4. Embrace the messiness of emotions. a. If you struggle with depression, there may be times when you experience both sadness and glimpses of happiness. Dialectics encourages you to honor these contradictory emotions. Recognize that feeling some moments of happiness doesn't invalidate your difficulties. By embracing both sides, you can cultivate resilience and find moments of light even within the darkness. As you embark on your therapeutic journey, remember that dialectics can be a guiding light, helping you navigate the complexities of life. By embracing both/and thinking, you cultivate emotional resilience, foster stronger relationships, and unlock the doors to personal growth. Allow the power of dialectics to guide you toward a deeper understanding of yourself and those around you. Embrace the beauty of contradictions! Play-Therapy for Children Written by: Maitreyee Sathe, Clinical Trainee specializing in play therapy1/3/2024
Just as adults tend to talk about their feelings and emotions, children act them out in play! Play is
a child’s natural way of communication. Children use toys to express themselves including their needs, wishes and wants. They use toys as a medium to make sense of their life experiences. For children, what seems unmanageable in reality, becomes manageable in play! Children externalize their emotions and thoughts with the help of toys and hence experience a sense of relief through play. Play therapy is an evidence based approach with solid research to support its effectiveness for many populations and concerns. Children experiencing social, emotional or behavioral difficulties use the playroom as a safe space to comprehend their struggles, express their emotions and explore possible solutions. The children use the toys in the playroom as a form of communication with the clinician. These toys include real life and nurturing toys such as doll family, doll house, puppets, cars, money, medical kit, food; Aggressive toys such as toy soldiers, plastic guns, animals and aggressive puppets; and finally expressive toys such as sandtray, paint, clay, musical instruments and, dress up clothes. Play therapy helps children to facilitate communication, enhance social relationships, foster emotional wellness and increase personal strengths. The clinician in the playroom strives to provide the child with a warm, safe and supporting environment. The clinician provides the child with unconditional positive regard while building a friendly and warm relationship. The clinician maintains a deep respect for the child’s ability to solve his/her problems and gives the child the opportunity to do so. A collaborative approach is taken with an aim to empower both the child and the caregiver and the clinician conducts regular sessions with parents and guardians to monitor the child’s progress. Contact office@taproottherapynyc.com to know more/ schedule an appointment! Author: Maitreyee Sathe, Taproot Therapy Clinical Trainee We all have heard about the benefits of mindfulness exercises as part of adult therapeutic practice. But, we aren’t quite aware that mindfulness practices are highly effective with children as well! A child-friendly explanation of mindfulness would be- paying attention to what is happening in the present moment. Studies have shown that integrating mindfulness or meditation exercises into a child’s routine can prove to have copious benefits.
First and foremost, children can use mindfulness to deal with the stressors of their life. (Yes, children most definitely experience stressors in their lives, although they may be different than adult stressors). Along with this, they learn important skills such as being present in the moment, self-compassion and openness. Practicing mindfulness also leads to improved concentration and self-control. As children learn primarily by observation, parents and caregivers are a significant source for modeling these practices to children! These activities need not necessarily be something lengthy or fancy. It can be as simple as taking a walk, having a calming uninterrupted playtime with the child or reading/ drawing together. Remember that the purpose of the exercise is to be fully present in the current moment! A simple mindfulness activity for children is a body scan. Ask the child to lie down in a comfortable position. Introduce deep breathing and then ask the child to pay attention to different parts of the body from their head to their toes. Ask them to notice all the sensations they experience including temperature, texture and weight. This exercise helps children be more mindful of what’s happening in their physical bodies. Lastly, another simple activity is the 4 square breathing exercise. Ask the child to sit in a comfortable position. Ask the child to imagine a square in front of them. Now trace along the height of the square while taking a deep breath through your nose for 4 seconds. Now, trace along the width of the square while holding the breath for another 4 seconds. Exhale through the mouth as your trace along the height of the square and then hold the breath for 4 seconds as you complete the square. Repeat this deep inhalation, hold, exhalation and hold for four or five more times. This helps the child practice deep breathing to calm their mind and body. Author: Rachel Silberman, Taproot Therapy Clinical Trainee Burn-out, according to the World Health Organization, is a syndrome that results from chronic workplace stress. There are three dimensions of burn-out:
In other words, burn-out occurs when an individual is feeling overworked and overwhelmed by their workload. It is important to understand how to avoid burn-out in the workplace, so that you can continue to be productive while also prioritizing your mental health. Here are some tips that can help:
While these tips may appear to be simple, they can be tricky to enforce in your daily life. Remember that we all cope with stress differently, so be kind and patient with yourself when implementing these strategies. Your brain will thank you! |
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Taproot Therapy, LCSW, PLLC Annie@taproottherapynyc.com 285 Lexington Avenue Suite 2A New York, NY 10016 141 E 35th Street Suite J New York, NY 10016 |
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