Orlando Counseling – Counselors

Wrapping our head around a mass shooting: Post-traumatic Stress Disorder in victims and those that care for them

As a therapist, I am certainly not immune to emotional distress and trauma. The biggest mass shooting ever to occur in the United States just took place in my hometown of Orlando at a nightclub that I have been to before. My friends/colleagues in mental health work at the very hospital where over 53 injured victims were taken and they are frantically trying to comfort distraught shooting victims and the family members who are looking for their loved ones who may be injured or dead. All the first responders who attended the scene may have trouble getting the picture of what they saw in the nightclub out of their heads. My own brain is struggling with the enormity of it all as this huge loss to our community sinks in even though I was safely home in bed when the whole event occurred.

A big part of my practice these days involves using a type of therapy called Eye Movement Desensitization and Reprocessing (EMDR) in my work with clients who have survived a trauma of some kind like rape, plane crashes, car crashes, physical abuse or witnessing a violent death. These clients have developed post-traumatic stress disorder (PTSD) and their symptoms include:

-Experiencing intrusive flashbacks or re-experiencing the traumatic event

-Avoiding the place where the trauma occurred or anything that reminds them of the event

-Feeling hyper-aroused which means they have trouble sleeping and feel jumpy and/or irritable

-Dreaming about the traumatic event

-Having panic attacks

When I think about all the recent victims of this mass shooting, I know that many of the survivors will develop PTSD in the coming weeks and months. Family members and loved ones of those who perished may also develop PTSD as a result of having to identify their bodies of their loved ones and grieving their unexpected and tragic loss. Not everyone develops PTSD as a result of experiencing or witnessing a traumatic event and we don’t really know why that is. But, what I do know is that many people with PTSD suffer in silence for a long time before they go to their physician or a mental health professional for diagnosis and help.

If you or a loved one begins experiencing symptoms of PTSD after a traumatic event or loss, please don’t ignore the symptoms or tell yourself that you just need to “suck it up and be strong.” PTSD is a very treatable condition and the impact that untreated PTSD has on one’s quality of life is profound.

My thoughts and prayers go out to all the victims of this senseless tragedy. I work with a lot of LGBT clients in my practice and I take comfort in knowing that our local LGBT community is very strong and that they will support each other as they heal.

 

Dana Nolan MS LMHC NCC

Licensed Mental Health Counselor

Altamonte Springs — Orlando

 

Reflections for a New Year

As we say goodbye to the year 2015 and welcome 2016, it is normal to reflect upon the past year and to plan for the future. We hope to leave behind the sad or hard times and wish for happier and healthier times in the coming year. The New Year is a time to pause and take stock of our life, our goals and our relationships with a view to make the future better.

The New Year is not the only time that we review our lives and try to make improvements. When we turn another year older, it is common to think about where we have come from and where we are going. Birthdays that end in a zero (like 40) or a five (like 65) may have more of an impact emotionally. When we are young, we imagine what our life will be like and what we will have achieved when we are 40 years old or if we will be able to retire when we are 65 years old.

Experiencing a loss like the death of a loved one or a divorce also leads to re-evaluating our life and re-adjusting our plans for the future as we adapt to our loss. It is important (both emotionally and psychologically) to pay attention to these times in life that lead us to pause and reflect .

Many times we simply begin down the road of life that starts when we finish high school and our life road may include college, military, career, marriage, kids, travel, etc. We can become so focused on staying on our “road” and getting to our destination that we forget to stop periodically and make sure that we are on the right road for us. When the New Year, our birthday or a loss makes us stop for a moment, it is a good opportunity to remind ourselves (or rediscover)  what is truly important to us (our values) and our goals in life. Some people may find that they are not living their lives according to their values or that they find their goals have changed somewhat. We can use these pauses to re-adjust our path and maybe change our direction a little bit so that we are living our lives authentically and reach our goals.

As a therapist, I truly love working with clients who have discovered that they need to re-adjust their path in life. These adjustments could be a career change or shift; it could be deciding that a committed relationship has become unhealthy or unhappy; it could be that we are not being the parents that we wish to be to our children.  In counseling we get to explore what is truly meaningful to us and forge a path to get there. When we set out in life as young adults, we may fail to take into account that what we truly want in life may change as we age. This is normal process and is only a bad thing when we fail to pay attention to how we have evolved as a person and fail to recognize that we need to change paths a little bit.

I hope that this holiday season and the New Year find my friends, family and clients happy and safe.

 

Happy New Year!

Dana Nolan MS LMHC NCC

Licensed Mental Health Counselor

Altamonte Springs — Orlando

Preparing for the Holidays –Relieving Anxiety & Stress

Even though it is not even Thanksgiving yet, all you have to do is look around and you’ll see that the Christmas season is upon us! Last evening I went with my family to see a holiday light display at Disney’s Hollywood Studios in Orlando. We have gone each year for the last 7 years and have always enjoyed the amazing Christmas lights that dance with the music. Every year we take pictures as a family at the light show and either I am getting shorter or my children are getting taller!As we strolled slowly down the street looking at the lights, my husband and I danced and sang aloud to the Christmas carols which embarrassed my teenage sons!

We all tried very hard to pretend that the foamy bubbles floating from the sky were really snowflakes even though it was a balmy 65 degrees. It was fun to see the facial expressions of the young children in the crowd as the dancing lights came on for the first time! We told some families who had never seen the lights before about finding the Disney characters hidden within the lights. As a family we don’t have too many holiday traditions, but the few that we have mean a lot to us and we have always tried to find the time to make them happen and to be mindful as we celebrate.

During my work as a psychotherapist (mental health therapist), I find that this time of year brings a burst of clients wanting to get it in to see me. It is usually due to depression, anxiety or family/relationship stressors which seem to increase during this busy time of year. Why would so many of us feel emotionally distressed during a time that is supposed to be a joyous? Most of us already have busy schedules and too much on our plate without adding on gift shopping, annual holiday parties and decorating our homes for the season. It is easy to get wrapped up in our “to-do” list and feel stressed so that we aren’t really present during this time of year.

You may have heard of “mindfulness.” It refers to being as aware as possible in your current situation and place. Sometimes we float through life spending too much time ruminating on the past or worrying about the future which means that we aren’t enjoying today. There are many books and research articles about mindfulness and the emotional and physical benefits of practicing it. Rather than try and summarize all that information, I’d like to offer a few tips to help you be mindful during the holidays and all year round, as well.

1. Let go of trying to keep up with the “Jones” this season. Some people feel overwhelmed by trying to have the biggest or best holiday yard decorations or to make the perfect-looking Christmas cookies to give away to friends. Others feel pressured to get their children the latest must-have toys or gadgets (which are always on back order with Amazon!) Comparing our lives and possessions to others usually leads to a lower self esteem and feeling inferior which feeds pressure to “out-do” each other and can sometimes exacerbate underlying issues such as depression and anxiety. It is less stressful and more healthy to simply focus on those few activities that have the most meaning to your family and forget about trying to win the “best holiday decoration” award in your community.

2. Put reminders on your calendar to “Stop what you are doing and be aware of life around you.” Re-read my description above about my family’s visit to see the dancing lights. We stopped and watched the lights and listened to the music. We felt the temperature outside. My husband and I danced and sang in the middle of the crowd and didn’t care what anyone thought about us. We made the effort to interact with people around us that we didn’t even know and will never see again. THAT was how we were mindful…we stopped and simply paid attention and connected with what was around us.

3. Accept that you will probably feel some stress and anxiety in the next coming weeks. If we try to be more self-aware of our thoughts and feelings, then we can better cope with them. Unhelpful thoughts (I like to call them “shoulds”) can lead us to feel pressured to do too much or try and make too many people happy. It is a good idea to question where these “shoulds” come from because they lead us to feel stressed out and also keep us from enjoying the moments of the season.

I hope that all of you have a happy, healthy and MINDFUL holiday season this year!

Mindfully,
Dana Nolan
Licensed Mental Health Counselor