What are the issues and problems that are addressed within Counseling and Psychotherapy?

Deborah Minowitz, MFT, provides a complimentary intake interview and assessment via telephone for all California counseling inquiries. The caller's issues, concerns, desires and counseling goals are reviewed and respectfully discussed within this complimentary assessment. A recommendation is then provided to the specific associate most suited to the caller's needs based upon experience with the issues cited, as well as other areas of importance.

To receive a complimentary assessment and referral,

please contact Deborah Minowitz, MFT

Tel: 408/536-0994

Email:   DMinowitz@comcast.net

Note:  Dr. Henry R. Smith no longer provides psychotherapy services, and requests that clients and patients contact Deborah Minowitz, MFT for a referral to a psychotherapist with specific expertise within the following areas:

Bereavement

Communication Skills

Coping with Disease

Divorce

Dysfunctional Family History

Intimacy

Life Transitions

Losses

Mood Disorders

Pain Management

Panic Attacks

Post Traumatic Stress

Relationship Issues

Self Esteem Development and Improvement

Stress Management

Transpersonal Growth

Women's Issues

Work Related Issues


Does counseling need to involve blaming parents or family dynamics for current problems?

The simple answer is, "No." As human beings, most of us develop the capacity of making choices during childhood. As such, many life problems that we experience are purely the result of personal decisions based upon missing information, mis-information, or in some cases, mere human error.

This is not meant to imply that our parents and families do not have an effect upon the development of our decision making process. They usually have a significant effect. Frequently, however, people find it easier to blame others rather than to take responsibility for their own behavior. Many parents have done the absolute best they knew how to do, with nothing but benevolent intent for their children based in love.

But read on...

Sadly, not all parents did their best, nor based their behavior in love. Some were inappropriately neglectful, including various degrees of abandonment. Some were criminally cruel. In these situations, children are affected in numerous ways, depending upon the degree of abuse and/or neglect, and other factors. In such cases, parents are not blamed within the process of effective therapy, but a significant part of healing often develops from developing more accurate insight into the events of the past, including altering childhood perceptions that incorrectly blamed the innocent child as "the cause" of cruel or unhealthy adult behavior.


How much should counseling or therapy cost and how long does it take?

Clients and patients should speak with a prospective therapist prior to treatment, including an inquiry related to fees and potential length of treatment. It is important to choose a therapist that you have reason to believe has proven ability to help with your particular issue, and to provide a successful outcome as expediently as possible. Total treatment time is affected by many variables, but it is advisable to inquire along these lines with any prospective therapist that you are considering. Some issues can be resolved within just a few sessions; others can justifiably require much more time.

Within private practice, lower fees are often an indication of less experience, mediocre results, and/or lack of expertise. Remember that the lowest price of a professional service does not usually provide the best bargain, nor does the highest price automatically guarantee quality. Similar to many other professions, however, quality and efficient counseling experiences usually require a greater investment.

Associates set their own fees, varying from average to above average in accordance with education, training, experience, and previous results. Prospective clients and patients are typically provided with a fee schedule prior to or within the first meeting. All associates will gladly provide such information upon receiving an inquiry from a prospective client or patient.


Shouldn't I be able to work out my own problems, particularly if I am intelligent?

Just as people frequently and appropriately provide first aid for minor wounds, life problems are often effectively resolved without the assistance of a counselor or therapist. To continue with this analogy, most people would not consider self diagnosis and treatment of a serious illness or injury, particularly those that persist.

Sadly, our lives and personal histories often include events that leave behind toxic perceptions, problematic thoughts, and painful feelings. Often, dysfunctional coping behaviors develop that help us to survive, but ultimately work against our optimum well being. Seeking the assistance of a competent mental health professional is wise in such circumstances. There are many other situations that develop wherein counseling and/or psychotherapy would be highly appropriate.

Being intelligent does not automatically equip an individual to be their own therapist, just as such mental prowess does not instinctively provide someone with the ability to function within any licensed profession. Average, or above average intelligence can be of great value within the counseling process, however.


What do psychotherapists do; and why do people seek help from them?

Psychotherapists are professional practitioners of the healing arts who treat emotional and mental health disorders. People generally seek out this type of help to enhance some aspect of their human functioning. Specific goals are usually oriented toward enhancing career pursuits, interpersonal relationships, or to address intrapersonal concerns (such as troublesome thoughts or feelings). Seeking professional assistance is a healthy sign of courage and wisdom.

People from all walks of life, of all ages, utilize such services to help with reduction of anxiety... to communicate more effectively... to increase their ability to concentrate... to address any and all aspects of human behavior. The desire may be to function more effectively within an occupation, within a social relationship, or merely to live in the world as a person without depression, guilt, tension, fear.


I’ve heard that only "seriously disturbed" people need therapists. Is this true?

This old myth is definitely not true.  The majority of people currently utilizing the services of psychotherapists are actually among the highest functioning and healthiest people.  Seeking help from a mental health practitioner does not imply that you are crazy, deficient, or "seriously disturbed." The choice to participate in counseling demonstrates a willingness to deal with life’s many challenges in a healthy and courageous manner, similar to the choice to utilize the services of medical and/or dental health professionals as part of the regimen of sustaining physical and dental health. To seek appropriate self care is a wise decision. The choice to seek such help no longer carries a negative stigma, other than among those who are ignorant or remain uninformed. Current scientific research provides that people who utilize mental health services are among the healthiest of human beings -- physically, as well as emotionally! (See the question: What is meant by the mind-body connection?)


How do you know when you should seek help from a mental health practitioner?

Sadly, people often wait too long before seeking help. Basically, consulting with a counselor or psychotherapist is advisable when your personal relationships, career pursuits, or other aspects of normal living appear to be adversely affected by your thoughts, feelings, and/or functioning. Many people also use counseling as a means to learn or enhance various human skills. Others may have experienced some of the following itemized feelings, thoughts, and/or behaviors over an extended period of time, or on a recurring basis, resulting in discomfort or dysfunction.

In some cases, psychological symptoms are caused by an organic problem, or by a combination of physical and psychological disturbance. A competent psychotherapist will provide appropriate referrals to physicians and other health practitioners, and work within a team approach to achieve successful treatment of human issues and diseases when the team approach is appropriate and necessary.

(The presence of a thought, feeling, or behavior listed below does not always suggest a need for psychological treatment.)

FEELINGS
  • anger

  • anxiety

  • boredom

  • chronic pain

  • depression

  • emotional pain

  • fatigue

  • fear

  • frustration

  • grief

  • guilt

  • helplessness

  • hopeless

  • ignored

  • indifferent

  • irritability

  • loneliness

  • moodiness

  • sadness

THOUGHTS
  • angry

  • avoidant

  • chronic pain

  • decision making difficulties

  • difficulty with change

  • dissatisfaction (career; personal; relationship)

  • fear of failure/success

  • lack of motivation

  • nervousness

  • overwhelmed

  • performance anxiety (work, social, sexual)

  • sabotage of self, relationships

  • sadness

  • self esteem issues

  • suicidal

  • stress

  • tension

  • violent

  • worry

  • worthless (life; self)

BEHAVIORS
  • avoidance

  • anger outbursts

  • chronic pain

  • compulsive patterns

  • denial (of needs; problems; et al)

  • distressing relationship patterns

  • divorce/separation

  • excessive alcohol/drug use

  • family conflict or tension

  • hostility

  • indifferent

  • infidelity

  • isolation

  • lose control

  • performance anxiety (work, social, sexual)

  • sabotage of self, relationships

  • sexual dysfunction or disturbances

  • shyness

  • sleep disorders

  • suicide

  • uncommunicative

  • unusual eating patterns

  • violence

  • withdrawal

SKILLS
  • assertion

  • balancing work & family responsibilities

  • change management

  • communication

  • conflict resolution

  • coping with loss

  • parenting

  • sustaining intimate relationships

  • time management


What is the difference between a counselor, a therapist, and a psychotherapist?

These terms are often correctly used interchangeably, but there can be significant differences. In most cases, when the word counseling is used in conjunction with addressing relationship issues, and when specifically identified as within marriage, child, and/or family dynamics, the States of California and Hawaii require the individual offering such services to be a licensed Marriage and Family Therapist (MFT).

Mental health practitioners also include Clinical Social Workers, Psychologists, and Psychiatrists. Practitioners holding these licenses may or may not offer services provided by a Marriage and Family Therapist; and in some instances, provide services that a MFT does not provide. As a consumer, you should ask the person whose treatment you are considering about their education, training, licensure, and experience, as well as how they might be potentially beneficial in your particular case. Clinical expertise and effective treatment are not determined by titles or licenses.  There are excellent, mediocre, and poor practitioners within all forms of licensure and practice.

In addition to the use of the term, "therapist," by mental health practitioners, this title is also used by the providers of many personal and professional services, such as massage therapists, occupational therapists, physical therapists, speech therapists, etc. When psychotherapist is used, it is intended to denote a licensed mental health practitioner. Some services offer "counseling" and/or "therapy," without formal education, training or licensure; hence, it is important to ask questions of anyone whose services you are considering. Obtaining a referral from a friend, family member, or from a professional who refers to mental health practitioners usually results in more optimum choices than responding to traditional advertising (including the Internet).


How does therapy help?

Naturally, results vary in accordance with the presenting issue(s), the client/patient, and the therapist. There are literally hundreds of orientations and styles of psychotherapy. The most commonly practiced approaches serve to assist you in developing insight into your thought and feeling process, seeking to provide you with an objective perspective from which you may decide upon some form of attitudinal, behavioral, and or emotional change(s).

The process of therapy is definitely a collaborative effort between you and your therapist, both persons working toward the common goal related to your welfare, as you define and understand it. People who express the most satisfaction with therapy have usually identified a goal (or goals) at the onset of treatment (in some cases, with the assistance of the therapist) -- with an identifiable means of establishing that progress has been made.


What is meant by the mind-body connection?

Current scientific research provides confirmation of the profound connection between mind and body. A simplified explanation: A person who learns that they have a serious illness might become depressed as a result of this knowledge. Similarly, a person who is depressed (for a reason unrelated to physical illness) becomes more vulnerable to numerous bodily diseases by remaining depressed.

Our thoughts and emotions can and do play a central role in many aspects of our physical health, particularly when considering human disease that is affected by the functioning of the autoimmune system. The thoughts and feelings that accompany many psychological disorders often provide a trigger effect that initiates a stress response within the body, commonly referred to as the flight, fight, or freeze response.

This stress response prompts potentially toxic changes in: blood chemistry; brain chemistry; central nervous system functioning; heart rate; blood pressure; gastrointestinal functioning; and numerous other aspects of organic functioning. Arthritis, cancer, heart disease, and numerous gastrointestinal disorders are but a few examples of physical health problems that can result from, or be exacerbated by, untreated psychological issues.

Likewise, awareness of the mind-body connection can provide the first step toward improving the quality of life. People can learn how to manage their attitudes, beliefs, feelings, thoughts, moods, worries -- and related responses -- in such a fashion as to enhance physical health. This can lead to numerous benefits, including: