Tag: <span>Therapy</span>

The Importance of Finding a Therapist Who Looks Like Me

When studying to become a therapist, they teach you that you must always be culturally competent, meaning aware of your personal beliefs and biases. We are asked to be knowledgeable about different cultures, have skills to manage our differences, and be mindful of our attitude towards other cultures. The real question is, is it possible to be culturally competent to all cultures?

 

The answer is no, which is why many people seeking therapy want a therapist who reflects their black and brown identities. A professional who can acknowledge unspoken expectations, and the rich tapestry of their culture, creating a safe space to know more.  

 

Trust is an important factor in mental health outcomes

 

Mistrust and the trouble finding a therapist
Mistrust and Misdiagnosis is Common For Marginalized Populations

Like it or not, the medical community is laced with disparities when it comes to race. Black people, for instance, are twice as likely to be hospitalized for care compared to white people and are often misdiagnosed. When working with a therapist who is not culturally competent, it leaves room for preconceived notions and conclusions that can have severe consequences on the emotional wellbeing of minority populations. This contributes to mistrust within the community and poor health outcomes in the long run.

 

Having a provider who deeply understands and can disarm those fears makes a significant difference for people of color seeking help. It’s no different than a woman seeking a female doctor for a specific issue because she feels more comfortable and better able to communicate her needs. We want to be careful not to generalize here, as even minority therapists need ongoing learning on the complexities of diversity, generational trauma, and systemic inequalities. However, even with that factor, diversity still matters. 

 

“My experience has shown that when you deal with culturally sensitive issues, you have no choice but to be as careful and as patient as possible. Every concern should be addressed properly. Otherwise, greater problems emerge at later times, when nothing can be done.”

 

—Mrs. Farzaneh Davari, UNFPA National Project Director, Iran

 

You may find the following reflections insightful, as shared in this piece by the Psychotherapy Networker regarding the experiences for people of color in the last year alone (but influenced by generations of disparities):

 

“We cannot accept people saying, ‘Get over it, it already happened, move on.’ I think this is a major problem—the lack of acknowledgment that we as a race have experienced trauma. We have to say it out loud, acknowledge it, and understand how this crime against humanity manifests. Only then can we truly address it, see it for what it is.”

 

 Zamantha Gobourne, LICSW

 Washington, DC

 

“I’ve begun telling students and beginning counselors to ‘lean in and look within’ at their own biases. Acknowledging personal biases and educating oneself about culture and ethnicities different from your own are ways to shift your thinking and become more open to differences. This can challenge and foster change.”

Shaketa Bruce, MS, LPC, NCC, CCH

 Atlanta, GA

 

“Understand that systemic racism contributes to Black people’s vulnerability to psychological, emotional, and social distress. It makes them hesitant to seek mental health services, especially from those who don’t look like them.”

Tytannie Harris, LCSW

 Chicago, IL

 

Here’s The Problem

 

According to the American Psychological Association, as of 2021 86% of therapists are White while only 4% are Black. 

 

There aren’t enough minority therapists to go around. 

 

Further complicating things, many insurance companies are unwilling to pay therapists their full fees- despite the caliber of work that goes into healing and the documentation to back it up. That means many shy away from certain plans leaving even fewer opportunities to receive care. 

 

Que the Pandemic 

 

Covid- 19 has placed a significant demand on an already strained system. Many individuals report a change in their mental health in the past year because of the following reasons:

 

. Death of a loved one

. Loss of employment/Income

. Quarantine (closures of schools, universities, jobs)

. Fear of being Infected 

. Returning to workplaces with no plan to address stress, anxiety, and burnout.

 

All of this and more directly contribute to increased rates of stress, anxiety, and depression, as well as sleep issues and an increase in alcohol or substance use. 

 

Data has shown that in January of 2019, 11% of adults reported anxiety or depression symptoms, while in January of 2021 that percentage went up to 41%. Black and Hispanic minorities face a more considerable disparity compared to whites during the pandemic. They have been hit harder in deaths, infections rate, stress, depression, and anxiety.

 

As our stressors continue to rise, we have to explore opportunities to revolutionize access to mental health services. The goal should be to create more spaces where people can simply be all of their complex selves, and feel safe doing so. 

 

Here’s a list of resources that can be useful in obtaining a minority based or inclusive therapist: 

www.blacktherapistlist.com/Directory

https://www.psychologytoday.com/

https://www.therapyforlatinx.com/

www.cliniciansofcolor.org

https://borislhensonfoundation.org/

https://www.therapistsforblackgirls.com/

 

In Addition:

 

 If you are in the helping professions (Social Workers, Marriage and Family Therapist, Creative Arts

 Therapists, CASAC’s, Nursing, etc.) or just curious- Join us for an indepth conversation, Sound the Alarm: The Crisis of Mental Health in Communities of Color  on 10.19.21 hosted virtually by Molloy College: https://bit.ly/3jDWonC

 

** As a consumer– Call your insurance provider and ask why they don’t have more therapists of color on their panel. 

 

*** Tell your employer your wellness matters and ask why they don’t offer more onsite wellness programs. 

 

Piece written by Kilcy Martinez, York College Graduate School of Social Work Intern and edited by Amanda Fludd, LCSW-R, Psychotherapist & Mental Health Consultant. 

What Power Do Words Have?

The current state of African Americans in this country has reached a boiling point. If we didn’t want to acknowledge that there was a need for therapy before, we certainly cannot ignore it anymore! We have seen, heard, read, and even have our own stories to tell when it comes to being unfairly mistreated. For this very reason, last week we held a “gathering” that included a panel of talented men and women that shared their experiences and how we can become unstuck and unbothered by what we are being faced with. 

The conversation began with understanding the power of words. When we were younger we heard the childhood comeback,”Sticks and stones may break my bones but words will never hurt me”. That statement is so far from the truth I can’t believe we used to say it. What about the command “children should be seen and not heard”? How many conversations did you not have because of those words? How many painful secrets have you kept?  Words can heal, contribute to shame, build up, or even break down a person’s spirit. Once we realize the power in our words, we can understand how to use them for growth and encouragement. The power of words can change your life. Affirmations are a great way to begin your day to build yourself up to be able to handle whatever life may throw at you. Building yourself up is extremely important because you cannot pour from an empty glass. 

From there “the gathering” shifted the conversation to a macro level, exploring systems in this country and its subtle (or direct) cumulative bias messages, practices and policies. Often people make reference to the system not working and being considered “broken”. Our panelists brought to attention the fact that the system is “working” according to the way it was designed. Have you ever thought about that? Consider the 13th Amendment of the constitution where “blacks” were supposed to be included in the statement, “We the People”. This implies that before this amendment “We” were not considered “the People”. What are those words saying there? Consequently, the entire system was designed to work for “the People” that were originally included. That is the issue with systematic racism, it’s been engrained for a long time, and the actions related to those ideas are often automatic and unconscious. Change requires that the system is dissected by reevaluating our current and longstanding narratives and rebuilding systems as a whole. Systems, in this case, are larger institutions like the education system or the culture of policing, and big business where minorities remain exactly that. Last but not least, we are all responsible for looking at ourselves regardless of the shade of our skin.   

A catalyst for reform came after the video of George Floyd. For centuries we have seen African Americans abused and mistreated, but what made that our breaking point? One idea that was introduced for discussion was the fact that due to the pandemic, we were sheltered in place and already frustrated with that experience, and there was little else to focus on. The pandemic had forced everyone to slow down and pay attention. We had just learned of Ahmad Aubry, and one more black injustice was enough! It triggered an instinctual trauma reaction, fight, flee or freeze. Many decided to fight.  Secondary trauma can have just as much as an impact as experiencing trauma yourself. Everytime you turn on the news you can’t help but see the replays of a man losing his life, protests throughout the world, additional videos of unjust treatment, insensitive comments by “the people”, plus the effects of the pandemic. Perhaps enough is enough.

AffirmSo what can we do about how we are feeling? Let’s talk about it. Mental health should be viewed the same as going for a well check. The mind is a powerful thing and should be cared for the same as a stomach ache. Make no mistake witnessing a trauma is just as powerful as being a victim and racial trauma is complex and has been experienced for generations. The impact is lodged in our bodies and our minds. The signs of too much stress may look like: anxiety, irritability, trouble sleeping, distrust, emotional and social withdrawal, fatigue, wild dreams and periods of unexplained sadness. It’s a challenging experience that will continue to be challenged over the next few months. If left unaddressed it can compromise your emotional and physical well-being.

So if you are unsure about your experiences or have questions about what you feel, consider speaking with a therapist to help you work through your emotions. You can also grab the free Unstuck and Unbothered Guide here. Inspired by the recent webinar on the power of your words, this guide takes the time to explore what you are saying to yourself, how to shift it, and speak in ways others can hear you, while listening with empathy as you take proactive steps to change the narrative of your life. It is a reminder that our words have power and there is a need to keep that in the forefront of our minds. 

Kensho Psychotherapy Services is here to offer support and help through your difficult time. Mindset Coaching is also available for dynamic women of color in business who need of a boost in their lives. Amanda Fludd has helped hundreds of women find their power, courage and confidence to be their authentic selves both in their professional and personal lives. If you aren’t sure what you need, that’s ok, send us an inquiry at support@amandafludd.com

For more information visit our site:  www.amandafludd.com

A special thank you to the Unbothered and Unstuck Panelists: Jennell Smith, Singer and Song Writer on IG  @jlatoymusic; Tamara Dopwell, LMSW, Activist & Socially Conscious Tee Shirt Designer at: http://www.designsbytee3.com; And Mr. Richard Celestine, ESQ, and advocate for Juvenile Justice on IG@the_inspirational_lawyer and LinkedIn: www.LinkedIn.com/in/richard-celestin

Finding A Therapist That Works For You

So, you’ve finally decided it’s time to see a therapist, only to find out there are many types of professionals, including Psychiatrists, Social Workers, LCSW’s, Ph.D’s, and MHC’s, who address many issues like childhood trauma, depression after a job loss, managing a break up, life transitions and more, which can make the search confusing. It’s important to know it can take a bit of research, time, trial and error, and patience.

To help you better navigate finding a therapist or mental health provider, we have compiled a super easy list below. Several professionals across the U.S. have joined in collaboration of this project, including Amanda Fludd, a Licensed Clinical Social Worker (LCSW-R) and NYC Therapist, to give you all the tools you need to navigate the challenging task of finding a psychotherapist.

 

  1. Start with a Licensed Professional. A licensed professional means the person in front of you has had to meet a standard of supervised training and education and took an exam designated by their State governing body to earn their license. Their license usually also requires them to take additional training to maintain their license, so they are constantly learning and growing. If someone is unlicensed, you will want to ask if they are supervised by a licensed professional (get their name and research them), and how that would work in your case. Some limited permit holders or interns are examples of unlicensed professionals who can help, if they have quality supervision and regular oversight to best address your

 

  1. The fit. Knowing yourself and the type of person you best respond to is essential in this process. For example, if you’ve experienced a traumatic experience with a male, you may not be ready to talk openly and honestly with a male therapist. In general, you want to feel comfortable with your When looking for one, something about their description when researching should speak to your need. Fit is important to us at Kensho Psychotherapy Services. From the initial consult, we are listening to your needs and assessing who on the team would be a good fit.

We always recommend staying with your therapist for at least two months to see if a working therapeutic relationship can develop where you are open, you’ve developed goals, and feel like you are doing work in therapy. Therapy is a beautiful working process, and sometimes it’s just not the right fit for the client and therapist. You as the client, may also come to realize you may not be ready to commit to the time therapy requires, or face deep emotional work, and on the other hand, the therapist may recognize your needs like complex trauma, anxiety or chronic depression are out their scope of practice, and in that case refer you out. If you just want general support and direction, and less intensive work, you may benefit more from a counselor, that unlicensed intern, or a life coach. At Kensho Psychotherapy we treat the difficult and offer deep connections and strategies and specifically specialize in general anxiety, depression, trauma work and minority mental health.

  1. Be patient. As more people are looking for therapy, it means there may be wait-lists and trouble getting through to someone on the other line. It helps to reach out to multiple providers that may be a fit and leave a message with your concern, type of insurance, and the best number that you can be reached. Don’t be discouraged if you don’t reach the first person you call. Other places to look include Psychologytoday.com, Therapy for Black Girls, or just reach out to us here, and we will do our best to connect you.

4. I’ve found someone, now what? It is important to know that everyone is nervous for the first                                 appointment and your therapist will be asking you lots of questions to figure out what’s going on, and if                     they can help. You can also ask questions too because you need to know if this is a potential match for you                 as well. Just go right with this list and ask:

  • Have you treated other clients with my particular issue?
  • Do you have a niche you enjoy working with? What about a particular clinical approach? Can you tell me more about that?
  • What will sessions look like?
  • What happens if I’m not comfortable, and this isn’t working out, how would we end services?
  • How long have you been practicing and are you a licensed professional?
  • If unlicensed, what has your training looked like and are you under supervision? Can I have your supervisors name.
  • Is it easy to reach you, how can I reach you in an emergency, or non-emergency?

 

Therapy isn’t always pretty; it’s work. With these tips, you are well on your way to finding a good connection on your journey to a healthier and more balanced you.

 

The Kensho Psychotherapy Team

Labels Lie

Labels lie. It’s one of my favorite posters in my office that I took off the walls of my graduate school over 10 years ago (after the promotion was over off course). I love it because it’s a reminder that while labels give us a general description of what’s happening, it doesn’t always tell us the whole story, yet we like to judge by a tag.

If you suffer from mental illness it doesn’t mean you are #crazy, broken or less than, those are lies. The truth is there is a wide spectrum of emotional distress ranging from appropriate sadness caused by a traumatic event to psychosis. Mental health is parallel to physical health, and just like your body can break down, so can your mind. It might sound like “this is hard”, “I don’t feel well”, “I can’t”, “I’m tired”, “It’s my fault”, “I can’t focus” or “leave me alone”. It can look like over sleeping, thoughts of dying, excessive thoughts, extreme happiness, heart conditions, GI distress, painful memories and more. 1 in 5 Americans have had some sort of mental health experience.  African American’s in particular are struggling with mental health issues (like high rates of depression for women), yet are less likely than other groups to even acknowledge that mental health is a serious problem.  We are human and have to deal with this thing called life and we aren’t always equipped for it. Without good mental health we are mentally broke. 

Think about it- if I had asthma and couldn’t breathe, would you say something was wrong with me if I couldn’t get air into my lungs? It doesn’t matter if you tell me to try harder or look at me funny, if my lungs will not cooperate, it is beyond my control and I will not be able to breathe. At a certain point I have to get help.  I would need to know strategies to breath to maximize oxygen to my lungs and I may have to puff on that pump so that I can live. Stop believing your mental health is any different and get help for what you CAN learn to change. Educate yourself, choose to speak your truth, don’t live in shame, be compassionate to yourself and others, and remember your words have the power to build barriers or open doors.

It’s OK to get help. Numbers to add to your phone:

  • Call NYC Well Today for 24/7 mental health support right in NY: Suicide prevention and crisis counseling, mobile crisis, short-term counseling, and assistance accessing other mental health services. 1-888-NYC-WELL (1-888-692-9355), Press 2 or text
  • Amanda Fludd, LCSW-R: For therapy, advice and referrals to local programs for adults and children: 347-868-7813

 

Amanda Fludd, LCSW-R

#therapyisdope #skillstonavigatelife

 

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