Pathways Counseling, LLC
Justin K. Stum, MS LMFT

LICENSED MARRIAGE AND FAMILY THERAPIST

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About Me

Our deepest fear is not that
we are inadequate. Our
deepest fear is that we are powerful beyond measure.
It is our light, not our
darkness that most
frightens us.

Marianne Williamson

 

    Online Blog Articles by Justin Stum

    Recent Entries
    Freedom and Maturity With Developing Adolescents
    Worthiness: A Key To Overpowering Depression



    Past Entries
    Boundaries: What They Are and How To Create Them
    How Do I Know If I Need Couples or Marriage Counseling?
    Aspirations: Goal Setting and Achievement in 2010
    Social Anxiety During The Holidays
    Insecurity - The Fuel of Relational Conflict
    Parenting Styles - Rigid, Lax, or Somewhere Inbetween?
    My Spouse Won't Come To Counseling, Now What?
    Depression: Fueled by Sadness and Self-defeating Thoughts
    The Facebook Fuss - Frustrated Friendships?
    Stepping Into the Dark - Risk Taking
    Your First Therapy Session

    Grief and Loss: Understanding Bonding and Attachment
    Communication Continuum Explained
    Are You Committed To Your Marriage?
    Sleep and Emotional Regulation
    Couples Counseling, Who Needs It?
    Mindfulness: Purposeful Awareness In Relationships
    Confidentiality - How It Works In Therapy


    Freedom and Maturity With Developing Adolescents

    July 23, 2010 - Posted by JustinS
    Teenagers bring with them a capacity to risk and explore their world similar to when they were toddlers. The difficulty is, most teens want the freedom of egocentric toddlers without the responsibility they need to bear as they are approaching young adulthood. Parents hope that as their son or daughter matures, he/she will meet developmental milestones and become more stable; making sound judgments and decisions in school, family relationships, and life overall. I find with young men I work with, that they often are unaware of the gross misunderstanding they often espouse about what being responsible truly means. Many report their parents stand in the way and that things would be better if parents would extend more freedom and be less controlling. In the oppositional teen, freedom attached to choice or responsibility is incomprehensible, as teens often feel they are simply entitled to it. Parents must help guide adolescents to learn that freedom comes with a price, responsibility.

    The generally accepted criteria of adulthood in western culture is understood as a three-tiered framework. Healthy adults generally accept responsibility for their actions; make independent decisions, and are financially independent. Granted, this doesn’t happen all of the time but a majority of the time in healthy adults. Ironically, in light of the aforementioned ‘definition’ as considered by theorists, many teens feel they are entitled to freedom just like their parents without any responsibility.

    They learn freedom comes from responsible decision making. Freedom descends upon them when and if they can handle and manage responsibility. For example, freedom from pressing homework deadlines is inseparably connected to planning and study prior to the night before homework is due. Doing well academically does not befall one no matter how much one feels entitled to it. It will not come without embracing responsibility first!

    Parents can facilitate their child’s understanding of freedom in several ways. Speaking and permitting choices based on the level of what they can manage is foundational. Teens can then come to know that from freedom is not an entitlement but actually an outcome of what they can handle responsibly. Speaking and parenting in this manner helps them realize that in fact their freedoms being restricted or offered are not a function of the parent but rather flow out of the nature and level of the teen can handle. Adolescents can learn deeply that from freedom flows greater responsibility and in order to amplify choices one must first begin living responsibility.

    Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

    Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
    435-986-1777, http://www.pathwaystherapy.net

    Tags: teen, parenting, choice



    Worthiness: A Key To Overpowering Depression

    April 26, 2010 - Posted by JustinS
    I was at a conference for therapists last week and listened to various workshops put on by therapists presenting on their counseling with people in conjunction to what they are finding helps people heal based on research. One such topic was given by Brene’ Brown, a therapist I came to respect based on her research with belonging and attachment in relationships.

    The gist of what she shared at the in her presentation was about the issue of worthiness. What she found was that most individuals that struggle with depression and attachment in relationships struggle internally with the notion of worthiness. Worthiness is defined as ones feeling that they have the value and intrinsic worth that as a human being they deserve and can own love and attachment with others. The research is clear that individuals that struggle with depression struggle to subconsciously feel worthy of a better life, worthy of a stable marriage, worthy of having kids that respect them, etc. The variables that came out strongly in Brene’s research indicated that those that have weaker attachments with others and depression did in fact also have a similar thread that of feeling unworthy, that they did not deserve to have a life of peace and happiness. You may say, “I don’t feel that way, I deserve happiness now.” My retort is, do you? Do you deeply feel you are worthy now, worthy to feel love from others, worthy to feel confident, worthy and deserving to be passionate? Most do not, they do not since they are socialized as children to deal with guilt, shame, and doubt the trio that fuels depression and sadness in adults. I meet with adults and teens daily, working and guiding them in battling their foes. The foes they feud often are fueled at their core by the trio I mentioned above. In order to find peace and battle sadness and depression they must tackle the foes first in order to make any headway.

    So how does one combat the issue of feeling unworthy and undeserving? You begin by noting the things in your mind and in writing that you feel worthy of now. Go ahead, literally write it down, list what you feel worth of and start reading that list daily. Now this is not mere hype and self-hypnosis, this is affirming what you know and believe now. As you do, you will be more open to the things you do not feel worthy of. Also, moving into a position of thinking that you do deserve things. Do so by saying to yourself, internally or otherwise, “I deserve this.” At times if the negative thoughts are too pervasive you’ll need to challenge them by stating and saying you are worthy even if you don’t feel like it. Olympic athletes to this, they act, speak, and live a vision of winning in order to do so.

    So, don’t hold back, instead start thinking and being worthy in your thoughts and actions. The worthiness will come. You must start believing first and create space in your mind and heart for that to happen.

    Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

    Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
    435-986-1777, http://www.pathwaystherapy.net

    Tags: depression, anxiety

    Boundaries: What They Are and How to Create Them
    FEBRUARY 26, 2010 - Posted by JustinS
    Boundaries are unwritten and unspoken lines that mark where you begin and end in relation to where others begin and end emotionally and physically. For example, we have clothing as a boundary not only to protect our skin but as a physical cue and symbol that you are you and that is where you begin. Boundaries take on many forms: physical, emotional, sexual and intellectual. I'll explain about the specifics of these boundaries in more detail below. Healthy boundaries are the groundwork for a growing stable relationship. Knowing where you begin and where others end is a key understanding that allows individuals to listen, respect, and honor others ideas and behaviors that are different from their own. Individuals that have unclear boundaries often trample emotionally on others as they don't have a good sense of where the boundaries are and how to engage in relationships due to their own boundary confusion. Boundaries help differentiate us from others and help us clarify who we are and what we are about. Those that do have a clear sense of their core Self can also more clearly speak and share their needs and hopes with those they love. They will thus have a strong sense of their own identity and be able to honor the unique traits and identity of others. Individuals that have a solid sense of their own core Self and their own boundaries also typically do not feel threatened by the intimacy/closeness of the relationship. They also can allow others to think and do differently than them and be ok with it.

    Boundaries are the unwritten but often felt lines that we as human beings draw and sense with others. Boundaries help us stand up for ourselves, protect our thoughts/feelings, demarcate when you end other others begin, and they help us only decide what we really do want without being hurtful or pushed into things by others.

    Boundaries help to define who we are and who we are not. They keep us separate yet connected in our relationships and help relationships grow and blossom. Boundaries also help people to regulate the personal space of their relationships. All individuals need time and space to take care of themselves outside their relationships. They are able to do so when they have a clear set of boundaries on how they operate with others. These boundaries, once set, can allow and educate others on what you are comfortable with and what works for you. Other will then know better what to expect from you, how to react when relating with you, and what role they plan within that relationship. Boundaries are in constant flux. Ones sexual boundaries are clearly different with a spouse than with coworkers. The nature of physical boundaries in one setting at work or in community settings will be very different that what is health and appropriate at home.

    Four Primary Boundaries

    Physical - allows one to define and understand who will touch you, how they can or can't touch you, and when you can be touched, and how close others can be in proximity to you and you still feel comfortable. .

    Sexual – You choose who and when to share your sexuality with, how you talk about sexuality, who you share your sexual thoughts/feels with. Sexual boundaries include more than sex itself. Sexual boundaries include innuendoes, jokes, gestures that you watch and listen to.

    Emotional – my feelings/thoughts need to be protected. Ones emotional boundaries do include how others talk to and treat you and how they respect your emotions. Your boundaries also include how you see and honor others emotional boundaries.

    Intellectual – boundaries protect ones thought processes and intellect. You protect how others talk with you, how your ideas and thoughts are honored or considered.

    People with Unhealthy Boundaries People with Healthy Boundaries
    Can't stand up for themselves Stand up with their own thoughts/feelings
    Can't separate thoughts/feels from others thoughts and feelings often resulting in debate and argument Allow others to have different thoughts/ideas and listen to them even if they don't agree
    Don't say 'no', afraid of hurting others Can say no, don't worry about others views
    Feel responsible for others feelings become defensive when others don't agree with them Own their own feels and allow others to have their own views
    Easily hurt by others, can't assert self Can protect themselves and others don't impact their esteem
    Wait for others to take care of their needs Assert themselves and take care of their own needs.
    Become upset with others thoughts/ideas Can manage others thinking and doing different than them.

    Boundaries are in constant flux depending on the relationship you're in and the nature of that relationship. As you develop healthy relationships and clear healthy boundaries you can then have the benefits that come from genuine healthy connection with others without the obstacles of hurt feelings, walking on egg shells, and other symptoms that come as a result of unhealthy or unclear boundaries. If you feel you need help creating, defining, or managing your relationships and the boundaries connected to them schedule an appointment with me, I'd be happy to help you along in your journey.

    Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

    Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
    435-986-1777, http://www.pathwaystherapy.net

    Tags: relationships, assertiveness, boundaries, emotional safety



    How Do I Know If I Need Couples or Marriage Counseling?

    JANUARY 29, 2010 - Posted by JustinS
    Often individuals feel they may be candidates for counseling but are not sure and don't want to make things worse. I have had many clients that reported being worried prior to coming in for counseling that they might make things worse if they stirred things up and spoke out about their marriage and the issues within it. While this concern is understandable from a laymen's perspective, it is based on several assumptions that typically are not solid supports. For example, avoiding and continuing in the same old patterns does not make things better, often they get worse as conflict and hurt feelings linger over time. Generally the intention in couples counseling is to move beyond the mere 'content' of the issues and instead take a deeper look at the 'process' of how it is happening and why it is happening. As the patterns become illuminated and needs/wants are explored mutual understanding is fostered and mending begins to occur. Learning how to attend to your partners needs and learning to listen in new ways independent of how long you have been married can help restore harmony and stop deep seeded patterns that have been living within the marriage and preventing closeness and love. Where blended families, addiction, and other complicating factors exist more working-through is required to iron out the core issues and guide you through them.

    You might be a good candidate for couples or marriage counseling if ... (this list is not complete but has a few of the larger issues listed)

  • Often when you attempt to communicate with each other it turns into a fight.
  • To prevent conflict you avoid communicating about difficult topics.
  • Same debates/arguments continue over and over with no resolution.
  • There has been infidelity in real-time, online, or in workplace relationships.
  • One spouse is addicted to online gaming, hobbies, pornography, etc and it is tearing the marriage apart
  • You feel you cannot open up and share with your spouse. You're not emotionally safe.
  • Intimacy and passion are not what they used to be.
  • Often you fell disconnected and wonder why you are married and if you'd be happier single.
  • You struggle to communicate and understand your spouse.
  • Dealing with past hurts and in need of help working through it.
  • You are considering divorce or separation.

  • The list above is a small snapshot of common issues that couples bring into my office. Most issues are not listed but I listed above some of the more common ones. If you feel you are in need of counseling you likely are. If you are in doubt, schedule a time to visit with me and I can make an assessment as to what your clinical needs are and how I can be of help to you.

    Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

    Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
    435-986-1777, http://www.pathwaystherapy.net

    Tags: marriage counseling, couple counseling, marriage help



    Aspirations: Goal Setting and Achievement in 2010
    JANUARY 6, 2010 - Posted by JustinS
    Each year hundred of individuals set goals with hopes to have a brighter future and healthier relationships. Generally speaking, most venture in with good intentions to attain and achieve but rarely know what their goals are by late spring, and have completely forgotten them by summer. I think of goals that are not written down as mere wishes. Hopes that the "goal" or wish will somehow come to fruition by setting it is futile. In my time working with clients, I find that they often use holidays, birthdays, or other time-bound markers to set end dates with for the achievement of their goals. The difficulty for most is that the goals often are nebulous and unclear and only have a solid end date. I heard of S.M.A.R.T goals some time ago and suggest using a smart goal format when charting your agenda and goal setting for the upcoming year. Each year is like another chapter of your life, you get to author it and write your story. SMART stands for specific, measurable, attainable, realistic and timely. Individuals that follow this format and actually write it down and refer to it along their journey are much more likely to to achieve results than those who merely wish and hope to achieve. Some time ago I created a template for simple smart-goal setting, you can get a copy here, one of the many resources I offer via the site online. Don't set simply goals that you won't attain, instead work smarter not harder and achieve what you desire!

    Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

    Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
    435-986-1777, http://www.pathwaystherapy.net

    Tags: goal setting, achievement



    Social Anxiety During The Holidays
    DECEMBER 26, 2009 - Posted by JustinS
    The holidays are filled with gatherings, work parties, socials, and church events, all activities typically enjoyed by all. For some though, they are not events that bring nostalgia and excitement. Individuals that suffer and deal with social anxiety find these events troubling and more of a chore than a longed-for reunion with family and friends. Social anxiety is more than shyness or occasional nerves. It is fueled by feeling that you will again experience symptoms of anxiety, fear, and overwhelming nervousness that is not only uncomfortable but may be noticed by others. You may be said to being dealing with social anxiety if you experience these feelings and they effect your daily life. Most individuals want to fit in with their friends and family and don't want to be judged or embarrassed. Those with social anxiety have normal fears but they are amplified and can be overwhelming. Feeling like others may judge or compare you in social situations are tenets that characterize this social struggled. In fact, when in new or awkward social situations the anxiety levels can soar to harmful levels and individuals have a physical experience as a result of the emotional process. For example, stomach issues, sweating, and bowel complications can result with untreated anxiety.

    Some of the most common symptoms of social anxiety are: worrying days or weeks before a particular social event, fear of being judged, watched, or embarrassed by others, and fear that others will notice the anxiety. Research indicates that Cognitive Behavioral Therapy or CBT is the most effective treatment for conditions of anxiety and depression. CBT is based on the premise that what you think affects how you feel, and your feelings impact your behavior. Therefore if you can alter the way you think about social situations that fuel and create anxiety, you’ll feel much better and can manage anxieties that attempt to arise. Thought restructuring, systematic desensitization, relaxation and self-soothing techniques are only a few of the ways you can break through the anxiety and reclaim your life all of which I can guide you through.

    Peace and calm are possible during social events, particularly ones during the holidays. If you struggle with social awkwardness or social anxiety you may want to schedule an appointment for an assessment in my office and get some guidance working through the issues. You'll be glad you did.

    Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

    Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
    435-986-1777, http://www.pathwaystherapy.net

    Tags: insecurity, fear, social anxiety



    Insecurity - The Fuel of Relational Conflict

    DECEMBER 20, 2009 - Posted by JustinS
    One of the core components of reactivity and defensiveness is personal insecurity. I work with individuals that often share how family or friends are often reactive relative to them. The difficulty with defensive individuals is that they feel they are just protecting themselves from another, that their defensiveness with their spouse or teen or coworker is merely a function of their defending how they are right. What I have found in working with scores of clients over the years, is that defensiveness is really a loud cue that one has had an insecurity touched or exposed and the reactivity is not necessarily about being right. So, individuals that are defensive and reactive to others in their relationships often see others as an extension of themselves. Now, I am not claiming they see others as a leg or arm but rather as an emotional extension. When these insecure individuals are challenged or given feedback they react defensively and in an effort to hide the deeper seeded insecurity.

Part of helping couples abate and curb chronic conflict is by helping them not only attend to each other emotionally but to help them as individuals become more aware of who they are and develop a personal internal sense of security with themselves. For example, a couple I worked with told me how of one such incident: the husband came into the kitchen and asked his wife in a jovial way where all the brownies went by saying, "Hey, honey (with a smile), did you eat all my brownies?". His wife responded defensively with, "What, what are you trying to say, I am fat?" Upon our discussion in session, the woman told me she felt her husband was saying she was fat and that he was being sarcastic with her. After exploring the husbands view, he stated he was not concerned or commenting on her weight but where his brownies were! His wife was in dance in high school and due to her own family of origin issues was highly insecure to any comments or views by others around her weight. Her insecurity led to other fears and faulty perceptions of others and a small sense of inner-core insecurity snowballed into other insecurities. In time, the wife found other comments by her husband as critical and responded defensively. The brownies are irrelevant here and so is her weight; the key here is inner insecurities fuel hypersensitivity to be overly worried about the thoughts, words, and actions of others.

Allowing others to have their own thoughts and feelings while still being secure enough in yourself and your thoughts to not see them or their thoughts as an extension of yours as they are not! So, again, defensiveness and reactivity are a sign of inner insecurity. Working on yourself and come to terms with who you are, what you do, and who you are becoming can aid you in better being centered and balanced and assist you in less reactivity and defensiveness in your relationships.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: insecurity, conflict, relationships



Parenting Styles - Rigid, Lax, or Somewhere Inbetween?
DECEMBER 9, 2009 - Posted by JustinS
Parents gladly receive children into their lives eager to teach and guide them. Fond hopes are created and dreams planned as their child begins to grow and develop. The difficulty is, kids don't arrive with an owners manual. So, most parents by default end up parenting based on their own experience they learned consciously or not from their families of origin. I often meet with parents concerned about the interactions they are having with their teen and how they might best deal with them. One consistent pattern I find is that parents are drawing on a reservoir of knowledge based on their own reality, their own upbringing. They coach, discipline, and otherwise teach their children and teens based on tenets they feel will help their child. Often these tenets or principles are laden with family history and are not necessarily used by the parent based on its effectiveness but due to the parent's familiarity with the parent. Take for example a client I'll call Rob. He was an executive with his company and fairly well educated. He expected his son to be a hard worker and one that is goal-driven. I was seeing his son who was in his late teens. His son was apathetic with most chores at home and often was flaky and otherwise checked out when it came to keeping on task with responsibilities and relationships. Rob would often try and lecture his son with hopes that good strong rational visit would get some 'sense' into his son. What he didn't realize was that his son was aware of his success financially as a father and often resented internally that he could not measure up and to make matters worse his father was consistently lecturing him. So, we have a cycle; a son that resents and avoids and a father that continues to lecture with hopes his son will one day 'get it'. Parenting is less about a specific approach and more about the parent's being able to locate and enter what I call teaching windows, moments when the child is teachable and is apt to listen and actually hear you. Looking for these windows and studying your child or teen's temperament will best help you engage in ways that they can hear and ultimately follow.

Often parents get stuck in cycles of lax parenting or pal-parenting. These parents struggle to draw boundaries and are more of a friend and end up with kids that don't respect them and kids that often manipulate and take advantage of the parents lax and peer status. Other parents are at the other extreme, they are rigid and hypercritical. These parents are demanding and often critical of their children/teens. They see their child as one that should follow; often fear and demands are tactics used to change behavior by these parents. The last paradigm that is actually the most helpful is a balance between the two. It is referred to as authoritative parenting. It is clear yet open; firm yet loving; consistent yet flexible. These parents open up choice and discussion with children and are not easily manipulated nor are they easily angered. They remain calm and speak clearly and are not worried about saying no yet still are not rigid in demanding things their way.

It is through a parent's studying and understanding their teen's temperament and then working to engage as an authoritative parent that one can find harmony and unity in parenting. Diana Baumrind, a psychology theorist, developed three models of parenting. I have included a document on it here in my document archive. Teenagers are often difficult as they seem to become autonomous in their relationships yet when parents employ authoritative parenting coupled with solid understanding of their child's disposition (and all are different!) parenting can be a smoother more enjoyable ride!

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: parenting, teenagers, adolescents, parenting a teenager



My Spouse Won't Come To Counseling, Now What?

NOVEMBER 25, 2009 - Posted by JustinS
Often when relationships are conflicted or distant one member of the relationship recommends counseling as a part of conversation, usually when things are loaded and a feud is underway. It is not uncommon for one spouse to be ready and the other resists or balks at the request. The layman's assumption is that counseling needs to occur with both spouses present. This premise is true that both members of the marital dyad make up the marriage and that both play a role in the 'dance' of communication and relationship. Often though this premise grows awry. One spouse may think, "I am unhappy because of the things he does" or "She needs to change in order for me to be happy". As long as you subscribe to these statements, you are focused on your spouse's issues rather than on your own issues. In fact, this focus on your partner's actions rather than on your own is a way of avoiding responsibility for your role in the relationship and struggles you are having.

If you are having problems in a relationship or in your marriage and your spouse won't come, then you go! As a key part of the counseling process you will need to evaluate what you are doing that is fueling or contributing to the unhappiness you are having rather than just what your spouse is doing. Exploring, understanding, and ferreting through your own feelings and role in the patterns is crucial to you abandoning the faulty ways of thinking/acting and can help propel you into a fresher healthier marriage.

When one spouse is in counseling and making changes it can impact the entire relationship. If you learn to own your own feelings and needs you can impact more globally in the marriage how your partner responds to you. Many find that as they “look in” at themselves they are able to spend less time “looking out” at their spouse and the other spouse begins to make small changes on their own. Marriages are a system, like a child's mobile. If one part is impacted the entire relationship will resonate. When one spouse changes and continues to do so the other subconsciously begins to do so as well in most cases. You cannot change your spouse but you can change you and impact the very marriage you are a part of. Simple consistent changes in yourself, your thinking, and your behavior can and will impact your marriage and foster overall change for the couple and eventually help heal the relationship and ideally persuade the other spouse to join you in counseling to make more profound changes to the marriage.
When each partner in a relationship begins to own their own behavior and take full responsibility for their own feelings and needs, they leave neediness and blame behind and are able to share their love with each other.

Some questions to think about:
• How do you typically respond to your spouse's behavior that you don't like?
• Do you find that you are reactive to your spouse's rude or critical behavior with your own unloving behavior, and then find yourself blaming your spouse for your reactions?
• Are you being realistic about who your spouse is? Are you expecting your spouse to be someone he or she is not or doesn’t want to be?
• Are you making your happiness/peace dependent on your spouse?
• Are you taking responsibility for yourself and the emotions you are experiencing?

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: marriage counseling, couple counseling, marriage help



Depression: Fueled by Sadness and Self-defeating Thoughts
NOVEMBER 12, 2009 - Posted by JustinS
Depression is a condition that is fueled by several factors. More often than not, laypersons think that depression is a result of a chemical imbalance based on discussion and rumor in layperson circles. Actually, it is not technically known what causes depression but we have a few solid leads on that issue.

Depression can be fueled or caused by physical changes in the body or brain, by thoughts and experiences, and also by environments or settings. For example, individuals that suffer an injury, such as a traumatic brain injury, can have drastic changes in mood and emotional regulation. Chemicals and body balance following the birth of a child can induce postpartum depression in women. Likewise, thoughts that are gloomy, negative, and disparaging can fuel the body and mind into a slump of gloom and depression. Lastly, depression can be onset by trauma and conditions that are abusive to ones body or spirit, such as living in an abusive home or being emotionally abused by a spouse or family member. Therapy and medication helps to manage depression when it begins to fuel relational and internal problems with individuals. In fact cognitive behavioral therapy or CBT has shown remarkable outcomes in patients not on medication. Patients on medication report with newer SSRIs such as Lexapro much fewer symptoms and greater gains in mood stabilization. In recent years, outcome research on the impact of endorphins and exercise and it's mellowing effect on the mind/body connection clearly indicate that an active regular exercise program does combat depression as effectively in many cases as medication.

Alternatively, you could take a Beck Depression Inventory assessment and have your levels of depression measured, counselors offer these assessments to gauge ones depression levels. I'd also recommend visiting with a therapist, as they are expert at ferreting through and helping persons manage irrational and self-defeating thoughts, the primary fuel for depression. I recommend medication as an alternative and supplement in certain situations not a solution. Therapy is clearly the first step then possibly medication. Medication without counseling is merely a band-aid over the problem and is simply lingers beneath the surface.

I've worked with many clients that struggle with depression that has lingered for years, and with some working through in session are able to find meaning, understanding, and ultimately healing from the depression. When doing CBT I measure the depression levels at each session and chart the treatment in ways that assure progress and depression abatement can occur. Healing is possible, leave your depression behind by gaining the tools and skills to conquer it.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: depression, medication, irrational thoughts



The Facebook Fuss - Frustrated Friendships?
NOVEMBER 9, 2009 - Posted by JustinS
Is facebook complicating relationships? Many are connecting online with old friends, distant family, and unfortunately at times old flames. Problem is, these relationships are not in 'real' time they are virtual relationships, ones maintained and fostered online.

I spoke to a few individuals recently and one person in particular did sheepishly admit to me that she intentionally posts pictures on her Facebook for accolades and praise of others. She feels that she still does not measure up and wants to show the world, mainly friends, that she is valuable and she does have a decent life. We went on to process during the discussion that it is more about her proving to herself she is valuable and hiding behind putting it up to 'simply' share with others. Now, don't mistake, not all Facebookers are emotionally underdeveloped but this great networking tool can be a haven for such persons. The profile photo is one such indicator. Have you noticed the men and women that have near-glamour shots for their profile image? We are not talking about an image with their spouse or one of them with their kids but a photo of them in a 'hey-look-at-me-i-am-so-beautiful' kind of photos. If you are a social networker I caution you to be aware of your networking time and don't develop and foster a sense of core-Self based on trite comments online or simpleton surveys people create. Instead, use social networking to build your relationships and catch up and stay connected; remember to ensure you are not shying away from what is key, physical real time human relationships.

Elizabeth Bernstein recently wrote an article that hit home with me and I resonated with similar sentiments in her article on WallStreet Journals online site, www.wsj.com. Here is a small piece of her article that captures the essence of what she offered that I felt compelled to include in this article. "Like many people, I'm experiencing Facebook Fatigue. I'm tired of loved ones-you know who you are-who claim they are too busy to pick up the phone, or even write a decent email, yet spend hours on social-media sites, uploading photos of their children or parties, forwarding inane quizzes, posting quirky, sometimes nonsensical one-liners or tweeting their latest whereabouts. ("Anyone know a good restaurant in Berlin?")" She couldn't of said it better. My individuals that didn't really develop a core Self earlier in their development are using Facebook to support their underdeveloped ego and esteem. She was right on the mark in her article at WallStreet Journal's online site. If you're a facebooker, ensure you keep your primary relationships 'real-time' and avoid the virtual world of connecting except for occasional updates and photo exchanges.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: facebook, social networking, relationships



Stepping Into The Dark - Risk Taking
NOVEMBER 1, 2009 - Posted by JustinS
What makes taking risks so difficult? I’ve often heard clients, family, friends, and others talk about the difficulty in taking risks; in trying something difficult; in stepping into the unknown.

Anxiety and trepidation is fueled by irrational thoughts. Thoughts like, “I can’t do that, it is far to difficult.” or “That’s not me, he can do that but I don’t have what it takes.” It is these thought processes or cognitions, as therapists call them, that hedge up and keep people from being bold; from doing things they hope and dream of doing but do not. What are you wanting to do but have not stepped up and done? What is holding you back, might it be the irrational internal beliefs that you can’t do it or doubts you’ve had? The age old adage, “as a man thinketh, so is he” hold true. Your thoughts very much influence what you believe and visa versa. Don’t allow your spirit to be bound by doubts and fears, but instead liberate it by stepping into the unknown. Take a risk and jump in, you’d be surprised how you can do it!

I recall a favorite gem from a book I read years ago that highlights this idea. “I think you really should make a radical change in your lifestyle and begin to boldly do things which you may previously never have thought of doing, or been too hesitant to attempt. So many people live within unhappy circumstances and yet will not take the initiative to change their situation because they are conditioned to a life of security, conformity, and conservatism, all of which may appear to give one peace of mind, but in reality nothing is more damaging to the adventurous spirit within a man than a secure future.” – Jon Krakauer, Into the Wild

So, author a new chapter in the journey of your life. Start risking and leave the simple conformity and comfort and be bold with your aspirations. The human spirit feeds on new experiences, new challenges, and new opportunities. What are you avoiding or holding from back that you’ve wanted? Embrace your challenges, be bold!

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: anxiety, conformity, fear, risk



Your First Therapy Session
OCTOBER 22, 2009 - Posted by JustinS

It has been my experience that new clients are often unsure what to expect in the first counseling session. At times, they feel doubt about what to say or do. There can be nervousness or anxiety about opening up to someone you’re meeting for the first time, especially when you find that you are sharing difficulties you may not have discussed with anyone else.

The first session is an opportunity for both the therapist and the client to get a sense of each other and whether they can work well together. Research indicates that the therapeutic fit between client and therapist is a crucial element to the change process.

As the client, you will want to see how comfortable you feel in the presence of the therapist you are working with. You are not expected to trust the therapist completely from the beginning, but you should be able to have a sense of him or her as someone you could trust over time. The counselor tries to get an overall sense of the new client in the first session – what difficulties they’re dealing with currently, what has occurred in their past, how they view themselves, and perhaps some background about their childhood and subsequent relationships. The first session is often an assessment on many levels. The therapist assesses what your needs are and then gleans a sense of your therapeutic needs and how the therapist can help guide and support you in session.

It’s also ok to ask questions of the therapist. What is their background and training? What is their style of working? What types of clients do they work with? These types of questions will give you a better sense of the therapist’s perspective and experience. It is imperative that you have a sense that the therapist understands and can work with you to help you make the changes you want in your life. It can be a relief to rid yourself of the things you’ve been bearing on your own.

Again, some trepidation or angst prior to your first session is normal. Don’t let the anxiety about meeting with a therapist keep you from the peace you are seeking.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Tags: assessment, counseling, st george, utah



Grief and Loss: Understanding Bonding & Attachment
SEPTEMBER 18, 2009 - Posted by JustinS
Most individuals experience loss at some level at some point in their lives. Loss of a friend or of a pet is a common experience for children as they grow and develop. What makes loss difficult is primarily due to the attachments or bonds that are created when we relate and become close to others. These bonds help us feel safe and secure. Over time we develop a sense of normalcy as we interact with individuals that we are attached too.

I recently sold my home and moved out of a neighborhood my wife and I both loved. The neighbors and our family were very tight-knit. The kids often played together and goofed around as young children do. I drove by after we sold the home and felt a longing and sense of loss having moved away from friends and an area we had become attached to. Neighborhood parties, kids riding bikes, fathers mingling out in front yards, and children's toys scattered about the neighborhood were common. As a family, we moved through a process of loss. Grieving was short but nevertheless it was a loss to past attachments to friends, memories, and a sense of safety.

Grief and loss are closely associated but different elements of mourning. Loss occurs when we lose or become distant from someone or something we have a significant attachment to. Loss does not only occur at the death of a loved one or when we move away. Loss can occur when expectations are not met or attachments are severely weakened. For example, I was seeing a teenage boy who had a long history of loss and grief he was not fully aware of. He was living with his father after his parents divorced. His mother and father fought much and ended up ending the marriage. The conflict between his parents was fueled most often by his mother's drinking. This young man developed some negative ways of coping with this loss, the loss of his mother. He did not and could not at that age interpret and sort out his own loss and impending grief. He was aware of the discomfort and heartache around the divorce in his own soul but had little ability to process and make meaning from what was occurring. He attempted repairing his hurt feelings and to avoid that pain by fantasizing about how much she loved him and that things were in fact ok. Often in sessions he would make excuses about how she is just 'busy' and can't be around for him. In time he began to see the depth of her problem with alcohol as he entered adolescence. He could not rectify these fantasies of her being present and loving in his life as in reality she was emotionally and physically absent. As he grew older he started smoking marijuana with peers to 'chill out' in an attempt to deal with this loss and the reality that was settling in on his conscious mind. Coping in unhealthy ways is a symptom of loss and then grief that is unresolved.

If you've had difficulty with a particular loss or are grieving the death of a loved one and are having trouble working through the loss please contact me for an appointment and I can assist you. I can help guide you into moving forward with wholeness and peace. My clinical experience has also helped to broaden my understanding of the complexities and nature of grief and loss. Hope is possible; it will take work and time but you can reach closure and find meaning.

If you'd like more details on loss and grieving you can read my entire online article (long version), about the stages of loss and how attachment and bonding play a key role in dealing with and healing. My full length article is located here.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: grief and loss, death, bonding, attachment, bereavement, st george grief counselor


Communication Continuum Explained
AUGUST 18, 2009 - Posted by JustinS
Communication is the venue by which individuals share and exchange information about their perceptions, feelings, and thoughts. It is imperative that individuals learn to engage and connect with others in ways that promote healthy relationships and bonding within them. Many adolescents I work with and adults alike struggle to communication in ways that are supportive of their relationships.

I find with that when individuals have some conceptualization of how they are communicating it is easier for them to identify patterns that have kept them stuck in ruts that keep them from the happiness and relational harmony. I think of one couple I worked with that had a specific pattern/style. A critical remark would be make about one thing or another and the husband would shut down. His wife would feel bad for the comments and apologize. He'd continue to be hurt and give her the silent treatment. He's engage in passive and withdrawn behavior claiming he'd been hurt all the while giving her the silent treatment for days. His wife needs help to attend to him and speak more kindly and he needs to not punish her when she slips up with a critical comment. We were able to identify and help each partner in the relationship begin to learn to assertively speak to one another, especially around emotionally loaded issues in their marriage. They in time found that they could talk about any topic and stay calm and avoid the critical comments. During this same window of time, they were rekindling feelings of genuine love and concern for one another that helped to reinforce and support their newfound ways to communicating with one another.

I have created a document that helps you identify different types of communication. It can be a guide in assisting you in understanding and altering the ways you communicate. Get your own print copy of my communication continuum here.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: communication, passive, aggressive, assertive, relationships


Are You Committed To Your Marriage?
AUGUST 2, 2009 - Posted by JustinS

In my practice as a therapist I often work with couples that are seeking help with their relationship to one another. Old patterns of conflict, struggles with in-laws, insecurities that erupt into verbally caustic battles are often what lead them to seek help. They would not land in session if they were not committed on some level to each other, thus they seek profession guidance to repair and mend their relationship.

The culture we live, interact, and engage with daily is often governed by a throwaway mentality. For example, when was the last time you had a pair of shoes repaired? If it comes undone, torn, or worn we get a new one. The social context we live in has made it fairly easy to give up on all kinds of things, including marriage and the commitment in the marriage. The things we struggle with, work at, and dedicate ourselves to are the things we hold dearest to our hearts. The union and bonding that occurs in rich fulfilling marriages can not be manifest in written word, it can most often only be felt.

Committed husbands and wives in a marriage relationship may initially just want the have a calm happy marriage, but over time as they pour in their hopes, dreams, and hearts to their marriage, their expectations lift to new heights. They don't settle for just a "good enough marriage," they strive for excellence. Committed partners nourish their marriage by service, affection, kindness, and intimacy. If your marriage is in need of mending, don't throw it away. Instead, size up your commitment and start today to work on building what you started, you'll find that it is possible yet does take patience and work.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: change, marriage counseling, marriage, st George, commitment


Sleep & Emotional Regulation
JULY 15, 2009 - Posted by JustinS
Sleep is one of the most key elements in emotional and relational health. Sleep is a process within which your body rejuvenates. I am not referencing merely resting, it is a time when the body-mind repairs itself. It is during rapid eye movement or REM that you actually rest and your body is restored.

We live in a time when technology and demands for our time has never been greater on individuals, couples, and families. Persons experiencing emotional or relational distress are often lacking in their sleep. Sleep does not often cause these problems but is a catalyst to conflict in relationships if not managed and honored. Erratic and inconsistent sleep can fuel a lack of rational reasoning and prompt reactivity in relationships. Research indicates that the average adult needs eight hours of sleep to be fully healthy and have access to your emotional resources and to be able to regulate smoothly ones emotions. You can often get by with a bit more or less but over time it does and will catch up with you. This is called sleep debt, a lack of that builds up like accrued debt and wears on ones ability to regulate emotion.

Often I find that individuals and couples in relationships find themselves fighting when they are tired and lacking sleep. Clients report of debates and caustic statements that are made late in the evening or when they are struggling with a history of sleep debt. These statements are often impulsive and quickly undermine the relationship.

Get your sleep! Not simply to feel rested per se, but to have all your cognitive and emotional resources at your disposal. Want more information on sleep? Get more details about sleep, levels of sleep, sleep debt, etc at this external link

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: sleep, relationships, emotional regulation


Couples Counseling, Who Needs it?
JULY 8, 2009 - Posted by JustinS
Many marry with hopes of memories and many years of love and connection with their spouse. Marriage often starts with a bang: flowers, ceremony, family, then off to the honeymoon. Too often, couples lack the skills to keep the ’spark’ they started with when they first married. Many factors enter in and make marriage more than just two lovers; jobs, children, hobbies, church activities, etc can create quite the juggling act for couples. Many, if they are not centered and personally emotionally healthy find themselves still married yet at times not happily married. Sad thing is, many don’t seek help.

Often couples don’t come into therapy due to the stigma that it appears to carry in certain cultures. Within Christian culture there tends to be a stigma in some areas that therapists are for those that are failing at home or that “just need to live their faith”. Unhappy couples are not necessarily unstable, many can be very stable. In my practice I see very stable marriages that also are very unhappy. You’d ask, “How can it be stable if they are unhappy?” Well, the prospects of divorce especially with kids in aren’t very good. Couple conflict and divorce still runs in our culture as much as some want to say it does not, and it is on the rise. While having the answers and some self-help books does help, many couples are locked in emotional gridlock can’t see with clarity due to hurt, contention, and at times bitterness thus stumble through their marriage with petty fights and quarrels that often are not ever resolved nor do they gain skills to prevent them in the future. These couples, no matter how many answers they feel they have, often cannot get patterns worked out. Patterns are ways of living that have become part of the emotional ‘dance’ or groove that couples fall into out of habit. The fact is, that some of the most solid marriages are of couples that do work on their relationship and those that do still at times experience some turbulence value their marriage high enough that they seek outside help. We are not talking months of therapy, but often 4-7 sessions to iron old or existing issues out and gain skills to better meet their spouse’s needs. With some couples that have more deep seeded issues from their families of origin or due to years of conflict and hurt, it may take longer to ferret out the past and start re-authoring new ideas, new believes, and then new ways of behaving in the marriage.

Some resources I suggest you look into if you want solid professional guidance for your marriage but want to do so through some personal reading first are by John Gottman. He’s a marriage expert, one I reference as such. He has written a book I read over a decade ago when it just hit the press and I have referred couples to countless times. The book chronicles the important elements of not merely fixing or building marriage but gives solid sound guidance in making it work. Many self-help books provide a laundry list of what I call sunshine theories, ideas that will help your marriage for a day then just when the sun sets it fades. The text is called The Seven Principles for Making Marriage Work: A Practical Guide from the Country's Foremost Relationship Expert and provides insights about what makes marriage last. This book can help, but if the patterns are really deep often books like this can support but it takes counseling to work through them.

Finding a good couples counselor is key; one that balances ferreting through the past and working in the now. What I mean by ‘working in the now’ is that they help you and your spouse in the present to gain skills, tools, and awareness of your dynamics and patterns. I spend time assessing the marriage but then move into helping you make changes now! Time and finances are tight for many most of the time. Making the most of your time and your marriage is part of what I and other solid therapists do.

Many ask, “Well, what if my partner won’t work on it? Good question, many ask themselves this and often feel stuck. Often stating, “Why would I want to work on my marriage if he/she doesn’t want to work on it. It won’t work!” I hear that often and the fact is that often you must start with you. Dragging your spouse in or begging usually doesn’t net good results initially anyway so taken from a long-term perspective you’d be best off starting to change you. Typically trying to change small things about you is something you can control and does make an impact on the relationship. I’m not talking about moving mountains here either; I am talking about you beginning to change your tone and body language when you talk. Simple adjustments you can make today that will have a profound impact on how your spouse sees and interacts with you. Small changes do provide a softening that can allow and create space for larger shifts to occur and discussions to be had.

Feel free to visit with me more about your marriage. If you’re not looking for a major overhaul or couples therapy regarding your relationship, that is fine. I offer a 4-session marital tune-up as well, for strong couples that want to work out a few kinks and fortify the solid foundation they have.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: change, couples counseling, Marriage, st George


Mindfulness: Purposeful Awareness In Relationships
JULY 1, 2009 - Posted by JustinS
Mindfulness has its roots in Buddhist teaching with respect to pondering and meditation. One need not subscribe to Eastern religion to adhere to pondering and mindfulness. It can be lived in common every day life. Mindfulness is the state within which one has keen and clear awareness. It is conceptualized as a mental state that is characterized by calm yet sharp awareness of one's body, feelings, and mental process. Mindfulness is twofold in that it is a mental and physical state of presentness, and being in the 'now'. Mindfulness, is a healthy practice for those who wish to reduce stress, manage conflicts in relationships, or build personal awareness.

One can cultivate mindfulness during meditation/pondering by quelling thoughts related to the past or the future and instead being keenly aware of what is going on in one's body. Individuals that practice mindfulness pay attention to the present, to what is happening right now. Mindfulness is self-care, taking care of oneself and managing one's thoughts in a purposeful way. Often individuals minds are aware yet are also engaged and entirely unaware of other processes occurring (emotions, memories, fears, etc). For example, if one were mindful in a discussion with a spouse, they would be aware of their body's sensations, their facial expressions, their breathing,and their thoughts and emotions. One might also be aware of their spouses current process as well. It is imperative that one learn and comprehend emotional processes within themselves and be able to purposefully monitor and connect with them in order to manage and direct relationships in a healthy and productive manner. Individuals that find themselves in conflict with others are typically 'aware' of the conflict and issues yet are not mindful or purposeful about how they speak or listen to others. It is in using purposeful language and mindful intention that guides them to attune themselves to others in their relationships, which results in healthy bonds and meaningful attachments.

Mindfulness is not an act or something you simply do, it is something that you begin doing and eventually it is something that you are.

Taking even a few minutes out of each day to find a quiet space and sit and simply be. By being I am referring to not thinking about work, family, responsibilities, etc. but simply just sitting still and 'being'. Noticing your breathing, your body, the quiet. It is a way of calming the static and chaos that can occur from ones busy life. Doing this midday while away from external distractions can help to re-center and reduce stress. Research suggests that mindfulness meditation may improve mood, decrease stress, and boost immune function found in study by Kabat-Zinn, a guru of mindfulness meditation and the founder of the Mindfulness-Based Stress Reduction program at the University of Massachusetts Medical Center.

Mindfulness Meditation - An Example
1. Find a quiet and comfortable place, ideally one without others around where you can be still.

2. Keep your mind in the present, avoid past or future events, relationships, etc.

3. Engage in being aware of your body and how it feels. Focus on your breathing and the sensation of air movement as you breathe. Pay attention to the way each breath changes and is different.

4. Notice the thoughts that enter in your mind and leave, thoughts that may be related to fear, doubt, or stress and like thoughts. When these enter in your mind don't push them out, rather simply note them, remain still and calm and use your breathing a stable area to lean on.

5. If your mind finds itself drifting off, become aware of where you drifted to and without criticism or judgment, simply move back into your breathing.

6. As your mindful session is concluding, sit for one to two minutes, becoming aware of where you are. Get up gradually.

Also, for a good book on mindfulness I recommend Mindfulness in Plain English, Updated and Expanded Edition

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: mindfulness, meditation, pondering, stress, emotional regulation



Confidentiality - How It Works in Therapy
JUNE 5, 2009 - Posted by JustinS
Often clients ask, "Are the things I talk about in counseling kept confidential? The answer is "yes." As the patient you have the right to have absolute privacy and confidentiality in counseling with me. This means that without your explicit consent in writing, I am prevented by law from discussing information you share during your sessions with anyone else. Your being aware of how confidentiality and the nature of client-therapist relationship can help you trust and feel safe knowing that anything you share will remain private and confidential.

Are there any times you do disclose information I share in session to anyone? As a clinician and licensed mental health professional, I am obligated to inform the proper persons and/or authorities if, in my judgment, I determine a patient may harm to self or others. Strict confidentiality is maintained except in cases where their is disclosure of child abuse or neglect and if one has intentions of harming themselves or others. Please feel free to discuss with me any concerns you have regarding the confidentiality. I'd be more than willing to discuss them with you.

I make every effort possible to not only maintain privacy but safeguard confidentiality. As a therapist in a small community, that of Southern Utah, it is imperative that you have safe therapeutic space within which you can engage in counseling without fear of running into those you know or being in a waiting room uncomfortable. I make every effort possible to stagger sessions so that clients are comfortable, safe, and in a trusting environment.

Copyright: No part of this article in section or full may be reproduced without permission from the author Justin Stum, MS LMFT. The one and only exception is for educational purposes and only if the contact information below for the author is fully cited here in article.

Justin Stum, MS LMFT, 321 Mall Drive Suite I-101, St. George Utah 84790
435-986-1777, http://www.pathwaystherapy.net

Tags: confidenitality, privacy, counseling

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