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How my teletherapy private practice got started

For about nine years, I worked as a counselor in higher level of care settings. A ton professional growth occurred during those years. I taught people how to better cope, apply therapeutic strategies, and believe in their own strengths. Days ranged from 8 to 16 hours long. One month, I took an overnight shift. I battled insomnia due to the crazy hours. What I learned during those times still helps me. And I beat the insomnia.

About a year ago, I felt the desire to go into outpatient private practice. It would be a completely different experience, slower pace, though still always busy. I was interested in business. For almost an entire year, I researched how to properly set up the independent contractor and business details, then chipped away at putting the pieces into action. I was also pregnant, so there was no hurry during this process.

The business didn’t start out as teletherapy. I shared an office with another counselor and saw people in-office. That was alright, but I wasn’t happy with a few of the business aspects that weren’t within my control, nothing counseling related. It felt off. I didn’t feel like I was supposed to be there. In the back of my mind, I was thinking about teletherapy, but I didn’t believe that it could be as secure as in-office and wondered about some ethical aspects. I had a lot of questions. Back while I was researching how to set up the business, teletherapy came up, but I had too many concerns about doing harm or something going wrong. So I didn’t go there.

Well, Coronavirus struck and places went into lockdown. Our office was open because we were essential workers. Coronavirus was my sign to leap into teletherapy. I took a 12.5 hour course on properly running a teletherapy private practice and did more research. No one was inquiring about services due to the lockdown. I jumped ship and into the new waters, I swam.

As everything fell into place, it was rewarding on many levels, personally and professionally. Of course, I was setting everything up from scratch, doing it the hard way to save money because I was just starting out. I created my own documents, made sure everything was HIPAA compliant, secure, and private, and used as much free software as I needed. It ran like clockwork. How about that?!

I completed continuing education and became certified in telemental health and in treating anxiety. My business grew and remained steady over the next year. With my heart full, I wanted to upgrade my business and give more to my clients. I researched practice management software and EHR software, comparing all of the platforms, perks, ease of use, and which one would be the best fit for myself and my clients. I went with SimplePractice because it was intuitive and had a great client portal.

The free trial was handy, I picked through everything that SimplePractice offers and learned about it. When it came to getting the system and paperwork to align with what I already had set up, it was a bit overwhelming and difficult. SimplePractice has good “how to” videos and I was getting daily emails from them to make sure things were going well. After fiddling around during that free period, my business was operating on SimplePractice. So happy!

My small private practice has come a long way within a year, as it started from scratch and now uses a fancy EHR. There’s a lot to be proud of and grateful for in this journey of business ownership. The practice has been fruitful. I look forward to meeting and helping people in the years to come.

Mental health professionals: use this code below to try out SimplePractice, and when you’re ready to sign up for a paid account, receive a $50 discount.

https://www.simplepractice.com/?p=8246d756ca

Being Productive & Calm, as a Busy Woman

To all of the busy women, here are some strategies that can help you be productive and calm.

Does this sound familiar to you? Personally, as a busy person (have a young daughter, maintaining relationships, keeping the house tidy, running my own mental health private practice, blogging (for two websites), and preparing for ultramarathons), I struggle with being calm while I go about my day.

Here’s how it usually goes.

I’m usually productive in some way because there is always something that needs done. I tend to feel like things need to be done in an overly particular way. Tasks get done, it’s just not always how well (quality) or in the order that I’d like it to be, so I need to be flexible.

When there’s anxiety present.

Anxiety couples this feeling that something needs to be a certain way or lack of having an amount of control. Anxiety is also provoked when I feel overwhelmed by the amount of things that I need to do. It’s difficult being calm. I want things to be completed in a timely manner and done right. Sometimes, I aim for perfection, but I know that that’s unrealistic. I put a lot of pressure on myself.

How do I remain calm while I’m in a state of being busy and usually anxious?

• I practice time management
• Prioritize tasks
• Ask others for help
• Tell someone “no” when they ask if I can do something when I truly don’t have the time
• Mindfulness
• Slow myself down, so I can think clearly
• Stay grounded
• Self-care. Sometimes taking a full day for it!
• Exercise or run
• I focus on my strengths and goals (and the reasons behind them)
• I think positive (in general)
• I reframe my distorted thinking
• I write down affirmations

There are probably some other tricks that I use that aren’t coming to mind. Whatever I do, I choose to act in a more helpful and healthy manner. I choose to react in a way that is more calm.

How do I know which strategy will help?

I don’t 100% of the time know which strategy will help, but I do know that I can try two or three and see if they work. Overtime, it is easier to know which strategies will work and for what. If a strategy doesn’t help, no big deal, pick another. There are instances where anxiety is stronger and it takes a handful of strategies to help. Also, no big deal.

The strategies from this list are additional “to do’s”, but they makes life better and adds peace. This work becomes more effortless the more that I practice it. You can do this, too.

How do you practice being productive, yet calm?

Overlooking a small town in PA

Simple, Yet Powerful Ways to Manage Worry & Anxiety

This article is about four simple, yet powerful ways to manage worry and anxiety. Are you worried about how things are going to go for you? Do you fear that you won’t be able to handle potential problems? How can you make a tough decision not having all of the details? Here’s what you CAN do. You can take control of your mind by shifting what you focus on. You can choose to focus on your strengths and the things that you have control over. You can also challenge irrational thoughts of uncertainty and worry.

Handling being worried over how things are going to go for you.

Ask yourself:

Who do I want to be?

What quality of presence do I want to bring to any challenges I face?

Note the shift that occurs when you go from focusing on what will go wrong today to the person you want to be.

Challenge your fear that you won’t be able to handle potential problems.

One way to address this fear is to imagine yourself coping. Whenever you are worried about a problem that could happen, envision yourself skillfully coping with it.

What does that look like?

Recall a strength that you have demonstrated multiple times when you’ve risen to meet a challenge. Then, expect yourself to rise, bringing that same strength, resourcefulness, and determination to the problem that might challenge you today.

Pause & notice whether this time is different.

When a familiar worry or fear crosses your mind, this can be about failing or that something horrible will happen, notice that it has never actually happened.

It’s likely that your mind is ignoring all of the times that those worries and fears didn’t come true and that this time is different.

If this sounds like your experiences, then consider that the worry or fear is a false alarm, like the other times.

Make decisions even when there is uncertainty.

When you’re making a tough decision, all you can do is make the best choice for what you know right then and there.

Embrace the reality of not having all of the information and details today, not knowing exactly what the outcome will be.

Allow yourself to be free from the assumption that you’re responsible for knowing the unknown.

By choosing to focus on what is helpful, you can better manage your worries and anxiety. Always draw from your strengths and know that you will overcome any stressful situations that lay ahead because you have overcome things in the past. Challenge irrational and distorted thoughts, acknowledging and then reframing them. Notice the shift in thinking and how you feel afterwards. Practice these tips so that they stick to your mind and alter how your mind works. Have power over worry and anxiety.

Source:
Seth J. Gillian, PhD.

Glacier Ridge Trail, Moraine State Park, PA

Calming Through Your Senses By Using Self-Soothe Skills

Self-soothe skills

Self-Soothe is about calming through the senses, and the goal is to engage your senses in behaviors that are relaxing.

As you practice self-soothe, allow judgements, stress, worries, and unhelpful thoughts to slide through your mind, and just be in the moment. This process will rejuvenate you and help regulate your body.

Commit to adding self-soothing strategies into your daily schedule.

Self-soothe skills (vision, hearing, smell, taste, touch)

Vision

What kind of things do you enjoy seeing? Seek out these visually pleasing things. Gaze at sunsets, nature, cityscape, aquarium, whatever is visually relaxing to you. You can also create your own artwork or take photos.

Take a few minutes to fully appreciate something, it can be as simple as leaves on a tree. Connect with it and take it in.

Hearing

Listen to soft music or go outside and soak up the sounds of nature.

Hear with your eyes closed and allow yourself to become immersed in the experience.

Smell

Choose household cleaners, perfumes, lotions, aromatherapy, essential oils, and candles that have pleasant smells.

Baking your favorite dish or dessert will fill your home with that smell.

Taste

A tip for taste is to eat a small amount of food one-mindfully, engaging all five senses.

Savor a piece of dark chocolate, a bite of a juicy apple, a spoonful of ice cream melting in your mouth, or the tanginess of a salsa.

Timing yourself to see how long you can draw out the experience is helpful for becoming immersed.

Touch

Ask a loved one for a hug or to hold hands. Snuggle with your cat or dog. Give yourself a facial, neck, or hand massage. Wear your most comfortable clothes and fuzzy, thick socks or wrap up in a warm blanket. Take a mindful bubble bath or a longer shower.

Resource

Lane Pederson, Psy.D., LP, DBTC

Connoquenessing Valley Heritage Trail, PA

What National Certified Counselor (NCC) Means to Potential Clients

What National Certified Counselor (NCC) Means to Potential Clients

Counselors can have multiple letters or credentials behind their name. One that most people are familiar with is Licensed Professional Counselor (LPC). Counselors can be board certified, have a certificate in a specialty (addiction, marriage and family therapy, anxiety…) and treatment method (Cognitive Behavioral Therapy, Solution-Focus Brief Therapy, Dialectical Behavior Therapy…).

About NCC

The Counselor is Committed

The NCC is voluntary, it is not required to practice (licensure is a requirement), but it is an additional step that counselors can take to display and ensure the high level of service that they provide their clients. Counselors who have NCC are dedicated to the counseling profession.

The counselor voluntarily submits to an established conduct review conducted by professionals in counseling

Counselors work with sensitive health information. If a client or somebody has a question about their actions, they may follow an established process to obtain a neutral review of their concern.

The counselor is required to remain current with developments in the profession

Continuing education that is approved by the National Board of Certified Counselors (NBCC) is required in order to maintain the NCC. This ensures that the counselor is current with all areas of the profession.

The counselor may have areas of specialties

The counselor demonstrates expertise with NBCC specialty certifications. These include, Certified Clinical Mental Health Counselor (CCMHC), Master Addictions Counselor (MAC) and National Certified School Counselor (NCSC). Certifications reflect that they have met national standards for a specialty practice, with additional education and experience and a specialty examination.

Resource

https://www.nbcc.org/home

Connoquenessing Valley Heritage Trail, PA

How to Get Through the Day When the World Seems to be Falling Apart

These 12 tips are specific to living through a pandemic (COVID-19) where there are multiple tragic events and crisis occurring at once on a worldwide scale.

A brief overview of the destruction that COVID-19 has caused

• People are ill and dying from a virus.

• People are socially isolated from family and friends.

• People are restricted in where they can go and what they can do.

• People have lost jobs and are financially unstable.

– Connected to all of this is the person’s identity because people identify themselves through going out and participating.

• Political issues, finger pointing and name calling are a big part of this pandemic.

• People wear face masks to reduce spread of the virus, but the mask also hides smiles.

• Anxiety, depression and suicide is on the rise.

• People are silently hurting.

The benefits of these tips are (but not limited to)

• Increased happiness

• Connection to others

• Raising awareness

• Fostering positivity

• Finding value and meaning in life

• Learning coping strategies

• Finding help

Keep in mind that this article isn’t telling you to ignore, dismiss, or minimize what’s going on around us. It is important to sit with the difficult emotions and thoughts, to process, and personally grow from what’s occurring in our lives. We can’t run, there needs to be a resolution to do something about it, but there needs to be a balance and healthy approach.

Let’s cover the tips on getting through

1) Limit your time on social media and watching the news. Be informed and have proper understanding about what’s going on around the world, but don’t allow the information to overwhelm and carry you away. The information on social media and the news shouldn’t occupy a good portion of your day.

2) Mute or unfollow people on social platforms such as Facebook, Twitter and Instagram if they are posting unhelpful information on the pandemic or are posting frequently on the pandemic. Always check the resource of what they post to make sure it is true and accurate. There is a lot of information being shared that is inaccurate or highly one-sided. Be your own researcher, fact-checker, and it is beneficial to try to see from both sides of an issue. Widening perspective allows us to have a more open mind and gives us a little more breathing room.

3) Use social media and technology to your advantage. Since we have to limit being around others or can’t be around people at all, use social media to connect and to lift up others. Post something kind or funny. Post a beautiful picture. Have an engaging conversation, but leave out the pandemic and political issues surrounding it. You can lift someone’s spirit and your own!

We use video platforms on almost a daily basis now, continue to use it to connect. Talk to a good friend who you haven’t seen in a while. Use video platforms to check-in with a person’s mental health, you don’t know who is suffering in silence.

Are you feeling unsure about how to check-in? This link will lead you to check-in questions:

https://finishstrongercounseling.com/2020/05/29/just-checking-in/

Do you have a favorite hobby or interest? Join and follow social media groups and pages to motivate and fuel your interests.

4) Virtual tours, adventures and visits. If you are looking for something new and interesting to do without leaving your house, take a virtual trip to a National Park, zoo, museum, etc. Think of somewhere that you’ve never been and would like to go. Read about it, look at pictures, watch videos, and take a virtual tour. This is fun activity to do with kids and it’s educational.

If you’re religious or spiritual, consider attending a virtual service or practice.

5) Teach someone about your hobby or trade. Write, blog, create social media content, and make a video to do so. Engage with people, answer their questions, and provide them with credible resources so they can learn more.

5) Increase your self-care. Do more of what you enjoy and try new things, even if you don’t feel like it. Take care of your body and mind. Try to keep to a normal schedule, this includes proper exercise, diet, and staying hydrated. If you’re overwhelmed with work, schedule in self-care. Slow down, read a book, take a bath, watch a movie, call someone you care about.

6) Make a vision board to stay focused on your long-term goals. Read how here:

https://finishstrongercounseling.com/2020/04/02/vision-board/

7) Journal. Read about journaling here if it interests you:

https://finishstrongercounseling.com/2020/04/10/the-benefits-of-keeping-a-journal-and-journal-prompts/

8) Practice mindfulness, breathing and or meditation. Find someone who provides these services online if you need help getting started. Create a YouTube playlist of relaxing music and sounds that you can practice to. Don’t give up if these exercises don’t immediately benefit you in an impactful way, it takes time to learn them. It’s a process.

9) Use online presence to raise awareness or funds for a cause that you’re passionate about. Help people learn more, support people who need it the most, connect to others who care about the same thing as you. Feel good!

10) Use positive affirmations and practice them regularly. Read more and find examples here:

https://finishstrongercounseling.com/2020/05/05/positive-affirmations-to-get-through-a-crisis-or-difficult-time/

11) Have a safety plan and an emergency plan. For the safety plan:

• Write down what triggers maladaptive behaviors.

• Write coping strategies for each trigger that you can participate in right away.

• Write down three positive affirmations or favorite quotes.

• List three people whom you can trust to call and talk to and receive support from (Do ahead of time: make sure that they know they are on your safety plan list and tell them how they can best support you if you contact them.) (Ideas on how they can help: this can range from a phone call to recall favorite memories or to meet up for coffee.).

• If your situation turns into an emergency, call 911 or the National Suicide Prevention Lifeline 1-800-273-8255 or your local mental health crisis lifeline. Add these emergency phone numbers to your safety plan.

Here’s a simple example of a safety plan:

https://finishstrongercounseling.com/2020/02/11/safety-plan-on-an-index-card/

12) Speak with a professional counselor. They can teach you several coping strategies and powerful tools like cognitive reframing. They are someone who will be present with you, be non-judgmental, listen, and provide feedback. They will support you and give you space for you to process your strongest emotions and thoughts.

Check out these other benefits to seeing a counselor:

https://finishstrongercounseling.com/2020/07/27/the-value-of-seeing-a-therapist-what-does-your-therapist-do-when-theyre-not-in-session/

Give teletherapy a try, it is convenient and you receive the same mental health benefits as you would during an in-office session.

If you’re not sure where to find a counselor, use a directory like Psychology Today or TherapyDen. There are several other counselor directories out there.

These are only a dozen tips on getting through a pandemic and crisis. Share your ideas and tips below. Please share this article to reach others.

Be well!

Baker Trail, Cook Forest State Park, PA

IMPROVE Skill (Distress Tolerance from DBT)

IMPROVE

IMPROVE the Moment is the next skill. The acronym IMPROVE makes life a little bit better when it is not going so well.

During a crisis, you have two options. You can sink into the distress or invest in behaviors that might improve how you feel in the moment.

The acronym

I: Imagery
M: Meaning
P: Prayer
R: Relaxation
O: One thing (or moment) at a time
V: Vacation
E: Encouragement

Imagery

Imagery is powerful because your mind can convince your body that you are elsewhere. A good example is being at the beach. When you’re actually sitting on the beach, your muscles are relaxed. When you imagine yourself at the beach (and you’re elsewhere), you can still get your muscles to relax, you convince your body that you are sitting there.

Ideas for imagery

Use an app or purchase a recorded guided imagery. You can also just use your own mind and create a guided imagery.

• Forest path
• Walk on the beach
• Favorite place
• Safe place
• Sunflower field
• Stroll by a stream
• Waterfall
• Garden of butterflies
• Sunset
• Star gazing
• Mountain summit hike
• Sitting by a campfire

Practice and enjoy the benefits! Also, imagine yourself doing well and practicing your skills.

Meaning

Viktor Frankl (1905-1997), one of the founders of existential therapy, once said “If there is a why, then a person can figure out the how.” [Look him up, his life was remarkable. He wrote the book “A Man’s Search for Meaning,” which is about being a psychologist in a concentration camp. He is well-known for this book, but he has several other accomplishments.]

List and contemplate your “whys” for working on any problem.

Examples: Why stay safe?; why practice your skills?; why improve your self-care?

Having meaning motivates you; your whys will motivate you to act.

Prayer

Prayer is a calming ritual, it also provides connection, guidance, and peace.

Pray where you are at, or go to your place of connectedness or worship. This skill is useful anywhere and at anytime. Connect to your spirituality.

Relaxation

Everyone needs relaxation. What do you do to relax? What do you think could be relaxing that you would like to try?

Schedule in some of those relaxing behaviors every day. Keep in mind that relaxing also takes practice.

Tips for practice: Be mindful of your breathing; be mindful of tense muscles and release the tension; sit in a quiet place.

One thing (or moment) at a time

Take on only one thing in the moment. When we try to juggle or do too many things at once, we become overwhelmed and or shut down completely.

Example: You don’t know how to make it through your day, but you know that you can make it through the next hour, or through the next 5 minutes. Focus on what is manageable.

Vacation

Take a break from your stressors or crisis. These breaks need to be planned, like scheduling a walk in the park in the evening, or watching your favorite movie before bedtime. Taking quiet time to reflect, meditate, or do deep breathing exercises are also good ideas.

Allow yourself to take a break when you feel that you need it.

Encouragement

You need encouragement during those tough times. The things that you say to yourself matter, they influence how you feel.

During your self-talk, say affirmations, coach, and cheer for yourself.

Write down 10 affirmations you can repeat to yourself throughout difficult times.

• This crisis will pass.
• I can do this!
• I have everything that I need to get through this.

Download affirmations to help get through a crisis here

https://finishstrongercounseling.com/2020/05/05/positive-affirmations-to-get-through-a-crisis-or-difficult-time/

Connoquenessing Valley Heritage Trail, PA

Wise Mind: ACCEPTS Skill (Distress Tolerance from DBT)

Wise Mind: ACCEPTS

The ACCEPTS acronym has skills that helps keep you busy and distracted when you would typically be preoccupied by a crisis. It is easy to dwell on what is going wrong, by focusing on the ACCEPTS behaviors, you can get yourself through hard times.

The acronym

A: Activities
C: Contributing
C: Comparisons
E: Emotions
P: Pushing Away
T: Thoughts
S: Sensations

Activities

Activities keep you busy and your mind off of problems and behaviors. The behaviors that you are focused on are healthy and helpful.

To start practicing this skill, write a list of activities you enjoy when life feels better. If you’re unsure or need ideas, go online and search for activity lists.

Add the pleasant activities into your schedule and mindfully do them.

Choose an activity and enjoy it now!

Contributing

Contribute to others. It is a way to take your mind off of your own problems, to feel connected and useful, and to create positive feelings.

Examples

Do a favor; acts of kindness; write a thank you note; bake brownies to share; volunteer locally.

Create a list of ways to contribute to others and begin right away.

Afterwards, journal about the experience, reflecting on your thoughts and feelings.

Comparisons

Draw healthy comparisons between yourself and others. There are people living without necessities, who have gone through tragedies, or who have tremendous obstacles to overcome. Remembering that other people are also suffering, often in worse ways, allows for you to gain perspective of what you’re going through. This perspective also increases your feelings of gratefulness.

Emotions

Emotions arise from the things we do. You can change your emotion by changing your behavior.

When you’re depressed, do behaviors that lift your spirits. When you’re anxious, do ones that are relaxing. When angry, do ones that are calming.

Check-in with your emotions in the moment, and if you find that you want change, then choose to participate in a healthy behavior to change your emotion.

Pushing away

Pushing away means that you decide to revisit the problem at another time. Imagine putting the problem in a box, locking the box, and placing it on a shelf for later.

Thoughts

You cannot think about two things at once, so choose to direct your attention to the most helpful thought.

Some ideas to try, crossword puzzles, read an interesting book, have an intriguing conversation, watch an action movie.

Do something to occupy your thoughts away from depressive thoughts, worries, and problems.

Practice in the moment.

Sensations

Direct yourself with healthy sensations.

Things to try, dance to loud music, eat a sour lemon slice, take a hot or cold bath, smell a strong scent, like peppermint.

These things wake up your senses in an invigorating way. Notice any changes in your experience.

Another idea, create a sensations toolkit, using your favorite ways to wake up your sensations. Use your tools.

Resource

Lane Pederson, PsyD, LP, DBTC

Occoquan Trail, Bull Run Regional Park, Fairfax County, VA

Distress Tolerance (DBT)

Distress Tolerance (Dialectical Behavior Therapy)

When people “cope” with stress and crisis, they find out ways (behaviors) that relieve stress, however, some of these ways come with heavy consequences. Examples of ineffective behaviors are drug and alcohol use, self-injury, gambling, spending money, and overeating.

We can learn distress tolerance skills to effectively manage the stress and crisis. These skills are more helpful than dealing with the consequences of the ineffective behaviors that make life worse.

Try it out

Make two lists, one is your ineffective coping behaviors, and the second is your healthy coping behaviors. If you’re struggling coming up with the healthy ones, keep thinking, because everyone has at least a few.

The goal is to work on eliminating the ineffective coping behaviors on the first list while developing the behaviors on the second.

This process is “doing more of what works”, replacing the ineffective with the healthy and effective.

Guidelines to improve distress tolerance skills

1. Practice the skills daily, even when you’re not feeling distressed. The skills tend to be enjoyable, so practicing shouldn’t feel like work.

2. Diversify the skills, try new ones, and practice every skill more than once because you don’t know which ones will “click” for you.

3. Organize a distress tolerance plan for when you’re in crisis and choose to follow the plan. It will keep you focused. Write down your organized plan on an index card. This would be your coping behaviors and any people who can provide support. Keep this card with you.

This index card plan works well for children while they’re away from home. Example: at school.

Distress tolerance skills to learn

• Wise Mind: ACCEPTS acronym
• IMPROVE acronym
• Self-Soothe skills: vision, hearing, smell, taste, and touch.
• Radical Acceptance
• Everyday Acceptance
• Willingness
• Bridge-Burning
• Ride the Wave: Urge-Surfing
• Grounding
• Pros and Cons

This is general information on distress tolerance and the skills to learn to better cope with stress and crisis, the next step is to learn the skills themselves, practice applying them, watch for improvements, and make necessary adjustments.

Wise Mind: ACCEPTS

https://finishstrongercounseling.com/2020/08/12/wise-mind-accepts-skill-distress-tolerance-from-dbt/

Resource

Lane Pederson, PsyD, LP, DBTC

Connequenessing Valley Heritage Trail, PA

Journal Prompts: Healthy Relationship to Food

Having a better relationship to food is about mindset, which takes unraveling the current messages you have been operating under and re-wiring the brain with messages that serve you.
This all starts out with discovering your current messages and limiting beliefs. After completing these questions, go back through your answers and look for behavioral and emotional patterns. What do you know now that you didn’t know before? How can you improve your relationship to food? How do you take action? Do you need to speak with a professional for support?

Download these questions below. Print them out and share.

  • What does “food” mean to you?  What do you associate food and eating with?
  • What is your relationship to food like? Describe it like you would a relationship with an actual person.
  • How does food make me feel? How do I wish I felt about food?
  • Why do I eat? What 3 words describe my relationship to food right now? What 3 words do I wish did?
  • What do I want food to do for me?
  • Do you consider where food comes from or do you think of food as an end product?
  • Are you a distracted eater or do you just eat? If you are a distracted eater, what usually distracts you?
  • Do you record everything that you eat and drink? If so, what are your intentions behind it? Are your intentions healthy and appropriate?
  • What are the negative thought before, during, and after eating? Eating very little? Eating just enough? Overeating? Binging?
  • When, Where, and What is happening when you feel intense pulls toward food?
  • If I eat when I am physically not hungry, its because….
  • If my emotional eating is trying to tell me a message, what would that message be?
  • What stresses me out the most? What do I do to cope with stress?
  • Describe your first memory of dysregulated eating. How old were you? What were the circumstances of it? How did you feel?
  • What did your parents (or who ever raised you) used to say when talking about your body? What did they used to say when talking about their own body?
  • What did your parents (or who ever raised you) used to say when talking about how you should eat? What did they used to say when talking about how they should eat?
  • Who had the biggest impact on your food habits growing up? Why?
  • Name the positive and negative messages you received around healthy eating.
  • What habit(s) did you establish early on that you would like to transform?
  • Name somebody who you believe has a healthy relationship with food.  What do you notice about them?  How is your relationship with food different, and is it similar in any ways?  What is between you and having a healthy relationship with food?
  • What are you craving in your life, what do you want more than anything, that you are using food to feel? Think of emotions.
  • Who do you see when you look in the mirror?
  • How will changing your dysregulated eating and improving your relationship to food affect your body, mind, and spirit in the future?
  • What parts feel the most challenging when thinking of a better relationship to food? Which parts feeling easy?
  • What patterns do you notice when it comes to nourishing yourself?
  • What inspires you to be healthy? How can you make more room for this in your life?
  • I feel the most like myself when…
  • I would love to do _____________, but I’m not sure I could. Why is that?
  • What do you believe you deserve in life? Thinking about that, what do you need to let go of to make it happen?
  • Imagine your life 3 years from now. If everything worked out the way that you hope for, what would that look like? Love? Family? Work? Wealth? Health?
  • To you, what does it mean to show up as your best self?
  • How could having a healthy relationship with food impact the rest of your life? Relationships? Health? Career?
  • Do you need additional support when working on having a healthy relationship to food? What kind of support do you need?
  • What is my body? How do I connect food and my body?
  • If I could wave a magic wand and have my dream body, what would it be?
  • When I look in the mirror, I feel…
  • What are my biggest daily challenges with food and body? If I didn’t have these problems, how would my life be different?
  • Dear body, I love you because…
  • List three positive intentions that you can use to motivate your journey towards intuitive eating and creating a healthy, sustainable relationship with food and your body. Example: “I will nourish my body every day and will speak kindly to myself to help support a healthy body and mind” Example: “I will speak kindly to my body and appreciate it for all it does for me every day.”
  • What are 3 things that you appreciate about your body?
  • Do you usually eat alone and or randomly? Do you eat with others at set times and places?
  • Write about your relationship to cooking. Do you like to cook or prefer someone else does it for you? Do you see it as a chore or as a fun pastime? Did you grow up in a household where one or both of your parents enjoyed cooking, or did you eat a lot of take-out and TV dinners? What are your favorite dishes to prepare?
  • How do you define the term “comfort food”? What is your favorite comfort food? Is it something your mom or dad or grandma used to make when you were little or an indulgence you only have a few times a year? Describe your ultimate comfort food in detail and reflect on why you associate it with contentment, coziness or well-being.
  • Is there anything about nutrition that you would like to learn more about?
  • Does your family have any special dietary rules?
  • How does your culture influence your eating habits?
  • How does the media / television commercials / social media / celebrities / models / etc. influence your eating habits?
  • What is your opinion on fad diets?
  • If you have tried a fad diet, which one? How did it affect you physically, mentally and emotionally?
  • Do you tend to eat the same foods over and over again? If so, why is that? Would you like to try new foods? How can you begin incorporating new food choices into your day? What would eating new foods do for you?

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McConnels Mill State Park, Slippery Rock Township, PA