GinaMarie Guarino, LMHC
Rational emotive behavioral therapy (REBT) is a form of therapy that can be very effective in helping clients. It offers a means to gain perspective on challenging situations. REBT suggests that the way people understand situations causes them to be reactive. The concept of REBT implies that a situation is neither positive nor negative. A […]
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GinaMarie Guarino, LMHC
Exploring values can help a great deal in therapy. When a client understands their values, they can gain a better understanding of their goals and what they want from life. They also learn about the type of person they want to be, and how they want to behave. When a person does not have a […]
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GinaMarie Guarino, LMHC
A huge part of having a healthy lifestyle and promoting healthy relationships is to have proper boundaries with yourself and with other people Boundaries are very important, but can sometimes be difficult to maintain. Everyone’s boundaries are different. They mean different things to different people. Everyone has their own unique needs and expectations in their […]
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GinaMarie Guarino, LMHC
Everyone has stressors in their lives. When people are in therapy, different stressors can serve as triggers for different conditions. Most people in therapy will have significant triggers that can cause them to think, act and feel in ways that are not healthy for them. An important part of therapy is helping clients identify their […]
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GinaMarie Guarino, LMHC
Catastrophizing is a common issue that people face in therapy. It is a term that refers to people feeling anxious because they feel the worst will happen in a challenging situation. Catastrophizing causes people to feel a great deal of anxiety. It often causes people to act irrationally and in a way that worsens the […]
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GinaMarie Guarino, LMHC
When used properly, cognitive behavioral therapy (CBT) is a very effective form of therapy. CBT helps people work on their problem behavior by providing a means to understand their thoughts and feelings. People often react to stressors quickly, and that can prevent them from thinking things through. CBT teaches a person how to slow down […]
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GinaMarie Guarino, LMHC
Everyone faces challenges. Life is about facing challenges to find resolution and grow from the experience. A huge factor that affects a person’s ability to handle challenges while maintaining inner peace and growth is the way in which they handle their own negative thoughts. It is important to know how to counter your own negative […]
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GinaMarie Guarino, LMHC
Cognitive distortions (thinking errors) are a huge contributing factor to many people’s mental health issues. Cognitive distortions are erroneous patterns in thinking that lead to negative thoughts, bad feelings and poor behavior. When someone suffers from a cognitive distortion, they are not able to perceive tough situations in a healthy way. That is why it […]
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GinaMarie Guarino, LMHC
A huge part of using cognitive behavioral therapy with clients is teaching them about cognitive distortions and how they affect their thoughts, feelings and reactions to upsetting situations. It is not uncommon for a client to turn to cognitive distortions like blaming to avoid taking realistic responsibility for challenges in their lives. In order for […]
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GinaMarie Guarino, LMHC
Throughout the course of therapy, it is important for both the therapist and the client to have a concrete understanding of how the client is growing and developing their coping skills. Therapy is more than just talking about feelings. It is about personal growth and learning how to manage thoughts, feelings, coping skills, behaviors and […]
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GinaMarie Guarino, LMHC
Social anxiety has an effect on how people interact with others. It affects the connections people make with friends and family. Social anxiety can cause a great deal of stress for affected people, and can be really frustrating to manage everyday. Those who seek help with social anxiety aim to learn how to manage their […]
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GinaMarie Guarino, LMHC
Cognitive distortions are powerful and erroneous thought patterns that significantly affect a client’s ability to perceive and understand an upsetting situation. Filtering is also referred to as focusing on the negative, which can be detrimental to a client’s self-image and ability to think reasonably. It is important for a client to understand how the habit […]
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GinaMarie Guarino, LMHC
Having healthy communication skills are important, but also challenging to develop. Some people may struggle with articulating their feelings and needs. It is common for a client to struggle with being assertive or understanding what it means to be assertive with your needs. Learning how to reflect on a situation before confronting another person can […]
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GinaMarie Guarino, LMHC
Emotions can be challenging to understand. It is not uncommon for people to feel different emotions at the same time and not understand why. When people don’t understand what is fueling their emotions or how they are connected they cannot understand what is needed to appropriately manage and take control of their emotions. About This […]
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GinaMarie Guarino, LMHC
When teaching your clients cognitive behavioral therapy(CBT) skills, it is important to help them gain an understanding of common thinking errors and how they affect thoughts, feelings and behaviors. When a person has a pattern of negative thinking, it will skew the way they see and understand how they fit into a situation. This will […]
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GinaMarie Guarino, LMHC
When dealing with a client who is struggling with self-confidence and low self-esteem, it is important to ensure that they are aware of their protective factors. Knowing your own protective factors is important. Protective factors serve as a source of strength, hope and comfort when dealing with a challenge. Sometimes a client is not aware […]
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GinaMarie Guarino, LMHC
Being aware of triggers is a critical component to learning how to cope with symptoms of mental illness. A part of a client understanding why they are feeling uncomfortable is understanding what causes the discomfort. Being able to identify triggers helps the client learn how to cope with several different disorders, like anxiety, depression, anger […]
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GinaMarie Guarino, LMHC
Many people who suffer from mental illness struggle to see their daily lives from a healthy perspective. It can be a challenge for most people in therapy to remove the lens of negativity that causes them to feel anxious, depressed or angry. When the balance between positive experiences and negative experiences is weighed toward the […]
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GinaMarie Guarino, LMHC
It is not uncommon for a client to feel like a victim of their own anxiety. Anxiety is a difficult feeling to live with, and it is often chronic for people who seek counseling. Anxiety brings ruminating negative thoughts that can have a major impact on a client’s ability to get through their day. When […]
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GinaMarie Guarino, LMHC
Stress is a natural part of life. It is a part of life that everyone must face and learn how to cope with. Some people are able to manage stress well, while others tend to really struggle to cope. Stress can lead to other issues, like anxiety, depression, motivation issues and relationship issues, so it […]
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GinaMarie Guarino, LMHC
A client’s quality of sleep can be very telling when addressing their mental health. Poor sleep patterns or hygiene can be symptomatic of several different conditions, like anxiety, depression, insomnia or PTSD. If a client is reporting issues with sleeping or recurrence of nightmares, it is important to look closely at the patterns that may […]
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GinaMarie Guarino, LMHC
Anger is an emotion that can overwhelm anyone, especially a young child. When a child is not taught proper emotional regulation skills, they can have trouble with learning how to manage their behaviors in reaction to their feelings. This can result in behavioral issues and troubles with communication. Teaching proper anger management skills helps a […]
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GinaMarie Guarino, LMHC
When it comes to certain cases, clients may find it difficult to grasp an understanding of the struggles they are going though. Whether dealing with trauma, anger, anxiety, depression or otherwise, it can be a challenge for many clients to understand how they came to become who they are. Sometimes it is not easy to […]
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GinaMarie Guarino, LMHC
Dialectical behavioral therapy is particularly useful when it comes to teaching a client how to handle distressing or upsetting situations. DBT teaches coping skills for stress tolerance, emotional regulation, and the reduction of mood swings and panic attacks. DBT provides several different tools that help a person learn how to cope with upsetting emotions like […]
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GinaMarie Guarino, LMHC
The Cognitive-Behavioral model is used in cognitive-behavioral therapy (CBT). It is a model used to explain the process of how CBT works and how it is helpful to utilize while in counseling. Often clients struggle to understand the meaning behind concepts in CBT, so it is helpful to have a visual aid that explains the […]
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GinaMarie Guarino, LMHC
At some point in a client’s journey, he or she will need to take a step back to evaluate how he or she is managing self-care. It is important for a client to be well-aware of what he or she needs to be able to maintain self-care, and to understand a hierarchy in which the […]
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GinaMarie Guarino, LMHC
It is important to have a list of goals and objectives for the client and therapist to work toward when beginning a new therapeutic relationship. Setting goals creates a foundation that helps the client and therapist stay on track when helping a client feel better. Setting goals also empowers a client to stay on track […]
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GinaMarie Guarino, LMHC
Sometimes a client will struggle to overcome racing or ruminating thoughts. These thoughts can be frustrating for a client, and can prevent him or her from staying productive throughout the day. If a client is struggling with racing thoughts, it is important for him or her to learn skills to manage those thoughts. Managing the […]
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GinaMarie Guarino, LMHC
It is important for clients to have an understanding of where logic meets feelings. These are two opposite elements that play a major role in how a client perceives a situation. They are strong forces that facilitate how a client will react to a situation. In order to ensure behavior is healthy, appropriate, and promotes […]
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GinaMarie Guarino, LMHC
A major part of learning how to cope with feelings and emotions in therapy is to understand how negative thoughts affect our thoughts and emotions. When a person is feeling a great deal of negative emotion, like anxiety, depression or anger, that person will also have negative thoughts. A major way to learn how to […]
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GinaMarie Guarino, LMHC
It is not uncommon to have a client pass through your doors who has low self-esteem and a poor awareness of who he or she is and how he or she fits into the world. This can cause a great deal of unpleasant feelings and anxiety within a person, as he or she struggles to […]
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GinaMarie Guarino, LMHC
Many of the clients that pass through therapy offices struggle a great deal with feeling safe in their own skin. Whether it is due to a history of trauma, personal insecurities, or just a general suspicion or lack of self-awareness, people often develop symptoms of anxiety and panic when confronted with different challenges. Sometimes, this […]
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GinaMarie Guarino, LMHC
Creating mantras is a great way to help your client learn how to cope and self-soothe when going about their day-to-day life. A mantra is a saying or phrase that is created and used by a person in times of distress, discomfort, sadness or anger. Mantras derive from meditative practices and have been found to […]
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GinaMarie Guarino, LMHC
When confronted with a difficult situation or an uncomfortable feeling that is not easily resolved, it can be easy to fall into a pattern of ruminating over the discomfort. It creates an urgent need to resolve a situation or find a solution to help you feel better. As we move through life, we learn that […]
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GinaMarie Guarino, LMHC
We all know that sometimes life can get overwhelming. Whether it is stress at work, home, or from an unexpected circumstance that causes us to feel overwhelmed. Whatever the case, it is important to know how to manage the feelings of stress, anxiety, fatigue, and depressed mood that comes with difficult circumstances. We all have […]
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GinaMarie Guarino, LMHC
In successful therapeutic processes, there will come a point in which a client needs to learn how to maintain a healthy, positive lifestyle that promotes mental health and wellness. Clients learn a great deal while in therapy, and making sure that the skills they learn is important to ensuring the client’s successful completion. It is […]
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GinaMarie Guarino, LMHC
The way we think is a huge component that contributes to the way we feel, behave and react to situations. People develop habits in thinking. Sometimes those habits are healthy, but often people can develop erroneous patterns of thought that affect the way they perceive the world and their place in it. These thoughts are […]
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GinaMarie Guarino, LMHC
It can be easy to get wrapped up in the moment of a stressful situation and instantly feel overwhelmed and without direction or hopes of finding resolution. When dealing with stress it is important to keep in mind that it will trigger anxiety, and each person reacts to anxiety in different ways. It is important […]
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GinaMarie Guarino, LMHC
Sometimes it can be tough for our clients to know what words to use to express what they are feeling. Feelings and emotions are complex, and can sometimes be uncomfortable and overwhelming. When our clients struggle to articulate their feelings it can be helpful to provide a guide to help navigate them through the words […]
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GinaMarie Guarino, LMHC
As therapists, we know that most issues and concerns our clients face are more dynamic and intricate than the client may realize. Many components contribute to presenting issues with our clients, and often there is more than meets the eye. When working with clients on issues like emotional regulation, mood disorders, anxiety, and self-esteem, it […]
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GinaMarie Guarino, LMHC
Sometimes clients struggle with learning how to feel happy and fulfilled in their lives. Whether it is due to depression, low self-esteem, or motivation issues, it is not uncommon for clients in therapy to struggle to find traction toward happiness or contentment. These clients will ultimately feel lost and sometimes hopeless in their efforts to […]
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GinaMarie Guarino, LMHC
Sometimes our clients have a hard time expressing how they feel to their therapist and others. There could be several reasons for this, like the client was not brought up to express their emotions, they struggled to relate to how others feel, or they simply struggle to make the connection between feeling and expressing their […]
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GinaMarie Guarino, LMHC
There are a number or reasons why our clients develop a tendency of stunting their emotional expression. Many grow up in homes where they learn to silence their feelings, some suffer from mood disorders that cause unfamiliar feelings, and some come from traumatic, abusive, or negligent situations that prevent them from being able to understand […]
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GinaMarie Guarino, LMHC
Helping a patient build self-esteem can be a challenging process. Many patients suffer from poor self-esteem, and that poor self-esteem contributes to their presenting concerns. It also will hold patients back from reaching their full therapeutic potential and feeling confident in themselves to make the changes in their lives that will help them improve their […]
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GinaMarie Guarino, LMHC
When it comes to teaching children proper behavior it helps a great deal to have a reward system in place in which the child can watch his or her progress grow. Such positive reinforcement helps with keeping children motivated to keep growing and working hard to learn good behavior and responsibility. Especially when dealing with […]
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GinaMarie Guarino, LMHC
Negative thoughts have the potential to control the way people perceive and interpret almost every aspect of their lives. Some may have negative thoughts about themselves, others, or the way of the world. Negative thoughts generate negative feelings, and negative feelings contribute to negative behavior and mood disorders. That is why it is important to […]
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GinaMarie Guarino, LMHC
It is important for therapists who are trained in cognitive behavioral therapy (CBT) to teach their patients how to deal with automatic negative thoughts (ANTs). ANTs are huge catalysts for negative behavior like lashing out at others and self-destructive behaviors. If a patient is able to identify and understand how ANTs are able to affect […]
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GinaMarie Guarino, LMHC
Children find it hard to cope with things they do not understand. There are many people, places and things in the world that scare children, and when children are afraid they feel lost, alone and vulnerable. Children who are fearful have a hard time developing the confidence they need to face their fears, but if […]
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GinaMarie Guarino, LMHC
When patients suffer from more debilitating emotional issues like depression and severe anxiety it can be difficult for them to keep from falling into bad habits like isolating and cutting off things that bring them joy. Of course this is understandable, as with such mental illnesses it can be difficult for a patient to enjoy […]
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GinaMarie Guarino, LMHC
Sometimes when people suffer from low self-esteem, low confidence, or mood disorders like anxiety and depression it is easy to focus on the negative and forget about the positive that they have in their lives. When patients focus only on the negative it is hard to imagine a happy and positive life that has hope, […]
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GinaMarie Guarino, LMHC
When we are struggling with understanding our mood and emotions it helps a great deal to use a mood journal to keep track of daily activities, triggers from the day, and how we managed out feelings. Sometimes we get caught up in the day and forget to focus on what we are feeling, which causes […]
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GinaMarie Guarino, LMHC
Many clients seek therapy because they struggle to regulate their mood. They go through mood swings, and feel stressed easily. People who struggle with managing their mood can feel overwhelmed often, and the feeling makes it hard to understand and manage their moods throughout the week. A weekly mood chart is a great tool to […]
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GinaMarie Guarino, LMHC
An important step to understanding your anger is understanding how intense it can become and the situations that make it as intense as it can be. Patients with anger management issues sometimes find it difficult to assess a situation and their reaction to the situation. An anger thermometer is a good way to help patients […]
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GinaMarie Guarino, LMHC
Patients often have a pattern of how their mood affects them. Throughout the day there are certain triggers based on responsibilities, encounters, etc. that may cause a patient’s mood to fluctuate. It helps a patient prepare for triggers when they are aware of when and where they are likely to encounter a trigger, along with […]
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GinaMarie Guarino, LMHC
After learning what cognitive behavioral therapy (CBT) is, how it works, and how com-ponents like cognitive distortions, automatic negative thoughts, emotions and behavior all contribute to our perceptions, it is important to learn how to challenge negative thoughts and cognitive distortions. A great tool to learn how to challenge cognitive dis-tortions is the automatic thought […]
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GinaMarie Guarino, LMHC
Cognitive distortions (CDs) are important for people to understand when they are learning to challenge their thoughts and behavior. CDs are patterns in thinking that typically make someone think in the negative and have negative expectations. This can be detrimental to the affected person for many reasons, the biggest being it holds them back from […]
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GinaMarie Guarino, LMHC
A huge part of cognitive behavioral therapy (CBT) is understanding what core beliefs are and how they affect people. Core beliefs are the perceived conclusions a person makes about themselves, the world, and their future, based on what they have learned through life experiences. The way a person sees each aspect of their world is […]
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GinaMarie Guarino, LMHC
Arguably the most popular and useful therapeutic exercise for cognitive behavioral therapy (CBT) is the automatic thought record (ATR). Automatic thought records are useful because they help the client take a look at themselves and reflect on their own reactions to a given situation. This empowers the client to reflect and identify their own errors […]
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