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
It is not uncommon for a person to get stuck on the past, present or future. Each frame of time is important to consider when planning goals or the best way to move forward with life. When a person focus too much on the past they can get stuck because they don’t know how to […]
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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
Panic attacks are very difficult to go through, and it is not uncommon for a person to have a panic attack without even realizing it is a panic attack. Panic attacks cause many alarming symptoms that can be disguised as other conditions. It is important for a person to be able to determine whether or […]
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GinaMarie Guarino, LMHC
Children can have a particularly difficult time communicating how they feel. There could be a few different reasons for this. Whether they are afraid, frustrated, or simply do not understand how to express emotions, the ability to talk about how a child feels is important. An emotion that is especially important to be able to […]
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GinaMarie Guarino, LMHC
The first step to managing stress is learning how to recognize stress. Most people who experience symptoms of stress do not realize that it is a physiological reaction. They also do not realize how often daily occurrences can be triggers for stress. When working with a client who is struggling with stress-related issues, it is […]
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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
Building self-esteem is an essential part of child development. Without developing a high self-esteem, a child has a higher risk of struggling with anxiety, depression, relationship issues, body image and many other challenges. These challenges will affect the quality of how the child lives his or her life. In order to be able to develop […]
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GinaMarie Guarino, LMHC
In recent studies, it has been found that practicing gratitude exercises and positive affirmations have been effective in helping people manage stress, anxiety, depression, and an array of other types of mental health disorders. Teaching a client how to practice gratitude exercises helps him or her learn how to acknowledge and appreciate the good. This […]
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GinaMarie Guarino, LMHC
When working with clients on how to modify behavior, it is important to teach how to be self-reflective and aware of his or her behavior in reaction to the people places and things around them. When clients learn how to be self-reflective, they are able to learn how to slow down reactions, think situations through, […]
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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
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
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
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
Interpersonal issues like assertiveness, aggression, and confrontation are often things people struggle to know how to handle. There is a fine line between assertiveness and aggression, hostility, and submission, when dealing with confrontation. Sometimes it can be difficult to know which road to take, whether to be assertive, aggressive or submissive, and the confusion can […]
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GinaMarie Guarino, LMHC
We all know that worrying consumes time and energy, and is a feeling that is often hard to shake. Patients often struggle to cope with worrying, and may not even realize how severely they are affected by their worrying. do not quite understand that they have the power to control how their thoughts affect their […]
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GinaMarie Guarino, LMHC
When working with patients who struggle with relationship issues and communication issues, it is important to be sure the patient understands the core elements needed in developing relationships. Patients often struggle with building relationships, getting to know people, being open to others, and communicating. When patients struggle with these issues it is important to teach […]
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GinaMarie Guarino, LMHC
Many patients will struggle with a major issue that all people are best coming to terms with: we cannot control what happens around us. Wanting to remain in control is a natural thing for people, but it can sometimes be difficult for a patient to understand that they cannot control the environment or a situation, […]
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GinaMarie Guarino, LMHC
One major cause for stress for patients is understanding how to handle confrontation and interactions with others. Sometimes people struggle with being assertive, controlling their temper, or simply expressing how they are feeling or what they are thinking in a given situation. When patients struggle with such challenges it helps to help them understand social […]
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GinaMarie Guarino, LMHC
A major reason why patients suffer from low self-esteem or emotional issues is a poor sense-of-self. There are many reasons for a person to develop a poor sense-of-self, but one common reason being aware of or understanding the things they value in life. Helping a patient discover what is important to them and their moral […]
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GinaMarie Guarino, LMHC
When we are confronted with patients who are fixated on the negative it is difficult to break away from the bad and shift focus on the good. Often we will have a patient who does not acknowledge anything besides the negative in his or her life which not only is detrimental to their overall health, […]
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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
With all the responsibilities we have as adults it is all too easy to get wrapped up in the stress of the day and miss out on the things we appreciate in this world. When a patient is overwhelmed with their environment it is helpful to remind them to focus on things that they appreciate […]
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GinaMarie Guarino, LMHC
Weekly mood charts are great ways to track the progress of a patient’s mood regulation exercises. With weekly mood charts the patient is able to record any successful or unsuccessful attempts of managing his or her moods and emotions. It is also very helpful for helping the patient identify his or her triggers and ability […]
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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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