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 […]
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 […]
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 […]
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 […]
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 he or she cannot control the environment or […]
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 […]
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 […]
GinaMarie Guarino, LMHC
It is sometimes difficult for to control anger. Whether it is an isolated situation or a long-term problem , triggers for anger have the potential to cause the affected to react in alarming and sometimes dangerous ways. Those who suffer from anger management issues find it difficult to understand and control their anger. That is […]
GinaMarie Guarino, LMHC
It is important for therapists who are trained in 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, but if a patient is able to identify and understand how ANTs are able to affect their perception […]
GinaMarie Guarino, LMHC
Cognitive behavioral therapy (CBT) is a very popular and effective treatment modality that is used for many different types of cases. Whether the patient has depression, anxiety, borderline personality, low self-esteem, poor impulse control, anger management issues or otherwise, CBT is an excellent form of treatment that provides the patient with tools needed to identify […]
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 sometimes have a hard time developing the confidence they need to face the fears they […]
GinaMarie Guarino, LMHC
Working with children is as challenging as it is rewarding. As we know, children perceive and interpret their world very differently than adults. As children develop they begin to understand their lives and their influence on it in different ways. While they grow their understanding and expression of their emotions become more complex, which makes […]
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, […]
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, […]
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 […]
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 […]
GinaMarie Guarino, LMHC
When a patient is learning what is affecting them and ways to feel better it is expected that they take lessons learned in therapy and to them to their lifestyles. Sometimes in the heat of emotions and stress patients can forget what they learned and how to implement them, and need a reminder of why […]
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 […]
GinaMarie Guarino, LMHC
After learning what CBT is, how it works, and how components like cognitive distortions, automatic negative thoughts, emotions and behavior all contribute to our perceptions, it is important to provide the patient with an automatic thought record (ATR) assignment. An ATR pulls in all of the material to teach the patient how to use CBT […]
GinaMarie Guarino, LMHC
Cognitive distortions, or Automatic Negative Thoughts (ANTs) are important for patients to understand when they are learning to challenge their thoughts and behavior. ANTs are patterns in thinking that typically make someone think in the negative and have negative expectations. This can be detrimental to the patient for many reasons, the biggest being it holds […]
GinaMarie Guarino, LMHC
A huge part of CBT is understanding what core beliefs are and how they affect people. Core beliefs are the perceived conclusions a person makes about themselves, their world, and their future based on what they have learned through life experiences. When a person develops negative, irrational, or maladaptive core beliefs, the way they see […]
GinaMarie Guarino, LMHC
Arguably the most popular and useful therapeutic exercise for CBT is the automatic thought record (ATR). ATRs are so useful because they help the patient take a look at himself and reflect on his own reactions to a given situation. This empowers the patient to reflect and identify his own errors and how they affect […]
