GinaMarie Guarino, LMHC
A person’s mood can fluctuate when they are struggling with mental health issues. Some days are easier than others, and patterns of dealing with harder days can affect a person’s progress in therapy. Clients often have a pattern of how their mood affects them. Throughout the day there are certain triggers based on responsibilities, encounters, […]
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GinaMarie Guarino, LMHC
A major challenge that comes with depression is the way it affects a person’s motivation. When a person is depressed, they may find themselves struggling to stay motivated to achieve their goals. This, in turn, can cause feelings of self-doubt and helplessness, which can fuel feelings of depression. Depression has a way of getting people […]
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GinaMarie Guarino, LMHC
Fears can hold us back in many ways. It can develop for different reasons and can cause us to react with unhealthy behaviors, like overcompensating, avoiding, and resisting things that may be good for us. Facing fears is an important part of personal growth, so learning how to overcome your fears can make a difference […]
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GinaMarie Guarino, LMHC
Psychotherapy is a term that refers to talk therapy. Talk therapy is what a person may think of when they envision what it is like to be in counseling. It can be helpful to teach a new client in counseling what psychotherapy is and how it can help. There are different types of psychotherapy. Each […]
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GinaMarie Guarino, LMHC
A major factor in the success of achieving a goal is how a person plans for a goal. Oftentimes people set goals that are not realistic, but they do not realize that until they are overwhelmed with work. Because of this, it is important to develop proper goal-setting skills when creating a plan for the […]
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GinaMarie Guarino, LMHC
Change takes time. Change can be challenging for people to accomplish, and it is often something that people resist. Change is scary, but can also be exciting, healthy, and liberating. Some changes cause pain while others cause relief. Whatever the need is for change, it can be difficult for a client to facilitate change in […]
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GinaMarie Guarino, LMHC
Life gets stressful for everyone. Managing all of the responsibilities that come in a day can be challenging, and it is not uncommon for people to struggle with managing time and stress. Whether a person takes on too much at once or has unexpected changes in their lives, time management is not always easy and […]
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GinaMarie Guarino, LMHC
Managing symptoms of mental health conditions can be challenging, especially for clients who prolonged mental illness or clients who are new to managing their mental health and wellness. It is common for clients to give in to their symptoms and allow them to take control, which can feel good at the moment, but causes a […]
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GinaMarie Guarino, LMHC
When it comes to addressing a child’s behavior, consistency is key. Consistent and expected rewards and consequences can be a great motivator for behavioral modification. When it comes to encouraging good behavior and discouraging bad behavior, understanding consequences helps a child understand how to behave. Planning rewards and consequences do not need to be complicated. […]
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GinaMarie Guarino, LMHC
People in therapy often face challenges when they are not in touch with how their thoughts affect their behavior. Without understanding the connection between these two things, clients can struggle to understand how to reflect on themselves to become healthier individuals. Both thoughts and behaviors should be challenged when working to build a healthy lifestyle. […]
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GinaMarie Guarino, LMHC
Setting life goals is an excellent way to set a path for a client in therapy. When a client has a goal they are trying to achieve, the feel a sense of purpose. A goal can give direction and motivation in a client’s day. It can also help them identify and modify their own behaviors […]
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GinaMarie Guarino, LMHC
A strong social support network is an important component of maintaining mental health. Whether suffering from a mental health condition, recovering from addiction, or just managing daily stressors, social support can be a huge resource for managing mental wellness. Sometimes it can be hard to reach out for support, but helping a client know who […]
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GinaMarie Guarino, LMHC
Goal setting can be a great method of promoting good mental health. When people set goals for themselves, they set themselves on the path for success. While that path can be challenging at times, goals can give people a sense of purpose and value. A great way to help people who are struggling with their […]
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GinaMarie Guarino, LMHC
Relationships can be challenging at times. There are many obstacles a couple faces throughout the course of their partnership. It is not uncommon for a couple to fall out of sync with each other. Whether it is dishonesty, unfaithfulness, or just troubles with managing work and family, every long-term couple will face its trials. Every […]
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GinaMarie Guarino, LMHC
Self-image is an important part of understanding who you are as a person. Many people who seek therapy struggle because they do not have a good relationship with themselves. They do not understand who they are, and that can be for many reasons. Sometimes people are so distracted with who they want to be they […]
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GinaMarie Guarino, LMHC
Understanding your own positive traits is an important part of building your self-worth and self-esteem. When you do not know your own positive traits, it is hard to feel like you know yourself. You often do not know how to make proper decisions, or how to behave in a healthy way. Your self-worth and moral […]
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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 is having proper boundaries with yourself and the people in your life. Boundaries promote healthy relationships with others and a good sense of self-esteem. They are very important, but can sometimes be difficult to maintain. Everyone’s boundaries are different. Each person has their own unique needs and […]
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GinaMarie Guarino, LMHC
A huge part of encouraging a child to continue to engage in good behavior is to provide positive reinforcement. Reinforcement is a powerful tool because it helps a child learn what behaviors will get a positive reaction from the people around them. It helps them to understand consequences and how to behave in a way […]
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GinaMarie Guarino, LMHC
A major part of learning how to cope with stress, anxiety and other mental health disorders is to learn effective relaxation techniques. Relaxation techniques are a critical part of maintaining good mental health. They are needed for different areas of your body, and without them you cannot properly cope with stress, anger and other upsetting […]
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GinaMarie Guarino, LMHC
Phobias are a challenging struggle for clients to experience. Working with clients who are trying to overcome irrational or debilitating fears takes a great deal of time and patience. A person who is facing a phobia or fear will work hard to develop the courage to face it head on, and often need guidance and […]
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GinaMarie Guarino, LMHC
Mindfulness is an important exercise to practice regularly. Clients must learn how to be mindful of themselves, their needs and their emotional wellness in order to ensure good mental health. Families often need mindfulness exercises to ensure their mental health and relationships as well. Family mindfulness is a great way to bring families closer together. […]
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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 to help clients cope with their triggers is teaching them about cognitive distortions. Cognitive distortions are patterns of thinking errors, and they affect a person’s thoughts, feelings, and reactions to upsetting situations. It is not uncommon for a person in therapy to turn to cognitive distortions like […]
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GinaMarie Guarino, LMHC
Practicing effective self-care techniques is a very important part of mental health. Without self-care, people cannot grow and learn how to cope with the stress of their daily lives. It is particularly important to practice self-care when struggling with mental illness. This is because self-care helps to promote skills to maintain good coping strategies and […]
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GinaMarie Guarino, LMHC
A huge part of successfully developing effective communication skills is understanding what it means to be assertive. Assertive communication skills are essential for clients who are learning how to express themselves effectively. When a person is assertive, they are able to make their point and perspective clear. They are able to state their needs and […]
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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
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
Reinforcement exercises are a helpful tool when teaching children healthy communication and behavior habits. With positive reinforcement, a child learns what types of behaviors elicit positive reactions from people. Through using positive reinforcement techniques children can learn how to behave well in school, at home, and in counseling. A great technique is incorporating a reward […]
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GinaMarie Guarino, LMHC
When a child is suffering from the effects of anxiety, trauma, abuse, or behavioral problems, he or she feels helpless and vulnerable. These feelings can prevent the child from taking action in taking care of themselves when it counts. In order to ensure a child develops the skills needed to become mentally and emotionally strong […]
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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
When in recovery, it is important to have a safety plan. Patients who are in recovery will face many challenges, and most of them will be unexpected. This is why helping our patients be prepared for triggers, cravings and obstacles is critical for recovery. About This Worksheet This is the Relapse Prevention Plan worksheet. This […]
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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
Teaching emotional intelligence skills is important when working with young children. Often children have feelings they may not understand, which makes it difficult for them to express how they are feeling and if they are upset. This struggle can prevent caretakers and parents from being able to understand the child’s needs, and can further complicate […]
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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
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 when it comes to working on goals, it is difficult for a client to really understand what it means to set a goal and how to go about working toward that goal. Often times we think of goals as the end result, without considering the means to which we achieve the goal itself. Sometimes […]
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GinaMarie Guarino, LMHC
Sometimes we have clients who struggle with finding motivation. They may struggle to find motivation in developing a career, accomplishing a goal, or moving on to the next phase in life. There are a number of reasons why a person may struggle with achieving a goal. This is why it is important that the client […]
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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
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
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
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
It is important for children to feel empowered and confident in themselves. Confidence helps a child feel proud, motivates them to learn and engage with others, and helps them build social skills and resilience that will be useful in the real world. Unfortunately, many children find it difficult to identify their positive qualities and what […]
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GinaMarie Guarino, LMHC
Therapists who are trained in cognitive-behavioral therapy (CBT) find value in teaching their clients how to deal with automatic negative thoughts (ANTs). ANTs are huge catalysts for negative behavior like lashing out at others and self-destructive habits. They also cause negative emotions and hurt feelings that may not be fair to the client. ANTs can […]
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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 […]
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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
People who suffer from eating disorders have a difficult time staying on track with a healthy diet. Whether they are inclined to eat too much or not enough, it can be a difficult keep track of the progress they are making in their journey back to health. Often when a patient is first starting out […]
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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
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
Patients who are suffering from a mental illness can often feel discouraged from being able to achieve their goals. Sometimes their ambitions and efforts are cut off by thoughts like “why bother?”, “it’s too much, I won’t be able to do it” or “I will start tomorrow”. It helps a great deal to draft a […]
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GinaMarie Guarino, LMHC
Utilizing gratitude skills with clients in therapy is a great way to help clients learn how to cope with stress and frustration in their lives. With all the responsibilities we have each day, it is all too easy to get wrapped up in the stress of the moment and miss out on the things we […]
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