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
Anger management skills are an important part of maintaining good mental health and healthy relationships. People who struggle with anger are often struggling with other feelings, like stress, grief, and fear. In the moment, they may not realize how many other things are going on that is causing the anger, which can lead to outbursts […]
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GinaMarie Guarino, LMHC
A depressed mood can affect most areas of a person’s life. Sometimes depression is chronic or consistent, and sometimes it can come and go in waves. Depression can impact how a person can cope with life stressors, which is why it is important to know how to handle it in the moment. A person does […]
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GinaMarie Guarino, LMHC
Many people in therapy suffer from sleep issues. Whether it is stress, anxiety, depression a reaction to a medication, or insomnia, sleep issues are a common issue for people who are working on their mental health. Insomnia and sleep issues are difficult to deal with and can be symptoms of a deeper underlying issue. While […]
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GinaMarie Guarino, LMHC
Between sessions, clients need to practice coping skills. Worries happen each day of a person’s life, but they should not be strong enough to consume a person. That is why it is important to remember to use coping skills each day. A great way to make sure a client remembers to use coping methods to […]
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GinaMarie Guarino, LMHC
A major component of mental health is promoting wellness in day to day life. Without proper attention to wellness, a person can feel lost and lack direction in their life. People who struggle with wellness often struggle with anxiety, depressed mood, and trouble with stress management. Well is not a state of mind, but rather […]
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GinaMarie Guarino, LMHC
Anxiety is an emotion that everyone feels sometimes. Whether a person is seeking therapy for an anxiety disorder or something that is causing them to feel anxious, it is important to understand what anxiety is and how it can affect a person. Anxiety can cause many uncomfortable symptoms. It is a different experience for everyone, […]
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GinaMarie Guarino, LMHC
A big part of therapy is learning how to experience one’s own emotions. It can be hard to experience emotions and learn how to be comfortable with feeling them. It is not uncommon for people in therapy to struggle with identifying and embracing how they feel. This can cause them to transfer all of their […]
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GinaMarie Guarino, LMHC
Anger affects everyone. It is a powerful emotion that can be triggered by many different things. You may feel anger from an upsetting situation, stress or another emotion you don’t entirely understand. Sometimes, when we do not understand our anger or how it negatively affects us, it has a damaging effect on our quality of […]
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GinaMarie Guarino, LMHC
Awareness about your own cognitive distortions is an important part of therapy. It is a step toward correcting thinking errors. A cognitive distortion is a pattern in negative thoughts. It is an error in thinking that causes many challenges in a person’s life. Understanding cognitive distortions is a part of the process of cognitive behavioral […]
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GinaMarie Guarino, LMHC
It can be challenging to have a balanced and healthy perspective on life’s challenges. Clients often struggle to understand how they think and feel, and how their thoughts and feelings can affect a situation. When a client is being negatively impacted by their behavior, it is important to help them take a step back. A […]
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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
When people are angry, they are not only angry. Their anger is a reaction to a trigger. A trigger occurs in a person’s environment, but it is fueled by much more. Feelings, thoughts, insecurities, fears and memories all contribute to a person’s anger. It is important for a client to understand this fact. Clients rarely […]
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GinaMarie Guarino, LMHC
Anxiety is an oppressive emotion for people to feel. People with chronic anxiety tend to suffer from cycles of anxiety, panic and avoidance. It is not uncommon for these people to not realize the cycle of anxiety they fall into, nor how the cycle affects them. In order to learn how to manage anxiety, a […]
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GinaMarie Guarino, LMHC
Anger can be difficult to manage. People who suffer from anger management issues often struggle to cope with their anger in a healthy way. They may engage in unhealthy behaviors, like lashing out at others or taking it out on themselves. It is important to have healthy anger management skills. Without proper anger management skills, […]
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GinaMarie Guarino, LMHC
Children often do not understand how to handle their anger in a healthy way. They may act out, shut down, or lash out at others. Anger can be a complicated emotion for children, so ensuring that they understand how to cope with the feeling is important. Children often need guidance for how to communicate their […]
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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
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
When working with clients in recovery from substance use it is important for both the counselor and the client to understand where their temptations stem from. Everyone will have different moments of temptation, and it is not uncommon for a client to be confronted with temptation when they least expect it. Temptations are very difficult […]
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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
Just like adults, children can have a hard time controlling their anger. They often do not understand how their anger affects them, and how it affects others. Children can struggle to learn how to process and express negative feelings like anger, so it is important to teach emotional intelligence skills to keep them grounded when […]
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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
Relationships can be tough, but a couple that is motivated for change and attends couples counseling has a lot of room for growth. It is not uncommon for a couple to struggle with a number of issues. Sometimes an issue that a couple can face is remembering to express gratitude for their loved one. Feeling […]
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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
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
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
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
Emotions can be challenging to understand. Sometimes they have concrete reasons for being felt, and sometimes we are not sure why we are feeling a certain way. When we feel emotions we do not understand, we can struggle to understand how to cope. People who struggle to understand how to identify and cope with their […]
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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
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 a client’s triggers is a critical component of learning how to cope with symptoms of mental health challenges. Triggers are situations that can cause a person to react in an unwanted or unhealthy way. Triggers can cause a person to struggle with unwanted thoughts, feelings, and impulses. They are especially challenging when […]
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GinaMarie Guarino, LMHC
Many people in therapy struggle to see their daily lives from a healthy perspective. It can be a challenge for people in therapy to remove the lens of negativity that causes them to feel anxious, depressed, or angry. While it is unrealistic to expect someone always to see things positively, it can help to balance […]
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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
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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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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