GinaMarie Guarino, LMHC
Treatment for substance use can be challenging. The experience is different for everyone, and people enter treatment with different levels of motivation for recovery. Knowing how motivated someone is in treatment for substance use is an important part of treatment planning. In order to set someone up for success, it is important to understand their […]
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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
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
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
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
Issues in relationships often stem from a problem with communication. Communication is a critical part of a healthy relationship. Without proper communication skills, it is difficult for a couple to work together as a team and resolve issues. Good communication skills are important both during the good times and the bad times. People often think […]
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GinaMarie Guarino, LMHC
Relationships can be challenging. In any relationship, there are points of strength and points of struggle. In the more challenging times, it is important to be able to work as a team. The goal of resolving problems in a relationship is finding resolution, not winning an argument. To be a strong team, each partner must […]
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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
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
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
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
Children often struggle to talk about how they feel. They struggle to work through their own emotions to feel okay. When a changing family affects a child, they may act out or shut down. It is important to be mindful of these changes, and to help the child work through their feelings, rather than punishing […]
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GinaMarie Guarino, LMHC
A huge part of being able to build a strong relationship is to know how to acknowledge your partner’s qualities, and be able to articulate why the qualities are important to you. Building a strong foundation takes time, dedication and patience. Couples need to learn how to communicate, compromise, and express appreciation for one another. […]
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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
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
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
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
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
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
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
An important part of teaching a child responsibility, accountability and maturity is to provide structure and routine in the daily schedule. With the help of chores and responsibilities around the house, the child is able to learn how to interact with the world, how to take initiative to be self-sufficient, and how to internalize the […]
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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
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
When working with kids, especially those who have behavioral problems, it can be a challenge to teach empathy and healthy socialization skills. Being able to express gratitude and appreciation for others helps a child relate to their peers and teaches them how to identify positive qualities within themselves. When a child can express appreciation, they […]
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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
Working on communication in relationships is an integral part in strengthening the bond between a couple. Often, people who are struggling in a relationship have a hard time expressing their needs in an open and effective way. This can often cause tension in a relationship and cause a rift between partners. About This Worksheet This […]
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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
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 we are kids, we have a good grasp of what it means to experience those staple emotions: Happy, sad, angry, excited, etc. We learn about emotions slowly, what they mean, and how to manage them. As we develop, our brain expands, and our understanding of emotions and how we feel becomes more complex. For […]
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GinaMarie Guarino, LMHC
There are many reasons why rewarding systems and operant conditioning strategies can be beneficial for a client. Whether it is to learn new parenting skills, communication skills, or leadership skills, understanding the process of reinforcement and punishment styles can be instrumental in a client’s therapeutic process. While helpful skills to learn, understanding the difference between […]
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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
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
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 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
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
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 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
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
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
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
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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GinaMarie Guarino, LMHC
In therapy, a client learns a lot about their emotions and issues that create challenges in their lives. Through their own self-exploration, they begin to learn different ways to cope with different challenges. Therapy teaches coping skills that help clients relieve their symptoms in real life situations. They learn valuable life skills in therapy. It […]
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GinaMarie Guarino, LMHC
People with depression can lose sight on what is important to them. Depression is mentally, emotionally, and physically debilitating. When a client is depressed and does not understand what they can do to manage their depression, they will feel hopeless about life and the future. It is important to encourage clients to find strength within […]
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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. These conclusions are based on what they have learned through life experiences. The way a person sees each aspect of […]
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