9 Blogs to Help You Navigate Difficult Parenting Moments

Being a parent is a hard job, and unfortunately it doesn’t come with an instruction manual. 

For most of us, what we learn about parenting is what we observed from our own families, and maybe some professionally recommended books here and there. But there are so many parts of parenthood that we may not even realize what we need to know until we need to know it.

We know how hard it is to be a parent, and how isolating it can feel to need help but not know where to go for it. As a jumping off point, we’ve gathered all of the parenting resources from our blog to date, and put them together here for you, as a mini parenting resource toolkit. 

To support your child’s wellbeing:

Anxiety is a common feeling that we all experience from time to time. However, sometimes that feeling starts to overwhelm and interfere with our daily lives–that’s when it becomes an issue we need support managing. Navigating this with your child or teen is hard! You may not be sure if their behavior is “normal” levels of anxiety, or if they’re showing you that they need help.

Sometimes when anxious, children may begin to avoid certain triggering situations and events, such as peers, teachers, or school itself. The avoidance then serves to maintain the anxiety and to worsen it over time. As a parent, how can you help your child break free of anxiety, out of their mind and into their life? If you’re looking to help your child or teen manage their anxiety in a healthy, productive way, check out: 

• 24 Resources for Children and Teens with Anxiety and Their Families

• What parents of anxious children should know about anxiety

• What to Teach Your Child About Worry

Similar to anxiety, it can be hard to identify the difference common child and teen behavior, mood changes, and depression that needs treatment. And when you’ve recognized that your child or teen does need help, it may be hard to know where to go. It’s natural to feel overwhelmed, wanting to support them but not quite sure how. For this, we’ve organized 26 different resources for parents whose children are struggling with depression: 

• 26 Depression Resources for Kids, Teens, and Parents

Parenting a child with chronic pain is challenging. Not only is it difficult to see your child in pain, but parents often feel helpless, stuck, and unsure of what to do to help ease the pain and mitigate its impacts on their child’s life and daily functioning. For instance, children with chronic pain often begin to miss school, become socially isolated, and feel increasingly depressed and anxious over time. So how can parents help support their children get back to life and functioning even in the face of pain? Start here:

• 3 Tips for Parenting a Child with Chronic Pain

To support your own wellbeing:

Dealing with parenting stress and anxiety is necessary for so many parents, but many don’t have the resources or the time to make changes to cope. It’s not right that parents are spread so thin, and there should be more protections for parents and families coming from our government–and there are a lot of people out there working toward just that. As change comes slowly, parents feel forced to do it all, often not knowing how to rely on their communities to fill in the gaps, which leaves them stuck with bandaid solutions to help lower stress levels–so they can get up again and do it the next day. If you’re struggling with parenting stress and anxiety, we’ve mapped out a few coping skills to help you not feel so drained: 

• 7 Tips for Coping with Parenting Stress

Parenting can already feel like driving somewhere new without a map–when you add in managing chronic pain on top of that, it can be hard to find resources that speak to your experience. The trouble is, when we feel isolated, asking for help becomes harder, when it’s often the very thing we need to do. Working with a therapist can help you manage the potential isolation and grief that comes along with having a chronic illness, and work with you as you gain confidence asking for help and leaning on your support network. Here are some tips for how to manage your role as parent while being realistic about how chronic pain impacts your life: 

• Parenting with Chronic Pain

One of the seven tips to help with parenting stress is to rely on your community. We need community to survive so many things, and parenting is no different. It’s increasingly hard to raise a family without help from your community, whether that be family, friends, neighbors, coworkers, or someone else. But how do you go about cultivating that community? Here are a few tips to start: 

• Cultivating Strong Community Ties for Better Mental Health

To support the wellbeing of your parent/child relationship: 

Effective communication is harder than we may think it is! It’s not how we typically learn to listen and communicate. In fact, most of us usually listen in order to respond instead of in order to really hear what the other person is saying. And while it is not usually intended to be harmful or malicious, it can cause misunderstandings, miscommunication, and feelings of being ignored, or resentment. This is especially harmful in conversation with teenagers who rely on you to be a safe space for support! Here’s a guide on what effective communication with teenagers looks like, and tips on how to cultivate it: 

• 3 Tips for More Effective Communication with Your Teen

Are you looking for more support with parenting? Working with a therapist on parenting concerns can help you find more ways to cope and build your confidence as a parent. Get in touch with our office today to get started.

Parenting with Chronic Pain

Living with chronic pain is challenging–and parenting with chronic pain is a challenge that feels like it comes with little support. 

Parenting can already feel like driving somewhere new without a map–when you add in managing chronic pain on top of that, it can be hard to find resources that speak to your experience. There are a lot of limitations that come with experiencing chronic pain that just aren’t factored in with typical parenting advice. This can make parenting–where your whole world is about your child, and you already feel a little removed from your “adult” social circles–feel even more isolating. 

The trouble is, when we feel isolated, asking for help becomes harder, when it’s often the very thing we need to do. Working with a therapist can help you manage the potential isolation and grief that comes along with having a chronic illness, and work with you as you gain confidence asking for help and leaning on your support network. 

In the meantime, here are 5 tips to help you show up as a parent with chronic pain: 

Set expectations with your child: 

In order to set reasonable expectations with your child, you need to be openly communicative, and come from a place of compassion. Remember, everything you just know is something they still need to learn, and probably learn more than once! Especially when it comes to your body and its limitations; unless they experience chronic pain themselves, kids tend not to be as bogged down by pain or fatigue as adults, so they don’t have personal experience to draw from when trying to understand.  Be clear about what type of pain you have, what you need to do or avoid to manage that pain, and when the pain is preventing you from participating in their play or activities, let them know what’s happening for you

Practice open and vulnerable communication: 

If you can practice open and vulnerable communication with your child you can set expectations with them about what your body can handle, and make space for their feelings. 

Remember, even if they know what you’re going through, they still may have hurt feelings about it. Let them know it’s okay when they’re feelings are hurt and assure them you’re not upset with them, punishing them, and that you wish you could be there how they wanted to. 

Normalize accepting help: 

While remembering that your role as parent is naturally going to make this exchange uneven, it can be beneficial for your child to practice offering and having their assistance accepted. Be sure not to slip into the habit of treating them as your caregiver, but if you let your child know what you’re struggling with and they offer some help (getting you a glass of water, finding the pain relievers you need, etc.) instead of saying no or that you can do it yourself, offer gratitude and accept the help! These small exchanges can help reach your child that asking for help can strengthen relationships, not weaken them, and that offering help–even in small ways–can provide support for loved ones. 

Tap into your support system: 

When you have low energy or high pain days, are their friends or family you can reach out to for support? Plenty of people in your community want an active role in your child’s life, and having secure intergenerational relationships with adults who aren’t their parents is good for kids! On days when you’re struggling, instead of feeling guilty each time you have to tell your kids you can’t play because you’re in too much pain, see if a loved one can take them for part of the day. Let them know you’re going to rest up while they’re gone and hope to feel a bit better so you can hear all about their day–and then an auntie or uncle can take them to a museum or a movie or a park or just spend time with them at their house. Normalizing this within your community of parents is also great, because it strengthens everyone’s confidence in asking for and offering help! 

Try to plan ahead for big events: 

If your child has their first school play, you want to be there! While flare ups are not always avoidable, there are often some things that can trigger or exacerbate them, and some things that are more effective than others in reducing and managing flare ups. Try to be extra conscious of these things around big events for your child, that way you can minimize the risk of flare ups happening unexpectedly when they want you to show up for them. 

If you would like more support in coping with chronic illness or parenting with chronic pain, our therapists at Hope+Wellness can help. Reach out today to make an appointment! 

6 Signs It's Time for Couples Counseling

Is it time for you and your partner to start couples counseling?

When you’re feeling disconnected from your partner, it can feel hopeless and frightening. You might wonder what you can do to repair the connection you have and feel like a team again. Couples counseling can make a big difference in the way you communicate and connect with your partner.

There’s no perfect time to start couples counseling, but it’s true that couples often wait for a very long time to get support after they start having problems. The negative patterns that lead to disconnection have more time to get ingrained the longer you wait to change them. Relationship therapy can help you unpack those patterns, no matter when you and your partner choose to come in. 

There are a lot of misconceptions about couples therapy that can lead to couples waiting to get support.

First, couples counseling doesn’t have to be a last resort. You don’t even have to be going through something serious to start couples counseling. It can even be a good idea to start therapy before you have major issues, so that you have a solid foundation of communication skills and healthy conflict patterns when things come up.

Next, attending couples therapy doesn’t mean that there’s something wrong with your relationship or that you’ve failed in any way. Relationships are hard, and when there’s dysfunction in our important relationships, it can impact all parts of your life. Seeing a therapist to help your relationship 

It’s also important to note that couples counseling isn’t a quick fix. Therapy of any type takes work, and there are times when it will be hard or distressing. But there are also major benefits of couples therapy, including: 

• Learning and practicing tools for healthy communication

• Repairing and rebuilding emotional connection

• Finding growth as a couple

• Discussing current areas of improvement 

• Establishing a stable foundation for the future

• Strengthening intimacy

• Regaining warmth, closeness, and support

• Finding ways to resolve issues causing distress

• Making decisions in alignment with each other and your values

• Feeling confident in your ability to get through future issues

What brings couples to couples counseling?

There are lots of reasons why couples seek out couples therapy. While counseling can be immensely helpful during moments of relationship crisis, it’s not the only thing that brings couples to therapy. 

These are just some of the reasons why couples start therapy:

• Communication issues

• Emotional distance

• Intimacy issues

• Affairs & infidelity

• General relationship dissatisfaction

• Navigating conflict

• Rebuilding trust

• Work-life balance difficulties

• Parenting differences

• Difficulties with in-laws or family members

• Substance use

• Differences in values

• Family planning and whether to have children

• Managing parenting differences

• Fairly dividing household and relationship labor

• Blended family dynamics

• Codependency

There’s no right or wrong reason to start seeing a couples counselor. But if you’re wondering when it’s time to start couples counseling with your partner, here are some signs: 

It’s been on your mind

If you’re reading this article, clearly this topic is on your mind. Of course, you don’t have to act on every thought you have, but if this is something you keep coming back to, it can be a sign that it’s the right time to talk about it with your partner and look for a relationship counselor. 

Trust has been broken

It’s really hard to be in a relationship with someone you don’t trust. Trust being broken between romantic partners can be hard to recover from, but it’s a lot harder without the support and guidance of an experienced couples therapist. If you’re struggling with trust in your relationship, therapy can help you work through the painful emotions and rebuild trust and safety. 

You don’t communicate well with each other

Like trust, communication is essential for healthy relationships. If you don’t communicate well, it can feel impossible to interact, even about small things. Feeling like you can’t talk to the person you love can be heartbreaking! Couples counseling can help you discover your negative communication patterns and practice healthier ways to communicate with one another.  

You’re stuck in conflict

It’s normal to have conflict in relationships, but it’s not normal to fight all of the time. Even when you disagree, it’s possible to end conflicts so that you don’t get caught in a cycle of fighting. Research actually shows that most conflicts between couples can’t be easily solved and are perpetual, so it’s crucial to learn how to move forward from those moments. Relationship therapy can help you handle conflict in a healthier way.

There’s emotional distance

Disconnection can be painful in romantic relationships. When there’s a lack of intimacy, whether that be emotional or physical or both, it’s distressing and often hard to talk about. A couples therapist can help you find ways to have hard conversations while helping each other feel safe. 

You’re going through a big life transition

Life transitions are major sources of stress, and stress can wreak havoc on our close relationships. If you’re already at your limit with stress, finding time for therapy might not seem appealing, but it can be a game-changer to give yourself another source of support when you’re going through a difficult time. 

Are you interested in couples counseling? Our clinicians at Hope+Wellness offer therapy for couples in our office and online. We serve the McLean, Great Falls, Falls Church, Arlington, Alexandria, and the greater Washington DC regions, as well as offering online services in DC, MD, VA, and all PSYPACT states. Get in touch with us here to get started.

What You Should Know About Exposure and Response Prevention (ERP)

Did you know that there’s a treatment for Obsessive Compulsive Disorder (OCD) that’s been shown to be effective for up to 80% of people with OCD? It’s a type of Cognitive Behavioral Therapy (CBT) called Exposure and Response Prevention (ERP).

What is Exposure and Response Prevention (ERP)?

ERP was developed to treat OCD, and it can be an incredibly effective form of treatment for folks dealing with obsessive thoughts and compulsions. 

To understand ERP, it can help to understand more about how Obsessive Compulsive Disorder works. OCD involves intrusive thoughts that are disturbing and unwelcome. Often, these thoughts create a lot of distress for the person who is experiencing them. When these thoughts pop up and cause distress, people with OCD attempt to relieve the distress through compulsions, which may work briefly. 

After a while, though, the thoughts come back, and the cycle starts again. The compulsions that a person uses to relieve their discomfort eventually become part of their daily routine, which can get in the way of work, family, and other relationships. 

When we think of OCD, we often think of someone who is obsessed with cleaning, but that’s not actually how most people experience the disorder. People may have recurring, unwanted thoughts about harming people they care about, or that something bad will happen if they don’t follow through with their compulsions. Some people experience intrusive sexual thoughts, or thoughts of doing something violent or illegal. These thoughts are not in the control of the person experiencing them, and they can be extremely frightening. 

To try to lessen the fear they feel from these thoughts, people with OCD may develop compulsions or rituals like checking to make sure the smoke detectors work, making sure the baby is still breathing, making sure that the emergency brake is on, or checking that the security system is on. The overwhelming feeling is that if they don’t practice these compulsive rituals, something terrible will happen, and that can be an exhausting way to live. ERP was designed to interrupt this cycle and reduce the anxiety that feeds these intrusive thoughts. 

How does ERP work? 

There are two parts to ERP - the exposure and the response prevention. Within the safety of a therapist’s office, you’ll be exposed to the triggers and thoughts that cause you distress. Then, you’ll practice resisting the urge to perform the corresponding compulsions or rituals. 

First, you’ll work with your ERP therapist to determine what all of your triggers, intrusive thoughts, and compulsions are, so you can work through them in a safe place. This helps you and your therapist determine which triggers and obsessive thoughts cause you the most distress, so you can work your way up from lower levels of distress to higher levels over time. Exposure and Response Prevention works gradually. You aren’t going to be asked to confront your worst fears right away. As you move up the hierarchy of distress, you’ll gain confidence and experience, which help when it comes to the more distressing levels. 

As you’re exposed to your triggers or your intrusive thoughts in ERP therapy, you’ll learn skills from your therapist to help you learn how to sit with discomfort and resist your compulsions. Working with a therapist can help ensure you avoid replacing one compulsion with another, in addition to teaching you skills to help lower your distress level when the unwanted thoughts come up. 

Exposure and Response Prevention works for two reasons - habituation and inhibitory learning. Repeated exposure to your triggers will help you learn to tolerate your distress and discomfort more effectively, which reduces your overall distress level over time. This is known as habituation. Inhibitory learning happens when you learn that your intrusive thoughts don’t always come to pass when you’re exposed to your triggers. ERP helps to prove your obsessions wrong, which helps to lessen their impact. 

What are the benefits and drawbacks of ERP?

ERP is generally known as the gold-standard treatment for OCD, because research has shown that it can be extremely effective. However, it’s important to note that Exposure and Response Prevention takes work, and it’s not always easy. 

Confronting the things you’re afraid of can be terrifying. Effectively learning how to break the cycle of obsessions and compulsions requires work in between therapy sessions, which can be intimidating, especially at first. Folks with OCD are practiced at avoiding discomfort, so learning how to be okay with discomfort takes time and practice. 

Can ERP help with anything else?

Yes! ERP can help with disorders besides OCD, including: 

• Anxiety

• Eating disorders

• Phobias 

How to find an ERP therapist

If you or someone you know is struggling with intrusive thoughts, ERP might be a good fit. Our clinicians at Hope+Wellness have experience supporting clients who have Obsessive Compulsive Disorder. We serve the McLean, Great Falls, Falls Church, Arlington, Alexandria, and the greater Washington DC regions, as well as offering online services in DC, MD, VA, and all PSYPACT states. 

If you would like to talk to one of our therapists, please contact info@hope-wellness.com or get in touch with us here.