MATT SCULT, PHD
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Life Balance Therapy

5/30/2024

 
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In the quest for a fulfilling life, many of us strive for an ideal balance between work, family, leisure, and personal growth. But here's the truth: life is never perfectly balanced. Instead of holding ourselves to this perfect ideal, it's more helpful to take a longer outlook and consistently adjust how you spend your time to broadly align with your values over different time horizons—days, weeks, months, and years.

The Myth of Perfect Balance

The idea of perfect balance suggests that every aspect of our lives should receive equal attention simultaneously. However, life is inherently dynamic, and our priorities often shift. There will be times when your career demands more focus, and other periods when family or leisure take precedence. This ebb and flow are natural and necessary for personal growth and well-being. The key is to be aware of and intentional about these shifts, and regularly check in with yourself to ensure you're not living on autopilot.

Aligning Your Time with Your Values

Rather than striving for constant equilibrium, consider whether your activities align with your core values over time. Reflect on how you spend your days, weeks, and months:
  • Days: How are you spending the hours of your day? Do you feel like you are spending time on activities that are unhelpful, unnecessary or not important to you? Are you ok with this in the short term? What smaller shifts can you make?
  • Weeks: While days might be filled more with one activity or another, how is your time spent over the course of a week? Are you spending time on most important life domains (which may include family, friendships, career, personal growth, community, physical well being, leisure, spirituality, and more)
  • Months: Over the past month, have you pursued activities that align with your longer term goals?
  • Years: Looking back over the past year, do you feel a sense of progress and fulfillment in key areas of your life? What changes would you like to make to readjust?

Practical Steps for Maintaining Intentionality

  1. Reflect Regularly: Set aside time each week or month to reflect on how you're spending your time and whether it aligns with your values.
  2. Set Goals: Establish short-term and long-term goals that resonate with your values and make a plan to achieve them.
  3. Be Flexible: Allow yourself the flexibility to adjust your focus as your circumstances and priorities change.
  4. Seek Support: If you find it challenging to maintain this balance, consider seeking guidance from a therapist who can help you navigate these shifts with intention and clarity.

Reimagining Balance

Finding life balance in therapy is about more than just managing your time; it's about living a life that's true to your values. By taking a longer view and embracing the natural fluctuations in your priorities, you can create a more fulfilling and meaningful life. Remember, it's not about achieving perfect balance every day—it's about ensuring that, over time, your actions reflect what truly matters to you.

Whether you're looking to realign your life with your values or need help navigating a significant life transition, you can reach out to see if working together might be a good fit.

How Often Should You See A Therapist for Anxiety?

5/25/2024

 
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Anxiety is a common mental health concern that affects millions of people worldwide. If you're considering therapy to manage your anxiety, one of the most important questions you might have is, "How often should I see a therapist?"

Factors That Influence Therapy Frequency

  1. Severity of Symptoms: The intensity of your anxiety symptoms plays a significant role in determining the frequency of your therapy sessions. Those with severe anxiety may benefit from weekly or twice weekly sessions, while individuals with milder symptoms might find bi-weekly or monthly sessions sufficient. For some individuals Intensive Outpatient Programs or Partial Hospital programs are more appropriate.
  2. Type of Therapy: Different therapeutic approaches, such as Cognitive Behavioral Therapy (CBT), Exposure Therapy, or Mindfulness-Based Therapy, may require varying session frequencies. CBT, for example, often involves 45- or 50-min sessions for 8-20 weeks, to effectively challenge and change negative thought patterns.
  3. Diagnosis: Different types of anxiety can also influence the ideal therapy schedule. Different sources of anxiety and different types of symptoms may respond to more frequent treatment over a shorter duration or less frequent treatment over a longer period of time.
  4. Personal Goals: Your personal goals and the specific issues you want to address will also influence how often you should see your therapist. If you're working through a particularly challenging period or life transition, more frequent sessions might be necessary.

Typical Therapy Schedules

  • Weekly Sessions: This is the most common frequency, especially at the beginning of therapy. Weekly sessions provide consistent support and momentum, allowing you to build a strong therapeutic relationship and make steady progress.
  • Bi-Weekly Sessions: As your symptoms improve and you develop coping strategies, you and your therapist might decide to reduce the frequency to bi-weekly sessions. This can help maintain progress while offering more flexibility.
  • Monthly Sessions: Once you have achieved significant progress, monthly sessions can be useful for maintenance and preventing relapse. These sessions focus on reinforcing skills and addressing any new or ongoing issues.

Personalized Therapy Plans

It's essential to remember that there is no one-size-fits-all answer to how often you should see a therapist for anxiety. The answer depends on various factors, including the severity of your symptoms, the type of therapy, and your personal goals. Starting with weekly sessions and adjusting as needed is a common and effective approach. The best approach is a customized therapy plan tailored to your unique needs. Open communication with your therapist is key to determining the most effective frequency for your sessions. Feel free to reach out for a free consultation to learn more.

Digital Mental Health Consulting Explained

10/19/2023

 
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Photo by Daniel Fazio on Unsplash

What is digital mental health consulting?

Digital mental health consulting is when a subject matter expert translates clinical and scientific insights into accessible digital forms, by bringing together digital innovation and psychological expertise. Digital mental health consultants partner with companies that make digital therapy tools and wellness apps,  to make sure these products are not just cool tech gadgets but are also grounded in real science that can help improve mental health.

Why does this matter? Well, for starters, when a wellness app or digital therapy tool is backed by credible science, it is much more likely to be able to earn people's trust. And that's not just important for the person using the app; healthcare providers, insurance plans, and employers all want to know that these digital tools are grounded in evidence-based principles and have research demonstrating their clinical efficacy in addition to their return on investment. What sets these products apart in a crowded market is the fact that they're not just designed to sell; they're designed to work, based on actual evidence.

Now, one unique thing about this role is that it's not just about working within a clinical or science team at a particular company. I work with all kinds of teams across a company—like marketing, sales, product and legal/compliance—to make sure the clinical science is infused into strategic decision-making. It's a bit like being a translator: I take the relevant research base and approaches and help translate them into something that everyone on the team can understand and work with, which ultimately leads to more informed decision-making for the team.

Digital mental health consulting is a must-have for any digital health company that wants to create products that are both effective and trustworthy. In a world where tech is changing fast, this kind of expert guidance is key to making sure that innovation also leads to real, meaningful improvements in mental health.

You can learn more at my consulting website: MindFlex Health.

Cognitive Behavioral Therapy vs. Psychotherapy: What's the Difference?

10/3/2023

 
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Image source: Morgan Harper Nichols/Unsplash
  • CBT is a form of psychotherapy that looks at thoughts, emotions, and behaviors.
  • Exposure therapy (a subset of CBT) may initially heighten anxiety but helps people cope in the long term.
  • In all types of therapy, the therapeutic relationship is key.

What Principle Underlies Cognitive Behavioral Therapy?

CBT is based on the premise that our thoughts, feelings, and behaviors are interconnected. If we can change one of these components, the others will follow suit. For example, if we can modify negative thought patterns, we can influence our feelings and behaviors in a positive way.
In contrast to psychodynamic therapy, which seeks to gain insight from events from our childhood and our unconscious thought patterns, CBT is generally more focused, time-limited, and oriented toward solving current problems.

Can Exposure Therapy Make Anxiety Worse?

CBT can further be broken down into other more specific therapies and techniques, one of which is known as exposure therapy. It's designed to help you confront your fear and anxiety. It's an effective treatment for conditions like phobias and post-traumatic stress disorder, but people do sometimes wonder, “Can exposure therapy make anxiety worse?” Initial stages of exposure therapy may heighten anxiety in the short term, as the process involves facing the fear head-on. However, under the guidance of a trained therapist, the anxiety generally diminishes over time, and you can gain confidence in navigating and coping with anxiety whenever it arises so that it no longer prevents you from living your life.

How Long Does Therapy for Anxiety Take?

Another common question people ask is, "How long does therapy for anxiety take?" While it varies from person to person, CBT for anxiety is often more time-efficient than other forms of psychotherapy. Typically, a course may last anywhere from 6 to 20 sessions. The brevity of CBT doesn't mean it's a quick fix; rather, it's structured to provide you with coping mechanisms that you can utilize long after therapy ends.

Enhancing Your Understanding: Books on Cognitive Behavioral Therapy

If you're looking to deepen your understanding, there are myriad books on cognitive behavioral therapy that can provide an introduction. Whether you're a student, or a healthcare professional, or someone who is personally interested in self-guided help, literature on CBT can offer valuable insights into managing various mental health conditions. Titles like Feeling Good by David D. Burns or The Anxiety and Worry Workbook by David A. Clark and Aaron T. Beck are good starting points.

How to Find a Therapist

There are a number of factors to consider when looking for a therapist. You need to find someone who is licensed in your state, has availability, and has expertise in the types of therapeutic approaches that can address your needs. You’ll want to know if the therapist takes your insurance or if they are considered out-of-network (which means you will have to pay out of pocket, and then your health insurance will likely reimburse you for a portion of the expense).
It’s also very important to find a therapist that you feel comfortable opening up to. There are examples of people posting things they didn’t say in therapy because they didn’t feel comfortable with their therapist. No matter what type of therapy you are in, having an open and honest relationship with your therapist is a key component, so if you don’t feel that way, it might be time to explore finding a different therapist. Being transparent with your therapist can make a significant difference in the efficacy of any treatment, be it CBT or other forms of psychotherapy.

Conclusion

Cognitive behavioral therapy is a subset of psychotherapy that distinguishes itself with its practical, goal-oriented approach, particularly effective for conditions like anxiety. When considering therapy, it's always beneficial to educate yourself about the options available and ask questions of a potential therapist. The journey to mental well-being is a collaborative effort, and finding both the right therapeutic approach and the right therapist is a critical step in that journey.

Copyright Matt Scult, PHD 2023

*Note that this blog is for informational purposes only and should not be considered clinical treatment, diagnosis or assessment. For clinical inquiries, see my therapy page for contact methods and additional details.

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