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The Military presents challenges for all!

Sep 17, 2012   //   by Richard Figueira   //   Blog, East Bay, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, News, Self Help, Stress, Uncategorized, cranston  //  No Comments

At Anchor Counseling we provide therapy to families from deployed individuals.  As a military wife/SO for over 10 yrs I have been a part of many different experiences. Military life is a unique cultural that at times can present challenges to individuals and families as well as lots of successes.  As the war comes to an end, there will be many soldiers returning home that may be dealing with many different changes and expectations.  As a clinician, I think it is extremely important to become educated with this population and be aware of different issues/needs and concerns that they may face on a daily basis.  Reintegration is a joyous and stressful time!  Reintegration is about more than coming home. It is about resuming and establishing relationships that provide pleasure, comfort and support.

Many service members returning from deployment may experience what are referred to as “invisible injuries”. Invisible injuries include posttraumatic stress disorder (PTSD),  traumatic brain injury (TBI), depression and anxiety that can result from combat exposure. Sometimes alcohol, tobacco and drug use, as well as impulsive or aggressive behavior can magnify these conditions.   All of these problems can compromise relationships reducing one’s ability to enjoy pleasurable and health activities.  Here are a few helpful tips for what soldiers/spouses and children may feel/experience.

With deployment comes change. Knowing what to expect and how to deal with changes can make homecoming more enjoyable and less stressful. Below are some hints you might find helpful.

With deployment comes change. Knowing what to expect and how to deal with changes can make homecoming more enjoyable and less stressful. Below are some hints you might find helpful.

Expectations for Soldiers:

  • You may miss the excitement of the deployment for a while.
  • Some things may have changed while you were gone.
  • Face to face communication may be hard at first.
  • Sexual closeness may also be awkward at first.
  • Children have grown and may be different in many ways.
  • Roles may have changed to manage basic household chores.
  • Spouses may have become more independent and learned new coping skills.
  • Spouses may have new friends and support systems.
  • You may have changed in your outlook and priorities in life.
  • You may want to talk about what you saw and did. Others may seem not to want to listen. Or you may not want to talk about it when others keep asking.

Expectations for Spouses:

  • Soldiers may have changed.
  • Soldiers, used to the open spaces of the field, may feel closed in.
  • Soldiers also may be overwhelmed by noise and confusion of home life.
  • Soldiers may be on a different schedule of sleeping and eating (jet lag).
  • Soldiers may wonder if they still fit into the family.
  • Soldiers may want to take back all the responsibilities they had before they left.
  • Soldiers may feel hurt when young children are slow to hug them.

What Children May Feel:

  • Babies less than 1 year old may not know you and may cry when held.
  • Toddlers (1-3 years) may hide from you and be slow to come to you.
  • Preschoolers (3-5 years) may feel guilty over the separation and be scared.
  • School age (6-12 years) may want a lot of your time and attention.
  • Teenagers (13-18 years) may be moody and may appear not to care.
  • Any age may feel guilty about not living up to your standards.
  • Some may fear your return (“Wait until mommy/daddy gets home!”).
  • Some may feel torn by loyalties to the spouse who remained.

Amy J. Chirichetti, LICSW

https://www.militarymentalhealth.org/

You can also visit our website at www.AnchorCounselingCenter.com

Accepting Transition in Your Life!

Sep 17, 2012   //   by Richard Figueira   //   Blog, East Bay, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, News, Self Help, cranston  //  No Comments

At Anchor Counseling Center we help people quite often with transitions in their life.

Adjusting to a transition is an experience that allows us all to grow in many different ways.  Transition: movement, passage, or change from one position, state, stage, subject, concept, etc.,to another; change: the transition from adolescence to adulthood.
We all experience it, even daily…transition. A myriad of options allowing us to choose our daily path. We sometimes move along with ease, other times with trepidation, and still others with impulsivity, but all with consequences. Life is never really the same.

What’s your acceptance of transitions? Different, difficult, delicious? I think of transition as possibility, as layers of mystery peeling and revealing a life unfolded. Looking for that which must be articulated in order to propel one self into the world. Of course, not without that familiar armor arising, the sting of abandon, of resistance, of not belonging, of wanting to fix, of not knowing but wanting to.

I try to face this incredible period of life with exploration and personal freedom and see how much a theme of transition has in my life. Just as I begin to get comfortable, kaboom! It changes. A pattern of living that has the possibility of both good and bad choices. I’m moving into it and away from it at the same time, just being in the present. I welcome that change, but I also mourn the loss of the other. It’s important to also find a way to continue to find space to be quiet and investigate inwardly the meaning of it all.

So lets remember that life is Movement. Change is always present. That really is all there is. Nothing stays the same except the space to transition and to choose.

Ask yourself: what was I was born to do, right now? Explore it, share yours, your meaning, your heart. There’s always someone ready to hear it and understand as they are on an adventure full of transition too.

Written by Catherine Cummins, LHMC

Anchor Counseling Center

If you or someone you know can benefit from speaking to someone about this very subject of transition and life changes, please call 401-475-9979 or visit our website @ www.AnchorCounselingCenter.com

Mental Health News: 10 Steps to Prevent Suicide

Jul 19, 2012   //   by Richard Figueira   //   Blog, East Bay, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, News, Self Help, Stress, Uncategorized, cranston  //  No Comments

Anchor Counseling Center is sharing the latest on Suicide Prevention.  As a private practice with locations in East Providence, Cranston, Lincoln, and North Attleboro, we are very involved in the community and reach out to our members with a caring and supportive manner.  Our mission is to provide our patients with the help they want as quickly as possible with reliable, courteous, and professional counseling and psychiatric interventions.

Just as CPR has been promoted to save lives, it is vital that the general public knows how to recognize suicide risk and prevent suicide. Here are the steps:

1. Notice if the person appears quiet and withdrawn, oversleeps, has crying episodes, has loss of appetite and energy, appears dishevelled, the gaze is downward, the voice tone is flat, consistently negative comments, irritability, or says things like, “Life’s not worth living,” or “I hate my life,” etc.

2. Ask: “How would you rate your mood right now on a scale of zero to ten with zero meaning life’s not worth living and ten meaning life is great?”

3. If the person rates the mood as 5 or under, ask: “Have you had any thoughts of suicide or of harming yourself?” *

4. If the person indicates yes, go to the next step. If the person says, “I don’t know,” hear this as a “yes” to the question in #3.

5. Ask: “Have you thought about how you might end your life?” If the person says yes, the risk is increased.

6. Ask: “What have you thought about as how you might do it?” If the plan or method is ineffective or non-lethal, such as cutting wrists, the risk is low. If the method is lethal such as using a gun or jumping from a bridge, etc., the risk is high.

7. Regardless of the method, ask: “Can we agree together that if you have thoughts of killing yourself, you will speak to me personally (not my voice mail) before carrying out a plan to harm yourself?”

8. If the person says “no” or “I don’t know,” to the question in #7, say: “What I am hearing is that you are in a lot of pain right now and thinking of ending your life, so I am wanting you to go to the emergency room right now and get some help to feel better right away. Will you go? I will make sure you get there safely. Is there a family member or someone I can call to go with you?” Or tell the person you will go with them yourself.

9. Arrange for the suicidal person to be accompanied to the emergency room, and call ahead to tell emergency staff the person is coming.

10. If the person refuses, then ask the person to wait there with someone while you call police in another room to report that the person has threatened suicide with a lethal method. Ask the police to come and accompany the person to the emergency room.

If you know someone that needs help please call us immediately at 401.475.9979.

*Note: If the person rates his mood as 6 or over, after feeling consistently depressed, and he now reports life is great and he is smiling, the risk may be increased because he has decided to end his life and has made arrangements.

Article shared from http://www.prlog.org/11928309-mental-health-news-ten-steps-to-prevent-suicide.html

BENEFIT FOR HOPE! CAMMIE ALMEIDA

May 7, 2012   //   by Richard Figueira   //   Blog, East Providence, Lincoln, Rhode Island, Mental Health, cammie almeida, cranston  //  No Comments

Days when she undergoes aggressive chemotherapy treatments are her most difficult, yet she continues to be a strong woman dedicated to her family and friends, and still fighting her cancer with all the strength she can muster,” friend Beth Small said.

A small group of us decided to put together a benefit for Cammie and her family.

Please click here to continue reading.  You can also click here to make a contribution.

The event is being held Sunday, June 3rd at 1pm in Cumberland RI.

You can also see the event on Facebook.

Cammie Almeida. An inspiration to all!

Apr 26, 2012   //   by Richard Figueira   //   Blog, East Bay, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, News, Self Help, Stress, cammie almeida, cranston  //  No Comments

CUMBERLAND – A fund-raiser is planned for Saturday, April 28, to help Cammie (Howell) Almeida, a 36-year-old Cumberland resident fighting lung and liver cancer, which doctors tell her is incurable.

The dinner event, planned by Almeida’s former Bank of America and Merrill Lynch coworkers to assist Almeida and her family, will be held at McFadden’s at 52 Pine St. in Providence.

The event starts at 6 p.m. and will feature music by Hartmann & Macey, The Doubtful Guests, and Yeti & The Trolls. Tickets cost $20 in advance, and $25 at the door.

Almeida is married to Marco Almeida, who graduated from Cumberland High School in 1998, and they have a 2-year-old son, Brayden.

This is not Almeida’s first bout with cancer. After being diagnosed at age 28, she beat stage 3 and stage 4 colon cancer.

“Days when she undergoes aggressive chemotherapy treatments are her most difficult, yet she continues to be a strong woman dedicated to her family and friends, and still fighting her cancer with all the strength she can muster,” friend Beth Small said.

Small said she is seeking prize donations to be raffled off at the event, with all proceeds going to the family.

Becoming a fan of Anchor Counseling Center on Facebook will earn money for the Almeidas. For each new fan the Lincoln business acquires until April 28, it will donate $1 to the family, up to $2,000.

To become a fan click here!

via Valley Breeze

Counseling for Children, Adolescents, Adults, Couples and Families in Cranston

Mar 9, 2012   //   by Richard Figueira   //   Blog, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, Stress, cranston  //  No Comments

Anchor Counseling Center

Cranston Office

At Anchor Counseling Center we offer counseling, therapy, psychiatry, coaching for children, adults, families, and couples.  The center also offers group therapy and consultation to school districts to assist with providing appropriate education to those children who need the assistance in order to be able to access the general curriculum.

Our services also include:

  • Adult psychotherapy
  • Child psychotherapy
  • Play Therapy
  • Holistic Counseling
  • Addiction Counseling
  • Suboxone Treatment
  • Social Skills Groups
  • Couples/Marriage Counseling
  • Psychiatric Evaluations
  • Medication Management
  • Services for Children with Autism
  • EAP Services and Consults
  • Life Coaching
  • ADHD evaluations for children and Adults

Our clinical staff are all independently licensed therapists and are committed and capable of providing quality care by listening to our clients and together creating a plan for change.

In each of our locations, we have created an environment where they are warm, welcoming, calming, and relaxing for your therapeutic process to begin.  We work closely with all medical professional involved in your life and take you, the entire person into account to allow the most exceptional care.  We believe in working in collaboration with all the people involved in your life.

Everyone presents with different issues at different times.  Our integrative approach allows us to partner you with the most qualified therapists.  With over 25 therapists, each with different areas of expertise, we will find one that best suits your needs.

We believe in helping our clients facilitate their own ability for change.  He or she will become an expert by being offered education, groups, and or workshops.  We also use social media to reach out to our population with journals, quotes, and information on a daily basis.

Our mission and vision:

Our Mission

Here at Anchor Counseling Center our mission is to provide superior, family oriented mental health services through dependability, integrity and social responsibility.

Our Vision:

To provide the tools to heal through reliable support, coordination of care, psychoeducation, medication, and counseling.

To teach the maintenance of mental well being to patients, their families and the community.

To service all ages, from children through the elderly, without prejudice, prejudgment or bias.

Our vision is t o provide superior, family oriented mental health services through dependability, integrity and social responsibility throughout Southern New England.

To ease the pain of mental illness and provide hope to patients and their families.

To help others help themselves.

To advocate for patients to get them the care they need and deserve.

To reverse the negative stigma attached to mental illness.

At Anchor Counseling Center…

We are here for when you need help…Now.  No waiting lists.

We listen

We help

We support

Let us be the Anchor in your life.  We promise to be reliable and consistent.  No issue to big or small.  We want to help.  Together, we can attain your goals towards a better tomorrow.

You can click on contact for immediate assistance.

You can follow us on Facebook.

You can follow us Twitter.

You can email us @ info@AnchorCounselingCenter.com

or call us 401.475.9979


Anchor Counseling Providing Counseling for Residents of Barrington, Bristol, Warren, East Providence

Mar 1, 2012   //   by Richard Figueira   //   Blog, East Bay, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, News, Self Help, Stress, cranston  //  No Comments

Our Mission

Here at Anchor Counseling Center our mission is to provide superior, family oriented mental health services through dependability, integrity and social responsibility.

Our Vision:

To provide the tools to heal through reliable support, coordination of care, psychoeducation, medication, and counseling.

To teach the maintenance of mental well being to patients, their families and the community.

To service all ages, from children through the elderly, without prejudice, prejudgment or bias.

Our vision is t o provide superior, family oriented mental health services through dependability, integrity and social responsibility throughout Southern New England.

To ease the pain of mental illness and provide hope to patients and their families.

To help others help themselves.

To advocate for patients to get them the care they need and deserve.

To reverse the negative stigma attached to mental illness.

If you would like to contact us please click here!

Project Goal! Invites Corporations and Small Business

Mar 1, 2012   //   by Richard Figueira   //   Blog, East Providence, Lincoln, Rhode Island, Uncategorized, cranston  //  No Comments

Project GOAL invites Corporations and Small Businesses to have your employees and friends show off their soccer skills in support of inner-city youth at our First Annual Corporate 7 vs 7 Charity Soccer Tournament

This event will benefit Project GOAL
a local after-school non-profit academic program that uses soccer to leverage keeping kids off the street and focused on their academic careers.

There will be Open and Co-ed Divisions and Games and Prizes for the whole family

This event is made possible thanks to the generous dedication of students from SportsCorps at Brown University

For more information and tournament packages please contact:

Darius Shirzadi 401-258-2300, darius@projectgoal.org www.projectgoal.org

We treat Pain Killer Addiction in RI with Suboxone!

Feb 2, 2012   //   by Richard Figueira   //   Blog, East Bay, East Providence, Lincoln, Rhode Island, Mental Health, News, Self Help, Stress, cranston  //  No Comments

Suboxone

Addiction to prescription painkillers is reduced when the individual is given consistent treatment with the drug Suboxone (buprenorphine plus naloxone), according to the first randomized large-scale clinical trial focused on the use of medication for treating prescription opioid abuse.

Pain medications are helpful when taken as prescribed; however, they have high abuse liability, especially when taken for nonmedical reasons. Researchers in this study set out to examine whether the FDA-approved medication Suboxone could help fight this growing problem.

“The study suggests that patients addicted to prescription opioid painkillers can be effectively treated in primary care settings using Suboxone,” said National Institute on Drug Abuse Director Nora D. Volkow, M.D. “However, once the medication was discontinued, patients had a high rate of relapse — so, more research is needed to determine how to sustain recovery among patients addicted to opioid medications.”

Interestingly, researchers also found that there was no extra benefit when intensive opioid dependence counseling was added to the drug treatment.

Suboxone is a combination of buprenorphine to reduce opioid craving plus naloxone, which causes withdrawal symptoms in a person addicted to opioids if Suboxone were taken by a route other than orally, as prescribed.

This combination was developed specifically to prevent abuse and diversion of buprenorphine and was one of the first to be eligible for prescription under the Drug Addiction Treatment Act, which allows specially trained doctors to prescribe certain FDA-approved medications for the treatment of opioid addiction.

Most research focused on treating opioid dependence has been conducted with heroin-addicted patients at methadone clinics. As a result, there has been limited information on how to treat those addicted to prescription painkillers, especially in the offices of primary care doctors. To help remedy this issue, the National Institute on Drug Abuse started the Prescription Opioid Addiction Treatment Study (POATS) in 2007, which was carried out at 10 treatment sites around the country.

“Despite the tremendous increase in the prevalence of addiction to prescription painkillers, little research has focused on this patient population,” said Roger Weiss, M.D., of Harvard Medical School, Boston, and the lead author of the study.

“This is the first large-scale study to examine treatments exclusively for people who were abusing prescription painkiller medications and were treated with buprenorphine-naloxone, which can be prescribed in a physician’s office.”

In the study, over 600 treatment-seeking outpatients addicted to prescription opioids received Suboxone along with brief standard medical management, in which doctors evaluated treatment effectiveness and suggested abstinence and self-help methods. Half of the subjects also received varying degrees of counseling provided by trained substance abuse or mental health professionals.

Results showed that approximately 49 percent of participants experienced a reduction in prescription painkiller abuse during the extended (at least 12-week) Suboxone treatment.

However, when Suboxone was discontinued, this success rate dropped to 8.6 percent.

Reductions in abuse were observed regardless of whether the patient reported suffering chronic pain, and participants who participated in intensive addiction counseling did not have higher success rates when compared to those who did not receive counseling.

According to an annual national government survey, an estimated 1.9 million people in the United States meet abuse or dependence criteria for prescription pain relievers. In addition, the Centers for Disease Control and Prevention report that annually, more people die from prescription painkiller overdoses than from heroin and cocaine combined.

The research is published in the Archives of General Psychiatry.

Source: National Institutes of Health

If you or someone you know need help contact us now!

Or find additional information on our website!

An Anxious World! Anxiety Treatment in RI

Jan 26, 2012   //   by Richard Figueira   //   Blog, East Providence, Lincoln, Rhode Island, Marriage, Mental Health, News, Self Help, Stress, Uncategorized, cranston  //  No Comments

An Anxious World

At Anchor Counseling Center we believe that s human beings, we all experience a form of anxiety at some point during our lives.  Anxiety is often thought of as worry and fear about uncertainties. It is usually depicted as a negative attribute, but it can also serve the useful purpose of alerting one of lurking danger. We may find ourselves worrying about school, work, our kids, or paying bills, and that’s all perfectly normal. When anxiety and worrying is a persistent, or common, feature causing disruption to your daily life, then it becomes a maladaptive. Excessive worrying may interfere with your relationships, your leisure activities, and can eventually lead to physical health issues.  According to the National Institute of Mental Health, approximately 40 million adults in the U.S., in the span of one year, suffer from an anxiety disorder2. The average age of onset for anxiety is 11 years old; so many children are affected by anxiety disorders as well2.  Also, women are more likely do experience anxiety disorders than men2. So anxiety is not a new or unheard of phenomenon, and it is fairly common, however, some may not recognize symptoms of maladaptive anxiety because it may not look like the common perception of an anxiety-ridden individual.

In fact, anxiety disorders can take on many forms, and one person’s experience with excessive worrying can be completely different than another person’s experience. Some people have very general based anxiety of which they worry excessively about every little thing throughout the day, from work, school, paying bills, to having enough time to complete a task, or to what will happen if my car stops working. A popular perception of an anxiety disorder is of people with specific phobias. For instance, an individual’s fear-based worrying may only be provoked by exposure to specific stimuli, such as a bridge above water, or snakes. Even though the phobia is highly specific, it may be clinically significant if the individual experiences anxiety about it on a daily basis and it interrupts his/her daily tasks.

Obsessive-Compulsive Disorder, commonly termed OCD, is also a form of an anxiety disorder1. A person with OCD will have obsessive thoughts, which tend to cause marked anxiety or distress, and/or compulsions, which are often performed in order to reduce anxiety.  Take for example, a man who has a fear of germs contaminating his body. This man worries constantly throughout the day about contracting some disease from all the germs he believes surrounds him. In order to reduce the likelihood of him contracting this horrid disease, he washes his hands 52 times, every time he goes to the bathroom or touches an object he does not own. As a matter of fact, he also showers at least twice a day for more than 45 minutes, and if he forgets to clean any body part, he goes back and re-showers entirely.

Posttraumatic Stress Disorder, or PTSD, and Acute Stress Disorder, are characterized by “anxiety from re-experiencing a traumatizing event, often accompanied by symptoms of increased arousal, and avoidance of stimuli associated with the trauma”1. While PTSD can occur any time after the traumatic event, Acute Stress Disorder occurs immediately after the traumatic event, lasting for at most, four weeks. In this form of anxiety disorder, there is a distinct trigger event where the individual felt threatened.

Other forms of an anxiety disorder to mention is Panic Disorder With and Without Agoraphobia, Agoraphobia without a history of Panic Disorder, and Social Phobia.  Panic Disorder without Agoraphobia is characterized by recurrent, unexpected panic attacks about which there is persistent concern, while a person suffering from Panic Disorder with Agoraphobia may experience both recurrent, unexpected panic attacks, and anxiety about places or situations that may not be easily escapable.  That being said, Agoraphobia, “is anxiety about or avoidance of places or situations from which escape may be difficult (or embarrassing)”1. Social Phobia is basically when a person’s “anxiety is triggered by exposure to social situations in which he/she is exposed to unfamiliar people or to possibly scrutiny by others”1.

As you can see, there are a variety of anxiety disorders; however, one thing to note is that anxiety has an altering effect on one’s perception of the world around them and an effect on one’s interpretation of the stimuli he/she is exposed to. A Common behavior associated with people who have anxiety disorders is avoidance behavior. For example, the man with a phobia of bridges above water may stop going to visit his parents because he refuses to drive or walk over any bridge above water. In fact, he may miss a work conference next week that is detrimental to his job security because it’s across a bridge over water.  Another example is people with social phobias who avoid public speaking at all costs. Even with OCD, the compulsions acts as an avoidance mechanism set to reduce ones anxiety about an obsessive thought.

Also many anxiety stricken individuals have cognitive errors set in place that alter their ability to make judgments and function in the every-day world. Most people with anxiety tend overestimate the probability of the occurrence of the worry at hand. On the other hand some people assume that an outcome will be much less manageable than it actually is, also known as catastrohpizing. A big commonality amongst those suffering anxiety is the human tendency to be intolerant of uncertainty, the fear of ambiguity, and the acceptance of change.

Most people don’t like to be surprised by negative events, and more often than not, we want to try and control (or limit) the amount and impact of those negative events. But humans cannot know, or evade every problem—sometimes we just have to go through the pain. And attempting to control or change something you have no power to control or change is physically exacerbating to the human body and psyche. Taking risks, accepting change, and understanding that uncertainty is not an abyss of pain and negativity is a part of alleviating some anxiety.  Dr. Biali (2012), as do many psychologists, argues that anxiety is not always bad—it’s a part of experiencing life and trying something new3,4. Now, excessive anxiety about things you truly can’t control becomes tiresome and is often how clients present—overly stressed. Biali (2012), suggests several healthy ways to help people reduce anxiety, including, writing one’s worries down, practice breathing exercises, do yoga or stretching and exercise to alleviate muscle tension, and to avoid stimulants (like caffeinated beverages)3. Will this rid you of your anxiety? Probably not, but it can help you manage it.

Biali (2012) and Markway (2012), both suggest that in order to address and solve issues regarding your anxiety and excessive worry, one should invoke the assistance of a professional that is trained to guide you in restructuring your current cognitive methodology, and avoidance behaviors. According to the National Institute of Mental Health and the Psychological Diagnostic Manual, people with anxiety disorders usually benefit from methods of Cognitive Behavioral Therapy and/or Exposure Therapy. Here at Anchor Counseling Center, we have therapists trained in both CBT and exposure therapy to help you reduce your anxiety and manage healthier lifestyle.

By: Aryssa Washington

Sources

1The American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, Washington, DC, American Psychiatric Association, 2000.

2www.nimh.nih.gov/health/publications/anxiety-disorders/complete-index.shtml

3Biali, S. (2012). How to manage the anxiety that comes with change. Prescription for Life: Psychology Today com

4Markway, B. (2012). Can Willpower help you overcome social anxiety: willpower is not always about giving something up. Shyness Is Nice: Psychology Today.com

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