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March 14, 2021 by Alan Zupka

Does Online Couple’s Therapy Work?

The current global pandemic has caused most people in this country to have to shelter in place for many months. This has caused a lot of stress and strain for families and couples. And, often acute or sudden stress can bring underlying relationship issues to the surface.

But, since many states are still in lockdown mode and residents are still practicing social distancing, how can couples facing these issues get the help they need? Through online therapy.

What is Online Couple’s Therapy?

Online couples therapy offers the same benefits as face-to-face therapy, with the added convenience and privacy of getting the help and support you need at home. Usually, sessions are held via video chat and with the couple in the same location. However, online couples therapy can be particularly beneficial for those couples who are dealing with the stress of living apart because of long-term hospitalization or military deployment.

Besides the lockdown or being apart from your spouse, what are some other reasons couples may choose to try online therapy as opposed to face-to-face therapy?

  • It’s easier for those couples with busy schedules
  • Convenient for those couples living in geographically isolated areas (rural America as opposed to big cities)
  • Some people find going out into public or driving stressful
  • Couples may not want to be seen by anyone in their local community walking into a therapist’s office
  • When one or both partners has a disability that makes attending in-person therapy more challenging

Online therapy follows a similar model to traditional therapy and in most cases, therapists do nearly everything online that they do in person. The only real difference is that it may take a little bit longer to get comfortable with each other, as human beings tend to connect more when they are in each other’s physical space. But once the connection has been made and everyone feels comfortable, there is no real difference in how sessions are conducted.

When Online Couples Therapy is Not a Good Idea

While online couples therapy can be very effective and beneficial to a majority of couples, there are those situations when it would not be suitable. For instance, in the case of domestic violence. Couples therapy, whether online or over the internet, treats both partners as equal in the relationships and aims to save the marriage. But when there are abuse and violence, the partners are not equal (ie, partners are not contributing equally to the problems) and the goal should not be to keep a victim in a dangerous relationship.

Some other instances where online therapy may not be suitable:

  • If the couple has outdated technology and/or can’t access the internet
  • One or both partners distrusts technology or feels anxious about sharing over the internet
  • One or both partners feels uncomfortable having sessions in the home and would prefer a more professional setting

Again, for a majority of couples, online therapy can be very beneficial and even preferred. If you’d like to explore treatment options and do so online, please reach out to me. I’d be happy to discuss how I may be able to help.

 

SOURCES:

  • https://www.goodtherapy.org/blog/how-does-online-couples-therapy-work
  • https://tacomachristiancounseling.com/articles/does-online-couples-therapy-work
  • https://www.psychologytoday.com/us/blog/fulfillment-any-age/201203/5-principles-effective-couples-therapy

Filed Under: Couples/Marriage, Telehealth

March 7, 2021 by Alan Zupka

Sex Therapy for Intimacy Issues

When people desire to be in a relationship, they are not wanting or needing company or someone to do things with. Most people look for that perfect relationship because they want real, true intimacy in their life. But what is intimacy, really?

Intimacy is NOT the same thing as sex. You can have sex without intimacy.

Intimacy is TRUE and genuine closeness with another human being. It is a connection that is developed over time. While intimacy brings unparalleled joy into our lives, it can also feel incredibly frightening to some people. Because to be intimate means to open yourself up to another human being. It means showing up, flaws and all, and putting in the work.

Ultimately, intimacy is a wonderful byproduct of an emotional connection that has been built over time by two individuals who deeply love and respect each other.

What Does Fear of Intimacy Look Like?

While many people struggle with a fear of intimacy, not everyone knows the signs and symptoms, as they can be mistaken for other emotions.
People who fear intimacy often have low self-esteem and trust issues. They may experience episodes of anger from time to time and have a history of toxic relationships. Many avoid physical contact and are unable to easily share their feelings or express emotions.

How Therapy Can Help

There are a variety of reasons a person may experience fear of intimacy. From childhood trauma to low self-worth and fear of rejection, people from all walks of life, all ages, and all backgrounds have developed a fear of getting close to another person.

If you believe you have a fear of intimacy, sex therapy is a powerful tool that can help you work through any underlying causes. A therapist can help you identify the root of your trouble and help you weed it out. He or she can also help you heal from any past traumas so you can start to get close and connect with others.

The bottom line is, intimacy is a wonderful part of life. To miss out on it would be a tragic shame.

If you’d like to work with someone on your intimacy issues, please reach out to me. I can provide tools and techniques to help you develop a deeper connection with your partner and yourself.

 

SOURCES:

  • https://psychcentral.com/lib/the-what-and-how-of-true-intimacy#1
  • https://www.healthline.com/health/fear-of-intimacy
  • https://lastingloveconnection.com/intimacy-counseling-what-to-expect/

Filed Under: Couples/Marriage, Men's Issues, Sexual Health, Women's Issues

February 28, 2021 by Alan Zupka

How to Control Your Anger

Someone slides into the parking spot you had your eye on. A coworker takes credit for your work. Your spouse runs up $200 on the credit card without discussing it first. These are things that are apt to make you angry.

And that’s okay.

Anger is a natural response to many life events. Like other emotions, anger helps us understand our world and how we feel about it. When managed well, anger can provide a healthy release and be a motivator for transformation. But when we experience too much anger, to the point of becoming out of control, it can have lasting ramifications.

Our Brain on Anger

When anger reaches a very high level, our pre-frontal cortex, that is the part of the brain responsible for cognitive thought and reasoning, becomes hijacked. The amygdala, our primal emotional/instinctual part of the brain that induces the “fight or flight” response, takes over and we are no longer capable of rational thought.

When aroused to anger, our brains can no longer take in new information. This means if our partner or loved one is trying to talk sense into us and explain something, we CANNOT hear them. All we are aware of is that we must defend ourselves as if our very life depends on it. We feel under extreme attack and are ready to fight back.

How to Control Your Anger

Now that you know how your brain responds, it’s time to learn some techniques to manage your extreme anger.

Take a Breather

You know that the hotter you get, the more your brain shuts down and becomes unable to process any information. There is no sense in you continuing to talk/argue with someone. Your best course of action is to put the fire out before it begins to rage by calling a time out and taking a breather.

Exercise

The body’s “fight or flight” response releases powerful hormones that are intended to help us fight or run. Without this physical release, they can linger in the body and cause health problems. Going for a walk, run or lifting weights can be a great way to burn through these hormones and release soothing endorphins.

Seek Out Counseling

Managing extreme anger can be very challenging, especially in the beginning. A mental health professional will be able to share coping strategies and techniques to control outbursts.

If you or someone you love has anger management issues and would like to explore treatment options, please be in touch with me. I’d be more than happy to discuss how I may be able to help.

Filed Under: Anger, General

February 21, 2021 by Alan Zupka

How to Talk to a Loved One About Getting Treatment for Their Mental Health

Just about every family has a “black sheep”; someone who’s always causing trouble, or maybe is more of a free spirit. Sometimes however, the “black sheep” of the family is someone with a serious mental health issue. If you have a loved one who you believe may need mental health treatment, there are things you can do to try and convince them to seek help.

Family and Friends are First Responders

You should see yourself as a type of “first responder” for your loved one. Teachers, employers and even medical professionals that interact with your loved one aren’t likely to do anything to intervene if it appears they need mental health treatment. As their friend or family member, you are their first line for help.

The Importance of Early Intervention

Early intervention is key to improving your loved one’s quality of life. The longer a mental illness goes untreated, the shorter the intervals between the troubling episodes and behavior that’s drawn your concern. As the intervals shorten, the relapses increase in severity; and as their mental illness becomes more severe, the more resistant it will be to treatment. Intervening as early as possible will change the course of your loved one’s life, putting them on a positive trajectory.

Talking to Your Loved One

Prepare your loved one for this conversation by letting them know that you want to have a talk. Let them know it’s because you love them, and that the topic is very important. Make sure they know it’s nothing negative or scary. Set a date and time, and choose a neutral location where they will be most comfortable.

Keep the conversation in the context of your relationship with this person. Make sure they know you’re not rejecting or judging them, but that you love them and are concerned. Don’t attempt a diagnosis, such as “I think you’re bipolar”; leave diagnoses to the professionals. Talk about your feelings and be specific when you’re describing concerning behavior. Instead of vague statements like “you need help”, or “you’re acting strange” give specific examples. “It frightened me when you were yelling the other day,” or “You missed work four times in the last two weeks.”

The Goal of the Talk

Your goal in talking to your loved one should be for them to get a one-time evaluation. Offer to make the appointment, to pay for it, and/or to drive them.

Talking to someone you love about seeking mental health treatment is difficult and awkward, but it is important. Be prepared for them to have an angry response, and if they do, maintain your composure and stick to the theme of your love and concern. It may take multiple attempts to get your loved one to seek help. Don’t be nagging or harassing, but do be persistent.

If you or a loved one are in need of mental health treatment or a comprehensive evaluation, a licensed mental health professional can help. Call my office today, and let’s schedule a time to talk.

Filed Under: General

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Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

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