Cloie Parfitt Counselling
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Feeling... Not So Merry?

12/24/2020

 
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𝔸 𝕘𝕖𝕟𝕥𝕝𝕖 𝕣𝕖𝕞𝕚𝕟𝕕𝕖𝕣 𝕥𝕙𝕒𝕥 𝕚𝕥’𝕤 𝕠𝕜𝕒𝕪 𝕥𝕠 𝕟𝕠𝕥 𝕓𝕖 𝕠𝕜𝕒𝕪 𝕥𝕠𝕕𝕒𝕪.
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​Christmas is a challenging time for many; it’s a time that reminds us of those we’ve lost and during which many find themselves navigating strained (maybe even painful) relationships with family members. Despite this, many people feel pressured to maintain a positive, upbeat attitude during this difficult time, and may feel disheartened when this isn’t achieved. Flash forward to 2020 where we’re nearly a year into a global pandemic, over 1.7 million individuals have lost their lives and the entire world is grieving. Many people, myself included, will likely feel a range of emotions on Christmas day– sadness, anger, nostalgia, frustration, stress– you name it. The grief that we’ve all experienced on some level this year will likely only amplify these feelings. Here are some tips on how to make Christmas day a little more bearable this year: 
 
1)Reach out to your support network.
On Christmas day, make a point of reaching out to the people who know you best and with whom you feel comfortable sharing difficult emotions. This will help you to feel validated and will also help to mitigate some of these difficult emotions by connecting with someone you care for and who cares for you. 
2)Allow yourself time to reminisce and grieve.
Many of us have experienced grief at some level this year. Allow yourself time to remember and mourn those that you’ve lost, as well as the difficulties associated with this year. You may wish to do something to honour your loved ones on this day, such as lighting a candle or playing their favourite music. Christmas can also remind you of people you’ve lost with whom you had a complicated relationship or things were left unresolved at the time of their death. This is sometimes called complicated grief. You can read about healthy ways of processing complicated grief here: Processing Complicated Grief
3)Set your sights on what’s ahead. 
This Christmas marks the end of what has been an extremely difficult year for many. Now more than ever, it’s important to look ahead to brighter days to come. While the current situation is ongoing, we can finally see the light at the end of the tunnel with the acquisition of a vaccine. I encourage you to spend some time thinking about what’s ahead this holiday season. Start planning something– a trip to visit an old friend, finding an online course in an area of interest, starting a new hobby– give yourself something to look forward to, no matter how small. 
 
If you find yourself in a crisis this season, know that there are resources you can access for help:
 United Kingdom
Samaritans 24/7 Lifeline: 116 123
United States
Suicide Prevention Lifeline: 1-800-273-8255

Looking Up

12/19/2020

 
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When is the last time you looked up to the moon and stars? Last night, for the first time in ages, I did just that. Looking up at the cotton candy painted sky and crescent moon, I immediately felt at ease and awestruck – at peace within myself and within the world at large. 
 
Research shows that stargazing might actually have a positive impact on mental health for a number of reasons. On a practical note, the upright posture required for stargazing has been shown to reduce stress levels, improve fatigue and foster positive thoughts. On a more spiritual level, gazing at the night sky reminds us that we’re connected to something much larger than ourselves. It reminds us that we are connected to one another, that we share this beautiful world and, beyond that, this awe-inspiring universe. Stargazing also reminds us of the infinite possibilities that exist, inspiring us to explore, question and search for answers. When I look at the night sky, I’m transported back to the feeling of being eight years old again, feeling as if anything in this world is a possibility just waiting to be explored. As we age and gain life experience, some of us are prone to pessimism and viewing the world as a cesspool of pain and grief. Stargazing reminds us that there are still things left to be explored, both within ourselves and the universe at large. It can remind us that life is not static; however hopeless things may seem, there is always room for exploration and growth. The moon and stars also remind us that, even in times of darkness, light persists. You’ve just got to search for it sometimes. 
 
Tonight, I’d like to encourage you to look at the stars. No matter your religious or spiritual affiliation, remember we are part of something much larger than ourselves and our lives. You have infinite potential. We all do. 
 
Stephen Hawking said it best: 
“Remember to look up at the stars and not down at your feet. Try to make sense of what you see and wonder about what makes the universe exist. Be curious. And however difficult life may seem, there is always something you can do and succeed at.”
 
 If you’re interested, there are lots of apps available that can be used to identify planets, stars and constellations. I use SkyView Lite:
https://apps.apple.com/us/app/skyview-lite/id413936865

Happy gazing! :-) ​

What Makes an Effective Therapist?

12/6/2020

 
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Last night, I was watching yet another show where yet another person has a lousy experience with a subpar therapist. Apart from feeling confused and somewhat annoyed, it got me thinking, what’s with all the bad therapists portrayed on television? You know, the therapist that gives crappy advice, talks incessantly about themselves, charges extortionate prices or asks repetitively, “How does that make you feel?” Aside from revealing a cultural misunderstanding of psychotherapy and mental health recovery, these portrayals also prompt the question, is this stuff actually happening? Surely, there must be something behind the inspiration for these representations. Rest assured, however, that there are ways to identify a good therapist. 
 
Good therapists:

 1)Help you feel accepted.
An effective therapist will make you feel accepted and that you can trust them with the things you choose to share. Empathy and acceptance are sort of a prerequisite to the job, so if you feel judged or like you need to censor yourself with your therapist, this is definitely a red flag.
2)Are congruent.
Therapy is relational. This means that the crucial component of the therapy process is the therapeutic relationship between the client and therapist. Effective therapists are open and genuine about their experiences, both with themselves and with their clients. Therapist congruence helps the client to trust the therapist and also models to clients how to recognise, accept and communicate their own feelings. 
3)Don’t give advice.
Effective therapists don’t give advice. They will not tell you what to do. This is because you are the expert of your own life. A therapist can help you to make informed decisions by exploring issues with you, but they are not in a position to make decisions about your life. Advice is different from suggestions. Most therapists will offer thoughtful suggestions (anything from exercises/activities to try to books to read) but it’s up to you to decide whether their suggestions feel relevant for you.
4)Listen more than they speak. 
Good therapists listen more than they speak. Therapy gives clients the opportunity to process their own material and a therapist cannot do your processing work for you. For this reason, the client generally speaks a great deal more than the therapist. There are exceptions to this, for example, when your therapist is explaining an exercise or providing psychoeducation. Even then, the focus should remain on the client. 
5)Won’t claim to have all the answers.
An effective therapist won’t claim to have the answers or “cure”. The human psyche is extremely complex and there are thousands of factors that can impact someone’s recovery journey. Most practitioners have come to view recovery as an ongoing journey rather than a destination. This is because setbacks and adversity are an inevitable component of the human experience. A good therapist will help you manage the ebbs and flows of your recovery journey and build emotional resilience for the challenges to come months or years down the line.
6)Admit their own limitations. 
An effective therapist will admit their own limitations. They will not claim to have knowledge or experience that they don’t possess and will be upfront about their own competencies. They should also be able to explain their therapeutic approach and what you can expect from the therapy process in a way that you understand.  
7)Maintain healthy boundaries.
Boundaries are essential to the therapeutic process. Professional boundaries help clients feel safe and protect them from poor or unethical practice. Your therapist will not relate to you as a friend, and for a very good reason. Therapy is an emotional process and exploring difficult experiences can make clients feel vulnerable. Therapists have a responsibility to protect their clients from psychological harm and must manage the power dynamics of therapy carefully and respectfully to keep clients safe. This is not to imply that therapists won’t share things about themselves with their clients from time to time. The purpose of therapist self-disclosure, however, should always be for the client’s benefit. 
8)Educate their clients.
Effective therapists take time to provide psychoeducation to clients, where relevant.  This may mean explaining to clients how a mental health condition effects their functioning or the therapeutic process. Information like this can help clients put things into perspective and better manage the therapy process for themselves. 
9)Educate themselves.
Effective therapists are committed to ongoing professional development. The realm of psychology and psychotherapy is always developing and changing, and an effective therapist will engage with research and best practice throughout their careers. 
10)Seek their own support. 
Therapy is a challenging job and effective therapists are dedicated to their own self-care and personal development. Effective and ethical therapists seek supervision for their work to review their work with clients and their own personal and professional development. Many therapists also seek their own therapy. Regular supervision, personal therapy and self-care all help to prevent emotional fatigue and burnout and ensure that therapists are capable of providing the best care to their clients. 
 
I hope this has provided some guidance on how to identify an effective and dedicated therapist. If you’re seeking to begin therapy, I strongly encourage you to visit BACP’s register for a therapist in your area. This ensures that the therapist has met certain standards of proficiency, professionalism and ethical practice. The link to their register is: https://www.bacp.co.uk/search/Therapists. If you’re hoping to begin therapy online, I highly recommend checking The Association for Counselling and Therapy Online (ACTO) registry. This ensures that the therapist has met minimum training requirements for conducting therapy online and managing associated challenges: https://acto-org.uk/therapists/. Many therapists offer an initial session to see whether the therapist and prospective client are a good fit for working together. This initial session also gives clients an opportunity to ask questions about the way the therapist works. It is also completely acceptable to meet with several therapists before committing to begin therapy with a specific therapist to ensure you’ve found the right therapist for you and your needs. 

Neurodiversity & Mental Health

11/30/2020

 
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Did you know that Autistic individuals have an increased risk of developing mental health difficulties than the neuro-typical population? This is in part due to Autistic individuals being exposed to multiple types of adverse experiences, including bullying, harassment and chronic invalidation- being made to feel as if their own subjective experiences are inaccurate or unacceptable by those around them. Despite this, many autism-specific services fail to acknowledge and treat mental health difficulties and mental health services are often ill-equipped to address the often complex dynamic between autism and mental health difficulties. So what’s the solution? Mind, a mental health charity based in the UK, have been working to develop guidance for mental health practitioners and organisations to ensure that Autistic individuals receive appropriate, respectful support. They are continuing to work with other organisations throughout the UK to 1) improve services, 2) provide effective training for agencies, 3) raise awareness in GP’s and other professionals and 4) influence positive change at a political level. 


If you are a counsellor or psychotherapist working independently, you are likely to come in contact with an Autistic individual who needs support at some point in your career. I believe it is our responsibility as mental health practitioners to educate ourselves so that we can provide informed, neurodiversity affirming support to Autistic individuals experiencing mental health difficulties. You can start by downloading Mind’s guidance for professionals below, however, this is just a start. If you’d like to learn more about neurodiversity and mental health and implications for professional practice I encourage you to dig a little deeper. Get in touch and I’d be happy to recommend some resources to get you started! cloieparfitt@gmail.com 


https://www.mind.org.uk/media-a/4259/autism-guide-web-version.pdf <%22>

The Black Friday Scam

11/27/2020

 
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“There’s nothing you can buy today that will make you feel whole tomorrow.”

Doesn’t it feel odd that a day devoted to love and gratitude is followed by a day consumed by materialism and greed? Today, I encourage you to extend your gratitude practices. Make time for the things you love. Focus on what’s going WELL. Feeling low? Lost? Unfulfilled? Reach out to the people you love. Take a walk. Let the sun kiss your skin. Fill your lungs with the crisp autumn air. INHALE, PAUSE, EXHALE, REPEAT. Remember what it feels like to be ALIVE. When we give in to consumerism we don’t gain, WE LOSE. We are robbed of the present moment. We are constantly looking ahead to the next thing. And the next. And the next. We forget to cherish what we already have. We fail to recognize the treasures already around us. 

Today, let gratitude win. 

A Culture in Crisis

11/26/2020

 
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Hillbilly Elegy (the movie) now streaming on Netflix! ​
I had the pleasure of reading the book when it was first published in 2016. Hillbilly Elegy tells the story of an Appalachian family in the crux of crisis and a young man brave enough to put an end to decades of family dysfunction. While this book recounts the history of an entire population of Appalachian settlers or “Hillbillies” who largely fell behind in the face of increasing technological advancement, providing some justification for MAGA generation, it also serves as a poignant example of trans-generational trauma and it’s devastating effects on an individual’s mental health and stability. To this day, the Appalachia region faces a severe opioid crisis and Appalachian states report adverse childhood experiences (ACE) survey scores higher than the national average. Increased ACE scores in childhood have been linked to physical and mental health difficulties in adulthood. What’s worse, people residing in Appalachia face numerous barriers to receiving mental health treatment, including a shortage of mental health professionals in rural and low-income areas, long wait lists, affordability of treatment and a deeply-rooted stigma towards seeking mental health support. So what’s the solution? It seems to me that the first step is increased mental health education, prompting individuals to better recognize cycles of abuse and seek professional support. If you’d like to learn more about trans-generational trauma and the pharmaceutical colonization of Appalachia, I encourage you to read the article below 👇👇👇👇👇👇👇👇👇👇https://www.google.com/amp/s/www.wvpublic.org/news/2018-02-13/analysis-the-pharmaceutical-colonization-of-appalachia%3f_amp=true 

    Author:

    Cloie Parfitt is a practicing psychotherapist, researcher and writer. Her areas of interest include trauma-informed psychotherapy and neurodiversity affirming therapy. 

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  • ABOUT ME
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  • QUESTIONS
    • What Happens in Therapy?
    • Frequently Asked Questions
  • Counselling
    • Counselling for Adults
    • Counselling for Young People