Summer is Ending: Several Open Path Spots Now Available for Fall

Several weekday spots are now available to all including new clients who qualify for Open Path discounts

All fee discounts are determined by sliding scale. Some clients may qualify for Open Path ($60).

All sessions are remote (video telehealth session). 39 PsyPact member states now included.

FOR OPEN PATH ELIGIBILITY, PLEASE APPLY THROUGH OUR OPEN PATH LISTING (anyone else may simply email: IntersectionalLife@gmail.com ):

Open Path 2023

PsyPact member
Covid Conscious Therapists member
Rates and payment
Sliding-scale discounts
Email: IntersectionalLife@gmail.com

Quick start for online therapy

Email

Look through the website to get an overview of Intersectional Life Counseling and Psychology. Email IntersectionalLife@gmail.com to schedule an intake or to ask questions about beginning therapy. You will receive a personal reply via secure email message.

Join

Once you and the psychologist have agreed to schedule an intake, they will send you an invitation to join the secure telehealth platform. You will also receive some brief forms to fill out and return. You may check the sliding-scale calculator to determine if you qualify for a discounted rate. Once you have accepted the telehealth invitation, returned the forms, and reported any discount, your appointment will be entered in the telehealth platform. It will automatically email you that an appointment has been set.

Enter

You will receive an automated email with a login link shortly before your appointment. When you enter the virtual practice, there will be a payment page, then a virtual “waiting room” until your intake begins.

Choose Your Therapy Path

The intake determines how to proceed. If further sessions are likely to be helpful, you may schedule at your own pace. Alternately, you may receive referrals for other services.

Talk with you soon…? ❤️

PsyPact member
Covid Conscious Therapists member
Rates and payment
Sliding-scale discounts
Email: IntersectionalLife@gmail.com

We offer remote therapy sessions anywhere within PsyPact member states. Most people qualify for a sliding-scale discount; use the calculator to instantly see what your fee would be. Email IntersectionalLife@gmail.com to schedule a session.

Telehealth Sessions Now Available in 39 States

Why remote therapy sessions?

Many people are in locations or situations where in-person therapy sessions are not available or not practical. If you are in a state that is a member of PsyPact, you may use telehealth (video sessions) to access therapy services from therapists across the United States who are certified by PsyPact.

What are PsyPact therapists?

PsyPact therapists are doctoral-level mental health professionals who are fully licensed to practice within their home states and have also been vetted and accepted by PsyPact to practice interjurisdictionally (in other member states) via telehealth.

What state laws apply to my therapy?

The laws of the state where YOU are located during your session are the laws under which your therapy operates.

Is my state a PsyPact member state?

Currently 35 states are active members, with four more states slated to activate later this year. Yet others are in the legislation process. You can view the map and the list here.

How do I get started if I want to see Dr. Liz?

Please email IntersectionalLife@gmail.com with questions or to ask about scheduling. You may also use the sliding-scale calculator to see for yourself if you qualify for a discount (most will). You can also look through the website to get an idea about Intersectional Life Counseling and Psychology.

Talk with you soon. ❤️

Covid Conscious Therapist Directory – therapists sensitive to the realities of living through COVID-19

Thriving Campus Directory – therapists serving college campus communities

We offer remote therapy sessions anywhere within PsyPact member states. Most people qualify for a sliding-scale discount; use the calculator to instantly see what your fee would be. Email IntersectionalLife@gmail.com to schedule a session.

Telehealth Sessions Now Available in 39 States

Why remote therapy sessions?

Many people are in locations or situations where in-person therapy sessions are not available or not practical. If you are in a state that is a member of PsyPact, you may use telehealth (video sessions) to access therapy services from therapists across the United States who are certified by PsyPact.

What are PsyPact therapists?

PsyPact therapists are doctoral-level mental health professionals who are fully licensed to practice within their home states and have also been vetted and accepted by PsyPact to practice interjurisdictionally (in other member states) via telehealth.

What state laws apply to my therapy?

The laws of the state where YOU are located during your session are the laws under which your therapy operates.

Is my state a PsyPact member state?

Currently 35 states are active members, with four more states slated to activate later this year. Yet others are in the legislation process. You can view the map and the list here.

How do I get started if I want to see Dr. Liz?

Please email IntersectionalLife@gmail.com with questions or to ask about scheduling. You may also use the sliding-scale calculator to see for yourself if you qualify for a discount (most will). You can also look through the website to get an idea about Intersectional Life Counseling and Psychology.

Talk with you soon. ❤️

Covid Conscious Therapist Directory – therapists sensitive to the realities of living through COVID-19

Thriving Campus Directory – therapists serving college campus communities

We offer remote therapy sessions anywhere within PsyPact member states. Most people qualify for a sliding-scale discount; use the calculator to instantly see what your fee would be. Email IntersectionalLife@gmail.com to schedule a session.

Don’t Push Through It!

Bouncing back ain’t what it used to be

Has it been taking you longer to recover lately, from…literally everything? In the past few years, a lot more of us have used up our bandwidth, yet we expect to be able to “push through” in the same way we used to. It may be that the pushing through itself was always bad for us, but we didn’t feel the effects until we used up everything we had. We hear a lot about resilience, but the fact is, we live in a culture that glorifies crunch and encourages pushing through to the detriment of physical and mental health, and it’s killing us. While there are certainly ways to increase resilience, we are finite. There are already enough external things killing us; we need to stop the self-destruction and learn to treat ourselves sustainably.

What does “pushing through” mean?

“Pushing through” is forcing yourself to function past your physical or emotional limits, past capacity: Staying up all night to finish a task. Working week after week without a day off until you feel numb. Exercising until you throw up. Prioritizing others’ feelings and keeping silent when your own heart is breaking. Ignoring hunger, thirst, or the need to go to the bathroom for just another hour and then another hour. Staying in an intolerable situation and telling yourself you “should” just be able to tolerate it. Often needing caffeine, aspirin, or alcohol to tolerate the situation. Do any of those sound familiar?

Consequences of pushing through

Here’s the thing. Any time you push through your limits–physical or emotional–you are borrowing from your future self. You are eating your seed corn. You are going in debt to your own physical and mental health. You are spending resources you don’t have! The discomfort is there for a reason. It tells you when you have reached your limit, when to stop spending yourself, when you are tapped out and used up. The discomfort is the sign to stop.

When people say “listen to your body,” what that means is if it hurts, stop doing it. If you are tired, rest. If you are sad, cry. If you are hungry, eat. This sounds simplistic, but many of us have been conditioned since childhood to ignore or “push through” our limits. We may have a high tolerance for physical and emotional discomfort. Well, guess what? That’s often harmful. It may be lifesaving in a situation of desperate crisis, but it’s not sustainable. You can tolerate the situations causing the discomfort for the short term, but you are spending yourself to do so. You are spending your future self for today’s emergency. Burning out is the direct result of pushing through too many times. It means the future self you spent is today’s self.

Why do we overspend ourselves?

Many of us have been taught that we are expendable, and that discomfort is always something to be ignored as we push through it to a goal. We learn that spending ourselves recklessly is okay or even admirable as long as it’s in service of a worthy goal. Sometimes it’s a goal we want to reach, but often it’s a goal others have set for us, a social expectation, a “should.”

You may be fighting to not feel your reactions to a given situation, when what really needs to happen is for you to leave or change the situation. The reactions you’re experiencing are an important indicator of how the situation is affecting you, rather than a distraction to be ignored or suppressed.

Learning to respect your own limits

Before you can set limits, you need to know what your limits are. When you push through, what is it you are pushing through? Is it exhaustion? Fatigue is a sign you need to rest. Pain? Pain is a sign that something may be injuring you. Is it fear? Fear is a sign that something may hurt you. Is it resentment? Resentment is a sign that you are giving more than you can afford to give. These are important indicators of how you are being affected.

What if you don’t know your limits? In particular, survivors of abuse or neglect are vulnerable to not having well-developed boundaries, that is: knowing your limits. That’s because in an important part of your development, you were taught that how you felt about things was not important. You were not allowed to develop boundaries or learn your limits, so you developed a high tolerance for discomfort. Too high, in fact! As a result, what often happens is you don’t realize that your limits have been reached until they are surpassed, and then you are utterly overwhelmed.

Therefore, your task in adulthood is to lower your tolerance for discomfort. We want you to learn to stop what you’re doing before the discomfort gets to the point of overwhelm, by reducing your threshold of tolerance for discomfort. Notice which feelings indicate things are too much for you. (Exhaustion? Pain? Fear? Resentment?) The goal is to start noticing and paying actual attention to discomforts when they are still small, taking them seriously while they are still small. Initially this will feel selfish or silly or spoiled. You will feel guilty! But in fact it is solid progress.

Does this mean we should strive to never feel discomfort? Of course not. Discomfort is an integral part of being human, part of progressing, part of growing and living with others. But we can learn to discern between the discomfort of healthy growth, and discomfort that is an indicator that we aren’t taking care of ourselves or are actively being harmed. There is no need to valorize discomfort for the sake of discomfort.

Is it ever okay to push through?

There are exceptions where it’s okay to intentionally, consciously push your limits or overspend yourself. Maybe you’re doing physical therapy to recover from a surgery and the exercises hurt. This is for a very specific recovery goal and it’s under the supervision of an expert; the point is not to just do something very hard that hurts, it’s to heal. Or maybe you have a phobia and you know a particular fear is irrational and you want to overcome it. But again, this is a very specific exception and you can engage carefully knowing that you’re actually safe; the point is not to just ignore fear.

Maybe you intentionally incur short-term temporary debts to your future self: you occasionally stay up to finish a paper or meet a work deadline, you’re training for a special sports event that you enjoy, you’re taking care of a loved one who is ill. In those cases you support your well-being, you plan how to “pay it back” to yourself immediately by taking a few days to catch up on sleep, do stretches, feed yourself well, socialize, do your journaling, relax. Then you’ve repaid yourself and repaired your body and emotions. And in each case, these are goals that you have chosen because you value them yourself.

But all too often, what we’re doing is not one of these exceptions. Instead, we’re relying on emergency spending as a way of life. We are pushing through important warnings to stop!

Spend yourself less and pay yourself back more

Learn your limits. What tires you out? What hurts physically? What interactions leave you emotionally derailed or spent? There was a point where the discomfort began–did you notice it then, or not until it became overwhelming?

Choose your goals. Spend yourself intentionally on the things that really matter to you, instead of habitually overspending yourself on things that don’t help you survive or make you happy.

Respect your limits. Stop doing the things that always lead to those feelings! Either stop doing them entirely, or stop doing them while the discomfort is still mild. Stop when you only feel a little tired, not when you’re already exhausted. Or stop when you’re just a little sore, not when you can’t stand because you overworked your muscles. Or end a phone conversation when you’re only a little antsy, instead of staying on the line until you feel resentful.

Pay yourself back. This sounds so simple, yet it’s not easy. Rest, eat, comfort and entertain yourself after spending yourself. Restore yourself! You cannot simply jump back into routine without restoring whatever you have overspent, or you’ll be running at a deficit. Do not allow a self-care deficit to become chronic–that leads to illness.

What if I just can’t

In some cases, there are times we know we are beyond capacity, but we are running ourselves ragged just to make ends meet or keep our lives holding together. This unfortunately and unfairly contributes to illness and even shorter lifespan for those in marginalized groups: racialized groups, those who are poor, and disabled people, for example.

In that situation, I encourage you to let go of tasks that are not an absolute necessity. Do what you must and do what you want, but let go of doing what you “should.” By this I mean, prioritize the tasks that will get your bills paid, and prioritize the things that will help you stay functioning (make you happy or relax you). However, let go of things you’re doing because it’s a “should” instead of a need or a want. De-prioritize things that you’re mainly doing because of the judgments, habits, or opinions of others.

You are a finite resource

A big part of increasing resilience is learning what our limits are and respecting them, instead of pushing through them. Learn to stop when discomfort is small, not after it becomes overwhelming. Some goals may be worth temporarily overspending ourselves, but we must choose those goals carefully and with intention, and then make sure to pay ourselves back. Do not let a deficit become chronic: you are borrowing from your future self. Stop pushing through the warnings. You are a finite resource. You are irreplaceable.

Become sustainable. ❤️

We offer remote therapy sessions anywhere within Pennsylvania. Most people qualify for a sliding-scale discount; use the calculator to instantly see what your fee would be. Email IntersectionalLife@gmail.com to schedule a session.

Recognize Depression by the Lies it Tells

I wonder if you’ve noticed some negative thoughts about yourself lately. These might be something like:

“Nobody really likes me.”

“I’m not good at anything.”

“I’m not loveable.”

“Nothing I do works.”

“I have nothing to look forward to.”

If these sound familiar, there’s a good chance you’re experiencing some depression. Depression often generates these kind of negative, judgmental thoughts. There are a couple of important things to remember about depressive thoughts.

  1. Thoughts are not facts! We can have thoughts that are true or false. In fact, thoughts generated by depression are often false (or greatly exaggerated). Just because a thought pops into your head does not make it true. Depression is a really good liar! So when you recognize that you’re having a bout of depressive thoughts, remember not to buy into the content.

  2. Depressive thoughts are a useful indicator! When you learn to recognize that these kind of thoughts are generated by depression, it lets you know that you’re experiencing a bout of depression. That will allow you to take care of yourself properly so you can get through the depression, instead of making it worse by ignoring it.

This may sound simplistic, but many times we do not recognize we’re experiencing a depressive episode until it’s been going on for a while. And during that time, we may be buying into the content of depressive thoughts, berating ourselves for not functioning normally, self-medicating or making other bad choices in an effort to cope, wondering why we’re exhausted or down, and generally making the depression worse. This happens surprisingly often, even for people who have known for years that they are susceptible to depression.

So the key is: notice your depressive thoughts. And instead of simply believing them (buying into the content) and spiraling, mentally “step back” from the thoughts. Notice how you’ve been feeling overall. Take the thoughts as an indicator that you may be having a depressive episode that needs to be managed.

It’s never too late to stop believing the lies. ❤️

We offer remote therapy sessions anywhere within Pennsylvania. Most people qualify for a sliding-scale discount; use the calculator to instantly see what your fee would be. Email IntersectionalLife@gmail.com to schedule a session.

More Resources for Distressing Times

 

A great list of resources compiled by Dr. Petra Boynton:

 

 

You can’t claim to love your neighbor while extending more sympathy, support, and protection to their murderers than to them. 💔

 

Letting Go of “Unlikeability”

You Have Been Good Enough All Along – by @tlkateart
 
 
You may have recently seen some discussions about a post online stating that trauma survivors are “fundamentally unlikeable.” I hope it has not been too derailing to your healing.
 
If it has been derailing or activating to you, it may help if you can step back mentally and see the statement for what it is: a cognitive distortion arising from PTSD. It is also an expression of internalized ableism.
 
Remember, when you have feelings of depression or anxiety, your feelings are understandable and deserve compassion. AND–you also do not have to buy into the cognitions or judgments that arise from these feelings!
 
In Radical Acceptance, Tara Brach talks about the “trance of unworthiness” that is engendered by trauma. This is also called “SHAME.” This kind of shame is the deep sense that one is fundamentally unworthy of love. (It is different from guilt, which is a pain from hurting someone and a motivator to do better next time.)
 
In my experience as a clinician and also as a trauma survivor, shame is pretty well universal among trauma survivors and it is easy to get sucked into. But you can remember not to buy into it. You do not have to buy into internalized ableism.
 
If someone dislikes you because you have trauma symptoms, that has more to do with who they are than who you are. If you feel unlikeable because of your trauma, that has more to do with trauma symptoms than with your actual likeability.
 
Another important aspect of this is that you do not owe anyone a performance of likeability. You yourself may want or need to be liked, for your own reasons: psychological, social, practical, or safety reasons. But likeability is not something you owe to others. You don’t have to be likeable for the sake of others’ comfort.
 
 
You are not a burden, you are carrying a burden
 
You are not a burden, we are lucky to have you
You Are Not a Burden by @tlkateart
 
 
You might also find it useful to listen to the following meditation from Tara Brach*: Healing Shame
 

(Note: Dr. Brach uses “toxic shame” vs. “healthy shame” to refer to what I would call “shame” vs. “guilt.”)

 

You are already fundamentally likeable, just as you are. ❤️

 

End white silence. Stop racist violence.

Above, Header Photo: Chuck Modi
A white chrysanthemum funeral blossom on black background
고인의 명복을 빕니다           💮               安息

Having started and re-started writing this post, I find there is little to say that hasn’t already been said repeatedly. Find the helpers. BE the helper. Check in with marginalized friends and coworkers. Survival is resistance, joy is resistance. Speak out. Educate yourself. Educate others.

But here we are again, grieving and angry, terrified and horrified, shocked but not surprised:

The fact is, until we name White supremacy, racist violence will continue. Until we name misogyny, gendered violence will continue. Until we name the obvious, overt prejudice and discrimination that feeds the violence, it will persist. It’s not an outlier, it’s a prime societal driver. Denial is complicity. Silence is complicity. Every racist and sexist joke left uncriticized has contributed to these atrocities. Every classist, nationalistic assertion left uncontested has contributed to these horrors. Every paltry excuse for violence has made room for further violence.

Speak the names of the victims. And find out how to say them correctly.

Find ways to help.

Stop making excuses. Stop accepting excuses. You can’t claim to love your neighbor while extending more sympathy, support, and protection to their murderers than to them. 💔

 

A Worldwide Traumaversary

Things are looking up, why do I feel bad?

By now it is not news that many of us have experienced mental health challenges over the past year. For most of us, every life domain has been affected in some way by the pandemic and by social unrest: physical, mental, social, professional, financial, and even existential. Even those who somehow escaped the worst of the harm have been affected. For those still experiencing loss, violence, work and housing instability, illness, or financial crisis, there is a clear reason for ongoing distress and symptoms. But lately I’ve been seeing that even those whose lives are beginning to stabilize are discouraged because they are experiencing a fresh wave of symptoms of depression or anxiety.

Many times when someone comes in with unexplained symptoms of depression or anxiety, I ask what was going on this time of year last year. And very frequently, it turns out to be a leadup to the anniversary of a traumatic or painful event: a “traumaversary.” Experiencing a resurgence of symptoms at the anniversary of an event is also known as “anniversary effect.”

As the saying goes, the subconscious may experience all times as one, but it sure keeps an accurate calendar. This makes sense from a survival standpoint. Part of trauma response is an attempt to save us from further traumatization by avoiding similar situations. The subconscious may tell us, “last time I was in this situation, something harmful or threatening occurred, so be on the lookout for danger!” Whether consciously or not, we remember situational cues such as what time of year it was, the quality of the light, the smell of the air, the temperature, what seasonal events were happening, what landscape we were in, and numerous other aspects.

What we are seeing now is a mass-scale traumaversary. A year ago we were all plunged into a worldwide nightmare that went from bad to worse, and from which we have largely not yet recovered. Contagion, social strife and violence, financial crisis, medical nightmares, and other sources of fear and powerlessness, if not outright terror. And we are still incurring losses.

You may not even realize how much you’ve been through! This mental health status chart can help you to assess how you’ve been affected. Were you feeling worse than you realized? Are you still in red or orange? Are you moving towards green?

Thriving, Surviving, Struggling, In Crisis
Credit: National Fallen Firefighters Foundation

The fact is, we have been through mass trauma on an unparalleled scale. In part because internet access has allowed us to share everyone’s moment-to-moment feelings and reactions all day, every day, all over the world. In one sense that can be good, because it validates our experiences to see others having similar reactions. But in another sense, immersion in everyone else’s trauma can increase your own trauma. Also, having to go about everyday routine as though things are “normal” can make things worse.

What can we do about traumaversary?

For any kind of trauma, recognizing when symptoms may activate is very useful. Many times we do not recognize why we are feeling bad until it’s already been going on for a while, or perhaps even in hindsight. If we know in advance that a certain time of year may be especially hard, that can help to reduce the severity. Not knowing what’s happening can make it worse.

Anticipate symptoms and stressors

What kind of symptoms are you experiencing now? When you think back, are they similar or related to what you were experiencing last year? Is there any pattern to when they occur, such as being at home, at work, around certain people, doing certain activities? Here are some common symptoms I’ve been seeing:

Discouragement: pushing so hard, for so long, and although there is hope for improvement, it’s far  slower in coming than we may have hoped.
Burnout/malaise: stress is cumulative, and it takes time and energy to heal from it. Many have not had the opportunity to recover from each day before the next day comes, let alone the opportunity to recover from a year’s worth of constant stress. It’s hard to stay engaged and interested without stress recovery.
Exhaustion: many are exhausted from unceasing exertion: physical, cognitive, and emotional. We may be sleeping a lot more, not feeling restored after sleep, and too drained to participate in our usual tasks and activities.
Impaired executive function: forgetfulness, loss of concentration, unusual time perception (speeding up or slowing down), difficulty planning and implementing activities. Not being able to “get things done.”
Dissociation: losing track, losing time, spacing out, not being present, feeling numb, feeling unreal or that the world is unreal.
Hypervigilance: being easily startled, easily woken, heightened anxiety.
Sleep issues: insomnia, exhaustion, hypersomnia. While many have gotten some relief from the insomnia of the past year, hypersomnia is still prevalent. It’s not surprising considering the cumulative stress and burnout we’re experiencing!

 

 

Find ways to support and care for yourself

Recognizing how much you’ve been going through may already be enough to mitigate some of your symptoms, because they will feel less inexplicable. This may also make it easier to allow your reactions instead of telling yourself you “should” be able to function. Acknowledge to yourself how hard this has been and continues to be! We can’t truly heal from a trauma that is ongoing, though we can find ways to cope.

Remember the basics of caring for your body:  sleepnutritionexercise, and social interaction. It’s unreasonable to expect yourself to feel okay emotionally if your basic needs aren’t being met. Go through each one and see what can be improved, even in a small way.

Also, allow yourself to experience enjoyment! Sometimes when everything has been terrible for a long time, we feel wrong or guilty enjoying anything. But joy helps us to stay mentally healthy and balanced. It doesn’t mean you aren’t serious or you don’t care about others.

Back to “normal”?

There is hope and solid progress towards restoring a robust and healthy society. But life has changed forever in some ways. Sociopolitical rifts have become stark. Lives have been lost, homes have been lost, jobs have been derailed. And most of all, safety has been lost. In truth, we are all vulnerable to illness, we are all vulnerable to violence, we are all vulnerable to want and instability, but the past year has made this truth concrete to many who felt safe before. We can’t put this back in the box. These are real losses, and if grief comes up, it’s okay to allow it.

One sure-fire approach to help restore your own sense of agency and safety in the world is to contribute to making it safer for everyone, whether that means protecting others simply by following pandemic guidelines, supporting causes that help the community, or speaking out in helpful ways. You’re still part of a living, hopeful world that many people are working on improving. ❤

 

Intersectional Life Counseling and Psychology offers remote video sessions for PA residents, as well as SLIDING-SCALE RATES FROM $72. Please EMAIL if you would like to schedule or have any questions!