Tag Archives: sad

Guest Post: All About Psycho-Social Rehabilitation (PSR)!

All About Psycho-Social RehabilitationHello from the Potato State! My name is Stacey and I am co-runner of a little Idaho blog called: A PSR Gathering. I am here today to give a little insight on what we do!

In Idaho we have an awesome service offered to children and adults called PSR or Psycho-Social Rehabilitation. PSR is not available to everyone (it is a Medicaid only service and not in every state) which examples the blank stares I often get when I tell people what I do. Katie and I work with children (ages 4-19 is the general range of clients) but, adult services are available! Clients who qualify for PSR have been diagnosed with a Serious Emotional Disturbance (SED) for children, or a Severe and Persistent Mental Disorder (SPMD) for adults. I am going to keep this simple and sweet for you today, if you have a questions feel free to ask!

Who?

Have a Bachelors degree (in Social Services, Early Childhood Education, Sociology, Social Work, Psychology, and the like)? You can do PSR! You will have to gain a USPRA certification though, if you wish to work in the state of Idaho. Some states even require a master’s degree.

About us:

Katie (on the left): I graduated with a BAS in Child Care and Development from Boise State University in 2009. I have lived in Boise the majority of my life, am married with two dogs and with what spare time I can find love to travel, run, camp and read.  I have worked with kids for about 15 years in many different ways, from camp counselor to tutor to Pre-school teacher! I have been working as a PSR Specialist for about two and a half years now, and am just feeling like I’m getting the hang of it!

Stacey (on the right): I graduated from Boise State University in 2010, with my B.F.A in Drawing and studies in Psychology and Art Therapy. My family moved us to Boise when I was 10 and we have been here ever since. I just bought a house a street over from my childhood home and live there with my boyfriend of many years and our bully breed pup, Penny. I have too many interests to list but the tops are: creating, motorcycles, bargain hunting and kicking back! I have always had a passion for helping others, which has given me the opportunity to work in an array of jobs.  From working with animals, to slinging coffee or advising college students… I’ve done it all! I have been a PSR specialist for going on two years and can’t wait to see where it takes me.

What do we do as PSR workers?

PSR is individual skill based training, such as anger management, social skills emotions recognition, etc.

When do we work?

Each client qualifies for about 4-5 hours per week. We work in the community so our hours are outside of school hours–afternoons, night and weekends. As you can imagine we love summer for its flexibility!

So…an office? School?…where do you work?

PSR is a community-based position, no office (unless your car counts–I haven’t used my trunk for purposes other than hauling around ‘PSR’ tools for 2 years now-ha!). We work in the homes or take them out into the community to work. Libraries, malls, Barnes and Noble, coffee shops, parks–you get the idea.

Why?

Our goal(s) in PSR are simple. When a client comes into PSR a treatment plan is designed that consists of measurable and behaviorally specific objectives. PSR is there to build skills to better communicate, interact within society, build relationships, handle situations and overall be the best kiddos they can be!

How?

We do an array of activities with clients (based on age, understanding and needs). Being out in the community and in the homes, we get a good glimpse on what our clients are like when their ‘guard’ is down, which lends to a lot of  ‘real life training.’ We also get to be silly kids our selves by using play and art to teach our clients new skills! Check http://www.psrideaweb.com/for awesome activity ideas!

PSR Gathering

Leave a Comment

Filed under Child Therapy, Therapeutic Activities

Recognizing Depression in Men

Men are often overlooked when it comes to the discussion of depression. As a wife, daughter, and therapist, it’s important to me that I am aware of the signs of depression in men and to spread education on the topic to my readers.

It’s a common belief that more women suffer from depression than men, but this is actually not the case. In fact, men commit suicide in far greater numbers than women. Why? Men often do not receive help for their depression and there are several possible reasons.

  • Failure to Recognize Symptoms. Men may exhibit some symptoms of depression differently than women, making it less recognizeable to family and friends, and even doctors.
  • Men Are Less Likely To Seek Help. There is still reluctance by many men to seek help for depression. This could be because they see it as a weakness, they are hesitant to admit they need help, or maybe they are reluctant to make the financial or time sacrifices it takes to commit to therapy.
  • Less Awareness. As I mentioned above, most people think of depression as a female problem and we are not educated on the symptoms and statistics of male depression.

So now that we’ve established there is a lack of awareness about male depression, what are the symptoms of depression in men? Men will often exhibit inappropriate anger, an increase in substance use, and will often spend a great deal of time away from home and family (escapist behaviors).

The Uplift Program has a comparison of the male and female symptoms of depression:

SYMPTOMS IN MEN               SYMPTOMS IN WOMEN
Blames others Tendency to self-blame
Anger, irritability, ego inflation Feels sad, apathetic, worthless
Feels suspicious, guarded Feels anxious, frightened
Creates conflict Avoids conflict
Restlessness and agitation Slows down, nervousness
Compulsiveness Procrastination
Sleeps too little Sleeps to much
Becomes controlling Difficulty maintaining boundaries
Shame (eg. sex performance) Guilt
Fear of failure Problems with success
Becomes over status-conscious Assumes low status
Self-medicates through alcohol Self-medicates through food
Over use of internet/TV/email Withdrawal

How To Help:

So what you do if you believe you are depressed (men and women)?

  1. Talk to your doctor. I always, always recommend talking to your doctor as soon as possible. Tell them your symptoms, how long you have had them, and how severe they are and have become.
  2. Exercise. Physical activity releases endorphins that improve mood and increase self-confidence. See how in this article.
  3. Eat well. Believe it or not, food plays a role in mood. It will not cure depression, but every positive life change helps!
  4. Seek counseling. Even if your doctor prescribes medication, studies show that medication combined with therapy will give the best results.
  5. Seek support from loved ones. When you are depressed, you can feel very much alone, defeated, hopeless, and fatigued so having a support system in place is key.

References:

Mayo Clinic

About.com

Suboxone

Uplift Program

You May Also Like:

Shoes, A Teen, and Depression

A Difficult Decision: Medication and Your Child

Reasons To Get Moving!

Foods That Make You Happy

 

5 Comments

Filed under Education and Awareness, Problems and Concerns

Using Signs to Teach Your Toddler About Feelings

As a counselor, I spend a lot of time teaching kids how to identify and communicate their feelings. So when my son Max (14 months) was having a meltdown this weekend, I realized that now is the time to start giving him words (akasigns) to express those emotions. Now is the time to start teaching him there is a word for these feelings he is having and that it’s normal to feel angry, frustrated, etc. So, I opened up my baby sign book and dug out the feelings cards. Now don’t get me wrong. I’m not under any fantasies that Max will no longer tantrum or tantrum  any less fiercely, but this is an important first step in teaching my son about his feelings.

I use a book titled Baby Sign Language by Karine Shemel Rosenberg. It comes with colorful flashcards and information on the benefits of signing and how and when to start signing with your baby. Here are the feelings flashcards in this book. You can also see where to purchase this book and see my comments and others at my  Goodreads review.

20120317-154906.jpg20120317-154920.jpg20120317-154926.jpg20120317-154933.jpg20120317-154941.jpg20120317-154956.jpg

Applying similar techniques I use when teaching more verbal children about feelings, I can start teaching my young toddler. Here are a few simple things I’ll be focused on:

- Choose which signs you want to focus on, learn them yourself, and get other caregivers (nanny, grandparent, etc) involved. The more exposure to the signs the better.

-At the moment he shows the feeling (angry, sad, happy) say and sign the feeling using an empathetic tone.

- At the moment we see others expressing that feeling, especially another child, say and sign the feeling.
- When he is angry, help him learn to calm himself down by modeling a calm state and offering something that may help calm him such as a quiet room, favorite toy, or affection.
- When he calms, tell him “good job calming yourself down.” This sends the message he has control of his emotions.

It is never too early (or too late) to start using these techniques with your child. Their little brains are constantly taking in information and forming connections about their environment and learning behaviors from those around them. Applying these techniques can also take time to get used to, but will be second nature before you know it.

Max is learning his signs quite well these days, communicating his wants and needs to those around him. I am so happy to see when he is able use these signs rather than become upset. If you have been a parent of young children, you understand how frustrating it can be (for baby and you) when they have to fuss because they don’t know any other way to communicate their needs. There is a lot of literature that stands behind the wonderful emotional and psychological benefits of babies learning sign language. I’ll add some resources below to learn more about infant signing.

I have already started teaching these feeling signs and when Max gets the hang of them, I will post a follow up and let you know how it has worked out. If you have already been down this road, I would love to hear about your experience too!

http://www.babysignlanguage.com/ is a fantastic  website to check out. They offer a lot of information on signing, free flash cards, and even have video to show you how to do some of the more complicated signs.

http://signingbaby.com/main/index.php is also a good resource. There are videos of babies signing as well as an index of words.

For a good book, check out Baby Sign Language by clicking on my Goodreads review on the right hand side of this blog. Just above the Goodreads link, click on my Vodpod link to find videos I like. There is a really good video showing a baby signing for her mom. So cute!

5 Comments

Filed under Behavior Modification, Discipline, Limit Setting, Child Development

Sand Tray

A sand tray does not have to be purchased from an expensive therapy store. My husband made this sand box for me and the best part is that it’s made with love! After sanding it down really good so as not to cause splinters, I painted the outside a hunter green and inside a blue color. I bought play sand at a local Home Depot. Kids will often use this for pretend play while I am sometimes more directive in the activities with teens.

1 Comment

Filed under Child Therapy

Body of Emotions

I learned this activity from my colleague, Jennifer Methvin, LPC a couple years ago and have loved it ever since. Thanks Jenney!

In this activity, kids are asked to talk about various emotions. I will often have 4-5 emotions in mind and will allow the child to add emotions to our list if they want. For each emotion, I ask the child two main questions: 1. What does your body feel like when you are happy, sad, etc.? and 2. Tell me about a time when you recently felt this emotion and what was happening. The child can then choose the color they want for that emotion (I take notes for a key later on). The child will then use that color to paint or color where on their body they often feel this emotion.

As you see in the pictures, kids will have many variations. An interesting notation to make is that the first pictuer was done by a child who was struggling with high emotions and extreme expression of those emotions (aggression) and the picture below it with the dots was done by a child who was internalizing their emotions. Notice how the child internalizing the emotions only used small dots to represent their emotions as they are not used to expressing their emotions outwardly.

1 Comment

Filed under Child Therapy