Addictions - Including Substances, Eating Disorders, Grief and Loss - General Shame Counselling & Therapy

Addictions - Including Substances, Eating Disorders, Grief and Loss - General

While some people can use prescription or recreational drugs with no negative effects, many others become addicted and face dramatic health and lifestyle problems as a result. Substance addictions negatively affect relationships, home, school or work, leaving the person feeling ashamed, helpless and isolated.

Physical symptoms of substance abuse and addiction are varied depending on the drug of choice, but the symptoms of the addiction itself are similar. People who are addicted to substances may neglect their responsibilities, take potentially dangerous risks and get into trouble with the law. As their drug use spirals out of control, they will lose interest in activities that used to be enjoyable and continue to take drugs despite knowing the harm it causes.

Substance addicts tend to build up a tolerance to their drug of choice, and get angry when they can't get more of it. Withdrawal symptoms are highly probable when an addict goes without it for too long. Depression, nausea, insomnia, sweating, restlessness, anxiety and shaking are all common withdrawal symptoms.

Psychotherapy can help you to overcome substance addiction by focusing on correcting maladaptive behaviors. Substance abuse is usually a coping mechanism against emotionally overwhelming past events or memories. Substances are often used to provide instant gratification instead of facing certain issues.

Therapists are equipped to help clients deal with addiction recovery through empowerment and helping them set simple short term targets. The first target is sobriety, followed by empowering the client with adaptive skills and finding new coping strategies that deal with the issues that caused the addiction. Substance addiction can be ended, allowing the person to live a healthy, productive life.

If you need a counsellor or psychologist to help you address the effects of substance addiction, you can search the directory below to find a professional with the approach best suited to your situation.

Eating disorders comprise a range of attitudes and behaviors relating to food and body-image. The three main eating disorders are Anorexia Nervosa, Bulimia, and ED NOS (eating disorder not otherwise specified). These conditions manifest to different degrees in different people and can sometimes be mistakenly judged as poor eating habits, or a lack of willpower.

People with eating disorders don't eat in harmony with their bodies' needs, instead, people with Anorexia Nervosa eat much less than they need, while Bulimia sufferers binge and then induce vomiting. They may also do other things to compensate for overeating, including exercising or fasting. ED NOS combines any combination of the other two conditions.

Apart from the physical symptoms and behaviors above, someone with an eating disorder will generally also have poor self-esteem and obsessively research or talk about food, dieting or exercise. Poor body image will cause them to either wear clothes that cover up every inch of their bodies, or flaunt  in order to attract attention. They will find it hard to accept criticism and compliments.

Therapy for eating disorders depend on the patient. While some people respond well to short term outpatient treatment, others respond better to long-term inpatient treatment. Cognitive behavioral therapy and family therapy are long term treatments that have been proven to be effective, while group therapy, psychodynamic psychotherapies and feminist therapies work for people who will respond well to short term therapy.

Family therapy is often advised for children and adolescents who are experiencing eating disorders. Research has also shown dialectical behavioral therapy to be effective.

If you are looking for a counsellor or psychologist who addresses eating disorders, you may want to search the directory to find a professional whose approach will suit you best.

Grief is a natural part of dealing with the loss of a loved one, or a situation, or a way in which we see ourselves. Loss requires that we change the way things used to be and find a new way to restructure our lives accordingly. It's common for people to fear change, particularly if a part of us, or a person we loved deeply, is no longer there. It leaves a gap that has to be filled, but nothing can replace the person who has left us behind.

People deal with loss in many different ways, but the desired end result is the same - trying to piece together the puzzle to the best of our ability, without the missing piece. We also go through the various stages of grief at varying speeds and intensities. Dealing with all the emotions that form part of grief is what makes support so very important.

Time is of the essence during the grieving period, and something we sometimes tend to rush. That's why it's so useful to speak to a therapist who does grief counselling during this time.

A therapist will help you understand that what you are feeling is completely normal and even expected. Medical professionals are aware of the wide range of natural responses to grief and loss and are generally reluctant to diagnose mental illness while a person is in a period of bereavement. However, if depression is present, medication is likely to be prescribed.

Grief therapy will help you to accept the loss and be able to talk about it without breaking down. You will learn to identify and express your emotions regarding the loss and learn to make decisions without your loved one.

If you are looking for a counsellor or psychologist does grief counselling to address your grief and loss you may want to search the directory to find a professional whose approach will suit you best.

Shame Counselling & Therapy

There are a variety of approaches to address the issue of shame.  One of them is the Shame Resilience method is based on the research of Brené Brown, Ph.D. LMSW. 

Shame Resilience is the developed ability to practice authenticity when we experience shame, to move through the experience without sacrificing our values, and to come out on the other side of the shame experience with more courage, compassion, and connection than we had going into it.

Shame Resilience is about moving from shame to empathy- the real antidote to shame. Self-compassion is also critically important, because when we’re able to be tender with ourselves in the midst of shame we’re more likely to reach out, connect and experience empathy.

Other approaches, like Complex Integration of Multiple Brain Systems (CIMBS)  uses what is called a systems perspective that can address how an individual has learned to respond due to early trauma and or other developmental experiences.

Approaches to shame are not limited to the above.  There are many other therapies that address feeling.

If you do contact a therapist regarding shame issues please make sure that you ask them about their training in this area and choose a therapist whose approach makes sense to you.

 

Karen Goble

M.A., RCC
I’m a psychotherapist (MA, RCC) who offers therapy with heart. My private practice is a safe, nurturing space for acceptance and growth. I’m committed to helping my clients move courageously beyond... Read more