PH&S Clinic

  • Home
  • Counselling
  • Coaching
  • About
  • Contact
  • Resources
    • Podcast
    • Articles
  • Home
  • Counselling
  • Coaching
  • About
  • Contact
  • Resources
    • Podcast
    • Articles

I want my boomerang son to move out, but my husband wants him to stay

28/3/2024

 
The question:
 
My son recently moved back home into the basement – with his girlfriend. I want him to be on his own two feet, but my spouse won’t take a stand. What should I do?
 
The answer:
 
You were a walking zombie during the sleepless, colicky nights. With some creative disaster-proofing, you made it through the terrible twos. And you are still stunned that you survived the hormonal teen years without committing a felony offense. So, haven’t you paid your dues now that you have an adult child?
 
If you are like most parents of a 20-something, the answer should be yes, but unfortunately these days, it may also be no.
 
The 2021 Canadian census tell us that the percentage of young adults (ages 20 to 34) who continue to reside with their parents is significantly higher than 25 years ago and sits at around 35 per cent. This is no surprise when we think of the range of societal changes and financial pressures that we’ve become familiar with over the last few decades.
 
There is nothing unequivocally wrong with your son residing with you, and it can be a helpful interim situation that actually helps your son, so long as the boundaries and parameters are clearly outlined. But, I’m assuming from your question that the issues are not as clear-cut and that there are compelling reasons you feel this is not a helpful arrangement.
 
Bigger than even the issue of where and how long your son and his girlfriend reside with you is the difference of opinions between you and your spouse. This is the most important issue that you need to address. The two of you must take a united parental stand. Children, regardless of age, are extremely adept at identifying differences in opinions between parents, and they either intentionally or inadvertently exploit those differences in their favour.
 
You need to start by having a candid discussion with your husband. Pick a time when the two of you are not stressed, are getting along well, have dedicated time to talk and are free of other distractions. Tell him there is something important you want to speak about. Acknowledge you have different opinions, but want to arrive at an outcome that satisfies both of you. Ask him to hear you out fully without commenting, and let him know you will offer him the same courtesy. Then present your position. Give specific reasons why you feel your son moving back home is not a good idea, and why you feel it doesn’t help him in the long-term. Whenever possible, use words and language that convey to him that you ultimately have the same goals in mind. (“I know we both want him to be independent and to be able to succeed on his own.”) Chances are, from a fundamental values perspective, you and your spouse are more likely to be on the same page than not. Then ask your husband for his perspective and thoughts. Listen to him, without interrupting.
 
Try to arrive at a compromise that both of you are comfortable with. Perhaps you each give a little; for example, you could work toward a time-limited situation where your son stays with you, but stipulate there be a six- to 12-month plan where he works toward being on his own.
 
Regardless of how long your son stays, it is integral to the plan that you set parameters that create a motivation for him to move out. It is reasonable and fair for you to expect him and his girlfriend to pay rent (perhaps it is a reduced rent, but ensure you are asking him to contribute in some way); contribute to household bills; be responsible for household chores; and respect certain household rules that you may have (no smoking and no loud parties, for example).

​​Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

I think my mom should live in a nursing home

21/3/2024

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:

I think it’s time for my 80-year-old mother to go into a nursing home in the next year or two. She is still healthy but not as strong as she once was. How can I broach this subject with her and prepare her?

The answer:

Speaking to a parent about transitioning to a nursing home can be one of the most difficult conversations you may have. It may be emotional on a number of levels for both you and your mother. But having conversations about this well in advance is one of the best things you can do, to give everyone time to mentally prepare for the upcoming changes.
 
Before broaching this subject with your mother, you may want to spend some time thinking about what you want to say, what options there are, what timelines might make sense, and who else that is close to you and your mother could possibly get involved in the discussion (e.g., your father if he is in the picture, siblings, an aunt or an uncle).
 
Use your judgment on who best to involve. You want to remain sensitive to not having your mother feel she is being “ganged-up” on by having too many people present, but there can be value in considering having someone else present that is close to her, and who she feels also has her best interests at heart.
 
Let your mother know in advance you’d like to set some uninterrupted time to speak with her about some concerns you have about her health and/or living situation. This can help to make her feel like she is not being taken off guard. Try to identify an optimal time (e.g., when she is feeling relatively well physically, in a comfortable environment such as her own home, during a time of day when her energy level is reasonably high).
 
Keep in mind that you may need a number of repeat conversations over time to get to a workable solution.
 
Start the first conversation by genuinely letting her know how you feel. Express that you love her, that this is a hard conversation for you to have, and that you are only speaking to her out of concern for her for health and well-being. Describe the concerns you have about her health. Try to be as specific and objective as possible. Let her know you can imagine how difficult it may be for her to start to think about moving to a supported living environment.
 
Take the time to ask her how she feels and what is important to her. Appreciate that she may get upset, defensive or sad – this is all part of the process of making such a significant change in living status.
 
Listen to her concerns. Remain gentle and empathetic in your tone. Try to understand her concerns and perspective, and to the extent possible and reasonable involve her in all important decisions.

​Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

Causes of Suicidal Thoughts: Helping You Better Understand Your Suicidal Thoughts

14/3/2024

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
Picture
Helping You Better Understand Your Suicidal Thoughts

Some problems and experiences, especially those that have been around for a long time, can leave you feeling hopeless and overwhelmed. At these times, you may think that you have no options left. You may think about suicide as a way to escape intense emotional pain. There are many potential causes of suicidal thoughts and it can be helpful to better understand your suicidal thoughts in order to work toward managing and preventing them. 

People who consider suicide as an option often think that their problems are unbearable and can’t be fixed. They feel like nothing they have tried has or will change their situation. Their emotional pain can distort thinking so it becomes harder to trust, or to see possible solutions to problems, or to connect with available love and support.
Even if it seems that you can’t stand another minute, it is important to remember that feelings (e.g., grief, anger, sadness, loneliness, shame), especially at this intense level, don’t last forever. Sometimes thoughts of suicide can become very strong, especially if you have taken drugs or alcohol. It is important to not use nonprescription drugs or alcohol, particularly when you feel hopeless or are thinking about suicide. 

Some of the thoughts you may be having are: 
  • Believing there are no other options.
  • Sensing your family or friends would be better off without you.
  • Thinking you’ve done something so horrible that suicide is the only option.
  • Wanting to escape your suffering.
  • Experiencing unbearable pain that feels like it will go on forever.
  • Wanting to let your loved ones know how much you hurt. 
  • Wanting to hurt or get revenge on others. 

Your feelings of pain are very real. However, it is important to know that there is hope. With the help of professionals and the support of family and friends, you can learn about what is causing your suffering and how you can change or manage it. 
Hurting or killing yourself are not your only options. Professionals can help you learn new skills for dealing with your pain. These might include: developing new skills to cope; seeing your problems in a new light; improving your ability to handle intense and painful emotions; improving your relationships; increasing your social supports; or medications. 

Causes of Suicidal Thoughts 

There are a number of potential causes of suicidal thoughts and you are not wrong or weak for feeling them. But the better you understand where your suicidal thoughts are coming from the better you are able to manage those feelings, Some of the potential causes of suicidal thoughts are:
  1. Mental health problems: Some mental health problems, such as depression or anxiety, can increase feelings of suicide. Mental health problems are treatable. It is important to talk to your doctor if you feel low, depressed, or anxious. Counselling or medication may help, consider signing up for a free consultation with the Psychological Health & Safety Clinic.
  2. Conflict with loved ones: You may feel family or friends would be better off without you. It’s important to remember that conflict with others doesn’t last forever. Ending your life is not a way to solve that conflict. We know that people who lose a loved one to suicide say that their lives are not better off. 
  3. Loss: Many different types of loss can increase the chances of feeling suicidal. Some examples include: a break-up; losing a job; losing social status; or losing a loved one or friend. Also, knowing someone who has died by suicide can increase the chance of thinking of suicide as an option. As difficult as your loss may seem, there are people and services that can help you get through difficult times, such as the BC Bereavement Helpline (1-877-779-2223).
  4. Medical problems: Medical problems such as diabetes, thyroid problems, chronic pain, or multiple sclerosis can increase chances that you may think about suicide. Make sure you have proper medical care for health problems. Some medications can increase feelings of suicide. It is important to speak to your doctor about this. You can also get information by calling the BC Nurse Line (8-1-1) or the Living a Healthy Life with Chronic Conditions program (1-877-240-3941). 
  5. Sexual and gender identity issues: People who are lesbian, gay, bisexual, or transgender may have a higher risk of suicide. Uncertainty about sexual identity and fears of possible or real rejection from family or friends can make things worse. There is support available. Prideline (1-800-566-1170) is peer support and information phone line. Prideline is open 7 days a week, from 7:00 p.m. to 10:00 p.m.
  6. Financial/legal problems: Financial or legal problems, such as overwhelming debt, gambling problems, or problems with the law, can be very stressful. It is important to know there may be free services that can help you deal with financial or legal problems. These include the Credit Counselling Society (1-888-527-8999), the Problem Gambling Help Line (1-888-795-6111), or the Legal Services Society (1-866-577-2525). 
  7. Lack of connection to friends and others: Thoughts of suicide can increase if you spend a lot of time alone, or don’t feel you can tell anyone your problems. Talk to someone, like a professional, about ways you can increase social support in your life. You may feel the people that are in your life don’t understand the pain you are feeling. Talk to a professional about ways that you can let others know of the pain and unhappiness you are feeling. The Social Supports wellness module at www.heretohelp.bc.ca gives ideas for how to improve your social supports. 
  8. Drug and alcohol problems: Using alcohol or drugs can make feelings of depression, anxiety, and thoughts about suicide worse. Drugs and alcohol can change the way you think about problems in your life. If drugs or alcohol are causing your problems, you can get information on treatment from the BC Alcohol and Drug Information and Referral Service (1-800-663-1441).

Final Thoughts

As you can see, there are many potential causes of suicidal thoughts. These thoughts are normal and even though they seem unbearable at the moment they aren’t going to last forever and there is support available. Understanding your suicidal thoughts not only makes it easier to manage these feelings but also makes it easier to ask for help.  

If you or someone you love is at immediate risk, call 9-1-1.

My adult daughter hates my boyfriend. Is she being a child?

7/3/2024

 
By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth
The question:
 
My daughter hates that I’m dating. She’s 32; I’m 65. Her dad has never been in the picture, but now that I’ve found a serious relationship, she’s having real trouble accepting another person having my attention. What can I do?
 
The answer:
 
Kids – even when they’re adults – can have trouble accepting a new partner in a parent’s life. When a parent has gone through a divorce or been widowed, a child may have difficulty accepting a new relationship. A range of emotions can surface for a child even when the new relationship is not replacing the role of another parent, like in your situation.
 
I’m assuming that this is one of the first significant relationships. Your daughter has gotten used to your undivided attention (and more importantly your undivided affection), and that she is struggling with accepting an actual (or perceived) shift in the relationship she has with you.
 
This may feel difficult and hurtful to you, as it may come across as though she is unhappy to see you happy. I suspect this may be bringing up some mixed feelings for you. You likely feel guilty – which is normal.
 
Have an open discussion with her: Let her know what you have observed and your feelings about the situation. Don’t assume that her feelings relate to her difficulty accepting that another person has your attention – she may be feeling confused, sad, or fear that the relationship between you and her will change.
 
She may be feeling protective toward you and wanting to ensure you don’t get hurt. Check-in with her on her feelings and thoughts about the situation, as they may surprise you.
 
Speak to her about how you feel about your partner, and the positives added to your life by being in this relationship so that she better understands your perspective. Reassure your daughter that your partner will not in any way take the place of your relationship with her. You may need to identify ways that you and she can continue to spend individual time together nurturing your relationship. Ask her for ideas on what she would like to see.
 
I suspect that your daughter is simply going to need some time to adjust to a “new normal.” Maintain open lines of communication with her, but at the same time stay firm and do not allow her feelings to dissuade you or contribute to you feeling guilty about fulfilling an important part of your life.

Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail.

What is Burnout

7/3/2024

 
By Darby Eakins, CBT Therapist and certified Psychological Health & Safety (PH&S) Advisor
Picture
What is burnout?

While burnout is not officially recognized as a diagnosable mental illness, recent research (Koutsimani, 2019) suggests that even though it’s often associated with anxiety and depression, it appears to be a robust and stand-alone construct. The World Health Organization defines burnout as “a feeling of intense fatigue, loss of control, and an inability to produce concrete results at work.” 
Another definition indicates burnout is “a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress.” It’s always associated with work, and while it was initially reserved for those in caring roles (nurses, doctors, social workers and teachers), we now know that all workers can be exposed to burnout.
Folks with burnout will often meet the criteria for depression and/or anxiety, and some will even meet the criteria for PTSD. In my case, I met the criteria for all three. But with the context of work removed or the organizational issues remedied, most folks will recover.

Burnout Risk Factors & Facts
  • No one is immune to burnout, and it equally affects men and women.
  • No age group appears to be at higher risk than another.
  • 1 in 4 Canadian workers report being stressed, 60% of these say that work is the source of their stress.
  • There is no clear understanding of exactly what conditions lead to burnout, except that all workers who experience burnout have been experiencing chronic stress, and it arises out of workplace factors as well as personal factors.
  • Burnout is more than an individual issue, and research shows that a combination of individual and systemic factors lead to burnout.  
  • Organizational risk factors include: work overload, lack of autonomy, inability for individuals to participate in decisions that impact their work, an imbalance between perceived efforts made and the recognition received (salary, esteem, respect, etc.), poorly defined responsibilities, insufficient communication, ambiguous roles, unhealthy atmosphere, difficult schedules.
  • Individual factors that put someone at higher risk of burnout include: having high expectations of oneself, making work the sole focus of one’s life, perfectionistic perspectives, having a heightened professional conscience, not knowing how to delegate, personal factors such as family responsibilities or loneliness.


Burnout and the National Psychological Safety Standard

The National Psychological Safety Standard (The Standard) defines a psychologically healthy and safe workplace as “a workplace that promotes workers’ psychological well-being and actively works to prevent harm to worker psychological health, including in negligent, reckless or intentional ways.” (National Standard of Canada for Psychological Health and Safety in the Workplace (CAN/CSA-Z1003-13/BNQ9700- 803/2013) 

The Standard outlines 13 risk factors for psychological safety at work: 
  1. Organizational Culture: Employees hold common norms, values, beliefs, meanings, and expectations. They are then used as behavioural and problem-solving cues.
  2. Psychological and Social Support: Approaches, services and benefits addressing worker mental health.
  3. Clear Leadership and Expectations: Workers know what they are expected to do through effective leadership; changes are shared in a timely manner; helpful feedback is provided on expected and actual performance; and the organizations provide clear, effective communication.
  4. Civility and Respect: People treat each other fairly and with respect.
  5. Psychological Demands: There is a good fit between employees’ interpersonal and emotional competencies and the requirements of the position they hold.
  6. Growth and Development: Workers receive encouragement and support in the development of their interpersonal, emotional, and job skills.
  7. Recognition and Reward: Immediate supervisor appreciates work; staff are paid fairly for work done; accomplishments are celebrated; and, worker’s commitment and passion for their work is valued.
  8. Involvement and Influence: Workers are included in discussions about how their work is done and involved in important decisions that impact their role.
  9. Workload Management: Assigned responsibilities can be accomplished successfully within the time available.
  10. Engagement: Workers enjoy their job and are proud to be a part of the success of the organization.
  11. Balance: A work environment where there is acceptance of the need for a sense of harmony between the demands of personal life, family, and work.
  12. Psychological Protection: The organization deals effectively with situations that can threaten or harm workers (including bullying and harassment).
  13. Protection of Physical Safety: Worker’s psychological and physical safety is protected from hazards and risks related to the work’s physical work environment.

A lack of effective risk mitigation strategies and psychological safety-enhancing strategies across most of the above factors can contribute to burnout risks. In particular: clear leadership and expectations, psychological demands, growth and development, recognition and reward, involvement and influence, workload management and balance are some of the most likely areas of organizational risk associated with burnout.

Preventing and Recovering from Burnout

Burnout does not happen overnight. It is insidious and creeps in over time. Symptoms that may arise include: fatigue, pain, digestive problems, stomach ulcers, skin problems, disrupted sleep, weight loss or gain, frequent illnesses, constant loss of motivation with regard to work, detachment from work, pronounced irritability, spontaneous anger, feelings of incompetence, inefficiency and exhaustion, a desire to isolate oneself, a feeling of failure, a drop in self-confidence, anxiety, worry, insecurity, difficulty concentrating, loss of memory, difficulty in using good judgement, indecision, confusion, and in the most serious cases, suicidal thoughts.

Preventing Burnout

From a prevention perspective, it’s important to notice the flags and risks of burnout to mitigate them in yourself:
  • Pay attention to changes, such as sleep disturbances or increased irritability
  • When you notice flags, pause and reflect on what has become out of balance for you and implement strategies to get back on track: 
    • good sleep hygiene
    • exercise
    • healthy nutrition
    • activities outside of work that bring you joy
  • If you are noticing systemic issues contributing to your burnout (i.e., unreasonable workload), talk with your leader early on to seek support in prioritizing and managing workload.  Ask about mentorship or coaching opportunities.
  • Take breaks – leave your workspace and change your environment during a break.
  • Set boundaries – do this with emails and phone calls outside of work hours.

Recovering from Burnout 

​
From a recovery perspective, it’s important to navigate to resources for support: 
  • Seek support from a qualified psychotherapist (counsellor or psychologist) to help you recover and realign.
  • Find out about your work’s supports such as Employee Family Assistance Programs and Disability Management supports.
  • Understand your extended health benefits and utilize them.
  • Talk with your doctor about your burnout, and participate in medical interventions as needed.
  • Take time away or reduce your work schedule, if possible and/or needed.
  • Gradually return to work if you take a leave, and implement your new strategies to manage your health and wellness at work in a balanced way.
  • Understand that burnout is something that happened to you, not something you did, and recovery is within your power to achieve.
  • If you need to, and are able, consider changing jobs or companies if you are not supported to being healthy and well while at work.

    PH&S Clinic

    Enhancing psychological health, wellness and resilience

    Archives

    April 2025
    March 2025
    February 2025
    January 2025
    December 2024
    November 2024
    October 2024
    September 2024
    August 2024
    July 2024
    June 2024
    May 2024
    April 2024
    March 2024
    February 2024
    January 2024
    December 2023
    November 2023
    October 2023
    September 2023
    August 2023
    July 2023
    June 2023
    May 2023
    April 2023
    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    August 2022

    Mental Health

    All
    Anxiety
    Ask The Psychologist
    Burnout
    Career
    CBT
    Communication
    Coping
    Counselling
    Emotions
    Exercises
    Family & Relationships
    Holidays
    LGBTQ+
    Lifestyle
    Men's Issues
    Mindfulness
    OCD
    Resources
    Sleep
    Suicide
    Supporting Others
    Women's Issues
    Workplace

    RSS Feed

Picture
HOME  |  COUNSELLING  |  COACHING  |  ABOUT  |  CONTACT  | RESOURCES
​© 2025 PH&S CLINIC, VANCOUVER, BC, CANADA
Dr. Joti Samra is a Founding Member of the CSA Technical Committee that developed the CSA National Standard for Psychological Health & Safety in the Workplace and informed the ISO standard
Please note our administrative office hours are Mondays - Thursdays, 8:30am-4:00pm PST.