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By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth The question:
My family is dealing with very difficult neighbours. It’s causing us so much stress that we are considering moving from our great neighbourhood to a nearby community. At the same time, my wife and I have anxiety over uprooting our young children. I’m tormented over what will be best for our family in the long run. Should we stay or move? The answer: There are two distinct, yet overlapping issues you are faced with: One, the immediate concern of how to effectively approach and personally cope with the situation regarding your neighbours; and two, whether moving your family is the right long-term solution to a possible perpetual problem. It’s going to be difficult to come to a balanced decision about the second issue until you sort out the first. All too often, we tend to adopt knee-jerk reactions when we are put in high-stress situations. In-the-moment-solutions that we come up with seem to be the only viable options we have. Unfortunately, however, our decision-making when under high emotional distress is often skewed, and we don’t consider all of the pertinent factors that would help make a more rational decision. This happens as stressful situations elicit a fight-or-flight response in us, which is a very strongly engrained, adaptive response that ensures survival. However, unless you and your family are in acute danger or threatening situation from your neighbours (which doesn’t sound to be the case), the response may be mismatched to the situation. Start by thinking rationally about your situation. Writing down the issues can often help provide some perspective. Be specific and detailed in outlining the issues you have with your neighbours. Sit down with your wife and do the following:
Currently you are only weighing the pros and cons of a move as being the only solution, but there may be other less intrusive options. Ultimately, if you have exhausted all other realistic possibilities, and if the issues with your neighbours are significant in severity and impact, a move may be the decision you and your wife arrive at for the long-term. Keep in mind that you may encounter a similar problem in a new neighbourhood and that a moving each time is not an effective long-term coping strategy. Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail. By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth  Online Counselling Security: Is it Secure and Confidential?
Online counselling provides people with a unique opportunity to easily and efficiently access therapy sessions from the comfort of their own home. In some cases, it may encourage people to seek support who may not otherwise – because of a busy life and logistical demands. But here we are addressing the concerns of online counselling security and the big question – is online counselling secure and confidential? Having a therapy session from the comfort of your own couch is appealing to many, it also brings up natural concerns around security. Security and confidentiality are both important aspects of therapy so it’s a good thing to be thinking about when considering virtual sessions. At Dr. Joti Samra, R.Psych. & Associates, security and confidentiality are very important to us and here we will discuss how we approach these topics in our practice. Confidentiality Confidentiality, for anyone who has not previously been to therapy, is a critical aspect of the therapeutic relationship. Best practice and ethical guidelines for psychologists and counsellors are very clear that information between a client and a therapist cannot be shared with anyone, barring any concerns of safety or acute risk. Confidentiality is an important part of therapy as it ensures people are comfortable sharing personal details about their lives without fear of that information being shared elsewhere. Before starting therapy, the therapist ensures the client understands what confidentiality means, as well as what the limits to confidentiality are and an informed consent form is signed. Just because virtual counselling services are conducted online does not mean they cannot be held to the same standards. We are committed to protecting our patients’ privacy and ensuring that our telehealth services meet the standards for psychological health services via telecommunications, as set out by the Canadian Psychological Association. This includes ensuring that information is kept confidential and that clients fully understand and provide informed consent to treatment. Online Counselling Security When it comes to online services it’s impossible to completely mitigate security risk, but it’s important everyone understands the risks before making a choice. We utilize encrypted secure platforms for the storage of all clinical and identifying information (client’s name, personal information, and clinical charts). We are happy to ensure our clients are comfortable with the process and welcome any questions or concerns about how we approach security. Are you ready to book your online therapy session? If so, get it touch! We’re also happy to provide more information if you have any questions. By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth The question:
I have a friend who is a bit of a control freak. Whenever we’re making plans, she needs to organize. How do I get her to loosen her grip and allow other people to have input and make decisions? The answer: None of us have the power to make anyone else do something or become someone they’re not. So the goal of having her “loosen her grip” is likely going to fail if you target that directly. What we all can do is be mindful of our own limits and boundaries and behave in a way that demonstrates behaviours consistent with how we want to live, and do not inadvertently (or directly) reinforce behaviours in others that we do not want to see. Start by reflecting on what it is that you mean when you say she’s a “control freak.” Global and judgmental phrases (even if they are limited to what you are saying in your own head) are often unhelpful and rarely lead to productive solutions to interpersonal behaviours. Shifting the language we use when we speak to ourselves is much more than just semantics – it has a strong impact on how we view others and, more importantly, shapes our behaviour. What is your friend doing that makes you view her as a control freak? Be specific. Does she want to take the lead in planning where you go? Do things have to be on her schedule? Is she unwilling to entertain others’ suggestions? Imagine that you videotaped your friend’s interactions and were describing only what you could see her doing or saying that makes you think she has a high need for control. This is key: You want to describe her behaviour without being clouded by your assumptions (which may be inaccurate) of what you think her motives are. Also pay attention to what you may be doing to reinforce her behaviour. Do you tend to acquiesce to her suggestions? Do you defer taking the lead in suggesting things to do? Does she take the lead in planning because you are leaving plans until the last minute? Once you’ve examined what she is doing that bothers you and what your contribution may be, articulate for yourself what it is that you would like to see done differently. Write these things down. We get an objectivity when we write things that is different than just letting thoughts swim in our head. Use statements that are focused on things within your control (“I would like to meet for dinner at restaurants that I choose at least half of the time we get together.”). When you have articulated what changes you would like to see, start to shift your behaviour to facilitate this happening. For example, the next time you make plans to get together, suggest where you would like to go and what you would like to do. If she pushes back or tries to convince you otherwise, give her gentle yet respectful feedback (“The last number of times we got together I went to the places you chose, and I’d really love it for us to go to a place I choose this time.”). If she continues to push back, you may need to provide stronger feedback (“I feel frustrated that our plans are almost always what you want to do. It’s really important to me to make sure we both have a say in what we do when we get together. Would it be okay if I made our plans this time?”). Let her know your friendship is important to you and you want the two of you to find a balance that works for both. Ask her for her input as to how she thinks both of you could have your needs met. And involve her in the problem-solving process (“How do you think we can arrive at something that works for both of us?”) as this is more likely to contribute to her level of engagement. Remain respectful yet assertive. Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail. By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth The question:
I have been a career woman for over two decades, but I’ve recently been fired (I deserved it, and the industry knows it – no one will hire me now.) I’ve had thoughts of picking up and moving across the world – I’ve got no roots in Canada – but is that just a flighty response? Should I start over at 39? The answer: You are engaging in very black-and-white, catastrophic mindset – a normal way to a view a situation when emotions are high – but I wonder how realistic and accurate your thoughts that “the industry knows it” and “no one will hire me now” are. Ask yourself a few questions: What is the evidence that these thoughts are true? What would I say to a friend in the same situation? Thoughtfully answering these questions may help you to arrive at more balanced, accurate thoughts. That said, losing one’s job falls at the top of the list of stressful life events. You are likely experiencing a range of intense emotions, including worry/anxiety, confusion, sadness, or even anger. Your reaction may be amplified by feelings of guilt (our ability to accept difficult situations is even more challenging when we feel – accurately or not – that our actions contributed directly to the situation). Furthermore, working in a smaller or specialized industry area may worsen the impact if you feel that the news of the firing has spread. My very first suggestion is avoid making any rash decision until you’ve had some time to allow the intensity of your reactions settle. Emotionally-driven decisions often tens to be impulsive. Intense emotions also naturally lead us to experience an intense stress reaction – also known as the “flight, fight or freeze” response. This refers to the three ways we respond when under an acute stressor: by fighting back (retaliating, aggressing), by flight (fleeing, avoiding), or by freezing (becoming immobilized). Your urge to pick up and move across the world sounds like a knee-jerk response to avoid your current situation. This may, right now, feel like the only viable solution. Avoidance actually works as a short-term strategy: it removes us from our present distressing situation and can temporarily reduce any fear/anxiety. This isn’t a long-term strategy, however, as it does not tackle the issues that contributed to the situation to begin with. I don’t mean to suggest that moving away is necessarily the wrong solution. What I am suggesting is that you want to ensure that you are mindful that any decision you do make is approached in a thoughtful, informed manner and not driven by avoidance. I would suggest giving yourself a few weeks to allow the intensity of the situation to go down. Speak to a trusted colleague in the industry may help provide some perspective. Then brainstorm all the possible options you have (in addition to leaving the country) and generate the pros and cons of each before making any decision. Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail. |
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