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Discovering the root cause of sleep difficulties

24/8/2022

 
Sleep plays a vital role in our health. We need it to survive – the same way we need water, oxygen, and food. Yet, about one-third of us struggle with chronic sleep difficulties. Our fast-paced lives create a lot of stress and worry that has the potential to negatively impact our sleep. But, before we are able to make changes in our lives to improve our sleep, it’s first important to determine the potential root causes of sleep difficulties.
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How to discover the cause of sleep problems 
  1. Consider if there are any underlying health conditions or medication side effects that could be impacting sleep. It may be helpful to speak to your doctor about these possibilities, as well as about the possibility of sleep conditions like insomnia, restless leg syndrome or sleep apnea. Learn more about these sleep conditions.
  2. Pay attention to your worry or rumination behaviour before bed. A certain amount of stress and anxiety is a normal part of life, but this is also one of the strongest factors that influence our sleep. Consider keeping a worry log or seeing a registered mental health professional for cognitive behavioural therapy (CBT). CBT is one of the most effective treatment approaches. 
  3. Getting out of bed when you are having trouble sleeping. It may seem counterproductive but it’s important to ensure your bed remains a place where only sleep and sex happen. If anxious thoughts consistently occur when your head hits the pillow – over time, your bed and bedroom become associated with worrying. This means simply getting into bed can serve as a stimulus for anxious thoughts to begin. You want to break this cycle by getting out of bed if you can’t fall asleep within 15-20 minutes.
  4. Keep a sleep diary. If you’re having trouble identifying the root of your sleep problems, keep a sleep diary for one to two weeks. Track your diet, work, and leisure activities, and your levels of stress as well as your sleep/wake times. This can help identify patterns and factors that are affecting sleep that you may not otherwise be aware of.
Once you’ve discovered the potential causes of your sleep difficulties, you’ll have a much easier time determining the best course of action to improve your sleep.

​Managing Sleep Challenges

The root cause of the sleep problem is going to have an impact on the best course of action when managing sleep difficulties. It may make sense to work on a sleep plan with a medical professional or a counsellor (CBT is one of the best ways of managing sleep problems). Reach out to Psychological Health & Safety Clinic today to start on the path to better sleep.


How to Practice Self-Compassion

17/8/2022

 
We often hear that we need to be kinder and less critical of ourselves, but that’s easier said than done. Often, our self-critical thoughts have been developed over so many years that we hardly even notice them happening anymore. Or, at times, we may believe we need this type of ‘tough love’ in order to motivate ourselves to be better (that we will be ‘soft’ if we are too kind to ourselves). This is untrue. Repeated criticism results in increased levels of cortisol and adrenaline, which leads to the body trying to protect itself by beginning to shut down (e.g., depression). So, it’s important to be aware of those critical voices and challenge them when they come up. Engaging in the practice of challenging those self-critical voices is an act of self-c
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What is Self-Compassion?

Self-compassion is expressing kindness towards oneself, especially during times of pain and suffering. It includes: 
  • allowing yourself to be accepting of yourself even though you are struggling;

  • understanding that imperfection is part of the shared human experience and you are not alone in your failure, pain, or suffering; and

  • working on yourself and making changes because you care about yourself and not because you need “fixing” or “work”.

There are many benefits to self-compassion. It enhances motivation, increases kind and gentle positivity towards others, and promotes well-being.

There are three elements to self-compassion: 

1 Self-Kindness
  • Be kind to yourself in times of happiness, suffering, and feelings of failure.
2 Common Humanity
  • We are all human which means we are all imperfect and live imperfect lives.
3 Mindfulness
  • Non-judgmental awareness and acceptance of the present moment.
  • You have to recognize and feel your pain (your experience) before you can express compassion towards yourself for it.  

What’s the difference between self-compassion and self-esteem?

Sometimes people equate self-compassion with self-esteem which can make it difficult to believe that one can improve their skills when it comes to self-compassion. So, it’s important to know the difference. 

Self-esteem is typically used to describe a person’s feeling of self-worth, and while this is important, many people have a challenging time making significant changes to their self-esteem. Self-compassion on the other hand isn’t a judgement of self-worth or rooted in your value, it’s simply the act of treating yourself with kindness, care, and support. These are things you can do independent of self-esteem. 

Self-compassion offers the same well-being benefits without all the pitfalls such as fewer social comparisons, is less contingent on self-worth, has no association with narcissism, and buffers against negative effects of low self-esteem in adolescents.
Self-compassion is also linked to better overall coping and resilience, as well as provides individuals with some of the following benefits: 

  • Reductions in negative mind-states such as anxiety, depression, stress, rumination, thought suppression, perfectionism, and shame
  • Increases in positive mind-states such as life satisfaction, happiness, connectedness, self-confidence, intrinsic motivation, desire to learn and grow, optimism, curiosity and gratitude
  • More effective coping with divorce and chronic pain
  • Less likely to develop PTSD after combat trauma
  • Greater perceived competence
  • Less fear of failure, more likely to try again and persist in efforts after failure
  • Linked to personal accountability
  • More conscientiousness
  • Taking greater responsibility for past mistakes
  • A greater disposition to apologize
  • Healthier behaviours such as increased exercise, safer sex, quitting bad habits such as smoking, decreased alcohol use and increased doctors visits
  • Enhanced immune response to stress
  • Fewer physical symptoms (e.g., aches, colds, etc.)
  • Healthier body image and eating behaviour
  • Linked to better romantic relationships
  • Less controlling and verbal aggression
  • Increased forgiveness and perspective-taking

How to Practice Self-Compassion

It’s important to remember that self-compassion is going to take practice – it isn’t something you are going to develop or improve on overnight. That being said, it’s a practice that is worth investing in knowing the numerous benefits for your overall physical and psychological health, wellness and resilience. But how do we start practicing self-compassion? 

A great place to start is with mindfulness. To be compassionate towards yourself, you need to be mindful of your pain and suffering; recognize it, allow yourself to feel it, and embrace it. Mindfulness is a practice that helps you to become more attuned with your emotions and will help you to more easily identify the moments where self-compassion is needed and where your voice is the most self-critical. 

Online Counselling Security: Is it Secure and Confidential?

10/8/2022

 
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. We talk more in-depth about the benefits of virtual therapy in another article. But here we are addressing the concerns of online counselling security and the big question – is online counselling secure and confidential?
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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.
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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.

The Benefits of Online Counselling Services: Is Online Therapy Effective?

3/8/2022

 
The Benefits of Online Counselling Services: Is Online Therapy Effective?
Online counselling has emerged as a response to a need that people have been expressing: Almost everything these days can be done through our phone or our computer, so why not health services as well?

​But the question we continue to receive:
Is online therapy effective? Not only is online therapy as effective as in-office sessions but there are many added benefits of online counselling that we will outline here.
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Who is online counselling for?
Online counselling is a unique service that allows people to access regular counselling services from the comfort of their own home. It increases the level of accessibility for clients and Dr. Joti Samra, R.Psych. & Associates is proud to be able to offer these services with the same level of care as would be expected from in-office appointments.

Online counselling, however, is not just for people with busy schedules who struggle to make in-office appointments. Online counselling also benefits people who:
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  • Live in rural areas of BC who may not have easy access to in-person counselling services, or do not have access to reliable transportation.
  • Have disabilities or physical limitations who struggle to make the commute into an office.
  • Experience financial constraints who are looking to save the cost of commute time or the requirement of taking time off work to attend in-person sessions.
  • Are juggling the responsibilities of work and raising a family or are attempting to coordinate sessions with their partner, or those who are single parents.
  • Are looking for a faster referral process, decreased wait times, and greater appointment flexibility (evenings, weekends)
    Want their preferred choice of clinician, without limiting that on considerations related to where they or the clinician lives.
What are the benefits of online counselling?
Of course the main, and most obvious, benefit of online counselling is convenience. We save both time and money. We’re not required to spend time on hold or call during office hours to make an appointment. We don’t have to spend any extra time or cost travelling to a physical location and are less likely to be required to take time off work to attend appointments. And, of course, we’re able to do therapy from wherever we are able to get access to a computer and an internet connection. That even means we can have an appointment in our pyjamas if we’d like to!

Reduced wait times, broader options for appointment times (including evenings and weekends), and increased access to the counsellor of your choice are all additional benefits of online counselling. Not having to force your choice of therapist (which is a very important consideration in therapy) based on where you live is also a fantastic advantage – it allows you to select the therapist who would be the best fit for you, regardless of where you or they live. This is particularly attractive for individuals who live in smaller or more remote communities where options for counsellors are limited.

The specific nature of therapy itself (as opposed to other physical/medical treatments) is the added comfort of being able to have the appointment from the privacy and security of your own home. In therapy, it is common to discuss extremely emotional topics and people are often required to be vulnerable. For many, this is easier to do via video conference in comparison to an office setting that one is unfamiliar with. Being in your own home when a therapy session ends can also often facilitate a more conducive way to regroup and settle emotions post-therapy.

 
Benefits of Online Counselling – Removing Barriers
Another major benefit of online counselling services is to help remove barriers for people seeking services. Not having to travel to a physical location is often a preferred choice for many people, particularly for those who:
  • Live in more remote or rural locations
  • Have physical limitations
  • Do not have access to reliable transportation
  • Are unable to take time off from work or work shift-work
  • Have young children/are single parents
Are you ready to book your online therapy session? If so, get in touch! We’re also happy to provide more information if you have any questions.

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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
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