Solitude Versus Loneliness

One of the main therapeutic interventions I suggest when working with people is to spend time alone with themselves.

Too often we aren’t just busy with school, work, family and a social life, but overwhelmed and hardly have a second alone with ourselves during the waking hours and are weighed down by stress, anxiety and/or depression.

When we aren’t working, studying, or surrounded by people, we are often thinking about work, studying or the people in our lives. Our minds are always busy and are often filled with thoughts that are either disturbing or distracting.

I especially make this recommendation to people I see aren’t in touch with themselves.

Often these people are fresh out of relationships are are anxious to jump right back into a new one without taking the time to evaluate themselves and their failed relationships so they make the same mistakes over and over again.

If they are lucky they escape unscathed, but more often then not they leave one relationship and enter another with more emotional baggage, lower self-value, more desperation and often an extra child or two.

Often when I suggest to people that they spend some time alone and not rush into another relationship (or surround themselves with people or bury themselves in work, or their family), it’s as if I asked them to do the impossible.

Some will come right out and tell me “I can’t be alone”. Others will say that it’s depressing being alone and others will try it half-heartedly, but are so insecure and fearful that they are easily distracted by whatever takes them away from themselves.

You see, there is a difference between loneliness and solitude. Not many people understand that and easily confuse the two.

Loneliness is a sort of aching, emotional pain, while solitude refers to our relationship with ourselves. Loneliness is painful. Solitude is peaceful.

Solitude is a place where our restless mind, spirit and body can come together and is essential for our spiritual lives.

I at times find solitude difficult and have went through many extremes to avoid it, but I know that solitude can be peaceful, loving and rewarding.

It is the place where if we allow it, by shutting out all the internal noise, we become closer to our true consciousnesses (some spiritual/religious people refer to this as God consciousness where they become closer to God).

This is the place where our subconscious often brings into consciousness our unfinished business, people we should let go, goals we never accomplished, etc.

Some people find it painful to analyze themselves and I get that, but it is essential for growth and internal peace. Many people don’t like to be alone because of this.

It is impossible for someone to be at peace with others and their world if they aren’t at peace with themselves and that can only come from solitude.

Like I said, many people go, go, go, and get into relationship after relationship to distract themselves from themselves in order to avoid some of the pain of having to analyze their true selves.

I encourage you to learn to love solitude. Even when it’s involuntary. Aloneness  can grow into solitude, it’s a conscious choice and it takes some practice, but it’s spiritually and emotionally rewarding.

I don’t care if it’s only an hour, thirty minutes, a walk during your break time, but make time for yourself. Try to shut out all the internal noise and allow your mind, spirit and body to become one. You may be surprised at what you find.

Time by yourself is always time well spent.

“Solitude is the garden for our hearts which yearn for love. It is the place where our aloneness can bear fruit.” Henri J. M. Nouwen; Michael Ford. The Dance of Life: Weaving Sorrows and Blessings Into One Joyful Step 

Sex Trafficking: Modern Day Slavery

Watching the local news last night I saw where two separate sex trafficking stings saved two teenage girls who had ran away from home and then found themselves forced into sex trafficking by men who controlled them through threats, physical violence and drug use.

One girl was 17 years old and was scared to leave the guy who took her from hotel to hotel advertising her over the internet. The other girl was a 14 year old runaway who was found drugged in the passenger seat of the sex traffickers car.

Both of these operations weren’t done in some shady part of town, but in a tourist area where hotels are often cheap and it’s easy for the sex traffickers to blend in with the multitude of tourists visiting our city.

Whenever I hear the word sex and trafficking put together I get an uneasy feeling in my stomach. Sex trafficking is a form of modern day slavery.

Victims of sex trafficking are usually female, are often under the age of 18 and coerced through force, fraud or coercion to perform sexual acts for money, drugs, favors, etc.,.

Often psychological coercion such as “No one loves you but me”, “Your family doesn’t want you”, “You’re nothing without me”, etc. are used and/or physical coercion such as violence, threats of violence and even physical bondage are used.

Sex traffickers use a number of ways of getting their victims. In foreign countries they are often lured by:

• A promise of a good job in another country
• A false marriage proposal turned into a bondage situation
• Being sold into the sex trade by parents, husbands, boyfriends
• Being kidnapped by traffickers

(Human Trafficking Resource Center)

Here in the United States, sex traffickers often lure runaway teenagers with the promise of love, protection, money and/or drugs.

Sex traffickers frequently subject their victims to debt-bondage, an illegal practice in which the traffickers tell their victims that they owe money (often relating to the victims’ living expenses and transport into the country) and that they must pledge their personal services to repay the debt.

In the United States sex traffickers often tell their victims that they owe them money for drugs, protection or housing.

Sex traffickers often “condition” their victims through confinement, rape, gang rape, beatings, starvation, physical abuse, forced drug use and threats of harm to their families or to shame them by making their family and loved ones aware of their activities.

Physical and Mental Risks

Some of the risks victims face are health risks, mental risk and alcohol and drug addiction.

Physical risks can include concussions, vaginal/anal tearing, broken bones, traumatic brain injury, sexually transmitted diseases, sterility, miscarriages, and forced abortions.

Mental risks include dissociation, depression, anxiety, shame, self-hatred, suicide, suicidal thoughts, distrust, fear, hatred towards men, Post Traumatic Stress Disorder (PTSD) and a sense of helplessness.

Victims may also suffer from traumatic bonding – a form of coercive control in which the perpetrator instills in the victim fear as well as gratitude for being allowed to live.

Types of Sex Trafficking Include

  • prostitution
  • pornography
  • stripping
  • live-sex shows
  • mail-order brides
  • military prostitution
  • sex tourism.

Victims that are forced into prostitution and pornography are usually exploited the most and are at greatest risk of danger.

Sex Trafficking Operations

They can be found in highly-visible places such as on the street with prostitution, on the internet and residential houses. Like I said, here on the news it was discovered in a popular tourist location. Often they take place behind closed doors of massage parlors, strip clubs and other fronts for prostitution.

Some times victims may start off stripping, and then get tricked or persuaded into prostitution or pornography.

Help for Sex Trafficking Victims

If you think you have come in contact with a victim of human trafficking, call the National Human Trafficking Resource Center at 1.888.3737.888.

This hotline will help you determine if you have encountered victims of human trafficking, will identify local resources available in your community to help victims, and will help you coordinate with local social service organizations to help protect and serve victims so they can begin the process of restoring their lives.

For more information on human trafficking visit http://www.acf.hhs.gov/trafficking.

(National Human Sex Trafficking Resource Center)

One Mother’s Experience with Bipolar Disorder and the Importance of Support Groups for Caregivers

The other day I was fortunate to have the opportunity to speak with a former client’s mother about her experiences dealing with her now 19 year old daughter, who was diagnosed with bipolar disorder at the age of 8.

This girl from what I knew of her was extremely unstable, as could be expected from a teenager suffering from bipolar disorder.

Unlike other people suffering from bipolar disorder, teenage girls tend to be even more fickle when you factor in the normal hormones of teenagers as well as social pressures that make even some non-bipolar teens act and feel erratic.

This girl was prone to bouts of depression, mania, impulsivity and explosive anger.

At home her mom had done everything she was supposed to do to support her child including psychotherapy, family therapy and medication, but her daughter was still a hand-full.

When she was in her manic states she tended to have anger directed towards her mother and would at times try to get physical with her and had to be hospitalized several times for suicidal/homicidal ideations.

Her mother tried all she could to pacify her daughter, including painting her room the pretty purple she wanted, only to come home one day and find nearlyevery inch of that wall covered in permanent marker with words directed towards her mother such as “bitch”, “whore” and “I hope you die”.

On top of that she was extremely needy, wanting to be up under her mom 24/7 to the point that she got angry whenever her mom left her and would tear up the house or refuse to go to school.

When she was depressed she would self-mutilate and attempt to kill herself. Her mother would be afraid to leave her alone.

“My biggest fear, even today, is that I will come home and find her dead”, the mother told me.

The biggest thing this mother did that made the most difference was getting educating herself on her daughter’s illness and counseling for herself and joining a support group.

Support groups are invaluable resources that often aren’t utilized enough by those living with or taking care of people with mental illnesses or substance issues.

Through counseling and the support group she learned that she was not alone, that many other parents were on the same roller coaster ride she was on.

She also learned how to change the way she had been dealing with her daughter.

If what you are doing isn’t getting you the results you desire, you have to try something different.

She started accepting that her daughter was going to have good days and bad days, and sometimes within the same day. She also had to understand her role and limitations as the mother of a child with bipolar disorder.

She had to accept that some days she might feel like giving up, or not care when her daughter threatens to hang herself, and that doesn’t make her a bad mother, but it is a sign that she needs to take a break, regroup and seek support herself.

At the end of our reunion I was happy to see that a mother, who just a couple of years ago who was so flustered, angry and exhausted, had turned into a woman not only surviving, but thriving with a daughter suffering from bipolar disorder.

Her and her daughter are doing better, but they are still taking it one day at a time.

help4yourfamily

Written by, Kate Oliver, MSW, LCSW-C

How many of you work really hard to make sure your children find something they are interested in where they can focus some creative energy? As parents we find ourselves encouraging our children to write, dance, draw, paint, create, enjoy a sport! But, of those of us who have worked so hard to help our children, how many are there who have lost our own drive to be creative and/or to focus our own energy on something that is joyful to us? Think of something that brought you joy when you were younger. When was the last time you did it?

I know when I was younger I was a dancer. You name a type of dance: tap, jazz, ballet, modern, contemporary, ballroom, I’ve done them all. Around the time I was a teenager, I knew that I did not have a body that…

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Understanding Teenage Girls: Motivations and Psychological Meanings in Relating to Males

The other night I happened to catch a television reunion of the reality show Love & Hip Hop Atlanta.

I stared at the screen in not so much as shock as pity as I watched four different women vie for the love and affection of two guys who treated them more as if they women were merely whores, and the guys were their pimps.

The guys seemed to think the heartache and embarrassment they caused these women by their ongoing cheating, lies and manipulations were funny, while the women basically said that no matter how bad they were being treated, they weren’t going to leave their “man”.

One said it was because of good sex, money and furthering her her music career. Another said it was for love and yet another said it was because she had a child with the guy.

To me, none of these were reasons to stay with a man who obviously saw them as being little more than sexual toys to be used and abused.

Still, this got me to thinking.

Working with teenage girls I am always keenly aware of some of the internal conscious and unconscious motivations that effect their decisions, especially in relation to dating, sex, and self-esteem.

As a girl learns about sex, she is also learning about other things such as giving and receiving affection, self-worth and what she means to others.

She also learns about trusting and honesty (or dishonesty) through the ways she is first introduced to sex, especially through the ways she is protected or not protected from being exploited.

“I learned about sex from my dad. I never had a chance for my first time with my boyfriend. Who knows, maybe I [would have] wanted to wait until I got married. But no, I never got to have that chance. I don’t even remember the first time… I feel it ruined my life.”  -Anonymous Teenage Girl, Young Poor and Pregnant: The Psychology of Teenage Motherhood by Judith Music

Shame, fear and guilt are also valuable lessons, as they will (if she is fortunate) help her learn how to keep herself from situations and feelings that may be too painful for her to deal with physically or emotionally.

When these life lessons are learned and experienced in ways that inappropriately shape her sexuality developmentally, they are likely to have far reaching consequences through out her life in the way she perceives her world and those in it.

This effects such a major part of who she is that it also effects who she thinks she can become, what she is capable of and her ability to show and receive love as well as her ability to take control of her destiny.

For girls who grow up in disadvantaged situations, inappropriate sexual socialization is usually the final breaking point to other risk factors such as poverty, unstable family environment, fatherlessness and lack of appropriate nurturing, that already have made this girl vulnerable to men (and teenage boys) looking to exploit her.

This added with social isolation from other people (outside of her family and community) and institutions, becomes a recipe for disaster (often disadvantaged girls are only exposed to people in their immediate communities where important social services are either absent or insufficient).

Social isolation and psychological vulnerability mean that many disadvantaged young women will be controlled by their relations to men not only in the bedroom, but also in the classroom, the street and eventually even the work environment.

“The adolescent female’s sense of self in relation to males is the internal representation of her past experiences with men and- perhaps equally important- of her mother’s roles and relationships to those and other men.”  -Judith Musick

It’s sad to see teenage girls who grow up with a damaged sense of self because of their past relationships to men either directly or vicariously.

These young girls often turn into teen mothers, get stuck in poverty, abused by men, single mothers with a multitude of children by different fathers, abuse drugs, or get caught up in one of various avenues of the sex world such as prostitution.

It’s important that we protect these young girls as much as possible from being exploited and abused, physically and mentally. It is also important that we help build their self-esteems, educate them and teach them the their value is priceless and doesn’t depend on a boy’s, a man’s, or anyone else opinion of her.

Is Pretending to be Pregnant a Mental Illness: Part 2

In my original  post, Is Pretending to be Pregnant a Mental Illness, I discussed a high school teenager I have known for three, now going on four years, who has been “pregnant” every year and has had a “miscarriage” every year as well.

Last year was no different, but for some reason I believed she was pregnant, even when her closes friends did not. Still I remained skeptical, especially as the “pregnancy” went along and she didn’t get any bigger and refused to tell her mom about it.

Then summer came and I waited anxiously to see her when school started, knowing she should be close to her due time. Yet, when I saw her last week, she was no bigger than she was almost three months ago.

She told me that she had also “lost” that baby (big surprise), but now she is pregnant again and this time she isn’t making it up… and I believe her!

Why would I believe she is pregnant this time when she has lied about being pregnant four previous times?

Well this time she told me she told her mom, something she never did in her previous “pregnancies” even when I offered to talk to her mom with her.

Also, I know she has wanted to get pregnant for the past four years and so it was bound to eventually happen for real. I knew she was having unprotected sex with different guys.

And then today she showed me a picture of her getting a sonogram… a real picture this time and so yes, the girl who pretended to be pregnant for four years is finally pregnant.

It’s so sad because at 18 she is lost, she’s barely passing school, is extremely immature, admitted that her baby’s father is no good, that she doesn’t like him and her family doesn’t either, but yet they are bringing a child into this world.

There is no way she is ready to be a mother and yet, if everything goes right, she will be soon enough.

I’m concerned because this is a young lady with obvious mental issues and if she doesn’t get the help she needs she will raise a child who will potential have further issues because of being raised by an ill-prepared mother.

On top of everything, I really think this girl wanted to get pregnant to fulfill something missing in her life, maybe attention, unconditional love, purpose, who knows, and if having this baby doesn’t meet her conscious or unconscious expectations then where will that leave her and the child?

I see many mothers who had children for the wrong reasons (to keep a man, to fulfill a void, to prove that they can accomplish something, etc.) abandon their children physically, mentally or both when those expectations weren’t met.

Many of those parents end up abusing their kids, resenting them or being negligent in the way they raise their kids.

I’m not saying that this is definitely the case with this young lady, who knows? For a very few, having a baby serves as a catalyst to get them to step up and change their lives for the better so that they can be the best parent they can be for their child.

Unfortunately, that is rarely the case. Many impoverished, poorly educated, single, teenage moms end up dropping out of school and remaining in poverty.


The psychological issues that made this young girl persistently pursue to be pregnant for years will probably remain after she gives birth so I won’t be surprised if she isn’t pregnant or “pregnant” again and again even after she gives birth for real.

My New Intern Part 2

Well I’ve been working with my new intern for a couple of weeks now and I have to admit, although I had a bunch of apprehension about it, I kinda like having her around! 

Unlike some people I haven’t forced her to be my secretary by doing all the paper work like intakes and assessments, or had her make coffee runs for me although the idea sounds good 🙂 I’ve taken on more of a mentorship role, which feels appropriate. 

Things I Do Like So Far

I can assign her female clients I know would benefit from a close, therapeutic relationship with another female.

I also like the idea of assigning her some of the borderline personality type female clients who are difficult to deal with, yet I think would respond more to a female. 

It’s not like I am trying to give her all of the difficult female clients, especially since I have to supervise and guide her anyway, but I know for a fact that some clients respond better to same sex therapists and so I will assign those clients to her and she seems fine with the idea so far. 

I also like having a partner. I mentioned before that most therapists work alone and like it, and so do I, but I never thought I’d enjoy the company of another person basically 7 hours a day. I enjoy being able to bounce ideas off of each other, exchange knowledge, and share experiences.

For instance, I had a treatment plan guide I use, but never purchased the treatment plan homework companion book (honestly because I didn’t want to spend the money for it), but she has it and was able to give me an electronic copy of it! In exchange I was able to share some of my books with her. 

What I Don’t Like So Far

The things I don’t like are actually very few. 

Being in graduate school she is still very “fresh”, meaning almost everything she knows comes from books or what she has been told, and very little from experience.  

When we’ve worked with clients and discussed situations, everything she often says and suggests is very theoretical, but often not actually practical. 

She talks and sounds very academic.

Being still in school, much of the lexicon used in psychology is very fresh to her, which isn’t a bad thing. Often times she says words I haven’t used in awhile and in some cases totally forgot because when working with the general population those words get replaced with words that are clearer. 

This isn’t a complaint as much as it is annoying. I think most people fresh into the field think they know everything because they just took a class in Neuropsychology or something, and I am sure I was pretty much the same way and as annoying, but the truth of the matter is, all of the jargon of psychology and many of the things learned in books gets quickly replaced with more real world language and procedures.  

You can read all you want about psychological disorders like bipolar disorder, self-injury, and depression, but until you have someone in your office bouncing off the walls, with two dozen still bleeding self inflicted cuts and telling you they are going to kill themselves, it’s a whole different ball game.  

Sure textbooks have their place, they can be great guides and they definitely teach you the jargon of psychology. I still go to books to inform me on many things, but there is no education like real life experience, so listening to an intern who thinks she knows what to do with every client because she read about their problem in a text book, is a bit annoying. 

I look forward to helping her as she realizes more and more that textbooks and lectures haven’t 100% prepared her for everything she will face. We’ve already had several instances where she didn’t know what to say or do, and I kinda smiled to myself and was happy to guide her through the situation. 

Overall, I am happy with her and realize that the things that annoy me are things I also did when I was still wet behind the ears and thought I was the brightest new therapist to enter the field because I made an “A” in every class, until I was face to face with a wide eyed, screaming, crying, shaking, scary, paranoid schizophrenic who thought a killer was in the hospital looking for her.

No book can prepare you for situations like sitting across from a tourist from Australia, just released from the hospital although her face is as red as a tomato from the broken blood vessels because she tried to hang herself with her bikini after finding out her husband was having an online affair.

No book prepares you for what to do or say to try to instill hope in that moment, but then again, that’s why internships are so important, to expose people to the real world and prepare them for the unpredictable nature of human behavior. 

**Side Note: I now keep my Dictionary of Psychology Book at the office** 🙂