Suicide Risk Factors | How do I know if someone is suicidal?

Losing a loved one to suicide is traumatizing and heart breaking in so many ways. The shock and overwhelming grief of a sudden death, feeling guilty for not being able to save them, not having any closure or answers to the “why” they took their life, the reality of never seeing them again, and the confusing feelings of anger, shame, and sadness can all be debilitating factors for the surviving family members and friends.

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Although depression, anxiety, and substance abuse issues seem to contribute to a higher risk for suicide, there is not one thing that causes suicidal thoughts or completion. Below is a list of warning signs someone may be at risk for suicide. However, preventing a person from completing suicide is not a clear process because there are several confusing factors. For example, sometimes a person seems to “have it all together” when they take their life. At times, a person may be struggling with mental or physical illness, but because they are seeking treatment, we think they will be okay. Sometimes, a person makes threats multiple times and never follows through so people begin to ignore their threats. Some people will make an attempt to commit suicide as a cry for help. People who commit suicide may talk about it or may not ever talk about it prior to doing it. And remember that many people have suicidal thoughts when they are going through a difficult time or feel depressed without wanting to actually commit suicide….so how do you know?suicide 3

If you believe you know someone who may be suicidal, please share your love and care and encourage them to seek mental health therapy. If they meet some risk factors and tell you they have a plan to harm themselves, please don’t hesitate to call the police so they can get inpatient treatment. In Florida, the police can take a person to the hospital involuntarily for assessment and treatment if they are threatening to harm themselves. The fear of your loved one being angry with you and the confusion of not knowing what to do is very normal. Please take the risk factors and suicidal threats seriously. Follow your intuition because it is better to try to get help than to ignore the warning signs.

Suicide risk factors include:

  • Childhood Trauma
  • Family Members who have committed suicide
  • Past suicide attempts
  • Prolonged periods of stress like unemployment, being bullied and harassed, relationship issues, losses, rejection, financial struggles
  • Serious mental or physical health diagnosis
  • Chronic pain
  • Drug or alcohol abuse
  • Traumatic head injury
  • Experiencing or Witnessing a Traumatic event
  • Changes in mood, diet, sleep, behavior, habits, and interests, etc.
  • Increased irritability or a very sudden sense of calm and peace
  • Isolation or reaching out to people to make amends that they do not usually interact with
  • Giving things away or getting very organized

 

Pay special attention if the above risk factors take place after a significant event. In addition, if someone is also talking about the following they could be at a higher risk for suicide:

  • Killing themselves
  • Feeling hopeless or helpless
  • Believe they are a burden
  • Feeling trapped
  • Stating they don’t have any reason to live
  • Express they are in unbearable pain
  • Express extreme anger and talk about revenge
  • Speak using language that seems to be saying goodbye
  • Talks about killing themselves and has access to the means to do so such as a firearm, medication, etc.

 

The World Health Organization estimates that 1 million people commit suicide annually around the world. The most recent statistics show that in 2022, approximately 49,449  people took their own life in the United States and 1.7 million people attempted suicide.

National Suicide Prevention Lifeline 24/7: 800-273-8255

Call 988 to talk to someone or 911 for emergency services.

References:

  • American Foundation for Suicide Prevention
  • National Institute of Mental Health
  • Suicide Awareness Voices of Education
Mate Poaching | 3 Reasons Why Women Do It

Most women would probably admit that at some point in their life, they have been attracted to someone who is already married, but they would never think of trying to do anything to lure the man away from his wife.  However, for some women, they only seek out married and committed men to have a relationship with. 

Mate Poaching is a term coined by David Buss several years ago in his book entitled “Evolution of Desire” that defines the behavior of men and women who purposely seek out people in a committed relationship.  A study published in the Journal of Experimental Social Psychology by Oklahoma State University found that of the single women in the study who were told their “match” was currently in a romantic relationship, 90% said they would pursue the man knowing he was not single.  Dionne Mahoffey wrote a book on the subject entitled, “Girl, Leave Her Man Alone”.  Websites like ashleymadison.com actually promote married people having affairs. 

Why do women Mate PoachThere are several perceived benefits such as the excitement of an affair, the feeling of being “chosen” over someone else, being lavished with expensive gifts, and the feelings of power and control because there is no commitment on the part of the “poacher”.  Although some of these women may say they don’t need a man, most do desire a committed relationship and there are three reasons that may contribute to a woman engaging in Mate Poaching

Low Self Esteem – Women with low self-esteem oftentimes have a belief that they are not good enough to be “the wife”.  Sometimes, they have been abused or mistreated in a relationship so their defense mechanism against being hurt again is to seek after relationships they know will not be a committed one.  The woman may also relate her self worth to her appearance so she will feel good about herself when she can successfully “catch” a married man.  

Sex Addiction – For women who are sex addicts, Mate Poaching is a behavior they want to stop doing, but are unable to stop without help through therapy.  There are several factors that contribute to a women becoming a sex addict including childhood sexual abuse.  Sex addicts may feel guilty and ashamed, but will continue Mate Poaching even after suffering bad consequences unless they seek professional help.

Power & Control – Some women will say they Mate Poach because they like being the “one in control” of the relationship…that they can “leave it anytime they want” and there are no “strings attached”.  The truth is that when a person must feel like they are in “control” of a relationship, it is usually because they have a fear of abandonment or commitment.  They may have a need to feel safe because they have been abused or hurt in the past and so they think if they “control” a man, they feel safe.  In reality, the woman engaging in “Mate Poaching” is controlled by the desires of the married man. He is the one who chooses when to see her, if he will leave his wife, and is usually the one who ends the affair.

Regardless of the reason, Mate Poaching can lead to emotional, physical, mental, and spiritual pain and/or harm for the women engaging in the behavior as well as the married man and his family. 

5 Reasons Married Couples Should Never Stop Dating

When we date, we present our best self, show an interest in the person we are dating, make time for them, spend time thinking about them, communicating with them, and usually can’t wait to see them at the end of our day. Dating allows us to dream about the future, share our ups and downs and feel like we are not alone in life’s journey.

Then we get engaged, get married, take on a mortgage, work hard to build careers, raise children and become consumed with busyness that leaves little time for our marriage to be a priority. In addition, some couples are blending families, have community and church commitments…the list of obligations that take our time and attention can go on and on.

Dating…

keeps the Marriage a Priority. Dating says I love you, you are important to me. Purposely planning a weekly date forces you to think about your partner, look forward to having a fun or romantic time together, and helps the marriage stay a priority. I recommend making a decision that if we don’t have time for a date for just the two of us, then we don’t have time for friends and family. Sometimes we spend all of our free time with people we love to be with, but it robs us of the opportunity for that special time we need to connect on a regular basis. Keep enjoying time with friends and family, but try to make time for a date before you make plans with other people.

provides an opportunity to learn new things about each other. One of the best things about dating someone new is skiingthat you get to learn about them. Dating allows you to continue to learn new things about each other. For example, spend time on your date only talking about the two of you. Try new activities and ask each other open-ended questions like, “What is your greatest fear?” “What is your best childhood memory?” Also, take time to share your likes and dislike and have fun getting to know each other as you each grow as individuals over your life time.

sets an example for your children. I believe the best gift you give your children is the example of a healthy marriage (not a perfect one, a healthy one). Your kids will see you make the marriage a priority, spend time together without them, and learn how to treat a partner by your example. Too often, the children can become the priority over the marriage. Remember, one of the most important parental goals you have is to raise your children as a team to become independent of you one day so if the marriage isn’t the priority during the years you are raising children, it can be very difficult to reconnect during the empty-nester years. bike riding

strengthens sexual intimacy. Most couples I see who are not dating tend to have poor relational intimacy and often times end up in sexless marriages. When you are out on a date, you may be dressed up, laughing, creating romance, and usually feel more connected. Staying home in comfy clothes snuggle on the couch, watching a movie while the kids spend the night with grandparents can also provide an opportunity to connect sexually. Dating provides the opportunity to talk about sex and to experience sexual arousal and stronger relational connection.

makes all other areas of life easier. The stressors of life seem so much easier when we are connected as a couple. Dating keeps us connected and reminds us that we are a priority to each other, that we are a team, we are on the journey of life together, and that someone is always there for us through the good and bad times life brings. Jobs, friends, and finances can change, but your marriage bond is the one constant in life that can help you live life to the fullest as you enjoy the blessings and survive the challenges of the human experience. If you have stopped dating, please make that reservation this week to start making the marriage relationship the priority again and enjoy the journey of being life-mates! Have fun!

COVID 19 Pandemic | Anxiety | Depression

Job loss, financial concerns, your children’s education, fear of sickness, concern for loved ones, and isolation are just a few of the many factors impacting us during this pandemic and uncertain time in our nation.  It is very normal to experience increased anxiety, depression, and irritability during stressful times.  Here are some things to practice in order to keep healthy mentally, emotionally, and relationally…

Acceptance

The most important tool we have is our self-talk.  We have the power to change our mood by changing the way we speak to ourselves.  The first step in keeping our internal peace during a difficult time is to acknowledge that this is happening, it is out of my control, and it is temporary.  Acceptance is essential for our mental well-being.  Our natural reaction to a negative event or circumstance is to be in shock and denial or even become resistant to believing what is happening.  This natural reaction can lead to negative self-talk and irritability, negative thoughts and emotions, and avoidance.  Once we clearly accept the situation, it allows our brain to focus on what we CAN do instead of what we can’t.

Self-Care

Balanced self-care includes a healthy diet, exercise, sleep, spiritual practices, fun, hobbies, and connecting with family and friends. It is important to use online video services and facetime to keep as many of our weekly groups, hobbies, and other meetings going as well as staying connected to friends and loved ones.  And please don’t forget to intentionally make time for fun like watching a funny movie, playing with your pets, playing games, creating something through art or writing, anything that can bring a smile or create some joyful moments. 

We especially have to take care of ourselves physically and spiritually if we are going to maintain a healthy mind and mood during a challenging time.  Exercise decreases stress and improves your mood because your body releases the feel-good chemicals dopamine and endorphins in the brain.  Another benefit of exercise is increased energy during the day which helps you sleep better at night.  Research indicates that exercise keeps your muscles and bones healthy and strong, promotes growth of new brain cells called neurons, and increases the quality and longevity of life.  We have to exercise so think of ways to make it fun and productive as a family while you are home like dancing together, taking a walk, doing an exercise video, jumping in the pool, or cleaning out the garage.

In addition to exercise, giving attention to our spirituality and faith practices is essential to maintaining a health mind and mood.  Think of ways to get some quiet time for yourself to practice meditation, reading your Bible, or praying.  Get the family together as you normally would and watch your church service online, perhaps have a time of singing or getting creative to find ways to practice your spiritual beliefs and rituals. 

Gratitude

During times of uncertainty, loss, and fear, it can difficult to find things to be thankful for in our situation.  Research indicates that practicing gratitude decreases depression and increases happiness and helps people deal with adversity.  Think of practicing gratitude for the past, present, and future.  For example, reflecting on past memories and experiences of successes and blessings, or thinking about other difficult situations and circumstances that you survived and overcame, perhaps lessons you learned that can help you today.  Then focusing on acknowledging your current blessings such as good health, having people who love you, the tangible and non-tangible ways you are blessed.  Keeping an optimistic attitude is a way to practice gratitude focused on the future.  Perhaps express gratitude in words or writing or gifts to someone you appreciate.  Gratitude is a way to acknowledge the goodness in our lives. 

Helping Others

When we do something for someone else, the benefits are very similar to exercise like lowering our blood pressure, reducing physical pain, reducing depression symptoms, increasing mood and quality of life.  It just feels good to know we helped someone else.  Think about calling and chatting for a while with someone you know who lives alone.  What about making a meal or special dessert for your neighbor or mailing a hand-written note to someone telling them how much you appreciate them.  Perhaps the best way to help others is to simply show kindness.  A kind word or deed may actually last much longer than any tangible gift we can give and will also lift our spirits as well as the person we are showing kindness to. 

Managing Anxiety and Depression Symptoms

Practicing acceptance, self-care, gratitude, and helping others are all ways to reduce symptoms of anxiety and depression.  When you are feeling anxious, notice your senses to calm down your brain and nervous system.  For example, focus on looking at something with color in the room and smell a fruit, lotion, or candle.  Listen to music or the quiet in the room and feel the chair you are sitting in or the clothing you are wearing.  In addition, breath in your nose counting to 7, hold your breath for a count of 4 then out your mouth counting to 7.  Paying attention to your senses and deep breathing will reduce anxiety in the immediate moment significantly.  To manage feelings of depression, try to keep a daily schedule.  Plan out your day at home with regular time to get up in the morning and going to sleep at night, plan hours you will work, exercise, play, etc.  Structure and consistency will help keep you from clinical depression.  Remember to be gracious to yourself during challenging times because experiencing anxiety and negative feelings is very normal.

Dr. Hollenbeck is a Certified Telemental Health Therapist and offers clients video and phone sessions.  Please call or text 407.408.6521 to schedule an appointment. 

10 Reasons Why Counseling Is A Romantic Gift

Roses, chocolate, and jewelry are all great gifts – but if you want to give your wife the ultimate gift of romance – give her the gift of Counseling.   What could possibly be more romantic than saying, “I love you and value our marriage so much that I want to do everything I can to make it even better and stronger”. 

Marriage counseling is not just a place to address problems, but it is a chance to develop and strengthen your relationship by building true intimacy.

Men, if you are looking for a gift to show your wife how much you love her and you want to increase the romance in your marriage – consider these ten reasons why Counseling is the most romantic gift you can give her…

1.  Investment:  Counseling is a major investment in your marriage.  A woman has a need to feel loved and cherished…like she is the most important thing in your world.  When you invest your time and money in the counseling process, you are showing her how important she is to you!  Flowers and candy are short-term investments in love…Counseling is a lifetime investment in love with unending dividends.
2.  Intimacy:  Sexual intimacy increases when you build stronger emotional bonds with your wife.  Counseling provides a place to overcome sexual issues and deepen your intimacy physically and emotionally. Increased intimacy will lead to increased sexual satisfaction. 
3.  Communication:  The most important factor in a strong marriage is communication.  Learning how to express yourself openly and honestly with your wife and gaining a better understanding of her communication style will increase how you much you “feel comfortable and connected” to each other.
4.  Forgiveness:  Hearing the words, “I’m sorry” or “I forgive you” is usually not enough to heal emotional and relational pain in a marriage relationship.  When one or both of you have been hurt, the pain can keep you stuck from going forward and cause resentment.  Forgiveness is a process.  Counseling provides a safe place for you both to work through hurts and disappointments together.
5.  Conflict Resolution:  Unresolved issues are the main cause of mental and emotional distress in a marriage.  Avoiding a problem or overreacting to one creates a wedge in your relationship.  Learning how to resolve matters no matter how big or small the issue may be will lead to peace and harmony in your marriage.
6.  Parenting:  A child’s development and wellbeing often depends on the relationship between their parents. Counseling gives you and your wife an opportunity to look at how you are parenting as a couple and strengthen both your parenting style and parenting plan.  One of the most important ways to love your child is to set an example of loving your wife.
7.  Childhood:  Sharing childhood experiences with your wife and gaining a better understanding of what influenced her during childhood helps you both have insight into the adults you are today.  Sometimes we are blind to the habits and patterns we have developed from our childhood experiences and family influences.  A professional counselor can help you gain insight into your childhood experiences and the positive or negative impact they are having on your marriage today.

8.  Goals:  Do you know what goals your wife has for your marriage?  What are her financial goals, parenting goals, personal goals…How does she imagine her future with you in 5 years…10 years?  Have you shared your goals with her?  Counseling gives you an opportunity to develop and share your goals with each other and then create a plan to reach them.  Dreaming about and planning for the future creates a romantic connection and excitement in your marriage.
9.  Trust: Marital romance does not exist without intimate trust. When trust is broken, it takes time rebuild feelings of safety and confidence in your relationship.  If trust is an issue in your marriage, coming to counseling shows your willingness to be open and honest and will give you and your wife the tools to rebuild and maintain trust for a lifetime.

10.  Commitment: Giving time, money and energy to the counseling process is the most romantic way to show your wife you are committed to her and to your marriage.  It shows how much you value her.  There is no greater way to earn her respect than to be a man who honors his commitments and is wiling to learn and grow with her for a lifetime. 

5 Tips for Solving Family Feuds

Every family will experience conflicts at some time or another throughout a life time.  Special occasions, events, and holidays can be difficult when family members are at odds with each other due to unresolved issues.  Attempting to resolve problems within a family always leads to a happier and healthier family dynamic.   The next time you are facing an issue in your family – try following these 5 Tips. 

1.  Remind Yourself…The Problem is the Problem, Not the Person:  When we are at odds with a family member, just hearing their name can make us have feelings of anger and distress.  We can lose sight of what the problem is and begin to hate the person.  Anxiety and anger can cloud our judgment and ability to reason.  Stay focused on what the problem is and what specifically happened.  Remember, we are all capable as human beings to hurt others in some way.  Take a minute and imagine if you were the one who did the wrong and how that may feel.  The person you are in conflict with will be in your family forever, the problem causing the conflict only exists as long as the family allows it to. 

2.  Own Up to Your Part:  Take some time to think about how you may be contributing to the problem.  Sometimes the pain is so overwhelming that we can’t see where we may be contributing to the problem, or our part in the problem may not be clear to us.  Perhaps your part is that you feel stuck and can’t forgive and move forward.  Perhaps you are avoiding addressing the issue because you prefer not to engage in drama, or maybe you simply hate conflict. 

3.  Have a Resolution Idea Before the Confrontation:  Think of at least two ideas of how you think the problem can be resolved.  Next, schedule a meeting with the family member or members and state the problem, own your part, listen to what they have to say, and offer your ideas for resolution.  Be willing to hear their ideas and work together to come to an agreement.  If the entire issue can’t be resolved in one meeting, set a time to meet again and continue the process of working toward complete resolution and restoration of the relationship.  Let the other person know that restoration is important to you.

4.  Realize It Takes Two:  A relationship does not exist without more than one person.  It takes two to fight and two to make up.  Sometime we simply can’t resolve an issue no matter how hard we try.  We have to accept the fact that at least for the present time, the relationship is over.  This is challenging in a family because you may be forced to spend time with them at family functions throughout your life time.  When this happens, make sure you have peace that you have tried your best and then work toward managing your emotions at family events so can enjoy yourself.  Remember…the only person you can control is You! 

5.  Seek Counseling When Needed:  Sometimes, people are so emotionally hurt or the issue is so complex that an objective third party is necessary to help both family members have a voice and work together to resolve issues and restore the relationship.  When you feel like you have tried to mend the relationship with no success, try suggesting that you and the other family member or members schedule a counseling session together.  Remember, the bottom line is restoring the relationship and enjoying peace and harmony in the family.  Healthy relationships are part your overall mental and emotional well-being and learning to resolve conflict is a life skill we all need to develop. 

There is Hope for Healing that leads to Harmony in Life through Counseling!  

 

Signs of Codependency in Relationships | Are you a People Pleaser?

A healthy relationship consists of two people that understand the concept of each person being valuable and important. An understanding exists that we are each responsible for our own wellbeing and that I don’t have the power to make you happy or whole. A healthy relationship has an understanding that we help each other, sacrifice for each other, are supportive of each other and we must have a strong sense of self worth without taking responsibility for the other person’s self worth or self esteem. The relationship is not based on a 50/50 concept, but on a reciprocal concept of both making the effort toward a balance in the relational dynamics with healthy boundaries.

Codependency is when a person is dependent on the approval of others for their own sense of identity and wellbeing. A codependent person has poor boundaries, the need to control resulting in them being manipulative at times, poor self worth, and they tend to take on the role of rescuer or caretaker. Oftentimes they self identify as the “fixer”. Someone who is codependent is basically looking for external validation for their own self worth. A healthy person understands that they can’t control other people’s thoughts, beliefs, or behaviors and they must find their sense of self internally, not externally.

Codependency is an unhealthy psychological belief system (usually developed in childhood) and set of behaviors that can exist in all types of relationships including marriage, colleagues, co-workers, parent/child, relatives, and friendships.   Someone struggling with codependency is usually a very responsible person. In fact, they take on responsibility that is not theirs. They tend to be very caring and nurturing to the extent of sacrificing their own needs and wants to take care of others. Sometimes they are referred to as enablers when they are in a relationship with an addict and they believe they are helping the addicted loved one by giving them money and doing things for them that they can do for themselves. These behaviors and mindset are actually harming their loved one by contributing to the factors that keep the person stuck in addiction.

Below are signs you may be struggling with Codependency:

Someone has an issue or shares a problem with you and you feel responsible for solving their problem for them.

You find yourself giving advice whether you are asked for it or not.

You have a difficult time expressing your own opinion if it differs from others.

You have been called or self identify as a “people pleaser”.

You live in the thought life of “if I do this, then he/she will do that” or “if I do this, then things will get better”.   You tend to live in the hope of what will be rather than the reality of what is

You have difficulty being alone. You make decisions based on the fear the relationship will end.

Feeling unappreciated or used.

You overextend yourself. You take on extra work on a regular basis.

Tendency to be very hard on yourself.

You struggle to make decisions without the approval of others.

You have poor boundaries. You say yes when you really want to say no out of fear of hurting someone’s feelings. You will neglect yourself and your responsibilities to be available to help others.

Spend too much time worrying.

You feel victimized in relationships, you believe people are doing things to you verses taking responsibility for your own life and decisions.

Perfectionism.

You stay in friendships, committed relationships, and jobs when you know you should leave.

If you identify with the above signs, you are vulnerable to being abused in your relationships due to your need to please others and the pattern of minimizing your own needs.

You are valuable.

You can change.

Consider talking to a person you trust about your concerns you may be identifying with codependency.

Educate yourself on boundaries so you can begin to establish and maintain healthy boundaries.

Consider working with a therapist to identify what impacted your early development and how to take the steps to break the codependent patterns while developing a healthy sense of self worth and healthy boundaries.

Consider joining a 12-step program like Codependents Anonymous (CoDA).

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