Depression: Two Types, Two Treatments



by: Dr. Alexander Vasilovsky, C.Psych. (Supervised Practice)

We’re used to thinking about depression in terms of its symptoms: for example, depressed mood, inability to feel pleasure, sleep disruption, and loss of appetite, weight, and/or sexual desire, among others.

But, have you ever thought about there being two types of depression?

Some mental health professionals have begun to focus not just on symptoms, but also on the everyday life experiences associated with depression: feelings of loss and of being abandoned and unloved on the one hand, and feelings of worthlessness, failure, and guilt on the other.

Based on these two different experiences related to depression, Sidney J. Blatt, a professor emeritus of psychiatry and psychology at Yale University’s Department of psychiatry, along with his colleagues, distinguished two types of depression.

One type of depression is the “relational” type, sometimes called the “anaclitic” version, from the Greek word for “to lean on.” Typically, this depression is characterized by feelings of loneliness, helplessness, and weakness, as well as intense and chronic fears of being abandoned and left unprotected and uncared for.

The other type of depression is the “self-critical” type, sometimes called the “introjective” type. Typically, it’s characterized by feelings of unworthiness, inferiority, failure, and guilt. Introjectively depressed individuals engage in harsh in scrutinizing and evaluating themselves. They have a persistent fear of criticism and of losing the approval of others.

Not only do these two types of depression reflect two different internal experiences of depression – “I’m empty, I’m hungry, I’m lonely, I need a connection” (relational) versus “I’m not good enough, I’m flawed, I’m self-indulgent, I’m evil” (self-critical) – they also indicate different therapeutic needs.

Research shows that those who are relationally depressed are more responsive to the supportive interpersonal or relationship aspects of therapy. In contrast, those who are introjectively depressed are more responsive to the interpretive or explorative elements of the treatment process. A mental health therapist who understands different types of depressive experiences can help a range of depressed individuals understand themselves better and also overcome the difficulties that come along with depression.

CFIR psychotherapists can support you to deal with your negative beliefs of self and other, and the relentless characteristics that might be at the root of your depression. We integrate cognitive-behavioral, mindfulness and acceptance and commitment, and psychodynamic-based approaches to help you deal with the thinking that might be contributing to your depressed moods.


Dr. Alexander Vasilovsky, C.Psych. (Supervised Practice) is a psychologist in supervised practice at the Centre for Interpersonal Relationships (CFIR) in Toronto. Dr. Vasilovksy works with adult and couple clients from an integrative therapeutic perspective, and helps them overcome difficulties related to depression and mood, anxiety and stress, trauma and PTSD, interpersonal conflict, major life transitions, and identify-related struggles.

The Big Tent of Psychotherapy



Life can seem like a circus at times. We can feel like we are goofy clowns needing to always act silly or angry lions having to growl at everything. We could feel like brave acrobats, smiling in the face of danger, but needing to engage in death-defying stunts. We could feel like cyclists trying to balance on one wheel, contortionists trying to fit into impossible spaces, jugglers keeping all the balls in the air at once, or majestic elephants dancing to others' tunes. Most of the time, we feel like ringmasters trying to keep all our different acts running smoothly, as part of a big show.  

Life presents its challenges in a similar vein. Sometimes our needs are about doing better in some areas, like managing our time and achieving the goals we have set for ourselves. At other times, we want to reduce our distress by managing our difficult emotions or problematic behaviours, like addictions. Deeper still, we need help with understanding our unhelpful patterns or in dealing with relationship issues. We could need help with managing our social situations or our physical pain. We might wish to work on our issues as individuals, or as parents, couples or families. We might need assistance in coming to terms with traumatic issues that happened decades ago, or yesterday. Perhaps we need to find ourselves, our identities, or our own answers to life’s challenging existential and spiritual questions. Often, we can feel that we are trying to manage more than one of these challenges, again as part of some big show. 

Psychotherapy is a framework that attempts to be an answer to these varied questions and challenges that present themselves to us. Psychotherapy can be the big tent, the space where all these different roles, problems, needs, wants and desires reach awareness, exploration, discussion, insight, and resolution. People often view psychotherapy as applicable only to others and not to their own problems. We often experience ambivalence about psychotherapy, with one part our self moving towards getting help, while another part wanting to avoid it at the same time. There are too many preconceived notions and stigmatizing ideas about psychotherapy in the media and culture around us to list here. Needless to say, such notions and ideas hurt rather than help. As discussed above, psychotherapy remains an important framework for a wide range of life’s problems. The various styles and techniques of psychotherapy, such as psychodynamic therapy, CBT, Rogerian client-centered therapy, ACT, DBT, EFT, IFS, mindfulness-based therapies, and so on, address one or more of these complex problems. Experienced practitioners can integrate many different styles of psychotherapy to tailor the treatment to each individual for addressing their scope of problems. If someone has even a dim awareness that their problems would be helped by talking to someone, they should seek professional help for their own unique issues. Psychotherapy is a big tent, and in a skillful and meaningful way, it addresses the challenges of life at many levels. It helps us to live and work freely, it helps the show to go on.

Dr. Ashwin Mehra, C.Psych. is a psychologist at the Centre for Interpersonal Relationships (CFIR). He provides psychological assessment and treatment services to children, adolescents, adults, couples and families, and supports them to understand and overcome a wide range of difficulties related to anxiety and mood disorders, traumatic experiences, substance use and addictions, and interpersonal difficulties.




The Hardest Part of an Argument


by: Valery Vengerov, M.Psy. R.P.(Qualifying)

One of the most common experiences that couples report having after an unresolved argument is the daunting, heavy silence that follows. The lack of resolution of an argument leaves each partner feeling misunderstood and often in a state of resignation. Each partner might think: "I give up. He/she will never understand me. Why even bother? I'll deal with this on my own." This lingering silence can be a protest. The longer and more frequently couples remain in this space of estrangement from one another, the more stressed and dissatisfied they become with their relationship as a whole (Liu & Roloff, 2015). Resentment builds, and distance develops as the 'couple' unit starts to feel unsafe. 

In therapy, couples have the opportunity to safely share the accumulated hurt and resentment that underlies and results from these silences, and that threatens their relationship. They can experience the relief that comes with being heard and listened to. They also find out more about their partner, who becomes more accessible and available to them as a result of therapy. Couples can learn how to repair conflict faster and more effectively in therapy, and reduce the amount of time they spend feeling disconnected and resentful of one another (Gordon & Chen, 2016).

Whatever challenges you and your partner want to address in couples therapy, improving communication is vital.

Evidence- and science-based couples therapy will help both of you to define your thoughts, feelings, and desires to each other with openness and empathy.

A therapist in CFIR's Relationship and Sex Therapy team can also help you to arrive at a better understanding of each other's point of view. You can collaboratively set your treatment goals to ensure that you or you and your partner's concerns and needs are adequately addressed.


References

Gordon, A. M., & Chen, S. (2016). Do you get where I'm coming from?: Perceived understanding buffers against the negative impact of conflict on relationship satisfaction. Journal of Personality and Social Psychology, 110, 239-260.
Liu, E., & Roloff, M. E. (2015). Exhausting Silence: Emotional Costs of Withholding Complaints. Negotiation and Conflict Management Research, 8, 1, 25-4.

Valery Vengerov, M.Psy., R.P. (Qualifying), is a Registered Psychotherapist (Qualifying) at the Centre for Interpersonal Relationships (CFIR) in Toronto. She works with individual and couples clients, to help them resolve a wide range of difficulties related to depression, stress and anxiety, trauma and loss, and relationship conflict and betrayals.




Building a Successful Stepfamily




by: Alice Lurie, M.A., R.P.

Are you struggling in your new stepfamily? It is important to ensure that all stepfamily members have reliable information about what is typical in stepfamilies and how to work toward building healthy stepfamily dynamics. Stepfamily success is built on strong one-on-one relationships before strengthening the larger stepfamily system. Specifically, the couple relationship and the parent-child relationship need to be stabilized before other step relationships are focused on. Often, solutions to step-issues are about finding a middle ground and having empathy and compassion. This is especially important as step-relationships tend to accentuate and polarize differences in families (Papernow, 2013)

In some ways, stepfamilies do not function the same as nuclear families do yet many stepfamily members enter into their new family relationships with hopes or dreams of “returning to a normal” life pathway that was disrupted by death or divorce (Papernow, 1993). The more tightly stepfamily members hold on to expectations that may not apply any longer, the harder they will experience stepfamily formation and the more likely they are to experience significant difficulties in it. Building realistic expectations based on information about how stepfamilies function most effectively is important.

Stepfamilies tend to have more conflict than first families (Martin, 2009). This is distressing for adults and children alike, and can leave the adults more likely to give up before the family has had a chance to stabilize if they are unaware of this dynamic (Hetherington 1988). At times it can be challenging to integrate a step-parent into a child's life. The manner of integration is crucial to how this relationship will evolve. Clinicians at CFIR are skilled in providing support to develop a healthy blended family environment.

References

Hetherington, E. M. (1988). Parents, children, and siblings six years after divorce. In R. Hinde & J. Stevenson-Hinde (Eds.), Relationships within families (pp. 55–79). Cambridge, England: Cambridge University Press.
Martin, W. (2009). Stepmonster (1st ed.). New York, NY: Houghton Mifflin Harcourt.
Papernow, P. (1993). Becoming a stepfamily (1st ed.). San Francisco, CA: Jossey-Bass.
Papernow, P. (2013). Surviving and thriving in stepfamily relationships: what works and what doesn't (1st ed.). New York, NY: Routledge.


Alice Lurie, M.A., R.P. is a registered psychotherapist at the Centre for Interpersonal Relationships (CFIR) in Ottawa. She works with adults and couples to support them to relieve distress and overcome difficulties related to anxiety and stress, depression and grief, anger management and emotional regulation, and career and workplace issues.




The Importance of Ecology in Mental Health Care



by Jonathan Samosh, B.A.

What is mental health care? Many people think that mental health care focuses on understanding our internal psychological world and relieving the distress that might exist within it. This perspective is indeed important for effective mental health care. However, a whole wide world also exists outside of our internal psychological experience. In fact, understanding how we all exist within many ecologies can have significant implications for our mental health.

‘Ecology’ refers to all of the complex social systems within which we live. For instance, our families, neighbourhoods, schools, cities, economies, laws, governments, and cultural expectations. In mental health care, ecology means that we want to understand our internal psychological world and all of the many important elements of our external worlds too.

Psychologists with an understanding of ecology can provide mental health care in many ways to promote the wellbeing of individuals, couples, groups, organizations, and communities. With awareness of the diverse ecologies that exist all around us, psychologists can see the bigger picture that enhances treatment to relieve individual psychological distress, alleviate couple relationship difficulties, empower marginalized groups, and address inequalities in social systems. This is the power of ecology in mental health care.

At CFIR, ecology informs psychological services relevant to a diversity of human experiences, such as culture, gender, relationships, and financial means. Read more about CFIR’s multicultural treatment service, gender and relationship diversity service, and accessible low fee psychological service options here.

Jonathan Samosh, B.A. is a counsellor at the Centre for Interpersonal Relationships (CFIR) under the supervision of Dr. Dino Zuccarini, C.Psych. and is currently in his third year of training in the clinical psychology doctorate program at the University of Ottawa. He provides psychological therapy and assessment services for adults and couples experiencing psychological, emotional, and relationship distress in a variety of areas, such as: anxiety and stress, depression and mood, anger and emotion regulation, grief and loss, traumatic experiences, self-esteem issues, life transitions, personal growth, existential issues related to meaning and purpose, relationship difficulties, and issues related to sexual functioning.




Five Easy Tips to Improve Your Sleep Quality



by: Dr. Karine Côté, D.Psy., C.Psych.

Do you have a hard time falling asleep? Do you wake up frequently during the night? Do you tend to wake up too early? Do you feel like your sleep is never really restful? You are definitely not alone! According to the American Academy of Sleep Medicine, about 30% of adults experience occasional insomnia, and 10% of the population suffers from chronic insomnia.

The impacts of sleep difficulties on our psychological and physical functioning are diverse. They can include mood fluctuations, increased stress and irritability, problems with concentration and motivation, low energy and fatigue, an upset stomach, and muscle tension and headaches. Fortunately, there are strategies that can help improve your sleep quality.

1. Practice sleep hygiene

Limit coffee, tea, and sugar intake after 3 PM. Eat your dinner and exercise at least two hours before your bedtime. Your bedroom should be comfortable and quiet, and try to limit looking at electronics, screens, and alarm clocks while in bed.

2. Implement a sleep routine

Maintaining a consistent routine throughout the week is vital. Ideally, your bedtime and wake-up time should be the same every day, even on weekends!

3. Limit time spent in bed to sleeping

Time spent in bed should be reserved for sleeping (and romantic activities) only. Activities such as watching TV or reading in bed can contribute to your sleep difficulties. It is, therefore, more beneficial to engage in these activities in a comfortable space outside of your room and go to bed only when feeling sleepy.

4. No napping

It is often tough to resist napping when we feel tired. However, to give you the best chance of sleeping during the night, eliminating any length of napping is essential.

5. Regulate your anxiety

Our sleep difficulties are often related to anxious thoughts that are hard to control. Writing them down before bedtime can help release anxious feelings, while also being reassured that your thoughts are not forgotten in the morning!

Consistently practicing these strategies will give you the best chance to overcome your sleep difficulties. However, if these tips do not work and insomnia persists, don’t be discouraged! Cognitive-behavioral therapy (CBT) offered in psychotherapy can help you regulate your sleep and provide beneficial effects that last well beyond the end of treatment. Don’t hesitate to reach out to Centre for Interpersonal Relationships for support - it is time to prioritize your sleep and regain restful nights!

Dr. Karine Côté, D.Psy., C.Psych. is a psychologist at the Centre for Interpersonal Relationships (CFIR). Dr. Côté provides psychological services to individual adults and couples experiencing a wide range of psychological and relationship difficulties related to mood and anxiety disorders, trauma, eating disorders, sleep disruptions, and interpersonal betrayal. She works from a humanistic approach and integrates therapeutic techniques from gestalt and object relations psychotherapies, emotion-focused therapy (EFT), and cognitive-behavioral therapy (CBT).





What Kind of Role Does Emotional Intelligence Play?


 by: Dr. Meg Aston-Lebold, C.Psych

Intelligence has traditionally been defined as the ability to acquire and apply knowledge and skills. We often see it represented by an Intelligence Quotient (IQ) score. However, there is growing research indicating that emotions also play an influential role in learning. For centuries, philosophers have contemplated intelligence as more complex than cognitive capacity:
"All learning has an emotional base."
-- Plato

In response to this missing piece, the concept of Emotional Intelligence (EI) has been suggested as a complement to traditional IQ and, as such, has been affectionately dubbed EQ. While there is some controversy about how to measure EQ, it is commonly thought to describe a few key skills:

  • Emotional Awareness: the ability to recognize one’s own emotions and their impact on others.
  • Emotional Regulation: the ability to manage one’s own emotions, for example, by calming oneself down or cheering oneself up.
  • Empathy: the ability to recognize and respond to another person’s emotions.
  • Emotion Application: the ability to use one’s emotions to help guide tasks, such as thinking and problem-solving.

Well-developed emotional intelligence may lead to improved performance and satisfaction in a variety of life areas, including mood, self-confidence, and interpersonal relationships. Competence in emotional regulation allows people to remain calm and collected in stressful environments or situations and allows the brain to remain in a state conducive to effective problem-solving.

In contrast, poorly developed emotional intelligence may lead to relationship dissatisfaction; general feelings of malaise or distress with seemingly no cause; as well as physical ailments like muscle aches, headaches and stomach/digestion discomfort that seem to have no medical basis.

While many of us may admit to the benefits of emotional intelligence in our relationships, we do not commonly value emotional intelligence in the workplace. This is a mistake. EQ competencies can help you approach an impending deadline with an organized plan, effectively respond to conflicts with co-workers or supervisors, and figure out how to get people on your side, whether that’s by motivating workers or getting buy-in from new clients.

Without effective EQ at work, you may find yourself blaming others, lashing out, or having difficulty asserting yourself. This could potentially lead to negative consequences for yourself or others.

We are not born with EQ and, while these skills may come more naturally to some, we all must learn how to understand and respond to our own and others’ emotions. But since emotions aren’t part of the traditional school curriculum, how do we figure it out? In ideal circumstances, we learn emotional intelligence from significant adult role models in our early years.

Unfortunately, not everyone grows up in an ideal environment where their caregivers have their own well-developed EQ. As a result, emotional intelligence often gets stunted, leaving the individual unable to articulate feelings, easily overwhelmed, unable to trust their gut, or wondering why their relationships remain shallow and unfulfilling.

Psychotherapy can help you learn to recognize, make sense of, and respond to your emotional needs. By exploring your inner world, you can feel more competent responding to challenging interpersonal interactions, managing your stress, and obtain the healthy and satisfying relationships that you may have struggled with. These skills will help you both personally and professionally. Becoming more emotionally competent will help get you out of that rut by improving your mood and relationships, which can ultimately lead to greater productivity and success in all areas of your life.




Dr. Meg Aston-Lebold, C.Psych. is a clinical psychologist at the Centre for Interpersonal Relationships (CFIR) in Toronto. She provides psychological assessment and treatment services to adults and couples experiencing a wide range of issues related to depression, anxiety and stress, self-esteem, trauma, and relationships.

Whole-Person Self-Care for the Holiday Period


by: Reesa Packard, M.A., Ph.D., R.P.

The dawn of a new holiday period is upon us once again; as the cool air sets in, the decorations are mounted, and typically, the to-do lists begin to grow... The holidays can be ripe with joy and celebration, but they can also be a time of stress. Being pulled out of our regular routines, eating more indulgent food, spending more money, being more immersed in the mixed experiences of family time, etc. can add up to create a holiday period that is harder than we hoped it would be.

Whether there are specific stressors awaiting you this holiday period or you simply want to make the most of it, whole-person self-care can help you get there. So, what exactly is self-care? Self-care has its roots in 1950s medical communities, where it was learned that patients’ taking their own actions to care for themselves physically, spiritually, psychologically and emotionally was essential to their healing, health, and wellbeing. Now, decades later, the concept of self-care has been picked up by mainstream society. On social media, #selfcare now seems to depict a culture of luxurious consumerism and self-indulgence, but that is only part of its story.

So, then what is whole-person self-care? While some versions of self-care can focus on a specific task that might help you feel better in one specific way, whole-person self-care is more like an attitude of overall self-reflection, and of building self-awareness, so that you can honour many different parts of yourself at once and care for your ‘entire self’. In this way, self-care is not only about taking a quick break or reveling in indulgences—self-care is about developing yourself, and your life, in a way that makes those breaks and indulgences less necessary to begin with.

So, how can whole-person self-care help you this holiday season? You can use it as inspiration to get you thinking about questions like: "What is happening right now, how well is this working for me, and why?" "What is really important to me, out of all of this?" "How am I really doing?:" "How are my physical, spiritual, psychological and emotional parts doing right now?" "How are my relational, occupational, and financial parts doing right now?" "What do I want right now, what do I need right now, and how might those be different?"... These questions are the type that can lead you to become more self-aware, and as you build this self-awareness, you can have more clarity about the ways in which you might act to help yourself.

Give yourself the best holiday gift this season, by connecting with yourself in the present! Try out some of the self-care strategies below:

  • Physical: move your body or take rest, eat some nutrient-dense foods, quench your thirst, stretch your muscles, breathe deeply; 
  • Spiritual: immerse in a moment of silence, (re)discover some nature, attune deeply to yourself and others, contemplate some higher power or higher-order, seek experiences of awe and wonderment;
  • Psychological: build gratitude by naming what you are grateful for, emphasize relationships that fuel, and de-emphasize those that drain, ground yourself by scanning and taking in the details of the room and space around you; 
  • Emotional: practice feeling feelings as they arise, practice taking small breaks from feelings when they feel too intense, notice bodily sensations associated with feelings, try to fathom perspectives different than your own.
CFIR professionals can help you learn about and practice whole-person self-care. Contact us to inquire more and to begin or continue on your journey toward making yourself and your mental health a priority.




Reesa Packard is an Associate at CFIR. She has a doctoral degree from the Saint Paul school of Psychotherapy & Spirituality and works in private practice as a registered psychotherapist. She works with clients hoping to develop a more integrated sense of self as a means to well-being and meaningful, lasting transformation. Reesa is currently building a new service at CFIR called ‘The Integral Self’, which offers a place for clients to receive support and guidance in their advanced self-development, including spiritual and body-based growth. Reesa is also involved in teaching and supervision of psychotherapists-in-training and advanced knowledge through research in her specialty fields.

Attachment Styles in the Workplace


by: Edgar Prudcoi, B.A. 

Do you often struggle with specific difficulties at work and have a hard time understanding where they stem from? Whether it is a consistent difficulty saying 'no' to a superior when you feel overworked or having challenges sharing your ideas in a meeting, how we experience and relate to ourselves and others within the workplace affects our overall well-being and career satisfaction. Workplace stress and difficulties we face can be influenced by our unique levels of attachment anxiety and avoidance. 

From a young age and into adulthood, we develop an attachment style that serves as a subconscious mental program that influences the way we perceive and relate to ourselves and others. Our attachment styles shape our thoughts, emotions, and behaviours automatically and often without much conscious awareness. Our attachment style ultimately presents itself in the workplace in various ways; knowing our style can help us improve our work-related functioning and overcome the difficulties we have while at work.

Here are descriptions and tips on how to deal with attachment anxiety and attachment avoidance in the workplace:

1) Anxious Attachment:

Anxiously attached individuals fear upsetting or disappointing people and have doubts about their worth or capabilities. This fear-based attachment style can show up at work through actions such as compulsively checking your email to make sure nothing is wrong, worrying about being liked or valued by colleagues, and seeking frequent feedback or reassurance about your performance. When you worry, the fight or flight mode generated by your nervous system hijacks you in those moments and makes it difficult to focus on accomplishing your work or feel positive emotions at work. 

How to manage anxious attachment at work:

Begin to work on creating a more positive and nurturing relationship with yourself and remind yourself of your abilities, worth, and accomplishments. Explore the parts of yourself that you, your colleagues, and superiors value about you and the evidence that you are an asset at work. 

Take a step back and approach circumstances and interactions at work by developing a positive and realistic self-dialogue rather than taking a critical view of yourself. Doing so may sound like, "the constructive feedback I received isn't because I am a bad employee, I am doing my best, and now I know what I can improve on to become even better." 

2) Avoidant Attachment:

Dismissive avoidant individuals may have a positive self-evaluation and a negative view of others as less capable, less intelligent, or unreliable. A fearfully avoidant person will have a fear of an attachment relationship and also a negative view of others as being undependable or untrustworthy. This fear can be experienced in the workplace by avoiding forming relationships because of mistrust or perceptions that you cannot rely on or depend on others. This also may lead to tendencies of micromanaging and monitoring employees and more likely dismissing input from others. If you have a fearfully avoidant attachment style, you may feel "stuck" with your work when you do not trust yourself or others with it. This feeling may show up as not getting started on a project because you feel incapable of completing it and lacking trust in sharing your difficulties with others, which may lead to developing a 'why bother trying' mentality. 

How to manage avoidant attachment at work: 

Acknowledge that others may also have valuable ideas or contributions. Approach colleagues and yourself with curiosity rather than judgment or defensiveness. Notice the tendency to put achievements ahead of relationships at work and be mindful of tending to both. Make sure to encourage yourself to communicate with others and develop trust to delegate work and ask for help. Be cautious of thoughts that suggest, "It will be better if I do it." 

For fearfully avoidant attachments, try some tips discussed to manage the anxious attachment style while also making small and manageable steps to work through what it is you're avoiding.

Are you ready to better understand and master the mental and emotional parts of striving for a successful career and a balanced life? CFIR's mental health professionals can help! 




Edgar Prudcoi, B.A. is a therapist at the Centre for Interpersonal Relationships (CFIR) in Toronto and is working on completing his Masters degree in Clinical Psychology at the Adler Graduate Professional School. He supports individual adults and couples to deal with difficulties related to emotion (e.g., depression, anxiety, anger), the effects of trauma, loss and grief, conflict resolution, and relationship functioning.



Five Warning Signs of Burnout and How to Manage Them




We all experience stressful situations in our lives, whether they occur at work, school, or in our personal lives. While experiencing stress is completely normal, if this stress has started to seriously impact any aspect of your life it may be a sign of burnout. Burnout is a state of emotional, physical, and mental exhaustion caused by excessive or prolonged stress. 

Burnout can occur to anyone who is working or living in a consistently stressful environment. It can slowly creep up because the early warning signs may be innocuous. Some common warning signs of burnout include the following: 
  • Feeling more tired than usual, or having difficulty sleeping
  • Having difficulty concentrating 
  • Increased agitation or irritability 
  • Loss of enjoyment in things you used to enjoy 
  • Poor work performance 

If you are experiencing any of these symptoms of burnout, here are some tips to help you manage: 
  • Take care of your physical health: sometimes we can forget about eating properly, exercising, and sleeping when we are feeling burnt-out. Taking care of our physical health can also boost our mood. 
  • Self-Care: take some time out of your schedule to do activities that make you happy. It can be as simple as taking a bath, talking to a good friend, or making yourself a nice meal. 
  • Set Boundaries: whether at work or in your personal life, it is important to set boundaries with those around you to make sure you are not giving too much of yourself. 
  • Talk to someone: whether it’s a friend, co-worker, family member, or professional, talking to someone you trust about what you’re feeling can help to reduce feelings of isolation and loneliness associated with burnout.

These strategies can help reduce the symptoms of burnout. However, if you feel the symptoms you’re experiencing have been going on for an extended period of time or feel uncontrollable, it might be time to seek professional help. At CFIR, we can help you understand where your burnout is coming from and support you in developing healthy coping and self-care strategies.


Natalie Alexov, B.Sc. is a counsellor at the Centre for Interpersonal Relationships (CFIR) under the supervision of Dr. Aleks Milosevic, C.Psych., and a Masters of Education with a concentration in Counselling Psychology at the University of Ottawa. She supports individual clients to overcome a broad range of difficulties including depression, anxiety and stress, the impact of traumatic experiences, and relationship problems.



How to Keep the Happy in the Holidays While Co-Parenting



by: Laura Moore, B.Sc. (Honours)

The media markets the holiday season as a "picture perfect" time to connect with your family; these unrealistic expectations are especially challenging while trying to co-parent. Letting go of "perfect" and working together with your previous partner during one of the most stressful times of the year may feel nearly impossible. Remembering every co-parenting situation can look different, the following tips can make it possible to keep the 'happy' in the holidays while co-parenting.

Plan Ahead But Be Flexible 
Create a holiday plan at least a month or more in advance of the holidays. This plan may be derived from your parenting plan or your separation agreement. While making this plan keep in mind the extended family and still encourage these connections on both sides. Although planning ahead is of the utmost importance, remaining flexible over the holidays will reduce upset for yourself, your previous partner, and your children. Believe it or not, the holiday schedule may be much more important to you than to your children.

It Starts with You
This holiday season (when you know you are going to be alone), make plans to see loved ones. Also, seek the help you need from a therapist to work through some of the grief and loss you may be experiencing during the holidays. In this process, you will begin to let go of expectations and find moments of happiness as you embrace new traditions. Allow space for you and your children to be upset and move away from the expectations surrounding the holiday season. By creating a safe, calm, and positive space for yourself, the effects will trickle down to your children as they often rely on you to help regulate their emotions and see the whole picture. Continue to collectively focus on what you do have together and not what you don't have.

Less is More
It's not the presents that make the holidays so special; instead, it's the presence of the ones we love. It is essential to communicate with the other parent about items that are off-limits for holidays and what is on your children's gift list this year. Do not try and outdo one another; this will put a lot of pressure on you and make gift shopping and planning activities quite stressful. Try not to overcompensate with excessive activities and planning, and try to spread out the holidays. Most importantly, enjoy some of the simple pleasures of the holiday season. Doing so will allow you not to lose sight of what is most important!

Communication
Communication should be purposeful and child-focused. When you show empathy and care to your previous partner, it allows your children to see you still have a relationship with the other parent in a positive way. Schedule a phone call to talk about the upcoming holidays. If communication is difficult for you and your previous partner, possibly invest in a gift for one another this holiday and use a communication app, either 2houses or Our Family Wizard. Most importantly, do not use your children as a way to communicate messages back and forth between you two.

Connection
Although you may experience feeling you are alone, your previous partner is probably struggling just as much as you are. Have your children buy a present and make a card for the other parent. Letting your children love and communicate with the other parent will not affect your child's love for you. As much as splitting the holiday season is new for you, it is also a new concept for your children. Encourage your children to consistently communicate with the other parent via phone, video call, and text. Create a shared album and add pictures to it each day. Also, your children will enjoy any chance where previous traditions can still be shared with both parents.

You cannot go wrong if you put your children first and let them be your guiding light as you navigate the holiday season while co-parenting. The "good enough" holiday season will happen when we let go of our expectations and enjoy what we have created for ourselves at this moment. Remind your children that no matter who they spend their holidays with, the holidays can create a magical feeling that will be in the memories for years to come!



Laura Moore, B.Sc. (Honours) is a therapist at the Centre For Interpersonal Relationships (CFIR) in Toronto. She is completing her Masters degree in Clinical Psychology at the Adler Graduate Professional School in Toronto. Laura works with adults and couples in therapy, to support them to overcome challenges related to depression, stress, grief and loss, trauma, and relationship conflicts. Her current research focuses on cultivating spousal attunement following traumatic experiences.



Motivation vs. Intention: Do You Lack the Drive to Set Personal or Professional Goals?





by: Erin Leslie, EQ-i Certified | Coach


Are you confused about how to bring about motivation vs. intention? It's not uncommon to be confused about these difficulties. In our modern society, messages intended to distract us are everywhere. Sometimes these messages try to persuade us to buy into a fad or product. Getting you onto that conveyor belt of attempting to acquire and invest time and money, only to be unfulfilled in the end but to repeat the same cycle. 

Many people today tell me they are unmotivated at work and feel they've lost their career direction. More employees than you may think are feeling tired by the daily churn, and they don't know how to change it! When I meet with them, I typically ask some key questions to see where the lack of interest lies. 
  • Is it due to personal distractions with family or friends?
  • Is it relationship-related issues with team or management?
  • Is it due to pre-existing beliefs or concepts that may need to be renewed?
  • Could it be depression? Have you sought professional consultation?

After some analysis, I find that it is not that many people necessarily lack motivation, but rather have difficulties with intention.

Purpose provides the compass that fuels our minds and bodies to move in a specific direction. Now how do we go about finding purpose? 

It's quite simple.

I share two important methods of finding intention.

First, volunteer. Don't think about it; do it. Go out this weekend and find a school, religious organization, municipal supporting event, or service and give your time. 
Volunteering allows your mind to stop focusing on itself. It opens up your thinking towards others and helps you care about an external problem that you may not have considered before. 

Volunteerism exposes you to areas of risk and need in your community and gets you instantly thinking - how can I change some aspect of this outcome into a more positive one? How can I improve the lives of others?

It also gives you the purest sense of intention. Helping, caring, and enabling another human is our foremost purpose. But we forget that sometimes.

Volunteering enhances your beliefs about what is important. It doesn't require a lot of time or thinking. It requires you to feel and act. That renewed sense of purpose fuels your intention towards your future. 

Secondly, mentorship. I suggest entering a mentorship relationship with a peer or colleague. Mentorship allows us to focus our attention on another person's inquiry, leveraging our own experience and knowledge to solve a problem and focus away from our own pain points. People find it highly satisfactory to support others ahead of themselves. Still, it is through an interaction of mentoring and helping that often we find the answers to our issues. 

I often say that everyone should mentor as we all have something to offer and learn in this enriching professional relationship. 

Do you specialize in a specific skill set, industry insight, or business strategy or methodology? Someone within or outside your professional circle is looking for guidance, and it only takes a few meetings a month to connect and follow up on a specific area of interest or need. Those meetings could make a real difference in a professional's work-life. 

Are you ready to better understand and master the mental and emotional parts of striving for a successful career and a balanced life? CFIR's Career and Workplace Service can help! 




Erin Leslie is an Associate at CFIR (Toronto) and is the Founder of EQFootprints, a leadership coaching business. She is committed to supporting professionals with an array of coaching and vocational tools and is also passionate about giving back to the community. In her role as co-Lead of the Career Coaching and Counselling Service as well as the Career & Vocational Assessment Service at CFIR, Erin provides a wide array of personalized testing to complement one-on-one coaching tailored specifically to individual client needs. She works under the direct supervision of Dr. Dino Zuccarini, C.Psych.