Wednesday, November 30, 2016

"Dear Ellen, life's perfect so why am I in tears at the least little thing?"

Feet over a ledge
Stress feels awful
Dear Ellen,

I've got a new job that I love, a new apartment that's just beautiful and I've finally met someone I think is The One. So why am I in tears at the least little thing? I feel like I'm on the edge of a cliff, about to fall off. I should be happy. 

Am I insane?

#PossiblyCrazy


Dear So Not Crazy,

Moving house is considered one of the most stressful life events. There's all the hassle of packing and moving, which is physically demanding, plus there's the symbolic burden of ending one life and starting another.

On top of that, you have a new job.  Again, while this is wildly exciting, it means new routines, new and possibly unknown expectations, working with new people, and possibly some extra hours while you're trying to orient yourself.

Plus, in your private life you have found love.  Possibly The Love. While that's wonderful, it's also scary. There's all the pressure of wondering if it's really the partner you want to spend the rest of your life with, and all the other changes that will inspire, balanced against the fear of whether you're going to be disappointed again.

Stress is not about bad things happening to you, it's simply a reaction to change.  

That means that positive change is stressful. And my dear you're piling up change as if it's going out of fashion!  It's not at all surprising that you're uptight.

From what you say, the tears and that cliff feeling are probably just an effect of your life changes.  However, to be safe, do pop into your family doctor and ask for a quick checkup.

When you're declared perfectly healthy, pay attention to your stress. Make sure you eat properly, get your full 7 to 8 hours sleep, and keep your body moving so that it stays exercised. 

In addition, note your stress, know where it comes from, and spend some time relaxing.  A massage, a trip to the hairdresser, or a nice long movie marathon curled up with that lovely new partner - whatever makes you happily tranquil.

This letter is part of the November 2016 free agony aunt column service. As it's the last day of the month, it's the last issue.    

Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation. 

 

Friday, November 25, 2016

CBT for Depression: Benefits, Limitations, and How to Know if It’s Right for You

Cognitive Behavioural Therapy (CBT) is one of the most researched treatments for depression. For some people, it’s highly effective. For others, it’s not the right fit. 

As a psychotherapist working with clients in 20+ countries, I help people figure out whether CBT alone, or a blended approach, is best for them.

How CBT Works

CBT Lisa Page, CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>, via Wikimedia Commons
How Beliefs Behaviour and Emotions are Linked
CBT is based on the idea that your thoughts, feelings, and behaviours are linked. Change one, and you can influence the others. In therapy, we identify and change unhelpful thought patterns.

CBT and Depression: When It Works Well

Depression can sometimes be fuelled by "faulty thinking." These are patterns of self-talk that don't match reality. They drag down your mood and can lead to depression.

For example, Sally gets an amazing annual review and a huge bonus. However, she tells herself her boss secretly hates her, and worries she is destined to fail.

In CBT, Sally would learn to challenge these thoughts. In sessions we might ask: "What evidence do you have that your boss doesn't like you?" and "How has your boss treated other people she then fired?" Through this process, Sally learns to recognize unhelpful patterns of thought, and replace them with balanced thoughts based on actual evidence.

CBT is most effective when your depression is driven by negative thought patterns that don't match reality.

When CBT Doesn't Help

Depression isn't one single illness with one single cause.

It shows up differently for different people. Some feel deeply sad, others feel emotionally flat. Some sleep too much, others can't sleep at all. For some, it appears suddenly and fades quickly; for others, it creeps in and lingers.

And the causes can vary just as much. I think of depression as spots—you need to figure out what's causing the spots before you know how to treat them. A rash from chickenpox needs different treatment than a rash from asoap allergy.

Depression might be linked to a thyroid problem, side effects from medication, an emotional shock, grief, trauma, genetics, or a mix of factors.

Here's when CBT won't help or won't be enough:

If your depression has a physical cause. If you have a thyroid condition or your depression is a side effect of medication, CBT won't help—you need medical treatment first. No amount of talk therapy will fix a thyroid problem.

If your depression stems from your life circumstances. If you're depressed because you're in an abusive relationship, hate your job, or are dealing with poverty, changing your thoughts won't change your reality. You may need practical support, life changes, or a different therapeutic approach alongside CBT.

If you're in a severe depressive episode. CBT involves homework, worksheets, and active participation. If you're so depressed you can barely get out of bed, CBT's practical approach may be too much too soon. You might need medication to lift you enough to engage with therapy, or a different therapeutic approach that requires less active work initially.

If your depression involves unprocessed trauma or grief. While CBT can help with some aspects, trauma and complicated grief often require approaches that address emotional processing more directly. Trying to "think differently" about trauma before processing it properly rarely works.

If you have treatment-resistant depression. Some people's depression doesn't respond to CBT or any single approach. In these cases, a combination of treatments—therapy, medication, lifestyle changes—is usually necessary.

How to Choose the Right Approach

Instead of starting with "I want CBT" or "I won't take medication," start with a proper assessment.

First step: see your doctor to rule out physical issues. If you have a wonky thyroid, no amount of talk therapy will change that. Click here to read more about why this matters.

Second step: talk to a qualified therapist. This is exactly what I do with clients. We work out how your depression operates: what is going on in your life, if there are triggers, if family history may be at work, and so on. Then we create a customized approach that will help you manage.

In my experience, CBT alone can work well for depression driven by unhelpful thought patterns. However, many people benefit from a blend of approaches. I often combine CBT with positive psychology techniques which focus on building strengths and wellbeing alongside addressing problems to create a more comprehensive treatment plan.

The key is matching the treatment to your specific situation, not forcing you into a one-size-fits-all approach.

If you want help figuring out what approach will work best for your depression, send me an email. That's exactly what we'll do together in our initial consultation.

What About Medication?

Medication can be a useful tool alongside therapy, especially if you're struggling to function or if your depression has a strong biological component.

The choice between medication, therapy, or both depends on your specific situation. Read more at: "I'm depressed. Should I pop a pill, go for therapy, or both?"

The Bottom Line

CBT is a powerful tool when your depression is driven by unhelpful thought patterns. But it's not a magic bullet for every type of depression.

Knowing whether CBT is right for your situation requires proper assessment—understanding what's causing your depression, how severe it is, and what you need to manage it effectively.

If you're trying to figure out whether CBT or another approach is right for you, that's exactly the work we do together. Send me an email to get started.

Monday, November 21, 2016

"Dear Ellen, I'm sick and tired of my boss yelling at me..."

Angry man cartoon
Angry boss
Dear Ellen,

I've got a problem with my boss. He comes in at 1030am, has a long lunch, comes back at 4pm and at 5 he's telling me what he wants me to do. And he wants everything done the same day. Last week I worked until 9 twice! I got home after 10 when my kids were in bed. I'm staff so I don't get overttime. I get in at 8am. Also, he's yelling at me. If he can't find something, it's my fault. If a client is upset, it's my fault. Everything is my fault! I'm sick and tired of him and I want to quit. But jobs aren't easy to get. Also, I have a degree but not more. What should I do?

Question: Who do you work for and what's your job title? What are your office hours? How long have you been working there? Do you have a list of KPIs? How are you doing on those? What did your last performance review say? Is this boss new or have you worked together a while?

Answers:
(Redacted) Medium sized local company, accounts management
9-5 Mon-Fri
8 years working there
Yes, I have KPIs. Last year got a bonus. This year on track.
Same boss 4 years.

PS has the job changed in the last year?
No

PPS Is your company laying people off?
No


Dear Sick and Tired,

Okay, my first thought was that your boss might have been yelling because he's hoping you'll leave and he won't have to pay compensation. Clearly that's not the case.

Sometimes bosses yell because their staff are lazy or don't do their jobs. It's a lousy way to manage people but not all managers are professional. 

Just in case, let's look at you.

As you have been there for a significant time, you've been doing a good job for some years now. If you hadn't, the company would have replaced you. 

Also, you got a bonus last year, so you were definitely doing something right back then!  The job hasn't changed, so it seems logical that you're still hitting the spot.

At present,
1. You are in on time and he is not.
2. He's too disorganised to give you a proper period of time to get things done.
3. This means you have to work unreasonably long hours, and
4. He behaves unprofessionally, shouting at you

First things first. You don't need to put up with a disorganised man who yells. I'm going to make a few suggestions, just to list your broad options.

Your company is medium sized, so you might look to transfer internally. Speak to human resources about this, or scout positions among your peers. 

You can also try to fix this situation. Standard advice is to log everything and then approach human resources to talk to your manager and resolve this. The idea here is that they are a neutral third party who can settle this according to company protocol.

It may work. It may also backfire if your boss is the kind who thinks that talking to HR is sneaking or tattling. You know your company culture, so you can tell if this is a good approach.

If you go that route and it doesn't work, you have two options: explore a hostile work environment claim, and/or leave.

You can simply quit. Yes, the job market is lousy but all you need is one job, right? So you can write up your CV and start talking to headhunters. Believe me, companies are always out looking for someone who has experience!

What I've said so far is all standard safe advice. I would add this: you seem to have liked your boss in the past.  So, if you want to give this man one more chance, you can take the straightforward route and talk to him.

Note: this only works if he's a reasonable human being. If he's not, then it's probably not worth it.  You know him, so you decide.

If you do talk to him in an open manner, you need to do some prep.

First, put yourself into your boss' space.  As the economy sucks, my bet is that the company is having cash flow trouble. I'm guessing your boss's boss is hammering at him. So your boss then turns around and yells at you. It's unprofessional but very common.

I also bet that your boss doesn't even realise that he's pushing you too far. You've been taking it without protest, and now his bad manners have become a habit. 

To fix this you have to let him know he has to change his ways, but you should be circumspect and remind him that you're part of his team, and that he can lean on you - without the shouting!

For your prep, write down your work tasks for the last month, and tick off what you've done. If you've done extra work, make a note of that.

On a separate piece of paper, write down the last three times he yelled at you.  Don't be too long about it, just note the day, time and a single sentence about the occasion.

Now you need to go and talk to him. Pick a time when he's calm, and when you can reasonably go straight home or out afterwards. So just before lunch or just before the end of the day.

Take the note of the work you've done, but leave the note about the shouting on your desk.

I'm a straightforward person so I'd get straight to the point with something like this:

"Boss, I've been working for you for four years now. It's been interesting and fulfilling but recently I've been feeling unhappy. I looked at my KPIs and my work sheet, and I think I'm doing my job but I feel I can't do anything right anymore."

If it opens a dialogue, as it should, show him your work sheet.  Ask, "Is there anything else I can do?  I know jobs aren't static so if there's something different I should be doing, please tell me." Then negotiate what he wants you to do.

He should know that he's been a prat for asking you to work late, but you should remind him that you start at 8AM and a 12 hour working day is unreasonable. 

State the problem. "Boss, I work for you Monday to Friday from X till Y.  I do have a private life and a family.  I had to work X extra hours on Wednesday and Thursday last week, which meant I didn't see my kids."

State the solution. "I finish work at 6PM so it would be helpful if you give me my tasks at 5PM the day before.  That way I can think and plan, and be more efficient. Also, it means I can see my kids."

You also need to address the yelling, "You know how on Monday when X and then you Y?" Keep it brief and impersonal. If he says it was a one off, add, "Well, boss, there was also..."

Practice saying, "If I make a mistake, then tell me. But please don't shout at me. It makes me uncomfortable."  If he tries to blow it off, just insist, "It makes me uncomfortable."  He should then get the message.

Clearly the three issues can come up in any order. You should rehearse it to yourself thoroughly first. Imagine what he might say, and what you might say.

Stay calm and professional!

Also, about the degree. Speak to HR on ways you can upgrade your CV. It may simply be a matter of taking on certain tasks, or taking up various bits of in-house training. 

You might go back to school but frankly it's a lot of extra time and money, which you may not see back, so think very carefully before you go that route.

Good luck and tell me how it goes!

This letter was part of the free agony aunt service from November 2016. 

Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation. 

 

Saturday, November 19, 2016

"Dear Ellen, my bf just got engaged to someone else..."

Dear Ellen,


I'm in college, and I've been dating my classmate A for six months. We can't tell his family, because they want him to marry B. They think we're just friends.

Last weekend they told me they've set a wedding date for next year. They invited me to the engagement party!

I'm crushed. A says he loves me but B is from a rich family they do business with so he can't say no. What do I do? 



Dear Crushed,

I read this and thought, oh my gosh what have you gotten yourself in to?

Good men value and respect women. A hides you as if you're a dirty little secret.

A also plans to exploit another young woman for her family connections and money. The term for that is gold digger.

Good people are honest with the world. A shows one face to the world and another to you. From your letter he's pretending that this is all happening out of his control. What rubbish! 

He has known he is going to commit to this other girl for some time now. Do you have any idea how many lies he must have told to his family and to that poor girl and her family for them to agree to the engagement?

Forget A. He's not worth your time. Exit now.

Exit sign


You're a talented young woman, about to get a degree and embark on a successful career. You have a lot to be proud of. You should be with a man who is proud of you, too. One who is excited to be with you and who sees your happiness as important as his own. Someone honest and decent.

I'm concerned about the reasons you fell into this relationship. There are loads of good men who'd thank their lucky stars to be with you, so why did you go for a horror like A?

I'm going to make a stab in the dark and suggest you suffer from low self esteem. If so, you need to find out what caused this and work to correct it. 

Your college counsellor will help you with this. Invest in six to eight sessions working out what went wrong, and set about making sure you don't fall in the same trap again. Therapy in college is free, so take advantage.

Also, I suggest that you spend your final months at college studying hard and playing hard. Go on lots of different dates but don't go steady with anyone. You're too vulnerable at present and I'm worried you'll fall for another A.

Finally, if you have an open relationship with your parents, you might also talk to your mum and dad about this. Your parents will have seen lots of people making this and other mistakes and leaning on them for support might be helpful. If you're not sure how they'd take it, talk it through with the counsellor.

Good luck, and I hope to hear very soon that you've graduated and are happy again.

This is part of the free agony aunt service for November 2016. Now closed

Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation. 

 

Wednesday, November 16, 2016

"How long does therapy take? Do I have to spend months and years at it?"

Therapy Isn’t Like TV — A Practical Guide

Watch in sand Image by annca from Pixabay

If you’ve never been to therapy before, it’s normal to be nervous. You might picture the long-running weekly sessions you see on screen — Tony Soprano visiting Dr Melfi for years, or Monk seeing Dr Bell twice a week. Those shows portray a form of psychoanalysis that suits some people, but it isn’t the only way therapy works.

Quick note about me

I’m Ellen Whyte, BSc Psych (Hons), MCouns (Dist). I’ve been helping clients in 20+ countries for ten years. I specialise in anxiety, depression and burnout; PTSD & complex trauma (CPTSD); abuse recovery; work stress and life transitions; and relationship and family issues.

Therapy: focused, practical, and tailored to you

Most people I work with want clear, practical change - not an indefinite commitment. I’m an eclectic practitioner, which means I use whatever evidence-based approaches fit your needs. The two I use most are:

  • Cognitive Behavioural Therapy (CBT) — for spotting and changing unhelpful thinking and behaviour (useful for anxiety, depression, PTSD).
  • Solution-Focused Therapy — for setting goals, using your strengths, and making practical changes (great for workplace or life transition issues).

How long does therapy take?

It depends on the problem you bring and the work you’re willing to do between sessions (yes, there’s usually homework). Typical patterns I see are:

  • Anxiety, depression, burnout: about 8–12 sessions to learn techniques and see real change.
  • Workplace issues or short-term problems: usually 2–3 sessions to assess context, get practical steps in place, then pop back as needed.
  • Clients stuck in dangerous or abusive situations: ongoing monthly or as-needed support — therapy here is about safety and steadying you while life stays unsafe.

Typical Examples

Tony's anxiety & trauma

Tony comes to therapy with panic attacks that flare up under work pressure. Medication helps a bit, but not enough.

At first, he thinks his anxiety is all about deadlines and office stress. But as we work together, it becomes clear that his reactions are rooted in an abusive childhood. Unless we address that, the CBT tools won’t fully stick.

We start by stabilising the panic, then move on to the old family patterns that keep getting triggered. Over roughly 8–12 sessions, Tony learns to manage his anxiety and rewire the thinking that kept him stuck. It’s coherent, structured work — and that’s why it works.

Most of the Tonys I see do their 8–12 sessions, get their anxiety under control, and then go live their lives. Occasionally, they check in years later if something new crops up. That’s exactly how therapy should work.

Kim's workplace politics

Kim is a senior manager navigating subtle sabotage at work. She doesn’t want HR involved, but she needs to talk it through in confidence.

In our sessions, we look at what’s really happening, separate evidence from emotion, and build a practical strategy. After two or three focused sessions, Kim has clarity, an action plan, and the confidence to use it.

Now she drops in occasionally, typically before major projects or when office politics heat up, to get perspective and recalibrate.

What to expect in your first sessions

We start by getting a clear picture of what’s happening for you: symptoms, history, and what you want to change. For short-term work that’s usually enough to create a plan. For trauma or complicated situations we set a longer roadmap together and agree checkpoints.

If you’re only after a confidential space to talk about difficult people at work, two or three sessions is often enough to get you set up and able to manage on your own. If you want ongoing support (monthly check-ins, or sessions when things get rough), that’s fine too.

Is therapy “for life”?

No. For many people it’s a time-limited, goal-focused process. For others — especially those living with long-term danger or chronic abuse — therapy becomes a regular, stabilising support. Both are valid.

Want to try it?

If you’re curious, book a free 15-minute chat. It’s confidential and low pressure — we’ll see if we’re a good fit and discuss the most useful next step for you.

Contact me: ellen.whyte@gmail.com · WhatsApp +44 7514 408143 · www.ellentherapist.com

Please note: I don’t provide crisis or rescue services. My work focuses on helping people who are now safe but still struggling with the emotional wounds of family harm, or those who are considering their options and want support in thinking things through. If you or someone you know is in immediate danger, please contact your local emergency services or local safeguarding authority.


Monday, November 14, 2016

"Dear Ellen, what do I do about workplace bullying?"


Want to ask your opinion on office politics. HR not very keen to take action towards the players which create very negative energy. Where the staff can ridiculous fellow colleagues publicly & without any punishment. If you are in my position, what would you do?

Thanks for writing in!  Let’s deal with this in two parts: first, what is bullying and where does it come from and second, why your company isn’t dealing with it.
Bullied girl
From Rebeccadevitt0 at Pixabat

Bullying takes many forms but classic systems include these behaviours:
·        Spreading nasty rumours about someone
·        Laughing, jeering and humiliating someone
·        Nasty name calling
·        Yelling at someone, especially in public
·        Not inviting someone to a meeting they should be at
·        Not sharing pertinent information with someone so that they can’t do their jobs properly

Bullying is often a learned behaviour. Kids who go to a school where teachers allow bullies to run wild, will become bullies themselves. Some do so after being victims while others take to it without being victims.

Offices are exactly the same. I’ve seen happy workplaces turn into hells because of one new senior manager coming in and establishing a bully climate. It’s as if bullying is somehow infectious.

Hierarchies are involved too. Studies show that places with a strong top-down hierarchy are more likely to have a bully climate than places that are egalitarian. Let’s face it: the more power a boss has over staff, the more likely abuse is going to take place.

Note: you may want to look at Hofstede’s work here and examine the Power Distance scores for different communities. Power Distance is a form of measuring how top down a hierarchy is. 
 
Malaysia scores 100 compared to India at 77, Iceland at 30 and New Zealand at 22.  So in Malaysia, bosses have lots of power over staff, and this is why we have so many little Napoleons.

I don’t know what you do or what your position is in your company, so I’m going to talk about what can be done and who might be taking the action. Please read it and decide where you fit in.

So, how do you make changes?

Suppose you’re dealing with someone who has only recently started bullying. To affect change, you need to make a list of bullying behaviours, call the bully up on them and explain what the proper behaviour should be.

For example, “Jane, on Wednesday at the weekly meeting, you interrupted Sue. This is not acceptable. We don’t interrupt others. You then laughed at her. This is not acceptable. We do not laugh at others. You then made a nasty remark about her work. This is not acceptable. We promote constructive criticism.”

Then you need to set boundaries and a timeline for improvement. In my experience, a bully can’t be fixed with a single chat or sending them off to a workshop. They will simply give you the nod, and then go straight back to their usual behaviour.

Why is this? Here’s a list:
·        They may not know how to change
·        They may not know exactly what behaviour is okay and what is not
·        They may find bullying rewarding in terms of achieving goals, and they don’t want to give it up
·        They may enjoy bullying because it gives them a sense of power, and they don’t want to give it up
·        They may think that they can defy you

Bullies also often run in packs, so they have plenty of peer support to keep up their unwanted behaviour.

If you want change, you need to provide re-training, supervision that assesses the change, and a timeframe.  Clearly, if the change is not made within the timeframe, you have to let that person go. In other words, the person who demands the change must also have the power of sanctions.

Who does the training?

If the bullying is a consequence of learning, and simply bad communication and/or leadership style, then you can work with someone with common sense who is a good teacher and mentor.

You must have a proper plan in place, though, that includes pinpointing problem behaviour, outlining goal behaviour, describing how you will affect the change, and a timeline for making the changes.

However, if the bullying is a lifelong habit, then you may have a problem.  You see, children from dysfunctional and abusive families are often bullies. 
 
If this is the case with your people, then you need to address the underlying issues. In such families, cruelty, violence and abuse are commonplace. As you might think, this is serious business and you need a qualified therapist to tackle that.

If you are a multinational, you should have properly qualified people on call who can help. If not, you need to find someone and it will require a budget. I’m going to suggest that you don’t do it in-house. 
 
People need to be able to talk freely about very personal, very painful things in their past. They can’t do so if that person is someone they have to work with or see in the office.

Now the second part of the question: why isn’t your company doing something about the bullying?

When bullies invade the workplace, people who are good at their job simply leave and go and work elsewhere. Those who stay become less effective because of the poisonous atmosphere. In other words: bullies are very bad for business.

So why do companies allow bullies to flourish?

Some do so because they’re not interested in people. If the bullies contribute to the bottom line, the company doesn’t care how they do it. They don’t care about high employee turnover, either. If this is your company, I suggest you leave and find nicer people to work with.

Some won’t confront bullies because they’re afraid. Bullies work by intimidating people (remember the list of how they work?) and sometimes even senior people are too scared to stand up to them. That’s a problem.

If you think the place is worth saving, and you have some standing in the company, you need to create a team atmosphere. Build a core of good people who support one another. Then work to deal with bullying by documenting and reporting.

Some don’t tackle it because they’re not good at their jobs. Senior managers are human, and they’re not all in their jobs because they’re capable. If this is the case in your company, you need to document and report.

How do you document? Document incidents together with times, dates and witnesses. Tip: you might use the list of bullying behaviours at the top of this response. Put it all together in a report and go and see the manager responsible (or HR depending on how your company works).

When you report, do not take the bully with you!  Do not take victims with you!  As bullies intimidate victims, and victims are often horribly humiliated by the whole situation, you need to talk quietly, openly and rationally about the situation with someone who has the power and authority to address the issue.

Good luck and let me know what happens.

Have a question?  During November 2016 I'm offering a free agony aunt service. Email me!  

Friday, November 11, 2016

"Dear Ellen, My friend doesn't make sense..."


SOS Courtesy of Geralt on Pixabay

Hi Ellen

I need to ask your opinion on this issue I have with a friend. I'm just clueless on how to help her. I'm not close to her but her recent live videos on fb has been disturbing. So my other 2 friends and I feel like helping. Her family doesn't know what to do. So your advice, I'll pass it on to her mom n dad.

The videos don't make sense. It disturbs everyone who cares I guess. And for some it's like a live drama. At first we saw as funny n we kinda laughed about it coz it doesn't make sense.

She got dumped so at first we thought all this was her own way of getting attention.

But recently it's weirder. Just a few days ago a company was circulating her ic and statement about her wandering around. Carrying luggage n keep waiting for someone n she doesn't carry money.

She posted a video where a restaurant didn't allow her to eat if she didn't pay first. And security was there. Also she was at a shopping mall and security didn't allow her in. She is running around saying that a man has been caught under black magic and went off with an Indonesian girl that looks like her.

So we aren't sure what's going on as her family have no idea how to get her back. That's the complicated part. Her parents ask my friends and I to help bring her back. As we have never dealt with such a thing before... not sure how to approach her.

I believe she needs counseling or therapy.

I’m so sorry to hear this. If your friend is irrational, meaning she's not living in the real world, she needs to see a psychiatrist, a medical doctor who specialises in mental health problems.

There are a range of conditions that can cause this kind of behaviour, and very often it needs some kind of medical treatment to get someone back on track again. Counselling or therapy is something that will come later.

Hopefully you can get her to listen to you. If so, you need to go to a public hospital, in KL the University Hospital is excellent, as an emergency patient. They will assess her and make suggestions about treatment.

Do be careful.  Delusions are very frightening, and your friend is likely going to be scared. Be gentle talking her into going for assessment.

If she won't go, there's a problem because we can't just force adults to do things. If she isn't seeing she needs care, then her family might consult a lawyer to see what the proper procedure is.

Alternatively, and this would be my first move, I would go to your local police station.  Speak to whoever is in charge and ask what normally happens.

The reason I suggest the police is because I once had neighbours who had a son who was mentally ill. He went off his meds, and got into trouble.  The police came round to pick him up and take him to hospital, to the psychiatric unit.

The police were super nice, very gentle, and awfully good about the whole procedure. The university hospital was excellent too. They kept him in a few days, until the meds kicked in, and then released him.

Also, let me make a few discrete calls to find out what others recommend. (I made some phone calls here)

Good news!  Apparently University Malaya Hospital might be able to help too.  Your friend’s parents need to call the direct line, explain what's going on and take it from there.

Do let me know what happens, please. I hope she's safe and gets proper treatment.

Have a question?  During November 2016 I'm offering a free agony aunt service. (NOW CLOSED)
 
Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation. 
 

Tuesday, November 8, 2016

"Dear Ellen, I caught my son with his hands down his pants..."

Apple in wire Image by engin akyurt from Pixabay
Normal behaviour but upsetting

"I caught my son with his hands down his pants. He's 5 yo. How do I stop him? I feel so guilty that he's doing this."

Kids aren't my field but I'm going to answer this on the basis of developmental psychology.

First of all, what do you remember from when you're five? My bet is not very much.

When we are little, we're more about doing than thinking. Kids explore and do what they enjoy. It's why they clamour for ice-cream, back scratches or a million other things. Your little boy discovered that touching his willy is pleasurable, so he does so.

You say you feel guilty and at a guess, I'm thinking you're attributing all kinds of labels that apply to adults who have mental health problems like exhibitionism. The thing is, your little son is not an adult. He's five years old, innocent and he has no idea about our taboos and shibboleths.

Most little boys and girls do play with themselves, bouncing on bicycles, rubbing up against things. Typical ages for this run from 2 to 6 years old. Ask other mums and you'll hear plenty of stories. Normally it's just a phase and they grow out of it.

Note: in some cases, the phase turns into an obsession. It's unusual and it can be rooted in boredom as well as anxiety and depression. If this happens, you should have a chat with someone who specialises in child psychology. Again, it's not a sign of moral depravity but rather a comfort seeking response because of something else going on. So it's nothing to be ashamed about but you might seek some help.

From your note I have the impression your boy isn't obsessed. However, when this is part of normal development, it's a good opportunity to explain about privacy. "Sweetie, that part of you is private. Like you go to the bathroom for pee-pee, touching that part of you is not for everyone to see."

That will help him learn about limits in a safe and natural way, and it will help you talk him out of touching himself when you've a house full of visitors.

In the meantime, try not to stress or shout from frustration. Little kids aren't complex thinkers but they are ace at emotion. So he'll see you're upset and not really understand why. He'll also feel bad about himself and for a little one that's a heartbreaking experience.

Also, avoid well-meaning others butting in with frightening tales like, "Your hands will fall off!" Scare tactics are damaging and must be avoided. 

Now, about you. You say you feel guilty and that worries me.

Mums are under tremendous pressure. From what I see, you're supposed to sing while hypnobirthing, breastfeed for umpteen years, and then raise a clean-eating kid who gets straight As from pre-kindy onwards. And in your spare time you're to be a sexy, nurturing kitchen and bedroom goddess.

Please take a moment to stand back and recognise this is a load of bollocks. You're a loving mum and you're raising a boy while holding down a job. That's not easy. Take a break and realise what impossible standards are about. Be kind to yourself and enjoy watching your little boy grow up.

Have a question?  During November 2016 I'm offering a free agony aunt service. NOW CLOSED

Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation. 

 

Sunday, November 6, 2016

"Dear Ellen, if he wants kids and I don't, should we marry?"

Baby feet Photo courtesy of Frank Beckerde on Pixabay
Do we want kids?

Hi Ellen, Saw your post. Question: if he wants kids and I don't, should we marry?

Man, that's a good one! Since the development of reliable birth control in the 1950s, some people have opted out of having children. I’m very grateful we have such choices. However, when couples are on opposite sides of this question, it’s a problem.

Women are often told that we have a mothering instinct that will somehow kick in when we need it. This leads people to say, "Just get married and you'll change your mind." You're Malaysian, so my bet is that this will be very familiar!

However, from what I see, parents don't always love their kids. There are plenty of women who have them because of social pressures and who then discover that they don't actually like them. Men find themselves in exactly the same position!

Parents who are less than enthusiastic about their offspring often do the decent thing and do their best to give their kids a good start in life. They might build good relationships too as the kids grow older. But some mums and dads walk away, which is why our orphanages shelter kids who have one or two living parents. That is a disaster for the kids.

You're thinking ahead so kudos for that! The bottom line is that the question of kids is a deal breaker. If one partner wants them and the other not, you both risk lifelong regret. 

Should you go off and search for someone who more closely shares your needs? I'd say that depends.

You say you don't want kids, and I think you should explore what exactly you mean by this.

If you don't like babies or children, and the idea of spending years living with them is just horrendous, then you're probably not going to be a good mum or much fun to be around if you cave and have them. I’ve seen people in this situation, and it’s unhappy to say the least.  Some of these situations have ended with the mums leaving the relationship and the fathers becoming single dads.

But if you actually quite like babies and kids, and you don't want them because you’d rather have a career, then you can do a deal with your man. It means you carrying the child and having it, and then it will be you earning the salary and working long hours while he takes a career break and rushes around with dirty nappies, cooking dinner, organising school busses and so on. I know of several families who have done this, and it’s worked out happily.

I suggest you have several long talks with your man and see where you both stand. Think it through from all perspectives, perhaps starting off with these basic viewpoints:

1. What happens if you have kids and you maintain the common social roles where you’re the primary caregiver? How do you feel? What will life be like for you individually and together?

2. What happens if you don't have kids? How do you feel? What will life be like for you individually and together?

3. What if you have them but he is the primary caregiver? How do you feel? What will life be like for you individually and together?

Once you have your needs worked out, you can both make an informed decision.

Thanks for writing in and hope this helps.

Have a question?  During November 2016 I'm offering a free agony aunt service. Now closed

Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation. 

Friday, November 4, 2016

Free agony aunt service for November 2016

SOS Hand
This image courtesy of Gerd Altmann on pixabay
Over November 2016, I'd like to offer a free agony aunt service. You can email me, and I'll post your letter and my reply on this blog.  I'll give you a pseudonym so nobody will know who you are!

My strengths are stress, depression and relocation, but if you have an issue with a different focus, I will do my best to answer.

Have a wonderful weekend!

Ellen

Ready to be your best self and live your best life? Message me today via email ellen.whyte@gmail.com or WhatsApp: +44 7514 408143 for your free 15-minute consultation.

Tuesday, November 1, 2016

Feeling depressed? What You Should Do Before Seeing A Therapist...And A Tip On Avoiding Crooks


Blue lady
If you call me up, one of the first things I’ll ask you is if you’ve had a medical checkup recently.  If you haven’t, I’ll suggest you see your family doctor. Why?  Because depression can be a side effect of a medical issue.

Almost everyone I know is feeling stressed these days. The economy is bad, money is tight and most people are trying to fit a job, a family, and a personal life into too few hours.

It makes sense therefore to put down any feelings of depression to stress, anxiety and other problems.  

However, depression can have its roots in medical issues.  

Take a look at this list:

#1 Depression can be a side-effect of taking medicines used to treat acne, asthma, high blood pressure, HIV and other conditions. Even some birth control systems are linked to depression now. 

#2 Depression can be the result of pain, even low-level pain. Exactly how this works is unclear, but if you have had an accident, have back pain, arthritis or some other condition that hurts, be aware that it can have a mental health effect too.

#3 When your thyroid, a gland in your neck, isn’t working properly, you may feel tired and depressed. Other symptoms can include constipation, rough hair and skin, muscle pain, problems with your weight and feeling the cold. It’s easily diagnosed and treated by your doctor.

#4 Although the links are uncertain, there is some evidence that diabetes, heart disease, arthritis, kidney disease, HIV/AIDS, lupus, and multiple sclerosis (MS) may put you at greater risk of depression. 

#5 If you’re on a diet, or you have diarrhea, you may be missing nutrients and this can lead to depression. Chugging supplements may not be the best solution, either.

Supposing you do go and see your doctor and you discover a medical issue, does that mean you don’t need to see a therapist?  As usual, the answer is maybe.

Take the thyroid problem, which is quite common. For some people, taking the meds to fix their thyroid means their depression about their micromanaging boss, their hassles with Great Aunt Judy and their angst ridden teenage son suddenly become manageable.

They did have stresses in their lives, but they find the thyroid malfunction has been sapping their usual bounce and confidence.  Once that’s fixed, they’re good to go.

Others find that when the thyroid is fixed, they still need help to cope with the boss, the aunt and the teenager. So they need the meds and a therapist to help them make effective changes.

The bottom line is this: every person is different, every case is different so the idea is that you get as much information as you can so that you can make an informed decision and take the action that works out best for you.
 

Now, about avoiding those crooks.

Psychiatrists are medical doctors specialising in mental health, so they do medical tests.
 
Therapists, counsellors, and psychologists are not medical doctors, so we do not do medical tests. 
 
(Disclaimer: yes, some therapists have PhDs and are called doctor but they're not medical doctors. And some medical doctors do not become psychiatrists but become therapists instead - but it's super rare! As rare as albino crocodiles.)
 
A therapist, counsellor or psychologist will never do pee or other medical tests. If we think you need it, we suggest you go and see your regular doctor. There’s no need to be fancy - just go and see someone sensible, tell them you’re depressed and ask them to check if there’s maybe a medical cause.

Crooks will demand you do in-house pee tests (and some really cheeky beggars hire nurses to do blood tests!) and while they’re gleefully adding charges to your bill, they talk grandiosely about your results. Super nasty ones then sell you supplements too, promising amazing results.

In short, seeing your family doctor before you see a therapist is sensible and if you see a psychiatrist, you’re in safe hands too. But if a non-medical doctor wants to do medical tests, my advice is don’t walk - RUN! 

Still hesitating about your options? Click here to read about Self-help vs. Professional Help: Knowing When to Call In the Mental Health Expert 

And if you've come to a decision and you want a therapist, reach out and text me.