“C”ommunicating with Our Teenagers

We cannot NOT communicate. – Ray Birdwhistell 

Everything we do communicates something. It has been estimated that between 67-94% of our communication is nonverbal. What is non-verbal communication, you ask? It is everything except the words. It could be a grunt, a smile, a sigh, our smell, our jewelry, our clothes, whistling, the way we comb our hair, tattoos, the way we cook our food, piercings or the lack thereof, our posture, the nuances and history of a relationship, a stare at our son, a gaze at a pretty girl, the way we walk, our mode of transportation, hand gestures, or making googly eyes and funny sounds at a baby. We may say something, but our true intentions frequently will leak through our nonverbal behavior.  

The tone, the attitude behind the words when you ask your son to do something, communicates a whole lot more than the words that you verbally say. It is the attitude that he will respond to, not merely the words. Everything communicates. That is why the “C” in the title of this article is so large. Everything communicates something. We cannot NOT communicate. 

Even a dead person communicates. They communicate deadness.  

It is what is not being said that we pay attention to; this is why sarcasm is so dangerous. With sarcasm, there is a contradiction between the verbal and the nonverbal. Sarcasm is typically cutting. In fact, the word means, “to tear flesh.” For children, sarcasm can be very confusing.  

If you were to attend a communication seminar on learning “Effective Communication Skills,” you might come away with skills such as: having good eye contact, sitting on the edge of your chair, nodding and other non-verbal behavior to indicate you are listening. You might also learn about the importance of reflective listening. All these skills are important, however, do you suppose it would be possible to perform all these behaviors and not really listen in a caring way? And, if a person didn’t really care, do you think other people will be able to tell?  

Of course they can. 

“There is something deeper than behavior that others can sense – something that, when wrong, undercuts the effectiveness of even the most outwardly ‘correct’ behavior.” i  This thing that is deeper than behavior is something philosophers have been talking about for centuries. Carl Rogers called it “Way of Being.”ii  

Martin Buber explains that there are two fundamental ways of being, two ways of seeing another person. The first way is as a ”Thou,” a person with hopes and dreams and struggles similar to your own.  The other way of seeing a person is as an “It.” This is where one objectifies a person. “If I see them at all, I see them as less than I am – less relevant, less important, and less real.”iii This is then also about you and your perspective. There is always a good chance that a person does not see things the way they really are; that person may be missing something. We must be willing to honestly look at ourselves and see what part of the problem is our own. “Might I be provoking the other person without even knowing it?” 

When we talk to our teenagers, we sometimes ask them questions.  We must understand that they do not merely answer our questions; they are answering a relationship. Our conversations don’t happen in a vacuum. They happen in the context of a historical relationship.  They are answering a person, and with that person, comes an accumulation and history of their interactions. They answer according to the quality of their recent and remote relationship. 

For example, you might ask your daughter, “Would you take the dog for a walk?” She could respond in a variety of ways. She could ignore you. She could say, “of course.” She could tell you to eat rocks, or yell out while leaving, “maybe later.” On the other hand, if your daughter’s best friend (having a different relationship) said, “Let’s take the dog for a walk?” Your daughter may happily agree to take the dog for a walk. The relationship determines the interaction. 

In his book ”7 Habits of Highly Effective People,”iv Stephen Covey speaks of an emotional bank account we each have with our children. We must have enough positive interactions, thus building the relationship in our “emotional bank account,” before we can safely make a withdrawal (correction/discipline) without damaging the relationship. After all, we do not want to bankrupt the relationship.  When the emotional bank account is healthy, your child can take correction, knowing that it is coming from a place of love. 

The quality of the relationship determines our ability to be effective parents  

and our teenager’s willingness to allow us to influence them. 

 The moment a parent has a nasty verbal exchange with their teenager is not the time to try to immediately solve the problem. There are too many hot emotions for anyone to think clearly. If the relationship is generally good, waiting for a few hours, or perhaps a day to address the problem is wise. Time allows the parents and teenager space to see the situation clearly without the corrupting influence of these distorted and self-justifying thoughts and emotions.  

If the relationship has been rocky, time is needed for the relationship to heal. Part of healing process is deliberately working on developing trust again; another topic for another day. 

Originally published on http://utvalleywellness.com/

 

 

Medication Management and Mental Health

In my career in healthcare, I have seen far too many patients who have been prescribed medication and continue to take that medication faithfully; Yet after a time, they are not really sure why they are taking that specific medication or if it is even helping with the diagnosed issue.  

 What is missing for these patients? Medication management 

Medication management is the process of following up with the healthcare provider on a regular basis to assess the effectiveness of the prescribed medication therapy, discuss any side effects that may go along with the medication, and make adjustments in order to achieve proper dosing. In some cases, the follow-up may be to change the prescribed medication therapy, if it is not providing the desired outcomes. Medication management should be an ongoing process. It should include open dialogue between the patient and provider about the effects of the medication combined with any other therapies or treatments that may be in place. This is to ensure useful data is being collected, so decisions can be made based on the whole picture; not just the medication piece. 

When it comes to psychiatric and mental health services, the importance of quality medication management cannot be overemphasized. Not all people who seek psychiatric help will require medication. In some cases, amino acid therapy may be appropriate or continued therapy and counseling with regular psychiatric follow-up is warranted. If medication is prescribed, the patient should plan to see the psychiatric provider within 2 weeks (in most cases) for the first medication management visit.  Continued follow-up visits should be scheduled monthly, or as needed depending on the individual case. 

During these visits, the patient should plan on communicating openly with the psychiatric provider about their use of the medication, any side effects that they may be noticing, and any changes they are feeling in relation to their mental health diagnosis. At times, genetic testing can be used to pinpoint what medications are more likely to work for each individual patient. This testing can be used not only for patients who are just beginning psychiatric treatment but also for patients who have been prescribed medication therapies that aren’t working. The patient should also plan to consult with the psychiatric provider before taking any other medications. They should inform the provider of other mental health therapies being used or medical complications that may arise during treatment. The patient should expect the provider to ask questions that will direct and lead the conversation, so time is well spent and modifications can be made with confidence. 

Ultimately, the key to effective psychiatric medication management is open and continual communication between the patient and provider. At the Center for Couples and Families, our psychiatric providers strive to provide thorough psychiatric assessment, follow-up, and medication management. 

Originally published on http://utvalleywellness.com/

 

Cleaning Out your Marriage Closet: Couples Counseling

People are often worried about drudging up the past with their loved ones. There is controversy as to what is healthy for the relationship. People certainly don’t like to bring up an old fight when everything is going well. The issue is that we all have a closet of sorts where we hide everything that “isn’t worth the fight.” At first this closet is empty and the intention of putting things in there is good, you intend to talk about it later, it’s just not the right time.

The problem is that you enjoy the times you’re not fighting, who wouldn’t! You soon forget about what you’re storing in the closet, and you continue to throw everything “not worth the fight” into the closet. Your closet becomes full, and when you try to fit one more thing in there everything topples over. This is the fight of all fights, this is when you seemingly “loose it” out of nowhere about nothing and everything. This fight happens at a time when something was already “not worth the fight” and you were trying to put it in the closet. Therefore, you are probably not up for resolving everything in that closet either. It’s like if your junk closet toppled over just as company is coming over, you’re going to scoop everything up and stuff it back into the closet because you don’t have time to sort through it. This fight leaves everyone upset and confused and often nothing is resolved in this fight.

So how does one clean out this closet? Well its much like spring cleaning, you are going to take everything out and you begin to sort everything into categories. You evaluate if it is something that only happened once and will never happen again, if this is the case it truly isn’t worth the fight and can be thrown out. If it is something that continues to happen you need to address it, you will be bringing up the past not as a weapon against the other person, but as a justification for bringing it up as an issue. It is absolutely necessary that cleaning this closet is done at a time when your calm and you remain calm to be able to assess what the core of the problem is, what does their behavior tell you about your relationship with them. For instance, If someone is always late, how does their behavior effect you, why does it feel disrespectful to you and how does it create distance in your relationship, what is the message you receive about their feelings toward you. As opposed to judging their behavior as something you wouldn’t do and lecturing them about how it affects them.

When you clean out the closet you are transferring responsibility to the people it will be useful with. You will find that the cleaner your closet becomes the more clarity you will have in your relationships. Your intent in cleaning out the closet is not to change other people’s behavior, it is meant to change your relationships. You will find that some people will choose to become more distant because they are unwilling to make changes, but the relationships that become closer and the internal peace will be worth the distance in others.

Written by Madison Price, MS, LAMFT – therapist at Holladay Center for Couples and Families

Shared originally by the Holladay Center for Couples and Families

CCD Smiles: One in a million

I am the only one in my family with CCD (Cleidocranial Dysplasia), which was a random mutation. Having CCD influenced my studies and career choices. I have always been fascinated by the body, genetics, and helping others with physical or emotional health problems. I started my career as an emergency room registered nurse. I did my Master’s thesis on CCD and then went on to obtain a Doctorate in Nursing Practice (DNP) degree. I have been a nurse practitioner for the past 14 years, working in family medicine and mental health. My background in medicine helps me better understand CCD. I want to share my experience and medical understanding with others.  

I was born in Reedley, California in 1975. When I was born, it was obvious to my parents and doctors that something was wrong. My body, mostly my head, was shaped differently than a “normal” baby’s. At 3 months of age, I was diagnosed with Cleidocranial Dysplasia. 

I grew up knowing I was different. The most difficult part of CCD was all the oral and facial surgeries. My baby teeth never fell out on their own, my permanent teeth didn’t grow in on their own, and I had several extra teeth which had to be surgically removed. Everything in my mouth had to be done manually. I started having oral surgeries at age 7 and I spent most of my Christmas, Spring, and Summer breaks undergoing surgery. My last major surgery was when I was 19 years old. 

 CCD dental treatment was not easily navigated. My dentists, orthodontists, and oral surgeons had never treated anyone with CCD. Everything they tried was experimental. 

Medical insurance and dental insurance did not cover the cost of my surgeries. Medical insurance considered my teeth problems to be dental. Dental insurance considered the surgeries cosmetic. My parents were paying for my surgeries until I was in college. 

When I was growing up, I didn’t know anyone with CCD. In 2001, technology helped me to connect with other people with CCD for the first time. I heard about other people’s experiences as I conducted phone interviews for my Master’s thesis “CCD: The lived experience.” Eight years ago, I met Steffani and her daughter Hally, who have CCD, for the very first time. 

 CCD Smiles 

I felt inspired to create a nonprofit organization to help others with CCD. I started working on the foundation in 2013. In 2016, Gaten Matarazzo’s dad contacted me. Together, we made CCD Smiles an official IRS approved nonprofit organization in January 2017. Since it’s official beginnings, we have had gatherings and fundraisers across the country. I have met 38 other people with CCD, which has been a tremendous blessing in my life.  

 Gaten Matarazzo, from the series Stranger Things, is a huge part of bringing awareness to CCD. As his popularity in Hollywood has grown, so has familiarity with CCD and CCD Smiles.  

CCD Smiles is still in its infancy, but you can go to www.ccdsmiles.org to learn more about us and watch us grow! Currently, the website is a place for donations, purchasing CCD swag and education about CCD. In the future, the website will be a place where those with CCD can connect, share pictures, exchange stories, and find hope. I want others to know they are not alone. It will also provide current and accurate medical information, written in plain English. Doctors, dentists, orthodontists, and surgeons can come together and discuss treatment, research, and options for their patients. 

As CCD Smiles grows and donations are made, we can help cover the costs of oral/facial surgeries. If insurance isn’t going to help, then we can. I don’t want the medical/dental expense to keep parents from being able to provide beautiful smiles for their children. 

My ultimate dream is coming true. July 13-15, 2018 will be the first national CCD conference in Salt Lake City.  Watch the website for more information. If anyone is interested in donating time, money, or talents to this event, please email me at kellywosnik@ccdsmiles.org. 

CCD Smiles Mission Statement: We bring global awareness, provide assistance for dental care, and support research to improve outcomes and quality of life for individuals with cleidocranial dysplasia. 

CCD Smiles can be found in the media and on social media— Instagram, Facebook and Twitter (@ccd_smiles, #ccdsmiles) 

Originally published on Utah Valley Health and Wellness Magazine

Just Breathe! Reduce Anxiety With This Simple Exercise

 

It might seize you in the middle of the night, or perhaps at the beginning of a work meeting, or maybe while driving your kids to soccer practice. Wherever it happens, it can overwhelm you. Your mind won’t stop running. Your body is tense. Your heart is racing. You can’t breathe! You can’t relax and enjoy yourself. If you have ever felt a combination of these sensations, you have probably felt anxiety—a common experience among adults and adolescents. Whether you accept it or not, anxiety is part of a normal, healthy life. Diagnosable anxiety disorders, however, are different than normal, everyday anxieties. A hallmark characteristic of an anxiety disorder is excessive fear or anxiety about a real or perceived threat (DSM-V).

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), nearly 40 million people in the United States suffer from an anxiety disorder in a given year. That’s 18 percent of the population! Specific anxiety disorders include generalized anxiety disorder, selective mutism (failure to speak in social situations even when able to speak in other situations), specific phobias (fear of animals, objects, etc.), social anxiety disorder, panic disorder, or agoraphobia (fear of having a panic attack or other embarrassing symptoms in locations such as public transportation, standing in a line, etc.). Some anxiety disorders, such as phobias and generalized anxiety disorder, most often begin in childhood around 11 years old and can continue into adulthood if left untreated. These two disorders are the most common anxiety disorders in adulthood according to SAMHSA.

Because of their belief that things will not change, or that they just need to get over it, many suffering with an anxiety disorder do not seek treatment. The good news is that anxiety is treatable! Your biology has a lot to do with an anxiety disorder; therefore, a first step in reducing anxiety includes dealing with the body’s physical response to stress.

Diaphragmatic Breathing

Your body’s internal organ regulator, your autonomic nervous system (ANS), has two applicable parts of the solution. First is the sympathetic nervous system (SNS), which is in charge of your fight-or-flight responses. This part, for example, pumps up the mailman’s body so she can outrun that dog hiding in the bushes. Second is the parasympathetic nervous system (PNS), which aids in calming your body. This part helps her body deescalate after she has escaped that dog so she can return to delivering the mail as usual.

When you feel anxious, your SNS is engaged. To help calm your body in these moments, the key is to activate your PNS. The exercise outlined below (partially adopted from The Anxious Brain: The Neurobiological Basis of Anxiety Disorders and How to Effectively Treat Them) triggers this part of your ANS.

How to do it:

  1. Lie down, stand, or sit in a comfortable position. Make sure you are “grounded” by creating an open posture with both feet on the floor and your back against a chair or bed. If you are crying, in the fetal position, or hunched over, this technique is difficult to do.
  2. Breathe in deeply. Picture a water balloon being filled with water as you first fill up your abdomen with air and then your chest. Feel the warmth and the weight of the air as you breathe in.
  3. Breathe out with an elongated breath—longer than it took you to breathe in. Purse your lips as you breathe out. This will slow your breathing. Breathing out slowly will help activate the PNS, which helps calm your body—the whole purpose of this breathing technique.
  4. As you breathe in and out, focus on the physical sensations you experience. Focus on your feet touching the ground, your abdomen and lungs expanding and contracting, the feel of air rushing over your tongue and through your pursed lips. Notice how your head, arms and hands feel. Doing this will help you be present and in-the-moment.
  5. Practice! This is a skill that must be developed. Try doing it while you are at work, stopped at a traffic light, or at home. Do each cycle (breathing in and breathing out) ten times or more, as you learn to engage your PNS.
  6. If you feel dizzy, light headed or out of breath, do not continue this technique. If your breathing is restricted or obstructed there may be other issues to consider. Speak with a therapist or doctor about the appropriateness of this exercise for you. This technique is a good start to help reduce anxiety in the moment, but is most successful when done in conjunction with therapy.

Anxiety disorders affect millions. Those who suffer with anxiety often feel there is no solution. But basic biology tells us differently. Activating our PNS through breathing techniques really does work—give it a try next time you feel anxiety creeping in. You might be surprised at how effective these simple breathing techniques can be!

Originally published on Utah Valley Health and Wellness Magazine

Written by Dr. Triston Morgan

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Emotionally Focused Therapy for Couples: Healing and Creating Connections

All of us, from cradle to grave, are happiest when life is organized as a series of excursions, long or short, from the secure base provided by our attachment figures. – Dr. John Bowlby

Have we really cracked the code on love and romantic bonding? Perhaps. Scientists, poets, and lovers have long grappled with the question: “What makes romantic love work?” Through the work of Dr. Sue Johnson and the development of Emotionally Focused Therapy, it looks like we have an answer.

Through decades of research on the importance of emotional bonding and what it is like to feel disconnected, isolated, and alone, relationship researchers are starting to unravel the mystery of love and adult romantic bonding and how to mend loving ties. The truth is, we are all hard-wired to connect to one another. This drive to connect is infinitely stronger in family and romantic relationships. To be emotionally isolated is harsh on our brains. Loving connections offer us a safe haven to go to where we can maintain our emotional balance, deal with stress, and respond more lovingly to our romantic partners. Essentially, when those connections are secure and strong, love is safe; love flourishes.

Unfortunately, disconnections between couples do happen and frustration, sadness, and anger are all too common in marital relationships. When those secure and loving bonds are threatened, emotional “primal panic” and a cycle of negative interactions ensues. These wounds can be difficult to repair for couples when left to their own abilities, and therapy is often the last step before looking to end the relationship. Unfortunately, many well-meaning therapists utilize their individual-based, time-tested techniques and attempt to apply them to relational interactions, which usually has little effect in restoring their loving bonds. In addition, many therapeutic techniques focus on helping partners change behaviors or thoughts, or teaching them communication skills. The common result from these approaches and techniques is that they usually struggle to gain traction, and the couple leaves therapy with less hope than before.

But there is hope. Within the last 25 years, a substantial amount of research has emerged that gives hope to couples on the brink and helps them tune in to their underlying emotions, identify their negative patterns of interaction, repair their attachment, and eventually create new patterns of bonding and positive interactions. This model is Emotionally Focused Therapy.

Grounded in the theory of attachment, Emotionally Focused Therapy (EFT) is an experiential, short term, structured, and tested model of therapy designed to help couples identify their negative communication patterns, interrupt this pattern, and create more positive, bonding, and secure emotional patterns. EFT does not see individuals as “sick” or unskilled, but rather “stuck in habitual ways of dealing with emotions with others in key moments.” As the title reflects, priority is given to emotion as a key organizer of inner experiences. EFT looks within the emotional experience of the couples and how they navigate their emotional connectedness. Dr. Sue Johnson has said, “The EFT therapist has a map. A map to relationships and how they work. A map to how they go wrong. And map to what is needed to put them right.”

A substantial body of research has shown promising results of the effectiveness of EFT. Research studies find that 70-75 percent of couples move from distress to recovery and approximately 90% show significant improvements. EFT is being used with many different kinds of couples in private practice, university training centers and hospital clinics, and many different cultural groups throughout the world. These distressed couples include partners suffering from disorders such as depression, post-traumatic stress disorders and chronic illness.

In my work with couples, EFT has resonated with them on many levels. No longer are couples focused on fights and long-standing disagreements about specific content or trying to change the other person. When couples go through the process of EFT, perpetual problems are framed as negative disconnections that are about protests by each partner for a more loving connection and emotional safety. EFT takes the blame out of conflict and resentment and moves to fighting together against a common enemy—the negative pattern. As couples progress through the stages and steps of EFT and begin to accesses deeper emotions that underlie their struggle for connection, a new interaction emerges as individual partners see and experience each other differently. When partners experience each other as more accessible, responsive, and engaged, old wounds and negative patterns are healed, and love and emotional safety thrives.

Originally published by Utah Valley Health and Wellness Magazine

Written by Dr. Jeremy Boden

Welcome American Fork couples therapist Tiffany Winegar, MS, LAMFT

 

New to the American Fork Center for Couples and Families team, Tiffany Winegar is taking new clients! She specializes in couples therapy, family therapy, anxiety/depression, self-esteem/self-actualization, perfectionism and teen/adolescent girls. Tiffany received her Masters degree in Marriage and Family Therapy (MFT) from Brigham Young University, one of the top MFT programs in the world. Prior to, and during her masters program, Tiffany was mentored by world-renowned social relationships psychologist, Dr. Julianne-Holt Lunstand and worked as a member of her research team studying social relationships and health. In addition to her work with Dr. Holt-Lunstad, Tiffany has been involved in additional research in the field of health psychology including the study of stress and emotional regulation. She is passionate about applying the principles from her clinical training and research to improve the lives and relationships of her clients. Tiffany is a member of AAMFT (American Association of Marriage and Family Therapy) and NCFR (National Council on Family Relations). Tiffany grew up in Southern California and now resides in Draper, UT with her husband and two boys.

Roads to Ruin, Bridges to Recovery

 

Lisa started drinking when she was 16, just casually with her friends. After her parents’ messy divorce, she started to overdo it. Later, in college, things started to get out of hand, and soon she was on a downward spiral of excessive drinking. She knew it was destroying her life, but she couldn’t stop.

Mark first saw pornography when he was 13, but he didn’t make a pattern of looking for it until he was 16. Mark wasn’t close to his parents, and felt like a loner at school, and when he felt bored or stressed he found pornography made him feel a lot better. Years later, he was fired from his job for looking at pornography at work. Soon after, his wife started talking about separation.

Looking for a Fix

It can be hard to understand why people continue with an addictive behavior, even when it threatens to destroy their life. What we often don’t understand is that things like alcohol, drugs, gambling and pornography can sometimes feel like the only options people have to deal with the mess in their lives.

When our need feels desperate, the pressure to find a solution can be overpowering. Think of what it would be like to crawl through the desert for days, mouth as dry as sandpaper, only to come across a pitcher of cold water, with a sign that says “do not touch.” Would you be able to restrain yourself? This gives you some idea of what an addict feels when their brain is pushing them towards meeting a need, or in other words, getting a ‘fix’.

Our brain is wired to solve problems for us. It builds bridges between problems (hunger) and solutions (eating). If we are lucky, we have felt the incredible comfort that can come from someone who loves you and is there for you in your time of need, and so when we feel lonely or sad, it makes sense to turn to one of these people—our brain has built a bridge. But what if this isn’t an option in our mind? Maybe, like Lisa, our family doesn’t feel safe, or like Mark, we don’t have many friends. Where can we build a bridge to?

Fortunately, the brain is a great problem solver, and it will find a solution somewhere else. Unfortunately, under pressure, sometimes it will find a solution that leads down the path of an addictive behavior. Our brain will remember how great that thing felt, and how useful that could be right now. Each time we indulge the impulse, the bridge grows a little stronger, until after a while it feels like the only possible option, and becomes relatively automatic.

Building New Bridges

The good news is, this understanding can open up some big possibilities for recovery. Instead of focusing on just stopping the behavior (which is often frustrating and ineffective) we can instead focus on what the underlying problem is that the addiction is responding to. Then we can find an alternative solution that lines up better with the way we want to live, and gives us the comfort or support we really need. Often, this is best achieved by developing a supportive relationship, and learning to go there for comfort and support.

For example, Mark came to a full awareness of the impact of his addiction, and wanted to make changes. He was so used to hiding his issues and feelings and using pornography to deal with them, that it was hard to open up and be honest—with himself, his therapist, and his wife. But as he learned to go to his wife when he needed comfort and support, they both found that their marriage soon improved to a point where they felt closer than ever.

After crashing out at school, Lisa was referred by her school counselor to an AA meeting. There, she met with people who understood the pull of alcohol, who didn’t judge her, but instead supported her to overcome her addiction. She started to repair relationships with family and friends, and this, along with the support of her group and sponsor, gave her the motivation to get her life back on track.

Addiction affects everyone, everywhere. Often, the best thing we can do to overcome it is to develop caring and supportive relationships that address the underlying need, and help the addict know that they are loved and they are not alone. Recovery can be scary and difficult at first, but it becomes easier as you walk a new path of openness and connection to the people and things that are truly important to you.

Written by Sam Ryland, LCSW

Originally published on Utah Valley Health and Wellness

The Holidays: Remembering What Matters Most by Cecilie Ott, LMFTA, MS

Man Looking at Cooked Turkey, Blurred. — Image by © Royalty-Free/Corbis

The holidays can be a wonderful time of the year with the sparkle of lights, family gatherings, and good food. However they can also remind us of what we may be lacking, and leave us feeling less than completely happy. We want so much to give of ourselves and yet often get overwhelmed with the stress that tends to accompany this special time of the year. If we are dealing with a major change or loss it can become even more challenging to feel the joy amidst the sorrow. One thing I have learned over the years is that no one is immune from pain and stress. Life is hard. However, I have also found that those tough times are when I have been pushed to dig deep and recognize what it is that matters the very most to me.

Here are some lessons I have learned that have helped me over the years to remember that which matters most.

Choose to Be Present
When life becomes challenging we often focus on the future or on things outside our control. We may tell ourselves that we will be happy when we land a different job, make more money, find a new partner… the list goes on and on. We waste a lot of time waiting for happiness to happen down the road and fail to notice the little blessings right in front of us. Choosing to recognize the moments of goodness today enable us to be more ready to embrace the moments of greatness when they do enter our lives. If we only keep our sights focused on the destination, we will miss much of the journey.

Choosing to Love Deeply


When we are suffering, we sometimes forget that we are not alone. There is strength in connecting with others. There is power derived from leaning on each other and receiving/giving support. Part of loving is accepting what another is able to give. It is also accepting what we are capable of giving and knowing when enough is enough. We may not always be able to extend ourselves as much as we would like, but loving ourselves gives us permission to give what we can and let that be sufficient. Loving those in our lives means slowing down and listening. It may be taking the time to notice the little things before they are gone.

Choosing to Slow Down
I cannot count the times I have been rushing around, checking if the kids teeth were brushed and gathering my stuff for the day when I have miscalculated the countertop and watched a cup of juice fall to the floor, almost in slow motion. It is in those moments that I am rushing, that I tend to make my biggest mistakes. Sometimes it is just spilt juice, but sometimes it is a hurtful word or a lack of sensitivity. Being hurried zaps the joy out of the little moments that draw us closer to others and hinders us from being more centered on those things that mean the most. Sometimes I have to remind myself to breathe, sit with a child, laugh, and listen.

I hope that at this special time of the year, we will remember what matters most. May we each find ways to lengthen the fleeting joyful moments and nurture those around us by being present today and loving more deeply. These principles can be the greatest gift we can ever give, not just to others, but also to ourselves.

About the Author: Cecilie Ott is an Associate Marriage & Family Therapist. She received her bachelor’s degree from Brigham Young University in Psychology and her Masters degree in Marriage & Family Therapy from Utah State University. She has worked extensively in the area of addiction (substance abuse and sexual addiction), and loves working with couples to help strengthen and heal relationships. Cecilie is a native of Northern California and has called St. George home since 2006.