Understanding College Readiness: How to Assess and Empower Your Child

As a parent, one of the most important milestones you’ll face is helping your child transition from high school to college. College readiness encompasses more than just academic preparation; it involves emotional, social, and practical readiness. It's a multi-faceted process that requires not only assessing whether your child is academically prepared but also equipping them with the skills to thrive in the independence and challenges of college life.

What is College Readiness?

College readiness can be broken down into several key components:

• Academic Preparedness: This includes mastery of core subjects like mathematics, science, reading, and writing. Students should be able to manage more demanding coursework and be prepared for critical thinking and problem-solving in various contexts.

• Social and Emotional Readiness: College life comes with a great deal of autonomy. Emotional maturity and the ability to handle stress, conflict, and the pressures of living away from home are critical to a successful transition.

• Life Skills: Can your child manage their time, budget, and make decisions independently? Knowing how to take care of everyday responsibilities like doing laundry, cooking, managing finances, and maintaining a study schedule is key to success at college.

• Motivation and Responsibility: College is often less structured than high school. Students are responsible for their own learning, attending classes, and completing assignments on time. Motivation, self-discipline, and good decision-making skills are necessary.

How to Determine if Your Child is Ready for College

Determining whether your child is ready for college isn’t always easy. As a parent, you want to support them, but also ensure they are genuinely prepared for the challenges ahead. Here are some questions and indicators to help you assess their readiness:

1. Academic Performance: Has your child consistently performed well in school? If they have a strong GPA and a record of good grades in challenging courses, they are likely ready for the academic demands of college. If not, it may be time to have a conversation about additional support and strategies for improvement. Being able to handle advanced coursework, such as honors or AP classes, is a good sign of readiness.

2. Time Management Skills: One of the major differences between high school and college is the level of personal responsibility for managing time. Is your child able to keep up with homework, extracurricular activities, and personal responsibilities? Do they follow through on commitments? If they’re struggling to manage their time effectively, it’s essential to work with them on strategies to improve this skill.

3. Social Skills and Independence: Can your child interact well with peers and adults, and do they know how to resolve conflicts and communicate effectively? Do they show signs of independence, such as making decisions on their own, taking initiative, or handling minor problems without relying on you? Being able to navigate social interactions and manage their own well-being is key.

4. Emotional Maturity: College is a big transition that can bring about stress, homesickness, and unexpected challenges. Does your child know how to cope with stress, ask for help when needed, and bounce back from setbacks? Emotional resilience and the ability to stay focused in difficult times are important signs that they are ready for the transition to college life.

5. Realistic Expectations: Does your child have a realistic understanding of what college is like? Have you had open discussions about the responsibilities involved, the workload, and the challenges of living away from home? If your child has a clear, grounded understanding of what to expect and is not overly idealistic, they are likely more prepared for the realities of college.

Ways to Empower Your Child to Become Ready for College

Even if your child isn’t quite there yet, there are plenty of ways to empower them to become college-ready. Building skills and confidence in several key areas can ensure that they transition successfully into adulthood and their college years.

Foster Independence and Responsibility

Begin encouraging independence in small ways as early as possible. Allow your child to take on responsibilities at home, like managing their own schedule, doing their laundry, cooking meals, or budgeting. These tasks build life skills and give them a taste of what’s to come in college. You can also encourage them to start handling their own appointments or managing part-time work.

Support Healthy Time Management

Time management is a crucial skill in college, and it can be developed with practice. Help your child create a weekly schedule that includes time for homework, activities, self-care, and rest. As they get older, allow them to take ownership of their schedules. In college, there won’t be someone constantly reminding them of deadlines, so practicing now will help them in the future.

Promote Emotional Resilience

Part of emotional readiness is learning how to deal with stress, disappointment, and uncertainty. Encourage your child to develop healthy coping mechanisms, such as exercising, journaling, meditating, or seeking support from trusted friends or family members. In addition, remind them that setbacks are a natural part of life, and learning from these experiences helps them grow.

Encourage Self-Advocacy

In college, your child will need to take responsibility for their education. This means advocating for themselves with professors, seeking academic support when needed, and accessing resources on campus. Encourage your child to ask questions and seek help when needed. These skills will serve them well, not only in school but throughout their life.

Have Realistic Conversations

Set aside time to talk about college: what it’s like, what their goals are, and the challenges they may face. Help them to set realistic expectations and make plans to tackle any potential obstacles. Discuss topics like budgeting, managing workload, handling relationships, and staying healthy.

Provide Emotional Support

Even if your child seems emotionally mature, they may still face struggles when they leave home. Stay supportive and encouraging as they navigate their path. Let them know that it’s okay to seek help when they feel overwhelmed and that they have your full support.

College readiness is about more than just grades; it’s about preparing your child to handle the challenges and responsibilities of adulthood. While some students are ready right out of high school, others may need time to develop the skills necessary for success. 

By assessing your child's academic, social, emotional, and life skills, you can identify areas where they may need more development. Empower them by encouraging independence, emotional resilience, and time management, and by providing realistic conversations about the transition. By fostering these qualities, you’ll be helping your child not just get into college but thrive once they are there.

Are you or your teen in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

What is Self-Love? Understanding Its Importance and Practical Ways to Show Yourself Love

In a world where we’re often encouraged to put others first, it’s easy to forget one of the most important relationships we can nurture—the one with ourselves. Self-love is the foundation for good mental health, personal growth, and a fulfilling life. It’s not about being narcissistic or selfish, but rather about respecting, appreciating, and caring for yourself in a way that promotes overall well-being.

What is Self-Love?

Self-love is a term that’s often thrown around, but it’s important to understand what it truly means. At its core, self-love involves treating yourself with kindness, acceptance, and compassion, regardless of your flaws or mistakes. It’s about recognizing your intrinsic worth and honoring yourself for who you are, not just what you accomplish.

Self-love is not a one-time act but an ongoing practice that requires mindfulness, patience, and understanding. It’s about creating a healthy relationship with yourself, where you prioritize your own needs and well-being, while also embracing your strengths and weaknesses. This process allows you to cultivate self-worth, increase self-esteem, and develop a more positive outlook on life.

Why is Self-Love Important?

Self-love is integral to mental and emotional health. When you practice self-love, you set a foundation for healthy boundaries, deeper connections with others, and resilience in the face of challenges. In contrast, a lack of self-love can manifest as negative self-talk, anxiety, depression, and difficulty in maintaining healthy relationships.

When you love yourself, you’re more likely to:

1. Build self-esteem: Healthy self-love helps you recognize your worth, leading to improved self-esteem. The more you practice self-love, the more you develop an internal sense of confidence and self-respect.
   
   

2. Foster better relationships: When you love yourself, you're less likely to seek validation or approval from others. This can lead to healthier, more authentic relationships where you give and receive love without depending on external validation.
   
   

3. Enhance mental health: Self-love directly influences your mental well-being. By practicing self-compassion and kindness, you can combat negative thinking patterns and reduce feelings of anxiety and depression.
   
   

4. Encourage growth: Embracing self-love involves accepting yourself as you are, but it also means allowing room for growth and improvement. It motivates you to become the best version of yourself while honoring your personal journey.
   
   

Practical Ways to Show Yourself Love

Self-love is a practice that can be developed through small, intentional actions. Here are some practical ways to show yourself love:

Practice Self-Compassion

One of the most important ways to love yourself is through self-compassion. This means being kind to yourself, especially during times of failure, stress, or disappointment. Rather than being self-critical, treat yourself the way you would treat a close friend who is going through a tough time. Speak to yourself with encouragement and understanding, instead of harsh judgment. Practice saying things like, “It’s okay to make mistakes,” or “I’m doing the best I can.”

Set Healthy Boundaries

Learning to set boundaries is an act of self-love. Boundaries help protect your time, energy, and mental well-being. This means saying “no” when something doesn’t align with your values or when you need to prioritize your own needs. Setting healthy boundaries with friends, family, and coworkers can prevent burnout and enable you to focus on what truly matters to you.

Prioritize Self-Care

Self-care is an essential component of self-love. Whether it’s taking a warm bath, going for a walk, reading a book, or engaging in a hobby, self-care activities allow you to relax, recharge, and reconnect with yourself. Make time each day for activities that bring you joy, and peace, and nourish your mind, body, and spirit.

Speak Kindly to Yourself

Our inner dialogue plays a significant role in how we view ourselves. Practice positive self-talk by replacing negative thoughts with affirmations that promote self-worth. For example, instead of thinking, “I’m not good enough,” try saying, “I am worthy and deserving of love and happiness.” By shifting your language, you can reshape the way you see yourself and develop a more positive self-image.

Celebrate Your Achievements

It’s easy to focus on what you haven’t accomplished or what’s still left to do. However, self-love involves celebrating your wins—big or small. Take a moment to acknowledge your efforts, whether it’s completing a work project, sticking to a fitness routine, or simply taking a day to rest. Celebrating your progress helps reinforce a sense of accomplishment and boosts self-esteem.

Practice Mindfulness and Meditation

Mindfulness and meditation are powerful tools for fostering self-love. These practices help you stay present in the moment and detach from negative self-judgment. Meditation can help you cultivate a compassionate mindset and reduce stress and anxiety. Just a few minutes of mindfulness each day can promote a deeper sense of connection with yourself and enhance your mental well-being.

How Self-Love Positively Impacts Mental Health

When you practice self-love, you foster a sense of worth and acceptance that helps buffer against the negative effects of stress, anxiety, and depression.

1. Reduces Negative Self-Talk: Self-love challenges the inner critic and helps you replace self-doubt with self-affirmation. By speaking to yourself kindly, you reduce the impact of negative thought patterns that contribute to mental health struggles.
   
   

2. Builds Resilience: Self-love strengthens your emotional resilience. When you love and accept yourself, you’re more equipped to face life’s challenges with a positive mindset and the understanding that setbacks are part of the journey, not reflections of your worth.
   
   

3. Promotes Self-Acceptance: The more you love yourself, the more you accept your flaws and imperfections. This acceptance reduces feelings of inadequacy and shame, allowing you to embrace your true self without fear of judgment.
   
   

4. Improves Emotional Regulation: By practicing self-love, you become more attuned to your emotions and better equipped to handle them. This leads to greater emotional stability, which can alleviate anxiety and depression over time.

Self-love is a transformative practice that significantly impacts mental health, personal well-being, and the quality of our relationships. It’s not about being perfect or constantly indulging in yourself, but about cultivating a nurturing, kind, and supportive relationship with who you are. 

By practicing self-compassion, setting healthy boundaries, prioritizing self-care, and changing your inner dialogue, you can foster a deep sense of self-love. This practice, in turn, will positively influence your mental health, increase your resilience, and help you live a more fulfilling life.

Are you in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

The Rising Epidemic of Teen Vaping: What Parents Need to Know and How to Address It

Vaping has become a widespread and concerning issue in the lives of teenagers, sparking debates and raising alarms about the health risks that are often overlooked. Once viewed as a less harmful alternative to smoking, vaping is now recognized as a gateway to nicotine addiction and poses a unique set of health threats. As parents, educators, and caregivers, it is crucial to understand the scope of this issue, the risks involved, and the steps that can be taken to help prevent vaping among teens.

The Alarming Stats: How Many Teens Vape?

Vaping among teens has escalated in recent years. According to the Centers for Disease Control and Prevention (CDC), in 2023, more than 1 in 5 high school students reported using e-cigarettes. This statistic underscores the staggering prevalence of vaping among teenagers, reflecting an alarming trend that shows no signs of slowing down. While vaping initially gained popularity as a “safer” alternative to smoking, studies have revealed that its widespread use among teens is linked to various health risks, including nicotine addiction and long-term lung damage.

In 2022, a report from the National Youth Tobacco Survey found that nearly 14% of middle school students and 34% of high school students had tried vaping at least once. Despite regulatory efforts, such as the prohibition of flavored e-cigarettes by the FDA, vaping continues to be accessible, particularly among teenagers, who may be drawn to the colorful designs and sweet flavors that often accompany vaping products.

Why Are Teens Vaping?

Teens are particularly vulnerable to vaping for a variety of reasons, including peer pressure, curiosity, and a desire to fit in. The market for e-cigarettes has been aggressively marketed, often targeting younger audiences with sweet and fruity flavors like mango, watermelon, and cotton candy. These products are frequently sold in convenient, discreet forms, such as disposable pods, which are easy to conceal. The appeal of vaping is further amplified by its association with a sense of independence, rebellion, and being "cool," which many teens find irresistible.

Many teens may not fully understand the risks associated with vaping or may believe it’s harmless because it doesn’t involve smoking traditional cigarettes. The notion that vaping is simply a "social activity" or a "fun hobby" is common among adolescents. However, this false sense of security is dangerous, as vaping carries significant risks, especially when used regularly.

The Health Risks and Harms of Vaping

The health consequences of vaping are still being studied, but numerous findings indicate that the risks are substantial. While e-cigarettes do not contain the tar and many of the harmful chemicals found in traditional cigarettes, they are far from harmless. Here are some of the most concerning health risks linked to vaping:

1. Nicotine Addiction: Many e-cigarettes contain high levels of nicotine, which is addictive and can have severe effects on the developing brain of a teenager. Nicotine exposure can impair brain development, affecting areas responsible for attention, learning, mood regulation, and impulse control. Studies have shown that teens who vape are at a higher risk of developing a long-term addiction to nicotine, which may extend into adulthood.
   
   

2. Respiratory Issues: Vaping can cause respiratory problems such as coughing, wheezing, and shortness of breath. It has also been linked to an increased risk of lung injuries, with some teens developing serious conditions like "vaping-associated lung injury" (VALI). This severe condition has led to hospitalizations and, in some cases, even death. The chemicals used in vaping liquids can damage the airways and the delicate tissues of the lungs.
   
   

3. Cardiovascular Health: Although e-cigarettes are often marketed as a safer alternative to smoking, they still pose risks to heart health. Nicotine raises blood pressure and increases heart rate, which can contribute to long-term cardiovascular problems. Studies indicate that even short-term exposure to nicotine from vaping can increase the risk of developing heart disease.
   
   

4. Mental Health Risks: The addictive nature of nicotine can also have significant implications for mental health. Nicotine use has been associated with increased anxiety, stress, and mood swings. Teens who vape may experience higher rates of depression and anxiety, especially when they are unable to access nicotine or are trying to quit. The combination of nicotine addiction and mental health issues can make it especially difficult for teens to break the cycle of vaping.
   
   

5. Poisoning Risk: Another concern is the risk of accidental poisoning. The liquid used in e-cigarettes contains concentrated nicotine, which can be toxic if ingested or absorbed through the skin. There have been reports of young children and even teens suffering from nicotine poisoning, which can cause nausea, vomiting, dizziness, and in severe cases, seizures or death.
   
   

What Can Parents Do to Address Teen Vaping?

As parents, it’s important to be proactive and informed when it comes to addressing the issue of teen vaping. By educating yourself and maintaining an open line of communication with your teen, you can help reduce the likelihood of them experimenting with or becoming addicted to vaping. Here are some steps parents can take to address this growing concern:

1. Educate Yourself and Your Teen: Understanding the risks of vaping is the first step. Familiarize yourself with the signs of vaping, such as the smell of fruity or sweet scents, the presence of e-cigarette devices, or coughing and breathing issues. Once you are equipped with the facts, have a conversation with your teen about the dangers of vaping. Explain how nicotine addiction works, how vaping affects their body, and the long-term risks involved.
   
   

2. Set Clear Expectations and Consequences: Establishing clear rules and expectations is key to helping your teen avoid vaping. Let them know that vaping is not acceptable and that there will be consequences if they are caught using e-cigarettes. While setting firm boundaries is important, it’s equally crucial to make sure your teen feels comfortable talking to you if they ever find themselves in a difficult situation.
   
   

3. Create a Supportive Environment: Peer pressure is a significant factor in teen vaping. To help your teen resist the temptation, encourage them to build self-confidence and assertiveness skills. Help them develop strong friendships with peers who have similar values and who are less likely to engage in vaping. Additionally, provide outlets for your teen to engage in healthy, stress-relieving activities, such as sports, music, or creative hobbies.
   
   

4. Lead by Example: Teens are more likely to follow their parents' behaviors than they are to follow their advice. If you’re a smoker or vaper yourself, it’s important to consider quitting or seeking help to stop. By demonstrating healthy habits, you can reinforce the message that vaping is not a healthy choice.
   
   

5. Engage with Schools and Communities: Many schools offer programs designed to educate students about the dangers of vaping. Get involved with these initiatives and support community efforts to raise awareness. Collaborative efforts between parents, schools, and local organizations can help to prevent vaping from becoming the norm among teens.
   
   

Vaping among teens is a serious issue that requires urgent attention. With the rise in e-cigarette use and the associated health risks, it’s vital that parents remain vigilant and proactive in educating their teens. By encouraging open communication, setting clear expectations, and supporting efforts to reduce teen vaping, we can help protect the health and well-being of the next generation. While it may be challenging, taking these steps can make a significant difference in addressing this dangerous epidemic.

Are you or your teen in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Social Media and Internet Addiction: A Growing Concern

In today’s digital age, the internet and social media platforms have become an integral part of our daily lives. From connecting with friends and family to staying updated on global events and professional developments, the Internet offers unparalleled convenience and entertainment. However, for many individuals, this seemingly harmless use of technology can quickly spiral into an addiction. 

Social media and internet addiction, often referred to as “tech addiction,” is becoming an increasingly prevalent issue, especially among young people. In this blog post, we will explore the signs and symptoms of social media and internet addiction, its impact on mental health and well-being, and practical ways to manage and overcome it.

What is Social Media and Internet Addiction?

Social media and internet addiction refer to excessive, compulsive use of digital platforms to the extent that it interferes with one’s daily life, responsibilities, and relationships. It involves a constant urge to check notifications, update profiles, scroll through feeds, and consume content, even when it is having a negative impact on work, school, or personal relationships. Much like other forms of addiction, it often leads to feelings of distress, isolation, and a loss of control.

Social media addiction specifically revolves around the compulsive use of social networking sites such as Facebook, Instagram, Twitter, Snapchat, and TikTok, while internet addiction can refer to excessive use of the broader internet, including browsing, gaming, or watching videos on platforms like YouTube or streaming services.

Signs and Symptoms of Social Media and Internet Addiction

Recognizing the signs of addiction is the first step toward addressing the problem. While social media and internet use are ubiquitous, certain behaviors and patterns suggest the presence of an addiction:

• Preoccupation: You find yourself constantly thinking about social media or the internet, even when you're not using it. This could include planning your next post, wondering what your followers or friends are doing, or anticipating the next time you can check your accounts.

• Excessive Time Spent Online: Spending an inordinate amount of time on social media or browsing the internet, often at the expense of other important activities such as work, school, or personal relationships.

• Neglecting Responsibilities: Social media and internet use starts to interfere with your daily obligations. You might delay or ignore tasks, leading to poor performance at work or school, or neglecting social and familial responsibilities.

• Loss of Interest in Offline Activities: Activities that used to be enjoyable, such as spending time with family, pursuing hobbies, or exercising, become less interesting or enjoyable compared to online engagement.

• Distorted Sense of Time: Losing track of time while online is common in cases of addiction. Hours might pass without you even realizing it, leading to late nights and disrupted routines.

• Escalating Use: Needing to spend more and more time online to achieve the same level of satisfaction or engagement. This is a classic sign of tolerance, which is often seen in substance addictions.

• Negative Emotional Impact: Feeling anxious, depressed, or irritated when you are unable to access social media or the internet. Conversely, excessive time online might bring feelings of loneliness, envy, or low self-esteem, particularly when comparing yourself to others.

• Failed Attempts to Cut Back: Despite knowing that social media or internet use is becoming problematic, you repeatedly try to cut back but fail to do so.

• Physical Symptoms: Increased screen time can lead to physical symptoms such as eye strain, headaches, poor posture, sleep disturbances, or even weight gain due to inactivity.

The Impact of Social Media and Internet Addiction

While technology offers numerous benefits, excessive or addictive use can have significant consequences on both mental and physical health. Some of the key impacts of social media and internet addiction include:

Mental Health Issues 

Prolonged social media use has been linked to various mental health problems, including anxiety, depression, and stress. The constant exposure to idealized images of other people’s lives can foster feelings of inadequacy or envy. Cyberbullying and online harassment can also contribute to feelings of depression or low self-esteem.

Sleep Disruption 

Excessive screen time, especially before bed, disrupts the body’s natural circadian rhythm, making it harder to fall asleep or achieve restorative sleep. The blue light emitted by screens can suppress the production of melatonin, the hormone responsible for regulating sleep.

Relationship Strain 

Social media addiction can strain relationships, as people may spend more time engaging online than in face-to-face interactions with loved ones. Arguments over screen time, lack of attention, and feelings of neglect can damage personal relationships, including romantic relationships, friendships, and family bonds.

Reduced Productivity 

Excessive internet use can lead to procrastination and decreased productivity. Whether it’s checking social media or watching endless YouTube videos, constant digital distractions can prevent individuals from focusing on important tasks.

Physical Health Problems 

The sedentary nature of internet use, especially when combined with long hours of screen time, can contribute to physical health problems such as obesity, poor posture, and eye strain. In some cases, internet addiction has even been associated with repetitive strain injuries like carpal tunnel syndrome.

Isolation 

Despite being more "connected" than ever through online networks, excessive internet and social media use can lead to feelings of loneliness and isolation. People may substitute online interactions for real-life relationships, which can lead to a sense of disconnection from the physical world.

How to Manage and Overcome Social Media and Internet Addiction

While breaking free from social media and internet addiction may seem daunting, it is possible with the right strategies and support. Here are some effective ways to manage and reduce digital dependency:

1. Set Time Limits: One of the easiest ways to cut back on screen time is by setting strict time limits for your social media or internet use. Many apps, such as Instagram and Facebook, offer built-in time management tools to help you monitor and limit your screen time. You can also use third-party apps like Freedom or Screen Time to block or limit access to certain websites.

2. Practice Digital Detox: Designate certain times of the day, such as during meals or before bedtime, as "screen-free" periods. Use this time to reconnect with yourself and others without the distraction of technology.

3. Engage in Offline Activities: Rediscover hobbies and activities that don’t involve screens, such as reading, exercising, cooking, or spending time with loved ones. Engaging in offline activities can help you break the cycle of dependence on social media and the internet.

4. Be Mindful of Social Media Use: If you’re finding it difficult to disconnect, try being more mindful of how and why you use social media. Ask yourself whether you’re using it to connect with others in meaningful ways or simply to pass the time. Recognizing your motivations can help you reduce unnecessary scrolling or browsing.

5. Seek Support: If you find it challenging to control your internet or social media use on your own, consider seeking professional help. A therapist or counselor can help you understand the underlying causes of your addiction and work with you to develop healthier habits. Cognitive Behavioral Therapy (CBT) has been shown to be effective in treating internet addiction.

6. Turn Off Notifications: Constant notifications are designed to keep you engaged with your devices. By turning off notifications or limiting them to essential alerts, you can reduce the urge to check your phone constantly.

7. Practice Self-Compassion: Overcoming addiction takes time and effort. Be kind to yourself and recognize that progress may be slow. Celebrate small victories and focus on building healthy digital habits gradually.

Social media and internet addiction is a growing concern in the digital era, affecting individuals of all ages and backgrounds. While the internet offers countless benefits, excessive or compulsive use can have serious consequences for mental health, relationships, and overall well-being. Recognizing the signs of addiction and implementing strategies to reduce screen time can help individuals regain control over their digital lives. By setting boundaries, engaging in offline activities, and seeking support when needed, it is possible to strike a healthy balance between the online and offline worlds. The key is to be mindful of our relationship with technology and make intentional choices that prioritize our mental and physical health.

Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Understanding OCD: Signs, Symptoms, and Effective Treatment Options

Obsessive-Compulsive Disorder (OCD) is a mental health condition that can profoundly impact a person’s life. It is characterized by intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that the individual feels driven to perform. OCD is more than just a personality quirk or a habit; it is a serious, often chronic disorder that can interfere with daily functioning. However, with the right understanding, diagnosis, and treatment, those affected by OCD can lead fulfilling lives.

What is OCD?

OCD is a condition that causes a person to have unwanted, distressing thoughts (obsessions) and urges to engage in repetitive behaviors or mental rituals (compulsions). These compulsions are often performed in an attempt to alleviate the anxiety caused by the obsessions or to prevent a feared event or situation from occurring.

The obsessions and compulsions associated with OCD can vary widely between individuals, but they typically follow a pattern that can make everyday activities, work, and social interactions difficult.

Signs and Symptoms of OCD

OCD symptoms are classified into two main categories: obsessions and compulsions.

Obsessions are persistent, intrusive thoughts, urges, or images that cause significant distress or anxiety. Common themes for these obsessions include:

• Contamination: Fear of dirt, germs, or illness, leading to a need for excessive cleaning.

• Harm: Fears of causing harm to oneself or others, even though there is no intent or likelihood of harm.

• Symmetry and order: A need for things to be in a specific order or symmetrical, often accompanied by a strong sense of discomfort if they are not.

• Forbidden thoughts: Intrusive thoughts about taboo subjects (e.g., violence), which are usually out of line with the person’s true beliefs or values.

• Fear of making mistakes: Worries that errors could lead to catastrophic consequences.

Compulsions are repetitive behaviors or mental acts that an individual feels compelled to perform to reduce the anxiety caused by obsessions or prevent a feared event from happening. While these compulsions may provide short-term relief, they usually reinforce the cycle of OCD in the long term. Examples of compulsions include:

• Washing and cleaning: Repeated hand-washing, showering, or cleaning of objects and surfaces to prevent contamination.

• Checking: Repeatedly checking locks, appliances, or safety measures to prevent harm or disaster.

• Counting: Counting items, steps, or actions in a specific pattern to ensure things are “just right” or to prevent harm.

• Arranging or ordering: Organizing items in a particular order, often driven by a need for symmetry or precision.

• Mental compulsions: Performing mental rituals, such as praying, repeating phrases, or mentally undoing certain thoughts, to neutralize anxiety.

The Impact of OCD on Daily Life

While many people have occasional, fleeting thoughts or behaviors that could be categorized as obsessive or compulsive, OCD becomes problematic when these thoughts and actions take up a significant portion of a person’s time and cause notable distress. OCD can interfere with work, school, relationships, and overall quality of life.

The time spent on compulsive behaviors is often disproportionate to the actual threat posed by the obsession, but individuals with OCD feel an overwhelming need to perform these rituals in order to alleviate their anxiety. This creates a vicious cycle that is difficult to break without proper treatment.

For example, someone with contamination obsessions may wash their hands repeatedly throughout the day, causing not only physical damage to their skin but also taking up hours of time. Similarly, someone who fears making a mistake might check and recheck their work multiple times, which can severely impact productivity and cause frustration.

Causes of OCD

The exact cause of OCD is not fully understood, but research suggests a combination of genetic, biological, and environmental factors may contribute to its development.

Genetics 

Studies have shown that OCD tends to run in families, suggesting a hereditary component. People with a first-degree relative (parent, sibling) with OCD are more likely to develop the disorder themselves.

Brain structure and chemistry

Research has indicated that OCD may be related to irregularities in certain brain areas, particularly the basal ganglia and the frontal cortex. Imbalances in neurotransmitters, such as serotonin, may also play a role.

Environmental stressors 

Stressful life events, trauma, or significant changes in life can trigger or worsen OCD symptoms. Childhood abuse, for instance, has been linked to the onset of OCD in some cases.

Treatment Options for OCD

While OCD can be a chronic condition, treatment can help manage symptoms and improve quality of life. The two most common and evidence-based approaches for treating OCD are Cognitive Behavioral Therapy (CBT) and medication.

Cognitive Behavioral Therapy (CBT)

CBT, particularly a specific type called Exposure and Response Prevention (ERP), is considered the gold standard for treating OCD. ERP involves gradually exposing individuals to situations or thoughts that trigger their obsessions while simultaneously preventing the associated compulsion. The goal is to reduce the anxiety caused by the obsession without performing the compulsion, which helps break the cycle of OCD.

For example, a person with contamination fears might be exposed to a dirty surface and be encouraged not to wash their hands afterward. Over time, this can help reduce the compulsion to wash and allow the person to experience that the feared consequences do not occur, leading to a decrease in anxiety.

ERP is often conducted in a gradual and controlled manner to ensure that the person feels supported throughout the process. Many people find that this approach helps them manage their symptoms, though it can be difficult and uncomfortable at first.

Medication

Several types of medication can help manage OCD symptoms, particularly when CBT alone is not sufficient. The most common medications prescribed for OCD are Selective Serotonin Reuptake Inhibitors (SSRIs), which are a class of antidepressants. SSRIs work by increasing serotonin levels in the brain, which may help regulate mood and reduce the frequency and intensity of obsessive thoughts.

In some cases, other medications, such as antipsychotic drugs or antidepressants, may be used in combination with SSRIs to enhance treatment effects.

Other Therapies and Interventions

In addition to CBT and medication, other approaches may help alleviate OCD symptoms:

• Mindfulness and relaxation techniques: Practices such as meditation, yoga, or deep breathing exercises can help reduce overall stress and anxiety, making it easier for individuals with OCD to manage their thoughts and behaviors.

• Support groups: Connecting with others who have OCD can provide emotional support and practical strategies for coping with the disorder.

• Lifestyle modifications: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and sufficient sleep, can help reduce stress and improve overall mental well-being.

OCD is a challenging disorder that can severely impact daily life, but with the right treatment, individuals can experience significant relief. If you or someone you know is struggling with OCD, it’s important to seek professional help. With early intervention and a comprehensive treatment plan, people with OCD can manage their symptoms and live productive, fulfilling lives.

If you suspect you have OCD, recovery is possible, and help is available. Reach out to Lift today and speak with a trusted expert who can help guide you and your loved one on the path of healing. 

Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

GLP-1RA Medications: How do they impact eating disorders?

In recent years, GLP-1 receptor agonists (GLP-1RAs) like semaglutide and liraglutide have become widely prescribed medications, primarily for the treatment of type 2 diabetes and, more commonly, used for weight loss. While GLP-1RAs are touted as a “miracle” solution to body image issues, are they really the answer?

While we explore the impacts GLP-1RA medications have on society as a whole and on the body, we want to be clear that if you are currently taking these medications, there is no shame. It is important to be aware of the ways these medications impact those with eating disorders, disordered eating, and the general population as a whole. 

If you are currently taking GLP-1RAs, are considering it, have in the past, or simply want to gain a perspective on their impact, this blog post is for you.

What are GLP-1 Receptor Agonists?

GLP-1 receptor agonists are a class of medications designed to mimic the effects of the GLP-1 hormone, which is naturally produced in the intestines. This hormone plays a key role in regulating blood sugar by stimulating insulin production in response to food. It also promotes satiety (feeling full) and slows gastric emptying, making it a tool for controlling hunger and managing blood glucose levels.

For patients with type 2 diabetes, GLP-1RAs can help regulate insulin levels and improve glycemic control. In the last few years, however, these medications have also been prescribed off-label or marketed specifically for weight loss, with drugs like semaglutide (branded as Ozempic and Wegovy) receiving high-profile attention. 

This has sparked a boom in their use among people without diabetes who are simply seeking to lose weight. The problem is, that this use of GLP-1RAs is often misunderstood.

Diet Culture and the Glorification of Weight Loss

At the heart of the use of GLP-1RAs is the pervasive influence of diet culture. Diet culture promotes a harmful preoccupation with weight loss, thinness, and body shape, often at the expense of health, well-being, and self-esteem. The idea that thinner is inherently better is deeply ingrained in modern society, leading people to pursue drastic measures in order to achieve an idealized, often unattainable body. In this context, medications like GLP-1RAs are increasingly being used as “shortcuts” to weight loss. But do they really provide long-term solutions?

While the pharmaceutical industry and media outlets may present GLP-1RAs as a groundbreaking “solution”, they are ultimately part of a larger societal framework that demonizes larger bodies and positions thinness as synonymous with health. 

This obsession with weight loss leads many to take extreme steps—whether through restrictive diets, excessive exercise, or medications like GLP-1RAs—in an attempt to conform to an ever-changing standard of beauty. In many cases, these drugs are marketed not as medical necessities but as a “quick fix” for anyone dissatisfied with their body size, regardless of whether they have an actual medical need for them.

The truth is, GLP-1RAs do not guarantee a better body image. Body image work is mental work and a smaller body does not equate to a body you automatically love. 

The widespread availability and promotion of GLP-1RAs as a weight-loss solution feeds into diet culture’s dangerous narrative that our worth is tied to our weight. For people struggling with body image issues, this can be incredibly harmful, pushing them further into the cycle of restriction, shame, and self-loathing that diet culture so often perpetuates.

Impact on People with Eating Disorders

The impact of GLP-1RAs on individuals with eating disorders is particularly concerning. Eating disorders, such as anorexia nervosa, bulimia nervosa, and binge eating disorder, often involve complex relationships with food, body image, and self-esteem. These disorders are marked by a pattern of behaviors, such as restriction, bingeing, and purging, as well as extreme preoccupation with weight and shape. The use of GLP-1RAs can exacerbate these issues in a number of ways.

First, by suppressing appetite and inducing feelings of fullness, GLP-1RAs can reinforce disordered eating patterns. Individuals with eating disorders or disordered eating may be more likely to misuse these drugs to suppress hunger and maintain extreme levels of caloric restriction, which can be life-threatening. 

Medications that make food intake less desirable can fuel unhealthy behaviors like extreme dieting or starvation, compounding the physical and emotional toll of the disorder. When taking these medications, you become more and more disconnected from your body’s natural hunger and fullness cues. 

Second, the normalization of GLP-1RA use as a “solution” to weight loss can further entrench the stigma surrounding eating disorders. People with eating disorders often feel misunderstood and ashamed of their behaviors, and the promotion of GLP-1RAs as a socially acceptable weight loss tool only reinforces the belief that weight loss is a moral and societal obligation. 

It subtly shifts the conversation away from the real, often deeply painful psychological issues that underlie eating disorders. The claim that these medications are a “solution” to “obesity” (a term that is stigmatizing on its own) is a harmful message.

Harmful Physical Impacts on the Body

The physical effects of GLP-1RAs, especially when misused, can be harmful to the body. While these drugs are generally considered safe for short-term use under medical supervision, their misuse for weight loss can lead to several serious side effects. These include nausea, vomiting, diarrhea, constipation, and abdominal pain—symptoms that may encourage people to eat even less, further exacerbating issues of malnutrition or dehydration.

More concerning, however, are the long-term effects of GLP-1RA use on metabolism, the digestive system, and overall health. Since GLP-1RAs slow gastric emptying and reduce appetite, they can cause metabolic disruptions. For individuals already at risk for nutrient deficiencies, these disruptions can result in severe consequences. Prolonged misuse of GLP-1RAs may lead to muscle loss, weakened immune function, and an increased risk of gastrointestinal disorders.

Additionally, there are potential risks for cardiovascular health. While GLP-1RAs have been shown to have some protective effects on the heart for those with type 2 diabetes, the long-term use of these drugs in healthy individuals for weight loss could have unintended consequences. Weight loss that occurs too quickly or unnaturally can stress the cardiovascular system, increase the risk of gallstones, and disrupt the body’s hormonal balance.

A Dangerous Trend: Encouraging More Harm Than Help

The current trend of using GLP-1RAs as a quick-fix weight-loss tool is an alarming example of how diet culture continues to harm individuals and distort the understanding of health. The rise of these medications has led to an increase in medical professionals prescribing them for off-label use in healthy individuals, often without adequate screening or long-term guidance.

These drugs do not address the underlying psychological and social issues that contribute to body dissatisfaction. They merely mask the symptoms by suppressing hunger and promoting intentional weight loss, all while reinforcing harmful societal standards of thinness. For individuals with eating disorders, this trend is particularly damaging, as it exacerbates disordered behaviors and undermines recovery.

If you are currently taking a GLP-1RA or are considering ways to get to the root of disordered eating, eating disorder, or body image, you are not alone and there is support available to you.

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Navigating the Holidays While in Mental Health Recovery

The holiday season, with its flurry of social gatherings, family events, and food-centered traditions, can be both a time of joy and a source of stress—particularly for those in eating disorder and mental health recovery. For many, the holidays bring heightened pressure around food, body image, and emotional triggers. But with the right strategies and a compassionate mindset, it is possible to navigate this time with grace, balance, and self-care. 

Here’s how to approach the holidays while staying grounded in your recovery journey.

1. Acknowledge the Challenge

It’s crucial to start by acknowledging that the holidays can be difficult, especially for those recovering from eating disorders or managing mental health conditions. There may be feelings of anxiety, shame, or fear around food, body image, and social interactions. These challenges are real, and it’s okay to recognize them. By naming the difficulty, you can take proactive steps to address it, rather than denying it or expecting yourself to be “perfect” during the season.

2. Prepare Mentally and Emotionally

One of the most important tools for managing holiday stress is preparing yourself mentally and emotionally ahead of time. Reflect on the triggers that have affected you in past holidays—whether it’s family dynamics, comments about food or weight, or the sheer volume of festive events—and develop a plan to handle these situations. 

If you anticipate that certain conversations or events might be difficult, consider setting boundaries in advance or prepare yourself to set a boundary in the moment. 

It may also help to practice mindfulness or relaxation techniques, such as deep breathing, meditation, or journaling, to manage anxiety. This can help you stay in the present moment rather than getting lost in worrying thoughts about food, body image, or other stressors.

3. Set Realistic Expectations

The holidays are often depicted as a time of perfection: the perfect meal, the perfect family photo, the perfect gift. It’s important to remind yourself that these ideals are often unattainable and that recovery is about progress, not perfection. Give yourself permission to set realistic expectations for the season, understanding that there may be tough moments, but that doesn’t define your progress.

Recovery isn’t linear, and some days will be easier than others. Be kind to yourself when you experience setbacks, and recognize that healing is a journey. You can still enjoy the holiday season while being compassionate with yourself. Let go of the idea that you need to be “holiday perfect” and focus on being present.

4. Practice Self-Care and Boundaries

Self-care is particularly important during the holidays. Whether that means ensuring you have quiet time for yourself, staying hydrated, getting enough sleep, or engaging in physical activity that feels good (and isn’t punishment-based), make self-care a priority. Recovery requires energy, and you’ll need to nurture your mind and body to stay grounded.

Boundaries are also key to protecting your mental and emotional health. If certain people, situations, or conversations are triggering, give yourself permission to step back. It’s okay to say “no” or “not today” if you feel overwhelmed. Setting healthy boundaries isn’t selfish; it’s an act of self-preservation.

For example, if a particular relative makes comments about food or your appearance, you can politely excuse yourself from the conversation or even set a firm boundary in advance. You might say, “I’m not comfortable discussing food or weight during our time together,” and then redirect the conversation to something else.

5. Navigate Food Situations Mindfully

Food is often central to holiday celebrations, and for those in recovery from an eating disorder, these events can trigger anxiety and unhealthy thoughts. One of the most important things you can do is approach holiday meals with mindfulness and compassion for yourself.

If you’re attending a family meal or gathering, remind yourself that food is not the enemy—it’s meant to nourish and bring people together. Practice listening to your body and eating in a way that feels balanced for you. This might mean taking time to check in with yourself and make sure you are meeting your needs.

If you feel overwhelmed by the amount of food or the temptation to restrict, try to focus on the experience of being with loved ones. Engage in conversations, play games, or enjoy the music and festivities. Remember that your worth is not tied to how much you eat or your body, and that recovery means working through difficult moments, not avoiding them.

6. Lean on Your Support System

Surround yourself with people who understand and support your recovery journey. Whether it’s a therapist, close friends, or a support group, having people you can talk to during the holidays is vital. Share your thoughts, feelings, and challenges with them—they can offer perspective, encouragement, and reassurance when needed.

If you’re attending family events where you may not feel as understood, consider finding a trusted person within that space who can provide comfort or a “safe zone” for you to step away if things get tough.

7. Focus on Meaning Beyond the Food

It’s easy to get caught up in the emphasis on food during the holidays, but it’s important to remember that the season is about much more than what’s on the dinner table. Shift your focus from food to connection. What other meaningful traditions or activities bring you joy? Whether it’s decorating the house, watching holiday movies, volunteering, or spending time outdoors, make room for experiences that nurture your spirit and remind you that the holidays are about love, togetherness, and celebration.

If you find yourself struggling to stay present during a meal or social gathering, try to reframe the moment by thinking about the joy of the season in a broader sense. Ask yourself: How can I make this experience about more than just food? How can I engage with the people around me in a way that feels fulfilling?

8. Celebrate Progress, Not Perfection

During the holidays, it’s easy to get caught up in the idea of “perfect” recovery or ideal behavior. But recovery is not about achieving perfection—it’s about progress, however small. Celebrate the steps you’ve taken, the boundaries you’ve set, and the moments of growth you’ve experienced. If you face challenges, acknowledge them without judgment, and refocus on the next step forward.

Remember that every step forward, no matter how small, is worth celebrating. You are doing hard and important work, and that deserves recognition, especially during the holidays when the pressure is often heightened.

The holidays can be both beautiful and difficult for those in recovery from eating disorders or mental health challenges. But with preparation, self-care, and the right mindset, it is possible to navigate this time with resilience and grace. 

Above all, be kind to yourself. Recovery is not a destination; it’s a journey, and it’s okay to have ups and downs along the way. By prioritizing your mental and physical health, setting boundaries, and focusing on the true meaning of the season, you can find joy and peace during the holidays while continuing to honor your recovery.

Are you in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Understanding Narrative Therapy: A Path to Healing Through Story

In the complex world of mental health, individuals often struggle with feelings of being defined by their problems—whether it’s anxiety, depression, trauma, or low self-esteem. Traditional therapeutic approaches can help untangle these issues, but one approach stands out for its ability to shift the perspective on challenges: narrative therapy. Narrative therapy emphasizes the stories we tell about ourselves and how those stories shape our identities and experiences. It offers a unique approach to healing by helping clients rewrite their narratives, empowering them to take control of their lives and mental health.

This blog post will explore what narrative therapy is, how it works, and how it supports mental health for people of all ages.

What is Narrative Therapy?

Narrative therapy was developed in the 1980s by Australian social workers Michael White and David Epston. At its core, this model views problems not as aspects of an individual's identity but as separate from the person. It proposes that people are not defined by their struggles or circumstances but can instead reshape their lives by re-authoring their personal stories.

In narrative therapy, the therapist works collaboratively with the client to explore their existing narratives—the stories they’ve been telling themselves about their lives. These stories might include themes of failure, inadequacy, or trauma, and they shape how the person views themselves and interacts with the world. 

The therapist helps the client recognize how these stories influence their thoughts, behaviors, and relationships, and then works with them to reframe or revise these narratives in a way that is more empowering, realistic, and aligned with their values and aspirations.

One of the key tenets of narrative therapy is that the “problem” is the problem—not the person. By externalizing the issue, clients can gain distance from it and gain a sense of agency and control. For example, someone struggling with anxiety might not say "I am anxious," but instead, "Anxiety is something I’m dealing with." This subtle shift can open up possibilities for change and healing.

One of the most remarkable aspects of narrative therapy is its flexibility. It can be applied to clients of all ages—from young children to elderly individuals—making it an effective tool in a wide range of therapeutic settings.

Narrative Therapy with Children and Adolescents

Children and adolescents are still in the process of developing their sense of self and identity, so they may be particularly vulnerable to negative or limiting narratives. Narrative therapy can help young clients understand their experiences in a more meaningful way and empower them to see themselves as the authors of their own lives.

For children, narrative therapy is often done through playful and creative methods like storytelling, drawing, role-playing, or making use of metaphors. A child struggling with bullying, for example, may be encouraged to create a story in which they are the hero who confronts the bully or stands up for themselves in a powerful way. This process not only helps children externalize the problem (in this case, bullying) but also gives them a sense of agency over their experiences.

For adolescents, narrative therapy can help them explore issues like identity, peer pressure, family dynamics, and future goals. Teenagers are at a developmental stage where they are trying to make sense of who they are and where they fit in the world. Through narrative therapy, they can reflect on the different roles they play in their lives (such as student, friend, or sibling) and consider how they want these roles to evolve. Teens often find that they have more control over their circumstances than they initially thought, leading to improved self-esteem and confidence.

Narrative Therapy with Adults

For adults, narrative therapy can be particularly helpful in dealing with long-standing issues such as depression, anxiety, relationship challenges, or trauma. Many adults carry the weight of negative self-concepts developed over years of adverse experiences. They may define themselves as failures, weak, or undeserving of happiness. Through the lens of narrative therapy, they can learn to separate these self-definitions from their true selves.

An adult who has experienced a series of failed relationships, for instance, might see themselves as “unlovable” or “broken.” Narrative therapy helps externalize the problem (i.e., “relationship difficulties” rather than “I am a failure in relationships”) and opens up space for exploring new possibilities. With the therapist's help, the client might discover empowering alternative narratives, such as a story of resilience, self-worth, or growth, enabling them to approach future relationships with a healthier mindset.

Additionally, narrative therapy is effective in supporting people recovering from trauma. Trauma can distort the stories we tell about ourselves—leading to feelings of powerlessness, shame, or guilt. By re-authoring the narrative around the traumatic experience, individuals can regain a sense of control and redefine their personal identity outside of their trauma.

How Narrative Therapy Supports Mental Health

Narrative therapy’s impact on mental health is profound. By allowing individuals to see their lives as stories that can be revised and reinterpreted, this therapeutic approach fosters healing and personal growth in several key ways:

Empowerment and Agency

Narrative therapy places individuals in the role of the author of their own lives. Rather than seeing themselves as victims of circumstance or passive recipients of their problems, clients gain a sense of agency and control. They learn that they have the power to change the way they view themselves and the world, which leads to greater self-efficacy and resilience.

Externalizing Problems

By separating the person from the problem, narrative therapy helps clients distance themselves from negative emotions or self-concepts. This externalization process reduces feelings of shame or self-blame and helps individuals approach their issues with more objectivity and openness. It also allows for more creativity in problem-solving.

Fostering Meaning and Purpose

As people explore their life stories, they often find new meaning in their past experiences. This can be particularly powerful for individuals who feel disconnected from their sense of self or are facing existential questions. Narrative therapy helps them reconnect with what is meaningful to them and refocus on their values, purpose, and goals.

Healing Through Connection

Narrative therapy emphasizes the importance of social context and the roles that others play in our stories. Clients are encouraged to explore the ways in which their relationships, communities, and cultures shape their personal narratives. This sense of connection to others is a powerful tool for developing belonging, healing, and mental well-being.

Try it for yourself! Here are 3 narrative therapy prompts:

1. Instead of adopting emotions as things that define you, identify your emotions by how you are experiencing them. For example, instead of saying, “I am anxious,” write “I experienced anxiety today when…”

2. Identify your problem or distressing situation and write the story of how this problem came into your life. 

3. If this problem were to be solved with a magic wand, what would your life look like? What would be the best-case scenario of how your future could look? What steps would you need to take to get there?

Are you in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

The Role of Genetics in Mental Health: Unraveling the Genetic Puzzle

Mental health is a complex and multifaceted aspect of human well-being, influenced by a myriad of factors, including environmental, psychological, and biological elements. Over recent decades, there has been growing recognition of the role genetics plays in the development of mental health conditions. 

While environmental factors like trauma, stress, and upbringing certainly contribute to mental health, genetic predisposition can also increase an individual’s susceptibility to various mental health disorders. This post will explore how genetics influence mental health, what scientific research tells us about the genetic basis of mental illnesses, and the potential for future interventions.

Understanding Genetics and Mental Health

At the most basic level, genetics refers to the instructions coded in our DNA that determine everything from physical traits like eye color to susceptibility to certain diseases. Genes, made up of sequences of DNA, are passed down from one generation to the next and can have a profound effect on how our bodies function and how we develop. For mental health, specific genes may influence brain chemistry, brain structure, and neural pathways that are associated with 

• mood regulation 

• cognitive function

• emotional responses

Mental health disorders, such as depression, anxiety, schizophrenia, bipolar disorder, eating disorders, and autism, often run in families, hinting at a genetic component. However, mental health is not solely determined by genetics. It results from both an individual’s genetic makeup and environmental factors, a concept known as gene-environment interaction.

The Heritability of Mental Health Conditions

The heritability of mental health disorders refers to the proportion of the variation in a particular condition that can be attributed to genetic factors. For example, studies have shown that depression and anxiety have moderate heritability, meaning that individuals with a family history of these conditions are more likely to experience them themselves. In contrast, disorders like schizophrenia and autism have higher heritability rates, suggesting a stronger genetic link.

Depression and Anxiety

Research indicates that first-degree relatives (parents or siblings) of individuals with depression or anxiety disorders are at a higher risk of developing these conditions themselves. Twin studies, which compare the rates of mental health conditions in identical and fraternal twins, have shown that the concordance rate for major depressive disorder is around 37% in identical twins, compared to 17% in fraternal twins. This suggests that genetic factors play a role but environmental factors are also important.

Schizophrenia

Schizophrenia has one of the strongest genetic links among psychiatric disorders. Studies indicate that if a person has an identical twin with schizophrenia, the likelihood of the other twin developing the condition is about 50%, compared to the general population’s risk of about 1%. The heritability of schizophrenia is estimated to be around 80%, indicating that genetics have a profound influence on its onset.

Bipolar Disorder 

Bipolar disorder also shows a significant genetic component, with heritability estimates ranging between 60% and 85%. Like schizophrenia, the risk of bipolar disorder is higher among individuals with a family history of the condition. Research has identified several genes that may contribute to bipolar disorder, many of which are involved in neurotransmitter systems that regulate mood and behavior.

The Role of Specific Genes in Mental Health

The search for specific genes that may contribute to mental health disorders has been ongoing for decades. While a single “mental illness gene” has not been identified, scientists have discovered multiple genetic variations that appear to increase the risk of certain conditions. These genes often influence the brain’s structure, function, and ability to process chemicals and neurotransmitters.

Neurotransmitters and Mental Health 

Neurotransmitters such as serotonin and dopamine play a critical role in regulating mood, anxiety, and cognition. Variations in genes that encode enzymes involved in the production, regulation, and breakdown of these neurotransmitters may contribute to mental health conditions.

Gene-Environment Interaction 

Genetics do not act in isolation; environmental factors interact with genetic predispositions to influence mental health outcomes. This interaction is particularly evident in conditions like depression and PTSD (Post-Traumatic Stress Disorder). For example, individuals with a genetic predisposition to low serotonin activity are more likely to develop depression in response to traumatic or stressful life events.

The Complex Nature of Mental Health and Genetics

It’s important to note that mental health disorders are rarely caused by a single gene or a direct genetic inheritance pattern. Instead, they result from a complex interplay of multiple genetic factors, environmental exposures, and individual life experiences. 

In addition to genetic factors, environmental influences—such as childhood trauma, chronic stress, socioeconomic status, oppression, and social support—also play significant roles in determining whether an individual will develop a mental health disorder. This is why some individuals with a strong genetic predisposition never experience mental health issues, while others without a family history may develop them due to external stressors or life events.

The Future of Genetics in Mental Health

As our understanding of genetics and mental health continues to evolve, we may begin to see more comprehensive, integrated approaches to mental health care. Furthermore, understanding the genetic basis of mental health could lead to preventive interventions. Early identification of individuals at risk based on genetic markers, combined with proactive environmental or therapeutic strategies, may reduce the incidence and severity of many psychiatric conditions.

Genetics plays an undeniable role in shaping mental health, with numerous studies indicating that genetic factors can influence the risk of developing various mental health conditions. However, genetics is only one part of the equation, with environmental factors and life experiences also playing crucial roles in mental well-being. 

As scientific research continues to unveil the intricate genetic pathways that contribute to mental health, it is hoped that new, more effective treatments and preventive measures will emerge, offering a brighter future for individuals living with mental health disorders.

Are you in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Flint, J., & Kendler, K. S. (2014, February 5). The genetics of major depression. Neuron. https://pmc.ncbi.nlm.nih.gov/articles/PMC3919201/ 

Hutter, C. M. (2024). Gene environment interaction. Genome.gov. https://www.genome.gov/genetics-glossary/Gene-Environment-Interaction#:~:text=Gene%E2%80%93environment%20interactions%20are%20the,people%20with%20different%20environmental%20exposures. 

Family-Based Therapy: A Supportive Approach to Eating Disorder Recovery

When it comes to treating eating disorders, one of the most important factors in recovery is the involvement of family. For many individuals, eating disorders are not just personal struggles; they impact the entire family dynamic. 

Family-Based Therapy (FBT), also known as the Maudsley Approach, has become a cornerstone of treatment for adolescent eating disorders, particularly anorexia nervosa, bulimia nervosa, and binge eating disorder. But Family-Based Therapy is not just for adolescents—it can be an invaluable tool for anyone in eating disorder recovery, offering both the individual and their loved ones the skills and support they need to foster long-term healing.

At Lift, we understand the complexity of eating disorders and the unique role that family plays in the recovery process. In this blog post, we’ll explore what Family-Based Therapy is, how it works, and why it is so effective in helping individuals overcome eating disorders.

What is Family-Based Therapy (FBT)?

Family-Based Therapy is a structured and research-supported treatment approach that focuses on empowering families to be active participants in the recovery process of a loved one struggling with an eating disorder. Developed in the 1980s by Dr. Ivan Eisler and Dr. Daniel Le Grange, FBT was initially created to treat adolescent patients with anorexia nervosa but has since been adapted to help individuals of all ages and with various types of eating disorders.

FBT operates on the premise that eating disorders are best addressed within the context of the family system. It recognizes that families have the potential to play a crucial role in both the onset and recovery of eating disorders and seeks to harness the family’s support and love in helping the individual regain control over their eating habits, restore normal eating patterns, and rebuild emotional well-being.

In FBT, the primary goal is to help the individual take responsibility for their recovery, while also ensuring that the family becomes an active support system that promotes healing. This is done in a collaborative way that fosters open communication, builds trust, and strengthens relationships.

How Does Family-Based Therapy Work?

Family-Based Therapy typically unfolds in three distinct phases, each with a specific goal and focus. These phases may vary slightly depending on the treatment setting or the specific needs of the family and individual, but the core structure remains the same:

Phase 1: Re-feeding and Restoring Weight

The first phase of Family-Based Therapy focuses on the critical task of restoring the individual’s physical health. For many people with eating disorders, the struggle with food, eating, and body image is deeply rooted in fear and control. At this stage, the individual may be malnourished or have disrupted eating habits that need to be addressed immediately. 

In this phase, the family plays a central role in meal planning, preparation, and encouragement. Family members are actively involved in helping their loved one return to a healthy weight, re-establish regular eating patterns, and rebuild trust in the process of eating. 

Parents or caregivers are encouraged to take on the role of “outward controllers” of eating, providing structure, guidance, and supervision around mealtimes. While this can feel uncomfortable or even adversarial at times, it is essential for rebuilding the physical strength needed for the next phases of therapy.

For families, this stage can be challenging because it often involves pushing through resistance, managing difficult emotions, and working to avoid power struggles. The therapist supports the family in navigating these difficult moments and encourages them to stay firm but compassionate in their efforts. The primary objective is to shift the focus from control over food to regaining physical health in a way that is non-punitive and understanding.

Phase 2: Returning Control to the Individual

Once the individual’s physical health has been stabilized and normalized, the next phase of FBT centers around gradually returning control of overeating and food back to the adolescent (or adult in the case of older patients). This phase is critical because it shifts the focus from physical recovery to emotional and psychological healing.

Here, the family’s role transitions to one of support, rather than control. Family members continue to offer encouragement and emotional support but no longer directly manage eating habits. The therapist helps the individual explore the underlying emotions and thought patterns that have contributed to the eating disorder, such as fear of gaining weight, body image concerns, or perfectionism. 

The goal is to restore autonomy and help the individual develop healthier coping mechanisms for managing stress, anxiety, and other emotional triggers without resorting to disordered eating behaviors.

During this phase, the individual works on developing a healthier relationship with food and body image, while also learning how to manage their eating disorder in a way that allows them to function more independently. Family members are encouraged to support this process by providing a non-judgmental environment where the individual feels safe to express their fears and challenges, without the added pressure to be “perfect.”

Phase 3: Establishing Healthy Family Dynamics and Long-Term Maintenance

The final phase of Family-Based Therapy focuses on reinforcing and maintaining the progress made in the previous stages. This phase is about ensuring that the family system is functioning in a supportive and healthy way, with clear boundaries, open communication, and understanding.

The individual may be expected to take full responsibility for their eating habits, but the family still plays an essential role in providing emotional support and encouragement. The therapist continues to help the family address any lingering issues, such as communication problems, unresolved conflicts, or ongoing concerns about relapse. 

This phase is crucial for long-term maintenance, as it helps the family adapt to the individual’s recovery needs and ensures that the individual feels supported in their journey beyond the treatment setting.

Families are encouraged to continue fostering a positive relationship with food and body image, both for themselves and for the individual in recovery. This phase also involves preparing the family for the potential challenges of transitioning back to everyday life and the possibility of setbacks. The therapist’s role during this phase is to provide guidance, reinforce coping strategies, and help the family maintain a focus on healing and growth.

Why Is Family-Based Therapy Effective?

Family-Based Therapy has proven to be one of the most effective treatments for adolescent eating disorders, particularly anorexia nervosa. Studies have shown that FBT has a higher success rate for long-term recovery compared to other types of therapy, especially for young people. But why is it so effective?

• Involvement of the whole family: Eating disorders often affect not just the individual but the entire family. FBT engages the family in the recovery process, helping them understand the complexities of the eating disorder and learn how to best support their loved one. By providing psychoeducation and communication tools, FBT helps reduce misunderstandings and conflicts within the family unit.

• Strengthening the family’s role as a support system: FBT views the family as a powerful resource in the healing process. By empowering parents and caregivers to take an active role in their loved one’s recovery, FBT creates a sense of collaboration and teamwork. This strengthens the family’s ability to provide the necessary emotional support and practical help required during difficult moments.

• Focus on building trust: Eating disorders often involve a breakdown of trust between the individual and their body, as well as between the individual and their family. FBT emphasizes rebuilding trust by promoting open communication, healthy boundaries, and empathy. This foundation of trust is critical for long-term healing and the prevention of relapse.

• Addressing the root causes: Family-Based Therapy doesn’t just treat the symptoms of the eating disorder; it seeks to address the underlying emotional, psychological, and relational factors that contribute to disordered eating. By exploring these deeper issues, FBT creates a more comprehensive approach to recovery that goes beyond simply normalizing eating behaviors.

Is Family-Based Therapy Right for Me or My Loved One?

While Family-Based Therapy is particularly effective for adolescents, it can also be adapted for adults or families of individuals of any age who are struggling with eating disorders. FBT works best when the individual and their family are committed to engaging in the therapeutic process and are willing to work together toward recovery. 

It’s essential to have a family therapist or treatment team experienced in FBT who can guide you through each phase of the therapy.

If you or someone you love is struggling with an eating disorder, family-based therapy can provide a supportive framework for healing. Whether you’re just beginning your journey toward recovery or are in need of ongoing support, FBT offers the opportunity to rebuild healthier relationships with food, the body, and one another.

Conclusion

Eating disorders are complex and challenging to navigate, but with the right treatment, recovery is possible. Family-Based Therapy offers a holistic, family-centered approach to healing that has proven to be effective for individuals of all ages. 

By working collaboratively, providing structure, and addressing the emotional underpinnings of the disorder, FBT helps create lasting change and promotes long-term recovery.

At Lift, we believe that family support is essential to the recovery process. If you or a loved one is struggling with an eating disorder, we are here to provide guidance, therapy, and resources to help you on your journey toward healing.

Intuitive Eating During the Holiday Season: Embracing Food and Joy Without Guilt

The holiday season is a time of celebration, connection, and tradition, but for many, it’s also a time filled with complex feelings around food. Whether it’s the abundance of treats at family gatherings, the societal pressure to look a certain way, or the heightened emotions that often accompany the season, food can become a source of stress or anxiety. 

This is especially true for those who are recovering from eating disorders or dealing with disordered eating behaviors. 

At Lift, we believe that intuitive eating—an approach that focuses on reconnecting with your body’s natural cues for hunger, satisfaction, and fullness—can be a valuable tool to help navigate the holidays with more peace, mindfulness, and joy. It’s about eating in a way that prioritizes your physical and emotional well-being, without falling into the traps of guilt, restriction, or mindless overeating. 

The holidays don’t have to be a time of food-related stress; they can be a time to truly enjoy food, while also nurturing yourself in a way that feels authentic and nourishing.

In this blog post, we’ll explore how intuitive eating can help you approach the holiday season in a way that focuses on food as nourishment, not stress. We’ll offer practical tips for embracing intuitive eating during the holidays so that you can feel more grounded and at peace, without getting caught up in the frenzy of food-related worry.

What Is Intuitive Eating?

Intuitive eating is an approach to eating that encourages listening to your body’s natural hunger cues and choosing foods based on what your body truly needs, rather than external rules or societal pressures. Dietitians Evelyn Tribole and Elyse Resch developed this approach, and it encourages individuals to tune into their internal signals of hunger, fullness, and satisfaction. 

Unlike traditional diets, which often involve restriction, calorie counting, or “good” and “bad” food labels, intuitive eating emphasizes the importance of making peace with food and rejecting the idea that there’s a “right” way to eat. It focuses on the following core principles:

- Rejecting diet culture: Letting go of the belief that dieting or restricting food is the answer to well-being.

- Honoring your hunger: Listening to and responding to your body’s hunger signals in a way that feels nourishing.

- Making peace with food: Allowing yourself to enjoy all foods without guilt or shame.

- Listening to your body: Paying attention to how food makes you feel and eating in a way that aligns with your body’s needs.

- Focusing on joy and satisfaction: Eating not just for fuel, but for pleasure and satisfaction as well.

This approach allows for more freedom and flexibility around food, without the pressure to conform to restrictive food rules or societal expectations about what we "should" be eating.

Why Intuitive Eating Is Especially Helpful During the Holidays

The holidays can be a particularly difficult time for those who have struggled with eating disorders or disordered eating patterns. There’s often a heavy focus on food—both the quantity and the quality—and that can lead to feelings of guilt, anxiety, and shame. For some, it can feel like there's an unspoken pressure to "eat perfectly" or avoid certain foods, which can create stress or even trigger harmful behaviors like restricting, bingeing, or emotional eating.

Intuitive eating offers an alternative to this all-or-nothing mindset. Instead of seeing food during the holidays as something to be feared or controlled, it encourages a more balanced, mindful approach. Here’s why intuitive eating can be especially helpful during the holiday season:

Freedom from food rules

The holidays often come with an abundance of delicious foods that are only available at this time of year. By adopting an intuitive eating mindset, you can enjoy these treats without feeling like you “shouldn’t” be eating them. Intuitive eating helps you move away from restrictive or rigid food rules, allowing you to enjoy your favorite holiday foods with less stress.

Mindfulness over mindless eating

The rush of holiday activities—shopping, family visits, office parties—can often lead to mindless eating, where food becomes a distraction rather than a source of nourishment. Intuitive eating encourages mindful eating, which means paying attention to how food looks, smells, and tastes, and noticing how it makes you feel. This mindful approach can help you enjoy your meals more fully and prevent overeating.

Less focus on appearance

Many people struggle with body image issues during the holidays, particularly with the pressure to look a certain way for holiday photos or gatherings. Intuitive eating encourages you to focus on how food makes you feel, rather than how it changes your weight or appearance. It’s about honoring your body’s signals of hunger and satisfaction rather than adhering to external ideals about food and body shape.

Emotional well-being 

The holidays can bring up a range of emotions, from joy and excitement to stress and sadness. For those with a history of eating disorders, food can sometimes be used to cope with these emotions. Intuitive eating encourages finding alternative ways to handle emotions without turning to food for comfort. It helps you build a healthier relationship with your emotions, which can lead to less reliance on food as a way of managing difficult feelings.

Cultivating Self-Compassion

One of the most significant aspects of intuitive eating—especially during the holiday season—is self-compassion. The holidays can bring about intense feelings of comparison, judgment, or even guilt, especially if you feel like you’re “not doing the holidays right” or if you’re struggling to keep up with all the holiday expectations. 

Intuitive eating invites you to release judgment around food and eating behaviors. If you eat more than you intended or feel uncomfortable after a meal, that’s okay. It’s part of the process. There’s no need for shame or self-punishment.

Instead of engaging in harsh self-talk, intuitive eating encourages you to treat yourself with kindness. If you feel like you’ve overeaten, remind yourself that it’s a normal part of being human and that one meal (or even one day) will not define your overall health or your relationship with food. Self-compassion means acknowledging your feelings without harsh judgment and being gentle with yourself as you navigate this holiday season.

The holidays, with all their traditions and expectations, can bring up a lot of complex emotions, and intuitive eating offers a way to approach this time with gentleness and care. It’s a practice of tuning into your body, making choices that feel right for you, and not allowing external pressures or past behaviors to dictate your experience.

Letting Food Be Just One Part of the Celebration

Finally, intuitive eating encourages you to recognize that food is just one aspect of the holiday experience. The holidays are about connection, love, and shared moments, not just the food on the table. By letting go of the mental clutter surrounding food, you can be more present in the moment—whether it’s laughing with family members, sharing a cozy moment with friends, or simply enjoying the beauty of the season. Intuitive eating can help you embrace the full experience of the holidays, where food is part of the picture but not the entire focus.

When you can approach food with mindfulness, ease, and flexibility, it allows you to truly experience the joy that the holidays bring—without the stress, guilt, or anxiety that often goes with it. Food becomes something you enjoy rather than something you fear or obsess over. It’s a way of nourishing your body and soul without judgment.

Conclusion

The holiday season doesn’t have to be a time of food-related stress and anxiety. By embracing intuitive eating, you can approach this time of year with more mindfulness, self-compassion, and joy. Remember that food is not the enemy—it’s a source of nourishment, connection, and pleasure. When you listen to your body and honor your needs, you can create a healthier, more peaceful relationship with food, not just during the holidays, but year-round. 

At Lift Wellness Group, we’re here to support you in making that journey. This season, give yourself permission to enjoy the foods you love without guilt, and focus on nurturing your body and spirit with care.

The potential pitfalls of ultra-healthy eating; a glimpse into the darkness of Orthorexia

It all starts out with a seemingly benign desire to be ‘healthy’, cut out food dyes, pay more attention to multisyllabic food ingredients that look suspicious, and lessen the consumption of seed oils. Sometimes, though, those behaviors take a sharp turn down a dangerous road.  

When someone starts to eliminate an entire food group or has a second thought when asked to grab a cup of coffee with friends due to fear, these are signs that “healthy eating” has spilled over into identity, linking one’s value and morality with what they consume; truly believing, “You are what you eat”. 

If you’re reading the news or listening to podcasts these days, some topics keep creeping up, specifically those around dieting, weight loss, health, and wellness.  This shouldn’t be a surprise as many Americans are trying to make sense of what to eat, where to purchase food if they are getting enough vitamins and minerals, and how to protect themselves from chronic illness.  

Despite this, America is still viewed as “less healthy” compared to similar countries; “The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries” 

What is Orthorexia? 

For some people, the rigid thought processes related to food and eating, such as the dichotomy that there are only healthy or unhealthy foods, can lead to a belief system that puts food and wellness as the main driver of identity. Striving to be healthy becomes a part of one’s personality and can dictate decisions and lead to an obsession with health at all costs. 

Orthorexia, a term derived from the Greek words for “correct appetite” or “correct eating,” is the specific word used by some practitioners to describe this state of being.   The term is synonymous with a laser focus on eating in a specifically healthy way, which can interfere with one’s activities of daily living.  For some people, this might manifest by someone refusing to go out to dinner so they can stay home and consume foods that feel safer or more comfortable and to avoid potentially eating food that is deemed “less healthy”.  

This error in thought can also encourage people to not trust how food is prepared outside of their home or without following specific food rules, for example, not eating at a restaurant due to the fear of the use of vegetable oils or other fats.  For others, orthorexia is a way for them to eliminate entire food groups, which can lead to malnourishment or a depletion of necessary vitamins and minerals derived from foods.  

The idea that certain types of foods are better than others or are pure can also negatively impact one’s mental health, for example, encouraging thought disturbances, excessive anxiety, depression, and intense shame.  Some have coupled the term with the phrase “righteous eating” and posit that people who are orthorexic put themselves morally above others due to their eating habits and behaviors.  

Is Orthorexia an Eating Disorder?

Though the label has become more commonly used in recent years, orthorexia is not an official diagnosis or specified eating disorder, which can create some barriers to receiving treatment, especially for anyone using insurance.  When identified early and with a mental health professional who is knowledgeable about feeding and eating issues, orthorexia can typically be treated with solid outpatient care. 

Treatment for orthorexia is most often a combination of psychoeducation as well as cognitive behavioral therapy with a licensed therapist, nutrition education with a dietitian, and when necessary, psychopharmacological intervention with a psychiatrist or psychiatric nurse practitioner.  

Sometimes, a more focused and concentrated program, specifically an intensive outpatient program that specializes in feeding and eating disorders is also helpful as it provides peer support through group interventions, coached meals, and nutrition education.  

Lift Wellness Group and LiftWell offer all of these services and can even tailor treatment to the needs of a specific case to make the most impact and help people live a life free from the intrusive thoughts and rules around food and wellness.  Whether it is labeled as “Orthorexia” or someone who happens to struggle with other obsessive or rigid thoughts about food, LiftWell is here and able to help; there is hope for making changes.  

What Not to Say to Someone with an Eating Disorder: A Guide to Compassionate Communication

When someone is struggling with an eating disorder, their battle is often invisible, yet deeply painful. The mental and emotional toll of conditions like anorexia, bulimia, and binge eating disorder can be immense, but the challenges are frequently compounded by well-meaning but unhelpful comments from friends, family, and even strangers. These comments, while often intended to be supportive, can unintentionally perpetuate feelings of shame and guilt.

It's important to recognize that eating disorders are complex mental health conditions that involve more than just food and weight. They are deeply intertwined with emotions, self-esteem, control, and sometimes trauma. So, when speaking to someone with an eating disorder, choosing your words carefully is crucial.

Here’s a guide to what not to say to someone with an eating disorder, with specific examples related to food, body, and weight, along with explanations for why these comments can be harmful.

“You look so good! You must be eating so healthy now!”

While this may seem like a compliment, it can be incredibly triggering for someone struggling with an eating disorder. The emphasis on "looking good" often shifts the focus to appearance, which is one of the key issues for many individuals with eating disorders. What matters is not how they look, but how they feel emotionally and physically.

• Why it’s harmful: This comment implies that their worth is tied to their appearance, which can reinforce unhealthy thought patterns. For someone with an eating disorder, praise for their physical appearance may feel like validation for restrictive or harmful behaviors.

“Wow, I could never eat like that, you must be so disciplined!”

Statements like this focus on the idea of "discipline" and reinforce the connection between food intake and control. 

Why it’s harmful: This comment reinforces an unhealthy relationship with food, where eating is seen as something to be measured in terms of self-control or moral behavior. Eating disorders often thrive in environments where food is seen as a battleground for control, and such statements can escalate those feelings of pressure.

“Are you really sure you should eat that?”

This comment can be particularly damaging as it casts doubt on the person's ability to make decisions about their body and food choices. It implies that their food choices are not “healthy” or morally wrong, when in fact, they may already be feeling anxious about what they eat.

• Why it’s harmful: For someone with an eating disorder, such a question can deepen feelings of guilt and self-doubt. It can trigger a sense of shame around eating, which only strengthens the cycle of restrictive eating or disordered behaviors.

“You’ve lost weight! You must be so happy!”

Weight loss is viewed as a positive outcome in society, but for someone with an eating disorder, weight loss may be a result of dangerous behaviors. Commenting on weight loss can be distressing and encourage disordered habits.

• Why it’s harmful: This comment focuses on a number—weight—rather than the person’s well-being. For someone with an eating disorder, weight loss may be a sign of illness or emotional distress. Celebrating it without understanding the context can feel invalidating and can perpetuate maladaptive thoughts. It also perpetuates that idea that weight loss equates to happiness, when that is not the case. 

“You look healthier than you did before, you’ve gained some weight!”

Even if you intend this comment as a positive one, it can be hurtful. Weight fluctuations are common in individuals with eating disorders, and someone may be in the midst of recovery or struggling with feelings of shame about any weight gain.

• Why it’s harmful: This can trigger anxiety or guilt, as eating disorders often have a strong connection to both weight and self-worth. For someone in recovery, weight gain may feel like a setback rather than progress, and comments about it can complicate their emotional experience.

“Just eat more, it’s not that hard.”

For someone who is deeply entrenched in disordered eating habits, eating may feel like an overwhelming challenge. The mental and emotional complexity of eating disorders is not something that can be solved simply by eating more food.

• Why it’s harmful: This dismisses the deep psychological and emotional pain that the individual may be experiencing. Eating disorders are not just about food; they are often about anxiety, fear, and the need to cope with difficult emotions. This comment minimizes the emotions and can make the person feel misunderstood or even more isolated.

Compassionate Communication is Key

When speaking to someone with an eating disorder, it’s crucial to approach the conversation with empathy, kindness, and sensitivity. Acknowledge their feelings, listen without judgment, and avoid comments that focus on appearance, food, or weight. Instead of trying to solve the problem with quick advice or compliments, offer your support by being there for them and encouraging them to seek professional help.

Remember, an eating disorder is not just about food; it’s about deep emotional and psychological struggles. By being mindful of the language we use and offering compassion, we can help reduce stigma and create a safer, more supportive space for those who are suffering in silence.

Are you or your child in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to treat eating disorders, including ARFID. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Understanding Codependency: How It Affects Relationships and Mental Health

Codependency is a term often used to describe a dysfunctional relationship dynamic where one person sacrifices their own needs, feelings, and well-being to meet the needs of someone else. While the term "codependency" was originally coined to describe the behaviors of individuals in relationships with those struggling with substance use, it has since evolved to include a wide range of unhealthy relational patterns.

Codependency can deeply impact both the individuals involved in the relationship and their broader mental health. In this blog, we will explore what codependency is, how it can affect relationships and mental health, and offer practical strategies for setting boundaries to break free from this cycle.

What is Codependency?

At its core, codependency is an unhealthy reliance on others for emotional validation and a distorted sense of self-worth. People who are codependent often feel responsible for another person’s happiness, and their identity is overly tied to the relationship. This pattern can manifest in many ways, including overgiving, neglecting personal needs, and enabling destructive behavior. While these behaviors may seem altruistic on the surface, they often create an imbalance where the codependent person loses touch with their own emotional needs.

Some common characteristics of codependency include:

1. People-Pleasing: Codependency can lead individuals to often go to great lengths to please others, even at the cost of their own happiness or well-being.

2. Low Self-Esteem: Individuals with codependent tendencies may struggle with feelings of inadequacy, believing that their worth is only validated through helping or caring for others.

3. Fear of Abandonment: There may be a constant fear of rejection or abandonment, leading the person to overcompensate by excessively accommodating or enabling the other person.

4. Difficulty Setting Boundaries: Codependent individuals often have trouble saying "no" or asserting their own needs. They might feel guilty for setting limits, fearing that it will result in rejection or conflict.

5. Over-responsibility: Codependent individuals often take on too much responsibility for others’ feelings or problems, neglecting their own needs and well-being in the process.

How Codependency Affects Relationships

In relationships, codependency creates a power imbalance where one partner becomes overly reliant on the other. This dynamic can lead to unhealthy patterns that are difficult to break. In codependent relationships, one person typically gives excessively while the other may take without reciprocating. This creates an environment where emotional needs are not met in a balanced or healthy way. The giver may feel drained, while the receiver might take the other person for granted. Over time, this can breed resentment, frustration, and emotional exhaustion.

Codependent individuals often suppress their own desires, opinions, and needs to maintain the relationship. This leads to a lack of authenticity in the connection, where one person is continually adjusting themselves to fit the perceived needs of the other. The codependent individual may lose sight of who they truly are outside of the relationship.

A common issue in codependent relationships is that the codependent person may enable unhealthy or destructive behavior in their partner. For example, they might cover up for their partner’s mistakes, make excuses for their behavior, or attempt to "fix" their problems. This can perpetuate a cycle of dependency where the problematic behavior is never addressed, and the codependent individual continues to sacrifice their own needs.

Codependent individuals often tie their sense of self-worth to their partner’s happiness or approval. This emotional dependency can lead to feelings of insecurity and anxiety, as the person may constantly worry about losing the approval or affection of the other person. If their partner is upset or distant, the codependent person may feel as though their entire world is crumbling.

In many codependent relationships, there is a disproportionate power dynamic. One person may feel responsible for the other’s happiness or emotional well-being, creating an unhealthy caretaker role. This can prevent both partners from growing independently, leading to stagnation in the relationship.

Codependency doesn’t just affect relationships—it can also have profound effects on mental health. Constantly living for the needs of others can be emotionally draining and overwhelming. The codependent person may struggle with anxiety due to their constant fear of abandonment or rejection. Additionally, the inability to fulfill their own needs may lead to feelings of depression and hopelessness.

A person who is codependent may feel that they are not valuable unless they are needed by someone else. This can lead to deep feelings of inadequacy and low self-esteem. Over time, they may lose confidence in their ability to make decisions or live independently.

Although codependent individuals often try to avoid conflict, they may harbor resentment and anger because their emotional needs are not being met. These feelings can simmer beneath the surface and eventually lead to emotional outbursts or withdrawal. Since many often feel guilty about asserting their needs, they may suppress these emotions until they erupt in unhealthy ways. When they feel overwhelmed or unsupported, they may react impulsively, leading to further dysfunction in their relationships.

Setting Boundaries to Reduce Codependency

Breaking free from codependency requires effort, self-awareness, and a commitment to personal growth. One of the most important tools in overcoming codependency is learning how to set healthy boundaries. Boundaries help define where one person’s responsibilities end and another’s begin. They are essential for maintaining a balanced and healthy relationship.

Recognize the Need for Boundaries

The first step in setting boundaries is acknowledging that you have a right to take care of yourself and that you are not responsible for fixing or rescuing others. Recognizing that your needs are valid is key to breaking free from codependency.

Identify Your Needs and Desires

Take some time to reflect on your own emotional needs, desires, and personal goals. What do you want from your relationships? What are the things that make you feel happy and fulfilled? Understanding your own needs will help you set clear boundaries.

Learn to Say "No"

One of the hallmarks of codependency is difficulty saying “no” to others. Learning to set limits is essential for establishing healthy boundaries. Saying “no” doesn’t make you selfish; it simply means that you’re prioritizing your own well-being. Practice saying "no" to things that drain you or go against your values.

Communicate Clearly and Respectfully

Setting boundaries requires effective communication. Be direct, honest, and respectful when communicating your needs to others. Use "I" statements (e.g., "I feel overwhelmed when...") to express how certain behaviors affect you. Clear communication helps prevent misunderstandings and fosters mutual respect.

Don’t Be Afraid to Seek Help

If you find it difficult to break free from codependent patterns on your own, it might be helpful to seek professional support. Therapy, especially cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), can help you explore the underlying causes of codependency and develop healthier relational habits.

Practice Self-Care

Self-care is an essential part of breaking free from codependency. Make time for activities that nurture your mind, body, and soul. Whether it's journaling or spending time with friends, self-care helps you reconnect with yourself and your own needs.

Foster Healthy, Mutual Relationships

A healthy relationship is based on mutual respect, trust, and emotional support. Focus on building relationships where both partners can support each other without sacrificing their individual needs. Healthy relationships allow for personal growth and encourage both partners to maintain their sense of identity.

Codependency is a complex and often deeply ingrained behavioral pattern that can have a profound impact on relationships and mental health. By learning to recognize the signs of codependency, acknowledging the need for boundaries, and taking steps toward self-care and healthier relationships, it is possible to break free from the cycle and create a more balanced, fulfilling life.

Overcoming codependency takes time, but with the right tools and support, you can learn to nurture both yourself and your relationships in healthier, more sustainable ways.

At Lift Wellness Group, we offer distinct levels of care that are designed to treat eating disorders, including ARFID. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Understanding RO-DBT: A Guide to Radically Open Dialectical Behavior Therapy

Radically Open Dialectical Behavior Therapy (RO-DBT) is an innovative therapeutic approach designed to address emotional and behavioral dysregulation. Developed by Dr. Thomas R. Lynch, this therapy expands upon the principles of traditional Dialectical Behavior Therapy (DBT), focusing particularly on issues related to openness, flexibility, and social connectedness. 

This blog post will explore the core tenets of RO-DBT, its applications in recovery, its benefits, its distinctions from DBT, and the populations that can benefit most from this therapy.

What is RO-DBT?

RO-DBT is a comprehensive therapeutic framework that seeks to treat disorders characterized by emotional overcontrol. While traditional DBT focuses primarily on emotional dysregulation, RO-DBT targets individuals who exhibit a tendency to suppress their emotions and maintain rigid self-control. This rigidity can lead to feelings of isolation, depression, and anxiety.

Core Tenets of RO-DBT

1. Radical Openness: At the heart of RO-DBT is the concept of radical openness, which encourages individuals to embrace vulnerability and seek connection with others. This openness is crucial for building meaningful relationships and developing a deeper understanding of oneself.

2. Dialectical Thinking: Like traditional DBT, RO-DBT emphasizes dialectical thinking, which encourages individuals to balance oppositional ideas. The idea that two beliefs can be true simultaneously helps clients navigate the complexity of all their emotions and experiences, fostering a more nuanced understanding of themselves and their relationships. 

3. Mindfulness: Mindfulness is a foundational element, promoting awareness of one’s thoughts and feelings without judgment. In RO-DBT, mindfulness also includes being aware of how one’s behaviors impact their relationships with others.

4. Cognitive Flexibility: RO-DBT teaches cognitive flexibility, helping individuals adapt their thinking patterns and behaviors and move away from rigidity. This flexibility is vital for social engagement and allows individuals to better navigate interpersonal relationships.

5. Social Connection: Emphasizing the importance of social bonds, RO-DBT helps clients cultivate healthier relationships, reduce feelings of loneliness, and enhance their overall well-being.

How RO-DBT is Used in Recovery

RO-DBT is particularly beneficial for individuals struggling with issues related to emotional overcontrol, which can manifest in various forms, including:

• Chronic Depression: Individuals may feel emotionally numb or disconnected from their surroundings.

• Anxiety Disorders: Those who struggle with anxiety may find themselves overly focused on controlling their thoughts and feelings.

• Eating Disorders: Many individuals with eating disorders exhibit rigidity over food and their behaviors.

• Obsessive-Compulsive Behaviors: The need for control can lead to compulsive behaviors aimed at managing anxiety.

The therapeutic process involves a series of structured sessions that focus on the core tenets. Clients engage in skills training that emphasizes radical openness, flexibility, and social engagement. 

Benefits of RO-DBT

The benefits of RO-DBT are extensive and impactful. Some of the key benefits include:

Enhanced Emotional Awareness

By promoting radical openness, clients become more attuned to their emotions, leading to greater self-awareness and emotional intelligence.

Improved Interpersonal Relationships

RO-DBT helps individuals develop the skills necessary to form and maintain healthy relationships, reducing feelings of loneliness and isolation.

Greater Resilience

The focus on cognitive flexibility allows clients to better navigate challenges, developing resilience in the face of adversity.

Decreased Symptoms of Anxiety and Depression

As clients learn to embrace their emotions rather than suppress them, they often experience a reduction in anxiety and depressive symptoms.

Holistic Recovery

RO-DBT addresses both emotional and social aspects of recovery, promoting a more well-rounded approach to mental health.

Differences Between RO-DBT and Traditional DBT

While RO-DBT shares some foundational principles with traditional DBT, there are notable differences:

1. Focus on Emotional Overcontrol vs. Undercontrol: Traditional DBT primarily addresses emotional dysregulation. In contrast, RO-DBT targets those who exhibit emotional overcontrol, which can lead to social withdrawal and feelings of disconnection.

2. Radical Openness vs. Radical Acceptance: Traditional DBT emphasizes radical acceptance of one’s current emotional state. RO-DBT shifts this focus to radical openness, encouraging individuals to engage more fully with their emotions and relationships.

3. Social Connectedness: While DBT emphasizes interpersonal effectiveness, RO-DBT places a stronger emphasis on cultivating social connection as a pathway to emotional healing.

4. Cognitive Flexibility: RO-DBT places a greater emphasis on cognitive flexibility as a tool for navigating complex emotions and relationships.

Populations That Benefit from RO-DBT

RO-DBT is particularly beneficial for several populations:

• Individuals with Emotional Overcontrol: This includes those with chronic depression, anxiety disorders, and certain personality disorders characterized by emotional rigidity.

• People Struggling with Eating Disorders: RO-DBT can help individuals with eating disorders by addressing issues related to rigidity and emotional regulation.

• Older Adults: As people age, they may experience increased feelings of isolation. RO-DBT can help them cultivate connections and improve emotional well-being.

• Individuals with High-Functioning Autism: RO-DBT can provide valuable tools for enhancing social skills and emotional expression.

• Those in Recovery from Trauma: The emphasis on radical openness can aid trauma survivors in confronting and expressing difficult emotions.

Radically Open Dialectical Behavior Therapy offers a fresh perspective on emotional regulation and social connection. By promoting radical openness, cognitive flexibility, and enhanced mindfulness, RO-DBT equips individuals with the skills necessary to foster healthier relationships and achieve a more fulfilling life. 

Whether you are struggling with emotional overcontrol or seeking to enhance your interpersonal skills, RO-DBT may be a transformative approach worth considering.

Interested in learning more about how RO-DBT can help you in your recovery?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Lynch, T. R. (2020). Radically open dialectical behavior therapy. theory and practice for treating disorders of overcontrol. New Harbinger Publications. 

What is ARFID and How Do You Know If Your Child Has It?

When it comes to eating disorders, we often think of conditions like anorexia or bulimia. There is another disorder that is less well-known, yet just as impactful: Avoidant/Restrictive Food Intake Disorder, or ARFID. This condition can be particularly concerning when it affects children, as it can interfere with their growth, development, and overall well-being.

What is ARFID?

ARFID is an eating disorder characterized by an extreme avoidance or restriction of food. Unlike eating disorders like anorexia or bulimia, ARFID isn’t driven by a desire to lose weight or change the body size or shape. Instead, those with ARFID may avoid certain foods or food groups due to sensory sensitivities, fear of choking or vomiting, or a lack of interest in eating.

ARFID can begin in childhood and persist into adolescence and adulthood, though it often goes undiagnosed because its symptoms can be mistaken for picky eating. Children with ARFID might not eat a sufficient variety or amount of food, leading to malnutrition, weight loss, or stunted growth. The disorder can be challenging to manage, as the child may experience significant distress around eating or mealtime, leading to a tense and frustrating dynamic for both parents and children.

Signs and Symptoms of ARFID

Knowing how to recognize ARFID in your child is the first step toward seeking help. While some level of picky eating is normal, particularly in young children, ARFID is more extreme and persistent. Here are some signs and symptoms to look out for:

Limited Food Preferences

Children with ARFID may develop a very restricted range of foods they are willing to eat, and the foods they accept are often very bland or easy to chew. These kids may have strong preferences for certain textures, flavors, or colors, and refuse to eat foods that don't meet these criteria. For example, they might only eat foods that are white or beige (like bread, rice, and crackers) while refusing vegetables, fruits, or proteins.

Avoidance of Specific Textures or Smells

Many children with ARFID are particularly sensitive to the texture, smell, or appearance of certain foods. They might gag or become distressed when exposed to these foods, making mealtimes difficult. Some children might avoid foods that are sticky, slimy, crunchy, or have a strong odor, making their diet even more limited.

Fear of Eating

Some children with ARFID have an intense fear of choking, vomiting, or gagging, which leads them to avoid certain foods or eating altogether. They may also be fearful of the sensation of food in their mouth or the texture as it changes during chewing.

Social Avoidance

Children with ARFID may be uncomfortable eating in social settings, such as at school, birthday parties, or family gatherings. They may refuse to eat food offered by others, or they may isolate themselves to avoid being pressured to eat.

Emotional Distress Around Food

Mealtimes can become a source of tension and anxiety. Children with ARFID may cry or become irritable when it’s time to eat. They may also avoid food-related activities altogether, such as helping in the kitchen or sitting at the table with family during mealtime.

How Do You Know If Your Child Has ARFID?

It can be difficult for parents to distinguish between typical picky eating and a more serious issue like ARFID. However, if your child’s eating habits are causing significant distress, impacting their health, or interfering with their social and emotional development, it’s important to seek help. Here are some questions to consider:

• Has your child been consistently avoiding certain foods or food groups for more than 6 months?

• Do they have an intense fear or anxiety about eating certain foods, or do they experience distress during mealtimes?

• Is their food avoidance affecting their ability to engage in social activities, like family meals, parties, or school lunches?

If you’re noticing any of these signs, it may be time to consult with a dietitian or a mental health professional specializing in eating disorders.

Treatment Options for ARFID

The treatment of ARFID is multifaceted and often requires a team approach, including pediatricians, dietitians, therapists, and other specialists. Treatment plans are tailored to each child based on their specific symptoms and needs. 

This approach involves nutrition counseling. A registered dietitian will play a key role in addressing any nutritional deficiencies that may have resulted from food avoidance. They will work with the child and their family to create a meal plan that provides balanced nutrition, gradually introducing new foods into the child’s diet. 

Different therapeutic modalities are also employed to treat ARFID. CBT is a form of psychotherapy that focuses on changing negative thought patterns and behaviors. In the case of ARFID, CBT can help the child address fears related to food, reduce anxiety around eating, and challenge any negative beliefs they may have about food or mealtimes. 

Family-based therapy is an approach that involves working with the entire family to improve communication, reduce mealtime conflicts, and help parents support their children in overcoming food aversions. Family-based therapy is particularly helpful in creating a supportive environment that fosters positive eating habits.

In some cases, a pediatrician may prescribe supplements or medical interventions to address nutritional deficiencies or physical symptoms caused by ARFID. This can include supplements for vitamins and minerals or medications to manage anxiety that may accompany eating disorders.

One of the most effective tools used in the treatment of ARFID, especially for children with strong food aversions, is exposure therapy. Exposure therapy is a psychological treatment that helps individuals confront their fears in a gradual, controlled way. For children with ARFID, exposure therapy typically involves identifying food fears and incorporating gradual exposure. 

Exposure begins with less anxiety-provoking foods or food-related activities. For example, the child might start by simply looking at a food they’ve been avoiding, then move on to touching it, and eventually progress to tasting it. The process is slow and steady to prevent overwhelming the child and to allow them to build tolerance.

Exposure therapy is often paired with techniques to create positive associations with food. This might include making mealtimes more enjoyable, creating a calming environment, or reinforcing the child for trying new foods, even in small amounts.

ARFID is a serious eating disorder that can have significant impacts on a child’s physical, emotional, and social development. Recognizing the signs early on and seeking appropriate treatment can make a significant difference in helping your child develop a healthy relationship with food. 

If you suspect your child may have ARFID, it’s important to consult with healthcare professionals who specialize in eating disorders for an accurate diagnosis and to develop a treatment plan tailored to your child’s needs. With the right support and interventions, children with ARFID can learn to expand their diets, reduce anxiety around food, and thrive.

Are you or your child in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to treat eating disorders, including ARFID. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student

Psychological Testing at Lift: Comprehensive Insights for Clarity and Growth

At Lift, we recognize that understanding the nuances of an individual’s mental health, cognitive abilities, and personality is essential for effective treatment and long-term planning. That’s why our Lift Assessment is a comprehensive process designed to provide diagnostic clarity, guide treatment, and support discharge or future planning.

What Does the Lift Assessment Include?

Our assessment incorporates a full battery of tests that examine various dimensions of an individual’s functioning, including:

• Cognitive ability

• Academic achievement

• Fine-motor skills

• Attention

• Learning and memory

• Psychological symptoms

• Personality

This multidimensional approach ensures that we can accurately “rule in or out” overlapping diagnoses, providing a clearer picture of an individual’s strengths and challenges. Unlike assessments that rely solely on self-report questionnaires, the Lift Assessment includes ability-based measures and symptom measures that account for individual tendencies to amplify or downplay their experiences, offering a more nuanced perspective.

Personality measures, in particular, provide valuable insights into what might be happening “under the hood,” offering a deeper understanding of the individual’s unique psychology. While the assessment integrates neuropsychological, psychoeducational, and psychological testing components, it is formally categorized as “psychological testing.”

Tailored Testing for Children, Adolescents, and Adults

The Lift Assessment is designed to serve individuals aged 6 and up, with testing protocols tailored to different age groups. For example:

• Children may require multiple sessions to complete the battery due to their developmental needs and attention span.

• Adolescents and adults, on the other hand, typically complete the testing in a single day.

Each examinee’s performance is compared to same-aged peers, ensuring that results are developmentally appropriate and reliable. The actual testing experience may also vary by age group, with specific forms and tools designed to suit each individual’s needs.

Autism Screening

The Lift Assessment includes built-in measures to screen for Autism, a neurodevelopmental difference that affects how a person interacts with the world. Autism often includes variations in social communication, sensory processing, and patterns of behavior, with a spectrum of experiences meaning individuals can display different levels of these characteristics

For those requiring additional evaluation, we administer the Autism Diagnostic Observation Schedule (ADOS), a widely regarded tool for supporting an Autism diagnosis. This additional testing provides invaluable insights for individuals and families seeking clarity around an Autism diagnosis.

Interpreting the Results

Across 5-6 hours of face-to-face testing, examinees produce a wealth of data, which our team analyzes to create a comprehensive picture of their strengths and areas for growth. Results are typically available within one to two weeks after the final testing session.

We find it helpful to include the individual’s Lift clinician in the feedback meeting. This collaborative approach ensures that the assessment findings are fully integrated into treatment planning, fostering a seamless path forward.

Why the Lift Assessment Matters

At Lift, we believe that a thorough and personalized assessment is the foundation for effective care. By combining advanced tools with a holistic perspective, we help individuals and families gain the clarity they need to move forward with confidence and purpose.

If you or a loved one could benefit from a Lift Assessment, contact us today to learn more about how we can support your journey toward healing and growth.

Understanding the Difference Between Disordered Eating and Eating Disorders

You may have heard the terms disordered eating and eating disorders used interchangeably. However, they represent different concepts. Understanding these differences and similarities is crucial for recognizing the signs and symptoms, as well as knowing how to approach treatment. 

This blog post will explore the distinctions between disordered eating and eating disorders, outline their signs and symptoms, and discuss treatment options for each.

What is Disordered Eating?

Disordered eating refers to a wide range of irregular eating behaviors that may not necessarily fit the criteria for an eating disorder. Disordered eating often includes restrictive eating habits such as chronic dieting or binge eating. These behaviors do not meet the clinical thresholds for a formal diagnosis, but they still impact mental health. Disordered eating patterns should still be taken seriously as they cause distress and can lead to a full-blown eating disorder.

Disordered eating behaviors can stem from various factors, including cultural pressures, emotional stress, and societal ideals about body image. It can occur in individuals of all ages, sizes, and backgrounds.

Key Characteristics of Disordered Eating:

• Frequent dieting or yo-yo dieting, (a term used to describe going on and off diets)

• Severely restricting certain food groups

• Emotional eating or eating in response to stress

• Binge eating or overeating

• Obsessive thoughts about food, weight, and body image

• Guilt or shame associated with eating

Signs of Disordered Eating

• Unusual Food Behaviors: Skipping meals, avoiding certain food groups, or following extreme diets.

• Preoccupation with Food: Constantly thinking about food, counting calories, or obsessively reading nutrition labels.

• Emotional Eating: Using food as a coping mechanism for stress, anxiety, or sadness.

• Weight Fluctuations: Experiencing significant changes in weight without a medical reason.

• Social Withdrawal: Avoiding social situations that involve food or feeling uncomfortable eating in public.

What are Eating Disorders?

While there may be an overlap in symptoms, eating disorders are classified as mental health conditions characterized by severe disturbances in eating behavior, body image, and often, weight regulation. These disorders often require clinical intervention due to their potential for serious physical and psychological consequences.

Common types of eating disorders include:

• Anorexia Nervosa: Characterized by extreme restriction of food intake, intense fear of gaining weight, and a distorted body image.

• Bulimia Nervosa: Involves cycles of binge eating followed by compensatory behaviors such as vomiting, excessive exercise, or misuse of laxatives.

• Binge Eating Disorder (BED): Characterized by recurrent episodes of binge eating followed by feelings of guilt and shame.

• Avoidant/Restrictive Food Intake Disorder (ARFID): Involves restriction of food intake, often due to sensory sensitivities or a lack of interest in food, rather than a desire to lose weight.

• Other Specified Feeding or Eating Disorder (OSFED): This diagnosis includes a range of eating issues that do not fit neatly into the categories above, but still cause significant distress or impairment.

Key Characteristics of Eating Disorders:

• Severe restriction of food intake or binge eating

• Distorted body image

• Intense fear of weight gain or behaviors to avoid weight gain

• Significant physical health issues, including malnutrition, electrolyte imbalances, and heart problems

• Psychological symptoms such as anxiety, depression, or social isolation

Signs of Eating Disorders

• Extreme Weight Loss: Significant weight loss that is not medically indicated, especially in anorexia nervosa. It is important to note that patients can still meet anorexia criteria without experiencing extreme weight loss. In the DSM-5, this diagnosis is referred to as atypical anorexia. We acknowledge that his term can often be stigmatizing and invalidating to many. It is crucial to remember that eating disorders do not have a “look” and all struggles are valid and deserving of care. 

• Binge Eating Episodes: Regularly consuming large quantities of food in a short period, often feeling out of control.

• Purging Behaviors: Engaging in vomiting, excessive exercise, or the misuse of laxatives to compensate for eating.

• Severe Body Image Distortion: Holding an unrealistic perception of one’s body size or shape, leading to maladaptive behaviors.

• Physical Symptoms: Experiencing health issues such as dizziness, fainting, gastrointestinal problems, or heart irregularities.

Treatment Approaches

Both disordered eating and eating disorders require appropriate treatment, but the approaches may differ based on the severity of the condition.

Treatment for Disordered Eating

Therapy: Cognitive-behavioral therapy (CBT) is often effective in helping individuals recognize and change unhealthy thoughts and behaviors related to food and body image.

Nutrition Counseling: Working with a registered dietitian can help individuals develop balanced eating patterns, understand nutritional needs, and develop a positive relationship with food.

Mindfulness and Stress Management: Techniques such as mindfulness meditation and stress reduction strategies can help individuals cope with emotional triggers that lead to disordered eating.

Support Groups: Participating in support groups can provide a sense of community and shared experiences, helping individuals feel less isolated in their struggles.

Treatment for Eating Disorders

Medical Intervention: Individuals with eating disorders often require medical monitoring to address physical health issues such as malnutrition or electrolyte imbalances.

Inpatient or Outpatient Treatment Programs: Depending on the severity of the disorder, individuals may benefit from structured treatment programs that provide intensive therapy and medical care.

Psychotherapy: Evidence-based therapies, including CBT, dialectical behavior therapy (DBT), and interpersonal therapy, are commonly used to treat eating disorders and address underlying psychological issues.

Nutritional Rehabilitation: A registered dietitian can help individuals restore a positive and balanced relationship with food, establish regular eating patterns, and address nutritional deficiencies.

Family-Based Therapy: In cases of adolescent eating disorders, family-based therapy may be effective in involving family members in the treatment process to support recovery.

Understanding the difference between disordered eating and eating disorders is crucial for recognizing the signs, symptoms, and appropriate treatment options. If you or someone you know is struggling with disordered eating or an eating disorder, seeking help from a qualified professional can be a vital step toward recovery.

Remember, it's essential to prioritize mental and physical health, and there is support available for those in need.

Are you in need of support?

At Lift Wellness Group, we offer distinct levels of care that are designed to support you. Our team of compassionate and highly trained clinicians and staff are here to support you in your recovery. 

Outpatient Services: Working with a Lift therapist or dietitian will provide individualized care as you navigate mental health, disordered eating, or eating disorder recovery.

Our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) are highly structured and comprehensive programs that focus on holistic healing and recovery from mental health and eating disorders.

Our admissions team is here to lend a listening ear and find a program that is the best match for you. Connect with us today at (203) 908-5603.

Written by Allison Cooke, Certified Intuitive Eating Counselor and MSW Student.

What Causes Intrusive Thoughts?

Intrusive thoughts are sudden, involuntary thoughts, images, or ideas that seem to appear out of nowhere, often leaving you feeling unsettled or anxious. These thoughts can be disturbing or distressing because they typically go against your core values, morals, or desires. They might range from harmless and fleeting worries to more intense, troubling scenarios, and although they can be unsettling, they are a common experience for many people.

What makes intrusive thoughts especially perplexing is their unpredictability. They can arise in otherwise calm moments, seemingly unrelated to anything you're consciously thinking about. Whether it's a fleeting, bizarre mental image or a worry about a loved one, the nature of these thoughts can be deeply unsettling. It’s important to note, however, that having an intrusive thought doesn’t mean you endorse or believe in it. In most cases, they are a reflection of the brain's complex processing of emotions and stimuli, rather than an indication of personal desire or intention.

Intrusive thoughts often manifest in response to certain mental health conditions, such as PTSD or  Obsessive-Compulsive Disorder (OCD), where these thoughts may become repetitive and lead to compulsive behaviors,  Additionally, they can be triggered by major life changes or periods of emotional stress, like childbirth, where new parents—especially mothers—might experience disturbing thoughts related to their newborn's safety. 

But, what causes intrusive thoughts, and how can we better understand them?

What Causes Intrusive Thoughts?

Intrusive thoughts stem from the brain’s natural cognitive processes but can feel disruptive when they go against your values or desires. While anyone can experience them, certain factors make these thoughts more likely or more distressing. Here are some of the most common causes:

Stress and Anxiety 

High levels of stress can cause your mind to go into overdrive, leading to intrusive thoughts. Stress triggers fight-or-flight responses, and as part of this reaction, your brain may generate unwanted or unsettling thoughts as a way of preparing you for potential threats.

Mental Health Conditions 

Anxiety disorders, depression, and, in particular, OCD, are common culprits behind recurring intrusive thoughts. With OCD, intrusive thoughts often take the form of compulsions and obsessions, and individuals may feel compelled to perform certain behaviors to counteract these thoughts. It’s crucial to note that these thoughts are not reflective of someone’s character—they are symptoms of the disorder.

Traumatic experiences can lead to post-traumatic stress disorder (PTSD), characterized by intrusive flashbacks, nightmares, and hypervigilance. These symptoms can be a significant source of distress and contribute to the development of intrusive thoughts.

Life Changes 

Significant life transitions, such as becoming a parent, can lead to increased stress and the onset of intrusive thoughts. Postpartum intrusive thoughts are particularly common, especially in women dealing with postpartum anxiety or depression. New mothers may experience alarming or distressing thoughts related to their baby's safety, which can be deeply unsettling but not uncommon.

Fatigue and Sleep Deprivation

Lack of sleep and physical exhaustion can also play a role in the frequency and intensity of intrusive thoughts. When the body is tired, the brain may have difficulty processing emotions and managing stress effectively, leading to more unwanted mental intrusions.

Intrusive Thoughts and OCD

One of the most well-known associations between intrusive thoughts and mental health is through Obsessive-Compulsive Disorder (OCD). OCD is a condition marked by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions). Intrusive thoughts in OCD can be about a wide variety of topics, including fears of harm, contamination, or morality.

People with OCD often go to great lengths to avoid or neutralize these thoughts, which can lead to compulsive behaviors. While the thoughts themselves are distressing, it’s the reaction to them—the belief that these thoughts could be real or dangerous—that often fuels OCD.

Intrusive Thoughts Postpartum

For many new parents, especially mothers, intrusive thoughts postpartum can be an alarming experience. These thoughts may involve fears of accidentally harming the baby, sudden mental images of accidents, or worries about not being a good enough parent. While these thoughts can be disturbing, they do not indicate intent and are not uncommon in postpartum anxiety.

Postpartum intrusive thoughts often go hand in hand with conditions like postpartum depression or postpartum OCD, where the hormonal and emotional upheaval of giving birth, coupled with exhaustion and new responsibilities, heightens vulnerability to these thoughts. Understanding that these thoughts are symptoms rather than reflections of real fears or desires is key to managing them.

How to Manage Intrusive Thoughts

If you’re wondering what causes intrusive thoughts and how to manage them, the answer often lies in understanding the root cause. Here are a few strategies that can help:

• Acknowledge the thought without judgment: Instead of resisting or trying to push the thought away, recognize it for what it is—just a thought.

• Practice mindfulness and relaxation techniques: Mindfulness can help you observe your thoughts without getting attached to them.

• Seek professional help: Therapy, particularly Cognitive Behavioral Therapy (CBT) can be highly effective for those struggling with frequent intrusive thoughts, especially if they’re linked to OCD or postpartum depression.

• Medication: In some cases, medication may be recommended by a healthcare provider to help regulate the brain’s chemical balance, particularly if the thoughts are linked to an anxiety disorder like OCD or depression.

Understanding what causes intrusive thoughts can help demystify their occurrence. Whether they are linked to OCD or occur during the postpartum period, it’s important to recognize that these thoughts, while distressing, are not reflective of your true intentions. With proper management techniques and professional support, it’s possible to reduce the impact these thoughts have on your life and regain a sense of control over your mind.

Our admissions team is here to lend a listening ear and find a program that is the best match for you.Connect with us today at (203) 908-5603.

"Lucky Girl Syndrome”: A Wellness Perspective on Manifestation and Mental Health

The concept of “Lucky Girl Syndrome” has gained a lot of popularity over the years, particularly on social media platforms like TikTok and Instagram. At its core, Lucky Girl Syndrome is rooted in the belief that if you consistently expect good things to happen, they will. It's a mindset that promotes optimism, confidence, and a sense of control over one's destiny. 

However, like many wellness trends, Lucky Girl Syndrome intersects with broader conversations about mental health, particularly for women who face unique societal pressures and stressors. 

At Lift Wellness Group, where many of our patients are women, we’ve seen firsthand how mental health can be impacted by both societal expectations and the internal pressures women often place on themselves. 

Lucky Girl Syndrome, while seemingly empowering, also raises important questions about how we manage expectations, self-worth, and mental well-being in the pursuit of a positive mindset.

What is Lucky Girl Syndrome?

Lucky Girl Syndrome is based on the idea of manifesting success and good fortune by believing that you are inherently lucky and deserving of positive outcomes. It’s similar to the Law of Attraction, which suggests that positive thoughts can lead to positive experiences. 

The difference is that Lucky Girl Syndrome is more specific to women and often tied to the idea of effortlessly achieving success by simply expecting it.

Social media influencers often portray this mindset as an almost magical key to success. You think you’re lucky, act accordingly, and good things start happening. It’s an alluring idea—who wouldn’t want to believe that their mindset alone could lead to better relationships, career opportunities, and personal growth?

However, while this kind of thinking can be motivating and confidence-boosting for some, it’s important to approach it with a balanced perspective, especially when it comes to mental health.

The Connection Between Optimism and Mental Health

Optimism is a well-known contributor to better mental health. There’s certainly value in adopting a mindset that encourages you to focus on what could go right, rather than dwelling on worst-case scenarios.

For many, embracing a positive, confident mindset can be a powerful way to combat the imposter syndrome or societal pressures that often cause feelings of inadequacy. Believing in your own worth and deservingness of success is a healthy step toward achieving personal goals.

We often encourage our female patients to engage in positive self-talk, build confidence, and set intentions for their mental and physical health. These practices can be particularly empowering when they are grounded in self-compassion and realistic goal-setting. However, when optimism is framed as a cure-all, like in the case of Lucky Girl Syndrome, it can also bring its own set of challenges.

The Flip Side: Unrealistic Expectations and Mental Health

While Lucky Girl Syndrome promotes a belief in good fortune, it can also place an undue burden on women to constantly maintain a “lucky” mindset. This can lead to feelings of failure or self-blame when life doesn’t go as planned. After all, even the most positive people encounter setbacks, challenges, and circumstances beyond their control. Life is complex, and suggesting that one’s mindset alone determines their outcomes can oversimplify the realities of mental health, privilege, and systemic inequalities.

For women, especially those who already struggle with anxiety or perfectionism, the pressure to always feel positive or “lucky” can be overwhelming. It can create a mental health trap where negative emotions are seen as personal failings rather than natural parts of the human experience. This is especially true when social media amplifies only the highlights of others’ lives, leading to comparison and a false sense of inadequacy.

We’ve seen this dynamic play out with many of our female patients. They come to us looking for ways to improve their mental health but often feel pressure to maintain a façade of “having it all together.” We work with them to develop a more balanced perspective—one that acknowledges the importance of positivity but also honors the complexities of mental health and the inevitability of difficult times.

Manifestation and Mental Health: Finding a Balanced Approach

At Lift Wellness Group, we advocate for a more holistic approach that combines the optimism of manifestation with the tools of mental health care. For example, we encourage our patients to:

1. Set Realistic Goals: While it’s great to believe in your ability to succeed, it’s also important to set goals that are achievable. Unrealistic expectations can be detrimental to one's mental health and lead to disappointment.

2. Practice Self-Compassion: It’s okay to not be positive all the time! Everyone has bad days, when they are feeling too stressed or too struggling. Self-compassion means giving yourself grace during difficult times and recognizing that setbacks don’t define your worth.

3. Balance Optimism with Acceptance: Life is unpredictable, and while maintaining a positive mindset can be helpful, it’s also important to accept that some things are beyond your control. This balance can prevent feelings of failure when things don’t go as planned.

4. Seek Support: Mental health is not something that can be fixed through mindset alone. Therapy, support groups, and wellness programs (like the ones we offer at Lift Wellness Group) can provide the tools and community needed to navigate mental health challenges.

The Role of Lift Wellness Group in Supporting Women’s Mental Health

Many of our patients are women who are navigating the complexities of modern life. They are balancing careers, families, relationships, and personal growth, all while facing societal pressures to succeed and “have it all.” This can take a significant toll on mental health, leading to anxiety, depression, burnout, and feelings of inadequacy.

For our patients, we emphasize the importance of self-awareness and self-care. It’s not about always feeling “lucky” or being on top of everything. It’s about understanding your needs, setting boundaries, and finding healthy ways to cope with stress and adversity.

Conclusion: Embracing Optimism with Care

Lucky Girl Syndrome taps into a desire for positivity and control in a world that often feels uncertain. While the idea of manifesting success can be motivating, it’s important to approach it with a balanced perspective, especially when it comes to mental health. 

At Lift Wellness Group, we encourage our patients to embrace optimism but also to recognize that mental health is a journey that requires care, support, and realistic expectations.

For the women we serve, finding that balance between positivity and self-compassion is key to long-term wellness. Rather than striving to always feel “lucky,” we believe in helping our patients build resilience, cultivate self-compassion, and create lives that are meaningful, fulfilling, and supported by a strong foundation of mental health care.

In the end, the true magic isn’t in believing you’re lucky—it’s in knowing that you’re worthy of care, support, and understanding, no matter what life throws your way.

Our admissions team is here to help you find the program that is the best match for you. Connect with us today at (203) 908-5603.