Coping with Loss During the Holidays: Finding Light in a Season of Grief

The holidays are often portrayed as a time of joy, togetherness, and celebration. But for many people, the season can stir feelings of deep sadness, loneliness, or longing—especially when faced with the loss of a loved one. Grief doesn’t take a holiday. In fact, the very traditions that once brought comfort can now serve as painful reminders of who is missing. If you’re struggling this season, please know that you are not alone. There are gentle, meaningful ways to care for yourself and honor your loss while still allowing space for moments of peace and connection.

1. Give Yourself Permission to Feel

It’s okay if you don’t feel merry and bright. Grief has its own rhythm—it ebbs and flows. Trying to “push through” or pretend you’re fine often intensifies emotional pain. Instead, allow yourself to feel what you feel. Some days may bring tears; others may bring laughter—and both are valid expressions of love and loss. Try this: Take a few quiet minutes each day to check in with yourself. Ask, “What do I need right now—comfort, space, rest, or connection?” Then, give yourself that gift without judgment.

2. Create New Traditions (or Modify Old Ones)

You may not be ready—or even want—to celebrate in the same way as before. That’s okay. You can adapt old traditions or create new ones that honor your loved one in ways that feel right.

Examples:

• Light a candle in their memory before a holiday meal.

• Share a favorite story or photo.

• Make a donation or volunteer in their honor.

• Spend time in a place they loved.

• Traditions don’t have to disappear—they can evolve into rituals that help you heal.

3. Set Boundaries and Say “No” When Needed

You don’t owe anyone an explanation for protecting your emotional energy. If certain gatherings feel too painful or overwhelming, give yourself permission to decline—or attend for only a short time. Grief requires rest, not performance. Remember, healing happens in the space you create for yourself, not in meeting others’ expectations.

4. Connect with Support

Grief often feels isolating, but sharing your feelings can lighten the emotional load. Talk with someone you trust—a friend, therapist, or support group. Sometimes, being heard is the most powerful form of healing. If you’re in therapy, this can be an especially important time to process the waves of grief and learn grounding or self-soothing strategies for difficult moments.

5. Find Small Moments of Peace

You don’t have to feel joyful to find peace. Even simple moments—a walk outdoors, journaling, lighting a candle, listening to calming music—can anchor you in the present and soothe your nervous system. Healing isn’t about “moving on,” but rather finding ways to carry your love forward with you.

A Final Thought

Grief is the price we pay for love. During the holidays, that love may ache—but it’s also what connects you to the person you miss most. Allow yourself to remember, to feel, and to breathe. Healing is not forgetting. It’s learning to live again, gently and courageously, even when your heart is tender.

If you’re struggling this season, The Counseling Center for Change is here to help. Our compassionate therapists can help you process loss, navigate difficult emotions, and rediscover meaning and connection through this season and beyond.

Bariatrics and ADHD: The Hidden Connection No One Talks About

Most people think of ADHD as a condition that only affects focus, attention, or productivity. But for many adults—diagnosed and undiagnosed—ADHD plays a powerful and often overlooked role in their relationship with food, routines, emotions, and long-term weight management.

And when it comes to bariatric surgery, this hidden connection becomes even more important.

If you’ve ever wondered why sticking to pre-op guidelines feels so hard… why you struggle with consistency… or why you “know what to do” but can’t seem to follow through, ADHD might be a bigger part of the picture than you realized.

Let’s break down why.

ADHD and Eating Patterns: The Brain Behind the Behavior

ADHD doesn’t just live in the brain—it affects daily life in ways that directly influence weight, health habits, and self-esteem. Many adults with ADHD experience:

• Impulsivity: leading to emotional eating, grazing, or quick comfort foods
• Time blindness: forgetting to eat, forgetting vitamins, missing hydration goals
• Executive function challenges: difficulty planning meals, prepping food, or sticking to structure
• Emotional dysregulation: using food for relief, comfort, or stimulation
• Reward-seeking behavior: gravitating toward high-sugar or high-carb foods for quick dopamine boosts

These aren’t character flaws. They’re neurological patterns.

When these patterns meet the structure and discipline required in a bariatric journey, it can feel overwhelming if you don’t have the right tools.

Why ADHD Symptoms Intensify Before and After Bariatric Surgery

Bariatric surgery requires structure, consistency, and follow-through—three areas where ADHD brains naturally struggle.

Here’s what often happens:

1. Pre-Op Planning Can Feel Paralyzing

Food logs, appointments, paperwork, nutrition classes…
Executive function overload.

2. Post-Surgery Routines Are Hard to Sustain

Hydration, vitamins, meal timing, slow eating, protein goals—this requires routines and habits that ADHD brains don’t default to without support.

3. Emotional Overwhelm Increases Eating Vulnerabilities

After surgery, old coping tools disappear. If food was emotional relief, the ADHD brain may experience more distress or impulsive urges.

4. All-or-Nothing Thinking Creeps In

One slip can feel like failure.
And for the ADHD mind, shame spirals happen fast.

Understanding this connection is the key to breaking the cycle.

Why This Isn’t Talked About More

ADHD in adults is still underdiagnosed, especially in women.
Many people go through a bariatric program without ever being screened for ADHD—even though it directly affects compliance, outcomes, and mental health.

The truth is:
ADHD doesn’t make bariatric success impossible. It means you need a different set of tools.

This is where CBT (Cognitive Behavioral Therapy), executive function strategies, and structured support can make a massive difference.

How Adults With ADHD Can Succeed in Their Bariatric Journey

Here are some approaches that dramatically improve outcomes for bariatric patients with ADHD:

1. Externalize Everything

Tracking tools, alarms, timers, reminders, visual cues—these are lifelines, not crutches.

2. Break Tasks Into Micro-Steps

“Meal prep” becomes:
• Choose 3 proteins
• Pick 3 veggies
• Prep containers
• Set timer for 20 minutes
Small steps = big follow-through.

3. Use CBT Skills to Interrupt Shame Cycles

Challenge black-and-white thinking, catastrophizing, and negative self-talk that keeps you stuck.

4. Build Accountability

Groups, coaching, or buddy systems create the structure that ADHD brains thrive on.

5. Create Dopamine in Healthy Ways

Movement, connection, creativity, hobbies—these reduce the brain’s drive toward food-based stimulation.

6. Prepare Emotionally for Post-Surgery Changes

Learning emotional regulation skills before surgery prevents overwhelm afterward.

With the right plan, adults with ADHD often become some of the most successful bariatric patients—because once they learn the systems that work for their brain, they thrive inside structure.

You’re Not Alone—And You’re Not “Failing”

So many bariatric patients think they lack willpower or discipline when they actually have an underrecognized neurobiological condition affecting the process.

Here’s the truth:

ADHD doesn’t make you weak. It makes you human.
And once you understand how your brain works, the entire journey gets easier.

If you’ve been struggling to stay consistent, overwhelmed by planning, or frustrated by self-sabotaging habits—there’s a reason. And there’s a path forward.

Bariatric surgery is a powerful tool, but it’s your mindset, structure, and emotional skills that determine long-term success. When ADHD is part of the picture, the right support can change everything.

This is why programs that focus on mindset + habits + CBT + accountability are so important for adults navigating both ADHD and bariatrics.

You’re not behind.
You’re not broken.
You just need tools that work for your brain.

And once you have them, your transformation becomes sustainable—not stressful.

If you’re interested in joining our Adult ADHD program, we’d love to support you—click below to learn more and reserve your spot.

Mastering Your Adult ADHD program

Why the End of the Year Is the Best Time to Start Therapy

As another year comes to a close, many of us take stock of where we are emotionally, mentally, and physically. We reflect on our progress, our setbacks, and the goals we still hope to achieve. This season of reflection can bring mixed emotions—relief that the year is ending, pride for what we’ve accomplished, and sometimes disappointment or worry about what hasn’t gone as planned. Amid the holiday rush and the pressure to start fresh in January, one of the most powerful steps you can take is to focus on your mental health.

Starting therapy at the end of the year can be one of the most valuable decisions you make for yourself. Here’s why.

1. A Natural Time for Emotional Reflection

The end of the year invites self-assessment. It’s when we ask questions like:

• “Am I where I want to be emotionally?”

• “What habits or thought patterns are holding me back?”

• “How do I want to feel next year?”

While it’s easy to focus on professional or financial goals, emotional goals are just as important—and therapy is a meaningful way to work toward them. In therapy, reflection becomes guided and purposeful. Rather than staying stuck in old stories or regrets, you can learn how to shift perspective, gain emotional insight, and set healthy intentions for the future.

This season also tends to magnify emotions. The holidays can bring joy, but they can also stir loneliness, grief, or family tension. Therapy offers a safe space to process these feelings instead of burying them. A few sessions in November or December can help you navigate the season with greater clarity and emotional steadiness.

2. Building Healthy Momentum Before January

Many people wait until the new year to begin therapy, thinking of it as part of their “resolutions.” But change doesn’t have to wait for January 1. In fact, starting therapy now can help you enter the new year with momentum, not exhaustion.

The end of the year often comes with pressure—deadlines, travel, social events, and family obligations. It’s a time when anxiety, irritability, and fatigue can peak. Beginning therapy before the new year allows you to start managing stress before it intensifies. It helps you learn techniques to stay centered during the holidays and gives you tools to transition smoothly into the next chapter of your life.

By the time January arrives, you’ll already have established a foundation for personal growth. Instead of scrambling for a “new you,” you’ll be continuing a process you’ve already begun—a process grounded in awareness, confidence, and emotional balance.

3. Making the Most of Your Benefits

There’s also a practical reason to begin therapy now: your Health Savings Account (HSA) or Flexible Spending Account (FSA) funds may expire at the end of the year. These accounts are designed to cover qualified medical and mental health expenses, including therapy sessions. If you don’t use those funds before December 31, you may lose them.

Using your HSA or FSA for therapy is one of the best ways to invest in yourself. It’s an opportunity to prioritize your emotional health while making the most of your existing resources.

The Counseling Center for Change also accepts the following insurance plans:
Medical Assistance (Medicaid), Medicare, Cigna, Aetna, United Healthcare, and Blue Cross Blue Shield.

If you’re uncertain about your coverage, our administrative team can help verify your benefits and clarify your options. We want therapy to be accessible and affordable for everyone who’s ready to make a change.

4. Therapy Is Not Just for When Things Fall Apart

Another reason to begin therapy now is to reframe how you think about it. Therapy isn’t only for crisis moments—it’s also a space for growth, reflection, and prevention. Starting therapy when things are manageable, rather than overwhelming, allows you to explore your emotions with more openness and less urgency.

You might use therapy to:

• Strengthen self-esteem and confidence

• Build communication and relationship skills

• Manage work-related stress

• Heal from burnout or fatigue

• Learn how to calm anxiety or regulate mood

When you begin this process before the new year, you’re not reacting—you’re preparing. You’re choosing to face life’s challenges with tools, understanding, and support.

5. Setting the Tone for the Year Ahead

Most people think of the new year as a clean slate. But lasting change doesn’t come from resolutions alone—it comes from sustained self-awareness. Therapy helps you build the mindset and habits needed to maintain those changes.

Instead of making lofty resolutions like “be happier” or “stress less,” therapy helps you identify the real patterns behind those goals. Together with your therapist, you can define small, actionable steps that make emotional growth sustainable.

By starting therapy before the new year, you give yourself the gift of a head start. You enter January already practicing mindfulness, setting boundaries, and learning how to challenge unhelpful thoughts. You begin the new year not with pressure, but with purpose.

Take the First Step Toward Change

If you’ve been thinking about therapy but haven’t made the leap, there’s no better time than now. Whether you’re dealing with anxiety, depression, self-esteem challenges, or simply want to feel more grounded, therapy can help you rediscover balance and clarity.

Our compassionate team at The Counseling Center for Change is here to help you navigate life’s transitions and build emotional resilience. We offer individual therapy, group programs like 11 Weeks to Self-Esteem, Mastering Your Adult ADHD and other specialized services and programs to help you create meaningful change in your life.

Start your new year with intention, not overwhelm. Use your HSA or FSA funds before they expire, and take the next step toward the best version of yourself.

Schedule your session today and begin your journey toward lasting emotional wellness.

When the Days Get Shorter: How to Beat Seasonal Affective Disorder

As the days grow shorter and the sunlight fades earlier, many people notice their mood dipping along with the temperature. You’re not imagining it — those low-energy, unmotivated, “blah” days can be part of something very real called Seasonal Affective Disorder (SAD).

SAD is a type of depression that typically appears in the fall and winter months when sunlight is limited. For some, it’s mild. For others, it can feel like a heavy blanket of fatigue, sadness, or disconnection that makes even small tasks feel overwhelming.

The good news? You can take steps to beat it — and even prevent it from taking hold.

☀️ Why Shorter Days Affect Your Mood

Sunlight plays a huge role in regulating your body’s internal clock, known as your circadian rhythm. When there’s less natural light:

• Your brain produces more melatonin, making you feel sleepy and sluggish.

• You produce less serotonin, the neurotransmitter that boosts mood and helps you feel balanced.

• Your energy levels and motivation naturally dip.

That’s why you might find yourself craving carbs, wanting to sleep more, or withdrawing socially as the seasons shift — your body and mind are literally responding to the light changes around you.

💡 5 Steps to Manage and Prevent Seasonal Affective Disorder

Below are simple, research-based strategies you can start right now. The key is consistency — small daily actions can help you stay balanced and beat back the winter blues.

Step 1: Let the Light In

• Get outside early: Try to spend at least 15–30 minutes outdoors each morning, even on cloudy days. Natural light exposure in the morning helps regulate your mood and sleep cycle.

• Use a light therapy lamp: These lamps mimic sunlight and can help boost serotonin. Use it for 20–30 minutes in the morning while you eat breakfast or check emails.

• Open blinds and curtains: Maximize daylight in your home or office, and sit near windows when you can.

Step 2: Keep a Steady Routine

SAD thrives on disruption — and routine is your antidote.

• Set consistent wake and sleep times, even on weekends.

• Plan your days with gentle structure — knowing what’s next reduces that “stuck” feeling.

• Include regular meals and hydration to stabilize your blood sugar and energy levels.

💡 Tip: Create a morning “activation ritual” — something small that gets you moving and sets a positive tone for your day (e.g., stretching, tea ritual, or playing upbeat music).

Step 3: Move Your Body (Even When You Don’t Feel Like It)

Exercise is one of the most powerful tools against depression.

• Aim for 20–30 minutes of moderate movement most days — walking, yoga, or dancing in your living room all count.

• Try outdoor walks when possible to combine light exposure and exercise.

• Start small — a 5-minute walk can build momentum and motivation for more.

Step 4: Stay Connected

Isolation feeds low mood. Connection helps regulate it.

• Schedule weekly check-ins with supportive friends or family — even quick texts count.

• Join a group or class (in-person or online) that keeps you socially and mentally engaged.

• Consider joining a support group or therapy program if you’re struggling — it’s a sign of strength to seek help.

Step 5: Nourish Your Mind and Mood

What you feed your body also fuels your mental health.

• Focus on whole foods: lean proteins, leafy greens, complex carbs, and omega-3s.

• Limit sugar and caffeine, which can create energy crashes and worsen anxiety.

• Try vitamin D supplements, especially during winter months (ask your doctor first).

And don’t forget emotional nourishment — journaling, mindfulness, or gratitude practice can help reframe negative thoughts and ground your perspective.

When to Seek Professional Help

If your low mood persists, it’s important to reach out.
Persistent sadness, hopelessness, sleep problems, or loss of interest in things you usually enjoy are signs you may need additional support.
Therapy can help you identify your thought patterns, reintroduce motivation, and build coping skills to get through darker months with resilience and hope.

The changing seasons don’t have to control your mental health. By creating structure, staying connected, and giving your body what it needs, you can step into winter with confidence instead of dread.

As Dawn O’Meally, LCSW-C, often reminds her clients:

“The goal isn’t to fight the season — it’s to learn how to thrive through it.”

If you or someone you know struggles during the fall and winter months, remember: help, light, and support are all within reach.

The Transformation You Can Measure: How 11 Weeks to Self-Esteem Changes Lives

For over 20 years, the 11 Weeks to Self-Esteem Program has been helping people across the United States and England rediscover their confidence, challenge negative thinking, and live more fulfilling lives. The results have been nothing short of inspiring — and they speak for themselves.

This unique Cognitive Behavioral Therapy (CBT)-based 11 Weeks to Self Esteem program, developed by Dawn O’Meally, LCSW-C, isn’t just another self-help program. It’s a carefully structured, skill-based journey based of Dr. David Burns 10 Days to Self Esteem book, that helps participants understand their thoughts, emotions, and behaviors — and how to change them for good.

“The workbook exercises and weekly scoring process help you actually see your progress in real time,” says Dawn. “That’s what makes this program so powerful. You’re not just learning skills — you’re watching your emotional health improve week by week.”

From Self-Doubt to Self-Confidence

At the beginning of the program, participants complete a detailed self-assessment — rating how they feel about different areas of their life, from self-esteem and mood to motivation, anxiety, and relationships.

These scores provide a baseline, helping each participant understand where they’re starting from and where their growth opportunities lie. Over the next eleven weeks, they learn proven CBT tools to challenge negative thought patterns, stop self-criticism, and build unconditional self-worth.

By the end of the program, participants complete the same assessment again — and the difference is often remarkable.

One participant shared:

“I used to think I had no control over my emotions or my thoughts. After going through this group, I learned to pause, question, and respond differently. My confidence and peace of mind have improved so much.”

Another wrote:

“I’m no longer my own worst critic. I’ve learned to be kinder to myself — and I can finally enjoy life without the constant guilt and pressure I used to feel.”

A Program That Meets You Where You Are

The beauty of the 11 Weeks to Self-Esteem program lies in its flexibility and inclusivity. Whether someone struggles with perfectionism, chronic self-doubt, anxiety, or the aftermath of past experiences — the program offers tools that can be applied immediately in daily life.

Each week builds upon the last, reinforcing the connection between thoughts, emotions, and actions. Participants often discover that by changing one small pattern, an entire mindset can shift.

“CBT helps people realize that emotions aren’t random,” Dawn explains. “They’re connected to the way we think. Once you learn to identify and change those thoughts, you unlock a freedom that lasts.”

Two Decades of Proven Success

With consistent success across two continents, this group continues to thrive because it delivers real, measurable results. Hundreds of participants have completed the self-assessment process and witnessed tangible improvements — not just in their scores, but in how they view themselves and their lives.

In many cases, the transformations go beyond personal growth — they ripple outward. Participants report better relationships, improved focus, increased motivation, and a more balanced emotional life.

The Power of Measurable Change

While emotional healing can sometimes feel abstract, the 11 Weeks to Self-Esteem program makes progress visible. The self-scoring component empowers participants to take ownership of their journey — and to celebrate how far they’ve come.

By comparing their Week 1 and Week 11 scores, they can clearly see reductions in anxiety, self-criticism, and hopelessness — replaced by measurable increases in self-compassion, motivation, and joy.

It’s one thing to feel better. It’s another to see it.

The 11 Weeks to Self-Esteem Program is more than a class — it’s a turning point. Through evidence-based techniques, self-reflection, and supportive group learning, it gives people the chance to change the way they think, feel, and live.

“After two decades of running this program, I’ve seen incredible transformations — not because of me, but because people finally realize they have the power to rewrite their own story.”

And that’s what makes the 11 Weeks to Self-Esteem program so special — it’s not just therapy. It’s transformation that lasts.

If you or somebody you know would benefit from high self esteem, click the link below to download the flyer or check out our schedule of events on cbtselfesteem.com

DOWNLOAD THE PROGRAM FLYER

Breaking the Silence: Supporting Mental Health During National Suicide Prevention Month

September is National Suicide Prevention Month—a time to come together, raise awareness, and remind ourselves that every life has value. At The Counseling Center for Change, we believe that open conversations about mental health can save lives. By understanding warning signs and learning how to support loved ones, we can create a community where no one suffers in silence.

The Growing Need for Awareness

Mental health challenges are on the rise, and suicide remains one of the leading causes of death in the United States. While these statistics are sobering, they highlight one powerful truth: talking about suicide saves lives.

• Over 48,000 Americans died by suicide in 2023

• More than 12 million adults seriously considered suicide last year

• One in five adults experience mental illness each year

These numbers underscore why awareness, education, and connection are so critical.

Recognizing the Warning Signs

Suicide rarely happens without warning. Some common signs to watch for include:

• Talking about wanting to die or end their life

• Expressing feelings of hopelessness or being a burden

• Withdrawing from friends, family, and activities

• Sudden mood swings, anger, or irritability

• Increased use of alcohol or drugs

Knowing these signs could empower you to step in, offer support, and connect someone to help.

How to Support Someone in Crisis

If you suspect someone is struggling, start by:

• Listening without judgment

• Expressing empathy and compassion

• Asking open-ended questions like: “I’ve noticed you’ve been quiet lately, how are you feeling?”

• Sharing resources, such as The Counseling Center for Change or the 988 Suicide & Crisis Lifeline

Your willingness to talk can make a life-saving difference.

How Therapy Can Change Lives

Therapy offers a confidential, non-judgmental space to:

• Process overwhelming thoughts and emotions

• Build coping skills

• Restore hope and self-worth

• Connect with someone who understands and cares

Whether for yourself or someone you love, reaching out for help is a sign of strength, not weakness.

National Suicide Prevention Month is about hope, connection, and action. At The Counseling Center for Change, we are here to listen, guide, and support you—every step of the way.

📞 Call Us: (443) 590-0030

If you or someone you love is in immediate crisis, call 988. You are not alone. 💜

Bariatric Surgery & Mental Health: Why Your Journey Starts Before the Surgery

Bariatric surgery is often described as life-changing—and it truly can be. But success with this kind of transformation doesn’t begin in the operating room. It starts long before, with an important first step: your pre-surgical psychological evaluation.

Why the Pre-Surgical Psych Eval Matters

The goal of the evaluation is not to “pass” or “fail.” Instead, it’s an opportunity to ensure you’re prepared for the emotional and lifestyle changes ahead. A thorough and honest evaluation helps:

• Confirm you’re ready to take on the significant changes that follow surgery

• Identify strengths you can lean on during the process

• Uncover any challenges that could make your transition harder—and create strategies for managing them

• Set realistic expectations for what surgery can and cannot do

This first step is critical because it lays the foundation for long-term success.

The Journey Doesn’t End After Surgery

While the day of surgery may feel like the destination, it’s actually the beginning of a new chapter. Life after bariatric surgery can bring many positive changes, but it also introduces challenges such as:

• Adjusting to a new relationship with food

• Navigating changes in body image

• Managing shifting dynamics in personal relationships

• Coping with unexpected emotional ups and downs

Having a support system during this stage is essential—and one of the most valuable supports can be the continued guidance of your therapist.

Why Ongoing Therapy Can Make All the Difference

When you continue working with the therapist who guided you through your evaluation, you already have a trusted partner who:

• Understands your personal history and your unique goals

• Knows your strengths and the challenges you may face

• Can provide consistent, tailored support as you adjust to life after surgery

Ongoing therapy offers a safe space to talk about struggles, celebrate progress, and problem-solve challenges. Over time, this relationship can become a steady source of encouragement and accountability—two key ingredients for maintaining long-term success.

Taking Care of Your Whole Self

Bariatric surgery can transform your physical health, but your mental health is just as important. Starting with a strong, honest evaluation and continuing with regular, supportive therapy helps ensure that you’re prepared for both the emotional and physical aspects of this journey.

By investing in your mental well-being from the very beginning, you’re giving yourself the best possible chance to thrive—not just survive—after bariatric surgery.

When Weight Loss Triggers Old Wounds: Healing the Emotional Side of Transformation

For many, weight loss marks a powerful turning point in life. Whether achieved through bariatric surgery, GLP-1 medication, or structured nutrition programs, transformation often begins on the scale. But what happens when your body changes faster than your emotions can keep up?

The truth is—weight loss can trigger old emotional wounds you didn’t even know were still there.

🧠 The Emotional Aftermath of Transformation

After years of struggling with weight, food shame, and feeling “not enough,” finally losing weight can be freeing. But it can also bring unexpected challenges: identity confusion, body dysmorphia, anxiety, fear of regaining, or even resurfaced trauma.

This emotional rollercoaster isn’t talked about enough. And for many, it leads to self-sabotage, isolation, or an overwhelming sense of “what now?”

That’s why emotional support after weight loss isn’t optional—it’s essential.

💬 You’re Not Alone—And You’re Not Failing

Maybe you’re:

• Feeling disconnected from your new body

• Struggling with cravings or emotional eating again

• Noticing old thought patterns creeping back

• Questioning your worth now that your outside has changed

These experiences are incredibly common—but they’re also incredibly isolating. The good news? You don’t have to go through them alone.

🧰 Introducing: The Emotional First Aid Kit Group

To support your emotional healing after weight loss, MBS Weight Loss is launching a new group experience based on the groundbreaking book The Emotional First Aid Kit by Cynthia L. Alexander.

This 8-week virtual group, starting August 26, is led by Carole Shelton, MSW, LCSW-C—a licensed therapist and bariatric warrior herself.

You’ll get:

✅ A supportive space to process identity shifts
✅ Tools for managing cravings, triggers, and setbacks
✅ Weekly structure rooted in trauma-informed care
✅ Connection with others who truly understand your journey

📅 Group Details

• Start Date: August 26 – October 21, 2025

• Time: Tuesdays, 7:00–8:30 PM EST

• Platform: Zoom

• Facilitator: Carole Shelton, MSW, LCSW-C

• Required Book: The Emotional First Aid Kit by Cynthia L. Alexander (available on Amazon)

• Cost: $240 total (Insurance may cover for Maryland residents)

🎯 Heal. Rebuild. Thrive.

Weight loss is only the beginning. Emotional healing is the foundation for lasting change.

If you’re ready to reconnect with your body, rebuild your self-esteem, and stop letting the past dictate your future—this group is for you.

🔗 Sign up now and give yourself the emotional tools you need for life after transformation.

Can GLP-1 Medications Replace Bariatric Surgery?

In recent years, medications like Ozempic, Wegovy, and Mounjaro—known as GLP-1 receptor agonists—have gained massive attention for their effectiveness in helping people lose weight. As these medications grow in popularity, one big question keeps coming up:
Do we still need bariatric surgery, or can these medications replace it?

The short answer: It depends.

Let’s break down the facts so you can better understand your options.

💊 What Are GLP-1 Medications?

GLP-1s (short for glucagon-like peptide-1 receptor agonists) mimic a natural hormone that helps regulate blood sugar, insulin, and appetite. People using these medications often feel fuller faster, eat less, and lose significant amounts of weight—sometimes up to 15–20% of their body weight.

🔪 What Bariatric Surgery Offers

Bariatric surgery—such as gastric bypass or sleeve gastrectomy—goes beyond weight loss. These procedures:

• Permanently alter the digestive system, leading to hormonal changes that improve metabolism

• Help resolve or improve conditions like type 2 diabetes, high blood pressure, and sleep apnea

• Often result in longer-lasting weight loss than medication alone (especially in patients with higher BMIs)

🧠 Medications vs. Surgery: The Key Differences

CategoryGLP-1 MedicationsBariatric SurgeryWeight Loss Amount~15–20% on average~25–35% on averageLong-Term ResultsMay require lifelong useOften sustained with proper supportInvasivenessNon-surgicalRequires surgeryCostHigh (and not always covered by insurance)Can be covered by insuranceOther BenefitsHelps with diabetes and appetite controlMore profound metabolic effects

⚖️ Which One Is Right for You?

There is no one-size-fits-all answer. The best treatment depends on factors like:

• Your BMI and medical history

• Whether you’ve tried other weight loss options

• Your insurance coverage

• Your comfort level with surgery or long-term medication

Some people may start with medication to lose weight before surgery, while others use it after surgery to manage weight regain.

🧩 Why We Still Need Bariatric Surgery

GLP-1s are a major advancement in obesity treatment—but they’re not a cure-all. Many patients stop responding over time or experience side effects that make long-term use difficult. Others may regain weight after stopping the medication.

Bariatric surgery, on the other hand, is currently the most effective long-term treatment for severe obesity and obesity-related diseases. It offers metabolic and hormonal benefits that medications alone can't fully replicate.

GLP-1 medications have opened a new door in the world of weight loss and metabolic health, but they haven’t made surgery obsolete. Instead, they offer another tool in the toolbox—sometimes working alongside surgery, sometimes providing a bridge for patients who aren’t ready (or don’t qualify) for an operation.

The best path forward is a personalized plan, created in collaboration with your healthcare team, that supports your physical and mental health every step of the way.

Want to explore whether GLP-1s or bariatric surgery is right for you? Talk with a bariatric specialist or your primary care provider to weigh the options. There’s no shame in needing support to manage your weight—it’s about finding what works best for your body and your life.

How to Build a Mental Health Toolbox for Hard Days

We all have hard days. The kind where your motivation disappears, your thoughts spiral, and everything feels just a little heavier. These moments are a natural part of being human—but that doesn’t make them easy.

As a mental health therapist, I often remind clients that while we can’t always prevent tough days, we can prepare for them. One of the best ways to do that is by building a mental health toolbox—a collection of strategies, reminders, and supports you can turn to when you’re struggling.

Think of it as emotional first aid for your mind and heart.

What Is a Mental Health Toolbox?

A mental health toolbox is a personalized set of tools that help you regulate emotions, ground yourself, and reconnect with your inner strength when you're overwhelmed. It’s practical, intentional, and rooted in self-compassion.

It can include:

• Activities that soothe you

• Coping strategies that regulate your nervous system

• Affirmations or reminders of your worth

• Contacts or resources for support

Let’s break down some key categories to include in yours:

1. Grounding Tools

These are simple practices that help bring you back to the present moment when your mind is racing.

Examples:

• The 5-4-3-2-1 method (identify 5 things you see, 4 you can touch, etc.)

• Holding an ice cube or splashing cold water on your face

• Tactile tools: smooth stones, fidget toys, textured fabric

2. Emotional Expression

Bottled-up emotions need a safe outlet. These tools help you feel, process, and release.

Examples:

• Journaling prompts like “What do I need right now?”

• Voice notes to yourself

• Drawing, doodling, or painting how you feel

3. Soothing Activities

Comforting rituals can help shift your nervous system from “fight or flight” into “rest and digest.”

Examples:

• Your go-to calming playlist

• A weighted blanket or cozy hoodie

• Watching your favorite low-stakes TV show or comfort movie

• A warm shower or bath

4. Connection + Support

Hard days feel worse when we isolate. Remind yourself who you can reach out to.

Include:

• A short list of people you can text or call (yes, even if it’s just “Hey, today’s hard”)

• Crisis hotlines or therapist contact info

• Online support communities or affirming social media accounts

5. Coping Statements or Affirmations

Sometimes we just need a compassionate voice—especially when our inner critic is loud.

Write or print statements like:

• “This feeling is temporary.”

• “I’ve survived hard days before. I can do it again.”

• “My worth isn’t defined by how productive I am.”

Pro Tip: Make It Tangible

Your toolbox doesn’t have to be metaphorical. Consider creating a physical box or journal where you keep these items and reminders. Or build a digital version in your Notes app, Pinterest board, or Google Drive folder.

A mental health toolbox won’t erase your hard days—but it will help you move through them with more support, intention, and care. You don’t have to rely on willpower alone. You just need tools that work for you.

If you don’t know where to start, try picking just three tools from the list above and commit to trying them next time things feel heavy.

You’re allowed to give yourself help, even when you’re not “at your worst.” You’re allowed to make tending to your mental health a regular practice—not a last resort.

And if today is a hard day?
Take a breath. You're not alone.
You’re doing better than you think.

What Mental Health Really Looks Like (and Why It’s Not Always Obvious)

When we think of “mental health,” we often picture someone crying, anxious, or visibly overwhelmed. But here’s the truth: mental health isn’t always loud. It doesn’t always look like crisis. And it doesn’t come with a sign on someone’s forehead.

In fact, mental health often hides behind a smile.
It can look like the friend who always checks in on others but never opens up about their own struggles.
It can look like the high-achiever, the perfectionist, the parent holding everything together.
It can look like you—showing up every day, doing your best, and still feeling like you’re not enough.

🌿 Mental Health Is a Daily Experience

Just like physical health, your mental health is constantly changing. It’s impacted by sleep, relationships, stress, trauma, diet, past experiences, and even the way we talk to ourselves. Sometimes it feels like a storm. Other times it’s a quiet heaviness, a disconnect, or an invisible weight you carry in your chest.

That’s why awareness matters. We need to normalize checking in with ourselves before things fall apart. We need to normalize therapy, rest, boundaries, asking for help, and saying “no” without guilt.

💬 What to Look For (Even When It’s Subtle)

Mental health struggles don’t always look dramatic. They can look like:

• Saying “I’m just tired” but feeling emotionally drained every day

• Pulling away from people you care about

• Feeling irritable or numb without knowing why

• Being hard on yourself no matter what you accomplish

• Having trouble sleeping, focusing, or finding joy in what used to bring you peace

Sound familiar? You’re not alone.

💛 Let’s Normalize the Truth

Mental health isn't about being "happy all the time." It’s about having the tools, support, and self-awareness to navigate life’s ups and downs. It’s about learning how to show up for yourself the way you show up for everyone else.

And most importantly: it’s okay to not be okay.

Whether you're managing depression, healing from trauma, or just feeling overwhelmed—your experience is valid. There is strength in asking for help. There is healing in being seen.

🌱 You Deserve Support

As a therapist and coach, I want you to know this: You don’t have to wait until things are falling apart to care for your mental health. In fact, the best time to start is now. You’re allowed to take up space, seek help, and prioritize you.

Because mental health isn’t a destination—it’s a daily practice. And you are worthy of that care.

Prioritizing Mental Health in the Workplace: Why It Matters and How to Advocate for Change

In today’s fast-paced, high-demand work culture, mental health has become an essential topic in workplace conversations. Employees are expected to perform at their best while juggling deadlines, meetings, and personal responsibilities—all of which can take a toll on mental well-being. As a mental health therapist, I see firsthand how work-related stress, burnout, and lack of mental health support impact individuals. The good news? Companies are starting to recognize the importance of mental well-being and are implementing changes to support their employees. However, there is still work to be done.

Whether you’re an employee feeling overwhelmed or an employer looking to foster a healthier work environment, here’s why prioritizing mental health in the workplace is crucial and how you can take actionable steps toward advocacy and self-care.

Advocating for Mental Health Days at Work

Many employees hesitate to take time off for mental health, fearing judgment or negative career consequences. However, mental health days are just as important as sick days—after all, mental and physical health are deeply connected.

How to Advocate for Mental Health Days in Your Workplace:

🔹 Normalize the Conversation – Openly discuss mental health with colleagues or managers. When leaders and employees speak about it, it helps reduce stigma.

🔹 Know Your Rights – Some companies already include mental health in their paid time off (PTO) policies. If yours doesn’t, propose adding it as a standard practice.

🔹 Lead by Example – If you’re in a leadership role, encourage your team to take mental health days when needed. A supportive work culture starts from the top.

🔹 Propose a Mental Health Initiative – If your company lacks clear mental health policies, suggest implementing wellness days, flexible work hours, or designated mental health breaks.

Taking a mental health day shouldn’t be a luxury—it should be a necessity to recharge and maintain overall well-being.

Managing Work-Related Stress and Burnout

Burnout is more than just feeling tired—it’s a state of emotional, physical, and mental exhaustion caused by prolonged stress. It can lead to decreased productivity, irritability, anxiety, depression, and even physical health issues.

Signs of Burnout:

✅ Constant fatigue and lack of motivation
✅ Increased cynicism or detachment from work
✅ Difficulty concentrating or making decisions
✅ Frequent headaches, muscle tension, or sleep disturbances

If you’re experiencing any of these symptoms, it’s time to take action.

Strategies to Prevent & Manage Burnout:

✔ Set Boundaries – Avoid checking emails after work hours. Stick to a healthy work-life balance.

✔ Take Breaks – Step away from your desk, stretch, or take a short walk during the day.

✔ Use Your PTO – Don’t wait until you’re completely burned out to take time off. Regular breaks can prevent exhaustion.

✔ Seek Support – Talk to a supervisor, therapist, or trusted colleague if you’re feeling overwhelmed. Many companies now offer Employee Assistance Programs (EAPs) for confidential mental health support.

✔ Prioritize Self-Care – Exercise, mindfulness, and engaging in hobbies can help manage stress and keep your mental health in check.

Work shouldn’t drain you—it should be a place where you can grow and thrive. If your job is negatively impacting your mental health, it may be time to reevaluate your role or discuss accommodations with your employer.

How Companies Are Addressing Employee Well-Being

The shift toward mental health awareness in the workplace is growing, and many organizations are taking steps to improve employee well-being. Some notable workplace wellness initiatives include:

🏢 Flexible Work Arrangements – Companies are allowing remote work, hybrid schedules, and flex hours to reduce stress.

📅 Mental Health Days & PTO Policies – Some businesses are adding mental health days to their benefits packages.

💬 Employee Assistance Programs (EAPs) – Confidential therapy and counseling services are now available in many workplaces.

🧘 Workplace Wellness Programs – Meditation rooms, yoga sessions, wellness challenges, and fitness reimbursements are becoming more common.

📚 Mental Health Training for Leaders – Companies are providing managers with training to recognize and address mental health concerns in employees.

If your workplace lacks mental health resources, don’t be afraid to speak up! Employers benefit from happy, healthy employees, as reduced stress leads to increased productivity, job satisfaction, and overall company success.

Mental health in the workplace is not just a trend—it’s a necessity. By advocating for mental health days, managing work-related stress, and encouraging organizations to support employee well-being, we can create a healthier work culture for everyone.

If you’re struggling with workplace stress, know that help is available. Speak with a mental health professional, set boundaries, and prioritize self-care. Your well-being is worth it.

Financial Responsibility & Mental Health: Finding Balance in Uncertain Times

In an ever-changing economy, one thing remains constant—your mental health is a priority. The financial landscape can feel unpredictable, but taking care of your well-being should never be put on the back burner. The good news? You can be financially responsible while still prioritizing your mental health.

1) Low-Cost Mental Health Support Exists

Therapy and mental health support don’t have to break the bank. There are affordable, high-quality options available:

✅ Adult ADHD Support Group: For $750, you get 11 weeks of expert-led sessions, which comes out to just $68 per session. This small investment can equip you with skills to manage ADHD effectively and create lasting change.

✅ Self-Esteem Group: Covered by most Maryland insurances. If paying out-of-pocket, it’s just $350 for 11 weeks—that’s only $31 per session, far less than the average therapy copay for a private session. Plus, you get 1.5 hours of structured CBT-based support each week.

Investing in these types of affordable group therapy programs is a cost-effective way to improve your mental well-being without the financial strain of one-on-one therapy.

2) Know Your Insurance Benefits

Many people overlook insurance benefits they are already paying for. Each year, take time to:

✔️ Review your mental health coverage.
✔️ Ask about available therapy sessions, group programs, and wellness benefits.
✔️ Hold your insurance company and provider accountable for any errors or denied claims.

Insurance policies are constantly changing, and mistakes happen more often than you think—always advocate for yourself!

3) Talk to Your Therapist About Financial Concerns

Therapists aren’t financial advisors, but we can help you navigate financial stress by offering coping strategies, stress management techniques, and affordable options for care. If cost is a concern, speak up—many therapists offer sliding scale fees or lower-cost group options.

4) Financial Planning for Mental Wellness

Being financially responsible doesn’t mean you have to sacrifice self-care or fun.

🏖 Take a break—but if traditional vacations are too costly, opt for staycations or holistic retreats.

🌿 Consider something like the Women’s Wellness Retreat in May—for $1,400, you get four nights in Berkeley Springs, WV, complete with health-conscious meals, guided activities, and expert-led self-care sessions. This way, you’re not just relaxing—you’re actively improving your mental well-being.

5) Stay Informed About Policy Changes

Government programs such as Medicare, Medicaid, and Social Security are frequently updated, but no one tells you what’s changed until it’s too late.

✅ Be proactive—check for updates that may impact your healthcare benefits.
✅ Don’t wait until you’re denied coverage to find out about new policies.
✅ Speak with your providers and case managers to stay ahead of changes.

6) Set Money Aside for Mental Health (If Possible)

If you can, put aside a small amount each month to ensure continued access to mental health care. Unexpected job layoffs and program cuts happen, and having a financial buffer can lessen the impact of stress and uncertainty.

7) Follow Free Mental Health Resources

Social media can be a free, daily source of encouragement and guidance. Follow mental health professionals, therapists, and self-care accounts that offer:

💡 Tips on managing stress and anxiety
💡 Free mindfulness exercises
💡 Encouragement and motivation

While social media isn’t a substitute for professional care, it can provide quick, feel-good moments that help you navigate tough times. We hope you follow us on our social media links:

https://www.instagram.com/empoweredselfesteem

https://www.instagram.com/tcc4change

https://www.facebook.com/TCC4Change/

https://www.linkedin.com/in/dawnomeallychangebeginstoday

Non-associated accounts: Additionally, here is a list of social media accounts we have been following - we do not partner with or endorse these accounts in any way. 

https://www.instagram.com/quinlanwalther

https://www.instagram.com/drmatttownsend

https://www.instagram.com/adhd_chatter_podcast

https://www.instagram.com/nicholasjohn__/

Final Thoughts

Your mental health matters just as much as your financial health—and the two don’t have to be at odds. By exploring affordable therapy options, staying informed about insurance changes, and prioritizing self-care within your budget, you can take care of your mind without compromising your financial stability.

💙 Our team is here to help. If you’re looking for affordable, effective mental health support, let’s create a plan that works for you.

Are You Doing These Key Things to Adjust to Daylight Savings Time?

As a mental health therapist, I often see how changes in routine—like adjusting to daylight savings time—can affect mood, energy levels, and overall well-being. While it may seem like a simple shift, the loss (or gain) of an hour can throw off sleep patterns, increase stress, and even lead to feelings of anxiety or depression. If you’ve been feeling off balance, you’re not alone! Here are some important ways to help your mind and body adjust.

1. Protect Your Sleep

Sleep is one of the most critical factors in maintaining good mental health. Disruptions to your sleep schedule can increase irritability, fatigue, and difficulty concentrating. To ease the transition:

• Start adjusting your bedtime by 15-minute increments a few days before the time change.

• Keep a consistent sleep routine—wake up and go to bed at the same time each day.

• Limit screen time before bed, as blue light from devices can interfere with your body’s ability to produce melatonin.

2. Get Morning Sunlight

Exposure to natural light helps regulate your body’s internal clock, improving mood and energy. To help your body adjust:

• Spend at least 20–30 minutes outside in the morning.

• Open your curtains first thing in the morning to let in natural light.

• If natural light is limited, consider a light therapy lamp to mimic daylight exposure.

3. Reframe Negative Thoughts About the Time Change

Many people dread daylight savings time, focusing on how it will throw off their routine. However, your mindset plays a key role in how well you adjust. Instead of thinking, “This is going to mess up my whole schedule,” try shifting your perspective to, “It might take a few days, but my body will adapt.” Small mindset shifts can reduce stress and make the adjustment easier.

4. Maintain a Steady Routine

Even though the time shift can feel disruptive, keeping your daily schedule as consistent as possible can help your body and mind adapt more quickly. Try to:

• Stick to regular meal times, as this helps regulate your internal clock.

• Move your body—whether it’s a short walk, stretching, or exercise—to boost energy levels.

• Plan a relaxing nighttime routine to signal to your body that it’s time to wind down.

5. Manage Mood Changes with Self-Care

It’s common to feel more irritable, anxious, or down during the transition. To support your emotional well-being:

• Practice deep breathing or mindfulness exercises to reduce stress.

• Engage in relaxing activities like reading, journaling, or taking a warm bath.

• Check in with yourself—if you notice persistent low mood, fatigue, or anxiety, reach out for support.

Daylight savings time may disrupt your routine temporarily, but with small adjustments, you can minimize its impact on your mental health. Be patient with yourself, listen to your body, and give yourself grace during the transition.

Medication vs. Non-Medication Approaches for ADHD: Why Skills Matter More Than Pills

Medication vs. Non-Medication Approaches for ADHD: Why Skills Matter More Than Pills

When it comes to managing Adult ADHD, medication is often the first thing people consider. Stimulants like Adderall and Ritalin have been widely prescribed for decades, and non-stimulants have emerged as alternatives. While medication can certainly help with focus and impulse control, it’s important to recognize that pills don’t give you skills—they only set the stage for making positive behavioral changes.

For many adults, a non-medication or combined approach that includes therapy, coaching, diet, exercise, and mindfulness can be just as—if not more—effective for long-term ADHD management. Let’s break it down.

Medication: Stimulants vs. Non-Stimulants

Stimulant Medications: The Pros & Cons

Examples: Adderall, Ritalin, Vyvanse, Concerta

Pros:
✅ Can quickly improve focus, attention, and impulse control
✅ Well-studied and effective for many adults
✅ Helps manage symptoms in work and daily life

Cons:
❌ Short-term solution – doesn’t teach coping skills
❌ Potential for dependency, tolerance, and withdrawal symptoms
❌ Side effects like insomnia, anxiety, appetite loss, and increased heart rate

Non-Stimulant Medications: The Pros & Cons

Examples: Strattera, Wellbutrin, Intuniv

Pros:
✅ Less risk of addiction or misuse
✅ May be helpful for ADHD with anxiety
✅ Longer-lasting effects throughout the day

Cons:
❌ Takes weeks to months to see full effects
❌ Side effects include fatigue, nausea, and mood swings
❌ Less effective for immediate focus and motivation

The Case for Non-Medication Approaches: Skills for Long-Term Success

While medication can help manage ADHD symptoms, it doesn’t teach the essential skills needed to function well in everyday life. ADHD brains struggle with executive function—things like planning, prioritizing, emotional regulation, and managing distractions. That’s where non-medication approaches can make the biggest difference.

1. Therapy & Coaching: Rewiring Your ADHD Brain

Cognitive Behavioral Therapy (CBT) is one of the most effective non-medication treatments for ADHD. It helps adults identify negative thought patterns, develop coping strategies, and reframe self-defeating beliefs.

ADHD coaching is another valuable tool, providing structure, accountability, and personalized strategies for managing daily challenges like time management and organization.

➡ Best for: Emotional regulation, breaking self-sabotaging habits, improving self-esteem

2. Diet & Nutrition: Fueling Focus Naturally

Certain foods can help or worsen ADHD symptoms. Processed foods, sugar, and artificial dyes have been linked to hyperactivity, while a high-protein, nutrient-dense diet supports brain function.

Key nutrients for ADHD:
✅ Omega-3 fatty acids (found in fish, flaxseeds, walnuts) – support brain health and reduce impulsivity
✅ Magnesium & Zinc – help with emotional regulation and attention
✅ Protein & healthy fats – stabilize blood sugar and prevent energy crashes

➡ Best for: Supporting brain function and reducing ADHD-related fatigue

3. Exercise: The Natural ADHD Medication

Regular movement—especially cardio, yoga, or strength training—can help increase dopamine and serotonin, the same brain chemicals that ADHD medications target.

Studies show that just 30 minutes of exercise can improve focus, impulse control, and mood. Activities like martial arts, rock climbing, or dance are particularly beneficial for ADHD brains because they engage coordination, focus, and discipline.

➡ Best for: Boosting dopamine naturally and improving impulse control

4. Mindfulness & Meditation: Training the ADHD Brain

Mindfulness is a game-changer for ADHD. It teaches you to pause before reacting, manage distractions, and stay present instead of constantly jumping from thought to thought.

Simple ADHD-friendly mindfulness practices:
🧘‍♂️ Body scanning – helps with emotional regulation
🎯 5-4-3-2-1 grounding technique – reduces overwhelm
💨 Deep breathing exercises – improves focus and stress levels

➡ Best for: Managing ADHD-related stress and improving attention span

Final Thoughts: A Holistic Approach to ADHD

Medication can be a helpful tool, but it’s not the only answer. The real key to thriving with ADHD lies in learning practical skills, creating structure, and making lifestyle adjustments.

By combining therapy, coaching, diet, exercise, and mindfulness, ADHD adults can develop lifelong strategies that don’t rely on a prescription. After all, a pill might help you focus, but it won’t teach you how to manage your time, break procrastination habits, or build self-confidence.

💡 ADHD is a challenge—but with the right tools, it doesn’t have to be a roadblock.

Ask about our next Adult ADHD Support Group!

The Mental Side of Bariatric Surgery and GLP-1 Treatments

When it comes to achieving long-term success in your weight-loss journey, focusing on your physical health is only part of the equation. Whether you're considering bariatric surgery or GLP-1 treatments, mental health plays an equally critical role in sustaining the results and maintaining a healthy lifestyle. Here's what you need to know about the psychological aspects of these transformative options.

Pre-Surgical Psychiatric Evaluations: Why They Matter

A psychiatric evaluation is a crucial step in preparing for bariatric surgery. This evaluation helps determine your readiness for the procedure by assessing your mental health, lifestyle, and motivation. Here's why it's essential:

1. Understanding Emotional Eating: Many individuals seeking weight-loss solutions struggle with emotional eating, which often stems from unresolved feelings like stress, sadness, or anxiety. Recognizing these patterns can help you build healthier habits.

2. Setting Realistic Expectations: Bariatric surgery is a powerful tool, but it's not a magic cure. A psychiatric evaluation ensures you have a realistic understanding of the process, the lifestyle changes required, and the emotional challenges that may arise.

3. Addressing Underlying Issues: Conditions like depression, anxiety, or trauma can impact your success. Working on these issues pre-surgery can set a solid foundation for your journey.

The Mental Component of GLP-1 Treatments

GLP-1 medications, such as semaglutide, offer groundbreaking benefits for weight loss. However, they require mental commitment to lifestyle changes for lasting results.

1. Behavioral Shifts: While GLP-1s can reduce appetite, they don’t address the root causes of overeating. Therapy can help you understand triggers and develop strategies for long-term weight management.

2. Coping with Expectations: Like surgery, GLP-1s are tools, not cures. It's important to work on mindset, so you don't rely solely on the medication for success.

3. Sustaining Motivation: As weight loss plateaus, staying mentally engaged with your goals through therapy or support groups is essential to avoid discouragement.

Post-Support for Bariatric Surgery and GLP-1s

The work doesn’t stop after surgery or starting GLP-1 treatments. Post-support is essential to maintain your progress and address new challenges:

• Therapy and Support Groups: Connecting with others who understand your journey can provide invaluable emotional support and accountability.

• Focus on Self-Esteem: Weight loss can bring unexpected emotions. Therapy can help you adjust to changes in body image and build lasting self-confidence.

• Developing New Habits: Your success depends on adopting healthy routines, from mindful eating to stress management techniques like meditation or journaling.

Why Mental Health is the Key to Long-Term Success

Addressing the mental aspects of weight-loss treatments ensures you're not only physically prepared but also emotionally equipped to handle the challenges and celebrate the wins. Therapy, whether individual or group-based, is a vital part of the process.

If you're considering bariatric surgery or GLP-1 treatments, don't overlook the importance of your mindset. The Counseling Center for Change offers comprehensive pre- and post-support to help you navigate every step of your journey with confidence.

To learn more about our services or to schedule a consultation, please fill out the form below

Your journey to a healthier, happier you starts with a balanced mind and body.

Your journey to a healthier, happier you starts with a balanced mind and body.

Suffering from Grief from Afar: Feeling Helpless and Finding Strength

Grief comes in many forms. It can stem from personal loss, like the death of a loved one, or from witnessing devastation from afar, such as the destruction caused by natural disasters. Both types of grief share a deep emotional impact and often leave us feeling helpless and unsure of how to move forward or offer support.

The Similarities Between Personal and Distant Grief

Whether you’re grieving a personal loss or mourning alongside communities affected by disasters, the emotions can feel overwhelming. Both experiences may include:

1. Shock and Disbelief

   • When a loss occurs suddenly, it’s hard to process the reality of what has happened, whether it’s losing someone close or watching the aftermath of a natural disaster unfold.

2. Feelings of Helplessness

   • The inability to fix the situation or ease someone else’s pain can make grief feel even heavier.

3. Emotional Overload

   • Both personal and distant grief can bring waves of sadness, anger, and guilt, often making it hard to focus or move forward.

Coping with Grief from Afar

If you’re grieving over events you’ve seen on the news or social media, it’s important to recognize and address your emotions.

1. Acknowledge Your Feelings

   • It’s okay to feel sadness or even guilt about being unaffected directly. These emotions are natural and valid.

2. Control Your Media Intake

   • Constant exposure to heartbreaking news can intensify feelings of helplessness. Set boundaries to protect your mental health.

3. Take Meaningful Action

   • Donate, volunteer, or share resources to help those affected. Even small contributions can make a big difference.

4. Focus on the Positive

   • Seek out stories of resilience and recovery to balance the weight of the devastation.

Navigating Personal Grief

Personal loss, while closer to home, shares many emotional parallels with distant grief. Here are some strategies to help:

1. Lean on Your Support System

   • Share your feelings with trusted friends, family, or a therapist. Talking about your grief can provide relief and clarity.

2. Allow Yourself Time

   • Grief isn’t linear. Give yourself permission to feel your emotions and heal at your own pace.

3. Honor Your Loss

   • Find ways to celebrate the person or thing you’ve lost. This could be through journaling, creating a memory box, or participating in rituals that bring you peace.

4. Turn Pain Into Purpose

   • Use your experience to help others. Whether it’s volunteering, raising awareness, or simply being there for someone else, helping others can bring healing.

Bridging the Two: Taking Action Through Empathy

Grief from afar and personal grief can intersect when we let our experiences inspire us to take action. For instance:

• Donate or Volunteer: Use your resources or skills to support disaster relief efforts.

• Create a Tribute: Honor both personal and distant losses by creating something meaningful, such as artwork or fundraising campaigns.

• Share Stories: Raising awareness about the struggles of others helps amplify their voices and keeps their stories alive.

Grief, whether personal or distant, reminds us of our shared humanity. It’s a complex but universal emotion that calls for compassion—for ourselves and for others. While you may not always have control over what happens, you can choose how you respond. Whether it’s finding strength in small actions or simply holding space for your feelings, every step you take matters.

If you’re struggling with grief, remember: You don’t have to go through it alone. Support is always available, and healing is possible. 💙

For more tips and support resources, reach out to mental health professionals or local support groups. Together, we can navigate grief and find hope.

Obesity, Self-Esteem, and Why Bariatric Surgery Doesn’t Fix Everything

Bariatric surgery has been a life-changer for many, helping people lose weight and improve their health. It’s often seen as the ultimate solution for those dealing with obesity. Still, it’s important to remember that while it can transform your body, it doesn’t necessarily solve the emotional and psychological challenges that come with it. Self-esteem is one of the most significant areas that Bariatric surgery doesn’t address. The truth is that weight loss surgery may change how you look on the outside, but it doesn't always fix how you feel about yourself on the inside. In this post, you will learn about the following:

1. The link between obesity and self-esteem,

2. Why Bariatric surgery doesn’t always fix those deeper emotional issues, and

3. What you can do to improve your self-esteem during your weight loss surgery journey.

Obesity and Self-Esteem: What’s the Connection?

Self-esteem is how we feel about ourselves and see our worth. For many people dealing with obesity, their body image has a significant impact on their self-esteem. They might feel bad about their appearance because of the stigma attached to obesity or the pressure to meet specific body standards. These feelings can lead to shame, guilt, and frustration, making it harder to feel good about themselves. The influence of social media and advertising can intensify these feelings. Obesity can, and often does, create a cycle of negative self-talk. The more someone struggles with body image, the more they may engage in unhealthy habits, like overeating or avoiding exercise, which can lead to more weight gain and worsen their feelings of self-worth. It can become a vicious cycle with no off-ramp in sight. Over time, the emotional toll of this cycle can be just as damaging as the physical effects.

Why Bariatric Surgery Doesn’t Fix Self-Esteem Issues

While Bariatric surgery can lead to significant weight loss, it’s not a quick fix for the deeper emotional and psychological issues that often come with obesity. Many people are surprised to find that, even after losing a lot of weight, they still struggle with the same feelings of low self-esteem. Here’s why: Body Image Doesn’t Just Change Overnight

After Bariatric surgery, you may lose a lot of weight, but your body still might not match the image of yourself that you’ve held in your mind for years. Loose skin, scars, and changes in appearance can leave you feeling self-conscious. Even though you’ve physically changed, you may still feel uncomfortable in your new body, and it may take time to adjust to these changes. Body dysmorphia is a real thing for Bariatric patients.

Emotional Eating Habits Don’t Just Disappear

Bariatric surgery reduces the amount of food you can eat, but it doesn’t address the emotional triggers that may have led to overeating in the first place. Many people use food to cope with stress, anxiety, or depression. Emotional eating or binge eating is no longer an option to use as a coping mechanism after Bariatric Surgery (without some pretty unpleasant consequences!). These behaviors can continue without proper support, keeping you stuck in the same emotional patterns or engaging in self-defeating behaviors.

The Need for Mental Health Support

Bariatric surgery is often a medical procedure focused on the physical body, but mental health is just as crucial for long-term success. People who receive psychological support, whether through therapy or support groups, are more likely to experience lasting improvements in their physical and emotional well-being. If you don’t address the psychological side of weight loss, you might still struggle with self-esteem, anxiety, or depression, even after losing weight.

The “I’ll Be Happy When” Trap

Many people believe that if they lose weight, they’ll finally be happy. While Bariatric surgery can improve your health and quality of life, it doesn’t automatically fix your self-esteem. Happiness and self-worth aren’t tied to a number on the scale! When you rely on weight loss to solve everything, you might feel disappointed or frustrated if the change doesn’t bring the expected happiness.

Pressure to Keep the Weight Off

After surgery, there’s often a lot of pressure to keep the weight off, follow the dietician's recommended eating plan, and meet others’ expectations. This pressure can lead to feelings of stress, guilt, and anxiety. If you don’t meet these expectations or experience setbacks, it can negatively affect your self-esteem and cause you to feel like you’re not good enough. This is one of the reasons Bariatric patients drop out of their program, mainly if a regain has occurred.

What Can You Do to Build Self-Esteem After Bariatric Surgery?

While Bariatric surgery is a significant life change, it’s essential to focus on the emotional and mental side of your journey, too. Here are some steps you can take to improve your self-esteem while navigating the physical changes:

1. Get Therapy or Counseling

It’s really important to work on your mindset along with your physical health. Therapy, especially Cognitive Behavioral Therapy (CBT), can help you address negative thoughts, body image issues, and emotional eating habits. Therapy can also help you develop better coping skills for stress and improve your self-esteem. When you feel better, you do better!

2. Surround Yourself with Positive Support

A strong support system is key. Whether it’s friends, family, or a Bariatric support group, having people who encourage and uplift you can make a huge difference. Having others who understand your struggles can help you feel validated and less alone. Have you ever heard that ‘it takes one to know one?’ It’s true! Research has shown that Bariatric patients have better outcomes when participating in Bariatric Support Group Meetings.

3. Practice Self-Compassion

Be kind to yourself. Accept that this journey is a process, not an event, and it’s okay to have setbacks. Instead of focusing on perfection, try to be more understanding and gentle with yourself. Celebrate the small wins along the way, and remember that you are worthy of love and respect at every stage of your journey. Talk to yourself like you would a good friend.

4. Focus on a Healthy Relationship with Food

After surgery, working on developing a healthier relationship with food is essential. This means eating mindfully, listening to your body, and addressing any emotional triggers that lead to overeating. Seeking help from a therapist or counselor who specializes in emotional eating can be beneficial in this area.

5. Set Realistic Expectations

Understand that weight loss and self-esteem go hand in hand, but they don’t define who you are. Setting realistic goals for yourself, both physically and emotionally, is essential. Focus on health and happiness rather than just appearance, and remember that lasting change comes from the inside.

Final Thoughts

Bariatric surgery can help you lose weight and improve your physical health, but it doesn’t automatically fix your self-esteem or emotional well-being. The journey to better self-esteem requires more than weight loss — it takes self-compassion, support, and therapy to heal emotionally and build confidence. There is no shame in seeking counseling or therapy. The only shame is depriving yourself of a resource that could make a difference.

If you’ve had Bariatric surgery or are considering it, remember that your emotional health is just as important as your physical health. You can create lasting change and achieve a healthier, happier life by addressing your mental well-being, building a supportive network, and practicing self-love.

You’re worthy of love and respect — just as you are.

Is Making New Year's Resolutions Good or Bad for Your Mental Health?

As the New Year approaches, many of us start thinking about resolutions. Whether it’s to lose weight, adopt healthier habits, or pursue personal goals, New Year's resolutions are a common tradition. But from a mental health perspective, are these resolutions beneficial or can they have negative consequences? Let’s explore both sides of the issue.

The Positive Side of New Year's Resolutions

Setting goals is generally seen as a healthy practice. Psychologically, having clear resolutions can help provide focus, direction, and motivation. Research shows that goal-setting boosts confidence and can lead to increased productivity, both of which are good for mental health. A well-defined goal helps individuals break down larger tasks into smaller, manageable steps, making the process less overwhelming.

Additionally, resolutions can encourage positive lifestyle changes. A study published in Psychology Today emphasized that setting goals around healthy behaviors, such as exercising or managing stress, promotes overall well-being. Engaging in regular physical activity, for instance, releases endorphins, which are natural mood lifters. Similarly, practicing mindfulness or self-care can reduce stress and improve mental health.

Creating resolutions that align with values and personal growth can also foster a sense of accomplishment. Achieving even small milestones provides a psychological reward that can enhance self-esteem and increase feelings of competence and purpose.

The Potential Pitfalls of New Year's Resolutions

On the flip side, New Year's resolutions can have negative mental health effects, especially when they are unrealistic or put too much pressure on individuals. According to Harvard Health Publishing, setting overly ambitious resolutions can lead to disappointment and feelings of failure if they aren’t achieved. If goals are too vague or unattainable, it can lead to a cycle of frustration and self-criticism, which may undermine mental health.

One of the most common problems with New Year’s resolutions is the tendency to set resolutions based on societal expectations, rather than personal desires. This often results in pursuing goals that don’t truly reflect one's values or passions. When people try to live up to external pressures, rather than internal motivations, it can lead to feelings of disconnection and inadequacy.

Another downside is the all-or-nothing mindset that many people adopt when it comes to resolutions. Research from the American Psychological Association (APA) has shown that this perfectionist attitude can lead to stress and burnout. When individuals are unable to follow through on their resolutions, they may feel like failures, even if they’ve made progress.

A Mental Health-Friendly Approach to Resolutions

So, should we make New Year’s resolutions? The answer isn’t straightforward. The key lies in how we approach them. Instead of setting rigid goals that are too extreme, it may be more beneficial to make resolutions that are flexible, realistic, and focused on personal growth. Here are some tips for creating mental health-friendly resolutions:

1. Focus on Progress, Not Perfection: Instead of aiming for a "perfect" outcome, aim for progress. Celebrate small wins along the way.

2. Set Realistic, Achievable Goals: Break down large goals into smaller, manageable tasks that feel attainable. This prevents feelings of overwhelm.

3. Be Kind to Yourself: Practice self-compassion if things don’t go as planned. Remember that setbacks are part of the process.

4. Align Resolutions with Your Values: Make sure that your resolutions are based on what you truly want to achieve, not what others expect from you.

5. Include Mental Health Goals: Mental health resolutions—like practicing mindfulness, seeking therapy, or improving work-life balance—can have a profound impact on well-being.

New Year’s resolutions can be both positive and negative depending on how they are approached. When done thoughtfully, they can be an excellent way to improve mental health, build resilience, and foster growth. The key is to set realistic, meaningful goals that reflect personal values and to avoid falling into the trap of perfectionism. After all, the journey toward achieving your goals is just as important as the outcome.

Building Emotional Resilience for Your Bariatric Journey

Embarking on a bariatric journey is a transformative experience that goes far beyond physical changes. While the surgery itself is a powerful tool for achieving weight loss, the emotional and mental hurdles along the way require just as much attention. Building emotional resilience can be your greatest ally in navigating this life-changing process. Here’s how you can strengthen your mental well-being for success both before and after surgery.

Why Emotional Resilience Matters

Bariatric surgery is not a quick fix; it’s a significant lifestyle change. Emotional resilience—the ability to bounce back from challenges and adapt to change—helps you manage:

• Emotional Eating Triggers: Surgery may restrict how much you eat, but it doesn’t eliminate cravings or emotional connections to food.

• Setbacks and Plateaus: Weight loss journeys are rarely linear, and resilience helps you stay focused during frustrating moments.

• Social and Psychological Adjustments: From handling unsolicited comments to navigating changes in relationships, emotional strength keeps you grounded.

Strategies for Building Emotional Resilience

1. Understand Your “Why”

Take time to explore why you chose bariatric surgery. Understanding your deeper motivations—whether it’s improving health, mobility, or quality of life—creates a strong foundation for resilience. When challenges arise, revisiting your "why" can keep you anchored.

2. Develop a Growth Mindset

Adopt the belief that you can grow and improve through effort and persistence. View setbacks as opportunities to learn rather than as failures. For instance, if old habits resurface, analyze the triggers and develop strategies to address them in the future.

3. Cultivate Self-Compassion

Be kind to yourself throughout your journey. Avoid negative self-talk and practice acknowledging your efforts and progress. Self-compassion can help you recover faster from missteps and stay motivated.

4. Practice Mindfulness

Mindfulness helps you stay present and aware of your thoughts and emotions without judgment. Incorporate techniques like deep breathing, meditation, or mindful eating to better handle stress and emotional eating.

5. Build a Support System

Surround yourself with supportive people who understand your journey. This could include friends, family, or bariatric support groups. A strong network provides encouragement, accountability, and perspective when challenges arise.

6. Seek Professional Support

Working with a therapist, especially one experienced in bariatric mental health, can be invaluable. They can help you process emotions, identify triggers, and develop coping strategies tailored to your needs.

Post-Surgery Tips for Resilience

1. Celebrate Small Wins: Focus on incremental progress rather than solely on long-term goals. Each pound lost or healthy habit adopted is a step forward.

2. Anticipate Emotional Highs and Lows: It’s normal to experience a range of emotions post-surgery. Resilience involves recognizing these feelings and managing them constructively.

3. Stay Consistent with Self-Care: Prioritize sleep, hydration, and exercise to support both physical and mental health.

4. Adapt to a New Identity: Adjusting to your changing body and self-image can take time. Be patient with yourself as you redefine what health and happiness mean to you.

Building emotional resilience is an ongoing process that will serve you well throughout your bariatric journey and beyond. By focusing on your mental well-being, you’ll not only enhance your chances of long-term success but also find greater joy and fulfillment in the process. Remember, you are capable, strong, and deserving of this transformation. Embrace the journey with resilience and confidence—the best is yet to come!