Dr. Goschi's Blog

Conflicts Over Aging Parents

So many individuals in their fifties and early sixties deal with aging parents. By middle age you’ve mastered your careers, parenting, and your relationships. You even enjoy your own parents and their involvement with your children. However, as your parents continue to grow old everything changes.

Life seemed full and manageable just a few years ago. You looked forward to traveling more and enjoying your time as empty nesters. Now it’s as if you have young children all over again. This time caring for someone doesn’t hold the promise it once did. There’s simply no good end to this story.

Many of you find yourselves responsible for aging parents. Either they struggle with a debilitating disease in which they need constant assistance, or they struggle financially and now live with you.

Siblings can complicate caring for your aged parents. Suddenly fighting breaks out over where your parents should live or who cares for them. Family members vying for control over how their parents spend out their last dollar. The conflict gets ugly fast.

You thought you had this all figured out. For example, your parents didn’t want to live in a nursing home, so you want them to live with you, however, your brother doesn’t want to help with the care giving. Or maybe, your sister thinks all the money should be relinquished so that your parents qualify for Medicaid. Just a few of the very complicated scenarios facing “the sandwich generation.”

Family members fight about aging parents. The one common feature in highly conflictual situations is that the conflict usually doesn’t end well. Sometimes, siblings don’t speak to each other after the death of the last parent. The pressures are huge. Interacting with each other in a rational manner without one or all of you becoming extremely upset no longer exists.

How can family consultation help with these issues? Consultation can bring you together to talk about and come to agreements on what needs to happen. Each person comes to an understanding of how things are going to progress. No one individual possesses complete control. Instead, you reach mutually agreed upon decisions. This gets everyone off the hook.

If you would like to set up a consultation with Dr. Goschi don’t hesitate to call her at (312)595-1787 or email her at barbara@drgoschi.com. I look forward to helping the healing process begin.

Working Out and Mental Health

Working Out and Mental Health

Activity leads to a leaner, healthier body. But how much do we really talk about how physical activity affects our mental health. Exercise along with individual therapy helps move you along in the process of emotional regulation as well as a heightened self-esteem. Research now supports what many therapists have known for years – that working out leads to better psychological health.

It’s true that many people participate in physical activity in order to maintain their muscle mass, for a trimmer self, for weight loss or for cardio health. All of these reasons for working out make absolute sense. They provide great results for the individuals participating in the activities.

However, you don’t see or hear advertisements talking about how much exercise benefits your mental health. The drug companies push medication for treating depression and anxiety. These companies don’t say that exercise doesn’t help rather they just don’t mention that in some studies exercise and individual therapy can be as beneficial as some medication regimes. I’m not suggesting here that you dump your meds for marathon training. I would never go against what your doctor has recommended for your treatment. Instead, I’m suggesting that if you’re not already on meds why not try a different route and begin exercising along with individual therapy.

If you already work out I’m sure you’ve experienced the endorphin “high” that can be experienced after a hard workout. This reaction highlights how much a good work out can lift your mood. The positive emotional effects are more than just a one- time response; rather, regular exercise has positive long term implications for one’s mood.

Working out helps ameliorate depression, anxiety and anger alike. The added energy boost helps us face difficult emotional tasks with more energy and a clearer mind. Working out helps to externalize the more intense emotions we feel like anger and anxiety. Physical activity along with individual counseling also helps brighten moods for those who struggle with depression.

The benefits of working out often lasts for the remainder of the day. It can also help us sleep more deeply at night which also assists in mood control. Physical activity in addition with individual therapy works extremely well.

When physical activity isn’t enough to help you deal with your anxiety, depression or other troublesome emotions try adding individual therapy to your weekly schedule. Don’t hesitate to seek help. Call Dr. Goschi today to schedule your first individual therapy appointment at barbara@drgoschi.com or (312)595-1787.

Good Bye Mom!

Good Bye Mom!

Mother’s Day is right around the corner and for many of us it is bittersweet. Although we love the attention from our kids and husband this may be the first year that we are without our wonderful mothers. We think back to all of the times we spent with them over the years and wonderful holidays spent together. For many this year will be so very different without her!

Life’s journey at times seems extremely difficult. We pass through various stages, sometimes excited, other times filled with dread. Becoming a mother for the first time results in joy. You recall sharing your enthusiasm and fears of being a new mother with your mom who offered great words of wisdom and encouragement.

No one could put us at ease like our mother could. No one loved us unconditionally like our mother. This is probably the first thing many people experience with the loss of a mother. “Who will love me even at my worst?” Only a mother (or father) can love their offspring throughout life unconditionally.

For some of us being in therapy has been the first and only place where we’ve felt accepted and understood; especially those from dysfunctional families. Although more the exception than the rule, most of these individuals benefit from individual therapy as a way to work through their loss.

Some individuals lose their moms early in their life before really getting to know them well enough to form an adult relationship with them. They don’t know what it’s like to have a friendship with one’s mom. These individuals come to rely on themselves for what some of us luxuriously have been able to get from our mother. Yet, sometimes their personality’s formed around grief making them prone to depression. Individual therapy of course helps these people as well.

Today, many middle aged individuals are losing their Mothers to debilitating diseases such as Alzheimer’s. My knowledge comes from various sources: a mother who died from the disease, treating individuals, and reading several books on the topic. One such book I’ll be quoting today is Alzheimer’s from A to Z, written by Jytte Lokvig and Dr. John Becker. This book outlines many topics and offers some resources for those seeking groups or treatment options.

As young adults we don’t think about roles changing with our parents. No one tells us about the arduous journey that we may have to embark on with aging parents. Especially, if we’ve had a fairly healthy, loving relationship with them. Feeling alone and confused profoundly affects our relationships and even our work. Individual counseling can help you emerge from your isolation.

Not many individuals demonstrate expertise in treating dementia. Very few clients seek treatment for themselves while caring for their aged parents. Although it totally makes sense for a person to seek individual therapy for just such issues. I believe that individuals don’t seek help because they feel ashamed of what they’re feeling. They feel guilty about secretly wishing they didn’t have to spend so much time with their aging parents. They end up feeling like they have another child. Now that new found free time that they fantasizing about completely vanishes. What type of daughter/son wouldn’t spend their free time helping their ailing mother?

Instead, the person prays (if one believes in God) that their parent passes quietly in the night. These thoughts lead to guilt. “How can I possibly think something so awful?” While some might say, “At least you still have your mom.” Alzheimer’s hijacks the individual we once knew as our mom replacing them with an abusive, badly behaved stranger.

Those of us living through this nightmare know the sleepless nights spent not rocking a wonderful baby to sleep but dealing with a hallucinating parent. Nighttime is particularly difficult with Alzheimer’s patients as outlined by Lokvig and Becker, 2004 (Alzheimer’s A to Z). Their depression, known as “Sundowners,” worsens as the evening goes on. Combative behavior increases as their fears mount. For others, they begin hallucinating seeing strangers in their home. Some won’t have any idea where they are even though they’ve lived there for most of their married life.

After an evening of this you feel exhausted. Feelings of anger and resentment can be followed again by guilt. Lokvig and Becker point out that people may think you were a saint. You can’t help but think “If you only knew how frustrated I became or how much I wanted to escape.”

“It’s very hard for us to talk about these ‘dark’ thoughts or even admit to ourselves that we harbor them. … You cannot help but feel burdened with the task you’ve taken on, and you may find yourself envious and resentful of your siblings or friends who are free to pursue their own lives” (Lokvig and Becker, 2004).

Perhaps caregivers don’t seek therapy for the disturbing feelings that we experience, especially the guilt and the shame. Rather, a person should realize that these feelings are absolutely normal. I would highly recommend that individuals seek therapy and help dealing with their parent’s disease. Therapy helps the person realize that they’re not a bad person for having such difficult emotions and instead focus on all that your mother was, the good she gave you and that we did our best.

You need time to refuel to feel good about your life to remember the person that you loved rather than your diseased parent. Please don’t suffer through this alone. Therapy can be so very beneficial. Call today (312)595-1787 or email me at barbara@drgoschi.com

Tending to Your Relationship

Tending to Your Relationship

Over time the luster of your relationship may dwindle. Keeping passion alive in your marriage requires some effort. This advice sometimes sounds counter intuitive especially if the couple have been together for a long time. It makes sense to tend to your marriage whether together one year of fifty.

I remind my clients that even though they’ve been together a long time that personal needs and desires can and often do change. In fact, adjustments in personal needs can profoundly impact the tenor of a relationship. Couples counseling helps the couple learn how to express their evolving needs, feelings, hopes and dreams.

Couples talks can lead to arguments. Many couples fight repeatedly over the same issues. Couples counseling can help disrupt dysfunctional marital patterns. How a couple argues may contribute to the conflict. New skills acquired in therapy help the couple stop the destructive cycle.

Busy working couples find it extremely hard to make time for themselves let alone each other. Sometimes attending couple’s therapy is the only time couples make for each other. There’s just something wrong with this picture. Rather, schedule time to nurture your relationship. I often ask couples to institute a date night to help move things along.

Couples counseling helps get at the underlying issues that add to your marriage’s negative spiral. Counseling teaches each person how to listen and communicate better about what really matters rather than fighting over issues that tend to tear the relationship down. Sex can even start happening on a regular basis when the other conflicts are being taken care of.

It’s never too late to attempt to fix your marriage. Your relationship deserves your utmost attention. Put your marriage on equal par with your parenting and/or your career plans. Yes, it’s that important! As always I’m here to help. Call Dr. Goschi today at (312)595-12787 or email me at barbara@drgoschi.com

Opioid Crisis and Children

The Opioid Crisis and Children

This month’s American Psychological Association’s journal “Monitor on Psychology” has an interesting article written by Lorna Collier on the population that is perhaps most profoundly affected by the opioid addiction in our country. Very often kids who grow up in families with one or both parents addicted to opioids often end up in foster homes. “Parental substance use was cited as a factor in about 32% of all foster placements, a rise of 10% from 2005” (Monitor on Psychology, January 2018).

Foster homes although sounding like a safe place for kids lead to further problems for children. These children often move through the system for years. Going from one home to another. The children in foster care may also be separated from their siblings. The “lucky” children stay in one home with foster parents who actually look after their interests and are willing to keep siblings together.

“Lucky” children from addicted households end up with families that grow to love them and eventually want to adopt the child(ren) if parents don’t recover. However, foster homes are not created equal. Some foster homes provide excellent care while others offer the bare minimum. I’ve heard and witnessed so many incidents with foster care children where they feel lost, abandoned and even abused setting them up for life long struggles.

How do we change this problem? Of course, we have to have better treatment for the opioid epidemic in our country. The article in “Monitor on Psychology” has some good ideas. They talk about how a child does far better when they stay with their parents even when those situations are highly dysfunctional. Instead, we should look for ways to provide the families counseling. Perhaps more active participation in the home through home visits and expecting parents to be engaged in active treatment. Children always do better when they stay with their family. Kids advance in life if they learn how to cope with the difficulties facing them at an early age through individual and family counseling. We should be providing them with empathy and warm, nurturing place to talk about their issues while teaching them how to self-advocate. Individual therapy can help these children grow into successful adults.

If you or a loved one is dealing with an opioid crisis please call Dr. Goschi for addictions counseling, individual counseling or family therapy at (312)595-1787. I’m here to help!