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By Randy Moraitis, MA, CIP, BCPC

Are you in a role where you care for others? If so, you may experience burn out, compassion fatigue, or even vicarious trauma (if you haven’t already!). I believe that if you are a caregiver, then you must have a self-care plan in place to prevent or repair burn out, compassion fatigue and vicarious trauma!

The goal of this blog post is to raise awareness of the need for self-care, and to encourage everyone, especially caregivers, to have an effective self-care plan in place.

Caregivers are so important to society and take many forms:

  • Counselors/Therapists/Psychologists
  • Physicians/Nurses
  • First Responders–police, fire, paramedics, EMT’s
  • Social Workers
  • Pastors/Ministry Workers

If you are in one of the above roles, then a good self-care plan is vital to your long term health, your future success, and your personal relationships.
Compassion Fatigue is a condition characterized by a gradual lessening of compassion over time. It is a common occurrence in most of the roles listed above. Compassion fatigue is also known as secondary traumatic stress. Ask yourself if you may have some compassion fatigue.

Vicarious Trauma is defined as “a transformation in the helper’s inner sense of identity and existence that results from utilizing controlled empathy when listening to clients’ trauma-content narratives. In other words, Vicarious Trauma is what happens to your neurological (or cognitive), physical, psychological, emotional and spiritual health when you listen to traumatic stories day after day or respond to traumatic situations while having to control your reaction.” (Vicarious Trauma Institute http://www.vicarioustrauma.com/). Ask yourself if you may have experienced vicarious trauma.

Start Self-Care Now!

One of the most important aspects of an effective self-care plan is consistency. Below are suggestions for self-care. Whichever options you choose–be consistent and put these activities on your calendar to ensure they happen!

Self-Care Activities:

  • Meditation
  • Yoga
  • Prayer
  • Exercise/Fitness Activities
  • Martial Arts
  • Counseling
  • Support Groups
  • Church
  • Acupuncture
  • Massage
  • Nutrition

I recommend choosing at least two to three items from the above list. As someone who has been a caregiver for many years and has heard and experienced many traumatic experiences, I have done all of the above, over time, to help me stay healthy.

Additionally, caregivers must have a healthy support network of several friends, and/or mentors, that can be counted on for conversation and support when needed.

Finally, I just want to say a big THANK YOU to all the caregivers out there! You are loved, appreciated, and worthy of good care!

I would love to hear your thoughts or suggestions on this topic. You can comment below or contact me at randy@randymoraitis.com or 949-303-8264. Visit my website www.randymoraitis.com for info on counseling or coaching, and our nonprofit foundation at www.carepossible.org.

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy, he will gladly show you pictures!)Randy is a Certified Intervention Professional (CIP) and expert in helping families and individuals affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.

By Randy Moraitis, MA, CIP, BCPC

Hardly a day goes by that I am not approached by someone–either an addict in recovery who is struggling to stay clean, or the loved one of an addict concerned about their loved one relapsing and overdosing.

These are people from all walks of life, yet they usually ask the same question—a question truly born out of desperation, and that question is: “What should I do?”

To help answer that question I offer these 8 Tools for Relapse Prevention. If an addict in recovery sincerely works in these eight areas they will greatly reduce the likelihood of a potential fatal relapse. This is important for both the addict and the family to know.

8 Tools for Relapse Prevention

1. Meetings—addicts need to go to recovery meetings such as AA, NA, CA, Celebrate Recovery, or Lifelines.Meetings are where you learn new things to help the brain heal from the damage caused by the addictive behaviors, and where you can find encouragement from hearing the experience, strength and hope of others staying clean. There is great wisdom in attending 90 meetings in 90 days for those trying to get and stay clean.

2. Counseling—addicts often have some deep down issues that, if never addressed, will continue to
rear their ugly heads and possibly trigger relapse. Issues such as anxiety, depression, and trauma can be processed with a good counselor or therapist and the addict can be given tools to grow in healthy ways. The counselor may also recommend a medical exam for a complete assessment and treatment plan.

3. 12 Steps—the 12 steps are an amazing tool for healing and spiritual growth. I highly recommend everyone work through the steps as they are even beneficial to those not in recovery from addiction. Here is a great site with info on the 12 steps: http://12step.org/

4. Sponsor—addicts need a sponsor to guide them through the 12 steps. I recommend a sponsor be of
the same sex, have one year or more of sobriety, and have worked through the steps with their own sponsor. The addict should find a sponsor they trust who meets these guidelines, then take direction from the sponsor.

5. Health and Wellness—this includes a healthy diet, regular exercise, stretching, and relaxation/meditation. I highly recommend those in recovery find a healthy activity that they enjoy such as crossfit, martial arts, running, surfing, or yoga. This will give them some good clean fun, get those endorphins flowing, and often lead to making new, healthy friends.

6. Family Support—addiction is a family disease. If you have a family member or loved one impacted by addiction, guess what? You are impacted by addiction! Family members of addicts will help the addict, and themselves, by attending Al-Anon or CoDa meetings. Seeking counseling to learn healthy ways to support the addict
without enabling, as well as how to have healthy self-care is also recommended.

7. Recovery Coach—a good recovery coach will give the addict numerous tools to stay clean and sober and hold them accountable in their growth and sobriety. Additionally, a recovery coach will guide the addict to find purpose in life. Once a person has purpose and they are passionate about it, they are more likely to stay focused on achieving their purpose and less likely to relapse.

8. God—the 12 steps were designed to take people on a spiritual journey and trust in a higher power. Many addicts fresh in their recovery have no idea who their higher power is. That’s normal and to be expected. My personal experience is that I have seen thousands of addicts over the years have great success choosing God as their higher power. Having a spiritual foundation gives one much needed strength during times of temptation and triggers. The Life Recovery Bible is a great resource to learn more about the intersection of faith and recovery, and prayer can be a powerful tool for healing.

I would love to hear if you have any tools you recommend for relapse prevention. You can email me at randy@randymoraitis.com or visit my website for more info on counseling and recovery coaching www.randymoraitis.com, or visit our nonprofit foundation CarePossible at www.carepossible.org for info and resources for those in need.

By Randy Moraaitis

If you have never been to a 12 step meeting, then you probably have no idea what the 12 steps are all about, other than perhaps associating the steps with addicts. Following is a very brief overview of the 12 steps to help spread awareness.

The 12 steps are a set of guiding or spiritual principles originally designed to help those struggling with alcoholism. The steps have proven to be a very effective tool for many people struggling with, not only alcoholism, but addictions and compulsions of many varieties including drugs, food and pornography.

The following are the original twelve steps as published by Alcoholics Anonymous:

1.  We admitted we were powerless over alcohol—that our lives had become unmanageable.

2.  Came to believe that a Power greater than ourselves could restore us to sanity.

3.  Made a decision to turn our will and our lives over to the care of God as we understood Him.

4.  Made a searching and fearless moral inventory of ourselves.

5.  Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.

6.  Were entirely ready to have God remove all these defects of character.

7.  Humbly asked Him to remove our shortcomings.

8.  Made a list of all persons we had harmed, and became willing to make amends to them all.

9.  Made direct amends to such people wherever possible, except when to do so would injure them or others.

10. Continued to take personal inventory, and when we were wrong, promptly admitted it.

11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.

12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

A great benefit of the steps is that those who sincerely work through the 12 steps can live healthier and more honest lives than those who do not. There are numerous types of 12 step groups and meetings where one can find the steps being put into practice including:

  • AA—Alcoholics Anonymous
  • NA—Narcotics Anonymous
  • CA—Cocaine Anonymous
  • MA—Marijuana Anonymous
  • SA—Sexaholics Anonymous
  • OA—Overeaters Anonymous
  • CoDa—Codependents Anonymous
  • Al-Anon—for friends and family of addicts

12 step groups are a great source of free therapy. If someone cannot afford traditional therapy or counseling, they just might find a lot of healing in a 12 step group related to their struggles.

There are many variances between 12 step groups, so if you try one that is not a good fit, don’t give up—try another one. A simple Google search will lead to meeting schedules and descriptions.

Bottom line—the 12 steps are a great tool for healing, so if you’re new to the steps read through them a few times and see how they could grow you—even if you’re not an addict.

I would love to hear your thoughts on this topic. For more info, or for help finding a meeting, please contact me at randy@randymoraitis.com.

Websites: www.carepossible.org and www.randymoraitis.com.

liar

Do you ever wish you were better at spotting a liar?  Do you have trouble trusting your teen, spouse, or employee? Here’s some info that will help you be a better lie detector!

It takes a lot more mental effort to lie than it does to tell the truth because it’s hard work to remember all the details of the lies. This fact can help us catch a lie if we know what to look for.

Psychologist Jacqueline Evans of the University of Texas and her colleagues developed a set of lie-detecting guidelines that anyone can use.  Here are six cues that, when combined, signal a lie.

  1. Missing Details–A person honestly recounting an event might mention the kind of music playing in the background or the color of the flowers on the table. A liar skips many little details because they are difficult to reconstruct or remember in later renditions.
  2. Claims of Faulty Memory–Liars may claim to have a poor memory, when the truth is that they can’t remember their own lies!
  3. Corrections or Contradictions–Liars often heavily edit their stories as they are retelling them. So pay attention–if this happens frequently enough, you may be hearing a lie.
  4. Effortful Thinking–If it appears the person is putting a lot of effort into coming up with their story, then that is a good indication that you may be hearing a lie.
  5. Nerves or Tension–It takes a great liar, or a psychopath, to pull off a string of falsehoods without looking at least somewhat anxious.
  6. Unusually Slow Speed–Liars often need to take quite a bit longer to tell their stories because they need to self-edit and try to be consistent.

What’s your favorite way to spot a liar?  I would love to hear your comments! You can email me at randy@carepossible.org

Websites:
www.carepossible.org
www.thecrossing.com
www.randymoraitis.com

Special thanks to Susan Krauss Whitbourne, PH.D., and Psychology Today 12/14 for this info.

By Randy Moraitis, MA, CIP, BCPC

K2, Spice, and bath salts are designer drugs that frequently make the news because of their link to overdose deaths and abnormal behavior. In fact, just this past March there were several teen deaths in Washington State caused by designer drugs.

Designer drugs problems are not isolated to America. Europe has seen a huge influx of designer drugs, and earlier this month New Zealand actually banned all designer drugs making them illegal. (Something I believe all countries must do!)

I learned the truth about these substances at a seminar taught by a leading physician/scientist in the field of addiction and designer drugs. Here are the important highlights that everyone needs to know:

  1. K2 and Spice are often considered a marijuana replacement because they resemble marijuana and are smoked.
  2. K2 and Spice are actually nothing like marijuana in their chemical composition.
  3. K2 and Spice are chemically similar to a combination of methamphetamine and LSD.
  4. K2, Spice, and Bath Salts are very dangerous. The original inventor said that these substances were not for human consumption.
  5. Designer drugs can be very addictive.
  6. K2, Spice, and bath salts can cause permanent brain damage or psychosis, including schizophrenia, after one use.
  7. Designer drugs kill brain cells.
  8. Spice causes delirium, a sudden severe confusion.
  9. People can have flashbacks from Spice and bath salts.
  10. Chemists frequently change the molecular composition of designer drugs to stay one step ahead of drug tests, so designer drugs often go undetected.

I urge every parent and care giver of children and teens to learn the facts about designer drugs and then share them with your kids. Kids think that designer drugs are harmless because they can buy them in stores or online. Nothing could be further from the truth. We need to educate our families and our communities about the serious dangers of designer drugs!

Please share this post with others to save lives and prevent overdoses.

I would love to hear your comments! You can email me at randy@carepossible.org.

Websites: www.carepossible.orgwww.randymoraitis.com

anxiety

Anxiety–A Brief History

Suffer from anxiety?  If so, you are not alone. According to the National Institute of Mental Health over 55 million Americans struggle with anxiety.

In a quest for better understanding and relief from anxiety, author Scott Stossel chronicled the history of the evolution of anxiety (Psychology Today, Feb. 2014). Here are the highlights:

4th Century B.C.–Hippocrates describes anxiety as a medical disease caused by “body juices”. Plato and his followers argue that it’s a philosophical problem, not a physical one. This launched an enduring argument between biological and mental approaches.

1862–An anxiety ridden Union soldier is diagnosed with “soldier’s heart”, a precursor to “shell shock” and post-traumatic stress disorder.

1883–The case of a man with an open hole in his stomach sheds light on how emotion affects the digestive system. When the man is anxious, his stomach tissue turns visibly pale.

1899–The Merck Manual (a medical reference book) recommends opium as an anxiety remedy.

1908–Two psychologists connect peak performance with optimal levels of arousal, suggesting that the right balance of anxiety–not too much, not too little–can be helpful during a test or competition.

1959–The New York Times makes the first written reference to antidepressants which paves the way for a surge in pharmacological anxiety treatments.

1980–The 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders is released, replacing Freudian concepts of neurosis with panic disorder, social anxiety disorder, obsessive-compulsive disorder, and other types of anxiety.

2005–The National Institute of Mental Health reports that 18% of American adults have some type of anxiety disorder.

So anxiety is real, it’s been around for thousands of years, and it requires treatment. In my next blog I will give recommendations for those afflicted with anxiety issues. In the meantime you can check out some resources here: http://carepossible.org/resources/

I’d love to hear from you! If you need support with anxiety please contact me at randy@randymoraitis.com. Websites: www.carepossible.com, www.randymoraitis.com.

According to new data published in the world’s leading general medical journal The Lancet, mental and substance use disorders were the leading causes of illness worldwide in 2010.

Harvey A. Whiteford, MD, of the School of Population Health at the University of Queensland, Australia, and colleagues wrote, “These disorders were responsible for more of the global burden than were HIV/AIDS and tuberculosis, diabetes, or transport injuries.”

Overall, mental and substance use disorders were the fifth leading cause of premature death and disease worldwide, and accounted for 22.9% of all nonfatal illness — more than any other disease!This is an alarming trend and in a press release Dr. Whiteford said, “barriers to mental health care must be addressed to reduce the global prevalence of mental and substance use disorders.”

A second study published alongside Dr. Whiteford’s stated that opioid dependence was responsible for the greatest burden of disease among all illicit drugs, accounting for 55% of the 78,000 deaths linked to drug use in 2010. The study also showed that more than two-thirds of individuals dependent on drugs were male — 64% each for cannabis and amphetamines and 70% each for opioids and cocaine, and the proportion of drug dependence increased in the highest-income countries.

What can you do to address the barriers to mental health and addiction treatment?

  • Get educated. We cannot fix what we do not understand.
  • Early intervention. If you or someone you know needs treatment for mental health or substance abuse issues, do all you can to encourage immediate treatment and research the treatment options.
  • Remove the stigma. Mental health and addiction issues should be looked at as disease, not personal failing. Surround these issues with support, not stigma or negativity.

To learn more or to help break through the barrier to treatment that so many face, visit www.carepossible.org. CarePossible is a nonprofit focused on making mental health care and addiction treatment possible for everyone.

I would love to hear from you. Please contact me at randy@randymoraitis.com. Websites: www.thecrossing.com and www.randymoraitis.com.

depression

By Randy Moraitis, MA, CIP, BCPC

Depression is a very common problem. Approximately 10% of the US population, over 30 million Americans, suffer from depression–but most could be successfully treated. The first step towards healing is to know the symptoms of depression.

Here are the symptoms so you can tell if you, or someone you care about, may have clinical depression:

There is an mnemonic that mental health professionals use to list the symptoms:

SIGECAPS.

S—SADNESS—the first, most obvious symptom–more than just the blues or a funk, but a deep sadness.

S—SLEEP—some with depression have difficulty sleeping, especially between 2-4am, others with depression want to sleep all the time. They’d rather sleep than participate in life.

I—INTERESTS—the person is no longer interested in doing what were once their favorite activities.

G—GUILT—feeling guilty can contribute to depression.

E—ENERGY—feeling like you have no energy is a common symptom of depression. It feels like the wind was knocked out of your sails.

C—CONCENTRATION—people with depression find it very hard to focus so they have trouble with work or schoolwork. Their poor performance leads to more problems which can perpetuate the depression.

A—APPETITE—a sudden change in appetite is a common symptom with depression. 1 in 4 people gain weight, 3 in 4 lose weight—we see this a lot with people going through a painful divorce—the divorce diet.

P—PSYCHO-MOTOR ABNORMALITIES—for example when you’re depressed it may feel like you’re moving in slow motion.

S—SUICIDAL THOUGHTS—very common—and if you or someone you know ever has suicidal thoughts, especially if there is a time and a method—like “I am going to take pills tonight at midnight”—call 911 immediately!

For someone to be diagnosed with clinical depression, they need to have 5 or more of these 9 symptoms for 2 weeks or longer. If you think you may have depression, then make an appointment with a doctor or counselor today. There is hope for healing, so take the first step today!

If you or a loved one are affected by depression, please reach out for help today. Email: randy@randymoraitis.com
Phone: 949.303.8264
Websites: www.randymoraitis.com or www.carepossible.org

About Randy Moraitis

Randy is married to Kim and they live in Laguna Niguel. Together they have a blended family of five adult children and three beautiful grandchildren. (If you don’t believe Randy he will gladly show you pictures!)

Randy is a Certified Intervention Professional (CIP) and expert in helping families affected by addiction and/or mental health issues. He is a Board Certified Pastoral Counselor and is both licensed and ordained as a pastoral counselor. He has five professional coaching certifications and loves working with clients on executive coaching, life coaching, wellness coaching and recovery coaching. Randy has a master’s degree with emphasis in theology and counseling, a bachelors degree in management and leadership, and a certificate in health and fitness with emphasis in exercise physiology and sports psychology from UC Irvine. He has been helping groups, individuals and families get mentally, physically and spiritually healthy in Orange County for over 25 years.

valentine day

4 Steps to a Great Valentine’s Day

Valentine’s Day—the often dreaded, frequently disappointing, and usually expensive holiday is here.

Here are 4 easy to remember steps to help make this Valentine’s Day have more lasting meaning and depth than you can buy with an expensive present. (You can still buy the present!)

L—LOVE.
One of the best ways to show you love and care about someone is to actively listen to them. Look them in their eyes when they talk to you. Reflect, and repeat back, some of what they say to you in order to show and ensure that you understand them. Feeling listened to will make someone feel loved and cared for.

O—Overcome.
When you are in a long term relationship with someone you are bound to experience conflict. Remember to work together as a team so that you can overcome any bumps in the road together.

V—Value.
Stop and think about how important your special someone is to you. What do they mean to you? What do you appreciate about them? Whatever just came to your mind—be sure to share that. Tell them how much you value and appreciate them.

E—Encourage.
One of my favorite quotes is “encourage one another and build each other up” (from 1 Thessalonians 5:11). Our words are so powerful—we need to use them to encourage and build up our loved ones. It takes five positive comments to balance out one negative comment to others (read that twice so it sinks in!). Make sure your words encourage those you love if you really want them to feel loved.

Whether you are spending time on Valentine’s Day with your spouse, your significant other, or your children, if you remember to Listen, Overcome, Value, and Encourage them, I am pretty sure that they are going to feel the love!

How do you feel about Valentine’s Day? You can email me at randy@randymoraitis.com or visit my websites www.randymoraitis.com or www.thecrossing.com

teen drug testing

Should I Drug Test My Teen?

People often ask me whether they should drug test their teen. I believe that home drug testing of teens is a great tool, but like any tool, it must be used properly. Here are some facts to guide you in your decision making:

Easy Access–Home drug tests can be purchased online or in most pharmacies. Before purchasing, be sure to do some research online, or ask your physician or pharmacist for their recommendation. Be aware that home drug tests do not test for every drug, but they are still very useful.

Peer Pressure Victory–Most teens will inevitably be faced with peer pressure or circumstances to try drugs. If you let your teen know that they will be randomly drug tested, then you are giving them a safe way out of these pressure filled situations. This can be very powerful!

Tested Positive—Now What?–Think through how you will respond if your teen tests positive. Start with an honest heart-to-heart and try to find out what is going on in your teen’s life. Schedule an appointment with a counselor specializing in addictions. Continue testing and if there are more positive results get your teen into treatment.

Tested Negative—Now What?–A negative test deserves praise and still serves as an opportunity for honest discussion about drugs and alcohol—a subject that many are uncomfortable to discuss. Create a culture in your family where it is safe to talk about anything.

Also, keep in mind that a negative test may also mean that drugs have simply already passed through your teen’s system and are no longer detectable. If you observe suspicious behavior, follow your intuition and test again soon or consult with your physician or a counselor.

Parenting teens is hard! The wise parent will use every tool in the toolbox and drug testing is a great tool. I’d enjoy hearing your thoughts on this subject. You can email me at randy@randymoraitis.com or visit my websites www.randymoraitis.com or www.thecrossing.com.