Our Blog

Karin imhoff ‘come as you are’

March 8th, 2019

Written by karin imhoff, lpc

I spent much of my adolescence, twenties, and early thirties believing the myth that I had to be better than others in order to be successful. The problem with this myth is that I never stopped the arduous work of striving and people pleasing to ask myself important questions like, "What specifically would make me better?", "Who defines better?", "Who do I need to be better than?", "How will I know if I'm better?", "What am I trying to achieve by being better?", and my favorite, "What defines success?".  I believed that if I were average I would be overlooked or rejected. In my quest to achieve, I learned many skills to be "better," but the definition of better always changed depending on who was around me and what their expectations were. I became caught in a web of changing how others saw me so that I could match their definition of better. The difficulty with this myth is that it worked well for a while. People did accept me, compliment me, include me, and reward me. As I continued to strive more doors opened, and I excitedly walked through them trying to be what everyone else defined as good and hiding any part of me that others might deem bad, wrong, or strange. It worked well through high school (sort of), it worked well through college (almost), it worked well through my first job out of school (-ish), and was amazing as I entered motherhood....Until it didn't.

One day I began to realize that all of my striving and people pleasing was actually having the opposite effect. I didn't like what I was doing for work or for leisure. The people I was hustling to impress stopped including me and became polite acquaintances. I had no idea what was wrong, I just knew I was unhappy. I had to make a change, but I felt so stuck, because my myth was my guidepost and it was failing me. Of course I didn't discover this on my own, I discovered it as I did more and more work in my own counseling education. As I learned more about how perfection was isolating me, I discovered the disconfirming feedback I needed to open my eyes. Brene Brown's book, The Gift of Imperfection, along with studying the Enneagram (I'm a 3) helped me discover how unhealthily I was living my life. People didn't want a perfect, chameleon me, they wanted an authentic me. I was working so hard at being perfect, that I wasn't relatable. People wouldn't be authentic with me because I couldn't be vulnerable and relate to their experiences. I needed to learn that I was good enough as I already was.

Of course this mind-blowing realization did not change my actions over night. I was terrified at first. But, remember I also wanted to be better than others, so I did what many perfectionists would do once they discovered there were expert opinions detailing how to fix the problem of feeling rejected. I tried following Brene Brown's advice and wholehearted living guideposts perfectly. Expert instructions gave me an absurd amount of courage to try this new way of acting. The weird thing was that once I began to use her  guideposts, I knew I had to change my approach. I was receiving more and more feedback that I needed to take a fresh look at my guiding myth. I had to ask the important questions I listed above. I had to open my mind and live by less rigid rules. I had to discover who I was and begin to believe that there was a place for me as I am.

I credit my clients with helping me discover how to do this. As they sat before me and shared their authentic selves, I became more and more capable of channeling their courage and doing it in my own life. I was able to receive confirming feedback that others had wanted this part of me all along. By letting go of my myth, I actually became "better"... my definition of better, because it is me. I am eternally grateful for my life experience and the opportunity to learn how to be me. Now, even though sometime it is terrifying, I do my best to show up as me, and I am always grateful when I receive a welcome invitation to come as I am.

Relapse Prevention and Wellness Planning

November 07, 2017

Written By Melinda Lericos, LPC

I am Melinda and I run our relapse prevention and wellness planning groups at Thalia House. To say relapse prevention is my passion in eating disorder treatment would be an understatement. Many providers fear talking about relapse because they don’t want to trigger thoughts of relapse or remind clients of their old behaviors. However, I truly believe that if we do not prepare our clients for the potential of relapse and provide them with tools to recognize and reduce those behaviors we are setting our clients (YOU) up to fail at their recovery.

It is for this very reason and passion that I have spent the past several years running our relapse prevention group at Thalia House while curating a curriculum that I know sets our clients up to succeed in their recovery, even when it is not easy to stay committed or it doesn’t “feel good” to keep choosing.

I frequently get asked the question, “What do you cover in your relapse prevention group?”  To answer that question, I have decided to start a blog series on our relapse prevention group to cover 1) what you, as a client, can expect to cover and 2) how this group can be used with your individual outpatient team.  This blog post will serve as the initial overview into the flow of the group and I will expand from here. As the series continues, click on the links in this page to learn more about each area of the group process. 

Our group starts with an educational foundation of stages of change and styles of motivation. We work together to identify where each person is currently struggling to move forward in their recovery and what their unique motivators are for their life without ED. We then work together to demystify the idea of a “perfect recovery.” We explore the continuum of relapse towards recovery and normalize the ups and downs, the non-linear path, that leads to living a whole-hearted and values-driven life. Together we break away the shame of “doing recovery right” and we create space for things to be whatever they are in this moment.

From there we take some time to figure out what things will inevitably make the recovery process not perfect. We identify internal emotional triggers and external environmental triggers. We gain insight into how our behaviors try to keep those triggers exiled but ultimately end up harming us. Along with internal and external triggers we address conflict management and conflict resolution. Relationships are a HUGE part of recovery (and relapse). Learning how to navigate conflict in relationships inter-personally and intra-personally is vital to long-term sustainable recovery.

After we get a handle on all of the ways we anticipate the desire for behavior use to arise, we take an inventory of how we justify using our behaviors. We break down all the reasons, all the excuses, for returning to negative coping skills and we create a plan of new skills to use when we get stuck in these patterns.

Once we have a deep understanding of what triggers us to use behaviors, what justifications we create to continue using behaviors, and what motivations we have to challenge our eating disorder / what we have to lose if we go back to using we move into the last part of the curriculum: Wellness planning. In wellness planning we look at 6 areas: Nutritional, Physical, Behavioral, Cognitive, Emotional, and Interpersonal. In each area, every individual identifies signs that would alert others to behavior use. This is used to create accountability within the support system. We explore what functions or needs would be met by using behaviors in each area. We look at resistance to change and create a plan with skills to help bring each client back into recovery and out of their behaviors.  We also look at resilience factors to relapse such as medication management, sleep, exercise and more.

The hope is that this plan can be shared with providers and support systems to aid in long term behavior change and accountability for those who will be doing life with our client in the future.