Posts Tagged ‘counselling madrid’

Choice of treatments helps anxious

Friday, July 9th, 2010

A US study in the Journal of the American Medical Association has pioneerd a more flexible approach to treating anxiety, offering a choice of treatments, and giving health professionals a computer-based tool to track patients. The study included over 1,000 patients. About half were given a choice of talking therapy, drug treatment, or both; the other half carried on with the treatment suggested by their doctor. After a year, 64 per cent of those offered a choice of treatment saw an improvement, compared with 45 per cent who´d received their usual treatment. Talking therapy was the most popular choice, 34 per cent choosing just this treatment, and 57 per cent opting to combine it with drugs. Just nine per cent chose drugs as their only treatment.

Therapy Today – June 2010
BMJ Publishing Group LTD

‘All the triggers to make me not work well happened’

Thursday, June 3rd, 2010

Andy Berry, 33, moved from the United States to Britain in 1996 and works in marketing and communications. He has worked for household names such as Shell, the BBC and Microsoft as a project manager. Following a number of mis-diagnoses, he was eventually diagnosed with bipolar disorder.

“When I went back to work after I was off, after the diagnosis, I was in a team of seven people and of the seven people four had been off for extended periods with stress. In that regard I had support. However my direct line manager – you could just tell it was like you were stigmatised. You were just kind of looked upon as lower down in their esteem. To me that’s a failure of the company because they should have actually gone ‘okay, what’s wrong with the company that this many people are off?’. I don’t think they took it seriously or if they did I don’t think there was the will to actually address it. I think it was pretty much set in stone that it was a barrier to my career. You know, saying ‘well hopefully he can stick at this job’, those type of comments. ‘Do you think you can handle it?’

What drove me to the diagnosis was the way my role was manged. It was just when the government introduced the flexible working hours. I suddenly saw my hours jump from just over 40 hours to about 55-60 hours a week and finding myself in a situation where I was over-burdened . And then speaking to my boss about it and my boss saying ‘well just get it done, I don’t care’. And there was no end in sight. I just had a situation that was untenable and that created the frustration, the depression. Actually it created a scenario where all the triggers to make me not work well happened.
I think a lot of that is because lots of people who work who are managers are probably not suitable to be managers. They don’t understand how a happy workforce makes for better efficiency and better output. Somebody breaks a leg, you’ll understand that. Somebody has a mental health problem you’ll think oh, he’s crackers. But in fact there’s things we can do to bring people back in to wider society again and into the workplace. And de-stigmatise mental health. Its something that should be tackled. The work environment in the UK has changed in the last 10 years and if it continues to change in the same manner it will become a bigger issue. Longer working hours. Higher demand on staff. Its gotten more Americanised.”

Interview by Mary O’Hara
Source: The Guardian – UK
Counselling Madrid

Watching the English: Office-party Rules

Wednesday, January 27th, 2010

… The same principles apply, in intensified form, to office parties (I´m using this, as most people do, as a generic term, covering all parties given by a firm or company for its employees, whether white- or blue collar) particularly the annual Christmas party, an established ritual, now invariably associated with “drunken debauchery” and various other forms of misbehaviour. I have done a couple of studies on this, as part of SIRC´s wider research on social and cultural aspects of drinking, and I always know when the run-up to Christmas has officially started, as this is when I start getting phone calls from journalists asking “Why do people always misbehave at the office Christmas party?” The answer is that we misbehave because misbehaviour is what office Christmas parties are all about: misbehaviour is written into the unwritten rules governing these events; misbehaviour is expected , it is customary.
By “misbehaviour”, however, I do not mean anything particularly depraved or wicked – just a higher degree of disinhibition than is normally permitted among the English. In my SIRC surveys, 90 percent of respondents admitted to some form of “misbehaviour” at office Christmas parties, but simple over-indulgence was the most common “sin”, with nearly 70% confessing to eating and drinking too much. We also found that flirting, “snogging”, telling rude jokes and “making a fool of yourself” are standard features of the office Christmas party.
Among the under-thirties, 50 per cent see the office Christmas party as a prime flirting and “snogging” opportunity, and nearly 60 per cent confessed to making fools of themselves. Thrity- and forty-somethings were only slightly more restrained, with 40 per cent making fools of themselves at Christmas parties, often by “saying things they would never normally say”. Although this festive “blabbing” can sometimes cause emparrasment, it can also have positive effects: 37 per cent had made friends with a former enemy or rival, or “made up” after a quarrel, at a Christmas party, and 13 per cent had plucked up the courage to tell someone they fancied them.
But even the most outlandish office-party misbehaviours tend to be more silly than sinful. In my more casual interviews with English workers, when I asked general questions about “what people get up to at the office Christmas party”, my informants often mention the custom of photocopying one´s bottom (or sometimes breasts) on the office photocopier. I,m not sure how often this actually occurs, but the fact that it has become one of the national standing jokes about office parties gives you an idea of how these events are regarded, the expectations and unwritten rules involved – and how the English behave under conditions of “cultural remission”.
I will have much more to say about different kinds of “cultural remission”, “legitimized deviance” and “time-out behaviour” in later chapters, but we should remind ourselves here that these are not just fancy academic ways of saying “letting your hair down”. They do not mean letting rip and doing exactly as you please, but refer quite specifically to temporary, conventionalized deviations from conventions, in which only certain rules may be broken, and then only in certain, rules-governed ways.
English workers like to talk about their annual office parties as though they were wild Roman orgies, but this is largely titillation or wishfull thinking. The reality, for most of us, is that our debauchery consists mainly of eating and drinking rather too much; singing and dancing in a more flamboyant manner than we are accustomed to; wearing skirts cut a bit too high and tops a bit too low; indulging in a little flirtation and maybe an illicit kiss or fumble; speaking to our colleagues with rather less restraint than usual, and to our bosses with rather less deference – and perhaps, if we are feeling really wanton and dissolute, photocopying our bottoms.
There are exceptions and minor variations, but these are the permitted limits in most English companies. Some young English workers learn these rules “the hard way”, by overstepping the invisible boundaries, going that little bit too far, and finding that their antics are frowned upon and their careers suffer as a result. But most of us instinctively obey the rules, including the one that allows a significant degree of exaggeration in our accounts of what happened at the office Christmas party.

From: Watching the English – The Hidden Rules of English Behaviour. By: Kate Fox.
(Counselling Madrid – Counseling in Madrid, Spain)

office Xmas party (The Rules)

office Xmas party (The Rules)

City Blues cure – Counseling in Madrid

Friday, December 4th, 2009

City dwellers living near parks and greenery are less depressed than urbanities with less or no access to such amenities, according to a study published in the Journal of Epidemiology and Community Health. The study showed 44 per cent fewer incidences of anxiety disorders or depression in people living in “greened” urban areas. Possible explanations include improved air quality, opportunities for relaxation and socialising, and an incentive to exercise. The Independent.

observation Joseph Maussen: Madrid has many parks and a 64 km “anillo verde”: the 64 km long cycle route around the city centre of Madrid. At Counselling Madrid we encourage all expats and international students to take as much advantage of these parks and cycling routes as possible: an increased activity level triggers an improved mood, which triggers more objective and positive thinking. So enjoy your “puente” between Dec 5 and Dec 8 when you stay in Madrid :) Blog logo - new

Counselling in Madrid

Sunday, November 22nd, 2009

Counseling in Madrid is becoming more affordable and easier to access since the arrival of Counselling Madrid. This is based on feedback received from more than 35 clients using the service who have been living in Madrid for more than five years.

At the same time counselling is becoming the buzzword used by an increasing number of spanish trained therapists looking to work with foreign people living in Madrid.

Behaviour link to lifelong health

Sunday, November 15th, 2009

People who behaved badly at school are more likely to suffer mental health and social difficulties as adults, a 40-year-study of Britons suggests. Canadian researchers writing in the Bristish Medical Journal examined data from 3,500 people from the age of 13 untill they reached their 40s or 50s. Those who had school behaviour problems were more likely to be depressed, divorced or have financial problems. The researchers from the University of Alberta wrote: “Given the long-term costs to society, and the distressing impact on the adolescents themselves, our results might have considerable implications for public health policy.” BBC. Source: Therapy Today – 2009
Counseling Madrid

British attitudes to emotional support

Monday, November 2nd, 2009

Although we are now relatively open to the idea that it is “good to talk”, most of our emotional support comes from informal sources rather than professionalsd in the “talk-based” therapies, according to the latest Bristish Social Attitudes report, published by NatCen.
The report finds a widespread view among the public that emotions are discussed more freely nowadays: 68 percent of people say it is important for them to be able to talk about their feelings. However, there is wariness about the idea of seeking psychotherapy or counselling: 43 percent would not want anyone to know if they had been to see a therapist, and 35 percent say they understand little about therapy.
There is also little evidence of reliabce on formal emotional support: four out of ten people have discussed their emotional lives at some point with a health professional. But the most common source of support is a GP: 31 percent of people have talked to their doctor about these issues, and 16 percent have used a professional “talk-based” therapist.People who have had serious mental health problems, or who have low levels of mental wellbeing, are particularly likely to have used formal emotional support. Poorer people, however, are likely to have used prescription medication at times of emotional difficulty.
Julie Brownlie, co-author of the report, comments:”Some have claimed that professional emotional support has come to occupy a dominant role in our lives. This appears premature. Informal social relationships continue to occupy a hugely important role in most people´s lives, while formal emotional support – and especially the use of talk-based therapies – remains relatively rare.”
NatCen. Source: Therapy Today

Counselling Madrid: dedicated to the expat community in Madrid, Spain.UK - culture

Poem: Good enough

Monday, August 31st, 2009

Body and mind
like birds and sky, intertwined
striving for the best
like horses on the racecourse, no time to rest!
Only the best seems good enough
although meeting high standards is tough
what else to expect from souls
living unknowingly, achieving third party goals.
Your body and your mind
isn´t it time to become more kind?
striving to be good enough
like wind touching trees, firmly sometimes, but not too tough.
You might be surprised to see the new responses coming in
when you are there you will be remembering
those days with relentless efforts pushing yourself
but here and now you uncovered a longer lasting verdict
good enough might just be perfect.

By Joseph Maussen – 2009

good enough often is good enough

good enough often is good enough

Relaxation techniques

Saturday, August 15th, 2009

This blog contribution by Joseph Maussen describes a way of helping with a common problem we are all likely to face – that of feeling tense or stressed. Sometimes this is related to difficulties in our personal lives or pressures at work or university, but, while the causes may be complex, it can be useful to think about how we carry tensions within ourselves and our bodies and how we can
actively develop ways of improving our sense of well being. Tension which continues over a long
period can end up affecting our health. How do we know if we are tense? Strangely, we can be so habitually tense that we accept our tense state as normal. (And it is true that a certain degree of tension can help motivate us to get on with a task.) The following are some of the symptoms which may identify undue tension:
● muscular tension, aches and pains
● difficulties with sleeping
● loss of appetite, stomach upsets
● persistent tiredness, exhaustion
● headaches, migraines
● hyperventilating, shallow breathing
● inability to concentrate or think straight
● a sense of things crowding in, feeling rushed and panicky.

To read more about relaxation techniques please visit www.counsellingmadrid.org/publications

Expat life & Counseling in Madrid

Monday, May 25th, 2009

At Counselling Madrid we welcome “blog contributions” from anyone wanting to share his/her experiences and views about life as an expat. Els Barkema-Sala has written an excellent article about the “ins and outs” and “ups and downs” while living the expat life.

(Els runs a private practice in The Netherlands helping expats with counselling, couple therapy and mediation.)

Article:
My life has been interesting with lots of traveling and living in different countries, including many years in Japan. Whenever I returned to Tokyo International Airport from a trip outside the country, the choice for lining up at passport control was always: ALIEN or NATIVE. It did not take long to absorb the fact that to Japanese this was a distinction of importance – not something to joke about. So I learnt to choose my place (as outsider, foreigner) and avoid hassle, but some other foreigners kept complaining about the airport signs.

Initially, life in a new country and culture can be a wonderful experience you just love to tell the folks back home about, but sooner or later the thrill gets mixed with frustration or anger, and you may miss home and all it stands for. This reaction is not so strange if we consider the definition of culture: ideas, customs and social behaviour of a particular people or society or the attitudes and behaviour characteristic of a particular social group that are
• based on learned human behaviour
• passed on from generation to generation
• a coherent, dynamic complex of norms, values and behavioural codes
• shared by a group of people.

When we try and settle in another country, we bring our own ways of being and thinking with us, and find they/we are different, which often comes across as ‘wrong’. Trouble is that when people from different cultural backgrounds interact, each takes things for granted that the other often finds unfamiliar (and sometimes appalling). The more that something is taken as ‘simply a fact of life’ by one, the harder it may be for the other to deal with it.

People miscommunicate for a number of reasons:
 It is hard to communicate in any language, more so in a second or third one. Little misunderstandings add up and stereotypical thinking or assumptions distort what is said or heard. Even body-language (non-verbal communication) differs subtly or majorly between cultures.
 How people use space differs: a good distance for one can be uncomfortably close to another. Private space is much more important in one culture than in another. Trouble is, there tend to be unspoken ‘rules’ about these things.
 How people regard time differs, for example: punctuality, dividing work and free time or private and family time. When people from different cultures live or work together, this can create chaos – consider for example what happens when a linear thinker (time is a line: one thing at a time) tries to interact with a person who likes to shift quickly from one thing to another or rather do several things at once…..
 Cultural values tell us what is seen as good, bad, important or trivial. They can differ hugely as to: how men/women/children should be treated, what food to eat, how to behave… Using your partner’s bathrobe may be a sign of pleasing intimacy to you, but to the other absolutely ‘not done’. Whenever people make judgements, values come into play. It needs awareness of one’s own values and a fairly strong sense of self to accept the fact that others have different values, without feeling threatened.
 Decisionmaking can vary from a high-context model (all opinions must be taken into account and ethics are situational) to low-context (strong demand for quick top-down decisions). Having to work things out with someone from another background can be much more difficult because of this difference in approach, however when you live anywhere long enough, there will be important decisions to make about: home, beliefs, lifestyle, childrearing, managing finances/ time/ vacations, family interaction, etcetera.
 Also the way in which information is shared, varies. An ‘outsider’ may be expected to know all about ‘the system’ (be it: social/ medical/ company/ family) without a need to explain. Trouble is, if someone expects you to know, but you don’t even know you ought to know, miscommunication is sure to happen.

People’s personality and character play a role too – in fact each individual carries her/his own culture, worldview and experiences from way-back that go beyond the mere fact of nationality and family of origin…… Even travelling to the other side of the world, we carry our own ‘bagage’ with us and that gives us that uniqueness, that can be fascinating as well as singularly difficult. Because wherever one lives, there is a need to create and maintain relationships and to find a niche to be comfortable in as an individual as well.

In close relationships, problems arise sometimes because there are too many unresolved issues (like family of origin or childhood difficulties). People think they get involved with a certain kind of person and then may find themselves plunged into situations they are unprepared for.
Having given up a career or satisfying job to be with this partner or spouse and thereby feeling fairly strongly dependent initially, this is bound to create difficult and painful situations. Another source of difficulties is that often signals are missed or misread as to: how a person feels, what is important or trivial, what really liked or disliked, what wanted or needed. How to communicate these things clearly? Too often we expect lover or friend to understand or be sensitive enough to know those things that are dearest/most personal to us.

People can behave differently when they are abroad as compared to back home in familiar settings, and this too can be confusing or upsetting – it may be useful to distinguish here between more group-based cultures (like many Asian, African or rural/traditional) and more urban, individualistic, Western societies. Interestingly though, intercultural interaction between people from a fairly similar background, that expect to have a lot in common, may actually be full of difficulties, probably because of those unspoken assumptions and high expectations. Of course our thinking about people and culture should not be rigid – sterotypes never promote understanding and neither do misconceptions, mistaken self-views or biases.

But if life in one’s own tried and trusted environment is hardly ever easy, international and intercultural living tends to be even more of a ‘mixed bag’. In fact, it can be said that living in another country is a life-altering experience, in ways that you never expected or could have foreseen. Of course, it makes a difference whether you chose to be there, or if fate has somehow thrown you there – and whether you plan to stay for a while only, or ‘for life’ because commitment or circumstances make leaving unlikely. When, for whatever reason, you feel you don’t have much choice, the experience is likely to be more stressful. Being part of a couple requires deeper commitment – when things do not go so well, there may be a greater sense of loss of ‘what was or could have been’. Short-term expatriates can take refuge in social interaction with people of their own nationality exclusively (a bit of Why bother?), but those who plan to stay feel a need to succeed, to get to know their new country and its people; there is likely to be more pressure to learn about and adapt to the culture and customs, and that may bring marvel or joy, but also frustration, irritation or tension. Support and understanding from partners or in-laws is not always there – it may be hard for them to be that empathic.

Occasionally things really go wrong. When you keep questioning yourself: What in the world am I doing here? and when you are feeling down all the time, you may be experiencing culture shock. That can be defined as: a condition of emotional upset and tension that becomes chronic for a period of varying duration and is experienced by persons who, exposed to life in an unfamiliar setting, react with anxiety, irritation and frustration. It can happen to anyone who has had to leave home, with its familiar and manageable routines and social patterns, and feels confronted with life in a different social setting with a language and mores/values that are unfamiliar (and that may be repugnant to the person with culture shock). No wonder this happens, because to feel lonely, isolated, uncertain about proper procedures, unable to control life, does give a lot of stress and wears a person down.
Culture shock has:
1. a honeymoon phase when all is terribly new, exciting, unknown but charming…
2. an angry, upset phase when you can’t help thinking Why don’t they do things properly?
3. a coping phase with more resignation, trying to adapt without losing your sense of self
4. a more integrated phase, when you are comfortable most of the time with where you are and how things are going.
Actually these phases may come and go and even after a long time any of those moods can become more dominant in certain circumstances. It helps to be aware of them, to know that what is happening is not uncommon, and to try and get help for the middle phases, such as an empathic listener, encouragement, good tips or support, if need be professional help. Don’t wait too long because getting timely professional help can save a lot of heartache!

Human beings are creatures of habit and maybe a nomadic existence is only good for those who can carry their ‘home’ with them, who feel at home whereever they are. That takes quite a bit of inner strength and considerable flexibility of mind. Those people have little trouble finding their feet in a new environment, they often have a talent for languages and a high degree of curiosity about other cultures or other ways of life. Experience learns though that even the most experienced expats can get some culture shock when they finally do go home and find it/themselves somehow changed, difficult to fit in again. It should be noted all of this goes for kids and especially adolescents as well – they may have been comfortable in a particular environment, but feel uprooted when they have to go and live in their ‘own’ country and feel ‘different’.

Of course in all of this there are many positives to consider, as the following statement expresses: The international and intercultural experience can be an unparallelled opportunity for learning and developing, for personal and professional growth and for sharing with others a sense of the uniqueness of the individual, whilst celebrating the diversity and similarity of human beings here, there and everywhere…..

About the author:
Els Barkema-Sala, MPhil, MBACP
www.counsellinginternational.com

Els, thanks again for your contribution!
Joseph Maussen
Head of Counselling
Counselling Madrid