The ECG Blog

Trauma, Women, Charleston South Carolina Dr. Etta Gantt, PhD, LPC, NCC Trauma, Women, Charleston South Carolina Dr. Etta Gantt, PhD, LPC, NCC

Expression Through Representation: Creative Coping, Pt IV

While creativity is so much more than traditional art forms, the use of artistic methods is a quintessential form of self-expression.

There are endless artistic mediums to explore which may include sketching with charcoal, getting messy with watercolor, relaxing by coloring pre-designed pages, creating real life with acrylics, dirtying your hands in sculpting, and embracing technology for graphic design.

The beauty and freedom of artistic expression is that it is entirely subjective and authentic.

This freedom allows for the space for you to express yourself without limits or self-judgment.

It’s not that you can’t judge your art, but there are no clear rules for judgment. The creation you make may mean one thing to you and something completely different to someone else.

If you can let go of the fear of perfection, there is immense potential for self-acceptance through the process of creation.

“The ability to let go of judgment through artistic expression may also serve as a practice tool to reflect back in your personal life or inner dialogue.”

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Trauma, Women, Charleston South Carolina, Coping Skills, Art Therapy Dr. Etta Gantt, PhD, LPC, NCC Trauma, Women, Charleston South Carolina, Coping Skills, Art Therapy Dr. Etta Gantt, PhD, LPC, NCC

Growth Through Reconstruction: Creative Coping, pt III

Collaging & Vision Boarding: Growth through Reconstruction

You may read the word “collage” and immediately be taken back to elementary school with an assignment where you sorted through a big box of old magazines that had been used for years for some sort of history assignment.

Perhaps you think of vision boards and think “that’s a cute idea,” but I have no idea how one goes about making one or if it’s anything more than just a cute idea.

There is a unique power, however, that can come through the process of collaging.

Collaging is made by sticking a variety of materials, photographs, or cuttings together to a paper or backing to make one integrated creation.

Some of the benefits of collaging are that it offers the mindfulness of actually engaging in a craft (cutting, gluing, etc), which keeps your hands and mind busy and can be a wonderful distraction or hobby to divert your attention from anxiety or troubles.

It also finishes with an end “product” which can help offer feelings of productivity and a healthy sense of control or empowerment.

This experience of feeling like you have made something can be particularly useful in a time when life feels really out of control or if you're experiencing a sense of helplessness in your life at a given moment.

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Trauma, Women, Charleston South Carolina, art therapy, coping Skills Dr. Etta Gantt, PhD, LPC, NCC Trauma, Women, Charleston South Carolina, art therapy, coping Skills Dr. Etta Gantt, PhD, LPC, NCC

Healing Through Writing: Creative Coping, pt II

Creative writing has some exceptionally therapeutic opportunities. Writing provides an immediate release for our overwhelming and assuming thoughts and emotions. Releasing and identifying the words of your distress, joy, sadness, anger, pain, or insights allows you to be mindful of what your internal world is telling you instead of allowing it to overcome you. It also provides you an outlet so that the intensity of your internal world doesn’t have to be repressed or “bottled up.” Writing outlets include journaling, poetry, short story or screenplay writing, and more.

Journaling: The act of journaling offers many benefits including having a regular outlet for overwhelming thoughts, emotions, or anxieties as well as a self-reflective element. Especially if you know your journal is kept private it offers a perfect and safe space for you to write or express anything that you’ve been keeping in or have felt too afraid or ashamed to say out loud. It’s very common to only resort to journaling when you’re feeling overwhelmed as a form of release but it has more potential to be beneficial if it’s integrated as more of a routine practice. Writing about your day as a form of tracking events is helpful but being intentional about expressing or exploring your emotions that came up that day or writing about your past can be most beneficial. It’s also a wonderful tool to write out your raw thoughts that you would like to express to someone but you know it may be a little harsh or not as well received because anger is overwhelming. In that case, journaling about it first can help clear out some of the excess anger and organize your thoughts and feelings so that you can better express your frustrations, anger, needs, or boundaries more clearly.

Journaling prompt for feeling overwhelmed:

What’s happened/ happening? (i.e., sequential events and your response- what are you

afraid of, hurt \ by, angry about etc)

What thoughts are rushing in? (what are you believing about yourself, the world, or other

Parties? (I can’t trust this person anymore, I feel like I can’t do anything right)

What emotion do you feel? (I’m overwhelmed with anger and disgust, how could

someone do this? I feel so defeated and heartbroken, I can’t imagine my life without this person) (look at feelings wheel

What are you doing now in response: I’m going to eat dinner and snuggle with my dog

What can you hope for the future: (I will find someone else, I will find happiness again)

What’s two positive things you believe about yourself?

Journaling prompts for your routine journaling:

What are you grateful for in your life?

What are your curiosities about how your life could have turned out differently?

What are the moments in your life or attributes about yourself that you’re most proud of?

What emotions do you have the most difficulty connecting with and why? (look at

feelings wheel)

Explore more about visual journaling through collage in this blog (Growth through reconstruction)

Poetry: Poetry is the flowing river of creative writing. The rhythmic quality and hidden meanings and metaphors creates fluid and wide open space for mental and emotional expression with limited restraints. Therefore, practicing poetry is a great outlet for exploring topics, emotions, or experiences that feel overwhelming or difficult to get in touch with on your own.

One example: A Haiku for emotions:

My ___ (emotion) is _____ (one syllable word for color or sound)

Like _____ (name of city, a place, or a household item), ____and____ (2 descriptive adjectives) loud and flashing

It helps me ______ (two words)

Ex:

My anger is red

Like Hong Kong, loud and flashing

It helps me know me

My grief is quiet

Like coffee, still and daily

It helps me hold on

My love is pure pink

Like my porch swing, light and free

It helps me know you

Short Stories: Writing short stories offer a wonderful sense of distance to explore themes, situations, emotions, or hardships in your own life. It offers endless creative opportunities as you create settings and characters. As well as, potential for personal growth by exploring themes and coming up with your own resolutions or endings.

How to get started with a short story:

Who are your characters? What are their strengths and weaknesses? What do they look like? (Choose some characteristics to represent different parts of you: ex: someone sarcastic, someone depressed, someone joyful, someone always confused)

Where is the setting of your story? What is the culture, atmosphere, and sensual qualities?

What are the themes of the story? (ex. Grief, shame, isolation, misunderstandings, etc.)

What is the climax and resolution of your story?

Get to writing! You may surprise yourself with what you come up with!

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Trauma, Women, Charleston South Carolina, Coping Skills, Art Therapy Dr. Etta Gantt, PhD, LPC, NCC Trauma, Women, Charleston South Carolina, Coping Skills, Art Therapy Dr. Etta Gantt, PhD, LPC, NCC

Creative Coping, Part I: Getting Started

The power of creativity arrives from crossing the act of mindfulness with the act of letting go. The mindful and intentional approach of pouring yourself into a creative endeavor helps you connect to a positive activity outside of yourself and your anxious thoughts. This process allows you to detach without being avoidant and suppressing your feelings. The act of letting go helps to free yourself and your negative thought patterns from the regular pressures of societal or external forces and an acute relationship with control. Creativity is the art of making something from nothing and utilizing self-expression in the process. Creativity and art are overarchingly subjective therefore there is minimal control of how others will perceive your creation. Giving in to this subjectivity is practice for releasing the pressures to control others’ perspectives of ourselves.

Creativity is an incredible medium for supporting mental health. Creative action can help you to tap into the right side of your brain and helps to merge your logical and emotional mind. So often states of anxiety, depression and low self-esteem are generated by “overthinking,” “over rationalizing,” and negative thought cycles that are fueled in the logical and left side of our brain. Engaging in right brain activities offers reprieve from these cycles so we can create new positive thought cycles/ neuropathways.

Engaging with your “creative self” allows you to improve your thinking patterns by interacting with more curiosity and open-mindedness. This form of thinking is a refreshing change especially for those of us with exceptionally rigid thinking. Being creative also allows for emotional expression by offering a platform of interaction that gives us the space to engage with our emotions so that we are not overcome by them or suppressing them. If you're overwhelmed by a crushing wave of depression or overwhelming anxiety and panic, engaging in creative action helps to regain some sense of control and autonomy. Likewise, engaging with your creative self also allows you to feel a sense of satisfaction or mastery as you work on your craft. Whether you have finished it or not, you have a tangible sense of witnessing some sort of accomplishment. This can be particularly beneficial if you’re in a phase of experiencing helplessness or a lack of agency in your own life. One of the most powerful elements of engaging with your creative self is if you can eliminate the pressure of perfection or people pleasing you can engage with creativity in good humor. Embracing the subjectivity of your creation and laughing through the process helps to detach from the seriousness of having to perform for others.

There are endless ways to explore creative outlets and coping strategies that may go against your traditional conceptions of creativity. Coping by creating something can present in numerous ways. It can look like baking, cooking, drawing, pottery, woodworking, building with legos, graphic design, knitting, cross stitching, playing music, singing, dancing, interior design, and so much more. Exploring creative outlets to find out what connects most with you can help to connect with more of your own authenticity and also help you to connect with others by building community with people with similar interests!

How to choose a creative outlet:

Decide what areas you are interested in (building, cooking, art, crafting, etc)

Explore what modalities are most accessible (do you have the materials or are they affordable?)

Choose an outlet that feels comfortable and easy to connect with (ex: I love to cook!)

Set up time to explore this outlet

Choose an outlet or medium that feels adventurous or would push you (ex: I’ve always wanted to try poetry)

Set up time to explore this outlet 1-2 times a week

If either outlet doesn’t feel authentic or is too difficult to accomplish, try another!

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Trauma, Women, Charleston South Carolina Landrie Ethredge, MA, LPC, CCTP Trauma, Women, Charleston South Carolina Landrie Ethredge, MA, LPC, CCTP

12 Trauma-Informed Therapy Techniques for Women in SC

Navigating through tough times, and trauma specifically, can be overwhelming, but you're not alone on this journey.

Trauma-informed therapy is a great way to not only heal from your past, but create a bright future through unlocking your body and brains innate wisdom and potential. Let's dive into some ways trauma-informed therapy can offer support and healing!

12 Trauma Informed Therapy Techniques for Women

1) Psychoeducation: Understanding the Impact of Trauma

Ever wonder why you react the way you do? Psychoeducation is like your guidebook to understanding how trauma impacts your brain, memory, and overall well-being. It's all about making sense of your reactions and giving yourself some well-deserved self-compassion.

2) Grounding Techniques: Anchoring in the Present Moment

Feeling overwhelmed? Grounding techniques are like your secret superhero moves for staying present during tough times. Whether it's deep breathing, mindfulness, or some sensory magic, these tools create a safe space and help you regain control.

3) EMDR (Eye Movement Desensitization and Reprocessing): Transforming Traumatic Memories

EMDR might sound like a tech acronym, but it's a game-changer. Imagine transforming those distressing memories through a structured process with eye movements. It's like hitting the reset button on the emotional charge tied to traumatic experiences.

4) Person-Centered (Rogerian) Therapy: Compassionate Therapeutic Relationship

Person-Centered Therapy is here to give you back your voice and agency. Developed by Carl Rogers, this approach is all about empathy, unconditional positive regard, and creating a safe space for you to explore at your own pace, building trust in your own intuition and innate wisdom.

5) Exploring Family History: Unraveling Generational Patterns

Your family history holds clues to patterns in your behavior. By exploring it, you get to the roots of certain behaviors, core beliefs, thought patterns, habits, and coping mechanisms. It's like opening up a treasure chest of understanding.

6) Schema Therapy: Addressing Core Beliefs

We all have deep-seated beliefs from childhood. Schema therapy helps identify and challenge those beliefs, paving the way for healing and personal growth.

7) Narrative Therapy & Verbal Processing

Ever thought about rewriting your life story? Narrative therapy does just that – emphasizing resilience and growth over victimhood. And verbal processing? It's your space to speak your truth and integrate your narrative.

8) Inner Child Work & Internal Family Systems: Nurturing the Inner Self

Meet your inner child! Our inner child often carries our heaviest burdens and deepest wounds. Inner Child Work and Internal Family Systems dive into the different aspects within you, shaped by past experiences. It's like giving a warm hug to that wounded inner child, fostering self-compassion and deep healing.

9) Art Therapy: Expressive Healing Through Creativity

Talking isn't the only way to express yourself. Art therapy taps into the wisdom of your right brain, using various mediums to explore and process emotions. It's like giving your right brain the spotlight for a change, in a culture that seems to only value the left brain!

10) Polyvagal Theory: Understanding the Nervous System

Your nervous system plays a huge role in how you experience the world. Polyvagal Theory dives into this, offering insights into how your body responds to stress and trauma. It's like understanding your body's unique language.

11) Healthy Habits & Self-Care Planning (i.e., Coping Skills)

We all need a toolbox of coping skills. Learning healthy habits, problem-solving, and emotional regulation equips you with practical tools to navigate stressors effectively. And let's not forget the importance of creating a self-care plan for ongoing well-being. Yoga and other types of exercise help you reconnect, releasing stored tension associated with trauma. It's like a reset button for your mind-body connection.

12) Communication & Boundaries: Building Healthy Connections

Trauma can make it really difficult to trust others or feel safe in relationships. Learning effective communication and setting boundaries is like having the keys to building and maintaining healthy connections, creating a safe space for yourself. 

Remember, these techniques are tools in your toolbox – you get to choose what feels right for you. It's a journey, and we're here to support you every step of the way. By combining various techniques, we can tailor our approach to meet the unique needs of each client, fostering empowerment, resilience, and personal growth on your healing journey.

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Trauma, Women, Charleston South Carolina, About Therapy Landrie Ethredge, MA, LPC, CCTP Trauma, Women, Charleston South Carolina, About Therapy Landrie Ethredge, MA, LPC, CCTP

Why CBT May Not Be The Best Option for Women In Charleston, SC

Cognitive-Behavioral Therapy (CBT) is one of the most widely recognized forms of psychotherapy. Google almost any mental health concern, and you will see CBT mentioned over and over again. But any good trauma therapist will know, CBT isn’t all its cracked up to be and may not be the best choice for you. While CBT can be helpful, its popularity is due more to its simplistic formula best suited for insurance companies requirements than its appropriateness or effectiveness.

Here are 10 concerns we have with CBT:

1. Limited focus on underlying causes: 

CBT primarily targets surface-level thoughts and behaviors. CBT may not be the best choice if the underlying causes of a person's issues are rooted in their past or subconscious mind. For those wanting to heal unresolved trauma or childhood wounds, there may be more suitable therapy modalities. 

2. Rigid format: 

The formulaic structure of CBT can feel impersonal, rigid, and isolating for those who prefer a more relational, exploratory, or open-ended approach. CBT exercises and interventions can feel prescriptive and artificial. 

3. Exacerbates Self-Critical Thoughts: 

CBT focuses on labeling thoughts and “adaptive” or “maladaptive”, which can exacerbate self-critical and shaming thoughts and feelings. For those who experience self-criticism, therapy approaches like Internal Family Systems or Person-Centered therapy will be more healing. 

4. Not A Well Rounded Trauma Treatment: 

Because trauma often does not get stored in the brain as a normal conscious and biographical memory, focusing on cognition and behavior may exacerbate a client’s symptoms. The effects of trauma are often experienced subcortically (in the subconscious), in the body (somatically), emotionally (right hemisphere), or as a dysregulated nervous system. CBT has a limited focus on these areas.

5. Not all issues are Cognitive: 

When someone is anxious or overwhelmed, the “logical” part of the brain shutdown. CBT emphasizes the left hemisphere of the brain (ie the verbal side), and can ignores both the body and the right hemisphere of the brain (ie experiential/emotional/nonverbal).

6. Short-term focus: 

CBT is generally considered a short-term therapy, which may not be ideal for individuals who desire an ongoing or open ended counseling style where they can talk about whatever feels most pressing that week. 

7. Overemphasis on self-help: 

Some individuals may feel overwhelmed or pressured by the emphasis on self-help techniques in CBT. They might prefer a therapy that relies more on the therapist's guidance and support or emphasizes organic exploration and verbal processing.

8. Limited scope for exploring emotions: 

CBT tends to prioritize thoughts and behaviors over emotions. For people who need to work through deep-seated emotional issues or trauma, other therapeutic modalities like psychodynamic or experiential therapies may be more appropriate. Similarly, for those who tend to intellectualize their issues, CBT may exacerbate emotional avoidance. 

9. Lack of holistic approach: 

CBT often focuses on specific problems or symptoms, and it may not take into account the broader context of a person's life, including their relationships, social environment, and overall well-being.

10. Incompatibility with specific goals: 

If an individual's therapeutic goals are more oriented toward personal growth, self-exploration, or understanding the meaning of life, CBT may not align with these objectives.

It's important to remember that therapy is not one-size-fits-all, and the choice of the most suitable therapeutic approach should be based on an individual's unique needs and preferences. Ethredge Counseling Group is committed to high quality holistic therapy modalities that will explore the underlying cause, not putting a bandaid over the surface issue.

If you live in South Carolina or Tennessee and are interested in mental health counseling, you can schedule a 20min free consultation with a licensed professional counselor by following the link below!

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Ethredge Counseling Group provides individual counseling, trauma therapy, and couples therapy at their offices on James Island in Charleston, SC. Our therapist also serve Johns Island, downtown Charleston, West Ashley, Mount Pleasant, and Folly Beach, as well as virtually in Tennessee and Arkansas.