grief counseling

Counseling Ethics for Counselors in Grief or Christian Counseling

Posted on by Dominick Flarey

This is required reading for students taking SC 570 or GC 400.

The norms of ethics to any particular field helps maintain a standard of quality that is expected from certain professionals within a certain field.  It guides them in situations of doubt, directs them in proper procedure, and protects them and the client from unintended harm.  Dating back to the Hippocratic Oath, the idea to do no harm to those one helps is the cornerstone and foundation of all professional ethics.

Ethics in Counseling

It was not until modern era that ethics began to take a more codified form for professionals.  Thomas Percival due to poor performance in his own medical facility created the standard and blue print for modern medical ethics.  Other professional careers, including, mental health, counseling and anything within human services soon followed with their own standards.  The American Counseling Association (ACA), the American Association for Marriage and Family Therapists (AAMFT), the National Association for Social Workers (NASW), the National Organization of Human Services (NOHS) and the American Association of Christian Counselors (AACC) all have developed mission statements and standards and guidelines for professionals to adhere to.  These standards are usually divided into areas of care to the patient, the profession, other colleagues, students, payment policies and publications.   It is important if entering into the counseling field to read through these and understand the ethics one must adhere to.

Counseling involves trust and many ethical standards from various associations ensure the integrity and quality of counseling. All counselors should review the various ethical standards found in ACA or other associations

 

Bear in mind, some counselors are pastoral and others are clinical.  Different states assign different titles to licensure.  In counseling, the most common is Licensed Professional Counselor or LPC.  Other variations can include Licensed Mental Health Counselor (LMHC) or Licensed Clinical Professional Counselor (LCPC).  Most states require a graduate degree in counseling and a passing of the state board exam to become fully licensed.  Paraprofessionals are unlicensed counselors can work under licensed counselors or within a care facility but there are not able to independently operate.  As for pastoral counselors such as ministers or lay apostolates, these individuals are permitted to operate due to separation of church and state but are restricted beyond the realm of guidance.  Treatment and pathology are alone reserved for licensed professionals in social work, counseling, and psychiatry.   Whether a counselor, social worker or a psychologist, only a healthcare professional such a psychiatrist, medical doctor, or Nurse Practitioner can prescribe medications.  This is why many mental health facilities have the proper prescribers available on staff.

If a pastoral counselor with only a certification from AIHCP in Grief Counseling or Christian Counseling, one must ethically adhere to proper identification.  The term “counselor” can be very misleading because it is so generic and widely used.  Individuals use the term in everyday breath but there is a huge difference between clinical professional counselors and pastoral counselors.  Pastoral counselors operating as grief counselors or Christian counselors can help guide but never treat pathology.  They also cannot mislead clients into thinking they are licensed.  This needs to be understood and articulated upon the first day.  What one can do and not do needs to be clearly articulated to and understood by the client.  As for licensed professionals who receive certifications from AIHCP, this is clearly not an issue.

Some counselors are licensed and others are not. It is important to properly identify your credentials and operate within your legal boundaries

 

In Denise Daniel, short but concise book “Counseling Principles and Christian Beliefs: An Integrated Approach”, she lays out some important concepts not just for Christian Counselors but also any type of licensed or non-licensed counselors.  She first points out the importance of identity and what counselors are or not and what are their limitations as licensed or not licensed or the expertise they possess.  Second, she points out what is the role of the particular counselor.   She emphasizes that most counselors, according to ACA, look to create a professional relationship that empowers and strengthens diverse families and groups to better achieve mental health, wellness, education and career goals.  The aim is more centered around wellness and prevention (Daniel, 2020, p. 3).  The final third point is integration and how one’s own biases, beliefs and codes of behavior come into play as a counselor.  Fortunately, ethical codes point out numerous guide posts for professionals in where and how to integrate themselves with patient care.

According to Daniel, the ACA lays out some core principles.  Among the key themes she addressing in her book are patient autonomy, non-maleficence, beneficence, justice, fidelity and veracity (2020, p. 5).  Before we review some of the key ethical guidelines, it is important to look at some of these themes and how they apply to licensed counselors but also pastoral counselors, and in some cases, Christian Counselors.  Bear in mind, whether grief counselor, licensed or non-licensed, these themes apply to all in the counseling fields.

Important Themes in the Counseling Relationship

Autonomy refers to allowing the patient to be free to make choices in their overall health and life.  A counselor needs to respect the choices of a client whether approval or disapproval occurs.  For Christian Counselors, this may seem contrary to the goal.  There are certain moral precepts that must be obeyed but in a relationship, one must exercise patience.  Scripture points out that God gave Adam and Eve free will.  He respected autonomy and choices.  Again in the parable of the Prodigal Son, the father, permits the autonomy of his son to make poor choices but still never gives up hope that he would one day return.

Non-maleficence refers to doing no harm.  Counselors, whether they want it or not, hold all the power in the relationship and they must be very careful in not allowing that power to become corrupted.  This can happen very easily because the client is in distress and looking for guidance.  A counselor can influence and exploit a client very easily hence numerous standards exist to balance this relationship.  The goal of counseling is to heal not harm.

Beneficence refers to promoting only good for the client.  It involves helping the client with the best possible and verified studies and knowledge on the subject.  It involves looking out for the best of the client and guiding them to their ultimate best end.

Justice refers to fairness to all clients and ensuring equality to the numerous diverse groups one serves.  It also involves understanding social justice and promoting justice for those who are persecuted.

Fidelity refers to faithfulness to the client.  It involves never betraying them, keeping things confidential and not abandoning them.  It means working through the most difficult things and not giving up on them.

Finally, veracity refers to honesty.  Trust and honesty is the foundational rock of all relationships.  Without honesty, one cannot communicate facts, one cannot share realities, and one cannot heal and grow.  Honesty also involves the counselor’s assessments, promises, and outlooks.  Even when difficult situations arise, honesty with respect is expected in a counseling relationship.

Important Ethical Codes

There are a variety of critical ethical codes  that are all found within the various associations that mirror and reflect the themes above but also dictate more detailed situations.

For instance, in the ACA code of conduct A.4.b., it is clearly emphasized that an individual should never impose one’s own beliefs on another and to respect the diversity of the client.  The idea of discrimination against other faiths, cultures, sexualities or values can come into play easily.  This is why the AAMFT’s code 1.1 deals directly with this type of discrimination.  One is not to discriminate against others based on these types of differences.  The AACC has a slightly different tilt on the issue since the type of counseling itself is Biblical and certain life styles or actions are contrary to the type of counseling being sought.  This however does not present a green light for the Christian Counselor to impose own personal beliefs.  AACC’s code 1-340-a reminds the Christian Counselor that one is still to respect the autonomy and decision making process of the client.  Again, 1-530 dictates that the Christian Counselor respect other faith beliefs and only disclose upon request and only if it benefits the client.  Daniels proposes a term referred to as “bracketing” where professional opinions are laid aside and avoiding the triggering of one’s own personal views (Daniels, D., 2020. p.4).  Please also see ACA’s  A.2.c. Developmental and Cultural Sensitivity standard.

 

In all counseling, it is important to keep the counselor’s personal beliefs removed from the story. In Christian Counseling, while religious values are shared, the personal bias of the counselor must still respect the autonomy of the client, as well as never abandon the client due to immoral choice or life style

 

Common to this ideal of bias and discrimination fuels the idea of abandonment.   Counselors may feel the temptation to dismiss a client who will not listen, fulfill promises, or follow a certain value system.  This unethical practice is condemned in all guidelines.  The ACA guideline A.12. stipulates that counselors never quit seeing their clients without proper continuation of treatment through themselves or through others.  The AAMFT guideline 1.11 shares the same view that no client is to be abandoned and not seen without reasonable arrangements for continued treatment.  The AACC in its rule 1-640-a shares with all other human service entities that a client is not to abruptly abandoned and that treatments are to continue until other options are available.

Another important theme is referral.  Many times, certain counselors may become overwhelmed with a particular issue beyond their standard of care.  This can especially  happen with paraprofessionals or unlicensed counselors who are merely pastoral.  Many fall under this venue.  This does not mean they do not offer a qualify service but due to knowledge or professional and legal limitations, a referral is sometimes necessary.  The ACA guideline A.11.a stipulates that a client that is beyond their skill level or competency should be referred to another professional.  In the AAMFT guideline 1.10 also states that professionals may refer clients to others professionals when they are unable to help.  Again, in the AACC guideline, Christian Counselors 1-240-d, it is stipulated that Christian Counselors should not refer merely based on faith based issues but when situations grow beyond their skill level, they can refer to more capable authorities.

Relationships can also become toxic.  Due to the imbalance of power between in the  counselor-client relationship, abuses of power can occur.  Within the guidelines in all associations are clear cut warning regarding exploitation.  Sexual relationships are condemned in the most strict sense.  It is not uncommon for a vulnerable person sometimes to develop feelings for a counselor and it is important for the counselor to correct and document these advances.   Counselors are also ethically restricted from working with past romances, family, or close friends.  The bias can be strong in these cases in helping the individual.  Counselors also need to keep a distance in cases of friendship.  The relationship is not one of friendship in the social meaning.  Hence, counselors should avoid most social interactions with clients, such as parties, graduations, or dinners.  In some cases, if it pertains to a particular issue or healing, a counselor can appear on a professional basis only. Please refer to ACA -A.5. Prohibited Non-counseling Roles and Relationships which cover a broad array of relationships that can occur that considered illicit in counseling.  In addition a counselor is to refrain from sexual relations in the NASW handbook as well as physical contact (1:10) when such contact would cause psychological harm.  So where a hug or a touch of hand is needed is to be very carefully judged by the counselor.  In addition, language and proper presentation in how one speaks is listed in the NASW handbook under standard 1:12.

Unfortunately, sometimes, a client may become attracted to a counselor since the counselor represents a source of power and strength when the client is most vulnerable.  It is important for the counselor to be empathetic but also distant when attraction occurs, especially mutual.  In some cases, referrals may be needed.  To also help prevent such situations, physical gestures such as a touch of the hand or hug should be avoided.  In addition, one should carefully screen the acceptance of gifts, unless otherwise approved due to cultural issues and sensitivities.

Other conflicts of interests can occur within agency and client.  If dealing with one’s organization, one may also feel tugged and pushed by agency or funder agendas, over client care.  Time, funds, and allocation of resources may effect one’s success.  This can cause a grey area in client care and the client’s well being.  It can also potentially lead to not following policy of employer.  As one can see, many ethical dilemmas can spring from such actions.

Another  set of regulations we will look at involves confidentiality.  A counselor sets out on day one what he or she is willing or can do to the best of their abilities.  Within this, there exists a confidentiality that is critical to veracity and fidelity.  The boundaries of that need to be clearly laid out.  All standards assert that counselors are to keep records and conversations private.  Records are to maintained safely, whether paper or electronic, and conversations are to be kept strictly between themselves, unless otherwise dictated.  Exceptions, upon approval of client, can include access to records for particular family, or access to records via other team members treating the individual.  Again, this agreed upon in advance.  Please refer to ACA -B.1. Respecting Client Rights which covers issues of confidentiality as well as exceptions under B.2

Confidentiality is the bedrock of trust between the counselor and client and must be protected and preserved unless under certain exceptions of physical harm to the client or others

 

In cases, where an individual may cause harm to oneself or others, or upon certain legal orders, a counselor may disclose certain information for the overall safety and good of the client or others.  This is far less lax than the seal of confession.  One way to better protect and shield oneself from potential mandatory disclosure is listing limits of confidentiality with the informed consent form.  In addition, to reminding them throughout the counseling process of the limitations especially when a client seems eager to share a secret.  Clients many times feel everything is confidential and fail to understand these limitations.

It is also essential that counselors properly store and preserve documentation.  Electronic as well as hand written files needs to be clearly locked and protected and not visible to other wandering eyes.  This helps preserve confidentiality.

Another grey area that may occur is transparency in representation.  If hired by the state or an authority to review divorce cases, criminal cases, or employee evaluations, counselors need to be very transparent with all parties involved.  Documentation for any case needs to be comprehensive, unbiased and utilize accepted and modern strategies.  It is also essential to never treat someone beyond one’s ability, or promise things beyond healing.  One should also not advertise oneself as a licensed counselor if not a licensed counselor.

Conclusion

Standards and ethical codes are critical to protect counselor and client.  They also lay the groundwork for better care and healing for the client.  In additional resources and references, there is a list that includes the ACA and others.  Links are provided.  I highly recommend one reviews these regulations and completely understands the ethical expectations of counseling, whether at a pastoral or clinical level.  Whether secular or religious, there are standards that are needed within this special type of relationship.

Ethics and standards are critical to the profession of counseling. Please also review AIHCP’s Christian and also Grief Counseling Certifications

 

Please also review AIHCP’s Christian Counseling Certification as well as AIHCP’s Grief Counseling Certification.  The programs are online and independent study and open to all qualified professionals seeking certifications in Christian or Grief Counseling.

Additional References

“Counseling Principles and Christian Beliefs: An Integrated Approach”. Daniels, D. (2020). Kendal Hunt Publishing Company

American Counseling Association (ACA). (2014). 2014 ACA Code of Ethics. https://www.counseling.org/resources/aca-code-of-ethics.pdfLinks to an external site.

American Association of Christian Counselors (AACC). (2023). Code of Ethics. https://www.aacc.net/wp-content/uploads/2023/02/AACC-Y-2023-Code-of-Ethics-FINAL-Draft.pd

American Association for Marriage and Family Therapy (AAMFT). (2023). Code of Ethics. https://www.aamft.org/Legal_Ethics/Code_of_Ethics.aspx

NASW, National Association of Social Workers. (n.d.). https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English/Social-Workers-Ethical-Responsibilities-to-Clients

 

 

SAD VIDEO

Posted on by Dominick Flarey

SAD or Seasonal Affective Disorder is a type of depression that coincides with the change of seasons.  It can be during any type of season but primarily occurs during the Winter months.  It is quite different than the Winter Blues in that it is consistent every year.  It is hard enough without longer days and sunlight to function but with Winter, especially after the Holidays, many will fall into SAD.

Individuals can find help, medication, as well as light therapy to help.  It is important to identify if you do have SAD and find the appropriate help from a licensed counselor who can guide you in the right direction.  SAD is more than being upset about the weather but a type of depression that needs professional care.  Please also review AIHCP’s Grief Counseling Certification.  While certified grief counselors who are not licensed counselors as well cannot treat depression, they do have the training to spot it and send you to a professional counselor who can treat it.

AIHCP’s Grief Counseling Certification is online and independent study and open to qualified professionals.  Please review the program and see if it meets your academic and professional goals.

How Can Abuse and Trauma Affect The Health of a Young Person?

Posted on by Joseph Gerard

Women with purple ribbon symbols of stopping abuseWritten by Gemma Taylor

Society has undoubtedly made positive strides in breaking the taboo of talking about mental health and trauma. But it’s important to make these conversations a continual process, to ensure victims of abuse receive the support they need throughout their lives.

The American Psychological Association defines trauma as: “An emotional response to a terrible event”. While there are several natural responses to a traumatic event, including shock and denial, everyone is likely to deal with the situation differently. So while it is possible to get a better general understanding around common health implications caused by trauma, it’s important to treat every case individually, rather than taking a blanket approach to care.

Being subjected to abuse in the early stages of a young person’s life can have devastating consequences throughout their childhood and as they grow up. Sadly, while physical scars may recover, abuse can have irreparable impacts on a person’s psyche, altering their entire personality and cognitive functions.

Abuse and trauma are intrinsically linked, since the latter is often a result of harmful experiences. In this post, we’ll take a closer look at the different ways in which past abuse can impact the health of a young person emotionally, physically and mentally.

 

The prevalence of childhood abuse

Abuse can be physical, sexual or emotional. While it’s a hard topic to discuss, it shouldn’t be shied away from; especially as it remains a prominent issue in society today. In fact, around 600,000 children across the U.S. are abused each year. More than a quarter (28%) of abuse victims are no older than two. Neglect is the most common form of abuse, accounting for 76% of cases, and tragically, 2021 statistics show that 1,820 children died in a single year due to abuse. In the vast majority of cases, it is the parents that victimize their children.

 

Physical health

The connection between abuse, trauma and physical health is deeply rooted. Depending on the nature of the abuse, a child could suffer a range of physical injuries and even suffer from chronic pain. This can disrupt different aspects of their life, which have the potential to cause further health concerns, such as difficulty sleeping, a loss of appetite and fatigue, on top of their primary injuries.

What’s more, studies have shown that people who have experienced trauma may have an increased risk of developing chronic illnesses like heart disease, diabetes, or obesity. This link is not something that can be ignored, and those who have experienced abuse should seek support in both healing from trauma and addressing any physical health issues related to it.

 

How to mitigate the physical impacts of trauma and abuse

To cope with the psychological and emotional scars of negative past experiences, lots of victims seek support from therapists and counselors who will be able to provide practical advice for managing any triggers and scars. When it comes to managing the physical impacts, there are lots of other things people can do.

Perhaps the most important aspect is for victims to consider their lifestyle. Unhealthy lifestyle choices, which can often be used as coping mechanisms, will exacerbate the impacts in the long-term. Of course, making positive changes to a daily routine is easier said than done. However, by recommending they make small changes at a time, victims can gradually work towards implementing more healthy daily habits that can ultimately improve their physical wellbeing. This primarily pertains to nutritional choices, exercise regimes and sleep patterns.

 

Psychological and emotional health

Perhaps something less quantifiable than physical harm is the damage abuse can do to someone’s psychological and emotional health. For survivors, the impact can be devastating, leading to anxiety, depression, and post-traumatic stress disorder (PTSD). These individuals may struggle with feelings of guilt, shame, and worthlessness, and may find it difficult to trust others or form healthy relationships.

Additionally, abuse and trauma can affect a person’s ability to regulate their emotions, leading to intense mood swings and difficulty managing stress. This challenge is one of the most prevalent causes of self-harm in young people, often acting as a way for them to express their suffering. Despite the immense challenges that survivors face, with access to the right support – primarily from healthcare professionals – it is possible to heal and move forward from the trauma.

 

Cognitive and developmental implications

It’s clear that abuse and trauma can have a profound impact on one’s mental and physical wellbeing, but it can also be heavily detrimental to their cognitive development and learning abilities. In fact, research has shown that experiencing repeated trauma can actually alter the structure and function of the brain, particularly in areas responsible for memory, attention, and emotional regulation. Children who have suffered abuse or trauma may struggle with language development, memory consolidation, and attentional processing, which can ultimately impact their academic performance as they progress through school.

In addition, the emotional toll that can affect their mental health can further hinder a child’s ability to learn and participate in classroom activities. This underscores the importance of creating safe, supportive environments in and out of school where children can heal, grow, and thrive.

 

What can be done?

As medical professionals, it’s crucial to be able to identify and provide support for children who are victims of abuse. One way to show support is to create a safe and welcoming environment where children feel comfortable sharing their experiences. It’s important to communicate with the child in a manner that is age-appropriate and to listen to their concerns without judgment. Medical professionals can offer resources such as counseling and therapy, and work with social workers and law enforcement when necessary. Ultimately, providing a sense of care and trust can make all the difference in helping a child heal and move forward from their trauma.

 

Bio: Gemma Taylor

With over 10 years’ experience in the healthcare industry, Gemma now works in the youth sector, helping young people take back control and process traumatic incidents in their lives. She is passionate about adolescent care and aims to educate and share ideas with other professionals through her writing.

 

References

American Psychological Association – Trauma

https://www.apa.org/topics/trauma

National Children’s Alliance – National statistics on child abuse 

https://www.nationalchildrensalliance.org/media-room/national-statistics-on-child-abuse/

Khiron Clinics – Trauma and chronic illness

https://khironclinics.com/blog/trauma-and-chronic-illness/

Zocdoc – Preventing self-harm in teens

https://www.zocdoc.com/blog/preventing-self-harm-in-teens-a-guide-for-appropriate-intervention/

NHS Wales – Trauma and the brain https://traumaticstress.nhs.wales/children-and-young-people/trauma-and-the-brain/

Please also review AIHCP’s Grief Counseling Certification program and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification.

C.S Lewis and Grief

Posted on by Dominick Flarey

C.S Lewis is a classical English writer of the 20th Century.  His observations on grief are insightful as well intense as he documents the grief felt of losing the wife, H.  Throughout, his work, “A Grief Observed” (originally published in 1961),  the loss torments the writer as he proceeds through the various struggles of an English Christian husband who lost a wife.   His struggle includes the intensity of the pain of the grief and its many adjectives and similes, as well as the outward feelings towards others, his past, his beliefs, his anger, his desolation, and finally his renewal.  In it one sees the numerous phases and oscillations of the messy roadmap of mourning. It is not only an emotional journey, but also a philosophical one that questions pain and suffering and how it can co-exist with a good God.  It captures the the progress and regression of how one laments one day but rejoices the next, curses another but venerates later.  It is in essence a progression of grief that illustrates the despair, the anger, and ultimately the adjustment to the loss.  It does not offer a true happy ending but an appeasement and contentment that naturally overtime proceeds from loss.  One never truly heals from loss but learns to live without but with a sprinkle of hope.

Grief

C.S Lewis masterfully captures some of the raw emotion associated with intense and acute grief following loss.  He states, “Noone ever told me that grief felt so like fear. I am not afraid, but the sensation is like being afraid.  The same fluttering in the stomach, the same restlessness, the yawning and swallowing” (Lewis, C.S, p. 1).   He continues that it sometimes feels like “invisible blanket between the world and me” (Lewis, C.S. p. 1).

C.S Lewis masterfully captures the raw pain and existential crisis caused by the loss of a loved one. Please also review AIHCP’s Christian Grief Certification

 

Lewis mentions the continual acute phases of grief that overtake him.  He feels fatigue that prevents him from doing the littlest things, such as even shaving (Lewis, C.S. p.3).    In the grief, he feels the shame of being seen by others in public.  He comments how some wish to walk away, or others try to say the right thing or how an younger married couple may think that he is a symbol of their future (Lewis, C.S. p. 10-11).   He also fears publics places he once ventured.  He is afraid to return too soon to places where he and H. once shared good times.  He compares it to as “sending a pilot up again as soon as possible after he’s had a crash” (Lewis, C.S. p. 11).   He in particular takes offense to the good willed sayings of others within the congregation who remark that H. is now in God’s hands.  This only frustrates him more, as he asks, if she is in God’s hands, how can it be any better, if she was in God’s hands on Earth and suffered? (Lewis, C.S. p. 27).   This is an excellent example of how in grief counseling, individuals should not try to fix the bereaved but sojourn with them and acknowledge the pain instead of trying to lift it.

A great fear of most grievers is losing the memory of a beloved.  Lewis is haunted by the fear of losing her memory.   He states, “I have no photograph of her that’s any good. I cannot even see her face distinctly in my imagination” (Lewis, C.S. p. 15).   Others tell him, she will live in your memory, but he laments that idea of living.   He exclaims in fear and anguish, “What’s left?  A corpse, a memory and (in some versions) a ghost? All mockeries or horrors.  Three more ways of spelling the word dead” (Lewis, C.S. p. 20). He further revels in the fear of those who have finally come to peace with loss.  He remarks how he cannot envision how a man with a hoe and watering pot visiting the churchyard, happily exclaimed it was time to visit “mum”.   Lewis remarks, “A six-by-three foot flower-bed has become mum” (Lewis, C.S. p.21).  Yet, Lewis is not yet at the point to understand the continuation of bonds.  The pain is still too raw, too soon, and too painful.

Wishing to see her again also, sways him back from grief to guilt.  He wishes to see her but then sees this wish to bring her back is a selfish love.  He corrects himself and realizes that this self pity is horribly selfish and to wish her back is a cruel endeavor, especially with the suffering she endured to escape this world.  He speculates, “They call Stephen the first martyr. Hadn’t Lazarus the rawer deal? (Lewis, C.S., p. 41).

He reviews within his mind a mixed guilt of possibly getting over something too soon.  Someone truly does not recover from such an operation.  He compares this grief to someone losing a leg.  One learns to adjust, but it forever affects oneself.  When one awakes, or dresses, the reality is always there, even if one finds joy in day to day situations.

He also asks himself though, if there is shame in finding happiness, or if one is obligated to prolong one’s own unhappiness (Lewis, C.S. p.52-53).  This is classical in grieving.  One feels an obligation to grieve a certain time.  Grief has no time table and each individual needs to process the grief and then without guilt, heal. It is obvious that Lewis understands this concept but poetically displays the inner pain of those who suffer loss.

Anger

Within the initial shockwaves of pain, Lewis articulates his frustration and anger with God.  He points out that God is always around when one is happy, but when you need Him, he refers to it as ” a door slammed in your face” (Lewis, C.S. p.6).  He does not fully come to any conclusion to deny the existence of God, although he does question the goodness of God.  He points out that Christ too was forsaken, but does that make it easier to understand? (Lewis, C.S. p.6).  He begins to view God as being who really does not care.  In later chapters, he reflects on this anger. He states, “All that stuff about the Cosmic Sadist was not so much the expression of thought as of hatred.  I was getting from it the only pleasure a man can get; the pleasure of hitting back”.  He continues that what he thought he knew was not true, but felt that at least it might offed him or other worshippers (Lewis, C.S. p. 40)

Many become angry with God in the initial phases of grief but according to Lewis the door is never slammed shut and bolted. He is always with us

 

Philosophically, Lewis does not dismiss the existence of God, but in acute grief, comments how one may believe God is far from good.  He points out that “Is it rational to believe in a bad God?  Anyway, in a God so bad as all that?  The Cosmic Sadist, the spiteful imbecile? (Lewis, C.S, p.30).  He wonders if this is good, then how is God good?  He later reprimands himself for feeling this, but continues to question the reason for this cruel suffering.   He laughs at himself how once he could tell those who suffered loss that their beloved one is in a better place.   He remarks that he knew bad things could happen and even warned and prepared himself not to place happiness in the world, but he points out that once it happens to you, it is far different.   Once being a source of faith, he know sees his faith as a house that has collapsed.  He states, “If my house has collapsed at one blow, that is because it a house of cards” (Lewis, C.J. p. 37).  He mocks how he once so easily gave advice, but now cannot it for himself.  Was it because he truly did not care about others, or that he never truly understood the severity of it?

Healing

Stemming from the long suffering and pain, Lewis slowly begins to heal.  He begins to realize his love remains and he can even sometimes hear his wife in a different way.  He remarks his great fear of losing her memory, but now has a sense of her.  He comments, “She seems to meet me everywhere.  Meet is far too strong a word.  I don’t mean anything remotely like an apparition or voice.  I don’t mean even any strikingly emotional experience at any particular moment.  Rather, a sort of unobtrusive but massive sense that she is, just as much as ever, a fact to be taken into account” (Lewis, C.S, p. 51). He also remembers how easily he could misjudge a man in a similar situation who now has happiness despite the loss. He remarks, ” I might have said, ‘He’s got over it.  He’s forgotten his wife’. but the truth was, ‘He remembers her better because he has partly got over it'”(Lewis, C.S., p.45).

 

Lewis learns that healing is not forgetting but remembering in a healthy way.  Please also review AIHCP’s Grief and Christian Grief Counseling Certifications

 

He further remarks that even with God, he no longer feels the door is slammed shut.  He states that sometimes God is there but one is too frantic to hear or be saved, as if a drowning man kicking and screaming (Lewis, C.S. p 46).   He asks if God is the vet or the vivisector (Lewis, C.S. p. 40).  Is God truly healing and helping the person through the pain into a better life. Lewis ultimately understands that God does not wish suffering but walks with the sufferers and relieves them of the pain and transforms them into life.  While those on Earth, may not understand the ultimate mystery, and may refuse to hear, God is not the sadist, he thought in anger, but a rescuer.   He sees God as the giver and H. as the gift.  H. becomes the garden and God the gardener, or H. the sword and God the smith.  God perfects His gifts in the next life and this gives Lewis comfort (Lewis, C.S. p. 62-63).

He confirms to himself that the road to H. is through God, but he also corrects himself and reminds himself that God should never be a means to an end.  He realizes that through loving God, he loves H. and they will find union in that love together (Lewis, C.S., p. 68-69).   He furthermore realizes that God no longer did not answer his knocking of the door or reject his needs.  Lewis states, “it is not the locked door.  It is more like a silent, certainly not uncompassionate, gaze. As through He shook His head not in refusal but waiving the question.  Like, ‘Peace, child; you don’t understand'”(Lewis, C.S. p. 69).

Conclusion

From a Christian perspective, Lewis explains the emotional pain of losing someone and still being a believer.  He triumphantly captures the nature of grief but also adds elements of Christian grieving.  He proceeds through the phases and oscillations of grief and faces many existential questions.  While reading the words, one truly can start to prepare or recall the true abandonment one can face in the pain of grief and how hard it is again to find solace and peace.

Please also review AIHCP’s Christian Grief Counseling Program.  Those who are already Grief certified are eligible for the specialty program.  Like the Grief Counseling Certification, the Christian Grief Counseling Certification is online and independent study.

Reference

“A Grief Observed”. Lewis, C.S. (1961).  Harper Collins Publishers. (1994)

Additional Resources

“C.S. Lewis”. (2021). Biography.  Access here

“C. S. Lewis”. Wikipedia.  Access here

“A GRIEF OBSERVED”. Harmon, J. (2013). C.S Lewis Institute.  Access here

“The boredom and the fear of grief”. Grady, C. (2021). Vox. Access here

Self Harm Video

Posted on by Dominick Flarey

Self harm occurs when individuals look to burn, cut, or in someway physically mark oneself.  It can also be emotional or through dangerous behavior.  In some cases, the individual is punishing oneself for displaced guilt, in other cases, the person is looking to numb the mental pain through physical pain.  In many cases, those who commit self harm were victimized or experienced an earlier childhood trauma.  Those who commit self harm are not looking to kill oneself but to punish oneself or escape mental pain.

To learn more, please also review AIHCP’s Crisis Intervention Specialist Program or AIHCP’s Grief Counseling Program.  The programs are online and independent study and open to qualified professionals seeking a four year certification.  Both programs are open to clinical and non-clinical professionals but it must be stated only clinical licensed professionals can treat those who commit self harm with therapy.

What Is a Psychological Disorder?

Posted on by Dominick Flarey

Before the dawn of Clinical Psychology, mental maladies and disorders were considered to be demonic in origin.   A person who seemed to act crazy or disorderly was quickly diagnosed as possessed or an evil spirit.   Frightful enough,  Stone Age skull remains show drilled holes into the skull that lead researchers to believe the holes were created to release evil spirits (Myers and Dewall, 2019, p.495).   The terrifying treatment of those with abnormal behavior continued through the centuries and included an array of rituals to expose evil spirits or drive them away.  As time progressed, individuals were sent to asylums and treated inhumanely being chained to beds or confined to small areas as if animals (Myers and Dewall, 2019, p.495).

The scientific era and medical model replaced these archaic beliefs to understand that mental issues and psychological disorders can be diagnosed and treated and in most cases cured (Myers and Dewall, 2019, p.495).   This lead to a stronger understanding that psychological disorders are disturbances in cognition, emotional control and behavior.  These behaviors hence are in some way dysfunctional and maladaptive (Myers and Dewall, 2019, p.494).

A psychological disorder involves impairment to cognition, emotional regulation and behavior. Please also review AIHCP’s mental health certifications

 

Hence psychological disorders prevent an individual from living a day to day normal life.  In some way, they interfere at various extremes and levels with an individuals ability to perform and interact with others.  While mental illness should never be a stigma, these types of disorders still carry heavy prejudices with them regarding employment and how others view individuals.  Unlike a physical disability, mental disorders are viewed in a more harsh fashion, even if only today in whispers and at subconscious levels.  Mental illness is still sometimes equated with crazy or dangerous.

The American Psychiatric Association Manual of Mental Disorders, Fifth Edition, is a hand book for mental health care professionals.  It lists the broad range of mental maladies from the smallest to most extreme types of illnesses.   It helps professionals diagnose and treat a variety of maladies listing the numerous symptoms and number of required symptoms to be diagnosed with a particular disorder.  Ranging from the simple OCD to Depression and anything in between, the manual serves as an important diagnoses tool.  It is important to note, that only licensed counselors or those with Psychology and Psychiatry doctorates should ever diagnose.  For pastoral and ministry level counselors, the diagnoses and treatment of pathology is restricted.   Most pastoral counselors or basic grief counselors only deal with coping over natural occurrences such as loss, advice, or guidance.   Clinical counselors deal with diagnoses and treatment of more serious psychological disorders.

The article, “List of Psychological Disorders” by Kendra Cherry takes a very comprehensive look at the multitude of types of disorders.  She states,

“The DSM-5-TR lists hundreds of distinct conditions. Anxiety1 and depression2 are among the most common types of mental health conditions that people experience. While the DSM provides diagnostic information about such conditions, including the age at which they typically appear, it does not provide guidelines for treatment or predictions related to the course of illness.”

“List of Psychological Disorders”. Cherry, K. (2022). VeryWellHealth.

To review the entire article, please click here

Commentary

Depression treatment is the most sought after care.  It is the leading diagnosed mental disorder and by far the most common of all issues.  This is not surprising since human loss is a universal experience.  However, not all human loss leads to depression and not all cases of depression are loss orientated but instead hormonal, seasonal, or genetic.  In addition to Major Depressive Disorder and Bi-Polar Disorders, Prolonged Grief is also a major issue individuals face in regards to loss.  This type of loss is a complication in the grieving process.

Depression and anxiety are two of the most common forms of mental health issues

 

Beyond depression, anxiety disorders are another high volume issue people face.  With large amounts of stress in the modern world, individuals have difficulty coping and handling day to day issues.  Anxiety though is an issue that is separate from any source stressor and exists within it own right.   While both basic grief and stress issues can be handled via coping, anxiety disorders and depression require clinical professional help to diagnose and treat.

While most individuals face anxiety or depression, there are a variety of other more deep issues that result from severe trauma or flaws within one’s social interaction.  While these conditions are far more rare, they do require professional care and help.  Among these issues include Anti-Social Disorders, PTSD, psychosis and attachment disorders.

Still most individuals who experience minor ticks in life need assistance to function.  From OCD to ADHD to sleep issues or phobias, individuals need counseling and help.  Some may require help with addictions, or others may require help facing past fears.   Some of these issues can be rectified with basic counseling and coping, while others may need addressed via medication to better balance neuro-transmitters.

Conclusion

Ultimately, mental disorders need to be seen in the same light as any physical disorder and not stigmatized or shunned as something necessarily dangerous, crazy or weird but understood as an ailment.  Individuals with mental disorders, suffer as much as those with physical ailments.  Those who suffer mentally should not be fearful to seek help due to labeling but should be encouraged to take a large stake in their mental health.

Please review AIHCP’s multiple mental health certification programs and see which one matches your academic and professional goals

 

AIHCP offers a wide variety of mental health certifications.  These certifications are for licensed and non licensed healthcare, pastoral and professional care givers.  While licensed and clinical professionals have more freedom in treatment than non clinical caregivers, the certifications can still help many in the non clinical field help individuals cope and find the help they need.   All of AIHCP’s mental health certifications can help non clinical professionals help individuals with non-pathological issues cope and deal with a wide variety of issues, as well as give a good foundation for clinical professionals.  Among the numerous programs offered by AIHCP, some of the most popular are Grief Counseling, Stress Management Consulting, Anger Management, Christian and Spiritual Counseling, Crisis Consulting and Clinical Hypnosis.

To review the full list of certifications, click here

Please review these programs and see which one matches your academic and professional goals as a clinical or non-clinical healthcare professional.  The programs are online and independent study and open to qualified professionals seeking a four year certification.

Reference

Exploring Psychology. 11th Edition. Myers and Dewall (2019). Worth Publishers: Macmillan Learning. New York.

Additional Resources

“Understanding Psychological Disorders”. Ferguson, S. (2023). Healthline.  Please access here

“Mental Illness”. Mayo Clinic. (2022).  Please access here

“Mental Health Disorders”. Cleveland Clinic. (2022). Please access here

“A Comprehensive List of the Most Common Mental Health Disorders”. Brown, E. (2022). VeryWellHeatlh.  Please access here

Mental Health Stigma

Posted on by Dominick Flarey

When someone is physically ill with symptoms one goes to one’s physician.   When someone is sick or ill, others do not consider it a handicap.  If one has diabetes, they do not discriminate or spread gossip in a negative way.  Yet, the moment someone has a mental health issue, various nicknames or prejudices emerge that the person is weak or even worst crazy.  Society has laid a stigma upon the idea of mental health as not a legitimate health issue and makes individuals ashamed of their condition or and feel foolish to seek help.

One can see it in social norms that demand men should never cry, or one should get tougher when it gets life gets rough.  No wonder there is a mental illness crisis in the United States with numerous mentally ill not receiving care and some even resorting to suicide or mass shootings.  While those who engage in anti social behavior are of the most smallest percentage of those facing mental issues, there are millions who suffer from unresolved trauma, depression, bi-polar, anxiety, ADHD, OCD and a host of other conditions.  If individuals would treat their mental health as their physical health, many would lead far more happier and productive lives.

Please also review AIHCP’s Grief Counseling Certification as well as AIHCP’s other multiple mental health certifications in Anger Management, Stress Management, Crisis Intervention and Substance Abuse Practitioner.   The programs are online and independent study and open to qualified professionals seeking a four year certification in any of the above programs.

LGBTQ Diversity and Grief Video

Posted on by Dominick Flarey

Different minority groups share different social traumas and collective grief.  The LGBTQ community is no different in experiencing its own pain and suffering in the world.  The collective grief that is shared within the community when a night club is shot up not only resonates within their community but also causes trauma and fears of other hate crimes that can be perpetrated against them.

Individually, they face uphill battles within their families, churches and communities.  Many are discriminated against by family members or potential jobs.  Some lose parents or siblings over their identity.  Others face issues within their faith as moral questions take central stage.  Along with marriage rights and civil rights, the grief of having an alternative life style can be over bearing.

Please also review AIHCP’s Grief Diversity Certification.  The program is a sub certification for those already certified as Grief Counselors.  The program is online and independent study and open to qualified professionals looking to better meet the diverse grief experienced by minority groups.

Grief Support Vs Clinical Grief Counseling

Posted on by Dominick Flarey

Grief care and support is a key element in mental health.  It is not a pathological treatment but a humane way to be there for another person.  This is why it is lay and pastoral in nature within church, chaplaincy, hospice, funeral, and other pastoral settings.  Many professionals help individuals deal with basic human loss and how to come to terms with it.  AIHCP certifies many individuals to help others in this adjustment to loss and how to understand the nature of grief and loss itself.

There is a large difference between grief support and clinical grief counseling. Please also review AIHCP’s Grief Counseling Program

 

AIHCP’s certifications also aid others who are clinical professionals who wish to obtain a Grief Counseling Certification.  However, licensed and clinical professionals are innately able to offer more than basic lay and pastoral grief counseling but can offer clinical counseling for grief that goes off the rails.  When grief becomes pro-longer, complicated or depression exists, clinical and licensed counselors are needed to help and aid.  Those who obtain certification in grief counseling but are only lay in nature cannot offer clinical assistance in grief itself.

It is important to understand these key differences between lay and pastoral grief counseling via grief support and licensed and clinical grief counseling itself.  This is one of the most numerous questions individuals ask when becoming grief certified.  They do not understand the differences between grief support and clinical grief counseling and what a certification in grief counseling permits them to perform.  Again the answer is simple, ones certification enhances understanding in the grieving process but the level at which one helps others is determined not by the certification but the professional status of the individual seeking certification

Please also review AIHCP’s Grief Counseling Certification and see if it matches your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification.

 

Please review the video below

Holistic Approaches with Exercise for Depression

Posted on by Dominick Flarey

If one is dealing with grief or loss it can be a difficult time to balance oneself emotionally.  Adapting to loss can take a long time.  Unfortunately, complications in the grieving process can occur which can lead to depression.  Clinical Counselors can help individuals deal with depression however sometimes medication are required to help balance the brain during depression.  Many prefer healthy coping strategies or herbal remedies.

Exercise can help against depression but it can be difficult to start when depression itself causes fatigue. However studies show exercise has an extremely positive effect against depression for those who are able to utilize it

 

One successful strategy is exercise. Exercise has an ability to release endorphins that elevate one’s mood and grant a higher sense of self and accomplishment.  Of course the biggest problem is motivation to work out or exercise while depressed but for those who are able to find the ability to exercise, will find rewards during depression.  Exercise has been shown to be more effective for individuals dealing with depression.  The article, “Move Your Mind: Exercise Outperforms Medication for Depression and Anxiety” by Ben Singh, Carol Maher,  and Jacinta Brinsley from University of South Australia reviews the benefits of exercise to cope with depression over various medications.  The article states,

“Exercise is believed to impact mental health through multiple pathways, and with short and long-term effects. Immediately after exercise, endorphins and dopamine are released in the brain. In the short term, this helps boost mood and buffer stress. Long term, the release of neurotransmitters in response to exercise promotes changes in the brain that help with mood and cognition, decrease inflammation, and boost immune function, which all influence our brain function and mental health.”

“Move Your Mind: Exercise Outperforms Medication for Depression and Anxiety”. Ben Singh, Carol Maher,  and Jacinta Brinsley. April 11th, 2023. SciTechDaily.

To review the entire article, please click here

Commentary

Holistic and Integrative Health Care Specialists look for alternative and other ways to help individuals face mental and physical issues from a more natural standpoint.  Grief Counselors also look to help individuals cope with grief through support and advice. The simplicity of exercise alone can play a key role in a grief counseling plan as a well as a holistic perspective in dealing with loss and if worst depression.

A Closer Look at Grief and Exercise in Holistic and Integrative Practices

 

Depression is a complex mental health condition that affects millions of people worldwide. It can be caused by a variety of factors, including genetics, trauma, and environmental stressors. Symptoms of depression can include persistent feelings of sadness, loss of interest in activities, changes in appetite and sleep patterns, and difficulty concentrating.

While depression is often treated with medication and therapy, these methods may not be enough for some individuals. That’s where a holistic approach comes in. Rather than simply addressing the symptoms of depression, a holistic approach takes into account the whole person and aims to treat the root cause of the problem.

The Limitations of Traditional Treatment

Traditional treatment methods for depression can be effective, but they often only address one aspect of the problem. Medication, for example, can help alleviate symptoms of depression, but it doesn’t address the underlying causes of the condition. Similarly, therapy can be helpful in providing coping mechanisms and support, but it may not be enough to fully address the problem.

That’s why a holistic approach that considers the whole person is so important. By addressing all aspects of the problem – physical, mental, and emotional – a holistic approach can be more effective in treating depression.

What is a Holistic Approach to Depression?

A holistic approach to depression is one that takes into account the whole person – mind, body, and spirit. Rather than simply treating the symptoms of depression, a holistic approach aims to treat the root cause of the problem. This can include addressing physical health issues, such as poor nutrition or lack of exercise, as well as emotional and spiritual issues.

A holistic approach to depression may include a variety of different treatments, such as therapy, medication, and alternative therapies like acupuncture or massage. The goal is to create a comprehensive treatment plan that addresses all aspects of the problem.

The Importance of Exercise for Mental Health

Exercise has a large impact on mental health. Please also review AIHCP’s Holistic and Integrative Healthcare Specialist Certification

 

Exercise is a powerful tool in the fight against depression. Research has shown that regular exercise can be just as effective as medication in treating mild to moderate depression. Exercise releases endorphins, which are natural mood-boosters, and can help reduce stress and anxiety.

In addition, exercise can have a positive impact on self-esteem and confidence, both of which can be negatively affected by depression. By incorporating exercise into a depression treatment plan, individuals can improve their overall mental health and well-being.

How Exercise Affects the Brain and Body

Exercise has a powerful impact on both the brain and body. Physically, exercise can help improve cardiovascular health, increase muscle strength and flexibility, and improve overall physical fitness. Mentally, exercise can help reduce stress and anxiety, improve mood, and increase cognitive function.

Research has also shown that exercise can help promote the growth of new brain cells, which can help improve cognitive function and reduce the risk of cognitive decline. By incorporating regular exercise into a depression treatment plan, individuals can improve both their physical and mental health.

The Benefits of Incorporating Exercise into Your Depression Treatment Plan

Incorporating exercise into a depression treatment plan can have a number of benefits. First and foremost, exercise can help improve mood and reduce symptoms of depression. In addition, exercise can help improve overall physical health and well-being, which can have a positive impact on mental health.

Regular exercise can also help individuals develop a sense of routine and structure, which can be helpful in managing depression. Exercise can provide a sense of accomplishment and can help improve self-esteem and confidence.

Types of Exercises Recommended for Depression

There are a variety of different types of exercise that can be effective in treating depression. Aerobic exercise, such as running or cycling, can be particularly effective in reducing symptoms of depression. Yoga and other mind-body practices can also be helpful in reducing stress and anxiety.

Strength training, such as weightlifting, can help improve overall physical fitness and can have a positive impact on mental health as well. Finding an exercise routine that you enjoy and can stick to is key in incorporating exercise into a depression treatment plan.

Incorporating Other Holistic Practices into Your Routine

In addition to exercise, there are a variety of other holistic practices that can be helpful in treating depression. These can include therapy, meditation, acupuncture, massage, and more. By incorporating a variety of different practices into a depression treatment plan, individuals can address all aspects of the problem and improve overall health and well-being.

Additional Resources for Holistic Depression Treatment

If you’re interested in a more holistic approach to depression treatment, there are a variety of resources available. Talk to your doctor or mental health professional about incorporating exercise and other holistic practices into your treatment plan. You can also look for local support groups or classes that focus on holistic health and wellness.

Conclusion: Taking a Holistic, Whole-Person Approach to Depression

Please also review AIHCP’s Grief Counseling Certification Program, as well as its Holistic and Integrative Healthcare Specialist Certification

 

Depression is a complex condition that requires a comprehensive treatment plan. While traditional treatment methods can be effective, they often only address one aspect of the problem. By incorporating exercise and other holistic practices into a depression treatment plan, individuals can address all aspects of the problem and improve overall health and well-being.

It’s important to remember that there is no one-size-fits-all approach to depression treatment. What works for one person may not work for another. That’s why it’s important to work with your doctor or mental health professional to develop a personalized treatment plan that addresses your unique needs and circumstances.

If you’re struggling with depression, know that there is hope. By taking a holistic, whole-person approach to treatment, you can improve your mental, physical, and emotional health and live a happier, healthier life.

Please also review AIHCP’s Holistic and Integrative Healthcare Specialist Program as well as AIHCP’s Grief Counseling Certification.  The program is online and independent study and open to qualified professionals.  Please review and see if the programs meet your academic and professional goals.