Borderline Personality Disorder
Episode Description
Like other personality disorders, borderline personality disorder is a commonly misunderstood and stigmatized mental illness. In this episode of Mind Your Mind, host Tim Unsinn talks with Lucas Mitzel, a therapist at Dakota Family Services, about what BPD is, how it affects someone’s behavior, and where to seek treatment if your child has been diagnosed with BPD.What to Expect
- Symptoms of BPD
- The importance of therapy
- Advice for parents
Resources: Learn More
- “I Hate You, Don’t Leave Me,” by Jerold Kreisman, MD, and Hal Straus
- Dr. Bruce Perry’s Child Trauma Academy
Things to Think About
- When your child is struggling or lashing out, it’s important to maintain your own emotions and be a rock that can support them.
- Dialectical Behavior Therapy, or DBT, is a highly effective therapy for treating borderline personality disorder. Dakota Family Services offers the only comprehensive DBT group in the state of North Dakota, but there are other DBT groups around the country as well.
About the Hosts
Lucas Mitzel provides therapy for children, adolescents, and adults, ages 5 - 30. He believes building relationships with clients is the most important piece of successful therapy. He loves what he does, because it allows him to walk next to people he would never have met had he chosen a different profession, as they work to make amazing life changes. He has the honor of meeting people at their worst, all while watching them grow into the people they’ve always wanted to be.
Transcript
Borderline Personality Disorder
Featuring Lucas Mitzel, LCSW, Dakota Family Services
Tim Unsinn:
Welcome to Mind Your Mind, a podcast presented by Dakota Family Services, an outpatient behavioral health clinic located in Minot, Bismarck, and Fargo, North Dakota. In this podcast, I will talk with our experts about understanding and nurturing our mental health and wellness. I'm your host, Tim Unsinn. Join me each episode as we explore the intricacies of our minds, decrease the stigma of mental illness, learn practical tips for managing our mental health and wellbeing, and recognize when it's time to ask for help. Join me now to mind your mind. Welcome to this episode of Mind Your Mind. Our guest is Lucas Mitzel. Lucas is a therapist on the Fargo campus and provides outpatient therapy for children, adolescents, and young adults. Lucas, it's great to have you on Mind Your Mind. Our topic is borderline personality disorder. However, before we get to the topic, there's always the question at the beginning, and that is, why do you do what you do?
Lucas Mitzel:
I enjoy doing what I do because I just, I love working with people and helping them become who they want to be.
Tim Unsinn:
Borderline personality disorder, that is a big, big name. What is it?
Lucas Mitzel:
Yeah, borderline personality disorder is really interesting. It's got a really bad rap and stigma attached to it, and I think that's mainly because there's a lot of confusion and misunderstanding surrounding it. Borderline personality disorder is a mental health disorder that impacts how you view the world, interact with the world around you and how you handle your emotions. When we talk about personality disorders, we tend to talk about them a lot of times in clusters. So there's cluster A, cluster B, cluster C, and it's kind of a way to categorize them. And so cluster A tends to be people who struggle with suspicion or lack of interest in people. Cluster B often are seen as dramatic, overly emotional or have unpredictable behaviors. Cluster C is often viewed as overly anxious, so borderline personality disorder falls into cluster B and symptoms become more of a personality disorder when it becomes kind of just who you are as a person.
Lucas Mitzel:
So when we look at borderline personality disorder, there's nine symptoms. So the very first one is fear of abandonment. Somebody who really struggles with the idea that somebody might abandon them or they might perceive that they're being abandoned. It's gonna cause intense emotional distress in them. There is gonna be patterns of unstable and intense relationships. So relationships might falter between really, really bad or toxic to feeling like they're the best person in the world for them. And that could switch honestly between hours. And so they go through these really intense periods of just all or nothing when it comes to the people that they're with, whether that be parents, boyfriends or girlfriends, teachers, anybody they might come in contact with. There's also a bunch of impulsivity that is oftentimes self damaging and that does not count self-harm, we'll get to that one in a second.
Lucas Mitzel:
But driving really fast or intense spending or having lots of sexual partners, these are all sorts of things that come up with borderline personality in regards to the impulsivity. So then we have struggles with suicidal behavior, gestures or threats. So somebody who has a borderline personality disorder has really, really big emotions and it's really hard for them to handle those things. And oftentimes because of that, the thoughts of suicide or self-harm or threats can come up as a way to deal with those stressors or a way to pull people in or handle relationships if they feel like somebody is maybe pulling away from them, they might use suicide as a means to get them to come close or to find comfort. And we'll get to why people do that in a second. But another big struggle somebody with a borderline personality disorder might have is identity disturbances.
Lucas Mitzel:
So having a really hard time knowing who they are as a person. So they might be switching between sexual identities, gender identities. They might even just struggle with like who they want to be as an employee or going to college and not knowing what major they want to be or switching from different hobbies and different groups in high school. So one month they might be really into like anime and the next month they might be considering themselves a jock or maybe they get really involved in religion, and they're just hopping between groups 'cause they're not really sure who they are. They might be considered chameleons or social chameleons because they can blend in with whoever they're with because they want to be who people want them to be, if that makes sense, rather than who they want to be. Moving on, I've mentioned this a few times, but they have large emotional reactions to things.
Lucas Mitzel:
So oftentimes people who have a borderline personality disorder are described as emotional burn victims. So just like with a burn victim, the slightest touch can cause a large amount of pain. So any sort of sleight or thing that might go wrong or be perceived as wronging them could cause intense emotional pain that maybe you and I wouldn't experience with that, but it's really hard for them to handle that. And then the last two would be intense or inappropriate anger, or just difficulty controlling their anger. And then stress-related paranoid ideation or severe dissociative symptoms. So when they're under a lot of stress or having a really hard time, they might become a little bit more paranoid or even dissociate at times. So those are the nine diagnostic criteria that we look at. You only need five, so that means not everybody's going to have every single one of those, and they're all on a spectrum. So just because you might have somebody with a borderline personality disorder doesn't mean that they're going to have the same amount of identity disturbances as somebody else. For example, the way I view it or I've conceptualized borderline personality disorders symptoms is that they're ways that they've learned how to cope with the world in order to get needs met. The coping mechanisms are maladaptive, which is why it's called a disorder, but it's often a response to trauma in their childhood or intense invalidation and/or abandonment that happened in their past.
Tim Unsinn:
You're listening to Mind Your Mind. Our guest is Lucas Mitzel, and Lucas is a therapist and we're talking about borderline personality disorder. So that was a lot of information. Now that I have myself or a child of mine have been diagnosed with borderline personality disorder, now what?
Lucas Mitzel:
So the, I mean, number one thing that I always tell people is we need to get into therapy services as soon as possible. That's the number one treatment for a borderline personality disorder. I'm not a med provider, just throwing that out there right away. But there isn't really a medication to specifically treat borderline personality disorder. So we need to look into therapy. And the best known therapy treatment for borderline personality disorder is called DBT, which is the acronym for Dialectical Behavioral Therapy. And it's considered the go-to treatment for individuals who suffer with this disorder. And it was literally made for this disorder. So there's four modules or main components of DBT and I don't know if we've done a podcast on DBT already. We should <laugh>.
Tim Unsinn:
There you go. That's, that's one to put into the back of your mind, and that'll be on our topics list.
Lucas Mitzel:
<Laugh>. Yeah. But so the four, the four main modules are mindfulness, which is paying attention to this current moment intentionally. And the second one would be distress tolerance. So that's handling hard situations without making things worse. The third one is emotion regulation, which is our long-term stability and managing our emotions so that we don't need to use as much distress tolerance because we're handling it ahead of time. And then lastly is interpersonal effectiveness, which is a really fancy way of saying making relationships and keeping them. And if you look at each one of those four modules, each one of them has, they fit all of the diagnostic criteria in them. So the intense interpersonal relationships fits with the interpersonal effectiveness aspect. The intense emotion regulation or difficulty with that goes with the distress tolerance and emotion regulation. The anger outbursts is distress tolerance and so on and so forth.
Lucas Mitzel:
So it was very much tailored for this disorder. And for people who aren't in our area, if you can find a DBT program that would be really great, that involves an individual therapist who is also your phone coach. So the client will have a phone number that they can reach out and that helps with the generalization of the skills that they learn in group therapy, which is the other part of it. And then to have a true DBT program, the therapy team also needs to have their own little group of like therapy consulting and making sure that they're doing everything to fidelity as it's called or following the model if you do live in the area. Our clinic has a DBT program that's been up and running for a little under a year now. It's been super successful and we just are graduating our second batch of people, which is really, really awesome.
Tim Unsinn:
And the area in which Lucas is talking about is the Fargo Moorhead area and Dakota Family Services. You can Google that. Look it up, check it out. It's probably a part of this podcast at some point at the beginning or the end too as well. So now that we know that every person is unique, but do you have any general tips for someone either parenting a child with a diagnosis or suffering from this themselves?
Lucas Mitzel:
Yeah, I mean, like Tim just said, it's important to make sure that you're talking with your therapist about really specific interventions for you and your child because everybody is unique. And so there's not just like a blanket tip list or intervention list, but there are some general things that are pretty universal when working with somebody who has this disorder as a parent or even just for yourself. So for parents, when your child is struggling, it's really, really important that you are managing your own emotions. Sometimes things can get explosive and loud and your child might be saying things that they don't actually mean that are really hurtful. And if you are getting escalated yourself, the whole situation is gonna get outta control real quick. The best thing that you can do is be a rock for them and just try and remain calm.
Lucas Mitzel:
The analogy I like to use for parents is your child is like a kite in the wind. And if they're blowing and the wind's going really hard and they're having a hard time, it's not good if we just tie another kite to that kite and be escalated with them. 'Cause Now we're gonna crash into each other and fall down on the ground. We need a rock or somebody to reel them back in and hold steady. So that's number one. Modeling the skills that you want them to use. So the big part of DBT that I love is that parents are involved in the group as well. So you're learning all of those skills that they need in order to help regulate. And so use them in front of them, use them too. Start talking about those skills with them and just model when you're having big emotions, how to use those things so that they're seeing it happen.
Lucas Mitzel:
And you guys can keep each other accountable too. And that's been really awesome for a lot of our families. Self-Harm and suicidal ideation is common for this diagnosis, but it's really important that when that stuff is happening that you remain really calm. So judgment and anger is only gonna make things escalate. Now obviously if your child is having any suicidal ideation or self-harm, it's important that you reach out and you get some help. Go get them assessed at a hospital or follow the safety plan that's been set up by your individual therapist. But when it's happening, no matter what, we just need to make sure that our emotions, again, are under control. 'Cause It's only gonna make things worse. Again, going back to the kite in the wind analogy, if we are up there with them.
Tim Unsinn:
So one final question before we wrap up. I'm thinking here as a parent, so you know your child's been diagnosed. Is there therapy for the parent to sit in on so they can learn how to help their child? How does that work?
Lucas Mitzel:
Yeah, I often recommend that families go and get their own individual therapy as well. This is a really difficult diagnosis to parent, so processing through your own emotions and your own experience is gonna be important as well. But I also really encourage my families that I work with, I have frequent conversations with the children's parents and giving them tips and obviously with consent from the child because they have confidentiality as well. I'm not talking about what's going on in therapy, but just what might work well for their individual case and what's happening there. Maybe how to say things to their child. It's all very specific. So making sure that you're having conversations with your child's therapist, but then also getting your own because there's a lot of things to process through at times.
Tim Unsinn:
A lot of great information. Lucas, thank you as always. You're listening to Mind Your Mind. Our guest, Lucas Mitzel, he's a therapist on the Fargo campus of Dakota Family Services. And before we wrap up, there's always that final question because we all have a lot on our plates, we do a lot of things. How do you Lucas, mind your mind?
Lucas Mitzel:
Yeah, I think one of the most important things that I tell people is obviously I'm a little biased in this, but have a therapist and go talk to somebody. Having somebody to share ideas with or just what's going on, an objective third party that's not really involved in the situation has always been super helpful.
Tim Unsinn:
Perfect, thank you so much. Thank you for joining us for Mind Your Mind, a podcast presented by Dakota Family Services. You can't have health without behavioral health. Remember to mind your mind. For more information, links to additional resources, contact information, and much more, go to Dakotafamilyservices.org.
Other Podcast Episodes
Risk-taking and Teens: A Delicate Balance
People tend to perceive risk as being inherently negative. But for teenagers, risk-taking is a healthy, normal, and important part of growing up. In this episode of Mind Your Mind, Host Tim Unsinn talks to Vanessa Lien, Nurse Practitioner, about creating a safe environment for your teenager to take risks—and knowing when to step in when they start taking risks that could result in serious and long-term negative consequences.;
Bullying and your Kids: What You Need to Know
15-25% of American students have experienced bullying. And cyberbullying is on the rise. Children who experience bullying suffer from long-lasting effects including depression, anxiety, loneliness, low self-esteem, low academic achievement, and more. Children engaging in bullying behavior are impacted as well. In this episode of "Mind Your Mind," Dakota Family Services therapist, April Morris, LCSW, talks about the impact of bullying and what parents can do to help.;
Coping with Chaos: Tips for Staying Sane During Trying Times
2020 was the year for living with chaos. Everything—at home, at work, and at school—is out of sync and changing from day to day. In this episode of "Mind Your Mind," Dakota Family Services psychologist, Dr. Megan Spencer, shares simple tips for building routine and structure into your life. She also provides an excellent, yet simple, way to ground yourself when you start to feel overwhelmed or anxious.;
Untangling Your Child's Grief
Children experience grief over many things—the loss of a loved one, moving away from their friends, the death of a pet. In this episode of "Mind Your Mind," Lucas Mitzel, a therapist at Dakota Family Services, talks about the stages of grief, and how to walk your child through the grieving process. He will also talk about ways to determine if your child needs to see a professional who can help them untangle the many emotions of grief.;
Suicide Warning Signs and Prevention
In today's episode of Mind Your Mind, your host Tim Unsinn talks with Christy Wilkie about suicide warning signs and things you can do to make a difference. Christy, a therapist at Dakota Family Services, wants to normalize conversations about suicide so people don't feel like they are suffering alone. She says, "There is never a reason to not ask the question, 'Hey, are you OK?' Asking the question can save a life.";
The Many Dimensions of Wellness
In today's episode of Mind Your Mind, your host Tim Unsinn talks with Dr. Wayne Martinsen. Dr. Martinsen, Medical Director and Psychiatrist at Dakota Family Services, defines wellness as more than just the absence of disease, but as a state of well-being. In this episode he will share current wellness research, questions to ask to determine your own well-being, and steps you can take to achieve and maintain wellness.;
How to Support a Friend with Cancer
When someone in our life has cancer, it's difficult to know what to say or how to help. In this episode of Mind Your Mind, Host Tim Unsinn talks to April Morris about how you can best support a friend or loved one who has cancer. Morris, an outpatient therapist at Dakota Family Services, shares tips for knowing what/what not to say, and actions that speak louder than words.;
Getting Some Zzzzz's: The Importance of Sleep
Sleep is just as important for mental health as it is physical health. During sleep, our brains process our memories, emotions, and other information. In this episode of "Mind Your Mind," April Morris tells us why sleep is so important for overall well-being and encourages us to prioritize sleep. April, a therapist at Dakota Family Services, provides practical tips for improving sleep hygiene so you can live your best life.;
Relaxation Techniques to Reduce Stress
Stress does not discriminate, and it comes in many shapes and forms. In this episode of "Mind Your Mind," Dr. Megan Spencer talks about ways to identify and listen to the stress in our bodies. Learn relaxation techniques for managing stress over time, self-care routines that decrease negative stress, and things you can do to bring calm into your life.;
Exercise for Mental Health
Physical activity has a huge potential to enhance our well-being. Exercise increases our mental alertness, energy, and positive mood. In this episode of "Mind Your Mind," Christy Wilkie, therapist at Dakota Family Services, talks about how movement, even for five minutes, can promote changes in the brain that lead to neural growth, reduced inflammation, and feelings of calm and well-being. Listen now to learn more about how moving your body can improve your mental health.;
Understanding Mental Health Diagnoses
Diagnosing children with a mental health-related condition can be controversial. Many worry this gives children a label that is set in stone and will follow them around their entire lives. In this episode of Mind Your Mind, Dr. Wayne Martinsen talks about the role of diagnosis in getting children the help they need. Martinsen encourages us to think about mental health diagnoses the same as we do any health diagnosis. If you go the doctor and they diagnose you with strep throat, that doesn’t mean you’ll have strep throat forever, or that you are a strep throat victim. It just means that you have a collection of symptoms that point to strep throat, and the doctor will use that diagnose to provide the appropriate treatment.;
Normalizing Attention Deficit Hyperactivity Disorder
ADHD is diagnosed and treated at a much higher rate than in the past, especially in the United States. Why? In this episode of Mind Your Mind, Dr. Wayne Martinsen, Psychiatrist/Medical Director at Dakota Family Services, explains how the changing world has made it harder for people with shorter attention spans to be successful. In the past, if school was hard for you, you could get a job, work your way up, and live a middle-class lifestyle. Not so in today’s world. Learn more about this fascinating take on ADHD.;
Exploring the Feelings Wheel
In today's episode of Mind Your Mind, your host Tim Unsinn talks with Christy Wilkie about the Feelings Wheel*. Christy, a therapist at Dakota Family Services, says humans experience 34,000 different feelings! She demonstrates how to use the Feelings Wheel to help you identify your emotions so you can control the behaviors associated with them. *Adapted by classtools.net from the Emotional Wheel. The Emotional Wheel was developed by American psychologist, Dr. Robert Plutchik.;
The Teen Brain
In today's episode of "Mind Your Mind," Vanessa Lien, Nurse Practitioner, talks about the many changes occurring in the teen brain. The teenage brain is highly susceptible to stress, but it is also very resilient. Learn coping strategies you can teach your teen to protect their brains and help them cope with stress and emotional struggles.;
Managing Back to School Anxiety
Going back to school after summer vacation can be a stressful time for both kids and parents. The transition from the unstructured summer to a more regimented routine can lead to stress and anxiety. Worries about fitting in, bullying, homework, getting to school on time, and dealing with peer pressure are all additional stressors that may weigh on children when it's time to go back to school. In this episode of “Mind Your Mind,” Tim Unsinn speaks with Therapist Falan Johnson. Falan helps us understand why back to school anxiety is common, provides strategies for managing the added stress, and shares resources parents can use to prepare their children for the new school year.;
Grieving a Loss by Suicide
The grief of losing a friend or loved one to suicide is complicated and can be especially difficult. In addition to the grief, sadness, and loneliness of any loss, people might experience guilt, confusion, rejection, anger, and shame. The stigma of suicide complicates it even more, often preventing survivors talking about their loss or getting the help they need. In this episode of Mind Your Mind, Tim Unsinn visits with Dakota Family Services' therapist, Christy Wilkie. Christy helps listeners understand the complicated nature of suicide grief and how to move through it with compassion and self-acceptance.;
Surprising Things You Should Know to Keep Your Kids Safe Online
You will be shocked at the seemingly safe places predators can connect with your children online. In this episode of Mind Your Mind, Lucas Mitzel, a therapist at Dakota Family Services, talks about the things you need to know to keep your children safe. Learn the many websites and platforms used to target children, how to monitor their internet usage, and how to talk to your children about the dangers.;
Beyond the Baby Blues: Understanding Postpartum Depression
Pregnancy and the birth of a child can be a joyous and exciting time, but some women struggle with their mental health as they transition to motherhood. Depression, anxiety, and other pregnancy-related mental health conditions may surface during or after pregnancy. In this episode of "Mind Your Mind," Tim Unsinn speaks with Clinical Psychologist Dr. Megan Spencer. Dr. Spencer helps us understand the common symptoms and causes of postpartum depression, as well as what to do if you think you may be experiencing it.;
The Surprising Health Benefits of Meditation
Did you know that in addition to calming and focusing our minds, meditation can improve our physical health? In this episode of Mind Your Mind, Host Tim Unsinn visits with Dr. Wayne Martinsen, Psychiatrist, Dakota Family Services, about the surprising health benefits of meditation. A regular meditation practice can increase longevity, reduce the risk of dementia, reduce inflammation, and play a significant role in the treatment of high blood pressure and immune disorders. Learn about the many forms of meditation and how you can start your own meditation practice today.;
Spoon Theory: A Metaphor for Anxiety and Depression
Anxiety and depression are invisible illnesses—meaning they don't have outward symptoms visible to others. Because they are invisible, they are often hard for people to explain. In this episode of "Mind Your Mind," Host Tim Unsinn visits with April Morris, LCSW, Therapist, Dakota Family Services. April references the spoon theory of chronic illness created by Christine Miserandino, an award-winning writer, blogger, speaker, and lupus patient advocate. Listen now to learn more about spoons as a metaphor for energy and how you can use them to understand and explain anxiety and depression.;
Supporting a Child with High Functioning Autism
While we hear a lot about autism in the news, many of us still have misconceptions about its causes and symptoms. In this episode of Mind Your Mind, therapist Falan Johnson dispels some of these misconceptions and explains the three levels of autism. Johnson then focuses on the least understood level—high functioning autism. Learn how to identify symptoms of high functioning autism in your child, the importance of early intervention, and ways you can support them.;
How to Set Clear and Healthy Boundaries
In this episode of Mind Your Mind, therapist April Morris talks about boundaries. April will define boundaries, explain their importance, and help you set boundaries that match your values and strengthen your relationships. Learn how healthy boundaries can improve your mental and physical health, and how you can say “no” respectfully.;
Talking About Infertility
Going through infertility tests and treatments can be an extremely difficult and lonely time for couples. In this episode of Mind Your Mind, Lucas Mitzel talks about his own experience. He also shares tips for couples struggling with infertility, and for friends and family members who want to be supportive but don’t know what to say or do.;
When Fear Overwhelms: Panic Attacks
In this episode of Mind Your Mind, Host Tim Unsinn talks to Therapist Falan Johnson about panic attacks. What do they feel like? What causes them? How can you prevent or manage them? Listen now to learn more and discover techniques that might work for you or your loved one.;
When Your Child is Struggling
Are you concerned about your child's mental health but aren't sure what to do? Join Host Tim Unsinn and his guest, Therapist Jesse Lamm, as they discuss ways you can support your child through a difficult time.;
Stress and Anxiety Management for College Students
Are the stresses of college (constant worry, fitting in, lack of sleep, etc.) affecting your ability to function? Join Host Tim Unsinn and his guest, April Morris, LCSW, as they discuss ways to manage or eliminate the stressors that are impacting your well-being.;
Insomnia: When You Just Can't Sleep
Are you struggling to get enough sleep each night? Maybe you have difficulty falling and staying asleep. You can't get comfortable. You feel anxious and your brain just won't shut off. According to the Sleep Foundation, over one-third of adults in the U.S. sleep for less than seven hours a night. Join Host Tim Unsinn and his guest, April Morris, LCSW, in this episode of "Mind Your Mind," as they discuss how insomnia can affect many other areas of your life, as well as practical tips to improve your sleep hygiene.;
Mood Disorders in Children and Adolescents
It's not unusual for children to have temper tantrums or for adolescents to be angry. But when they become out of proportion to the situation in intensity and duration, your child might be suffering from a mood disorder. In this episode of Mind Your Mind, Host Tim Unsinn visits with Dr. Megan Spencer, a psychologist at Dakota Family Services. Listen now to learn how to distinguish between normal mood changes and mood disorders, and some steps you can take to help your child.;
Building Resilience in Ten Steps
Resilience is not a personality trait or characteristic. Resilience isn't ignoring or emotional numbing or pretending that a problem doesn't exist. And being resilient doesn’t mean we won’t face adversity. Rather, resilience is our ability to bounce back from adversity. In this episode of Mind Your Mind, Dr. Megan Spencer, psychologist at Dakota Family Services, shares ten ways to build resilience so you are ready when adversity strikes.;
Why Do I Feel Sad?
You can probably think of a dozen things that make you feel sad. Sadness is a normal human emotion that helps us process the events in our lives. But what is "normal" sadness? When does sadness move from "normal" to something you may need help processing? In this episode of "Mind Your Mind," Falan Johnson, a therapist at Dakota Family Services, will answer these questions and more. Learn the importance of allowing yourself to feel sad so you can move past it, and, when it might be time to seek professional help.;
Becoming a Better You
In today's world, we are constantly bombarded by messages about who we should be, how we should look, what we should do or wear, and more. With the increased accessibility and prevalence of social media, kids and adolescents are hearing and seeing these messages at younger and younger ages. How do we help ourselves and our teens combat these messages and find our true selves? In this episode of "Mind Your Mind," Therapist Jenika Rufer helps us wade through the unimportant things to find what we truly value so we can become our best selves.;
Getting the Most out of Therapy
Unsure of whether your therapy is working for you? In this episode of “Mind Your Mind,” our host Tim Unsinn talks with Dakota Family Services therapist Lucas Mitzel about how to make your therapy sessions more productive. Making progress in therapy can often come down to simply having an open mind and a plan for discussion. Although each session can evoke a wide range of emotions, you should always leave feeling that some sort of movement has happened.;
Rewiring Our Minds: The Power of CBT
In this episode of Mind Your Mind, host Tim Unsinn and Dakota Family Services therapist Christy Wilkie talk about Cognitive Behavioral Therapy and its effectiveness in battling unhelpful thoughts and beliefs. Utilizing cognitive restructuring, CBT helps change inaccurate and damaging self-perceptions and perceptions of others, leading to healthier day-to-day thought patterns. Christy also touches on multiple CBT exercises to try at home, as well as some of her own tactics for promoting helpful thoughts.;
Understanding & Managing Anxiety (Community Chat series)
Are your worries and fears about the future getting in the way of daily life? If so, you may be one of the many people who suffer from anxiety. In this special Community Chat episode of Mind Your Mind, Christy Wilkie and Lucas Mitzel talk about the many types of anxiety and what they can look like in both children and adults. They also touch on ways to combat anxiety attacks, including using grounding techniques, mindfulness, muscle relaxation, and more.;
Autism: Signs, Symptoms, & Intervention
In this episode of Mind Your Mind, host Tim Unsinn and psychiatrist Dr. Wayne Martinson discuss autism and signs of it in children, touching on the different levels of the autism spectrum and where people fall. Learn about how autism often affects children's social skills, communication, and behavior, as well as its connections to other disorders and how to handle it.;
Coping Exercises
Many people find themselves dealing with high levels of stress and anxiety in their daily lives. However, there are plenty of simple strategies to help regulate these emotions. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist Sandy Richter about various coping exercises to help you regulate and calm yourself, including breathing and movement exercises for both children and adults.;
Genetic Testing & Its Role in Treatment
Medication can affect people in many different ways. In this episode of Mind Your Mind, host Tim Unsinn and psychiatric nurse practitioner Amanda Daggett talk about genetic testing and its use in discerning how different individuals might react to various medications. Tim and Amanda also touch on some of the facts and myths surrounding genetic testing, including what testing can and can’t indicate and where the science is currently at.;
Understanding Anxiety
Anxiety is one of the most common mental health problems people face. However, there are many ways to manage and understand it. On this episode of Mind Your Mind, host Tim Unsinn and therapist Lucas Mitzel discuss what causes anxiety and how it can affect people’s day-to-day lives, as well as the difference between anxiety and fear and how to combat chronic anxiety with grounding techniques.;
The Power of Social Connections (Community Chat Series)
In this special Community Chat episode of Mind Your Mind, Psychologist Megan Spencer and Psychiatrist Wayne Martinsen discuss how loneliness and social isolation are increasing in our country, as well as what that means for individuals’ health in the long term. They also give advice on how to get yourself or your loved ones more connected with others, including how to connect both in-person and online.;
Shining Light in the Darkness with DBT (Community Chat Series)
Does it seem like your child is “stuck” in therapy, or engaging in dangerous behaviors like self-harm and suicidality? In this special Community Chat episode of Mind Your Mind, Psychologist Hannah Baczynski and therapist April Morris discuss Dialectical Behavior Therapy and its effectiveness in treating patients who have found traditional therapy unsuccessful. Learn about the 4 core skills of DBT and what makes DBT unique from other forms of therapeutic treatment.;
Does My Child Need Medication?
When our children are struggling with their mental health, it can be hard knowing how to help them. However, in addition to therapy, medication can be a viable and effective option for improving your child’s mental health. In this episode of Mind Your Mind, our host Tim Unsinn talks with psychiatric mental health nurse Amanda Daggett about how to know if your child needs medication, what the process is for a prescription, and how to tell if their medication is right for them.;
Depression in Children and Adolescents
Did you know that depression occurs in about 15% of children? In this episode of Mind Your Mind, our host Tim Unsinn talks with Psychiatrist Dr. Wayne Martinsen about depression in kids and adolescents, including signs of depression to look out for and how to know when to reach out to a care provider. They also touch on how to know whether your child’s sadness is caused by depression or other external factors and what you can do to try and prevent depression in your child.;
Recognizing Depression in Children & Adolescents (Community Chat Series)
It can be difficult knowing how to recognize and treat depression in children and adolescents. In this special community chat episode of Mind Your Mind, Psychologist Megan Spencer and Therapist April Morris discuss signs of depression to look out for, including both behavioral and physical signs that your child may be depressed. They also touch on the influence of environment, physical illnesses or diagnoses, and genetics on children’s mental health.;
How to Fit In While Staying True to Yourself
Humans are hardwired for social connection, but it can be difficult knowing where to fit in as unique individuals. In this episode of Mind Your Mind, host Tim Unsinn and therapist Christy Wilkie talk about the importance of using your strengths, interests, and relationships to figure out where you belong. They also touch on signs that you might not be staying true to yourself, as well as how to handle feelings of being left out.;
PTSD: Signs, Symptoms, & Treatment (Community Chat Series)
While often perceived as only relating to those who’ve experienced warfare, Post-Traumatic Stress Disorder (PTSD) can affect anyone. In this special Community Chat episode of Mind Your Mind, Psychologist Dr. Hannah Baczynski and therapist Lucas Mitzel explain what trauma is, how it affects each person differently, and when to seek treatment for trauma-related symptoms. They also discuss different treatment options for PTSD, touching on the pros and cons of each.;
Autism in Children & Adolescents (Community Chat Series)
Though autism is one of the most commonly discussed mental health diagnoses in the community, it is often one of the most misunderstood. In this special Community Chat episode of Mind Your Mind, therapists Lucas Mitzel and Falan Johnson discuss what autism is, how it appears in children and adolescents, and how it may look different between individuals. They also touch on how autism can show up differently in boys than in girls and offer intervention tips for parents and caregivers.;
Autism in Adults (Community Chat Series)
Autism is sometimes perceived as a disorder that only affects children and adolescents, but it is actually a lifelong diagnosis. In this special Community Chat episode of Mind Your Mind, psychologists Dr. Hannah Baczynski and Dr. Megan Spencer explore the symptoms and nuances of autism in adults, touching on the history of autism spectrum disorder, the research surrounding it, how autism commonly presents in adults, and more.;
Spirituality & Mental Health
Though spirituality is often associated with religion, it can mean much more than simply attending religious services or praying. In this episode of Mind Your Mind, host Tim Unsinn and psychiatrist Dr. Wayne Martinsen define spirituality and discuss its relevance in daily life, touching on ways people experience, express, and cultivate spirituality. They also talk about the link between spirituality, religion and meaning in life.;
Setting Healthy & Realistic Goals
Setting goals is easy. Working towards them is hard. In this episode of Mind Your Mind, host Tim Unsinn talks with Dakota Family Services therapist Christy Wilkie about how to set healthy, realistic goals, as well as the importance of managing your expectations and staying persistent. Whether you’re starting an exercise routine, writing a book, trying a new diet, or building your career, keep these tips in mind when setting your next big goal.;
Facing Your Fears
Fear is powerful. It can cause us to avoid problems, people, and even opportunities in our life. But it can also be overcome. In this episode of Mind Your Mind, host Tim Unsinn speaks with Falan Johnson, a therapist at Dakota Family Services, about the function of fear and how to face it. Learn where fear comes from, how to identify it, and how to calm down and build confidence when you’re feeling afraid.;
The Three R's: Regulate, Relate & Reason
In this episode of Mind Your Mind, our host Tim Unsinn talks with Dakota Family Services therapist Jessie Mertz about the “3 R’s”—Regulate, Relate, and Reason. They discuss what each term means, how they build upon each other, and how this approach can help you calm others who are experiencing distress.;
What is Schizophrenia?
Schizophrenia is a chronic, complex mental health disorder that affects around 1% of people in the United States. In this episode of Mind Your Mind, host Tim Unsinn and psychiatrist Dr. Wayne Martinsen discuss the symptoms and implications of schizophrenia, touching on its many effects on individual and family life. Learn about how schizophrenia is treated, how it affects physical health, when it tends to develop, and how it is perceived between cultures.;
How to Have a Conversation About Mental Health
Although the stigma surrounding mental health is gradually disappearing, it can still be tricky knowing how to talk about it. In this episode of Mind Your Mind, host Tim Unsinn and psychologist Megan Spencer explore how to have a conversation with someone about their mental health, including signs that you should talk to them, how to start the conversation, and some possible reactions to expect from the other person.;
The Benefits of Being Outside
Are you feeling cooped up indoors? Join host Tim Unsinn and therapist Lucas Mitzel in this episode of Mind Your Mind as they discuss the importance of getting outside on your mental health. Learn about the benefits of green and blue spaces, activities you can do while outside, and how being outside can help improve symptoms of different mental health diagnoses.;
Dealing With Burnout
In this episode of Mind Your Mind, Tim Unsinn talks with psychologist Dr. Hannah Baczynski about the signs of burnout, how to prevent it, and how to know if your burnout is related to general life stressors or a mental health disorder. They also talk about the difference between fatigue and burnout, as well as how to support yourself and alleviate burnout when you’re experiencing it.;
Living with Chronic Illness
Many of us know someone who has been diagnosed with a chronic illness, or have been diagnosed with one ourselves. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist April Morris about how chronic illness can impact daily living and mental health, as well as how to seek support if you have been diagnosed with a chronic illness.;
Bipolar Disorder: Understanding the Highs and Lows
Although the term ‘bipolar’ is sometimes used as slang to describe someone who is moody or indecisive, true bipolar disorder is a complex and sometimes severe mental health disorder that affects the way a person thinks, feels, and behaves. In this episode of Mind Your Mind, host Tim Unsinn discusses bipolar disorder with nurse practitioner Amanda Daggett, touching on what the disorder is, what its symptoms look like, and how it can be treated.;
Social Media: Managing Emotions & Setting Boundaries
How much time do you spend each day looking at your phone? An hour or two? Multiple hours? In this episode of Mind Your Mind, host Tim Unsinn meets with therapist Christy Wilkie to discuss how social media use can impact our mental health, relationships, and behavior. Learn tips for monitoring your child’s internet use, as well as how to manage your own time spent on social media.;
Understanding OCD
While OCD is sometimes perceived as simply a desire to keep things neat and organized, it can actually have much more severe symptoms for those who experience it. In this episode of Mind Your Mind, host Tim Unsinn meets with psychologist Dr. Megan Spencer to talk about who Obsessive Compulsive Disorder affects, what its signs and symptoms are, and how to seek help if you or a loved one has been diagnosed with OCD.;
Breaking Bad Habits
Bad habits can be easy to start but sometimes very difficult to stop. In this episode of Mind Your Mind, host Tim Unsinn and therapist Falan Johnson talk about breaking bad habits, including where habits come from, how to know if a habit is bad, and steps you can take to stop it.;
Finding a Therapist
Are you looking for some help on your mental health journey? In this episode of Mind Your Mind, host Tim Unsinn and therapist Jessie Mertz talk about how to find a therapist, including what you should know when searching and what questions to ask when you meet a therapist for the first time. They also touch on what the letters after a therapist’s name mean, and how they apply to the type of services or treatment you might be looking for.;
Coping with Rejection
Whether it’s from asking someone on a date or applying for a job, we all experience rejection at some point in our lives. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist April Morris about how to cope with rejection, including the common coping stages, the importance of acceptance, and how rejection can impact people differently.;
Psychological Assessments: What to Expect
Do you think you might be suffering from an undiagnosed mental disorder? If so, a psychological assessment might be able to help. In this episode of Mind Your Mind, psychologist Dr. Hannah Baczynski and host Tim Unsinn talk about what to expect from a psychological assessment, including what an assessment might include, what information you might receive from the psychologist, and what you should communicate with your psychologist before and after receiving an assessment.;
Supplements in Psychiatry
In this episode of Mind Your Mind, host Tim Unsinn and Amanda Daggett explore the topic of using supplements for mental health. In addition to talking about some of the most commonly used supplements like melatonin and St. John’s Wort, they also discuss the benefits, the risks, and the research surrounding various supplements.;
Seasonal Affective Disorder (Community Chat Series)
Feeling like you’ve got the winter blues? If you’re noticing symptoms of depression with the change of seasons, it may be a sign that you’re suffering from Seasonal Affective Disorder, or SAD. In this special Community Chat episode of Mind Your Mind, therapists Christy Wilkie and Lucas Mitzel discuss the common symptoms of Seasonal Affective Disorder, how it can affect other mental health disorders, and some useful tips, tricks, and resources for managing symptoms of SAD.;
Trying New Things With Confidence
Join Christy and Lucas, therapists at Dakota Family Services, as they share practical tips for building confidence when trying new things. From managing self-doubt to building resilience, this episode will empower you to approach new experiences with a positive mindset.;
Relationships are Hard
In this episode, Christy and Lucas explore why relationships can be so hard. Join them as they discuss the characteristics of both healthy and toxic relationships, talk about the difference between normal conflict and abuse, and help you discover your love languages so you and your partner can best express your love to each other.;
Is Everybody Anxious?
In this episode, Christy and Lucas explore anxiety. Join them as they discuss the signs and symptoms of an anxiety disorder, what you can do to decrease your anxiety, and how to best help loved ones struggling with anxiety.;
Is Everyone Feeling Sad
In this episode, Christy and Lucas explore depression. Join them as they discuss the signs and symptoms of Major Depressive Disorder, what you can do to help yourself feel better, and what you can do to help your loved ones. They will talk about coping strategies, therapy interventions, and ways to help you identify when your child might need extra help.;
Change is Hard
Change is inevitable. Join Christy and Lucas as they explore big and small changes and how they impact you. Learn why change can be so hard, even good change, and discover ways to manage it effectively.;
We Need to Talk About Suicide
In this episode of "Is It Just Me," Christy and Lucas discuss the very important topic of suicide. Listen to learn about risk factors, warning signs, and what you can do to help a loved one who is struggling. Remember, you are not alone. If you need immediate assistance, call 911. If you need to talk to someone, call the Suicide and Crisis Lifeline at 988.;
Do We Need to Get Outside?
Join Lucas and Christy as they explore the power of spending time outdoors on mental and emotional well-being. Discover practical tips, personal anecdotes, and expert insights on the benefits of getting outside and reconnecting with nature.;
Exploring ADHD
In this episode of "Is It Just Me?" Lucas and Christy discuss ADHD, shedding light on its prevalence and impact on daily life. Learn practical strategies for managing symptoms and understand why your friend or loved one with ADHD does the things they do.;
Internet Safety and Mental Health
In this episode of "Is It Just Me?", join our hosts Christy and Lucas as they delve into the complex relationship between the internet and mental health. With the digital age bringing information and social connections to our fingertips, it also presents unique challenges and opportunities for our safety and psychological well-being.;
Boosting Self-Esteem: From Marathons to Daily Triumphs
In this episode of "Is It Just Me?", Christy and Lucas discuss how common it is for people to see themselves differently from others. Using their own personal triumphs and challenges as examples, they outline the things that shape our self-esteem. Additionally, they share simple daily practices to help listeners recognize and celebrate their own personal victories. This episode is filled with tips and engaging stories aimed at encouraging listeners to undertake challenges that foster self-growth and personal confidence.;
Therapy Unveiled: What to Know Before You Go
In this episode of "Is It Just Me," Lucas and Christy talk about what it's like to begin therapy. Feeling apprehensive about starting therapy is normal, but surmountable. Together, Lucas and Christy unravel common myths about therapy and emphasize the role of therapy in disrupting negative life patterns and routines that are no longer serving you.;
Coping with the Back-to-School Blues
In the latest episode of “Is It Just Me?” Christy and Lucas tackle the transition from leisurely summer days to structured school schedules with warmth and wisdom. This episode is a must-listen for parents seeking guidance and strategies to help navigate the shift with confidence. Learn how to handle changes in routine, the importance of communication, and strategies to help the entire family adjust to and embrace the new normal. Listening to this episode can be your first step toward making back-to-school a season of growth and positive change for all.;
The Art of Overcoming Trauma
In this month’s episode of the "Is It Just Me?" podcast, Lucas Mitzel and Christy Wilkie, Dakota Family Services, dive into the complexities of trauma and its therapy. The episode sheds light on Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and the importance of creating a trauma narrative as a cornerstone of healing. The thoughtful discussions aim to educate listeners on the intricacies of trauma, the innovative methods used in therapy, and the role of caregivers in the recovery process. Through expert insights and compassionate storytelling, Lucas and Christy provide practical advice and real-world examples for individuals who have experienced trauma.;
Navigating Life Through Mindfulness
In this episode of “Is It Just Me?”, Lucas and Christy delve into the world of mindfulness and relaxation techniques. From body scans to mindfulness exercises, they provide a soothing experience to help you unwind and distress. Discover practical tips and advice on incorporating mindfulness into your daily routine and learn how to prioritize mental well-being in today's fast-paced world.;
Mindfulness: Body Scan
In this special additional episode of “Is It Just Me” join therapist Lucas Mitzel as he gives listeners a transformative journey within their own body and mind. In this episode, Lucas guides listeners through a soothing body scan to promote calm, mindfulness, and inner peace. This episode offers a unique mixdown of gentle narration, and relaxation techniques, leaving you feeling refreshed, rejuvenated, and more connected to yourself.;