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Teletherapy; a good alternative for therapists & clients

The Unexpected Benefits of Tele-Therapy

Santa Rosa Psychologist Dr. Jenny Holland finds that some patients are thriving under social distancing requirements, thanks to teleconferencing’s surprising appeal.

July 6, 2020, Santa Rosa, Ca. -- Back in March when Gov. Gavin ordered California residents to stay at home and businesses to adhere to mandatory closures, it didn’t seem quite real. And for professionals in the mental health field, not being able to meet patients face-to-face presented some very real problems.  “We had to come up with a viable solution and adapt quickly – for our patients and for our own business viability, or our practices would become obsolete and our patients would suffer,” says Dr. Jenny Holland, Santa Rosa Psychologist.

When counseling patients from her office on Cherry Street was no longer possible, Dr. Holland opted to expand on something that had represented only a fraction of her practice up to that point, Teleheath Video Conference Therapy. “Although I have offered Telehealth Therapy as part of my practice for years, most of my patients preferred to meet face-to-face. And, to be honest, the idea of video conferencing with every one of my patients was a little intimating to me at first. It took some weeks for me to adapt to the process and get comfortable with the technology.”

Healthcare institutes all over the country say the coronavirus pandemic can be extremely stressful for people. Fear and anxiety generated by the idea of a communicable disease and worry over what might happen can become overwhelming and stimulate strong emotions in both adults and children.

“I am finding that teletherapy is an amazingly effective means of counseling, particularly for teens and young adults who already have a familiarity for interacting online with friends. I am also finding that video sessions are extremely helpful for people with anxiety – something we’re seeing a significant increase in since COVID-19 became a thing.”

Public health actions, such as social distancing certainly helps keep everyone safer but, social distancing can leave people feeling even more isolated and lonely. Teletherapy is proving to have some surprising benefits for people who are isolated, and for people who have social anxiety.

“It can be quite relieving for a person with anxiety to not have to be face-to-face for a therapy session. In fact, teletherapy actually empowers my patients who might experience anxiety, because it creates a sense of ‘safe distance’ from the therapist. This alone, often makes it easier for them to open up and to feel comfortable with the therapy modality.”

While most of us are dealing with increased social distancing from one degree to another, it is important for everyone’s mental health and emotional well-being to find new, healthy ways to maintain social connections. Virtual communication including phones and video chats with friends and family can help alleviate feelings of loneliness and isolation. And when people find it too difficult to maintain a positive sense of wellbeing, reaching out to a mental health professional can help.

Dr. Jenny Holland, PsyD“For people with depression, I've noticed teletherapy is particularly effective. Once a patient and therapist are able to create that virtual connection, we actually share a more intimate space. Even though we may not be in-person, sessions are essentially eye-to-eye and there are fewer distractions. I am finding that video conferencing makes it easier to connect with my patients, and it provides an excellent format for exploring deeper into personal issues.”

Clients are reporting that although they were initially very intimidated and even fearful at the prospect of having a video therapy session, once into the process they say they are finding it easier to connect. One of Dr. Holland’s clients recently emphasized this by saying, “… originally I thought that therapy wouldn't work if it wasn't in person. But I am noticing that you are right here with me. And I'm feeling connected."

To learn more about Dr. Holland’s Teletherapy services or to request an appointment call 707-479-2946 or visit drjennyholland.com.

Increased screen time and sleep loss leads to mood swings in teens

Study emphasizes prevention and early intervention for mood changes due to extended screen time use

Scroll Down for Dr. Holland's Perspective on this article

Sleep patterns around the world have been disrupted as screen time increases and sleep routines change with COVID-19 self-isolation requirements. Negative mood is not unusual in adolescence, but lack of sleep can affect mental health, causing anhedonia (or loss of pleasure), anxiety, anger and significantly increasing the risk of depression, a global study of more than 350,000 teens shows. The results published in Sleep Medicine Reviews connects less sleep with a 55% increased chance of mood deficits and double the risk of reduced positive mood.

From Asia, to Australia, New Zealand, Europe and North America, sleep clearly was a modifiable risk factor that can improve or depress mood in adolescents, says Flinders University sleep researcher Dr Michelle Short. "Sleep duration significantly predicts mood deficits on all mood states, including increased depression, anxiety, anger, negative affect and reduced positive affect," she says, with less sleep linked to an 83% higher chance or anger, 62% increased risk of depressed mood, and 41% higher risk of anxiety.

"Fortunately, there are many interventions individuals, family, the community and even public policy can encourage to maintain regular sleep in this at-risk population to reduce the likelihood of these problems spilling over into mental health issues needing clinical treatment," she says.

The researchers also recommend increased parental / guardian regulation of sleep and technology use, delayed school starting times, and monitoring academic and other pressures such as out-of-hours tutoring does not impede sleep routine. Dr Short says that "while positive mood doesn't get much attention, it is still clinically relevant as one of the key symptoms of depression in anhedonia (loss of pleasure). It is imperative that greater focus is given to sleep as for prevention and early intervention for mood deficits," the study concludes.

Read this article on Science Daily: Flinders University. "'Loss of pleasure' found in teen sleep study: But easy interventions can improve mental health." ScienceDaily. ScienceDaily, 7 May 2020. www.sciencedaily.com/releases/2020/05/200505093127.htm.


Dr. Holland's Perspective

It’s important to remember that while teenagers are individuals with unique personalities with their own opinions, likes and dislikes, some things are constant. No matter how much your teen seems to withdraw emotionally, or insist on being independent, or even how troubled your teen becomes, they still need your attention and to feel loved by you.

It is normal for teens to experience physical and environmental changes that lead to mood swings, irritable behavior, and struggle to manage their emotions. There are many ways you can help your teen find healthy outlets to relieve anger. Exercise is especially effective: running, biking, climbing or even dancing, walking or doing push-ups can help. Even simply hitting a punch bag or a pillow can help relieve tension and anger. Some teens respond really well to the use of art or writing to creatively express their anger.

Regardless of the reason behind your teen’s problems, you can help to put balance back in their life by helping them make healthy lifestyle choices and offering reassurance that they are not alone in their struggles. Contact Dr. Holland for more information and for help, or call 707-479-2946 to schedule a telehealth video therapy session.

Fury Book Tour – April in Santa Rosa

FURY comes to Santa Rosa on April 3rd

IMPORTANT ANNOUNCEMENT:

Jenny Holland PsyD is one of the contributors to FURY.

Copperfield Books Santa Rosa will be part of the #thefurytour roll out! If you're in Santa Rosa, CA on Friday April 3 at 7pm come by to hear the contributors from this powerful collection of first-person accounts speak on what it's like to be a woman in the Trump era! Get your signed copy at Copperfield Books and support this historic and thought provoking read!

FURY is set to be published March 20: "Fury: Women's Lived Experiences During the Trump Era" is a collection of essays by a diverse group of 38 women, from different ethnicity, religions, ages, and sexual orientations. Jenny Holland PsyD is one of the contributors to FURY. There will be two book events scheduled in the Bay area as part of the rollout tour.  A few of our contributors will be at each event. April 3, at Copperfields, Montgomery Village, Santa Rosa, 7 PM April 4, at Book Passage, Ferry Building, San Francisco, 3 PM

To pre-order the book (promo code FURY_JH will save you on shipping costs): ORDER HERE


Advance Praise for FURY

“If ever a book met the historic moment, it is this one. In an era where women are fighting oppression and sexual victimization, we have elevated unapologetic toxic sexual predators to both the White House and the Supreme Court. The authors in this collection bring us inside their workplaces and homes to show how this kind of politics has affected the lives of real people. If we survive the Trump era—by no means a forgone conclusion– we will have women to thank.”

– John Gartner, Ph.D. author of, In Search of Bill Clinton: A Psychological Biography and Founder of Duty To Warn

“These are thunderbolts thrown at the ultimate lightning rod in a cultural struggle that goes back to the dawn of human civilization. If only Donald Trump were just a metaphor, or justifiable outrage able to sway willful ignorance. A treat to meet these women in their fury.”

– John Sayles, author of Yellow Earth

“Women are still, in 2019, discouraged from viewing the world or politics or our surroundings too much as ‘women.’ We’re discouraged from so-called ‘identity politics,’ and made to feel silly if we feel personal grief at the idea of a sexual predator in the White House, the Supreme Court, and probably every other branch of government. This collection gives a defiant middle finger to that idea. In it, women discuss how their gender, racial, and sexual identities have all come into play in their experiences of the Trump presidency, and move quickly past Trump himself to the systemic failures he represents: patriarchy, white supremacy, and toxic masculinity. It’s not a wallowing, but a reckoning. An acknowledgement and a claiming of righteous anger, the goal of which is clear: claiming power and building new systems, and a better world. You’ll feel sadness, anger, empathy and more reading these essays, but ultimately you’ll come away feeling heard and empowered to fight.”
– Amy Westervelt, author of Forget “Having It All”: How America Messed Up Motherhood-and How to Fix It.

Fury: Women’s Lived Experiences During the Trump Era Tour Schedule Released

FURY comes to Santa Rosa on April 3rd

IMPORTANT ANNOUNCEMENT:

Jenny Holland PsyD is one of the contributors to FURY.

Copperfield Books Santa Rosa will be part of the #thefurytour roll out! If you're in Santa Rosa, CA on Friday April 3 at 7pm come by to hear the contributors from this powerful collection of first-person accounts speak on what it's like to be a woman in the Trump era! Get your signed copy at Copperfield Books and support this historic and thought provoking read!

FURY is set to be published March 20: "Fury: Women's Lived Experiences During the Trump Era" is a collection of essays by a diverse group of 38 women, from different ethnicity, religions, ages, and sexual orientations. Jenny Holland PsyD is one of the contributors to FURY. There will be two book events scheduled in the Bay area as part of the rollout tour.  A few of our contributors will be at each event. April 3, at Copperfields, Montgomery Village, Santa Rosa, 7 PM April 4, at Book Passage, Ferry Building, San Francisco, 3 PM

To pre-order the book (promo code FURY_JH will save you on shipping costs): ORDER HERE


Advance Praise for FURY

“If ever a book met the historic moment, it is this one. In an era where women are fighting oppression and sexual victimization, we have elevated unapologetic toxic sexual predators to both the White House and the Supreme Court. The authors in this collection bring us inside their workplaces and homes to show how this kind of politics has affected the lives of real people. If we survive the Trump era—by no means a forgone conclusion– we will have women to thank.”

– John Gartner, Ph.D. author of, In Search of Bill Clinton: A Psychological Biography and Founder of Duty To Warn

“These are thunderbolts thrown at the ultimate lightning rod in a cultural struggle that goes back to the dawn of human civilization. If only Donald Trump were just a metaphor, or justifiable outrage able to sway willful ignorance. A treat to meet these women in their fury.”

– John Sayles, author of Yellow Earth

“Women are still, in 2019, discouraged from viewing the world or politics or our surroundings too much as ‘women.’ We’re discouraged from so-called ‘identity politics,’ and made to feel silly if we feel personal grief at the idea of a sexual predator in the White House, the Supreme Court, and probably every other branch of government. This collection gives a defiant middle finger to that idea. In it, women discuss how their gender, racial, and sexual identities have all come into play in their experiences of the Trump presidency, and move quickly past Trump himself to the systemic failures he represents: patriarchy, white supremacy, and toxic masculinity. It’s not a wallowing, but a reckoning. An acknowledgement and a claiming of righteous anger, the goal of which is clear: claiming power and building new systems, and a better world. You’ll feel sadness, anger, empathy and more reading these essays, but ultimately you’ll come away feeling heard and empowered to fight.”
– Amy Westervelt, author of Forget “Having It All”: How America Messed Up Motherhood-and How to Fix It.

Domestic violence leads to mental health setbacks

Relationship violence created signs of mental illness in both women (depression) and men (anxiety disorders)

Some forms of domestic violence double victims' risk of depression and anxiety disorders later in life, according to new research. The study found many victims of intimate partner violence at 21 showed signs of mental illness at the age of 30, with women more likely to develop depression and men varying anxiety disorders. Intimate partner violence classifies physical abuse as pushing, shoving and smacking.

University of Queensland researcher Emeritus Professor Jake Najman said the team also found equal levels of abuse by men and women. "The number of men and women who experience intimate partner violence is very similar, leading us to believe couples are more likely to abuse each other," Professor Najman said. "People generally don't end up in the hospital or a shelter, but there is a serious mental burden from this type of abuse."

The research showed defacto couples and those from lower socioeconomic backgrounds were more likely to be involved in these types of abusive relationships. Emotional abuse involves comments that make the person feel worthless. Then there is harassment -- a constant and distressing nagging that may have long-term consequences for those on the receiving end.

"It also raises the question, to what extent is this type of violent behavior not just a characteristic of the relationship the couple has with each other, but with other people around them and possibly their children," Professor Najman said. "There is a range of treatment and counseling programs available for couples and families to try and improve the way they relate to one another."

Story provided by Science Daily: University of Queensland. "Unhealthy and unhappy: Mental toll of troubled relationships." ScienceDaily 29 January 2020. www.sciencedaily.com/releases/2020/01/200129091511.htm.


Dr. Jenny HollandDomestic violence can take the form of either physical or psychological abuse, or both, and it can affect anyone regardless of gender, race or sexual orientation, economic status or education. Domestic violence can manifest in behaviors meant to scare, physically harm or dominate a partner. This type of violence typically involves an unequal power dynamic where one partner tries to assert control over the other in a variety of ways. Narcissism can also be considered a form of domestic violence.

Women are most often the battered party in a violent relationship according to statistics which report that more than 38 million American women have been victims of domestic violence. Men can be victimized as well, in both heterosexual and same-sex relationships. Therapy in domestic violence situations often focuses on the client's inevitable loss of self-worth, feelings of anxiety and bouts of depression. Most victims of domestic violence need time and counseling to overcome the overall sense of helplessness that can be the hallmark of abuse.

To make an appointment, or to schedule a free consultation call 707-479-2946 or visit the contact page to send an email now.

Pain and Gratitude

Blogging with Dr. Jenny Holland, PsyD

The Dubious Connection between Physical Pain and Depression 

As a psychologist I understand that pain and depression are closely related. Pain can be a two-edged sword, and studies have shown that depression can cause pain just as pain can cause depression. Sometimes this kind of cycle of pain and depression or feeling low, can wear us down, create added stress and interfere with our lives and disturb sleeping patterns. To get symptoms of pain and depression under control, it’s important to take proactive steps to keep yourself on an even keel.

My Own Experience

Though I don’t often talk about it, I live with physical pain every day. When the weather is cold and damp, life becomes even more challenging. This past month has been particularly intense in this way. As such, I notice my own thoughts automatically drifting toward the negative. The mental list of things that are difficult or ‘wrong’ tabulate in my mind without effort. And I understand that the weather will probably be getting worse for the next couple of weeks, at least. As a way to tackle my own discomfort and to lift myself out of the cycle of pain and depression I thought I would blog about gratitude and how this practice has helped me.

The Study of Gratitude

In recent years, the study of how a simple action such as practicing gratitude can boost happiness and alleviate depression has gained attention and momentum among psychologists and mental health professionals all over the world. Scientists say that these techniques shift our thinking from negative ruminations to positive outcomes. Gratitude practice has been shown to produce a surge of feel-good hormones like dopamine, serotonin and oxytocin, and helps to build enduring personal connections.

Count Your Blessings

Many people find putting pen to paper to compile a gratitude list, or to start a gratitude journal provides a sort of ritual experience that lets us focus on the positive events of the day. As we journal, we can write more detail about the events that make us feel appreciative. When I put some energy into focusing on my own situation and turning my thoughts toward what is right about my life, I can begin to build a list of items that I appreciate such as:

  • I am grateful for my children and my husband. Adam and I have been together almost 25 years! That’s almost half of my life now.
  • I am grateful I am healthy and that those that I love are healthy.
  • I am grateful to have a few lifelong friends that support me, always.
  • I am grateful for my Jewish Communities.
  • I am grateful to have a job that allows me to be with people in meaningful and hopefully, in helpful ways

Expanding Gratitude into Work

Showing up and doing what I can do to help make a difference has a strong impact on my experience of pain and helps me to maintain an active, rather than a passive focus. About a year ago, I took a big leap and launched a private pay practice. Today it is thriving, and I am re-invigorated. In addition to seeing individuals, I have started a professional consultation group that is going well.  I also currently run a grief group, and I am starting groups for people with disabilities and their families. I will be traveling a bit in the next few months to spread the word about a book that is coming out in March in which I am a contributor. Fury: Women’s Lived Experiences of the Trump Era. I also started a book club this year that is feisty and fun. And on my favorite weeks, I get to do a little singing with my friends at Ner Shalom.

Gratitude is an Effort Worth Making

To count our blessings or to focus on the positive when dealing with pain, depression and/or anxiety is challenging for everyone and it takes a conscious effort. However, when we adopt the practice of gratitude as a daily habit it can become an important routine and step towards self-empowerment.

Get Started with Your Own Gratitude Practice

Journaling is probably the easiest gratitude enhancing practice we can undertake. Creating a gratitude journal can be as simple as buying a blank notebook and writing down a few things you’re grateful for each night before going to bed. You can enhance your journaling experience by turning it into a ritual such as first lighting a candle, making yourself a cup of tea, sitting quietly for five minutes before you begin, etc. Whatever you choose as a ritual, do it consistently. It strengthens the ability to turn what you’re doing into a positive habit. Anything fun and relaxing, will give you motivation to form a new habit.