01/26/22 Team Meeting

CEU TRAINING: EFT in Infidelity Recovery
DATE: 01-26-2022
TIME: 11:00-1:00 CST
OUTSIDE STUDY: 1 hour
DIDACTIC PRESENTATION: 2 hours
EDUCATOR: Tara Riggs, MT 3969
SOURCES: Restoring Broken Bonds Live EFT Training and Materials, EFT AIRM (Attachment Injury Repair Model) Training & Materials

Introduction
As you learned a few months ago, engaging grief is an essential component to helping individuals and couples heal from the emotional and relational trauma of infidelity. Shaun Lotter, in this previous didactic, paved the road for where couples need to go and even laid out a progression for how to help them grieve individually, in the presence of one another, and eventually together, in a way that leads to a thorough and complete healing of the injury. In this didactic, you will learn HOW to get to where you want to go using the EFT Tango as your mode of transportation. 

How is couples counseling different in Infidelity Recovery? 
According to Susan Johnson, the following are key differences in working with traumatized couples, namely those dealing with the trauma of infidelity: 
  • More distress and intense cycles of distance, defense and distrust.
  • Psycho-education regarding trauma and how it impacts victim’s responses is necessary.  
  • Violence and substance abuse are more endemic.
  • Alliance is always fragile, monitor it. Collaboration and transparency are essential. 
  • Emotional storms and crises must be expected.
  • Emotion must be contained as well as heightened. Defenses are validated.
  • Shame overrides even positive cues. Addressing model of self is crucial.
  • Need to co-ordinate with other therapies.
  • Safety is everything, risks must be sliced thin and supported at each step.

Role of the Therapist in Infidelity Recovery
This data has several implications for us as therapists in helping couples heal and creating an environment in which safety is foremost. It is vital that the work be slow and thin. Expect to work with defenses in both partners. Both have good reasons to not want to feel; the betraying is fighting off the guilt, shame, disgust, and grief of their own actions which cause him/her to avoid and run from the pain in their partner; the Betrayed would much rather feel anger and disgust toward their partner or be fully through the process of forgiveness and reconciliation, than touch the pain of utter wreckage within themselves. And each time this pain is touched, despite their best efforts to avoid it, their partner is seen as the enemy and the one who caused it or they are forced to contain the enormous emotions within. Therefore, you must be fully with each client as you work with them, supporting each step into the ocean of pain that sits just beneath the surface, going on ahead and inviting them in as you safely contain it. Imagine giving swimming lessons to a drowning victim after the incident. Feel into the victim’s experience within yourself. Imagine the terror, pain, and trauma brought on by the sensation of water against their skin and the sight of the lake in view. This is what the spouses carry into the room each time they come to counseling, except that in the couple session sits the person who took their floatation device and left them to drown. Your role is that of the swim instructor and lifeguard in that scenario. Attunement to each spouse, confidence in yourself and your process, and caution and pacing to the readiness of the clients are all pieces that you will attend to in every infidelity session with every couple. Normalize the PTSD-like symptoms in the Betrayed spouse such as intrusive memories of the event, vigilance and hyperarousal associated with a fear of potential future emotional injuries, shattering of basic beliefs about self, partner, and relationship (Johnson, 2002). Once defenses are navigated, there is not much need for emotional heightening, as the pain is alive and acute. Instead, contain the pain by touching it and offering yourself as a support to be with it and make space for it, and once it is safe, utilize the partner to help carry the pain. 

Goals for Resolving the Injury
In the context of a relationship offering a safe haven and secure base… 
  • Regulate and integrate emotional experiences related to the injury event.  
  • Create secure connections of repair, restitution and belonging leading to healing and recovery.
  • Construct a coherent narrative as meaning, impact, and consequences of the event emerge. 

How the EFT Tango Evolves Across the Course of Infidelity Recovery
Refer to the figure below for a visual representation of the course of treatment over time. The task of the therapist changes with each layer of the pyramid, as well as how the task is accomplished.  
  • See EFT AIRM De-escalation Roadmap for a guide to helping couples create a coherent narrative of the infidelity and achieve de-escalation (Stage 1, Steps 1-4). 
  • See Steps and Interventions of AIRM (Attachment-Injury Resolution Model of EFT) for a breakdown of therapist’s tasks and interventions for achieving each task over the course of therapy. 
  • Definitions of EFT Interventions in resource above. (See pages 67-72 of Attachment Theory in Practice by Susan M. Johnson for further explanation of general experiential techniques.)
    • Empathic Reflection-  Intervention used during the therapeutic process when you repeat back to the client the “felt sense” or embodied experience of what they are presenting-using wording, affect, tone, energy, metaphor, etc. (“Brain Sync -Sharing” technique for “Naming Feelings” in NICC)
  • Validation- Therapist intervention that honors or affirms the function of a person’s behavior in their struggle, protection, attempt to grow, etc fostering a sense of safety in therapy session. i.e. find the “good reasons” behind the behavior, usually referring to protective action. 
  • Reframing in the context of the cycle and/or underlying attachment fears, pain, needs. 
  • Empathic ConjectureWhen a therapist tentatively offers emotional words or phrases to clients to expand their emotional experience (“Brain Sync- Sharing” technique for “Naming Feelings” in NICC)
  • Heightening deepening engagement with inner experience using RISSSC voice (repetition, imagery, slow, soft, simple, client’s words)
  • Evocative Responding– technique for heightening using questions and statements which elicit underlying emotions, thoughts, perceptions, sensations.
  • Restructuring and shaping Enactments (aka “Encounters”)- The sharing of intensified, distilled, core emotion from one partner to another, used to pinpoint problematic interactional responses, to exemplify new responses, to turn an emerging emotional experience into a new signal to potentially evoke new responses. (“Enacting Mismatch” in NICC)

The EFT Tango is the vehicle we use to help couples move through the acute distress of discovery and disclosure to the healing and recovery of a safe haven and secure base. It is within this Tango that couples feel into their grief, anger, and other intense, unprocessed emotional pain, and incrementally share this pain, first with the therapist, then with their partner. 

Early in the work of Infidelity Recovery, (Steps 1 & 2) the couple is in acute distress and the pain is alive, so the focus of therapy is on the Impact of the Injury. Due to the intensity of the attachment distress, early coping strategies will come online and organize the clients behavior, and if/when they are unable to access their partner, secondary strategies will form. In other words, spouses often feel crazy for the things they are doing and saying and feel very unlike themselves, and this disorientation leads to shame and a shaken sense of self. Psycho-education is used as a form of validation and to normalize behavior and neutralize shame. The EFT Tango is used as a method of co-regulation with the therapist. Reflecting and validating secondary emotional experiences will be a large portion of the work. The client needs to feel understood, heard, and seen in their anger, frustration, disgust, etc. The Betrayed spouse is given permission to mistrust the Betraying partner’s account and we invite them to give permission to their anxiety to exist.  As individual sessions prepare for disclosure, the couples sessions privilege the injury and the work becomes managing the bleed out, i.e. triggers, boundaries, etc. which we call Stabilization and the training materials call “Triage.” For the Betraying spouse, there are enormous feelings of guilt, shame, fear, and grief which may or may not be being defended against with minimizing, blame shifting, etc. Individual sessions leading up to Disclosure (and following it when necessary) should be used to work with these defenses, using empathy and bypassing, and access underlying core emotion in order to ensure that the Betraying partner is safe to be in session with the Betrayed partner. Relentless empathy for both partners is imperitive here, as the coping with the attachment injury takes control of their dance/cycle. 

Steps 3 & 4- Meaning of the Injury- By now, each partner has had experiences of “feeling felt” by you; you have allowed them to feel understood, validated, and normal for their responses, which has proven you worthy of trust and able to be taken in as an internal resource. The work of infidelity recovery cannot move forward until this has happened.  As this happens, defenses soften, and attachment fears and longings will come on line, giving way to the grief of what has been lost and the shaken view of self, view of other, and view of the world and the Betrayed spouse begins the process of making meaning of the injury. Your support is what allows both the Betrayed and Betraying spouses to stay in contact with the pain of the injury, with it’s impact, and tolerate it to completion. The Betrayed spouse will begin to get a sense that the wound is within themselves and the person who caused it is their spouse, but the spouse is not the wound. Help the Betraying partner to use emotion words about themselves, such as angry, hurt, sad, etc. not those that reflect on the partner, such as unloved, uncared for, etc. As the Betraying partner becomes less defended, they are more aware of the impact of the event on their partner, and more able to discuss how it evolved without ambiguity or hiding and with more openness, becoming predictable to the Betrayed spouse and beginning the process of rebuilding trust. The couple is able to explore and understand the pre-injury pattern of disconnection which made the relationship vulnerable to infidelity. 

Markers for end of Stage 1:
  • Betraying partner can feel into the experience of the Betrayed, including impact and meaning of the injury, as well as their own pain.
In Steps 5 & 6, therapy begins to move into the Forgiveness and Reconciliation Stage (Stage 2) . Due to repeated successful experiences of feeling into their pain with you co-regulating their painful emotions, widening their window of tolerance,  the Betrayed partner is now able to articulate their grief, distrust and fear directly to their spouse in enactments/encounters and allow him/her to witness their vulnerability. He or she also begins to ask for needs to be met that would regain feelings of trust, safety, and connection. As the Betraying partner becomes more open to and able to tolerate their own fear, guilt, and sadness caused by their actions, they also become more emotionally accessible, responsive, and engaged (ARE) to their partner by responding with remorse, regret, and empathy. He or she mirrors the pain of their spouse in themselves and feels into their spouse’s pain without defense and stays present without collapsing into shame, vowing that this will never happen again. There is also a shifting into being able to forgive themselves whereas previously they have a sense internally, even if not spoken, of the impossibility and even wrongness of ever forgiving themselves.  If they cannot forgive themselves they cannot fully feel into their partner’s forgiveness, and this maintains distance between the couple.

Markers for end of Stage 2: 
  • Conversations about injury are less rigid and pain is less acute
  • Injury feels like it is behind them
  • Couple engages conversations that were previously avoided
  • Feelings of loss, fear, remorse, and pain are processed
  • Withdrawer is ready to be re-engaged
Step 7 & 8 make up the Consolidation Stage in which the Betrayed partner is able to ask for and receive/accept the care and comfort of the Betraying spouse AND show empathy for the Betraying partner’s experience. The Betraying partner responds with care and selflessness which acts as antidote for trauma and redefines relationship as a safe haven. Therapist underscores, highlights, and heightens this bonding event as an antidote and the relationship as potential safe haven and supports the new narrative of the event. The couple’s connections become more centered around their personhood, genuinely knowing and holding one another, not about the injury.  The injury had been the rallying point, now the strenghth and draw of the relationship is the rally point.
During our time together in Team Meeting, we will watch and talk through video of my work with couples at various steps and stages and how the Tango looks different throughout to see the skills and strategies in action. I look forward to learning together! 

MCO - CEU Tracker

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01/12/22 Team Meeting

Jan. 12 -Life @ MCO Report

 

MCO Wellness Advocate Program: 

Help those you care about connecting with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.


January Birthdays

 

Kristi Pitts- Jan 3rd

Happy Birthday, Kristi!!! I am so thankful for you. You are so kind and fun to work with. I hope you have a great birthday!!! 🙂   – Leah

Britni Hosick – Jan. 5th

Britni!!! It has been amazing being able to work with you and see you grow in confidence and skill! I love your heart and passion for seeing everyone in your life find healing and Jesus! I hope you have an amazing birthday and take time to take in the love and care of everyone who is around you! ~ Lane  

Rebecca Elliot – Jan. 16th

Happy birthday, Becca! Thank you for your dedication, initiative, and flexibility. Your team is always happy to support you because we know you’ve got us in return. It’s a joy to work alongside such a lovely person. Wishing you the best! ~ Brittany


Prayer Requests

Lacey: family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.

January Celebrations

Alison Pitts is pregnant! 

 

Alison & her husband are expecting a baby boy this April 2022  Congrats!!!!

Robbin has achieved MCO Certification AND is MCO’s next Guide!!!

Congratulations to Robbin Jackson are in order! After 18 months of putting in work to become the best therapist she could be, Robbin has achieved MCO Certification AND is MCO’s next Guide!!! From the day she onboarded, Robbin has worked hard to read and watch any and everything that would make her a better therapist and has placed herself in a posture to learn and receive from anyone who would pour into her. Robbin takes meticulous notes in every Triad, Review, and Didactic in order internalize feedback and implement interventions. She is constantly working to keep a NICC-focused map in her mind and understand client’s presenting issues from our model. Her hard work has paid off, as Robbin has worked her way from Onboarding to Certification and received the rightful designation of Guide as well! 

CONGRATULATIONS, ROBBIN! This is such a fitting honor and Leadership is thrilled to have your heart, work ethic, and wisdom on our team! We know you will Guide our Residents with all that you are and all that you have and we praise the Lord that he has sent fit to gift MCO with you! Keep growing and reaching! 

Lane received his Master of Divinity Degree

“As of Friday, Dec. 10th, I officially graduated with my Master of Divinity with an emphasis in counseling!” ~Lane Jordan

 

Praise Report

After a few years of searching and applying for a new job, my husband, got his dream job as an Electrical Engineer at Boeing! He will be working on a team creating drones for the military. We are so excited for this new opportunity!!  ~ Leona 

MCO - CEU Tracker

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01/05/22 Team Meeting

Jan. 5 -Life @ MCO Report


Clients Loving on our Clinicians


January Birthdays

 

Kristi Pitts- Jan 3rd

Happy Birthday, Kristi!!! I am so thankful for you. You are so kind and fun to work with. I hope you have a great birthday!!! 🙂   – Leah

Britni Hosick – Jan. 5th

Britni!!! It has been amazing being able to work with you and see you grow in confidence and skill! I love your heart and passion for seeing everyone in your life find healing and Jesus! I hope you have an amazing birthday and take time to take in the love and care of everyone who is around you! ~ Lane  

Rebecca Elliot – Jan. 16th

Happy birthday, Becca! Thank you for your dedication, initiative, and flexibility. Your team is always happy to support you because we know you’ve got us in return. It’s a joy to work alongside such a lovely person. Wishing you the best! ~ Brittany


Prayer Requests

Lacey: family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.

January Celebrations

Congratulations to Robbin Jackson are in order! After 18 months putting in work to become the best therapist she could be, Robbin has achieved MCO Certification AND is MCO’s next Guide!!! From the day she onboarded, Robbin has worked hard to read and watch any and everything that would make her a better therapist and has placed herself in a posture to learn and receive from anyone who would pour into her. Robbin takes meticulous notes in every Triad, Review, and Didactic in order internalize feedback and implement interventions. She is constantly working to keep a NICC-focused map in her mind, and understand client’s presenting issues from our model. Her hard work has paid off, as Robbin has worked her way from Onboarding to Certification and received the rightful designation of Guide as well! 

 

CONGRATULATIONS, ROBBIN! This is such a fitting honor and Leadership is thrilled to have your heart, work ethic, and wisdom on our team! We know you will Guide our Residents with all that you are and all that you have and we praise the Lord that he has sent fit to gift MCO with you! Keep growing and reaching! 

 

“As of Friday, Dec. 10th, I officially graduated with my Master of Divinity with an emphasis in counseling!” ~Lane Jordan

MCO - CEU Tracker

  • MM slash DD slash YYYY

12/15/21 Team Meeting

Dec. 15 Life @ MCO Report


MCO Wellness Advocate Program: 
Help those you care about connect with the care they need!
We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

Clients Loving on our Clinicians

  • Aliuwa: I’m comforted yet challenged positively in ever session. Breakthrough seems attainable now.
  • Allison: They are very helpful!
  • Shaun: My sessions with Shaun has changed me and my relationships. Such an awakening experience.
  • Josh S: Going through counseling with Josh has been life giving.
  • Mary: Love Mary and working with her!.

December Birthdays

Danielle Schaefer: December 1st

“Danielle, you are a beautiful person that deserves the best of birthdays!  I hope your day is filled with much love and fun, making you feel extra special! Your gentleness, sweet spirit and wisdom is such a gift to our clients and the MCO team.  Enjoy your special day and an even better year”!  Rosie

Tina Mendeleyev – December 8th 

“A very Happy Birthday to you, Tina! It has been a gift to work with you and I feel blessed to have gotten to know you a little more over these last couple of months. I truly appreciate just how much you do for us in AR and  with insurance billing. I hope this next year brings you immeasurable joy”! ~ Samantha

Josh Spurlock – December 24th 

“Josh-Happy Birthday!  You are such an amazing leader and friend.  I feel so blessed to have had the opportunity over the years to know and work with you.  I am praying you are blessed on your birthday!  Take time to enjoy something you like with your family!  Here’s to another great year!” ~Shaun

William Woodward – December 27th 

William, hoping you have a fun and memorable birthday surrounded by the ones you love and lots of cake! We are so grateful to have you on the MCO team and hope this year is better than the last.  Happy Birthday!” ~ Rosie

Leona Scifres – December 31st 

Leona, You are such a light! It has been my pleasure getting to know you the last few months. I will always remember our laughter and friendship bonding on the cruise and how you can make anyone feel welcomed and loved! You have a heart of GOLD! I hope you have a wonderful Birthday and a fabulous year!!! I hope you get all the puppy kisses from Goose and get to celebrate with good friends and drinks! Cheers! Hugs, and lots of Love, Ryenn”

Prayer Requests

Lacey: family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.
Sarah Cowan’s Client: I have a couple who needs prayer for the next week when you do your updates.  They are in testing to figure out what is going on with the wife’s health and are being told it could be cervical cancer, but it’s just not confirmed yet.  They planned to try for another baby next year, so they are experiencing a rollercoaster of emotions.  Please pray for grace, healing power, and peace over Jordan and Britni for the month of December, please.  

December Celebrations

I just completed my Bachelors in Human Development and Family Studies Degree last week 🙂 – Alyssa Chandler

As of Friday I officially graduated with my Master of Divinity with an emphasis in counseling! ~ Lane

Lane Jordan and wifey are pregnant!  

The Jordans are expecting a baby boy on April 22nd, William Anthony Jordan!  Congratulations!!


Newest Team Members!

William Woodward – I.T. Suppport Coordinator
My name is William and I live in Virginia Beach, VA (have for most my life).  I have been wokring in the I.T. world since 1997.   I enjoy exercising, staying active and traveling (especially to the mountains and hiking to waterfalls).  I love spending time with my girlfriend, family and close friends.  Recently, I have been spending a lot of my free time on various DIY and home renovation projects.  Looking forward to working with you all.

Chauncey Geraldi – Clinician

Jessica Park – Clinician
My name is Jessica and I joined MCO in October. I graduated with my Master’s in Counseling in May 2021 and am pursuing an LPC in Colorado. Colorado Springs is home to me, my husband James, our cowdog Piper, our two wonderful roommates and our roommate’s dog Mercy. It is my joy to be an aunt to the two most adorable boys in existence (can provide photo evidence), and we often talk about moving to the east coast to be closer to them. 
We are part of a 3 year old church plant, where James serves on the global team and I serve locally. 
I enjoy tea lattes with friends, being in the sunshine, and playing with Piper in my free time. 

Felicia Murphy -Matching Specialist

Alice Arney – Human Resources
Alice Arney – Norfolk, VA native has worked in the Human Resources field for over 15 years. She currently works as an HR Manager with Principle Strategies but has worked with Eggleston which is a not-for-profit that employs individuals with disabilities as their HR Coordinator for 14 years. Alice’s responsibilities included managing benefits, compensation, HRIS, employee relations & performance management. Alice has her Master’s Degree in Business Administration with a concentration in HR Management and is working to finish her DBA at Saint Leo University.  In her free time, she likes to spend time with her family, her chocolate lab “Chief” and friends. She loves sports and is a huge Kansas City Chiefs fan.

Greg Cooney – Clinician
Greg received an M.A. in Professional Counseling from Liberty University and holds PLPC licensure in Illinois.  He has 15 years of experience working with individuals facing homelessness and addiction and possesses a deep passion for seeing the transformational power of Christ at work in people’s lives.  He is excited to walk alongside clients as they experience growth and healing and is thrilled to be part of the MCO team.   Greg and his wife, Sharon, have been married for 15 years and have two energetic boys, Chandler (9) and Maxwell (7).  They recently moved to Floyd, VA, a small town located on the Blue Ridge Parkway.   He and his wife enjoy ministering together through music, as well as traveling with their family.

MCO - CEU Tracker

  • MM slash DD slash YYYY

12/8/21 Team Meeting

Dec. 8 Life @ MCO Report


MCO Wellness Advocate Program: 

Help those you care about connect with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

Clients Loving on our Clinicians

  • Mary: My counselor was fantastic. She made me feel comfortable sharing my honest feelings and then shining the truth of Gods Word on them. I’m forever thankful I made the choice to start counseling.
  • Lacey: I have had a great experience with my counselor online.
  • Josh S: My work with Josh has been amazing. I’ve grown and healed in so many areas of my life—even in places I didn’t know needed care!
  • Carrie: I am so thankful to be paired with my counselor Carrie – she is so great at helping me process the things in my life. She’s very relatable and easy to connect with. 

December Birthdays

Danielle Schaefer: December 1st

“Danielle, you are a beautiful person that deserves the best of birthdays!  I hope your day is filled with much love and fun, making you feel extra special! Your gentleness, sweet spirit and wisdom is such a gift to our clients and the MCO team.  Enjoy your special day and an even better year”!  Rosie

Tina Mendeleyev – December 8th 

“A very Happy Birthday to you, Tina! It has been a gift to work with you and I feel blessed to have gotten to know you a little more over these last couple of months. I truly appreciate just how much you do for us in AR and  with insurance billing. I hope this next year brings you immeasurable joy”! ~ Samantha

Josh Spurlock – December 24th 

“Josh-Happy Birthday!  You are such an amazing leader and friend.  I feel so blessed to have had the opportunity over the years to know and work with you.  I am praying you are blessed on your birthday!  Take time to enjoy something you like with your family!  Here’s to another great year!” ~Shaun

William Woodward – December 27th 

William, hoping you have a fun and memorable birthday surrounded by the ones you love and lots of cake! We are so grateful to have you on the MCO team and hope this year is better than the last.  Happy Birthday!” ~ Rosie

Leona Scifres – December 31st 

Leona, You are such a light! It has been my pleasure getting to know you the last few months. I will always remember our laughter and friendship bonding on the cruise and how you can make anyone feel welcomed and loved! You have a heart of GOLD! I hope you have a wonderful Birthday and a fabulous year!!! I hope you get all the puppy kisses from Goose and get to celebrate with good friends and drinks! Cheers! Hugs, and lots of Love, Ryenn”

Prayer Requests

Lacey: family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.
Sarah Cowan’s Client: I have a couple who needs prayer for the next week when you do your updates.  They are in testing to figure out what is going on with the wife’s health and are being told it could be cervical cancer, but it’s just not confirmed yet.  They planned to try for another baby next year, so they are experiencing a rollercoaster of emotions.  Please pray for grace, healing power, and peace over Jordan and Britni for the month of December, please.  

December Celebrations

I just completed my Bachelors in Human Development and Family Studies Degree last week 🙂 – Alyssa Chandler

Lane Jordan and wifey are pregnant!  

The Jordans are expecting a baby boy on April 22nd, William Anthony Jordan!  Congratulations!!


Didactic

CEU TRAINING: Desire & Arousal Disorders
DATE: 12-08-2021
TIME: 11:00-1:00 PM CT
OUTSIDE STUDY: .5 Hour
DIDACTIC PRESENTATION: 2 Hours
EDUCATOR: Lacey Wallace MS LPC #2017030034
SOURCES: Counseling for Sexual Desire Disorders – Penner & Penner 

DESCRIPTION: The training is targeted at assisting mental and behavioral health professionals to grow in their understanding of sexual disorders of desire and arousal.  Participants will be presented with criteria for diagnosis and beginning stages of treatment planning.  

Clients will come to us and present with inhibited sexual desire and might have trouble with arousal as well. However, not every inhibited sexual desire means that there is a struggle with arousal. But if there is a struggle with arousal, there probably is an inhibited sexual desire. It is important for us to be able to know the difference between sexual desire disorders and arousal disorders. The DSM-V has combined the two. 
DSM criterion – 
  • Female Sexual Interest/Arousal Disorder
    • Lack of, or significantly reduced, sexual interest, as manifested by at least three of the following:
      • Absent/reduced interest in sexual activity 
      • Absent/reduced sexual/erotic thoughts or fantasies
      • Absent/reduced sexual excitement/pleasure during sexual activity
      • No/reduced initiation of sexual activity
      • Absent/reduced sexual interest in response to any internal or external sexual/erotic cues (written, verbal, or visual)
      • Absent/reduced genital or nongenital sensations during sexual activity
    • Symptoms have persisted for at least 6 months
    • Symptoms cause clinically significant distress in the individual
    • Sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other stressors or substance/medication or other medical issues.
    • Specify whether:
      • Lifelong
      • Acquired
    • Specify whether:
      • Generalized
      • Situational
    • Specify current severity
      • Mild
      • Moderate
      • Severe
  • Male Hypoactive Sexual desire disorder
    • Persistently or recurrently deficient sexual/erotic thoughts or fantasies and desire for sexual activity. 
    • Symptoms have persisted for at least 6 months
    • Symptoms cause clinically significant distress in the individual
    • Sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other stressors or substance/medication or other medical issues.
    • Specify whether:
      • Lifelong
      • Acquired
    • Specify whether:
      • Generalized
      • Situational
    • Specify current severity
      • Mild
      • Moderate
      • Severe
Master’s & Johnson Sexual Response Cycle 
DESIRE 
“Inhibited sexual desires is a disorder of the appetitive, or pre-excitement, phase of the sexual response cycle. Both the desires and mental images for sexual activity may be impaired. The urge to be physically close, to be touched, to be aroused, and to have release is in some way inhibited so that the person is not drawn to his or her spouse. 
Some people with inhibited sexual desire are not aware of any sexual feelings at all, not even a flickering, it would not be a problem if there is no possibility for future sexual activity. Others masturbate but have no desire for the intimacy of sex with their spouse. Still others only feel sexual desire for someone they cannot have or someone who is destructive for them. And then there are those that feel sexual urges for their spouse, but only when there is no possibility on acting on those urges. 
The sexual drive can be totally blocked, or it can be misdirected. Many times there is a barrier that keeps sexual energy from being expressed or being experienced in the marriage relationship. 
Although we are all born with a sex drive, about 40% of the sexual therapy clients report disorders of sexual desire. Men, as well as women, experience loss of desire. Problems of desire are usually deeper, more resistant problems than the dilemmas of the sexual response cycle. “- Penner’s Counseling for Sexual Disorders 
Things we hear wives say for desire issues:
  • If I never had sex again I’d be fine
  • Why can’t we just connect emotionally
  • Sex is just for men
  • It’s my job/ my wifely duty
  • I’m not a sexual person 
  • My husband is a pervert
  • I’m grossed out by his arousal or sex 
  • Sex is messy 
  • It takes too much effort 
  • I don’t have sexual thoughts/I don’t ever think about it 
  • I feel normal- that no wife they know wants sex 
  • My body just doesn’t work 
Triage for trauma (sexual, betrayal), relational distress, pain 
Female Desire Problems
Relationship Issues: unresolved marital conflict often lead to sexual intimacy issues 
  • The underlying stress in the relationship must be resolved before anticipation of sexual activity with husband can be elicited – Penner’s 
– Unsatisfactory sexual response: if wife struggles becoming aroused or being orgasmic, her desire for sexual intimacy will decrease (unrealistic expectations, delayed consummation) 
Sexual conflict: inability to accept her sexuality 
  • When women experience conflict about being sexual, it may be because rigid anti-sexual teaching, pass sexual trauma, or ambivalence about being out of control and vulnerable with a man- Penner’s 
  • Rigid Anti-Sexual Teaching: most often associated with religion, where women aren’t given permission to enjoy and express their sexuality or receive sexual pleasure (purity culture, extreme modesty teaching, abstinence curriculum, scare tactics, loud silences around sexuality, etc.)
  • Sexual trauma: Many adult women have had at least one sexual experience that left them confused, guilty or traumatized. They usually blame themselves for these events, and thus feel badly about themselves sexually -Penner’s (Molestation, Incest, assault, early exposure to sexually explicit content, guilt about masturbating or fantasizing, etc.) 
  • – Sexual ambivalence: this is a persistent avoidance of sex, these women often come from chaotic, dysfunctional homes. Their bodies may respond sexually, however, pre and post times of sexual intimacy anything sexual is aggressively avoided or can be experienced as dormant. Sexual ambivalence can be challenging for husbands to understand because their wive’s bodies respond well during intercourse. 
Male Desire Problems
Inhibited sexual desire problems in men is no easier to correct than it is in women. Men find it less acceptable to admit a lack of desire, but the dilemma may be almost as prevalent as in women. – Penner’s
– Sexually Naive Male: little to no experience, underdeveloped in emotional expression, feelings of inadequacy (respond very well to education)
Entrepreneurial Male: Goal oriented and does not prioritize sex 
– Emotional-Sexual Blocks: 
  • Lack of bonding in infancy: Decrease or absence of bonding in infancycan lead to a fear of expressing and receiving intimacy 
  • – Sexual trauma: Negative feelings associated with themselves and sexuality, guilt/shame/humiliation for example (effects men in the same way it effects women) 
  • – Rigid Anti-Sexual Teaching: most often associated with religion, where men aren’t given permission to enjoy and express their sexuality or receive sexual pleasure (purity culture, extreme modesty teaching, abstinence curriculum, scare tactics, loud silences around sexuality, etc.)
  • – Controlling, male deprecating mother: “If a boy grew up in a home with a mother that totally usurped any of his sense of power and independence as he was developing, he will be very hesitant to allow himself to be open and vulnerable with a woman. Having sex with his wife may elicit an overwhelming sense of panic at being swallowed up or being controlled.” -Penner’s
  • – Homosexually Oriented Male: if a man is attracted to men, even if never expressed, will make it difficult for him to respond positively to sex with a women or his wife (this is not our area of expertise and would likely need to refer)
External Factors that Affect Men & Women Sexual Desire
– Illness/Medication Side Effects
– Addiction
– Menopause or Hormone Imbalance 
– Surgery or Childbirth
*It is always wise to rule out external factors through a physical exam with a physician 
AROUSAL 
Sexual desire in marriage usually leads to the initiation of sexual activities that stimulate sexual excitement or arousal. Failure of the natural, involuntary bodily response of sexual excitement, is usually due to anxiety, although physical, medical causes should be ruled out before assuming an emotional basis- Penner’s 
Things we hear wives say when it’s strictly arousal- frustration with their body
  • It takes too long to get there
  • My mind is always distracted
  • I don’t know what feels good 
  • It’s embarrassing to say what feels good 
  • My desire/excitement build with no orgasm 
  • My orgasms are weak (if at all)
  • I used to be able to orgasm, why can’t I now 
Problems of Arousal for Women
Lack of feelings of arousal: Inhibited sexual excitement for women, once negatively labeled frigidity, is usually experiential, not actual. In other words, the women’s body is responding with vaginal lubrication, nipple erection, and initial engorgement; however, she does not subjectively feel aroused. Her emotions are not connected with her involuntary bodily responses. These women who lack the feelings of arousal are mentally disconnecting themselves from their bodies. They have not programmed themselves to be sexual persons or to enjoy the giving and receiving of sexual pleasure. They see sex as a duty they perform to keep their husband happy and themselves from feeling guilty.- Penner’s 
  • Something in the past has made it difficult to make a positive association with sexuality and themselves. They must learn how to give themselves permission to be sexual, connect sexual feelings to somatic experience, remove pressure to please, and learn to respond to their bodies and pursue sexual pleasure so that arousal can be achieved. 
Lack of vaginal lubrication and engorgement: In women, this actual lack of physical arousal is rare, probably because womentend to be more passive sexually and arousal is a passive, parasympathetic nervous system response. The emotion of anxiety can, however, interrupt or prevent arousal for women. The sympathetic nervous system becomes dominant because of anxiety and interferes with the involuntary parasympathetic nervous system response. – Penner’s 
  •  –Lack of understanding of how to properly stimulate her body to arousal by herself and her husband. Unfortunately female arousal is more complicated than male arousal and is not often pursued as a priority. And when properly stimulated is discovered, her body will respond. 
Problems of Arousal for Men
-Erectile Dysfunction: a man’s inability to achieve or maintain an erection. 
  • – Causes of Erectile Dysfunction:
    • – Anxiety: performance fear due to a past experience and preoccupation with recurrence, or another new negative experience. Anxiety increases with each failure. 
      • Negative experiences– premature or delay ejaculation, fear of rejection, etc. 
    • – Physical Factors: erection is a vascular response, so any type of blood flow issues can cause ED, hormonal imbalances, diabetes, medication side effects, addiction, smoking. 
TREATMENT
Restoring the Pleasure Assignments broken down into subsection and the purpose within each section
Phase 1– undoing the trauma of awkward sex and establishing intimacy
  • Assignments 1-10
Phase 2– education, rebuilding sexual selves 
  • Assignments 11-23 
Phase 3 – pairing positive sexual feelings with safe sexual experiences 
  • assignments 24-end
  • *** Anorgasmia or Pain protocols will be added at the very beginning of third section 
CLINICIAN RESOURCE (all Penner quotes were pulled from this source for today’s training) 
Counseling for Sexual Disorders by Penner & Penner, 1990 https://www.amazon.com/Counseling-Sexual-Disorders-Resources-Christian/dp/084990482X

MCO - CEU Tracker

  • MM slash DD slash YYYY

12/1/21 Team Meeting

Dec. 1 Life @ MCO Report


MCO Wellness Advocate Program: 

Help those you care about connect with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

Clients Loving on our Clinicians

  • Emily Hurst: Emily is warm and doesn’t make talking about sex therapy awkward at all!
  • Lane: We love our sessions with Lane. He is insightful and helpful in getting us to communicate better and really express our feelings to one another. He has been especially helpful to me in that he provides the intellectual rigor (the “why”) behind what he says. We rely on his training and experience to help us recover and strengthen our marriage. Thank you, Lane!
  • Melanie: I have been seeing Melanie for over a year and a half. She is kind and honest. She had been extremely helpful.
  • Alyssa: Alyssa has been a big help to my depression and trauma. It has been my first experience with counseling and she has been wonderful.
  • Melissa: Honestly, I’m having a hard time with my faith, but I feel like almost every session is definitely spirit led and exactly what I need.

December Birthdays

Danielle Schaefer: December 1st

“Danielle, you are a beautiful person that deserves the best of birthdays!  I hope your day is filled with much love and fun, making you feel extra special! Your gentleness, sweet spirit and wisdom is such a gift to our clients and the MCO team.  Enjoy your special day and an even better year”!  Rosie

Tina Mendeleyev – December 8th 

“A very Happy Birthday to you, Tina! It has been a gift to work with you and I feel blessed to have gotten to know you a little more over these last couple of months. I truly appreciate just how much you do for us in AR and  with insurance billing. I hope this next year brings you immeasurable joy”! ~ Samantha

Josh Spurlock – December 24th 

“Josh-Happy Birthday!  You are such an amazing leader and friend.  I feel so blessed to have had the opportunity over the years to know and work with you.  I am praying you are blessed on your birthday!  Take time to enjoy something you like with your family!  Here’s to another great year!” ~Shaun

William Woodward – December 27th 

William, hoping you have a fun and memorable birthday surrounded by the ones you love and lots of cake! We are so grateful to have you on the MCO team and hope this year is better than the last.  Happy Birthday!” ~ Rosie

Leona Scifres – December 31st 

Leona, You are such a light! It has been my pleasure getting to know you the last few months. I will always remember our laughter and friendship bonding on the cruise and how you can make anyone feel welcomed and loved! You have a heart of GOLD! I hope you have a wonderful Birthday and a fabulous year!!! I hope you get all the puppy kisses from Goose and get to celebrate with good friends and drinks! Cheers! Hugs, and lots of Love, Ryenn”

Prayer Requests

Lacey– family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia. We are in shock and trying to get our kids everything they need before they head to St Jude’s today. Please pray for our sweet boy as he has to walk this journey.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.

Fun Fact about September!

From May thru October when I am not working, you can find me and my family boating on Tablerock Lake in Branson.  My husband is an avid slalom skier, and I recently learned to water ski a couple summers ago.  My goal next summer is to learn to slalom.  We will see how it goes!  Our favorite days are our family days on the lake!


Didactic Materials

Clients will come to us and present with inhibited sexual desire and might have trouble with arousal as well. However, not every inhibited sexual desire means that there is a struggle with arousal. But if there is a struggle with arousal, there probably is an inhibited sexual desire. It is important for us to be able to know the difference between sexual desire disorders and arousal disorders. The DSM-V has combined the two. 
DSM criterion – 
  • Female Sexual Interest/Arousal Disorder
    • Lack of, or significantly reduced, sexual interest, as manifested by at least three of the following:
      • Absent/reduced interest in sexual activity 
      • Absent/reduced sexual/erotic thoughts or fantasies
      • Absent/reduced sexual excitement/pleasure during sexual activity
      • No/reduced initiation of sexual activity
      • Absent/reduced sexual interest in response to any internal or external sexual/erotic cues (written, verbal, or visual)
      • Absent/reduced genital or nongenital sensations during sexual activity
    • Symptoms have persisted for at least 6 months
    • Symptoms cause clinically significant distress in the individual
    • Sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other stressors or substance/medication or other medical issues.
    • Specify whether:
      • Lifelong
      • Acquired
    • Specify whether:
      • Generalized
      • Situational
    • Specify current severity
      • Mild
      • Moderate
      • Severe
  • Male Hypoactive Sexual desire disorder
    • Persistently or recurrently deficient sexual/erotic thoughts or fantasies and desire for sexual activity. 
    • Symptoms have persisted for at least 6 months
    • Symptoms cause clinically significant distress in the individual
    • Sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other stressors or substance/medication or other medical issues.
    • Specify whether:
      • Lifelong
      • Acquired
    • Specify whether:
      • Generalized
      • Situational
    • Specify current severity
      • Mild
      • Moderate
      • Severe
Master’s & Johnson Sexual Response Cycle 
DESIRE 
“Inhibited sexual desires is a disorder of the appetitive, or pre-excitement, phase of the sexual response cycle. Both the desires and mental images for sexual activity may be impaired. The urge to be physically close, to be touched, to be aroused, and to have release is in some way inhibited so that the person is not drawn to his or her spouse. 
Some people with inhibited sexual desire are not aware of any sexual feelings at all, not even a flickering, it would not be a problem if there is no possibility for future sexual activity. Others masturbate but have no desire for the intimacy of sex with their spouse. Still others only feel sexual desire for someone they cannot have or someone who is destructive for them. And then there are those that feel sexual urges for their spouse, but only when there is no possibility on acting on those urges. 
The sexual drive can be totally blocked, or it can be misdirected. Many times there is a barrier that keeps sexual energy from being expressed or being experienced in the marriage relationship. 
Although we are all born with a sex drive, about 40% of the sexual therapy clients report disorders of sexual desire. Men, as well as women, experience loss of desire. Problems of desire are usually deeper, more resistant problems than the dilemmas of the sexual response cycle. “- Penner’s Counseling for Sexual Disorders 
Things we hear wives say for desire issues:
  • If I never had sex again I’d be fine
  • Why can’t we just connect emotionally
  • Sex is just for men
  • It’s my job/ my wifely duty
  • I’m not a sexual person 
  • My husband is a pervert
  • I’m grossed out by his arousal or sex 
  • Sex is messy 
  • It takes too much effort 
  • I don’t have sexual thoughts/I don’t ever think about it 
  • I feel normal- that no wife they know wants sex 
  • My body just doesn’t work 
Triage for trauma (sexual, betrayal), relational distress, pain 
Female Desire Problems
Relationship Issues: unresolved marital conflict often lead to sexual intimacy issues 
  • The underlying stress in the relationship must be resolved before anticipation of sexual activity with husband can be elicited – Penner’s 
– Unsatisfactory sexual response: if wife struggles becoming aroused or being orgasmic, her desire for sexual intimacy will decrease (unrealistic expectations, delayed consummation) 
Sexual conflict: inability to accept her sexuality 
  • When women experience conflict about being sexual, it may be because rigid anti-sexual teaching, pass sexual trauma, or ambivalence about being out of control and vulnerable with a man- Penner’s 
  • Rigid Anti-Sexual Teaching: most often associated with religion, where women aren’t given permission to enjoy and express their sexuality or receive sexual pleasure (purity culture, extreme modesty teaching, abstinence curriculum, scare tactics, loud silences around sexuality, etc.)
  • Sexual trauma: Many adult women have had at least one sexual experience that left them confused, guilty or traumatized. They usually blame themselves for these events, and thus feel badly about themselves sexually -Penner’s (Molestation, Incest, assault, early exposure to sexually explicit content, guilt about masturbating or fantasizing, etc.) 
  • – Sexual ambivalence: this is a persistent avoidance of sex, these women often come from chaotic, dysfunctional homes. Their bodies may respond sexually, however, pre and post times of sexual intimacy anything sexual is aggressively avoided or can be experienced as dormant. Sexual ambivalence can be challenging for husbands to understand because their wive’s bodies respond well during intercourse. 
Male Desire Problems
Inhibited sexual desire problems in men is no easier to correct than it is in women. Men find it less acceptable to admit a lack of desire, but the dilemma may be almost as prevalent as in women. – Penner’s
– Sexually Naive Male: little to no experience, underdeveloped in emotional expression, feelings of inadequacy (respond very well to education)
Entrepreneurial Male: Goal oriented and does not prioritize sex 
– Emotional-Sexual Blocks: 
  • Lack of bonding in infancy: Decrease or absence of bonding in infancy can lead to a fear of expressing and receiving intimacy 
  • – Sexual trauma: Negative feelings associated with themselves and sexuality, guilt/shame/humiliation for example (effects men in the same way it effects women) 
  • – Rigid Anti-Sexual Teaching: most often associated with religion, where men aren’t given permission to enjoy and express their sexuality or receive sexual pleasure (purity culture, extreme modesty teaching, abstinence curriculum, scare tactics, loud silences around sexuality, etc.)
  • – Controlling, male deprecating mother: “If a boy grew up in a home with a mother that totally usurped any of his sense of power and independence as he was developing, he will be very hesitant to allow himself to be open and vulnerable with a woman. Having sex with his wife may elicit an overwhelming sense of panic at being swallowed up or being controlled.” -Penner’s
  • – Homosexually Oriented Male: if a man is attracted to men, even if never expressed, will make it difficult for him to respond positively to sex with a women or his wife (this is not our area of expertise and would likely need to refer)
External Factors that Affect Men & Women Sexual Desire
– Illness/Medication Side Effects
– Addiction
– Menopause or Hormone Imbalance 
– Surgery or Childbirth
*It is always wise to rule out external factors through a physical exam with a physician 
AROUSAL 
Sexual desire in marriage usually leads to the initiation of sexual activities that stimulate sexual excitement or arousal. Failure of the natural, involuntary bodily response of sexual excitement, is usually due to anxiety, although physical, medical causes should be ruled out before assuming an emotional basis- Penner’s 
Things we hear wives say when it’s strictly arousal- frustration with their body
  • It takes too long to get there
  • My mind is always distracted
  • I don’t know what feels good 
  • It’s embarrassing to say what feels good 
  • My desire/excitement build with no orgasm 
  • My orgasms are weak (if at all)
  • I used to be able to orgasm, why can’t I now 
Problems of Arousal for Women
Lack of feelings of arousal: Inhibited sexual excitement for women, once negatively labeled frigidity, is usually experiential, not actual. In other words, the women’s body is responding with vaginal lubrication, nipple erection, and initial engorgement; however, she does not subjectively feel aroused. Her emotions are not connected with her involuntary bodily responses. These women who lack the feelings of arousal are mentally disconnecting themselves from their bodies. They have not programmed themselves to be sexual persons or to enjoy the giving and receiving of sexual pleasure. They see sex as a duty they perform to keep their husband happy and themselves from feeling guilty.- Penner’s 
  • Something in the past has made it difficult to make a positive association with sexuality and themselves. They must learn how to give themselves permission to be sexual, connect sexual feelings to somatic experience, remove pressure to please, and learn to respond to their bodies and pursue sexual pleasure so that arousal can be achieved. 
Lack of vaginal lubrication and engorgement: In women, this actual lack of physical arousal is rare, probably because women tend to be more passive sexually and arousal is a passive, parasympathetic nervous system response.  The emotion of anxiety can, however, interrupt or prevent arousal for women. The sympathetic nervous system becomes dominant because of anxiety and interferes with the involuntary parasympathetic nervous system response. – Penner’s 
  •  – Lack of understanding of how to properly stimulate her body to arousal by herself and her husband. Unfortunately female arousal is more complicated than male arousal and is not often pursued as a priority. And when properly stimulated is discovered, her body will respond. 
Problems of Arousal for Men
-Erectile Dysfunction: a man’s inability to achieve or maintain an erection. 
  • – Causes of Erectile Dysfunction:
    • – Anxiety: performance fear due to a past experience and preoccupation with recurrence, or another new negative experience. Anxiety increases with each failure. 
      • Negative experiences– premature or delay ejaculation, fear of rejection, etc. 
    • – Physical Factors: erection is a vascular response, so any type of blood flow issues can cause ED, hormonal imbalances, diabetes, medication side effects, addiction, smoking. 
TREATMENT
Restoring the Pleasure Assignments broken down into subsection and the purpose within each section
Phase 1– undoing the trauma of awkward sex and establishing intimacy
  • Assignments 1-10
Phase 2– education, rebuilding sexual selves 
  • Assignments 11-23 
Phase 3 – pairing positive sexual feelings with safe sexual experiences 
  • assignments 24-end
  • *** Anorgasmia or Pain protocols will be added at the very beginning of third section 
CLINICIAN RESOURCE (all Penner quotes were pulled from this source for today’s training) 
Counseling for Sexual Disorders by Penner & Penner, 1990 https://www.amazon.com/Counseling-Sexual-Disorders-Resources-Christian/dp/084990482X 

MCO - CEU Tracker

  • MM slash DD slash YYYY

11/24/21 Team Meeting

Nov. 24 Life @ MCO Report


Farwell from Anna McGuire

“It has been an honor and joy to have been a part of this team. During my time at MCO, I have learned and grown so much, I contribute so much of that to my interactions with each of you. I’m so thankful for the work this team does for the Kingdom. Blessings to you all!” ~ANNA

MCO Wellness Advocate Program: 

Help those you care about connect with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

 

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

Clients Loving on our Clinicians

  • Britni: I greatly appreciate how warm and inviting Britni is. It felt easy to trust her, especially on an online setting. This feeling of being welcomed and knowing that our 45 minutes is a safe place have done wonders for me.
  • Rachel: Rachel is warm and engaging. I feel that she is a good fit for me.
  • Melanie: It’s amazing to be able to talk to someone about deep seated patterns in life and how to address them!
  • Lacey: Always a pleasure to speak with our counselor.
  • Mary: I have been doing counselling with Mary and can see an improvement in my overall health and wellness. Very thankful for this option of ONLINE and for the opportunity!

November Birthdays

Mary Faxon – November 19th

Mary! Where to start?! Happy birthday to one of the most caring, kind, compassionate, empathetic, caring, genuine, and authentic humans and therapists I have every had the honor of working alongside and guiding. You are bound for greatness and I cannot wait to see what the future holds for you! Don’t hold back celebrating YOU today and enjoy every moment. You deserve it, girl! And again, HAPPY BIRTHDAY!!!! ~ Rachel

Melanie Hart – November 24th

Melanie, you are a gem! I wish you the greatest of birthdays with many more to follow. The love, care and concern you have for your clients is incredible.  This month we celebrate you, a woman that shows the heart of Christ and genuinely cherishes His people.  Enjoy your special day cause you deserve it! ~ Rosie

November Celebrations

Danielle is Pregnant with #3

Danielle is pregnant with her third child and rocking it as a clinician here at MCO.  Her bundle of joy should be making an appearance Feb 2nd!  Congrats Danielle!


Prayer Requests

Lacey- family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia. We are in shock and trying to get our kids everything they need before they head to St Jude’s today. Please pray for our sweet boy as he has to walk this journey.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.

Kiran– My husbands health and healing. Healing for my sons broken leg.

Sarah- Soldiers across the country, including my husband, are being escorted and “ordered” to take the vaccine on a new timeline and are being told that if you request any exemptions, you’ll be denied and chaptered out of your military career before they can ever look at your paperwork. Our family is directly being negatively impacted by the events of our country today and feel very helpless. Please pray for our peace of mind and for how this is impacting other aspects of our life plans and physical/family planning goals.

Mary- Pray for the single mother of 2 precious girls, my former students in Vietnam. Girls drowned close to their home.  The family and community are recovering and the mom is staying connected with the underground church there so that’s a blessing in the middle of grief.

Mary –My aunt is with her son and daughter-in-law who can care more fully for her as she has now broken both hips that were brittle from extended treatment. She’s in good spirits but we just don’t know what it will look like for her in this time. The foster teens in her care are doing well on their own and have their own place and working on completing education.

Britni– My nana had surgery to remove breast cancer. Everything is looking fine but please pray for my mom and her heart as she helps my nana recover.

Josh Lolling-  IBS, changes in my role at MCO, MCO is growing and changing.

Anonymuos-  Wisdom and understanding as I navigate new season of my life


Fun Fact about Chauncey!

I was in the Flying High Circus for a total of three years. My circus acts were the Flying Trapeze, Teeter Board (the act where we are all stacked on top of each other), Quartet Adagio, Stilt Walking/Juggling/Hand Balancing, and Chinese Pole/my main act (where I learned how to do the human flag). It all sort of happened accidentally. I only auditioned because I liked a girl who was auditioning at the time. I truthfully thought the Circus was the weirdest thing ever, but I auditioned to hang out with this person. It turned out that she didn’t get accepted and I did. My love of sports helped me adapt to the physical demands of the circus. From my first workout/training class I was hooked. A performer is not just required to perform. You start out as a “rigger” (another term for grunt worker), where you are working to know/learn how to set up and tear down all sound, tech, and lighting equipment for every act before ever being considered the opportunity to perform. You constantly need to stay in great physical shape (working out around 2-3 times daily), because you are waiting for the opportunity for a Circus Director to say, “alright son, show me what you got!” They can choose you at any point to get up and perform under pressure. The process is very competitive, but once you’re in, you become a tight knit family. Performers often go on to other performance based careers throughout the globe.  I was given the opportunity to perform with Cirque Du Soleil, but I knew God was moving me to stop, be still/pursue Him, and work through personal struggles at the time, so I listened. Overall, the experience helped me connect/build relationships with many people, have a greater appreciation for performance athletes, and strengthened my ability to keep moving forward in the face of fear…plus it’s not a bad thing to put on a resume lol 🙂


MCO - CEU Tracker

  • MM slash DD slash YYYY

11/17/21 Team Meeting

Nov. 17 Life @ MCO Report


Farwell from Anna McGuire

“It has been an honor and joy to have been a part of this team. During my time at MCO, I have learned and grown so much, I contribute so much of that to my interactions with each of you. I’m so thankful for the work this team does for the Kingdom. Blessings to you all!” ~ANNA

MCO Wellness Advocate Program: 

Help those you care about connect with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

Clients Loving on our Clinicians

  • Sarah: I just needed to be heard today in a safe space and Sarah provided that for me.
  • Carrie: I love that the sessions are ALWAYS welcoming and friendly. I love that Carrie picks up on things I am trying to say but don’t have the correct words to get it out. She is always kind and respectful towards my beliefs and feelings. She has helped me and is helping me piece my life puzzle together and I am so grateful for her!
  •  Melanie is AMAZING, understanding, no judgement and listens very well.
  • Lane is just awesome, I can’t say enough good things about him. He’s just so good at what he does. I feel supported and understood by him and I’m so grateful for his service.
  • Tish is knowledgeable, compassionate and perfect for us
  • Robbin: My counselor has been great. She is supportive and I enjoy talking with her.  

November Birthdays

Mary Faxon – November 19th

Mary! Where to start?! Happy birthday to one of the most caring, kind, compassionate, empathetic, caring, genuine, and authentic humans and therapists I have every had the honor of working alongside and guiding. You are bound for greatness and I cannot wait to see what the future holds for you! Don’t hold back celebrating YOU today and enjoy every moment. You deserve it, girl! And again, HAPPY BIRTHDAY!!!! ~ Rachel

Melanie Hart – November 24th

Melanie, you are a gem! I wish you the greatest of birthdays with many more to follow. The love, care and concern you have for your clients is incredible.  This month we celebrate you, a woman that shows the heart of Christ and genuinely cherishes His people.  Enjoy your special day cause you deserve it! ~ Rosie

November Celebrations

Danielle is Pregnant with #3

Danielle is pregnant with her third child and rocking it as a clinician here at MCO.  Her bundle of joy should be making an appearance Feb 2nd!  Congrats Danielle!


Prayer Requests

Lacey– family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia. We are in shock and trying to get our kids everything they need before they head to St Jude’s today. Please pray for our sweet boy as he has to walk this journey.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.
Kiran– My husbands health and healing. Healing for my sons broken leg
Sarah- Soldiers across the country, including my husband, are being escorted and “ordered” to take the vaccine on a new timeline and are being told that if you request any exemptions, you’ll be denied and chaptered out of your military career before they can ever look at your paperwork. Our family is directly being negatively impacted by the events of our country today and feel very helpless. Please pray for our peace of mind and for how this is impacting other aspects of our life plans and physical/family planning goals.
Mary– Pray for the single mother of 2 precious girls, my former students in Vietnam. Girls drowned close to their home.  The family and community are recovering and the mom is staying connected with the underground church there so that’s a blessing in the middle of grief. 
MaryMy aunt is with her son and daughter-in-law who can care more fully for her as she has now broken both hips that were brittle from extended treatment. She’s in good spirits but we just don’t know what it will look like for her in this time. The foster teens in her care are doing well on their own and have their own place and working on completing education. 
Britni– My nana had surgery to remove breast cancer. Everything is looking fine but please pray for my mom and her heart as she helps my nana recover. 
Josh Lolling–  IBS, changes in my role at MCO, MCO is growing and changing.

Anonymuos  Wisdom and understanding as I navigate new season of my life


Fun Fact about Lane!

 I grew up on a farm in Southern Missouri and had a pet cow named, “Joyce


Didactic Materials

11-17-2021 Didactic: Infidelity Recovery – Beginning Grief & Connection

Information- What you need to know: 
In the timeline of infidelity recovery, the initial 2-3 months following disclosure involves the goals of increasing each person’s ability to connect with their own pain/grief and subsequently, increasing their capacity to connect with the pain/grief of the other.  The therapist will act as a primary emotional support to each spouse and as a temporary bridge between the two of them.  

 

Why is connection so important?  “The most profound emotional injuries are not those that occurred during the moment of violation but those that result from the aloneness, desperation, demoralization, helplessness, and intrapersonal/interpersonal disconnection that followed and is subsequently rekindled by the mind thereafter” (AEDP 2.0 p.296- Fosha).  Both spouses may have been experiencing this prior to discovery, but will certainly be after.  It is critical to establish connection, first with the therapist & supportive others, then with the spouse.

 

Ideally, therapy will be divided into individual sessions for each spouse and marital sessions together.  This allows for the therapist to work with each person individually to form attachment and with this attachment assist the person to deepen into their grief.  Defenses and inhibitory emotions can be given extensive attention in these individual sessions.  Additionally, deep core emotion, the other spouse may or may not be able to hold with their mate, can be held by the therapist.  An example schedule might be, one week each spouse meets with the therapist individually, and the next week they meet as a couple.  This can even be increased in frequency, if the couple is able, as the first few months of infidelity recovery are often a time of the highest need for support.

 

Marital sessions will utilize the security each spouse has in relationship with the therapist to help regulate them and allow them to begin connecting with their grief in the presence of the other spouse.  The other spouse will be assisted in regulating by the therapist, allowing them to be impacted by their partner’s pain.  Generally, the goal is for the betrayed spouse’s pain to be held first.  

 

As each person, and the couple together, begin to have successful experiences of feeling into their grief and coming out on the other side, confidence increases allowing them to go to greater depths of pain and healing.  In a sense, they realize “I can feel this and not die/I can feel this and get better.”  

 

As the couple connect with grief, we will also begin to see the powerful impact grief can have on emotional regulation.  Couples will notice marked improvement in their ability to manage what they feel effectively.  Couples who hold pain well together, come to no longer have the same kind of dread about each other’s pain.  Instead, there is a trust that nurturing will be received when needed and a growing sense of one’s own confidence to provide nurturing to another which will be received.  A typical manifestation of emotional dysregulation and the attempt to manage it without grief, is the establishment of rules and expectations about a spouse’s behaviors.  While expectations are not a bad thing overall, they can become injurious to both people when their primary focus is to prevent the couple from feeling their grief.  It is no different than a person with unresolved trauma who has created many life rules and limitations designed to prevent the trauma being activated.  Rules and expectations should be created with the understanding of the therapist that connection in grief is the ultimate goal.  

 

Special Circumstances

 

Sexual Addictions:
When sexually compulsive behaviors, or really any other addiction are present, Beginning Grief & Connection will take a slightly different path.  Up to this point, infidelity work has been quite uniform for all cases.  Stop the infidelity/acting-out and tell the whole truth.  However, after disclosure infidelity recovery looks different with sexual or any other addictions present.  

 

Clients with addictions can be helped/supported to get sober and tell the truth.  However, clients with addictions are not capable, early in treatment, of grieving or connecting deeply with their betrayed spouse.  This is not a matter of being willing, it is a matter of capability.  This is a difficult reality for many betrayed spouses to accept.  It is completely understandable.  They have been hurt profoundly, and now the spouse who hurt them can do only a limited amount to help them.  It simply is “not fair.”  Many betrayed spouses will struggle and view this as a matter of willingness.  “If my spouse was truly willing/committed/really cared they would be able to be what I need.” or “Actions speak louder than words, and his actions tell me a lot.”  We as therapists should always respond with a great deal of empathy to the betrayed spouse, but they also need clear direction.  I will tell betrayed spouses “It is painful to accept but true, that your spouse is not capable of giving you what you need right now.  What you need and what I am looking for from him is the willingness to become capable.  He is not getting away with anything.  Growing will be hard work for him every step of the way but will strongly refine his character.”  

 

Addicted individuals need to establish sobriety and be involved in an addictions recovery group.  This is critical to their success.  Such work is done concurrently with infidelity counseling.  Engagement in recovery is so important that counseling will focus on client resistance and barriers if the individual does not engage in addiction recovery, rather than continuing on with the typical infidelity recovery work. 

 

Past Trauma:
When infidelity happens in cases where additional trauma is present, this can change the landscape of recovery.  This is particularly true when the trauma has not been previously worked on in meaningful ways.  The trauma may be present in either spouse’s life or both.  When trauma is present, it should not be ignored.

 

For either spouse, remember that whatever the trauma was, it is likely the person survived and wanted to be done with it.  The infidelity has now brought up something in them they had hoped was permanently over.  In the case of either spouse, especially a betrayed spouse, it is important to process the grief of having a place in themselves which had healed be reinjured by a new person in a new way.  For clients who had previously done meaningful trauma work, the therapist can work to process the grief of getting injured in the place which had previously healed.  It is like having healed from a stab wound and then having your spouse inflict injury on the same part of your body again.

 

We do not need to turn the infidelity work into work exclusively on trauma, however.  We are working on healing the infidelity injury.  Therefore, we deal with the trauma as it intersects this work, but do not lose the focus on infidelity recovery.  It is possible a client might choose to work on their trauma directly, they may even request this.  It is important we process with them establishing two focuses, both the infidelity recovery and the trauma healing.  The therapist will need to work with the client on managing having these two treatment fronts.  

 

Intervention: What you need to do:
Our intervention is comprised of the following 2 parts:
  1. Feel into yourself and feel me (as the therapist) with you.
  2. Feel into yourself and feel your spouse.
Feel into yourself and feel me (as the therapist) with you.

 

The gateway to having compassion and connecting with another is to first connect with yourself.  Failure to connect with self will lead to an inability to both heal and connect.  The best that can be achieved is listening to one another and behaving well (ie: such as saying the “right things”).  Feeling in the presence of another who is stuck in their defenses or pathogenic emotions is not beneficial.  In fact, it can further the emotional injury.  A case in point is the betraying spouse who attempts to be there to support their partner by simply listening to them, either because they do not believe their emotions are deserving to be recognized or they believe they have healed and are ready to move on.  Their spouse will respond with either feeling little to no relief or may even react in anger, noting they are the only one being emotionally vulnerable.  

 

As such, you will act as the initial support to each spouse.  They are both too activated by their spouse or injured by them to be supported by their mate.  The goal as therapist is to begin to assist the client to drop into core affect while feeling you there supporting.  It is helpful to use the handouts provided here to conceptualize what is happening in the room.  

 

The Triangle of Relational Comparisons helps us in infidelity work to recognize the relationships in the room with our clients.  First, present in the room is the client’s relationship with their spouse.  This relationship carries with it a set of defenses, signal affects, and core emotions.  Also present in the room, is the client’s relationship with the therapist.  Again, this relationship has the same components.  Finally, and importantly, the therapist should be aware of past relationships being present.  It is very common for infidelity to either spring from early attachment issues for betraying spouses or for the infidelity to exacerbate previous wounds for the betrayed spouse.  Orienting yourself as counselor to the various relationships present in the room can help you stay oriented, allowing you to see what relationship you are working within at any given moment.  Take time to briefly map out a couple you are seeing and the components for each part of the triangle.  

 

**Special Note:  It is quite common for a heavily defended betraying spouse to have present, in the room, their current experience of themselves in relationship to others in their life.  Specifically, they use their experience of themselves as, for example, kind, generous, giving, etc… with other people to shield the pain of other realities about them.  When the therapist comes in, representing the infidelity, the client will struggle with the tension between their positive sense of themselves with others and the experience of a therapist who is bringing to light the pain of their infidelity.  This can manifest as feeling misunderstood or misrepresented by the therapist.  

 

The Self-At-Worst/Self-At-Best Functioning Triangles help us to know which version of our client is present at any given moment.  Therapy is dynamic, and one moment the best self may be present and in an instant the worst self is activated.  Use your own nervous system to help track this.  If you suddenly feel off balance, confused, or tense, there is a good chance something has been activated.  Self-At-Best leads to feeling you and the client are working together, on the same page, each others emotions, resonating with one another and providing for greater depths of exploration.  Self-At Worst is noticeable as feeling disconnected from the client and unable to reach them and attempts at repair are resisted.  If you, as the therapist, can help the infidelity client to access their Self-At Best, you will create new nervous system experiences which can be used later with you as the bridge between them and their spouse.  In other words, if they can go there with you, then they can go there with you with their spouse in the room, then they can go there with their spouse with you in the room, and finally they can go there with their spouse outside of therapy.  Again, below is a list (bolded are the parts the therapist focuses on as part of feeling into self):

 

    1. I cannot go there (into my grief)
    2. I can feel my therapist with me
    3. I can feel my therapist with me so I can feel my grief
    4. I can feel my therapist with me so I can feel my grief with my spouse present
    5. I can feel my therapist with me so I can feel my grief with my spouse present and feeling
    6. I can feel my therapist with me so I can feel my grief with my spouse present and feeling and I can feel my spouse’s grief.  
    7. I can feel my grief with my spouse and I can feel my spouse’s grief
Utilize the tables below to help you get a sense in session of different defensive and adaptive presentations in your clients.  This kind of understanding will allow you to move beyond the “content” of what your client is saying to their actual condition.  When you attune effectively to their actual state, connection and regulation can happen.  

 

Defensive & Adaptive Expression of Activating Affects
    
   Maladaptive or Defensive Affect
   Adaptive Affect
     Grief
   Tears, leading to feeling worse.
   Tears over loss, with positive and negative memories. Leads to feeling relieved.
     Anger
   Frustration, leading to greater hopelessness.
   A rush of energy to the limbs, and feeling of greater energy to set limits or make a change.
     Closeness/Tenderness
   Idealized, perfectionistic image of the other based on self-need and longing.  Longing and need-based.
   Gentle, unexaggerated, tender connection based on acceptance of the whole person (strengths and weaknesses).
     Self-Esteem/Positive Feelings about Self
   Exaggerated or grandiose feelings about the self, covering insecurity.  Contempt toward others to bolster self-image.
   Quiet, comfortable feelings of pride or self-compassion based on acceptance of all aspects of the self and acceptance of similar qualities in others.
     Joy
   Inauthentic, dissociated, false peacefulness. Exaggerated calmness.  Fake smile or serenity on face.
   Genuine relaxation and enjoyment.  Deeply savoring the pleasurable or spiritual experience.  
     Excitement
   Manic arousal.  Urgency about the experience.
   Vital enthusiasm or curiosity.  Life energy.  Deep interest and involvement. Spirit.
     Sexual Desire
   Demeaning or hurtful to self or others, compulsive, addictive quality.
   Passion flowing freely-deeply satisfying to self and partner.
  (McCullough 2003 p. 123)

 

Physiological Characteristics of Defensive & Adaptive Affects
    
   Maladaptive or Defensive Affect
   Adaptive Affect
     Physiological: Direction of Energy Flow
   Either inward or outward, but hurtful to self and/or others.  Self-attacking, tense, constricted, and withdrawn, or a bottled-up feeling with wish to explode or act out. 
   Flowing out from the area of the torso to the extremities.  Surging, resonating, responsive to the moment.
     Action Tendencies: Stimulation or Inhibition?
   Results in excessively thwarting or self-attacking inhibition or action, or impulsive of explosive acting out.  Both lead to greater conflicts of problems with self and others.
   Surge of flow generates an action tendency, and expression leads to a sense of relief and satisfaction.
     Anxiety Release: Inhibition Increase or Decrease?
   Inhibition is maintained if inner-directed, and inhibition is only temporarily reduced if acted out.
   Inhibition is decreased, and person is calmer after expression.
     Lasting Effect: Relief After Expression?
   Momentary, but not lasting, and only if acted out. If not, frustration collects and build into perverse or self-punitive form.
   Yes, with lasting satisfaction.

    (McCullough 2003 p. 122)

Feel into yourself and feel your spouse.
Our focus, building out of feeling with the therapist is for the couple to begin grieving together.  We will now be working on the bolded steps below: 
  1. I cannot go there (into my grief)
  2. I can feel my therapist with me
  3. I can feel my therapist with me so I can feel my grief
  4. I can feel my therapist with me so I can feel my grief with my spouse present
  5. I can feel my therapist with me so I can feel my grief with my spouse present and feeling
  6. I can feel my therapist with me so I can feel my grief with my spouse present and feeling and I can feel my spouse’s grief.  
  7. I can feel my grief with my spouse and I can feel my spouse’s grief
The Self-Other-Emotion Triangle shows us a very important transition point for dynamics between couple’s in infidelity recover.  The reality, without grieving both separate and together each person will experience their mate as a “Triggering Other.”  
  • Betrayed spouses will experience their spouse as someone who is a walking reminder of their trauma.
  • Betraying spouses will see their mate, and in particular their mate’s pain, as only serving to punish by making them feel their pain.
Deepening with the therapist allows the client to access core affect and begin to process the most raw parts of it.  From this point, the client can now begin to feel in the presence of their spouse.  The goal at this point is simple, getting one spouse to feel into their core emotion and the other to be open, allowing this emotion to impact them.  Typically, we will begin with the betrayed spouse sharing their emotions with the betraying spouse allowing themselves to be emotionally impacted.  Being in Self-At-Best does not mean feeling “good” or “comfortable.”  It means authentically feeling in connection with others.  At this point, much of Self-At-Best will be extremely painful, but know that feeling pain in this state is actually very relieving and strengthening.  Do not be surprised by this.

 

Next, we want to begin to have the spouse who is listening (the betraying spouse at first), feeling into what is shared, also begin to share their own emotions around the grief.  Both spouses are now going deeper into grief together.  By each feeling more deeply into their grief and putting it in the space between them, the grief can be more fully felt by both.  Additionally, they are increasing their connection in the space of feeling deep grief.  A betrayed spouse will gain a sense of know they mattered from their spouse actually sharing their deep grief and eventually this will even lead to compassion (although, initially compassion may take the form of simply hearing and being impacted rather than strong displays of compassion).  

 

From this point forward, the therapist’s goal is to create more and more nervous system memories of the couple going into both of their grief together and finding healing.  This is a momentum building time.  As each person experiences times of connecting with their own pain and the pain of their spouse, they will develop confidence to go further.  Please understand this initial momentum will be mistaken by avoidant couples as meaning they are fully healed.  It is not.  Rather, it is a movement into deeper and deeper healing together.  It is quite common for couples to come in and say they did not know what they were going to talk about in the session and leave amazed at what they just processed together.  They will often say they had no idea what was processed as even there.  

 

Momentum Markers
Look for the following to let you know a couple is healing/gaining momentum:
  • Decrease in reliance of both spouses on defenses.
  • Decrease in time spend in pathogenic affects.
  • Increase emotional stability.  This does not mean not feeling, it means feeling while staying connected to core self and maintaining sense of connection with meaningful others.
  • Couple is having moments of grieving and connection outside of therapy.
Look for the following to let you know a couple is stuck:
  • One or both people are locked in reliance on defenses.
  • Feelings are limited to numbness or floods of pathogenic emotion.
  • Emotional stability is seldom present, replaced with vacillating distance and reactivity.
  • Couple is focused mostly on boundaries and “rules.”
  • Grief is avoided outside of session.
If momentum is building, this leads into generally months 4-12 of infidelity recovery, deep grieving and healing, which will be addressed in subsequent training.  If momentum is lacking, a number of things may be going on.  The most important thing for a therapist is not to overthink and try to just “figure it out.”  Instead, bring the difficulty to your clients.  Bring their awareness to the “stuckness.”  In many cases, they are already very aware and addressing it head on will be a relief.  Go towards and feel into the stuckness together with them.  We can only address the block by steering towards it.  In these cases, you and your clients can make agreed upon adjustments to therapy, such as maybe one or both of them needing more individual help, or perhaps more intensive marital session frequency.  In the cases of addiction clients, greater engagement in recovery programs may be needed.  Take time to discover what the block is and don’t hesitate to staff your case with colleagues.  

 

**Special Note: Please note the Impact Letter and Emotional Restitution Letter can be used as guides on what to grieve.  Couples can take these and spend time in therapy processing each section of the letters, individually and together.  

 

Handouts:

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11/10/21 Team Meeting

Nov. 10 Life @ MCO Report

Farwell from Anna McGuire

“It has been an honor and joy to have been a part of this team. During my time at MCO, I have learned and grown so much, I contribute so much of that to my interactions with each of you. I’m so thankful for the work this team does for the Kingdom. Blessings to you all!” ~ANNA

 

MCO Wellness Advocate Program: 

Help those you care about connect with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

 

Clients Loving on our Clinicians

  • Mary: I enjoy the resources provided by my counselor. She holds me accountable for continuing my recovery in my daily experiences outside of our sessions.
  • Alyssa Bostwick is an outstanding counselor
  • Sarah Cowan: My counselor was very helpful
  • Lane: Felt productive!
  • Aliuwa: She’s amazing.
  • Emily Hurst: Emily covers awkward situations with dignity and in a caring way. She is helpful, encouraging, practical, and understanding.

November Birthdays

Mary Faxon – November 19th

Mary! Where to start?! Happy birthday to one of the most caring, kind, compassionate, empathetic, caring, genuine, and authentic humans and therapists I have every had the honor of working alongside and guiding. You are bound for greatness and I cannot wait to see what the future holds for you! Don’t hold back celebrating YOU today and enjoy every moment. You deserve it, girl! And again, HAPPY BIRTHDAY!!!! ~ Rachel

Melanie Hart – November 24th

Melanie, you are a gem! I wish you the greatest of birthdays with many more to follow. The love, care and concern you have for your clients is incredible.  This month we celebrate you, a woman that shows the heart of Christ and genuinely cherishes His people.  Enjoy your special day cause you deserve it! ~ Rosie

November Celebrations

Danielle is Pregnant with #3

Danielle is pregnant with her third child and rocking it as a clinician here at MCO.  Her bundle of joy should be making an appearance Feb 2nd!  Congrats Danielle!

Prayer Requests

Lacey– family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia. We are in shock and trying to get our kids everything they need before they head to St Jude’s today. Please pray for our sweet boy as he has to walk this journey.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.
Kiran– My husbands health and healing. Healing for my sons broken leg
Sarah- Soldiers across the country, including my husband, are being escorted and “ordered” to take the vaccine on a new timeline and are being told that if you request any exemptions, you’ll be denied and chaptered out of your military career before they can ever look at your paperwork. Our family is directly being negatively impacted by the events of our country today and feel very helpless. Please pray for our peace of mind and for how this is impacting other aspects of our life plans and physical/family planning goals.
Mary– Pray for the single mother of 2 precious girls, my former students in Vietnam. Girls drowned close to their home.  The family and community are recovering and the mom is staying connected with the underground church there so that’s a blessing in the middle of grief. 
MaryMy aunt is with her son and daughter-in-law who can care more fully for her as she has now broken both hips that were brittle from extended treatment. She’s in good spirits but we just don’t know what it will look like for her in this time. The foster teens in her care are doing well on their own and have their own place and working on completing education. 
Britni– My nana had surgery to remove breast cancer. Everything is looking fine but please pray for my mom and her heart as she helps my nana recover. 
Josh Lolling–  IBS, changes in my role at MCO, MCO is growing and changing.

Fun Fact about William Woodward

 I recently traveled to Gatlinburg and love the mountains/hiking!

Reading Material for this week’s Guest Didactic

Download

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11/3/21 Team Meeting

Nov. 3 Life @ MCO Report

MCO Wellness Advocate Program: 

Help those you care about connect with the care they need!

We are so excited to launch the MCO Wellness Advocate Program. As a member of the MCO Wellness Advocate Program, you can help advocate for the importance of mental, emotional, relational, and spiritual wellness, and spread the word about the professional care that MyCounselor provides.
Each person you refer will receive a discount on their first session and, as a thank you, you will receive a $25 gift card of your choice!
The MCO Wellness Advocate Program is a community of people who believe in the importance of biblically integrated and clinically informed Christian Counseling who want to help others connect with counseling that really works! Watch the video below to learn more.

 

Learn More & Become an Advocate: https://mycounselor.online/mco-wellness-advocates/

 

Clients Loving on our Clinicians

  • Sherry is so helpful and kind. I have enjoyed working with her.
  • Tish is simply wonderful!
  • Robbin: Productive, very helpful and relatable
  • Tara: Love every minute
  • Carrie: Very professional and I am very happy with the service!

November Birthdays

Mary Faxon – November 19th

Mary! Where to start?! Happy birthday to one of the most caring, kind, compassionate, empathetic, caring, genuine, and authentic humans and therapists I have every had the honor of working alongside and guiding. You are bound for greatness and I cannot wait to see what the future holds for you! Don’t hold back celebrating YOU today and enjoy every moment. You deserve it, girl! And again, HAPPY BIRTHDAY!!!! ~ Rachel

Melanie Hart – November 24th

Melanie, you are a gem! I wish you the greatest of birthdays with many more to follow. The love, care and concern you have for your clients is incredible.  This month we celebrate you, a woman that shows the heart of Christ and genuinely cherishes His people.  Enjoy your special day cause you deserve it! ~ Rosie

Prayer Requests

Lacey– family is in need of your prayers. Our 8 y/o grandson, Jensen Lee has just been diagnosed with Leukemia. We are in shock and trying to get our kids everything they need before they head to St Jude’s today. Please pray for our sweet boy as he has to walk this journey.  Please pray for our son and his wife as no parent is ever prepared for this. Please pray for us as our grandparent and parent hearts are breaking as our kids hurt.
Kiran– My husbands health and healing. Healing for my sons broken leg
Sarah- Soldiers across the country, including my husband, are being escorted and “ordered” to take the vaccine on a new timeline and are being told that if you request any exemptions, you’ll be denied and chaptered out of your military career before they can ever look at your paperwork. Our family is directly being negatively impacted by the events of our country today and feel very helpless. Please pray for our peace of mind and for how this is impacting other aspects of our life plans and physical/family planning goals.
Mary– Pray for the single mother of 2 precious girls, my former students in Vietnam. Girls drowned close to their home.  The family and community are recovering and the mom is staying connected with the underground church there so that’s a blessing in the middle of grief. 
MaryMy aunt is with her son and daughter-in-law who can care more fully for her as she has now broken both hips that were brittle from extended treatment. She’s in good spirits but we just don’t know what it will look like for her in this time. The foster teens in her care are doing well on their own and have their own place and working on completing education. 
Britni– My nana had surgery to remove breast cancer. Everything is looking fine but please pray for my mom and her heart as she helps my nana recover. 
Josh Lolling–  IBS, changes in my role at MCO, MCO is growing and changing.

Fun Fact about Jessica Park

I’m known for dropping things so I like to leave my phone in the car while kayaking. 🙂 It’s kind of nice to enjoy those memories just in my mind rather than in photos. But here’s a picture of my husband and I kayaking a few years ago when we visited Buena Vista, CO with our life group. On this trip we got to show our friends the beautiful location where James proposed to me a couple months beforehand~see photo of beautiful tree lined courtyard. 

 

Pre-Reading Material for next week’s Guest Didactic

 

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Practice Management

Flex Time Off (FTO): Rather than taking time off, the employee changes the days and or times they are working, so their total hours worked remain at the agreed-upon amount. The flexed time must be made up within the pay period it occurs. Please reach out to accounting for questions regarding pay period dates. Clinicians must ensure they still have the required number of evening hours in each pay period and shift employees (i.e.: receptionist) must make sure their shifts are covered. Flex time does not require a request be submitted in Gusto, but a written approval from your supervisor should be obtained.

You can also read about this in Knowledge Base here: Time Off Policy https://train.mycounselor.online/knowledge-base/time-off/

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