Understanding Dopamine’s Role in Addiction: Why the Brain Craves Substances

In the field of addiction treatment, understanding the brain’s chemistry—especially how dopamine functions—is critical for helping clients overcome cravings and build healthier habits. Whether it’s alcohol, drugs, or other substances, our desire to seek out pleasurable experiences is rooted in dopamine’s role as the brain’s reward signal. For those struggling with addiction, this system can get hijacked, making it increasingly challenging to feel satisfaction from everyday experiences. This post will break down dopamine’s role in addiction, highlight recent research, and discuss treatment options that support abstinence or healthier forms of moderation.

Dopamine and the Brain’s Reward System

Dopamine is often referred to as the “feel-good” neurotransmitter because of its essential role in the brain’s reward pathway. When we engage in pleasurable activities—eating, socializing, exercising—the brain releases dopamine to reinforce those behaviors. This “reward” is crucial to human survival, guiding us toward actions that enhance well-being.

However, when substances like alcohol, opioids, or stimulants enter the brain, they can trigger an intense dopamine release, leading to a euphoric high. Over time, the brain adjusts by reducing its natural dopamine production, a process that can make people dependent on substances for pleasure. This is why, in addiction, individuals often report difficulty feeling joy or motivation outside of using their substance of choice.

Treatment : Abstinence vs. Moderation

At Duke City Counseling, we recognize that treatment is specific to the client’s needs. Some individuals benefit from a complete abstinence approach, while others seek ways to use substances in moderation. Here’s how we tailor these approaches to help clients make progress toward their goals.

Abstinence-Focused Treatment

For some individuals, achieving long-term recovery means abstaining entirely from alcohol and other substances. An abstinence approach can be especially effective when:

• The client has a history of severe dependency.

• The substance use has caused significant health, relational, or legal issues.

• The client wishes to avoid any risk of relapse.

Our abstinence-based methods integrate Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to help clients recognize triggers, manage cravings, and build healthy habits that do not rely on substance use. Clients learn to replace substance-driven rewards with activities that bring natural dopamine boosts, like exercise, creative projects, and community engagement.

Moderation and Healthy Use for Legal Substances

For those who do not want to abstain entirely, but seek a healthier relationship with substances like alcohol or marijuana (legal in New Mexico), moderation can be a realistic and achievable goal. We work with clients to:

• Establish Personal Limits: Together, we define what “moderate use” means, often guided by established health guidelines, personal values, and safety considerations.

• Develop Coping Strategies: Using CBT and Solution-Focused Therapy, clients identify the situations that may lead to excessive use and practice tools for maintaining moderation.

• Set Accountability: Regular counseling sessions provide a safe space to discuss challenges and achievements in maintaining a healthy balance. We also help you create accountability structures outside of the counseling setting.

DCC provides moderation services only if suitable/ethical, and in the best interest of the client’s health. If a client is experiencing severe addiction or using illegal substances, this treatment will not be offered.

Building Healthier Dopamine Pathways

In both abstinence and moderation approaches, a core part of recovery is reconnecting with natural dopamine sources. Research shows that activities like physical exercise, meditation, and even volunteer work can stimulate dopamine release and help retrain the brain to find satisfaction outside of substances .

If you, or a loved one is struggling with addiction or substance use, Duke City Counseling is here to help. Whether your goal is complete abstinence or learning to moderate, we are committed to creating a supportive, individualized treatment plan. Reach out to us today to begin the journey toward a balanced, substance-free life.

The Value of Virtual Therapy for New Mexicans

New Mexico has a MAJOR SHORTAGE OF MENTAL HEALTH PROFESSIONALS. Below is a county map outlining the areas of shortage. As you can see, it’s essentially the entire state!

To help meet the greater needs of New Mexicans, Duke City Counseling offers virtual mental health services throughout the entire state of New Mexico! If you’re insured by Medicaid, NM BCBS, Presbyterian, Molina, or any other major insurer in New Mexico, we likely offer coverage. To learn more, start by clicking here to send us a message with your contact info.

In today's digital age, virtual therapy has become a convenient, effective, and accessible way for New Mexicans to get the mental health support they need. Duke City Counseling is proud to offer online therapy options that bring licensed mental health care professionals to you, wherever you are in the state.

Why Choose Virtual Therapy?

Virtual therapy has proven to be an effective alternative to in-person sessions, offering unique benefits for those looking to fit mental health care into their busy lives. Here are a few reasons why virtual therapy may be right for you:

1. Accessibility: With virtual therapy, geographical location is no longer a barrier. Whether you're in Albuquerque, Santa Fe, or a rural area, you can access high-quality mental health care without needing to travel long distances.

2. Convenience: Save time on commuting, parking, and waiting rooms. You can attend your sessions from the comfort of your home, office, or any private space where you feel comfortable.

3. Consistent Care: Virtual therapy allows you to maintain regular sessions even if you have a busy travel schedule, health concerns, or other mobility limitations.

4. Privacy: Sessions can be conducted from the privacy of your own space, which can sometimes enhance feelings of comfort and openness.

How Insurance Supports Access to Virtual Therapy

In New Mexico, insurance coverage for virtual therapy has improved significantly. Thanks to updated state and federal regulations, most health insurance providers now cover virtual therapy sessions just like in-person visits. This means that if your plan includes mental health benefits, there’s a strong chance you’re covered for virtual therapy through Duke City Counseling. We accept a wide range of insurance plans, and our staff can help verify your coverage before you book your first session. To schedule your first session, please complete THIS FORM and we’ll be in contact typically within 24 hours.

Technology Requirements for Virtual Therapy

Getting started with virtual therapy requires just a few basic tools. Here’s what you’ll need:

1. Internet Connection: A stable internet connection is key. Most sessions require at least a 5-10 Mbps connection for clear video and audio.

2. Device: A computer, tablet, or smartphone with a camera and microphone will work. Using a laptop or tablet often provides a better experience due to screen size, but many people successfully use smartphones.

3. Private Space: A quiet, private area is essential for confidential sessions. Some clients use headphones to further enhance privacy.

At Duke City Counseling, we use a secure, HIPAA-compliant platform to ensure that your personal information and therapy sessions remain private and safe. Our platform is designed to be user-friendly, even for those who may not be comfortable with technology. Our team will help you get set up if you have questions.

What to Expect in a Virtual Therapy Session

Virtual therapy follows a similar structure to in-person sessions. Here’s how it works:

1. Session Setup: Prior to your appointment, you’ll receive a secure link from us. Simply click the link to enter the virtual session. No downloads or technical expertise are required.

2. Focus and Interaction: Just like in-person sessions, we’ll focus on your needs, progress, and goals. Whether you’re working on managing anxiety, developing coping strategies, or building better relationships, virtual therapy can help.

3. Flexible Scheduling: Virtual therapy allows for more flexible scheduling options, which means we can find appointment times that suit your busy life.

FAQ: Common Concerns About Virtual Therapy

1. Is virtual therapy effective? Yes. Studies have shown that online therapy is as effective as in-person sessions for most mental health issues, from depression and anxiety to stress management and trauma recovery.

2. Will my insurance cover virtual therapy? Most insurance plans now cover virtual therapy. At Duke City Counseling, we can help verify your benefits to ensure you know what’s covered. Go here to see if we accept your insurance.

3. What if I’m not tech-savvy? Our platform is easy to use, and our team is here to support you every step of the way. If you’re ever having issues, we’ll work with you to make it as smooth as possible.

Ready to Start Your Virtual Therapy Journey?

Duke City Counseling is dedicated to bringing high-quality mental health care to all New Mexicans. If you’re ready to see how virtual therapy can fit into your life, we’re here to help every step of the way.

Contact us today to learn more, verify your insurance, or schedule your first session. Virtual therapy is only a click away—discover the freedom and flexibility it brings to your mental health journey.

Counseling for Sleep Disorders in New Mexico: How Therapy Can Help You Rest Better

Sleep is essential to our well-being, impacting everything from mood and concentration to physical health and emotional regulation. However, for many adults, getting quality rest is a constant struggle. If you find yourself tossing and turning at night, waking up frequently, or feeling exhausted despite getting a full night of sleep, you may be dealing with a sleep disorder.

At Duke City Counseling, we recognize the profound impact sleep problems can have on your mental health and overall quality of life. Fortunately, counseling for sleep disorders offers a path to better rest and rejuvenation.

What Are Sleep Disorders?

Sleep disorders are conditions that affect your ability to fall asleep, stay asleep, or get restful sleep. Some of the most common sleep disorders include:

• Insomnia: Difficulty falling or staying asleep

• Sleep Apnea: Pauses in breathing during sleep, often leading to snoring or gasping for air

• Restless Leg Syndrome (RLS): An uncomfortable sensation in the legs that causes a strong urge to move them, disrupting sleep

• Narcolepsy: Excessive daytime sleepiness and sudden sleep attacks

• Circadian Rhythm Disorders: Disruption in the body’s internal clock, leading to sleep-wake cycle issues

These conditions can result in fatigue, irritability, difficulty concentrating, and even long-term physical and mental health problems, such as anxiety and depression.

How Counseling Can Help with Sleep Disorders

While medical interventions like CPAP machines or medications can be helpful for some sleep disorders, counseling offers a holistic approach that addresses the mental, emotional, and behavioral aspects of poor sleep. Here are some ways therapy can help you manage sleep disorders:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I):

   • CBT-I is a highly effective, evidence-based approach designed specifically to treat insomnia. This form of therapy helps you identify and change negative thought patterns and behaviors that interfere with sleep. By addressing the underlying causes of insomnia, CBT-I can help you establish healthier sleep habits, reduce anxiety about sleep, and improve the overall quality of your rest.

2. Mindfulness and Relaxation Techniques:

   • Anxiety and stress are common contributors to sleep difficulties. Therapy can teach you mindfulness, deep breathing exercises, and progressive muscle relaxation, all of which promote relaxation and calm the mind. These techniques not only help you fall asleep faster but also improve your ability to stay asleep throughout the night.

3. Sleep Hygiene Education:

   • Poor sleep habits, such as irregular bedtimes or excessive screen time before bed, can worsen sleep disorders. In counseling, you’ll receive sleep hygiene education—learning about the behaviors and environmental factors that promote healthy sleep. A therapist can help you create a sleep-friendly routine, optimize your sleep environment, and develop habits that support a more restful night’s sleep.

4. Addressing Underlying Mental Health Issues:

   • Sleep problems are often linked to mental health conditions such as anxiety, depression, or trauma. In therapy, your counselor can work with you to address these underlying issues, providing tools to manage anxiety, process trauma, or cope with stress. Treating these co-occurring conditions often leads to better sleep as your emotional health improves.

5. Identifying Sleep Disruptors:

   • Sometimes, the source of your sleep disorder may not be immediately obvious. A counselor can help you explore various factors—whether it's unresolved grief, relationship issues, or work-related stress—that may be contributing to your sleep problems. By addressing these disruptors, you can pave the way for a more restful and consistent sleep routine.

When Should You Seek Help for Sleep Disorders?

If your sleep problems persist for more than a few weeks or begin to interfere with your daily life, it’s time to seek professional help. Ongoing sleep disturbances can affect your work performance, relationships, and mental health, leading to a vicious cycle of stress and poor sleep. Counseling offers a compassionate and practical solution, guiding you toward better rest and improved quality of life.

How Duke City Counseling Can Help

At Duke City Counseling, we specialize in cognitive behavioral therapy, mindfulness techniques, and holistic approaches to treating sleep disorders. Whether you’re struggling with insomnia, restless leg syndrome, or sleep issues related to anxiety or trauma, we can help you develop strategies to improve your sleep patterns and overall well-being.

Our licensed therapists work closely with you to create a personalized treatment plan that addresses both the symptoms of your sleep disorder and any underlying mental health concerns. Together, we can help you achieve the restful, restorative sleep you deserve.

Ready to Get Started?

If sleep has become a struggle, you don’t have to navigate it alone. Contact us today to learn how counseling for sleep disorders can help you reclaim your rest and restore balance to your life.

Sleep is a crucial part of living a healthy, fulfilling life. Let us help you find your way to better rest, one night at a time.

Coping with Loneliness and Isolation

Coping with Loneliness and Isolation: Finding Connection in a Disconnected World

In today's fast-paced, digitally connected world, it may seem surprising that loneliness and isolation are major public health concerns. However, the truth is that millions of Americans, regardless of age or background, are grappling with these feelings in profound ways. According to the Surgeon General's Advisory on Loneliness and Isolation, these emotional states are not only widespread but also carry significant health risks, including increased rates of heart disease, depression, anxiety, and even premature death.

At Duke City Counseling, we understand how painful loneliness and isolation can be, and we are here to help you find meaningful connections and rediscover a sense of belonging.

The Growing Crisis of Loneliness and Isolation

The Surgeon General's Advisory highlights that one in two Americans reports experiencing loneliness on a regular basis. While loneliness affects individuals of all ages, research shows that younger adults (ages 18-25) and older adults (ages 65+) are particularly vulnerable to isolation. This epidemic of disconnection has only intensified in recent years due to factors like the rise of social media, the impact of remote work, and the lingering effects of the COVID-19 pandemic.

Loneliness is more than just a fleeting feeling of sadness or being alone. When left unaddressed, chronic loneliness can lead to serious health problems. Studies have shown that prolonged loneliness and isolation can be as harmful to one’s health as smoking 15 cigarettes a day, significantly increasing the risk of mental health issues such as depression, anxiety, and cognitive decline.

Why Do We Feel Lonely?

Loneliness is a deeply personal experience that can arise for many reasons. For some, it may stem from a lack of close relationships or social support. For others, major life changes—such as the loss of a loved one, retirement, or moving to a new city—can trigger feelings of isolation.

It’s important to understand that loneliness isn’t just about being physically alone. Many people feel lonely even when they are surrounded by others. This is often because they lack meaningful, emotionally fulfilling connections. The stress of modern life, job demands, and social pressures can also contribute to a sense of isolation, making it difficult to form and maintain these important bonds.

The Health Risks of Loneliness

The Surgeon General’s report warns that loneliness and social isolation have widespread health implications. Social isolation increases the risk of premature death by nearly 30%, while loneliness can increase the risk of developing dementia by 50%, stroke by 32%, and heart disease by 29%. Additionally, people who experience chronic loneliness are more likely to struggle with mental health conditions such as depression, anxiety, and substance abuse.

Given these alarming statistics, it is clear that addressing loneliness and isolation is crucial—not only for mental health but for physical well-being as well.

How Duke City Counseling Can Help You Cope With Loneliness and Isolation

At Duke City Counseling, we offer a compassionate and supportive space where you can explore the root causes of your feelings of loneliness and isolation. Whether you are experiencing a temporary period of loneliness due to life transitions or are dealing with chronic isolation, our therapists are here to help you build connections and find a path forward.

Here’s how we can support you:

1. Therapy Tailored to Your Needs: We offer individualized therapy plans that focus on understanding your specific experiences of loneliness. Our counselors will work with you to identify any underlying causes—such as grief, anxiety, or depression—and help you develop coping strategies to combat isolation.

2. Cognitive Behavioral Therapy (CBT): CBT is a proven approach that helps address the negative thought patterns that can perpetuate loneliness. We’ll help you reframe harmful beliefs like “I’m not good enough” or “No one cares about me” and work on building confidence to engage with others.

3. Building Social Skills: For some, loneliness stems from social anxiety or a lack of confidence in forming new relationships. Our therapists can help you develop social skills, communicate more effectively, and feel more comfortable in social settings.

4. Strengthening Existing Relationships: Sometimes, feelings of loneliness can occur even in the presence of family, friends, or partners. We offer couples and family therapy to help improve communication and strengthen emotional bonds, so you can feel more connected to the people around you.

5. Creating Opportunities for Meaningful Connection: Therapy at Duke City Counseling also focuses on finding ways to bring more meaningful interactions into your life. Whether it’s through community involvement, reconnecting with old friends, or establishing a support network, we’ll help you take practical steps toward building lasting connections.

Take the First Step Toward Healing

If loneliness and isolation have taken a toll on your life, know that you are not alone. At Duke City Counseling, we are committed to helping you overcome these challenges and build a life filled with connection, purpose, and emotional well-being.

You don’t have to navigate these feelings on your own. Reach out today to schedule an intake session and learn more about how we can support you in your journey toward healing.

Sources:

• U.S. Surgeon General's Advisory on Loneliness, Isolation, and the Healing Power of Social Connection (2023)

• Centers for Disease Control and Prevention (CDC) - Loneliness and Social Isolation in Older Adults

Seeking Therapy Services in New Mexico?

It’s true, there appears to be a shortage of therapists in New Mexico. One recent study from 2022 reported that 31.4% of adults in New Mexico reporting symptoms of depression and/or anxiety reported needing counseling, but not receiving it.

The good news is Duke City Counseling is now contracted with the major insurers in New Mexico including Medicaid, Medicare, BCBS, United, and Presbyterian! The bad news is we are only one provider and there is a ton of need in our state.

If you are looking for a counselor, please don’t hesitate to reach out to us HERE. If we aren’t able to meet your needs, we may have a referral for you. Here are some additional counseling practices in the ABQ area that may also be available to meet your needs:

Mending Hearts Owner: Nikka Peralta

I personally know Nikka and she is a wonderful human being! Her practice also offers services for children, families, and community support services!

Counseling ABQ

Elevation Counseling

Psychology Today This is a general resource you can search for different counselors in ABQ.

How to Find the Right Counselor in New Mexico

Though New Mexico is experiencing a shortage in mental health counselors, it can still feel extremely overwhelming when trying to decide who to contact for services.

If you’re reading this, I assume you are considering taking the first step towards meeting with a mental health professional. Being vulnerable and willing to share your personal information is scary, and choosing a counselor that will respect and honor your story is crucial. I want to congratulate you and taking the first steps in reaching out and I hope this article helps you find a counselor who aligns with your needs and values.

1. Qualifications and Certifications Matter:

When selecting a counselor, it's essential to ensure they have the proper qualifications and certifications. In New Mexico, reputable counselors are typically licensed by the New Mexico Counseling and Therapy Practice Board. Look for professionals with degrees in counseling, psychology, or related fields, and verify that they hold a valid license to practice. To confirm that a counselor is licensed in New Mexico (and has an active license), here’s the link to the state’s license verification site:

Verify Licensing Here

2. Specializations and Expertise:

Consider the specific areas of expertise and specializations that align with your needs. Whether you're dealing with anxiety, depression, trauma, or relationship issues, finding a counselor with experience in those areas can make a significant difference. New Mexico's diverse population may require counselors who are culturally competent and familiar with the unique challenges faced by different communities.

3. Connection and Rapport:

Establishing a strong connection with your counselor is crucial for a successful therapeutic journey. Many therapists offer initial consultations or brief phone calls to discuss your concerns and get a sense of their approach. Trust your instincts – if you feel comfortable and understood during these interactions, it's a positive sign that the counselor may be a good fit for you.

If you’d like to contact us for a FREE 15 minute consult, you can contact us at (505)-225-1068.

4. Accessibility and Location:

Consider the practical aspects of accessibility and location. New Mexico spans diverse landscapes, from bustling urban centers like Albuquerque to serene rural areas. Choose a counselor whose location and schedule align with your preferences. Additionally, inquire about the flexibility of session formats, including in-person, virtual, or a combination of both.

5. Client-Centered Approach:

Look for counselors who adopt a client-centered approach, valuing your unique experiences and perspectives. A good counselor collaborates with you to set goals, tailoring their methods to suit your individual needs. This approach fosters a sense of empowerment and active participation in your mental health journey.

6. Affordability and Insurance:

Explore the financial aspects of counseling, considering your budget and any insurance coverage you may have. Some counselors offer sliding scale fees or accept insurance plans, ensuring that mental health services are accessible to a wider audience. Discuss payment options and potential financial arrangements before committing to sessions.

7. Reviews and Testimonials:

Researching reviews and testimonials from previous clients can provide valuable insights into a counselor's effectiveness and approach. Websites, social media platforms, and online directories often feature client feedback. Positive reviews can instill confidence in your decision, while any concerns raised should be considered thoughtfully.

8. Referrals:

Consider getting referrals from different resources. Some of the best referrals come from people you know and trust. You can also talk with your doctor, or other medical professionals to see who they may recommend.

9. Personalized Treatment Plans:

A successful counseling experience involves a personalized treatment plan tailored to your unique goals and challenges. In New Mexico, where the cultural landscape varies widely, finding a counselor who appreciates and integrates these cultural nuances into your treatment plan can enhance its effectiveness.

9. Trust Your Instincts:

Ultimately, trust your instincts when choosing a counselor. The therapeutic relationship is a collaborative and dynamic process. If, at any point, you feel the need to reevaluate or seek a different counselor, prioritize your comfort and well-being.

In the diverse and enchanting state of New Mexico, finding the right counselor involves a thoughtful exploration of qualifications, expertise, and personal connection. Take the time to make an informed decision, and remember that your mental wellness journey is a path worth investing in.

If you're seeking a counselor in New Mexico who values your unique experiences and provides personalized support, Duke City Counseling is here to accompany you on your transformative journey. Schedule your initial consultation today and take the first step towards a healthier, more fulfilling life.

To contact us and discuss your needs, start by calling us at (505) 225-1068. You can also CLICK HERE to schedule a consultation or initial session.

Men’s Issues

Yes, men can greatly benefit from therapy. Below is an article with statistics regarding men and mental health, as well as additional information about Men’s Issues addressed in counseling from Good Therapy’s website:

Click Here

Men’s Issues are a range of concerns that men face in their daily lives that can impact their mental health and well-being. These issues can be related to work, relationships, family, and other areas of life. Men’s Issues can be complex and multifaceted, and therapy can help men navigate these challenges and improve their mental health.

Here are some examples of Men’s Issues:

1. Depression: Depression is a common mental health issue that affects millions of people worldwide. Men are less likely to seek help for depression than women, which can lead to negative outcomes. According to the Anxiety and Depression Association of America, men with depression are less likely to receive mental health treatment or diagnosis. It is important to note that depression is treatable, and therapy can help men manage their symptoms and improve their quality of life.

2. Substance Abuse: Substance abuse is another Men’s Issue that can have a significant impact on mental health. Men are more likely to engage in substance abuse than women, and this can lead to addiction and other negative outcomes. Therapy can help men address the underlying causes of substance abuse and develop healthy coping mechanisms to manage their addiction.

3. Anger Management: Anger is a natural emotion that everyone experiences. However, men are more likely to express their anger in unhealthy ways, which can lead to relationship problems and other negative outcomes. Therapy can help men learn how to manage their anger in healthy ways and improve their relationships.

4. Work-Related Stress: Work-related stress is a common Men’s Issue that can impact mental health. Men are more likely to experience work-related stress than women, and this can lead to burnout and other negative outcomes. Therapy can help men develop healthy coping mechanisms to manage their stress and improve their work-life balance.

5. Relationship Problems: Relationship problems are another Men’s Issue that can impact mental health. Men are more likely to experience relationship problems than women, and this can lead to negative outcomes such as depression and anxiety. Therapy can help men improve their communication skills and develop healthy relationship patterns.

6. Sexual and Body Image Issues: for many men, struggles with sexuality, pornography, affairs, sexual performance, and body image create a multitude of negative thoughts and feelings. Fear of judgment, feelings of shame, can lead to a lack of support and cause men to avoid seeking help. By reaching out to a therapist, men can work to overcome these problematic thoughts and find healthier coping techniques.

Therapy can help men address these and other Men’s Issues by providing a safe and supportive environment to explore their thoughts and feelings. Therapy can help men develop healthy coping mechanisms to manage their stress and improve their mental health. According to Psychology Today, therapy can help men with a wide range of concerns, including anxiety, depression, processing traumatic events, relationship problems, substance abuse, grief, and more. Cognitive behavioral therapy (CBT) is a common and evidence-based approach that focuses on identifying dysfunctional thoughts and replacing them with healthier and more realistic ones. Other common approaches include dialectical behavior therapy (DBT), which teaches emotion regulation and distress tolerance, and acceptance and commitment therapy (ACT), which focuses on emotional acceptance and psychological flexibility.

If you, or someone you know may benefit from counseling services specific to Men’s Issues in New Mexico, Duke City Counseling specializes in providing a safe, non-judgmental environment for men to discuss their specific goals and areas of improvement. To begin the process you can click below to schedule your FREE 15 minute consultation, or schedule your initial appointment:

You can also contact us directly by calling (505) 225-1068.

What is Christian Counseling and How Can it Help?

Christian counseling is a form of therapy that incorporates Christian values and beliefs into the therapeutic process. It is a faith-based approach to mental health treatment that aims to help individuals find healing and growth through their relationship with God. Christian counselors are trained to provide support and guidance to clients who are struggling with a wide range of mental health issues, including depression, anxiety, addiction, and trauma.

Christian counseling can help an adult client suffering from mental illness by providing a safe and supportive environment where they can explore their thoughts and feelings in the context of their faith. Counselors can help clients identify the root causes of their mental health issues and develop strategies for coping with symptoms. They can also provide spiritual guidance and support, helping clients to deepen their relationship with God and find meaning and purpose in their lives.

How can Cognitive Behavioral Therapy (CBT) by incorporated into Christian Counseling?

Cognitive Behavioral Therapy (CBT) is a widely used form of therapy that focuses on identifying and changing negative thought patterns and behaviors. Christian counseling, on the other hand, is a faith-based approach to mental health treatment that incorporates Christian values and beliefs into the therapeutic process. Integrating CBT with Christian counseling can help clients to identify and challenge negative thoughts and behaviors in the context of their faith, leading to better outcomes.

According to a Psychology Today article, Christian counselors may use CBT techniques to help clients process irrational thoughts related to religious matters, such as feelings of guilt or religious doubt. In addition, Christian counselors may encourage discussion of Christian values and the role they might play in addressing the client’s challenges, work through any questions or contradictions the client sees in their faith, or help them uncover strategies to better express their faith or integrate it into their daily life.

A Biblical Counseling Coalition article suggests that Christian Cognitive Behavioral Therapy (C-CBT) has been demonstrated through empirical research to help struggling Christians overcome depression. However, the article also notes that there are disagreements about what constitutes “success” in a counseling setting, and that genuine Christian transformation begins with being conformed to the image of Christ through the power of the Holy Spirit.

Are you seeking counseling from a Christian, faith-based perspective? Though Duke City Counseling accepts all faiths and beliefs, we specialize in Christian Counseling for clients hoping to integrate their faith into the therapeutic process. To learn more, schedule your FREE consultation, or your first appointment by calling (505) 225-1068. You can also schedule an appointment online by CLICKING HERE.

Most Common Cognitive Distortions

Cognitive distortions are irrational or exaggerated thoughts that can negatively affect your emotions and behaviors. According to some experts, there are 15 or more types of cognitive distortions, but here are 7 of the most common ones:

• All-or-nothing thinking: Seeing things in black-and-white categories, with no shades of gray. For example, thinking that you are either a success or a failure, with no in-between.

• Overgeneralization: Making broad conclusions based on a single event or piece of evidence. For example, thinking that you will never find love again after a breakup, or that everyone hates you because of one criticism.

• Mental filter: Focusing only on the negative aspects of a situation, and ignoring the positive ones. For example, dwelling on a minor mistake you made in a presentation, and forgetting about all the compliments you received.

• Disqualifying the positive: Rejecting positive experiences or feedback by insisting that they don’t count or that they are exceptions. For example, thinking that you only got a good grade because the test was easy, or that your friend was just being nice when they praised you.

• Jumping to conclusions: Assuming that you know what others are thinking or feeling, or predicting negative outcomes without sufficient evidence. For example, thinking that your partner is mad at you because they didn’t text you back, or that you will fail an exam because you felt nervous.

• Magnification or minimization: Exaggerating the importance or severity of your problems, or downplaying your achievements or strengths. For example, thinking that forgetting someone’s name is a sign of dementia, or that winning an award is no big deal.

• Emotional reasoning: Believing that your feelings reflect reality, even when they are not based on facts. For example, thinking that you are worthless because you feel depressed, or that you are in danger because you feel anxious.

So what can you do to cope with these distortions?

There are various strategies that can help you cope with cognitive distortions, such as:

• Cognitive restructuring: This is the process of identifying and challenging your negative and irrational thoughts, and replacing them with more realistic and positive ones. For example, you can use a worksheet to write down your thoughts, emotions, and behaviors, and examine the evidence for and against your thoughts. You can also use techniques such as Socratic questioning, reattribution, decatastrophizing, and positive reframing to modify your thoughts.

• Mindfulness: This is the practice of paying attention to the present moment, without judgment or attachment. Mindfulness can help you become more aware of your thoughts and feelings, and accept them without reacting to them. You can practice mindfulness through meditation, breathing exercises, body scans, or mindful activities.

• Self-compassion: This is the attitude of being kind, understanding, and supportive to yourself, especially when you are suffering or struggling. Self-compassion can help you reduce self-criticism, shame, and guilt, and increase self-worth, resilience, and happiness. You can practice self-compassion by using affirmations, writing a letter to yourself, or doing something nice for yourself.

These are some of the effective treatment strategies for coping with cognitive distortions. However, if you find it difficult to apply them on your own, you may benefit from seeking professional help from a therapist or a coach, who can guide you through the process and provide feedback and support

If you identify with any of these distortions and are seeking some support, Duke City Counseling specializes in therapy that helps clients effectively cope with negative thoughts and creating healthier patterns of thinking. To schedule your first appointment, or a FREE consultation, call (505)-225-1068.

You can also CLICK HERE to schedule an appointment.

Top Mental Health Issues in New Mexico

New Mexico is a state with rich cultural diversity, natural beauty, and historical heritage. However, it also faces many challenges, such as poverty, crime, and substance abuse, that affect the mental health and well-being of its residents. According to the 2020 America's Health Rankings report, New Mexico ranked 46th out of 50 states in overall health, and 48th in mental health 1. In this article, we will explore some of the top mental health issues in New Mexico, and what can be done to address them.

Suicide

Suicide is a tragic and preventable outcome of mental distress, and a major public health concern in New Mexico. In 2019, New Mexico had the fourth highest suicide rate in the nation, at 23.5 per 100,000 population, compared to the national average of 13.9 2. Suicide was the eighth leading cause of death in New Mexico, and the second leading cause of death for people aged 10 to 39 2. The risk factors for suicide include mental disorders, substance use, trauma, isolation, access to lethal means, and lack of mental health care 3.

To prevent suicide, New Mexico needs to implement comprehensive and coordinated strategies that address the root causes of mental distress, and provide timely and effective interventions for those at risk. Some of the evidence-based strategies include:

●     Screening and treating depression and other mental disorders in primary care settings 3.

●     Providing crisis intervention and follow-up care for individuals who attempt suicide or experience suicidal thoughts 3.

●     Promoting social connectedness and peer support among vulnerable groups, such as veterans, LGBTQ+ youth, and Native Americans 3 4.

●     Reducing access to firearms and other lethal means among individuals with suicidal ideation 3.

●     Increasing public awareness and education about suicide prevention and mental health resources 3 4.

Substance Use Disorders

Substance use disorders (SUDs) are chronic and relapsing conditions that involve the compulsive use of alcohol or drugs, despite harmful consequences. SUDs can impair a person's physical, mental, and social functioning, and increase the risk of other health problems, such as infectious diseases, liver damage, and overdose 5. SUDs can also co-occur with other mental disorders, such as depression, anxiety, and PTSD, creating a complex and challenging situation for treatment and recovery 5.

New Mexico has one of the highest rates of drug overdose deaths in the nation, at 27.5 per 100,000 population in 2019, compared to the national average of 21.6 6. The main drivers of overdose deaths in New Mexico are opioids, such as prescription painkillers, heroin, and fentanyl 6. Alcohol is also a major problem in New Mexico, as it contributes to chronic diseases, injuries, violence, and deaths 7. According to the 2019 Behavioral Health Barometer, 7.1% of adults and 4.4% of adolescents in New Mexico had an alcohol use disorder, and 3.4% of adults and 2.9% of adolescents had an illicit drug use disorder 8.

To address SUDs, New Mexico needs to adopt a comprehensive and integrated approach that combines prevention, treatment, and recovery support services. Some of the evidence-based strategies include:

●     Expanding access to medication-assisted treatment (MAT), which combines FDA-approved medications, such as methadone, buprenorphine, and naltrexone, with behavioral therapies, to treat opioid use disorder 5 .

●     Increasing the availability and distribution of naloxone, a medication that can reverse opioid overdose, to first responders, health care providers, and community members 5 .

●     Implementing screening, brief intervention, and referral to treatment (SBIRT), a public health approach that identifies and addresses risky substance use in primary care and other settings 5 .

●     Enhancing the quality and availability of substance use treatment and recovery support services, especially for underserved populations, such as rural residents, pregnant women, and justice-involved individuals 5  .

●     Promoting prevention and education programs that target youth, families, schools, and communities, to reduce the initiation and escalation of substance use 5 .

Depression

Depression is a common and serious mental disorder that affects how a person feels, thinks, and acts. Depression can cause persistent sadness, loss of interest, hopelessness, guilt, fatigue, insomnia, and suicidal thoughts. Depression can interfere with a person's daily functioning, relationships, work, and quality of life. Depression can also increase the risk of developing or worsening other physical and mental health conditions, such as diabetes, heart disease, and anxiety.

According to the 2019 Behavioral Health Barometer, 19.4% of adults and 13.2% of adolescents in New Mexico reported having a major depressive episode in the past year, which are higher than the national averages of 17.5% and 11.2%, respectively 8. The prevalence of depression varies by age, gender, race, and ethnicity, with higher rates among females, older adults, Native Americans, and Hispanics 8 .

To treat depression, New Mexico needs to improve the access and quality of mental health care, especially for those who face barriers, such as cost, stigma, transportation, and language. Some of the evidence-based strategies include:

●     Providing collaborative care, which involves a team of primary care providers, mental health specialists, and care managers, who work together to deliver coordinated and patient-centered care for depression.

●     Offering telehealth services, which use technology, such as phone, video, or internet, to deliver mental health care remotely, especially to rural and remote areas.

●     Supporting self-management, which involves educating and empowering patients to monitor and manage their own symptoms, using tools, such as apps, websites, or books.

●     Increasing the availability and utilization of evidence-based psychotherapies, such as cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), and problem-solving therapy (PST), which can help patients change their negative thoughts, feelings, and behaviors.

Conclusion

Mental health is an essential component of overall health and well-being, and a priority for New Mexico. By addressing the top mental health issues in New Mexico, such as suicide, substance use disorders, and depression, we can improve the lives, health, and vitality of our residents, and create a more resilient and prosperous state.

If you are seeking mental health services, Duke City Counseling is currently accepting new clients. You can contact us at (505) 225-1068, or email us HERE to schedule an initial consultation or schedule your first appointment.

Source(s)

1. https://bing.com/search?q=top+mental+health+issues+in+New+Mexico

2. Bosque Mental Health Associates Inc.

3. FOUR WINDS BEHAVIORAL HEALTH, INC.

4. Albuquerque Family Mental Health Clinic

5. ALBUQUERQUE BEHAVIORAL HEALTH

6. Mental Health - nmhealth.org

7. Albuquerque has new response to 911 calls involving mentally ill people

8. Mental Health Conditions and Stigma State of New Mexico, New Mexico