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DBT for Teen Athletes: An Interview with Group Clinician Kaitlyn Hall, LMHC

1/29/2024

 

DBT for Teen Athletes: An Interview with Group Clinician Kaitlyn Hall, LMHC

Lauren Chapin, LICSW
Castlebrook Counseling Services is excited to announce a new DBT therapy group beginning at the end of February 2024. This group will cater specifically to teen athletes and their unique mental health and self-care needs. Lauren sat down with the group’s creator and facilitator, Kaitlyn Hall, LMHC, to get the scoop. 

Lauren: Hi Kaitlyn! I’m so excited to hear about this group as I know it’s something you’ve been working on for a while now. Can we start with a little introduction to DBT itself?

Kaitlyn: Of course! Basically, DBT (Dialectical Behavior Therapy) is a proven, evidence-based therapeutic approach. I've taken skills from DBT and customized them to support teenage athletes. I will be guiding them in applying these skills on and off of the field to help them become the best version of themselves.

Lauren: Were you an athlete in high school or college? If so, what sports did you play?

Kaitlyn: I played field hockey and lacrosse in high school, and then I went on to play field hockey in college. I was also a goalie for both sports which came with its own challenges mentally. Three years ago, I actually went back to my alma mater as their assistant field hockey coach. Being back on a college campus has shown me more than ever how much of a struggle it is to be an athlete and how they probably don’t get enough services. I’m hoping this group can offset some support locally, and then maybe we can build upon it and it can become much bigger. 

Lauren: What have you noticed that suggests current services aren't really geared towards athletes, and what are some specific challenges you've noticed athletes dealing with?

Kaitlyn: For athletes, every minute of every day is planned, and no human can sustain that type of rigidity.  In high school, we’re looking at these 16-17 year olds and some of their schedules are worse than a college student. Between AP classes, or god forbid they want to be in a club or have friends or a job, there is no time. The rigidity can lead to a perfectionism that is then turning into full blown anxiety. I’m hearing from a lot of clients that with a sport they used to enjoy, they are now finding that participating in it is not as enjoyable because the anxiety is taking over. I think we could get that enjoyment back by relieving some of the, often self-imposed, pressure. 

Lauren: How do you envision a DBT group specifically addressing the gap you've identified?

Kaitlyn: I think the group aspect is going to open the conversation up around the stigma of athletes having to be the toughest people on and off the field. I hope that it can allow them to be vulnerable with like-minded peers who are experiencing the same or similar things. Then with DBT, the concepts are adaptable to different niches. I hope it allows some of the teens in the group to get enough exposure to DBT that they could keep it going through individual therapy if they wanted. 

Lauren: Will this be a continuous group or time-limited?

Kaitlyn: At this point, I am going to do 10 weeks for this first round. Based on experience and feedback, this can be adjusted for future groups. We will see where it goes!

Lauren: Can we get a little sneak peek into some of the modules or what group members can expect?

Kaitlyn: There will be your usual introduction session and termination session, but in between I’m hoping to do two weeks of mindfulness, two weeks of emotional regulation, two weeks of emotional effectiveness, and two weeks of distress tolerance, give or take. For each module, we will target skills and concepts that specifically apply to athletes. For example, in emotional regulation, there is a whole section about trying to reduce our vulnerability to emotions and how we can trim the areas of our lives that make us more emotional. I think we spend a lot of time on that as an athlete, like taking care of our bodies so that we can take care of our mind. 

Lauren: I'm so excited to see where this group goes, it sounds so promising! 

Kaitlyn: Yes! I’d love to eventually expand the group to college students as well. 

Lauren: What else is important for prospective group members to know?

Kaitlyn: One thing that I’m hoping we can cover in my group is what do we do when we’re done? What do we do when we’re retired? I was reading a statistic this morning that said that only about 7% of high school athletes go on to play in college. So what do we do about the other 93% that just gave everything they had to sports for 4+ years and their life just drastically changes? You go from practices and games every day and then one day you wake up and it’s over. I don’t know that we do enough to prepare young people, or anybody, for that change. 

Lauren: I can see the value in hearing not only from peers but also from someone like you who shares a similar background and can relate in that way.

Kaitlyn: Absolutely, I’m hoping I can use not only my clinical experience, but the shared lived experience to have a dual process with them. 

Lauren: Any last comments before we wrap up?

Kaitlyn: Group therapy can sound really scary, but we’re just gonna be a bunch of athletes sitting in a room figuring out how to take care of ourselves better. And if we learn some things, have a good time, and maybe we start to build more confidence in ourselves as an athlete and as a human, I would say that would be a success.

January 22nd, 2024

1/22/2024

 

Sleep Hygiene: 8 Tips to a Better Night’s Sleep

Lauren Chapin, LICSW
Lauren Chapin, LICSW

Sleep plays a pivotal role in our daily functioning. Sleep is restorative, and not only replenishes our energy but also contributes significantly to preserving our mental well-being and overall physical health. Unfortunately, according to the CDC, one-third of adults in the United States acknowledge receiving less sleep than what is medically advised.

As per the National Institute for Neurological Disorders and Stroke, there is a profound impact of insufficient sleep on our cognitive abilities. Without an adequate amount of high-quality sleep, our brain's capacity to forge and sustain the essential neural pathways required for essential tasks of learning,  memory creation, concentration, and responsiveness becomes impaired.

While some individuals boast about thriving on just a few hours of sleep, the National Sleep Foundation emphasizes that people can inadvertently build a tolerance to sleep deprivation as their brains and bodies grapple with the consequences of such sleep deficits. Sleep needs vary by age and developmental stage, but less than 7 hours is not suggested for anybody. This underscores the significance of prioritizing sleep instead of putting it on the back burner. 

So what can we do to improve how we spend one-third of our lives on average?

Creating your sleep retreat

  1. The ambiance you create truly makes a difference. While there are those fortunate souls who can drift off to sleep almost anywhere, for many of us, cultivating a bedroom that encourages sleep is an absolute necessity. Think about darkening your space with curtains, or if you’re sharing a room and don’t have control over the light, a sleep mask may be your friend. Light inhibits the brain’s natural melatonin production, a chemical necessary for sleep, so darkness is key. 
 
  1. As the old adage goes, it is not wise to cheap out on products that come between you and the ground: tires, shoes, and of course, mattresses. A comfortable mattress and supportive pillow can make a difference in not only your comfort level, but pain management and sleep quality. If your budget does not allow for your dream mattress, consider a mattress topper that suits your firmness needs. 
 
  1. Two additional atmospheric qualities to consider are temperature and sound. The National Sleep Foundation notes that a bedroom around 60-67 degrees fahrenheit can help to promote sleep. This might sound a bit chilly to some, but this is where comfy, breathable blankets come in handy. And while I personally don’t mind silence, I know many people who use fans for white noise or listen to an audiobook to drift off to sleep. No need to suffer in silence, there is a reason children enjoy lullabies! Comforting sounds, music, or audio can make a big difference.  
    
Before-Bed Behavior

  1. With the increasingly busy lives we lead, it can be tempting to watch our favorite show right up until (or past) the time that we should be climbing into bed. However, it is wise to start winding down at least an hour before you’d like to be asleep. Reel it in early and give yourself time to relax into slumber. 
 
  1. However, if you can’t fall asleep, don’t force it. Tossing and turning will only serve to create a mind-body connection between bed and awake. Even if it might feel difficult, after about 30 minutes of tossing and turning, get out of bed. You might use this time to take a trip to the bathroom, pet your dog, or read a really boring novel. Once your eyes are feeling a bit sleepy, it’s time to try again. 
 
  1. Strengthen the connection between bed and sleep, try utilizing your bed exclusively for sleeping and intimacy. Try not to spend extra time in bed in the morning or at night, especially if you already have difficulty falling asleep. This will help condition your body to understand that climbing into bed means that you will soon be dreaming, not that you’ll be scrolling through TikTok.
 
  1. Speaking of which, TikTok and other social media apps are designed to keep you entertained, wired, and hungry for more. That does not bode well for the important winding down period discussed earlier. In addition, the blue light from laptops and phone screens depletes melatonin, confusing the brain about whether it’s actually night time or not. Instead, opt for a book, puzzle, or cards for late night entertainment about an hour before bedtime. 
 
  1. Finally, let’s talk about that good ole midnight snack. While it might be tempting to have a bowl of ice cream before bed or have that last cup of coffee around 4pm, these can negatively affect your ability to fall asleep. Eating before bed causes your body to utilize energy for digestion instead of shutting things down for restoration. As for coffee, even if you don’t feel wired, caffeine still has a half life of five hours and is alive and well in your brain while you’re tossing and turning. If you’re a fan of Dark Chocolate after dinner, be aware that one ounce of 70-85% Dark Chocolate contains between 20-60 milligrams of caffeine.


    Change is hard, so don’t expect yourself to implement all of these habits at once. Pick one or two and log your hours/quality of sleep for a week. You might be surprised by the results! 



​

A Note From the Executive Director: A Kinder, Gentler New Year

1/6/2024

 

A Note From the Executive Director: A Kinder, Gentler New Year

By Kerrie Toole, LICSW
I don’t make New Year’s Resolutions anymore. I found that even with the best intentions and a commitment to change, I usually ended up with a sense of disappointment that things did not easily happen, or guilt and self-judgment that I didn’t have enough “motivation” to keep up with a Resolution. 

Now, I use the New Year as a natural reminder to simply check-in with myself, to determine if I have a balance in my life that works for me. Different stages of life require different levels of energy, and domains of life where we focus that energy. Over time, our priorities change. So, the New Year is a great time for me to reassess. Here are some ways that I like to reframe the idea of a “resolution” to be more compassionate toward myself: 

Resolutions Vs Intentions

Even though it was self imposed, having a “resolution” felt too much like a rule I needed to follow, and this often led to disappointment or frustration when I inevitably had things happen in my life that got in the way of this resolution. So, I have switched to the idea of having an Intention. A hope. A theme. A goal. And this Intention is not “Drink 20 ounces of water every day,” but more of, “Take better care of my health by doing one thing differently each day.” I’m lowering the bar to make it more likely to have success, not beat myself up for a “failure.” 

Small Shifts - 1 % Different

I don’t start off the year with an expectation that I will do something every day, because usually something throws my schedule upside down within the first week! Now, I look at the year as a whole and try to build a theme. If I want to improve my health, I look at where I want to be a year from now and reverse engineer small steps over the months to get there. If I want to spend more time together as a family, I look at small ways to change our routines that can build over the course of the year. One inspiration I got this year about that was from the Martha Stewart “Gentle Reminders” calendar, where Martha shared what routine tasks she has on her schedule over the course of one month. So I used that technique to schedule out different family fun events over the next year, and the kids had to be involved in that brainstorming process. I also factor in that my best intentions will sometimes get thrown out the window, and that this is not a failure of motivation or commitment, this is how life goes. 

If starting therapy is one of your Intentions for 2024, this is a great time to begin! The process of therapy is a journey, and at times it can be a challenging one when we approach patterns or obstacles in our lives that we have been unaware of or ignoring. There is no true “quick fix,” and as I like to say to clients, we therapists do not have a magic wand to make things better for you (we wish we did, though!!!), we are only guides along your path. 

​So, if the turn of the new year has found you in a point of self reflection, be kind to yourself, be accepting of yourself, and make a commitment to small, 1%-different steps toward change that are sustainable.


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CASTLEBROOK COUNSELING SERVICES, INC.
24 Lyman St. Suite 200
Westborough, MA 01581
(508) 475-9110

Mission Statement

​Castlebrook Counseling Services, Inc. is a group of private practice clinicians with a shared goal of strengthening our community by providing therapy and clinical support designed for children, adults, and families to successfully meet life’s challenges.
  • Home
  • Services
    • Therapy
    • Workshops
    • Rates & Insurance
  • DBT
    • Comprehensive DBT
    • DBT Groups
    • DBT Parent Groups
    • Workshops
    • DBT for Clinicians
  • Meet the Team
  • Request Appointment
  • Contact Us
  • Careers
  • Blog
  • Client Portal