Alyssa Scolari Of See You Through It Counseling On The Benefits Of Using A Family Approach To Treating Bipolar Disorder
An Interview With Stephanie Greer
Bipolar Disorder is a Medical Condition, Not a Personality Flaw: Often, people mistakenly think that mood swings and episodes associated with bipolar disorder are controllable and stem from a lack of discipline or willpower. It’s important to know that this is a neurological condition, not a result of “bad” behavior.
Bipolar Disorder, a condition that affects millions around the world, not only impacts the individual diagnosed but also their surrounding family. It’s becoming increasingly clear that the journey towards mental wellness is not solely an individual pursuit but a collective one. Incorporating family perspectives and integrating a family approach in treatment methodologies can be pivotal in achieving holistic healing and stability. As a part of this interview series, I had the pleasure of interviewing Alyssa Scolari.
Alyssa Scolari is a Licensed Professional Counselor, Approved Clinical Supervisor, and owner of See You Through It Counseling, a group practice in Laurel Springs, NJ. She specializes in treating trauma and eating disorders, offering a personalized blend of therapies to best meet her clients’ needs. Alyssa provides both in-person and virtual sessions and is frequently assisted by her AKC-certified therapy dog, Noel.
Thank you so much for joining us in this interview series! Before we start, our readers would love to “get to know you” a bit better. Can you tell us a bit about your background and your childhood backstory?
Absolutely, growing up, I was always fascinated by the complexities of human behavior and emotions. As a child, I was the one who wanted to get to the bottom of things, whether it was understanding why my friends felt a certain way or figuring out just what made people ‘tick.’ This curiosity naturally led me to study psychology. I attended The College of New Jersey for my Bachelor’s Degree in Psychology. Then, I went to Rowan University to earn my Master’s Degree in Clinical Mental Health Counseling.
During my educational journey, I had opportunities to work in various settings that exposed me to the challenges many people face, from trauma and eating disorders to anxiety and depression. I’ve worked with children involved in the juvenile justice system and individuals in crisis situations. These experiences helped me shape my therapeutic approach, focusing on the unique needs of each individual. Over the years, I’ve gravitated towards specialties that allow me to deeply connect with my clients and bring about transformational changes in their lives.
Additionally, I’ve always had a love for animals, which has made incorporating pet-assisted therapy into my practice a natural fit. My dog, Noel, is not just a pet but a certified therapy dog who assists me in creating a comfortable and healing environment for my clients. The bond between humans and animals has always been something I treasure, and Noel has brought immeasurable value to the therapeutic process.
It’s been a constant learning journey, and I’m excited to say that my practice, See You Through It Counseling, has become a space where I can combine all these elements to create a holistic approach to mental health. I’m passionate about what I do, and it is a privilege to be a part of my clients’ journeys towards better mental health.
Can you please give us your favorite “Life Lesson Quote”? Can you share how that was relevant to you in your life?
Indeed, one of my favorite quotes, often attributed to Viktor Frankl, says: “Between stimulus and response, there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”
This quote has been immensely impactful in both my personal life and my professional practice. It emphasizes the importance of being mindful of our choices in the face of challenges. Life throws various stimuli at us, some pleasant and some extremely difficult. It’s easy to react impulsively or defensively, especially when dealing with emotional pain or trauma. However, recognizing that there’s a space — a moment to pause and choose how to respond — can be transformative. This space is where empowerment resides, and tapping into it allows us to take control over our actions and, consequently, our lives.
In my therapeutic approach, I often guide clients to find this ‘space’ within themselves, especially when discussing triggers or emotional difficulties. Helping people understand that they have the freedom to choose their response is a cornerstone of my work, whether it’s related to managing trauma, confronting an eating disorder, or tackling anxiety. By claiming this space, we make room for better decision-making and pave the way for personal growth and healing.
Let’s now shift to the main part of our discussion. Can you tell us a bit about your background and your professional career treating patients with bipolar disorder diagnoses?
For years, I’ve been immersed in the intricate and often misunderstood world of bipolar disorder treatment. I was drawn to this specialization because I noticed how frequently bipolar disorder is mischaracterized, not only in the media but also within the healthcare community itself. This misunderstanding can lead to stigmatization and, ultimately, to improper or delayed treatment for individuals already grappling with its challenges.
I’ve learned that treating bipolar disorder is not just about addressing the highs of mania or the lows of depression; it’s about recognizing the full spectrum of an individual’s experience and how it interplays with their relationships and environment. This disorder affects more than just the individual — it impacts families, friendships, and workplaces. That’s why my approach goes beyond the clinical setting and includes integrating loved ones into the treatment process. While every situation is unique, the input and support of a trusted circle can often provide invaluable insights and serves as a strong foundation for long-term management and care.
Throughout my career, I’ve seen firsthand how a comprehensive and compassionate approach can transform lives. People come to me often burdened by an all-encompassing disorder but leave empowered, knowing they don’t have to navigate this journey alone. I focus on delivering personalized treatment that offers immediate relief while equipping individuals with strategies for long-term resilience and stability.
When you work with patients, I understand that you often integrate family or friends into the treatment process. What do you consider the 3 primary benefits of including family?
Incorporating family or friends into the treatment process offers a multi-faceted approach that enhances the effects of therapy, especially for conditions like bipolar disorder, where the patient’s environment plays a significant role. Here are the three primary benefits:
- Enhanced Support Network: One of the most immediate benefits of including family or friends in the treatment process is the reinforcement of a supportive environment. When family members understand the nuances of bipolar disorder and its challenges, they can offer targeted emotional and practical support. This support becomes crucial when the individual faces triggers or symptoms and needs immediate coping mechanisms. The family serves not just as a safety net but also as an empowered group of allies.
- Holistic Understanding: Bipolar disorder doesn’t exist in a vacuum. Its effects ripple through the relationships, habits, and routines of not just the person diagnosed but also their family and friends. Including these individuals in therapy offers me a 360-degree view of the patient’s life, allowing for more accurate assessments and effective interventions. It also helps family members understand the condition better, disarming potential misconceptions or stigmas they may hold, which often serves to improve the relational dynamics within the family itself.
- Long-Term Success: While immediate treatment is important, long-term management of bipolar disorder is the ultimate goal. By integrating family into the therapy process, patients often find it easier to maintain consistent routines, medication schedules, and coping strategies, which are essential for long-term stability. The family can serve as accountability partners and can help recognize early signs of mood shifts, contributing to quicker interventions and thereby minimizing disruptive episodes.
In my years of treating bipolar disorder, I’ve found that an inclusive approach often leads to more sustainable progress and a healthier emotional climate at home, both of which are invaluable for the long-term well-being of my patients.
What are some of the challenges you run into when working with families? How do you balance responding to the needs of the family with the needs of the patient?
Working with families in the context of therapy presents its own challenges:
- Varied Perceptions and Expectations: Family members often have different perceptions and levels of understanding about the condition. Some might be in denial, others could be overly concerned, while others are misinformed. Harmonizing these diverse viewpoints to ensure everyone is on the same page is challenging but essential.
- Emotional Dynamics: Each family has its own emotional landscape. Some family members might be overly protective, leading to a sense of infantilization for the patient. Others may harbor resentments or misunderstandings that can contribute to the patient’s stress or triggers. Navigating these emotional complexities requires tact and strategic intervention.
- Boundary Setting: In an eagerness to help, family members can sometimes overstep boundaries, leading to conflicts and heightened emotional states. Teaching family members when to step in and when to allow the individual their autonomy is a nuanced aspect of the process.
Balancing the needs of the family with the needs of the patient is a fine line to walk. My approach prioritizes the patient’s well-being and autonomy first and foremost. However, I switch to a more holistic view when incorporating family into therapy. I usually set clear communication guidelines and expectations right from the start to prevent misunderstandings. Regular check-ins are scheduled to ensure everyone feels heard and to adjust the treatment approach as needed.
Family therapy sessions offer a safe space for everyone to express their thoughts, concerns, and wishes. Individual sessions with the patient remain a cornerstone for targeted treatment. I ensure that the insights gained from family sessions inform, but do not dominate, the therapeutic strategies deployed in one-on-one sessions.
I aim to empower the individual and the family unit as a whole, equipping them with the emotional and cognitive tools needed to maintain a balanced home environment. These tools allow the patient to focus on their wellness journey, knowing they have a supportive, informed family beside them. It’s a challenging balancing act, but the end result can be incredibly rewarding for everyone involved.
Family dynamics can greatly vary depending on the sociocultural backgrounds of the individuals involved. How do you tailor your family approach to respect and incorporate different sociocultural perspectives and values?”
You’re right that sociocultural backgrounds can profoundly impact how families understand and approach mental health issues like bipolar disorder. I always strive to create a therapeutic environment that acknowledges and respects these differences. Here’s how I go about tailoring my approach:
- Initial Assessment: From the first meeting, I make it a point to learn about the sociocultural background of the family. This assessment often involves asking open-ended questions to understand their viewpoints on mental health, familial roles, and healing practices within their culture.
- Cultural Sensitivity: Being mindful of specific cultural norms and taboos is essential. For instance, discussing mental health openly may be stigmatized in some cultures. In these cases, I might use more universally accepted language to discuss symptoms and treatments or find culturally resonant metaphors that convey the same meaning without causing discomfort.
- Family Structures and Roles: Different cultures understand family hierarchy and roles differently. In some cultures, the head of the family may have a significant influence on medical decisions. Recognizing and respecting these roles while prioritizing the patient’s autonomy and well-being becomes a crucial part of the therapeutic process.
- Feedback Loop: Throughout the process, I maintain an open line of communication to ensure the family feels their cultural perspective is being acknowledged and respected. This feedback loop allows us to make real-time adjustments to the treatment plan if needed.
- Differentiated Communication Styles: Some cultures are more direct, while others value indirect communication. Recognizing these differences allows me to adapt my communication style to match the family’s, making it easier for them to engage in the therapeutic process.
Tailoring the approach to fit the sociocultural dynamics of a family is not just respectful — it often leads to better outcomes. The key is to build a mutual respect and trust relationship where every member feels seen, heard, and valued. This relationship, I believe, lays the groundwork for a more effective and empathetic approach to treating bipolar disorder within the family context.
Likewise, inter-generational dynamics can sometimes play a significant role in the therapy process. Can you share any insights or experiences on how inter-generational understanding and communication facilitate the healing process?
Inter-generational dynamics definitely adds a layer of complexity to the therapy process. Understanding these dynamics can be incredibly beneficial for facilitating healing, especially when treating conditions like bipolar disorder that impact not just the individual but the family as a whole.
One significant insight I’ve gained over my years of practice is the idea of “historical empathy.” Appreciating the social and emotional contexts that shaped the different generations within a family provides a foundation for greater understanding and communication. For instance, an older generation might have grown up in an era where mental illness was heavily stigmatized. This context can inform their current attitudes and behaviors, which may differ from the younger generation’s more open and informed views on mental health. Recognizing this can help negotiate compromises and create an environment where each family member feels heard.
Another critical aspect is the concept of “role flexibility.” Different generations often have fixed ideas about their roles within the family — what is expected of them and what they expect from others. However, mental health struggles often necessitate role changes, at least temporarily. Therapy can offer a safe space to negotiate these shifts. For instance, a parent used to being the caregiver might have to become the one receiving care, or a younger family member may have to step up in new ways. Facilitating conversations around these evolving roles can be invaluable for family dynamics and the patient’s progress.
Lastly, integrating inter-generational communication into therapy can create a ripple of positive benefits. I utilize guided activities and real-time conflict resolution to bridge generational gaps and resolve misunderstandings within a safe, non-judgmental space. This approach leads to a cohesive family unit better equipped to provide balanced emotional and practical support. By developing a shared language around the complexities of bipolar disorder, family members can identify early signs of episodes, enabling quicker intervention and reducing family stress. This shared language creates a robust, supportive environment that not only enhances the well-being of the individual with bipolar disorder but also strengthens the overall family dynamic.
By paying attention to inter-generational dynamics, we can uncover hidden strengths within the family system, better understand barriers to progress, and foster a more supportive environment. The outcome is often a more nuanced and effective treatment plan that not only benefits the individual with bipolar disorder but also enhances the overall well-being of the family.
Many mental health professionals don’t have training in working with families. How did you learn the techniques you use and what would you recommend to professionals that want to learn more about this approach?
In my journey as a psychotherapist, I recognized early on that family dynamics play a significant role in an individual’s mental well-being, especially in cases like bipolar disorder. My skill set in family integration has been honed through years of hands-on experience, targeted workshops, and mentorships with seasoned professionals in the field. I’ve also stayed abreast of cutting-edge research that examines the influence of family interactions on mental health outcomes. This blend of practical experience and academic understanding has enabled me to develop a flexible approach that genuinely aids my clients.
I have a few suggestions for professionals looking to integrate family work into their practice. First, always appreciate the power of ongoing education. Participate in specialized trainings and workshops focusing on family therapy or systemic approaches to mental health. These often provide actionable insights that can immediately be applied in your work. Secondly, mentorship is invaluable; learning from someone who has successfully incorporated family into their practice can provide real-world examples and nuanced approaches that you won’t find in textbooks. Finally, start small. You don’t have to overhaul your entire practice overnight. Begin by incorporating family history discussions and inviting family members to specific sessions. As you get more comfortable, you can introduce more techniques and interactions, refining your approach as you gain experience.
Caring for a family member with bipolar disorder can sometimes be challenging and might lead to caregiver burnout. How does your approach incorporate strategies for self-care and support for family members who are involved in the caregiving process?
Caregiver burnout is a genuine concern when dealing with bipolar disorder. The family members involved in caregiving often face emotional, psychological, and sometimes even physical stress. My approach aims to holistically address these challenges to ensure a sustainable caregiving environment that benefits the patient and their loved ones.
Firstly, I emphasize the importance of setting boundaries. Family members often feel the need to be available around the clock, but this is neither practical nor healthy in the long term. We work on establishing clear lines between caregiving responsibilities and personal time, so caregivers don’t feel overwhelmed.
Secondly, we delve into emotional self-care. The emotional rollercoaster that often accompanies bipolar disorder can be taxing for caregivers. I introduce coping strategies to help family members manage their emotions more effectively. These strategies include mindfulness techniques, brief stress reduction exercises, and practical tips on diffusing tension in difficult situations.
Thirdly, I strongly encourage participation in caregiver support groups. Sometimes, the best advice and emotional support come from those who are going through similar challenges. These support groups can create a safe space for sharing experiences, discussing coping mechanisms, and even venting, which can be therapeutic in itself.
Lastly, education is a powerful tool. The more the family understands bipolar disorder — the symptoms, triggers, and effective management strategies — the less frightening and stressful the caregiving process becomes. This education often alleviates some of the stigmas surrounding the disorder and enables family members to respond more effectively to various situations.
By offering a multi-pronged approach that considers caregivers’ well-being, we can create a more supportive and effective environment for managing bipolar disorder. This environment not only aids in the treatment process but also contributes to the long-term mental health and harmony of the entire family unit.
Preventive education is often seen as a powerful tool in managing bipolar disorder symptoms. How do you integrate education and awareness for family members within your family approach to treating bipolar disorder?
Preventive education is indeed a cornerstone in my approach to treating bipolar disorder, especially when it comes to incorporating family into the therapeutic process. The journey towards managing bipolar disorder is not just for the patient; it’s a family affair. Education provides the compass that guides this journey.
First, I integrate educational components into our regular therapy sessions. These include explaining the neuroscience behind bipolar disorder, decoding medical jargon into layperson’s terms, and presenting research-backed coping mechanisms. This demystifies the condition and makes it less intimidating for family members, helping them to understand that it’s a medical issue, not a character flaw.
Secondly, we explore the emotional components of bipolar disorder. Family members often have difficulty discerning between what’s part of the condition and what’s a behavioral choice. Providing a nuanced understanding of mood swings, irritability, and depressive episodes equips family members with the perspective needed to distinguish between the two. This understanding lessens blame and resentment, thereby improving family dynamics.
Another vital element is teaching effective communication skills. Misunderstandings can be frequent and harmful when dealing with a condition that inherently affects mood and perception. Family members learn how to communicate more clearly, de-escalate potential confrontations, and validate each other’s experiences. Effective communication is a preventative measure, often avoiding triggers that could lead to a bipolar episode.
Lastly, I provide resources for continuous learning and support. These resources may include recommending books, online forums, and even workshops or seminars that family members can attend. The more informed the family is, the less they operate from a place of fear or misunderstanding. Moreover, as they gain more knowledge, family members often become more proactive in contributing to the treatment process, enhancing the efficacy of therapeutic interventions.
So, to sum up, education isn’t just about dispensing facts; it’s about empowering the family with the tools, understanding, and skills they need to create a supportive environment. When everyone understands the ‘why’ and the ‘how’ of bipolar disorder, they can approach it as a united front, making the path to management and recovery much clearer.
Thank you. Here is the main question of our interview. What are 5 things you wish more people knew about people navigating life with bipolar disorder?
1. Bipolar Disorder is a Medical Condition, Not a Personality Flaw: Often, people mistakenly think that mood swings and episodes associated with bipolar disorder are controllable and stem from a lack of discipline or willpower. It’s important to know that this is a neurological condition, not a result of “bad” behavior.
2. It’s Not Just Extreme Mood Swings: While mood swings between mania and depression are a hallmark of bipolar disorder, the condition involves much more. It can affect sleep, energy levels, attention, and other aspects of daily life. Understanding this can lend more compassion and depth to how we view those dealing with the disorder.
3. Effective Treatment Requires a Comprehensive Approach: Medication is often part of the treatment plan, but it’s rarely the entire solution. A holistic approach involving medication, psychotherapy, lifestyle changes, and a support network is often the most effective way to manage symptoms. Loved ones can play a huge role in this comprehensive approach.
4. Support is Crucial, But It’s Complicated: Offering support to someone with bipolar disorder is not as straightforward as it might seem. Well-intentioned but uninformed support can sometimes exacerbate the condition rather than help. For those wishing to offer their help, it’s essential to educate oneself about the intricacies of the disorder and, where applicable, consult with healthcare professionals for guidance on how to be genuinely helpful.
5. Each Case is Unique: While general patterns and symptoms are associated with bipolar disorder, they manifest differently in everyone. What works for one person may not work for another. This calls for personalized treatment and means that loved ones should avoid making assumptions based on what they’ve seen or read elsewhere.
There is a lot of misunderstanding when it comes to mental illnesses, especially involving psychosis. What do you wish more people were aware of either in the professional field or the general public?
Yes, the topic of mental illnesses involving psychosis is fraught with misunderstandings and stigmas in the general public and, at times, within the professional field. One of the first things I wish more people understood is that psychosis is a symptom, not an illness in itself. It can occur due to various underlying conditions, such as schizophrenia, bipolar disorder, or even severe depression. Understanding this can pave the way for more targeted and effective treatments.
Secondly, it’s essential to realize that individuals experiencing psychosis are far more likely to be victims of violence than perpetrators. The stereotype that such individuals are dangerous contributes to the shame and secrecy surrounding mental illnesses, making it difficult for people to seek the help they need.
In the clinical setting, there’s a need for greater training on how to handle psychotic symptoms. Not all mental health professionals are adequately trained in this area, which can lead to misdiagnosis and ineffective treatment plans. Advanced education on psychosis, even for those who may not specialize in it, can contribute to better patient outcomes.
Finally, early intervention is crucial. Many people are unaware that psychosis can be treated more effectively when addressed early. This involves medication, psychotherapy, and community support to help the individual resume a fulfilling life.
In summary, I wish for greater empathy, better training, and a more nuanced understanding of psychosis. Educating both the public and professionals can go a long way in improving the lives of those affected.
We are very blessed that some very prominent names in Business, VC funding, Sports, and Entertainment read this column. Is there a person in the world, or in the US with whom you would love to have a private breakfast or lunch, and why? He or she might just see this if we tag them. 🙂
If given the opportunity, I’d be honored to have a private breakfast or lunch with Brené Brown. Her pioneering work on vulnerability, courage, and empathy has not only had a significant impact on the mental health field but is also a beautiful bridge between what is traditionally considered the realm of psychotherapy and broader societal issues, which include workplace dynamics and leadership skills.
I would love to pick her brain on the inspiration behind the incredible work that she does, particularly how she came to be such a fierce advocate for things like vulnerability and empathy, especially in a world that can sometimes feel as though it is running very short on both. Brené is a pillar of hope when it comes to healing from trauma and mental health struggles; and it would be nothing short of an honor to get to know her journey to becoming such a powerful leader in this field.
How can our readers further follow your work online?
My website: www.seeyouthroughitcounseling.com
Instagram: instagram.com/see_you_through_it_counseling
Facebook: facebook.com/seeyouthroughitcounseling
Thank you for your time and thoughtful answers. I know many people will gain so much from hearing this.
About The Interviewer: Stephanie Greer, PhD is the Co-founder and CEO of Akin Mental Health — a company dedicated to guiding families on their journey supporting a loved one with mental health challenges like bipolar disorder, schizophrenia and severe depression. Stephanie is passionate about this topic from her own personal experience growing up with a mother who struggled with bipolar 1 disorder and found a path forward to overcome the obstacles and live well. Stephanie’s professional experience includes a doctorate in neuroscience as well as design research roles at Hopelab and Apple. Stephanie brings this personal passion together with her world-class science and technology background to support families across the US in their personal journeys supporting loved ones with mental illness. To learn more about Akin Mental Health and join our community, visit us at akinmh.com.
Alyssa Scolari Of See You Through It Counseling On The Benefits Of Using A Family Approach To… was originally published in Authority Magazine on Medium, where people are continuing the conversation by highlighting and responding to this story.