Kyra Willeford, MSW, LCSWAPsychotherapist It’s almost that time of year! When the bell rings and school’s out for the summer. Do you notice changes in your child’s behavior during summer break? That feeling of excitement turned into summer chaos? Children become used to structured and defined schedules during the school year, which can make a more relaxed schedule difficult to transition into. Any transition or change can be an adjustment for children and families. Here are some tips for a healthy transition into a more relaxed time of the year: Settling in Allow some time for your child to settle into their new routine. Abrupt changes in routine can affect mental health in children with symptoms such as increased anxiety, which can be expressed through increased irritability and outbursts. So, how can you assist your child through this? Maintain rules and boundaries During the summer, it is easy to fall into a more relaxed and laid-back routine. It is important to stay consistent with rules and boundaries of the household, holding expectations of children consistent. Clear guidelines help children to be successful. What is expected of them on a daily basis? When can they go outside and play with their friends? Having a set of expectations and rules to follow allows the child to feel in control of their routine, decreasing feelings of anxiety, therefore decreasing behavioral outbursts. Getting children involved in the making of these rules and routines can also assist with helping them to feel in control. This can be done through creating a visual schedule together, also allowing them to flex their creative muscles! Bedtime Having a set bedtime for children throughout the summer is important to maintaining a healthy lifestyle, and keeping in tune with a consistent schedule. Sleep is one of the most important factors in having a successful day, and setting a set time for sleep each night can assist with this. Now, don’t get me wrong, those late nights happen in the summer whether you're sitting around a campfire, watching a movie as a family, or are on a summer trip! Enjoy the summer while it’s here! Keeping an active mind Of course during the summer, most children are thrilled to have a break from school work and homework. Keeping their minds active and stimulated can assist with having a successful day at home. Good news: they don’t need to know that they’re putting their brains to work. This can be achieved through activities such as building blocks, leggos, puzzles, coloring books, and more! Physical activity Staying active and decreasing electronic isolation can assist with children’s mood and behavior. Whether it’s a family walk around the block, a game of catch, or a bike ride with friends, implementing daily physical activity throughout the summer can assist with a smooth transition as well. Utilizing these tips and maintaining structure and consistency, can assist with setting you and your family up for a successful summer transition!
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Tess Job, MA, LCMHCPsychotherapist In the wake of the International Day Against Homophobia, Transphobia, and Biphobia, I recognize that this day is just as important as it has been in years past. While the Supreme Court has legalized gay marriage in all 50 states, ten years later, the same court has legalized conversion therapy in all 50 states. The conflicting messages and whiplash for the queer community cannot be understated. These drastic anti-LGBTQ+ measures are not limited to the United States. According to the Human Rights Watch, as of early 2026, “at least 67 countries have national laws criminalizing same-sex relations between consenting adults. In addition, at least nine countries have national laws criminalizing forms of gender expression that target transgender and gender nonconforming people.” As we all know, queer people have existed throughout history and have created communities for themselves wherever they were, and we will continue to exist and create communities. We, as a community, continue to find joy in each other, lift up each other, and support each other. We celebrate each other's wins and losses, and we've learned that community is resistance. My move from Charlotte to Winston-Salem in 2023 illustrates this need for community. Winston-Salem has a thriving queer community and also has an organization that helps create a landing spot for the intersecting identities within the local queer community. North Star LGBTQ+ Community Center is a wonderful organization that supports the Winston-Salem community’s queer folk, and it offers several different types of groups and events that cater to different parts of the queer community, as well as the varied interests in the queer community. North Star is very dear to my heart, and as a therapist, I encourage my queer clients who are seeking a community to start there! Part of creating a community is being able to connect with people who have shared interests, identities, and even struggles. At North Star, I felt connection and acceptance in a way I hadn’t before. When we give people the space and opportunity to be authentically themselves, it encourages others to do the same. I know it did for me!
Larisa King, MSN, PMHNP-BCPsychiatric Nurse Practitioner Women are beautifully complex. Throughout our lives, our bodies move through a series of hormonal transitions that influence how we feel, think, rest, and function. Yet many women are never taught how deeply these shifts affect emotional wellbeing. For Women’s Health Week, I want to shine a light on what’s happening beneath the surface. Because if you’ve ever wondered, “Why do I feel this way?” the answer is often that your hormones are speaking—and you deserve to understand their language. Puberty marks the first major shift. It’s not just physical development; it’s a neurological remodel. As estrogen and progesterone rise, many girls experience mood swings, increased sensitivity, emotional reactivity, and changes in sleep. This is also when anxiety or depression may first appear—not as a sign of weakness or personal failure, but as the natural result of a brain undergoing rapid growth while hormones surge and settle. Offering young girls empathy, open conversations, and supportive community creates a foundation of emotional safety that stays with them into adulthood. Pregnancy brings another profound transition. Hormone levels rise higher than at any other time in life, which can create emotional sensitivity, increased worry, vivid dreams, and shifts in focus. For some women, pregnancy feels grounding; for others, it’s overwhelming or destabilizing. Both experiences are valid. Pregnancy affects every woman differently, and the most important thing is feeling supported, informed, and free to talk about what you’re experiencing—without fear of judgment. The postpartum period is one of the most intense hormonal transitions a woman can face. Immediately after birth, estrogen and progesterone drop rapidly, while a mother is also adjusting to profound physical recovery, feeding demands, identity changes, and—perhaps most difficult of all—sleep deprivation. Many mothers experience tearfulness, mood swings, irritability, anxiety, intrusive thoughts, or brain fog. While “baby blues” usually pass within a couple of weeks, ongoing distress may signal postpartum depression, anxiety, or OCD—very real, very treatable conditions that deserve compassion and support, not silence or shame. Perimenopause, the years leading up to menopause, can feel like puberty in reverse. Hormones don’t simply decline; they fluctuate widely before settling, and those fluctuations can trigger anxiety, irritability, sudden mood shifts, sleep problems, emotional overwhelm, and cognitive fog that leaves many women saying, “I don’t feel like myself.” These experiences are real and often under-recognized. Women deserve validation, information, and supportive care during this season rather than being told it’s “just stress” or something to simply push through. Menopause itself marks twelve months without a menstrual cycle and a shift into a new hormonal baseline. Some women feel a sense of calm and clarity as moods stabilize. Others experience emotional changes, anxiety, sleep disruptions, shifts in libido, or a sense of loss. Like every stage of womanhood, menopause is not an ending but an evolution-- one that can bring renewed purpose when women feel informed and supported. One of the most beautiful truths about these transitions is that women were never meant to move through them alone. Historically, women gathered, shared stories, and supported one another through every season of life. Today, in a world that asks so much of us, these circles of connection are more important than ever. When women share their experiences, something powerful happens: we feel seen rather than misunderstood, validated rather than dismissed, and connected rather than isolated. We recognize that our emotional experiences are human, not flaws. We rediscover strength we didn’t realize we had. Community creates healing; hormones may influence how we feel, but sisterhood influences how we heal. As we talk openly about these hormonal shifts, it’s also important to acknowledge that for some women, emotional symptoms interfere with daily life in ways that deserve additional support. Psychiatric medication management can be a helpful, compassionate tool—not a last resort or sign of failure. When symptoms such as persistent anxiety, depression, panic, intrusive thoughts, irritability, or significant mood swings begin to affect work, relationships, sleep, or overall quality of life, a medication evaluation can create real relief. Some women benefit from antidepressants or anti-anxiety medications, others from targeted sleep supports or mood stabilizers, and some from a collaborative approach that includes hormonal treatment with their OBGYN. Pregnancy and breastfeeding deserve special consideration, but many medications are safe, and for some women, staying on or beginning treatment may support a healthier pregnancy or postpartum experience. Medication is never the whole story—it’s simply one tool that can help a woman feel more like herself so she can fully participate in her life. Your body is wise. Your emotions are valid. And your journey through hormonal change is part of what makes you resilient and deeply human. Whether you’re guiding a teenager through puberty, navigating pregnancy or postpartum, wrestling with perimenopause, or stepping into the transition of menopause, you deserve care, community, and compassion. If you ever wonder whether therapy, medication, or evaluation might help, reach out. You are not alone—and you never have to walk these changes by yourself. When women support each other, we don’t just survive these transitions. We thrive.
Gregoria Arreola-Meza, MS, LCMHCA, LPSC, NCCPsychotherapist Recall a time when you were expected to know how to do something without any prior knowledge. How did you feel? You may have felt confused, frustrated, or even hurt by the implication that you should have known something you didn’t. In my work with children in therapy, I continually challenge myself to understand that a child's approach to a situation is shaped by the skills they possess at that time. As adults, we may unconsciously label children's behaviors that do not align with our expectations as attention-seeking, mischievous, or overreacting to situations. We might think to ourselves, "Why would you think that was a good idea?" To challenge this perspective, I’d like to share an anonymous quote I once stumbled upon: "The sooner we let go of the expectation that children are capable of adult-like behavior, the easier it will be to tolerate their mistakes." I recognize how difficult it can be to understand why children do not always consider consequences before acting on their emotions. I invite you to reflect on the times when we, as adults, have struggled with this ourselves. It can indeed be challenging. By removing the adult lens, we may realize that children are not seeking attention, but rather connection. They may not intend to be mischievous; instead, they might simply be struggling to use conflict-resolution skills they have never been taught. Additionally, what we perceive as overreactions may simply reflect a child’s current level of understanding. It would be unfair to expect someone to know something they are not familiar with. Through my work, I have learned that when a child shares their experiences with me, it is their way of expressing "I promise I am trying my best… with what I know.” By approaching their stories with curiosity, non-judgment, and empathy, I am able to create a space where trust and learning can begin. This may involve helping children identify positive versus negative choices, distinguish a positive consequence from a negative one, and express which emotions may arise when deciding one over the other. By striving to view a child's story through their eyes, I come to understand behavior as a cue for growing and learning rather than as attention-seeking, mischief, or an overreaction. How would you navigate a world that expects you to know it all if you never had a chance to learn it?
Christine Ridley, MSW, LCSW, ADHD-CCSPPsychotherapist The holidays can be tough for some people, with a variety of emotions showing up. This holiday season, I felt some melancholy. My grandfather entered hospice. I watched my mother grieve her father. I spent time in a hospital room, a memory care unit, and by a hospital bed while others were celebrating togetherness. How many of us find the joy of the holiday season difficult to hold while we are aware there is an empty seat at the table? Grief is many things and is not limited to the death of a loved one. Grief can also arise from the loss of a job, having to detach from a friend, ceasing contact with a family member due to their active addiction and not wanting to enable their behavior, experiencing the ‘empty nest’, or missing a previous time in your life that you cherished. A Swiss-American psychiatrist, Elisabeth Kubler-Ross, coined the 5 Stages of Grief based on her work with terminally ill patients and they have been widely adapted to the framework of grief. Note that these stages are fluid and not linear.
In my counseling work, I use a skill called dialectics from the Dialectical Behavioral Therapy (DBT) framework to hold grief. Dialectics is a philosophical framework in which two seemingly opposite truths can coexist. With grief, dialectics sounds like this: “I am devastated by their loss and I am relieved they are no longer in pain.” By holding two opposite truths at the same time, we are not invalidating that there is pain here, we are acknowledging the pain, while noticing what is around that pain, so that we can better move through the emotions without judgment, without pushing away the pain, and honoring it. I often encourage my clients to have a daily practice or ritual where they honor their grief. You may choose to have a sacred space where you sit daily. This is a space that is comfortable for you, whether it is outside on a park bench or inside your home in your favorite chair. You may set a timer for 15 minutes and light a candle. Leaning into stillness, name your emotions, notice the physical sensations that may be there in your body, and honor them. For example, “I am noticing sadness here. Sadness feels like tears forming behind my eyes and heaviness in my chest. To honor this, I am going to let my tears flow, open up my chest, breathe in some calm and breathe out sadness. To honor the sadness I feel today, I am going to notice that while I am sad, I notice I am allowing myself to heal in brave ways.” Blow the candle out and this is the end of the practice. By allowing yourself time to have this practice daily, this prevents the build up of grief and allows for healing, one day at a time. May you find peace in your healing journey.
We all know the scenario hilariously played out on last Saturday’s SNL skit: you’re sitting around the thanksgiving dinner table when Aunt Cathy inevitably starts spouting off her doggedly absurd political views (insert eye roll) and it takes all you can muster not to reach across the table and strangle her. Well take heart: it need not come to this. Here are some tips to help you handle the annual holiday dinner without it swiftly turning into Battle Royale.1. Make a PlanThis isn’t your first rodeo. You know the deal: after a few glasses of wine Aunt Cathy won’t stop with her political rantings, which just so happen to entirely contradict your rational and wisely chosen political ideals. You feel your heart start beating fast and your face grow hot. What is she saying?! Take a deep breath and remember your plan. Many of us run the worst-case scenarios in our mind and brace ourselves for a nasty encounter. This can do more harm more than good as it raises anxiety. Try to reframe the scenario in your mind. Say, “This might be stressful, but I can handle it. I’ve been through worse!” Use “If-Then” statements. You know what to expect, so plan your response. “If Uncle Larry starts talking about the refugee issue I am going to calmly tell him ‘I understand you’re coming from but I have respectfully have an alternate viewpoint.’” Another example: “If Uncle Larry won’t let it go, I will excuse myself to the bathroom.” 2. Use Active ListeningWe all want to be heard. These issues are important to us, and rightfully so. When a family member makes a statement that disagrees with the core of your beliefs, it’s only natural to have a strong desire to assert your opposing view. And you can. But first, wait. Take a deep breath. And remember this: When people truly feel heard, they are in a much better place to listen to what you have to say. In other words, if you want Aunt Cathy to gain a shred of understanding toward your opposing viewpoint, you first must listen to her and make her feel heard. The next important thing to remember: You can listen to and understand an opinion without subscribing to it. It’s true. You can. And you should! The foundation for healthy communication is active listening. You won’t have time to teach a psychology class during Thanksgiving dinner but you can guide the table toward healthy communication by example.
Next, muster up your best empathy skills. In this situation it's going to be hard but you can do it! Of course, empathy is the ability to put yourself in someone else’s shoes and imagine what things are like from their perspective. You’ve got to really divorce yourself from your own personal views for a moment (not forever, just for a few minutes!) and see things through Aunt Cathy's eyes. Convey this by summarizing what she’s just said, and authentically tell her how it is you understand what she’s saying. For example, you might say something like, “I can see how you feel that refugees shouldn’t be let into our country. It can be really scary to think that they might put our lives in direct danger. It sounds like you’re saying protection is really important to you. I can understand and appreciate that. I want to feel safe, too.” Ask her to explain anything you might not completely understand. (Remember, you don’t have to believe it to understand it!) This also shows the speaker that you care about what they have to say and want to know more. You could say, “Tell me more about your thoughts on __________ and why you think _____________.” You don’t have to go on forever. A little of this will go a long way in making stubborn Aunt Cathy feel heard and ultimately hear YOUR point of view. 3. Change the Subject You have a 0.01% chance of changing Aunt Cathy’s vote over turkey dinner by arguing with her. Studies have shown that it is rare for a person to change their political opinion through argument. So is it worth it? Depending on your relationship and energy level, sometimes it’s just not. In which case, change the subject. This doesn’t mean you have to agree. Be authentic. Say, “I hear what you’re saying, Aunt Cathy; I respectfully have a different view. To tell you the truth I’ve had so many of these difficult political conversations lately I just don’t have energy for another one right now if you don’t mind. I would really like to hear about your new job though. How is that going?” Chances are, she'll really want to talk about it. 4. Be KindThis goes without saying, but don’t belittle anyone for not agreeing with your views. Ultimately it does nothing more than solidify their view, hurt your relationship, and make you look bad. A little kindness can go a long way to help make the holidays positive. Remember, you don’t have to go home with this person, you just have to eat turkey with them for an hour. Be kind, and see number 5… 5. Give ThanksIt’s Thanksgiving, after all. When we are mindful of all we have to be thankful for, getting into arguments is less likely. So when you’re taking the trip to gather around the table with your loved ones this Thanksgiving, remember to be thankful, be kind, come prepared with a plan, use your active listening skills, and if necessary, deflect the conversation. …And if none of these suggestions end up working, you can always just break out the Adele! |
Banyan Tree Counseling & WellnessWe are a team of licensed clinicians with a holistic, strengths-based, and evidence-based approach. We offer counseling for people of all ages, life coaching, group therapy, educational consulting and advocacy, assessments, and dietary nutrition services. Categories
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