Face-to-Face in Hondo, Texas
Online anywhere in Texas
You are in persistent disbelief that you are competent and capable. You have continual feelings of inadequacy. Friends and family look at you and admire you for the life that you present and yet you feel like such a failure and worry of “losing it.” You attribute your success to nothing more than luck. You seek validation from others. Your behaviors are beginning to jeopardize your ability to function both at home and work. and you struggle to hold it all together.
Out of nowhere, your heart begins to pound. You feel the sensation begin in your fingertips and travel up your arm. Your breathing becomes rapid and shallow; your chest tightens. You are trembling and sweating. Could it be a heart attack or something else? You begin to panic saying, “No, No, No, this can’t be happening now! I’ve got a meeting in 20 minutes. Why does this always happen to me?” You hope no one walks in.
Work has been the only thing that seemed controllable but that is quickly spiraling out of control too. Thoughts of “What if …?” swirl in your head all day. You worry your performance is not good enough. Then these episodes continue to disrupt your life. When they happen, they take you out for a while leaving you drained, fatigued, with physical aches in your stomach and head. Your neck and shoulders are so tense.
Fear is beginning to really interfere with your life. You are afraid of anyone finding out that you battle against your thoughts racing through your head non-stop. You have encountered these feelings for so long. You think relief is out of reach. At home, life is chaotic and unorganized, your relationship strained. You are frustrated with yourself because you told yourself, “I will not parent my children like I was.” We all share the good things we enjoyed from our childhood with our children; however; we also share the behavioral things that we don’t want to share through our nervous system. You struggle with your emotions and your children struggle with theirs. Running from your past only shows up in your children. Due to a cyclical nature, hopelessness mounts and it’s one crisis after another.
My name is Tammy Kothe-Ramsey, a licensed professional counselor, and I assist in restoring balance back into a chaotic life. You can enjoy your relationships, parenting, and work once again. Many therapists remain in the content of the story provided at entry of the therapeutic experience. I dig down deeper to uncover the themes and patterns that continue to perpetuate the situation and assist to make changes at that level. This is simply a symptom of something greater beyond the context of a story.
I see clients from ages 3 and up assisting them to gain control over the emotions that create disorganized and chaotic environments. Interventions are playful, expressive, and powerful as they rewire a nervous system seemingly stuck in a threat response. It served you well in the past but it is time to say good-bye to chaos and hello peacefulness. When a body is relaxed the nervous system performs as it should and healing occurs naturally.
If You are tired of anxiety hijacking your life, or your children’s, and you long for harmony, tranquility and balance, please contact me for a FREE 15-minute consultation (Phone number will be linked to a button with “Schedule your FREE Consultation”). You will discover how working with the right therapist with the correct plan can help you to achieve a more balanced life.
Children naturally have ups and downs. Sometimes these get attributed as "growing pains" and can often get overlooked. This affects how children interact with family and friends. They do poorly in school. They lose interest in hobbies, sports, and other activities. Often times anxiety accompanies depression causing fear, panic, or worry about everyday situations. Depression affects approximately 3% while anxiety affects approximately 7% of children ages 3 - 17. When a child is feeling depressed, some behaviors can include: new or worse behavioral problems, changes in eating or sleeping habits, low energy levels, irritability and mood swings. Behaviors for anxiety include: worrying about things in excess (the future, what if's, loved ones dying, etc.), refusal of going to school or other activities, not wanting to leave a parent, physical aches and pains that do not have a medical explanation. If left untreated, they may have suicidal thoughts or attempts. Parents should look for indications of suicidal behavior when there is social isolation, increased risk taking, self-destructive behaviors or self-injury, a focus on death and dying, giving possessions away, hopelessness, or the talk of suicide.
Play therapy can help children work through their feelings that may be contributing to their depression and anxiety. Sandtray therapy can assist in understanding the behaviors, emotions, and ideas that contribute but are not language accessible. A family counselor will assist family members to understand more about what the child is experiencing, things they do that help or unintentionally to hinder, and finding ways to cope themselves.
Many events may be considered traumatic for a child. Whenever the response to the event is too overwhelming for the child's ability to cope with their feelings of helplessness, trauma is said to occur. Only the big events such as natural disasters, abuse, etc. are usually considered traumatic. However, it is not the event that needs our attention, but rather the ability of the child to cope. No matter how parents work to keep children safe, dangerous events still happen. These can be within the family or outside. Emotional and physical reactions can persist long after safety has been re-established. Among these reactions may be fear, terror, helplessness, heart pounding, a loss of control of bladder or bowels. Depending on the duration of symptoms, a PTSD diagnosis can result. Symptoms of PTSD may include: Avoiding or going out of your way to avoid things, being vigilant (always on alert and scanning for danger), being on edge or anxious, having negative thoughts and feelings, reliving or re-experiencing the trauma in dreams or flashbacks. Children may act out the event when playing, have clinging behaviors, or have regressive behaviors reverting back to a younger age (bed wetting, soiling clothes, being mute, etc.).
Play therapy can help make sense of these events and allow for healing. Sandtray can regulate the nervous system where trauma is lodged.
Many emotions present as anger. There is something underneath the surface that fuels it. Much like an iceberg we only see the tip which is the actions of anger. Counseling can help a child to become aware of their triggers (causes) and the reasons they are triggered. Counseling also creates awareness for warning signals, physiological actions that occur when becoming angry (rapid heart beat, shallow and rapid breathing, etc.).
Play therapy with games (both discussing the topic of anger and the game itself) can lend experiential ways of dealing with anger. Discovering calming and stress reducing skills will make anger more manageable. Making hands-on tools to use when angry is one of the children's favorite activities. We may even throw in some simple yoga techniques.
A child grieves differently than an adult. Never assume that because a child is playing and not crying that they are not grieving. They are better at switching off the water works that adults and yet they are dealing with their grief in their own way. A child may feel depressed, anxious, and angry even at the person who died. They may regress to younger behaviors depending on their age. They may hold in their feelings in fear of upsetting the adult. They may worry that someone else close to them will die and no one will be there to care for them.
Counseling offers a safe space to explore their feelings and let them out. Even if they do not have words to express, play therapy, sandtray therapy, and art therapy allow the child to express without having to speak.
Families often lack conflict management skills and communication to resolve problems. They often react in ways that perpetuate issues. Divorce, death of a loved one, moving, bullying, school related issues, etc., are some possible conflict issues.
Participating in family counseling can assist in building better relationships among all members enhancing communication, negotiation, and cooperation. Play therapy provides space for young children to work through their problems. It also facilitates better relationships between family members. Art therapy interventions allow for self expressions in a non-verbal way. Parenting support is offered by examining parental patterns that may be contributing unintentionally to undesired behaviors.
New to TKR Counseling Services? This is where you begin. Your initial intake provides insight of the experienced issues and a background history. A customized treatment plan will be created to address specific issues.
1.25 hours $120
During sessions, you can explore your emotions in a safe environment and engage in evidence-based interventions to guide you through your feelings and assist in the healing process.
45 minutes - 1 hour $100 *
*Sessions are booked through your private portal link assigned after intake.
During sessions the focus will be to guide the family / couple through education, intervention techniques, conversation, and role play. You will gain techniques to utilize at home when conflict arises.
50 minutes - 1 hour $110*
*Sessions are booked through your private portal link assigned after intake.
Engage in a one-on-one personal approach, a therapeutic atmosphere, and hands-on interventions with your therapist.
Not ready to meet face-to-face? Unable to leave work? Running late and will miss your appointment? Not feeling well but still need your session? Can't make it to or don't live near Hondo, TX? No problem, virtual sessions are available from anywhere within the state of TEXAS.
The health of you and your therapist is important. If you have a fever, body aches, or chills in the last 72 hours, you need to cancel, reschedule, or move your appointment to a virtual session. DO NOT COME TO THE OFFICE OR WAITING ROOM IF YOU ARE ILL.
Our office is only open to those with scheduled appointments. Upon arrival, text your therapist. They will notify you when to come to the door. If you are not being seen, you may wait in the waiting room or in your car. PLEASE DO NOT LEAVE. You will be notified when it is time to pick up your child. Offices are sanitized in between clients.