Here at Healing Reflections Therapy, as we continue to celebrate Pride Month and reflect on the current political climate in our state, nation, and world, we continue to be certain that services from specialized clinicians provided to LGBTQ+ clients continue to be just as if not more necessary and relevant than they were in the past.  The statement, “Pride was a riot,” is meant to highlight the fact that the community resistance at the Stonewall Tavern that gave rise to the first Pride events and parades was initiated and encouraged by a brick rumored to have been thrown by a trans woman and by the specific trans women: Stormé DeLarverie, Marsha Johnson, and Sylvia Rivera.  The significance of this being two fold, that, although many may assume that only gay men were involved in the events of Stonewall, the entire community was both targeted for oppression in public spaces and showed out to face down police brutality and aggression and also that Pride is not only about celebrating, dressing up, consuming alcohol, but also has a deep historical significance. 
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Pride was a riot because at the time, members of the LGBTQ+ community did not have body autonomy or control over their own treatment and healthcare.  Queer and trans identities were marginalized to such an extent that no one could be out and get proper checkups, STD testing, gender-affirming medical care  At the beginning of the AIDS crisis, people were forced to take poisonous meds and obtain them through creative and non medically-sanctioned means.  As we know, although strides have been made such as one pill/day HIV meds and hormone replacement therapy (HRT)being readily available on an informed consent basis, there are now constant attacks on Ryan White HIV federal funding and gender affirming care for both minors and adults with state coverage or VA benefits.  There have been multiple attempts to ban trans soldiers from serving in the military and take their retirements.

Pride was a riot because gatherings of LGBTQ+ folx were criminalized and romantic relationships were not broadly seen as legitimate.  Stonewall happened in part because it was illegal for gay and trans people to be drinking at a bar together as well as it being illegal for any sexual activity to happen between anyone and the police response mirrored those prohibitions.  How do you connect if you cannot build community?  How do you feel safe when there is nowhere at home or in public that you can be yourself and not be arrested.  Obergefell Hodges went through in 2015, so gay marriage has only been legal for 11 years.  As with all other LGBTQ+ rights, there have already been multiple attempts to take Obergefell to the Supreme Court and have it overturned.  This in addition to dozens of anti-LGBTQ+ bills being debated and sometimes passed into law in many states in their country in the past 2 years.  Murders of Trans people continue to be so prolific that they are actively tracked and memorialized on Trans Day of Remembrance.  

Pride was a riot because the Queer and Trans community was being treated as less than human.  One need look no further than the plethora of bathroom bills meant to strip Trans people of the dignity to use public facilities and anecdotal examples of strangers policing the genders of others in the restroom with them and making demands to see that it is not safe to be Trans and use the bathroom or even to be someone that anyone things looks different than their assigned sex and corresponding gender role.  Policies criminalizing gender affirming care for minors in some states have caused youth and their parents to lose care, have to move to other states, have side effects and poor outcomes from going off of needed medications.  Trans adults we see worry that they will need to stockpile their hormones in order to continue to be on HRT once all gender affirming care could conceivable be banned.

In some ways, now more than ever, being Queer or Trans means having a target on your back and being unsafe in public, private, even in previously thought of safe spaces.  It is almost worse that some headway had been made, rights were conferred and and are now under attack in a manner worse than ever before.  As LGBT!+ affirming therapists, we know not just the terminology, relationship structures, and social norms that exist in our clents’ lives, we also realize that they currently fear for their lives, relationships, healthcare and employment.  That is why it is more important than ever to stand in solidarity with them and provide one of the only safe holding environments they may currently have in our office and virtually.  We see you, we value you, the world is so much better and brighter with you in it!  We are blessed to hear about your stories, strengths, and resilience every day.  There is nothing else we would rather do.

Author: Chris Scarberry, LPC
Chris is a Therapist accepting clients at Healing Reflections Therapy

I’m willing to bet that, at some point, someone has suggested that you try journaling as a coping skill. I know I’ve recommended it to nearly every client I’ve had at some point, and I often get a disappointed look and a series of reasons why they don’t or don’t want to.
Maybe some of these sound like you:
“I tried journaling, but I couldn’t keep up with it.”
“There is too much to write, and I get overwhelmed.”
“I’m not Anne Frank, I don’t have anything interesting to write about, so what is the point?”
“I don’t want anyone to find my journal and read what I write.”
“How is writing down what I ate for lunch and how boring my meetings were going to help me?”
Good news! You don’t have to be Anne Frank to journal, and that is not all that journaling is!

There Are No Rules

• You do NOT have to write in your journal daily.
• You don’t have to include any details about your day.
• You don’t have to catch your journal up after not writing in it for 18 months.
• You don’t have to write in a way that makes sense to anyone but you.
• You don’t have to write your deepest, darkest secrets to benefit from journaling.
• You don’t need the perfect notebooks, pens, highlighters, or stencils to journal. Any writing surface or digital writing platform will work just fine, depending on your intentions.
• There is no need to have profound, unique insights in your journal. What you write is just for you.
• You don’t have to have complete sentences, proper grammar, spelling, or formatting.  
• Your handwriting doesn’t even have to be legible. You can scribble, write with your non-dominant hand, or write on the same line over and over again so that words can no longer be recognized.
• You can journal in images, sketches, bullet points, single words, or scribbles.
• You can choose whether to share it or not with someone you trust.
• You can lock it away and never look at it again.
• You can destroy the page when you’re done with it, or destroy it in the process of writing.

Reflection
What rules have you put on journaling? Are they holding you back from a potentially helpful coping skill or therapeutic tool?

Potentially therapeutic journal techniques include but are not limited to: gratitude journaling, writing about what went well in your day, “thorns and roses,” venting, reflections on your day, insights from your therapy session, notes for things you want to talk about in sessions, processing and exploring a difficult experience or emotion, writing a trauma narrative, stream of consciousness, mood and emotion tracking, art or collage journaling, photo journaling, autobiographical writing, composing a letter to someone you’ll never send, or writing from a prompt.

Reevaluate your relationship with journaling and give it another shot. It is one of many ways that can further our therapeutic skills and keep us focused on our goals between sessions. Find what works for you!

Author: McKayla Kagie Robinson, MS, PLMFT
McKayla is a Therapist at Healing Reflections Therapist. Contact her to set up an appointment.

Our day-to-day lives are chaotic and filled with distressing news, world events, and other causes for stress that we have no control over. Meditation practice has long been established as a path towards mental, emotional, and physical healing. The mind-body connection is one that is often neglected.

You may have tried meditation before and decided it is not for you for one of the following reasons:

• “I can’t make my mind quiet/blank.”
• “I can’t sit still for that long/I don’t have the time.”
• “I try, but I just get frustrated that I’m not doing it right/well enough.”

Meditation has a lot of misconceptions tied to it, and a lot of the concerns people have when trying meditation revolve around those misconceptions and set them up for feeling like failures. The goal of meditation does not have to be to reach the point where you can meditate for hours, with no thoughts, and full control over your mind and body to the point where you can levitate off the ground. We’ll save those aspirations for the Monks.


The goal of therapeutic meditation is simply to practice. Practice checking in with your body, emotions, and thoughts. Practice slowing down enough to be able to communicate with your body, recognize your emotions, hear out your thoughts, and spend some time addressing the concerns brought to your attention. We are not looking for a blank slate- we are looking for what we have been ignoring or neglecting.


Another great benefit to practicing meditation is learning how to engage or disengage with your anxious thoughts. The meditation linked below is called a “Leaves on a Stream” meditation. The idea is to practice observing your thoughts, especially the anxious ones, as they come up, acknowledge them, and then let them continue flowing downstream without attaching any judgment or action to them.


I encourage you to try it out! It is less than 10 minutes long and is something you can do from anywhere during your day. Now, it will not be something that you are automatically good at, and it may go differently each time you practice it, depending on your headspace when you start. However, the only objective here is to try. Try it, practice it, and keep practicing it. If you do that, you have succeeded! You will have connected with your mind and body even for just 6 minutes, and that is 6 more minutes of connection that you would otherwise have.


Despite my encouragement, you may not believe that meditation can make a difference, but I dare you to try it and be curious about what effects it can have."

Author: McKayla Kagie Robinson, MS, PLMFT
McKayla is a Therapist at Healing Reflections Therapy. She is currently accepting clients.
​

A decade has past since my original post-#metoo era article on when rapists don't believe they are rapists. In 2026, just in time for sexual assault awareness month we are once again confronted with headlines that force us to face the same uncomfortable truth.

From the ongoing Epstein sex trafficking investigation (or lacktherof), to the recent sexual assault allegations about Representative Eric Swalwell, Russell Brand's rape trial, and Katy Perry being met with a flurry of Sexual assault allegations after Ruby Rose began speaking out about an encounter decades earlier. All of course, denying the allegations. The major headline this month being the bombshell CNN news investigative report that revealed that 62 million visitors in a single month viewed a website dubbed a "rape academy" where men exchanged tips on how to drug and rape their wives, and even exchanged video content of their crimes. The scale is staggering. People have been rightly horrified at the implications and scale. Women are being forced to question whether they really know and trust their partners.

Alongside this, a recently published 2026 study by O'Sullivan and Ronis titled "Isolate, inebriate, intimidate, Repeat: High Rates of Sexual Force Against Women are Reported when Young Men Given Anonymous Surveys." The study of 2,689 US and Canadian men aged 18-34 reported recently using at least one strategy to "force a woman to have sex" i.e. rape them. They reported an average of about 9 strategies being used, mostly being versal coercion or using their peers to manipulate the women. In 8% of the cases, the men explicitly reported drugging women for sex  (i.e. drug-facilitated sexual assault) on one or multiple occasions.

People have been rightly outraged and ask: How is this possible?

Many women indicate they are not shocked.
As a sexual trauma therapist, the answer is not abstract. These stories echo of painfully familiar stories I have heard from clients before. And they Point to a deeply unsettling reality:
Many Perpetrators do not believe they are perpetrators.

Once again, the talk about why women choose the bear re-enters that chat. 

The Problem isn't just Violence-It's Perception
When I was working on my thesis almost 2 decades ago comparing the sequelae of adult vs child onset of child sexual abuse I came across similar findings about sexual coercion. Our original survey packet administered to study participants included several different measures on sexual abuse, and one survey that assessed sexual coercion. Ultimately, we excluded the data from that survey after finding that 100% of the both male and female participants in the study reported experiencing sexual coercion. At the time, we suspected the instrument lack validity, seemingly not being sensitive enough to measure what we were intending it to measure.

Now, I believe the opposite was true: Our systems were not prepared to face how widespread the problem actually is.

Sexual coercion exists in direct opposition to enthusiastic consent, and it has criminal consequences. But when it is normalized, minimized, joked about, or reframed, it stops being recognized for what it is. 

The Mental Gymnastics of "Good People"
With these new headlines, people are enraged at the numbers. How could this many men be visiting these sites? How could husbands do this to their wives? How could so many people willingly talk about sexually assaulting their partner? The truth is, many men do not know they are rapists. They see themselves as a good person, and good people do not rape, therefore what they are doing cannot be rape. That is when the mental gymnastics start.

Pioneering research by Mary Koss demonstrating the mental gymnastic people do, finding that when you ask people about their abuser/abuser experiences without labeling them "Rape" or  "abuse", and just using the definitions that make them abuse, people are much more likely to endorse engaging in or having experienced those abuses....

So, now I am going to provide an update to my original article and once again address this theme- what if my rapist does not know he is a rapist.

"It has been almost a month since #MeToo flooded social media. Since then, almost a daily parade of new sexual harassment, abuse, or assault allegations are being brought to light about accused perpetrators like Harvey Weinstein, James Toback, Charlie Sheen, Louis C.K., Ed Westwick, Roy Moore, and Kevin Spacey. The responses by the accused have varied from silence, to deflection, to admission, to outright denial.

What Survivors Experience
Some statements have puzzled people, wondering how could they not know what they were doing was wrong or would upset someone else? Sadly, this relates to a concept frequently found in my therapy practice, in which many victims are astounded when they realize that their rapist doesn't know he is a rapist. After the assault the perpetrator may act casual, inviting them for breakfast, acting affectionate, kiss them, or invite them on another date. They behave as though what had occurred was completely consensual despite the fact that moments or hours before they were holding the victim down, whispering threats in the victim's ear, ignoring the victim's cries of pain or profound lack of interest or engagement, or ignored the fact the victim was intoxicated, passed out, or vomiting and while they pursued sex. The husband that secretly drugs and rapes his wife for years may tell himself that this is his right as a husband. The abusive family member may appear at holiday events and initiate hugs and pretend like nothing ever happened. They may be the charismatic, smiling life of the party. Even worse, family members often rally to protect the accused perpetrator. 
 
Sometimes the victim will run into the perpetrator months or years later and be astounded at how "normal" they act. They may approach them like friendly, long lost friends seeking to engage in polite conversation. They may reach out to the victim over social media with casual "hellos" and "how have you beens?" The victims may react in paralysis, fear, or rage and are additionally astounded when they see the look of confusion reflected in their perpetrator's face.

The victim/survivor comes into my office begging the question: Is it possible that my rapist does not know he raped me? Sadly, in some instances, the answer may be yes. For those that lack empathy, awareness of others boundaries or feelings may not exist. The default is: if this benefits me, my actions are ok. Lack of empathy can be the bi-product of someone in a status of power or privilege, "Just boys being boys," "locker room talk," or "old school." For other sexual violence perpetrators, they may have a sense, if not clearly know what they did was wrong, but use elements of denial, minimization, deflecting blame, or manipulation to escape any form of personal accountability to seep into their conscious awareness.

Power, Privilege and Normalization
Is it possible that some of these celebrities really did not know that what they were doing was wrong? Well, since they kept the secret and did not exhibit those behaviors in public, then probably on some level they did know. I would argue that they probably were in a position that did not serve them well to think it was wrong.  "He/she really wants this," "They deserve this," "I deserve this," "They like how it feels," "Everybody does it" are all arguments used to justify sexual violence.

Think of it this way: if you were about to step on an ant and crush it, you would probably tell yourself that have good reason to do so, that it won't matter, that they cannot feel anything, that you are really being helpful...but you can do this because essentially you see the ant as significantly less powerful and less important than yourself. By contrast, if you think about killing a shark you may still justify the kill, but you will still probably worry about the consequences to yourself because the shark is inherently more powerful.

Power, control, status, privilege, and lack of empathy play important roles in supporting rape culture. When we are so inundated in rape culture, like a lobster in pot slowly brought to a boil, we may not even realize we are in danger of becoming the next meal because the environment around us was already so unhealthy in the first place."

So what can we do about it?
I challenge men to embody the coveted protector role and to challenge other men. It is your job to start calling out the bad behavior of your peers instead of silently standing by or bearing witness in what translates into tacit complicity. Report website like the rape academy. Stand up to your friend that it trying to hit on the drunk girl at the club. Call out when you hear adults making sexual comments about teenagers.  Don't laugh at the "locker room talk", make the other person visibly uncomfortable by having them repeat it until it loses its power. It may not be all men, but most violent crimes are committed by men, and all men have a responsibility to do better. 

References

https://www.hopehealreflect.com/mental-health-articles/when-rapists-dont-know-they-are-rapists

O'Sullivan & Ronis (2026)
https://journals.sagepub.com/doi/10.1177/08862605261432630#tab-contributors

https://www.cnn.com/interactive/2026/03/world/expose-rape-assault-online-vis-intl/index.html

Conley & Garza (2011). https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1559-1816.2011.00828.x

Koss M. P., Gidycz C. A., Wisniewski N. (1987). The scope of rape: Incidence and prevalence of sexual aggression and victimization in a national sample of higher education students. Journal of Consulting and Clinical Psychology, 55(2), 162–170. https://doi.org/10.1037/0022-006X.55.2.162


Author: Megan Garza, MA, LMFT
Sexual Trauma Specialist and Co-Owner at Healing Reflections Therapy

April is Sexual Assault awareness month. We are seemingly inundated with news about sexual violence in the headlines lately. So, let's talk about some resources that many people don't know about for seeking help with domestic or sexual violence. These resources are primarily for Missouri, but there are national resources available as well.

Victim Advocates
Did you you know that you can get an advocate to accompany you to to the hospital or make a police report? You can pre-arrange this with them to ensure you have the safest experience where they can even schedule the meeting with a detective and give you follow-up updates on your case. Places like the YWCA Metro St. Louis and Crime Victims Advocacy Center, and Children's Advocacy Center are great for this kind of work

Safe at Home Program
Sometimes after folks have been in an abusive relationship or have experienced an interpersonal violence episode, they struggle with feeling safe at home. Survivors may worry about their perpetrator having access to them, or stalking them. Did you know that that you can sign up for the Safe at Home Address confidentiality program to keep your address out of public record, to ensure your privacy where you live. You can sign-up here for free ​https://www.sos.mo.gov/business/safeathome

Offender research tools
Another tool people have in Missouri to help keep themselves safe is using Casenet to research individuals name to see if they have criminal or civil cases  of public record in the state. Sometimes knowing  someone's history can be a great tool for personal advocacy and protection, especially when dating.

Case update Tools
If you experienced a crime where your offender has been adjudicated and want to know the release date status of your offender, you can use MOVANS to get automatic updates on them. This is designed to help victims stay notified of their case and when their future safety may potentially be threatened. 

Crime Victims Compensation
Many people don't know this, but if you experienced certain types of crimes and filed a police report and are actively participating with the police in the investigation, you may be eligible for have any expenses incurred by you as a result of the crime, reimbursed to you. This may include medications, medical visits, therapy costs, funeral expenses, and lost wages. There are stipulations involved, but filing a claim is relatively simple, though the re-imbursement process may take some time. If you think you or a family member are eligible, you can seek info here ​https://dps.mo.gov/dir/programs/cvc/crime-victims-compensation.phpdps.mo.gov/dir/programs/cvc/crime-victims-compensation.php

Therapy Support
An extraordinarily valuable tool in the healing process from trauma is getting therapy. Our therapists at Healing Reflections Therapy: Diversity, Trauma, and Wellness Services are experts at understanding the complexity of trauma and treating the resulting wounds. We utilize evidence-based approaches to help clients address their acute traumas from recent events as well as addressing chronic concerns from traumas that occurred decades ago. Reach out to us today, and we can help you find the help you need ​https://www.hopehealreflect.com/contact-us.html . For those not local to St. Louis, you can use Rainn.org to lookup a sexual assault near you.

Group Therapy Support
Another valuable tool is group therapy. I often recommend individual therapy paired with group therapy as a part of the healing journey. It is a wonderful opportunity to share your story with other survivors and see that you are not alone. Places like Safe Connections and YWCA Metro St. Louis are known to offer this for free.  Survivors.org also offers a virtual support group.

Healing Your Body
As many people are now aware due to education on ACES and the popularity of Bessel van der Kolk's "The Body Keeps the Score," the body is often impacted by trauma and carries a health cumulative impact. Resources like trauma-informed yoga have come about to help this process. This month, Survivors.org is offering free virtual trauma informed yoga workshops as well as art therapy workshops.

Joining the survivor community can be a transformative experience. It can help reframe your relationship with your victimized self, help release you from the bonds of secrecy with your perpetrator, and empower you to find a community of others that understand and empathize with your experience. You don't have to go through this alone. It's never too late. 

For more resources and information, you can check out our trauma resources information page and our sexual trauma resources page.

Author: Megan Garza, MA, LMFT
Megan is a Co-owner of Healing Reflections Therapy and Sexual Trauma specialist. You can schedule an appointment with her today here.

More and more people are using AI to assist with their mental health needs, and new tools and platforms are being built to expand on this. Clients are using AI to keep them accountable, to locate therapists, to learn coping skills and emotion regulation skills, to track their sobriety, to create mood logs, and to help them recognize patterns in their behavior and symptoms. Some clients are using AI to  create healthy meal plans. Others are using it to identify red flags in dating conversations or to help them figure out signs if someone is into them.

But as AI gains familiarity, some folks are turning to AI for much more than resources; they are using it to fill gaps in their emotional intimacy needs. They are using AI as a pocket therapist, an in-home life coach, as a friend, and sometimes as a romantic or sexual companion.

How did we get to where AI filled such a void within us?
In 2023, the surgeon general declared loneliness an epidemic negatively impacting mental health.  Between political values dividing the dating scene, the disappearance of traditional third spaces like churches for meetups, and decreasing alcohol usage, the fuel and kindling that historically gave rise to so many relational fires, albeit disastrous ones, many folks today just don’t know where or how to authentically connect. Now add the economic crisis and rising costs of insurance, making mental healthcare difficult to access, and you have the perfect condition for relationship problems and isolation. 

Enter AI.

The AI Affair
AI chatbots are being used as tools for social connection, a friend, a helper, a nonjudgmental encourager, with some people stating their family members think they are directly talking to a human friend at-the-ready. Some are crossing the dimensions into developing intimate relationships with AI, where they substitute human companionship. As so many sci-fi movies have predicted, the future is here, and of course, humans being humans, people have also started using AI for sexting with chatbots. Arguably, a more ethical arm of the porn industry, due to not requiring the exploitation of vulnerable women and other individuals, but not without its own problems. AI porn is built by stealing the art and original imagery of real humans, some of whom may have consented, others may not have to their original use, reproduction, or misrepresentation.  For those in relationships, finding out your partner is in a sexual relationship with a chatbot without your knowledge or consent can lead to problems with trust, anger, resentment, betrayal trauma, breakups, and divorce. And those folks are already showing up in therapy rooms and divorce courts.

The AI Substitute Therapist
Over the past year, I’ve encountered more and more people using AI to assist in their therapy between sessions.  Indeed, I rarely go a day anymore without hearing clients talking about their collaborative use of AI to aid the therapeutic healing, most of which they find very effective.

The AI Couple Therapist
Some folks are turning to AI to determine whether or not they are in domestic violence relationships and how to communicate with their emotionally abusive partner. We have heard multiple women report putting their partner’s words into the chat and then using the chat’s response to send back to their partners in an effort to de-escalate or set clear boundaries.

The AI Family Therapist
Similarly, we have heard multiple family members report trying to resolve family conflicts through AI chat. One family member will hurt another family member, then turn to AI to write an apology letter for them. Sometimes, the AI-assisted apology letter is a considerably better attempt at repair than anything the other person has historically offered verbally. Sometimes, family recognizes the AI assist, sometimes they don’t and are seemingly content with the attempt at repair. 

But what happens when both people are using chat to write their responses? It comes down to a question of whether any true skills are being developed, or whether people are outsourcing their relationships and avoiding conflict, and how to learn conflict resolution skills. AI should be a tool, not a replacement; otherwise, we would be left with a modern-day dystopian Cyrano De Bergerac where two AI machines are transferring messages back and forth to one another, masquerading as their human puppets who show up with placid smiles after the conflict, ready to hug and make up. 

The AI Psychologist
Some are using AI to try to diagnose their mental health concerns. The problem, of course being that AI results are largely based on the information you give it, and frankly, it can be a bit of a brown-noser in trying to get your approval. More often than not, it tells you what you want to hear. It cannot tell you what you do not know or understand about yourself, which is especially problematic for folks who lack insight or are poor reporters. Nor can it observe your body language, tone, and micro-expressions that are key to understanding human behavior.

Recently, in 2025, an AI mental health software firm, Yara AI, closed after the developers determined that further development of their product was “too dangerous” for users in crisis and would cause more harm than good. It was preceded by similar closures from Woebot, Tessa, and Clarigent Health.

One AI company has already come under fire for contributing to psychosis and suicide. In one recent case, a 16-year-old who died by suicide was discouraged by AI from seeking help and was offered assistance in writing a suicide note. There have been reports from psych hospitals receiving an increase in AI-related psychosis.

Adding onto the problem, recently OpenAI came under fire after it was discovered that the shooter in a mass killing event in Tumbler Ridge Canada had been using their service and was detected for “furtherance of violent activities” and was kicked off the platform months prior, but the failure of the developers to report the issue to authorities has created a question of liability and whether or not the crisis could have been averted.

Multiple states have started to initiate legislation to rein in the expanse of AI in mental health spheres as recognition of the problems and limitations grows. 
Certainly, as a clinician, there has already been growing fear of jobs being encroached on by the tech and venture capitalist sector, but more important is the larger human risk. As therapists, we know that the research has been clear that the biggest indicator of successful outcomes in therapy are not about what tools are used, what certifications someone has, the type of modality or intervention applied that could be replicated by an algorithm, but by the therapeutic relationship itself. The healing art of dynamic human connection. The unquantifiable algorithmic element.

Much like the development of the printing press, the automobile, the assembly line, the computer, and the internet, AI is not going away, nor is the human demand for it. The question remains, how do we best use the tools to our benefit? And perhaps the larger question remains for both users and developers exists in the bioethics realm, similar to that of growing the Jurassic Park dinosaurs: Are we so focused on what we could do with AI to meet our intimacy needs, that we are forgetting to stop and ask ourselves if we should?

So, in conclusion, this is just your friendly neighborhood therapist reminding you o remember to stay connected to real people and use AI only a tool/resource, not a replacement for human connection.

This article was written by a human without the aid of AI.

Author: Megan Garza, MA, LMFT

Sources
https://www.ama-assn.org/public-health/population-health/loneliness-public-health-crisis-learn-how-screen-it

https://www.theguardian.com/world/2026/feb/21/tumbler-ridge-shooter-chatgpt-openai

https://stateline.org/2026/01/15/ai-therapy-chatbots-draw-new-oversight-as-suicides-raise-alarm/

https://www.npr.org/sections/shots-health-news/2025/09/19/nx-s1-5545749/ai-chatbots-safety-openai-meta-characterai-teens-suicide

https://www.pbs.org/newshour/amp/show/what-to-know-about-ai-psychosis-and-the-effect-of-ai-chatbots-on-mental-health

https://fortune.com/2025/11/28/yara-ai-therapy-app-founder-shut-down-startup-decided-too-dangerous-serious-mental-health-issues/

The Working Alliance (1994) Horvath & Greenberg. John Wiley & Sons: NY

​Jurassic Park (1993)

The level of social support is the number one predictor of outcomes after trauma. Having support from a loved one came be a critical step in the healing process. Many family members ache when they see their loved one's suffer and are desperate to help them find relief, and to find relief for themselves of the anxiety and distress the helpless creates.

Seeking mental health support from a family member has some pros and cons. In general, seeking out therapy can be helpful, however not everyone is ready to take that step for themself. This can become a point of distress as family members get desperate for change with ongoing worry. 

Here are some things that therapists want you to know when you reach out on their behalf.

1)Reaching out to therapists on behalf of someone else takes away their sense of agency/responsibility for their therapy process and can be a sign of patterns of enabling or codependence.
All too often  well meaning loved ones reach out on someone else's behalf for therapy, but more often than not those individuals have little motivation to participate in the process. When you make the call for them, it takes away their ownership of the issue. Well meaning family members can become enablers by allowing these individuals to not have to take the role of responsible adults. Women often complain that they get cast in the role of mother to their spouses, but they often enable the very problem they are frustrated with by continuing to make the calls for doctors visits and setting up the appointments for them.

2) Lack of motivation to reach out to a therapist is often predictive of one's motivation to participate in the treatment process.
Often therapists find that when someone else makes the arrangement for someone to attend therapy, the person making the call is more distressed and ready for change than the client is. As much as you want them to change, they may not be ready to. Part of the process of reaching otu to a therapist, filling out the intake forms, and coming to the first session is all part of someone's preparation for change. It involves accepting there is a problem, that you need help, and that you are willing to take steps to make change. When people are just "visiting" therapy and not ready to make change, they usually do not attend past the intake sessions, if they bother to show up for the intake at all. Prochaska & Diclemente (1983) developed the stages of change model that highlights the cycle and one's readiness to change, particularly as it applies to addiction, though this pattern is applicable to the overall therapy process.
​
3) Confidentiality is a barrier for us.
While you may want to advocate for them, your advocacy can only go so far when we are dealing with another adult who is their own guardian. Therapists are required to maintain confidentiality with their clients, so once they make contact, we cannot really communicate with you about them without a release. 

What about when your family member is too ill or depressed to advocate for themself or is a poor reporter/historian?

If someone is in a mental health crisis situation there a few options to consider. This situation is different than a situation where someone is enabling, but more occurs when the client is in such a poor state, they lack the capacity to take the steps for themself. For example, someone who is experiencing psychosis and cannot distinguish reality from a delusion, someone that is so depressed they are near catatonic and bed ridden, someone whose OCD has lead to a hazardous hoarding situation, or someone who is experiencing a manic episode and is engaging in high risk behavior, or someone who has been abusing substances or has been having a reaction to medication and they are seemingly not themself. In each of these scenarios, these folks likely need immediate help. Going to an ER or the nearest psychiatric facility may be the best option to immediately manage the crisis. If a person already has a psychiatrist or therapist, reaching out to them to let the know what is going on can be a tremendous help.

Generally, you can send mental health professionals information, but we cannot acknowledge it or send anything back to you without a consent to release information from the client. Exceptions to this rule may apply if there is an imminent threat to the life of the client or someone else.

As much as I encourage clients to take responsibility for their mental health and challenge when folks are enabling, there have been many times over the years that I have encouraged family members to write letters to their loved one's doctor or to call the office and leave a message to inform them if a crisis has developed or if there are significant pieces of information about symptoms necessary for the clinician to make an adequate diagnosis and appropriate treatment plan, and for their doctor to be able to prescribe the appropriate medications. These methods, when necessary can be absolute game changers in the trajectory of a client's mental health outcomes. 

When we have a release and family therapy or coordination of care is part of the treatment
As family therapists, especially when working with children it is very difficult to make changes with the child if the rest of the family is not on board and participating in the treatment. Some of the best results I have ever seen as trauma therapist have come immediately after sessions using Trauma Focused Cognitive Behavioral Therapy (TF-CBT) when parents are brought into the session to help process/witness the trauma of their child. Secrets are eliminated and parents are coached on how to be effective supporters in the present. The shame the child was experiencing dissipates and healing takes place in the family system.

Although interventions with loved one's have long been used in substance abuse recovery, there are mixed reviews of the efficacy of these attempts.


What about if it's a Britney situation and we think we need to become guardians or conservators in order to help our family member?

Sometimes a person is not well enough to take care of themself. They refuse treatment. They struggle with having the capacity to recognize the risk to themselves. In some cases, a person can apply for a conservatorship or guardianship with the courts. The court determines if this is appropriate.

Sometimes, when a family member is severely chronically ill and it no longer feels like there is another way to get them help to save their life, this step can be helpful.

However, it can also come with a large price. Family members have the burden of assuming medical and financial responsibility for their impaired family member, which is often a thankless, tiring, and exhausting job. The task and the subsequent blowback of resentment and fight for control from the client can result in major conflicts, and sometimes complete dissolution in the relationship between family members. As they say, no good deed goes unpunished. As we all saw with what happened with Britney Spears and her family over the conservatorship and when it was lifted, the process and outcome were complicated in their impact.

So, should you help a family member? Absolutely! But before you take those next steps, carefully consider your role, expectations of them, ask yourself whether it is possible they can do this for themself and how your involvement may help or hurt. Consider the impact that your helping may have on your own mental health.

Remember local resources like the 988 mental health crisis line as well as NAMI, AA, Al-Anon,  SAMHSA, and Psychology Today  are all excellent ways to help for yourself or to send the information to a loved one to encourage them to take steps for their own mental well being. If you think that maybe you are struggling with codependence with a family member, you can look into a CODA group for yourself.

Author
~Megan Garza, MA, LMFT

Therapy has become increasingly accepted as a norm for health treatment, especially since covid. As historical barriers of stigma and shame fall away, more and more people are embracing hope and change and looking for therapists to help them facilitate healing, but sometimes struggle with where to start.

One option for finding a good therapist or mental health treatment center is to ask your family, friends, or colleagues for recommendations. High praise from someone you know can go a long way in building trust with your provider.

Another option is to check with your insurance company. If you check the back of your insurance card, there is usually a number you can call and they can help with referrals for providers in your network. Better yet, go to the insurance companies Doc Find on their website, which usually allows you to add in filters for your selection and find providers nearest you.

A third recommended option is using Psychology Today's search field at www.psychologytoday.com
Many reputable clinicians use this for their marketing. You can read about each clinician in detail, view their fees, insurances taken, and specialty areas, and even watch video snapshots of them.

Of course Google can also locate someone near you, but that may be driven more by sponsoring ads than who is the best fitting provider near you.

Alternatively, crisis lines like BHR can also help link you to social service organizations, psychiatrists, and mental health facilities.

There are low-fee sliding scale therapists available through memberships at Open Path Collective.

What about the venture capital backed companies (VC) that you see the ads for a lot? These are usually the first 3-5 companies that pop on any any search result for a therapist now. There are many options for therapists available through them as well, but the controversy surrounding them is increasingly mounting, with more and more pressure to push back against the Walmart effect and risk of healthcare monopolies with conflicts of interest and how they impact your healthcare and your local community. You can read more about that here.

You don't have to go through this alone. Many people are available to help. 
A word to the wise, be patient, sometimes places may have long wait lists or be slow to return calls, if at all. It may be beneficial to reach out to multiple providers initially and see who is most responsive to your needs.

How to know if the therapist is a good fit?

An important quality is competence, does the therapist have specialized training or certifications in the area, symptom, or diagnosis that you need help with? Do they primarily do individual or couple or family counseling? How long have they been working in that area to develop a solid set of skills for complicated needs? 

Do they do in-person, virtual, or a combination of both that may make them more accessible or easier for you connect with or be vulnerable.

Does the therapist specialize in Christian counseling or are they general, non-religiously focused? Choosing a therapist that works within a framework you are comfortable with can be helpful.

If you are a member of a marginalized population, does the therapist understand those complexities or needs so that you feel safe? A therapist doesn't have to be a member of that population to be helpful, but they do need to have culturally competency or willingness to approach with openness and non-judgement.

Are you wanting only wanting validation or change? Therapy can feel really good if you are supported and the therapy gives lots of validation, but that doesn't always result in change. One major difference between a friend and a therapist is a therapist is specifically there to help you work on your goals to change, which may mean they tell you things that can be hard to hear and encourage you to do things you are uncomfortable with, for the sake of your recovery. If the therapist only validates you, it may feel good, but might not always result in the change you are seeking.

And lastly, what is the general vibe of the therapist? How do you feel about their demographics and personality?  Look over their website, their psychology today profiles and videos, do they seem like someone you could jive with?

Tempering your Expectations
Sometimes we hear about folks that therapist hop, looking for the "perfect fit," much like dating, it's not likely you will find the "perfect therapist". They are humans and can make mistakes, but are they open to learning and making change to meet your needs, or are you willing to accept that maybe they are telling you something you need to hear instead of what you want to hear? Therapists also encourage the client to do the hard work, not them. So if you are expecting them to do all the work, you may feel frustrated with long silences and delayed in progress. The more you modulate your expectations, the happier you may be about the result.

Sometimes when folks are not ready for therapy, they easily find barriers. It is a good idea to think about whether you are screening out providers who would otherwise be a fit for this reason.  When people strongly desire change and are ready to do the work, they may not overemphasize what certifications the therapist has, or how far away they are, or what times they offer, or what the cost is.  They will be willing to do anything to access the service they need at the moment and are also willing to do the hard work in the process.

Conversely, if a therapist makes you feel unsafe or judged, it makes sense to listen to your gut and move on.

Hopefully this helps and you can find your way to a clinician that helps you meet your needs. Good luck, and good health!

Authors, Megan Garza, MA, LMFT & Chris Scarberry, MA, LPC

3. Meditation: Happier
When I bring up meditation in sessions, I’m met with comments like, “I hate meditation, I get too distracted, and it’s impossible for my thoughts to be quiet.” The mainstream understanding of meditation is that it’s somehow supposed to teach you to be totally devoid of thoughts, but that is simply unrealistic and, in my opinion, not what meditation should be used for. Instead, meditation is a powerful way to process and feel emotions, relax and recenter ourselves when stressed and overwhelmed, and expand our capacity for skillful coping mechanisms. 

Happier, previously known as Ten Percent Happier, is an app that was recommended to me by another therapist. It is now a resource that I use regularly, personally and professionally, primarily because of the quality and variety of meditation practices and tools it provides. The app has free meditations available, but you may choose to purchase their yearly subscription, like I did, for full access. 

The meditations cover many different topics and guide you through many visualization and reflection options. They also do a good job of setting a pace that allows time for reflection and still calls your attention back to the practice in case your thoughts start to wander. Whether you are experienced or new to meditation, this app is one that my clients and I find helpful.
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Other:
Outside of apps, I recommend Self-Compassion Practices by Dr Kristin Neff. The meditations found on that webpage are geared towards compassion, loving-kindness, and grounding. Her website includes helpful exercises as well, which I suggest checking out.

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5. Couples: Paired
Lots of people struggle communicating with their partners, and that is normal, even in a healthy relationship. The Paired app is designed to facilitate conversations that you may not think to have. These conversations revolve around topics like sex, sharing responsibility, finances, quality time, communication, LGBTQ+, and more.

​Each conversation prompt or quiz starts with a bit of psychoeducation about relationship dynamics. The prompts and quizzes have thoughtful questions designed to make you think and reflect so that you share insightful information with your partner via the app. You can not see your partner's answers until you submit your own, which I feel helps with authenticity. After each of you has answered, you can continue to discuss in the app with messages and emoji reactions, or if you prefer, you can continue the conversations in person to build on your understanding of each other’s answers. 

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6. Movement: Bend
Movement is another therapeutic tool! Moving our bodies, in whatever capacity, can have great mental and physical health benefits. Gentle movement, like stretching, is more accessible for some than going on a run or going to the gym, and Bend is a great way to guide yourself through that. The app has stretches categorized by body areas to stretch and by various intentions for stretching. It has guided routines that are as short as four minutes up to thirty minutes. You select a routine based on whether you’re looking for a wake-up stretch, a bedtime stretch, a mid-workday stretch, or you want to stretch your sore lower back, and it presents you with several options varying in length. You can pick according to the amount of time you have or the kinds of stretches it shows in the sequence, if you have a preference. 

Each option has an explanation of its specific focus. Before you start the stretch series, it shows you all the stretches in the order that they will be presented and the length of time intended to hold those stretches. Both before you start or if you need a refresher in the middle of stretching, each movement has a detailed description of how to get into the position (including a video demonstration showing you what it looks like), tips to help you find your footing and prevent injuries, modifications to accommodate movement restrictions, and the areas that benefit from that stretch.
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I personally love the way that the app guides you through the movements and provides ample support for executing each stretch. You can adjust the time that you hold each stretch if it is too long or too short, and you can pause any time if you need a break to adjust, reread the directions, or sip some water. The app will, of course, send you reminders to stretch if you set it up to, and as with most apps, there are more features available if you pay for the subscription. The unpaid version only does a full guided routine with the timer once a day, but it does not restrict your access to stretches or their instructions if you want to use them with your own timer or at your own pace. 

​Conclusion:
While they are not a fix for our mental health, nor a replacement for trained professionals and community support, apps are a great way to reinforce the things you are working on in therapy. The apps I recommend here may not work for you, and that is okay; they are just options to experiment with. If you find that these are not your vibe, that is just more information to help you determine what you do or do not need in terms of support. It’s all about finding what works for you!

​Author: McKayla Kagie Robinson, MS, PLMFT
McKayla is Provisionally licensed Marriage and Family Therapist with Healing Reflections Therapy, currently accepting new clients for individual, couple, or family therapy.