As many of you know, I am the Lead Mentor for a ministry called Alongside, designed to help women who are serving overseas, who might have the need for emotional support. The ministry is run through Thrive Ministries who strives to empower women in ministry around the world. My team of 25 mentors give a few hours a month to encouraging. listening and praying for women who have given their lives to be world changers. Our mentees are running orphanages, teaching English, rescuing women from sex trafficking, doing community development…they are strong but they are often somewhat alone and in need of support. My mentor team is an amazing group of selfless women who have incredible life experience but only a few of them are trained counselors, so we have some guidelines in place to put boundaries around the service we offer. Recently I was asked to put together a list of reasons to suggest professional counseling to women who might need more than we can offer in a mentorship capacity. It reminded me how often I have been asked in private practice how people can identify if a family member or friend might benefit from counseling. I thought it might be beneficial to adapt the guidelines we use at Alongside for my clients….
Here are some reasons that your friend might need counseling:
Your friend is having difficulty regulating her emotions. Of course you may have emotional moments with your friend where there are tears. However, if she expresses that she is crying all the time, struggling to keep her anger under control or fluctuating between extreme emotions, she may need more than an accountability partner.
Your friend isn’t performing effectively in her roles at home or work. Deeper mental issues can effect us cognitively and we can struggle to focus and engage effectively with people as a result. Sometimes it is a fine line between an overwhelmed mommy and a person who has ceased to function in a healthful way. If you sense that your friend is struggling, please advise her to seek counseling.
Your friend complains of not being able to sleep, eat or perform other normal human functions. Oftentimes, clinical depression and/or anxiety can lead to physical issues. Unplanned weight gain or weight loss, chronic insomnia or other symptoms such as headache, stomach pain, or even back pain, can be an indicator of a deep emotional need. If these symptoms are worsening for your friend despite your time together, she may need more attention than you can give in a friendship role.
Your friend reports an ongoing struggle with numerous relationships or an inability to build and maintain relationships. Many women have relationship struggles that they need to process and this is normal. However, if you start to get the feeling that your friend has no healthy relationships in her life, she might need to explore this at a deeper level.
Your friend has unresolved trauma. If your friend shares about past trauma, and you suspect that this trauma is part of the reason she is struggling, it is appropriate to ask her if she has ever gone through counseling for that trauma. Trauma comes in many forms. She may have experienced sexual abuse, spiritual abuse, a profound loss, or may have childhood trauma that has never been resolved.
Your friend struggles to find joy in activities that normally provide joy. When you are encouraging your friend in the area of self care and she can’t seem to find anything that brings her joy, she may be experiencing clinical depression. Is she isolating herself or focusing only on the negative? Encourage your friend to seek professional help.
Your friend has deep or unresolved grief. Women often experience grief because of job loss, relationship conflict, cultural challenges, divorce or death of a loved one. She may benefit from time with a therapist.
Your friend is using substances or obsessive activities to cope. If you suspect that your friend is struggling with addiction, it is important to suggest counseling.
Your friend suggests that they may self harm. Self harm in any form can be very dangerous. Please encourage your friend to seek professional services if you are concerned that she is a danger to themselves or others.
Your friend seems to need more than you feel capable of giving. If you start to feel overwhelmed by this relationship, the answer may simply be that the needs of your friend are too great for a reciprocal relationship.
As always, let me know if I can help!
With love,
Sonia

Recently, I ran across an article put out by the CDC, that warned about the dangers of isolation. Recent studies were cited in the article, studies that proved that Social isolation significantly increased a person’s risk of premature death from all causes, a risk that may rival those of smoking, obesity, and physical inactivity. Social isolation was associated with about a 50% percent increased risk of dementia. As a mental health professional, I am appalled that along with suggestions of social distancing and mask wearing, there were not guidelines of how to maintain a healthy emotional state during this time. I see firsthand the damage as I sit with clients (all via Telehealth now!) on a regular basis, who now struggle with increased anxiety and depression or who never experienced symptoms before, but are now battling sluggishness, sleeplessness, lethargy, hopelessness, lack of motivation, apathy, and many other symptoms associated with depression.
I encourage you to take a look at this short report that gives some support for maintaining contact with other humans:



We are in a historical time where tensions are high, opinions differ and people are getting very hurt. Some people are willing to sit next to their friends who have different perceptions or solutions to problems, and others are hell bent at getting everyone else to say, do and act exactly like them. There might be some value in sitting next to another person, to hear their story, to see if there are more similarities than differences in our viewpoints, as we navigate controversial issues and the approaches to solving the tough questions. I have a gut feeling that many of us have good intentions and want similar outcomes.
At her 4th birthday party, my daughter Emilee came running in the house bawling her eyes out. I pulled her into my lap to check for scraped knees but she wasn’t hurt. She sobbed into my chest, “I hate my hair!”. I was ready for this. I told her how Jesus made everyone different and that our family had curls…blah, blah, blah, blah, blah…. She looked up at me and said, “No mama! I LOVE my curls! I hate my BLONDE hair. You, Azile, Daddy and Maddy (her little bestie at the time) all have BROWN hair!” I looked down at her beautiful platinum blonde hair and thought to myself, “How many people would love to have this color hair?” BUT WAIT…did my daughter say she loves her curls? Could I learn to love mine?
I just got off the phone with my best friend from my childhood. We met in 7th grade when she and her brother accidentally rang my doorbell, when they were going door to door selling magazines for the school fundraiser. She told me later that she was mortified when I answered the door…we were in 7th grade where everything is embarrassing. I honestly thought it was hilarious, and it lead to a joined-at-the-hip friendship that took us through high school and beyond. I can’t tell you how many memories I have of the two of us laughing till we cried. We passed notes, talked on the phone, double dated, played sports, went on family vacations, were in each other’s weddings…we had no idea that life might not always be so carefree. Since then, our lives have not always been intertwined, but we talk and get together whenever we can, because we will always be heart sisters.
This morning I was liking a photo of her handsome son on Instagram. Her son and my girls are the same age. I remember thinking it was so fun that we were pregnant at the same time. He was recently made a deputy and I thought the picture was celebrating that. It wasn’t. It was the picture in the paper, that told how he died in a car accident yesterday. His was a young, beautiful life, cut short and his mama is my dear friend. And even though I am a trained counselor, and have lead grief groups, and taught seminars on grief… I had no words.