Ask a Counsellor

Is trying counselling at Uni worth it?

Question: I am worried about if the counselling sessions are worth it or not because I do not want to open up completely to a stranger and they werent even helpful. This has happened all throughout my high school life and I dont want it to happen in uni.

Response:

It can be challenging to take that step and seek counselling. If you then open up and find you are not helped in the way you had hoped, it is very discouraging. So, considering your experience, I am sorry this happened and I can appreciate your hesitation.

Some students have told me that the counselling they experienced at Student Counselling Services was very different than what they got in high school. One possible contributing factor is that school counsellors do not always have the kind of time and training required to offer the counselling that students are seeking. I can tell you that all counsellors at MRU are registered professionals (either registered psychologists or registered social workers trained in psychosocial interventions) and we offer short-term counselling to support students in their personal and academic success. The other contributing factor may be that students have grown a lot since they sought counselling in high school. As an adult, you may have more clear goals for counselling and can engage in a different way in the process than you were able to as a teen.

If you try counselling at MRU it will likely be different because of these factors. However, it does not mean that counselling will be exactly what you want in the first session. It might very well be amazing and you will feel relief and hope. You might walk away with a bit of insight, a strategy for coping, and feel curious about next steps. You might reach the end of the session and you and your counsellor might just have just gotten to the point where you both understand what your goals are for counselling, and you have only the very beginnings of a plan for change. You might just have had the chance to share your story and you feel tired and emotional after the session. So a first session can be quite different depending on the student, the concern, the counsellor, and the extent to which you can build a connection and working relationship. Sometimes that working relationship and connection is quick to bloom, sometimes it takes longer, sometimes people find another counsellor is a better match.

Despite the different possible outcomes noted above, I hope that you will feel listened to and that you will gain some clarity around the changes you are looking for.

I hope this information helps you to take another chance at finding the help you are hoping for.

All the best,

Mirjam Knapik, Ph.D., R. Psych.

 

Hi I am considering starting therapy. Is MRU Individual Counselling essentially therapy?

Hello,

Thanks for submitting the first question of the new academic year. It’s a great one, too, because the term counselling is being used so broadly now to mean support for many of life’s demands and challenges. Likewise, therapy can refer to treatment and relief of both physical and mental pain, and can be medically or developmentally oriented. So it has become confusing for many people seeking help. The short answer is this: yes, we offer individual and group therapy/counselling sessions as well as workshops that increase students’ capacity for well-being. It is free and confidential.

In case you are interested in more of an explanation: When making the decision about seeking help, it is often more useful to consider the training and credentials of the person whose support you are seeking, and then find out what kind of service that person, or the work setting they are in, offers users. MRU Student Counselling Services has registered psychologists and social workers with a clinical designation,  meaning they are trained to provide support for people with mental health concerns and they have met the registration requirements for their regulated profession in Alberta.

This support can include working with people who have a diagnosis of a mental illness, those who are struggling with their mental health and well-being but who don’t have a diagnosis, and it can include helping people through experiences of loss, trauma, identity questions, life skills, interpersonal challenges, barriers to academic success, career and life decisions, and so on.

MRU Student Counselling Services provides brief therapy. This is in consideration of both our resources and linking students to services that best their needs. If you are hurting, struggling in some areas of your life, or interested in personal growth, please attend at our walk-in block of sessions every afternoon between 1 and 4 pm, book an appointment, or join us for our workshops and webinars (live chat workshops online that you can do from home in the evening). In a one-on-one appointment, you and your counsellor can discuss how to best meet your needs.

All the best for the coming academic year,

Mirjam Knapik, Ph.D., Registered Psychologist

Why does my mood and feelings change so fast for no reason?

Hello,

Your question is an important one, because I’m sure many people live with experiences like this, which they find hard to explain to themselves. It can be troubling when our reactions don’t make sense to us.

So I’ll begin with just clarifying what I understand is meant by mood and feelings, and then hopefully we are on the same page.

I understand mood as a kind of general vague feeling that is more a readiness to feel in a particular direction than a feeling in itself. So feeling irritable is a mood that might lead you to feel, in a split second, angry, or frustrated. Feeling in a blue mood might, with little provocation, move you to feeling sad, pessimistic, or hopeless. Feeling good might lead you to feel, even in response to small positive events, happy or joyous or full of humour.

When I think of moods it can point to things like your overall physical health (are you rested, getting nutritious food, does your body have a chance to move and feel strong), it might point to a need for some reflection on your life (am I making choices I feel good about, do I have a sense of purpose, is what I’m learning meaningful to me), or it might point to a health issue (am I moving into a depressed state, is my thyroid functioning well, how are my vitamin D levels, etc.).

Each of these examples leads to different possible solutions, but a medical check is always a good first start to rule out physiological issues. Reflection might lead you to make some changes in your life so that you are living more in line with what is important, or it might lead you to take our Career Passion Workshop to learn how to develop a sense of purpose and direction. For your overall physical health you might start, or return to, doing some of the things you love that help you to feel physically competent and strong. SCS will start offering workshops again in the Fall of 2019 and the Happiness and Resilience and Stress Management options might be ones you would like to take in.

I hope that gives you some ideas to begin to address what can be a very frustrating experience that doesn’t seem to have a lot of logic.

 

All the best,

Mirjam Knapik, Ph.D., R. Psych.

 

Seeking counselling for non-MRU youth

My daughter is 16 years old and I am looking to get her counselling. Do you offer counselling for teenagers who aren’t part of Mount Royal?

Hello,

We only offer counselling to MRU students. However, I would be happy to share some off-campus resources that you may wish to check out. I’ll share two options and the third is a call centre where professionals will be able to share more information about other services that might meet you daughter’s needs.

Calgary Counselling Centre: Their counsellors guide individuals, couples, families and youth through their concerns.

The process begins with the NEXEN Call Centre: where you can call or go online to complete your counselling form. Upon completion of your counselling form you will receive a call to set up an appointment within three to five business days.  Day, evening and weekend appointments are available.

Counselling fees are determined on a sliding fee scale, according to annual family income and ability to pay. There are no financial barriers to counselling services provided by the Centre. (403-691-5991 or http://www.calgarycounselling.com/ )

Eastside Family Centre: The Eastside Family Centre offers services for youth and families experiencing emotional upset that may arise from a variety of situations ranging from parent/adolescent conflict and mental health disturbance to domestic violence, financial stress and/or employment loss.

Service is available on a first-come, first-served basis with no appointment required. It offers no-cost, walk-in counselling, and focused counselling with a qualified professional that may include psychiatric and clinical consultation. It also provides no-cost, legal advice in collaboration with Calgary Legal Guidance and outreach and school services based in highly accessible centres throughout the community. (403-299-9696 or http://www.woodshomes.ca/site/PageNavigator/programs/crisis/programs_eastside.html )

Access Mental Health is connected to many local community resources, and they will be able to share more options. They can also streamline the process for accessing specialized mental health services. You can access this service by calling 403-943-1500 (Ext 1 – child and adolescent services; Ext 2 – adult and senior services) Monday to Friday 7:30am -7:30pm.

I hope that gives you a start. All the best to you and your daughter.

Mirjam Knapik, Ph.D., R. Psych.

 

Counselling: Time between appointments

Question: It seems almost impossible to get an appointment with a consistent counsellor in a timely manner.  Appointments every 1-1 1/2 months seems like an excessive time to wait. What is being done to lessen the wait time for students?

I’ve had to wait over a month to see my regular counsellor.  I was doing well till I couldn’t see her on a regular basis anymore.  My mental health has been declining very rapidly since I last saw her.  Will MRU be hiring more counsellors? When will the problem of excessive appointment wait times be fixed?

Your questions about Student Counselling capacity to serve MRU students is an ongoing concern for us. We are always reviewing demands and our resource and try to discover the best way to manage these. For example, we have instituted walk-ins to allow for timely access, and this has helped students to get in close to the time they feel the need to connect with a counsellor.  It has also resulted in fewer empty appointment spots. When students don’t show for their appointment, we are able to move those attending walk-in afternoons, into these openings. However, the problem you are identifying is the long wait between appointments for ongoing counselling.

First, I want to say that I am sorry to hear your mental health deteriorated between your sessions.  Although it is possible for students to see their own counsellor when the counsellor is doing the walk-in blocks (this would be for briefer check-ins)  not all counsellors do these walk-in sessions. So perhaps this was the case for your counsellor and it is not ideal, as you point out, to then see a different counsellor.  I hope you will discuss this issue of timing of appointments with your counsellor so that you can look at additional options and problem solve around this issue. 

For example, an excellent option between appointments are groups and workshops. We are increasing the number of ongoing support groups in order to meet the increasing demand. Some students initially resist this but I can tell you that many students get more benefit from being part of an ongoing counsellor-led support group in between sessions, than they would get from working more frequently with their counsellor one-on-one. We have a group for Indigenous women, one for students on the Autism Spectrum, and two groups going for students struggling with anxiety. Learning together about mental health issues, building skills and improving resilience, mutual support, and feeling less alone are some of the potential outcomes from joining such a group. More will be developed as students learn about the benefit of support groups and agree to attend, and next year there will be an exciting new resilience building program for struggling students that is being led by the Office of Student Success and that will include counsellors and learning strategists. 

Another consideration is that we are a brief counselling service. Sometimes students indicate their doctor recommended weekly sessions, and we are unable to meet this demand. In this case it is important to discuss other options in the community. The student and counsellor can work this out. We will continue to support this student until they are connected with the right resource. Students may also be referred to the mental health nurses to help them access additional resources.

In terms of our resources, they have been challenged for various reasons. However, I’m happy to report we have been trying to hire all semester and recently found a successful candidate. So I’ll announce here that Jennifer Hoy is joining our team part-time. However, we also recently learned that one of our counsellors has decided to retire in December. We are happy for her and will celebrate such milestones. It also means we are again searching for Registered Psychologist or Registered Social Workers (spread the word!).

I thank you for your question. I hope that it clarified some challenges and that it encourages others to talk to their counsellor about what is and is not working for them in counselling. I would be happy to meet with anyone in person as well, to hear how our service could be improved, within the limits of our resources. The demand for counselling is unlikely to go down and our resources are unlikely to increase. We recognize that more frequent follow ups between appointments is important for many students. So we will continue to consult students, look at how other universities are handling the demand, and do the best we can with the resources we have both on and off-campus.

All the best,

Mirjam Knapik, Ph.D., R. Psych.

Can perceptions of mental health be shared in a reference letter?

Questions: Is it appropriate and/or allowed for a professor to discuss their perceptions of my mental health on a reference for grad school?

Hello,

Thanks for your question. I suspect the question and response will be of value to others. My first response was to want to speak to confidentiality in counselling (we never share information about students without a student’s signed consent), but realized you were talking about perceptions a professor has about your mental health.

There are several problems with your professor commenting on your mental health in a reference letter. First, since your professor is not qualified to assess your mental health status they cannot speak to this. Even if they are also registered mental health professionals, they are not in this role when they are preparing a reference letter. Second, if there was a diagnosis of a mental illness that the professor knew about, this says nothing about your ability to do grad school. Many people diagnosed with a mental illness are able to thrive and have great success in University because they have found effective treatment and ways of coping. Third, when there is a psychiatric disability there is a duty to accommodate that person and to explore how they, with some possible adjustments, are able to meet the learning requirements. What that accommodation actually looks like can be different because of specific program requirements that will limit the kind of accommodations that are possible and appropriate.

What your professor is able speak to in preparing a reference, is knowledge of your performance. This would all be with reference to your actual behavior. This could include questions such as the following: Did you hand things in on time? Was the quality of the work up to the standards required by graduate studies? Can you work independently?

I am going to refer you to the Office of Campus Equity and Meaningful Inclusion with any further questions about this. Khaula Bhutta is a human rights advisor who works out of this MRU office. She will be able to say more about your options for handling a situation where your professor is including, in your reference, perceptions on your mental health. Her email is kbhutta@mtroyal.ca.

I wish you all the best in resolving your concern.

Mirjam Knapik, Ph.D., R. Psych.

Is there couples counselling if only one partner is a student?

Do you offer relationship counselling if only one partner is a student?

There is a quick and short answer to your question: yes.

As long as one of you is a student, we can offer you and your partner couples counselling. Sometimes a couple finds it helpful to  engage in personal counselling as well. In that case, the student can access an individual counsellor and we would give the non-student partner information about accessing counselling in the community.

We currently have three counsellors who offer couples counselling, and when you call our front desk they can help you schedule an appointment with one of these counsellors.

I will also share that Student Counselling Services offers a workshop using the Myers Briggs Type Inventory. Although helpful to improve any type of relationship, couples have often find it helpful. You can check it out at our workshops, groups and volunteer opportunities page. When we get about 8 people who are interested, we will work with all you to find a time that works. So if you are interested,  just put your name on the list. Your partner would be welcome to attend with you.

Here is the description. MBTI for Relationships: Learn to understand your communication, decision-making and processing styles to improve your relationships.

All the best,

Mirjam Knapik, Ph.D., Registered Psychologist

Questions about courses and requirements

Question: If I want to have a BA degree in english, do i need to take social 30-1 in my highschool classes?

Response:

Thank you for your question. I am going to guess you are currently in high school and are thinking about coming to Mount Royal University. If that is so, this is great and I hope to welcome you here in the near future. The Student Counselling Centre at MRU helps students with personal challenges, provides support in career and life decision making, and helps students overcome barriers to academic success. So with your question the real experts on our campus are the Academic Advisor for accepted students, and the people in Recruitment for entrance requirements. Each university and program can have somewhat different requirements, so this may require some searching.

Mount Royal offers free admission information sessions and campus tours throughout the year. Just click on these links for further information.

Sorry I can’t answer your question, but I hope you will find your answer (and more) with this information.

Mirjam Knapik, Ph.D., R. Psych.

Worries about a roommate’s eating

Questions: So I live in residence, and I’ve recently come to the knowledge that one of my roommates is refusing to eat and has certain stigma surrounding food. She needs to talk to a professional, but she refuses to. What do I do?

Response:

Thank you for your question.

It can be difficult to know what to do when you witness someone engaging in behaviors that may be harmful to themselves. Your caring and concern for your roommate is evident in your posting, as is your wanting to help. Eating difficulties and attitudes toward food can be complicated, and your roommate may not see the harm at this time. She may also be fearful of being judged or forced into eating. If she is avoiding eating to gain a sense of control and discipline, then having others take over can feel very threatening.  What you can do is to give her a clear message, through what you say and what you do, that you are concerned about her, you care about her, and you would support her in making a change if she chooses to do so. It is important that the message comes without judgment. You can also make suggestions and give information about resources with an opening such as this: “I’m worried about how little you eat and wonder if you are okay. I don’t want to make any wrong assumptions or tell you what to do, but if you like, I have some information about resources that you could access. May I share these with you?” Unless there is a concern about imminent risk to your roommate’s safety, which it doesn’t sound like there is, sharing information and offering compassionate support is the best you can do. For your own well-being it is helpful to remember that you are not responsible for her choices and that she is the only one who can change her behavior.

Here are some resources you might wish to share. Student Counselling Services is one option (on campus and free to students and you can check out our website with your friend if she is interested). For an off-campus service the Calgary Counselling Centre offers programs focused toward both balanced and healthy eating for those who struggle with the kinds of behaviours and attitudes you described. Finally, it is always important with eating difficulties to talk to a doctor, and she could begin this process by checking in with the Mental Health Nurse in MRU Health Services.

As I said, it can be difficult to witness someone engaging in harmful behaviors. We can feel powerless and overwhelmed. I encourage you to think of what you need in this situation and to remember that you can also go and talk to one of the counsellors at Student Counselling Services if you would like more information than we were able to give you here.

I want to leave my abusive relationship

I want to leave my abusive relationship, it’s not physical but more so of an emotional/mental abuse case. The relationship has been a secret due to his manipulation for some time now and I’ve made the mistake of becoming dependant on him so if I leave I’m left with nothing. I’m aware that I should probably just tell friends and family about my situation and they’re supposed to help me but I really don’t want that either. Are there other options? I’m tough but the relationship is really starting to destroy me and I can’t keep it up until I’m done school and can finally start supporting myself. I’m ready to leave, I just need suggestions how so I’m not left with nothing. Thanks

Hello and thanks for your question. When people come to counselling for this kind of situation, my wish is that they don’t spend another moment in an emotionally and mentally abusive relationship. Realistically, there are often things a person wishes to consider and talk through to sort out the best way to leave the relationship. I hesitate to say anything specific without knowing more about your situation, but do have a suggestion and some resources.

What I hear from your question is that you are very clear that this relationship is harming you,and  that you are aware of how the person abusing you has managed to isolate you and make you feel dependent. There are many reasons why people in your situation do not want to tell friends and family about the situation, and I don’t want to make any assumptions about your reasoning for this. However, as you pointed out, secrecy and manipulation have resulted in exactly the thing the abuser intends: you feeling dependent and like you can’t seek support from those who might be able to provide it. At some point it may be very important to reach out and develop a support system as you make a plan to leave the relationship. So that is one suggestion

I’m curious about what you meant about being left with nothing. If this is financial, you may wish to consult others who can speak to your rights about this and how to best protect yourself financially. The Government of Alberta has a website that includes information about family violence and abusive relationships and it lists many resources. There are links on such topics as knowing your rights, financial support for those fleeing an abusive relationship, and you can call 24/7 or use a chat online as well. It is often important to know the specific of your situation for making helpful suggestions. Of course there is free counselling at MRU for students, and this is also be a good place to talk in more detail about your next steps.

I wish you all the best with your plans to leave this abusive relationship.

Mirjam

Mirjam Knapik, Ph.D., R. Psych.

MRU Student Counselling Services