June 2012 Newsletter – Welcome Jennifer Skinner, M.S.

We went for our first swim a few weeks ago, and it was brisk! I really enjoy swimming and being in water so I hope the weather warms up. Our Cedarburg office is moving July 1st! But it’s only 1 block away from the current office. The space is larger,

Happy Summer!
We went for our first swim a few weeks ago, and it was brisk! I really enjoy swimming and being in water so I hope the weather warms up. Our Cedarburg office is moving July 1st! But it’s only 1 block away from the current office. The space is larger, and we can see more clients there. Jennifer Skinner and JoEllyn Schultz are the primary therapists out of the Cedarburg office (for now!). Jennifer joins us this month and we are happy to have her on board! She has been a school counselor for a few years and sees children and adults. She will be in West Bend one day a week and Cedarburg 2 days a week. I have included her profile in this newsletter. She can be reached at Jennifer@kettlemorainecounseling.com or by calling the clinic. Until next time, be gentle with yourself and others.

Devona Marshall Clinic Dire

Jennifer Skinner, M.S., T.L.P.C., L.P.S.C.

Jennifer is a Licensed Professional Counselor and Licensed Professional School Counselor with experience working with children, adolescents, adults, and families who present a wide range of clinical needs. She creates a safe, healing environment that is focused on enhancing a client’s resources and strengths. From this foundation, clients are able to identify challenges and set goals, so that they can begin to make changes that will positively affect their lives and sense of self.

Prior to joining Kettle Moraine Counseling, Jennifer worked as a clinical intern at an outpatient clinic with a culturally diverse population of at-risk youth who experienced severe trauma including physical, sexual, and emotional abuse, and neglect. Many of the children she worked with display symptoms such as depression, anxiety, PTSD, impulsivity, and aggression. She also currently works as a school counselor and has experience with facilitating and designing various groups catered to specific behavioral and academic needs for students, such as bully prevention, self-esteem, character development, problem solving, and other social-emotional issues.

After earning her undergraduate degree from University of Wisconsin-Madison, Jennifer obtained a Master Degree in clinical and school counseling from Concordia University. Jennifer believes that treatment techniques must be based on the particular needs of the individual, recognizing that each individual is influenced by many factors within his/her environment. She integrates a variety of therapies, including play therapy, cognitive-behavioral (CBT), Person-Centered, and Brief Solution-Focused therapies to achieve healing and growth for individuals and families.

Jennifer’s specialties and interests include:

  • Children/adolescent behavioral & emotional issues
  • School issues
  • ADHD
  • Anxiety
  • Trauma
  • Self-esteem
  • Depression
  • Adjustment/life transitions

Happy Father’s Day!
June is already here. Happy Father’s Day to all of you and to my own Papa!
Christina Lachner MS TLPC

It is already the end of the school year, with field trips, graduations, and your children are counting down the last few days that are left. Everyone is scrambling to plan out what to do this summer. So, who has time to think about school re-opening in September? You, of course! The little things that you do now before/as school ends will make the start of school much easier. These suggestions that I will be listing below will make your child get off to a great start in September and his/her teacher prepared for a new child with new needs or symptoms. Let’s get organized for the next school year and have a great summer!

  • Get specific feedback from your child’s teacher about his/her major problems, major strengths or resources, and any techniques that were particularly effective.
  • If you have given the teacher any articles on ADHD/ADD or your child’s disabilities, ask the teacher if s/he can forward it (or them) to next year’s teacher or if s/he prefers just return the materials so that you can forward them.
  • If your child is continuing in the same school next year, ask this year’s teacher if s/he can talk to next year’s teacher and share his or her observations about special needs and effective strategies.
  • If your child is changing schools, ask the Director of Special Education (if your child is classified) if you can arrange for your child to get an individual tour of the new school before this school year ends so that your child isn’t anxious all summer about a new building. If it’s possible for your child to actually meet next year’s teacher now, that would be very helpful, too.
  • Before school ends, send a brief letter/email to next year’s teacher(s). If you don’t know the teacher’s name yet, send it to the guidance department for the receiving school or the building principal with a note asking them to deliver it to your child’s teacher’s mailbox once assignments are determined.
  • Make sure you send a letter/email to this year’s teacher(s) thanking them. There are exceptions, but most teachers are extremely industrious and have probably made a lot of effort in helping your child. The same applies to any school support staff or specialists who you feel did their best to help your child. You may want to pass a copy of the letter on to the school principal for the teacher(s), staff, or specialist’s file.
  • If your child is changing schools, ask the school nurse whether any medication records are being forwarded, and if so, will any notes about side effects or cautions be forwarded.
    Always ask; schools do not automatically do this.
  • If your child is taking a medication holiday or break for summer vacation, find out from the prescribing physician when you should contact him or her to resume or re-initiate medications. Since some medications take time to build up in the system, you do not want to start again the first day of school unless the physician advises waiting.

In July and August I will suggest easy things to do that will make the start of school a little less chaotic. Let’s see you and your child prepared in September. Have a wonderful June!

Christina@kettlemorainecounseling.com

May 2012 Newsletter – Summer Fun!

Just got back from visiting my son in NYC. Great trip, but tiring. NYC is a wonderful city, but also
overwhelming, especially if you are introverted! My oldest child has created a nice life for himself and I

Just got back from visiting my son in NYC. Great trip, but tiring. NYC is a wonderful city, but also overwhelming, especially if you are introverted! My oldest child has created a nice life for himself and I am proud of him. Our clinic will have a new therapist joining us next month; her name is Jennifer Skinner and she will see children/adults. More information on her will be sent next month. Christina Lachner is up and running and seeing many clients. She is doing a fantastic job and even wrote something for our newsletter this month. As Mothers Day approaches, I always think about and miss my own mother who died in 2004. If you are blessed with still having a mother alive, be grateful and let her know how much you love her! I hope all is well with you and yours!

Best, Devona L Marshall Clinic Director

It’s May 2012! Happy Mother’s Day!
I realize that many of our Parents/Guardians are starting to plan the summer routine for their children.
Yes, it is just around the corner and it is sometimes hard to find activities at times to keep our children
occupied all summer long.

Here are a few helpful suggestions.

    • The City of West Bend Parks and Recreation Department -2012 Activities
      http://www.ci.west-bend.wi.us/index.php?option=com_content&view=article&id=117&Itemid=134
    • West Bend Community Memorial Library located at 630 Poplar St., West Bend, 53095 phone: (262) 335-5151
    • Read with Rover-Children that can read for 15 minutes can read to a therapy dog for a one-on-one
      experience.
    • Summer Reading Program 2012-registration is on June 11th –June 15th at 9am.
    • Story time- Tues. &Wed. at 10am, & on Thurs. evenings

at 6:30pm.

  • Teen Book Club- contact Kristin via email kpekoll@west-bendlibrary.org if you are interested in getting
    your child involved in this club.

I hope these suggestions are useful tools in getting your child/children’s summer schedule started. I enjoy
having your children in my office. For those of you considering a therapist, I am open to any questions you
may have; please feel free to call or email me.

Sincerely, Christina Lachner, TLPC Kettle Moraine Counseling
Licensed Professional Counselor 125 N. 6th Ave. West Bend, WI 53095 262.334.4340
Christina@kettlemorainecounseling.com

Resarch Update:

Live in present, anticipate the future to increase happiness April 27, 2012, Psych Central Study suggests that individuals who live in the present, look warmly at the past, and anticipate the future are probably
happiest.

Fast food linked to depression April 1, 2012, Psych Central Study reveals that consumers of fast food are 51 percent more likely to develop depression than minimal or non-consumers.

Blog Archive:

When we feel insecure or not loved we tend to blame our significant other for it- in an angry accusing way.
“You did this” “You didn’t do this” “You made me feel angry”, etc. We make the other person wrong. Our anger
keeps distance in the relationship and it really isn’t the real issue! You need to keep your anger in check
when you communicate your feelings. How you say it is very important! For example… You are out with your
significant other and they talk to another person and you feel threatened, so you accuse them of flirting
and disrespecting you and it turns into a huge argument! Sometimes that may be the case where someone is
deliberately disrespectful, but usually these actions are unintentional and not meant to hurt you

April 2012 Newsletter – Welcome Christina Lachner!

I am getting outside more and have been biking/walking. My sisters and I biked to Campbellsport (love the bike trail!) and back a few weekends ago and had a great time. People are commenting on how “tan” I am. I feel embarrassed, because with a family history of melanoma,

Happy spring!!!

I am getting outside more and have been biking/walking. My sisters and I biked to Campbellsport (love the bike trail!) and back a few weekends ago and had a great time. People are commenting on how “tan” I am. I feel embarrassed, because with a family history of melanoma, I shouldn’t be tan at all!! But it’s from getting outside more often. Prom is coming up and we are doing dress shopping; we picked one out, but the dresses are sure different now from when I was a teen! At the end of April I will be going to NYC to see my oldest child for a visit- I miss him so much, and we need some son-mom time. Christina Lachner has joined our clinic, and we are so happy to have her on board! I have included her bio in this newsletter. She sees children, teens and adults. Included is our research update, which informs us that feeding babies on demand may raise their IQ, fast food is linked to depression, and helicopter moms are interfering with dating! Enjoy the longer days! Devona Marshall Clinic Director

Christina Lachner has joined our staff! She will be seeing children and adults, and will be under the direct supervision of Deb Graf MS LPC.

Here is her profile:

“I want to help you get past those little hiccups in life and move forward towards your future successes!”

Life can be challenging at times. Those challenging moments can make us feel as though they have taken over our lives. I would like to help you learn how to move thru those moments and own them. Counseling can help you learn and grow from your experiences.

She offers children, adolescents, and adults help in a supportive and encouraging atmosphere.

Christina’s specialties and interests include:

  • Children/adolescent behavioral & emotional issues
  • ADD/ADHD
  • Anxiety/panic
  • Self esteem
  • Depression
  • Adjustment/life transitions

Christina has a Master’s Degree in Counseling from Concordia University in Wisconsin. She has experience working with people that have developmental disabilities, as well as in the mental health field.

christina@kettlemorainecounseling.com

Research News:

Helicopter moms hover over kids’ romantic lives
April 2, 2012, ABC News
Psychologists say more parents are telling kids how to talk to their paramours, what to wear and even suggesting double dates — with them.

Fast food linked to depression
April 1, 2012, Psych Central

Study reveals that consumers of fast food are 51 percent more likely to develop depression than minimal or non-consumers.

Feeding babies on demand may increase their IQ
March 19, 2012, Fox News

Using data from more than 10,000 children, researchers found that demand-fed babies scored four to five points higher on IQ tests at age eight.

Blog Archive:

What am I hungry for?

Looking within ourselves is the only way we know what we hunger for. So what do I hunger for? Quiet time (no electronic stimulation), country living, family walks and meals, connections to a few people, and adventure! My answers have changed through the years and will continue to change as I get older and wiser. None of the things I hunger for can come for a magazine or a commercial, and they are unique to me and how I express life.

So when you ask yourself this question, do not look outside of you! Authentic answers can only come from within.

February 2012 Newsletter of Kettle Moraine Counseling Services!

I am settled back in from my Christmas vacation, and I do like the normalcy of my weeks. One of my goals for the new year was to exercise more, and I have been faithful to that- even though my back isn’t sure it likes all the activity (LOL). The latest book

From the Director:

I am settled back in from my Christmas vacation, and I do like the normalcy of my weeks. One of my goals for the new year was to exercise more, and I have been faithful to that- even though my back isn’t sure it likes all the activity (LOL). The latest book I am reading is Hold Me Tight, by Sue Johnson, and I am so enjoying it. It’s about attachment issues in adult relationships. We all want to feel safe, secure and that we matter to our significant other, and this book clearly explains how to build our connections. I highly reccomend it! The picture I chose for this newletter is of the Northern Lights. The first and only time I saw the Northern Lights, is the night my mother died. I was leaving my sister’s home and I looked to the northern sky and I wasn’t sure what I was seeing- I went home and asked my husband who explained. I hear that seeing the Northern Lights in Canada is incredible, and I hope to have that experience one day. In this issue we are highlighting our therapist Lester Menke, and Dorothy Lehman, our billing specialist writes explains insurance to us in a way we can actually understand! Til next time, be gentle with yourself and others, Devona Marshall

Lester Menke MS TLPC
Lester sees couples, adults and older adolescents. In Lester’s previous life he was a chef and when we have staff meetings with food, we look to Lester to give the food a thumbs up or down! He has a sense of humor and enjoys the challenges and rewards of counseling and helping people have stronger relationships and also to feel better about themselves. Lester incorporates John Gottman’s work on helping couples recconect. “My hope is to help people overcome problems in areas of their life that they wish to improve such as work, family, relationships, or overall life satisfaction. We are all looking to create a better life
for our selves, and to do this, we need to learn to be our best possible self. Attaining the life you want is the result of becoming the person you want to be, and the goal of any therapy should be to move us closer to this ideal.”
He can be reached at lester@kettlemorainecounseling.com, or by calling the clinic 262.334.4340.

Insurance Basics by Dorothy Lehman

Health care can be complex, and for many of us, understanding health insurance coverage can be overwhelming. Between coinsurances and copays, deductibles, networks and health savings accounts, it seems designed to be confusing! Let’s see if we can navigate through some of these terms and help clear up some of the questions.

Insurance card. This is most important piece of information needed for billing purposes. Often, insurances will have a special network to handle mental health claims, and that information is found on the back of the card, along with the contact information needed for obtaining benefits and authorization, as well as where to send the claims. Missing some of this information can slow down claim processing and delay payment.
Managed Care. More than half of all insured Americans are enrolled in a managed care plan. Managed care plans have contracts with providers and your costs are usually lower if you use these network providers.
Behavioral Health Network: Often there is a different network used to manage mental health services, and there may be different deductibles, co-insurance and co-pays for mental health services.

Deductible: This is the amount an individual pays before insurance will begin paying benefits. Deductibles may be as low as $100 on up to several thousand dollars. Deductibles usually are for each calendar year, so with the beginning of a new year, the deductible amount reactivates. Deductibles may be different for various kinds of medical care. For example, you may have no deductible or a very low deductible for office visits to physicians, similarly, you may have a higher deductible if your provider is out of network.

Co-insurance. This is a percentage of the medical expenses you may have to pay after the deductible has been met. A typical coinsurance arrangement is 80 percent by the insurer and 20 percent by the insured. Coinsurance rates may vary depending on the types of services you receive or whether or not you receive services from an approved provider.

Co-payment. This is a fixed dollar amount you may have to pay at the time of service. Some plans require that a deductible first be met before a co-payment applies.

Cost-sharing. This is financial contribution that allows you to set aside money for health care services before you pay income taxes on it. As long as that money is only used for “qualifying expenses”, such as deductibles, co-insurance and co-pays, then you will never pay income tax on that money. If you expect to incur medical expenses not reimbursed by your current health insurance, you should definitely think about participating in an FSA or HSA if one is offered.

Let’s look at the two most common types: Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).

Flexible Spending Accounts (FSA). An FSA is a spending account set up by employers to allow you to set aside pre-tax money to pay for qualified medical expenses during the year. Only employers may set up an account. Each year, you determine the amount of money you want deducted from your paycheck and put into this account. The key to an FSA is that it is “use-it or lose-it”. The money you set aside in one year must be spent in that year, or it will be forfeited, so you have to carefully anticipate your health care expenses for the coming year to avoid losing any money that you contribute and don’t spend.

Health Savings Accounts (HSA). An HSA is a savings account, not a spending account, which means that you may save that money until you need it, even if you don’t need it until many years later. Deposits to the account may come directly from your paycheck, your employer may make deposits to the account, or you may make deposits on your own. The major benefit to an HSA is the fact that the money is always yours to keep or use. It does not go away at the end of the year. And it is also portable. If you leave your employer, the HSA is yours; you take it with you.
Only those who have a high-deductible health insurance plan may set up an HSA in order to take advantage of the tax benefit. The rules about how high that deductible must be, and how much can be saved, vary from year to year.

Dorothy Lehman is the billing specialist at Kettle Moraine Counseling and the clinic director couldn’t get by without her! If you have questions or concerns about your insurance, don’t hesitate to call Dorothy at 262.388.9425, or Dorothy@kettlemorainecounseling.com. She can check your benefits before you begin services so that you know what the expense will be.

Research Update:

People are more likely to be happy if psychological needs at work are met
January 20, 2012, Medical News Today

The way we feel, or our well-being, can account for more than a quarter of the differences observed in individuals’ performance at work.

Exercise can reduce anxiety in women
January 20, 2012, Psych Central

Regular exercise can significantly reduce anxiety symptoms in patients with GAD.

Vitamin D may lower risk of depression in kids
January 20, 2012, Fox News

Scientists found that children with the highest levels of vitamin D had a 10 percent lower risk of developing depression.

July 2011 Newsletter of Kettle Moraine Counseling Services!

We got the AC fixed in part of our offices- Deb had been very patient in waiting for this to happen. The art therapy office is just about ready, and Angela is doing a good job of making it a calming, creative space. Read the note below from Tricia on her interest and training

From Tricia Schutz:

Dear Readers,

I am pleased to announce that I am expanding my counseling horizons! Currently, I am a Licensed Clinical Social Worker who provides counseling to school age children, adolescents, and adults. Not only will I continue to work with adults and adolescents, but I also will be extending my areas of interest to include infants, young children, and their families! I am extremely excited to be pursuing this specialty, as it serves a group that I care very much about!

I am currently a Fellow of the University of Wisconsin-Madison’s Infant, Early Childhood and Family Mental Health certificate program. I am member of the Wisconsin Alliance for Infant Mental Health, and will be seeking their endorsement for a Level III Infant Mental Health Specialist.

Infants, toddlers, and young children experience trauma, developmental concerns, and many other complex issues that sometimes result in emotional and behavioral challenges for themselves and their caregivers. Counseling children and their caregivers can greatly improve these challenges, strengthen the bond between child and caregiver, and result in everyday wellness.

Please feel free to contact Kettle Moraine Counseling for information about services!

Best Regards,

Tricia Schutz MSW, LCSW
Kettle Moraine Counseling

Research Update:

Mindfulness may ease irritable bowel symptoms
June 29, 2011, Reuters
A therapy that combines mindfulness meditation and gentle yoga may help soothe symptoms of irritable bowel syndrome.

How odd couples cope
June 28, 2011, The Wall Street Journal
Introverts and extroverts can make happy couples. I can attest to this personally- I am an introvert and my husband is extroverted! Devona

‘Sexting’ common for those who cheat
June 24, 2011, US News & World Report
Research finds these online exchanges are now part of extra-marital mating.

Blog Excerpt:

From As I get older…. I have more appreciation for the “muddiness” of life, and don’t expect it (or myself) to come in a neat orderly package. I like myself more and even tolerate my inconsistencies. Change in myself and others is more OK, and I don’t have to insist we all stay the same.
devonamarshall@blogspot.com

Clinic News:

We got the AC fixed in part of our offices- Deb had been very patient in waiting for this to happen. The art therapy office is just about ready, and Angela is doing a good job of making it a calming, creative space. Read the note below from Tricia on her interest and training on Infant/Toddler mental health. Also I just got word that I got accepted for training with Dr. Clarissa Pinkola Estes, mostly known for her book Women Who Run with the Wolves (awesome book on the psychology of women), and I am psyched to spend 6 days learning from her in August. Until next time, Enjoy the Summer!
Devona Marshall