What it Means to be a MAiD-Positive Therapist
 
Medical Assistance in Dying, or MAiD, has become increasingly popular in Canada as its availability increases, which means more people are talking about it, which means more people are talking about it in therapy. So, I decided it’s time to talk about what it means (and doesn’t mean) to be a MAiD-Positive Therapist.

But first….
 
What is MAiD?
 
MAiD is a process where eligible individuals request and receive assistance from medical professionals to end their life when they choose. This decision is deeply personal, and for many, it represents an assertion of control and dignity at the end of life.
MAiD is highly regulated, with eligibility criteria for people seeking out a MAiD death, and regulations for the health care providers administering it. This blog post is not meant to cover the details of the process, or requirements, as those are continuing to develop. If you’d like up-to-date information on the process in Canada please check here: https://www.canada.ca/en/health-canada/services/health-services-benefits/medical-assistance-dying.html
 
What Does it Mean to be MAiD-Positive?
 
Being a MAiD-positive therapist means making space to talk about MAiD. It means understanding that death is part of life, and that people have thoughts, feelings, and wishes about death and dying; it means recognizing and respecting the legal right of individuals to make decisions about their own death. It means offering a non-judgmental, compassionate, and empathetic environment where clients can explore their thoughts, feelings, and wishes about the end of life.
 
As a MAiD Positive Therapist, I will NEVER:

• Provide medical advice, instead I’ll listen to your story and what it means to you.
• Influence your decisions making, instead I’ll walk alongside you as you contemplate your options and explore your thoughts and feelings about those options.
• Impose my own thoughts or beliefs, instead I’ll let you know that my belief is that you are the only person who can choose what is right for you.
• Confuse thoughts or questions about MAiD with suicidality, instead I’ll let you know that having thoughts about dying when you are living with difficult medical circumstances makes sense, and that I’m here to talk with you about it.

My Core Values of a MAiD-Positive Approach:

1. Respecting Bodily Autonomy: At the heart of a MAiD-positive approach is respect for the client’s bodily autonomy. This means supporting a client’s right to make decisions about their own body and life, including choices about their death. I honour this autonomy by creating space for the client to openly discuss their wishes without fear of judgment or bias.
   
2. Non-Judgmental, Compassionate Listening: Being MAiD-positive involves offering a safe, compassionate environment where clients feel they can discuss their feelings freely. I will always listen with compassion and curiosity.
   
3. Understanding that MAiD is Not Suicide: MAiD is different from suicide. MAiD is sought by individuals suffering from severe illnesses who wish to avoid unnecessary suffering and maintain dignity in their final days, rather than an escape from life itself, so if someone talks about MAiD, or death, or mortality, I will understand that is not the same as talking about suicide.
   
4. Not Every MAiD Conversation is an End-of-Life Conversation: Sometimes people talk about MAiD when they don’t want to pursue it. It could come up if someone is in a lot of pain, or struggling, or not sure what their options are and feel stuck. I make space for any conversation about MAiD, and will work to understand what it means to each person.

 
In Conclusion
 
Being a MAiD-positive therapist means being open to all conversations about MAiD in a compassionate, curious, and non-judgemental way. It means respecting bodily autonomy and empowering clients to make their own choices. It means making space for clients to explore their own thoughts, beliefs, wishes, and values. It means understanding that dying is part of living and acknowledging the importance of helping people process choices about the end of their lives.
 
​
By Joy Pekar (she/her)
Registered Psychotherapist (Qualifying)

 
Thank you to Renee Moor and her team at Journey Home for Empowered Living and Dying for coining the term “MAiD-Positive” and for supporting me as I elaborate on what it means to me.
 
https://www.journeyhomesupport.com/
 

 Let’s Chat About Text-Based Therapy
 
What is Text-Based Therapy?
With everyone so connected through digital platforms these days, using tech for mental health services is really taking off. Text-based therapy is when you chat with a licensed therapist via messaging apps. It’s a new way to connect that can feel more flexible and accessible than traditional therapy options.

Some choose text therapy because it’s easy and flexible, some use it alongside their face-to-face sessions, and for others, it’s the only way therapy works for them.
 
Why Use Text-Based Therapy?
 
1. Convenience
One of the best things about text-based therapy is how convenient it is. Finding time for in-person or even online face-to-face sessions can be tough with busy schedules, parenting, or caregiving duties. Text-based therapy means no need to travel, so you can get support wherever you are. Plus, you can send messages anytime, making it super easy to fit into your schedule.
 
2. Communication Styles
If you’re someone who prefers texting with friends and family, you might also prefer text-based therapy. Writing things out lets you reflect more. Both you and your therapist can take your time to process emotions and thoughts clearly. This can lead to deeper self-reflection and more meaningful conversations. Plus, you get a written record of your conversations to look back on and track your progress.
 
3. Integration into the Broader Mental Health Landscape
Text-based therapy isn’t meant to replace traditional therapy but to complement it. It offers another option for those who might not otherwise seek help, expanding access to care. It can also be used as a hybrid model, mixing face-to-face sessions with digital check-ins.
 
4. Communicate at Your Speed
Text-based therapy can be great for neurodivergent folks, like those who are Autistic, disabled or have ADHD. The asynchronous nature lets you take your time processing information and forming responses, reducing anxiety and improving communication clarity. Written records of sessions can also help with memory and understanding.
 
5. Breaking Down Barriers
Text-based therapy removes barriers, making therapy more accessible. For people who are deaf or hard of hearing, written communication eliminates the need for sign language interpreters. Those with speech impairments can use text-based therapy as a primary or supplementary communication method, expressing themselves in the way that works best for them.
 
Who is Text-Based Therapy For?
 
Only you can decide if text-based therapy is right for you, but here are some people who have benefited from it: 

• People who prefer texting to talking
• Busy professionals
• Busy parents
• Busy caregivers
• People who want to connect between face-to-face sessions
• People with social anxiety
• Autistic people
• Disabled people
• Neurodivergent people
• People who are Deaf or hard of hearing
• People with Tourette’s, stammer, stutter, or apraxia
• People who want to use text-based therapy!

 
How Does it Work?
If you choose text-based therapy, you’ll download a secure messaging app to connect with your therapist and decide if you want to connect synchronously or asynchronously.
 
Asynchronous Text-Based Therapy: No set session time – send messages anytime, and your therapist responds when they can, usually within 24 hours or the next working day. You’re billed only for your therapist’s time. The benefit is that you can connect anytime, as much or as little as you want.
 
Synchronous Text-Based Therapy: You have a set session time where both you and your therapist are online, ensuring a real-time conversation. You pay for the session time just like traditional therapy. The benefit is having dedicated time with your therapist and not having to wait for their response.
 
Potential Challenges and Considerations
 
While text-based therapy has many benefits, there are some challenges:
 
Lack of Nonverbal Cues
Communication isn’t just about words. Nonverbal cues like body language and tone of voice are missing in text-based therapy, which can sometimes lead to misunderstandings. Clear and direct communication is key.
 
Privacy and Security
Protecting sensitive information is crucial. Reputable platforms use encryption and other security measures to keep client data safe. Still, it’s important to use secure, trusted platforms and be aware of privacy settings and policies.
 
Conclusion
 
Text-based therapy represents a significant step forward in making mental health care more accessible, flexible, and inclusive. By eliminating physical barriers, supporting sensory and cognitive differences, and addressing mental health conditions related to access, this approach fosters a more inclusive and equitable mental health care landscape. While it may not be a one-size-fits-all solution, its ability to meet the diverse needs of today's society is undeniable. 

About the Author
By Joy Pekar, Registered Psychotherapist (Qualifying)
 
Joy is passionate about making therapy accessible in so many creative and meaningful ways. She offers in therapy online and via text to people all over Ontario, and offers accessible in-home therapy for those unable to access therapy in other ways, in the town of Dundas, Ontario. If you'd like to talk to Joy about text-based therapy you can book an appointment here, or email her here.

Beyond the Physical: Prioritizing Mental Wellness in Kidney Health
Self-care for people with kidney disease and their loved ones
  
Life with kidney disease can feel like a rollercoaster ride, filled with ups and downs, uncertainties, and unexpected turns. In the whirlwind of medical appointments, treatments, and lifestyle adjustments, people sometimes overlook the emotional toll this journey can take on people living with kidney disease and their loved ones. In this blog post, we'll explore the often-overlooked aspect of mental health in the context of kidney disease and offer practical tips for nurturing your well-being beyond the physical symptoms.
 
Navigating the Emotional Rollercoaster
Each stage of living with kidney disease comes with its own challenges. There are times when you’ll have to make big decisions on managing symptoms and treatments. You may need to adjust to a new lifestyle, or a changing body. It's natural to experience a range of emotions along the way. Anxiety about the future, grief over the life you had and the life you looked forward to, and frustration with the limitations imposed by the condition are all valid feelings that many individuals with kidney disease experience. Making space for all the emotions that you’re experiencing is an important part of self-care. Coping with the realities of a chronic illness is a journey in itself; one that requires patience, resilience, and self-compassion.
 
Cultivating Self-Care Practices
When living with a chronic illness, prioritizing self-care becomes more important than ever. Taking time for yourself, even in small doses, can make a world of difference in managing your mental well-being. Whether it's going for a walk in nature, indulging in a favorite hobby, or simply taking a few moments to breathe deeply and centre yourself, finding moments of peace and joy amidst the challenges can help replenish your spirit.
 
Building a Support Network
You don't have to navigate the ups and downs of kidney disease alone. Building a strong network of family, friends, and healthcare providers can provide invaluable emotional support along the way. Whether it's a shoulder to lean on, a listening ear, or practical assistance with daily tasks, knowing that you have people who care about you and are there for you can provide a sense of comfort and reassurance.
 
Seeking Professional Help
If you find yourself struggling with persistent feelings of anxiety, depression, or overwhelming stress, don't hesitate to reach out for professional help. Therapists and support groups can provide valuable assistance in navigating the emotional challenges of kidney disease. Seeking help is a sign of strength, and you deserve to receive the care you need both physically and emotionally.
 
Taking the step to seek professional help from a therapist or counselor can be transformative for your mental health journey. When selecting a therapist, consider the advantage of finding someone who not only specializes in mental health but also possesses a deep understanding of the unique challenges associated with kidney disease. With this knowledge, a therapist can offer valuable insights and tailored support, eliminating the need for you to explain various procedures or medical interventions. This saves you time and emotional energy, allowing you to focus directly on expressing and processing your emotions and concerns. With their familiarity with managing chronic illnesses like kidney disease, therapists can provide practical coping strategies to address your specific needs. Remember, finding the right therapist is a personal journey, so explore different options until you find someone who feels like the right fit for you.

Conclusion
Living with kidney disease encompasses both physical and emotional challenges. From coming to terms with the diagnosis to navigating treatment decisions and coping with the day-to-day realities, the emotional toll can be significant. By prioritizing mental wellness, building a support network, and seeking professional help when needed, individuals can find strength, resilience, and yes, even joy. Remember, you are not alone on this journey, and there is support and guidance available to help you navigate the ups and downs with courage and compassion.
 
About the Author
By Joy Pekar, Registered Psychotherapist (Qualifying)
 
As a therapist and caregiver to loved ones navigating kidney disease (polycystic kidney disease), Joy offers a unique blend of professional skills and personal experiences. She has been there with her loved ones, from diagnosis to dialysis and transplant, through many medical hurdles, life altering decisions, and emotional complexities firsthand. She understands that each person’s experience with kidney disease is unique and is open to chat with you about yours if you’d like to connect.

Also posted at: Beyond the Physical: Prioritizing Mental Wellness in Kidney Health - PKD Foundation of Canada (endpkd.ca)
 

5 Fabulous Facts about Walk and Talk Therapy

By Joy Pekar
April 24, 2024



In a world that’s constantly hustling and bustling, finding the right therapy approach that suits your lifestyle and preferences is crucial. Walk and Talk Therapy is a refreshing and innovative twist on traditional counseling that combines the benefits of beautiful outdoor spaces, gentle movement, and the therapeutic process.

5 Fabulous Facts about Walk and Talk Therapy

1. NATURE’S THERAPY ROOM
Embracing the great outdoors, Walk and Talk Therapy takes you into nature’s therapy room. Surrounded by fresh air, greenery, and the soothing sounds of nature, this unconventional setting can provide a calming and grounding atmosphere, facilitating a more relaxed and open therapeutic experience. Many people find it easier to open up and share their thoughts and feelings while engaged in physical activity. The rhythmic movement of walking can serve as a natural icebreaker, making it simpler to dive into sensitive topics.

2. STRESS REDUCTION AND PHYSICAL BENEFITS
Movement is well-known for its positive effects on mental health. Engaging in a walk during therapy not only helps to alleviate stress but also releases endorphins, the “feel-good” hormones. The physical activity can be particularly beneficial for individuals dealing with anxiety or depression, providing a holistic approach to mental well-being.

3. ACCESSIBILITY AND MEETING YOU WHERE YOU ARE
Our team will strive to meet you where you are, physically, emotionally, and geographically! Physically, you set the pace, whether it’s a brisk hike, gentle walk, or mostly time spent seated on a bench, or in a wheelchair, we will find the balance that’s right for you. Emotionally, you share and explore what you’re ready, when you’re ready. Geographically, we have multiple trail options to choose from, reach out to learn about our current trail options to find a spot that is best for you.

4. YOU CAN WALK AND TALK ALL YEAR LONG, YES, EVEN IN CANADA
Walk and talk sessions can happen all year long. We’ll dress for the weather and enjoy our time in nature. But some days are just not right for getting outside. In those cases, you can reschedule, or switch your session to in person, online, or by phone, or simply skip a session. You can also choose to do walk and talk sessions during the seasons you prefer, and choose another therapy options for other times of year. It's about being flexible, and working with you to meet your needs.

5. DOGS AND BABIES WELCOME
Some people need to bring a little one along while they work on their own self-care. If you'd like, you can choose a trail that is dog friendly, and/or stroller friendly. Baby carriers are another great way to enjoy the trails. If the best way for you to take care of you is to bring a little one along, we’ll work with you to figure out how to best make that happen.



Incorporating physical activity into therapy can be a game-changer for many individuals seeking support and guidance. Walk and Talk Therapy provides a unique and effective alternative that not only prioritizes mental health but also recognizes the importance of our physical well-being. So, if you’re ready to “walk the talk” on your journey to personal growth, this might just be the therapy approach you’ve been searching for. Step outside, take a breath of fresh air, and let the healing begin.

If you'd like to book a consult to talk about walk and talk therapy click here.

By Joy Pekar
Registered Psychotherapist (Qualifying)

First Published at https://rootsinwellness.ca/2023/11/13/walk-and-talk-5-fabulous-facts-about-walk-and-talk-therapy/ 

By Joy Pekar
April 24, 2024




LGBTQ+ individuals are still facing stigma, discrimination, and hate in society, even through changes in legality and societal acceptance.

LGBTQ+ older adults, born before 1965, have lived through times when their identities were not only stigmatized, but criminalized. As Canada progressed through the decriminalization of homosexuality in 1969 and the legalization of equal marriage rights in 2005, LGBTQ+ older adults emerged from an era marked by medical and criminal persecution. The struggle for acceptance and recognition has left an indelible mark on their lives, shaping their perspectives, and influencing their relationships with healthcare and mental health professionals.

Supporting LGBTQ+ older adults requires that we understand the challenges they’ve likely faced in the past, and the challenges they may be facing today!

Common Challenges:
Though each person is unique, we understand that LGBTQ+ older adults are at much higher risk of these struggles.

1. Financial Struggles: Many LGBTQ+ older adults, especially those who are racialized or transgender, face economic difficulties.

2. Discrimination: Historical oppression, current discrimination, and fear of discrimination, impact mental health and well-being.

3. Supportive Housing: LGBTQ+ older adults are more likely to live alone, making them more likely to need supportive housing, but limited LGBTQ+-friendly options may force older adults back into the closet.

4. Mental Health Disparities: LGBTQ+ older adults experience higher rates of mood disorders, anxiety, and substance use compared to their peers.

5. Fear of Helping Professionals: Difficulty trusting medical and healthcare professionals due to past maltreatment.

6. Loneliness: LGBTQ+ older adults have fewer family ties and friendships and are much lonelier as a result.

Commitments to You:
It is an incredible privilege to work with, and build the trust, of any older adult.

Affirmative Therapy: Our counselors adopt an affirmative stance, acknowledging and respecting your unique identity and experiences.

Inclusive Wellness Approach: We consider emotional, social, physical, and other dimensions to tailor counseling to your specific needs.

Privacy and Respect: You are never required to share details of your identity unless you feel ready to do so. Your comfort and privacy are our priorities.

Low-Cost and Pro Bono Options: Affordable therapy options are available for all older adults, including LGBTQ+ older adults. We believe mental health support should be accessible to everyone.

We are here to provide personalized, respectful, and accessible mental health support for all LGBTQ+ older adults.

If you or someone you love is an older adult who wants to learn more about therapy and see if it might be right for you, give us a call. 289-858-8255

If you need help or just want to chat, please don’t hesitate to reach out to us at info@findjoy.ca.

By Joy Pekar
Registered Psychotherapist (Qualifying)

First Published at https://rootsinwellness.ca/2024/03/11/support-for-lgbtq-older-adults/