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30

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Guidance & Support

Sandra Kelly | LICSW

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Feeling overwhelmed, stressed out, unbalanced, unmotivated, or hopeless that life is never going to get better? No matter how you are feeling in this moment, hope and change are possible! Let me teach you the skills to help you live a more balanced life.

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Testimonials

Hi, I am
Sandra Kelly

My work and my personal life are guided by a strong desire in supporting others when they are feeling stuck in life and are looking for solutions to make their lives better. Some people have a sense that they are being held back but do not always know the reasons why. I take an action-oriented, eclectic approach to help people unlock what has been holding them back from living life to their fullest.

I have 11 years of experience working with individuals, groups, and families who seek to improve their overall well being or to further enhance the quality of their lives. My approach is collaborative, supportive, nurturing, and I strive to empower people with skills that they can utilize throughout their lives.

When I am not in my office helping clients, I can be found exploring and taking photos in nature, fooling around with acrylic paint & water-color, spending time with family & friends, creating baked goods, or just relaxing at home with my furry friends.

About

My Approach

My approach is warm, down to earth, practical, and non judgmental. My practice is devoted to helping people connect with their inner strength & wisdom, to gain insight, personal growth, and encourage you to make the changes you desire. I specialize in the treatment of Eating Disorders, Anxiety, Depression, and Trauma. My work is guided by my training in Cognitive Behavioral Therapy (CBT), Mindfulness, Dialectical Behavioral Therapy (DBT), Acceptance & Commitment Therapy ((ACT), Motivational Interviewing, as well as Eye Movement Desensitization Therapy (EMDR). My approach is also influenced by Health at Every Size, Principles of Intuitive Eating, Body Positivity, as well as Mindful Eating.

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Anxiety

Is it Stress or Anxiety?

There’s a fine line between stress and anxiety. Both are emotional responses, but stress is typically caused by an external trigger. Triggers can be short term such as such starting a new job, deadlines for work or school, a fight with a loved one or long-term such as chronic illness, or discrimination. People under stress can experience physical and mental symptoms, such as fatigue, muscle pain, irritability, anger, digestive troubles, and/or difficulty sleeping.

Anxiety, on the other hand, is defined by persistent, excessive worries that don’t go away even in the absence of a stressor. Anxiety leads to a nearly identical set of symptoms as stress: irritability, fatigue, muscle tension, insomnia, and difficulty concentrating. This anxiety can impact every aspect of our lives – school, work, home, and/or social relationships.

Should I Consider Therapy For Anxiety?

More and more people these days seem to be struggling with anxiety. Unfortunately, the fact that anxiety is common leads many people to think they shouldn’t need therapy to work through this struggle. Even though anxiety is common, it doesn’t mean that it has to be your “normal and it doesn’t mean that you have to struggle through it alone.

Anxiety is the body’s way of alerting us to possible dangers. Our ancient ancestors needed anxiety to warn them about a possible attack from a wild animal and other life-threatening danger. Today, anxiety doesn’t necessarily stem from need to protect yourself from a man-eating wild animal, but our minds and bodies are not always able to tell the difference.

The thing about our body’s healthy anxiety response is that it’s not supposed to be on all the time; we’re meant to recognize and process a source of danger, and go back to a restful state. However, in today’s busy world, more and more people find themselves always on high alert.

Many people try to ignore, avoid, or just deal with their anxiety, these tactics work but typically not in the long run. Unfortunately, without really dealing with the sources of your anxiety, you will continue to experience all the same negative effects. The goal of therapy for anxiety is to help people recognize when the body is experiencing elevated levels of anxiety and learn how to cope with the anxious feelings to experience greater joy in your day to day life.

Eating Disorders

Eating Disorders are a unique and challenging set of thoughts and behaviors that can make it difficult to be present and fully engaged in life. In America, it is estimated that 20 million women and 10 million men will have an eating disorder at some point in their lives. Eating Disorders are serious yet treatable and can affect people of any gender, sex, age, race, ethnicity, or socio-economic status. Eating disorders are insidious and often impact people’s every day lives by making it difficult to engage in work, school, or socializing. The three most common types of eating disorders are:
  Anorexia Nervosa is defined by the following criteria:
  • – Restriction of energy intake (calories/food) that can lead to low body weight
  • – Intense fear of gaining weight or of becoming fat
  • – Disturbance in the way in which one’s body weight or shape is experienced and possibly lack of recognition of the seriousness of current low body weight.
Bulimia Nervosa Is defined by the following criteria:
  • – Eating In a discrete period of time, larger amounts of food than what most individuals would eat in a similar time period
  • – Feel a lack of control during the binge episode
  • – Engaging in compensatory behaviors to prevent weight gain such as:
  • – Vomiting
  • – Laxative Abuse
  • – Excessive Exercise
  • – Binge eating and compensatory behaviors both occur on average at least once a week for 3 months
Binge Eating Disorder is defined by the following:
  • – Eating In a discrete period of time, larger amounts of food than what most individuals would eat in a similar time period
  • – Feel a lack of control during the binge episode e.g. feeling like you cannot stop
  • – People who experience binge eating might also notice:
  • – Eating until uncomfortably full
  • – Eating large amounts of food when not hungry
  • – Feeling disgusted, depressed, shame, or guilt
  • – Eating along or in secret due to feeling embarrassed by eating
  • – Feeling distressed that binge eating is present
In addition, there are many symptoms that people may be experiencing due to engaging in eating disorder behaviors:
  • – Shortness Of Breath
  • – Hair Loss
  • – Enlarged parotid glands
  • – Amenorrhea (loss of menses)
  • – Cold Intolerance
  • – Lack of Energy
  • – Dizziness
  • – Difficulty concentrating
  • – Tachycardia (high resting heart rate)
  • – Bradycardia (low resting heart rate)
  • – Abnormal blood work
It is not uncommon for people to struggle with more than one type of eating disorder throughout their lives. And not everyone that struggles with eating disordered behaviors meets the criteria for an eating disorder. Many of my clients have struggled for years with yo-yo dieting, have a preoccupation with their body shape and size, and/or are tired of thinking about food.

How Does Therapy Work For Eating Disorders?

Often people seek a therapist (outpatient provider) after they have been in a higher level of care for eating disorders such as partial hospitalization or intensive outpatient levels of care. However, for many people seeking help, I am the first person they have talked to about these issues. If I am the first person you have reached out to, I will ask you questions about the frequency and severity of behaviors so that I can assess how I can best support you. If you have other outpatient providers such as a registered dietitian, I will often work collaboratively with them on your behalf.

Many people delay seeking support for eating disorders for several reasons that might include: feelings of guilt, shame, embarrassment or perhaps you don’t think you are sick enough because you’re not underweight or you only throw up sometimes – whatever the reason is that you ended up here on my page, you are in the right place and the time is now to seek support and guidance. Call or send me an email so that we can chat about how I can best serve you.

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We help with work visas, student visas, family-based visas, tourist visas, business visas, and permanent residency (green cards). New had happen unable uneasy. Drawings can followed improved out sociable not. Earnestly so do instantly pretended. See general few civilly amiable pleased account carried. Excellence projecting is devonshire dispatched remarkably.

Processing times vary depending on the visa type, country, and individual circumstances. We provide estimated timelines after assessing your case. New had happen unable uneasy. Drawings can followed improved out sociable not. Earnestly so do instantly pretended. See general few civilly amiable pleased account carried. Excellence projecting is devonshire.

Common documents include passport, photographs, financial proof, employment letters, invitation letters (if applicable), and visa application forms. New had happen unable uneasy. Drawings can followed improved out sociable not. Earnestly so do instantly pretended. See general few civilly amiable pleased account carried. Excellence projecting is devonshire.

No, visa approval depends on the immigration authorities. We ensure your application is complete and meets requirements to maximize approval chances. Common documents include passport, photographs, financial proof, employment letters, invitation letters (if applicable), and visa. See general few civilly amiable pleased account carried.

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