Keith Counseling

07/24/2025

07/23/2025

Curious about journaling but feel more confident with a bit of guidance? Try these thoughtful prompts designed to deepen your understanding of yourself and encourage meaningful reflection

Self-Discovery & Identity

• “What parts of myself feel most authentic today, and why?”
• “If I could describe myself in three words based on this week, what would they be?”
• “What values guide my decisions—even when I’m not fully conscious of them?”

Emotions & Internal Dialogue

• “What emotion showed up most this week? What did it want me to know?”
• “What does my inner critic sound like, and what would I say back if I could?”
• “When did I feel emotionally safe? What contributed to that feeling?”

Patterns & Triggers

• “What repetitive thoughts or behaviors do I notice lately?”
• “What situations tend to trigger a strong emotional response in me?”
• “How do I tend to cope when I’m overwhelmed—and is that working for me?”

Growth & Strengths

• “What have I done recently that I’m proud of, no matter how small?”
• “What strengths have helped me get through difficult situations

07/23/2025

Trauma doesn’t just leave emotional scars—it rewires the brain’s architecture in ways that shape how we think, feel, and respond to the world. Here’s a breakdown of how trauma impacts key brain regions:

Amygdala: The Fear Alarm
• Becomes hyperactive after trauma, constantly scanning for danger.

• Triggers intense emotional reactions and keeps the body in fight-or-flight mode.

• Can’t always distinguish between past and present threats, leading to overreactions.

Hippocampus: Memory and Context
• Shrinks in size and function after trauma, especially in PTSD.
• Struggles to differentiate past from present, so traumatic memories feel “current.”

• This contributes to flashbacks and intrusive thoughts.
Prefrontal Cortex: Rational Thinking

• Activity decreases, making it harder to regulate emotions and assess risk logically.

• When the amygdala hijacks the brain, the prefrontal cortex can’t step in to say, “You’re safe now.”

HPA Axis: The Stress Response System

• Trauma keeps this system stuck in overdrive, flooding the body with cortisol and adrenaline.

• Chronic activation leads to anxiety, sleep issues, and even physical health problems.

The Good News: Neuroplasticity

• The brain can rewire itself through therapy, mindfulness, and repeated safe experiences.

• Modalities like EMDR, somatic therapy, and trauma-focused CBT help reconnect fragmented networks and restore emotional regulation.

06/01/2025

I will be out of the office beginning June 2 and will return to the office on June 9.

If you are a client in crisis, please call 911 immediately or contact the following crisis hotlines available 24/7:

Crisis hotline: 502-589-4313

National Su***de Prevention Lifeline:
Call or text 988.

02/26/2025

Meet our team!

02/11/2025

02/10/2025

https://www.therapyportal.com/p/keithcounseling/

TherapyPortal improves patient/therapist communication by allowing for self-scheduling, appointment reminders, and much more.

12/11/2024

Meet my coworker for today as I do telehealth from home.

12/09/2024

Due to a shooting that took place at Dutchmans and Brown’s Lane, Keith counseling will be on lockdown.

Please message me on Spruce when you get to the office and I will let you in.

If you would like to reschedule, please send me a message on Spruce.

08/06/2024

If you are former Medicaid member, we value your feedback! Please take a few moments to complete this survey on the Public Health Emergency and efforts to restart member renewals:

English: https://buff.ly/46jhA8Z
Spanish (Espanol): https://buff.ly/3LG5BJ5

07/09/2024

Easily manage your therapy appointments, payments, and documents through this convenient link.

TherapyPortal improves patient/therapist communication by allowing for self-scheduling, appointment reminders, and much more.

07/03/2024

Very cool.

The NET Device, which stands for Neuro Electrode Transmitter, is now available at the Isaiah House Recovery Center in Mercer County.