MOVING MOUNTAINS

Resources

Alumni Spotlight: Amelia Teta

Amelia Teta is from Boston and attended Mountain Valley in 2017. Teta was an active student-athlete at the rigorous Boston Latin School before suffering two concussions. After that, she struggled with anxiety and depression and ultimately received a diagnosis of OCD. When she felt like she was hitting rock bottom, her family found Mountain Valley. She successfully graduated the program, completed high school online, and will soon be a licensed occupational therapist focused on helping patients live to the fullest. 

What brought you to Mountain Valley?

When I started high school, my anxiety ramped up to the point where I felt like I was dying. I ended up faking more concussions to stay home from school and my parents enrolled me in two different day programs instead. The goal was for me to re-enroll in high school during eleventh grade but there was just no way, I was a disaster. I had my new OCD diagnosis that was barely managed through biweekly outpatient appointments. My family worked with an educational consultant who recommended Mountain Valley. My parents told me I got to make the decision—I knew it wasn’t going to be fun but that I had to do it. A week later, I was there with my bags.

Amelia Teta

What are you doing today? 

I just took my last final to complete my classroom work for my degree in occupational therapy. I got my bachelor’s degree in children, youth, and family studies at Lesley University, and I am finishing my master’s degree at the University of New England. Up next, I have two placements  in high school mental health and at an outpatient pediatric clinic.

When I attended Mountain Valley, the program didn’t have any occupational therapists on staff, and I didn’t really know anything about it. But I’ve always known I wanted to work in health, and one of my good friend’s moms is a physical therapist. She told me, “Amelia, I’ve known you since you were five. Go watch every video you can find about occupational therapy and tell me you don’t want to do that.” At Mountain Valley my biggest fear was suffering, and when I found out there was a job I could do to help people relieve any bit of suffering through things they love, that was life-changing. Occupational therapists can help people do anything they care about. 

How do you think Mountain Valley made a difference in your life? 

The question at Mountain Valley was always, “how are you going to build this worthwhile life?” It made sense in my brain and helped me have a checklist to stop the unorganized waves in my mind. My therapist told me, “You are here in this body, and you’re going to live your life. How are you going to make it so it’s worth the pain and suffering, and it’s worth it for you to do it?” 

So I focused on what I love and how I can achieve it, even if I can’t see straight and I’m depressed. Before I joined Mountain Valley, my OCD thoughts of “what if something bad happens” would keep me from doing what mattered. I decided that no matter when I die, I’ll do everything I can to help people around me, love them, and support them. Making that choice to fully engage in life is anxiety-provoking but it’s worth it for me to live out my values.  

What’s next for you? 

I have a fiancé and she’s been a huge support for me. She encouraged me to apply at the University of New England and it’s the best decision I’ve ever made. If you had asked me three years ago if I could live away from home outside of my routine, it would have been my worst nightmare. She pushes me to travel and think outside the box. 

I think it would be cool to do some travel work as an occupational therapist, maybe in a high school or pediatric setting. The long-term goal is to work in perinatal health, from when someone gets pregnant to a year or two after their due date. As an OT, I can help work with them on building up confidence and good habits, go into the home and make their spaces more functional. After birth I get to hang out with the baby and do all the early intervention stuff that I love. That is the lifelong goal. 

Why do you think a family should choose Mountain Valley? 

It can be really scary think about dropping off your kid with a bunch of strangers, especially when it’s far away. But if it’s the best decision for your family and child, you know it in your gut. The joy I had doing the work was the most joy I’d experienced in a long time. It’s hard, it can be terrifying, and it works. 

MOVING MOUNTAINS

Resources

Interoception – Making Sense of Our Inner World

As the external sensations of our world continue to become more abundant and all consuming, we often overlook the sensations of our inner world. One of the most important and foundational sensory systems we have is our interoceptive system. Interoception is our body’s internal radar of the condition of our body, conveying information about the state of what is happening within the bounds of our skin.

Our internal organs like our heart, lungs, intestines, bladder and even skin have receptors that send signals to our brain about the condition of those major organs. Interoception is our body’s ability to recognize and respond to those signals. For example, interoception includes awareness of changes in heart rate, blood pressure, body temperature, or sensations of pain, hunger, thirst, and other autonomic functions. Interoception also plays a significant role in emotional regulation, as emotions are a cascade of autonomic internal physiological responses that need our interpretation.

As with all things, when it comes to interoception, balance is key. People with limited interoception experience a disconnect between their mind and internal states, therefore they are often unaware of their emotional experiences and have challenges appropriately responding to the cues and signals their body is sending.  A common situation most of us have probably had at some point is the phenomenon of being “hangry.” When this happens, we are disconnected from our bodies and missing the cues for hunger, resulting in irritability or dysregulation. On the other hand, some people are hyperaware of their internal sensations. To provide a similar example, this is when we have a hard time focusing on a meeting or class before lunch because all we can think about how our stomach is growling and feeling empty.

Whether you have limited or heightened interoceptive awareness, building a better relationship with your body’s internal cues is valuable for emotional wellness.

Limited Interoceptive Awareness 

If you experience limited connection to your internal sensations and are often unaware of what is happening in your body, here a few ways to foster a stronger mind-body connection:

  • A guided body scan meditation that cues you to focus on the sensations happening in specific parts of your body.
  • Yoga, Tai Chi, or other movement practices that require you to be attuned to sensations such as breathing, heart rate, etc.
  • Biofeedback is the process of conducting vitals or using a heart monitor to practice recognizing what different states of arousal feel like inside your body.
  • Expand your vocabulary and practice using a variety of different language to describe your internal experiences.  Communicating a visceral experience to yourself or others can be really challenging! Practice naming and describing sensations like their location, intensity, texture, size, color, etc.

 Heightened Interoceptive Awareness 

If you experience hyperawareness, and maybe even a little anxiety about your internal sensations, engage in interoceptive exposures to develop resilience to rebuild your relationship with those internal experiences. Examples of interoceptive exposures include:

Breathing: hold your breath for 30 seconds or breathe through a straw for 60 seconds.

Heart Rate: engage in intense exercise (burpees, running up and down stairs, jumping jacks) for 30 or 60 seconds.

Dizziness: shake your head side to side for 30 seconds or spin in a chair for 30 seconds.

Derealization: Stare at yourself in a mirror for 2 minutes or stair at a wall without blinking.

Temperature: Turn the cold water in the shower for 30 or 60 seconds or sit in a sauna/steam room for several minutes.

*These can be graded up or down according to your comfort level and can be increased as you build interoceptive tolerance.*

With each exposure, try to turn towards the internal sensations that you are having or practice diffusing the from the sensation (i.e. removing judgement and objectively observing and describing what is happening). As with all exposures, the most important part is to REFLECT on your experience. What happened? What did you learn? How does experience change how you might engage with your internal sensations moving forward?