Miri'ikai Walter

Counselor/Therapist

2001 11th Ave Suite 24-27 Helena MT, 59601 Show map

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eling &/or life-coaching services with traditional Native American pracTrauma-informed holistic & integrative clinical mental health & addictions counseling &/or life-coaching services with traditional Native American practices combined to create a one of a kind therapeutic process, relationship and "whole person" changes. Let's 'Walk in New Directions" together, and create meaningful life changes!Trauma-informed holistic & integrative clinical mental health & addictions counseling &/or life-coaching services with traditional Native American practices combined to create a one of a kind therapeutic process, relationship and "whole person" cTrauma-informed holistic & integrative clinical mental health & addictions counseling &/or life-coaching services with traditional Native American practices combined to creaTrauma-informed holistic & integrative clinical mental health & addictions counseling &/or life-coaching services with traditional Native American practices combined to create a one of a kind therapeutic process, relationship and "whole person" changes. Let's 'Walk in New Directions" together, and create meaningful life changes!te a one of a kind therapeutic process, relationship and "whole person" changes. Let's 'Walk in New Directions" together, and create meaningful life changes!hanges. Let's 'Walk in New Directions" together, and create meaningful life changes!ed to create a one of a kind therapeutic process, relationship and "whole person" changes. Let's 'Walk in New Directions" together, and create meaningful life changes!

Provider Details

Female English, Spanish

Miri'ikai Walter

Miri'ikai Walter's Expert Contributions

My Answers

How long do anxiety attacks last?
The duration of anxiety attacks can vary widely from person to person and even from one episode to another. Typically, anxiety attacks peak within a few minutes and then gradually subside over the next 20 to 30 minutes. However, some anxiety attacks may last longer, especially if the triggers persist or if the individual is unable to implement coping strategies effectively. It's essential to seek support from a healthcare professional to explore coping mechanisms and treatment options if you're experiencing frequent anxiety attacks. READ MORE
How long is the treatment for anxiety?
The duration of treatment for anxiety also varies depending on factors such as the type and severity of anxiety, the chosen treatment approach, and individual response to treatment. Treatment for anxiety often involves therapy, medication, lifestyle changes, or a combination of these strategies. Therapy, such as cognitive-behavioral therapy (CBT), may last for several weeks to months, depending on the individual's progress and needs. Medication management typically involves regular monitoring by a healthcare provider, and the duration of medication use can vary from several months to longer-term use, depending on the individual's response and the recommendation of the healthcare provider. Lifestyle changes, such as stress management techniques and regular exercise, can be ongoing practices to help manage anxiety symptoms. It's important for individuals with anxiety to work closely with their healthcare provider to develop a comprehensive treatment plan tailored to their specific needs, and to regularly evaluate and adjust the treatment as needed. READ MORE
How long is the treatment for depression?
The duration of treatment for depression can vary greatly depending on the individual's specific circumstances, the severity of their depression, the effectiveness of the chosen treatment, and other factors. Generally, treatment for depression can include therapy, medication, lifestyle changes, or a combination of these approaches. It's important for individuals to work closely with their healthcare provider to determine the most appropriate and effective treatment plan, and to regularly monitor progress. In many cases, treatment for depression may last for several months to years, and some individuals may require ongoing maintenance treatment to prevent relapse. READ MORE
3 year old not eating lunch
It sounds like the child may be experiencing some anxiety or discomfort surrounding lunchtime at daycare. Alternatively, the child may simply be over stimulated and have a loss of appetite due to disinterest in food, and hightened interest in the over stimulation! Here are some steps that caregivers and parents can take to address this issue: 1. Communicate with the daycare: Talk to the daycare staff to see if they have any insights into why the child may be refusing to eat lunch. They may have observed specific behaviors or triggers that can provide valuable information. 2. Create a comfortable environment: Ensure that the child feels comfortable and safe during lunchtime at daycare. This may involve providing familiar foods, seating arrangements, or social support from caregivers or peers. 3. Offer small, frequent meals: Instead of one large lunch, consider offering smaller, more frequent meals or snacks throughout the day. This can help prevent the child from becoming overly hungry and increase their likelihood of eating. 4. Encourage independence: Allow the child to have some control over their meals by offering choices and involving them in meal preparation when possible. This can help empower the child and make mealtime more enjoyable. 5. Seek professional guidance: If the issue persists despite efforts to address it, consider consulting with a pediatrician or child psychologist for further evaluation and guidance. They can help determine if there are any underlying medical or psychological factors contributing to the child's behavior and recommend appropriate interventions. Overall, it's essential to approach the situation with patience, empathy, and a willingness to collaborate with the child, daycare staff, and other caregivers to find a solution that works best for everyone involved. READ MORE
Should I take medications for anxiety?
Whether or not to take medications for anxiety is a personal decision that should be made in consultation with a healthcare professional. Here are some factors to consider when making this decision: 1. Severity of Symptoms: If your anxiety symptoms are significantly impacting your daily functioning, relationships, or quality of life, medication may be recommended, especially if other treatment options have not been effective. 2. Type of Anxiety Disorder: Certain types of anxiety disorders, such as panic disorder, generalized anxiety disorder (GAD), or social anxiety disorder, may respond well to medication as part of a comprehensive treatment plan. 3. Response to Other Treatments: If you have already tried non-medication approaches, such as therapy or lifestyle changes, and have not experienced significant improvement in your symptoms, medication may be worth considering. 4. Personal Preferences and Concerns: Some individuals may have concerns about the potential side effects of medication, or may prefer to try non-medication approaches first. It's essential to discuss any concerns or preferences with your healthcare provider so that they can help you make an informed decision. 5. Medical History and Other Conditions: Your healthcare provider will take into account your medical history, any other health conditions you may have, and any medications you are currently taking when determining whether medication is appropriate for you. 6. Risk-Benefit Analysis: Your healthcare provider will discuss the potential benefits of medication for anxiety, as well as any potential risks or side effects. They will work with you to weigh the potential benefits against the potential risks and make a decision that is right for you. Ultimately, the decision to take medication for anxiety should be based on a thorough evaluation of your individual needs, preferences, and circumstances. It's important to have open and honest discussions with your healthcare provider to ensure that you make the best decision for your mental health and well-being. READ MORE
How to fix anxiety in children?
Addressing anxiety in children requires a multifaceted approach tailored to the child's specific needs and the severity of their anxiety. Here is a structured outline on how to address this issue: ### 1. Understanding Anxiety in Children First, it's crucial to understand that anxiety in children can manifest differently than in adults. Symptoms might include excessive worry, avoidance behaviors, physical symptoms like stomachaches or headaches, and emotional distress. Recognizing these signs is the first step in tackling the problem. ### 2. Creating a Supportive Environment - **Open Communication:** Encourage children to express their feelings. This can be facilitated through regular conversations that help the child feel safe and understood. - **Routine:** Maintain a consistent daily routine. Predictability can reduce feelings of uncertainty and anxiety. - **Positive Reinforcement:** Acknowledge and praise small accomplishments, especially in situations that the child finds challenging. ### 3. Teaching Coping Strategies - **Relaxation Techniques:** Techniques such as deep breathing, muscle relaxation, and mindfulness can help children manage anxiety. - **Cognitive Behavioral Techniques:** Help children recognize and challenge their fearful thoughts. This involves reshaping their thought patterns to reduce anxiety. ### 4. Professional Intervention - **Consultation with a Child Psychologist or Psychiatrist:** If anxiety interferes with the child's daily life, seeking a consultation with a professional specializing in child psychology might be necessary. They can offer guidance tailored to the child's specific situation. - **Therapy:** Various forms of therapy, such as Cognitive Behavioral Therapy (CBT) or play therapy, have been proven effective in treating anxiety in children. - **Medication:** In some cases, and always under strict medical supervision, medication might be considered as part of the treatment plan. ### 5. Collaborative Efforts - **School Involvement:** Engaging with educators and school counselors can provide additional support. They can implement strategies to help the child manage anxiety in the school environment. - **Family Therapy:** Sometimes, family dynamics contribute to a child's anxiety. Family therapy can address these issues and promote a supportive home environment. ### 6. Continuous Monitoring and Adaptation - **Follow-up:** Regular follow-ups with mental health professionals can help adjust the treatment plan as necessary. - **Education:** Educating oneself about anxiety can empower parents and caregivers to take effective actions and understand the nuances of their child's experiences. ### Conclusion Treating anxiety in children is not a one-size-fits-all solution. It requires patience, understanding, and a tailored approach that respects the child's individual needs. By providing a supportive environment, teaching effective coping mechanisms, and seeking professional help when necessary, parents and caregivers can significantly mitigate the impact of anxiety on a child's life. These strategies not only address the immediate symptoms but also equip children with skills to manage anxiety throughout their lives. READ MORE
Can drug addiction be fixed without medications?
Yes, drug addiction can be addressed without medications, although the approach may vary depending on individual circumstances and the severity of the addiction. Treatment typically involves a combination of therapy, counseling, support groups, lifestyle changes, and sometimes alternative therapies. Here are some key components of non-medication-based approaches to treating drug addiction: 1. **Behavioral Therapy:** Various forms of therapy, such as cognitive-behavioral therapy (CBT), contingency management, and motivational interviewing, can help individuals change their behaviors, cope with triggers, and develop healthier coping mechanisms. 2. **Support Groups:** Participation in support groups like Narcotics Anonymous (NA) or SMART Recovery can provide valuable peer support, encouragement, and accountability. 3. **Lifestyle Changes:** Adopting a healthier lifestyle, including regular exercise, proper nutrition, stress management techniques, and engaging in meaningful activities, can support recovery and overall well-being. 4. **Family Therapy:** Involving family members in therapy sessions can help improve communication, resolve conflicts, and provide a supportive environment for recovery. 5. **Holistic Therapies:** Some individuals find benefit from complementary therapies such as yoga, meditation, acupuncture, or art therapy to help manage stress and promote relaxation. 6. **Relapse Prevention Strategies:** Learning to identify triggers, develop coping skills, and create a relapse prevention plan can help individuals maintain sobriety over the long term. While medications can be helpful in certain cases, many people have successfully overcome drug addiction through non-medication-based approaches. The most effective treatment plans are often individualized and address the unique needs and circumstances of each person. READ MORE
What treatments are effective for anxiety?
Several treatments can be effective in managing anxiety. The most suitable treatment depends on the individual's specific symptoms, preferences, and the severity of their anxiety disorder. Here are some common approaches: 1. Psychotherapy (Talk Therapy): - Cognitive Behavioral Therapy (CBT): This is a widely used therapeutic approach that helps individuals identify and challenge negative thought patterns and beliefs that contribute to anxiety. CBT also teaches coping skills to manage anxiety symptoms effectively. - Exposure Therapy: This involves gradually exposing individuals to feared situations or objects in a controlled environment to help them overcome their anxiety responses. - Acceptance and Commitment Therapy (ACT): ACT focuses on mindfulness techniques and acceptance strategies to help individuals live more fully in the present moment, even in the presence of anxiety. - Dialectical Behavior Therapy (DBT): DBT combines cognitive-behavioral techniques with mindfulness practices to help individuals regulate emotions and improve interpersonal relationships. 2. Medication: - Antidepressants: Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed medications for anxiety disorders. They can help alleviate symptoms by regulating neurotransmitter levels in the brain. - Benzodiazepines: These medications are sometimes used on a short-term basis to provide rapid relief from acute anxiety symptoms. However, they can be habit-forming and may not be suitable for long-term use. 3. Lifestyle Changes and Self-Care: - Regular Exercise: Physical activity can help reduce symptoms of anxiety by promoting the release of endorphins, which are natural mood lifters. - Stress Management Techniques: Practices such as deep breathing, meditation, progressive muscle relaxation, and yoga can help reduce overall stress levels and promote relaxation. - Healthy Lifestyle Habits: Eating a balanced diet, getting adequate sleep, limiting caffeine and alcohol intake, and avoiding recreational drugs can all contribute to better mental health. - Social Support: Building and maintaining supportive relationships with friends, family, or support groups can provide emotional support and encouragement. 4. Complementary and Alternative Therapies: - Relaxation Techniques: Practices such as mindfulness meditation, guided imagery, and aromatherapy may help reduce anxiety symptoms. - Herbal Supplements: Some individuals find relief from anxiety symptoms with supplements such as lavender, chamomile, or valerian root. However, it's essential to consult with a healthcare professional before using any herbal remedies, as they can interact with medications and may not be suitable for everyone. It's essential for individuals experiencing anxiety to work closely with a healthcare provider to determine the most appropriate treatment plan for their needs. A combination of therapy, medication, lifestyle changes, and self-care strategies may be most effective in managing anxiety symptoms and improving overall well-being. READ MORE
How long is the treatment for depression?
The duration of treatment for depression varies depending on several factors, including the severity of symptoms, the individual's response to treatment, and the chosen treatment approach. In general, treatment for depression can be categorized into psychotherapy (talk therapy), medication, or a combination of both. Here's a brief overview of each: 1. Psychotherapy: Therapy sessions typically range from several weeks to several months, with the frequency of sessions varying based on individual needs and treatment goals. Cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), and psychodynamic therapy are among the most common types of therapy used to treat depression. The duration of therapy may be shorter for individuals with mild to moderate depression and longer for those with more severe symptoms or complex issues. 2. Medication: Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and others, are often prescribed to alleviate symptoms of depression. The length of time a person takes antidepressants can vary widely, but it's common for individuals to continue taking medication for at least six to twelve months after their symptoms improve to prevent relapse. Some people may need to take medication for longer periods, depending on their individual circumstances and treatment response. 3. Combination therapy: Many individuals with depression benefit from a combination of psychotherapy and medication. In such cases, the duration of treatment may depend on factors such as the effectiveness of the chosen treatments, the presence of any side effects, and the individual's preferences. It's important to note that depression is a complex condition, and there is no one-size-fits-all approach to treatment. The duration of treatment should be tailored to each person's unique needs and may involve ongoing maintenance therapy to prevent recurrence of symptoms. Additionally, lifestyle modifications, support from friends and family, and self-care practices can also play important roles in managing depression over the long term. Regular communication with a healthcare provider is essential to monitor progress, adjust treatment as needed, and provide ongoing support. READ MORE
Can ADHD be fixed?
ADHD (Attention Deficit Hyperactivity Disorder) in children cannot be "fixed" in the sense of being permanently eliminated, but it can be effectively managed. Treatment typically involves a combination of behavioral therapy, medication, and support strategies. While there is no cure for ADHD, many children with ADHD learn to manage their symptoms and lead successful lives with appropriate interventions and support from parents, teachers, and mental health professionals. READ MORE
Can depression be fixed with medications?
Medication can be an effective tool in treating depression for many people, but it's not necessarily a "fix" in the sense of permanently eliminating depression. Antidepressant medications work by balancing certain chemicals in the brain that affect mood and emotions. They can help alleviate symptoms and make it easier for individuals to engage in therapy and make lifestyle changes that support mental health. However, medication alone may not address the underlying causes of depression, and it's often used in conjunction with therapy and other interventions. Additionally, the effectiveness of medication can vary from person to person, and some individuals may require adjustments to their medication regimen over time. READ MORE
Can anxiety attacks be life-threatening?
Anxiety attacks, also known as panic attacks, are not typically life-threatening on their own. However, they can be distressing and debilitating, causing significant emotional and physical distress. In some cases, panic attacks may lead to symptoms that mimic those of a heart attack, such as chest pain, shortness of breath, and palpitations, which can be frightening. While anxiety attacks themselves are not usually life-threatening, they can have an impact on a person's quality of life and may increase the risk of certain health problems if they occur frequently or are left untreated. Additionally, in rare cases, severe anxiety attacks may contribute to complications such as fainting, injury from falls, or accidents if they occur in situations where concentration and focus are crucial, such as when driving or operating machinery. It's essential for individuals experiencing frequent or severe anxiety attacks to seek support from a healthcare professional, such as a doctor or mental health therapist, to develop coping strategies, explore treatment options, and address any underlying issues contributing to the anxiety. Early intervention and appropriate management can help improve symptoms and reduce the impact of anxiety attacks on daily life. READ MORE
Can alcohol addiction be completely cured?
Alcohol addiction, like many other substance use disorders, is considered a chronic condition. While it cannot be "cured" in the traditional sense, it can be effectively managed with appropriate treatment and support. Many people with alcohol addiction achieve long-term recovery and lead fulfilling lives, but it often requires ongoing effort and commitment. Treatment approaches such as therapy, support groups, medication, and lifestyle changes can help individuals learn to manage cravings, develop healthier coping mechanisms, and address underlying issues contributing to their addiction. It's essential to seek professional help and create a comprehensive treatment plan tailored to individual needs for the best chance of recovery. Also, try to be compassionate with your friend, addiction often stems from trauma, isolation & shame! READ MORE

Areas of expertise and specialization

TraumaADHD/ADD Certified ProfessionalAutism Spectrum DisorderMental Health Evaluations & DiagnosisChemical Dependency EvaluationsCourt Ordered TreatmentDomestic ViolenceDepressionAnxietyFamily of OriginMulticulturalCouples CounselingInfidelityEating DisordersAddictionsSelf-esteem & BullyingChildhood TraumaSexual abuse & Trauma