Hello!


I have created a Thanksgiving week to-do-list just for you:


1 - Read our newsletter - tons of helpful content for this time of the year!


2 - Focus on things that are going well for you and people who love and appreciate you.


3 - Let go of things you can't control. There may be story in your mind of how you want things to unfold this holiday season - let that go and go with the flow of how things actually are.


4 - Practice patience, grace and kindness to others - AND TO YOURSELF!


5 - Relax and don't sweat the small stuff (and it's almost always all small stuff!)


I am grateful for you and I wish you all a Happy Thanksgiving!


All my best,

Dr. Pam McCaskill



office@mccaskillfamilyservices.com

734-416-9098

McCaskill Family Services Newsletter

Term: Fall | Issue 71| November 25th, 2025

When you think of your holiday traditions and routines, how many of them center around food? Eating together brings a sense of community, special treats make the season sweeter, and family recipes bring on a sense of nostalgia and warmth. For many of us, we look forward to this time of year for these exact reasons. Unfortunately, for someone struggling with disordered eating, the holidays have the potential to increase anxiety, depression and exacerbate eating disorder symptoms.


Our MFS nurse, Kim Hesano, RN-BSN, writes this month about how family members can make the season less stressful for the ones they love.

At McCaskill Family Services, we specialize in working with adults, children, teenagers and families with various presenting issues. If you or someone you know could benefit from our services, please contact us. Our clinicians are trained in empirically-based techniques, and would be happy to promptly schedule an appointment in person or via tele-health. We can be reached by phone at 734-416-9098 or by email at office@mccaskillfamilyservices.com.

How We Practice Gratitude:

Study after study in the mental health field supports the practice of gratitude as a way of decreasing depression, stress, anger and anxiety. There are infinite ways to practice gratitude throughout the entire year (not just the holiday season), and this month, your MFS staff shares some of their favorite practices.

"I try to practice gratitude by leaving my phone somewhere off my person while I am doing barn chores around my farm in the morning. This allows me to connect with nature and the animals rather than worrying about other stuff. I always feel so grateful to spend that time immersed with the animals and the fresh air!" Dr. Nicole



"My daughter and I practice the "three good things" exercise each night before bed. We each share three good things that happened and reflect on why they occurred. This is our daily gratitude practice and it comes from Martin Seligman's positive psychology research." Dr. Natalie


"When I am having a negative or bad day, I like to make a list of all the things, even if very minor, that went well today (e.g., I safely got to work this morning). It helps remind me the day could have been much worse, and also helps me realize how much of the day went positively." Emily B.


"If my family is ever stopped by a train (we are in Plymouth and get lots of opportunities to practice this), we take turns sharing one thing we are grateful for, for each train car that passes." Erin



"During the winter months, I use a daily gratitude journal. It has simple little prompts for me to fill out in the morning and right before bed. This helps me prep my mindset for the day ahead and then unwind from it with a grateful heart." Jaclyn



"When I feel overwhelmed, sad, or disappointed, I let myself feel the feeling in that moment, but after some time passes, I stand up and turn around and around in circles and with each circle, I say out loud something that I am grateful for in that moment. Then I am dizzy and grateful and I feel better! I have done this with my daughter since she was little and we still do it to this day as adults! We usually end up laughing or hugging each other (which even further releases those happy endorphins!)" Dr. Pam

Thanksgiving Leftover Ideas

Wondering what to do with all your leftover turkey, cranberry sauce, or mashed potatoes?

Here are 25 ideas on how to take your traditional Thanksgiving leftovers and turn them into a creative meal, to seamlessly get your family through the rest of the holiday break.

Turkey potato soup? Thanksgiving breakfast burritos? Turkey bolognese? Yes, please!

Clinician Spotlight

Kim Hesano, RN-BSN

Kim is our primary staff nurse for our Eating Disorder Treatment and Recovery Program. She has over 25 years of experience, including 20 years in emergency nursing at leading hospitals and urgent care centers. She has worked as a nurse with high-school students with complicated medical issues and concentrated her training and passion in working with patients with eating disorders.


Kim received her Associate's degree from Henry Ford Community College and her Bachelor's from Grand Canyon University. She enjoys working with patients of all ages and their families and has a gift of connecting with teens who may be more anxious or resistant to treatment.

 

In addition to her work in our Eating Disorder Program, Kim sees our MFS patients for other concerns including medication management, pill swallowing, teaching patients/caregivers how to administer shots to themselves/others, diabetic management/education, and providing health counseling on new or current medical issues. Kim also teaches health courses to businesses/schools such as first aid for seizures, trauma injuries (tourniquet use), allergic reactions, strokes and heart attacks. While her primary focus is medical care, she can often provide emotional support and offers a safe place to vent.


Kim also serves in the role of our Community Outreach Specialist and Intake Specialist. So you may see her out in the community at events that MFS sponsors and volunteering her time promoting mental health awareness. In her free time, she enjoys traveling (especially cruises), hiking, kayaking, playing pickleball, spending time with her family and friends, volunteering at the local dog rescue, and watching football (GO BEARS)!


MFS Eating Disorder & Recovery Program

*NEW* Couples Corner

A new, monthly addition for our team of relationship experts: covering important topics, information, and answering common questions about romantic relationships.


This month’s question is:

 I want to start relationship therapy, but I’m nervous that the couples therapist will just take my partner’s side. Is it common for couples therapists to take sides?


It’s a valid concern—after all, relationships feel vulnerable, and the idea of being judged or blamed can make the whole process of couples therapy feel intimidating. The good news--A core principle of evidenced based couples therapy is that the therapist doesn’t take sides.

 

The Role of a Couples Therapist

Couples therapists are trained to support the relationship as their primary client. Instead of choosing one partner over the other, they focus on understanding each person’s perspective and uncovering the patterns that fuel conflict or disconnection. Their goal is to create a balanced, safe space where both partners feel heard.

 

You might notice moments where the therapist seems to challenge one partner more than the other, but this isn’t favoritism or taking sides. It’s usually a strategic effort to provide feedback or coaching that’s meant to help the couple move forward. Good therapists shift their focus as needed, depending on who is stuck, shut down, or dominating the conversation. Instead of reinforcing “right vs. wrong,” they guide partners toward healthier dynamics.

 

What If It Feels Unbalanced?

It’s important to speak up if something doesn’t feel fair. A skilled therapist will welcome this feedback and work with you to restore balance. Therapy is a collaborative process, and your comfort matters.

 

The Important Exception: When Abuse Is Present

The only exception to being neutral or balanced is when there’s a safety concern that requires a different approach. If a therapist identifies abuse in the relationship—they cannot remain neutral. Abuse creates a power imbalance, and a neutral stance can unintentionally reinforce harm.

 

In these cases, a responsible couples therapist will:

  • Prioritize the safety of the person experiencing harm
  • Offer resources, safety planning, or referrals
  • Stop engaging in couples therapy if it isn’t safe or appropriate
  • Help each partner access individual support when needed

 

The Bottom Line

Couples therapists work hard to avoid taking sides because their commitment is to the health of the relationship. When abuse is present, the priority shifts to protection and safety. Outside of those exceptions, the therapist’s aim is not to assign blame—it’s to help both partners grow, reconnect, and move toward solutions together.

Newsletter Editor

Greetings reader! I'm a masters level clinician at McCaskill Family Services who specializes in the treatment of OCD, anxiety, self-harm and depression for all ages. I co-run the McCaskill Family Services DBT groups for teens and adults, and specialize in psychological assessment. I am also our monthly newsletter editor and social media manager!


I'd like to personally thank you for staying in touch with our practice, and hope you find this newsletter inspirational and informative. If you or someone you know would like to schedule an appointment with me, please contact our office at 734-416-9098 or email us at office@mccaskillfamilyservices.com. I look forward to working with you!

Counseling Services

409 Plymouth Road, Suite 250, Plymouth, MI 48170 • 734.416.9098
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