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    5 Ways to Effectively Manage Anxiety

    December 1, 2019

    If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While […]

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    5 Ways to Effectively Manage Anxiety

    If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While anxiety can feel debilitating, there are ways you can manage it.

    Slow Your Breathing

    When we feel anxious, our breathing becomes quicker and shallower. This way of breathing, in turn, makes us feel even more anxious. It’s a vicious cycle.

    When you feel the anxiety start to come on, start to focus on your breath and begin to slow it down. Breathe in slowly and deeply for a count of 4, hold for a count of 4, then exhale slowly for a count of 4. Repeat this cycle three to five times until you feel yourself begin to calm.

    Limit Caffeine 

    Drinking or eating anything with caffeine in it can exacerbate your anxiety. Studies have even shown that caffeine can trigger an anxiety attack, so try and avoid or greatly limit consumption.

    Exercise

    Studies have shown that just 20 minutes of exercise can reduce symptoms of anxiety. Not only does exercising make you feel good about yourself, it actually floods your body with feel-good endorphins, which can totally turn your mood around.

    Make a List

    One of the worst parts of feeling anxiety is the feeling that you are out of control. One simple exercise to turn this around is to make a to-do list of small, easy-to-manage tasks. Crossing these tasks off your list will actually empower you and make you feel in control again.

    Remind Yourself of Reality

    When the plane of a nervous flyer hits turbulence, that nervous flyer must remind themselves that the plane is okay, and it is just a normal occurrence to hit turbulence. People who experience anxiety may also have to remind themselves that they are actually okay when an anxiety attack comes on. Simply tell yourself that you are experiencing anxiety but that you are, basically, okay, you are not going to die.

    It can also be very beneficial to talk to someone about your anxiety issues. A therapist will be able to offer more tools and advice on how to cope and manage your anxiety.

    If you or someone you love suffers from anxiety and would like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

    Filed Under: Anxiety, General

    How to Practice Self-Compassion

    November 4, 2019

    Most of us from a young age are taught how to be kind, considerate and compassionate toward others. But rarely are we told to show the same consideration to ourselves. This becomes even more true for individuals brought up in abusive or unloving homes. What is Self-Compassion? Self-compassion is taken from Buddhist psychology and refers […]

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    How to Practice Self-Compassion

    Most of us from a young age are taught how to be kind, considerate and compassionate toward others. But rarely are we told to show the same consideration to ourselves. This becomes even more true for individuals brought up in abusive or unloving homes.

    What is Self-Compassion?

    Self-compassion is taken from Buddhist psychology and refers to how we can relate to the self with kindness. Self-compassion or self-love is NOT to be confused with arrogance or selfishness. In actuality, arrogance and selfishness stem from the absence of self-love.

    But what does it really mean to be kind with ourselves? It means that on a day-to-day basis we are mindful of being courteous, supportive and compassionate with ourselves. Too many individuals treat themselves with harsh judgement instead of compassion.

    Why is this important? Because self-compassion helps us recognize our unconditional worth and value. It allows us to recognize though we my sometimes make bad decisions, we’re not bad people.

    Research, over the past decade, has shown the parallel between self care and psychological wellbeing. Those who recognize self-compassion also tend to have better connections with others, are reportedly happier with their own lives, and have a higher satisfaction with life overall. Self-compassion also correlates with less shame, anxiety and depression.

    Now that you know the what and why of self-compassion, let’s look at the how.

    How to Practice Self-Compassion

    Treat Yourself as You Would a Small Child

    You would never harshly judge or belittle a small child the way you do yourself. You would only want to help and love that child. When you begin to treat yourself as you would a small child, you begin to show yourself the same love, gentleness and kindness.

    Practice Mindfulness

    Every minute your mind is handling millions of bits of information, though you consciously are only aware of a few of them. This is to say we all have scripts or programs running in our minds 24/7. These scripts and programs are running our lives, insisting we have certain behaviors and make certain decisions.

    Some of these scripts are the ones that tell us how “bad” or “unlovable” we are. They’ve been running since we were kids. The way to quiet these scripts is to become more mindful of your own mind.

    When you begin to have a feeling or reaction to something, stop and ask yourself WHO is feeling that? Is it the compassionate self or the program running? If it’s the program, thank the program for what it has done and release it.

    Good Will vs Good Feelings

    Self-compassion is a conscious act of kindness we show ourselves; it’s not a way to alleviate emotional pain. Life happens, and we can’t always avoid negative or sad feelings. Never mistake self-compassion as a tool to ignore your deep and rich emotional life.

    These are just a few ways you can begin to cultivate self-compassion. If you’d like to explore more options or talk to someone about your feelings of self-rejection and judgement, please get in touch with me. I’d be happy to discuss how cognitive therapy may help.

    Filed Under: General, Issues for Women

    5 Subtle Exercises to Calm Anxiety in Public

    November 4, 2019

    According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days. When anxiety strikes, the world around us can become a sort of funhouse, only not that much […]

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    5 Subtle Exercises to Calm Anxiety in Public

    According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days.

    When anxiety strikes, the world around us can become a sort of funhouse, only not that much fun. It’s important to be able to self-soothe in these instances. But how can you calm an anxiety attack subtly when you’re out in public?

     

    Breath Work

    As soon as you feel the anxiety coming on, focus intently on your breathing and nothing else. Begin to take slow… deep breaths. Inhale for a slow count of three… hold for a count of three… and exhale for a count of three. Slow deep breaths send a signal to our body that we are not under attack and everything is okay.

     

    Talk to Yourself

    In your mind, remind yourself that you are having an experience but that you are NOT that experience. While you feel that something is wrong, remind yourself that you are actually safe and all is well.

     

    Visualize

    Think of something that calms you. This may be your childhood bedroom or your grandparent’s home. It could be your favorite beach or your own bathtub. Simply put yourself IN that space. Use your full imagination to feel yourself there and allow the calm to settle over you.

     

    Carry Lavender Oil

    Keep a small vile of lavender oil in your purse or pocket and inhale its scent. You can even rub some between your finger and then rub on your temples to calm down.

     

    Practice Listening Meditation

    If you’ve never tried listening meditation, I highly recommend it for everyone. But it can be especially beneficial when you are feeling anxious, and here’s why. Listening requires you to stop thinking. Try it now. Stop reading and instead listen to all of the ambient sounds there in the room with you, outside the door and window.

    What do you hear?

    Let your sense of hearing grow and grow, picking up more subtle sounds. The buzz of the lights overhead… the noise of the ice maker… a bee at the window… your dog’s collar down the hall…

    It’s actually a very fun exercise to do. And in order to REALLY GIVE SOUND YOUR FULL ATTENTION, you can’t think while listening. It’s a bit like trying to juggle while standing on your hands, it simply cannot be done.

    Much of our anxiety comes from our anxious thoughts. It’s our reptilian brain trying to keep us alive by alerting us to all of the dangers around us. But when we meditate, this mind chatter goes away.

     

    When an anxiety attack comes on, life can feel unbearable. The next time this happens to you in public, try one or more of these techniques.

    And if you’d like to speak with someone about your anxiety, please get in touch. I’d be happy to explore treatment options.

    Filed Under: Anxiety

    What are Adverse Childhood Events

    October 16, 2019

    According to Wikipedia, “The Adverse Childhood Experiences Study (ACE Study) is a research study conducted by the U.S. health maintenance organization Kaiser Permanente and the Centers for Disease Control and Prevention. Participants were recruited to the study between 1995 and 1997 and have been in long-term follow up for health outcomes. The study has demonstrated an association of adverse childhood experiences […]

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    What are Adverse Childhood Events

    According to Wikipedia, “The Adverse Childhood Experiences Study (ACE Study) is a research study conducted by the U.S. health maintenance organization Kaiser Permanente and the Centers for Disease Control and Prevention. Participants were recruited to the study between 1995 and 1997 and have been in long-term follow up for health outcomes. The study has demonstrated an association of adverse childhood experiences (ACEs) (aka childhood trauma) with health and social problems across the lifespan. ”

    Examples of Adverse childhood experiences include

    • Physical abuse.
    • Sexual abuse.
    • Emotional abuse.
    • Physical neglect.
    • Emotional neglect.
    • Exposure to domestic violence.
    • Household substance abuse.
    • Household mental illness.

    As researchers followed participants over time, they discovered that a person’s cumulative ACE score has a strong, graded relationship to numerous health, social, and behavioral problems throughout their lifespan, including substance use disorders. Higher ACE scores demonstrate increased adverse childhood experiences as rated by participants. 

    High Adverse Childhood Experience scores have been shown to correlate with

    • Alcoholism
    • Depression
    • Illicit drug use
    • Financial stress
    • Suicide attempts
    • Unintended pregnancies
    • Sexual violence
    • Resiliency is thought to be a protective factor against Adverse Childhood Experiences.  Factors that contribute to resiliency include:
      • Having the capacity to make realistic plans.
      • Being able to carry out those plans.
      • Being able to effectively manage your feelings and impulses in a healthy manner.
      • Having good communication skills.
      • Having confidence in your strengths and abilities.
      • Having good problem-solving skills.

      If you would like more information about how childhood experiences may affect you or someone you know and how resiliency factors can affect your life feel free to contact me today for further information or follow the links listed below.

     

    Wikipedia contributors. (2019, September 24). Adverse Childhood Experiences Study. In Wikipedia, The Free Encyclopedia. Retrieved 14:40, October 16, 2019, from https://en.wikipedia.org/w/index.php?title=Adverse_Childhood_Experiences_Study&oldid=917630334

    Riopel, L (2019, January)Resilience Skills, Factors and Strategies of the Resilient Person (Blog Post) Retrieved from https://positivepsychology.com/resilience-skills/

    American psychological association. 2018. The Road to Resilience. [Online]. [18 December 2018]. Available from: https://www.apa.org/helpcenter/road-resilience.aspx

    Wikipedia contributors. (2019, October 13). Centers for Disease Control and Prevention. In Wikipedia, The Free Encyclopedia. Retrieved 15:10, October 16, 2019, from https://en.wikipedia.org/w/index.php?title=Centers_for_Disease_Control_and_Prevention&oldid=921094460

    Wikipedia contributors. (2019, October 15). Childhood trauma. In Wikipedia, The Free Encyclopedia. Retrieved 15:37, October 16, 2019, from https://en.wikipedia.org/w/index.php?title=Childhood_trauma&oldid=921307878

    Filed Under: Uncategorized

    5 Ways to Raise Your Self-Esteem

    October 6, 2019

    Low self-esteem has become an epidemic in this country, and one that negatively impacts our quality of life. Feelings of unworthiness can begin at a young age and, if neglected, can potentially lead to depression and anxiety. Because low self-esteem can be so damaging, finding ways to feel better about ourselves and our abilities is […]

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    5 Ways to Raise Your Self-Esteem

    Low self-esteem has become an epidemic in this country, and one that negatively impacts our quality of life. Feelings of unworthiness can begin at a young age and, if neglected, can potentially lead to depression and anxiety.

    Because low self-esteem can be so damaging, finding ways to feel better about ourselves and our abilities is vital to our well-being. Here are 5 ways to increase your self-esteem:

    1. Quiet That Inner Critic

    Negative self-talk is a common issue for people with low self-esteem. If you’re one of those people whose inner critic is constantly beating them up, it’s important you quiet that voice. Try to replace any negative comments with positive ones. Stop focusing on your weaknesses and instead focus on your strengths and abilities.

    1. Stop Comparing Yourself to Others

    We are all so unique. Sadly, instead of celebrating what makes us individuals, many of us spend time comparing ourselves to others. And, should we find we don’t quite measure up to others’ standards, we feel inadequate. Stop comparing yourself to others and instead concentrate on being the best version of you that you can be.

    1. Give Up the Quest to be Perfect

    Being human means being imperfect. We all have flaws, we are all works in progress. And that’s okay. Striving to be something that simply doesn’t exist is futile and exhausting. And before you say that so many celebrities are perfectly beautiful and lead perfect lives, guess again. Hollywood’s A-listers are typically photoshopped and many have been treated for depression and addiction. They are human and struggling like anyone else.

    Stop trying to be perfect and instead set attainable goals for yourself.

    1. Start Loving Your Body

    Many people struggle with body image issues. Much of it is because of the photoshopping I just mentioned. It’s hard to love your body when you are expected to look like the people that grace the covers of magazines.

    Instead of focusing on what your body looks like, on how much you weigh or how big your muscles are, focus on being healthy. Be grateful for your health and make healthy choices so you can always feel good and vibrant.

    1. Cut Back on Social Media

    Social media has its good points, but it can also set unrealistic expectations regarding relationships and lifestyles. It’s important to remember that online, people tend to only post images that make their lives seem awesome. But that’s not always an accurate presentation. Spending too much time looking at other people leading fun lives can lead us to spending less time enjoying our own.

    If self-esteem issues have become a serious problem in your life, leading to anxiety and depression, consider working with a therapist who can help you work through your memories and emotions.

    If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

    Filed Under: Self-Esteem

    Why Did I Feel Fine Yesterday? The Causes of Depression

    October 6, 2019

    With 322 million people suffering with depression worldwide, it’s not surprising to learn that in America, depression is among the most common mental disorders. The cause of depression is often simplified as a chemical imbalance in the brain, but the reality is that the disease is far more complicated. Scientific research has yet to completely […]

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    Why Did I Feel Fine Yesterday? The Causes of Depression

    With 322 million people suffering with depression worldwide, it’s not surprising to learn that in America, depression is among the most common mental disorders. The cause of depression is often simplified as a chemical imbalance in the brain, but the reality is that the disease is far more complicated. Scientific research has yet to completely understand the biology of depression. According to the National Institute of Mental Health, depression is caused by a combination of genetic, biological, environmental and psychological factors.

    What Causes Depression?

    The disease of depression is the complicated combination previously described; this disease gives you the predisposition to fall into a depression after having experienced a negative external event. For example, getting fired from a job might send one person into a deep depression, while another simply bounces back after experiencing the initial sadness and disappointment.

    Many experts in the cognitive behavioral field believe that depression is caused by, and worsens, with distorted negative thinking. The emotions you experience during an episode of depression are created by negative thoughts and perceptions. Your feelings will result from the meaning you attach to those thoughts. If you eliminate distorted, negative thoughts, you will find it easier to cope with the negative event that triggered your depression.

    Why Did I Feel Fine Yesterday?

    If you felt fine yesterday, but today feel depressed and hopeless, distorted thinking may be to blame. As an example, let’s say you woke up late and had to rush to work. This put you in a bad mood, and you started thinking distorted negative thoughts. “I’m always late. I’m a loser. My boss is going to be angry at me all day. He probably hates me anyway. I’m going to get fired.” As the day goes on, every event will be processed through this negative filter, causing you to feel worse.

    Cognitive Behavioral Therapy

    Cognitive Behavioral Therapy is a form of psychotherapy that helps you challenge negative patterns of thought. By challenging these thoughts, you can improve your mood. For example, “I’m always late.” This is an overgeneralization. More than likely, you have not been late that often. If this is something you want to change, you can alter your schedule and habits to become more punctual.

    Depression is a complicated illness, and as such is best managed by comprehensive treatment. If you’re suffering from depression, a licensed therapist can help you understand your mood disorder and develop strategies to cope with and improve your symptoms. Together, we can develop a plan for you to create the life you want to live. Give my office a call today, and let’s schedule a time to talk.

    Filed Under: Depression

    5 Personal Techniques to Work Through Flashbacks

    September 11, 2019

    Flashbacks are our brain’s way of processing traumatic events that we’ve experienced. But what tends to happen is, our subconscious goes to our storage cabinet to access some important memories regarding the event, and everything sort of tumbles out of the cabinet all at once. This falling out or flashback experience can feel almost as […]

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    5 Personal Techniques to Work Through Flashbacks

    Flashbacks are our brain’s way of processing traumatic events that we’ve experienced. But what tends to happen is, our subconscious goes to our storage cabinet to access some important memories regarding the event, and everything sort of tumbles out of the cabinet all at once. This falling out or flashback experience can feel almost as traumatic as the initial event.

    Flashbacks usually happen without warning. Most result from a “triggering” that occurs by an external experience. Triggers are typically sensory-based experiences that manifest via smells, sounds, tastes, textures that remind the person of the traumatic event. The smell of cologne can remind someone of their perpetrator. The sound of fireworks or a car backfiring can remind a soldier of gunfire.

    Living with flashbacks is very difficult, but there are some ways you can work through these disturbing events:

    1. Remember

    Remind yourself that you are safe and having a flashback. Tell yourself as many times as necessary that these are only memories, the event is in the past, until you can feel yourself begin to calm.

    2. Empower Yourself

    Sometimes using your five senses can help you to be in the present moment. If one sense it causing the flashback – your sense of smell for example – use your other senses to place yourself in the actual current environment. The tactile experience of stamping your feet on the ground can remind yourself that you are free to get away from any situation that has become uncomfortable for you.

    3. Breathe

    As soon as we become fearful or panicked, our breathing becomes shallow and erratic. This only exacerbates the stress we feel in that moment because our body is literally panicking from a lack of oxygen. In these fearful moments, when we slow our breathing and take deeper and deeper breaths, we actually signal to our brain and body that everything is okay.

    4. Honor the Experience

    The initial trauma was awful, so it’s perfectly reasonable for you to want to move on “NOW!” However, you should understand that the body needs to go through this process and experience a full range of emotions. Honor the experience and yourself for having gotten through it.

    5. Find Support

    It’s important that you let loved ones know about your flashbacks so they can help you through the process. You may also want to seek the guidance of a professional mental health therapist who can offer coping strategies.

     

    If you or a loved one is suffering from flashbacks and would like to explore treatment options, please be in touch, I would be happy to discuss how I may be able to help.

     

    SOURCES

    https://psychcentral.com/lib/coping-with-flashbacks/

    https://blogs.psychcentral.com/after-trauma/2013/11/why-do-flashbacks-happen/

    https://www.psychologytoday.com/us/blog/healing-trauma-s-wounds/201506/understanding-and-working-flashbacks-part-one

    Filed Under: Trauma / PTSD

    4 Healthy Ways to Distract Yourself from Anxiety

    September 11, 2019

    Anxiety is a natural dialogue between our mind and body. It’s a red flag that something might be going on in our surroundings that requires our attention. For most of us, anxiety is an uncomfortable but fleeting feeling that pops up on occasion during particularly stressful times. For some, anxiety may be more present and […]

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    4 Healthy Ways to Distract Yourself from Anxiety

    Anxiety is a natural dialogue between our mind and body. It’s a red flag that something might be going on in our surroundings that requires our attention.

    For most of us, anxiety is an uncomfortable but fleeting feeling that pops up on occasion during particularly stressful times. For some, anxiety may be more present and color more of their daily life. And for still others, anxiety is a constant torture; a nightmare they can’t awaken from.

    Depending on your level of anxiety, there are some healthy coping strategies you can use to manage it. Here are 4 I recommend:

    Mind Your Mind

    How often are you aware of your own thoughts? Our thoughts tend to bubble up from our subconscious without much control from our conscious mind. For those experiencing anxiety, many of these thoughts will be negative and frightening, although the majority will not be based in reality.

    Start to pay attention to the thoughts behind the feelings. Instead of thinking the worst will happen, challenge the thought. What is the realistic likelihood the worst will happen on a scale of 1 – 10?

    The more you do this, the more you will retrain your mind to process life differently.

    Remind Yourself What Anxiety Is

    Beyond frightful emotions, anxiety often comes with physical sensations like tightness in the chest, rapid heartbeat and shortness of breath. In other words, it can feel like you are dying.

    But you’re not.

    You are having a physical response to an irrational fear or thought. Remind yourself of that ancient dialogue your mind and body are having and know that, in reality, you are okay.

    Learn Your Triggers

    Once you learn to pay attention to your thoughts and remain calm knowing you are having a natural reaction to what you perceive as a threat, find the threat. Observe your surroundings to find the potential trigger that activated your reaction. If there are other people in the room, notice their reaction to your trigger. Do they seem uneasy or concerned in the least? Chances are they don’t because the threat is not real. Store this information away so eventually your subconscious mind will stop thinking of the trigger as a threat.

    Breathe

    Slow, deep breaths have been shown to instantly calm a person. Your heart rate will slow, your muscles will relax, your entire body will return to a normal state of being. Don’t underestimate the power of just taking a moment to breathe.

    If you find you need a bit more help controlling your anxiety, please get in touch with me. I would be more than happy to discuss treatment options with you.

    Filed Under: Anxiety

    Can cognitive therapy help with anxiety?

    September 1, 2019

    Some common anxiety symptoms include shortness of breath, increased heart rate, shaking, sweating and dizziness. Since anxiety manifests in the body many common treatments for anxiety include things such as meditating, relaxation breathing, yoga and practicing calming visualization or mindfulness techniques. You may wonder how cognitive therapy or talk therapy in general can help with […]

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    Can cognitive therapy help with anxiety?

    Some common anxiety symptoms include shortness of breath, increased heart rate, shaking, sweating and dizziness. Since anxiety manifests in the body many common treatments for anxiety include things such as meditating, relaxation breathing, yoga and practicing calming visualization or mindfulness techniques. You may wonder how cognitive therapy or talk therapy in general can help with decreasing anxiety given these physiological symptoms and emotional feelings caused by anxiety. Edmund J. Bourne PhD and author of the Anxiety and Phobia Workbook Sixth edition offers some examples of self talk that contributes to anxiety. According to Bourne, these thought patterns include such things as overestimating a negative outcome, catastrophic thinking or making something bigger than it actually is and underestimating your ability to cope with a feared or real outcome. Looking at anxiety producing thoughts and asking ourselves what evidence these thoughts contain is another strategy for dealing with anxiety. Sometimes anxiety producing thoughts are about future outcomes or what if thinking. We may fear something will go wrong but we do not know that it will happen or we may predict that we will not be able to cope when it does happen. By looking at the evidence of our thoughts or predictions we may come to the conclusion that our fears are exaggerated. One reason that talk therapy may help with anxiety is that our emotions and experiences can be triggers for anxiety. Being in a situation that reminds us of something unpleasant can cause our anxiety to resurface without our awareness of why we are feeling anxious. Talking about our experiences in therapy can help us to reprocess events so we are less triggered by these events without our awareness. Talking with a therapist about your anxiety concerns can help because of the individualized treatment provided through therapy and the ability to address what you are feeling directly as it applies to your individual situation.

    Filed Under: Uncategorized

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    (443) 472-1048 barbarajborsi@gmail.com

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