Breathe Your Way Through Stress and Anxiety

What is the simplest, most effective way to address stress?  What can you do to slow your heart and feel more centered when things are challenging?  Deep breathing, and Square Breathing in particular, can help you recover, find your center and lower the impact of stress and anxiety.  

 

You take your lungs wherever you go

Because we are always breathing, bringing attention to this fundamental process can seem simple, even simplistic.  Fortunately, square breathing is one of the easiest and most effective stress reduction techniques we have.  

What’s the easiest way to lower your heart rate?

Just arrived at work and need to reset your focus?  Get centered with 5 rounds of square breathing.  Feeling a little socially anxious at the wedding reception?  Take a moment to step outside and do some breathing, then hit the dance floor.  Need a moment to decompress from work before attending to your home life?  Take a moment to yourself to re-establish your focus before you walk in the door.  

How do you breathe to relieve stress?

Sit down if a seat is available, and keep your back straight, while also relaxing your shoulders.  Relax your abdominal muscles to allow your lungs to expand into your diaphragm.  Inhale for 4 to 5 seconds, while counting.  Choose a number of seconds that fills your lungs to a deep breath without pushing too hard against that natural limit.  Hold your breath for that same count.  Exhale for the same amount of time.  Then stay at the bottom of your exhalation for 4 or 5 seconds, whichever feels right to you, before you repeat the cycle.  

 

Benefits of Deep Breathing 

Deep breathing calms down the Fight, Flight or Freeze response. A slow exhalation engages the parasympathetic nervous system, which is involved in relaxation.  It turns down your brain’s alarm center. This leads to a reduction in cortisol, the stress hormone.  Your shoulders tend to drop.  You can feel yourself correct your posture a little and expand your chest cavity to accommodate a deeper breath.  The awareness from breathing can make you feel more restful, calm and aware.  According to psychologist and author Rick Hanson, focusing on the breath can be profoundly centering.  

According to the New York Times’ Alisha Haridasani Gupta, just breathe, “When you slow your breathing down, ‘the parasympathetic system — what we call the ‘rest and digest’ system — hopefully takes over and helps calm you down,’ she said.”  Because stress and anxiety are deeply woven into the physiological stress response, square breathing can be key to resetting your mood, your perspective, and your awareness.  

 

Further Reading:

Harvard Medical School Relaxation Techniques  

Deep Breathing to Relieve Acute Stress

NHS Breathing Exercises for Stress  

University of Michigan One Minute Strategies to Relieve Stress

 

If you’re seeking further guidance and support in managing stress and anxiety, SF Stress & Anxiety Center is here to help. Our experienced professionals can provide personalized techniques and coping strategies for long-lasting relief. Schedule a consultation today to take control of your well-being.

 

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Understanding the Link Between Stress, Anxiety, and Eating Disorders

Eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating disorder are serious conditions that not only have a profoundly negative effect on physical and mental health, but are also difficult to treat. These problems often start in adolescence and in early adulthood, although they can occur at any age. The disordered eating behaviors that result can affect the body’s ability to get adequate nutrition and cause physical damage, with potentially serious long-term health consequences. While the exact cause of eating disorders is unknown, certain risk factors that can contribute to their development are well understood, including stress and anxiety. Understanding how these factors can trigger, influence, and exacerbate eating disorders is essential for effectively treating them. 

 

Can Anxiety Cause an Eating Disorder?

Stress and anxiety are a part of life, as much as we might wish otherwise. Sometimes stress can be helpful, such as when it motivates us to get an important project done before a deadline or study harder before a big test. However, when anxiety becomes unmanageable, persistent and overwhelming worry can make it impossible to function on a day-to-day basis or to maintain healthy relationships. While anxiety disorders may occur on their own, they can also occur with other mental illnesses such as depression.

Anxiety disorders are common among those also struggling with an eating disorder. According to statistics from the National Institute of Mental Health, 47.9% of those with anorexia nervosa, 80.6% of those with bulimia nervosa, and 65.1% of those with binge-eating disorder were also diagnosed with some form of anxiety disorder. The most common types of anxiety disorders associated with eating disorders are obsessive-compulsive disorder (OCD), social anxiety disorder (SAD), generalized anxiety disorder (GAD), and post-traumatic stress disorder (PTSD). Anxiety and eating disorders can interact in complex ways, which makes it essential not to overlook the role the former plays when treating the latter.

It’s easy to see how anxiety or a stressful life change—such as going away to college, family issues, a new job or promotion, or moving—could push someone already at risk into developing an eating disorder. A family history of eating disorders, having been teased or bullied about weight, past trauma, and/or frequent dieting are all factors that are known to increase the risk of an eating disorder, and adding stress to the mix may be the catalyst that provokes problematic eating behaviors. However, the relationship is more complicated than that. 

 

Understanding the Connection between Anxiety and Eating Disorders

Eating disorders are progressive—they often start intentionally as a way to feel a sense of control. Once a habit forms, though, it is easy to lose control over disordered eating behaviors and exercise habits. People with eating disorders become compelled to continue their destructive behaviors, which tend to worsen over time. In turn, the consequences of those behaviors can amplify the stress and anxiety they were initially meant to help relieve.

For example, someone with anorexia may begin severely restricting their food intake, repeatedly measuring their weight, or undertaking an extreme exercise regimen as a way of trying to cope with anxiety and a distorted body image. They may also develop ritualistic behaviors such as cutting food into tiny bites or weighing everything they eat. However, having to hide these behaviors from concerned family, friends, or colleagues can become a new source of stress and anxiety. In addition, malnutrition can also make anxiety worse.

Anxiety, stress, and bingeing can create a different dynamic that nevertheless serves to amplify the negative feelings that provoke disordered eating. Instead of avoiding food, people with bulimia or binge-eating disorder have episodes in which they consume large amounts of food in a short period of time. Negative emotions like sadness, loneliness, guilt, or hopelessness are often identified as triggers for a binge, which might begin with eating comfort foods to self-soothe but balloon into uncontrolled eating. Because this releases brain chemicals like serotonin, it works in the short term. In bulimia, that binge is followed by a purge (such as vomiting or laxative abuse) in response to the uncomfortable physical and emotional symptoms of the binge. The immediate feeling of relief, for both those with bulimia and people with binge-eating disorder, is quickly replaced by feelings of guilt and shame.

As with anorexia, binge-eating (whether it is followed by purging or not) is accompanied by secrecy and anxiety. Those suffering from these disorders tend to hide food, eat alone, and otherwise go to great lengths to hide their binges. Embarrassment over their lack of control over their behaviors may also amplify the negative emotions that are more likely to spark binge episodes. Physical consequences such as gastrointestinal problems or weight gain may become an additional source of stress and anxiety as well. 

 

Treating Eating Disorders and Anxiety

While someone might not develop an eating disorder from anxiety alone, when an anxiety disorder is also present, it is necessary to treat both conditions simultaneously. Otherwise, symptoms of anxiety can worsen disordered eating or cause discouraging relapses during treatment. Learning how to reduce anxiety and develop healthier coping mechanisms can help break the cycle of self-destructive behavior.

At the SF Stress & Anxiety Center, our therapists specialize in treating anxiety, using evidence-based methods to produce lasting relief. If anxiety has you feeling stuck, overwhelmed, or hopeless, we can help. To keep treatment accessible and convenient, we offer both in-person and online therapy. Schedule your free initial phone consultation with one of our compassionate Care Coordinators to be matched with the right therapist for you.

 

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How to Help Adult Anxiety

Feeling nervous or anxious at times is normal, especially if you’re going through a stressful period at work or home. However, there’s a vast difference between typical moments of nervousness in response to pressure and an anxiety disorder—intense, persistent, excessive worry and fear that interferes with your ability to function at work, at home, or in social situations. Adult anxiety is far from rare—according to the National Institute of Mental Health, 19.1% of U.S. adults experienced an anxiety disorder in the last year, and 31.1% of adults have experienced an anxiety disorder at some point in their lives. While it’s all too likely that you or someone you care about will be affected, adult anxiety can be effectively treated.

It isn’t fully understood what causes anxiety disorders, although most experts believe that multiple factors play a role. Genetic predisposition, your personality type, traumatic experiences, and prolonged or extreme stress can all interact to bring on anxiety that is difficult to control and out of proportion to the stressors you face. For example, if you’ve felt more anxious since the pandemic, you’re not alone. A recent study shows that one in three adults worldwide was living with an anxiety disorder during the COVID-19 pandemic due to uncertainty, disruptions in daily routines and health concerns for themselves or loved ones. Understanding what adult anxiety can look like and how best to respond can help keep anxiety from limiting the possibilities of your life. 

Signs and Symptoms of Anxiety

People suffering from anxiety disorders may experience a range of physical symptoms, as well as anxious thoughts and behaviors. Possible physical signs include a racing heart or heart palpitations, shortness of breath, nausea, diarrhea, sweating, shakiness, edginess or restlessness, dizziness, lightheadedness, insomnia, and/or becoming fatigued easily. Characteristic thought patterns can include a sense of impending danger or doom, racing thoughts, an inability to concentrate on anything except the present worry, a constant belief that the worst will happen, and persistent worry that is difficult to control. This physical and mental discomfort leads to common anxiety behaviors such as avoiding feared situations and social withdrawal.

People suffering from anxiety may be reluctant to socialize, afraid to talk on the phone, fearful of going out, and scared to interact in even simple ways with other people, such as speaking to a cashier at a store. When these symptoms of adult anxiety persist and/or get worse over time, interfering with your work, your relationships, or ordinary daily activities, you shouldn’t wait to seek help in the hope that they’ll go away on their own. 

 

Types of Anxiety Disorders

The type of anxiety disorder someone experiences may be differentiated by the situation that triggers their anxiety and their symptoms. Some types are:

  • Generalized anxiety disorder (GAD): Persistent, excessive worrying about everyday issues over a period of months or years, producing a sense of fear or dread that interferes with daily life.
  • Panic disorder: Regular attacks of sudden fear producing intense physical symptoms in the absence of any real danger or apparent cause.
  • Social anxiety: Intense and ongoing fear of being watched or negatively judged by other people. Some sufferers may experience fear or anxiety in all social settings, while others have difficulty only in certain situations, such as eating in front of others or performing or speaking publicly (performance anxiety).
  • Separation anxiety: Extreme fear or distress at being separated or the thought of being separated from a loved one. While some separation anxiety is a normal stage of development for very young children, as an adult disorder it can prevent normal functioning at work or home when the sufferer is away from their spouse, child, or other loved one.

Of course, not every case of anxiety fits neatly into a single category. Anxiety may also occur alongside other mental health disorders, such as depression or substance abuse. While this may complicate a diagnosis, it doesn’t mean that anxiety can’t be treated. 

 

Adult Anxiety Treatment

It’s common for people to believe they can’t control anxiety or their tendency to have panic attacks and that it’s just a problem they’ll have to learn to live with. In fact, that isn’t the case at all—many people are able to move past the symptoms of anxiety disorders and learn to improve their quality of life. If your attempts to manage anxiety on your own aren’t working, it is possible to get effective help.

One of the first steps should be to consult your primary care physician for a physical evaluation. Sometimes symptoms of anxiety can be related to an underlying health condition or medication you’re taking, so it’s best to rule that out as a possible cause or contributing factor. Properly treating any such medical condition may help alleviate anxiety.

If anxiety doesn’t spring from a physical cause, consulting a mental health professional should be your next move. Psychotherapy helps people with anxiety disorders identify the causes of their worries and fears and develop healthier coping mechanisms and skills to overcome anxiety. Two types of psychotherapy that can be effective for people with anxiety disorders are:

  • Cognitive behavioral therapy (CBT): This type of short-term therapy pairs cognitive and behavioral approaches to recognize our existing patterns of thought and behavior and examine how they can hold us back. Patients then learn how to change those thought patterns and habits. CBT sets specific goals that are meaningful for each patient and teaches them skills to take action to achieve them.
  • Dialectical Behavior Therapy (DBT): DBT is a modified form of CBT developed to help people develop mindfulness, tolerate distress, regulate their emotions, and improve their interpersonal effectiveness. It can include group therapy for behavioral skills as well as individual therapy sessions. DBT validates a patient’s experience while gently challenging them to make positive change.  

Lifestyle changes can also have a positive impact on getting anxiety under control when paired with psychotherapy. Regular exercise, getting adequate sleep, healthy eating, avoiding alcohol or recreational drugs, and cutting back on stimulants like caffeine can all be beneficial. In addition, relaxation techniques such as meditation or breathing exercises can help keep stress at manageable levels. Your therapist can help plan a mix of treatments for anxiety best tailored to your unique situation and needs.

 

Reclaiming Your Life from Anxiety

When anxiety takes hold, it can gradually take over your life, isolating and limiting you. At the SF Stress & Anxiety Center, our therapists can help you overcome your anxiety and develop psychological resilience so you can thrive in your professional and personal life. We offer both in-person and online therapy sessions to keep treatment accessible. 

To get started, schedule a free introductory phone call with one of our compassionate Care Coordinators to be matched with the right specialist.

 

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Dating Someone with Anxiety: What You Need to Know

Although everyone experiences anxiety at times, some people suffer from more debilitating or heightened forms that can impact their lives on a daily basis. In turn, this can require more understanding and compassion from their significant other. The truth is, dating someone with anxiety can present additional challenges, stresses, and strains to a relationship. For example, when cohabitating, an anxious partner’s difficulty sleeping can negatively impact the sleep quality of both partners. It may also be necessary to adjust to an anxious partner’s difficulty concentrating, nervousness, or restlessness.

While someone with anxiety might need extra patience, empathy, and support from their partner, that doesn’t mean the relationship is doomed; it just requires a lot more communication, which is crucial as a couple anyway. 

If you’re dating someone with anxiety or an anxiety disorder, but don’t know exactly how to help them, don’t worry. Here are some great tips on dating someone with anxiety, from ways to support your partner to an understanding of how anxiety can affect your relationship.

 

How to Support Your Partner With Anxiety

Ask them what they need.

Being in a relationship with someone who suffers from anxiety requires more communication on your part. Whenever a partner’s anxiety level is high, it’s important to be mindful of what they may need and ask what they require at the moment. For example, if they want to be held or if touch feels too overstimulating at the moment, you can just ask them what they need.

However, if they cannot articulate what they need in the moment, try a few low-key approaches such as playing some soft music; playing with pets; or focusing on any calming, pleasant physical sensation they need. Use a meditation app with them and offer to meditate with them for a few minutes or do something artistic and creative together. Games that require a lot of concentration and attention can also be helpful since they divert attention from anxiety. Puzzles or simple video games like Tetris or solitaire can be good at distracting them.

Don’t tell them to calm down or relax.

Even though you might think telling your partner to “relax” is helpful, you might actually be adding to their anxiety. When your partner is suffering from high anxiety, it is most likely that they are already fighting within themselves about how to deal with it, and other people saying this can sound more like a directive than comforting. 

Consider calming activities like meditation or a bath instead. Although it may be hard not to tell your partner what to do, trust that when they need you, they’ll tell you. Don’t take it personally if they need some quiet time or some alone time. Respecting them will improve your relationship.

Learn more about their type of anxiety.

In order to be able to help your partner as effectively as possible, you should learn as much as you can about their type of anxiety. This can include generalized anxiety disorder (GAD), social anxiety, separation anxiety, and/or panic attacks. While you may not be able to know exactly how your partner feels, making an effort to learn will benefit both of you.

In order to do this, you can read articles or books on the topic, follow social media accounts, or ask your partner directly what living with anxiety is like for them. As you become more familiar with their condition, you will be able to support them a lot better.

Don’t dismiss their emotions.

You may not fully comprehend what your partner is going through when it comes to anxiety, but that doesn’t mean their feelings are invalid. Whenever you dismiss someone by saying, “You’re overreacting” or “It’s not a big deal,” you can be gaslighting them, making them believe what they’re experiencing isn’t real.

Nevertheless, you shouldn’t let them run wild with their emotions, as this may cause them to spiral out of control. You do, however, want to create a safe space so your partner can navigate their anxiety-which can be difficult if you ignore or dismiss it. Studies show that we seek partners who see us the way we see ourselves in relationships and that this helps the relationship succeed. In a relationship, we want to feel comfortable to be ourselves instead of pretending to be someone we are not.

Be aware of the subtle signs of anxiety, too.

You might be able to spot some of the most common anxiety signs (for example, excessive worrying, restlessness, difficulty falling asleep and staying asleep) easier, but it’s also important to know about less common ones, so you don’t end up supporting behaviors that hurt your partner the most. For instance, perfectionism is often a sign of an anxiety disorder. This may be when our partner can never relax, never stops trying, or needs constant feedback that things are right. They might be feeling more anxiety than they let on. Those with anxiety might seek frequent assurance that they are doing things’ right’. They might be concealing anxiety if they never seem to get enough reassurance or validation.

 

How Anxiety Affects Relationships

They might have set ways of doing things.

If your partner has anxiety, they may have certain ways of approaching tasks that feel familiar and safe to them. Perfectionism, rigidity, and the desire to control things that do not need to be controlled are some traits they may exhibit. It’s important to understand that they’re usually harder on themselves than they are on anyone else.

One of the ways you can help is by setting boundaries about their need to control things. Discuss their feelings with them, so they feel understood, but also let them know how it affects you. For instance, if you and your partner disagree about how to clean the house because their standards are much stricter than yours, focus on a “good enough” standard and let them know that anything beyond that is on them. Additionally, if you don’t get enough relaxation time, carve out some for yourself that is non-negotiable.

They may have fears about the relationship.

For example, someone may worry about whether their partner will leave them or whether they are truly loved and cared for by them. In many cases, these concerns are unfounded and contradictory to objective reality.

To help cope with this fear, your partner may choose to become extra close, so much so that you may feel smothered. Ironically, this may lead you to create some separation or breathing room, which only confirms the anxious partner’s fears of abandonment. By understanding this, you can navigate the situation with clarity and have an honest discussion.

 

How to Set Boundaries

While you may love your partner, it’s completely natural to need to set boundaries with them on certain behaviors; what might be considered a healthy coping mechanism for them might impact you in a negative way. Talk with your partner about the specific behaviors that bother you, listen to their perspective, and encourage them to talk about their experience.

Once you find common ground with your loved one, encourage them to seek help from a therapist and continue to set boundaries when their behavior becomes an issue. Be mindful that setting boundaries doesn’t mean you should insult, dismiss, or criticize your partner. The best thing to do is empathize with them and let them know that there might be ways to improve their situation. Don’t take full responsibility for handling their anxiety yourself; don’t put more effort into it than they’re willing to, or you’ll burn yourself out.

At the end of the day, being in a relationship with someone who has anxiety can be a really nurturing and healthy experience. By being supportive, thoughtful, and empathetic about your partner’s anxiety, you’ll be able to build a foundation that will work for the both of you. If you are experiencing anxiety or dating someone who does and need help coping, contact us today for a free consultation to discuss how we can best support your needs.

 

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Tips for Mental Health That Therapists Use for Themselves

Working out and eating a healthy diet are two ways we care for our physical health. However, the strategies are less defined when it comes to mental health.

Nevertheless, we understand how important it is to take care of our mental health. Studies show that most people value their physical health just as much as their mental health. Yet, more than half of people say they spend more time working on their physical health than mental health.

Therapists know first-hand how important it is to care for your mental health. They see plenty of people experience problems because they’ve neglected their mental health for years. If you don’t prioritize your mental health, you will feel the difference. Mental health should be a priority for three reasons: 

 

  • Preventing mental health problems is easier than treating them. By taking care of yourself now, you may be able to prevent mental health problems in the future. By paying close attention to your mental health, you’ll be able to intervene earlier when problems arise. 

 

  • Physical and mental health are intertwined. Poor mental health may increase your risk for physical health issues, such as diabetes, heart disease, and stroke. So even if you care more about your physical health, neglecting your mental health may backfire. 

 

  • Your mental health affects your quality of life, too. Being in good physical shape is important, but psychological wellbeing is equally important. Mental health problems can impact your social life, your ability to complete your work, and your relationships. 

 

Here are five exercises you can do to improve your mental health:

  1. Plan something fun every week

In therapy, we often discuss “pleasant activity scheduling.” In essence, it means scheduling an activity that you enjoy. It could be as simple as choosing a time to watch a movie at home. Regardless of whether you live alone, schedule it on your calendar. The key is to schedule it in the future, so you have something to look forward to. 

You get a second boost in your mood when you do that fun thing and a third boost after it’s over because you’ve created a positive memory. It is a good idea to schedule at least one fun activity a week.

  1. Practice relaxation strategies

Knowing how to relax your mind and body is essential. Passively watching TV might not cut it either. Even though you’re watching TV, your muscles might still be tense, and your mind might never completely relax. Additionally, watching TV while scrolling through social media can keep you on edge and alert.

For real stress reduction, you might want to learn yoga or meditation practices. Additionally, you can learn and practice breathing exercises and progressive muscle relaxation. Try to incorporate regular stress relief into your schedule regardless of what you do.

  1. Establish a gratitude practice

The benefits of experiencing and expressing gratitude are numerous. In several studies, gratitude has been shown to be directly related to your overall wellbeing. People who are grateful tend to have fewer mental health problems, higher levels of happiness, and long-term positive psychological wellbeing.

While writing a letter of gratitude to someone is one way to experience these positive effects, you don’t necessarily even need to share your grateful feelings with anyone. You can also increase your mental strength by writing in a private journal.

  1. Foster your relationships

A key factor in good mental health is social support. Relationships play a crucial role in your life, so it’s important to invest time in them. Spend quality time with your loved ones, whether that’s a date night with your partner or a weekly dinner with your friends.

  1. Perform acts of kindness

Acts of kindness shouldn’t necessarily be about your personal gain, but by doing kind things for others, you do gain a lot. Whenever you are kind to someone, your brain releases feel-good hormones, such as endorphins and oxytocin. In addition to boosting your own mood, you will also boost the mood of the person you are giving to. 

Each day, choose a different person to show kindness to and perform one act of kindness. Or, you might volunteer once a week with a specific organization. 

 

Incorporating mental strength strategies into your daily routine

Identify strategies for building mental strength that you enjoy. This will increase your chances of sticking to them. Don’t force yourself to meditate if you hate it. Instead, look for another exercise you might like better. There’s plenty to choose from, and investing more time in your mental health is key to reaching your greatest potential.

 

How Therapy Can Benefit Your Mental Health

About 75% of people receiving therapy experience symptom relief and are able to function more effectively. Other benefits include:

  • Better daily habits to support a healthy lifestyle
  • Fewer negative thoughts
  • Greater focus and more satisfaction at work
  • Higher self-esteem
  • Stronger relationships with others

Ultimately, you’ll learn not only how to solve the problem that brought you into treatment but you’ll also gain new skills to help you cope with whatever challenges arise in the future. Contact us today to discuss how we can help.

 

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Inner Child Work: What It Is & How It Can Benefit You

‘Working with your inner child’ might sound a bit out there. But it is actually a psychotherapeutic concept that originated with Jung, and many therapists use it to help their clients.

The “inner child” is part of your subconscious that has been picking up messages long before your mind was able to understand them (mentally and emotionally). In addition to holding memories and beliefs from the past, it also holds hopes and dreams for the future. Healing and connecting with our inner child can be a powerful and important way to support our emotional and psychological well-being. 

 

Why is Inner Child Work Important?

Inner child work focuses on addressing our unmet needs by reparenting ourselves. This kind of self-discovery helps us understand our behaviors, triggers, wants, and needs. When we begin inner child healing work, we tap into a part of ourselves that is vulnerable and impressionable.

Yes, it can seem odd to be ‘talking’ to the ‘child within,’ but the benefits are impressive. They include: 

  • accessing repressed memories that are holding you back. 
  • being able to feel again after years of being numb. 
  • gaining personal power and the ability to set boundaries. 
  • learning how to take better care of yourself. 
  • feeling self-compassion and liking yourself more. 
  • being able to enjoy life and have fun again.
  • gaining self-confidence.

It is our inner child who remembers the joy, innocence, freedom, and playfulness of childhood. It also holds our hurts, traumas, and emotional wounds. The more we connect with and heal our inner child, the more compassionate and understanding our relationship with ourselves can become. To help you tap into and heal your inner child, here are a few simple exercises.

 

Acknowledge your inner child

Acknowledging that you have an inner child is the first step toward connecting with it. We may think of this part of us as a child, or we may not. There may be a vivid image in your head of your inner child, or there may be none at all. There may be a strong sense that you know who this part is, or there may be no clue. Developing a relationship with your inner child takes time, and you should check in with yourself regularly to see how it’s going. If you are not sure if you have an inner child, here are some questions you can ask yourself to check in with this part of you. 

  • What words would you use to describe yourself as a child? 
  • What emotions do you remember feeling as a child? 
  • What do you remember enjoying as a child?
  • What do you remember wishing for as a child?

 

Create a safe space for your Inner child

Having acknowledged the existence of your inner child and an idea of what this part of you looks like, create a safe space for it. Taking some time to breathe and observing yourself can help you sense your inner child’s presence. If you sense your child, you can visualize yourself placing your child in a safe, secure place. In your arms, in the space around you, wherever feels safe to you, you can place this child. You can also imagine yourself in a safe, secure space.

 

Write a letter to your inner child

Once you have created a safe space for your inner child, you can write a letter to yourself. It can be a wonderful way to develop a relationship with this part of yourself. You could write about anything you wish to communicate to your child. You can write with your adult self and your child self both in your mind, or you can choose to write with one or the other. There is no right or wrong way to write this letter. No matter how much or how little you write, you can do it in whatever way feels right to you. 

 

Self-Love and Self-Compassion

The final step to bringing all of these things together is to establish a loving and compassionate relationship with your adult self. You can offer your inner child all the love and compassion you need from this point. It is possible for you to provide your inner child with support, kindness, and guidance. Imagine giving your inner child everything you wish you had received as a child. Whether that is positive experiences, skills, or knowledge. 

 

Conclusion

Healing your inner child can be an incredibly powerful and transformative process. It can help you to heal past wounds, find more self-compassion, and create a more compassionate and understanding relationship with your inner self. The process of connecting with and healing yourself can be as individual as you are. There is no right way to go about this, and it can take as long as it needs to take. There is no time limit for healing, and you do not have to do all of these exercises at once if you don’t feel ready. You can work on connecting with and healing yourself anyway that feels right for you.

 

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How to Support Your Child’s Mental Health

You know all the right things to do to protect your child’s physical health-feed them healthy foods, take them to the doctor, and ensure they get enough sleep and exercise. But what about helping your child grow up mentally healthy? It turns out there is plenty you can do as parents to help support your child’s emotional and mental well-being.

 

What Does ‘Good Mental Health’ Really Mean?

Mental health entails being able to deal with life’s ups and downs. Good mental health allows children to experience both comfortable and uncomfortable emotions without high levels of distress. In other words, they are able to handle uncomfortable feelings such as hurt and embarrassment and do not crumble under unexpected or disappointing circumstances. Despite challenges, they are able to persevere and can move on from failure. Mentally healthy kids can also adapt to change (within reason) and aren’t overly fearful about new experiences.

Your child’s ability to cope with new situations will vary as he or she grows and develops—a 2-year-old will have a harder time coping with new situations than a 12-year-old. Depending on your child’s temperament, more cautious children may be more fearful in new situations than those who are bold. A child’s confidence and resilience will vary considerably depending on their age, stage, and temperament. 

Strategies for Supporting Your Child’s Mental Health

What is the most important factor in helping your child develop positive mental health? You. In all of the literature on childhood mental health, the parent-child relationship is the leading indicator. Invest in the relationship, be present with your children, nurture your own mental health and well-being so you can be present with your children, and do not condition anything about your relationship with them on their behavior.

Here are some practical ways you can use to foster that strong parent-child relationship and boost your child’s resilience and flexibility.

 

Tips for promoting positive mental health:

  1. Be a Role Model

Children learn how to respond to frustration, challenges, and uncomfortable feelings based on the ways in which their parents deal with them. For example, if children see their parents react to frustration with anger and give up, they tend to do the same. A parent who communicates excessive fear about new things and tries to shelter the child from situations where any hurt or disappointment could occur is likely to have a child who is more fearful and avoidant as well.

  1. Limit Your Child’s Screen Time

The American Academy of Pediatrics recommends no screen time (other than video chatting) for kids under 2 and only one hour of quality children’s programming for kids 2 to 5. Limiting screen time can improve mental health. Children’s brains are much more sensitive to electronic use than we may realize. Excessive screen time has been linked to school problems, aggression, and other behavioral issues. The “sensory overload” causes kids to have poor focus and depletes their mental energy, which often leads to anger and explosive behavior. It is possible for kids to become overstimulated and “revved up,” and they may have difficulty managing stress and regulating their mood.

In addition to limiting screen time for kids, you should also put down your phone and show your kids how to balance electronics with other activities in life. Parents should also engage with their kids without devices present all the time to support healthy parent-child relationships and child development.

  1. Stop Helicoptering or Snowplowing

You’ve heard about helicopter parents (who hover over their children to ensure everything’s going well) and snowplow parents (who smooth the way for their children, so they don’t have to face any bumps in the road). Although well-intentioned, these types of parents prevent their children from experiencing disappointments and overcoming obstacles. When children are involved in activities with caregivers where they are able to succeed some of the time but have to overcome challenges other times, they are more likely to develop healthy self-esteem and mental health. 

Whether it’s climbing something higher or putting together a puzzle they’ve never done before, let them try something new. Don’t jump right in to rescue them if they encounter a problem, but support them through it so they can learn how to successfully manage something that’s a little challenging without falling apart. This is the perfect opportunity for you to offer encouragement and support. Allow your child to try new things, and if they fail, let them try again while creating a soft landing in case they fail.

  1. Focus on Your Child’s Physical Health

Providing the best building blocks for mental and physical health is essential. Physical health and mental health go hand in hand. Diet contributes to mood, attention, anxiety, and behavior. Mental health problems are more likely to occur in children who consume a diet high in processed foods that are devoid of nutrients. It is also crucial to make sure your kid gets enough sleep to maintain good mental health since poor sleep can impact mood, coping skills, and emotional resilience.

  1. Talk to Your Child About How They’re Feeling

Good mental health requires the ability to share feelings in a productive, healthy manner. Kids should be allowed to feel sad, frustrated, and hurt and supported to work through those feelings in appropriate ways. Help them manage big, uncomfortable feelings by modeling and supporting them to use techniques like deep belly breathing, movement, distraction, and talking.

  1. Accentuate the Positive

You can boost your child’s self-esteem by praising them for their efforts, not their successes. A good way to start is to point out what your child does well and how you notice them succeeding. The crucial thing is to praise a child’s effort despite their struggles or not being the best at whatever they’re doing so they develop a positive sense of self.

  1. Show That Making Mistakes Is Normal

Rather than harping on your child’s errors, show them your own occasional mistakes. Spotlighting your mistakes helps children understand that everyone makes mistakes and they aren’t a reflection of their worth. A positive, healthy sense of self-worth will help them avoid the stress and anxiety that comes with perfectionism.

 

Conclusion

In order to establish a strong foundation for your child’s mental health, you must build trust, demonstrate strong communication skills, and be a good role model. Being supportive of your child’s mental health also means getting them help or support when they need it.

You are the expert on your child. If they are acting in a way that seems strange or worrisome to you, don’t hesitate to reach out to a counselor. Don’t let fear or embarrassment keep you from getting your child help when they need it. It is the most supportive and courageous thing you can do. Treatment and intervention will enable them to care for their mental health.

 

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What is Dialectical Behavioral Therapy (DBT) & How Can It Help?

Do you…

Feel overwhelmed by intense emotions?

Have behaviors that you want to change?

Do you use food and/or alcohol to cope?

Do you have impulsive or reactive behaviors?

Do you find it difficult to maintain relationships?

Would you like to create a life worth living?

If you answered “yes” to any of these questions, or if you have other concerns about your emotional well-being, then DBT may be helpful to you. 

 

What Is Dialectical Behavioral Therapy (DBT)?

Dialectical Behavior Therapy aims to find balance and get unstuck from extremes using behavioral-based talk therapy. The D in DBT stands for Dialectics, which means synthesizing or integrating opposite ideas, thoughts, or behaviors. A key goal of DBT is to cultivate acceptance and balance in the world around us by finding the truth in opposing forces. By cultivating balance and acceptance, we decrease suffering and increase acceptance for ourselves and others. DBT is focused on not only creating a life worth living but also a life worth loving.

Through Dialectical Behavior Therapy, we learn to accept thoughts and feelings without judgment while letting go of our past and future so we can live in the present. By focusing on the present, we are able to control and regulate our emotions, resulting in better balance and healthier relationships.

Marsha Linehan created DBT to treat clients who had not responded to other types of therapy. Evidence supports the use of DBT with a wide range of disorders, including borderline personality disorder, anxiety, bulimia, PTSD, substance abuse, bipolar disorder, and many other mental disorders.

 

What Is Wise Mind?

It is impossible to understand DBT without addressing the three states of mind. The three states of mind are (according to DBT): Reasonable Mind, Emotional Mind, and Wise Mind.

Reasonable mind refers to our rational and intellectual mind; it is the mind that focuses on facts and logic to solve problems. Reasonable mind is beneficial in many ways. Having a reasonable mind helps us solve complex problems, but when we focus exclusively on them, we ignore the importance of our values and emotions.

The opposite of a reasonable mind is an emotional mind. In this mind, you are only motivated by emotions, disregarding logic and reason completely. In the absence of an emotional mind, we would not be able to understand our emotions or how they affect our behaviors and thoughts. Additionally, we would be unable to feel positive emotions such as happiness and love. On the other hand, by focusing only on the emotional mind, we ignore facts and logic, affecting our ability to make effective and adaptive decisions.

A Wise Mind combines both of these minds and values both emotion and reason equally. Our wise mind allows us to make decisions based on reason and values at the same time. In addition, a wise mind allows us to experience emotions (even strong ones) as they arise and pass.

 

The Four Modules of DBT

DBT has four main modules of skills: Mindfulness, Emotion Regulation, Distress Tolerance, and Interpersonal Effectiveness. Let’s discuss each skill:

Mindfulness – Learning to be present-focused and nonjudgmental of ourselves and others.

In order to practice mindfulness, you must learn how and what it is, be mindful of your current emotions and thoughts, and cultivate love and kindness towards yourself and others.

One way to practice mindfulness in our daily lives is to walk mindfully (observing your surroundings and being present in the moment) or do a task mindfully (one-mindfulness – not multitasking but focusing on one task at a time).

Distress Tolerance – Learning how to tolerate stress and negative emotions when they arise so that they do not become paralyzing It is through Distress Tolerance (DT) skills that we can put space between the event/emotion and ourselves, allowing us to decompress and return to the situation with a wise mind rather than one ruled by emotions. One such skill is STOP (Stop, Take a step back, Observe, and Proceed Mindfully). Before reacting, we need to STOP. Then, we need to physically or mentally distance ourselves from the situation or emotion. After that, we need to pay attention to or observe what is going on both inside and outside of us. By observing, we can tap into our wise mind. Our next step is to use that information to Proceed Mindfully. In this step, we aim to ask ourselves, “How do we want this situation to be resolved? Or “What would be effective in this situation?”

Emotional Regulation – Learning how to better understand and handle our emotions so that we have more control over our thoughts, feelings, and behaviors. Our ability to check the facts is an important emotional regulation skill that can assist us in seeing that our feelings and thoughts are not reality. In turn, this skill allows us to change our emotional response to situations by allowing us to focus on the facts rather than our interpretations.

Interpersonal Effectiveness – Learning how to better navigate relationships.

A person’s interpersonal effectiveness includes communication skills, the ability to build relationships, the ability to set boundaries, the ability to advocate for one’s own needs and wants, and the ability to end toxic relationships.

Among the interpersonal effectiveness skills are GIVE and FAST. When we communicate and interact with others, GIVE (G=Gentle; I=Interest; V=Validate; E=Easy manner) reminds us to validate and respect them, while FAST (F=Fair; A= no Apologies; S=Stick to values; T=Truthful) teaches us to validate and respect ourselves without lying or manipulating them. 

 

How Is DBT Different From CBT?

Both Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) focus on behavior, but they are also quite different. 

Cognitive Behavioral Therapy focuses on restructuring thoughts to change self-destructive behaviors and is based on the belief that our thoughts and behaviors influence our feelings. In Cognitive Behavioral Therapy, logic and reason are used to direct responses and change emotions.

In contrast, Dialectical Behavior Therapy is more about finding balance through navigating dialectics, getting unstuck from extremes, validating our emotions, and addressing and changing behaviors.

 

DBT Is a Diverse and Flexible Therapy

DBT is applicable to many issues, concerns, and distress we experience in life. We all navigate dialectical dilemmas more often than we think and run into situations where we are stuck or are having difficulty gaining perspective. Through DBT, we learn concrete, measurable, and validating skills and knowledge that help us overcome our barriers and cope better with life’s challenges. You might enjoy DBT if you prefer a therapist who gently challenges you while remaining aware of your concerns, distress, and experiences. We want to set you up for success, not failure. Small steps lead to big steps, which lead to leaps! No matter what type of counseling or therapy you’re looking for, we can help. Contact us today for a free consultation to learn more.

 

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What to Do Between Therapy Sessions

Perhaps you have heard the saying, “You get out of therapy what you put into therapy.”

Although everyone experiences therapy differently, one thing is true for all: success in therapy requires effort and focus. You will ultimately achieve your goals through the work you put into therapy, but that doesn’t just happen during sessions. The work you do between therapy sessions is just as important for your progress. Here are some things you can do to continue progressing in therapy between sessions. 

Complete Therapy Assignments

You may be given “homework” to do outside of therapy by your therapist. In these assignments, you may be challenged to put what you’ve learned during sessions into practice. Depending on your circumstances, your therapist may assign you breathing exercises or other self-care activities. They may also focus on practicing new skills, reframing negative beliefs, and practicing coping strategies.

Taking the time to complete tasks outside of therapy may seem daunting, but it’s well worth it. According to research, therapy is more effective when homework is assigned. What’s more? Homework assignments that are consistently completed tend to result in better therapy outcomes.

Think About Your Most Recent Session

When it feels like there’s a lot to cover in a single therapy session, it can be helpful to review what you covered with your therapist in your last session. Based on your previous discussion with your therapist, what did you learn? Were there any revelations that you would like to keep in mind and work on moving forward, such as reducing or avoiding certain thought patterns or behaviors? Would you like to ask your therapist any questions regarding something you discussed in your previous session? 

As you think about and work on things outside of therapy sessions, questions may arise. Write them down so you will remember to ask them at your next appointment. By reflecting on your sessions and what you discussed with your therapist, you can identify actionable things to work on and keep your therapy goals in mind. 

Try Therapeutic Journaling

Journaling is beneficial whether you are in therapy or not. By journaling, you can explore and express your thoughts and feelings, identify negative thoughts and behaviors, and more. As an outside-of-session therapy assignment, you might be asked to record your feelings and thoughts each day. Even if your therapist doesn’t assign journaling, it’s something you can do in between sessions to help you make progress toward your therapy goals. If you’re not sure how to get started with journaling, consider using these prompts

Focus on Healthy Habits 

In order to feel better mentally and physically, it is important to incorporate healthy habits into your daily life. Practicing self-care, eating well, exercising, and getting plenty of sleep are all healthy habits. Self-care involves looking after your entire being – your body, your relationships, your emotions, and your spirit. Self-care isn’t just a spa day or a glass of your favorite tea – it’s improving the things you do every day to make them healthier. To get started practicing self-care, consider these tips

Improving your overall health also requires eating well. But what does it mean to “eat well”? Choosing nutritious foods such as fruits, vegetables, whole grains, and lean meats is a key component of a healthy diet. The benefits of eating a nutritious diet extend not only to your physical health but also to your mental health. According to studies, diets high in fruits, vegetables, unprocessed grains, and seafood reduce depression risk by 25% to 35% compared to diets high in processed and refined foods. It has also been shown that people with mental health conditions should follow a diet low in refined sugar, as a high-sugar diet has been linked to worsening symptoms.

Physical and mental health can also be improved by exercising regularly – at least 20 minutes a day. In addition to reducing anxiety and depression, exercise improves mood, self-esteem, and cognitive function. It is also important to get enough sleep. Lack of sleep can negatively affect your psychological state and mental health. A healthy diet, regular exercise, and monitoring your caffeine consumption can help you get quality sleep. 

However, if you find that you are consistently having difficulty falling asleep and staying asleep, you may have a sleep disorder. The likelihood of having sleep problems and/or disorders increases if you have anxiety, depression, bipolar disorder, or attention deficit hyperactivity disorder (ADHD). Talk to your therapist if you’re having trouble getting enough restful sleep. If needed, they can refer you to a medical professional for additional treatment for sleep problems. 

Be Proud of Your Progress

You can’t expect change to happen overnight. Although change may not happen as quickly as you’d like, it’s important to acknowledge and celebrate your progress in therapy. Therapy is a journey, and the more you work toward your goals between sessions, the closer you’ll get to feeling better and achieving your goals. Remember, there is no rush. Progress will happen if you put in your best effort.

If you’re ready to make progress in your mental health journey, SF Stress & Anxiety Center is here to support you. Our experienced therapists offer personalized therapy sessions and can provide guidance on how to make the most of the time between sessions. Contact us today to schedule an appointment and continue your progress towards a happier, healthier life.

 

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How to Care for Your Mental Health While Grieving

One of the most painful experiences in life is losing someone or something you love. When we lose a significant person, job, ability, or time, we may feel lost and confused about how to move forward. Loss can cause a wide range of emotions, and grief is a natural process we all go through.

What Does Grief Feel Like?

Everyone goes through grief at some point in their lives, but it can be an overwhelming and stressful experience. As a result, it can be difficult to predict how we might respond to a loss, as it is an individualized experience. You may experience any of the following after a loss:

  • Sadness or depression. After realizing the loss, you may isolate yourself and reflect on things you did with your loved one or focus on past memories.
  • Shock, denial or disbelief. Following a loss, some people may find themselves feeling quite numb about what happened, as their minds protect them from pain. In the early stages of grief, shock serves as an emotional shield to prevent overwhelming feelings.
  • Numbness and denial. After a loss, you may feel numb. It is natural and helps us to process what has happened at our own pace and not before we are ready. The problem arises when numbness is the only feeling we experience, and none of the other grief-related feelings can cause us to feel ‘stuck’ or ‘frozen’.
  • Panic and confusion. When someone close to us passes away, we may wonder how we will fill the void left in our lives and may feel like our identities have changed.
  • Anger or hostility. When we lose someone, it can seem unfair and painful. When you experience loss, you may feel angry or frustrated and seek to find someone or something to blame to cope.
  • Feeling overwhelmed. It is common for people to cry a lot or feel as though they cannot cope when grieving. Some people worry that their feelings are so overwhelming that they cannot handle them. Over time, however, the intensity of grief tends to lessen, and people learn to cope.
  • Relief. There are times when you may feel relieved upon the death of someone, especially when there had been a long illness, when someone was suffering when you were the person’s primary caregiver, or when your relationship was difficult. This is a normal response and does not mean you don’t care or love the person.
  • Mixed feelings. Having a difficult relationship with a person may make you think that you will grieve less or cope better because you had a difficult relationship with them. You may instead experience a mixture of emotions like sadness, anger, guilt, and anything in between.

It is possible to feel all of these things, none of them, or just a few of them. After a loss, there is no right or wrong way to feel. Some people seek help immediately by expressing their emotions and talking to others, and others prefer to deal with things slowly and quietly. Everyone grieves differently and on their own timeline.

 

Reasons You May Experience Grief

Many people associate grief with losing a loved one, but any significant loss that completely alters your life’s trajectory – especially if it is unexpected – can cause grief.

Life events that often lead to grief include:

  • Divorce and relationship breakups
  • Chronic or terminal illness
  • Loss of time
  • Loss of a job or other financial security
  • Retirement
  • Death of a pet
  • Loss of a friendship
  • A miscarriage
  • Loss of safety due to trauma or abuse
  • Selling a family home

It may seem selfish to take care of yourself after a heavy loss, especially if other people around you are hurting and need support too. However, putting your mental health on the back burner can increase your chances of depression, anxiety, and other conditions. One of the most important ways to cope with grief and begin the healing process is to take care of your mental health.

Here are some tips to give yourself space to grieve a loss while prioritizing your mental health.

 

Mental Health Tips for Coping with Grief and Loss

  1. Allow yourself time to grieve.

The process of grieving is unpredictable, complex, and exhausting. Accepting that grief takes time is an integral part of grieving. Once you’ve given yourself time to heal, the heavy weight of grief will gradually lift, and you’ll develop the strength to move forward with your life and relearn who you are. Allow yourself grace if you need additional time and support to move on from grief.

  1. Spend time with people you trust.

After a significant loss, many people prefer solitude to reflect and process their emotions. If you need some time alone, take it. Be aware, however, that prolonged isolation can result in loneliness, which negatively impacts all aspects of your health. Whenever you’re ready, speak to friends, family, clergy, or other people in your community who make you feel safe – even if you’re only talking on a video call or sitting in a room together. The company of another human can offer much-needed comfort and emotional support.

  1. Don’t neglect your health.

Experiencing a loss is not just an emotional endeavor. It can also impact your physical health if you have trouble eating, sleeping, or staying active. Because our minds and bodies are so closely connected, meeting your basic needs, such as food, sleep, and exercise, during a grieving period can help you remain physically healthy and mentally stable.

  1. Get back into your hobbies (or discover a new one).

It’s normal to lose interest in social activities or hobbies after a loss. The benefit of channeling your interests is that it allows you to cope with grief while stimulating your body and mind at the same time. Taking part in hobbies that you enjoy can keep you physically and mentally active, whether you are painting, gardening, writing, fishing, kayaking, or cooking. Consider exploring a new hobby and learning something new if your old hobbies no longer interest you.

  1. Talk to a mental health professional.

You may feel lost when you lose someone or something important to you. There was a drastic change in your life path, and you don’t know which alternative path to take. It’s okay to feel this way. However, a long period of grieving can be a sign that you need additional support. By discussing your struggles with a mental health professional, you can express your emotions and learn tools to find your next path (or carve out a new one altogether).

Whether your loss is recent or happened a long time ago, our mental health providers at SF Stress & Anxiety Center are here to help you move forward through in-office or telehealth sessions and is dedicated to supporting you on your healing journey.  Contact us today to schedule an appointment with our team. 

 

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