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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How Social Media is Affecting Your Mental Health

Everybody is on social media. It’s muscle memory — when we need a brain break at work or while standing in line, we pick up our phones and open one of the options. As of 2022, almost 5 billion people worldwide were on social media, with average daily use totaling nearly 2.5 hours.

 There’s a reason these apps are so popular. It is designed to be addictive. Dopamine is released when you use the apps, and you feel good when others like your posts and react to them. It is possible, however, for the connection between social media and mental health to go sour. Here’s what you need to know and how to keep that from happening.

 How does social media affect mental health?

Most people agree that social media has a negative impact on mental health. But why? Let’s dig into how social media affects our perception of the world. Apart from the obvious negativity and bullying that can occur on the internet. 

 Because social media use is still relatively new, we don’t yet have research exploring its long-term effects. However, multiple studies have linked it to multiple mental health issues such as anxiety, depression, and lower self-esteem. 

 It can worsen anxiety and depression symptoms 

The constant use of social media can worsen anxiety and depression symptoms and increase feelings of loneliness. It has been shown that excessive social media use, coupled with emotional dependence on the platforms, can worsen anxiety and depression symptoms.

 However, the problem cuts both ways. Some people use social media to cope with feelings of anxiety or depression, according to researchers. You can get caught up in the vicious cycle of scrolling through social media when you’re bored or anxious without realizing that your actions may make things worse. 

 It can cause feelings of inadequacy 

The emphasis on social media is on interaction, such as likes and comments on photos and videos. It feels great when you post something and get a lot of feedback. As a result, you feel validated for posting in the first place. However, what happens if you don’t get the interaction you’d like with your pictures or videos? If you rely on social media for self-validation, you may feel down when you do not receive the expected recognition. 

 Social media comparison can lead to low self-esteem. In an age when filters smooth the skin or make the water of a beach selfie a deep and alluring blue, it can seem impossible to keep up with what others are sharing online. In addition, unrealistic body image expectations may lead to what experts call “body surveillance,” the monitoring of one’s body to the point where it becomes judgmental, especially among adolescents. 

 It can interrupt your sleep cycle

According to studies, 70% of people reported getting on social media in bed before falling asleep, and 15% spent an hour or more a night on their phones. Checking your feed before you go to sleep is a common nighttime ritual for most people. 

What if we told you that it shouldn’t be? According to the same study, people who check their social media in bed are more likely to suffer from insomnia. The use of social media before bed can delay your bedtime and cause you to sleep less, and the sleep you do get won’t be of good quality. 

 In addition, there is the blue light your phone emits, which interferes with your circadian rhythm. Aside from that, social media stimulates the mind and body. If you want to sleep better, put your phone away.

 Warning signs your online habits are unhealthy

It is possible to become dependent on social media, which can also lead to negative consequences. Consider these warning signs when determining whether social media is affecting your mental health.

  • You leave no time for self-care.
  • You spend more time on social media than you do with friends or family.
  • Your symptoms of depression or anxiety spike. 
  • You often compare yourself to others and feel jealous of what they are posting.
  • You are distracted from school or work.
  • You have trouble falling asleep.
  • You feel like you need to check social media every few hours. 

 Here’s how to protect your mental health from social media

It’s not a bad thing to use social media. And you can use it in a healthy way to enrich your life. Maintain a healthy balance between social media use and mental health by following these tips.

  • Decrease your time on social media: According to studies limiting social media use to 30 minutes can improve your well-being. Be deliberate about how much you log on to social media if you think it negatively impacts your mental health. Set a screen time limit or create a schedule for checking social media. It’s not necessary to quit cold turkey. It is important to be realistic about what you want from social media and what it will take to get there. 
  • Don’t start or end your day with social media: Timing is important. Start or end your day on an enjoyable note instead of a potentially negative one. Researchers have found that those checking Facebook at night were likelier to feel unhappy or depressed. 
  • Use that time for something else: Social media can be useful. However, logging on just to scroll through your downtime can cause problems. Think about why you’re logging on. You can then shift your focus from social media to other activities — like exercising or taking up a new hobby. 
  • Spend time with friends and family: Although social media platforms can be a place of connection, they can also cause loneliness if you’re not getting what you expect. Face-to-face contact and quality time cannot be replaced by social media. Spending time with family and friends can help combat this problem.

Takeaways

Despite its downsides, social media isn’t all bad. It can be a way to connect meaningfully and keep up with others. It can also be an outlet for self-expression and creativity. There can be good things about social media. Make sure you are intentional about how and why you use your platforms. Consider why you are scrolling when you grab your phone and poke that all-too-familiar Instagram camera. Are you putting off activities you should be doing, such as taking a walk or fulfilling obligations? Being mindful of how much and for what reasons you use social media can positively impact your mental health.

Are you struggling with the impact of social media on your mental health? Don’t face it alone. Visit sfstress.com to get professional support and guidance tailored to your needs. Start your journey to a healthier, more balanced life today!

 

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10 Tips for Coping With Emotional Exhaustion

Perhaps you feel like you’ve reached your breaking point. Maybe you’re tired, frustrated, and feeling like things will never get better. This degree of burnout can happen to anyone, but those with chronic stress or other mental health conditions may be at a heightened risk. In order to treat your symptoms effectively, you need to be aware and proactive. Let’s talk about the best coping strategies for emotional exhaustion.

What Is Emotional Exhaustion? 

Stress is a normal part of life, but emotional exhaustion is a chronic feeling of exhaustion. It is common for the symptoms to develop over time, and many people don’t realize they are in this state until it becomes unbearable. 

Many factors may contribute to emotional exhaustion. Having a stressful job is a main factor. Overworking, feeling out of control, or working in a particularly demanding position can all lead to stress. Pessimism, perfectionism, and high-achieving personalities can also contribute to burnout.

The symptoms of emotional exhaustion vary for everyone, but here are a few common ones:

  • Feelings of irritation.
  • Depression symptoms (apathy, lack of motivation, persistent sadness).
  • Sleep problems.
  • Appetite changes.
  • Poor concentration and focus.
  • Memory issues.
  • Anxiety and panic attacks.
  • A feeling of failure or hopelessness that persists.
  • A decline in performance at work or school.
  • The failure to meet deadlines and complete basic tasks.
  • Negative, cynical attitude.
  • Physical symptoms (headaches, stomach problems, high blood pressure).
  • An increased desire to engage in substance abuse or other activities that numb the pain.
  • Frequently fantasize about escaping your current situation impulsively.

 

Emotional exhaustion is one of the most common symptoms of burnout, especially in professional settings. Furthermore, emotional exhaustion can worsen other mental health issues, such as depression and anxiety. 

 

Tips for Coping With Emotional Exhaustion

If you’re experiencing some of these symptoms, ignoring them won’t help. In fact, certain problems often worsen when nothing is done. One of the best ways to feel better is to take action now.

  1. Identify the Main Triggers

What situations most give rise to your emotional exhaustion? Is there a particular work task you dread? Do you generally get frustrated when spending time with certain people? Do you feel more spent at specific times of the day?

If you aren’t sure exactly what elevates your stress, dedicate a week to track your emotions throughout the day. Use a journal or an app to track your mood. If you feel more stressed, agitated, or depressed than you normally do, note it down. 

As time goes on, you should be able to identify specific trends. Having that insight gives you a starting point for your next steps. Being able to identify triggers before they arise can help you prepare to cope with them even if you cannot change the situation. 

 

  1. Begin Each Day With a Positive Routine

What is your usual morning routine? If you’re like most people, you reach for your phone and scroll through social media or emails. However, this habit can add to feelings of anxiety and dread. Take the time to examine how you can improve your morning routine.

Consider ways to start each day on a positive note. Perhaps you can take a quick shower, think about your gratitude, and then brew your morning cup of coffee. And, as a general tip, resist the urge to check your phone for as long as possible! 

If you’re not a morning person, consider simple strategies to make the morning more pleasant. It may take some trial and error, but there is no downside to trying! 

 

  1. Practice More Gratitude 

Identifying what you appreciate often can make you feel more empowered and optimistic. The purpose of gratitude isn’t to invalidate your challenges. Rather, it’s about broadening your perspective and orienting yourself to find opportunities in difficult circumstances.

Every day, spend a few minutes practicing gratitude. This can take less than a minute. Think about writing down three things that went well each day before going to bed. Alternatively, you can commit to “reflecting on gratitude” when you hear a particular song or drive on a particular route. 

 

  1. Set Healthier Boundaries

Oftentimes, we are compelled to comply with every obligation because of insecurity or people-pleasing. People often experience emotional exhaustion when they overextend themselves. Maintaining some sense of ownership over your life requires boundaries. It is perfectly okay for you to establish limits with other people. 

When you feel emotionally exhausted, consider what you can control right now. Is it possible to talk to your boss about reducing your workload? Could a family member help you with babysitting next weekend? Would it be easier to hire a cleaner instead of cleaning every weekend? The bottom line is that it’s okay to say no and to delegate when needed. By learning to say no, you open yourself up to opportunities that bring you joy and fulfillment. 

 

  1. Start Making (Smaller) Healthier Lifestyle Choices

Unfortunately, emotional exhaustion makes it difficult to prioritize nutrition, exercise, and sleep. You can, however, improve your emotional well-being by taking care of your physical health.

Commit to making small, manageable changes over time. For example, plan on packing a lunch to work each day this week. Or challenge yourself to walk with your partner every night for thirty minutes. Taking even tiny steps in the right direction can make a significant difference in how you feel. 

 

  1. Cultivate Positive Relationships

Having positive social support can have a significant effect on how you cope with daily stresses. Spending time with optimistic, compassionate people will likely rub off on you. Of course, the opposite can also be true. Being surrounded by pessimistic colleagues may also make you feel bitter at work.

Invest time and energy in people who make you feel good about yourself. Laughter is also essential! Ideally, good friends support and accept you for who you are, but they can also call you out when you’re “stuck” in an unhealthy mindset. 

 

  1. Release the Need for Perfectionism 

The pursuit of perfection can trigger and maintain symptoms of emotional exhaustion. Consistently holding yourself to unrealistic standards will harm your mental health.

It takes time to change perfectionistic patterns. Being kinder and more forgiving to yourself is one of the first steps towards self-compassion. It will also be necessary for you to adjust your expectations regarding control and power.

When you let go of perfectionism, you embrace “being human.” By doing so, you are able to learn, make mistakes, and grow and evolve. In addition, having this mindset encourages you to focus on being healthy and happy rather than feeling pressured to “do everything right.” 

 

  1. Pursue Meaning Wherever You Can

Perhaps you hate your job, but leaving it isn’t an option right now. That’s okay. You can cultivate meaning and fulfillment in your life in many other ways.

Take some time to reflect on your core values. Identify the most sacred and non-negotiable priorities. What would you miss most if it were taken away tomorrow?

Answering these questions can help you identify your personal purpose. The more you cherish your purpose, the more inspired you will feel. Additionally, it reduces the effects of emotional exhaustion. 

If you feel like you have no time, dedicate one week to eliminating distractions. Just for a week, turn off the TV and all excess technology. There are likely to be plenty of “time suckers” that could be used for more productive and enriching activities! 

 

  1. Reevaluate Toxic Environments 

Some situations may not improve despite your best efforts. Consider the scenario in which you set a boundary with your boss about refusing to do tasks outside of your expertise. However, your boss continues to make these requests, and your HR representative refuses to intervene.

In that case, you have made the best efforts within your realm of control. Nevertheless, if your workplace remains toxic, you may need to seriously reconsider your options. 

Of course, there may not be a simple solution. However, recognizing what is and isn’t in your control can help you recognize if coping with emotional exhaustion requires external changes.

 

  1. Seek Professional Support

Emotional exhaustion can impact all areas of your life. If left untreated, it may seriously compromise your emotional and physical well-being. 

With that in mind, emotional exhaustion may be an underlying symptom in other mental health issues. Therapy can help you untangle your thoughts and feelings- it also provides a roadmap for restoring a sense of balance in your life.

 

SF Stress & Anxiety Center Can Help

Emotional exhaustion is a serious issue that can have a profound impact on your overall well-being. But there are steps you can take to cope with this condition and prevent it from taking over your life. By identifying your triggers, setting healthier boundaries, practicing gratitude, and making small lifestyle changes, you can start feeling better and more in control of your life.

If you’re struggling with emotional exhaustion, we’re here to help. At SF Stress & Anxiety Center, we offer a range of therapeutic services to help you manage stress, anxiety, and other mental health conditions. Contact us today to learn more and take the first step towards a healthier, happier you.

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How to Find the Right Therapist

Whether you’re exploring the idea of therapy or are certain that it’s time to get some help to support your mental health, the first step can be a challenging one—finding the right therapist. With many different types of mental health professionals to choose from, and different types of therapeutic approaches to consider, just getting started may seem overwhelming. Breaking down the factors to consider can help you figure out how to choose a therapist, getting you on the road to meeting your treatment goals and improving your well-being.

 

The Importance of a Good Match

Therapy often involves discussing highly personal topics, opening up in ways you never have before, and reexamining old beliefs. By its nature, it tends to be an uncomfortable process that can dredge up unwanted feelings, leaving you feeling vulnerable as you work toward building more positive patterns of thought and behavior. It’s essential to have a therapist you trust and with whom you feel comfortable for therapy to be effective. In fact, research shows that the quality of the therapeutic relationship between a patient and therapist is a reliable predictor of positive outcomes, regardless of the type of therapy.

This means that as you’re searching for a therapist, you can’t ignore what your gut tells you. If you meet with someone who doesn’t feel like the right fit for you after a few therapy sessions, no matter how highly qualified or enthusiastically recommended, it’s okay to say so! Better to continue to look than to force a situation that doesn’t quite work.

 

Knowing Why You Want Therapy

The reason why you’re looking for a therapist is a key component to narrowing down your search. Are you struggling with a mental health condition like anxiety or depression? Are you having trouble dealing with stress, and would like help developing healthier coping mechanisms? Are you having trouble navigating a significant life change? Have you lost somebody close and are looking for grief counseling? Most therapists specialize to a greater or lesser degree in their practice, so you should check to see that the concerns bringing you to therapy are within their area of expertise.

Certain therapeutic approaches may also be better suited to your issues, goals, and personality than others. For example, cognitive behavioral therapy (CBT), a type of therapy that identifies negative patterns of thought and behavior and replaces them with healthier skills to improve well-being, is effective in treating problems such as anxiety, depression, obsessive compulsive disorder (OCD), eating disorders, and substance abuse. Acceptance and commitment therapy (ACT) is another type of therapy used to treat many of the same issues with a mindfulness approach that changes a person’s relationship with their negative thoughts, rather than trying to change the thoughts themselves. Both can potentially be effective, but it will likely depend a great deal on the individual. Thus, if a certain type of treatment sounds like it might work for you, finding a provider trained in it may also help you find a good fit for therapy.  

 

Professional Qualifications

As part of considering a potential therapist, you should confirm that they are properly licensed to practice. However, therapists don’t all hold the same credentials—professionals you might be considering could include psychologists, licensed clinical social workers, licensed marriage and family therapists, or licensed professional clinical counselors. In other words, not all therapists are psychologists, and the education level each specialist has will vary depending on the requirements for their professional licensure.

Is one type better than another? Not necessarily. The type of therapist that will be best for you will depend more on whether their specialty aligns with your needs and whether or they’re a good fit for you than it will on what degree is hanging on their office wall.

 

Finding Possibilities

People looking for a therapist can use any of several resources to find providers that match what they’re looking for. Sometimes, family and friends recommend therapists that they’ve had good experiences with—while that can work, keep in mind that those close to you may not have sought therapy for the same reasons you did. You should give those recommendations the same scrutiny you would to any potential therapist.

Another resource that can be used is the list of providers maintained by your insurance company, if your plan includes mental health coverage. While this can be helpful in determining who might accept your insurance, there’s no guarantee that you’ll be able to find an available specialist in your area without a significant wait. In addition, insurance may apply additional constraints on the amount or frequency of your therapy sessions. Being willing to consider out of network providers may be your best bet for finding the right therapeutic fit both in terms of provider and course of treatment.

Online directories maintained by mental health organizations and other groups may also let you search for therapists in your area. Knowing what condition or issue you’d like to get help for can help refine your search results, but it can still require significant work to create a manageable list of providers who are accepting patients and have the right specialty, to say nothing of finding the right one.

 

Making It Easy to Find Your Match

Because we know that a good fit is such an important part of setting the stage for success in therapy, at SF Stress each patient starts with a complimentary call with one of our compassionate Care Coordinators. This fifteen-minute intake call is designed to explore what you’re looking for with therapy, what type of therapy is most suited for your needs and preferences, and ultimately, which therapist in our network of over 40 licensed psychologists and counselors will be the right match for you. Rather than waiting endlessly for providers to call you back, you can schedule your consultation right away—we’re usually able to accommodate same-day or next-day consultations. We offer both in-person and online therapy to make treatment accessible and convenient.

If you’re tired of waiting to get started on improving your mental health, SF Stress & Anxiety Center can help. Schedule your free consultation today to find the right therapist for you.

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Understanding Depression: Why Depression Is Not a Moral Failure and How to Overcome It with Effective Help

Depression is a complex mental health condition that affects millions of people worldwide. Despite the growing awareness, many still believe that depression is a sign of weakness or a moral failing. However, understanding depression as a medical condition can help dismantle this stigma and open the door to seeking depression help.

What is Depression?

Depression is more than feeling sad; it’s a mood disorder that impacts how a person thinks, feels, and handles daily activities. Common symptoms of depression include a lack of energy, changes in sleep patterns, loss of interest in social activities, and persistent feelings of sadness or hopelessness. There are various types of depression, including major depressive disorder and persistent depressive disorder, each with unique challenges.

Depression is Not a Moral Failure

Depression can lead to self-criticism, causing individuals to feel as though they’re at fault for their condition. This misunderstanding can prevent people from seeking help, as they may worry about how family members and friends view them. Depression is a medical condition influenced by factors like genetics, brain chemistry, and life experiences, not a reflection of a person’s character.

The Impact of Depression on Daily Life

People with depression may struggle with simple daily tasks, including work, maintaining relationships, and taking care of themselves. The loss of interest in physical activity and social interactions is common, making it harder to engage with the world. This withdrawal can worsen feelings of isolation and further impact mental health.

 

Treatments for Depression

Seeking depression help can make a significant difference in managing symptoms and improving quality of life. SF Stress & Anxiety Center offers evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). These therapies help individuals challenge unhelpful thought patterns and develop healthier ways to cope with depression.

  • Cognitive Behavioral Therapy (CBT): CBT is highly effective in treating depression by helping individuals identify and modify negative thought patterns.
  • Dialectical Behavioral Therapy (DBT): DBT combines mindfulness with cognitive techniques, providing tools to manage emotional responses and build resilience.

Ready to take the first step? Schedule a free consultation with SF Stress & Anxiety Center to learn how our experienced therapists can support you.

Self-Care and Lifestyle Changes

While therapy is a cornerstone of treatment, lifestyle changes can also aid in overcoming depression. Engaging in regular exercise, maintaining a balanced diet, and establishing a consistent sleep routine can contribute to overall mental health. Connecting with a mental health professional can provide guidance on developing a self-care plan tailored to individual needs.

Overcoming Depression

Overcoming depression is a journey that requires patience, resilience, and often professional support. By seeking help, individuals can take steps toward understanding depression and reclaiming their lives. SF Stress & Anxiety Center’s experienced therapists are here to help you navigate this journey with compassion and expertise.

Depression is not a moral failure; it’s a treatable mental health condition. If you or someone you know is struggling, consider reaching out for support. You deserve to feel better, and with the right help, you can take control of your mental health and find a path to healing.

 

Get Started on Your Path to Recovery

Taking action against depression is a sign of strength. By reaching out to professionals who specialize in mental health, you’re making a choice to prioritize your well-being. SF Stress & Anxiety Center is dedicated to helping you achieve a happier, healthier life through personalized, evidence-based care. Click here to schedule your consultation and begin your journey to overcoming depression today.

 

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Psychotherapy: What Is It, How Does It Work, and What Is the Goal?

The last few years have been hard on everyone’s mental health. According to a recent report by the Pew Research Center, 41% of U.S. adults have experienced high levels of psychological distress at some point from March 2020 to September 2022. Young adults, ages 18 to 29, were even harder hit, with 58% reporting high psychological distress at least once in that time. The silver lining is that people are becoming more aware of the need to care for their mental health—with an estimated 1 in 5 Americans living with mental illness per the National Institute of Mental Health, it’s a timely reminder for anyone struggling with a challenging situation or negative thoughts that seeking help is a good idea when you’re finding it difficult to cope on your own. Psychotherapy is an effective way to help resolve issues and treat mental health conditions, but people may not have an accurate idea of what it really is and the positive difference it can make.

 

What Is Psychotherapy and How Does It Work?

Psychotherapy, also known as “talk therapy,” is a broad term for treatment to improve mental health by talking to a mental health professional such as a psychologist, counselor, or other licensed practitioner. Therapeutic approaches that fall under this general umbrella term are intended to help people identify unhealthy emotions, thoughts, and behaviors and learn to replace them with healthy coping skills that improve their ability to function and their well-being. While psychotherapy is recommended for depression, anxiety, personality disorders, eating disorders, and a wide range of other mental health conditions, it can also help people adjust to life changes and stresses that they are finding difficult to manage.

There are many different types of psychotherapy, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), interpersonal therapy, acceptance and commitment therapy and more. Many therapists specialize in one type or blend elements from different approaches to best serve their patients. Psychologists, licensed marriage and family therapists, licensed professional clinical counselors, and licensed clinical social workers are among the mental health professionals qualified to provide psychotherapy.

In addition to individual therapy, psychotherapy can also help when the difficulty lies in a relationship, as in couples therapy or family therapy. In these cases, work is centered around improving communication and patterns of interaction between partners or family members, rather than focusing on one person. Group therapy, in which a therapist leads a group of unrelated people often dealing with similar troubling issues or experiences, is another option. For example, a bereavement group can help participants feel less alone when dealing with the loss of a loved one, while benefiting from the professional guidance of a therapist who can advise them on navigating the grief process. The type of therapy that will be right for you is highly individual—the best measure is what makes you feel comfortable and what works to improve your quality of life.

 

What Is the Goal of Psychotherapy?

While the specific goals of psychotherapy will vary from person to person, depending on what situation brought them to therapy, the purpose overall is to treat mental disorders and emotional challenges through psychological means. Through conversations with a therapist, the patient gains a better understanding of themselves, learns to change behaviors that are preventing them from living the life they want, and develops healthy coping mechanisms to meet life’s challenges.

How long that takes depends on each case: some patients need only a limited number of sessions to deal with a specific issue, while others who are faced with a chronic condition or complex, long-standing situations may benefit from long-term treatment. The goals you and your therapist set will help determine the treatment plan that is best for you.

 

How Effective Is Psychotherapy?

Studies indicate that 75% of people who receive psychotherapy benefit from it. Research also shows that psychotherapy is equally effective whether it is delivered through in-person sessions or remotely, via teletherapy. This means that busy schedules and/or limits to how far you can travel to see the right therapist don’t have to be a barrier to getting the help you need.

Of course, psychotherapy requires active, willing participation to be most effective. During treatment, you’ll be learning new ways of looking at difficult situations and new skills for resolving them—attending appointments regularly, completing homework assignments between sessions, and practicing what you’ve learned will help your therapy have the greatest positive effect.

 

Investing in Your Well-Being

Psychotherapy can help alleviate mental suffering and lay the groundwork for living a healthier, happier life. If you’re ready to make a positive change, the compassionate Care Coordinators at SF Stress can help. With a free complimentary phone consultation, they’ll match you with one of our more than 40 qualified therapists for in-person therapy in one of our California locations or online therapy via a secure, HIPAA-compliant platform. Schedule your free consultation today to get started.

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4 Practical Ways to Regulate Your Nervous System

Approximately 30% of modern adults will experience symptoms of anxiety disorders in their lifetime. Not just anxiety. An anxiety disorder. 

Our society has more access to news and information than any previous civilization in history. It’s often our phone that we see first thing in the morning, full of headlines that pump our adrenaline and send our nervous system into a state of panic.

As a result, the constant influx of adrenaline can exhaust our nervous system, making it harder for our bodies to deal with the stress we experience on a daily basis.

Symptoms of an overactive nervous system include:

  • Anxiety
  • Insomnia
  • Panic attacks
  • Feelings of hopelessness
  • Exhaustion
  • Hypertension (high blood pressure)
  • Poor digestion
  • Insulin resistance

Social media prescribes self-care baths, wine, and Netflix as the primary way to de-stress. While these activities may be enjoyable, they are only band aids for deeper problems. Your nervous system requires more than just sitting back and watching TV, it must be reset through targeted healing practices. 

The good news is that these targeted practices can easily be incorporated into your daily routine. Once you begin implementing them, you’ll feel calmer in the face of daily stressors.

 

Why is Calming the Nervous System Important?

The primary (central) nervous system is located in the brain and spinal cord. This is the command center for sending important messages throughout the body. The primary nervous system allows you to breathe, move, think, and function under pressure.

The peripheral nervous system is connected to the central nervous system by branching out across the body to reach all of our organs and limbs. 

There’s also the famous vagus nerve which runs from the brain down through the neck and abdomen and regulates many parts of the body, including the digestive system.

An overworked nervous system can cause your body to enter a chronic fight-or-flight response. This is when your body thinks it’s in danger — even when it’s not.

For instance, when you see traumatic events on the news, your nervous system thinks that you’re in danger even though you are not. As a result, your adrenals release stress hormones, sending your cells into high alert. Clearly, this is not a recipe for a healthy lifestyle.

Keeping the nervous system calm is crucial for a longer, healthier life. In doing so, you’ll replace your anxiety with feelings of contentment and gratitude. Stress will be less noticeable in your daily life, and you’ll give your body space to focus on healing itself — physically and emotionally.

 

How to Calm the Nervous System

Healing your nervous system doesn’t always require prescription pills or fancy equipment. (However, you should consult a doctor if you are experiencing symptoms)

Here are some simple and accessible practices and tools you can use to reset your nervous system. 

  1. Deep Breathing Practices

Using deep breathing techniques, you can repair your nervous system naturally. If you’re in a state of panic, box breathing, diaphragmatic breathing, and alternate nostril breathing can help you calm down. Meditation or yoga paired with deep breathing is also a great option, even if you only have 5 or 10 minutes to spare. 

  1. EFT Tapping or Acupuncture

You can’t always escape stressful situations. Some days, it may seem that simply existing at your job — or even at home — can cause your blood pressure to rise. If this is the case, Emotional Freedom Technique (EFT) tapping or acupuncture can restore your body’s natural balance.

Originally developed in ancient Chinese medicine, these techniques are used to balance your body’s energy. They are based on the idea that unblocking energy channels can help you release painful emotions.

You can learn EFT tapping at home or get acupuncture treatment from a local specialist. Nowadays, there is even needle-free laser acupuncture for those who dislike needles. 

  1. Forest Bathing (Aka, Hiking or Walking Outside)

Grounding, fresh air, and gentle exercise. It is well known that these elements possess incredible healing abilities and are capable of controlling the nervous system. Remember the last time you immersed yourself in nature. After a few minutes with your bare feet on the ground, did you feel your stress start to slowly melt away?

In Japan, forest bathing is used as a treatment for a wide variety of ailments. A simple walk in the trees can do your body and mind wonders. You don’t need to walk for a long time or to go anywhere special – just allow yourself to be fully present and relaxed.

  1. Decrease Your Adrenaline Output

Is it possible that watching intense TV shows or listening to true crime podcasts is giving your body a high level of adrenaline? It’s important to remember that your nervous system cannot distinguish between a stressful event on TV and one in real life.

Whenever the body receives large amounts of adrenaline (through a traumatic event or long-term stress), it may begin to crave more adrenaline to get its “high.” This is similar to the adrenaline junkies who climb rocks or seek dangerous activities in order to feel that rush. 

If you find yourself checking off a mental to-do list in the car or in the shower — only to become anxious the moment you face reality, chances are that your body is looking for adrenaline.

Consider temporarily switching out activities that spike your adrenaline for calmer ones. For example, watch all your favorite rom-coms or pick low-intensity workouts next time you’re at the gym. As a result, you will be able to calm your nervous system and help it heal naturally.

 

Benefits of Maintaining a Calm Nervous System 

These tips and tricks aren’t just for calming panic attacks. A reset of your nervous system opens up all kinds of possibilities, such as: 

  • Improved emotional health
  • Better brain function
  • Longer attention span
  • Better performance at work and at home
  • Decreased risk for disease
  • Improved sleep
  • Normal blood pressure

Check-in with yourself both before and after you try these suggestions. Can you feel your energy softening or calming? Starting small can help you practice regular nervous system regulation, which is helpful in a time that feels particularly overwhelming. In time, your body will begin to relax and regulate naturally, without the need for quick fixes.

If you’re looking for more ways to regulate your nervous system and manage stress in your life, consider seeking professional support from SF Stress & Anxiety Center. Our team of experienced therapists can help you develop personalized strategies to reduce anxiety and improve your overall wellbeing. Don’t let stress control your life any longer, take the first step towards a calmer, more fulfilling future and book an appointment with us today.

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How to Deal with Anxiety at Work

No matter what job you have, it’s normal to occasionally feel anxiety at work. Taking on a new responsibility, giving a presentation to a group, or facing a looming deadline can all ratchet up the pressure, leaving you feeling nervous about performing to expectations and to the best of your ability. However, the anxiety and stress some people experience at work go well beyond the ordinary jitters you might feel over a temporary professional challenge. When anxiety is excessive and/or persistent, it can become debilitating, interfering not only with your ability to do your job effectively, but also with your overall well-being.

Unfortunately, workplace stress that can contribute to anxiety is an all-too-common phenomenon. According to the Occupational Health and Safety Administration, 83% of U.S. workers suffer from work-related stress, with 54% of workers reporting that their home life is affected by work stress. With work-related stress so prevalent, it can be difficult for people to immediately perceive that the level of anxiety they’re experiencing on the job is not healthy. Anxiety and stress do not have to be an invariable feature of professional life, however—it is possible to learn how to reduce anxiety at work for better mental health both in and away from the office.

 

What Does Workplace Anxiety Look Like? 

When people struggle to cope with anxiety at work, that difficulty can manifest in myriad ways. You might find your stomach in knots on Sunday night at the prospect of working the next day. Maybe you procrastinate on work-related tasks, paralyzed into inaction by your anxiety. Or perhaps you can’t focus on what you need to do and end up rushing through assignments or missing key details because you’re so overwhelmed. You may also increasingly avoid new projects, meetings, or work events. While at first, you may be able to power through your symptoms to try to stay on top of your responsibilities, over time, your work performance, work quality, and relationships with your colleagues can suffer.

Physical symptoms can also accompany anxiety about work. These may include headaches, gastrointestinal upset, insomnia (that doesn’t have any other obvious causes), tension and/or muscular pain, fatigue, nausea, dizziness, or even full-blown panic attacks. You may miss work more and more often, either coming in late or taking sick days because your anxiety has become so intense.

If any of this sounds familiar, it’s also likely that you’re not even sure when your work anxiety became unbearable. It doesn’t have to stay that way, though.

 

Tips to Manage Anxiety at Work

There are many strategies for reducing work anxiety, and doing so successfully will require a multi-pronged approach. Here are a few tips on how to manage anxiety at work so you can be happier and more productive at your job.

Pay attention to your overall wellness: While good nutrition, adequate sleep, and regular exercise won’t solve anxiety problems on their own, the lack of them will almost certainly exacerbate the physical and mental symptoms of anxiety. Try to avoid using too much caffeine, alcohol, or other substances as well.

Identify your triggers: Workplace stress and anxiety can spring from a variety of sources: The pressure to meet deadlines. High-stakes presentations for upper management or clients. Conflict with difficult coworkers. Take note of the situations that provoke your anxiety, as this information will help point the way to solutions.

Develop coping techniques: Because it is so easy to get swept up in worry, you should practice coping strategies that will help calm you and keep you grounded in the present moment when you feel anxiety start to build. This might mean meditation techniques, listening to music, breathing exercises, taking a quick walk—what works is highly individual, so experiment to find what works best for you.

Communicate with your employer: Some people may hesitate to tell their employer when they’re struggling with anxiety, and whether you do so is a personal choice. However, the Americans with Disabilities Act (ADA) is designed to protect employees from discrimination due to a physical or mental disability when they are otherwise qualified to do their job, so you should not assume that being honest will have a catastrophic effect on your career. Moreover, speaking up allows your workplace to put reasonable accommodations in place that can help in reducing anxiety or to correct situations that are unintentionally contributing to your stress. For example, if a too-heavy workload or inadequate training is part of the problem, it’s important to let management know so that solutions can be found.

Set healthy boundaries: Some work anxiety can stem from a lack of work-life balance when it feels like you can’t ever escape work responsibilities. Make sure you have clear separations that define your workday, even if you work remotely—this means setting specific hours in which you don’t check your email or work messages and having a defined work space, so you have regular downtime to decompress.

Take advantage of employer-provided resources: If your company offers an employee assistance program, see if it provides benefits that might help you manage your anxiety. Other perks, such as a gym membership, may also help by facilitating useful coping strategies.

Consult a mental health professional: A therapist or counselor can provide valuable expertise and outside perspective on your situation. Often people are inspired to look for a therapist when they’ve already tried to manage anxiety on their own without success, but seeking professional advice doesn’t have to wait until things feel out of control. A mental health professional can help you figure out the cause of your anxiety and make effective changes to reduce it.

 

Finding Relief from Anxiety at Work

At the SF Stress and Anxiety Center, we help clients suffering from work anxiety develop psychological resilience and find balance with evidence-based practices grounded in research. With both in-person and online therapy sessions available, we make treatment accessible no matter how busy your schedule. To be matched with the right specialist who can help you feel more in control of your career and your life, schedule your free introductory phone call with one of our compassionate Care Coordinators today.

 

SF Stress & Anxiety Center Free Consultation