Tis the season to be…exhausted???

It’s supposed to be the most wonderful time of the year.  The holidays bring us special opportunities to come together with our loved ones and create precious memories together.  But with the hustle and bustle of the holidays, we can quickly become overwhelmed with the many festivities and commitments the season brings. With a bit of self-care however, you can enjoy the holiday season without overextending yourself!
Remember to rest!
Many times we commit to attend many if not all the holiday events we are invited to.  Suddenly, what should be a joyous time, can feel more like a burden.  You may find it helpful to schedule in some “down” time in between the parties and festivities.  Take this time to rejuvenate yourself.  A few great ways to refuel may include taking a brisk walk, journaling, do stretching exercises, take a power nap, or watch your favorite holiday movie. 
Cheers to your health!
The holidays are traditionally a time of gathering with those we love to share in the spirit of the season. These gatherings aren't complete without endless supplies of baked gooey goods, delectable desserts, and comfort casseroles!  Before you know it, you’re having pecan pie for breakfast and an array of cookies for dinner!  Don’t worry, it’s not too late to find a balance.  Instead of candy, perhaps grab a handful of almonds for a quick protein snack.  Enjoy the scrumptious holiday meals while being mindful of portion control. And burn off some of those extra calories with a walk around the neighborhood with those you love.
Mindfulness Matters!
This special time of year does not come without its share of stress and perhaps a bit of tension.  Using these few easy tips can ensure you will maintain your mental health during the holidays.  Deep breathing exercises are a wonderful way to reduce stress, lower blood pressure, increase blood flow, and release toxins from the body.  Remember to “smell the roses” and “blow out the candles” to ensure your breathing is deep and meaningful! 
Pick and Choose!
Avoiding conflict will also aid in reducing stress and lowering any anxiety.  If problems arise, be mindful to collaborate together, rather than attacking one another. Use effective listening skills, and stay solution- focused.  By acknowledging your feelings, setting healthy boundaries, and expressing your needs and desires effectively, your holidays with loved ones can be both enjoyable and meaningful.
Loneliness and Depression?
Lastly, the holidays can often bring up emotions surrounding feelings of loneliness and loss.  One way to feel connected during the holiday season is to volunteer to serve those in your community.  You may enjoy serving others at a holiday luncheon, or pass out gifts to those in need.  Studies show that giving back to others reduces stress, decreases risk of depression, improves your self-esteem, and improves mood! 

From our hearts to yours, have a bless holiday season. May you show yourself kindness and compassion as you create precious memories to last a lifetime.

Back to School Stress

By Kathy Frick, BS Sociology
Administrative Assistant

Summer has drawn to a close and the school year has begun for most now. That means the stress levels begin to rise for both students and parents. It might be the first year at a new school year bringing on stress and anxiety. For seniors, it may be the stress of having to decide what they will do after they graduate. You may have a child leaving home to begin college. Sports and other extracurricular activities start up again, leaving students trying to juggle homework, activities and maybe a part-time job as well.
Does your child battle social anxiety? Perhaps they lack confidence about their ability to meet the coming year’s academic challenges. Even if your children feel excitement about the new school year, they may still experience anxious feelings as they go thru the transition to new routines. How do you know if you or your children are suffering from too much stress?  Signs might include feelings of anxiety, panic attacks, fatigue, sleeplessness, stomach aches, tension headaches, withdrawal from activities previously enjoyed, or unexplained sadness. Some stress is normal and can be positive, but too much stress is harmful for both the physical and mental health of you and your children.
How can you help your child manage their stress? Talk to them. Help your child learn to recognize the signs of stress and anxiety. Help them make a plan for what to do when they begin to feel anxious about things like homework, their grades or how to fit everything into their day. Make a list of activities they can do when they start feeling stressed. Activities to help relieve stress could include taking a break to pet the cat, calling a friend, walking the dog, physical exercise, and so on. Choose simple, calming activities that are easy to follow through with, but won’t take too much time and create more stress. Make sure they have “un-scheduled” time to relax. Establishing routines can also help ease the stress of trying everything done, such as having their backpack ready, clothes picked out and breakfast planned the night before. You are your child’s best advocate. By knowing how to help them relieve their stress and anxiety you can help them feel good about themselves and to have a successful school year. If your child needs professional help in overcoming stress and anxiety, we have therapists available for your needs.

Choosing the Right Therapist

Counseling or psychotherapy for anxiety, depression, substance abuse, or relationships can be a very life changing, if not life saving, process. It is so important to find the best match for your needs. For many, this is a new experience or at least new in this current situation or location.

Making an inquiry for services and reaching out for help requires enormous trust. It involves uncertainty. Although finding a great match for your needs can be overwhelming, you can minimize the uncertainty. It is important to ask questions and express your hopes and expectations beginning with the first contact and throughout the process. Your questions may include queries about the counselor’s experience, specialties, flexibility, and availability of appointment times. We encourage you to ask how privacy and confidentiality are protected.

The following is a checklist of considerations that could help you determine whether a clinic and therapist/counselor is a right fit for you. An excellent clinic such as Pinnacle Counseling is able to have high ratings in most, if not all, categories.

Using the Scale 1-5  (with 1-Poor, 3-Average and  5-Excellent) rate the clinics and counselor/therapist you visit:

1. The convenience of the location of the office.

2. The availability of appointment times.

3. The comfort/atmosphere of the office or facility.

4. The competence and knowledge of the therapist.

5. The quality of care and services.

6. The thoroughness of the initial evaluation and treatment.

7. The amount of help you received.

8. Your degree of improvement from the time of the initial visit.

9. The degree to which you were helped to deal more effectively with you problems.

10. The improvement in how you feel compared to the initial visit.

11. Your overall satisfaction with the treatment.

12. The value of the treatment, considering the cost.

13 The response time from your first contact to the initial appointment.

14. The adequacy of explanation of procedures, fees, treatment, etc.

15. The friendliness/courtesy of your therapist.

16. The attention and respect to privacy you received.

17. The personal interest in you and your problems.

18. The attention given to what you had to say.

19. Your comfort in referring a friend or relative.

20. Your comfort in returning if you needed help again.

Sharon Nelson, LCSW

Mental Health and Relationship Counselor- Feel Better, Live Better

Can Stress Be Fatal?

 

Audrey A. Adams LCSW

We’ve all heard the saying, “stress can kill you.” Is that true? Well, as a matter of fact, YES it is! The human body is designed to experience stress and react to it. Stress can be positive, keeping you alert and ready to avoid danger. Stress becomes negative when a person faces continuous challenges without relief or relaxation between challenges. As a result, the person becomes overworked, and stress-related tension builds. A Health and Safety Executive states around 9.9 million working days are lost each year to stress, depression, or anxiety. But recognizing stress symptoms may be harder than you think. Most of us are so used to being stressed; we often don’t know we are stressed until we are at the breaking point.

Common symptoms of stress are headache, muscle tension, chest pain, fatigue, stomach upset, excessive worry, and sleep problems. Stress symptoms can affect your body, your thoughts and feelings, and your behavior. Being able to recognize common stress symptoms can give you a jump on managing them. Stress that’s left unchecked can contribute to many health problems, such as high blood pressure, heart disease, obesity and diabetes. Besides these very serious health problems, stress that’s left unchecked can manifest itself in anger, resentment, depression, and anxiety. Stress can interfere with your judgment and cause you to make bad decisions, make you see difficult situations as threatening reducing your enjoyment and making you feel bad, making you feel rejected, unable to laugh, afraid of free time, unable to work, and not willing to process your problems with others. A lot of people turn to drugs and alcohol for immediate relief, but drugs and alcohol quickly turn into more stressors, problems, addictions, and health problems of their own.

In the world we live in today, we not only are concerned with our own personal issues, family problems, employment situations, finances, etc. But, we are bombarded with daily news about extremely scary and violent behavior from thousands of miles away to right in our own backyards. One thing that is in our control is making sure we make time for self-care. Your first thought to hearing that was probably, “I don’t have time,” or “I wish!” But think of this, if you don’t find time to do things for yourself, then who will? No one. As adults it is our job to take care of ourselves the best we can or we may not be around as long as we had hoped.

While most of us would likely prefer to take a cruise, rent a cabin in the woods, or go the beach, it is important to remember when it comes to stress, a little bit really does go a long way. The 10 minutes it takes to drive through Starbucks to buy your $6.00 morning coffee, the 30 minutes spent wandering around the grocery store because you’re not sure what you want, or the extra 15 minutes on the phone talking to someone you don’t even really want to speak with can produce stress. Those precious few minutes add up. Taking small chunks of time for yourself can make a profound difference. You deserve to be as stress free as possible. You have to pick your battles. Is what you are stressing about today going to matter this time next year? Is what you are stressing about today something you can control? Putting yourself first is not selfish. Take a walk, talk to someone you trust, take a bubble bath, go fishing, read a book, get a massage, color, dance, watch a comedy that made you laugh 20 years ago, have a picnic by the creek, fly a kite, leave your phone in the other room, look at old pictures, go barefoot in the back yard, try wood carving… The point is just do something…..but do it for YOU!

 

Why does the Mind/Body connection really matter?

By Terry Richardson, MSW LCSW

Mental Health and Relationship Counselor

PinnacleCounselingNWA.com

Feel Better Live Better- Why does the Mind/Body connection really matter?

 

Worried about being worried sick? Is laughter really the best medicine? Your body may know you’re depressed before you do and doing its best to get your attention. There is growing evidence, supported by research, indicating your mental state really influences your body’s ability to protect and heal itself! In fact, your state of mind could be the best tool you have when defending yourself against illness and maximizing treatment of cancer, heart disease, digestive disorders, diabetes and aging. All of your natural defenses are compromised in response to stress (primarily mental).

Most people have at least heard the term “psychosomatic” which quite literally means “mind/body”. Unfortunately, this term was and is commonly misused when someone is thought to have imagined an illness and can then produce symptoms. In confusion, we generally label and dismiss what could be more accurately described as “hypochondria” and have overlooked the power of the psychosomatic process itself. As Woody Allen said “I’m not a hypochondriac, I’m an alarmist”. Ironically, even this rather negative misunderstanding of psychosomatic also confirms the acceptance of the ability of one’s mind to influence a physical condition. Now, scientific research is validating that possibility: we could use the power of the mind (i.e., thinking) to create optimal conditions for becoming and remaining well.

What makes the mind/body perspective worth reconsidering at this juncture? It is the transition which has been occurring, from the realm of “fuzzy logic”, “magical beliefs” and “spiritual eccentricity”, to the realm of solid measurable data. Consider the placebo and nocebo effect. What are the “placebo effect” and the “nocebo effect”? In the simplest terms, it’s the “sugar pill” effect. It’s the uncanny result that is obtained from a substance, or sometimes a behavior, when none of the “treatment” properties are present to create the desired change, and yet, benefit is derived. The nocebo effect accounts for adopting the “belief” that a substance (or change) won’t work, and it doesn’t! The placebo/nocebo effects are so powerful in fact, that all research conducted must allow for the possibility of these effects in their research data. If science is nothing else, it is the domain of measurability, and its primary mantra is “if it cannot be measured, we cannot know it exists”, therefore, thoughts, emotions, feelings, mind and spirit had been relegated into the arena of unscientific observations. Today however, we live in a world of electron microscopes, functional magnetic resonance imaging, and the previously immeasurable can now be measured, observed and replicated.

Mind/Body interaction had been observed and documented by Hans Selye in his work on stress as early as 1946 and the “General Adaptation Syndrome” became popularly known as the Fight-Flight- Freeze response. Of special note regarding mind/body relevance, the stress experience creating the cascade of measurable physiological responses could be triggered consistently, regardless of the threat being real, imagined or perceived (through a mental interpretation) of danger. The body reacts to stimulus by activating the hypothalamic pituitary adrenal (HPA) axis. Researchers believe that prolonged exposure to stress (real or imagined) results in suppression of the immune system, wear and tear of several body systems, placing the individual at higher risk of dis-ease. This was the advent of the earliest biofeedback strategies.

Pioneers in the field of mind/body research have expanded on Selye’s work. Researchers and practitioners have emerged from a broad array of disciplines, including cellular biology, neuroimmunology, psychotherapy and spirituality, representing the specific focus of their disciplines, be it mind or body. The unifying premise of these disciplines is an acknowledgement of the fallacy or artificial separation of mind/body interaction.

These individuals have united under a variety of identifying umbrella labels usually incorporating the terms “Holistic or Wholistic”, “Mind/Body” or “Complementary Alternative” Medicine.

So, with an acceptance of the inter-relatedness of the mind/body concept and the availability of sophisticated equipment, it has become possible to identify and measure methods to enhance mind/body interaction. The implications for psychotherapy are obvious and substantiate the value of “talk therapy” as a viable treatment alternative for mental and physical health. The mind/body perspective includes approaches of prevention that are proactive, health maintaining, healing, and driven by the individual. Today, rather than viewing the dis-ease “treatment” as a response, directed toward a passive recipient, we can engage the whole person on a mind/body journey toward wellness. Be well!

Anatomy of Grief

Suppressed grief suffocates, it rages within the breast, and it is forced to multiply its strength. ~~ Ovid

The five stages of grief are denial, anger, bargaining, depression, and acceptance.  But what is happening inside the body after a significant loss?  Whether it is the loss of a job you loved, a home, a beloved pet, a good friend, a child, or your partner in life you will go through the grieving process and you will feel the changes in your body.

The grief process is similar to the aging process:

  • Slowing of the metabolism
  • Shrinking of tissues
  • More contraction, less flexibility
  • Less clarity and awareness
  • Less vitality and energy
  • More stiffness, weakness and atrophy
  • Less muscle tone
  • Less appetite, difficulty with digestion
  • Dull, confused and foggy thinking
  • Slower response time in any given situation, including physical healing
  • Less deep and full breathing
  • Slower blood circulation
  • Slower lymphatic circulation

Love really does hurt according to evidence from new brain scanning technologies.  Researchers have found that the same area of the brain processes both physical and emotional pain and like physical pain, emotional pain can become chronic and move into what is known as “complex grief” causing debilitating depression.  To combat the physical changes you need to get up and move!  Join a gym, try yoga, water aerobics, or take up golf.  You’re working your body and you’re being with other people, both of which you need at this time.

Humans are survivors and we’re social, so the single most important factor in healing is having the support of other people.  Even if you’re not comfortable talking about your feelings under normal circumstances, it’s important to express them when you are grieving because sharing your loss makes the burden easier to carry.  There are bereavement support groups in your community that you can be part of.  Find the one that addresses your type of loss.  Sharing your sorrow with others who have experienced similar losses can help.  Also, seeking professional counseling is a healthy choice.

Grief can be a roller coaster.  Your emotions can be up and down, a mix of good days and bad days.  Even in the middle of the grieving process, you will have moments of pleasure or happiness.  With complex grief and depression, on the other hand, the feeling of emptiness and despair are constant and you need to seek professional help.

Grieving is a necessary passage and a difficult transition to finally letting go of sorrow~~it is not a permanent rest stop.  ~~ Dodinsky

Did You Know…

Did you know…that there are more than one type of Attention Deficit Hyperactivity Disorder? In fact, ADHD can be predominately hyper-active impulsive, predominantly inattentive, or a combination of both. Often times, when we think of individuals with ADHD, we assume they will be hyperactive, jumping from one activity to the next. Although this behavior is common for individuals with predominately hyper-active impulsive ADHD, others with predominantly inattentive ADHD may behave quite differently.

Predominantly inattentive ADHD manifests itself in an inability to sustain attention, excessive daydreaming, and making careless mistakes. This type of ADHD is typically underdiagnosed, and appears in girls more than boys. Little boys who talk excessively, constantly fidget, and often run or climb inappropriately, are more likely to receive an ADHD diagnosis. Little girls who daydream frequently and get distracted easily tend to go under the radar.

ADHD can be very debilitating for a child who receives no assistance. If unidentified and untreated, it can have drastic effects on a child’s academic and interpersonal endeavors. Because predominantly inattentive ADHD is harder to spot, many women go their whole lives without ever being diagnosed. Untreated ADHD in women typically causes anxiety and depression, as well as difficulty in school and the workplace.

If you suspect that you or your child suffer from any type of ADHD, do not hesitate to consult a medical or mental health professional about getting assessed. Play therapy and behavioral therapy can go a long way in making family, school, and work life a more manageable and pleasant experience for individuals with ADHD. At Pinnacle Counseling, we have trained professionals who can administer the assessments you need in order to receive treatment. To learn more about how we could help you, please see additional information on our website about our counselors and the services they provide.

3 Common Mental Health Myths

Myth #1:  I am the only person having mental health or emotional problems.
Mental illness affects an average of about one in four adults in the United States(1), in total that means that about 57.7 million people in our country are affected by mental illness(2). Although you may feel like you are the only person you know struggling to cope with mental health issues of some kind, it is important to know that you are not alone.

Myth #2:  Addiction, substance abuse, and/or mental health issues are all my fault and make me a bad person.
There are multiple factors that affect the complex process of addiction, substance abuse, and mental health issues. Some of the factors include stress in your personal life, a diagnosed mental illness, lifestyle changes, difficulty in your family or relationships, or even habits of the individual. None of these factors are your fault or define you as a “good” or “bad” person.

Myth #3:  Mental illness or substance abuse only affects people of low socioeconomic status or people with a “bad childhood”.
Again, there are several factors that contribute to the cause of mental illness, but the childhood you had, job you have currently, or the money you make are not directly the cause of your mental health or substance abuse troubles. Mental illness does not discriminate and is not exclusive to any stereotypical group of people.

Erika McCaghren

 

Sources:
(1) Kessler, R.C., Chiu, W.T., Demler, O. & Walters, E.E. (June 2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62(6), pgs. 617-627.
(2) U.S. Census Bureau Population Estimates by Demographic Characteristics. (June 2005). Table 2: “Annual Estimates of the Population by Selected Age Groups and Sex for the United States”: April 1, 2000 to July 1, 2004 (NC-EST2004-02)

April is Counseling Awareness Month

April is Counseling Awareness Month! Although many people know generally what counselors do, this is a time for counselors everywhere to stand together to promote the use of counseling services. We do this by reaching out to clients, readers, social media outlets, and through simple word of mouth that “We are here”. Pinnacle Counseling stands in full support of Counseling Awareness Month by showing people that we care and are here to support you. Knowing that there is a group of professionals near you, ready and willing to listen and help you through a particularly hard time or everyday struggles of life is a valuable tool. In any given situation, no matter the cause, difficulty, or time you have been dealing with the issue—we are here. Simply remember…Keep Calm and Call a Counselor!

 

Erika McCaghren

 

Sources: American Counseling Association