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Learning to Live with Chronic Pain

Everyone deals with pain occasionally, but chronic pain is different.  Chronic pain is defined as pain that lasts for 3 or more months.  Injuries, nerve damage, migraines, arthritis, and fibromyalgia are just a few of the conditions that can cause chronic pain.  Living with chronic pain can have very real effects on your day to day living, your sleep and on your physical and mental health.  Activities you once took for granted – getting dressed, cooking, exercising, driving a car, going shopping, working, etc. – are suddenly difficult to do.  A restful night sleep may feel like a distant memory.  You may encounter secondary health issues such as high blood pressure, depression or weight gain.

The physical and emotional toll can be great.  You may feel weary and exhausted all the time.  You may find it difficult to focus at work.  Your emotions may be taking you on a roller coaster ride ranging from discouraged, frightened, confused, angry, or depressed.  You may feel very alone and hopeless.

There are many things you can try to help you live a fuller life despite chronic pain.  Depending on the cause of your pain, methods that work for you may be different than for someone else.  

  • Nutrition – eating nutrient dense food, staying hydrated, and avoiding unhealthy foods, smoking and alcohol can all help reduce pain and improve your ability to relax and to sleep better.
  • Relaxation – using deep breathing, getting a massage, taking a bath or doing meditation can help relieve tension in your muscles and help the body to relax, reducing pain.
  • Reducing stress – like relaxation techniques, relieving stress in your life can promote relaxation and give relief from pain.  
  • Movement – when you are in pain, exercise does not sound very appealing, but even small movements have a pain-reducing effect.  Arthritis will get worse if you don’t move.  Gaining weight will cause more stress on your body and can increase pain. Walking and yoga are just two low impact forms of exercise that you can try.
  • Documenting – Keep note of your daily activities and your pain levels.  Take this to your doctor at each visit so you can both understand what is going on – what works, what makes it worse, etc.
  • Distraction – Find activities that you enjoy that can distract you from focusing only on your pain.  Find a companion to do activities with.
  • Counseling – See a mental health counselor to help you learn better coping skills and to help avoid or deal with depression.

Two of my favorite coping mechanisms are walking outdoors / enjoying nature and soaking in the tub with a good book.  What works for you?  

If you are living with chronic pain and need help to improve your coping skills, please call us at 479-268-4142.  In this time of social distancing Pinnacle Counseling is offering both TeleHealth and in-office services, following all CDC safety guidelines to protect everyone.  We are here to help!

Controlling Our Lives During a Pandemic

A few years ago I wrote a blog article about ways to control or not control our lives.  In that article, I talked about the factors in our lives that are out of our control and what factors we can control.  Never has it felt more applicable than right now.  This new, uncharted situation we all find ourselves in might leave you feeling confused, uncertain of the future, unsure of what to believe, and frustrated with it all. 

 

You can’t control the pandemic or all of the ways it has affected your home and work life, but you can control how your lifestyle impacts your chances of becoming infected and your mental health being affected.  We can choose healthy behaviors such as eating nutrient dense foods, exercising, getting enough sleep, social distancing, wearing a mask when you can’t avoid going out and focusing on the positives can decrease the risks.

 

Trying to control the uncontrollable will only create anxiety and stress in your life.  We don’t know how long this will last or if life will ever go back to being quite the same. If we don’t acknowledge the feelings that we have and deal with them, it can create unresolved anger that can then lead to depression.

 

By focusing on the areas in your life that you can control, you can begin a journey to better mental health.  What uncontrollable things can you let go of and where can you take control?  Unmanaged stress and anxiety can lead to feelings of helplessness, fatigue, apathy, health issues, and depression.  Managed stress gives you greater strength, more energy, enthusiasm, confidence, success and joy.

 

If you would like to talk to a counselor that can help you understand what is happening to you and give you some guidelines on how to cope, please call 479-268-4142.  In this time of social distancing Pinnacle Counseling is offering both TeleHealth and in-office services, following all CDC safety guidelines to protect everyone.  We are here to help!

Is My Childs Anger Normal?

Is My Child’s Anger Normal?  Intermittent Explosive Disorder

Are you wondering if your child’s emotional tantrums and anger is normal?  You aren’t alone.  Most young children have occasional temper tantrums.  It is normal for a child to become angry when frustrated or when not wanting to do what they are told.  This is especially true for younger children who are still trying to develop their abilities to recognize how they feel or how to vocalize what they feel or want.  Their only way to communicate is through their actions.

If your child is having frequent outbursts and can’t control their anger most of the time, it may be time to be concerned.  Some signs to look for are the frequency of the outbursts, the age of the child (over 7 or 8), are the actions of your child becoming dangerous to him/herself or others, is the behavior interfering with school, is the child having difficulty getting along with his/her peers, are the outbursts causing conflict within the family, is there escalating defiance at home or school?

Emotional acting out is usually a symptom of another problem.  It is important to understand what is behind the acting out.  Children with ADHD have difficulty controlling their behavior.  Children with anxiety have a difficult time coping with stressful situations. Anger may help them avoid the situation that is causing the distress.  Trauma, abuse, neglect, undiagnosed learning disorders, or other stresses may cause uncontrolled anger.  Dr. Nancy Rappaport, a Harvard Medical School professor who specializes in mental health care in a school setting says, most at risk are kids with ADHD who’ve also experienced trauma.

Intermittent explosive disorder (IED) is defined as short episodes of intense, uncontrollable anger or aggression with very little or no apparent cause.  What seems like small, inconsequential issues to others, are seemingly blown out of proportion by the child exhibiting the IED.  They may become argumentative and/or physically aggressive.  They are overcome with anger and are not able to control their behavior.  Often, after their rage is spent, they feel a sense of relief, but will also feel ashamed of their behavior.  

When dealing with a child who is having an IED episode, it is important for you to stay calm and in control.  Praise your child for appropriate behavior.  Help your child practice appropriate choices when they are not upset.  Develop a system of time outs and positive rewards.  Look for triggers and work out plans to avoid them.  There is not a specific medication for IED, but medications, including antidepressants and anti-anxiety medications can sometimes help, along with cognitive behavioral therapy.  

If your child is having frequent angry outbursts that are causing conflict within your family it is important to get professional help for your child and your family.

Domestic Violence during Covid-19

You can’t watch the news today without hearing updates about Covid-19 and how it is affecting our lives in more ways than just our chances of getting sick with it.  Cases of domestic violence have increased with more families being confined together at home in extremely trying times.  Health worries, job and  income losses, home schooling, working from home, fear of how to pay bills and provide food, the list goes on and on.  You may be dealing with one or all of these issues.  The stress takes a toll on our emotions and when in close quarters that stress can come out as anger towards those nearest to us. Though women are the predominate victims of domestic violence, children are also at risk while confined at home with their abusers.

We are told it is important to stay home and be safe from Covid-19, but what do we do if home isn’t safe?  You may feel your support system has been cut off, while emergency services, shelter systems, and social services are being overwhelmed by the pandemic.   

 The National Domestic Violence Hotline has highly trained expert advocates available 24/7 to talk confidentially with anyone who is experiencing domestic violence.  You can call 1-800-799-SAFE (7233) to speak with an advocate.  Individuals who are deaf or hard of hearing may use TTY 1-800-787-3224.  Another option for getting direct help if it isn’t safe for you to call is to use their live chat service on their website https://www.thehotline.org/help/

If possible, it is beneficial for both parties to seek couples counseling before the violence escalates further. If your partner is unwilling, you can still talk to a counselor that can help you understand what is happening to you and give you some guidelines on how to cope.  In this time of social distancing Pinnacle Counseling is offering TeleHealth services.  If you are needing help, please call 479-268-4142.

Generalized Anxiety vs. Trauma Based Anxiety

Anxiety is an oversimplified word used to cover an entire group of different types of anxiety disorders. Not all anxiety is the same and neither is the treatment for them.

According to our therapists at Pinnacle Counseling, Anxiety Disorders are a group of mental disorders characterized by significant feelings of anxiety and fear. Anxiety is a worry about future events, and fear is a reaction to current events. These feelings may cause physical symptoms, such as a fast heart rate and shakiness. There are several anxiety disorders, including generalized anxiety disorder, specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, panic disorder, and selective mutism. The disorder differs by what results in the symptoms. People often have more than one anxiety disorder.

Trauma-based anxiety is generally considered to be under the category of Post-Traumatic Stress Disorder or PTSD rather than in the group of anxiety disorders. When we hear PTSD usually the first thing that comes to mind is soldiers returning from war or victims of extreme violence such as a mass shooting. PTSD can be from a one-time event or an ongoing situation. There are many types of situations that can cause emotional and psychological trauma – an accident, natural disaster, a violent attack, losing a loved one, physical or sexual abuse, etc. Being a witness to a traumatic event, such as a horrific accident, can have as much impact as being personally involved in the event.

When we experience generalized anxiety our mind/body is responding to a fear of what might happen that may or may not be realistic. Some anxiety is normal and healthy. It helps us prepare for an unknown event, like going on a job interview or to quickly react to a potential threat. But when it is happening on most days about a wide range of situations or issues, it can start negatively affecting all aspects of daily life.
When experiencing trauma-based anxiety our body is responding based on what it already knows can happen. It has experienced the worst-case scenario and knows what can happen and no longer feels safe. Symptoms can include flashbacks, nightmares, irritability, feeling faint, sweating, shaking, panic attacks, and can result in avoidance of situations that may cause these to happen.

Many of the symptoms of generalized anxiety overlap with the symptoms of trauma-based anxiety. Common symptoms of both are lack of focus, depression, difficulty sleeping, losing interest in the things you used to enjoy, drinking or using drugs to avoid the stressful feelings and memories. It is not uncommon to experience more than one type of anxiety at the same time as PTSD.

If you have experienced a trauma and have unsuccessfully been treated for anxiety, there is hope. There are effective therapy techniques to treat PTSD. You can contact our office for an appointment to get help in managing your symptoms.

Expectations – Another Step in Developing Coping Skills

As mentioned in the previous article on Attitude, stress affects every part of our life. We can’t avoid it, so we want to learn to cope with it in a healthy, productive way. This is essential for our wellbeing.  We all can learn the skills it takes to cope with stress.  In this article we’ll focus on just one – managing expectations. 

In John C. Maxwell’s article It Only Takes 6 Steps to Change Your Life, he states “hope is the foundational principle for all change. People change because they have hope, and if people do not have hope, they will not change.”  Steps 2 and 3 in his article relate to expectations.  According to Maxwell, when you change your beliefs, you change your expectations.  If you can change your expectations, you can change your attitude.  

When our expectations aren’t met, we can become depressed, angry, or frustrated, which just makes us more stressed.  We feel let down and lose hope. When we lose hope, we have more difficulty coping with the stress in our lives.  If you evaluate why your expectations weren’t met in a situation, you can determine if your expectations were realistic, too high or too low.

Our expectations are often based on our perceptions of situations, rather than reality.  How and why are you perceiving the situation the way you are? What influences in your life are affecting your perception toward the situation? Is there another way to view the situation? Is there another way to meet your expectations or can you change your expectations?

We need hope to overcome the negative stress in our lives. And with hope we can have a joy filled life, regardless of the stressful circumstances happening around us.

If you would like help in managing your stress and to learn more about the steps to take to improve your coping skills, please call our office and schedule an appointment with one of our counselors.

One Step in Developing Coping Skills – Attitude

Stress affects every part of our life, in both positive and negative ways. We can’t avoid it, so being able to cope in a healthy, productive way is essential for our wellbeing. Anyone can learn the skills it takes to cope with stress. This article’s focus is on just one skill used in coping with stress – attitude. Or more specifically a positive attitude.

When we develop and nourish an attitude of thankfulness and gratefulness, we open ourselves to finding the positive in even the most difficult of situations. Our family recently experienced a stressful situation. A 13 year old family member required an emergency appendectomy. After the event was over, we discussed what a great weekend we had. Yes, he did have a ruptured appendix. But his mother recognized this was more than a stomach ache. His doctor recognized he needed to go straight to the ER. He had an excellent doctor that knew to keep looking after the first test came back normal. He had an excellent surgeon, caring nurses and family and friends for support. This was not a “good or fun” event, but with the right attitude of thankfulness and gratefulness there was hope for a successful outcome. Hope can overcome negative stress.

In John C. Maxwell’s article, It Only Takes 6 Steps to Change Your Life, steps 3 and 4 relate to attitude. According to John C. Maxwell our expectations affect our attitude and if we can change our expectations, we can change our attitude. If we can change our attitude we can then change our behavior. The goal here is to change our behavior in how we react to stress.
How do you change your attitude? You can’t always control what happens around you or to you, but you can control how you respond to it. A positive attitude is not about being happy or having fun all of the time. Those are fleeting moments and feelings, but a positive attitude is not dependent on the circumstances happening around you. When things are going wrong you can choose to focus on everything that isn’t working the way you want. You can constantly dwell on all the negatives. Or you can choose to consciously seek to find the positives in every circumstance. When you choose to respond with thankfulness and gratefulness, you will find you can harness your stress into a more manageable part of your life. Managed stress will give you greater strength, energy, enthusiasm, confidence, success and joy.

If you would like help in managing your stress and to learn more about the steps to take to improve your coping skills, please call our office and schedule an appointment with one of our counselors.

Counseling Success Story in Rogers, AR

A Rogers, AR client said, “My sessions with Sharon have been very meaningful and rewarding and I feel I’m making excellent progress thus far. I initially thought I would feel very embarrassed and uncomfortable speaking candidly with a counselor but the exact opposite has occurred thanks to her relaxed and friendly demeanor and her genuine interest in me and my issues. I’m so glad I took what was a giant leap for me and turned to Pinnacle Counseling for guidance and help.”

Counseling in Rogers, AR

Controlling Your Health and Well-Being

There are many factors in our lives that are out of our control. The genes we inherit, the environment we are born into, the behavior of others, sudden storms and so on. But there are factors we can control. We have control of our decisions and how we choose to react to situations.
 
When you take a trip, you can plan ahead: you choose the best destination for a rewarding vacation, map your route, reserve motel rooms ahead of time, and plan what you want to do and see. If you come across a road detour or a rainy day keeps you inside, you can allow it to ruin your entire vacation or you can plan ahead for those contingencies and choose to still have a great time.
 
You can’t control the genetic factors that might affect your health, but you can control how your lifestyle impacts your health. Choosing healthy behaviors such as eating healthy, exercising, not smoking or drinking, and focusing on the positives can decrease the genetic risks you may have inherited.
 
Trying to control the uncontrollable can create anxiety and stress in your life. Trying to take on responsibility for things that you are not responsible for can also create anxiety and stress. When this goes on for too long period of a time, it can create unresolved anger that can then lead to depression.
 
By identifying the areas in your life that you can and can’t control you can begin planning a journey to better health. Make a list. What uncontrollable things are you trying to control? Are you experiencing misplaced responsibility? Do you feel guilt over things that weren’t your responsibility or you had no control over? Are there people you need to forgive, even though they will never ask for or want your forgiveness? Where can you let go and where can you take control?
 
Unmanaged stress and anxiety can lead to feelings of helplessness, fatigue, apathy, health issues, and depression. Managed stress gives you greater strength, more energy, enthusiasm, confidence, success and joy. You can take control of your health and well-being. If you need help managing your stress and anxiety, contact us today to schedule an appointment! We look forward to helping you find the best solution for you to get relief.

 

COVID-19 Update

7/27/20

Dear Valued Clients,

Due to COVID-19, at this time we are seeing clients mostly via telehealth. For your privacy and security, we use the HIPAA compliant encrypted Zoom technology. Many insurance plans are covering telehealth 100% and waiving member cost shares. We are happy to check your benefits for you to see if your plan is participating.

We do have some therapists offering in-office sessions on a limited basis. For your health and safety, we are following CDC guidelines such as wearing masks, taking temperature, social distancing, extra sanitation, etc.

We are here to help, especially during this difficult time. For more information, please call our office at 479-268-4142.