Archive for: Mental Health

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.

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!

Feel Better Live Better: Experiential Therapy: What is it and Why use it?

Let’s start by saying WOW! That’s truly what Experiential Therapy is; it’s the WOW in therapy. In the therapeutic experience, the therapist’s goal is to move clients in the direction of self-awareness and understanding. We begin this process by developing a “therapeutic relationship” built on trust to gain a better understanding of how/what may be the most beneficial learning experience for you, the client. Experiential Therapy allows you to learn with your “whole-self” (mind, body, and spirit) in ways that nurture all aspects of the “self”. Experiential Therapy allows you to gain a true understanding of what “self” needs by experiencing emotions first hand, through doing. What I Hear – I Forget; What I See – I Remember; What I do – I

Experiential Therapy is a pathway to truly understanding the needs of the “whole-self”.

Experiential Therapy is “doing” to understand my “needs”. By experiencing your needs through doing, you reflect on and understand your needs first hand with your whole-self. You gain an understanding of your innermost needs by walking through your needs with a trusted therapist. You may cognitively “know” what you need to be emotionally healthy, but until you truly “understand” your “whole needs” you can’t fully experience the freedom that comes with consciously knowing and wholly understanding.

Experiential Therapy attempts to bridge consciously knowing and wholly understanding through exercises designed to tap into mind/body/spirit. While this may sound difficult and uncomfortable, it may be the easiest way you’ll ever experience the tough stuff. Experiential Therapists attempt to ease you into the freedom that comes with

Knowledge – you may have once believed unthinkable
Feeling – you may have believed intolerable
Acceptance – you may have believed unacceptable

Experiential Therapy is a shared experience – shared between you and your therapist. Through the exchange of knowledge/understanding, feeling, and acceptance there is a very special connection made between you and your therapist which allows trust and vulnerability. This connection invites your therapist to feel strong and you to feel safe. The two of you will walk through your experiences emotionally, physically, and spiritually connected which strengthens the alliance and stimulates growth exponentially. It allows freedom from things that have kept you trapped in fear, loneliness, anger, hate, bitterness, revenge, guilt, and shame.

Experiential Therapy works best when words are lost; it helps us be still and listen. It helps connect all sides of the issue; especially those most uncomfortable, there is little left untouched in this experience. As iron sharpens iron so is the experience of healing the whole-self. It’s a liberation of self through the expression of whole-self.

Written by Tammy Kennedy, LPC

Pinnacle Counseling- Mental Health and Relationship Counselor

FAMILIES, COMMUNICATION AND TECHNOLOGY: DANGERS AND CHALLENGES

Family communication has been forever changed with technology, in both positive and negative ways. Previously, I shared ideas on how to use the technology already in your daily lives to increase and improve communication in your family. This article focuses more on some danger zones and challenges parents are faced with through our children’s access to technology.

Readily available information 24/7 online: This can be a very positive thing if a school report is due tomorrow morning and it is 8:45 pm. However, it can also be dangerous at times. Kid have ready access to lots of information, such as depression symptoms, but when searching for depression symptoms or ways to decrease it they are also likely to come across sites discussing suicide and possibly even ways to commit suicide. Some of the teens I have worked with have regular conversations with other teens across the country who they have never met in person to discuss their depression. If one of the internet friends decides suicide is their best option this could negatively impact your child or lead them in that direction also. If you have no idea what sites your children or teens are accessing, this could be a discussion you want to have to avoid future problems or surprises. On a positive note, you will probably also learn of some interesting websites you might also enjoy on hobbies or interests your child is engaged in.

Increased intimacy of relationships: Teen romantic relationships are getting significantly more intense and intimate than in the past due to technology. If a teenage girl or boy is constantly in contact with their boyfriend/girlfriend all day and all night they feel they know that person well very quickly. Some teens actually use certain apps such as Skype or Facetime to “sleep together.” They fall asleep and wake up with each other and this can quickly lead to sexual intimacy which they wouldn’t jump into as quickly if they only talked to each other at school and after school events. Controlling behavior patterns emerge quickly as well since one partner in the relationship may demand instant response to texts or calls or use these to track where the other person is at all times.

Access to inappropriate material: Everyone is aware that pornography is readily available online. What you may not know is that even kids in elementary school are hearing about this and learn what words to google or what sites to go to through conversations at school or on the bus. I actually worked with a 5th grader who had been watching 5-6 porn videos a day in the afternoons before the parents got home from work. The parents learned of it about 4 months after it started. That is a scary amount of exposure to that type of material. Parents need to be ready to have conversations with your kids about sexual activity and porn earlier than in the past due to this open access to the information online. It is a good idea to randomly ask about conversations at school or on the bus that may have confused or embarrassed them. If you ask them, they will tell you, but be prepared to respond in a calm way with age appropriate answers instead of getting upset or agitated, which they will interpret as getting in trouble. Make sure you have parental controls set to block inappropriate content on any device your child has access to in order to minimize their exposure to these types of websites.

Camera access 24/7: Most parents believe that sexting and inappropriate pictures only happens when kids get to be teenagers. However, on school buses and playgrounds some kids have cell phones and will ask girls to take pictures of themselves in the bathroom or boys will be trying to get pictures under girls’ skirts or dresses with their device. Most of the young teens I have worked with who are coming in after parents learned they are sexting or sending inappropriate pictures have never had a conversation with an adult about that issue. In each situation the parent(s) said “Well, I didn’t think I had to tell her/him not to do that” or “they should have known better.” This leads to huge conflicts and hurt feelings on both sides. If we don’t tell them it is not appropriate and all of their friends seem to think it is normal, why do we think they will know it is wrong? I recommend that parents have discussions with any child who will be independently using a cell phone or device that connects to the internet about appropriate sites; regularly check their history online; and have a technology curfew. The curfew means no phones or devices in the bedrooms after a certain time, usually close to bedtime. For obvious reasons, this is the most common time these types of activities are occurring. (It might be a good idea to implement a technology curfew even in parents’ bedrooms. Think of the increase in communication with your spouse or partner if the phones and iPads were not in the bedroom. Just a thought.)

Perpetrators have ready access to our kids: My daughter is 10 years old and last year during a winter storm I took her to my office since school was closed for the day. She was playing Minecraft online with her cousin and suddenly gasped and said, “I can’t believe he said that to me.” Evidently, when you play Minecraft and have the chat feature turned on, other people online can chat with you. Someone had asked her, “Do you want to have sex?” She was literally 2 feet from me at the time! My niece was totally not surprised and her statement back to my daughter was, “Oh yeah, if you don’t turn off chat they do that all the time.” She was not at all shocked or surprised. I didn’t even know there was a chat feature in Minecraft! Other apps and video games have similar features, such as Xbox online games. Some kids I worked with in the past had gotten in trouble with their parents after gifts started arriving in the mail that were not appropriate and parents’ learned they had given out their address to people they were talking to while playing video games online. If your child is going to have access to these games and apps, you need to be prepared to have a discussion with them about safety, not sharing personal information, and when to seek you out if someone approaches them about inappropriate things such as sex or meeting in person somewhere. It would not be a bad idea to occasionally hang out in the room they are playing in and listen to some of the conversations they are having to make sure they are safe.

Dangerous websites: Some of the websites that teens locally find funny or interesting are treasure troves for sexual perpetrators. Kids go online to look at sexual pictures and content and a lot of them see it as funny or gross rather than inappropriate. I have worked with young teen girls who met people on these websites pretending to be teen boys and asking for inappropriate pictures. This escalates into threats against the girl’s family if they don’t continue the behaviors and follow the offenders directions, only to get into serious trouble with their parents when it is discovered. When the parents have gone to the police to try to press charges on the perpetrator in those instances, they have been told there is no guarantee the girl will not also be charged with distribution of porn so none of the families have moved forward with prosecution because of that. This is emboldening the offenders to reach out even more because there are rarely consequences for them.

In short, technology is advancing quickly and is very useful and make parts of our lives much easier. However, it can also be a dangerous tool in the hands of the wrong people. To protect your kids, you need to be aware of the dangers and prepared to have open conversations with your children about internet safety on a regular basis. There are some programs in the area that go to schools or churches to teach kids about internet safety, such as the Morgan Nick Foundation. Check with your school counselor or google internet safety for kids to find programs to use with your child or just so you can learn the information and then educate your children yourself.

I hope this information is helpful and starts some meaningful discussions in your family that will open communication and keep everyone safely connected to one another at home and online. Please feel free to contact us about an appointment if you learn your child has been involved in some of these activities or even if you just aren’t sure about how to approach the subject with your kids and need some pointers.

By Paula Coleman, LCSW – Pinnacle Counseling NWA
Mental Health and Relationship Counselor

Innovative, Creative, and Inspiring

Innovative, creative, and inspiring are tags used to search for videos on TED.com, the source for videos on almost anything. While it is nice to find something something funny to watch while you are at work, here are some videos that might spark your attention in the “tag” areas. Check them out:

Sarah Kay
“How many lives can you live?”
https://www.ted.com/talks/sarah_kay_how_many_lives_can_you_live
Sarah Kay uses two spoken-word poems to explain her love/hate relationship with living one life. She shares her hope to rush and hear everyone’s stories and to share her story so that she can see life through another person’s frame of reference as many times as she can, so as to not miss out on anything that others have to offer. Sarah ends her talk with another spoken-word poem about the power of experience and living lives of our own and of others in a special way.


Ash Beckham
“We are all hiding something. Let’s find the courage to open up.”
https://www.ted.com/talks/ash_beckham_we_re_all_hiding_something_let_s_find_the_courage_to_open_up
Ash Beckham discusses the closets that keep us from opening up and sharing our story. The story that makes us shut the door to the closet of secrets and pushes others away. Although she tells her own story of having a hard conversation about who she was to a little girl in a diner, Ash sends an important message about connection. That message is that the safety of covering up secrets and hiding from owning our story scares us into believing that we are alone. What we are is different and unique, but we are never alone in our struggles.

“All a closet is… is a hard conversation.”  –Ash Beckham

 

Colin Stokes
“How movies teach manhood”

http://www.ted.com/talks/colin_stokes_how_movies_teach_manhood#t-46850
Colin Stokes uses two classic movies, The Wizard of Oz and Star Wars, to illustrate the differences between masculine and feminine ideals presented by mainstream video media that play continuously throughout a child’s upbringing. These ideals in the form of movie protagonists in Disney and Pixar films can be masculine or feminine, but the message of courage transcends much deeper than hero or heroine. Stokes challenges parents to see the journey of the movies to show children themes that are more impactful and universal than fighting the bad guy or saving the princess; they involve friendships, self-discovery, and teamwork.

Erika McCaghren

Fear or Anxiety?

Anxiety can be confused with fear. Fear is a response to a very real and concrete danger that makes you want to pull away from or escape, because it could be a threat to your physical or emotional safety. The fear response can affect both the physiology of the body and the chemical balance of the brain. Anxiety is a generalized sense of dread about something that seems menacing but actually may not be menacing or may not even be out there. Feeling anxious may make it difficult for you to talk yourself out of this foreboding and you become trapped in an endless loop of “what ifs”. Anxiety can produce feelings of worry, stress, stomach butterflies, and other manifestations of anxiety. While this emotional and physical discomfort can be worrisome, anxiety can often be a valuable signal that “trouble is brewing” and signals you to pay attention to be a problem that needs to be addressed. If you feel your anxiety is getting in the way of daily functioning, seek professional help as there are many effective treatments to reduce, manage, or eliminate anxiety.

The Habit of People Pleasing

Are you in the habit of always thinking of everyone else first and putting your own needs dead last?  Well, you are not alone!  That issue comes up frequently when someone shares with me about their anxiety or depression.  There are likely several factors at play that cause you to sell yourself short.  But in the end, you are left feeling resentful and exhausted.  Who is there to meet your needs?

We have to start “showing up” and making our own needs and wants known.  A favorite saying of mine is, “You teach others how to treat you by what you allow”.  Powerful stuff! Think about your current relationships.  Do these relationships have a 50/50 balance, with you and the other person being equally important?  If not, why?  Chances are, you definitely deserve to own 50% of the input in the relationship.

Cognitive behavioral therapy can be a powerful tool for overcoming the habit of people pleasing.  We learn a life time of “messages” we receive from others which reinforce that our opinion doesn’t matter.  We learn that it’s not ok to make others upset or disappoint them. That belief may have served you once in your life, but with those kinds of thinking patterns our souls can really take a beating after a while.  CBT helps by uncovering the messages you hold to be true and teaches you to re-write the script.  The technique of assertive communication is important here, too.  The two extremes, passive and aggressive styles of communication, usually aren’t very helpful in the long run.  Assertive communication says “Your needs matter, and so do mine”.  Try to get in the habit of thinking and responding with that thought in mind.

To many, making themselves a priority has never crossed their mind.  How is there room for that when you are busy being supermom/wife/employee…?  You may find that by taking care of yourself first, or at least making your self-care an equal priority in the equation, you have more to give to others.  You may feel guilt about this, and frankly others may try to make you feel guilty about it, but self-care is vital to mental and physical health.  Self-care can be as simple as taking 15 minutes to enjoy coffee with a friend, getting to the gym for a work out, reading quietly- anything you want that is nurturing to your soul.  The only requirement is that it takes care of YOU.  It is ok to be nice to yourself!

Rachael Nachtigal, LPC

Feel Better, Live Better

We all have many “wants” in life – but most of us share one simple “want” in common: Happiness.

It’s a lifetime quest for many, especially here in the United States. Americans, ironically, number among the most anxious people in the world. We tend to view happiness as an art, the result of luck or sheer willpower. Meanwhile, many of us live with an angry lion perched right outside our door.

Anxiety may be easier to spot in others. When it comes to ourselves, we may chock it up to insomnia, irritability or poor health. But it’s important to know that about 1 in every 35 people in the United States experiences generalized anxiety, according to annual diagnosis rates.

That’s a lot of unnecessary suffering, and it’s also important to know that there is nothing wrong with you if you do live with anxiety.

Anxiety is a normal, primal human response. It’s an instinct that kept our ancestors safe from predators and empowered them as they protected the most vulnerable members of their families.

We’ve come a long way since then, but our brains and our bodies don’t know the difference. Modern-day life can leave you feeling as if that angry lion is perpetually ready to pounce.  Today, we may not experience that as conscious fear. We’re more likely to describe it as stress, nervousness, embarrassment, poor planning skills, emotional pain, obsessive thoughts, pounding heart, headaches, sweating, difficulty swallowing, muscle tension, persistent worry, an inability to relax or trouble sleeping.

Few people experience all of the above. But for many of us, the lion is just outside the door when it comes to work, health, finances, marriage or our children.

While we know the ancient origins of anxiety, the reasons we experience it today are very individualistic but rather straightforward. Genetics, childhood experiences and traumatic events can each lead to anxiety – in the moment – or later in life. For some people, one factor is enough to trigger anxiety. For others, it may be all three.

Of course, we all know people who are seemingly immune to anxiety, regardless of life circumstances. We admire their emotional strength and society holds them up as heroes. Because of that, many of us who live with anxiety instead deny it even to ourselves – or live with it in shame and in secret.

There is an option: Anxiety is highly treatable. Among the first steps are to recognize it, stop resisting it and accept it – to accept ourselves.

You are not to blame for how you feel. Our lives truly are increasingly chaotic and demanding, with Americans working longer hours than ever in competitive atmospheres that can destroy confidence.  Do you have family members who deal with nervousness and anxiety? That could be an indication of a family history. And of course, if you experienced trauma and did not have the opportunity to deal with it, it may be dealing with you.

Research has found that therapy is the most effective solution to anxiety because it goes beyond treating the symptoms and identifies the causes. It is tailored to the individual and comes with lifelong benefits: building coping and problem-solving skills, finding balance, developing relaxation techniques – and it is achieved in a supportive and accepting environment.

As a therapist, I have treated anxiety for decades and have found that a genuine, warm, collaborative atmosphere results in a sense of empowerment, clarity and a path forward. It is a privilege to be invited into someone’s process of healing and change – and together – learn what anxiety is saying to us and what it has to teach us.

Don’t let that angry lion pace outside your door. You have the power to send it away and to live a productive, anxiety-free life – a life you can describe, quite simply, as “happy.”

 

Sharon Nelson, LCSW

Breakdown: What is Therapy?

The term breakdown is tossed around pretty cavalierly these days. Individuals might talk about having a mental breakdown over any number of modern inconveniences: traffic, the line at the grocery store, the morning commute, a tyrannical boss. These situations can certainly be stressors, but they don’t rise to the level of what mental health professionals would consider a breakdown.

A breakdown is much more significant. Someone in the midst of a breakdown will find it impossible to function. A breakdown may manifest itself as depression, anxiety, racing thoughts, or feelings of unrelenting dread. Sometimes it’s a wicked combination of all of those. The root cause of a breakdown is usually something deep down, a problem that a person is unable to understand or even recognize on their own.

Individuals experiencing a breakdown have a choice. A few choices, actually:

  • Rest and recover. Hope the eventually things will go back to however they were before the breakdown.
  • Adapt behaviors to avoid the problem.
  • Take up an investigation into the problem. (Here’s where a therapist is handy.) Discover what your breakdown has to teach you about yourself. Transcend your problem and grow.

Obviously, we think the last option is the best.

 

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