Archive for: Mental Health

What is Post Traumatic Stress Disorder?

PTSD is a treatable anxiety disorder which can develop in individuals who have experienced severe psychological trauma. A diagnosis of post traumatic stress disorder may be the first step toward recovery for individuals still haunted by past experiences. Treatment for PTSD may include  intensive psychotherapy, psychotropic medications, or Eye Movement Desensitization and Reprocessing (EMDR).

The following is a simplified version of the criteria used by a psychiatrist, psychologist, or licensed clinical social worker to diagnose an individual with Post Traumatic Stress Disorder:

A: Exposure (either as victim or witness) to severe psychological trauma:

  • physical abuse
  • sexual abuse
  • domestic violence
  • catastrophic accident (auto, for example)
  • war
B: Intrusive Recollection
  • unbidden distressing recollections: images, thoughts, perceptions
  • recurrent distressing dreams
  • flashbacks
  • psychological distress caused by triggers related to original event (sounds, smells, people, feelings, places, etc.)
C: Hyper Arousal
  • difficulty falling or staying asleep
  • anger and irritability
  • difficulty concentrating
  • feeling consistently on edge
  • exaggerated startle response
D: Duration
  • Symptoms A, B, C experienced for more than one month.
E: Functional Impairment
  • Individuals feels like symptoms are causing serious disruption in personal relationships, professional relationships, and life in general.

Why your summer reading list is a form of bibliotherapy

Bibliotherapy involves using books, stories, and other forms of literature to help “reach” someone in counseling. This type of treatment does not have to include the typical list of self-help books aimed at bettering yourself by looking inward and also does not have to be doing strictly in the counseling office. You can work towards a better understanding of yourself by using your summer reading list as a form of bibliotherapy. The introspection while reading can be conscious, subconscious, direct, or indirect. You do not have to pick up a book with the intent to read, process, understand, and “feel better” immediately after reading. The phases of bibliotherapy are as diverse as the books on your summer reading list. If you pick up the latest in ‘chick lit’ from the New York Times Bestseller list, you will be taken on a romantic, witty, and likely dramatic ride through the trials of being a twenty-something in the wake of dating, job hunting, and balancing life as a young woman. On the other hand, if you choose a young adult Sci-Fi novel, you will fall into a world of the adventure of slaying dragons and finding yourself on a journey to discovering who you are and want to be. No matter what you read and what you try to get out of a book or reading, you can find something unexpected. The bibliotherapy you get comes from the journey you take with the main characters and how you apply it to your own life. This can come in the form of a favorite fantasy story to take your mind off of an 8 hour work day or could help you realize what it is in life that you truly value. Your summer reading list takes you on a quest through the words on a page to a place where you can be yourself and enjoy the story. On the path to enjoying any type of literature, you form the opinions, insights, and learn to embrace the acceptance of yourself and the joy that comes from walking in another character’s shoes, whether they are red ruby slippers or hiking boots stained with blood of a mythical creature.

Erika McCaghren

The holiday "blahs"

With the holiday season and winter months fast approaching, feelings and symptoms of depression will often surface or increase. Feeling “down in the dumps” or “blah”, sad, discouraged, hopeless, irritable, cranky, or easily frustrated are typical symptoms of depression. Also feeling withdrawn, a loss of interest or pleasure in activities, changes in appetite, sleep, energy, difficulty concentrating, and making decisions are commonly reported. A sense of feeling worthless or excessive guilt may be experienced. Some of these feelings may actually interfere with our relationships, school, job, social activities, and even day to day functioning. If you experience a few or most of these symptoms it is wise to pay attention to what your body is telling you and to take care of yourself.

Often people minimize or don’t understand depression and the possible effects of going untreated. Working with a mental health professional can help you understand depression and learn multiple ways to manage its symptoms. Regardless of the season, feeling better means living better!

 

Erika McCaghren

The Impact of Bullying

Bullying is not only in the school system. It lives on long past the days of homeroom classes and lunch with friends. It lives on in the memory and creates an impact on your self-esteem, self-worth, and how you interact with those around you. Undoubtedly, bullying in some shape or form affects everyone on a variety of levels, whether the victim, perpetrator, or bystander. Employees at Disneyland, known as ‘The Happiest Place on Earth’, shared a video titled “It Gets Better”, about personal stories of bullying and feelings of being alone that were caused by bullying. The video is a tribute to the Trevor project (http://www.thetrevorproject.org/), a national anti-bullying campaign for LGBTQ youth, going strong since its founding in 1998. The strong message of hope after there seemed to be nothing but darkness and depression shines through in the people who bring joy on the job every single day. Each and every person carries their story and truth and no matter the struggle…

 

“No life is a one person show. You need to surround yourself with the people who love you for who you are and encourage you to share with the world the unique gifts that you have to offer.”

 

Next time you are feeling alone, reach out and always remember that it gets better.

 

http://www.youtube.com/watch?v=OCSUfFStTQE

 

Erika McCaghren

The holiday “blahs”

With the holiday season and winter months fast approaching, feelings and symptoms of depression will often surface or increase. Feeling “down in the dumps” or “blah”, sad, discouraged, hopeless, irritable, cranky, or easily frustrated are typical symptoms of depression. Also feeling withdrawn, a loss of interest or pleasure in activities, changes in appetite, sleep, energy, difficulty concentrating, and making decisions are commonly reported. A sense of feeling worthless or excessive guilt may be experienced. Some of these feelings may actually interfere with our relationships, school, job, social activities, and even day to day functioning. If you experience a few or most of these symptoms it is wise to pay attention to what your body is telling you and to take care of yourself.

Often people minimize or don’t understand depression and the possible effects of going untreated. Working with a mental health professional can help you understand depression and learn multiple ways to manage its symptoms. Regardless of the season, feeling better means living better!

 

Erika McCaghren

Phobias

With over 500 recognized phobias, what exactly is a phobia and how does it affect a person? A fear alone does not distinguish a phobia. A phobia is an overwhelming and unreasonable fear of an object or situation that poses little or no real danger. A phobia is long-lasting and can cause intense physical and psychological reactions. Both fear and avoidance must be present and to the point of interfering with everyday life. Because you become so preoccupied with thinking about the fear, you often are unable to sleep, to work, function in a social setting or enjoy things you normally like to do. IRRATIONAL fear is predominate in phobias.

Adults usually recognize that their phobia is excessive and unreasonable, while children do not usually have a sufficient impairment that warrants a diagnosis. The following is a list of subtypes for phobias and are fairly self-explanatory: 1. Animal Type (fear cued by animals or insects), 2. Natural Environment Type (fear cued by storms, heights, water, etc.), 3. Blood-Injection-Injury Type (fear cued by seeing blood, injury, injections or other invasive medical procedure), 4. Situational Type (fear cued by specific situation such as flying, bridges, public transportation) and 5. Other Type (fear cued by other stimuli such as choking, loud sounds, contracting an illness). Women tend to have diagnosed phobias more than men and phobias seem to run in families. Seek professional help if you have excessive fear or phobias as there are a number of effective interventions that can help.

Depression? Stress? Anxiety? Do you see these in yourself?

Oftentimes life weighs heavy and the idea of pushing through another day, another meeting, another list of demands of another thing, another meeting or another day, feels impossible! Even the though we know that it would be better if we take care of ourselves, we’re still unable to cope with yet another ‘have to’…another responsibility. So how can we relieve the pressure and find what we need?

 

It’s actually easier and more accessible than you think. The relief starts with the awareness of what we are physically feeling. Our bodies are the key to emotional and physical relief. By Paying attention to the pounding of your chest, while in traffic and taking a breath, will change the thought from: “I must be there NOW!” to: “I’ll get there as quickly as I can.” By Listening to the tension in your shoulders, and learning how and when to relax them will change your life. Learning to think about the kind words you might offer a friend will change how your body feels.

 

Learning the messages we say to ourselves are harsher than words you would use when you’re mad at someone you don’t like! The awareness of your body and thoughts, bring about self-care. This all must really starts with a desire for relief and a small willingness to understand self-compassion! As you become more aware of the feedback your body gives you when you think negatively of yourself, you’ll begin to have more relief. This is the beginning of learning how you can control one thing to reduce your stress. The practice of your thoughts in self-acceptance is the beginning of the NEW you! You really are good enough! You are exactly where you need to be!

Torie Sullivan, LPC

Helpful tips for handling the holiday "blahs"

Are you noticing your body slowing down as the holidays approach? Are you unsure of how to cope with these feelings and symptoms? Make sure there is not a physical or medical explanation for your depression. If your body isn’t feeling “right”, talk to your doctor. Treat your body the way it deserves and needs to be treated by eating healthy, getting enough rest, and regularly exercising. Taking a few moments to focus on your breathing is an easy and effective way to help your mind and body to relax, and can be done anywhere. Pull yourself into the present and take in the gifts that are around you now. Notice the sunshine, a beautiful bird, a cloud, or another gift of nature. Listen to the music or sounds that you “connect” with. A walk or change of scenery can bring newness into your surroundings. If possible, do something nice for another person, even if it is only to smile or greet them. Sometimes the simple, small steps we take make can make a big difference.

 

Erika McCaghren

Have the Courage to be Your True Self

“Loving ourselves through the process of owning our own story is the bravest thing we will ever do.”

-Brene Brown

Vulnerability is scary.  It is so often avoided.  It means to show the parts of ourselves that we are afraid aren’t “good enough”.  But you know what?  Everyone has the same fear of not being good enough.  When we are held hostage by that fear, we miss out on our true happiness.  You live a life that you think others want you to live.

No one is perfect.  Perfectionism is a cruel joke.  Perfectionism makes us wake up every day feeling like we failed yesterday.  There is no joy in that life.  Dare to practice loving yourself for who you really are.

For more on this, watch this clip of Dr. Brene Brown on Oprah’s Super Soul Sunday:
http://www.youtube.com/watch?v=_YeulUgWNp8

or the full  TED talk:
http://www.youtube.com/watch?v=iCvmsMzlF7o

Rachael Nachtigal, LPC

 

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