Blog | DMG Therapy Services | Anchorage, AK 99503

When is the Right Time to Try Couple’s Counseling?

For better or worse. Those words seem easy to say at the time, but when worse gets really bad, many couples are ready to throw in the towel. That’s because they didn’t seek help in time and let things get out of hand.

The Stigma of Counseling

It can be hard to make the decision to go to couples counseling because it means you have to face your problems and admit you and your partner are on shaky ground. That can be incredibly scary to admit. It’s not dissimilar to thinking something may be wrong with your health, but you’re too scared to face the music and so you ignore the issue until it gets way too big.

Beyond having to admit you and your partner have problems, there’s also the uncomfortableness of not being familiar with therapy. It can definitely feel a bit mysterious and scary sitting down with a total stranger and sharing personal information about your relationship.

For these reasons, far too many couples let their marriage issues sit on the back burner, percolating. But the better option is to nip an issue in the bud as soon as it rears its ugly head.

To save you some confusion, here are some of the most common relationship issues that typically require some time in couples counseling.

Broken Trust

Whenever there is a major breach of trust, as in an extramarital affair, there is usually a need for couples counseling. A therapist can help you both rebuild the foundation of trust.

More Frequent Arguments

To each relationship, a little rain must fall. But when you start having frequent torrential downpours, it’s time to ask for help. An increase in fighting and intensity of fighting often means significant problems under the surface.

You’ve Experienced a Devastating Event

Life throws us events in our lives that are hard to rebound from. Whether it’s a financial loss or the loss of a loved one, as in the loss of a child, the trauma can change the way you and your partner relate to one another.

These are just a few of the reasons you and your partner should consider exploring couples counseling. It’s always better to seek help than try and go it alone.

If you are interested in treatment options, please be in touch with me. I’d be happy to discuss how I may be able to help.

5 Ways to Effectively Manage Anxiety

If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While anxiety can feel debilitating, there are ways you can manage it.

Slow Your Breathing

When we feel anxious, our breathing becomes quicker and shallower. This way of breathing, in turn, makes us feel even more anxious. It’s a vicious cycle.

When you feel the anxiety start to come on, start to focus on your breath and begin to slow it down. Breathe in slowly and deeply for a count of 4, hold for a count of 4, then exhale slowly for a count of 4. Repeat this cycle three to five times until you feel yourself begin to calm.

Limit Caffeine

Drinking or eating anything with caffeine in it can exacerbate your anxiety. Studies have even shown that caffeine can trigger an anxiety attack, so try and avoid or greatly limit consumption.

Exercise

Studies have shown that just 20 minutes of exercise can reduce symptoms of anxiety. Not only does exercising make you feel good about yourself, it actually floods your body with feel-good endorphins, which can totally turn your mood around.

Make a List

One of the worst parts of feeling anxiety is the feeling that you are out of control. One simple exercise to turn this around is to make a to-do list of small, easy-to-manage tasks. Crossing these tasks off your list will actually empower you and make you feel in control again.

Remind Yourself of Reality

When the plane of a nervous flyer hits turbulence, that nervous flyer must remind themselves that the plane is okay, and it is just a normal occurrence to hit turbulence. People who experience anxiety may also have to remind themselves that they are actually okay when an anxiety attack comes on. Simply tell yourself that you are experiencing anxiety but that you are, basically, okay, you are not going to die.

It can also be very beneficial to talk to someone about your anxiety issues. A therapist will be able to offer more tools and advice on how to cope and manage your anxiety.

If you or someone you love suffers from anxiety and would like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

Tips to Manage Anger Around Your Family During the Holidays

For many of us, spending time with family can be a grab bag of emotions. While you may feel love and familiarity, there’s also decades-long dynamics between you and your family members that may not be the most healthy. Your family might treat you like the teenager they remember, and you might revert to that role when you’re around your family without even realizing it.

There could be many things that make spending time with family a challenge. Old family conflicts, harbored resentments, and spoken or unspoken disagreements can make you dread seeing them again. If you have trouble managing your anger when you’re around your family, read on for some tips on how to keep your cool.

Define How You Experience Anger

People experience anger differently. Some might get more aggressive, some might withdraw, and some internalize the anger. By being aware of how you experience anger, you can better recognize when that emotion is starting to develop inside you so you can take control of how you respond.

Rehearse Responses

It’s very common for family to ask intrusive or inappropriate questions. You might have a busybody aunt who always asks about your relationships, or maybe your sister is constantly bugging you about starting a family. Come prepared with rehearsed responses so you won’t be caught off guard.

Set Boundaries

It’s important to set boundaries with family. If a family member is aggressive or rude to you, or is always making you the butt of their jokes, your silence acts as approval of their behavior. Because you don’t protest, they think what they’re saying or doing is fine with you. Furthermore, pretending their bad behavior is acceptable only gives them more room to continue the bad behavior, or to get worse. Set boundaries with family and let them know when things they’re saying or doing is not okay with you.

Cut the Visit Short

Sometimes the best option to keep the family peace (and your sanity) is to spend less time. If your family tends to have snacks or drinks before dinner, show up just in time to join the family for dinner at the table. You can also opt to skip dessert or coffee and leave a bit early.

Family relationships are complex and deep-rooted, and family are often the ones who know best how to push your buttons. While managing your anger can be challenging, learning to maintain control over your emotions is a healthy act of self-love. It will not only keep you sane, but it will keep your family relationships unharmed and intact.

If you’re having difficulty navigating complicated family relationships, a licensed therapist can help. Give my office a call today and let’s schedule a time to talk.

4 Ways to Deal with Social Anxiety at Work

According to the Anxiety and Depression Association of America, 15 million U.S. Americans, or 6.8% of the population, suffers from Social Anxiety Disorder (SAD). SAD, also sometimes referred to as social phobia, is an intense fear of social situations. The sufferer believes they could become humiliated and embarrass themselves somehow in front of other people. They tend to focus on every little mistake they make (or could conceivably make) and assume that everyone else is judging them.

The most common social phobia is giving a public presentation. Did you know that the number 1 fear of people all around the world is public speaking and death is the second? That’s right, more people are scared to get up in front of others and speak than they are to kick the bucket!

Shyness VS SAD

People often confuse shyness with social anxiety disorder, but the two are very different. While a shy person may be a bit uneasy around others, they will generally not experience the same intense anxiety as someone with an actual social phobia. Shy people also don’t go to the extreme avoidance of social situations while those with SAD will often do anything to avoid being in a social gathering.

Symptoms of Social Anxiety Disorder

Extreme and persistent fear of one or more social or performance situations where a person is exposed to scrutiny or unfamiliar people.
Panic attacks at the mere thought of the social situation.
The person recognizes the fear as excessive or irrational but still cannot control their feelings.
The social situation is avoided at all costs.
The irrational fears affect the person’s everyday life and interferes with career and personal relationship growth.

Dealing with Social Anxiety Disorder at Work

If your social anxiety is interfering with your career goals, here are 4 ways you can deal with it:

1. Meditate

Meditation has been scientifically proven to calm a person’s nerves. By being still and focusing on your breath for just 10 minutes each day, you can learn to settle yourself in the face of anxiety and stress.

2. Focus on Performance, Not Feelings

People suffering from SAD tend to focus solely on how they feel during a social setting, not the positive things that may happen. When you focus on how well you’ve done, you start to forget about your nerves.

As an example, during your next board meeting, don’t focus on whether or not you are blushing or sweating, you can’t control that anyway. Just focus on making good eye contact with everyone in the room. When all is said and done, you will feel fantastic that you made such an accomplishment.

3. Try and Be Realistic

It’s important to be realistic in the face of your anxiety. For instance, if you’ve given speeches in the past and have done well, then it is unrealistic to tell yourself that you are “going to bomb.” Instead tell yourself, “I have done well in the past, I am very prepared and I will do a good job.”

4. Work with a Therapist

If social anxiety has stopped you from getting promotions or helping your family financially, then it’s time to get some help from a professional therapist who specializes in anxiety disorders. He or she can give you coping strategies that will help you move forward in life.

If you or someone you know is suffering with SAD and would like to explore treatment options, please get in touch with me. I’d be more than happy to discuss how I may be able to help life feel more comfortable.

5 Subtle Exercises to Calm Anxiety in Public

According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days.

When anxiety strikes, the world around us can become a sort of funhouse, only not that much fun. It’s important to be able to self-soothe in these instances. But how can you calm an anxiety attack subtly when you’re out in public?

Breath Work

As soon as you feel the anxiety coming on, focus intently on your breathing and nothing else. Begin to take slow… deep breaths. Inhale for a slow count of three… hold for a count of three… and exhale for a count of three. Slow deep breaths send a signal to our body that we are not under attack and everything is okay.

Talk to Yourself

In your mind, remind yourself that you are having an experience but that you are NOT that experience. While you feel that something is wrong, remind yourself that you are actually safe and all is well.

Visualize

Think of something that calms you. This may be your childhood bedroom or your grandparent’s home. It could be your favorite beach or your own bathtub. Simply put yourself IN that space. Use your full imagination to feel yourself there and allow the calm to settle over you.

Carry Lavender Oil

Keep a small vile of lavender oil in your purse or pocket and inhale its scent. You can even rub some between your finger and then rub on your temples to calm down.

Practice Listening Meditation

If you’ve never tried listening meditation, I highly recommend it for everyone. But it can be especially beneficial when you are feeling anxious, and here’s why. Listening requires you to stop thinking. Try it now. Stop reading and instead listen to all of the ambient sounds there in the room with you, outside the door and window.

What do you hear?

Let your sense of hearing grow and grow, picking up more subtle sounds. The buzz of the lights overhead… the noise of the ice maker… a bee at the window… your dog’s collar down the hall…

It’s actually a very fun exercise to do. And in order to REALLY GIVE SOUND YOUR FULL ATTENTION, you can’t think while listening. It’s a bit like trying to juggle while standing on your hands, it simply cannot be done.

Much of our anxiety comes from our anxious thoughts. It’s our reptilian brain trying to keep us alive by alerting us to all of the dangers around us. But when we meditate, this mind chatter goes away.

When an anxiety attack comes on, life can feel unbearable. The next time this happens to you in public, try one or more of these techniques.

And if you’d like to speak with someone about your anxiety, please get in touch. I’d be happy to explore treatment options.

How Chronic Illness Can Affect Your Mental Health

If you are suffering from a chronic illness, you are not alone. Almost half of the population in the United States is currently battling some form of chronic physical illness. In fact, chronic illness is the number one driver of healthcare costs in America.

Some of the most prevalent examples of chronic illnesses are:

Epilepsy
HIV/AIDS
Endometriosis
Lupus
Arthritis
Diabetes
Heart disease
Fibromyalgia

Many people suffering from a chronic illness can become depressed. It is estimated that roughly one-third of chronic illness patients suffer from depression, a rate that is significantly higher than in the general population.

Depression is often an immediate response to the diagnosis. It can be overwhelming to be told you will need to be treated for your illness for weeks, perhaps even a lifetime. Certain types of chronic illness can also, and quite suddenly, change how a person lives their day-to-day life. They may not be able to do the same things and, in some cases, completely lose their independence.

There are physical illnesses which can cause depression by hampering the central nervous system or endocrine system. Some examples would include thyroid disease, Cushing’s disease, Parkinson’s disease and chronic pain.

Symptoms of Depression

If you or someone you know has recently been diagnosed with a chronic disease, it’s important to watch out for signs of depression. These can include:

Feeling sad and hopeless
Losing interest in once-loved hobbies and activities
Changes in appetite (eating too much or too little)
Trouble with sleep (sleeping too much or too little)
Lack of energy
Trouble focusing
Thoughts of suicide

Becoming educated about the link between chronic illness and depression is extremely important. So is seeking help. Be sure to discuss any symptoms with your doctor. He or she may be able to refer you to a therapist.

Many patients have found they can treat their depression right alongside their illness by using medication, psychotherapy or a combination of both. It is also helpful to surround yourself with a loving support network of friends and family.

If you or a loved one is experiencing depression as a result of living with a chronic illness and would like to explore treatment options, please be in touch. I would be more than happy to discuss how I may be able to help.

10 Signs You Might Be a “Highly Sensitive Person”

Are you a highly sensitive person (HSP)? If so, you’re not alone. It is estimated that roughly 15 to 20 percent of the population is highly sensitive. In fact, scientists now believe there is a gene behind this trait.

But what does it mean to be highly sensitive? The HSP is generally defined as someone with “acute physical, mental, and emotional responses to external (social, environmental) or internal (intra-personal) stimuli.”

The bad news is, being highly sensitive can make many “normal” life situations feel awkward and downright uncomfortable. But fear not, there are some benefits to being highly sensitive, and I’ll share those a little later in this post.

Signs You May Be a Highly Sensitive Person

If you are curious whether you may be part of the population that is highly sensitive, here are 10 signs to look for:

You are quick to feel negative emotions such as sadness and anxiety.
You may feel physical symptoms in relation to these emotions, such as headaches and muscle tension.
You become overwhelmed with physical stimuli such as sound, light and smells.
You have never felt comfortable around crowds. The energy of the crowd easily overwhelms you.
You become very emotional over the injustices of the world. (you cry or become angry at the thought of children or animals being harmed, as an example)
You often worry what others think of you.
You take things personally.
You have a hard time letting things go and receiving critical feedback.
You avoid most social situations and prefer to stay home alone.
You startle easily to loud noises.

Benefits of Being a Highly Sensitive Person

As I mentioned earlier, while being a HSP can cause you to feel awkward or overwhelmed at times, there are some definite perks to being highly sensitive. For starters, you are someone who can enjoy subtle sensory detail that a majority of the population misses. You get pleasure from noticing the end of day light play. You’ll notice subtle shades of color and texture and feel immense pleasure at the complexities of Indian cuisine.

You’re also someone others like being around because you are aware of others’ feelings, needs and emotions. Because of this natural empathy, HSPs make great teachers, managers and leaders.

HSPs are also incredibly creative. Many artists, musicians and famous actors are highly sensitive people who have gifted the world with their talent and insight into what it means to be human.

As you can see, if you can manage the negative aspects of being a highly sensitive person, you can reap some pretty great rewards.

If you or someone you love suspects they are a HSP and would like to explore treatment options to manage those negative aspects, please get in touch with me. I’d love to discuss how I may be able to help.

Why People Misunderstand Anxiety

Did you ever play the game called “telephone” growing up? One kid whispered a secret message into the ear of the kid next to him. That kid then whispered the “same” message into the ear of the kid next to her. On and on each kid would whisper the message around the circle until you came to the last kid, who would then announce the secret message aloud.

Often the final message sounded nothing like the original message. That’s because every person has their own way of hearing and sharing information. Sometimes it’s accurate – sometimes it’s not.

In this way, you could say that language is a necessary evil. Without it we would not be able to share ideas and information with each other. But when each person has their own language filters, information can become skewed.

Personal information and language filters can make discussing and understanding anxiety disorders difficult. While we all experience anxious moments from time to time, 18% of adults in the United States are actually affected by a form of anxiety disorder.

But how many times have you heard a friend or a coworker say something like, “I was totally having a panic attack yesterday when you didn’t show up!” They weren’t actually having a panic attack, they were merely concerned you were late.

When everyone assumes they have an issue with anxiety, they believe they have first-hand experience of the disorder and therefor know what it is. But using certain language that may or may not be accurate to convey a common feeling (ie – being nervous before a job interview) is not the same thing as truly knowing something.

Panic Disorder VS Social Anxiety

There are two main types of anxiety disorder and for this discussion, it’s important to make the distinction between each.

Panic Disorder

People who have been diagnosed with and suffer from panic disorder believe very strongly that the “panic attacks” they experience mean something is physically very wrong with them. For instance, many sufferers believe they are having a heart attack. Some may believe the dizziness and shortness of breath is a result of some serious and undiagnosed illness such as a brain tumor.

Social Anxiety Disorder (Social Phobia)

People with social anxiety disorder experience anxiety when faced with social situations. They do not believe their anxiety is related to an illness or disease, yet have little control over their fear of social interactions. Their anxiety becomes debilitating when the person feels they may be singled out, embarrassed or ridiculed.

People who suffer from social anxiety disorder will do anything to alleviate their fear. This means decreasing the amount of social interactions they have on a daily basis as much as possible. This disorder negatively impacts the person’s ability to emotionally connect with others, and holds them back in their career and academic life.

Because of language discrepancies, those who don’t have an anxiety disorder sometimes believe they do, while those that do may assume they don’t.

The main point to get across here is this:

It is normal to feel anxious, fearful and worried from time to time. But feeling anxiety on a daily basis, to the point where you are concerned for your physical health or are compromising your career and personal relationships is not normal.

Anxiety Disorders Are Treatable

No one should have to live with a debilitating anxiety disorder. The good news is, anxiety disorders are treatable. A therapist can help to uncover the root cause of the fear and provide tools and strategies to cope.

If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

4 Healthy Ways to Distract Yourself from Anxiety

Anxiety is a natural dialogue between our mind and body. It’s a red flag that something might be going on in our surroundings that requires our attention.

For most of us, anxiety is an uncomfortable but fleeting feeling that pops up on occasion during particularly stressful times. For some, anxiety may be more present and color more of their daily life. And for still others, anxiety is a constant torture; a nightmare they can’t awaken from.

Depending on your level of anxiety, there are some healthy coping strategies you can use to manage it. Here are 4 I recommend:

Mind Your Mind

How often are you aware of your own thoughts? Our thoughts tend to bubble up from our subconscious without much control from our conscious mind. For those experiencing anxiety, many of these thoughts will be negative and frightening, although the majority will not be based in reality.

Start to pay attention to the thoughts behind the feelings. Instead of thinking the worst will happen, challenge the thought. What is the realistic likelihood the worst will happen on a scale of 1 – 10?

The more you do this, the more you will retrain your mind to process life differently.

Remind Yourself What Anxiety Is

Beyond frightful emotions, anxiety often comes with physical sensations like tightness in the chest, rapid heartbeat and shortness of breath. In other words, it can feel like you are dying.

But you’re not.

You are having a physical response to an irrational fear or thought. Remind yourself of that ancient dialogue your mind and body are having and know that, in reality, you are okay.

Learn Your Triggers

Once you learn to pay attention to your thoughts and remain calm knowing you are having a natural reaction to what you perceive as a threat, find the threat. Observe your surroundings to find the potential trigger that activated your reaction. If there are other people in the room, notice their reaction to your trigger. Do they seem uneasy or concerned in the least? Chances are they don’t because the threat is not real. Store this information away so eventually your subconscious mind will stop thinking of the trigger as a threat.

Breathe

Slow, deep breaths have been shown to instantly calm a person. Your heart rate will slow, your muscles will relax, your entire body will return to a normal state of being. Don’t underestimate the power of just taking a moment to breathe.

If you find you need a bit more help controlling your anxiety, please get in touch with me. I would be more than happy to discuss treatment options with you.

4 Ways to Improve Communication in Your Relationship

If you’re reading this blog post, chances are you and your significant other have hit a snag in the relationship. Maybe you’re spending less time with each other and you’ve grown apart. Or maybe you do little else than argue these days.

All relationships go through their ups and downs. No matter the good intentions of the individuals or how in love you were when the relationship began, it is completely natural for a relationship to take a hit every now and then.

In some ways, these trials can be a good thing. Much like you need to break down muscle to build it up stronger than it was before, many relationships can be strengthened by challenges, provided your communication is healthy.

Here are some ways to improve communication in your relationship:

1. Recognize the Change

It’s important to be open and honest with yourself and each other. Don’t deny that something has changed in your relationship, admit it openly. You may also need to recognize that each of you has changed over the years. None of us stays the same. Our wants, needs, passions, annoyances, etc. change as we mature and grow as people. People can usually accommodate this change as long as they admit it has happened.

2. Validate Each Other’s Feelings

There are two words that are very powerful in communication, “Yes, and…” Effective communication is not about one person being right and the other wrong. Often, both people are right and allowed to feel their feelings. Try not to attack the other person or get them to compromise on issues. Instead, focus on simply being heard and hearing the other person.

3. Be Ready to Change

If you want to improve your communication as a means to get the other person to change their ways, you are really thinking about this communication thing all wrong! Good communication is not about winning an argument. This is not a debate class. Your goal is to better share your thoughts, feelings, ideas, hopes and struggles with each other. Don’t be so focused on getting the other person to change and focus more on how your own behavior could change.

4. Breathe

Managing your emotions is one of the most important skills when it comes to interpersonal interaction. How often are you ready to blow when you and your spouse or partner are speaking to each other? How does the communication breakdown once you or your partner have become emotional?

When communicating with your partner, or anyone, should you feel your emotions rise, stop, take a slow, deep breath, and let it out. Taking this moment is important and will help you not to say something you’ll regret or that will escalate the situation.

None of us are perfect. All we can do is try to be the best versions of ourselves we can be for ourselves and our loved ones. By following these communication tips you will be able to strengthen your relationships.