Deborah Gonzales

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Why Did I Feel Fine Yesterday? The Causes of Depression

With 322 million people suffering with depression worldwide, it’s not surprising to learn that in America, depression is among the most common mental disorders. The cause of depression is often simplified as a chemical imbalance in the brain, but the reality is that the disease is far more complicated. Scientific research has yet to completely understand the biology of depression. According to the National Institute of Mental Health, depression is caused by a combination of genetic, biological, environmental and psychological factors.

What Causes Depression?

The disease of depression is the complicated combination previously described; this disease gives you the predisposition to fall into a depression after having experienced a negative external event. For example, getting fired from a job might send one person into a deep depression, while another simply bounces back after experiencing the initial sadness and disappointment.

Many experts in the cognitive behavioral field believe that depression is caused by, and worsens, with distorted negative thinking. The emotions you experience during an episode of depression are created by negative thoughts and perceptions. Your feelings will result from the meaning you attach to those thoughts. If you eliminate distorted, negative thoughts, you will find it easier to cope with the negative event that triggered your depression.

Why Did I Feel Fine Yesterday?

If you felt fine yesterday, but today feel depressed and hopeless, distorted thinking may be to blame. As an example, let’s say you woke up late and had to rush to work. This put you in a bad mood, and you started thinking distorted negative thoughts. “I’m always late. I’m a loser. My boss is going to be angry at me all day. He probably hates me anyway. I’m going to get fired.” As the day goes on, every event will be processed through this negative filter, causing you to feel worse.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy is a form of psychotherapy that helps you challenge negative patterns of thought. By challenging these thoughts, you can improve your mood. For example, “I’m always late.” This is an overgeneralization. More than likely, you have not been late that often. If this is something you want to change, you can alter your schedule and habits to become more punctual.

Depression is a complicated illness, and as such is best managed by comprehensive treatment. If you’re suffering from depression, a licensed therapist can help you understand your mood disorder and develop strategies to cope with and improve your symptoms. Together, we can develop a plan for you to create the life you want to live. Give my office a call today, and let’s schedule a time to talk.

3 Ways Therapy Helps You Address Anxiety

Millions of people deal with stress and anxiety on a daily basis. Whether it’s a result of phobias, depressions, or post-traumatic stress, anxiety can take a toll on our mind and health.

If you deal with anxiety you most likely have looked into ways you can help calm your emotional rollercoaster. Perhaps you’ve even tried some self-help techniques in the past. While these methods can provide some relief, it’s often temporary.

To rid yourself of overwhelming anxiety once and for all, you’ve got to get to the root cause of it – the underlying factors. A therapist can help you identify and eliminate these underlying factors.

If you are suffering from an anxiety disorder, here are 3 ways therapy can help:

1. Uncover Root Causes

Like any other health issue, effective treatment gets to the root cause. For instance, your doctor can either prescribe a medication to try and manage your hypertension symptoms, or she can request you clean up your diet and exercise, addressing the root causes of your high blood pressure.

A therapist will assist you in accessing your emotional world so you can study your thoughts and feelings and uncover patterns. Often, unhealthy beliefs and thoughts lie at the root of anxiety. Once you identify what is causing you anxiety, your therapist can begin to create a plan to help you face these underlying issues calmly and confidently.

2. Therapy Helps You Change Your Behaviors

We’ve just talked a little about therapy helping you uncover the thoughts and beliefs that are causing the anxiety. Those thoughts and beliefs are not only making you feel bad, they are causing you to have certain behaviors that may result in negative consequences.

For instance, your anxiety leads to insomnia or denial of intimate social connections. Therapy will help you make lifestyle and behavioral changes. You’ll learn how to cope with difficult situations in a more relaxed manner. Therapy will help you to stop avoiding certain people and situations and develop a calmer and more balanced sense of self.

 3. Therapy Offers Continued Personalized Support

 All change is hard, even change that’s ultimately good for you. One of the biggest benefits of therapy is that it offers continual personalized support. Your therapist wants to see you succeed and will offer encouragement and advice without judgement.

If you’ve been living with anxiety, know that you don’t have to deal with it alone. 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.

Hypnotherapy for Anger Management

Not many of us will get through life without feeling some anger now and then. And that’s okay; anger is a normal human emotion that can even be healthy to feel at times. Bottling up our emotions, any of them is not good for our minds, hearts, or bodies, so letting them out is important.

Having said this, it’s important to express our anger in a manner that doesn’t bring emotional harm to anyone else. When expressed in a loud manner, anger can seem very scary and hostile to the people around us. At the same time, angry people tend to have trouble hearing others and empathizing with their feelings.

Do You Have an Anger Problem?

It’s not always easy for people to recognize whether they have a problem with anger management. You may assume how you feel and act is how everyone feels and acts. But recognizing you may have an issue is the first step in getting the help you need.

The following are some symptoms and scenarios that indicate you may have an anger management problem:

  • You have shown violence toward others.
  • Your anger has led to you breaking the law.
  • You have deliberately damaged property or broken things.
  • You regularly argue with loved ones.
  • You feel angry and tense all the time.
  • You notice that when angry, you feel completely out of control and are worried about what you might do.

Can you honestly relate to any of these? If so, the good news is, anger can be managed.

Hypnotherapy for Anger Management

Anger that is left to fester can lead to mental and physical health problems. Anger can negatively impact the relationships you have with loved ones, work colleagues, and most importantly, yourself. Chronic raging anger can also lead to poor health outcomes such as heart disease, high blood pressure, and stroke.

One of the most effective therapies for treating people with anger issues is hypnotherapy.

Hypnotherapy can identify the underlying source of anger and then help the person change their thought patterns. Anger management issues typically stem from past experiences. These experiences become embedded in a person’s psyche where they tend to shape their belief system and behavior for the rest of their life.

But hypnotherapy allows a person to get into a relaxed mental state where, with the help of a trained hypnotherapist, they can tap into the unconscious mind to change their negative thought processes. This in turn will change how the person reacts to certain anger triggers in their life. After a series of hypnotherapy sessions, the person should begin to feel calmer and more relaxed even when “provoked.” They can then relate to others in a more appropriate way.

If you or someone you love suffers from anger management issues and would like to explore hypnotherapy options, please get in touch with me. I would be more than happy to discuss how I may be able to help.

 

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Stress Management Techniques for People of Color Dealing with Microaggressions

Most human beings don’t get through life without dealing with their fair share of stress. But some people seem to deal with more stress than others. For instance, according to a report by the American Psychological Association (APA), both low-income populations and racial minorities have a greater risk of developing mental and physical health issues as a result of stress. The APA report focused on the need for raising public awareness regarding the stress-inducing implications of persistent exposure to subtle biases and microaggressions.

In the meantime, what can these populations do to manage their stress so they experience better health outcomes? Here are some proven stress management techniques to cope with whatever life throws at you:

Reframe

Reframing is an exercise that allows us to see the whole picture. Often times, when we experience a negative situation, we become emotionally wrapped up in the negative. But life is complex, and often there is good to be seen along with the bad. The good may be how we handled a situation or how our friends and family gave us support and strength. When we reframe, we step away from our emotions to look at the situation fully and honestly.

Relax

Stress causes tension in the body, and this tension can result in chronic health issues such as high blood pressure and chronic inflammation. It’s important to learn healthy ways to bring about relaxation. You might try tools such as progressive muscle relaxation, deep breathing, guided imagery, and biofeedback for managing your stress.

Practice Mindfulness

Over two decades of research on mindfulness shows that it is highly effective in managing stress. Mindfulness meditation involves fully focusing your awareness on the present moment. Through this practice, you accept your thoughts and feelings without judging them. There are a variety of online resources to help you get started.

Move Your Body

When we are stressed, our body experiences the “fight or flight response.” This entails a number of stress hormones to be released into our bloodstream. These hormones make our hearts beat faster and direct blood flow away from our brains and core into our arms and legs so we can remove ourselves from the perceived danger.

But for many of us, the danger is not physical but mental and emotional. And so we don’t burn through these hormones and they linger in our bodies causing damage. For instance, one of the hormones released is cortisol, which if levels are left unchecked, can cause high blood pressure and damage to the brain.

Exercise is one of the best ways to burn through these “fight or flight” chemicals. In addition, exercise helps with the production of feel-good endorphins.

These are just some of the ways you can better manage the stress in your life so it doesn’t negatively impact your health. If at the end of the day, you need more help, I encourage you to reach out to a mental health therapist who can provide you with even more stress management tools.

 

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The Mental Health Impact of COVID-19 on Families

If you asked any of us a year ago what would life be like in 2020, it’s doubtful anyone would have guessed we’d be going through a global pandemic, replete with lockdowns and self-quarantining. At the beginning of the year, some families might have thought of being forced to stay home from work and school would be a fun little vacation. But as the weeks and months have passed, we’ve all learned this has been anything but fun.

But how is COVID affecting families? Well, it affects parents and kids and spouses a little differently.

How it Affects Kids

Kids haven’t enjoyed the time off nearly as much as we all initially thought. Disruption to normal routines caused many teens and adolescents to feel anxiety. Add to this being away from their friends, and many young people are also feeling depressed.

Summer vacation for many this year wasn’t as fun as normal as travel has been next to impossible for some families in certain states. Sports teams were canceled, and boredom has set in for many kids, which has led to a lot of acting out and showing mood swings.

The pandemic has also negatively impacted those youths already suffering from a mental health issue, such as those on the autism spectrum. For many of these kids, a disruption of routine combined with cancellation of speech therapy sessions has stalled their progress and caused anxiety.

With some schools opening and some only offering online classes, life is still not back to normal and many kids are simply not able to deal with this crisis any longer.

How it Affects Parents

Parents have, without question, been hit hard by the pandemic. With forced school closures, many parents have had to learn how to home school while also learn how to get used to the “new normal” of working from home.

As if that wasn’t enough, parents have also had to become mental health therapists, helping their children navigate through the fear, anxiety, and depression they are experiencing.

How it Affects Spouses

Quarantining and self-isolation have definitely impacted our familial and romantic relationships. When you are locked in a house with your family, things can become chaotic and, well, everyone gets on each other’s nerves. Now forced to live on top of one another, and enduring financial hardships, worrying about health, and educating and organizing the children—just going grocery shopping can add a layer of stress.

Those couples who may already have relationship issues under the surface may find the sudden and intense stress has brought these issues to the surface. This can be a turning point for many relationships: will this current crisis bring us closer or finally drive us apart?

 

Without question, we are all living under an intense amount of stress and it is affecting us all in different ways. If you and your family aren’t able to handle the stress any longer, it’s important that you reach out and get some help from a family counselor. Most therapists are offering telehealth services, which means you can get the benefits of therapy right over the internet.

If you’d like to explore treatment options, please reach out to me. I’d be more than happy to discuss how I may be able to help.

 

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Top 5 Ways to Reduce Anxiety

It’s rare that any of us will get through life without experiencing anxiety at some point. But some people have the burden of dealing with anxiety on a daily basis. Whether it’s over something big or insignificant, anxiety stops us from living a normal life full of joy and potential.

Here are 5 ways you can begin reducing your anxiety:

1. Recognize You Are in Control

When you are in the grips of anxiety, it feels very much like it has total control over you. But the reality is, you are in control. While external events can trigger our emotions, ultimately, we have the choice whether we feel those emotions or not. So the good news is, you don’t have to suffer with anxiety, you simply have to decide to show it who’s really boss.

2. Diaphragmatic breathing

This physical strategy is very helpful to relax in stressful situations. While breathing, focus on breathing into the belly while keeping your shoulders down and relaxed. As opposed to expanding your chest, focus on letting your abdomen expand while inhaling.

3. Move Your Body

Exercise is a great way to alleviate the muscle tension that goes along with chronic anxiety. Plus, exercise releases feel good chemicals in your body like serotonin. But don’t sweat it, you don’t have to do a grueling workout at the gym to gain these benefits. Just a half hour a day of walking, biking, swimming or yoga can significantly help reduce your anxiety.

4. Start a Gratitude Journal

Get into the habit of writing down three to five things you are grateful for each night before retiring. This is a simple way to train your mind to focus on all of the good that surrounds you.

5. Speak with a Professional

The cure for any physical or psychological ailment is to get to the root cause of it, not simply manage the symptoms. A therapist can help you access your inner world to uncover what is triggering your fear and also offer coping tools and strategies.

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.

Can Long-Term Isolation Lead to an Addiction?

We are living through some of the most stressful times in recent history. With the global pandemic raging on, many of us are still worried about our own health and the health of our loved ones, especially our older friends and family members.

Many of us have also been hit with financial burdens. Some have lost jobs and others have had to close their businesses. How will the mortgage and bills get paid?

To make an already bad situation worse, a lot of us are still experiencing lockdown and quarantine. Many are working from home for the first time and still, others are unable to travel and be with loved ones.

This has left a majority of people feeling alone and isolated when they are already feeling they are most vulnerable.

The Link between Isolation and Drug Use

During stressful circumstances, it is a natural tendency for people to turn to drugs and alcohol as a way of coping. A study reported in the American Journal of Epidemiology found there was a 25% increase in alcohol consumption in the weeks following 9/11.

The stress and isolation of the current pandemic are putting those people who are prone to addiction at great risk. Virtual cocktail hours are now officially a thing. But how many of those cocktail hours end when the computer is shut off?

Human beings are social creatures. When you take our ability to be social away, it can lead to depression and anxiety. Even people who have no history of addiction are at risk of developing a drinking or drug problem during the pandemic as a way of coping with social isolation.

When coping with stress, it can be hard to self-monitor our behaviors, but it is incredibly important for our overall health and well-being. If you suspect you have been drinking or using any drug more than you should at this time, it’s important to be honest about that.

Ask yourself a few questions:

  • Has cocktail hour started earlier or gone later than usual lately?
  • Does the bottle of wine that used to last 3 days barely last one night?
  • Do you ever feel like you SHOULD cut down on your drinking or other drug use?
  • Have you noticed you’re thinking about drinking or using drugs more and more?
  • Have loved ones commented on the amount you’ve been drinking?

It’s important that you are honest with yourself at this time. And if you answered yes to one or more of these questions, it’s important that you get some help.

Many treatment centers remain open during this time. You may also want to think about speaking with a mental health counselor. If in-person sessions are not available, find a provider who offers telehealth solutions. This means you can receive treatment online.

Times are tough for everyone right now. You are not alone. If you are turning to drugs and alcohol to deal with the stress and isolation, please get the help you need.

 

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How Chiropractic Can Help Arthritis Pain and Stiffness

If you live with the pain and stiffness of arthritis, you know firsthand that the disease can negatively impact your quality of life. You may try to get through the day with the help of over-the-counter or prescription medications, and they may work to some extent. But these medications are also known to come with some not-so-nice side effects such as nausea, vomiting, abdominal pain, anemia, headache, and edema (swelling).

When it comes to safe and effective treatments for arthritis pain and stiffness, many people overlook chiropractic care. They assume chiropractic is just for people with stiff backs and necks. And while chiropractors do see a lot of people with stiff neck and back issues, they are really primary care professionals who treat the entire person.

How Can Chiropractic Help Arthritis Pain and Stiffness?

It’s important to understand that chiropractic care goes far beyond spinal adjustments. In fact, there are over 150 techniques that chiropractors use to help their patients feel relief from injuries and arthritis pain and stiffness. 

Chiropractors focus on the relationships between structure and function, and treatment plans are developed around a person’s specific needs and issues. So, while a 20-year-old football player may benefit from a more aggressive spinal adjustment, a 60-year-old woman suffering from arthritis may be best served by having a chiropractor gently manipulate her soft tissue to stop muscle spasms and give her immediate relief. She may also be guided through a series of exercises that slowly stretch her joints and increase her range of motion.

There are other therapies that are often used to help arthritis patients reduce their joint pain and stiffness:

  • Ultrasound – Beyond imaging technology, ultrasound can loosen tissues and joints, reducing swelling, pain, and stiffness.
  • Electrotherapy – Tiny electric pulses stimulate a patient’s muscles to help them loosen so they stop pulling on joints.
  • “Cold Laser” Therapy – A laser that does not produce any heat is used to penetrate deep into the tissue, reducing inflammation. 
  • Infrared sauna –These saunas are much better at controlling the amount of heat used than traditional saunas. Spending just 20 minutes inside can relieve pain and increase circulation. 

These are just some of the treatments that chiropractors can offer those suffering from joint pain and stiffness caused by arthritis. If you would like to explore chiropractic for your arthritis, we encourage you to find a licensed chiropractor in your area to get a free evaluation. And if you live in the area, give us a call or stop by to schedule one today!

 

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Why Timing is Everything When it Comes to Marriage Counseling

Seeking help from a marriage counselor is not unlike seeking help from a mechanic. It makes little sense to take your car into the shop a month after it started making a horrific noise. By that time, too much damage may have been done and your engine may be beyond repair.

By the same token, the effectiveness of marriage counseling is directly related not only to the willingness and motivation of both parties to put in the effort, but also to the timing. The time to consider marriage counseling is not when one (or both) people have already thrown in the towel.

For instance, in some relationships, when one or both partners have already decided to end the marriage, they may use counseling as a “safe space” to drop the news on their spouse. This is obviously not the best timing to attempt counseling.

Sometimes issues are too ingrained and longstanding for counseling to be truly effective. If a couple has been building up resentment toward one another for five or more years before seeking help, it may be too late. While counseling is a wonderful way to help couples reconnect and heal, it is not a miracle cure.

When and How Marriage Counseling Can Help

It’s important that both individuals truly want the relationship to work. When both parties are willing to invest time and energy, marriage counseling can be the catalyst for real and lasting change.

It is also important that couples choose a therapist who’s a good fit. Both spouses must feel comfortable with the therapist for any progress to be made.

So, how exactly can marriage counseling help? In a number of ways:

  • Counselors help couples identify toxic behavioral patterns and give them tools to make adjustments.
  • Each partner can gain new insights and perspective into the relationship.
  • Tools help couples resolve conflicts with grace and respect so escalation can be avoided.
  • Partners can begin to build trust and improve communication.

If you and your spouse decide to try marriage counseling, here are some tips for success:

  • Take it seriously. Commit to the work and do it.
  • Be open. If you’ve chosen the right therapist, you should feel free and safe to discuss your true feelings and needs. Don’t hold back. In order for therapy to work, both people have to have the courage to be vulnerable.
  • Avoid the blame game. Each person must take responsibility for their part.
  • Be realistic about how long it will take before real change begins. While you can begin using tools immediately, healing won’t happen overnight.


If you and your partner are experiencing marital problems, don’t wait to get help. The sooner you do, the more likely your issues can be resolved. 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.

5 Signs That You Might be Struggling with Anxiety

It’s normal to feel anxious from time to time. Perhaps you get a bit nervous speaking in front of people or going on a job interview. But for some people, anxiety becomes a frequent and forceful occurrence that completely takes over their lives.

Since anxiety comes in many forms, for instance panic attacks, phobias and social anxiety, it can often be difficult to tell if what you’re experiencing is “normal” or has crossed the line into a mood disorder.

If you are experiencing any of the following symptoms, you may want to speak with a counselor who can help you cope with your anxiety.

Excessive Worry

General anxiety disorder (GAD), the broadest type of anxiety, is characterized by excessive worry. People with GAD worry too much about everyday things, both big and small. But what constitutes “too much worry?”

With GAD, people are plagued with persistent, anxious thoughts most days of the week. This anxiety can become so overwhelming it interferes with their daily life. If you are worrying to a degree that you have trouble doing daily tasks and are suffering with your emotions, it may be time to speak with a therapist.

Trouble Sleeping

Sleep issues such as falling asleep or staying asleep have been associated with a myriad of health conditions, both physical and psychological. It’s normal for people to have trouble sleeping from time to time. Perhaps you find yourself tossing and turning before a big job interview or giving a presentation.

However, if you find yourself night after night lying awake, anxious about specific problems (such as relationship problems or financial difficulties), or even about nothing in particular, it may be a sign of an anxiety disorder.

Muscle Tension

Anxiety disorders can often be accompanied by persistent muscle tension. Do you find yourself clenching your jaw or balling your fists throughout the day? You may have lived with this chronic muscular tension for so long you don’t even realize it anymore. While exercise can help relax muscles, therapy will get to the root cause of the anxiety.

Digestive Problems

While anxiety lives in the mind, it is often manifested in the body through chronic digestive problems, such as irritable bowel syndrome. Our guts are very sensitive to emotional and psychological stress. Unfortunately, digestive upset can often make a person feel even more anxious.

Panic Attacks

Panic attacks can be a frightening experience. You are suddenly gripped with an overwhelming feeling of dread and fear. These are often accompanied by physical symptoms such as shortness of breath, racing heart, dizziness, and profuse sweating. Though not everyone who has an anxiety disorder will experience panic attacks, but those that do live in constant fear.

Anxiety disorders keep people from living a joyful and fulfilling life. Luckily there is help. A therapist can assist in uncovering the root cause of the anxiety and offer tools 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.