Blog | DMG Therapy Services | Anchorage, AK 99503

How to Ask for Help in Times of Need

You probably remember a time in school or out shopping when you wanted to ask for help, but stopped yourself. You might have even had a prompt from the teacher: “Does anyone have any questions?” or from an associate “Is there something I can help you with?”. Still, even when it’s their job (or their joy) to help, you might hesitate.

It can be even more difficult when you’re going through difficult times and can really use another set of eyes or hands. If you’re overwhelmed with work and home life, or if you’re going through some tough emotional business, sometimes you just need someone to help.

Why Is It Hard to Ask for Help?

If you look back to your past, you might see where the roots formed that made it more difficult for you to ask for help. Your parents might have made you learn to figure things out on your own, then given you great praise when you did. As a child, you may have been met with resistance or anger when you reached out for help. Maybe you had a parent who modeled the “do it yourself” attitude, always refusing to ask for help. These early formative experiences can leave you with the impression that asking for a help is a deficiency. You might also have difficulty asking for help because you don’t want to surrender control to an outside person, or because you don’t want to feel like you “owe” anyone anything.

How to Ask for Help

If you have difficulty asking for help, you may have learned some less than optimal coping mechanisms over the years. You might try to make someone feel guilty or feel sorry for you. Or in your haste, you may ask the wrong person; instead of someone who would be better able to help you, you choose someone who’s more likely to say yes.

Be Specific: To ask for help, it’s best to be straightforward. Know in advance exactly what you need, and be specific with your request.
Go to the Source: Instead of going to people who are easy to talk to, or people who are more likely to help you, seek help from those whose help you need.
Offer an Exchange: It may be easier to ask for help if you offer something in return. For example, if you need someone to pick up your child at daycare so you can work late, offer a playdate in return.

Are you having trouble juggling work and home life? Are you struggling to deal with some tough emotions and need some support? A licensed therapist can help. Please give my office a call today, and let’s schedule a time to talk.

When to Worry: Recognizing Signs of Trauma in Your Loved Ones

Over the past several years, there have been numerous traumatic events all across the country. From incidents of mass violence to devastating natural disasters, hundreds of thousands of Americans have experienced or witnessed a disastrous or life-threatening event. In addition to tragedies such as these, anyone who has experienced a shocking or dangerous incident (such as a car accident or a robbery) is at risk of developing Post Traumatic Stress Disorder (PTSD).

PTSD is a serious mental disorder that requires medical treatment. PTSD can have devastating effects on every aspect of a person’s life, from their marriage and family, to their friendships and career. If you’re concerned that a loved one may be suffering from PTSD, here are some signs to look out for.

Reliving the Trauma

Someone with PTSD will have repeated, involuntary re-experiences of the event. They may experience bad dreams or flashbacks. They’re also vulnerable to certain triggers that remind them of what happened, such as sounds or smells.

Angry Outbursts

Someone silently suffering from trauma may be prone to anger, agitation, or sadness. Feeling irritable, the sufferer may be prone to outbursts of anger that they can’t control. If you’ve noticed your loved one frequently losing control and lashing out in anger, this is a sign that they’re suffering emotionally and require treatment.

Withdrawal

People suffering from PTSD will avoid people and situations that are reminders of the situation. As the victim continues to isolate themselves, how their friends and family react to their withdrawal will likely further isolate them, causing additional emotional distress.

Substance Abuse

It’s not uncommon for people with PTSD to self-medicate. Seeking an escape from high levels of stress and difficult emotions, they may turn to drugs or alcohol. The painful trademark of substance abuse is the growing need for more of the drug to produce the same high. If left untreated, as substance abuse grows, the abuse will turn to addiction and eventually dependence. This can have devastating effects on every facet of a person’s life.

If you’re concerned that a loved one is experiencing symptoms of trauma, the most important think you can do is encourage them to seek professional diagnosis and treatment as soon as possible. You can help by contacting offices and vetting therapists on their behalf, and volunteer to take them to an appointment. Assure them of your love and support throughout the process.

For additional guidance and recommendations from a licensed professional, call my office today.

Counseling to Military Active Duty and their Families

Military families are uniquely affected by work and life stressors. Deployment, pre-deployment training and preparation, as well as reintegration can affect not only the service member, but their spouse and family.

Service Members

While Posttraumatic Stress Disorder (PTSD) receives a great deal of attention and discussion, transition stress is another affliction affecting veterans that’s often overlooked. According to a 2018 study published by Clinical Psychology Review, many veterans struggle with the transition back to civilian life. The excitement and purpose of serving in uniform, the sense of belonging, and the camaraderie of their squad can cause transitioning veterans to feel a loss of identity as they shift back into civilian life. Difficulty finding new employment and re-establishing relationships with family and friends after deployment can also present unique challenges. Left untreated, these issues can lead to anxiety, depression and other disorders.

Spouse

Being married to a service member uniquely affects a spouse. With their spouse’s expected long-term absence comes the stress and responsibility of maintaining a home and family alone. Uprooting from one home to another is stressful and exhausting, and presents the military spouse with numerous challenges to overcome as they support their deployed spouse, a home and family.

Family

Every child reacts differently to a parent’s deployment. However a child reacts, they will likely struggle with the change in their family dynamic. Children are emotionally vulnerable to the effects of deployment. Studies have shown that young children with a deployed parent are more likely to exhibit behavioral problems, as well as experience depression and anxiety.

There are many difficulties military families must face in selfless service to our nation’s security. Our counselors are experienced in supporting military families as they cope with the unique challenges presented by the military lifestyle. Our organization is proud to provide effective, comprehensive mental health services tailored to military active duty and their families.

Can Marriage Counseling Really Help Your Relationship?

When I first started my practice, I remember reading a statistic about divorce that I found shocking. And that was that 40-50% of all marriages in the United States ended in divorce.

According to recent surveys, however, the divorce rate in the U.S. fell by 18% between 2008 and 2016. While everyone has their theory as to why the rate is falling, the theory among therapists is that it is because marriage counseling actually works, and more couples are giving it a try.

If you and your spouse are experiencing difficulties, here are some reasons why you should give marriage counseling a try:

Identifying Patterns

One of the biggest benefits of seeking counseling is having help seeing negative behavioral patterns, whether those patterns are yours as individuals and/or as a couple. Healing can only begin once patterns have been recognized.

Impartial Advice

A therapist is not like a friend or family member who is going to take sides and hand out potentially harmful advice. Marriage counselors have a track record of dealing with all sorts of marital issues and want to understand what’s going on so they can offer the best strategies for healing.

A Safe Space

Marriage counseling offers both spouses a safe space to be completely open and honest with their feelings. If not delivered in the right space, complete honesty can have adverse effects. Counseling offers a safe environment in which no one is ever judged.

A Place to Rebuild Trust

Trust is the bedrock of every relationship. But when that trust is broken, as it is through infidelity, it is hard to put the pieces back together. Marriage counselors have years of experience dealing with issues of infidelity. Counseling explores different ways to rebuild trust one step at a time.

Bringing Out Toxic Emotions

Did you know that trapped toxic emotions are one of the main reasons marriages break down? When you have feelings of anger, resentment and frustration locked deep inside you, they fester there and make matters worse. Counseling offers the space and opportunity to let these emotions out in healthy, respectful ways.

If your relationship is on the rocks right now, divorce is not your only solution. Thousands of couples have been helped by marriage counseling and it’s worth it to you both to give it a shot.

If you’d like to explore counseling, please be in touch. I’d be happy to discuss how I may be able to help.

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.