Deborah Gonzales

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Treatment for Social Anxiety

For a year now, most of us have been unhappy with living a life in quarantine, wondering when the world would finally get back to normal. With vaccines rolling out and most towns and cities reaching herd immunity, society is beginning to open back up.

Now if you are like some Americans, part of you is happy for life to return to normal, and another part of you is experiencing what some psychologists call “re-entry anxiety.” According to a report from the American Psychological Association (APA), nearly 50% of Americans have expressed that they feel some anxiety regarding resuming in-person interactions post-pandemic.

This is a Normal Reaction to a Very Stressful Situation

Mental health experts have suggested there are two groups of people that will most likely experience re-entry anxiety. One of those groups is people who have a lingering fear that they will either catch or help to spread the disease or the new strains of COVID that seem to be cropping up.

The second group are people who feel their social skills have withered while quarantined and may find being around a lot of people and holding their end of the conversation to be very awkward, exhausting and challenging.

It’s important to mention that while you may be feeling anxious about re-entry into society, avoiding social situations will only make your anxiety worse. In fact, experts agree the longer you avoid the thing that makes you anxious, the harder it will be to face it.

What may help is to set small goals for yourself. For instance, you may want to set up small get-togethers with one or two others to start. Don’t feel the need to jump in the deep end right away, slowly acclimatize yourself to start.

Getting Help for Your Anxiety

We’ve all got to remember that we’ve faced a big trauma this past year and we must be gentle with ourselves. Life will feel normal once again. Until then, do the best you can do and ask for help when you need it.

Speaking with a trained therapist can be highly effective for people dealing with stress and anxiety. A therapist can help you navigate your emotions and offer tools to move through the anxiety.

If you’d 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.

RESOURCES:

The Truth About Perfectionism

We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist.

But as human beings, we can never reach a state of perfection because we will always be a work in progress. Perfection indicates a finality – a finished product – but we as humans are always growing and changing.

What is Perfectionism?

Many people view perfectionism as a positive attribute. They believe the more “perfect” they are, the more success they will have in life.

Perfectionism is NOT the same thing as always doing your best. It is important that we always do our best. By doing so, we can experience healthy achievements and growth. But perfectionism takes this concept to the extreme.

People with perfectionist tendencies often have self-defeating thoughts and/or behaviors that actually make it HARDER to achieve their goals. Perfectionism also can make the individual feel stress, anxiety, and depression.

Signs to Look For

Most human beings, from time to time, will strive for perfectionism in some aspect of their life. As an example, that “perfectly moist chocolate cake” I mentioned earlier got that way because the person who baked it was trying to get everything JUST RIGHT as a gift for someone’s birthday.

But there are those people who are “full-time” perfectionists. They strive for perfection in all aspects of their life.

Here are some signs you may be a perfectionist:

  • You don’t like to attempt tasks or activities unless you feel you can complete them perfectly.
  • You are end-oriented, meaning you focus little on the process of creating or learning something and put all of the emphasis on the outcome.
  • You cannot see a task as having been completed unless it meets your perfectionist standards.
  • You tend to procrastinate because you don’t like starting a task until you know you can perfectly complete it.
  • You tend to take far longer completing tasks than others. This can be problematic at work.

Getting Help

Again, perfectionism is not the same thing as doing your best. It is a condition whereby the individual is almost incapable of feeling joy or pride at what they accomplish because in their own minds, they are never quite good enough.

If you believe you may have traits of perfectionism and it is causing you stress, there are things you can do to change your behavior so you can live a healthier and happier life.
If you’d like to explore treatment options, please reach out to me.

SOURCES:

The Healing Power of Nature

One only needs to read a few lines from poets such as Frost, Wordsworth, and Thoreau to recognize the love for and connection to nature human beings have always had. Nature stirs our souls and imagination and brings beauty to our everyday lives. But it turns out, nature also brings a slew of benefits to our mental and physical health.

The Many Benefits of Spending Time in Nature

Research is now clearly indicating that spending time outdoors can have a positive impact on our health. Whether you bike, hike, or simply sit under a tree enjoying the sights and sounds, time in nature has shown to reduce stress, slow heart rate, improve pain, lower cortisol, and stimulate the immune system by boosting the production of natural killer cells that fight disease and infection.

In addition, time outside means time in the sun, and THAT means getting a nice boost of vitamin D, which can do everything from preventing disease, make our bones and teeth stronger, and improve our mood.

Give Ecotherapy a Try

Ecotherapy, which is also sometimes referred to as nature therapy, is a practice in the emerging field of ecopsychology. The idea behind this practice is that many modern people, whether they are aware of it or not, feel a massive disconnect from the natural world. When you think about it, our ancestors spent hundreds of thousands of years living WITH nature, feeling it under their bare feet, being outside, ebbing and flowing with the shifts in seasons.

But today, most of us are only connected to a digital device. Ecotherapy gets us away from our screens and out into the beauty of the natural world. Many clinicians, including myself, believe that the earth has a natural ability to balance us. When we get back in touch with the systems of nature, we can experience improved mental health.

If you are feeling out of sorts and like the idea of trying ecotherapy, you can simply spend more time outside. If you would like someone to help you reconnect with nature, please get in touch with me. I am a big proponent of nature therapy and use it in my practice.

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How to Help Manage a Loved One’s Anxiety

When a friend or loved one suffers from anxiety, it can be intimidating or frustrating trying to help them cope. Panic and anxiety attacks can leave the anxiety sufferer feeling any number of symptoms, and you may feel helpless and unable to support them. Here are some tips to help you manage a loved one’s anxiety.

Listen

Let your loved one know that you’re there to listen. Hold back judgment or unwanted advice, and simply be an ear. It will help them to know that they can speak to you openly, and that it’s okay to be repetitive with fears or thoughts. Let them know that they can call or text you any time to talk.

Don’t Bring It Up Too Often

It might seem counter-intuitive to avoid the topic of anxiety with your loved one, but simply talking about anxiety or panic attacks may trigger an episode for someone who suffers with this disorder. It’s fine to ask how they’re doing or discuss their anxiety if they want to, but make sure that they bring the topic up to you.

Spend Time

Spending time with a close friend or loved one can be very beneficial for the anxiety sufferer. Exercise and outdoor activities are especially helpful; sunlight and exercise are well-documented mood boosters. If you’re both being entertained, are out having fun, or just hanging out talking over coffee, this meaningful distraction keeps their mind off of their anxiety and on the activity.

Be Patient

You may struggle to empathize with your friend or loved one, or you may have difficulty comprehending what it means to suffer with anxiety. Anxiety disorders are not just psychological, they’re also chemical. Your loved one may understand that it’s not logical for them to feel fear or anxiety about something, but you can’t expect them to control their anxiety with that same knowledge. It will take time and a concerted effort on their part, but anxiety is a treatable condition.

Recognize Accomplishments

Make an effort to express pride in your loved one when you notice improvements. Acknowledgement of positive change after they have put in some hard work will be both beneficial and encouraging to their recovery.

If you or a loved one is suffering with anxiety or panic disorder and needs professional guidance from a licensed therapist, please contact my office today so we can set up an appointment.

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.

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.

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.

How to Cope with the Stress and Anxiety Caused by COVID-19

If you’re like most people, you are doing your best to stay calm during COVID-19 pandemic. But that can feel incredibly difficult at times. When not worrying about friends and loved one’s health, there’s also the conflicting information provided by the media and the economic ramifications of the virus that have people on edge.

Signs of Emotional Distress and 6 Ways to Cope

Everyone reacts differently to stressful situations, but most will exhibit some of the following signs:

  • Changes in sleep or eating patterns
  • Difficulty concentrating
  • Worsening of chronic health problems
  • Increased use of alcohol, tobacco or other drugs

If you are experiencing significant stress right now, here are some ways you can cope:

1. Limit Media Consumption

Hearing the media constantly spread panic isn’t good for anyone. It’s important to stay rational and do your own research to uncover facts from fiction as well as stay positive.

2. Nurture Your Body and Spirit

Be sure to get outside for some fresh air and go for a walk. Eat right and make sure to stay hydrated and get plenty of sleep. Avoid consuming too much alcohol and try and find fun ways to reconnect with your family.

3. Tap into Your Sense of Fun

If you have kids, look to them for some good old-fashioned playtime. Play hide and seek in the house. Create an obstacle course in the back yard. Watch some of your favorite funny movies. Laughter really is the best medicine so get plenty of it!

4. Support Your Local Community

Many local businesses are hurting right now. If you’re still getting a paycheck, consider buying a gift card from a local restaurant, gym, hair salon, etc. to give them revenue now and you can use the card later. This will make you feel great at the same time.

5. Be a Role Model

Remember, your kids will ALWAYS look to you first to see how they should be thinking and feeling about something. So move about each day calmly and confidently and reassure your kids everything will be okay because it will be.

6. Use Your Time Constructively

For many of us, there is a silver lining in this situation in the form of extra time. What can you do with the extra time that isn’t being used to drive an hour or more each day in commuting? Focus on using this time wisely. Maybe you have an ever-growing list of home projects that you just never have time to tackle. Tackle them now, you’ll feel great about it later.

 

If you find yourself becoming too stressed or depressed during this time, I encourage you to connect with me. Speaking with a therapist can help you cope with the situation and navigate the days ahead. I am currently able to conduct sessions over the phone or via Skype, so you won’t even have to leave your home if your state is in lockdown.

SOURCES:

https://www.ucihealth.org/news/2020/03/covid-19-anxiety

https://www.health.state.mn.us/communities/ep/behavioral/stress_covid19.pdf

4 Ways to Reduce Anxiety on Your Coffee Break

According to the Anxiety and Depression Association of America, anxiety disorders affect roughly 40 million people over the age of 18 in the United States. Though these disorders are highly treatable, only 36.9% of those with anxiety seek treatment. Perhaps this is because of busy schedules or a lack of insurance that causes so many people with anxiety to suffer in silence.

But there are proven strategies you can do that don’t cost a penny and take little time. In fact, you could do any of the following strategies on your lunch or coffee break. Here are some ways to reduce your anxiety:

Breathe Deeply

According to a study published by the Journal of Emergency Medicine, 30% of people who go to the ER with complaints of chest pain and no evidence of coronary artery disease are actually suffering from a panic attack. Why is this so common?

When we are stressed or anxious, we tend to over-breathe or under-breathe. This can cause dizziness and hyperventilation. Deep breathing is a powerful way to gain control over your breath and reaction to a panic attack. Studies show taking slow, deep, breaths soothes our nervous system and increases brain activity. And you almost immediately feel a calm settle over you. Try it for yourself.

Try Listening Meditation

One way to get your mind to settle down is to meditate. And one of the easiest ways to meditate is to practice listening meditation. This is exactly what is sounds like. Sit quietly, eyes closed, and begin to listen to the ambient sounds in the room. What do you hear? Buzzing lights? A fan? Someone cough? Birds outside? A lawnmower? Just be aware of all the sounds and try and expand that awareness to hear as much as possible. This form of meditation is fun and effective, because you cannot possibly listen, truly listen, and think at the same time.

Take a Walk

Nervous energy needs to go somewhere – it has to be burned. Taking a 15- minute walk around the block can be a great way to get rid of this energy while breathing deeply. As a bonus, your body releases feel-good chemicals like endorphins when you exercise.

Don’t Drink Coffee

Yes, I am asking you on your coffee break to not drink coffee. Or soda. Caffeine and sugar can exacerbate anxiety by making us feel jittery and nervous. You are far better off sticking with water.

 

I hope you will give these anxiety-busting strategies a try. If you feel they are not helping as much as you need and you would like to speak with someone, please get in touch with me. I’d be happy to speak a bout treatment options with you.

5 Strategies to Calm Your Anxiety Quickly

When you live with an anxiety disorder, any moment can become one that creates a slow-rising panic within you. Life is normal one second and the next, you feel your chest tighten and your heart begin to race. You may begin to hyperfocus on future events and find yourself getting lost in “what-ifs.”

To make matters worse, you may then begin to berate yourself for allowing the panic to get the best of you and begin to believe that all of those what-ifs are indisputable facts.

Luckily there are many powerful tools and techniques you can use to manage your anxiety effectively.

Breathe Deeply

The minute you feel a panic attack coming on, the first thing to do is stop and gain control of your breath. Deep, slow breathing sends a signal to our brains that everything is safe in our environment. Controlled breathing is one of the most powerful ways to activate your body’s relaxation response. It will take your mind and body out of “fight or flight” mode and put it instantly into a calm and relaxed state.

Accept That You are Anxious

It’s important to always remember that anxiety is “just a feeling.” And like all feelings, it can go as quickly as it came. You are having an emotional reaction to a string of thoughts. Accept your anxiety because trying to pretend it’s not happening will only make matters worse.

Let’s be clear – by accepting your anxiety, you are not resigning yourself to a life of eternal misery. You are not throwing in the towel and trying to suddenly like your anxiety. Nope. You are simply living a more mindful existence, being in the moment, and accepting whatever is in that moment with you.

Your Emotions Cannot Kill You

One of the most frightening things about a panic attack is the feeling that you are having a heart attack. But you aren’t. Your brain can and will play tricks on you, trying to get you to believe that you are in physical danger. But the truth is, you are not in physical danger. You are having an episode based on emotions and it will pass. Remind yourself of that as many times as you need to.

Question Your Thoughts

When your panic attack begins, your mind begins to throw out all sorts of outlandish ideas at you, hoping some of them stick. These thoughts are intended to keep the panic attack going.

Before you take any of these thoughts as reality and truth, question them. For instance, if your mind throws things out like, “No one here likes me. I am for sure going to screw this up. I probably left the stove on. And I’ll no doubt get stuck in bad traffic on the way home and maybe even get a flat so I will then be stranded, and on and on and on…”

Questions these ideas. Are you TRULY not liked by everyone around you? Most likely not. Are you really going to screw up? Probably not. Traffic? Well, maybe but a flat tire? Chances are no.

Always question your thoughts. You will usually find the majority aren’t very realistic or probable.

Visualize

Picture somewhere serene that brings you peace and calm. Maybe this is your grandparents’ old house or a lake you’ve visited before. Maybe it’s that fantastic beachfront condo from your last vacation. Just picture it in your mind’s eye and really put yourself there. See it, smell it, feel it. Feel how calm it feels to be in this space that is perfectly comforting and safe.

Use these techniques the next time you experience an anxiety attack. They should help you feel much calmer much sooner.

If you would like to explore treatment options for your anxiety, please get in touch with me. I’d would be more than happy to discuss how I may be able to help.

 

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