Embracing Change: Using Acceptance and Commitment Therapy (ACT) Tools to Tackle Anxiety

Anxiety can be an overwhelming and paralyzing force in our lives. It can make us feel trapped, unable to move forward, and disconnected from our true selves. However, there is hope. Acceptance and Commitment Therapy (often shortened as ACT) offers valuable tools and strategies to help individuals not only manage their anxiety but also lead a more fulfilling and meaningful life. In this blog post, we will explore some ACT tools that can be instrumental in handling anxiety.

Understanding Acceptance and Commitment Therapy (ACT)

ACT is a modern form of psychotherapy that combines cognitive behavioral techniques with mindfulness strategies. ACT is grounded in the belief that suffering arises from our attempts to avoid or control unpleasant thoughts, feelings, and sensations. Instead of trying to eliminate anxiety, ACT encourages individuals to accept it as a natural part of the human experience and commit to taking meaningful actions despite it.

ACT Tools to Handle Anxiety

Mindfulness and Present Moment Awareness

Mindfulness is a core component of ACT. It involves paying attention to the present moment without judgment. When dealing with anxiety, practicing mindfulness can help individuals become more aware of their anxious thoughts and bodily sensations. By observing these thoughts and sensations without trying to eliminate or suppress them, individuals can reduce their anxiety's grip on their lives.

A simple mindfulness exercise for anxiety involves taking a few deep breaths and focusing on your breath. When anxious thoughts arise, acknowledge them without judgment, and gently return your attention to your breath. This practice can create a sense of distance between you and your anxiety, allowing you to respond more skillfully.

Defusion Techniques

Defusion is the process of creating psychological distance from your thoughts. Anxiety often results from getting entangled in catastrophic thoughts and worst-case scenarios. ACT offers several techniques to defuse from these thoughts:

a. Name your thoughts: Give your anxious thoughts a funny or absurd name. For example, if you're worried about a work presentation, you could call it "The Nervous Noodle." This technique helps you see your thoughts as just thoughts, not objective truths.

b. Use metaphor: Imagine your thoughts as passing clouds or leaves floating down a stream. This visualization can help you detach from your anxious thoughts and see them as transient.

Values Clarification

An essential aspect of ACT is identifying and clarifying your values—what truly matters to you in life. Anxiety often arises when our actions are not aligned with our values. By recognizing and committing to values that are meaningful to you, you can make decisions and take actions that are in line with your authentic self, reducing anxiety in the process.

Committed Action

ACT encourages individuals to take action that aligns with their values, even in the presence of anxiety. This means stepping out of your comfort zone and engaging in activities that may trigger anxiety. Over time, exposure to these situations can reduce the intensity of anxiety responses and help you lead a more fulfilling life.

Self-Compassion

Anxiety can be exacerbated by self-criticism and harsh self-judgment. ACT emphasizes self-compassion as a tool for managing anxiety. Treat yourself with the same kindness and understanding you would offer to a friend facing a similar challenge. Self-compassion can create a buffer against the emotional impact of anxiety and foster a sense of resilience.

Acceptance

As the 'A' in ACT suggests, acceptance is a crucial aspect of the therapy. It's about accepting your emotions, thoughts, and bodily sensations, even when they are uncomfortable or distressing. Instead of trying to fight or suppress anxiety, acknowledge its presence and give yourself permission to experience it without judgment.

Acceptance and Commitment Therapy (ACT) provides a powerful framework and a set of practical tools for individuals struggling with anxiety. By embracing mindfulness, defusion techniques, values clarification, committed action, self-compassion, and acceptance, you can not only manage your anxiety but also move towards a more meaningful and fulfilling life.

Remember that anxiety is a natural part of the human experience, and it doesn't have to control your life. With the help of ACT tools, you can learn to coexist with anxiety while still pursuing the life you want to live. Embrace change, practice self-compassion, and commit to actions that align with your values—these are the keys to handling anxiety and unlocking a brighter, more fulfilling future.

By Kaitlin Lowey: Book with her here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

Exposure and Response Prevention (ERP): The Most Effective Treatment for OCD

If you're struggling with intrusive thoughts or obsessive-compulsive disorder (OCD) and seeking effective treatment, first of all I want to let you know that I see your struggle – and that you are not alone. What you are going through IS hard. And, there is hope, thanks to a treatment called Exposure and Response Prevention (ERP). This therapeutic approach has demonstrated remarkable success in helping individuals regain control over their lives by confronting their fears and breaking free from the shackles of OCD. In this blog post, I will guide you through the ins and outs of ERP and delve into each step of the ERP process.

Understanding Exposure with Response Prevention (ERP):

ERP therapy is a behavioral treatment that forms a cornerstone in the management of OCD. It revolves around the idea that through systematic and controlled exposure to anxiety-provoking situations (either real or imagined) along with refraining from engaging in related compulsions, you can learn how to relate to their anxiety in a healthier way. ERP empowers you to confront your fears head-on and make the choices that are in line with your values and goals. You will learn that a thought is just a thought – even if it is scary. You’ll also learn that if you go beneath the thought and lean into (even embrace) the feeling of anxiety beneath it with self-compassion, even if the anxiety increases for a bit, it does lessen. ERP is often used in conjunction with mindfulness and cognitive defusion practices from Acceptance and Commitment Therapy (ACT) that shift clients’ relationship with their own thoughts as well as with the experience of anxiety. 

Effectiveness of ERP in Treating OCD:

Extensive research and clinical evidence support the efficacy of ERP therapy as a highly effective treatment for OCD, both alone and in combination with medication. It’s been shown to be effective between 50 and 85 percent of the time. Numerous studies have consistently shown that ERP significantly reduces OCD symptoms, improves overall functioning, and enhances quality of life. While ERP doesn’t completely get rid of intrusive thoughts (because humans always have those), it does help clients manage their reactions to those thoughts so that they are no longer ruled by their OCD. 

Types of OCD Treated by ERP:

ERP therapy is effective in treating various subtypes of OCD. Whether your obsessions are centered around contamination fears, fears of causing harm or being responsible for harm, concerns about symmetry or order, or intrusive thoughts that challenge your core values or beliefs, ERP can be a powerful tool in your journey toward recovery. The flexibility of ERP allows it to be tailored to the specific themes and triggers that underpin your OCD symptoms, ensuring a personalized approach to your treatment.

The ERP Process: Taking One Step at a Time

1. Psychoeducation and Collaborative Goal Setting: The first step of ERP involves educating yourself about OCD, understanding its mechanisms, and learning how ERP can empower you to challenge its grip on your life. Together with your therapist, you will establish specific goals and identify the situations or triggers that cause distress. You will learn to shift your perspective on thoughts and also learn about the importance of accepting – even getting excited about – the experience of anxiety, instead of trying to push it away or become ruled by it. 

2. Building a Hierarchy of Fear: Next, you and your therapist will create a hierarchy of feared situations or stimuli. Starting with situations that elicit mild-to-moderate anxiety and gradually progressing to more challenging ones, this hierarchy serves as a roadmap for your exposure exercises.

3. Exposure and response prevention: In this step, you will purposefully and gradually expose yourself to the situations, objects, or thoughts that trigger your obsessions. You and your therapist will likely do this in session together, and you may be asked to try it at home as well. While the exposure may initially induce anxiety, it is essential to resist engaging in any associated compulsions or rituals. By resisting the urge to engage in compulsions, you will learn that anxiety subsides naturally over time.

4. Continued Practice and Generalization: As you progress through ERP, you will practice exposure and response prevention techniques consistently, both in therapy sessions and in your daily life. Over time, this regular practice will strengthen your resilience and enable you to confront OCD-related fears independently.

5. Maintenance and Relapse Prevention: ERP therapy emphasizes long-term success. Your therapist will help you develop strategies to maintain progress, cope with potential setbacks, and prevent relapse. By creating a relapse prevention plan, you will have the tools necessary to sustain the positive changes achieved during therapy.

Embarking on the journey of ERP therapy may seem daunting, but remember that change happens one step at a time. By embracing exposure with response prevention, you are taking an empowering step toward reclaiming your life from the clutches of OCD. The effectiveness of ERP in treating OCD, coupled with its ability to address various subtypes, makes it a powerful tool in your recovery arsenal. With the support of a qualified therapist and your commitment to the ERP process, you can break free from the limitations OCD imposes and rediscover a life filled with freedom, resilience, and renewed hope.

Remember, you are not alone, and there is hope for a brighter future.

Book with author of this blog post, Kaitlin Lowey, here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

Why anxiety is so hard to get rid of

By: Kaitlin Lowey, MHCI

Most people coming to therapy for anxiety have one goal: get rid of it. Anxiety is uncomfortable at best and debilitating at its worst, and it’s incessant. It can feel like the constant what ifs, watch outs, and you can’ts have taken over your mind. They don’t want to feel anxious, but they feel powerless against it. Some even feel defective – like something is wrong with them.

Here’s the thing: anxiety is often labeled as bad, but it’s not necessarily always a bad thing. I know, I know, it sounds counterintuitive – but hear me out. Anxiety plays a critical function in our lives. From an evolutionary perspective, anxiety was essential in pre-modern times. It told us to be on guard for possible bear attacks, poisonous berries, and other potentially life-threatening situations. Those who were vigilant and prepared for threats survived. 

Similarly, anxiety plays a protective role by helping us avoid real threats we’ve experienced in the past or have seen others experience. For instance, it tells us to use caution when driving in heavy traffic or prepare in advance for an important meeting. In other words, anxiety is an adaptive trait!

The problem is, anxiety can sometimes become overactive – like an overly-sensitive brain detector that goes off loudly at the slightest hint of possible danger. Why does this happen? Anxiety is associated with the oldest, most primal parts of the brain that are deeply connected with our body. Our body sends signals to our brain when it senses danger, and vice-versa. When anxiety is in high gear, we can’t reason with this part of the brain. It’s reactive and emotionally-driven. We enter flight, fight, or freeze mode – which is also referred to as being in a state of sympathetic nervous system engagement. When we are in this mode, our prefrontal cortex, which is the part of our brain associated with reasoning and executive functions, becomes less active or shuts down entirely. 

The question becomes, how do you get rid of your anxiety? 

There are many different schools of thought when it comes to addressing anxiety. These are just a few of the hundreds of therapeutic approaches, and the explanations are pared-down for brevity, but I hope they provide a high-level understanding.

A modern psychodynamic approach is based on uncovering unconscious thoughts and feelings contributing to the anxiety, and bringing them into awareness where they can be addressed. This often involves examining competing desires (such as the need for both freedom and closeness) as well as the influence of early experiences on expectations and beliefs. 

Humanistic counseling emphasizes the strength of client-therapist bond and puts the client in the driver’s seat. By reflecting the client’s thoughts and feelings with unconditional positive regard and acceptance, the counselor can help the client gain understanding and insight – and ultimately transform. 

In Cognitive Behavioral Therapy (CBT), clients identify patterns of thoughts, feelings, and behaviors associated with their anxiety – and the relationship between them. Then, they can enact a number of techniques to stop, reduce, or replace their unhelpful thoughts and learned behaviors with more helpful ones. 

Dialectical Behavior Therapy (DBT) was born out of CBT and has many similarities. However, the approach balances the behavioral change-focused aspects of CBT with acceptance of thoughts and emotions.

Using an Acceptance and Commitment Therapy Approach, clients seek to accept that anxiety is a natural part of life and use a variety of strategies to “unhook” themselves from difficult thoughts and feelings. They also identify their values and identify strategies to move in the direction of their values and long-term goals. 

In exposure therapy, clients learn to reduce their fear response through slow, controlled, and measured exposure (either imagined or real) to the thing that scares them. This approach is often used to address OCD and phobias. 

What all of these approaches have in common is the belief that once we have greater insight into ourselves, we can help our minds work for us, instead of against us.  

So, what approach is best for you? The answer is, it depends. Therapy is not one-size-fits all. Different strokes work for different folks. And many counselors choose to take an integrative approach, where they pull tools from different theories, based on what will work best for each client. 

Individuals seeking treatment should talk with their mental health professional about their goals and collaborate with their provider to create a treatment plan that feels right. And remember – anxiety is a totally normal human experience. There’s nothing wrong with you! And there is hope. 

I am honored to have Kaitlin Lowey, MHCI as a colleague on our multidisciplinary team at South Tampa Therapy!

Kaitlin joins her clients as they find relief, healing, hope, clarity, and transformation. She has helped individuals experiencing struggles with anxiety, stress, relationships, life changes, obsessive-compulsive disorder, intrusive thoughts, grief and loss, fertility and postpartum, motherhood and parenthood, athletic and career performance, perfectionism, identity, and self-worth. As an integrative therapist, Kaitlin collaborates with her clients to identify goals and choose research-supported therapeutic approaches that fit best. She offers in-person and online appointments.

Book with Kaitlin Lowey, MHCI here: https://SouthTampaTherapyBOOKAPPT.as.me/KaitlinLowey

Five Therapy Skills to Help You Stop Overthinking

Overthinking is a learned thought pattern that exacerbates anxiety. Overthinking is exhausting. Although it feels helpful to continue thinking about the given problem or stressors it is ultimately unproductive. Over thinking and anxiety are not inherently wrong because the brain is wired to keep you safe and scan for evidence to validate perceived threats. However, overthinking becomes unhealthy when it causes anxiety and takes away from enjoying your life and acting according to your values. This post aims to help you identify your overthinking patterns and to provide you with tools to start reducing those patterns. 

Four Types of Overthinking: 

• • Rumination about the past

• • Worry about the Future

• • Over-analyzing decisions

• • Social Anxiety (for example: why did I say that? what did they think?)

OK, so let’s go through the skills!

One: Noticing and naming 

We are often not aware of our thought patterns, so we need to get skilled at identifying our thinking. Start intentionally becoming aware of overthinking and when you notice it simply saying, “I am overthinking.” You could also ask a loved one or therapist to call you out when they notice you’re overthinking.  

You can also learn your triggers by observing when you start to ruminate. What time of day? What people or situations get your brain going haywire? If you are struggling to notice your overthinking, you could set an alarm on your phone every hour and check to see if you are ruminating or how much you have been ruminating that hour. At this point you can begin tracking it, so you have data to use as your start point on your journey towards overcoming overthinking patterns. 

Two: Setting Limits on Overthinking

Now that you’ve become aware of your overthinking and are addressing your triggers you can start postponing or scheduling times to ruminate. This sounds counter intuitive but setting these limits sends the message to your brain to stop nagging you because you WILL address it. It teaches you that you have some influence over your worry. When you’re just starting out it is a good practice to schedule “worry time” each day for one month. You could schedule 30 minutes, for example, every day to address your worries. After those 30 minutes you can purposefully go back to what’s important to you. 

It is important to try and never worry in your head. You could write it down, record a voice memo, or video on your phone or computer. The point is to get it out of your head. Other tools you could try are writing a pros and cons list or using a brain dump. Scheduling worry shows your brain there’s a time and place for worry.  

Three: Attention Shifting 

Our brains are thought producing machines constantly sending us thoughts throughout the day. The good thing is we do not have to attach to or internalize every automatic thought. There is a deeper you underneath your thoughts. You are the referee. You can learn to separate yourself from your thoughts so that you can choose which thoughts you will buy into and which ones you won’t. You can start separating from your thoughts by practicing mindfulness or cognitive diffusion skills. 

Visualization is also a great tool. Try viewing your thoughts like channels on a TV. When you notice you’re on the worry channel visualize clicking the remote to change channels. This might look like shifting from fearing all the things you can’t control to focusing on thinking or doing one thing you can. This is a form of shifting focus and putting your attention on thoughts that better serve you. 

Another skill is turning your attention away from worry and towards the present moment.  This shift is from inward to outward. In any given situation when you are worrying you can return to what is directly around you. 

What can you see? Hear? Touch? Smell? What people can you look at? What are you feeling inside your body? Can you feel your breath?

Beyond your worry there is a world right there outside of you. The more you practice these skills the easier they become. 

Four: Learn to shift from Abstract thinking to Concrete Thinking

Oftentimes overthinking is aggravated by an unhelpful thought pattern called Over-generalization. Over-generalizations keep us thinking abstractly versus concretely. For example, “why can’t I ever get my needs met.” This type of thinking leads to self-loathing and helplessness. So, try and Avoid WHY questions “Why can’t I ever get better? why do I always do this? why do I overthink so much?” These questions do not lead to anything actionable, so we need to shift from why to what questions. For example, “what is one small thing I can do today for my mental health?” Instead of asking “Why can’t I ever succeed at relationships” you could ask “what is one relationship skill I can work on.” Once you are aware of your overthinking, have set boundaries on when you will worry, and have begun to separate from believing all your thoughts it is important you ask what questions. It is far more effective to pick one step to work on than to catastrophize and ponder the why’s of your life and your situation. 

Five: Shift from overthinking to your values

Before you can stop overthinking, you must know what you do want more of in your life. Instead of thinking, “I do not want to overthink” it might be helpful to try thinking “what do I want in my life.” Avoidance increases anxiety in the long run so instead of distracting (or avoiding) your unhelpful thoughts try shifting your thoughts toward exploring what you really care about. What is most important to you right now? What do you want your life to be about? Overthinking tends to isolate and decrease the vastness of one’s world. Getting clear on your values and what you want out of life is one step to reverse the withdrawing nature of anxiety. I hope these tools helped you. If you would like more support in overcoming your overthinking, feel free to book a free consultation with me. 

https://shaundratherapyandwellness.squarespace.com/contact 

Warmly, 

Shaundra McGuire, MHCI  

A Lesson for those who feel Unworthy or “Never Enough”

The topic of self-worth is common amongst therapists who are passionate about guiding their clients towards relief from negative thinking, anxiety, and low self-esteem. To gain a sense of self-worth it is important to identify what subconscious (or conscious) beliefs you hold that might be blocking you from offering yourself UNCONDITIONAL positive regard.

The term unconditional positive regard was coined by the American psychologist Carl Rogers. Carl Rogers believed that all humans are inherently “enough” and “worthy.” It was Rodger’s mission to bestow upon all his clients the experience of being treated with unconditional positive regard. Spoiler alert: that is also my mission! 

Ok, but for the sake of this post let’s define the terms. I want to focus on the “unconditional” part. Unconditional means that no condition sets you up against your inherent worthiness. To believe you are worthy of unconditional positive regard you must identity what Rodgers called “conditions of worth.” Conditions of worth are the beliefs that block you from accepting unconditional positive regard and from feeling worthy for just being you. 

Conditions of worthy might go something along the lines of……

• If I am funny, people won’t notice my insecurities

• I am safe and worthy if I keep this job or make x amount of money

• If I am agreeable and quiet, I am acceptable.

• It is not okay to show who I truly am I can be a chameleon and be loved

• I must make peace; conflict will show that I am an angry person

• As long as I stay beautiful, my husband will love me

I could probably write thirty pages of hypothetical “Conditions of worth” but I will spare you from that. The point is that we all have internalized “conditional worth” beliefs learned from caregivers, parents, teachers, cultural messages, or religious institutions. 

Once you have taken in these messages as fact, your brain starts to scan for evidence that will validate that belief. 

For example, if you believe that “good people are agreeable and don’t pick fights,” every time your partner picks a fight or confronts you, you might push down your feelings or reactions to appease them.

You do this because, “good people don’t fight back” right? “Good people are agreeable” right? You can’t possibly share your truth or advocate for your feelings because if you do, you won’t be good, and everyone wants to believe they are good right? 

Do you see the danger in this type of thinking? Continuing to live in reaction to these beliefs, with a brain that is wired to scan for evidence that bolsters them, is essentially what creates the “inner critic” in our heads. The voice that does not sound warm and fuzzy. The voice that certainly does not speak unconditional positive regard to our dear souls. 

So, step one is to think about your parents, your family, your spouse, or your religious organization. Try to identify any messages you’ve learned that set you up against your inherent worthiness with any “condition” that you must meet. 

Once you are aware of these messages you can begin to externalize them. For example, when you hear the thought: 

“I shouldn’t speak up because I will be seen as too much” you might say “I notice I am having the thought that I shouldn’t speak up because I will be seen as too much.” You might say, “I am hearing my moms voice in my head.” At that, you might begin to chuckle as you notice that some of the thoughts in your head are not your true thoughts but merely conditioned beliefs that your little child brain absorbed as absolute truth. 

At this point, you have awareness which is a powerful tool. Once you’re aware you can choose not to put energy towards that thought and more importantly you can choose not to act in reaction to that thought. 

Sometimes we have all these negative feelings towards ourselves and fears that drive us. We identify with them and think they are us. What a relief when we can understand that those thoughts aren’t us. The inner critic is not you and you don’t have to act in reaction to it. 

My final thought is that when you experience anxiety when trying to go against the thoughts, remember that you can tolerate it. The only reason it feels scary is because you have never opposed those thoughts in the past. The more you notice them, do the scary thing and act from your thoughts (not your conditioned thoughts) the more you essentially become you. 

Maybe it is just me, but I don’t want to live in a world where I must earn my worth or worthiness. Most people when looking at an innocent child, inherently know there is something worthy about them regardless of what they do, how they look, what they say, etc. We are still those innocent children deep down. The more we live from a place of worthiness the freer we become to treat others with such unconditional positive regard. 

I hope this blog taught you something or sparked an insight. If you have questions about this topic or want to explore your past and conditions of worth, I offer free 15 min consultations and would love to get to know you. 

Shaundra McGuire, MFTI 813-298-8905

Book With Shaundra: https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

The Starved Brain: Why does your loved one with Anorexia think, feel, and act the way they do?

The Starved Brain: Why does your loved one with Anorexia think, feel, and act the way they do? 

If you have a loved one with Anorexia, you know more than anyone that eating disorders impact the entire family. It can feel like everything you know and have come to expect from your loved one changes overnight. I have had family members report to me: 

“It’s like he is a whole different person”

“Is my precious happy girl still inside that body?”

“My wife has always been the life of the party. That’s one of the reasons I married her, now I can’t get her to leave the house”

 It can be tremendously confusing and sometimes feelings of hopelessness emerge. That is very normal. It is scary. To understand these jarring changes, it is helpful to remember that Anorexia is a physical illness. It manifests, if not treated early, in significant weight loss and calorie restriction.  Your loved one is acting, thinking, and feeling the way they are because of what research tells us about The Psychology of Hunger. 

The Psychology of Hunger: The Starved Brain 

The most notable study conducted the starved brain was undertaken in 1948 by Ancel Keys, called “The Biology of Human Starvation or popularly known as “The Minnesota Starvation Experiment.” The purpose of the experiment was to demonstrate how the body and mind are affected by not eating, or by restricting food. In this study, healthy young men were observed under normal conditions then exposed to caloric restriction (1570 calories a day for 6 months). After the semi-starvation period, they were rehabilitated with the purpose of determining the most successful form of nutritional rehabilitation. Such a study would never be conducted in modern research, but the results were foundational in shifting perceptions and guiding modern treatment interventions for Anorexia. 

The Results

Below are the symptoms that were found at just 1570 calories a day for 6 months. *It is noteworthy that most sufferers of Anorexia eat far less than 1570 calories a day* 

• Physical: Less energy, reduced heart muscle mass, lower heart rate and blood pressure, headaches, decreased hormone levels, sensitivity to noise and light, a feeling of being cold all the time, loss of strength and greater fatigue and hair loss and dry skin.

• Emotional and Cognitive changes: Depression, anxiety, irritability, increased mood fluctuations, intense and negative emotional reactions, decreased enthusiasm, reduced motivation, impaired concentration, problem solving and comprehension, increased rigidity, obsessional thinking, and reduced alertness.

• Attitudes and behaviors related to food: Thinking about food all the time, eating very slow or very fast, increased hunger, unusual food routines and rituals, binge eating, increased use of condiments for flavor.

• Social changes: Feeling more critical of others, withdrawn and isolated, loss of sense of humor, feelings of social inadequacy, neglect of personal hygiene and strained relationships.

These men had no previous mental health diagnosis, significant childhood trauma, or any health conditions that would skew the results in any meaningful way. 

Implications

When working with sufferers and their family members I always share this study and pay special attention to highlight the results in the emotional/cognitive changes and social changes sections. I have seen the implications of this study reduce shame and destigmatize the individual suffering. I try to communicate that your loved one is still the same person you know; they are just experiencing the brains response to starvation. With appropriate nutritional rehabilitation and patience there is no reason to believe that most, if not all, of these symptoms will go away completely. The first step to treating Anorexia is weight restoration. Getting stuck in the “Why” vortex is tempting because the sufferer and family want to believe that if they knew why their loved one developed Anorexia it would give them the solution. Sometimes family members blame themselves: endlessly analyzing and hypothesizing about some unknown error they made. It is important to make sense of or peace with your loved one’s diagnosis but if there is anything you can do to support your loved one, it is to encourage them to seek nutritional rehabilitation first and foremost. I ask family members to avoid pathologizing their loved one. Going to therapy once a week while severely malnourished can be unfruitful  because of the starved brain. A therapist role is to encourage motivation for recovery, educate and normalize Anorexia, and celebrate the little wins. Once your loved one is weight restored, the deeper work can be done from a healthy nourished brain. Should you be a family member of a sufferer in early stages of recovery, the primary take-away is to remind yourself and your loved that their brain is starving and the way they feel, think, and behave are survival responses. Remind them that it is not their fault, and it will not feel like this forever. Your loved one is not ‘CRAZY’ nor has their character or personality fundamentally changed they are just starving.  

By Shaundra McGuire, MHCI

Book an appointment with Shaundra Mcguire:

https://SouthTampaTherapyBOOKAPPT.as.me/ShaundraMcguireMFTI

Additional resources for you and your loved one:  

https://www.nationaleatingdisorders.org/

https://www.gaudianiclinic.com/videos-press

References: 

https://www.eatingdisorderhope.com/information/anorexia/how-malnourishment-affects-the-brain-research-on-anorexia-and-neurobiology

https://eatingdisorders.dukehealth.org/education/resources/starvation-experiment

https://nedc.com.au/eating-disorder-resources/find-resources/show/issue-59-i-the-starved-brain-can-what-we-eat-determine-how-we-think

https://www.apa.org/monitor/2013/10/hunger

Healthy ways to Manage Stress and Anxiety

Stress and anxiety are emotions we often experience that cause us to feel a tightening in our body, making it harder to breathe, and bringing in negative thoughts. While experiencing these emotions from time to time is completely normal and serves a purpose, we can not allow these feelings to dictate our lives. This blog post will explore the different ways we can manage and control our stress and anxiety.

1. Take a minute to pause and think: When experiencing stress and anxiety it is important to pause and understand why we are feeling this way. Doing so will allow us to pinpoint what is causing our stress and anxiety and help us figure out what to do next.

2. Breathing exercises/ meditation: Take a minute to purposefully control your breathing. Doing so will allow you to focus on one specific thing and slow down you’re thinking and your heart rate. Meditation does the same exact thing; it allows you to intentionally think about one thing without outside distractions and other thoughts.

3. Get up and move: Sometimes the best way to release any pent-up anxiety and stress is to get up and move. Whether it be going for a walk/ run, going to the gym, or swimming, getting out that extra energy can help us release any unresolved or stress-inducing thoughts or emotions.

4. Getting enough sleep & eating a well-balanced meal: I know, I know you hear it often enough. Get 8 hours of sleep and eat healthily. As much as we don’t like to hear it, getting the right amount of sleep and eating right fuels our body with the right kind of energy that will propel us through the day. When we have that healthy energy we are less likely to become anxious and stressed because our bodies are charged and primed to take on difficult tasks.

5. Accept that you cannot control everything: We as humans have the instinct to want to be in control of everything in our lives, that way nothing can stop us from what we want to do. Unfortunately, it is not realistic for us to be able to control everything. We have to take accountability for ourselves, but also realize that there is a variable of life that will constantly be unknown. That can be scary to understand that we don’t have control of a lot of things, but we can find solace in the things we can control, ourselves and our reactions.

6. Positive Self-Talk: One great way to manage our stress and anxiety is to work on our positive self-talk. When we hear those negative voices making us anxious, we can combat them with positive thoughts or accept that we made a mistake and move forward without getting stuck in that negative loop. A great way to combat those anxious thoughts is to think about all the things you are grateful for at that moment or what you have done great so far today. Doing so will not only get rid of those negative thoughts, but it will also boost your self-esteem.

7. Self-Care: Finally, keeping up with your own self-care regimen will help keep your stress and anxiety at bay. We often think of self-care as taking bubble baths and relaxing, but it isn’t only that. Self-care is about evaluating where you are and what your needs are and taking the time to meet those needs. Just like getting enough sleep and eating a balanced meal, self-care allows your body to recharge with the right kind of energy you need to get through the day without being stressed out and anxious.

Although we may never be able to get rid of stress and anxiety, we have the tools to better manage those feelings. Utilizing these tools will allow us to not become overwhelmed when we feel anxious and stressed out. Instead, we will be better able to analyze where these feelings are coming from and meet whatever need is not being meant. 

By Bailey McConnell, MFTI

Resources

Powell, T., & Enright, S. (2015). Anxiety and stress management. Routledge. 

Ratanasiripong, P., Park, J. F., Ratanasiripong, N., & Kathalae, D. (2015). Stress and anxiety management in nursing students: Biofeedback and mindfulness meditation. Journal of Nursing Education, 54(9), 520-524.

Tips to Manage Anxiety and Stress. Anxiety & Depression Association of America. (2021, September 28). Retrieved from https://adaa.org/tips 

Van den Bergh, O. (2021). Principles and practice of stress management. Guilford Publications.

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3 Way to Help Your Anxious Child

Watching your child struggle with anxiety can be heartbreaking and leave parents feeling lost and helpless about how to help their child. On top of feeling helpless, as the anxiety grows, you may find that you are sacrificing more and more to lessen its effects on your child. The good news is that anxiety is treatable and there are things parents can do to help their kids overcome it. 

Here are three tips for helping your child through their anxiety:

1. Don’t avoid it

   • Anxiety grows bigger and stronger when we allow it to tell us what we can and cannot do. It might relieve the distress and uncomfortable feelings for a day, but it only reinforces the idea that avoiding what makes someone anxious is the only way to overcome it.

   • For many parents, when their child is in distress, their natural instinct is to try to help their child by taking what is causing that distress away. When dealing with anxiety, it makes sense why encouraging a child to face their fears and subjecting them to discomfort is counterintuitive for a lot of parents. However, supporting your child through doing scary things and not helping them avoid what triggers their anxiety, only works to make the anxiety bigger.

1. Offer Support

• Another way to respond when your child’s anxiety shows up is to offer them support through it. Support in this sense involves two parts. First, acknowledge what your child is feeling. Let them know that you see it is hard for them and empathize with what they are going through. Second, instill confidence in them that no matter what happens you know they will get through it. We may not be able to assure them that everything will be okay but they can make it through the hard feelings.

• If your child is suffering from severe anxiety and is not ready to face their fears, start small and introduce them to the idea that avoidance only makes the anxiety worse. Starting a conversation with them about how they think they should start facing the anxiety is a great way to get them involved.

1. Find a therapist

• Finding a therapist who is CBT informed can make a huge difference in the life of an anxious child or teen. Cognitive Behavioral Therapy allows a child to be gradually exposed to things that trigger their anxiety in a safe setting. Children can also learn techniques for identifying their anxious feelings and valuable coping skills for when they come up.

• Therapists can also work with parents to focus on behavioral changes that parents can make to increase their child’s tolerance to anxiety. Parents and therapists work to gradually decrease accommodations that the family may be making that are not only making the anxiety bigger, but may also be causing a lot of stress to the family as a whole.

By Amanda Kohl, MCHI

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Emotional Flooding

Emotional Flooding happens when one or both partners pulse rises quickly casting emotion to be stronger that reason. When you are neurologically emotionally flooded you say and do things in an extreme fashion that are often damaging to the relationship. Julie Gottman interview explains how you have to take a break at least 20 minutes and not talk about the fight. When both are calm, and it can take more than 20 minutes but that is a minimum, you can try again.

Anatomy of Anxiety and Panic

Why Am I So Anxious?

Why Am I So Anxious?

Fact: You Cannot Be Anxious and Relaxed At The Same Time! Therefore, the antidote to anxiety = relaxation...

Every human feels anxiety on occasion; it is a part of life. All of us know what it is like to feel worry, nervousness, fear, and concern. We feel nervous when we have to give a speech, go for a job interview, or walk into our boss's office for the annual performance appraisal. We know it's normal to feel a surge of fear when we unexpectedly see a photo of a snake or look down from the top of a tall building. Most of us manage these kinds of anxious feelings fairly well and are able to carry on with our lives without much difficulty. These feelings don't disrupt our lives.

But millions of people (an estimated 15% of the population) suffer from devastating and constant anxiety that severely affects their lives, sometimes resulting in living in highly restricted ways. These people experience panic attacks, phobias, extreme shyness, obsessive thoughts, and compulsive behaviors. The feeling of anxiety is a constant and dominating force that disrupts their lives. Some become prisoners in their own homes, unable to leave to work, drive, or visit the grocery store. For these people, anxiety is much more than just an occasional wave of apprehension.

Types of Anxiety Disorders

An anxiety disorder affects a person's behavior, thoughts, feelings, and physical sensations. The most common anxiety disorders include the following:

Social anxiety or social phobia is a fear of being around other people. People who suffer from this disorder always feel self-conscious around others. They have the feeling that everyone is watching them and staring at them, being critical in some way. Because the anxiety is so painful, they learn to stay away from social situations and avoid other people. Some eventually need to be alone at all times, in a room with the door closed. The feeling is pervasive and constant and even happens with people they know.

People who have social anxiety know that their thoughts and fears are not rational. They are aware that others are not actually judging or evaluating them at every moment. But this knowledge does not make the feelings disappear.

Panic disorder is a condition where a person has panic attacks without warning. According to the National Institutes of Mental Health, about 5% of the adult American population suffers from panic attacks. Some experts say that this number is actually higher, since many people experience panic attacks but never receive treatment.

Common symptoms of panic include:

·    Racing or pounding heart

·    Trembling

·    Sweaty palms

·    Feelings of terror

·    Chest pains or heaviness in the chest

·    Dizziness and lightheadedness

·    Fear of dying

·    Fear of going crazy

·    Fear of losing control

·    Feeling unable to catch one's breath

·    Tingling in the hands, feet, legs, or arms

A panic attack typically lasts several minutes and is extremely upsetting and frightening. In some cases, panic attacks last longer than a few minutes or strike several times in a short time period.

A panic attack is often followed by feelings of depression and helplessness. Most people who have experienced panic say that the greatest fear is that the panic attack will happen again.

Many times, the person who has a panic attack doesn't know what caused it. It seems to have come "out of the blue." At other times, people report that they were feeling extreme stress or had encountered difficult times and weren't surprised that they had a panic attack.

Generalized anxiety disorder is quite common, affecting an estimated 3 to 4% of the population. This disorder fills a person's life with worry, anxiety, and fear. People who have this disorder are always thinking and dwelling on the "what ifs" of every situation. It feels like there is no way out of the vicious cycle of anxiety and worry. The person often becomes depressed about life and their inability to stop worrying.

People who have generalized anxiety usually do not avoid situations, and they don't generally have panic attacks. They can become incapacitated by an inability to shut the mind off, and are overcome with feelings of worry, dread, fatigue, and a loss of interest in life. The person usually realizes these feelings are irrational, but the feelings are also very real. The person's mood can change from day to day, or even hour to hour. Feelings of anxiety and mood swings become a pattern that severely disrupts the quality of life.

People with generalized anxiety disorder often have physical symptoms including headaches, irritability, frustration, trembling, inability to concentrate, and sleep disturbances. They may also have symptoms of social phobia and panic disorder.

Other types of anxiety disorders include:

Phobia, fearing a specific object or situation.

Obsessive-compulsive disorder (OCD), a system of ritualized behaviors or obsessions that are driven by anxious thoughts.

Post-traumatic stress disorder (PTSD), severe anxiety that is triggered by memories of a past traumatic experience.

Agoraphobia, disabling fear that prevents one from leaving home or another safe place.

Treatment Options

Most people who suffer from anxiety disorders begin to feel better when they receive the proper treatment. It can be difficult to identify the correct treatment, however, because each person's anxiety is caused by a unique set of factors. It can be frustrating for the client when treatment is not immediately successful or takes longer than hoped for. Some clients feel better after a few weeks or months of treatment, while others may need a year or more. If a person has an anxiety disorder in combination with another disorder (such as alcoholism and depression), treatment is more complicated and takes longer.

While a treatment plan must be specifically designed for each individual, there are a number of standard approaches. Mental health professionals who specialize in treating anxiety most often use a combination of the following treatments. There is no single correct approach.

Cognitive Therapy

The client learns how to identify and change unproductive thought patterns by observing his or her feelings and learning to separate realistic from unrealistic thoughts.

Behavior Therapy

This treatment helps the client alter and control unwanted behavior. Systematic desensitization, a type of behavior therapy, is often used to help people with phobias and OCD. The client is exposed to anxiety-producing stimuli one small step at a time, gradually increasing his or her tolerance to situations that have produced disabling anxiety.

Relaxation Training

Many people with anxiety disorders benefit from self-hypnosis, guided visualization, and biofeedback. Relaxation training is often part of psychotherapy.

Medication

Antidepressant and antianxiety medications can help restore chemical imbalances that cause symptoms of anxiety. This is an effective treatment for many people, especially in combination with psychotherapy.

The treatment for an anxiety disorder depends on the severity and length of the problem. The client's willingness to actively participate in treatment is also an important factor. When a person with panic is motivated to try new behaviors and practice new skills and techniques, he or she can learn to change the way the brain responds to familiar thoughts and feelings that have previously caused anxiety.