anxiety Archives - Page 5 of 12

Hand hygiene. Person in the bathroom is cleaning and washing hands with soap

Anxiety, Stress, Social Distancing, & Healthy Control

By Mandi C. Dalicandro-Turk MSPC, NCC

Anxiety, frustration, change, and uncertainty are a realistic and at times, a stressful part of life that humans grapple with. Currently, society as a whole is in a pandemic with many feeling highly anxious, fearful, and uncertain of the Coronavirus (COVID-19) and the long-term impact on society, the economy, loved ones, and the outcomes of overall health and wellness. It’s natural to have fear and anxiety of the unknown; to feel your healthy controls are being taxed and possibly becoming depleted.

During this time of uncertainty in the weeks to follow, there are ways to feel reasonably prepared while decreasing stress, anxiety, and worry.

Consider the following:

Grappling with Anxiety & Stress

For those experiencing anxiety, that have anxiety disorders, and/or a predisposition to stress, the fear and worry about the health and wellness of you and your loved ones, the economy, finances, having essential medications and supplies over the next few weeks or longer can feel overwhelming for some. Others are frustrated with feeling society is over preparing. Most are hoping for a level of preparedness and a positive outcome without mass hysteria.

During times of chaos and confusion, many seek out information from the news, social media, and other sources. It’s important to stay informed, it’s also vital to find good information based on statistics, data, and facts. Choosing how much to engage in information and when to disengage (put your phone down) assists with lowering feelings of uncertainty, of being out of control, and catastrophizing what is happening in the world around you. It’s normal to feel a sense of uneasiness, vulnerability, anger, confusion, and cognitive dissonance about the future.

It can be stressful for families and for parents to know how to talk with children about what’s happening. Being open, honest, and factual is important on an age appropriate level. In addition, it’s important to balance your own fears during conversations and to do your best to monitor your own anxiety, anger, and stress to keep from instilling an unnecessary foundation of anxiety in children to potentially grapple with. It’s an opportunity to open a dialogue for critical thinking about individual feelings, values, the meaning of exploring those feelings moving forward, and how a person can learn and grow from what is happening.

It’s natural to feel the physiological and psychological impact of anxiety, it’s a protective mechanism; the fight or flight response in humans and animals. However, it’s what you do with the anxiety and stress you’re experiencing. Check in with yourself on how intense your feelings are, how long symptoms are lasting, and how your daily life is impacted. Implementing realistic expectations, allowing for flexibility, tapping into positive coping, tolerating frustration, and adapting for what is within your healthy controls day to day can help with lowering symptoms and the long-term impact. It’s beneficial to spend time in the present moments, practice gratitude, and enjoy yourself as much as realistically possible.

Social Distancing

Social distancing puts individuals at risk for social isolation; especially when depression, anxiety, stress, and other mental health issues are present. It’s important to have awareness of the differences between social distancing and social isolation by checking in with yourself on how you’re feeling day to day. Consider what activities you’re engaging in or not doing at all. This is a good opportunity to carve out time to rebuild a relationship with yourself, reflect on what’s important, watch the sunrise or sunset, and connect with family and friends via phone, social media, or through email. Getting back to basics can feel healing and reaffirming; especially when focusing on significant and already established relationships. Make family time fun by keeping it simple. Hopefully, this is a time for children, adolescents, and adults to take a break from the high stress and pressures of a few daily responsibilities and obligations.

With that being said, if you’re in a stressful situation at home whether it’s due to a strained relationship with your partner or feeling overwhelmed by stress and responsibilities, take time away to rebalance. Consider listening to music, going for a walk or run, spend time with your furry friends, laugh and enjoy yourself, and do your best to focus on who and what you do have in the present moment, which includes your relationship with yourself. Check out online options in your community for working out, yoga, supports, and keeping up with physical and mental health. Focus on your strengths, tap into your supports, and treat yourself with compassion.

Healthy Controls

It’s beneficial to be present and work within what is in your healthy controls. Healthy control is different than attempting to control uncontrollable factors and attempting to control those around you in unhealthy and damaging ways. Healthy control is an internal sense of strength, presence, and balance. It’s trusting yourself and valuing where you are, what you’re feeling, and what is best in moving forward. Therefore, it’s making decisions that work well for you and your loved ones in ethical and healthy manners. Putting life in perspective, having a level of preparedness, and moving forward from there realistically.

Allowing some time to decompress and enjoying time with those in your shared environment as much as possible is within the realm of healthy control. Check in with yourself and your loved ones; if your mental health or your loved one’s mental health is suffering and/or you or a loved one is struggling, feeling overwhelmed, and need to talk, reach out for support. Therapy where you’re meeting face-to-face online through a HIPAA secure site from the comfort of your own home is a safe, healthy, confidential, and convenient way to work with a therapist and to begin the healing process.

In conclusion, find ways you can feel content, ways you can help yourself feel balanced, and reasonably safe without adding undue stress, anxiety, and social isolation. Do your best to plan in realistic areas and to take one day at a time when planning isn’t possible. Consider where your information is from, look for statistics and data to assist with keeping anxiety and the stress of the unknown as low as possible. There are many opportunities for self-reflection, growth, connecting with loved ones, and to engage in healthy and beneficial ways. Seek out the support of an online therapist if you’re feeling overwhelmed; even in the midst of a pandemic you can get the help you need. It’s important to treat yourself well, with compassion, and to check in on how you’re feeling.

Keep first responders, medical professionals, and individuals at increased risk for direct exposure in your thoughts, and individuals with higher risk for complications too. It’s important to come together as a community in safe and healthy ways to increase feelings of belonging and to decrease anxiety, stress, fear, and social isolation.

Stay safe, healthy, and well!

Learn, grow, & enjoy,
Mandi

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Mandi Dalicandro-Turk writes about a variety of topics related to mental health, behavioral health, relationships, stress, anxiety, aging, grieving, self-care, therapy, and improving one’s overall quality of life.

girl running through flowers in spring time

We Get Spring

There’s a catchy pop song that was a big hit a few years back, and part of it echoes so plainly in my ears now: “How am I going to be an optimist about this?” That song was about Pompeii, and what’s swirling around us these days is, no doubt, just as much of a candidate for the history books.

I don’t really know how I’m going to be an optimist about this, but I may have one little idea: I will sleep when the baby sleeps.

For those of you who aren’t parents, the phrase “sleep when the baby sleeps” is given to new* parents to remind them that they too need rest, and that you’d better get while the getting is good. Of course you want to stay up and fret about whether your baby is breathing in the night. Of course you want to gaze for hours at their features while you hold them in the moonlight. But babies wake up, and cry, and nurse, and because you didn’t sleep while the baby slept, you’ll be tired and cranky the whole time, and possibly want to throw anything within arm’s reach at your napping husband.

And so it is in these long, languishing days of quarantine, I will sleep when the baby sleeps. Not really sleep, of course, because my kids are much too fond of crawling all over me and incessantly asking me questions, but I will just focus on what the immediate need is, at this moment. It’s all I can do. It’s all anyone can do.

Farmers have a similar saying: “Make hay while the sun shines.” There’s no point in making hay while it’s raining; it’d get ruined. So instead, you clean the dishes or wash the walls or count raindrops sliding down the window. You do what you can with what you have in front of you.

We all want to make hay, I get it. We all want to watch the baby sleep. But most, if not all of us reading this will need to pretty much be sitting in their homes, where those things just cannot – or should not – get done. So what can you do? How can you be an optimist about this?

I can’t answer that for you. But for me, it’s truly getting down to the brass tacks. The minutiae of it all – what’s in front of you.

We have more time for walks, the kids and I, because we’re homeschooling now and there’s no one to tell us no. The smallest buds are coming out, and the robins have soared back into the yard, looking for bits and bobs to feather their nests. My kids are excited that Spring is earlier this year. “Because the groundhog didn’t see his shadow!” Says the oldest. “Yeah!” chimes the younger. “Punkshatawney Film didn’t see it! We get Spring!”

We get Spring. Yes, we get trouble, too. But we get Spring. Enjoy it! And take a nap, when you can.

Until next time, be well!
Christy

*This advice is only for first-time parents, because once you have more kids all bets are off…unless there’s a tremendous gap in age between your kids and you have one newborn and one teenager who works and can drive themselves anywhere they like. Well done to you, I say.

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About the author: Christy Gualtieri is a freelance writer specializing in pop culture, religion, and motherhood. She lives in Pittsburgh with her husband and two children. Christy also blogs at asinglehour.wordpress.com and tweets @agapeflower117. You can follow her here on eTalkTherapy for inspirational articles and different perspectives as they relate to good mental health.

Young girl and mother playing hide and seek

Seeking

“Mom, can you hide like this?” My four year old asked me, as she covered her eyes and started to walk through the room, counting “One…two…three…”

“Oh, you mean like hide and seek?”

“Yeah!”

I watched her walk, still counting aloud, with her tiny hands over her closed eyes. I put an arm out so she wouldn’t walk into the wall. “It’s not a good idea to walk when you’re counting,” I told her. It’s best to keep your eyes open when you’re seeking.”

I thought about that last phrase for a while, after she uncovered her eyes and wandered over to start another game, this time with her dolls.

It is best to keep your eyes open when you’re seeking.

It’s such an interesting time in the world right now. We’re shown images – constantly, everywhere we look – of how we could (or, really, “should”) be. We’re also, in almost equal amounts, shown images and told words of how important it is to accept ourselves as we are. And we’re caught in the middle, staggering from one side to the other, trying to “be all we can be” while simultaneously trying to be perfectly satisfied with where we’re at now.

But are we satisfied? And can we ever be perfect?

The answer to both is probably no. We know we can never be perfect, because we know that perfect is an illusion. The person with one Instagram follower wishes for more just as the Instagram owner with one million followers does. The grass is always greener; the horizon is always just beyond; the kids could always be just that more well behaved; the dog could be better about shedding its fur all over the house.

So we know perfect doesn’t exist. But we could know that truth, understand it, and still not be happy with where we are today. We’re not satisfied, and that’s fair. Things may not be perfect but they could be better, and we can have a large part in attaining that for ourselves.

But we won’t, if we don’t seek it out for ourselves. And we can’t seek with our eyes closed.

It’s okay to look at ourselves objectively and work on ways to make ourselves kinder, more efficient, more punctual, less gossipy, whatever it is. It’s okay to say to ourselves, “You know, I love you and there are so many good things about you, but maybe we can start to work on this area of our lives so that not only others in the world will have an easier time of it, but it will help us too.” It won’t be a detriment to us to be more patient, or more loving, or more generous. It will, of course, in the short term. It’s not easy to be more generous, even though we want to be. It’s not easy to be kind, and it’s certainly not easy to be patient. But we can be, even just a little bit more than yesterday.

In this season of Spring that will be here right before you know it, this time of renewal, what can we find within ourselves that can be cultivated, grown, tendered? How can we change for the better, and still love ourselves in the process?

How can we open our eyes?

Until next time, be well!
Christy

***

Woman puts roses in vase. Housewife taking care of coziness on kitchen decorating with flowers.

Flowers in Bloom

The vase needs water; at this rate, the flowers won’t last much longer. So I pick up the glass vase, still full of greens, reds, purples and yellows, and bring it to the sink. I lift up the stems, trying to avoid the thorny ones, and stream some fresh water in from the tap. I bring it back to its spot on the wide, flat windowsill, and admire the way it is a lively contrast to the bare, winter-naked trees just outside.

I only have one vase, at least that’s the way it seems. I’ve gotten a few over the years but they’re scattered somewhere, surely full of dust, and one full of old palms that have become crispy over time. I didn’t want to risk a pile of palms crumbling all over my living room floor, so all of the flowers have gone in the one remaining vase.

The red roses are the freshest, just a few days old. Lovely and plump for Valentine’s Day, straight from the grocery store (my unironic favorite – seriously, grocery store flowers last a long time!) along with armfuls of goodies for the kids. Then come the baby’s breath, then bunched in the middle is the wildflower bouquet from the neighbor, marking the four years it’s been since my mother died. She’s so sweet to remember, every year, without fail – one of the only ones who doesn’t need a Facebook post to be reminded. This year was harder than the last, I think, for reasons I am not entirely sure of, and so this year the flowers (and their lovely colors, both ordinary and extraordinary at the same time) were especially welcome.

Such a simple thing, flowers in a vase, sitting on a windowsill. But it does not escape me that the roses, given to me on a day that signifies love, surround the flowers that remind me of loss. In this vase, love and loss do not exist without the other. I didn’t plan that arrangement. I really just pushed the flowers in where they fit, but there it is just the same; and it is because of this particular mix of flowers that I feel especially grateful today: that I am on all sides cared for and loved during the moments of my life that are the hardest.

My wish and hope for you is the same: may you always be surrounded by love and beauty, even in the most difficult of times.

Until next time, be well!
Christy

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woman in red hat, sunglasses and suit of 90s with VHS cassette

The Things That Stay

A couple of weeks ago, a friend and I went to the movies to see the new remake of Little Women. (I love the story, and the adaptation was pretty enjoyable! I’d recommend it.) On the way there, the song “No Scrubs” by TLC came on the radio, and although it’s rare to hear it, the station had decided to include the rap solo that usually gets cut out of radio edits. The rap mentioned the word “Filas,” which most members of the late Gen-X (of which I am a member) and the early Millennials will recognize as a shoe brand. They were the brand that everyone wanted when I was in high school. The most popular kids wore them, great pains were taken to make sure they were kept clean, and plenty of famous people sported them when they went out.

I do not intend any disrespect to the company, which is still around and I am sure continues to make fantastic products, but I had not thought about Filas in a solid twenty years before that car ride. That led me to wonder about the things that last, not only fads that have had their time in the sun, but the things that last for us personally. What are the things that you were so invested in decades ago that you’ve completely forgotten now? What personal claims did you stake? What were the biggest issues that consumed you and eventually fell away with time?

And for that matter – what things stayed?

Little Women was first published in the late 1860s and has been remade several times for a reason – its themes of sisterhood, young love, feminism and sacrifice have resonated with each generation that have come after it. Those things have all withstood the test of time. Plenty of books and movies have come and gone and will never be heard from again. (Although I did just hear that there’s another installment of the “National Treasure” movies in the works, so maybe not all is lost.)

It’s kind of funny to think about the things that stay. How the things we worry about so much only stay because we hold onto them so tightly. What are the things in your life that you’ve held on to – for better or for worse? We all have things we should let go of but we just can’t, no matter how hard we try; and maybe it’ll be years before we finally let them go. But there are things that we hope will be around a good long time more than we will, the invisible laws that are written on our hearts. Love. Kindness. Mercy.

If you have a few seconds, take some time to think about the things you want to keep in your life. What do you want to pass on to the next generation? What things matter the most, and which are just a flash in the pan? Maybe it would do you good, and all of us, really to orient ourselves and put our energies into those things, the lasting things. All the rest, as they say, can be history.

Until next time, be well!
Christy

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Attitude of Gratitude

Confession time: I don’t like writing thank you notes. I am thankful, of course, for the things I receive; and I very much appreciate the people I receive these things from but as a parent with very little extra time in my day, it’s hard to find the energy to sit down, pull out a stack of cards, and think of all I want to say to thank someone for a gift. And because I am of the unfortunate generation that grew up writing things by hand but transitioned to mostly typing on a computer, just the sheer effort of physically writing the words gets tedious a lot earlier than it used to. (I know exactly how absurd this all sounds, by the way. But it’s true!)

Although I don’t like actually writing them, I do very much love the idea behind writing them, because I understand that buying things – and especially making things – for someone else takes time, and effort, and thought; and it’s something that needs recognition and my appreciation! So this year, after dutifully writing down who gave what gift to each of my family members, I’m sitting down to write my Christmas thank yous; and doing so gave me the chance to think about the idea of gratitude and what it means to be thankful every day of the year, not just on Thanksgiving or after a birthday or when someone does something nice for you.

What does it mean to be thankful when it’s an ordinary day, when there’s work to go to and bills to pay and a family to cook and clean for? What does gratitude look like for you when it doesn’t appear that you have anything to be thankful for? How can we start living lives that are thankful even when there’s no extra reason to be?

Well, one way may be to look beyond the obvious. Sure, it’s easy to be thankful when someone shows up at your door with a gift or when someone helps you out; but we can start much smaller than that: by looking at ourselves. We’re not perfect, and not all of us have perfect bodies, but there’s plenty of things about our bodies we can be thankful for right now. Sure, you may have a bad haircut; but if you’re reading this right now, you have eyes (at least one) that can see this and a brain that can understand it. We can be thankful for that! If you can’t see and someone is reading this to you, then you have ears to hear it! We tend to be fixated on the parts of our bodies that we don’t like, but we can celebrate the ones that do. We can be thankful for our educations, our abilities, and the tiniest things that bring us joy.

We can even take it outside ourselves: there’s our families, our relationships, our cities, our communities. And even if those bring you pain, keep breaking it down to the point where you can find one thing to be thankful for about them. Sooner or later, you’ll find something and when you find one thing, you’re bound to find more.

Everyone knows someone who has been so beaten down by what life’s given them that they can’t see any of the good. If you know someone like that, please, please encourage them. Find something that you like about them and let them know about it because it can make all of the difference in the world. And if that someone is you, try – even just the smallest effort is something to celebrate – to find the closest thing to you that you can be thankful for. Even if it’s not joyful, it will help you learn to look for the good around you instead of constantly turning toward the bad. Slowly, slowly, little by little, we’ll begin to adopt the kind of lives that bring joy to others and to ourselves, so much so, that maybe we won’t just save all the giving thanks for holidays. We can really, truly live it all year.

Until next time, be well!
Christy

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Girl posing against the background of decorated trees

This Little Light

It’s all going by so fast this year, isn’t it? I guess with Thanksgiving so late, it seems like the whole world is in a mad rush – even more than usual! So many things crowd our minds: what gifts do I need to get for my kids’ teachers? What parties do we have when? Why do I need to see my relatives at dinner, but what would happen if I backed out? What if I get the wrong gift? I worked so hard all year – what if I don’t get any gifts, and I continue to feel so unappreciated?

And why does it have to be dark outside more than it’s light? I leave for work in the dark, come home in the dark!

It all feels like so much darkness!

My husband used to say that his least favorite day of the year was the first day of Summer, because “it all goes downhill from here.” The days start to get shorter, and we lose the light. You don’t see it much, of course, in July and early August when the sun doesn’t even begin to go down after 8:00 pm, but gradually, ever so slowly (and then all in a rush), it gets dark.

Human beings have a complicated relationship with darkness, but it’s fair to say we crave the light. Even when it’s bitterly cold and dark outside, we’re cheered by thoughts of cozying up to warm firelight, or the light of a lamp in the kitchen as we’re eating dinner. We’re innately drawn to – even if we’re suspicious of it at first – a joyful person who exudes a bright personality, and innately shun people who drag around like little Eeyores with dark clouds hanging over their heads.

We like the light, even if the light hurts us. In Plato’s Allegory of the Cave, he introduces the idea of adjusting to light once we’ve seen it and can no longer “unsee” it. Light is knowledge. We have “bright” ideas. We’ve come to realizations and “seen the light.”

You may be walking in darkness right now. If you are, I am so sorry. I’ve walked through periods of darkness in my life, and I’m sure I will again. We’re all human, and that’s what we do. Our lives are made up of the good and the bad – of the fortunate circumstances and the unfortunate ones. Maybe 2019 wasn’t your year. Or 2018, or all the way back to 1999, when the promise of a new millennium was what you needed to start fresh…and it didn’t deliver.

2020 may be your year! Or it might not. And that’s okay. It’s okay because there will be light.

It might not be as bright as you want. It may be a tiny little flicker of hope. But I promise you, it will be there. It may shine from the unlikeliest of places or it may come from you. But it will come. No matter how tiny that little spark is, the darkness cannot overcome it. Draw yourself closer to that light this upcoming year. It may be small. It may be tiny. But it will be the light. And the more you are drawn to it, the bigger it will be; and my hope for you this next year is that you kindle that light until it creates a fire in your heart that others can draw close to to warm themselves – and from there, truly spread love throughout the world.

An ancient Chinese proverb says “It is better to light one candle than to curse the darkness.” If you are able to let your light shine, the whole world will be better for it! And if you need yours lit, find that small light in your world and get to know it better. Then, no matter how dark it may feel in your life, you will not be overcome by it. And if you’re not overcome by the darkness, just imagine how wonderful it all could be.

Until next time, be well!
Christy

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You Will Be Visited By Three Spirits

An Existential Yuletide Greeting
by Don Laird, NCC, LPC, DCC

“Before I draw nearer to that stone to which you point,” said Scrooge, “answer me one question. Are these the shadows of the things that Will be, or are they the shadows of things that May be, only?”

Scrooge. A word that can immediately conjure images of a bitter and heartless man concerned more with greed than humanity; a cultural archetype of someone wanting nothing further to do with his species and one who has no use for words like “compassion” or “care.” Yet, on closer examination, Scrooge’s story reveals some remarkable insights for our modern times. There are facets to his narrative that are ostensibly universal. Yes, a harsh commentary on the mores of his time, but Scrooge is more relevant today than ever.

On its surface, Dickens’ Victorian yarn can be simply read as “Being a Ghost Story of Christmas.” However, there is much at stake for our cultural and individual well being in this seasonal tale. In fact, I assert to you that Charles Dickens’ seminal 1843 work A Christmas Carol remains one of the finest examples of existential psychotherapy ever written (albeit in fictional form). The tale of Ebeneezer Scrooge opens a time and space for self-reflection for those who want to examine life in a meaningful and in-depth fashion. This is not about instant transformation for the client, positive psychology to sooth the therapist’s fears, or worse, wishful thinking from both parties. It is an existential crisis that is illuminated by one of the key tenets of psychotherapy – fear of death.

We all know the story, so it is here that I wish to briefly highlight the other side of Scrooge. No one arrives at a certain point in their development without a back story, and Scrooge’s history is one filled with disappointment and neglect. He is an ignored and isolated child, abandoned even at Christmas by his family and friends. Scrooge knows pain all too well at an early age. The world around him and its inhabitants are not to be trusted. People, above all, should be shunned. They are to be feared as they need and require emotional attachment and engagement. These qualities are easily dismissed by a young man whose growing trust in currency and greed will engulf his life for years.

In the beginning of A Christmas Carol, Scrooge exemplifies one of the central canons of existential depression and anxiety, that one has always been this way, and one always will be. There is a loss of agency and caustic determinism quickly fills in this void. When the Ghost of Christmas Yet to Come points at the tombstone, Scrooge understands for the first time that life can be written differently: what seems to be etched in stone isn’t. The specter’s message is powerful; an opportunity for Scrooge to see what life on earth would be like after his death. Scrooge observes his own forgotten corpse as his peers minimize his demise. He watches in horror as strangers quickly sell his belongings, while mocking his death with no regard or mercy. In death, he can no longer be an agent of change. He is a spectator to a cruel and vicious world he created. Yet all Three Spirits show him that he was and is agent of change as long as he is alive. It is through an encounter with one’s mortality that a fuller life may occur – to know death is to know life. Scrooge accepts the significance of death, so that he may live his final months and years embraced in the richness of his relationships with others.

Death anxiety is real; despite those in modern psychology who often relegate the subject of death to the closet of “let’s not go there unless we have to” (even by some seasoned practitioners who should know better). In short, beware the therapist who professes that the exploration of death anxiety is not particularly helpful in therapy. Yes, therapists can spend far too much time focusing on one area while neglecting another. It happens. Not every therapist is well-rounded enough to create a new therapy for each of her or his clients. However, that shouldn’t allow for a wave of “positivity” to sweep us away from Otto Rank’s maxim, “Some refuse the loan of life to avoid the debt of death.” Exploration of death and dying serves as a profound catalyst toward some remarkable life changes. It is the confluence of both past, present and future; an investigation of life by way of an awareness and acknowledgement of our finite time here on Earth. In this way, we are all a reflection of Dicken’s vision.

Thus, A Christmas Carol calls us to embrace some definitive questions, “How would the world be different if I were to die today?” and “Do I ever have a true sense of how many lives I’ve touched?” Scrooge’s story may, in fact, provide the answers. Our relationships with others are so intrinsic that our absence creates an entirely different existence – a ghostly existential vacuum, if you will.

In the Victorian era, people saw ghosts and had premonitions. It was a system of supernatural beliefs that was not uncommon. Freud came along and said that this was the result of repressed memories. The dead were reduced to misleading or damaged recollections that resulted in certain beliefs and behaviors. Ghosts haunted the mind, not the house. Yet, there is something within Scrooge’s narrative that calls to us, pushes us beyond cause and effect, beyond determinism, and reminds us that we can be responsible and compassionate with our life choices and that no person is indeed an island.

Be well, and remember to keep the spirit of this season in your heart today and throughout the year.

In good health,
Don

Photos courtesy http://www.victorianweb.org/art/illustration/furniss/xmas.html#cc

Navigating the Holidays

by Mandi C. Dalicandro-Turk

During the holiday season, images of a crisp snow covered lane, with the view into the frosted window of a warm and cozy home, the scene of a blazing fire, a long decorative table filled with scrumptious holiday delights, and loved one’s surrounding the table brings feelings of dissonance for many. The holidays absolutely have the potential to bring feelings of intimate experiences filled with belonging, exhilaration, sharing, and gathering with loved ones. For many, however, there are increases in stress, anxiety, depression, feelings of loneliness, difficulties with grieving and loss, conflict, and contemplation.

There is meaning to the ornaments being unboxed, the candles lit, and the years, many times, decades of tradition. There are customs leading up to the season, feelings of anticipation, significance to the day(s) of celebration, and the letdown after everything is put away.

Mental Health Issues Exasperated
During the holidays, mental health, behavioral health, medical issues, and autoimmune issues that individuals grapple with each day have the potential to become exasperated and contribute to increased symptoms, stress, and feelings of exhaustion. For many, it’s extremely difficult to navigate through increases in symptoms and difficulties with coping. Many times, individuals’ cope with negative coping mechanisms (i.e., alcohol, unhealthy eating habits, lowered self-care, and/or misuse of medications).

Consider individuals grappling with Generalized Anxiety Disorder (GAD), “Twelve month prevalence of GAD is .9% among adolescents and 2.9% among adults in the general community of the United States” (American Psychiatric Association, p. 223, 2013). Individuals have the potential to experience symptom increases (i.e., difficulty concentrating, irritability, difficulties controlling worry, levels of fatigue, muscle tension, and issues with sleep), which complicates discomfort and difficulty in managing symptoms (American Psychiatric Association, p. 222, 2013).

Additionally, individuals contending with Social Anxiety Disorder (SAD) grapple with an array of symptoms (i.e., fear of negative evaluation, being humiliated, and/or rejected), many times, avoiding social situations (American Psychiatric Association, p. 202, 2013). During the holidays, it’s difficult to avoid all social situations and associated symptom increases.

Furthermore, consider the significant impact and issues with functioning associated with Major Depressive Disorder (MDD), “Twelve month prevalence of major depressive disorder is approximately 7%, with marked differences by age group” (American Psychiatric Association, p. 165, 2013). Symptom increases (i.e., feelings of sadness, hopelessness, minimal interest and pleasure, fatigue, feelings of worthlessness, diminished concentration, and issues with sleep) complicate already difficult daily functioning and increase the probability of grappling with each facet of holiday obligation and interactions.

Conceptualize the experience of comorbidity of GAD, SAD, and/or MDD with or without substance use (and/or any mental health diagnosis) and its associated symptoms, with the presence of holiday stress, pressures, and the impact physiologically and psychologically. It’s best to seek out therapy prior to the holidays to develop positive coping strategies, realistic expectations, awareness to pressures, work through increases in symptoms, and to decrease the probability of underlying issues being triggered.

Engaging and Balancing Conflict — Differing Views vs. Differing Values
Some families benefit from closeness and healthy working dynamics. However, even when this is present in the environment, there is potential for conflict and tension during high pressure and high stress times; including desirable ones during the holidays.

Inevitably, there will be internal triggers experienced when engaging with others, which has potential to feel agonizing. In this environment, develop awareness to balance what degree of engagement feels healthier. At times, lighter conversations will assist in minimizing triggers. In the event, stress and discomfort become too overwhelming to engage, take a few moments to walk outside for some air. Take a few deep breaths and allow the increases in oxygen to balance parasympathetic response, and increase oxygen to the brain to assist with feelings of relaxation, (Wolford, p. 2, 2015). Furthermore, spend time with younger family members; if this is enjoyable. Children and adolescents have potential to bring a different perspective and magic to the holiday, which increases fun and increases relaxation.

Additionally, avoid family conflict. There are two primary areas of focus. First, refrain from engagement, debate, and argument regarding issues of contention between family members and/or friends in general, and where estrangement is present. At times, there may be pressure to choose sides. There is psychological benefit in refraining from choosing sides, treating each person with respect, and engaging with each person individually, if necessary. Reflect prior to being in the shared environment on personal values and feelings regarding the dynamics surrounding conflict. The cognitive process of reflection has potential to increase levels of confidence to support disengagement in the conflict, while dually engaging with others in regards to the positive aspects of relationships and holiday gatherings. This will lower stress, and minimize increases in mental health symptoms.

Lastly, it’s reasonable to have different views; it’s a driving factor of being human. Many times, human’s enjoy debating these views. There is a level of cognitive stimulation, fun, and strategy involved. With this being said, individuals must consider individual motivations, and how each message is given and received. There are distinct differences in the motivations of debating in positive banter with loved one’s out of pleasure, mutual understanding, and respect, even with the presence of opposing views and/or a heated discussion. Equally, it’s beneficial to refrain from debating in negative, critical manners with a family member and/or friend of differing values where high tensions are present. During holiday gatherings, consider each individual relationship, underlying motivations, and feelings. When tensions are high and values are vastly opposing, different views have opportunity to be debated at another time. In this situation, it’s best to refrain during holiday gatherings. However, in a cohesive and healthy environment, enjoy the banter. Individuals possess varying levels of impulse control. Develop awareness of strengths in impulse control, areas of grappling, and the resulting behaviors of each; then, gauge the best course of action accordingly. In each interaction, engage with respect and graciousness.

Loneliness, Isolation, Grief, and Change
At times, there are shifts in family, friends, supports, and a sense of community. Death, illness, and/or divorce are difficult to navigate through in daily life, and exhausting during the holidays. New traditions that have yet to be created and resistance to shifts in traditions that are no longer possible are common. For divorced partners with children, there are the adjustments for each in regards to splitting time. In the most amicable situations where partners remain respectful and possibly friendly, difficulties, stress, grief, and negative feelings have potential to arise during the holidays. Negotiating for wellness of each individual involved is imperative to maintaining balance and decreasing the probability of future issues.

The loss and associated grieving of a deceased loved one is an excruciating and extensive process. Many times, significant changes to meaningful traditions are a painful reality. Developing awareness that grief will resurface intermittently, many times over, and during meaningful interactions is imperative. Finding ways to honor the deceased loved one will assist with holding on to the meaning of significant traditions, and decrease feelings of isolation and loneliness; including traditions that will inevitably change over time. Grieving is an individual process, the time frame varies from person to person, and is based on the significance of the relationship. It is vital to develop self-compassion and to seek out supports.

Preventative measures
Start with being honest about limits physically, mentally, and emotionally. When there are children in the home, balance spending time with children, and with family and friends. Schedule visits on days close to the holiday celebration instead of over committing in one day. This will increase enjoyment of holiday events and decrease feelings of obligation, and potentially, resentment. Additionally, the gatherings may become a tradition and special day to look forward to for each individual involved.

Reflect honestly
Many times, thoughts, feelings, and ruminations in regards to family dynamics, divorce, death, estranged relationships, and the focus of seemingly endless obligations increase stress, anxiety, and/ or depressive symptoms. It becomes overwhelming for individuals and difficult to balance. Most times, it is beneficial to ask for help, which has the potential to reduce stress and increases the capacities to function well throughout the holidays.

Having awareness that there will be stress assists in setting realistic expectations. Many times, a few simple changes will allow flexibility, while dually honoring traditions (i.e., cooking the meal in advance, offering for each person to choose a dish to bring, setting boundaries to time spent at each gathering, and/or planning finances and budgets a year or more prior). At times, the more an individual attempts to take on without assistance or planning, the more emotional and psychological difficulties are experienced, creating an exasperation of mental health, behavior health, and/or medical issues.

Balancing Obligations and Desirable Engagements
Balance obligations and spending time with loved ones; especially, loved ones with a significant role in life. Plan each day by writing each event, commitment, obligation, and list of items needing completed in a planner. While doing this, implement a block of free time to decompress, and to balance unexpected shifts and obligations along the way. Each will reduce stress and assist in balancing emotions, energy, and mental health. Consider taking vacation and/or personal days if they are available and will not contribute to more stress at another time of the year. Doing so will allow for balancing commitments, downtime, and increase the opportunity to decompress after the holiday.

Continue nutritional habits (refrain from inflammation supporting foods), regular exercise, activities, and incorporating healthy sleep cycles. For long trips, bring snacks and water. In addition, when offered to stay with family and/or friends, consider personal comfort. For example, if one partner feels uncomfortable due to personalities, temperament, family dynamics, and/or if children get tired and need rest, consider staying at a hotel for the night. Make it fun for the family and have awareness of individual feelings, thought processes, and how daily function is potentially impacted. When setting boundaries, be kind, gracious, and genuine. Avoid using children as an excuse – be accountable for individual feelings, emotions, comfort, values, setting boundaries, avoiding “ the shoulds,” and saying no when necessary.

When the Ornaments Are Boxed
After the ornaments are put away, and daily life moves forward, it’s important to consider what to do with unprocessed feelings and emotions, and the grief and loss of the passing season. Begin to navigate the cognitive steps towards healing by seeking out the support of family, friends, community, and a therapeutic relationship. Focusing on gratitude (what is present over what is void), resuming daily activities, and seeking out strong supports assists with this process greatly.

In conclusion, the holidays are layered with complex emotions and meaning; simultaneously filled with the potential to grapple with increased symptoms of mental health and medical issues, stress, loneliness, and the innate desire to connect, share, give, and experience intimate feelings of belonging. Consider the benefits to being mindful that each person’s life experiences, environment, genetic predisposition, personality, temperament, supports, family and friends, and dynamics are different. Ultimately, develop awareness and engage realistically regarding the pleasures and difficulties associated with the holidays – allow for positive interactions to happen organically towards a more genuine and enjoyable experience. 

References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Benson, H. 1979. The Mind/Body Effect. New York: Simon and Schuster.
Benson, H., & Klipper, M. Z. (2000). The Relaxation Response. New York: William Morrow.
Wolford, K. (2015). Relaxation response: Herbert Benson. Salem Press Encyclopedia of Health.

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Mandi is a therapist with over 6 years experience working with adults, couples, older adults, adolescents, and first responders. Mandi works with an array of issues, and is passionate about supporting others. She feels strongly that human-beings benefit from the experiences of learning, growing, and developing throughout each stage of life.

Holiday Self-Care

It’s that time of year again! Pumpkin-spiced everything’s been overtaken by chocolate peppermint; the sun won’t come out all day again until March; and shopping malls are striking up the Christmas songs and lining families up for photos with Santa.

It’s time for family gatherings, class parties, and office gift exchanges – and before you know it, it’s time to meet up again for celebrations ringing in the New Year. It’s a lot, and it’s easy to be overwhelmed!

The holidays can be difficult for everyone for a wide variety of reasons. Here are a few tips to help you through the next few weeks!

Breathe. I know, I know. It sounds so basic. But aside from it being the most important thing you ever do (…because what happens if you don’t?), it’s important to do it slowly. Slow breathing is key to calming your overexcited nervous systems and keeping your mind clear. (For a visual, it’s helpful to slowly breathe in like you’re luxuriously smelling a flower, and to breathe out like you’re blowing out a candle.)
Give yourself space. If you’re at a gathering and you need a break from time to time, take one! You don’t need permission – you’re a grown-up! Just do it. When you’re eating a sit-down meal, seat yourself (or ask to be seated – I don’t know how fancy the party is!) at the end of the table or nearest the doorway so you don’t have to crawl over fifty people to get some fresh air. Take a few minutes to yourself, also with some calming breaths if you need them, and rejoin the activity when you’re ready – not when someone else is dragging you back in.
Share your feelings – either with yourself by writing them down or drawing them in a sketchbook, or by opening up to someone who is close to you and who you know will try their best to help you feel better. Getting your fears, worries, frustrations, and your grief out in the open will keep you from bottling them up inside and making you sick.
Drink more water. Full disclosure: water is my least favorite drink and I know how hard it is to make an effort to drink more if you don’t like to, but it really is important. It flushes out stress hormones and really cold water will give you something to focus on as a distraction from over-anxiety. It’s also a good idea to drink a glass or two in between samplings of holiday punch!
Look at a calendar. Because shopping is such an integral part of the American holiday experience – and because companies essentially lose an extra shopping week due to a late Thanksgiving this year – holiday sales and holiday everything seems to be in the air for an extremely long amount of time. It’s perfectly okay to realize that the holiday season, if it is a hard time of year for you, will end this year. Hanukkah does last for eight days and there are twelve days of Christmas, but the celebrations will eventually come to an end…and there is a brand new year just around the corner waiting for you to enjoy it.

No matter how you spend your holidays, remember to find something in your life for which you’re thankful. It may be family, it may be your home or your job or something as simple as your streaming service subscription – but no matter the thing, focus on the thankfulness – and keep looking for more!

Until next time, be well!
Christy

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