Tag: telemedicine

The Benefits of Deep Breathing on Anxiety

by Don Laird and Christina Pettinato

There are many great ways to promote physical and mental health for you and your family during this time of social isolation and distancing. One highly effective technique is quite simple and can be used anytime. Diaphragmatic breathing or deep breathing is intended to help you use the diaphragm (a muscle at the base of the lungs) correctly resulting in less effort and energy to breath. Additionally, it slows your breathing rate and heart rate and decreases oxygen demand, which in turn makes you feel more relaxed and calmer.

There are two ways to perform this exercise. In the video below eTalk Therapist and Mindfulness Expert Christina Pettinato demonstrates the chair method.


You may also perform this technique when lying down.

Lie on your back on a flat surface or in bed. You can use a pillow under your knees to support your legs. Place one hand on your upper chest and the other just below your rib cage. This will allow you to feel your diaphragm move as you breathe.

Breathe in slowly, deeply, through your nose so that your stomach moves out against your hand – think of it as a balloon expanding and deflating. The hand on your chest should remain as still as possible. Tighten your stomach muscles as you do this, letting them fall inward as you exhale through your lips.

When you first learn this relaxing breathing technique, it may be easier for you to follow the instructions lying down. As you gain more practice, you can try the diaphragmatic breathing technique while sitting in a chair, as demonstrated above.

You should practice this exercise 5-10 minutes at least two times per day. Most people prefer to do it before bedtime because it can promote a better night’s sleep. Gradually increase the amount of time you spend doing this exercise, use soft music or a guided meditation video or audio to enhance the relaxation experience.

Be safe, be healthy, be well,
Don & Christina

Medical worker in safety glasses, mask and suit makes a heart sign

Helping the Helpers

A Message from our Therapist Mandi for First Responders, Medical Professionals and Front-Line Workers: 

The Coronavirus (COVID-19) has impacted our society and community greatly. The stress for first responders is intense; there are increases in restrictions and more complex risk factors. Many first responders start their shifts feeling concern for their health and safety, for co-workers, families and loved ones. Loved ones feel anxious each time you leave to take care of others and do your job.

Mandi C. Dalicandro-Turk

As a therapist, I enjoy working with first responders. I am compassionate and understanding of your
complex needs and experiences, and create a comfortable, supportive therapeutic environment. Working
through difficult experiences in both your professional and personal life is critical to your overall health and wellness, and guards from the stressors and impact of spillover.

This is difficult to navigate alone. I will listen to your experiences through conversation in a safe and relaxed therapeutic environment, and help you navigate your feelings towards healing, wellness, and experiencing a better quality life .

I have over 7 years experience helping adults, couples, adolescents, first responders, medical professionals, and academics. I feel strongly that human-beings benefit from the experiences of learning, growing, and developing through each stage of life.

My areas of focus are: Anxiety, Depression, Chronic Stress, Relationship Issues, Life Transitions, Self-Esteem and Confidence, Autoimmune Issues, Critical Incidents, PTSD, Trauma, Infidelity, Divorce, Loss of Connection, Break Up Recovery, Developing a Strong Authentic Identity, Parenting, Burnout, Grief and Loss.

As an adjunct professor, I teach courses focusing on psychology, research, human development, leadership, motivation, genetics, and stress. Additionally, I volunteer for a Critical Incident Stress Management Team that assists public safety personnel after the experience of a critical incident. Among my latest projects, I am focusing on research related to clinical levels of stress, vicarious trauma, and compassion fatigue. I also create the curriculum for seminars and continuing education. I earned my Bachelor’s degree in Psychology summa cum laude and Master’s degree in Professional Counseling from Carlow University.

Visit with me me today at eTalkTherapy.com to schedule your first appointment or free consultation. I hope to work with you soon.

 

Therapist Kema Mesko

Mental Fitness at Home

Checking In: A Wellness Video Message from Our Therapist Kema!

There is no “right” way to feel right now, but taking care of your metal health should be a priority. Remember to drink water, limit your alcohol and caffeine consumption and get enough sleep. If you’re feeling stressed or if you’re not feeling productive enough, it’s okay. Remember social distancing does not mean social isolation. If you need help, reach out and talk to someone.

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Feeling stressed or anxious? We are here to help. Since 2017, eTalkTherapy.com has been serving Pennsylvanians with online therapy and professional counseling services from the comfort and privacy of your own home. Our licensed professional counselors and experienced therapists are highly skilled in the areas of anxiety, stress and depression. We provide therapy sessions on a HIPPA secure, live-video website or by phone. Don’t allow your worries or anxieties to spiral out of control. Contact us today for more information or to schedule a confidential and affordable appointment with one of our telehealth therapists.

two women on a bus wearing face masks looking at their phones

Love in the Time of Covid-19

Well, that came out of left field, didn’t it? For most people, I mean. You may have felt the tremors, but I’ll be honest with you: I certainly wasn’t expecting it. But that’s how life-changing (really, truly life-altering) things go, really: they’re sudden, even when you know they’re coming. There’s always a before, and then an after. Right now, I suppose we’re experiencing the during. But there will be an end, and then will come the befores and afters.

This cosmic blend of same and different – I’ll give you an example: I observed my neighbor getting into the car and backing out of her driveway. Same. She stopped the car to stretch blue medical gloves over her hands. Different. Here’s another: my kids learn during the day. Same. At home now, with me, rather than at school. Different. A hundred million little transitions that we need to make, and are making, sometimes without even thinking of them.

One of my mother’s favorite things to do while she was still alive was make us watch all of her favorite movies. Some were great fun (“The Birdcage”) and some were considerably less fun (“Spartacus”). The all-time great was (and I actually agreed with her) “The Sound of Music.” And now that I’m a mom, I get to make my kids watch my favorites, too. So, with great effort, I removed my much-screen-refreshed phone and settled in with them for three hours of merriment, humor, telegrams, and a wonderful puppet show. The VonTrapps, they too dealt with the same and the different. They too dealt with evil, and fear, and heartbreak against all of that beautiful mountain scenery. 

Humanity experiences suffering. Same. Humanity experiences COVID-19. Different. It is okay to feel every emotion you feel about it. It’s okay to cry when Fraulein Maria marries Captain VonTrapp, even if you’ve seen it fifty times. It’s okay to wonder what happens to Max at the end of the Austrian folk festival, because you know Herr Zeller wasn’t going to let that go. And it’s okay to be afraid when you’re fumbling around in the darkness, stumbling blindly toward the first light you see.

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As part of their new educational experience, my kids watch one episode of “Our Planet” on Netflix per day. The episode on forests was particularly striking, because it shows the resiliency of our wonderful, absolutely amazing planet. There is a segment on a forest fire, and only a few months after hundreds of miles of forestland was absolutely devastated from fire, the floor was blushing again with green, with vines, with life.

As we go through our own, very particular fire of fear and uncertainty, don’t look down only in sorrow, and in regret, and in fear. Look down to see the life that is growing just below, underneath. Invisible, but certain.

Same.

Until next time, be well!
Christy

 

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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MandiTurk[1]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.