The use of alcohol in our culture is pervasive. For most people their use of alcohol is social or recreational and is secondary to the event and situations they are engaging in. For about 10% of the American population their use of alcohol becomes abusive or has already reached the level of dependence. There are four levels of alcohol use: abstinence, social use, abuse, and dependence. Social use pertains to people who drink for the taste rather than the effect (glass of wine with dinner or a dessert drink). It can be difficult to differentiate between those who abuse and those who have crossed the line to dependence, both of which are problematic. One benchmark of problematic drinking stipulates that men who drink more than 4 drinks in one sitting or more than 14 drinks in a week and women who drink more than 3 drinks in one sitting or more than 7 drinks in a week, likely have abuse or dependence problems. Alcohol abuse and dependence fall on a spectrum. The more symptoms a person endorses, they can move from abuse to dependence. Alcohol abuse is suggested if a person endorses 2-3 of the symptoms, and alcohol dependence is likely present if a person endorses 4 or more of the following symptoms: 1) tolerance (a need for an increase in the amount of alcohol to get the same desired effect), 2) withdrawal (shakes, sweats, etc. in the absence of drinking, 3) drinking in larger am read more
- Remember that although your feelings and symptoms are frightening, they are neither dangerous nor harmful.
- Understand that what you are experiencing is merely an exaggeration of your normal reactions to stress. 3. Do not fight your feelings or try to wish them away. The more willing you are to face them, the less intense they will become. 4. Don’t add to your panic by thinking about what “might happen.” If you find yourself asking, “What if?” tell yourself “So what!” 5. Stay in the present. Be aware of what is happening to you rather than concern yourself with how much worse it might get. 6. Label your fear level from 0 to 10 and watch it go up and down. Notice that it doesn’t stay at a very high level for more than a few seconds. 7. When you find yourself thinking about fear, change your “what if” thinking. Focus on and perform some simple, manageable task. 8. Notice that when you stop thinking frightening thoughts your anxiety fades. 9. When fear comes, accept it, don’t fight it. Wait and give it time to pass. Don’t try to escape from it, and remember to breathe. 10. Be proud of the progress you’ve made. Think about how good you will feel when the anxiety has passed and you are in total control and at peace.
To learn other effective strategies for dealing with panic attacks, make an appointment today to meet with one of our therapists. To get more read more
Everyone attempts to cope with life’s stressors. Most people utilize a mixed bag of strategies, which could probably be put somewhere on a spectrum. Toward one end are healthier coping skills, and toward the other end are unhealthy coping skills. To be more effective in life and cope better, we encourage you to work on using coping skills that are on the healthier side of the spectrum, but provide you common strategies on both sides of the spectrum so you can see what you might be doing. Circle the ones you use routinely. Healthier Coping Skills I confront the situation head on I distance myself from the situation I control myself I use relaxation techniques I act to take care of things myself I learn or develop special skills I call a friend I call a supportive family member I keep on trying and trying I become very tolerant I try to get all the facts I debate things within myself I learn more about what happened I involve myself in daily tasks I try to see the situation as positive I accept responsibility when appropriate I set healthy boundaries with others I sleep or nap to build up my reserves I do something creative I pray and rely on my higher power I dream I make do with what I have I do art work I write in a journal I work at a hobby I find a mission I seek out social situations I talk with others about the event I find someone w read more
The period surrounding the birth of a child is a joy, but for many families it can also be a time of concern. Changing roles and physical changes can leave both mothers and fathers feeling irritable, depressed, or unable to cope. Here are some things to know and watch for. Mood changes are the most common complications of pregnancy. Most new mothers will experience a disruption in their mood. The “baby blues” are very common with upwards of 80% of new mothers experience baby blues within the first week of delivery. This condition is not a psychiatric disorder and it passes within a few weeks. Mothers can become weepy, nervous, or dependent. Baby blues have been described as a relatively normal part of a reaction to rapid lifestyle and hormonal changes. There are a number of risk factors for developing postpartum mood changes, or full post-partum depression, including a family history of depression. Any stressful situation during the perinatal period increases the incidence of mood reactions. Stress reduces the body’s ability to cope with drastic change. Typical stressors include: financial demands, marital discord, moving to a new home within several months of delivery, previous emotional instability of either parent or their families, changes in employment status, or the lack of support of the new parent’s employer(s), lack of social read more
Over the past 10-15 years, people have been hearing more and more about cognitive behavioral therapy and its effectiveness for treating anxiety in particular, but also depression; the two most common mental health issues. In reality, cognitive behavioral therapy (CBT) has been around since the 1950’s when its two biggest founders brought it to life: Albert Ellis and Aaron Beck. Over the decades countless studies and experiments have been conducted which is what has proven it to be one of the most effective forms of therapy. So what is it? Perhaps you recall the old saying; seeing the world through rose colored glasses. This of course means the tendency of someone to filter things through a bright and optimistic perception or lens. What we know is that many people, especially those with depression and anxiety, are not seeing things through rose colored glasses. In fact, their perceptual lens are rather warped and distorted when it comes to how they see themselves, others, or even the world. This is not to say they are paranoid or out of touch with reality, but that they have a lot of irrational thoughts and beliefs that are unfounded, yet nonetheless negatively impact their lives. CBT would suggest that these negative and distorted thoughts are often what is driving all sorts of negative feelings such as sadness, worry, anger, guilt and shame. CBT is designed to teach you how read more
The fine art of mastering emotions does not come easily or naturally, as you can see at your local grocery store where you can routinely find a two year kicking and screaming on the floor because they can’t get some gum at the checkout line. We certainly feel for the parents and thank god it’s not our kid, but quickly overlook how difficult it was for all of us at one time to manage and regulate our feelings. If you are still doubting, just ask your parents and I’m sure they will be delighted to recount the time you cried for 3 days when your goldfish died, how you were so mad at your brother when he won monopoly that you took a swing at him, or how you refused to sleep in your bed for a week because you were terrified of the boogeyman. If all goes well over the first 15-20 years of our life, you had good role models, and supportive family and friends; you slowly learned to regulate and manage your emotions, despite the gasoline that puberty dumps on our emotional fires. Unfortunately, for many of us, we may not have weathered the storm unscathed and continue to find ourselves wrestling to manage our feelings. When it comes to emotional regulation, it’s important to be able to both experience feelings internally as well as express them outwardly in a healthy controlled manner. This represents a nice healthy middle ground, however we certainly see people on both ends of read more
Self-care means taking care of yourself. Right? If you are defining this idea with the words themselves, it may mean you have a fuzzy idea about what self-care actually is and should look like. Let’s take a moment to try to better understand what this thing is so you stand a better chance of implementing it into your routine and can try to make your life better. With clients I often describe self-care as the counter balance to stress. Where stress will run you down and deplete you, good quality self-care should replenish and recharge your batteries. Self-care is actually made up of those activities people do when they need to relax and rejuvenate. There are three important parts to self-care in order to execute effectively on this tool. First, is having a well-tuned barometer. You need to know when the pressure is getting to you and it’s time to implement some self-care. Another metaphor is that self-care is like the fuel gauge on your car. You don’t want to break down on the highway before you realize that you have run out of gas. It’s important to have some internal awareness about how you are doing and how much reserves you have in the tank. Be sure to fill up some time before you wake up and realize you can’t get out bed. Second, you must be willing to give yourself permission to do self-care. This may seem a bit silly. Really? Do something fun and enjoyable? Boy, read more
The concept of content and process is probably one of the single most important concepts in mastering communication in your relationship.
- Content: The content, when we are talking about couples and their communication problems, refers to what they are talking or arguing about. Some common content issues include: sex, money, kids, in-laws, or whose turn it is to take out the garbage. It’s the “what” we are discussing.
- Process: The process refers to how a couple is talking to each other. Some common process pitfalls include: making assumptions, being critical, stonewalling, or switching topics to name just a few. The process is how our conversations break down, or goes smoothly.
- A to B: There are many little steps in getting from point A (the problem) to point B (the solution). All these little steps make up the process.
- Most couples are great at identifying and bringing up the problem (point A) but rarely seem to make it to any solution or resolution (point B). Things break down in the process and it gets swept under th
Addiction is a disease that does not just affect the person who is engaging in addictive behaviors, it also affects those loved one around them. The impact can be so sweeping that many people become obsessed with the person’s addiction and trying to do something about it. Below are attributes common to those with codependency.
- Collusion: Many people help support their partner’s addiction by covering up for them in some way. Social rules about family image and social perceptions pull many people into the addictive process and they become a party to the secrecy. Collusion can also take the form of participating in the addictive behavior. Some become drinking or using “buddies” or gambling partners. Rationalization is also a big part of collusion. Partners tell themselves such things as; “At least he’s not at the strip club, he’s only online”, or “At least she’s not shooting up”.
- Obsessive Preoccupation: Codependents obsess about their partner’s behavior and their lives. They think constantly about their partner’s addiction. They find themselves checking emails, texts, computer history, hiding spots, connections, dealers, checking and credit card statements. These efforts may provide temporary relief of anxiety and create the illusion of control, but in the end they simply help peopl
Problems with sleep is one of the number one symptoms and complaints we hear in therapy. Below are some tips to help you work into a good sleep routine.
- Taking a hot bath or shower before bed will increase your body’s core temperature and help you relax.
- Avoid caffeine after 10:00 am. If you need to have coffee or soda try to confine it to early morning giving time for the stimulating effects to wear off before bed. Try to avoid foods that have caffeine such as apples and chocolate.
- Avoid naps during the day. Even though they feel good at the time, this will catch up with you when you crawl into bed and find yourself awake and refreshed from your nap earlier.
- Use relaxation strategies. There are countless books and tapes that teach a variety of methods from breathing exercises, to metal exercises, to progressive relaxation. Find one that works for you and use it before and while getting into bed.
- Carbohydrates can be helpful for sleep. Having some toast, cereal, or popcorn before bed can help promote sleep.
- Avoid nicotine. If you smoke, try not to have any cigarettes 2-3 hours before bed. Nicotine feel psychologically relaxing to many people, but it is actually physically stimulating and causes veins and arteries to constrict, making your heart and body work even harder; i.e., arou