Posts

panic attack therapy anxiety

I work with people who just can’t stop worrying. They tell me about the awful panic attacks they have, which can feel devastating. Many show up in the emergency room, only to be told there is nothing wrong. Being stuck in the panic loop stinks, but you can learn how to manage it so it doesn’t take over your life. The body doesn’t lie; when it shouts, you have to listen—but maybe in a whole new way.

Read more

reassurance junkie

Managing intense emotions is tough. And if you live with someone that constantly worries about everything, and constantly seeks reassurance, you may wonder “How do you help a reassurance junkie?” You know what it is like to experience their anxiety.

Read more

worry

Worry as a way to problem solve feels useful. Big hint: It isn’t. How to stop worrying becomes more doable when you think of it as spam. The worry thoughts pop instantly into your inbox, aka brain, with catchy titles and tantalizing “solutions.” Of course you supply those solutions, which allows a new email to pop up! Yay! Another problem to “solve” and you’re off to the races. It actually could be conceived as looking like a zig zag pattern in your mind. You go up with a problem, down with a “solution” so it feels like you are accomplishing something with the “action” of worry. And that zig zag can be infinite.

Read more

confabulation

Is it narcissism or confabulation? It can be a difficult to tell these two apart as distinguishing sarcasm and “humorously delivered” criticism. Is a person deliberately lying when they confabulate? Here’s a quick definition of confabulate.

In the formal version, confabulate means to talk, with roots found in the words ‘fable’ and ‘fabulous.’ In the world of psychiatry, it means to fabricate imaginary experiences as compensation for loss of memory. This is common in alcohol induced dementias aka Korsakoff syndrome (a type of dementia often associated with alcohol abuse), but it also has been observed in cases of Alzheimer’s disease and frontotemporal dementia.

Read more

your inner critic

What Is Your Inner Critic And Where Did It Come From?

To answer that, here is a story for you. Read more

sleep and insomnia

Word. This is the number one anxiety related sleep issue I hear about: “I wake up and can’t get back to sleep.” That is closely followed by: “I can’t get my monkey mind to stop at night when I am trying to get to sleep.” I am going to help you with both issues. It’s up to you to actually implement the help. Horses, water, drink…well you know the drill.

First we are going to get the blah, blah, blah, sleep hygiene talk out of the way. You have heard it all before, BECAUSE IT’S IMPORTANT, duh. If you can’t get these principles under wraps, you may as well stop here, even if I am going to give you some mostly secret knowledge later on.

Read more

things your therapist wants you to know

As therapist, here are six things I want you to know. Some could be considered general life truisms, but they are also things that will help you progress more quickly if you choose to enter therapy.

Read more

social anxiety

A concerned mother wrote and asked me for suggestions for her son who was in his first semester at college in a different state. She was feeling helpless from afar, and wanted to know how to advise him about his long-standing social anxiety and depression, which had flared in his new environment. This is what I told her.

Dear Worried Mom,

Read more

talk therapy

What better time than the start of a new year to make change that can positively affect the rest of your life? Let’s assume you have made that brave decision, and talk therapy is part of your plan. What do you expect when you are expecting talk therapy? If you want to know how I do it, read on.

People that have never experienced talk therapy often feel a tad apprehensive about getting started. There are lots of reasons. Some wonder if it will do any good at all, and others have the odd fear they won’t be able to ‘do it right.’ Some people simply don’t know how it proceeds or what is expected of them, and they are anxious about that. Still others believe they will receive all the instructions from the therapist about how to change and be on their way—with no real understanding of the courage, persistence, and work that real change takes. And some believe a pill is the answer.

Read more

vacations are important

What is the point of a vacation?

The easy answer is to get away from work and your daily routine. Perhaps it is to relax and unwind from daily stresses that accumulate over time, so much so that we are not even aware of the pile-up. But I think that taking time away from your daily routine makes you a better person for others. It creates the ability to be more ‘there’, more present, for others when you tend to your own spiritual garden. In other words, vacations matter.

Read more