Posts

panic attack

I can’t stand feeling this way! My heart is racing. My stomach is churning. I’m sweating like a racehorse. I can’t stop! What if it never stops? Your thoughts are meanwhile trying to keep up with your racing heart at 160 beats a minute and you are well on your way to a panic attack.

This is what is happening in the more extreme moments of panic. And the first thing you must learn to do is neutralize these BIG feelings, and deflate the strength of those thoughts. It is the first step in quieting the limbic system, your central nervous system, so that you can stop a panic attack before it becomes full blown.

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Trust issues

I read a Facebook comment recently that plaintively asked “Why is it so hard for us to talk about our emotions?” In light of the recent and tragic suicides of Kate Spade and Anthony Bourdain, I thought about this question. It begged the following question. Have you ever had your emotions minimized or dismissed altogether?

I experienced this recently, and it made me feel sort of expendable, like what I was contributing really wasn’t all that important. It can make you question whether that is true, and undermine your self esteem, as well as your sense of belonging. Now I’m not depressed, but if you are depressed, this only confirms the heaviness you already feel, and the sense that you really don’t matter. Here are eight reasons why emotions have low value in our culture.

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healthy boundaries

In addition to my degree in clinical social work, I have a masters degree in public health. We prevent. That’s what public health is about. In this post I want to help you see the hidden costs of poor boundaries, and prevent those costs for yourself. First you need to understand that prevention is often invisible unless you first look at the prevented costs. Here’s an example of that.

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moods

Thinking in opposites is a strategy I want to offer you. Here’s why.

My moods can drive me a little crazy at times. They can shift a fair amount, even though I’m a pretty even-keeled person. For example, I can feel super UP when a new client contacts me and it feels like a great fit. That’s a big dopamine hit for my little therapy brain.

Then there are other times when the occasional isolation of running a solo private practice gets to me. I’m a people person, especially when it’s one-on-one or when I’m with a small, intimate group of friends. Nothing brings me more pleasure than those connections.

But—as Mick says—you can’t always get what you want, or at least not immediately, or without some effort on your part.

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self-deception

Lies come in two large categories. One is to save face and the other is manipulation. You could also call these categories white lies and strategic lies. I’m primarily interested in self-deception, which comes under the heading of saving face. Or maybe hiding, or disguising, your true face, into one you believe is acceptable. Read more

Criticism

Sometimes when others criticize us, especially those close to us, or those in power over us, it is as if a fire alarm goes off in our brains. It can put you on the defensive very quickly. What if you could change this clanging into something that actually made you more productive? What if you could soften the sound to some gentle chimes that made you say, hmmm, what about this has me paying so much attention?

This is a matter of asking yourself the right questions. It is a way to receive criticism that you can teach yourself, instead of responding like it’s a three alarm fire. Here’s a few questions to get you started. But first a personal story.

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tame anxiety

I don’t actually place too much stock in New Year’s resolutions. In the past when I have, they are usually too big or not sustainable, and by January 31, I’m like meh. This sucks and I don’t want to do it any more. So then I let the unmet goals go until the angst over not getting enough exercise or being unable to wear the clothes that are two sizes past creep up and make me feel defeated again. This is the hamster wheel of my own anxiety spinning around in my head. It can turn into a bad case of the “What ifs” if I don’t follow my own advice. You know, doctor, heal thyself. So I make sure set goals I can achieve, I get competent help, and I pay attention to self care. All of that allows me to do what I do best, which is to help you tame your anxiety. But if you are feeling a little shy about seeking help, or unsure of what to expect in therapy, please let me demystify it for you. Read more

sunk cost fallacy

What the heck is the sunk cost fallacy? We worry about things we’ve already lost. Humans have evolved to worry about scarcity. It is how we stayed alive. But now, it has evolved into the idea of always getting our money’s worth. 

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inner critic

What do I mean by your inner bully? Simply put, it is self criticism. And why would you want to put a cork in that beast? And furthermore, why bother, since no doubt you think being self critical is a valuable habit that will improve your performance and keep you safe. The paradox is that the self criticism will stop you from doing something that you fear failing at, or that might result in a painful consequence like rejection.

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social worker, psychologists, or psychiatrists

Definitions are in order for these three designations: social worker, psychologist and psychiatrist. How else will you know the answer to ‘Who ya gonna call?’ Recently the local newspaper had a front page article in the “Your Health” section called “No Room On the Couch.” I was quite happy to see this coverage, especially in light of the opioid epidemic. And I am going to say right up front there are no easy answers to this problem. The mental health profession can be draining and not particularly financially rewarding compared with other medical endeavors, but the job is unique in its reward system. By that I mean it is always interesting and challenging, and the joy received from seeing an individual make connections that lead them to live better lives is hard to describe. I get to see the lights go on! So, on to definitions, and how to decide who to call for what.

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