Depression and Anxiety Treatment: Dialectical Behavior Therapy
Depression and Anxiety treatment- DBT
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Depression and Anxiety treatment- DBT
Dialectical Behavior Therapy (DBT) is a form of cognitive-behavioral treatment developed by Marsha M. Linehan, initially aimed at treating individuals with borderline personality disorder. It has, however, proven effective for treating a range of other conditions, notably depression and anxiety.
DBT incorporates the standard cognitive-behavioral techniques for emotion regulation and reality testing while integrating new strategies like mindfulness, acceptance, and focusing on dialectics – the process of finding balance, avoiding extremes, and synthesizing opposite concepts. These components collectively make DBT an innovative and comprehensive approach towards managing depression and anxiety.
Acceptance:
In terms of depression, DBT focuses on the acceptance and change dialectic. The goal is to help patients accept their experiences and feelings while working to change their negative thought patterns and behaviors. By doing so, they can break free from the cycle of depression. DBT provides tools to manage painful emotions and decrease conflict in relationships, elements often associated with depressive disorders.
Emotional Regulation:
DBT’s emphasis on emotional regulation is particularly useful in dealing with anxiety. Techniques such as mindfulness help patients focus on the present, alleviating worries about the future. Anxiety often stems from an overactive fight-or-flight response, and DBT aids in calming this response, allowing individuals to better manage their reactions to stressors.
Treatment:
A typical DBT treatment for depression and anxiety involves individual therapy, group skills training, phone coaching, and therapist consultation. The group skills training is essential as it teaches behavioral skills in four modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Mindfulness:
Mindfulness, the core skill, teaches individuals to be fully present in the moment, thereby helping to manage depressive rumination and anxious preoccupation. Distress tolerance equips individuals with crisis survival strategies and the ability to accept and tolerate distress. Emotion regulation focuses on identifying and managing emotional reactions – an essential skill for anyone battling depression or anxiety. Interpersonal effectiveness helps patients navigate relationships and social situations, which can often be a source of stress and trigger for depressive or anxious episodes.
DBT’s effectiveness for treating depression and anxiety is backed by multiple scientific studies. In these studies, DBT has consistently shown to reduce symptoms of depression and anxiety, improve emotional regulation, and enhance overall quality of life.
While the journey to recovery can be challenging, DBT equips individuals with the tools and strategies to navigate their path. It’s a comprehensive, evidence-based therapy that brings hope to those struggling with depression and anxiety. This therapeutic approach helps individuals find balance, improve emotional resilience, and ultimately lead a life worth living.
Sincerely,
Claudia Coxx, MSW, LMSW
248-860-2024 Ext. 505
Office Hours: Tu 3p-6p, W-Th 11a-7p; Fri 11a-5p; Sat 10a-1p
Filed Under: Uncategorized
EMDR Phases 5-8 Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach that works to reduce distressing emotions which are linked to traumatic memories. EMDR treats mental health conditions, often anxiety, depression or other symptoms, which occur because of those memories we have stored from traumaticevents. In my […]
EMDR Phases 5-8
Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach that works to reduce distressing emotions which are linked to traumatic memories. EMDR treats mental health conditions, often anxiety, depression or other symptoms, which occur because of those memories we have stored from traumaticevents.
In my first and second articles on the phases of EMDR we looked at Phases 1&2-Client History/Treatment Planning and Preparation and then we explored phases 3&4-Assessment and Desensitization.
If you would like to read the articles on phases 1&2 and 3&4, please find them on the Marsh Psychology Group website, https://marshpsychologygroup.com/blog/
We will now look at Phases 5-8.
Phase 5: Installation. Once the desensitization therapy sessions are complete, the client will likely feel more positive about the memory. Clients often report they feel the memory is farther away or it just isn’t upsetting anymore. In theinstallation phase these positive emotions and thoughts are “installed.”
In this phase, the client connects and strengthens a positive belief with the target event until it feels completely true. This is done by having the client focus on the positive belief or thought while continuing with bilateral stimulation. The primary objective is to create positive cognitions and associations with the memory.
Phase 6: Body Scan: During the body scan, the client is asked to hold in mind the target event and the positive belief while scanning the body from head to toe. If there are any lingering negative emotions or thoughts, the therapist will ask the client to focus on those sensations while continuing with bilateral stimulation. The goal is to help the client become more aware of their body and any emotions or thoughts affecting them.
The next and last two phases ensure safety for the client both at the end of the current session and at the beginning of the next session.
Phase 7: Closure: Every session of reprocessing ends with the seventh phase, closure, in which the client is assisted to return to a state of calm in the present moment. This phase occurs whether the reprocessing is complete or not. Reprocessing of an event is complete when the client feels neutral about it andreports a disturbance level of zero, and the positive belief feels completely true. The body is also completely clear of disturbance.
Phase 8: Reevaluation: Reevaluation is how each new session begins after reprocessing. The client and therapist discuss recently processed memories to ensure that distress is still low, and that the positive cognition is still strong. If that is true, the client and therapist will move back to the assessment phase to begin working on the next memory.
If you have experienced trauma of any kind and feel you could benefit from EMDR to reduce symptoms and to improve quality of life, feel free to reach out to me at Marsh Psychology Group.
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
” https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Resources: https://www.emdria.org/public-resources/the-eight-phases-of-emdr-therapy/
Filed Under: Uncategorized
Navigating the Delicate Terrain: Things to Say to Someone Going Through a Mental Health Crisis As a licensed social worker, I understand the importance of offering support and guidance to individuals facing a mental health crisis. When interacting with someone experiencing such a crisis, it is crucial to remain empathetic, compassionate, and patient. […]
Navigating the Delicate Terrain: Things to Say to Someone Going Through a Mental Health Crisis
As a licensed social worker, I understand the importance of offering support and guidance to individuals facing a mental health crisis. When interacting with someone experiencing such a crisis, it is crucial to remain empathetic, compassionate, and patient. Here are some key phrases and ideas to help you provide support and reassurance during these difficult moments.
1. “I’m here for you.”
Let the person know that they are not alone. Express your availability, both physically and emotionally, to provide support. This simple statement can be incredibly powerful in assuring someone that they have a shoulder to lean on and someone to listen to their concerns.
2. “I care about you.”
Sometimes people going through a mental health crisis might feel as if nobody cares or understands their pain. Letting the individual know that you genuinely care about their well-being helps create a sense of safety and trust. This statement provides reassurance that they are valued and not alone in their struggles.
3. “It’s okay to feel this way.”
Validate their emotions by acknowledging that it is normal to experience feelings of distress, anger, sadness, or fear during a crisis. Avoid attempting to dismiss or minimize their emotions. Instead, show acceptance of their feelings, emphasizing that it is a natural part of the healing.
4. “You don’t have to go through this alone.”
Encourage the person to seek professional help. As a supportive friend or family member, there is only so much you can do. A mental health professional is trained to provide appropriate coping strategies, therapy, and, if needed, medication management. Encourage them to reach out for help and let them know you will support them in finding the appropriate resources.
5. “Take your time.”
In a mental health crisis, it is essential to give the person the time and space they need to process their emotions. Avoid pressuring them to “snap out of it” or “get over it.” Instead, emphasize that healing is a journey that takes time and patience.
6. “What can I do to help?”
Offer specific forms of assistance that might alleviate some of the burden they are facing. This could include helping with daily tasks, offering to find mental health resources, or simply being there to listen. By asking how you can help, you are giving the person a sense of control and agency in their situation.
7. “You’re not a burden.”
When someone is going through a mental health crisis, they may feel guilty or believe they are causing trouble for those around them. Reassure them that their feelings and experiences are not a burden on you or anyone else. Emphasize that you are there to help and support them in their journey towards healing.
8. “You are strong and resilient.”
Remind the person of their inner strength and resilience. This can help foster a sense of hope and confidence that they can overcome their current challenges. Share examples of times when they have faced adversity and emerged stronger.
9. “You matter.”
People in crisis can often feel hopeless or like they don’t matter. Reiterate the importance of their life and existence, emphasizing their unique qualities and the positive impact they have on others.
Approaching someone going through a mental health crisis requires empathy, patience, and compassion. Keep these phrases in mind when offering support, but remember that every individual’s experience is unique. Tailor your approach to their specific needs, and most importantly, be a consistent presence in their life as they navigate the complex road to recovery.
Sincerely,
Claudia Coxx, MSW, LMSW
248-860-2024 Ext. 505
Office Hours: Tu 3p-6p, W-Th 11a-7p; Fri 11a-5p; Sat 10a-1p
Filed Under: Anxiety, counseling, mental health, mental health awareness, Uncategorized
Detachment When we hear the word detached, we might immediately think of the negative connotation – someone who is not engaged in their life or with the world around them, unfeeling and cold, cut off from their emotions and from others. None of that sounds particularly healthy. But learning to use detachment effectively and […]
When we hear the word detached, we might immediately think of the negative connotation – someone who is not engaged in their life or with the world around them, unfeeling and cold, cut off from their emotions and from others. None of that sounds particularly healthy. But learning to use detachment effectively and intentionally can bring about positive change.
There are infinite possibilities when it comes to situations in which detachment could be beneficial. Here are a few areas to consider:
Detachment from unhelpful thoughts
The mind is constantly doing its job – thinking. In fact, we experience 80-90,000 thoughts each day. We usually assume each of these thoughts is useful and true, but our thoughts are not facts. Often, what we think is not worth paying attention to at all.
For example, imagine you reach out to an old friend and are waiting to hear back. Your mind might start having unhelpful thoughts:
‘They probably don’t want to hear from me’
‘No one ever wants to be my friend’
‘I shouldn’t have contacted them after so long’
None of these thoughts are facts, nor are they helpful in the moment. If you allow them to continue as usual, it becomes easy to attach to them and start to believe them.
Learning to detach from our thoughts in the moment starts with being more aware of what is happening in our mind. Begin to recognize your thoughts and decide if they are helpful and truthful. If not, try observing them without putting any value on them. Try using the phrase ‘My thoughts are telling me ___’ before the thought. Remind yourself ‘that is just a thought and thoughts are not facts.’ Another strategy involves imagery. Imagine your thoughts coming and going, drifting in and out of your mind, like watching clouds drift across the sky. Meditation is also an effective way to practice detachment from thoughts because it teaches us to stop paying attention to our thoughts in the moment.
Detachment from an outcome
When we care about something, attachment is natural. If you interview for your dream job, you will likely experience strong emotions about it and focus your thoughts on how much you want the job. The more we care about something, the more we want to control the outcome. So, it can feel counterintuitive to work on detaching in these situations. While attachment is natural, it is not always helpful, because we cannot control what happens. When we try to control, or make something happen, we will inevitably face resistance when things do not work out as we hoped. Resistance makes things more difficult. If you do not get the job offer and you were attached to the idea, you will likely have a much more difficult time accepting the outcome. Using detachment, we can acknowledge how we are feeling (how desperately we want the job), while also letting go of the desire to control the outcome. This involves an intention to trust that we can handle whatever outcome we face. Focusing on trusting ourselves to cope with the things we cannot control allows us to let go of unhelpful attachment to outcome.
Detachment from a difficult situation as it is happening
What can we do when we are in the middle of a situation and our thoughts and emotions are interfering with our ability tomake sound decisions? You guessed it- detach. For example, if we are in an argument with our spouse, we will likely feel triggered in some way. Maybe our body is in fight or flight, maybe we feel anger and want to lash out, or want to shut down and give the silent treatment.
If we act on any of these impulses, we are not acting in a way that is beneficial to ourselves or the relationship. Detaching from the situation can give us time to calm our nervous system and get centered, to process our emotions, and consider how we want to respond. Communicating the need to detach and takingtime alone to reflect before continuing a discussion can lead to a much better outcome.
Detachment from codependent patterns
Many of us find ourselves in codependent patterns in our relationships. Codependency causes us to be more focused on the needs of others than on ourselves, and underneath this we believe we can control the problem (or person) – and need to in order to be safe. This is often the case in relationships with someone who has an addiction or other mental illness. When our loved one is engaging in behavior that is harmful, we want to be able to stop the behavior, and try to control it as a result. This can take on many forms, including obsessing about it, worrying, monitoring/managing the other person, changing our own behavior, and ignoring our own needs.
One of the easiest ways to step out of this pattern is through practicing detachment: shifting our beliefs to accept we cannot control another person, and it is not our job to try. The addiction recovery field has been teaching the concept of ‘detaching with love’ for decades (Beattie, 1992).
We can begin to accept the premise of detachment by learning to focus on our own needs. When you find yourself focused on the other person: – their behavior, emotions, or needs – bring focus back to yourself. Ask yourself ‘What am I feeling and why?What do I need most right now?’ Then, do something to take care of yourself based on those needs.
As with most change, this will likely feel uncomfortable at first. With practice, detaching with love and focusing on yourself will become easier.
Learning to detach with intention and purpose is a process that takes time. A trained mental health professional can provide support and guidance for adopting these concepts in a way that benefits you as an individual.
-Laura Gross, LMSW
Laura Gross is a Clinical Therapist with Marsh Psychology Group
You can contact her at:
lgross@marshpsychologygroup.com
Beattie, M. (1992). Codependent No More. Center City, Minnesota: Hazelden.
Filed Under: Anxiety, coping, relationships
EMDR-Phases 3&4 Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach that works to reduce distressing emotions that are linked to traumatic memories. EMDR treats the mental health conditions, often anxiety, depression or other symptoms, which occur because of the memories we have stored from these traumatic […]
Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach that works to reduce distressing emotions that are linked to traumatic memories. EMDR treats the mental health conditions, often anxiety, depression or other symptoms, which occur because of the memories we have stored from these traumatic events.
In my first article on the phases of EMDR we looked at Phases 1&2-Client History/Treatment Planning and Preparation. Now we will look at Phases 3&4-Assessment and Desensitization.
Phase 3- Assessment
In phase three the client and therapist will work together to identify
the target memory that triggers emotional distress. This includes what incident caused the trauma? (Was it sexual assault, an accident, the death of a relative etc.?),and what is the most consistent image associated with the memory?
The first step is for the client to select a specific image or mental picture from the target event that best represents the memory. Then the client chooses a statement that expresses a negative self-belief associated with the event. Common negative cognitions could be statements such as, “I am helpless,” “I am worthless,” “I am unlovable,” “I am dirty,” “I am bad,” etc.
During phase three of EMDR therapy, a positive belief is also chosen to help counteract the negative emotions caused by the trauma. The client will pick a positive self-statement that he would rather believe. This statement could be “I am worthwhile/lovable/a good person/in control” or “I can succeed.”
The therapist will then ask the person to estimate how true the positive belief feels using the 1-to-7 Validity of Cognition (VOC) scale. “1” equals “completely false,” and” 7″ equals “completely true.” It is important to give a score that reflects how the person “feels,” not” thinks.”
During the Assessment Phase, the person identifies the negative emotions (fear, anger) and physical sensations (tightness in the stomach, headache) he or she associates with the target. The client also rates the level of disturbance, but uses a different scale called the Subjective Units of Disturbance (SUD) scale. This scale rates the feeling from 0 (no disturbance) to 10 (worst) and is uses this score to assess the disturbance that the client feels throughout the processing.
The goal of EMDR treatment, is for SUD scores of disturbance to decrease while the VOC scores of the positive belief to increase.
Phase 4- Desensitization
Phase four is where the processing of the memory and negative beliefs takes place. The therapist will use some form of Bilateral Stimulation (BLS) to stimulate the mind/brain to process whatever trauma is currently being held in the conscious mind. This usually involves instructing the client to follow hand movements back and forth or hold tappers in each hand.
After a number of eye movements or other form of BLS occur, the therapist will stop and ask, “What are you noticing now?” The client will comment in just a few words what they are noticing. This may be part of the memory, a feeling, or a body sensation. Most of the healing happens while the client is reviewing the memory with the BLS. The therapist will ask the client to continue by stating “Go with that”. The process then continues.
Depending upon the intensity of the response to the trauma, your therapist may adjust the length, speed and type of stimulation used to create the eye movements.
The therapist may have to “circle back” to the original memory multiple times depending on how deep or complex the trauma is, but the process remains the same. The therapist will keep asking the client to hold the memory and the belief and the feelings in mind, while also completing the BLS.
Eventually the memory will feel different. It will have less energy.
The therapist will keep offering BLS until the client is able to grade the memory at a much lower level of disturbance on the 1-10 scale, ideally at a zero –now the memory no longer bothers them. This is the goal of EMDR; to get the client from a point where the memory goes from 8 or 9 out of ten for intensity and unpleasantness, down to a 0-1 out of ten.
During reprocessing, maladaptively stored events are desensitized, integrated, and adaptively stored.
In my third and final segment of the phases of EMDR we will look at phases 5-8-Installation, Body scan and Re-evaluation.
If you have experienced trauma of any kind, and feel you could benefit from EMDR to reduce symptoms and to improve quality of life, feel free to reach out to me at Marsh Psychology Group.
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
” https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Resources:
https://www.emdria.org/public-resources/the-eight-phases-of-emdr-therapy/
Filed Under: Anxiety, trauma, Trauma / PTSD
Postpartum Depression Postpartum depression is a type of depression that can occur in women after giving birth. It is a serious condition that requires treatment and can interfere with a woman’s ability to care for herself and her baby. Symptoms of postpartum depression can include: Persistent feelings of sadness, hopelessness, or emptiness […]
Postpartum Depression
Postpartum depression is a type of depression that can occur in women after giving birth. It is a serious condition that requires treatment and can interfere with a woman’s ability to care for herself and her baby.
Symptoms of postpartum depression can include:
It is important to note that these symptoms can also occur as a normal part of the “baby blues,” which is a temporary and milder form of depression that affects many women after giving birth. However, if these symptoms persist or worsen, it is important to seek help from a healthcare provider or mental health professional to determine the best treatment plan.
There are several methods of recovery from postpartum depression, including:
Postpartum depression is a common and treatable condition, and that with proper treatment, it is possible to fully recover and enjoy motherhood. Do not hesitate to reach out for help if you or someone you know is experiencing postpartum depression.
Claudia Coxx, MSW, LMSW
248-860-2024 ext 505
Ccoxx@marshpsychologygroup.com
Filed Under: Uncategorized
How To Feel Your Feelings One of the basic foundations of most therapy work is to have awareness of one’s emotions as they come up. But this awareness can often be focused on our thoughts about the emotion instead of feeling it. For example, if someone has anxiety about an upcoming social event, they might […]
How To Feel Your Feelings
One of the basic foundations of most therapy work is to have awareness of one’s emotions as they come up. But this awareness can often be focused on our thoughts about the emotion instead of feeling it. For example, if someone has anxiety about an upcoming social event, they might have the thought ‘I am anxious about this event.’
They might even be able to observe the specific thoughts they are having about the event: picturing the worst that could happen, anticipating discomfort, thinking of ways to avoid the event, etc.
While this is important awareness to have, it enforces the idea that our feelings are something we THINK and ignores the physical experience of feeling them.
Feelings and the Body
Our emotions do not just exist in our brains, they are experienced in our bodies.
While this person is focused on thoughts about their anxiety, they will likely have less awareness of the physical sensations their body is experiencing. For example, anxiety could cause faster breathing, sweating, fluttering in the stomach, heart racing, or shaking.
Even if we know these are physical symptoms of anxiety, we usually do not take the time to fully experience the sensations in the moment. In fact, many of us avoid attuning to our physical experience of emotions because we want to avoid discomfort. But avoiding the physical feelings works against us because it does not allow the emotions to be processed fully, and they will last longer as a result.
By developing the skill of experiencing and connecting with how our emotions feel in the body, we can become better able to allow them to come and go as they are meant to.
A Step by Step Guide to Feeling Your Feelings
Developing this awareness through practice will allow you to be able to eventually tune in to your physical sensations in the moment when you are triggered. This will help in processing and releasing your emotions, as well as better informing you in how to communicate your feelings and needs to others.
Sometimes previous experiences, such as trauma, cause one to become even more disconnected from the awareness of their body, which will make it difficult to access physical sensations. If for any reason you find this practice too challenging to do on your own, working with a mental health professional can help guide you in becoming more attuned to your body in a safe way.
-Laura Gross, LMSW
Laura Gross is a Clinical Therapist with Marsh Psychology Group
You can contact her at:
(248)860-2024
lgross@marshpsychologygroup.com
Source: Emily McDowell, @emilyonlife
Filed Under: Uncategorized
EMDR Phase 1&2 Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach. EMDR treats mental health conditions that occur because of the memories we have from traumatic events in the past. In this article I will be addressing phases 1&2 of EMDR. I will follow up with an […]
EMDR Phase 1&2
Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach. EMDR treats mental health conditions that occur because of the memories we have from traumatic events in the past.
In this article I will be addressing phases 1&2 of EMDR. I will follow up with an additional article addressing phase 3&4 and finally in my third and final article, I will address phases 5-7.
Phase 1: History and Treatment Planning
Phase 1 generally takes 1-2 sessions but can continue throughout the therapy process, especially if new issues are revealed. In the first phase of EMDR treatment, the therapist takes a thorough history of the client and develops a treatment plan. This phase will include a discussion of the specific problem that has brought him into therapy, the clients behaviors stemming from that problem, and the symptoms.
The therapist will assess the client’s readiness for EMDR. The client and therapist start toidentify possible targets for EMDR processing. These include distressing memories and current situations that cause emotional distress. Other targets may include related incidents from the past.
Initial EMDR processing often are connected to childhood events rather than to adult-onset stressors. Clients generally gain insight into their situations; the emotional distress resolves and they start to change their behaviors. The length of treatment depends upon the number of traumas and the age of onset.
EMDR therapy is most effective when a client feels a connection with the therapist – a sense that the therapist: 1. Has the client’s best interest in mind (that sense of ‘I’ve got you’): 2. Will help the client to feel safe: 3. Will help the client to feel grounded and present
A big part of Phase 1 and 2 is establishing this relationship between the therapist and client.
Phase 2: Preparation
For most clients this will take 1-4 sessions. For others, with a very traumatized background, or with certain diagnoses, a longer time may be necessary.
During the second phase of treatment, the therapist ensures the client has several different ways of handling emotional distress. The therapist may teach the client a variety of strategies and stress reduction techniques the client can learn and practice during and after sessions. In Phase 2 we are preparing for the worst. We are looking for the client’s ability to regulate, their ability to stay safe, and their ability to connect. We are investigating what they are currently doing and looking for any imbalance. In this phase we are making sure the client has all the tools and resources needed to begin the reprocessing of memories. We are looking for the dangerous issues and safety issues, as well as the annoying things and connection issues, that will impede the healing process. The therapist may talk about the Window of Tolerance and strategies to make your window larger.
Once a client can reduce emotional distress using the tools they were taught, they are generally able to proceed to the next phase
We want the client to get through the processing as quickly and safely as possible. We want to address all questions and concerns the client may have. The therapist’s task here is to understand what it is like to be the client as completely as possible.
An important goal of EMDR therapy is to make sure that the client can take care of him or herself.
In my next article on EMDR, we will look at phases 3&4.
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
” https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Sources:
https://www.emdria.org/public-resources/the-eight-phases-of-emdr-therapy/
Image: https://britishpsychotherapy.co.uk/emdr-2/
Filed Under: Anxiety, trauma, Trauma / PTSD
BIPOC Mental Health According to the American Counseling Association: “Black and Indigenous people and other people of color (BIPOC) experience a broad spectrum of ongoing discrimination, oppression, and inequity rooted in America’s colonialist history, all of which foster both collective and individual trauma in those communities.” The American Psychiatric Association reported in […]
BIPOC Mental Health
According to the American Counseling Association:
“Black and Indigenous people and other people of color (BIPOC) experience a broad spectrum of ongoing discrimination, oppression, and inequity rooted in America’s colonialist history, all of which foster both collective and individual trauma in those communities.”
The American Psychiatric Association reported in 2017 that 17% of Black people and 23% of Native Americans live with a mental illness. People who identify as multi-racial are more likely to report any mental illness within the past year than any other racial or ethnic group. According to research performed by the American Counseling Association, BIPOC groups are:
These barriers can be attributed to a variety of factors. Examples include cultural stigma around mental illness, systemic racism and discrimination, a lack of health insurance, language barriers, mistrust of mental health care providers, and a lack of cultural competency on the part of mental health care providers.
Since COVID-19, many BIPOC communities have been impacted in numerous ways. According to the Centers for Disease Control, symptoms of depression were reported 59% more frequently by Hispanic adults than non-Hispanic White adults. It was also reported that a larger percentage of multi-racial and non-Hispanic adults of other races and ethnicities reported stress and worry about stigma or discrimination associated with being blamed for spreading COVID-19 in comparison to White adults.
What can you do to help?
Cultural competency and awareness do not occur in a vacuum. According to the American Psychological Association, the following tips can help in building cultural awareness and competency:
Claudia Coxx, LMSW , is a psychotherapist specializing in depression, anxiety, and BIPOC mental health at Marsh Psychology Group. She can be reached at ccoxx@marshpsychologygroup.com or 248-860-2024.
Filed Under: Anxiety, Depression, family
Women and Depression: Ways to Feel Better Reach out for social support: Getting support from people who care about you plays an essential role in overcoming depression Ask for the help and support you need and share what you’re going through with the people you love and trust. You may have neglected your most important […]
Women and Depression: Ways to Feel Better
Reach out for social support:
Getting support from people who care about you plays an essential role in overcoming depression
Ask for the help and support you need and share what you’re going through with the people you love and trust. You may have neglected your most important relationships, but they can get you through this rough time.
How to reach out for support:
Look for support from people who make you feel safe and cared for. The person you talk to doesn’t have to be able to fix you; they just need to be a good listener—someone who’ll listen attentively and compassionately without judging you.
Make facetime a priority. Phone calls, social media, and texting are great ways to stay in touch, but they don’t replace in-person quality time. The simple act of talking to someone face to face about how you feel can play a big role in relieving depression and keeping it away.
Try to keep up with social activities even if you don’t feel like it. Often when you’re depressed it feels more comfortable to retreat into your shell- but being around other people will make you feel less depressed.
Find ways to support others. It’s nice to receive support, but research shows you get an even bigger mood boost from providing support yourself. So, find ways to help others: volunteer, or help a friend.
Join a support group for depression. Being with others dealing with depression can go a long way in reducing your sense of isolation.
Support your health
In order to overcome depression, you must do things that relax and energize you. This includes following a healthy lifestyle, learning how to better manage stress, setting boundaries on what you’re able to do, and scheduling fun activities into your day.
Aim for eight hours of sleep. Depression often involves sleep problems, whether you’re sleeping too little or too much, your mood suffers.
Keep stress in check. Not only does stress prolong and worsen depression, but it can also trigger it. Figure out all the things in your life that stress you out, such as work overload, money problems, or unsupportive relationships, and find ways to manage the stress so you feel more in control.
Practice relaxation techniques. A daily relaxation practice can help relieve symptoms of depression, reduce stress, and boost feelings of well-being. Try yoga, deep breathing, progressive muscle relaxation, or meditation.
Do things you enjoy (or used to). While you can’t force yourself to have fun or experience pleasure, you can push yourself to do things, even when you don’t feel like it. Pick up a former hobby or a sport you used to like. Express yourself creatively through music, art, or writing. Go out with friends. Take a day trip to, the park, the beach, or the ballpark.
Come up with a list of things that you can do for a quick mood boost. The more “tools” for coping with depression, the better. Try and implement a few of these ideas each day, even if you’re feeling well.
Get up and get moving
When you’re depressed, just getting out of bed can seem overwhelming, let alone working out! But exercise is a powerful depression fighter—and one of the most important tools for depression recovery.
Studies show that regular exercise can be as effective as antidepressant medication at increasing energy levels and decreasing feelings of fatigue. A 30-minute walk each day will give you a much-needed boost. And if you can’t manage 30 minutes, three 10-minute bursts of movement throughout the day are just as effective.
Your fatigue will improve if you stick with it. Starting to exercise can be difficult when you’re depressed and feeling exhausted. But research shows that your energy levels will improve if you keep with it. Exercise will help you to feel energized and less fatigued.
Find exercises that are continuous and rhythmic. The most benefits for depression come from rhythmic exercise—such as walking, weight training, swimming, martial arts, or dancing—where you move both your arms and legs.
Add a mindfulness element, especially if your depression is rooted in unresolved trauma or fed by obsessive, negative thoughts.
Eat a healthy, depression-fighting diet
What you eat has a direct impact on the way you feel. Some women find dietary modifications, nutritional supplements and herbal remedies can help aid in the relief of depression symptoms. These include:
Cutting back on salt, unhealthy fats, caffeine, sugar/refined carbs, and alcohol.
Not skipping meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every three to four hours.
Boosting your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To increase your intake, eat more citrus fruit, leafy greens, beans, chicken, and eggs. Vitamin B-6 along with calcium, magnesium, Vitamin E, and tryptophan have all been shown to benefit women suffering from PMDD.
Eating foods with Omega-3 fatty acids. Omega-3 fatty acids play an essential role in stabilizing mood. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, and tuna, or vegetarian options such as seaweed, flaxseed, and walnuts.
Making sure you’re getting enough iron. Low iron levels can produce common depression symptoms like irritability, fatigue, and difficulty concentrating. Iron rich foods to add to your diet include red meat, beans, leafy greens and dried fruit.
Get a daily dose of sunlight
Sunlight can help boost serotonin levels and improve your mood. Aim for at least 15 minutes of sunlight a day.
Take a walk on your lunch break, have your coffee outside, enjoy an al fresco meal, people-watch on a park bench, or spend time gardening.
Challenge negative thinking
Depression puts a negative spin on everything, including the way you see yourself and your expectations for the future. When these types of thoughts overwhelm you, it’s important to remember that this is a symptom of your depression and these irrational, pessimistic attitudes—known as cognitive distortions—aren’t realistic.
Women also tend to ruminate when we’re depressed, perhaps spending hours trying to figure out why we’re feeling this way. However, rumination can maintain depression or even make it worse.
Once you identify the destructive thought patterns that contribute to your depression, you can start to challenge them with questions such as:
Get professional help if needed
If you don’t benefit sufficiently from behavioral tools, seek help from a mental health professional.
Therapy. Talk therapy is an extremely effective treatment for depression. It can provide you with the skills and insight to relieve depression symptoms and help prevent depression from coming back. One of the most important things to consider when choosing a therapist is your connection with this person. The right therapist will be a caring and supportive partner in your depression treatment and recovery.
Medication. Antidepressant medication may help relieve some symptoms of depression in women, but it won’t cure the root cause of depression.
If you feel you could benefit from further support and counseling consider finding a qualified therapist you trust who can help you manage your mental health.
Carol Van Kampen, LMSW
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
https://marshpsychologygroup.com/carol-van-kampen-lmsw/
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