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People – Pleasing How the need to please others is actually ruining your relationships As adults, we are often acting out damaging messages we received in childhood without even realizing what is driving our behavior. One of these common behavior patterns is people-pleasing. It might be difficult to spot, because on the surface […]
People – Pleasing
How the need to please others is actually ruining your relationships
As adults, we are often acting out damaging messages we received in childhood without even realizing what is driving our behavior. One of these common behavior patterns is people-pleasing. It might be difficult to spot, because on the surface it looks like being agreeable, helpful, and available. Things we are taught are good, and traits we might use to describe a ‘nice person.’
But look a little deeper, and you might find an unhealthy pattern of ignoring and denying your own feelings and needs out of fear. If you are afraid of how others will perceive you, or afraid of what will happen if you say ‘no’ or disappoint someone, you might do whatever it takes to try to please them. People-pleasing is a way to try to control others and how they see you. This becomes damaging when it prevents you from being authentic and acknowledging your own needs.
From this article in Psychology Today, here are 10 signs of People-Pleasing behavior:
Over time, if we repeatedly ignore our own feelings and needs by focusing on what we think other people want from us, we can end up feeling resentful, used, unfulfilled, and emotionally depleted in relationships. People-pleasing involves some level of dishonesty, because we are not being open and authentic about our own needs. We will end up feeling disconnected, and our relationships will remain superficial because we are not connecting in an honest way.
To develop healthier, more authentic connections with others, we must work on becoming more aware of our own needs. This involves slowing down our reactions and acknowledging how we actually feel about things, instead of automatically agreeing. We can then begin to believe our feelings are valid and we are safe in expressing our needs to others, which allows us to hold healthier boundaries and make decisions based on what is best for ourselves.
Because a pattern of behavior like people-pleasing takes time to develop, the process of ‘un-learning’ it takes time as well. This process is often best navigated with the help of a Licensed Mental Health Professional who can provide guidance and support.
Laura Gross, LMSW
Marsh Psychology Group
248-860-2024
lgross@marshpsychologygroup.com
Tips for Providing Positive Support to LGBTQ+ Individuals The LGBTQ+ community comprises approximately 4.5 percent of the general population of the United States. Individuals identifying as LGBTQ+ are significantly more likely to have experienced exclusion, alienation, and even blatant discriminatory behaviors within social, academic, and work settings than individuals not identifying as LGBTQ+. Many non-LGBTQ+ […]
Tips for Providing Positive Support to LGBTQ+ Individuals
The LGBTQ+ community comprises approximately 4.5 percent of the general population of the United States. Individuals identifying as LGBTQ+ are significantly more likely to have experienced exclusion, alienation, and even blatant discriminatory behaviors within social, academic, and work settings than individuals not identifying as LGBTQ+. Many non-LGBTQ+ individuals therefore wish to learn specific techniques and develop a better understanding of queer terminology to assist in increasing the comfort level of their LGBTQ+ friends, acquaintances, and/or colleagues. Below are some suggestions of how to provide support and increase the overall comfort level of LGBTQ+ individuals:
1. Do not automatically assume a person is heterosexual. For example, if you meet someone and they inform you they are in a relationship, do not assume their partner is of the opposite gender. Assuming a person is heterosexual forces them to correct you or even omit the truth, potentially making both of you uncomfortable. Attempt to make conversations as neutral as possible in terms of gender identity and sexual orientation.
2. Do not assume a person identifies as “male” or “female.” Do not assume that because someone appears to express themselves in a manner you define as “male” or “female” that they identify as such. Terms such as “non-binary” (i.e., identifying and/or having the experience of a gender that is not exclusively “male” or “female”) are increasingly embraced by individuals feeling as though “one-size-fits-all” descriptors of gender expression are oversimplified and inaccurate. Many individuals identifying as non-binary prefer to be addressed as “they/them.”
3. State your preferred pronouns. To minimize discomfort for queer individuals in making their preferred pronouns known, it can be helpful to develop a habit of stating your preferred pronouns as part of the introductory process. For example, “My name is Sierra, and my preferred pronouns are she/her/hers.”
4. If you are confused, respectfully ask for clarification. If a concept is unfamiliar to you, there is nothing wrong with appropriately and respectfully asking for clarification when it involves increasing the comfort level of those around you. For example, “I want to make sure I’m addressing you correctly; will you please remind me of your preferred pronouns?” Many cisgendered (i.e., those whose gender identity corresponds with their assigned birth sex) and/or heterosexual individuals fear asking queer individuals for clarification and simply avoid interaction with them altogether to minimize their own discomfort, which may inadvertently exclude and/or cause queer individuals to feel alienated.
5. If you make an honest mistake, do not panic. Regardless of our gender expression, gender identity, and sexual orientation, we are all human and we all make mistakes. If you accidentally misgender someone or accidentally assume someone is heterosexual, apologize sincerely and inform the individual that you will be mindful of your language in the future. Emphasize to them that you are in the process of learning this terminology to help to increase their level of comfort, as well as the comfort level of the queer community as a whole.
6. Do not dismiss these concepts as a “phase” or “fad.” One of the biggest misconceptions about the aforementioned terminology is that more recently utilized terms are simply a societal fad and are therefore unimportant to learn and implement regularly. This idea is simply untrue. Non-binary and non-heterosexual identities and orientations have been documented for centuries across numerous cultures around the globe, and society is finally more regularly implementing the terminology to correspond with these identities and experiences. While terminology may evolve with time (as does any terminology), these identities and experiences have existed for centuries, and will continue to do so; therefore, it is important for the comfort level of those around you to familiarize yourself with this terminology.
7. Get involved. There are many activism organizations in which you can express support for LGBTQ+ individuals and/or work to assist in efforts to minimize discriminatory measures against LGBTQ+ individuals. Involvement in one or more of these organizations can greatly assist LGBTQ+ individuals on a broader scale.
If you are an LGBTQ+ individual experiencing discomfort or difficulty regarding any of the aforementioned topics, it may be helpful to seek the services of a mental health professional specializing in issues specific to members of the LGBTQ+ community and/or identifying as an LGBTQ+ ally.
-Sierra Shapiro, MS, LPC
Sierra Shapiro is a staff psychotherapist at Marsh Psychology Group. You can contact her at 248-860-2024 or sshapiro@marshpscyhologygroup.com .
How You Can Heal from Developmental Trauma:
Developmental Trauma is a term used to describe childhood trauma, such as chronic abuse, neglect or other harsh adversity which occurred in the home. When a child is exposed to overwhelming stress, and their caregiver does not help reduce this stress, or is the cause of the stress, the child experiences developmental trauma. Children then becomes at risk for a host of complex emotional, cognitive, and physical illnesses that can last throughout their adult lives.
Developmental traumas are also called Adverse Childhood Experiences. (ACEs). ACEs can be Abuse, Neglect or household dysfunction.
ACE’s can include having a parent with mental illness or substance abuse, losing a parent due to divorce, abandonment or incarceration, witnessing domestic violence, not feeling loved or not feeling close to family members, not having enough food or clean clothing, as well as direct verbal, physical or sexual abuse.— ACEs can harm developing brains, predisposing people to autoimmune disease, heart disease, cancer, depression, and a number of other chronic conditions;decades after the trauma took place.
In the famous study known as the Adverse Childhood Events (ACE) study, adults who experienced a higher number of adverse experiences were found to have much higher rates of serious physical health outcomes, high-risk health behaviors, and early illness and mortality.These outcomes can include, lack of physical activity, smoking, alcoholism, drug use, missed work, obesity, depression, diabetes, suicide attempts, STD’s, heart disease, stroke and more.
Knowledge is Power. Once you understand that your body and brain have been harmed by the biological impact of early emotional trauma, you can begin to take the necessary, steps to reduce the effects of the early adversity left on your neurobiology. You can begin to heal. You can reduce the increased chance of inflammation, depression, addiction, physical pain, and disease. Science tells us that biology does not have to be destiny. ACEs are part of our past, but the effects of our trauma does not have to dictate our present. We can rewire our brains. Even if we have been set on high reactive mode for decades, we can still lower our risks. We can respond to life’s inevitable stressors more appropriately and shift away from an overactive inflammatory response.
Here are some steps to take to start the healing process: There is no better time to begin your transformation.
Take the ACE questionnaire.
The single most important step you can take toward healing and transformation is to fill out the ACE questionnaire and share your results with your health-care practitioner. For many people, taking the 10-question survey helps to normalize the conversation about adverse childhood experiences.
Begin Writing to Heal.
Write down your story of childhood adversity, using a technique psychologists call “writing to heal”. Over a four day period, write down your deepest emotions and thoughts about the emotional challenges that have been influencing your life the most. In your writing, let go, and explore these events and how they have affected you. You might tie this experience to your childhood, your relationship with your parents, people you have loved or love now. Write continuously for twenty minutes a day. The exercise of writing about your emotions and thoughts has been proven to have positive effects on health.
Practice mindfulness meditation
Research indicates that individuals who have practiced mindfulness meditation and mindfulness-based stress reduction (MBSR) show an increase in gray matter in the same parts of the brain that are damaged by adverse childhood experiences.
Choose a time every day to focus on your breath. Learn diaphragmatic breathing and grounding techniques. Your breath is the best natural calming treatment—and it has no side effects.
Yoga
When children face ACEs, they often store decades of physical tension from a fight, flight, or freeze state of mind in their bodies. Studies show that yoga decreases blood flow to the amygdala, the brain’s alarm center, and increases blood flow to the frontal lobe and prefrontal cortex, which help us to react to stressors in healthier ways. Yoga has also increase levels of GABA—or gamma-aminobutyric acid—a chemical that improves brain function, promotes calm, and helps to protect us against depression and anxiety.
Build Social Connections
Research has found that having strong social ties improves outcomes for men and women with cancer, autoimmune disorders, or other chronic diseases. This is because positive interactions with others boost our production of oxytocin, a “feel-good” hormone that dials down the inflammatory stress response
EMDR Therapy
Eye movement desensitization and reprocessing (EMDR) is a form of psychotherapy that helps individuals remember difficult experiences safely and relate to those memories in ways that no longer cause pain in the present. EMDR therapists help patients to trigger memories and the connected emotions and beliefs. As the patient recalls specific difficult experiences, they are asked to complete eye movements with the therapists help. These eye movements are similar tothe healing action of REM sleep.
EMDR creates a neurobiological state that helps the brain change neural connections that have been dysregulated by chronic, unpredictable stress and past experiences-often ACE’s. This change can lead to a reduction of the traumatic memories we store in the brain and calm the brains alarm center.
Therapy
Sometimes, the long-lasting effects of childhood trauma are just too great to tackle on our own.Part of the power of therapy lies in allowing ourselves to finally form an attachment to a safe person. A therapist’s unconditional acceptance helps us to change the circuits in our brain that tell us that we cannot trust anyone. With this change, we can begin to grow new, healthier neural connections and begin to heal.
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/
Sources: 8 ways people recover from post childhood adversity syndrome; Donna Jackson Nakazaw
What is Developmental Trauma / ACE’s- Portico, Canada’s mental health and addiction network
Anxiety and the Avoidance Trap Avoidance is a common behavior associated with anxiety. For example, if someone has social anxiety, they might avoid attending social gatherings where they would be expected to interact with a lot of people. This avoidance feels like a relief initially because the threat of experiencing uncomfortable symptoms goes away. While […]
Anxiety and the Avoidance Trap
Avoidance is a common behavior associated with anxiety. For example, if someone has social anxiety, they might avoid attending social gatherings where they would be expected to interact with a lot of people. This avoidance feels like a relief initially because the threat of experiencing uncomfortable symptoms goes away. While it makes logical sense in the moment, avoidance makes anxiety worse over time.
Every time this person says ‘no’ to a social gathering, they are enforcing the idea they cannot handle the experience and need to avoid it to be safe. As they lose confidence in their ability to tolerate discomfort, they will be more likely to avoid it again the next time. What starts with large gatherings could develop into avoiding other situations. Over time, their life becomes increasingly limited.
If avoidance is not the answer, how do we best address anxiety around specific triggers? The answer is the opposite of avoidance: exposure. Find ways to begin to tolerate anxiety-causing situations, and the uncomfortable feelings that result, by developing coping skills. Start slowly with something just outside of your comfort zone to begin to build confidence and tolerance, and work toward addressing larger triggers.
Depending on the severity of one’s anxiety and the extent of avoidance, exposure can be extremely difficult to do without help. Working with a mental health professional can provide the support and guidance needed to face anxiety and overcome the avoidance cycle.
-Laura Gross, LMSW
Laura Gross is a fully licensed clinical therapist with Marsh Psychology Group. Contact her at:
lgross@marshpsychologygroup.com
Marsh Psychology Group: 248-860-2024
“Imposter Syndrome” in the Workplace
“Imposter Syndrome,” while not a diagnosable condition within the mental health community, is a widely-experienced phenomenon within the professional world in which a person feels a chronic sense of inadequacy and/or as if they are not truly qualified for their respective position (despite the person’s actual qualifications). “Imposter Syndrome” can be present among any demographic group; however, it is a mindset most commonly experienced among women and minority groups.
“Imposter Syndrome” can be displayed in a number of ways within the work environment, including seeking constant reassurance about one’s job performance, difficulty “speaking up” during staff meetings, “overachieving” behaviors, perfectionistic tendencies, working significantly longer hours than required or expected of one’s position, attendance issues (typically due to early “burn out” and/or workplace anxiety), and even mannerisms perceived as “arrogant” by coworkers (typically as a compensatory measure).
If feelings and/or behaviors caused by “Imposter Syndrome” are left unaddressed, these experienced negative feelings will only worsen, potentially leading to extreme job dissatisfaction, decreased self-esteem, depressive- and/or anxiety-related symptoms, and even quitting or being terminated from one’s place of employment.
Therefore, if you recognize “Imposter Syndrome” tendencies within your own workplace behaviors, here are some strategies that may assist you:
1. Objectively evaluate your work performance. Are you completing the tasks expected of you in a satisfactory and timely manner? Is your attendance satisfactory? What are your strengths and areas that challenge you? What are ways in which you wish to grow and advance in your career? Provide yourself with objective feedback in these areas on a regular basis. Implementing self-calming techniques, such as deep breathing, will assist in your ability to remain objective.
2. Practice compassionate yet constructive self-talk. Provide yourself with regular positive reinforcement regarding your work performance. In identifying areas of your job in which you are struggling, brainstorm constructive and realistic strategies to improve your performance (seeking feedback from others if needed). An example of compassionate yet constructive self-talk is as follows: “I did a great job stepping out of my comfort zone and taking a leadership role on this project; next time, I will keep my notes available so I am able to communicate my thoughts more clearly.”
3. Remind yourself that YOU were hired for this position. Unless you blatantly misrepresented yourself throughout the hiring process, your employer hired YOU based on your education, credentials, experience, personality traits, and/or other qualities deeming you capable of being successful in your current position. Provide yourself with daily reminders of your capability through positive self-talk and through objective evidence. For example, “Based on my education, experience, and leadership abilities, I
am capable of doing this job, and I deserve my position.” Many people find it helpful to write these daily reminders in a journal.
4. Seek support from others. As stated earlier, “Imposter Syndrome” is most commonly experienced among women and minority populations. It may be helpful to seek supportive resources specifically geared toward women and/or minority populations. These include, but are not limited to, mentors, peers, support groups, and community activism organizations.
5. Set boundaries. Many who experience “Imposter Syndrome” attempt to compensate for their perceived inadequacies by demonstrating “overachieving” behaviors. To minimize these tendencies, it is often helpful to establish a set work schedule and to make a pact with yourself to not lengthen your work hours unless required of your position or only as an occasional exception. Other strategies include delegating tasks (if appropriate), saying “no” to responsibilities outside of one’s job description, and asking for assistance and/or clarification if a particular task is unclear.
6. Establish or maintain appropriate work-life balance. It is critical that each of us engages in activities, interests, hobbies, relationships, etc., separate from our work environment. This is especially important among individuals experiencing tendencies of “Imposter Syndrome,” as the work environment is often a trigger for feelings of anxiety that extend well beyond the work day. Establish (or maintain) a consistent self-care routine that provides consistent fulfillment and feelings of relaxation and contentment for you.
If any of these techniques are especially challenging for you, or if you are experiencing difficulty coping with work-related stress, it may be helpful to seek the services of a mental health professional.
-Sierra Shapiro, MS, LPC
Sierra Shapiro is a staff psychotherapist at Marsh Psychology Group. You can reach her at 248-860-2024 or Sshapiro@marshpsychologygroup.com
Conflict-Resolution Tips for Couples During Quarantine Due to our current conditions, many of us are spending significantly more time inside of our homes, which for many of us means spending significantly more time with our partners. Statistically speaking, the more time we spend with any individual (even our beloved significant others), the greater the chances […]
Conflict-Resolution Tips for Couples During Quarantine
Due to our current conditions, many of us are spending significantly more time inside of our homes, which for many of us means spending significantly more time with our partners. Statistically speaking, the more time we spend with any individual (even our beloved significant others), the greater the chances become of some form of conflict arising.
In a fundamentally healthy relationship, increased minor conflict during this incredibly difficult time is completely normal and offers a unique opportunity for growth and even a deeper connection with one’s partner. However, as with any form of growth, there are “growing pains” and difficulties that arise during the process; these may occur in the form of more frequent arguments, resentment, more frequent annoyance, desire for distance from one’s partner, etc.
Below are some conflict-resolution tips that may assist you and/or your partner:
1. Clearly communicate your needs to your partner. Humans are not mind readers. Make sure you are communicating clearly to your partner what you are needing in the given moment. Failing to communicate one’s needs often leads to unhealthy emotional states and/or negative behavioral patterns toward one’s partner. An example of this is “snapping” at your partner when they sit next to you on the couch because you did not voice your need for a few minutes of space and “down time” after a work day.
2. Ask your partner for clarification. This feeds off of the previous tip. If you are unclear about what your partner is expressing to you, it is completely appropriate to ask for clarification in a respectful manner. For example: “I’m not sure what you mean by ‘I need some down time; please tell me what that looks like for you.’”
3. Do not expect yourself out of your partner. Your partner has their own unique biological makeup, thoughts, feelings, values, and life experiences shaping the individual they are today, as do you. Therefore, when we expect our partner to react identically to us or to share the exact same opinions as we do, we are immediately setting ourselves up for feelings of resentment. Many individuals are unaware they hold this expectation of their partner, so reflecting upon and clarifying your expectations to yourself may be helpful in minimizing this mindset if it is present. If you feel your partner is holding this expectation of you, it is again completely appropriate to communicate this concern and/or ask for clarification.
4. Take a break if negative emotions are high. While most disagreements begin as the result of negative emotions (e.g., stress, frustration, fear, etc.), it is counterproductive to attempt to resolve a disagreement if one or both partners is in an excessively negative emotional state. “Confrontation” is an extremely common fear and often produces defensiveness, feelings of physical tension, excessive crying, “freezing” or “shutting down” (due to the fight-or-flight response being activated), etc. It is therefore in the best interest to “take a break” until both partners are in as calm of an emotional state as possible to work toward a resolution. The communication techniques described in prior tips may be helpful in communicating the need for a “break” to your partner, or in appropriately receiving this need from your partner.
5. Establish work-related boundaries. Many of us are currently working from home and our professional and personal lives are therefore increasingly entangled. While there is a huge element of convenience in working from home, there is also significantly increased difficulty in creating a healthy and necessary separation of “work life” and “personal life.” Communicate your “work life” needs to your partner and work together to establish boundaries in order to minimize carrying work-related stress into your “personal life” or lengthening your work day. An example is a discussion in which a “blocked off” period of uninterrupted work time within one’s home office is established and agreed upon.
6. Establish or maintain relationships and interests separate from your partner. During the beginning stages of a relationship, couples often wish to “do everything together.” While this behavior is healthy in attachment-formation early in relationships, it becomes unhealthy if it is prolonged, especially among cohabitating partners. It is critical that each partner has friendships, family relationships, hobbies/interests, and/or regular activities separate from their partner. Examples include (safely!) having dinner with a friend while your partner covers the household responsibilities for the evening, independently participating in a special-interest class or activity, or simply independently taking a neighborhood stroll at lunch (again, safely!).
If you are finding these times particularly difficult, or if you find yourself struggling with any of the topics or techniques discussed in this article, it may be helpful to seek the services of a mental health professional.
-Sierra Shapiro, MS, LPC
Sierra Shapiro is a staff therapist at Marsh Psychology Group. You can reach her at sshapiro@marshpsychologygroup.com or 248-860-2024.
Small, but Significant, Lifestyle Changes to Help Manage Anxiety
Living with anxiety can be very difficult, but there are some steps you can take that might help. These are day-to-day changes you can make that will help you manage your anxiety.
These strategies are not a miracle cure. Breathing on a mat will not make your problems go away. But it is important to remember that you are not helpless in this fight. While something that worked for one person might not work for you, that does not mean there is nothing that will work for you — or that daily, destructive anxiety is inevitable.
Sometimes a slight change or tweak in our routine can at least make anxiety a bit more manageable. Making small changes also does not replace seeing a therapist or taking medication, if that is what you need.
1. Make Your Bed Every Morning
Making your bed is a way to start your day feeling like you have already accomplished something. Also, no matter how bad the day is, you have something nice to come home to.
2. Keeping Your Phone on Silent
Keep your phone on silent. Anxiety can come from sudden phone calls that causes you more anxiety/drama/stress.
3. Open up to Others About Your Anxiety
Being open and honest about your anxiety can reduce it. Sometimes, telling people you need to leave an area or take a break or give you space can make the difference.
4. Spending Less Time on SocialMedia/Limit Screen Time Take temporary social media breaks by uninstalling social media apps. Sometimes anxiety rises because people tend to compare their life to others highlight reel and it can do a number on your self-esteem.
Try not to reach for your phone first thing in the morning. Replace reaching for your phone with spending time with pets or appreciating the morning silence.
Take a complete day where you switch off. No phone, internet or leaving the house. Take a full day recharge,
5. Say No
Be honest and tell people no. Saying ‘maybe’ doesn’t help. We all have limits on what we can do. If you can do something, you will but it is OK to say No.
6. Use Cognitive Behavioral Therapy Techniques
Here’s one technique; Try to objectively reflect on and assess your day. For example, think about what happened that day and rate how good the day was. Be able to provide ‘evidence’ from the day to back up your rating. Since anxiety can convince you that you had a bad day, make it concrete by reflecting on the specific goals you did meet and the specific things you did accomplish and the specific little surprises that were positive. Your attitude towards the day can improve. It can cut down on how often you claim I had a bad day. You will be able to tell if it was just the anxiety or a bad day. There are apps you can use to track how you rated your days so you can see patterns and you can visually see that you are actually having more good days than bad ones.
7. Start a Mindfulness Practice
Yoga and meditation! Mindfulness can be really helpful; it helps you stay in the present moment. Focusing on your breathing can help you stay grounded.
Anxiety is often so future-focused about what may or may not happen. Mindfulness and gratitude keep you in the moment and help you appreciate what you already have.
You can use a few guided meditation apps and meditate twice a day. Once in the morning, and again at night.
8. Write Down Your Schedule/To-Do List
Have a daily planner, or a chalkboard wall, sticky notes, or an app on your phone to make reminders, goals and notes of encouragement more visible.
9. Work Out
Exercise. Simple but slow workouts consistently help manage anxiety
10. Practice Acceptance Accepting this is part of who I am. It allows you to step back, guilt-free, and helps you let go of how it makes others feel, guilt-free. It may not change the level of anxiety; it only helps takes away the guilt of having it.
11. Cut Toxic People/Things Out of Your Life
Consider dropping all the toxic people in your life. Block. Delete. Unfollow the news and political pages on social media. Without all the toxicity, you will have more time to focus on loving and caring for those who care about you and your well-being.
12. Establish a Bedtime Routine
Established a bedtime routine. This could include, using special lavender soap, taking a bath, reading something inspirational, breathwork, repeating a mantra of positive self-talk journaling. In addition, preparing for the next day by getting items ready, or making a to do list can help you relax and worry less about tomorrow.
13. Journal
Keep a journal to track what was happening when you began to feel yourself getting overwhelmed. Include a list in your journal of grounding techniques, or other self-care ideas.
14. Cut Out Caffeine
Cut out caffeine and drink more water. Not only does it help with anxiety, but it helps to be hydrated.
15. Give Yourself Time in the Morning to Prepare for the Day
Wake up an hour earlier to get some alone and free time in your home before everyone else wakes up.
16. Practice Gratitude
Listing three things you are thankful for every day. Or, when you think of something negative you must stop and think of something you are grateful for. For example, if you had car trouble during the day, you refocus on the help you received from the mechanic to get your car repaired.
-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. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
https://marshpsychologygroup.com/carol-van-kampen-lmsw/
The Biology of Fear: Fight, Flight, and Beyond When we sense danger, our bodies are wired to respond. Involuntary signals from our nervous system and brain cause an increase in stress hormones that help prepare us to protect ourselves from the threat. We might notice physical signs including a faster heart-rate, rapid breath, sweating, shaking, […]
The Biology of Fear: Fight, Flight, and Beyond
When we sense danger, our bodies are wired to respond. Involuntary signals from our nervous system and brain cause an increase in stress hormones that help prepare us to protect ourselves from the threat. We might notice physical signs including a faster heart-rate, rapid breath, sweating, shaking, or nausea. These are all signs our body is getting ready to respond to the threat in what is typically called the ‘fight or flight’ response, but we have more than those two options.
Observe how squirrels behave when they are crossing a road and a car approaches, and you will see a good example of this response in action. Typically, the animal will stop in its tracks and stay completely still (freeze) until it realizes the better defense is to move out of the way (flight). While this process has a very important purpose when we are actually in physical danger, sometimes the response gets triggered when our brains become conditioned to believe we are unsafe in situations that are not dangerous. This becomes more pronounced if we have an anxiety disorder or history of trauma. For example, if our childhood experiences taught us to avoid an angry parent by staying quiet and agreeable, we might have a fight or flight response at the first sign of conflict as adults.
Identifying Flight or Fight Responses
Fight or flight is more subtle in everyday life, and usually results in a pattern of behavior. Here are how common responses might look like in your life:
Fight: Starting arguments, yelling, lashing out toward others when feeling defensive or ‘attacked’
Flight: Running away or wanting to escape before a conflict can occur, needing to leave the setting during an argument or conflict
Freeze: Shutting down, difficulty speaking, feeling disconnected from surroundings
Fawn: People pleasing, avoiding conflict by going along with things, being ‘good’ and not challenging others
While the biological process that leads to these responses is involuntary, we can learn to change our behavior patterns. This starts with becoming aware of our responses and what triggers us to react in a certain way. Once we have this awareness we can start responding differently. This takes time and is best supported by the help of a licensed mental health professional.
-Laura Gross, LMSW
https://www.psychologytoday.com/us/blog/addiction-and-recovery/202008/understanding-fight-flight-freeze-and-the-fawn-response
Laura Gross is a fully licensed social worker. Contact her at:
lgross@marshpsychologygroup.com
Marsh Psychology Group: 248-860-2024
The Importance of Self-Care Self-care is a critical part of our lives, and developing and maintaining a consistent self-care regimen is one of the most important components of psychological well-being. However, we oftentimes have difficulty with the process of developing a a consistent self-care routine and incorporating it into our day-to-day lives. Everyday Responsibilities […]
The Importance of Self-Care
Self-care is a critical part of our lives, and developing and maintaining a consistent self-care regimen is one of the most important components of psychological well-being. However, we oftentimes have difficulty with the process of developing a a consistent self-care routine and incorporating it into our day-to-day lives.
Everyday Responsibilities and the Pandemic
In normal times, we have multiple responsibilities, such as career obligations, school obligations, family obligations, relationship obligations that vie for our energy. But what is the impact of meeting these expectations while managing the chronic uncertainty of a global pandemic. What is the impact of this combination? That book you were so excited to read lies untouched on your nightstand. Your new body lotion remains unopened in the Target bag. Your stomach is upset due to poor meal choices because you just “don’t have time” to prepare or purchase a balanced meal. You haven’t reached out to your support system because “everyone is busy” and you don’t want to be a burden, or (even worse) make plans you will end up cancelling because you are mentally drained.
With this in mind, I invite you to think of it this way: we wouldn’t go without food for three months because we have work deadlines; we wouldn’t go without sleep for a month because we are helping a friend experiencing a difficult time; so, why do we so thoughtlessly go without self-care?
Self Care
Self-care is vital. It is invigorating. It is rejuvenating. It does not have to be expensive or complicated, and it does not have to be perfect the first time. Self-care is a journey like all other areas of our lives, and you might not fully enjoy your first attempts at regularly implementing self-care practices into your life. Here are some expamples of self-care.
Painting
Guided meditation
Dancing to a favorite song
Taking a walk
Yoga
Prayer
Reading
Watching a favorite movie/TV show
Coloring in an adult coloring book
Knitting
Cooking/Baking
If you are having trouble, remember to keep it simple. Think of the five senses. What is visually appealing to you (colors, artwork, nature, architecture, the birds frequenting the feeder in your backyard, etc.)? What sounds do you enjoy? What are some of your favorite foods? What are your favorite scents? What hands-on activities can you engage in to satisfy your sense of touch (cooking, gardening, playing with your pet for five minutes before grabbing your phone in the morning, etc.)?
I invite you to begin with 10 minutes per day. Remind yourself that self-care is a vital area of your life and not an occasional treat.
If you are unable to motivate yourself, or find the usual things you do to take care of yourself are not helping, meeting with a mental health professional may be your next step. A therapist can help you develop a self care routine, provide support, and increase your coping skills.
Sierra Shapiro, MS, LPC is a psychotherapist at Marsh Psychology Group. She can be reached at sshapiro@marshpsychologygroup.com or 248-860-2024
Tips for Managing Times of Uncertainty
These are uncertain and highly anxiety-provoking times with an unclear end point. If you find yourself experiencing new and/or worsening feelings of anxiety, here are some strategies to assist you in minimizing these feelings during the COVID-19 pandemic or other circumstances yielding uncertainty:
1. Identify your feelings and validate them. Tell yourself it is okay to feel exactly how you are feeling. You may be feeling scared, angry, confused, frustrated, overwhelmed, etc. Identifying your feelings can assist you in developing greater control over them and therefore allowing you to release them in positive ways. Many find it helpful to write down their feelings in a journal.
2. Limit the amount of news you consume. Stick to one or two reputable news sources and set a time limit on how long you watch, listen to, or read the sources you have chosen (e.g., 20 minutes per day). Make an effort not to consume news in the evening, if possible. Information overload (even when the information is helpful) can greatly overstimulate our brains, therefore worsening feelings of anxiety or tension.
3. Establish a routine. Even though this routine will most likely differ from your pre-pandemic routine and may involve limited time outside of your home, creating a routine and sticking to it is crucial for minimizing feelings of anxiety or tension. Our brains crave repetition and predictability to counter the surges of adrenaline we experience when feeling anxious or overwhelmed. Make sure your routine is realistic and keep it as short as possible in order to set yourself up for success. Write your routine down and review it at the end of the day until it is fully established. If certain steps in your routine are unrealistic or not possible due to the current conditions, simply alter these steps. Remember to be patient with yourself during this process.
4. Maintain social connections. Humans are social creatures, and even the most introverted among us need social interaction. This is especially difficult during these times and we must therefore get a bit creative. Schedule regular video chat sessions with family and friends if face-to-face contact is not possible or not advised.
5. Contribute. Humans are innately wired with a desire to contribute. Think of the term in a literal sense: each day we intrinsically contribute knowledge, skills, services, ideas, emotions, behaviors, etc., through our day-to-day interactions, our careers, academic settings (if applicable), relationships, and through our sources of entertainment. Many people are unknowingly neglecting this need (even while satisfying all others) and wondering why they still “aren’t feeling quite right.” This is completely understandable, as the “need to contribute” is a particularly difficult one to clarify. Below are some examples of how to satisfy this during these times of uncertainty:
● Call an elderly neighbor and offer to pick up groceries for them.
● Consider participating in an online class or an online special-interest group to both gain and share knowledge and/or a newly-acquired skill.
● Contact a local animal shelter or one of your favorite charities/community organizations and ask about current options in which you can safely volunteer.
6. Move your body. Make physical activity part of your daily routine, even if it is 10 minutes per day of walking and/or stretching. Do what feels comfortable to you to ensure that you are not overworking your body and that you are enjoying the form of movement you have chosen.
7. Practice regular self-care. Self-care is a crucial part of our existence and it is a necessary element of our psychological well-being. Take time to listen to some of your favorite songs, read a good book, spend time in nature (if possible), or incorporate some deep-breathing exercises/guided meditation into your daily routine. Do what feels comfortable and positive to you.
If you choose to implement these tips into your day-to-day life, remember to be patient with yourself. Changing our current routines and thought patterns is a long and often difficult process. If you are finding these times particularly overwhelming, it may be helpful to seek the services of a licensed mental health professional to assist you in managing uncomfortable emotions during these difficult times.
-Sierra Shapiro, MA, LPC
Sierra Shapiro is a psychotherapist at Marsh Psychology Group. She can be reached at 248-860-2024 or sshapiro@marshpsychologygroup.com.