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An Introduction to Dialectical Behavior Therapy: 1. Mindfulness Dialectical Behavior Therapy (DBT) is an evidenced-based type of psychotherapy developed to help individuals manage emotions and symptoms of mental illness. It includes four different modules that will be explained in a series starting with Mindfulness in this article. Mindfulness has become a buzz word in recent […]
An Introduction to Dialectical Behavior Therapy: 1. Mindfulness
Dialectical Behavior Therapy (DBT) is an evidenced-based type of psychotherapy developed to help individuals manage emotions and symptoms of mental illness. It includes four different modules that will be explained in a series starting with Mindfulness in this article.
Mindfulness has become a buzz word in recent years, and for good reason. Being mindful is increasingly challenging as our lives become more focused on technology, and most of us are running on auto-pilot to manage our packed schedules. Mindfulness is simply paying attention to the present without judgment, being aware of what is happening in your mind, in your body, and in your surroundings. It is easy enough to see how detached we can become from the present when we think of an activity like driving. Do you have full awareness of your actions every time you use your blinker or look in the mirror? Something we tend to do so often becomes automatic, to the point we might not even fully remember getting from one point to another!
While this lack of awareness has become the norm, it can cause problems with our mental health. When we go through the motions without checking in with ourselves to notice how we are feeling and responding to things, we become ungrounded and detached from ourselves and our experiences.
Learning to become more mindful in our everyday lives is a process that takes time, but even starting with small practices can help. Mindfulness is the foundation for being able to improve our emotional experience and mental health.
DBT teaches the following ideas for mindfulness:
Here are some ways to build mindfulness skills:
If you feel you need more guidance to incorporate mindfulness skills and improve your mental health, a licensed mental health professional can help.
-Laura Gross, LMSW
Marsh Psychology Group
Linehan, M. M. (2014). DBT Skills Training Handouts and Worksheets. New York: Guildford Press
High-functioning anxiety is a mild type of anxiety that impacts an individual physically and mentally but does not inhibit their ability to function in daily life. High-functioning anxiety is not a clinical psychological diagnosis, but this anxiety is still very real for anyone experiencing it. With high functioning anxiety, we walk through life silently carrying the burden of anxiety while outwardly living successfully.
The symptoms of high functioning anxiety include an variety of mental, physical, and emotional effects that influence a person’s feelings, thoughts, and behaviors. Because there are so many symptoms of anxiety disorders, no two people will have the same experience.
The emotional and behavioral symptoms of high-functioning anxiety could include:
Symptoms of high-functioning anxiety can start to take their toll on a person’s overall mental and physical health. It could also get worse over time or lead to other behavioral health conditions like substance abuse or depression.
Coping Strategies for High-Functioning Anxiety
Some potential ways to cope with high-functioning anxiety may include:
There are many healthy practices available for dissipating anxiety. Different strategies work for everyone, just as everyone’s anxiety takes different forms. Consulting a mental health professional can help you find what works best for you.
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/
For some people, working from home is a normal routine. This is, after all, the gig economy, and many people have been freelancing, making a living from their home office for many years now. But for others, working from home is a completely new phenomenon brought about by the global pandemic. For this second group […]
For some people, working from home is a normal routine. This is, after all, the gig economy, and many people have been freelancing, making a living from their home office for many years now. But for others, working from home is a completely new phenomenon brought about by the global pandemic.
For this second group of people, working from home has completely changed their day-to-day lives, and many have found their overall health has taken a toll. With lockdowns and social distancing still mandated in many areas of the country, it’s a good idea to discuss some things you can do to stay healthy while you continue to work from home:
We’ve all heard the stories of people admitting they aren’t showering as often and are staying in their PJs all day. While this was fun and novel at the beginning of the pandemic, allowing this to continue can negatively impact your mental and physical health.
It’s important to keep a daily routine. This means setting an alarm, showering, dressing, etc.
You may not even realize how much more you used to move around at your office or place of work. The office kitchen and bathroom were probably farther away, and you took breaks just to chat with coworkers. It’s important that you get up from time to time and move around at home as well.
It will be FAR TOO EASY to put on weight when working from home unless you make sure to get rid of most junk food and instead, stock up on healthy food and snacks.
Not everyone is cut out for working from home as it can be isolating. If you’re used to being around a lot of people and are feeling lonely, be sure to check in with friends and coworkers throughout the day.
None of us really know when life will return to normal. If you are forced to work from home at this time, be sure to follow these tips so you can stay healthy!
SOURCES:
We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist. But as human beings, we can never reach a state […]
We live in a society that values things that appear perfect. And I suppose there are things that can be perfect. Architects can draw the perfect straight line, mathematicians can solve an equation with a perfect calculation, and a chocolate cake can be perfectly moist.
But as human beings, we can never reach a state of perfection because we will always be a work in progress. Perfection indicates a finality – a finished product – but we as humans are always growing and changing.
Many people view perfectionism as a positive attribute. They believe the more “perfect” they are, the more success they will have in life.
Perfectionism is NOT the same thing as always doing your best. It is important that we always do our best. By doing so, we can experience healthy achievements and growth. But perfectionism takes this concept to the extreme.
People with perfectionist tendencies often have self-defeating thoughts and/or behaviors that actually make it HARDER to achieve their goals. Perfectionism also can make the individual feel stress, anxiety, and depression.
Most human beings, from time to time, will strive for perfectionism in some aspect of their life. As an example, that “perfectly moist chocolate cake” I mentioned earlier got that way because the person who baked it was trying to get everything JUST RIGHT as a gift for someone’s birthday.
But there are those people who are “full-time” perfectionists. They strive for perfection in all aspects of their life.
Here are some signs you may be a perfectionist:
Again, perfectionism is not the same thing as doing your best. It is a condition whereby the individual is almost incapable of feeling joy or pride at what they accomplish because in their own minds, they are never quite good enough.
If you believe you may have traits of perfectionism and it is causing you stress, there are things you can do to change your behavior so you can live a healthier and happier life.
If you’d like to explore treatment options, please reach out to me.
SOURCES:
When we’re young, life transitions are fun and empowering. We go from crawling to walking, walking to running. We start with training wheels but soon no longer need them. As we age we graduate into higher grades and become more independent. But as adults, life transitions can feel not so fun and far from empowering, […]
When we’re young, life transitions are fun and empowering. We go from crawling to walking, walking to running. We start with training wheels but soon no longer need them. As we age we graduate into higher grades and become more independent.
But as adults, life transitions can feel not so fun and far from empowering, because life transitions can often include loss: loss of a job, a marriage, and loved ones. During these life transitions, we can feel out to sea, completely at the mercy of the tides that seem to be tossing our lifeboat around.
If you are feeling stressed and overwhelmed right now because you are facing one or more life transitions, here are some ways you can navigate these choppy waters:
Slow Down
Have you noticed that the pace of life has picked up? Most likely your heartbeat and breathing have also picked up as a response. It’s time to slow down.
As simple as it may sound, slow, deep breaths are a powerful way to tell your body that everything is okay. Right now, your body is in “fight or flight mode,” as you subconsciously, and maybe even consciously, feel you are being attacked. Making time each day to be still, away from the noise and chaos to breathe deeply and slowly, will slow down your heart rate and make you feel calm and peaceful.
Embrace Uncertainty
I know, it seems completely counterintuitive if not downright impossible. But when we surrender control and embrace the unknown, with an almost scientific curiosity about outcomes, we feel positive emotions (curiosity, wonder) instead of negative emotions (lost, out of control).
Acknowledge the Cycles of Life
Someone once said, “This too shall pass.” Life, like weather, has seasons. While you may feel stuck right now and like nothing is going the way you hoped or planned, recognize the truth, which is, this too shall pass. Transitions are just that, an uncomfortable bridge from one part of life to the next.
Fall Back on Traditions
Rites of passage have been used for thousands of years in all cultures to help people transition from one place in life to another. It’s time to call upon this ancient wisdom of our ancestors and empower ourselves.
Rites of passage put us in the driver’s seat. We can acknowledge that things MUST change because we intuitively understand that the human journey is all about facing challenges and becoming new versions of ourselves.
Life, such as it is, throws us curve balls and sadness and things that cast fear and doubt into our vision. This is natural and no one escapes.
But there ARE ways to navigate these challenges. Try these three tips. And if you’d like additional help along your journey, please get in touch with me.
SOURCES:
It is incredibly common to struggle with the process of setting and accomplishing goals. And due to this difficult process, many of us end up feeling defeated or as if we have some sort of character flaw. This way of thinking can not only keep us from practicing goal setting but can have negative […]
It is incredibly common to struggle with the process of setting and accomplishing goals. And due to this difficult process, many of us end up feeling defeated or as if we have some sort of character flaw. This way of thinking can not only keep us from practicing goal setting but can have negative impacts on our overall self-esteem. The process of setting and accomplishing goals is a vital component to our overall mental health and emotional wellbeing; therefore, it is extremely important that we do not abandon the practice of goal setting and goal accomplishment.
Below are some tips to assist you in successfully setting and accomplishing your goals:
| Large/Undefined Goals: | Simple and Specific Goals: |
| Keep my home cleaner | Make my bed every weekday morning |
| Be more social | Have dinner with a friend once per week |
| Get more exercise | Do 15 minutes of exercise four days per week |
| Goal: | Behavior: | “All-or-Nothing” Thinking: | Challenging “All-or-Nothing” Thinking: |
| Make my bed every weekday morning | Missed a day of making my bed due to running late for work | “Since I missed today, I’ll just skip the rest of the week; I can’t keep up with this anyway.” | “It’s okay that I missed one morning; I will pick up where I left off and start making my bed again tomorrow morning.” |
If you are finding any of the concepts and/or techniques described in this blog particularly difficult, it may be helpful to seek the guidance of a mental health professional.
-Sierra Shapiro, MS, LPC
Managing Your Anxiety with Simple Grounding Techniques When we are in a state of psychological distress it can be difficult to stay present. We are either focused on worry and fear about the future, experiencing a flashback of a previous event, or in a state of dissociating. Whether we are experiencing anxiety, stress, feeling overwhelmed, […]
Managing Your Anxiety with Simple Grounding Techniques
When we are in a state of psychological distress it can be difficult to stay present. We are either focused on worry and fear about the future, experiencing a flashback of a previous event, or in a state of dissociating. Whether we are experiencing anxiety, stress, feeling overwhelmed, or triggered by something as the result of previous trauma, grounding techniques can help to bring down our level of distress. These techniques work to orient us to the present moment and can have a physical effect on our nervous system, which calms the body and decreases the level of activation we feel.
Here are some simple techniques to try:
-Use the 5-4-3-2-1 technique to help orient you to your surroundings and the present. Take a moment to look around you. Notice 5 things you can see, 4 things you can touch (it helps to actually touch them), 3 things you can hear, 2 things you can smell, 1 thing you can taste.
-Pick one of the 5 senses and focus on that. Some examples:
Touch: Hold an ice cube in your hands. Pay attention to how it feels
Sound: Play music and focus on it, noticing the different sounds
Smell: Use essential oils, especially those that promote calm such as lavender
Taste: Choose a food with a strong taste such as a mint and focus on that while you eat it
Sight: Look around you and choose a color you see. Name all the things you see that are that same color.
Being outside and around our natural surroundings helps us feel more connected to the present. Take time to notice what is happening around you. Do you feel the warmth of the sun, or is it cold? Maybe you hear the leaves blowing in the wind, or birds chirping. Try closing your eyes to get more connected to things you experience through senses other than sight.
To get the grounding benefits of exercise you do not need to run a marathon. Simply going for a walk outside can help. If you are experiencing a higher level of distress, a more vigorous activity might be more beneficial, such asdoing a few jumping jacks. Feelings are energy in our bodies, and this will help to move and let go of some of the activation we are feeling.
This is a simple technique proven to help calm your nervous system. It is also good for distracting from distressing thoughts because it takes some attention to keep counting out the breath. Inhale for 4 counts, hold for 4 counts, exhale for 4 counts, hold for 4 counts.
Repeat as many times as you need. Here is a link to a guided Square breathing that uses sound and does the counting for you:
https://www.youtube.com/watch?v=CfUGpJE1D9o
Try practicing and get in the habit of using these skills when you are not distressed so it will be easier to use them when you need some grounding.
These techniques are meant to address the experience of psychological distress in the moment. If you find yourself having difficulty staying grounded and these skills are not enough, working with a therapist can help to address the underlying causes.
-Laura Gross, LMSW
Laura Gross is a Clinical Therapist with Marsh Psychology Group.
You can contact her at:
(248)860-2024
lgross@marshpsychologygroup.com
What is Sleep Hygiene? Sleep hygiene refers to healthy sleep habits. Good sleep hygiene is important because of how crucial getting good sleep is for your mental and physical health, as well as your overall quality of life. There is also clear evidence that sleep deprivation has a negative effect on emotion and performance. Studies indicate […]
What is Sleep Hygiene?
Sleep hygiene refers to healthy sleep habits. Good sleep hygiene is important because of how crucial getting good sleep is for your mental and physical health, as well as your overall quality of life. There is also clear evidence that sleep deprivation has a negative effect on emotion and performance. Studies indicate that a night of restful sleep may reset the brains’ ability to effectively prepare for the emotional challenges of the next day.
Ongoing poor sleep can be a risk factor for the development of major depressive disorder. The risk of feeling depressed and/or anxious (as well as worsening existing anxiety and depression) increases with the severity of insomnia, and so it is important to recognize and sort out sleep problems as soon as they are identified.
Sleep & Mental Health
A good night’s sleep can enhance your memory and problem-solving skills.
Maintaining a healthy sleep schedule helps you stay motivated, alert, and engaged. A full night’s sleep can help your mood and even prevent feelings of depression. Missed sleep can lead to psychological and physical ill health in many ways.
Psychological symptoms and effects include:
Sleep & Physical Health
A solid night of sleep can help you maintain a healthy weight. Sleep helps your immune system stay strong. The less you sleep, the harder it can be to fight common infections.
Physical symptoms and effects include:
Ten steps to improve your sleeping habits for better mental and physical health.
If you feel that poor sleep is contributing to feelings of anxiety, depression, or other mental health issues, consider finding a qualified therapist you trust who can help you manage sleep hygiene, as well as well as teach and support you with other healthy coping strategies.
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/
When Spring Comes and Depression Stays Oftentimes, people struggling with depression look forward to springtime and the hope that warmer weather and longer days will bring some relief to their symptoms. Unfortunately, that is not always the case and hopelessness can set in. This year especially, with the pandemic seeming to be never-ending, people […]
When Spring Comes and Depression Stays
Oftentimes, people struggling with depression look forward to springtime and the hope that warmer weather and longer days will bring some relief to their symptoms. Unfortunately, that is not always the case and hopelessness can set in. This year especially, with the pandemic seeming to be never-ending, people are dealing with the loss of the ability to find pleasure in activities.
The number of people experiencing burnout, stress, and depression has increased as the pandemic continues. During long periods of unpredictability, like what has been happening over the past 13 months, it can be easy to become lethargic and lose any kind of pleasure in what would normally feel good to us. And the hobbies that may have been taken up time in the beginning of the pandemic, may have lost their luster. People are losing motivation to do much of anything.
Connection with other continues to be extremely important during this time. As the weather warms, it provides us the opportunity to meet up with people safely outside. But if that is not an option for you, reach out through video chat or phone calls. Let people know you are struggling so they can support you.
Other options include spending time in nature, connecting to a spiritual practice, or exercise. When not much seems to be working, be patient with yourself and remember this too shall pass. And of course, seek out professional help and support when you need to. Working with a mental health professional can help you to begin to climb out of your depressive mood.
-Julie Lublin, MA
Julie Lublin, MA, PLC is a staff psychotherapist at Marsh Psychology Group. She can be reached at jlublin@marshpsychologygroup.com or 248-860-2024.
There are plenty of things that occur in our daily lives that cause us stress: commuter traffic, hassles at work, and tension in our personal relationships to name just a few. If we don’t find healthy ways to deal with this stress, it can fester, eventually causing anxiety, depression, and even health issues such as […]
There are plenty of things that occur in our daily lives that cause us stress: commuter traffic, hassles at work, and tension in our personal relationships to name just a few. If we don’t find healthy ways to deal with this stress, it can fester, eventually causing anxiety, depression, and even health issues such as hypertension and heart disease.
One of the best ways to beat stress is through mindfulness meditation. This practice helps train you to keep your attention “in the now.” By training your mind to stay in the present moment, you stop it from ruminating on all of the things that bring you stress. While it can be challenging in the beginning, many practitioners of meditation receive amazing benefits:
If you’re someone who suffers from a lack of sleep, you know how it can affect your mood and ability to focus clearly. Research has found that in adults diagnosed with sleep disturbances, meditation improves the quality of sleep obtained each night.
Studies have also found that mindfulness meditation can reduce the cortisol levels produced in the body. Cortisol is a stress hormone. When levels of cortisol remain high, it can negatively impact your health.
Many older adults experience loneliness and isolation due to the loss of their spouse combined with an inability to lead an independent social life. One study found that an 8-week mindfulness-based stress reduction (MBSR) program decreased loneliness and related pro-inflammatory gene expression in seniors.
These are only a handful of the many benefits of practicing meditation.
Starting a meditation practice does not have to feel overwhelming and it doesn’t require you to make big lifestyle changes. It simply requires you to dedicate 10-20 minutes each day in your practice.
You may want to look for group meditation classes in your local area to get a feel for how it works. There are also plenty of guided meditations online to choose from.
The biggest thing to remember is that it is called a meditation practice for a reason: you won’t get it “right” right out of the gate. And truthfully, there is no right or wrong. There is only a desire and intent to let go of the chatter in your mind and focus on the present moment. That’s it. Once you get the hang of things, you too can experience some amazing benefits.