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Also known as “social phobia,” social anxiety disorder causes someone to intensely fear normal social interactions. This is more than shyness or a fear of public speaking—someone with social anxiety disorder excessively worries about being judged during everyday situations such as making eye contact with someone or talking to a stranger. They may be reluctant […]
Also known as “social phobia,” social anxiety disorder causes someone to intensely fear normal social interactions. This is more than shyness or a fear of public speaking—someone with social anxiety disorder excessively worries about being judged during everyday situations such as making eye contact with someone or talking to a stranger. They may be reluctant to attend school, work, a date, or a party, and they also may feel anxious about eating in front of others, using public restrooms, or returning items to stores.
In addition to feeling anxiety, embarrassment, fear, humiliation, or self-consciousness, someone with social anxiety disorder may experience:
If someone with social anxiety disorder experiences physical signs like the ones listed above, they may also worry that others will notice that they appear anxious.
Treatment for social anxiety disorder varies depending on factors such as symptom severity. With that said, many people with this type of anxiety benefit from attending counseling and taking medication such as a selective serotonin reuptake inhibitor (SSRI), a serotonin and norepinephrine reuptake inhibitor (SNRI), an anti-anxiety medication, or a beta blocker.
If you’re worried that you have social anxiety disorder or another type of anxiety, you can rely on us for treatment. We regularly assist patients with managing anxiety, and we can do the same for you. Contact us today to request an appointment.
If you’re having trouble feeling safe after experiencing a traumatic event or series of events—whether recently or in the distant past—you’re not alone. It’s very common for trauma to cause people to lose their sense of safety. In fact, studies show that traumatic experiences can alter the way that the brain and central nervous system […]
If you’re having trouble feeling safe after experiencing a traumatic event or series of events—whether recently or in the distant past—you’re not alone. It’s very common for trauma to cause people to lose their sense of safety. In fact, studies show that traumatic experiences can alter the way that the brain and central nervous system function, causing someone to feel insecure in various areas of their life.
Fortunately, there are steps you can take to heal from your trauma, regain your sense of safety, and cope with any grief you may be experiencing. It’s important to consult with a therapist, since professionals have the training and experience needed to help guide you through this difficult time. With that said, you may also want to try:
If you’ve experienced an event that destroyed your sense of safety, you may be feeling alone, but we can help. We have extensive experience treating grief and helping patients cope with loss, and we may be able to assist you, too. Contact us today, and we’ll gladly arrange a therapy appointment at a date and time that’s convenient for you.
Have you recently lost a dream? Maybe you always imagined going to the college your parents attended, but you received a rejection letter after applying. Perhaps you pictured getting back together with a significant other, but you found out that they’ve gotten married to someone else. Or maybe you dreamed of having a family, but […]
Have you recently lost a dream? Maybe you always imagined going to the college your parents attended, but you received a rejection letter after applying. Perhaps you pictured getting back together with a significant other, but you found out that they’ve gotten married to someone else. Or maybe you dreamed of having a family, but you’re dealing with infertility.
Whatever the circumstances may be, the loss of a dream can lead to feelings of grief, potentially including disbelief, sadness, and anger. Here are some tips for steps you can take to overcome your grief and heal from this loss:
Most importantly, take note of this quote by C.S. Lewis, the renowned author of “The Chronicles of Narnia”: “You are never too old to set a new goal or to dream a new dream.”
If you’re healing from the loss of a dream, one of the best things you can do is speak to an experienced therapist. A therapist who specializes in grief—like the ones at our practice—will have unique insight into the way you may be feeling right now, and they can help guide you through your loss. Contact us today and let us know that you’d like to attend a therapy session.
In many cases, grief occurs when someone has already suffered a loss. But grief can also result from a loss that is impending but hasn’t yet occurred. When this happens, it’s referred to as “anticipatory grief” or “preparatory grief.” Anticipatory grief commonly affects individuals who are expecting to lose someone or something important in […]
In many cases, grief occurs when someone has already suffered a loss. But grief can also result from a loss that is impending but hasn’t yet occurred. When this happens, it’s referred to as “anticipatory grief” or “preparatory grief.”
Anticipatory grief commonly affects individuals who are expecting to lose someone or something important in the near future. For example, you may experience anticipatory grief if:
Like the other types of grief, anticipatory grief can lead to sadness, irritability, anger, anxiety, fear, guilt, and other intense emotions. However, it’s important to remember that anticipatory grief can also serve a beneficial purpose—it can motivate you to address unresolved issues and process your thoughts and feelings before the event in question occurs.
If you think you may be experiencing anticipatory grief, we invite you to schedule an appointment with one of the skilled therapists on our team. We’re highly experienced in treating the many forms of grief, and we’ll provide you with the tools and tips you need to move forward with your life. Contact us today.
“Double depression” – What is it and how is it treated? Double depression, as the name implies, is a complex interplay between two distinct forms of depression: Major Depressive Disorder (MDD) and Persistent Depressive Disorder (Dysthymia). It represents a challenging clinical scenario where the acute symptoms of MDD are superimposed on the enduring low-grade depressive […]
“Double depression” – What is it and how is it treated?
Double depression, as the name implies, is a complex interplay between two distinct forms of depression: Major Depressive Disorder (MDD) and Persistent Depressive Disorder (Dysthymia). It represents a challenging clinical scenario where the acute symptoms of MDD are superimposed on the enduring low-grade depressive state of Dysthymia.
Identifying Double Depression:
One of the key challenges in addressing double depression is recognizing it. The chronic nature of Dysthymia may lead individuals to believe that their low mood is “normal” for them, making it difficult to discern the acute exacerbation of MDD. Therefore, a comprehensive evaluation is essential for an accurate diagnosis.
Impact on Daily Life and Functioning:
Double depression can significantly impair an individual’s daily functioning and overall quality of life. The persistent low-grade symptoms of Dysthymia can create a baseline of dissatisfaction and hinder the individual’s ability to experience joy or motivation. When the acute symptoms of MDD emerge, they compound the distress and dysfunction.
Challenges in Diagnosis and Treatment:
Diagnosing double depression requires a keen understanding of both MDD and Dysthymia, as well as the ability to differentiate them from other mood disorders. The treatment approach must be equally sophisticated, addressing the acute symptoms of MDD while also targeting the underlying dysthymic features.
Treatment for Double Depression
Effectively managing double depression necessitates a comprehensive and integrated approach:
1. Comprehensive Evaluation and Diagnosis:
Accurate diagnosis is the foundation of effective treatment. A mental health professional will conduct a thorough assessment to determine the severity of both MDD and dysthymic symptoms. This evaluation enables the development of a tailored treatment plan.
2. Combining Treatments for MDD and Dysthymia:
Double depression demands a multifaceted treatment strategy. To address the acute symptoms of MDD, antidepressant medications may be prescribed. These medications aim to provide relief from intense sadness, hopelessness, and other acute symptoms.
Simultaneously, psychotherapy plays a pivotal role in managing both components of double depression. Cognitive-Behavioral Therapy (CBT) can help individuals reframe negative thought patterns and behaviors associated with MDD. It also equips them with practical tools to navigate the enduring low mood of Dysthymia.
3. Long-Term Management and Relapse Prevention:
Managing double depression is not a short-term endeavor. Even when the acute symptoms of MDD improve, ongoing therapy and medication management may be necessary to prevent relapse. Maintenance treatment can help individuals sustain their progress and lead fulfilling lives despite the challenges posed by double depression.
In conclusion, the landscape of depressive disorders is diverse, with each type requiring its unique approach to assessment and treatment. Understanding the nuances of these conditions empowers mental health professionals to offer personalized care that maximizes the chances of recovery and improved well-being. Double depression, while complex, can be effectively managed through a comprehensive strategy that addresses both acute and chronic aspects, offering individuals hope and a path toward a brighter future.
-Claudia Coxx, LMSW
Claudia Coxx is a clinical therapist at Marsh Psychology Group specializing in mood and anxiety disorders. She can be reached at 248-860-2024 or ccoxx@marshpsychologygroup.com.
At Marsh Psychology Group, we understand that anxiety can be overwhelming. We also believe that you have the strength to conquer it. Our dedicated team of experienced anxiety therapists is here to guide you on a journey towards a more peaceful and fulfilling life. What is Anxiety? Anxiety is a common and natural response to […]
At Marsh Psychology Group, we understand that anxiety can be overwhelming. We also believe that you have the strength to conquer it. Our dedicated team of experienced anxiety therapists is here to guide you on a journey towards a more peaceful and fulfilling life.
Anxiety is a common and natural response to stress, but when it becomes unmanageable and starts affecting your daily life, it’s time to seek help. Our anxiety therapists are trained to recognize the nuances of anxiety, helping you understand its underlying causes and triggers.
Marsh Psychology Group serves as your partner in conquering anxiety. We provide a safe and empathetic space for you to express your concerns and fears. Our experienced anxiety therapists will work with you to develop personalized treatment plans that cater to your unique needs.
Therapy is a powerful tool for managing and overcoming anxiety. Our anxiety therapists use evidence-based approaches to equip you with practical strategies for coping with anxious thoughts and feelings. You’ll learn to regain control over your life and build resilience against future challenges.
There’s no one-size-fits-all solution for anxiety. Our anxiety therapists customize each treatment plan to ensure it aligns with your goals and preferences.
Don’t let anxiety hold you back from living your best life. Our anxiety therapists at Marsh Psychology Group are ready to help you understand and conquer your anxiety. Take the first step towards a brighter future and contact us today. Your journey to a more peaceful and fulfilling life starts here.
If you have any further questions or would like to schedule an appointment with an anxiety therapist, please reach out to us. We’re here to support you every step of the way.
Part I: Understanding Different Types of Depression and How They Are Treated
Depression is something many of us have heard about, and it’s more common than you might think. But did you know that there are different types of depression, each with its own features and ways of being treated? In this article, we’ll explore these various types.
Types of Depression:
1. Major Depressive Disorder (MDD):
This is what often comes to mind when we think of depression. It’s when someone feels intensely sad, loses interest in things they used to enjoy, struggles with sleep and eating, and often feels worthless. It is not merely a fleeting case of the blues but a pervasive and often debilitating condition.
Individuals with MDD may find it challenging to engage in their daily lives, affecting their work, relationships, and overall quality of life. Treatment for MDD typically involves a combination of psychotherapy and pharmacotherapy.
2. Persistent Depressive Disorder (Dysthymia):
Persistent Depressive Disorder, also known as Dysthymia, presents a different facet of depression. Unlike the acute onset of MDD, Dysthymia is characterized by a chronic, low-grade depressive state that persists for at least two years. It may not be as severe as MDD, but its chronicity can lead to substantial impairment in daily functioning and a pervasive sense of dissatisfaction.
3. Seasonal Affective Disorder (SAD):
Seasonal Affective Disorder, or SAD, exhibits a unique pattern of depressive symptoms that occur seasonally, often during the winter months when there is reduced exposure to natural sunlight. This condition underscores the influence of environmental factors on mood regulation.
Comprehensive Therapeutic Approaches:
1. Psychotherapy:
Psychotherapy remains a cornerstone in the treatment of depression across its various forms. Its flexibility allows therapists to tailor interventions to the individual’s specific needs.
– Cognitive-Behavioral Therapy (CBT): CBT is an evidence-based approach that focuses on identifying and challenging negative thought patterns and behaviors. It equips individuals with practical coping strategies and skills to manage depressive symptoms effectively.
– Interpersonal Therapy (IPT): IPT concentrates on improving interpersonal relationships and communication. It helps individuals identify and address conflicts or difficulties in their interactions with others, which may contribute to their depressive symptoms.
– Dialectical Behavior Therapy (DBT): DBT is particularly beneficial for individuals with mood disorders and emotional dysregulation. It emphasizes mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.
2. Pharmacotherapy:
Antidepressant medications play a crucial role in managing depression, especially in cases where symptoms are severe or significantly impacting an individual’s functioning.
– Selective Serotonin Reuptake Inhibitors (SSRIs): SSRIs are a class of antidepressants that increase the availability of serotonin in the brain. They are often considered a first-line treatment due to their effectiveness and relatively mild side effects.
– Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): SNRIs, like SSRIs, affect neurotransmitters in the brain and are another option for individuals with depression.
– Atypical Antidepressants: This category includes medications with diverse mechanisms of action. They may be prescribed when other antidepressants are not effective or cause intolerable side effects.
3. Lifestyle Modifications:
Encouraging individuals to make positive lifestyle changes can significantly impact their experience of depression.
– Exercise: Regular physical activity has been shown to release endorphins, which are natural mood lifters. Exercise also promotes overall well-being and can help alleviate depressive symptoms.
– Diet and Nutrition: A balanced diet rich in essential nutrients is crucial for optimal brain function. Omega-3 fatty acids, found in fish and certain nuts, have been associated with improved mood.
– Sleep Hygiene: Maintaining a consistent sleep schedule and creating a conducive sleep environment can help prevent sleep disturbances associated with depression.
4. Alternative Therapies:
While not typically considered primary treatments, some individuals find relief from depression through alternative and complementary therapies.
– Mindfulness Meditation: Mindfulness practices, such as meditation and deep breathing exercises, can help individuals manage stress and improve emotional regulation.
– Acupuncture: Some people report reduced depressive symptoms with acupuncture, although its effectiveness varies from person to person.
– Herbal Supplements: Certain herbal supplements, such as St. John’s Wort, have been studied for their potential antidepressant effects. However, it’s essential to use caution and consult with a healthcare provider before trying any herbal remedies, as they may interact with other medications.
– Light Therapy: Light therapy, or phototherapy, involves exposure to a bright light source that replicates natural sunlight. This therapy is particularly effective in mitigating the symptoms of SAD and restoring a more stable mood.
In conclusion, depression is a very real and treatable ailment. Often it requires a combination of the above approaches. Consulting with a mental health care provider is the first step toward healing.
– Claudia Coxx, LMSW
Claudia Coxx , LMSW is a clinical therapist at Marsh Psychology Group. She can be reached at 248-860-2024, ccoxx@marshpsychologygroup.com or https://marshpsychologygroup.com/claudia-coxx-lmsw/.
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
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/
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