Depression and Anxiety Treatment: Dialectical Behavior Therapy
Depression and Anxiety treatment- DBT
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Depression and Anxiety treatment- DBT
Dialectical Behavior Therapy (DBT) is a form of cognitive-behavioral treatment developed by Marsha M. Linehan, initially aimed at treating individuals with borderline personality disorder. It has, however, proven effective for treating a range of other conditions, notably depression and anxiety.
DBT incorporates the standard cognitive-behavioral techniques for emotion regulation and reality testing while integrating new strategies like mindfulness, acceptance, and focusing on dialectics – the process of finding balance, avoiding extremes, and synthesizing opposite concepts. These components collectively make DBT an innovative and comprehensive approach towards managing depression and anxiety.
Acceptance:
In terms of depression, DBT focuses on the acceptance and change dialectic. The goal is to help patients accept their experiences and feelings while working to change their negative thought patterns and behaviors. By doing so, they can break free from the cycle of depression. DBT provides tools to manage painful emotions and decrease conflict in relationships, elements often associated with depressive disorders.
Emotional Regulation:
DBT’s emphasis on emotional regulation is particularly useful in dealing with anxiety. Techniques such as mindfulness help patients focus on the present, alleviating worries about the future. Anxiety often stems from an overactive fight-or-flight response, and DBT aids in calming this response, allowing individuals to better manage their reactions to stressors.
Treatment:
A typical DBT treatment for depression and anxiety involves individual therapy, group skills training, phone coaching, and therapist consultation. The group skills training is essential as it teaches behavioral skills in four modules: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Mindfulness:
Mindfulness, the core skill, teaches individuals to be fully present in the moment, thereby helping to manage depressive rumination and anxious preoccupation. Distress tolerance equips individuals with crisis survival strategies and the ability to accept and tolerate distress. Emotion regulation focuses on identifying and managing emotional reactions – an essential skill for anyone battling depression or anxiety. Interpersonal effectiveness helps patients navigate relationships and social situations, which can often be a source of stress and trigger for depressive or anxious episodes.
DBT’s effectiveness for treating depression and anxiety is backed by multiple scientific studies. In these studies, DBT has consistently shown to reduce symptoms of depression and anxiety, improve emotional regulation, and enhance overall quality of life.
While the journey to recovery can be challenging, DBT equips individuals with the tools and strategies to navigate their path. It’s a comprehensive, evidence-based therapy that brings hope to those struggling with depression and anxiety. This therapeutic approach helps individuals find balance, improve emotional resilience, and ultimately lead a life worth living.
Sincerely,
Claudia Coxx, MSW, LMSW
248-860-2024 Ext. 505
Office Hours: Tu 3p-6p, W-Th 11a-7p; Fri 11a-5p; Sat 10a-1p
Filed Under: Uncategorized
EMDR Phases 5-8 Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach that works to reduce distressing emotions which are linked to traumatic memories. EMDR treats mental health conditions, often anxiety, depression or other symptoms, which occur because of those memories we have stored from traumaticevents. In my […]
EMDR Phases 5-8
Eye movement desensitization and reprocessing therapy, commonly known as EMDR, is a mental health therapy approach that works to reduce distressing emotions which are linked to traumatic memories. EMDR treats mental health conditions, often anxiety, depression or other symptoms, which occur because of those memories we have stored from traumaticevents.
In my first and second articles on the phases of EMDR we looked at Phases 1&2-Client History/Treatment Planning and Preparation and then we explored phases 3&4-Assessment and Desensitization.
If you would like to read the articles on phases 1&2 and 3&4, please find them on the Marsh Psychology Group website, https://marshpsychologygroup.com/blog/
We will now look at Phases 5-8.
Phase 5: Installation. Once the desensitization therapy sessions are complete, the client will likely feel more positive about the memory. Clients often report they feel the memory is farther away or it just isn’t upsetting anymore. In theinstallation phase these positive emotions and thoughts are “installed.”
In this phase, the client connects and strengthens a positive belief with the target event until it feels completely true. This is done by having the client focus on the positive belief or thought while continuing with bilateral stimulation. The primary objective is to create positive cognitions and associations with the memory.
Phase 6: Body Scan: During the body scan, the client is asked to hold in mind the target event and the positive belief while scanning the body from head to toe. If there are any lingering negative emotions or thoughts, the therapist will ask the client to focus on those sensations while continuing with bilateral stimulation. The goal is to help the client become more aware of their body and any emotions or thoughts affecting them.
The next and last two phases ensure safety for the client both at the end of the current session and at the beginning of the next session.
Phase 7: Closure: Every session of reprocessing ends with the seventh phase, closure, in which the client is assisted to return to a state of calm in the present moment. This phase occurs whether the reprocessing is complete or not. Reprocessing of an event is complete when the client feels neutral about it andreports a disturbance level of zero, and the positive belief feels completely true. The body is also completely clear of disturbance.
Phase 8: Reevaluation: Reevaluation is how each new session begins after reprocessing. The client and therapist discuss recently processed memories to ensure that distress is still low, and that the positive cognition is still strong. If that is true, the client and therapist will move back to the assessment phase to begin working on the next memory.
If you have experienced trauma of any kind and feel you could benefit from EMDR to reduce symptoms and to improve quality of life, feel free to reach out to me at Marsh Psychology Group.
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
” https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Resources: https://www.emdria.org/public-resources/the-eight-phases-of-emdr-therapy/
Filed Under: Uncategorized
Navigating the Delicate Terrain: Things to Say to Someone Going Through a Mental Health Crisis As a licensed social worker, I understand the importance of offering support and guidance to individuals facing a mental health crisis. When interacting with someone experiencing such a crisis, it is crucial to remain empathetic, compassionate, and patient. […]
Navigating the Delicate Terrain: Things to Say to Someone Going Through a Mental Health Crisis
As a licensed social worker, I understand the importance of offering support and guidance to individuals facing a mental health crisis. When interacting with someone experiencing such a crisis, it is crucial to remain empathetic, compassionate, and patient. Here are some key phrases and ideas to help you provide support and reassurance during these difficult moments.
1. “I’m here for you.”
Let the person know that they are not alone. Express your availability, both physically and emotionally, to provide support. This simple statement can be incredibly powerful in assuring someone that they have a shoulder to lean on and someone to listen to their concerns.
2. “I care about you.”
Sometimes people going through a mental health crisis might feel as if nobody cares or understands their pain. Letting the individual know that you genuinely care about their well-being helps create a sense of safety and trust. This statement provides reassurance that they are valued and not alone in their struggles.
3. “It’s okay to feel this way.”
Validate their emotions by acknowledging that it is normal to experience feelings of distress, anger, sadness, or fear during a crisis. Avoid attempting to dismiss or minimize their emotions. Instead, show acceptance of their feelings, emphasizing that it is a natural part of the healing.
4. “You don’t have to go through this alone.”
Encourage the person to seek professional help. As a supportive friend or family member, there is only so much you can do. A mental health professional is trained to provide appropriate coping strategies, therapy, and, if needed, medication management. Encourage them to reach out for help and let them know you will support them in finding the appropriate resources.
5. “Take your time.”
In a mental health crisis, it is essential to give the person the time and space they need to process their emotions. Avoid pressuring them to “snap out of it” or “get over it.” Instead, emphasize that healing is a journey that takes time and patience.
6. “What can I do to help?”
Offer specific forms of assistance that might alleviate some of the burden they are facing. This could include helping with daily tasks, offering to find mental health resources, or simply being there to listen. By asking how you can help, you are giving the person a sense of control and agency in their situation.
7. “You’re not a burden.”
When someone is going through a mental health crisis, they may feel guilty or believe they are causing trouble for those around them. Reassure them that their feelings and experiences are not a burden on you or anyone else. Emphasize that you are there to help and support them in their journey towards healing.
8. “You are strong and resilient.”
Remind the person of their inner strength and resilience. This can help foster a sense of hope and confidence that they can overcome their current challenges. Share examples of times when they have faced adversity and emerged stronger.
9. “You matter.”
People in crisis can often feel hopeless or like they don’t matter. Reiterate the importance of their life and existence, emphasizing their unique qualities and the positive impact they have on others.
Approaching someone going through a mental health crisis requires empathy, patience, and compassion. Keep these phrases in mind when offering support, but remember that every individual’s experience is unique. Tailor your approach to their specific needs, and most importantly, be a consistent presence in their life as they navigate the complex road to recovery.
Sincerely,
Claudia Coxx, MSW, LMSW
248-860-2024 Ext. 505
Office Hours: Tu 3p-6p, W-Th 11a-7p; Fri 11a-5p; Sat 10a-1p
Filed Under: Anxiety, counseling, mental health, mental health awareness, Uncategorized
Postpartum Depression Postpartum depression is a type of depression that can occur in women after giving birth. It is a serious condition that requires treatment and can interfere with a woman’s ability to care for herself and her baby. Symptoms of postpartum depression can include: Persistent feelings of sadness, hopelessness, or emptiness […]
Postpartum Depression
Postpartum depression is a type of depression that can occur in women after giving birth. It is a serious condition that requires treatment and can interfere with a woman’s ability to care for herself and her baby.
Symptoms of postpartum depression can include:
It is important to note that these symptoms can also occur as a normal part of the “baby blues,” which is a temporary and milder form of depression that affects many women after giving birth. However, if these symptoms persist or worsen, it is important to seek help from a healthcare provider or mental health professional to determine the best treatment plan.
There are several methods of recovery from postpartum depression, including:
Postpartum depression is a common and treatable condition, and that with proper treatment, it is possible to fully recover and enjoy motherhood. Do not hesitate to reach out for help if you or someone you know is experiencing postpartum depression.
Claudia Coxx, MSW, LMSW
248-860-2024 ext 505
Ccoxx@marshpsychologygroup.com
Filed Under: Uncategorized
How To Feel Your Feelings One of the basic foundations of most therapy work is to have awareness of one’s emotions as they come up. But this awareness can often be focused on our thoughts about the emotion instead of feeling it. For example, if someone has anxiety about an upcoming social event, they might […]
How To Feel Your Feelings
One of the basic foundations of most therapy work is to have awareness of one’s emotions as they come up. But this awareness can often be focused on our thoughts about the emotion instead of feeling it. For example, if someone has anxiety about an upcoming social event, they might have the thought ‘I am anxious about this event.’
They might even be able to observe the specific thoughts they are having about the event: picturing the worst that could happen, anticipating discomfort, thinking of ways to avoid the event, etc.
While this is important awareness to have, it enforces the idea that our feelings are something we THINK and ignores the physical experience of feeling them.
Feelings and the Body
Our emotions do not just exist in our brains, they are experienced in our bodies.
While this person is focused on thoughts about their anxiety, they will likely have less awareness of the physical sensations their body is experiencing. For example, anxiety could cause faster breathing, sweating, fluttering in the stomach, heart racing, or shaking.
Even if we know these are physical symptoms of anxiety, we usually do not take the time to fully experience the sensations in the moment. In fact, many of us avoid attuning to our physical experience of emotions because we want to avoid discomfort. But avoiding the physical feelings works against us because it does not allow the emotions to be processed fully, and they will last longer as a result.
By developing the skill of experiencing and connecting with how our emotions feel in the body, we can become better able to allow them to come and go as they are meant to.
A Step by Step Guide to Feeling Your Feelings
Developing this awareness through practice will allow you to be able to eventually tune in to your physical sensations in the moment when you are triggered. This will help in processing and releasing your emotions, as well as better informing you in how to communicate your feelings and needs to others.
Sometimes previous experiences, such as trauma, cause one to become even more disconnected from the awareness of their body, which will make it difficult to access physical sensations. If for any reason you find this practice too challenging to do on your own, working with a mental health professional can help guide you in becoming more attuned to your body in a safe way.
-Laura Gross, LMSW
Laura Gross is a Clinical Therapist with Marsh Psychology Group
You can contact her at:
(248)860-2024
lgross@marshpsychologygroup.com
Source: Emily McDowell, @emilyonlife
Filed Under: Uncategorized
Women and Depression: Ways to Feel Better Reach out for social support: Getting support from people who care about you plays an essential role in overcoming depression Ask for the help and support you need and share what you’re going through with the people you love and trust. You may have neglected your most important […]
Women and Depression: Ways to Feel Better
Reach out for social support:
Getting support from people who care about you plays an essential role in overcoming depression
Ask for the help and support you need and share what you’re going through with the people you love and trust. You may have neglected your most important relationships, but they can get you through this rough time.
How to reach out for support:
Look for support from people who make you feel safe and cared for. The person you talk to doesn’t have to be able to fix you; they just need to be a good listener—someone who’ll listen attentively and compassionately without judging you.
Make facetime a priority. Phone calls, social media, and texting are great ways to stay in touch, but they don’t replace in-person quality time. The simple act of talking to someone face to face about how you feel can play a big role in relieving depression and keeping it away.
Try to keep up with social activities even if you don’t feel like it. Often when you’re depressed it feels more comfortable to retreat into your shell- but being around other people will make you feel less depressed.
Find ways to support others. It’s nice to receive support, but research shows you get an even bigger mood boost from providing support yourself. So, find ways to help others: volunteer, or help a friend.
Join a support group for depression. Being with others dealing with depression can go a long way in reducing your sense of isolation.
Support your health
In order to overcome depression, you must do things that relax and energize you. This includes following a healthy lifestyle, learning how to better manage stress, setting boundaries on what you’re able to do, and scheduling fun activities into your day.
Aim for eight hours of sleep. Depression often involves sleep problems, whether you’re sleeping too little or too much, your mood suffers.
Keep stress in check. Not only does stress prolong and worsen depression, but it can also trigger it. Figure out all the things in your life that stress you out, such as work overload, money problems, or unsupportive relationships, and find ways to manage the stress so you feel more in control.
Practice relaxation techniques. A daily relaxation practice can help relieve symptoms of depression, reduce stress, and boost feelings of well-being. Try yoga, deep breathing, progressive muscle relaxation, or meditation.
Do things you enjoy (or used to). While you can’t force yourself to have fun or experience pleasure, you can push yourself to do things, even when you don’t feel like it. Pick up a former hobby or a sport you used to like. Express yourself creatively through music, art, or writing. Go out with friends. Take a day trip to, the park, the beach, or the ballpark.
Come up with a list of things that you can do for a quick mood boost. The more “tools” for coping with depression, the better. Try and implement a few of these ideas each day, even if you’re feeling well.
Get up and get moving
When you’re depressed, just getting out of bed can seem overwhelming, let alone working out! But exercise is a powerful depression fighter—and one of the most important tools for depression recovery.
Studies show that regular exercise can be as effective as antidepressant medication at increasing energy levels and decreasing feelings of fatigue. A 30-minute walk each day will give you a much-needed boost. And if you can’t manage 30 minutes, three 10-minute bursts of movement throughout the day are just as effective.
Your fatigue will improve if you stick with it. Starting to exercise can be difficult when you’re depressed and feeling exhausted. But research shows that your energy levels will improve if you keep with it. Exercise will help you to feel energized and less fatigued.
Find exercises that are continuous and rhythmic. The most benefits for depression come from rhythmic exercise—such as walking, weight training, swimming, martial arts, or dancing—where you move both your arms and legs.
Add a mindfulness element, especially if your depression is rooted in unresolved trauma or fed by obsessive, negative thoughts.
Eat a healthy, depression-fighting diet
What you eat has a direct impact on the way you feel. Some women find dietary modifications, nutritional supplements and herbal remedies can help aid in the relief of depression symptoms. These include:
Cutting back on salt, unhealthy fats, caffeine, sugar/refined carbs, and alcohol.
Not skipping meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every three to four hours.
Boosting your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To increase your intake, eat more citrus fruit, leafy greens, beans, chicken, and eggs. Vitamin B-6 along with calcium, magnesium, Vitamin E, and tryptophan have all been shown to benefit women suffering from PMDD.
Eating foods with Omega-3 fatty acids. Omega-3 fatty acids play an essential role in stabilizing mood. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, and tuna, or vegetarian options such as seaweed, flaxseed, and walnuts.
Making sure you’re getting enough iron. Low iron levels can produce common depression symptoms like irritability, fatigue, and difficulty concentrating. Iron rich foods to add to your diet include red meat, beans, leafy greens and dried fruit.
Get a daily dose of sunlight
Sunlight can help boost serotonin levels and improve your mood. Aim for at least 15 minutes of sunlight a day.
Take a walk on your lunch break, have your coffee outside, enjoy an al fresco meal, people-watch on a park bench, or spend time gardening.
Challenge negative thinking
Depression puts a negative spin on everything, including the way you see yourself and your expectations for the future. When these types of thoughts overwhelm you, it’s important to remember that this is a symptom of your depression and these irrational, pessimistic attitudes—known as cognitive distortions—aren’t realistic.
Women also tend to ruminate when we’re depressed, perhaps spending hours trying to figure out why we’re feeling this way. However, rumination can maintain depression or even make it worse.
Once you identify the destructive thought patterns that contribute to your depression, you can start to challenge them with questions such as:
Get professional help if needed
If you don’t benefit sufficiently from behavioral tools, seek help from a mental health professional.
Therapy. Talk therapy is an extremely effective treatment for depression. It can provide you with the skills and insight to relieve depression symptoms and help prevent depression from coming back. One of the most important things to consider when choosing a therapist is your connection with this person. The right therapist will be a caring and supportive partner in your depression treatment and recovery.
Medication. Antidepressant medication may help relieve some symptoms of depression in women, but it won’t cure the root cause of depression.
If you feel you could benefit from further support and counseling consider finding a qualified therapist you trust who can help you manage your mental health.
Carol Van Kampen, LMSW
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Filed Under: Uncategorized
The Amygdala Answer: How understanding the origin of your anxiety will lead to the best solution
We usually assume all anxiety has a similar biological process, but anxiety can come from two different places in the brain.
The Cortex
If anxiety is caused by our thoughts, it originates in the cortex. For example, if you are preparing for a big presentation and you start to think about all the things that could go wrong, you will likely begin to feel anxious about it. Those thoughts come from the cortex, which activates the amygdala, and then the amygdala responds by releasing an anxious response in the body.
The Amygdala
However, when anxious feelings come on suddenly before we are cognitively aware of the cause, that anxiety originates in the amygdala (without the cortex being involved). This type of response is the body’s way of protecting itself from perceived danger when there is no time to wait for our thoughts to recognize there is a problem. For example, if you heard a car horn just before being in a car accident, your amygdala might have learned to associate the sound of a horn with danger. If this happens, the amygdala will initiate an immediate anxiety response every time it hears a car horn. Only after the body has responded in this way will your thoughts catch up to apply reason and determine if the horn is a sign of danger or not. The amygdala has activated a response aimed at protecting the body, without you having cognitive awareness until after it happens.
Responding to Amygdala Anxiety
Knowing what area of the brain is causing our anxiety is the key to understanding how to best address it. If our anxiety is coming directly from the amygdala, then the cortex (and conscious thought), are not involved. So, it would not be effective to try to use our thoughts to change this type of response. With amygdala-based anxiety, the best thing we can do is work on exposure. Finding ways to expose ourselves to the trigger that causes this type of anxiety will over time teach our bodies that the situation is safe. The amygdala learns from experience, so the more we experience a perceived threat without a negative outcome, the less likely it will continue to cause an anxiety response.
Responding to Cortex Anxiety
With cortex-based anxiety, the most effective approaches address our thoughts directly. Cognitive restructuring refers to the process of identifying thoughts that cause anxiety and replacing them with helpful thoughts. Thanks to neuroplasticity, each time we do this we are creating new pathways in the brain that will help to prevent an anxious response in the future. Different problematic thought patterns contribute to anxiety, such as expecting the worst, jumping to conclusions, judging yourself unfairly, making ‘should’ statements, and perfectionism. Using these thought patterns as a guide, you can identify specific thoughts you have that lead to anxiety, and then develop coping thoughts to replace the unhelpful thoughts. For example, if you frequently think ‘I need to do this without making any mistakes’ (perfectionism) it might lead to feeling anxiety about completing the task, and possibly prevent you from doing it. A more helpful coping thought to use in its place could be ‘I am learning, it is safe for me to make mistakes.’
Anxiety is a complex issue, and this is a very brief overview of how understanding where it originates in the brain can help inform the proper intervention. These processes would best be navigated with the help of a mental health professional trained in the treatment of anxiety.
–Laura Gross, LMSW
Laura Gross is a Clinical Therapist with Marsh Psychology Group
You can contact her at:
lgross@marshpsychologygroup.com
Pittman, Catherine M., and Elizabeth M. Karle. Rewire Your Anxious Brain: How to Use the Neuroscience of Fear to End Anxiety, Panic, & Worry. Echo Point Books & Media, 2019.
Filed Under: Uncategorized
Positive Psychology is the science of well-being. It focuses on skills that foster good feelings and resilience. One of the most powerful and impactful area of positive psychology is the practice of gratitude.
Gratitude is defined as a sense of wonder, thankfulness, and appreciation for life. It consisted of 2 related steps:
Research shows that regular gratitude practice impacts both our psychology and bodies. First, gratitude has been shown to “ decrease rates of depression and stress, while enhancing positive mental states such as joy, optimism and tranquility”(Paquette, 2018). Second, people who regularly practice gratitude, have overall improved physical health, stronger immune systems, and reduced rates of stress-related illnesses. Third, our brains change structurally and chemically in ways that increase well-being.
Jonah Paquette, Psy.D.(2018) suggests a good place to start is to start noticing positive occurrences in our daily lives. The “Three Good Things” technique is a simple way to start a gratitude practice. You will need a few sheets of paper or a notebook and a pen/pencil for this exercise.
Three Good Things
Instructions: Before bed each night for 2 weeks
1) Write down three things that went well that day. They can be little or big things, there is no right answer. Example: I had a restful day off and feel relaxed.
2) Explain why you think this happened and or your contribution to the event. Example: I had a restful day because I kept the TV turned off and did not check my work email.
Try to challenge yourself not to repeat an entry over the next 2 weeks.
Shifting to a Gratitude Mindset
Once you feel comfortable noticing good things in your life, change your journal entries to reflect what you are grateful for, and explain your reasoning. This subtle adjustment adds a deeper meaning to your practice. It widens the “goodness” in your life to include an acknowledgment of an external source of goodness and an experience of being thankful. This shift deepens the positive impact on your mood and physical health.
References and resources:
The Happiness Tool Box by Jonah Paquette, Psy.D. 2018 PESI Publishing and Media, Eau Claire, WI.
https://greatergood.berkeley.edu/
Be Well,
Dr. Marsh
Pamela Marsh, Psy.D. is a licensed clinical psychologist at Marsh Psychology Group, in Huntington Woods, Michigan. She can be reached at pmarsh@marshpsychologygroup.com
Filed Under: Anxiety, Depression, General, stress, Uncategorized
Boundaries in relationship are the key to fufilling connecitons.
Many of us have difficulty with boundaries in relationships and might not even be aware of the problem. If you often feel resentful, drained, unfulfilled, or taken advantage of in your relationships, poor boundaries could be the reason. Having boundaries with others means you can verbalize or act to enforce your limits and maintain your sense of self. Areas of interpersonal boundaries can be physical, mental/emotional, or resource-based.
Physical Boundaries: How others comment on your appearance, limits related to physical intimacy and touch
Mental/Emotional Boundaries: Autonomy in one’s opinions and beliefs, not feeling responsible for someone else’s feelings
Resource Boundaries: Limits on how much time you are available, how much money you contribute, what you are willing to do for the other person
How to Start Setting Boundaries
Establishing healthy boundaries in your relationships starts with being in touch with your own needs. We can become so used to putting others before ourselves we don’t even recognize what we need, let alone have the capacity to assert those needs! Start by noticing where you feel resentful, drained, unfulfilled, or taken advantage of in your relationships. These feelings are a sign of your unmet needs and can be used to identify where you would benefit from establishing healthier boundaries.
If healthy boundaries were never modeled for you, it can be a scary thing to try. Sometimes we are so used to automatically saying ‘yes’ we feel afraid to say ‘no’ and this becomes a resources issue. If this is the case for you, start by identifying a different response such as”‘let me think about that and get back to you”-this will allow you time to think things through and check in with yourself to determine if you genuinely want to say ‘yes’ or would be doing so out of obligation or fear.
Similarly, sometimes we are so used to focusing on others’ needs and emotions we become uncomfortable looking at our own. We have developed the false belief that meeting the needs of others will keep us safe while meeting our own needs is unsafe. In reality, fulfillment and regulation (safety) comes from being attuned to our own needs – our true self – and asserting those needs in our relationships.
It is important to note, not all boundaries need to be verbalized. Sometimes the most effective way to establish a boundary is through your behavior, and the other person might not even be aware of it. In situations where we do communicate our limits to someone, boundaries are not ultimatums or ways to try to control the other person. The goal is to be clear on our limits and become responsible for our needs in relationships, while also respecting the limits of others. When first starting this process, try writing out what you want to communicate to the other person first. Consider the relationship and what you think is beneficial for the other person to know regarding your boundary. Remember, we do not owe an explanation for our needs, but it can be helpful to communicate the ‘why’ depending on the situation.
Growing Pains
Expect to feel uncomfortable when you start this process, as with most changes we make, but sometimes it can feel too uncomfortable to do on our own. Because many of us were taught to have unhealthy boundaries in childhood, the reasons behind these difficulties are often deeply rooted and difficult to address without support. Working with a mental health professional can provide guidance in understanding our difficulties with boundaries and help us navigate healthy changes.
References:
LePera, N. (2021). How to Do the Work. Macmillan Publishers, p. 179-205.
-Laura Gross, LMSW
Laura Gross is a Clinical Therapist with Marsh Psychology Group.
You can contact her at:
(248)860-2024
lgross@marshpsychologygroup.com
Filed Under: Couples/Marriage, Issues for Women, Self-Esteem, toxic relationship, Uncategorized
The vagus nerve is the longest nerve in your body. The Vagus nerve connects your brain to all the organs throughout the body, including the gut-intestines, stomach, liver, kidneys- and the heart and lungs. The word “vagus” means “wanderer” in Latin, which accurately represents how the nerve wanders all over the body and reaches various […]
The vagus nerve is the longest nerve in your body. The Vagus nerve connects your brain to all the organs throughout the body, including the gut-intestines, stomach, liver, kidneys- and the heart and lungs.
The word “vagus” means “wanderer” in Latin, which accurately represents how the nerve wanders all over the body and reaches various organs. The vagus nerve helps you to remain calm when you are stressed and to know when you are no longer in danger. It helps you to “rest and digest.” When the vagus is stimulated, you feel calmer, more compassionate, and clearer. Stimulating the vagus benefits your autonomic nervous system and your mental health.
What is most important about the vagus nerve is its tone. Increasing your vagal tone activates the parasympathetic nervous system, and having higher vagal tone means that your body can relax faster after stress. Healthy vagal tone means emotional regulation, greater connection, and better physical health. Poor vagal tone can create issues with breathing, digestion, body inflammation, heart rate, liver function, cause chronic stress, and impair sleep.
“The vagal response reduces stress. It reduces our heart rate and blood pressure. It changes the function of certain parts of the brain, stimulates digestion, all those things that happen when we are relaxed.” — Dr. Mladen Golubic, MD, Medical Director of the Cleveland
Ways to Stimulate Your Vagus Nerve
1. Breathwork- diaphragmatic breathing
Most people take about 10 to 14 breaths each minute. Taking about 6 breaths over the course of a minute is a great way to relieve stress. You should breathe in deeply from your diaphragm. When you do this, your stomach should expand outward. Your exhale should be long and slow. This is key to stimulating the vagus nerve and reaching a state of relaxation. Place one hand on your stomach and the other hand on your chest. As you breathe in, feel your stomach expand, and when you exhale, your stomach should go back down.
2. Diving Reflex
To stimulate the diving reflex, you need cold exposure. You can splash cold water on your face or put ice cubes in a ziploc bag on your face. The diving reflex slows your heart rate, increases blood flow to your brain, reduces anger and relaxes your body. Acute cold exposure has been shown to activate the vagus nerve. Researchers have also found that exposing yourself to cold on a regular basis can lower your sympathetic “fight or flight” response and increase parasympathetic activity through the vagus nerve. You can take cold showers or go outside in cold temperatures with minimal clothing. Try finishing your next shower with at least 30 seconds of cold water and see how you feel.
3. Humming, Singing or Gargling
Humming, singing or gargling tones the vagus nerve. Chanting the word “Om” can decrease stress levels.
4. Probiotics
It’s clear to researchers that healthy gut bacteria improve brain function by activating the vagus nerve.
5. Omega 3 Fatty Acids
You can get these from fish oil, or if you’re a vegan, you can find them in chia seeds, flaxseed, hemp seed oil and walnuts. Researchers have discovered that omega-3 fatty acids increase vagal tone and vagal activity. Studies show Omega 3’s reduce heart rate and increase heart rate variability, which means they likely stimulate the vagus nerve.
6. Mindfulness and Meditation
Mindfulness is taking time to pay attention to the present moment and what you are doing in it. Meditation teaches us to focus on our breath and listen to our hearts. Studies have shown that meditation reduces sympathetic “fight or flight” activity and increases vagal modulation.
7. Yoga
Yoga is a parasympathetic activation exercise that helps with digestion, blood flow and more.
8. Exercise.
Exercise stimulates the vagus nerve, which may explain its beneficial brain and mental health effects. Many brain health experts recommend exercise as their number one piece of advice for optimal brain health.
9. Massage
Research shows that massages can stimulate the vagus nerve and increase vagal activity and vagal tone. The vagus nerve can also be stimulated by massaging several specific areas of the body. Foot massages (reflexology) have been shown to increase vagal modulation and heart rate variability, and decrease the “fight or flight” sympathetic response
10. Socializing and Laughing
Socializing and laughing can reduce your body’s main stress hormone, and we now know it is likely doing this by stimulating the vagus nerve. Researchers have also discovered that reflecting on positive social connections improves vagal tone and increases positive emotions. Laughter has been shown to increase heart-rate variability and improve mood.
So, as you can see, there are many things you can do to tone your vagus nerve and improve both your physical and mental health, including improving symptoms of anxiety and depression.
If you feel you could benefit from further support and counseling, consider finding a qualified therapist you trust who can help you manage your mental health.
Carol Van Kampen, LMSW
Carol Van Kampen, LMSW is an individual private practice psychotherapist who specializes in anxiety, depression, grief, and trauma treatment at Marsh Psychology Group. Carol is EMDR trained. Contact her at marshpsychologygroup.com
cvankampen@marshpsychologygroup.com
https://marshpsychologygroup.com/carol-van-kampen-lmsw/
Filed Under: Anxiety, Uncategorized