Different Types of Eating Disorders: Anorexia Nervosa

Probably the most well-known of the different types of eating disorders is anorexia nervosa. According to the National Association of Anorexia Nervosa and Associated Disorders (ANAD) statistics, “anorexia has the highest case mortality rate and the second highest crude mortality rate of any mental illness.”

The good news is that anorexia is treatable, and you can get your physical and mental health back on track with medical and psychological help.

What is anorexia nervosa?

Anorexia nervosa (commonly referred to as anorexia) is a dangerous eating disorder with a high mortality rate. Those with anorexia suffer from more than emotional turmoil; their physical health is in jeopardy.

Anorexia behavior includes starvation. This may be a blatant refusal of food or eating minimal food when offered. The most common symptom of anorexia is a gaunt and underweight appearance. Bones may be visible without clothing. The person with anorexia may see themselves differently in the mirror, however. Anorexia is often comorbid with body dysmorphic disorder. They may see themselves as larger than they are or have a deep-seated fear of gaining weight.

According to the ANAD statistics, out of the different types of eating disorders, those with anorexia face an 18% higher suicide rate than their peers without an eating disorder. Those with anorexia can also encounter more degenerate physical health. Medical treatment is a priority for these patients. Once their physical health is stable, the work to heal the psychological damage can commence.

The symptoms of anorexia nervosa.

The symptoms of anorexia include:

  • Refusing to eat.
  • Denying hunger.
  • Only eating specific foods with little to no nutritional value.
  • Adhering to rigid food rules.
  • Starving oneself.
  • Underweight.
  • Protruding bones under clothing.
  • Brittle hair and nails.
  • Dry skin.
  • Severe dehydration.
  • Dizziness.
  • Fainting.
  • Low blood pressure.
  • Slow heart rate.
  • Nutritional deficiencies.
  • Anxiety.
  • Depression.
  • Poor body image.
  • Irregular periods or amenorrhea.

Due to the nutritional deficiencies and extreme weight loss, physical health is a concern. If left untreated, anorexia can lead to organ failure. Medical professionals prioritize physical health to help the patient’s body stabilize.

Treatment for anorexia nervosa.

Once the person with anorexia is stable physically, treatment for the mental disorder can begin. A counselor will assess the person’s behavior and listen to them share their thoughts and emotions before creating a care plan. To treat the compulsions that drive anorexic behavior, counselors must understand the thoughts behind the actions. The counselor and client build a rapport and a safe relationship that allows the freedom to share.

Counselors may use several different types of eating disorder treatments depending on the client’s assessment and level of severity of anorexia.

Individual talk therapy.

There may be a reason that a client turns to anorexia that goes beyond wanting to be a smaller size or not wanting to gain weight. Exactly why do they feel the need? Why are they afraid? A counselor helps the client work through these issues and triggers.

 

Group therapy.

People are stronger together, especially those who have overcome anorexia, and are willing to share with others. Group therapy is a safe space to share and gain insight from others while being led by a professional mental health care worker.

Cognitive Behavioral Therapy (CBT).

This technique helps clients to identify triggers, emotions, and thoughts that lead to anorexic behaviors. The client then can work with the counselor to learn ways to re-frame those thoughts and actions.

Dialectical Behavior Therapy (DBT).

Although not explicitly created for eating disorders, DBT has proven helpful in helping a client with anorexia (or bulimia or binge eating) manage stressors and relationships instead of turning to the harmful behaviors associated with anorexia.

Nutrition education.

Nutritional education is a must to help the client adapt to a regular eating schedule with proper portions and variety. The menu may change as the client becomes healthier, allowing for a greater variety, but in the beginning, checking in with a nutritionist will keep treatment on track.

A counselor may incorporate several methods to help a client with anorexia. They may meet in person, virtually, or a combination of both.

Counseling for different types of eating disorders.

From the different types of eating disorders, do you struggle with anorexia nervosa? Do the symptoms sound familiar, but you do not quite meet the criteria for a full-blown eating disorder?

We can help. Contact our office today at Huntington Beach Christian Counseling in California to schedule an assessment with a Christian counselor in Huntington Beach. Your counselor will assess your health and help you connect with medical treatment if necessary while you work on the emotional and mental healing from anorexia.

Resources:
https://anad.org/eating-disorder-statistic/
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What You Can Expect and Hope to Gain from Family Counseling

Functional families are often believed to be the bedrock of our society. They are the most basic unit of a community and even government. They provide and secure members’ health, education, and their interests. This is why family counseling can be of use.

However, negative behavior of any individual member of the family can cause fractures in the unit, and often professional therapy is an effective source of support and help. Family counseling is a type of counseling that not only assists individuals within the family but the family as a single group.

If you wonder whether family therapy will be helpful to your family as it deals with particular stresses, this article will briefly describe the skills of a family counselor and the different instances families find counseling beneficial.

Family counseling helps in these ways.

Of course, families are unique and therefore several types of therapy can be used to support them through family counseling.

Two common types are solution-focused brief therapy as well as Cognitive Behavioral Therapy.

Solution-focused brief therapy sets out short-term goals for the therapy sessions and incorporates positive psychology principles and practices. This helps families focus on the solution instead of the problem.

The type of therapy is described as hope-friendly and looks to bring out positive emotions to help create a future orientation for the family as they work together in a motivated way to implement the agreed sustainable behavioral change.

In other words, the point of solution-focused brief therapy is for the family to work together to solve their own problems.

The second type of therapy is Cognitive Behavioral Therapy which helps families to notice and understand ways of thinking that are not helpful, and sometimes harmful. New ways of thinking are nurtured.

Types of problems tackled during family counseling.

Professionals involved in family therapy are trained to assist with a broad spectrum of significant clinical problems. Some of these may include:

  • Anxiety and depression.
  • Marriage problems.
  • Individual mental and mood issues.
  • Complex dynamics surrounding the parent-child relationship.

Family counseling professionals are often mental health professionals and practitioners who have professional training and years of clinical practice experience. These professionals are licensed as Licensed Marriage and Family Therapists to consider, determine, and treat mental and emotional disorders, issues with health and behavior, as well as the relationship complexities that surround couples, marriage, and families.

Research shows that in some cases marriage and family therapy results in better outcomes than individual counseling for mental health problems, for example:

  • Adult alcoholism.
  • Adult schizophrenia.
  • Affective or mood disorder.
  • Anorexia in young adult women.
  • Childhood autism.
  • Childhood conduct disorders .
  • Chronic physical illness in adults and children.
  • Drug abuse in adolescents and adults.
  • Marital distress disputes.

The need for family counseling professionals.

Studies verify the successful impact family counseling professionals have in treating a wide variety of significant and complex problems that beset families. Further research finds that the families who went for counseling were pleased and satisfied with the help they received from marriage and family health therapists.

The results from studies showed that more than 85% of clients reported that their emotional health improved, and almost 75% of parents with children reported better behavior inside and outside the family unit, as well as an improvement in overall school performance.

Similar findings among adults in the family unit show that as health, emotional, and mental disorders are helped through family counseling, there are improvements in professional productivity and relationships, social life, involvement in the community, and overall well-being.

Looking for the type of help that family therapy provides?

If you are looking for the type of help that family therapy provides, please browse our online counselor directory or contact our office at Huntington Beach Christian Counseling to schedule an appointment. The Christian counselors in Huntington Beach, California would be honored to walk with you on this journey.

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3 Ways to Overcome Abandonment Issues

As people, we are wired for attachment. From the moment a baby is born, they seek out the breast of the mother that carried them, and the nature of that first relationship sets the course for who we become. While many are fortunate to be born into loving homes with parents that take care to fulfill the needs of their children, this is not the case for everyone living in this broken world. Neglect, abuse, divorce, or death can leave a child feeling rejected and insecure, which can develop into abandonment issues later in life.

A person with abandonment issues has a pervasive fear of losing relationships with those they value most, and this can manifest in a number of different ways. They generally suffer from low self-esteem, feeling that they are unlovable, and can recreate the trauma they experienced by pursuing relationships with individuals who are emotionally unavailable.

Their sense of worthlessness pervades into many areas of their life, with failures serving to reinforce this narrative. Other symptoms of abandonment are a sense of distrust in people, hyper-sensitivity, and negative emotions like anger, fear, and jealousy together with anxiety and depression.

Abandonment issues can also be the result of more subtle influences, and can stem from a perception a child has of being neglected by a caregiver, or other factors such as excessive bullying from a sibling, being criticized as a child, or a parent who suffered mental health or substance abuse issues.

While we all have some level of fear of abandonment, when a person is crippled by their abandonment issues, their lives are affected in a negative way. The good news is that no matter how severe this fear is, as Christians we have the power of Christ at work in us to heal us from these emotional wounds.

3 Ways to Overcome Abandonment Issues

Together with a trained Biblical counselor, a person who has recognized abandonment issues in themselves and who wants to move past them, can uproot the stronghold that fear of abandonment has created.

Some ways to work through this include:

Root yourself in your value as a child of God.

While God has made us to have a strong connection with our parents, and they serve an important role in giving us the love and care we need to thrive, He is our perfect Father. Our earthly parents may fail us, and that may have caused abandonment issues. However, we are not stuck there.

Together with a Christian counselor, we can meditate and accept the truth of the promise that our value is not found in what we do or our family of origin. Rather, our identity is that we are a child of God. John 3:16 reminds us that the ultimate demonstration of God’s love for us is that He sent His own son, Jesus, to die on the cross, so that we can have a redeemed relationship with Him.

Take your fears captive.

The sad part of any trauma is that the narrative is difficult to escape from. We might accept a level of disassociation and be freed from it, only to find our abandonment issues erupting in the most unexpected places. Part of thecounseling process involves developing the strategy and habit to take these thoughts captive.

As Corinthians 2 10:5 tells us, we are to “demolish arguments and every pretension that sets itself up against the knowledge of God, and we take captive every thought to make it obedient to Christ.” While this can seem hard at first, through prayer and practice, it is possible to replace negative thoughts with those that are “true, noble, right, pure, lovely, admirable, excellent, and praiseworthy.” (Philippians 4:8)

Give yourself compassion.

While it might be relatively easy to be compassionate and caring toward others, people with abandonment issues can find it extremely difficult to show compassion toward themselves. Part of working through the issue is coming to terms with the fact that they were not responsible for what happened.

Often, children can take on the weight of the responsibility for a divorce or an abusive parent, but this step is about thinking through what happened and being kind to that little person who suffered, and to the adult they have become.

Getting help to overcome.

If you are struggling with getting to a point where you feel confident in your own value as a person, loved by God, and feel that your abandonment issues are preventing you from enjoying relationships and living a full life, do not hesitate to contact a Christian counselor to start your healing journey.

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2 Benefits of Marriage Counseling and 3 Disadvantages

The difficulties with marriage start at the beginning of a relationship. No one starts a relationship looking to end up in marriage counseling one day, but from the very start of “I think I like you” to the “I do” and beyond, there are certain difficulties that each couple will face

Some of these difficulties require more work than others. A majority of the troubles that couples face can benefit from marriage therapy. As with any tool, however, there are both benefits and disadvantages to marriage counseling.

Two benefits of marriage counseling.

For any couple working with a marriage counselor, there are benefits to reap once the work has been done to find a counselor that fits. The premise of marriage counseling is to assist couples in their relationship with themselves, one another, and the systems around them.

Choosing to work in such a context should not be a light decision, nor should it be a one-sided decision. Couples who come to counseling need to decide together that they are there to do the work, otherwise there are likely to be no benefits at all.

Communication.

One of the top benefits that can come from marriage counseling is improved communication. Even starting to talk about marriage therapy, whether for premarital, newly married couples, or long-time married couples can bring about better talk as a couple. This “pre-talk” allows the couple to define the terms, establish a reasonable assessment of how important the marriage is to one another, and explore what areas need to be worked on most.

While in marriage counseling, a counselor can help the couple improve their communication by supplying mediation and skill training. With a counselor acting as a mediator, couples have the advantage of slowing their communication down.

The counselor makes room for pausing and reflecting. This sort of mediation allows for couples to be heard by one another and get their point across more effectively. The mediation of a counselor helps couples to create safe boundaries while navigating conflict.

Skill training helps the couple increase their active and reflective listening. Skill training also serves to increase the couple’s positive communication by allowing them to practice filtering and shaping their words. By improving communication, the couple’s intimacy is increased and thereby overall satisfaction in the relationship.

Longevity.

Marriages start with the desire for the relationship to last and in order to have a lasting marriage, there needs to be a certain level of satisfaction. In other words, decreased satisfaction in times of conflict can jeopardize the marriage. In order to increase satisfaction between the couple, marriage counselors support them in developing better communication, conflict resolution, and empathy skills.

With an increase in these skills, the couple can feel more understood, more at ease, and more willing to be vulnerable. This leads to the couple having their needs met. As conflict decreases and needs are increasingly met, the satisfaction of the relationship increases. This increase in satisfaction improves the longevity of the relationship exponentially.

Three disadvantages of marriage counseling.

There are both benefits of marriage counseling and disadvantages. Two of the benefits of marriage counseling discussed above are communication and longevity. These play into one another, just as the disadvantages do. Disadvantages of marriage counseling can include areas of conflict resolution, self-discipline, and that it is not a “one-size-fits-all” intervention.

Conflict resolution.

Every marriage has its moments of conflict. Within couples therapy, couples are spending time addressing that conflict in hopes of a resolution. The disadvantage to this is that it can stir up the conflict and leave the couple more hurt before any resolution comes. Counseling takes time, and there are no guarantees with it. This means things can get worse before they get better.

Another aspect of conflict resolution is that often within marriage counseling, working on a current conflict brings up conflicts from the past. This leaves couples to face multiple conflicts at once. Any work with conflict resolution creates the opportunity for immense individual growth and strengthening of skills.

Working with a marriage counselor on resolving conflict in a marriage can help the couple develop a plan that improves their marriage. However, the plan will not be void of hard work and the facing of more difficult pain. Each individual has to make the decision to face the amount of work that conflict resolution presents them with.

Self-discipline.

Getting married to someone doesn’t mean that person is perfect. There is often an understanding within the relationship that there is room for each individual to grow. What can be unknown at times is the level of self-discipline it will take to both grow and endure the other’s need for growth.

Marriage counselors hold a unique position with a couple to both help the individuals see the need for self-discipline or growth, as well as to support them in building the skills necessary to achieve it. These skills include brain re-training, empathy building, behavior modification, habit training, etc.

Learning new skills and practicing new roles within the marriage requires self-discipline. As with any discipline, it is not easy to endure. The temporary pain is sometimes determined to not be worth the long-term gain. Marriage counseling requires the individuals to face this reality and own up to it.

Not a “one-size-fits-all” intervention.

Each individual in a marriage has the choice to both enter into and stay in marriage counseling. This requires multiple things to be right in order for it to work. For marriage therapy specifically, both individuals must agree to commit to the marriage and work on it, otherwise it is just individual counseling with an extra person in the room.

Once commitment to the marriage is secured, both individuals need to agree on who they work with. If one person feels uncomfortable with the counselor, or both, it will be an uphill battle while the couple is already wounded. After deciding that continuing the marriage is right for the couple and that the counselor is right for the couple, the couple then needs to decide at some point whether or not the counseling is serving the marriage well.

This decision can be the most difficult part to face, leaving the couple at a strong disadvantage. The difficulty lies within the hard work that facing conflict creates. Due to there being no guarantees in therapy, enduring hard work can leave the couple feeling more depleted than simply enduring the conflict, and thereby become a confusing time when they have to decide whether to continue counseling or not.

Marriage counseling is not the only way for couples to improve their marriage. In fact, for some it may create more conflict in a way that proves ineffective at addressing any original conflicts at hand. Sometimes talking things out and expressing feelings does not serve the purpose of resolution. Marriage counseling may not fit the relationship dynamics, circumstances, or even culture of the couple.

Is marriage counseling worth it?

Marriage counseling is a tool for couples to use just like any other tool. It is meant to support the couple in the growth and longevity of their relationship with each other. Whether the disadvantages outweigh the advantages really comes down to the married couple. If you are ready to explore more regarding whether marriage counseling is right for you, reach out to a counselor near you.

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Trauma and Friendship: 3 Ways One Impacts the Other

If you have been through trauma, whether as a child or as an adult, you might recognize symptoms such as loss of hope, fear of the future, and a preoccupation with death either of oneself or a loved one. These can be related to physical trauma or trauma associated with grief and loss. But even psychological trauma, such as what can result from emotional neglect, impacts bonds typically formed in friendship.

What is trauma?

The American Psychological Association defines trauma as “an emotional response to a terrible event like an accident, rape or natural disaster.”

Trauma can be caused by a one-time event or by a series of events and circumstances. A person can undergo childhood trauma due to situations beyond his control, such as experiencing homelessness and food insecurity or witnessing abuse in the home. A pattern of trauma responses can be immediate and long-lasting.

What are short-term trauma responses?

Immediate responses to trauma include shock, denial, and a refusal to believe new ways of life are possible. These responses may last anywhere from a day or two to weeks or months after the event(s) occurred.

Long-term trauma responses.

Long-term trauma responses may be more relational. If a person who lost her mother as a young child struggles to bond with females, this could be a result of trauma. Other long-term responses may be depression, fear of future loss that impacts a person’s willingness to be vulnerable, and physical symptoms such as headaches and nausea.

How do trauma and friendship interact?

Experiencing trauma doesn’t necessarily mean you will always struggle to form friendship bonds. However, some research suggests that those who experience post-traumatic stress disorder may be slower to form attachment bonds because of it.

Getting help early from a trained, trusted professional counselor can be an asset to anyone who has experienced trauma. Friendships can thrive post-trauma if a person can overcome and move forward after the traumatic event has taken place. New studies show that adult friendships may even help a person recover from trauma.

Here are three ways that trauma impacts friendship and friendship impacts trauma recovery.

1. Trauma can make a person feel isolated if he or she doesn’t know anyone else who has experienced trauma.

Trauma impacts everyone differently. Our responses to it are largely determined by our personalities and wiring, our health history, and our support from friends and family. When someone, particularly children and teens, goes through something traumatic, they can naturally separate themselves from others – thus struggling to bond and form friendships – out of fear of being different or not being able to relate to other kids and teens.

2. Trauma can make everyday life difficult and turn grief into complex grief over time.

If a person is impacted by a traumatic event where they lost a loved one, such as in a car accident where a family member died, it’s essential to understand the signs of post-traumatic stress disorder. Seeking treatment as early as possible is important. Research shows that untreated PTSD can result in complex grief. This can disrupt a person’s daily rhythms, making it tough to work, study, or share common experiences with friends.

3. Friendship can bring healing to those who suffered childhood trauma.

Studies suggest that forming friendships in later adult life keeps a person’s immune system healthy. But these friendships can also bring healing and hope to those who have undergone trauma early in life. If you have noticed that a traumatic event has impacted your friendships, contact one of our offices today. A licensed counselor at Huntington Beach Christian Counseling can help you on the journey toward healing and wholeness.

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Moving Past Postpartum Blues

Your baby is finally here. After months of growing and developing into a tiny human, your little one has made an entrance. You know you should be elated, but something feels off. Postpartum blues is real and can last a few weeks as your hormones shift from pregnancy to the recovery period.

How do you move past postpartum blues and get back to enjoying your new baby?

Getting back on track after postpartum blues.

You may have felt happy, joyful, and serene right after the birth of your baby, but after the first week of no sleep, constant diaper changes, learning how to care for a newborn, and shifts in hormones, you feel the opposite.

This is a normal occurrence. Hormones control our emotions and moods, and as estrogen and progesterone levels decrease, you may experience postpartum blues with mood swings, sadness, and anxiety for a few weeks.

The good news is that the postpartum blues only last about two weeks, then your hormones stabilize. When the emotions do not seem to be stabilizing and you continue to experience mood swings, sadness, and/or anxiety, it is important to check in with your healthcare provider. While experiencing these emotional lows is normal after birth, there are things you can do to help ease your way through this time.

Increase rest and nutrition.

This may sound easier said than done, but as your hormones adjust, it is the most important time for you and your baby to focus on rest and nutrition. Keeping your body fed and hydrated will boost your ability to weather the baby blues. Resting may not come easy as life can be full of demands, but finding a way to incorporate it whenever possible is a must.

One of my favorite pieces of advice in this area was from a midwife who said, “stock up on one-handed foods.” The unpredictable schedule and demands of a newborn will seem at odds with the times you are hungry. One-handed, nutrient rich and/or simple foods are a great go-to.

If you are unable to sleep whenever the baby sleeps, that’s okay. Increasing rest can also look like decreasing the energy you expend or creating a restful environment. Dim the lights, light a candle, time-block for quiet activities, and set the mood for relaxation for the whole family.

Find help with the baby and the house.

The overwhelming feelings may be more acute if you are trying to manage a newborn on your own. The first few weeks of an infant’s life are also a challenge for them. They must adapt to sights, sounds, and smells they did not have in the womb. In addition, they have no way of communicating except through crying.

This trying period will pass as your baby grows and adapts, but in the meantime, you need help. Do you have a spouse that can take over while you get some sleep? How about a parent or sibling who can handle the daily chores like dishes and laundry? A friend who can bring you a meal, sit with you, or hold the baby while you shower? Asking for help is a sign of strength. Many people will want to help you, but they will need your permission.

If you are preparing for your baby’s birth and are reading this to know what to expect, take the time to recruit help now. From anything to setting up a meal train, to driving siblings to their appointments, to walking the dog and cleaning your house.

There are things you can do for yourself as well. To save time during those first few weeks, consider cooking and freezing meals for when your family is too tired to cook. Consider reducing physical clutter and daily routines to the necessities. Even stocking up on paper plates and disposable cutlery.

If you have a large family, teach your older children to do certain chores, like taking out the trash, running the vacuum, and dusting. Even little ones can fold the towels and washcloths; their work may not be perfect, but it will be done and one less thing for you to think about.

Focus on less.

Now may be a time when focusing on less or slowing down may not be possible. Maybe you are in the middle of a school program, have to go back to work immediately, or are raising other kids who haven’t reached a significant independence level.

Even if that is the case, something will have to give. The attention a baby demands, coupled with the struggles of the baby blues, makes it necessary to slim down the daily doings to the minimum. If you are able to before the baby comes, make a list of things in your days that can be altered to an easier form for the transition of this new baby.

Focusing on less while you are facing the baby blues can be difficult if you are not prepared to take it easy. You may be struggling with doubt, guilt, or other negative influences. If you are unable to prepare prior to having the baby, three ways to focus on less immediately are:

  • Recognize the negative and unrealistic message of having to “do it all” during this time and replace it with “I am doing what’s most important” by tending to the needs of the new baby and taking care for yourself so you have enough to keep going.
  • Remind yourself that it is a different season that will pass quickly and you will find a new way to get things done eventually.
  • As “eventually” may not come as quickly as one would like, remind yourself the days are long, but the years fly by and take as many deep breaths as you need.

Facing the baby blues is difficult for any momma, even a seasoned one. Seeking help is another way to start immediately focusing on less and getting the most important work done.

Seek support.

You are not alone. Postpartum blues affects up to 70% of new mothers. You may still develop the postpartum blues even if this is not your first child. Seek support if you struggle with symptoms or have questions for other women.

You can find support through online communities or live local groups. Your obstetrician, pediatrician, or lactation consultant may be able to recommend a group or community you can join. Some groups meet at hospitals and clinics.

You can also find Mothers groups that consist of women who have children from birth through age five. These groups offer invaluable insight and activities for children while the mothers provide advice and ask questions. They may also host events or Mother’s Day Out opportunities.

You don’t need to leave anyone off the list when it comes to seeking support. From your church to your neighbors, from your county organizations to your online communities, finding people to help doesn’t have to be limited to family and close friends.

As long as you can trust them with even as small a task as providing clothes for the new baby or taking your trash cans out for trash day, it can help ease the burdens and lighten the weight of the baby blues.

Accept your body in the moment.

Postpartum blues can worsen our perceptions and expectations about our bodies after a baby. Sometimes we expect our bodies to bounce back quickly after a child is born. We become disappointed and depressed if we still weigh the same as we did when carrying a six to nine-pound baby.

Most likely, you are still retaining extra fluid, and if you are breastfeeding, your new milk supply may alter the fluid content and weight. You may not be able to wear your pre-pregnancy clothes for weeks or months after birth. This is normal. As your body adapts to the changes, overall change towards your former body will happen.

In the meantime, give yourself grace. You may not like what you see in the mirror when your clothes are off, but remember that you just gave birth to a baby. The process of pregnancy and birth is a miracle. Your body nurtured and protected a child for nine months. Accept and practice gratitude for the body God blessed you with that could participate in this miracle.

Stop the comparing.

Becoming a mother is an honor and a blessing. But we can romanticize pregnancy, birth, and new motherhood. We admire other mothers on social media who seem to have it all together. These women may show organized nurseries, svelte bodies, and sleeping babes on their newsfeeds.

What they are not sharing with you are the same issues you are dealing with having a newborn. These women also have laundry, dirty diapers, painful breasts, and spit up on their clothes.

Your schedule may not be what you expected, but it may be the one that will have to work for you and your family temporarily. Your new baby might be your fifth, but is the exact opposite of their siblings. Your home may look like a nursery exploded inside for the first few weeks. Accept that things will not be perfect, call on people to help, and let the rest go for now. Learn to pivot instead of compare and you will adapt more easily.

If you give birth to your new baby right before a holiday, accept that this year will be different, and don’t stress yourself out trying to make it magical. Instead, request more help or scale down on the lavishness. For example, if your baby is born a week or two before Thanksgiving, you might choose to stay home and have a premade meal delivered instead of traveling for two hours to visit extended family. Do things that will make life easier postpartum, not harder.

Postpartum blues can leave you feeling very impressionable. While avoiding comparing with those who seem to have it easier or more together, it is also worth the caution to avoid surrounding yourself only with others struggling with the same things, as it can lead to a worsening of your symptoms.

Is it postpartum blues or depression?

Sometimes the postpartum blues is really depression. Postpartum depression is more intense and can last months. If you are experiencing persistent sadness as if a cloud hangs over you, you cannot seem to bond with your baby, or you are having thoughts of harming yourself or your infant, reach out for help immediately. Postpartum depression is treatable with the assistance of a licensed mental health care practitioner.

Contact our office today to speak with a therapist. Your therapist can offer more information about the postpartum recovery period and methods to overcome the postpartum blues.

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Repairing a Relationship after an Anger Outburst

An anger outburst can cause a person to lose control over what they say and do, which can be devastating. Anger can override a person’s rational thought processes, placing them in the uncomfortable situation of having to take back hurtful words spoken in anger that they never would have uttered under normal circumstances.

What’s an anger outburst?

Have you ever felt so angry that your anger felt like it was a living, fire-breathing, or ice-cold thing inside of you? Perhaps a loved one had slighted you one too many times, or a friend questioned a choice you made or a cherished belief you hold, and it stirred up anger in you.

Everyone gets angry at some point in their lives, though what varies between people is what makes them angry and what they do with themselves once they feel angry.

We often express anger in the ways that were modeled to us by people that were significant in our formation, such as our parents and other adults around us. From these experiences we learn what is considered an appropriate way to express anger, whether by suppressing it or expressing it through colorful expletives.

For some people, having seen anger expressed one way and found that to be problematic, they choose to go another route in their own life. Consider the case where a person with parents who had violent and explosive tempers finding themselves preferring to keep their own anger bottled up instead.

You don’t have to suppress anger to deal with it effectively. In fact, suppressing anger is an ineffective and potentially self-destructive way to deal with feelings of anger.

That anger may lodge itself in your heart and result in developing resentment toward others or health problems such as high blood pressure. But expressing anger well requires self-awareness and emotional intelligence so that harm does not befall others in the process of that self-expression. It isn’t easy, but it is possible.

An anger outburst can take many forms, often including either violent behavior or angry verbal expressions. It can look like a sudden, impulsive, out-of-control burst of anger that starts without warning and is typically seen as out of proportion to what triggered the episode.

Some examples of anger outbursts range from incidents and patterns of behavior such as road rage and domestic abuse, as well as the throwing or breaking of objects or punching through walls. An anger outburst can have not only legal consequences, but financial and relational ramifications as well.

The effect of anger on relationships.

In the heat of an argument, people say and do many things that they regret. Once words are said and certain actions performed, they can’t be taken back. All that’s left to do is to deal with the aftermath. The effect of anger that is poorly expressed is felt whatever the circumstances.

The most obvious effect of an angry outburst is the hurt that can be caused when painful and needless things are said and done during the outburst. In anger, we can wield truth carelessly, wounding the other person by hitting them where it hurts most. If anger leads a person to hurl insults or lay hands on the other person, that can cause physical and emotional damage in the other person.

If an anger outburst results in emotional and verbal abuse, that can have a profound effect on the victim’s sense of self-worth, confidence, and safety. In other words, it can diminish them as a person.

An anger outburst can affect a relationship by undermining the trust and intimacy within that relationship. Whether anger leads to hurtful words being spoken or physical violence ensuing, the connection between the two people is jeopardized because the sense of safety that may have existed prior to the outburst evaporates because of the destructive expression of anger.

If your spouse has an anger outburst that leads them to dredge up an old conflict or wound, or that results in you sustaining physical harm, you may find yourself on edge around them. You may struggle to trust yourself around them or become unwilling to let your guard down because you don’t know if that unsavory reaction will be repeated.

For emotional intimacy to thrive in a relationship, trust and safety are important. An anger outburst can undermine both by making the situation and relationship seem volatile and entirely unsettled. Discomfort, fear, and uncertainty are the enemies of meaningful relationships where a deep connection is shared between two people. An anger outburst can create a wedge between people.

Another unwanted but expected result of an anger outburst is that it may even be traumatic and triggering to be exposed to an anger outburst from a loved one. If you experienced unhealthy anger in past relationships, or if there were seasons in the present relationship where unhealthy expressions of anger were prevalent, experiencing an anger outburst may bring that past rushing back in.

What to do when anger affects your relationship.

An anger outburst can affect a relationship in deep and negative ways. The damage done by an anger outburst may take a concerted effort to undo. But if the relationship matters to you, putting in that work to restore the relationship and get your anger under control should be more than worth it.

Among some of the steps that you can take is making sure that you acknowledge what happened without making any excuses. It’s easy to try and gloss over our own bad behavior, especially if we feel embarrassed by it or perhaps even feel justified for how we felt.

However, while we are allowed to feel how we feel, we aren’t entitled to express those emotions in whatever way we choose. The Bible reminds us that “…human anger does not produce the righteousness that God desires” (James 1:20 NIV). We need to exercise caution over the reasons we feel angry and how we express our anger. Like it says in Ephesians, we are called to “be angry and do not sin” (Ephesians 4:26a).

It is important to think through apologies after an anger outburst. A proper apology carries a healthy combination of sincerity in acknowledging that what happened was wrong and recognizing the impact it may have had on the other person. Though the person apologizing may be tempted to blame or point fingers, it is important to apologize separately from working on being understood or receiving an apology from the other person.

A good apology is joined to concrete steps to be taken to change behavior and acceptance of accountability in future. An apology can pave the way for healing to begin in the relationship. The other person has the opportunity to forgive you, but that is a choice only they can exercise. Your part is to apologize and seek to do better with the Lord’s help.

It is important to seek help when you’ve had an anger outburst, particularly if it isn’t a one-time occurrence, or if the aftermath of it has been especially disastrous. An anger outburst may be the creature of a moment, but it can be a sign of much else going on beneath the surface.

God calls us to seek help from Him. This may come through prayer, reading your Bible, connecting with other believers, and/or engaging in direct counseling. Nothing will be as effective as having the Holy Spirit at work in you.

Anger may be masking anxiety, or it may be the symptom of something else such as trauma, depression (especially in men), or chronic stress. Finding professional help from a counselor will help you understand your triggers and early warning signs of anger such as having knots in your stomach, seeing red, clenching your hands or jaw, your hands feeling clammy or face feeling flushed, breathing faster, and pacing around.

Christian counseling for anger outbursts will also teach you to avoid patterns of thinking that tend to trigger and reinforce unhealthy angry reactions such as overgeneralizing (e.g., “You always disrespect me. You never consider what I want. No one ever listens to me.”); jumping to conclusions about other people’s intentions, blaming, looking for things about which to complain and get upset, and having rigid expectations of others.

Counseling will also teach you ways of handling anger in healthy ways such as taking appropriate self-care, learning to focus on the present, and using humor to relieve tension. If anger is causing friction or creating distance in your relationships, you should consider getting help from a counselor who can help you bring it under control.

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How to Spot ADHD Symptoms in Teens (and Help them Cope)

ADHD (attention deficit hyperactivity disorder) is a neurodevelopmental disorder that affects a child’s ability to stay focused, sit still, and/or control his or her impulses. It is a legitimate medical condition that requires special care and attention.

ADHD symptoms in teens usually manifest somewhat differently than they do in younger children or adults because of the distinctive aspects of this phase of life. Normal stressors such as rapidly changing bodies, hormonal changes, and the increased academic and social expectations of high school, tend to aggravate ADHD symptoms, making this an especially tough time for a teen with ADHD.

Teens with ADHD, for instance, tend to have lower grade point averages, complete and turn in a much lower percentage of classwork and homework assignments, and are much less likely to be working up to their potential. They are also more likely to be absent or tardy and to drop out of school.

The earlier you recognize the symptoms and get help for your teen, the better the outcome.

Types of ADHD.

According to the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-5-TR), there are three types of ADHD: primarily inattentive, primarily impulsive/hyperactive, and a combination of the two.

In order to be diagnosed with ADHD, a teen must exhibit six or more of the symptoms in a category (five if they are over the age of 17); the symptoms must have started before they were 12 years old; been present for six months or longer; and impact their functioning in at least two settings such as home, school, or social.

Primarily inattentive ADHD.

Teens with primarily inattentive ADHD struggle to pay attention, stay focused on what they are doing, be organized, and complete tasks, which can have a severely negative impact on their performance at school. On the other hand, they do not usually have a problem managing their impulses or activity level. Symptoms include:

  • Difficulty understanding or following instructions.
  • Failure to pay attention to detail.
  • Making careless mistakes.
  • A wandering mind that seems far away when being spoken to.
  • Failure to follow through on instructions or finish assignments.
  • Inability to organize things.
  • Frequently losing or forgetting things.
  • Easily distracted.

Primarily impulsive/hyperactive ADHD.

Teens with primarily impulsive/hyperactive ADHD have a hard time controlling their impulses and will talk or act before they think; do things without asking for permission first; rush through their assignments, making many careless mistakes; and be prone to emotional outbursts or reactions that are inappropriate or out of proportion to the situation. Symptoms include:

  • Tendency to be restless, fidgety, and have trouble sitting still.
  • Inability to engage in activities quietly.
  • Easily bored.
  • Talking excessively and interrupting others who are speaking.
  • Calling out answers in class before the teacher finishes asking the question.
  • Trouble waiting in line or for their turn.
  • Impatient and easily frustrated.

Combined ADHD.

Combined ADHD is the most common type of ADHD. Teens with this type exhibit both inattentive and impulsive/hyperactive behaviors.

Helping your teen cope with the symptoms of ADHD.

  • Educate yourself about ADHD symptoms in teens and the challenges they create so you can better understand and support your teen.
  • Accept your teen for who he or she is.
  • Stay positive and encouraging.
  • Recognize that your teen’s symptoms cannot be fixed by rigid rules or parenting styles and that they are not due to a lack of discipline on his or her part.
  • Set clear expectations with consequences.
  • Praise and reward good behavior.
  • Don’t punish your teen for behavior he or she has no control over.
  • Target the ADHD and not your teen.
  • Focus on solutions to ADHD-related problems and helping your teen achieve them.
  • Help your teen with scheduling and keeping things organized.
  • Minimize stress and overstimulation in your home environment and keep distractions to a minimum.
  • Help your teen create and stick to regular routines that provide structure to his or her day.
  • Make sure your teen has access to any necessary accommodations in school.
  • Seek counseling for your teen and remain involved and supportive in his or her care.

Benefits of counseling for ADHD symptoms in teens.

A trained mental health professional can help your teen understand ADHD and equip him or her with the necessary skills to cope with the challenges created by his or her symptoms.

If you are interested in learning more about ADHD symptoms in teens or would like to set up an appointment to meet with a faith-based counselor specializing in teenage ADHD please give us a call.

References:

David Perlstein. “Attention Deficit Hyperactivity Disorder (ADHD) in Teens.” eMedicineHealth. emedicinehealth.com/adhd_in_teens/article_em.html.

Katie Hurley. “ADHD & Teens: How to Help Them Cope with Their Struggles.” Psycom. Updated October 17, 2022.

Zia Sherrell. “What to know about ADHD screening?” MedicalNewsToday. July 30, 2021. medicalnewstoday.com/articles/adhd-screening.

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What is Forgiveness, Really? Forgiveness Defined

Facing the need to forgive someone can be a struggle for many, begging the question, “What is forgiveness, really?” How does one know when they truly have forgiven? Whether you have been on the receiving or giving end, consider these layers of forgiveness.

Defined.

There are multiple layers to forgiveness to understand, including but not limited to: letting go, forgetting, expectations, and behaviors. In a small, informal poll on forgiveness, it was shown that the definition varies from person to person.

The one common factor of each participant’s definition was that a change for the giver of forgiveness occurred once forgiveness was granted. Forgiveness can equate to some or all of the layers being changed.

Layers of forgiveness: letting go.

Letting go of something is a basic definition of forgiveness. This layer implies that once forgiveness is granted, the wrongdoer is no longer held to account for the wrongdoing. It can also imply that the wrongdoing no longer bothers the one who is forgiving.

That being said, letting go does not have to equal both of those right away, as it takes time for the emotional impact of wrongs stirred up in memory to lessen its grip on those called to forgive. Whether the emotional impact ever entirely goes away or can be forgotten is not predictable.

Layers of forgiveness: forgetting.

Forgiving and forgetting are commonly linked together. In Christian circles, they take root with principles drawn from verses like Psalm103:12, which speaks of God removing our sins from us as far as the east is from the west. The only trouble is, forgetting is not something that can be guaranteed.

In fact, it is difficult to prove that forgetting something can be willed. The more impactful the wrong, the more likely it is that it will be more difficult to forget. So with this layer, it is important to consider two things:

First, as a forgiver, be clear with yourself that remembering does not mean it is happening again, nor does remembering mean that you haven’t forgiven.

Second, as one who is forgiving someone, there will be a variety of ways your memory of the wrongdoing can be triggered throughout any moment in time (i.e. similar emotions rising, similar tones/expressions/circumstances, similar relationship dynamics, etc.). Take care to set reasonable expectations about your ability to forget.

Layers of forgiveness: new expectations.

What does it mean to forgive, really? Setting new expectations is an important layer of forgiveness. Some consider forgiveness to include the expectation that the relationship with a wrongdoer is perfectly intact as it was before any wrongdoing. Others consider themselves responsible to expect no further wrong will be done; otherwise, a lack of trust would demonstrate a lack of forgiveness.

Both of those views on setting new expectations have dangerous implications. It may be so that a forgiving person is to set new expectations for the relationship with the wrongdoer, but careful consideration must be made so as not to confuse forgiveness with blind acceptance and false expectations over what is not in one’s control.

Forgiveness includes washing away the expectation of someone needing to pay for a wrong, such as with a debt. In some relationships, forgiveness may still require expectation of change in the boundaries and interactions (i.e. prohibiting them from having access to you in the same capacity as before).

Layers of forgiveness: new behaviors.

Along the lines of changing how much access you give a wrongdoer to you once forgiveness is established, the behaviors you display toward this individual need to be considered in order to align with your forgiveness.

With the definition of forgiveness including washing away the expectation of someone needing to pay for the wrongdoing, forgiving someone necessitates the behavior of self-control on the forgiver’s part. This equates to not bringing up the wrong that was forgiven in expectation that the wrongdoer should feel remorse again.

Other new behaviors to be considered are whether or not you allow yourself to engage in a similar fashion with the wrongdoer. For example, if you decide to treat them as though they will never change from their wrongdoing ways, you may discontinue engaging with them or treat them as “less than” or with contempt.

It would be difficult to prove that these new behaviors, not to be confused with acting with caution, would indicate a heart of forgiveness. To differentiate between the two, a helpful question can be:

“Am I able to not hold them accountable while hoping that they change in the time I am separate from them, or am I requiring change/payment/retribution in order to let the issue go and condemning them to be only ever a wrongdoer?”

By asking this question honestly, one can get back to the heart of forgiveness and whether it has truly happened.

Next steps.

Forgiveness is as much complex as it is simple. It is defined as washing away the debt of someone who owes. This comes with a change of expectations and behaviors toward any wrongdoer. As Christians, we are called to forgive and forgive again.

Forgiving someone can be difficult to navigate for many reasons. There is wisdom in seeking counsel while seeking to forgive someone and managing all of the issues and emotions that come along with it. If you need support, reach out me or another Christian counselor in our online directory today.

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Self-help Strategies for Adult ADHD

Did you know that whether or not your symptoms are linked to adult ADHD, stress, or any other type of mental health condition, many self-help tools and methods are available to help you regain and enjoy your mental balance?

If you are looking for a short collection of tips directly affecting those who have, or suspect they have, adult ADHD, read on for more information on how to improve your memory, enjoy a stable mood, and increase your concentration.

Strategies to mitigate the effects of adult ADHD.

Appreciate the power of sleep.

Good sleep hygiene is the routine we adopt when we prepare our bodies and minds for a good night’s sleep. Best practices regarding sleep include turning off backlit devices (i.e. mobile phones, laptops, TVs) two hours before your bedtime to encourage your body to release adequate melatonin. Keeping a regular sleep routine of going to bed around the same time seven days a week, and limiting your daytime naps to a maximum of half an hour.

Understand the effects of screen time.

Outside of working hours, experts suggest that you limit yourself to less than two hours of screen time per day. And when you are using your mobile phone then try to use it in a way that avoids having to multitask. Rather use one app at a time and resist the temptation to switch between them. In the same way, do not flip between multiple tabs when you are browsing the net.

Eat well.

It is good to know how eating affects you. Eating healthily often has the effect of your body and mind receiving consistent energy throughout the day, and this helps you sustain your focus. Making sure that a high percentage of your diet includes lean protein, whole grains, vegetables, and fruits will prevent any nutritional deficiencies and also regulate your blood sugar levels.

Routines help your brain relax.

Regular daytime routines provide your body and mind with stability and predictability. This is extremely helpful for someone dealing with adult ADHD. At work, create schedules by listing your to-dos and prioritizing them, keeping in mind when you are typically fresh and full of energy and when your energy is low, such as later in the afternoon.

Regular exercise.

It should not surprise anyone that physical movement increases the functioning of your brain whether or not you have adult ADHD. Exercise is also linked to the reduction of anxiety and depression by lowering the amount of cortisol, a stress hormone, in your body while increasing levels of dopamine and serotonin.

Practicing mindfulness.

Bringing your attention back to the present so that you can recognize your emotions and process them properly is the practice of mindfulness. It is a technique used to actively manage thoughts and emotions so that your brain filters out distractions and is trained to control impulses that are not helpful. Combined, these create a significant improvement in adult ADHD symptoms.

Get your senses on your side.

Depending on your preference, take control of the sounds in your environment. This can be done by playing soft music (baroque-style classical music is effective in this way), playing white noise, or making sure that it is absolutely silent by using noise-canceling headphones.

Be aware of how you respond to light, does a bright working environment assist your energy levels? Make your surroundings work for you by fine-tuning the sensory input your body receives.

Know yourself.

Knowing your likes and preferences, such as what it takes for you to get into an energy flow state where you have good focus, or how you are distracted, and being aware of some of your triggers of adult ADHD, will assist you as you adopt behavior and approaches to different situations that work for you.

Ask for help.

Adopting self-help techniques does not require you to face your adult ADHD all by yourself. Talk about the things which you are battling. There are a variety of ways you can do this, such as joining an online ADHD support group and sharing with your family and work colleagues.

Recruit professional Christian help.

Informal check-ins with friends are useful and a key part of your journey, however, you can take it up a level and enlist the help of a counselor. This professional can help you discuss a potential ADHD diagnosis, manage how you experience spikes in symptoms, and deal with any anxiety and depression.

Drawing on advice to negotiate stressful life events, creating supportive relationships, and being better at knowing your thoughts and emotions, are invaluable tools to become more robust, prepared, and bonded to those around you. These are all important indicators of mental and physical health and quality of life.

If you’re looking for additional help to better understand adult ADHD beyond this article, then why not browse our online counselor directory or contact our office to schedule an appointment? We would be honored to walk with you on this journey.

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