What is Therapy Like? An Inner Look at the Therapy Office Experience

If you are asking yourself “What therapy is like?” then this article is for you. It takes an inner look at the therapy office experience and the many differences you find behind each door. With all the differences, it can make it difficult to decide how, when, and what therapy to start with.

That’s okay, there are tools for that as well (see “Individual Choice” section). There are not only differences between therapies and therapists but also unique phases of therapy each client goes through. It all comes down to individual choices.

Differences

Certain techniques of therapy fit certain people. There is no one-size-fits-all. In order not to make this a textbook-sized article, the following are over-simplifications of different types of therapy, including some highlights of the most used therapies out there such as DBT, CBT, somatic, psychodynamic, etc. Just as a reminder, this is an oversimplification.

Commonly used therapies

DBT, ACT, CBT. basically brain training. The concepts are black-and-white, plug-and-play techniques that have proven to work for many people. There’s a lot of talking, but a lot of formulas being plugged into throughout.

Somatic

Body and brain training. The concepts connect the whole brain, but the focus is on the reptilian portion and therapists work through experience exercises that can range from holding onto the edge of a table to jumping off a tower into a foam pit.

Psychodynamic

Here’s where you talk it out and see where things go. Most offices really do have a couch, and some people lie down on it.

Online vs. in-person

Youth

The entertainment factor is a must to consider how well they can engage/be attentive (so don’t be surprised if there is more of a play approach), there’s a certain age limit for the general therapist out there.

Adults

Psychological disconnect (no replacement for in-person), but otherwise no difference is shown in short-term studies (in other words, real work can still be done online).

Social: male/female, religious/nonreligious, race

Male/female

You may not have a preference, or you may feel strongly about it. It will be an easy choice for some individuals. As a couple, it may be more difficult to navigate the first-time choices of a male or female.

The most important question is whether you have had major trauma involving one gender to another. Either way, it’s going to be a case-by-case basis where one gender or another could change your mind on the issue just because of how they naturally fit your case.

Religious/non-religious

Similar to male/female considerations – the couple’s work makes this more of a factor than for individuals since couples may not be in the same space religiously and will need to find the best middle ground.

For individuals, the benefit of a particular religious background is an understanding of vocabulary and context to certain sensitivities. Otherwise, no matter the religious background, it is likely the therapist has worked with both religious and nonreligious alike.

Race

Again, you may not have a preference, but similar to the above, race can be an identifying factor in who you want to see and open up to in the experience of therapy.

The phases

The beginning phase

The beginning phase is when the introductions happen. No matter the level of intensity of the problem, this phase typically has little change overall. It is in this phase where the problem can be closely examined, and the client can work to get used to the therapist and the therapist can get to know the client. Typically, if any progress is made in this stage, there will be a temptation to quit too early before the lasting work is done.

The working phase

This phase can be the most uncomfortable for the client. It is in this phase where challenges to the client’s routine/habits are made. It is the time when the reality of the situation shows and the going gets tough. It is important to advocate for yourself during this phase, so the therapist can adjust their approach accordingly.

The end phase

This phase can be difficult for some, but in general, this is where progress is reviewed, game plans for future trouble are made, and final check-ins take place before saying goodbye to therapy. This may mean that progress has been made and therapy is no longer needed. However, this may also occur before transferring to a new type of support.

Individual choice

Overall, therapy is an individual choice. With no guarantees offered, the success of it depends on multiple factors. Your individual choices are not only what type of therapy you will try, but also what type of therapist you want to meet with. Another individual choice is when you want to enter and exit therapy.

Regarding couples therapy, it should be kept in mind that there is no such thing as shotgun therapy. Should a spouse not be committed to the relationship, even for a short time for the sake of trying therapy, there should be no couples therapy.

Keeping these choices in mind is important in helping you sift through the options of therapists and therapies out there. If it becomes more overwhelming to make the decision yourself, reach out to our reception team at https://cachristiancounseling.com/ or 424-438-2888 and let them know so they can help you find the best place to start.

Photos:
“Relaxing”, Courtesy of Coen Stall, Unsplash.com, CC0 License; “Naptime”, Courtesy of Adrian Swancar, Unsplash.com, CC0 License; “Counseling”, Courtesy of TienDat Nguyen, Unsplash.com, CC0 License

Knowing the Signs of a Toxic Relationship

Relationships take various forms, and they go through their own peaks and valleys, just as with the rest of life. In a marriage, for instance, the couple might move from the honeymoon phase and into a season of financial hardship that tests their ability to resolve conflict and problem-solve. Some couples will struggle with that, while others will deal with the conflict and difficult circumstances in a healthy manner.

Again, couples go through all sorts of things, and many healthy relationships will face challenges, sometimes with mixed results. However, the mark of healthy relationships is that they don’t remain in a state of conflict, nor do they endlessly repeat the same mistakes without learning or growing from them.

In other words, difficult seasons will come, but healthy relationships weather those storms through mutual respect, affection, good conflict management skills, and so on.

In other relationships, what’s lacking are these same hallmarks of a healthy relationship. These toxic relationships are a hotbed of simmering conflict – one or both partners are in constant fight or flight mode, and they are not happy or fulfilled. There can be toxic patterns in a relationship, but a toxic relationship is one in which those patterns are a feature, not a bug in the system. Below are a few signs to look out for that might point to your relationship as being toxic.

Emotional detachment in a toxic relationship.

In a healthy relationship, the partners are emotionally connected and vulnerable to one another. They share themselves, offer one another validation, and show that they care for each other in various ways. Emotional detachment can happen for a season, say for instance if one partner is in a time crunch at work. However, sharing one’s feelings with their partner is what makes for a healthy relationship. Emotional detachment can happen in various ways, including:

You don’t celebrate each other’s wins. In a healthy relationship, the couple supports one another and celebrates their respective wins. If the atmosphere in the relationship is one where your wins aren’t celebrated, and possibly where an air of competition reigns, that could be problematic.

Negative spontaneous emotional reactions. Your partner’s gut-level impressions of you, such as whether they like you or find you interesting, or whether they think you are competent, or how you might compare to other people – all these can point to the health of your relationship. A relationship dominated by spontaneous negative emotional reactions is a cause for concern.

Lack of self-disclosure. Relationship health is supported by emotional self-disclosure, where you are vulnerable with, listen to, and mutually support each other. Sharing your important feelings within the relationship matters, as does listening well and being responsive to such self-disclosures. If this interplay of sharing and listening well is absent from the relationship, it is cause for concern.

Few positive non-verbal behaviors. We speak with more than just our words. We can use touch, our faces, our bodies, and the tone of our voices to communicate alongside our words. A relational environment where there are few positive non-verbal behaviors such as smiles, laughter, hugging, etc., might point to an unhealthy dynamic in the relationship.

It’s also important to ask yourself if the dominant tone of your relationship is one of affirmation or criticism. Of course, we don’t always get things right, but if your spouse is constantly criticizing you – how you dress, how you look, speak, act, and so on, that’s not a healthy situation. Emotional detachment, if it becomes a habit, signals the deterioration of a relationship, and it needs to be addressed.

A lack of safety in a toxic relationship.

In a relationship, it’s important for you and your children to feel safe. Safety can be emotional or physical safety. With emotional safety, do you feel able to express your emotions without feeling judged or like you’re failing somehow? Do you feel like people care how you feel, and that your emotions are taken into consideration?

Physical safety can be compromised if you’re threatened with violence, or if resources such as food, clothing, health care, and shelter are held at ransom. Relationships marked by the lack of safety are likely toxic.

No boundaries or boundaries are repeatedly violated

Boundaries are important for the health of any relationship. Boundaries signal that each person has their own personality and needs, and respecting those boundaries shows consideration and promotes individual integrity. Boundaries can center around finances, privacy, use of time, friendships, sex, and much else.

If in your relationship you either don’t have boundaries or the boundaries you set are violated repeatedly, it may signal a toxic relationship. Each relationship needs boundaries to prevent it from slipping into codependency or other similar dysfunction, and when boundaries are violated, there need to be consequences. Repeated violations of reasonable boundaries display a fundamental lack of respect that needs to be remedied.

Constant cover-ups in a toxic relationship.

Spouses often cover for one another. This can happen for a variety of reasons, including not wanting them to look bad, or wanting to spare them from something uncomfortable or humiliating. There is a line between that and covering up bad behavior for them so that they escape accountability, or so that truth about them doesn’t get out.

If you find yourself often covering up for your partner because they were drunk, rude, physically, or verbally abusive, and so on, that points to a toxic relationship dynamic. You shouldn’t be part of their personal PR and cleanup crew, and covering up for them reveals unhealthy (possibly codependent) dynamics in the relationship.

Lack of freedom in a toxic relationship.

In a meaningful relationship with our significant other, we should feel the most accepted and loved within that space. When we are with our friends, these are supposed to be the people that get us, that understand our weirdness and welcome us, nonetheless. In our family, that space above others is where we ought to feel appreciated, loved for who we are, and feel that our best interests are high up on the agenda.

If you feel that you don’t have freedom in your relationship, it’s possibly problematic. Possibly problematic because sometimes we want more freedom than we ought to get, like a teenager wanting to stay out way beyond what their parent thinks is wise, or if a spouse wants the freedom to commit adultery.

Rather, the freedom in mind here relates to things like feeling the freedom to be yourself, to make mistakes, to be with people such as your friends and family. It’s a problem when you’re constantly criticized for being who you are, if any mistakes you make are closely scrutinized while those of others aren’t, or if you get isolated from people such as your family and friends.

You should be able to meet with your family and hang with your friends, but when your partner wants to isolate you, it’s a sign of toxicity and may be a prelude to other abusive behaviors.

A lack of mutuality in a toxic relationship.

At the heart of a relationship is what you do for each other. You celebrate one another; you are there for one another during your tough times; you rebuke one another when there is a need for it, you forgive each other for mistakes that you make, you take on responsibilities to help one another flourish, and you each make compromises for the sake of the other.

If you find yourself in a situation where this is flowing in one direction, that could be a sign of a toxic relationship. A lack of mutuality in a relationship is a cause for concern that you should take seriously. There ought to be a healthy give and take within the relationship, and while things are never balanced equally, there should be some level of reciprocity in how you do things in your relationship.

It cannot be that only one person constantly needs to be forgiven, that one person is the one who makes the compromises, or that only one person needs rebuke. A relationship is the coming together of equals, and that means each of you must receive dignity, respect, and consideration.

Conclusion

If you detect these signs of toxicity in your relationship, having a conversation with your partner about them can help you begin addressing the issue. With the help of a couple’s therapist, you can turn a toxic relationship around, but it needs you both to show up and put in the work.

Photos:
“Holding Hands”, Courtesy of Shelby Deeter, Unsplash.com, CC0 License; “Hugs”, Courtesy of Candice Picard, Unsplash.com, CC0 License; “I give you my heart”, Courtesy of Kelly Sikkema, Unsplash.com, CC0 License; “Holding Hands”, Courtesy of Pablo Heimplatz, Unsplash.com, CC0 License

4 Steps to Healthy Weight Management

Most people desire to make changes to their health and usually begin with wanting to lose weight. They have a vision and a goal number they want to see on the scale so they set goals and action steps to reach this weight loss.

Often, however, many individuals may reach their goals but then find that the weight loss doesn’t last. Or, they may not know the exact steps that are required for them to reach their weight loss goals. Instead, they find themselves on a rollercoaster without consistency. What is the missing piece?

Having healthy weight management.

If you’re thinking about making changes to maintaining your weight, it can be a difficult road to find what is best for you, your body, and your lifestyle. The majority of our thoughts are centered around the foods we choose and how much we exercise. While this is true, there are missing components to successfully find balance and ease with being able to maintain healthy stability.

Having a healthy weight management goal instead of a weight loss goal may just be the perspective shift you have been looking for all along! When you focus on what healthy weight management looks like for you, you can be set free from needing to try different diets or setting a goal weight because you begin to understand what is right for your body naturally.

In this article, you are going to learn four steps to find and successfully implement lasting healthy weight management.

Step One: Understanding your digestive health

Your digestive health is the first place you need to look when it comes to your ability to manage a healthy weight. In the context of weight management, the amount of stress you are dealing with, the number of inflammatory foods you are consuming, and the overall health of your gut are paramount and also work in tandem.

Your digestion begins before actually eating food as it relates to external factors like stress and anxiety that unknowingly greatly affect how your foods are digested. Additionally, if your diet consists of food high in sugar or processed, your gut lining and proper functions of your digestion will be impaired due to the constant state of inflammation.

This is what can cause unhealthy cravings or addiction to sugary foods. When you learn to choose the right foods that are anti-inflammatory and eat for your digestion, you’ll immediately see improvements and see your body remarkably adapt to its natural healthy state.

Step Two: Define what is healthy management

As above-mentioned, focusing on setting a healthy weight management goal instead of a weight loss goal will help you in the long run. Every day we are bombarded with advertisements, promotions, and sales for healthy foods, products, supplements, and diets. Through social media channels, magazines with headlines on the front cover, or even if you ask Google what is healthy management, it’s very noisy!

What happens is that all of the images, phrases, diets, and advertisements that we see, subconsciously begin to build the wrong impression of what is right and true for your health. It becomes easier to focus on all of the things you “should” be doing instead of learning, knowing, and understanding what is right for you and your body. The key factor is to read between the lines and find what you need for your health.

How do you do this?

The answer is to set a goal for success. Before you begin a new health journey, ask yourself these four questions:

  1. What does my desired weight management look like?
  2. How will I know when I am successfully managing my health?
  3. What is my desired look, feel, and lifestyle?
  4. Why am I choosing to focus on maintaining my weight?

When you take the time to ask yourself these four questions, you are setting yourself up for success before you even begin. What happens is that most individuals want to choose better foods, make changes to their eating and exercise habits, and immediately jump into the new diet that everyone is speaking about, such as the one that promised instant results that you read about on the magazine cover while waiting in line at the grocery.

So because this is all the craze, many people rush into then buying those suggested ingredients, supplements, or diet plans without truly preparing for the course that aligns with long-term sustainability.

Maintaining a healthy weight goes beyond the food choices and amounts of exercise because it has everything to do with your reasons, definitions, and lifestyle. If you never measure what success in this area means to you, how will you know when you have reached it?

If you do a personal inventory, you may already be maintaining your weight from a goal you set years ago, but without knowing what it looked like back then, it’s easy to want to keep doing new things because without realizing that you already met your initial goal.

When you consider what asking yourself these four questions means to you, you will start to see the connection between the how, what, why, and your will. These four questions are pivotal in helping you set your vision and determine what steps are needed to help you reach your goals. Coupled with a better understanding of your digestive health, you’ll be empowered to choose the right foods for long-term health rather than short-term satisfaction.

Step Three: Find an activity you love to do

One of the largest areas where people “fall off the wagon” is not loving what they were committed to doing, especially in the area of exercise. Most people end up feeling less motivated because it resembles a chore that interrupts their day and must be done. When you find an activity you love to do, your inspiration is automatic and you end up excited about it, becoming naturally committed.

When it comes to exercise, try an activity that is something new and different. Notice the change in words from exercise to activity. Placing your focus on a daily activity also changes your perspective from it feeling like a chore. Make small commitments then increase your frequency over time. When trying a new activity and you realize you don’t like that one you picked, try something new. Exercise does not have to be hours on a treadmill or doing squats.

Finding new trails in nature with gorgeous views. You can even try switching up the times you decide to commit to your activity and couple it with a benefit, much like going on a walk to go watch the sun rise or set. Consider trying a new sport and joining a league like rowing, softball, or volleyball. Sometimes when you reflect on a sport you used to play when you were young, you may find you are inspired to pick it back up as an adult. What is on your list to try?

Step Four: Fight those negative thoughts

Another contributing factor to why it is difficult to maintain a healthy weight is because we let our thoughts and words defeat us. Sometimes when it comes to not seeing progress as soon as one thought would happen allows an open door for negativity, frustration, and setbacks to enter in.

When you act upon the four questions you attached to your goal (hint: see step two), you end up staying committed to the lifestyle goal you are seeking instead of the feelings when you let negativity lead.

With that said, when you surrender your health to God’s power, you can maintain anything when you rely upon His strength. Another encouragement is to study Scriptures that reflect your goals and partner with the Holy Spirit to pour out His ability for you to stay committed to your health management goals.

If you are looking to take these four steps in a practical way, consider coaching. When you work with a coach, you get to discover and design your goals through a series of questions to help you get clear on your vision and steps. Not only do you get to make a step-by-step plan with a coach, but you also get to work alongside them as they help guide you through each step to make sure you are on track to reaching your goals and that you stay in line with your vision.

Contact me today if this article resonated with you and if you want to explore the benefits of coaching when it comes to maintaining your healthy weight.

Photos:
“Weighing out the Beans”, Courtesy of Tyler Nix, Unsplash.com, CC0 License; “Fruit Breakfast”, Courtesy of Jannis Brandt, Unsplash.com, CC0 License; “Watermelon Smile”, Courtesy of Caju Gomes, Unsplash.com, CC0 License; “Planning”, Courtesy of KOBU Agency, Unsplash.com, CC0 License

Porn: The World’s Most Powerful Addiction

Many people are praying to God, “HELP ME!” They are screaming inside of themselves for help with their addiction to pornography. Porn is the number one addiction in the world, way more than any drug or vice known to man. It does not take much research to learn that this industry is making hundreds of billions of dollars around the world.

Cell phones and the internet have made it easy for anyone to make a few clicks and be instantly connected with someone else. Pornography also has different channels of enticing many others, for example: collect calls with random call girls, strip clubs, movies, magazines, TikTok, apps, games, etc. Porn is not just on the internet, it is everywhere.

Unfortunately, this industry takes no prisoners and makes a fortune while at it. The porn industry is ruining marriages, getting professionals fired, hurting families’ finances, and destroying people’s faith. To discover what can we do about it we must understand why it is so powerful.

First, it involves other people. The truest form of intimacy is to be completely naked with someone else and spend time with them. Being naked with someone is the greatest form of invitation to connect with them and it produces chemicals in our bodies that create an emotional high.

In Genesis 2:15 the Bible reads “it is not good for man to be alone.” God tells us that we are designed to connect with others. God gave us social relationships to bond. He also gave us families to live with and create beautiful memories in the home. Marriage is, without a doubt, the most intimate relationship in the physical world.

Marriage is a bond where you know your spouse’s greatest strengths but also can see them in their most vulnerable state. That is why many want to be married because they want to cherish those moments with that special someone. Unfortunately, we at times can rely on vices to try to give us this “fix” to somehow replace that type of intimacy.

This is why porn is so addictive. It’s not like a substance with which you don’t have an emotional bond with. If your substance is spilled or broken, you may get mad, but you just go ahead and buy some more. But the emotional bond that you can get with seeing someone else naked and in a vulnerable sex position is bizarrely bonding.

I can speak from a man’s point of view that men who are addicted to porn have a tough time bonding with anyone. While they spend hours involved in their vice, they do not realize that they are losing connection with others.

So, what can we do? Connect with the same gender consistently and constantly. In 2 Samuel 11, you will read the story of King David who took time off from his busy military campaign. He sent his army to go off to battle while he remained in the palace all alone. We know from Genesis that it’s not good for man to be alone.

So having idle time, he goes out wandering and notices a beautiful woman bathing. She is naked and David is struck by that vulnerable connection. What King David should’ve done is go back inside his home and be sexually intimate with Abigail, his wife. They were married in 1 Samuel 25. It’s a wonderful and beautiful love story.

But David is not content over the many years of battle. He is worn down and tired. No one can blame him for taking some time off. However, this move by David was selfish because not only did he have wives, but he also had many concubines. 2 Samuel 5:13 tells us that David had both concubines and wives who bore him sons and daughters. This man was having lots of sex.

Why did he want to sleep with Bathsheba? A conqueror always wants to conquer more – they are never satisfied. They could be satisfied with God, their family, and themselves. But when we are giving ourselves over to our vices, we are communicating that we are unsatisfied. We think we are incomplete – not whole.

David was not completely satisfied. His greed wanted more. This mirrors greatly how individuals get addicted to porn. Fifteen minutes leads to one hour. One hour is not enough and that ends up to multiple hours. Then it turns into an entire day and then sadly to a lifetime. Why do you think people can’t just give it up?

The real reason is that the mind has been trained to be reliant on false images in an emotional way. Emotions are fire and they guide us so powerfully. A nation can change by having empathy for one incident. A nation can go into war because they learned of something that triggered the government.

I once saw a movie called Equilibrium that whose premise was if we had no emotions then there would be no more wars and murder. Maybe so. But who wants to live an emotionless life? Nobody. We all want to be free to live our lives as we want. However, emotions can lead us astray and we must break that cycle.

I mentioned in the earlier two paragraphs that getting help from the same gender is key. In 2 Samuel 12, God sends Nathan, a prophet, to correct David’s way of thinking. Why not send a woman? Or a family member? Remember that David involved his “secret service” and his main generals so who would stand up to this mighty King? A man of God. That’s who.

A man of God will help another man become a man of God. This is key in many support groups dealing with addiction because you can’t have a mixed-gender group talking about porn addiction. It wouldn’t be appropriate. Men wouldn’t feel comfortable describing their fetishes with another woman when an actual woman is staring right at them.

It wouldn’t work. So, a man would need another man to listen, confirm and challenge him as part of his sobriety plan. Same for a woman though. A woman shouldn’t be open to a man about her struggles watching porn online. It wouldn’t be a productive talk. A woman may be best suited to talk to another woman to get help. Don’t get me wrong. It’s wonderful for spouses to support each other in their struggles. But it’s best to leave the heavy lifting to the same gender.

Same-gender help is crucial. David would only have listened to a man who had deeper convictions than him. Earlier in King David’s life, he had such a friend by the name of Jonathan. Jonathan and David had many adventures together as they were more than brothers. The bond these men had was unbreakable only by death. Sadly, Jonathan is killed in battle and David mourns for him.

In 2 Samuel 1:25-26 David states “I grieve for you, Jonathan my brother, you were very dear to me, your love for me was wonderful, more wonderful than that of women”. You see that David’s heart is real and open about how close these men were. They were born in battle. The wars and adventures they fought there together helped them respect each other to a point where their bond was so tight that no one could interfere.

Just like David we are all capable of having such deep and rich friendships. It takes a lot of work. It’s not easy to be in battles day in and day out. However, if we decide to join in battle with one another then we can help each other have victories.

What great battle is there like the war with porn addiction? It’s a beast. Humiliating, depressing, sad, and hopeless. Therefore, we need those Jonathans in our lives to help us grieve, process, and seek help to overcome our issues. We cannot overcome porn addiction on its own. We need help and not just any help, but the help from someone who is the same gender that is willing to keep us accountable.

This is challenging because we don’t want to be called to a different standard, so we want to keep those defenses up. However, in my many years as a professional, and can only tell you that the secret to the success of many leaving this addiction behind is simply getting constant and consistent training from someone who has deep convictions on this issue.

Don’t expect to get much help from someone who is struggling with the same thing. They can be an encouragement and support, but the true catalyst will be the one with deep conviction because they’ve proved themselves capable of staying sober. We need to learn from them and follow in their footsteps. That is the way we are going to get out of this pit.

My question to you is, who is your Jonathan in your life? Maybe you’re not the one who’s addicted but you want to help. Are you someone that can help others? If so, set up a support group and invite people to learn. Please feel free to use this as a launching pad to start helping others who are enslaved to this vice.

If you are looking for someone else, find out if there’s a group, a minister, or a mentor who can help your friend out. This issue is not only for men. My wife, who helps counsel and mentor women, has told me that women are falling into this trap as well. My wife doesn’t tell me specifics or mentions names of course but she tells me that she is shocked to learn that many women are also dealing with this.

According to Psychology Today, statistics say that about 45% of women watch pornography with their partner and about 35% percent on their own. The thing with watching porn once though is that with or without a partner, the craving continues, and once is not enough. It is spiritual cancer that destroys men’s and women’s lives all over the world. That’s the bad news.

The good news is that it can be overcome with help – help in form of the same-gender partnering with those people to have victories in their lives. Let’s not look down on men because that won’t help. Let’s also not look down on women for struggling.

Let’s help one another to get to the root of the issue, which is accountability. We need best friends to talk to and be open. That’s the definition of true intimacy. We want to know and be known, so let’s practice it and marvel at the changes we see in their lives. Then they will see no need for fake intimacy when they can experience the real thing. God Bless!

Photos:
“Anguish”, Courtesy of Alex Iby, Unsplash.com, CC0 License; “Laptop”, Courtesy of Glenn Carstens-Peters, Unsplash.com, CC0 License; “Weighed Down”, Courtesy of Jon Tyson, Unsplash.com, CC0 License; “Romantic Sunset”, Courtesy of Nathan Dumlao, Unsplash.com, CC0 License

How to Recognize Binge Eating Disorder

Sixteen year-old Addison has a great, loving family and plenty of friends. She excels in school and is also very active in the church’s youth department and in sports as well. Addison’s issues are deep within, however. She has trouble expressing her emotions and therefore struggles alone in her sadness and insecurities.

When the day is done and the night closes in, as everyone else sleeps, Addie feels drawn to the kitchen area. The day’s stresses fade away as she begins to relax over the food she finds there. From cookies, chips, and cake to a gallon of chocolate ice cream, she eats all she can manage to get her hands upon. Then she makes her way to her bedroom where more snacks she’s stashed await her.

At first, Addy experiences relief as she eats. She does not, however, enjoy feeling powerless over the situation and not in control. Once she realizes the amount of food she’s eaten, she is overridden with shame. Addy swears to herself that she will never repeat the action again.

She tries to live up to her promise but cannot. The cycle continues, over and over again. Every time she feels stressed out, she uses food for an outlet. She has no clue what to do about her situation or who to turn to. She doubts anyone would understand. She feels extremely along and afraid.

Brady has just turned thirteen. He’s known as a nice kid and he is also the joker of the classroom. He’s got friends but isn’t at all secure in himself or his friendships. He is always paranoid that his friends will decide they don’t like him anymore due to something he says or does.

His jokes are just a cover for his fear. Food is one thing he can rely upon to give him the happiness he is longing for. When sad, stressed, or bored, food is always there to lift him up and offer him relief, at least temporarily.

It wasn’t until Brady got into therapy that he realized the connection between food and his feelings. He knew he was drawn to food, but prior to therapy, he didn’t know the full implications and how very serious the situation was. When he felt he was not in control, he knew he could eat food and he’d feel better, if only for a moment.

The eating then turned to shame, especially when comments were made about his love for food by his parents. His eating caused him to gain weight which prompted bullying by his peers. The situation eventually escalated to the point that he required therapy. Now he is learning to identify and express his feelings. He is developing skills that he needs in order to cope with the emotions that used to overwhelm him.

Tammy is a young woman of thirty-four years of age. She has had issues with her body image and problems with her self-esteem for as long as she can remember. Her weight and appearance have been a struggle ever since she was a child.

She faced ridicule and bullying by her peers which turned into a severe distrust of others. She doubts who she is on the inside and feels very alienated. She is grown now but her job is quite stressful and very fast-paced. Keeping up with the job is tough and keeping up with life is even tougher.

There are two things that help Tammy deal with her stresses: food and alcohol. It seems she is forever having one drink too many or eating too much, too quickly. She feels remorseful after doing either. But, she feels very alone and overwhelmed.

She is doing all she knows how to do to cope with the way she feels. Therapy has crossed her mind but she thinks she should be able to handle her emotions and feelings on her own. Besides, unleashing all the pain is a scary thought. She doesn’t need the added stress.

The concept of being an “emotional eater” simply means to use eating in order to cope. It isn’t a new thing and most people have heard of it but it is far more serious than most realize. Binge Eating Disorder differs from just eating too much at one sitting. It isn’t simply eating for reasons that are emotionally based either. While both scenarios are problematic, they don’t entail the qualifications for being a binge type eater.

What Binge Eating Disorder Really Is

Binge Eating Disorder was recognized by the Association of the American Psychiatric’s list of mental disorders in 2013. Before that, it was in still in research although it was deemed a serious problem by a myriad of professionals throughout the course of many years. Finally, it has its rightful place as a disorder with a name and a set of criteria which distinguish it.

The BED diagnosis criteria are as follows:

  • The person must have repeated episodes of bing-eating.
  • The definition of a binge consists of possessing three or more of the five following characteristics:
    • Eating considerably quicker than normal
    • Continuing consumption of food beyond being comfortably full
    • Eating large quantities of food even though one is not feeling hungry
    • Eating alone because of being embarrassed by the portion sizes
    • Having feelings of guilt, depression, or disappointment with oneself following the binge-driven behavior
  • In addition, the person who engages in the binges must feel significant emotional distress or remorse about the binge they have taken part in.

The criteria for this disorder is different from that of bulimia nervosa, however, because an individual with BED doesn’t frequently take part in behaviors that are aimed at preventing weight gain.

Negative emotions usually come prior to the episode of binging. It can also be characterized by triggering from other root stressors. That is the reason it’s often regarded as a coping mechanism which is closely related to stress and other negative emotions.

As mentioned before, it is typical with this disorder for food to be consumed in a rush instead of at a pace that is normal. There is little to no mindfulness in the process. The person is likely to eat as an effort to relieve emotions and/or to escape stress.

Shame tends to be an ever-present part of the equation. It is common for those with BED to experience it on a regular basis. It is also typical for one to attempt to hide their shame by engaging in their behavior disorder which only increases and intensifies the negative ways they were already feeling. That is how cyclical behavioral patterns begin and continue.

Additional Common Diagnoses

Those who have been diagnosed with BED quite often meet additional criteria pertaining to other diagnoses as well. It’s not unusual for them to also display signs and symptoms of anxiety disorders, depressive disorders, and even bipolar disorders. Another typical problem is substance and alcohol abuse. For this reason, a professional who is trained to recognize BED will also generally check for additional diagnoses as well.

Medical Complications

This type of eating disorder should be taken very seriously. Heart disease, diabetes type 2, muscle and joint issues, osteoarthritis, high blood pressure, and gastrointestinal problems may be present. It’s vital with a BED assessment to also have an evaluation of medical health as well as one of mental health.

BED Risk Factors

There are a number of factors that put a person at more risk, typically. Those things tend to be common with those who have BED.

Some of those risk factors are:

  • Persistent dieting, prior to or in conjunction with active BED
  • Significant weight change history
  • Being overweight
  • Having low self-esteem
  • Not being able to emotionally cope or express oneself
  • Being unhappy with bodily appearance
  • Possessing other mental health disorders like having bipolar disorder, substance abuse issues, or depression
  • Being bullied or made fun of about weight
  • Emotional, sexual, or any other type of trauma or neglect
  • Experiencing a significant loss such as a breakup or death

Warning Signs of Binge Eating Disorder

Remember that weight is not always an indicator that someone has BED. The problem can occur in those who don’t have weight issues and those who have weight issues may not have BED.

Shame is frequently experienced with BED. Due to shame, hiding the symptoms and behaviors is very common. Though not conclusive, the signs below may be an indicator of the disorder if one or more are present.

  • Trouble eating in social situations, preferring to eat when alone
  • Obsessing over food and/or binge planning
  • Eating fast with a lack of control
  • Frequently feeling constipated or bloated
  • Eating past the point of feeling full
  • Discovering food wrappers, hoarding food, finding large quantities of food missing
  • Elevated withdrawal from activities and relationships and/or becoming isolated more
  • Habitually beginning new diets and/or odd meal rituals and/or frequently skipping meals
  • Fluctuation of weight
  • Unhealthy fixation and focus on bodily shape and/or weight
  • Gastrointestinal problems

Binge Eating Disorder Treatment

If a loved one, or yourself, is displaying BED symptoms, it’s imperative to seek a professional evaluation by a specialist in the field. Because BED is likely to include serious medical complications, it is recommended that a physician also evaluate the patient.

In addition, a dietitian can be a very important professional involved in the treatment since they are able to assist a person with the diagnosis and the disorder. They can play a crucial role in the patient understanding and coming to grips with the implications BED has on their health. Nutritional needs are discussed and medication is sometimes prescribed.

If BED is determined to be present, a number of psychological treatments exist which can be of help. Some of these methods are as follows:

  • Cognitive Behavior based therapy, or CBT, is a method which assists individuals in understanding the direct relationship thoughts, behaviors, and feelings have. It helps them develop positive and effective strategies to help alter negative patterns.
  • Dialectical Behavioral Technique, known also as DBT, is a helpful approach to teaching new skills which can be focused on so that emotions can be regulated during stressful times and during temptations to eat irregularly. Both individual and group settings are generally a part of this type of therapy.
  • Interpersonal Psychotherapy, also known as IP, is a technique which helps individuals explore relationships such as loss, conflict, and so forth. It examines how they perceive themselves alongside others and takes a look at how those components might play into their eating disorder and its behaviors.

There are even more treatment types that might be recommended for BED, depending on the individual needs that you may have which flow from our life experiences, like trauma, abuse, etc. A qualified licensed therapist will be able to lovingly point you in the direction that will be the most helpful where a full plan of treatment is concerned.

It is overwhelming to live with BED. Hopeless feelings can consume you and sadness may be a constant emotion you feel. But, there is a better way. There’s hope just around the corner when you begin your journey to healing and recovery. Don’t put it off. Call today and walk in the sunshine. A brand new life awaits you.

Photos:
“Happy”, Courtesy of Matias Saw, Unsplash.com, CC0 License; “Altered Conscious”, Courtesy of Alex Perez, Unsplash.com, CC0 License; “Frustrated,” courtesy of Tim Gouw, unsplash.com, CC0 License; “Stack of Pancakes”, Courtesy of Maria Mekht, Unsplash.com, CC0 License

Treatment for Anxiety: No Medication Needed

In this age of social media, more and more people, including popular entertainers, are posting their struggles with anxiety.

Though not life-threatening, anxiety is a real, debilitating condition as the sufferer deals with excessive worry and troubling physical effects like difficulty sleeping, shortness of breath, a racing heart, cold sweats, and other unpleasant symptoms.

Medication for these symptoms does exist. However, reliance on such is never a good thing as there are possible side effects, including addiction. Rather than turning to chemicals, it is best to deal with treatment for anxiety through other healthier methods.

Treatment for Anxiety: Options for You

The following are some great ways to reduce anxiety symptoms without the need for medication. A sufferer ought to consider a combination of these practices for best results.

1. Cognitive Behavioral Therapy (CBT)

CBT is a very effective way to deal with anxiety issues. When one has anxiety problems, the sufferer is overthinking what is happening at the moment or what may happen in the near, or even far, future.

In CBT, the professional counselor helps the sufferer reframe how they think and how they understand their behavior. In this way, negative thought patterns may hopefully be reduced to something more rational and realistic, preventing these unnecessary mental worries and physical responses to worry.

As part of CBT, the therapist may introduce breathing techniques to help the sufferer relax more. This helps reduce negative physiological symptoms like tightness in the muscles, a rapid heart rate, and difficulty breathing.

2. Self-Care

Similar to treatment for other forms of illnesses, physical or mental, it is important that overall well-being is considered. This means that mentally, physically and spiritually the anxiety sufferer must be conscious of finding ways to take care of themselves.

Physically, this means a proper diet, exercise and stretching; and enough rest. If the body is well, it will be able to respond to the physical symptoms of anxiety (e.g. racing heart, shortness of breath, muscle tension and aches) better than if it were weak.

Mental self-care is also important because if the mind is weak (e.g. low self-esteem, morbid thoughts) then the easier it will be to panic more due to anxious thoughts. Breathing exercises, journaling, and mindfulness of your current state (inner emotions and outer stimuli) can help you relax and get to know yourself in a more positive and informative light.

Spiritual self-care, which many today seem to ignore, is very essential as a weak spiritual connection to God makes one very susceptible to all kinds of problems, especially worries about the future. Regular prayer time, reading of Scripture, meaningful Church attendance, and fellowship with other caring believers will do wonders for the spiritual health so that negative, anxious thoughts will not easily bring one down.

3. Massage

Though it might not resolve the underlying issues behind a sufferer’s anxiety, massage therapy is still very helpful for relaxing the body and reducing tension. Muscle tension can be quite painful and bothersome so a good massage may provide temporary, yet needed, physical relief.

4. Yoga

Many therapists recommend yoga to strengthen the body and modulate the stress response. The various breathing exercises and yoga poses also help improve mental clarity which is why yoga is very popular today.

Now while yoga is very helpful for those suffering from anxiety, as a Christian, one must remember to only incorporate the principles of relaxation and mindfulness and not any non-Christian spiritual practices or beliefs. Compromising one’s spiritual beliefs should never be an option.

5. Acupuncture

An alternative form of medicine from the Far East is acupuncture. Here, through the guided hands of an expert, needles are inserted into the body to relieve pain and cure ailments. Though not all medical doctors believe in its effects, many more claim that it does work to reduce anxiety symptoms.

Summary

While medication for anxiety may be necessary in severe circumstances, it is generally still best to avoid ingesting too many chemicals. As there are many other options available to minimize anxiety symptoms, a sufferer ought to try them first to avoid future, medicine-related problems.

If you or a friend are struggling with anxiety and would like to know more, particularly about Cognitive Behavioral Therapy, then you should seek the help of a professional Christian counselor to help you find the best treatment plan for you.

Photos:
“Anxious”, Courtesy of LoganArt, Pixabay.com, CC0 License; “Therapist Office”, Courtesy of Cater Yang, Unsplash.com, CC0 License; “Church”, Courtesy of Neonbrand, Unsplash.com, CC0 License; “Yoga”, Courtesy of Matthew Kane, Unsplash.com, CC0 License

Eight Anger Management Tips for Men from Scripture

While many may say that we are much more civilized than the olden days when conflicts were settled by duals to the death, anger is still an issue that plagues many men worldwide. Road rage, bar room brawls, fights in the gym, domestic violence, and a verbal tirade in the workplace are just some examples of anger unchecked.

Though both men and women may suffer from anger issues, seeing such rage from men is often quite scary as they are often the ones inflicting much physical damage. This may then cause a domino effect of anger as other men may retaliate as well, leaving devastation in their wake, possibly hurting whoever is in their way.

Thankfully, Scripture contains much wisdom in helping people today deal with their daily struggles, including managing one’s anger.

Anger Management Tips from Scripture

But the Holy Spirit produces this kind of fruit in our lives: love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, and self-control. There is no law against these things! – Galatians 5:22-23

In Galatians 5:22-23, Paul discusses the fruit of the spirit. If every man could fill himself with this fruit, then managing anger would not be a problem. So for those struggling with anger, it would be good to focus on and ask for such spiritual fruit.

Love

In Galatians, the love that is spoken of is a love for every person which stems from God’s loving presence in a person’s life. Such love means one should be concerned and compassionate towards others, and not indifferent or prejudiced. To have such love in one’s life means that you truly care about the people around you as they are a brother or sister in Christ.

Anger, however, comes from a place of pride and selfishness. Regular, uncontrollable anger against others means that one’s feelings are more important than those around. Only by becoming more loving can a man gain the wisdom and patience to deal with life’s frustrations.

Joy

While many may seek happiness, it is joy that allows one to see the positives in life despite the changing circumstances. But true spiritual joy can only occur when a person is focused on God, trusting in Him as our loving Father, provider, and protector.

In order to control one’s anger, a person needs to choose joy, knowing that our life is blessed as a child of God. When this is done, a man’s mental energy is diverted towards what is positive and not the negative things causing such anger.

Peace

Out of all of the fruits of the spirit, peace is the most antithetical to anger. When one has peace, it means that despite the circumstances, anger is not present. Such peace, however, only comes from God.

Left to ourselves, anger, frustration, and disappointment are the usual responses to situations that do not go our way. But with God’s help, this can be overcome. So rather than praying to not be angry, pray instead for peace in the heart and mind.

Patience

Anger usually does not exist alone. It is often the result of another emotion such as sadness, embarrassment, disgust, or frustration which arises from a particular event in a person’s life. Patience is the spiritual fruit that allows one to prevent such primary emotions from igniting anger. So when a man has patience, he is able to first address and control the initial emotion so that anger is not required to defend his hurt ego.

Patience, however, requires much practice and prayer to perfect. This starts with first contemplating on the areas in one’s life where more control is needed (e.g. budget discussions with the wife, dealing with misbehaving kids, disappointment with employees). Also, a man should be willing to humble himself when patience runs out and continuously pray for more.

Kindness

One way to remove internal anger is to fill life with positives. By focusing on acts of kindness, a man can feel better about himself and the people around them. Thus, in times of disappointment or frustration, it is hoped that the positives within will overpower the negatives stemming from the situation, preventing anger.

Contrary to what the media usually presents, kindness does require grand gestures towards others. Small, daily acts of kindness, such as a smile or a helping hand, can already change a person’s outlook towards life. But when dealing with difficult people or tough situations, it helps to ask God for the strength to be kind. Kindness is a spiritual fruit that blesses both the giver and the receiver.

Goodness

For many men, their anger stems from not achieving their desired goals in life. Thus, when they fail to impress or succeed, they become angry – first at themselves, and then at others.

The way to counteract this is to focus on the good things in every aspect of his life. Though our life on earth can never be perfect, there is still much good to be thankful for. Goodness also means purposely living a good life so that there is no need for shame, guilt, or regret. While it may be difficult at times to always be or do “good,” with Christ’s help, it is possible.

Faithfulness

One fruit that everyone needs today is faithfulness. Sadly, because of all the options presented and because of the various bad examples by people around us, it is difficult now for people to stay committed, which is often a cause of much anger or situations leading to anger. This faithfulness, however, is not just about romantic relationships (though particularly in marriage it is very important!); it is about following through on all commitments a person may give to others or to God.

In Matthew 5:37, Jesus advised, “Just say a simple, ‘Yes, I will,’ or ‘No, I won’t.’ Anything beyond this is from the evil one.” Thus, whether the situation is about work, investments, friendship, love, or service to God; a man needs to fulfill his obligations to prevent untoward incidents that may lead to anger.

Gentleness

One definition or idea of gentleness is power under control. Men who are always angry allow their power to run wild, hurting others, verbally or physically. With gentleness, a man willingly holds back to make things safer for others.

Similar to patience, this requires much practice; but it can be done. When approaching possibly heated conversations or dealing with particularly testy people, for example, gentleness should always be at the front of one’s mind. If so, it will be easier to maintain composure and avoid anger.

Self-control

Self-control is the final fruit. With self-control, a man will be able to manage his response to antagonistic situations. However, to truly have self-control, the other spiritual fruits need to be present and the divine help of the Holy Spirit must be there as well. Without them, trying to manage one’s anger will be very, very difficult indeed.

Prayer and practice of self-control together with the other spiritual fruits are necessary for this fruit to be achieved.

Making Use of the Fruits

In order to use these spiritual fruits to control anger, a man has to first look within to determine the underlying cause. Is it bitterness? Pain? Sadness? Is this triggered because of certain people or certain situations?

Once the cause or causes have been pinpointed, he may then check which spiritual fruits can help manage the situation. Are more patience and love required? Are faithfulness and gentleness the best solutions?

When those have been identified, prayer must begin in earnestness to ask God for the spiritual fruits to combat the causes and the anger response. The process will take time so a man needs to be patient with himself if he cannot change immediately.

Know that God is always listening and that the Holy Spirit is beginning to work on that change within. Simply asking for that change through prayer is a sign that the process has begun.

Further Help Through Christian Counseling

In some cases, anger has severely damaged a man’s family and social life so much that the situation seems hopeless. In such scenarios, Christian counseling can help that man get his life back on track, especially when unearthing the true causes behind the anger.

Your Christian counselor can also help in reconnecting the person with God through prayer and the reading of Scripture as it may have been years since such activities have been done.

Anger should never be in control of a man’s life. If you or a friend believes that anger management is a big concern, then seek help soon.

Photos:
“Angry Enough to Kill”, Courtesy of WenPHotos, Pixabay.com, CC0 License; “Free”, Courtesy of Zac Durant, Unsplash.com; CC0 License; “Seeking Human Kindness”, Courtesy of Matt Collamer, Unsplash.com; CC0 License; “Studying,” courtesy of Patrick Denker, Flickr CreativeCommons (CC BY 2.0)

Social Anxiety: How to Manage Well

Social situations tend to make many of us anxious. Some of us find meeting people a challenge. Walking into a place where there are people we don’t know makes us uncomfortable. It is common to try to work around these uncomfortable situations in order to survive in the world.

Anxiety can prevent us from taking part in social activities. It can cause us to have problems at work or keep us from going to gatherings. When we are missing out, it is high time to take a close look at our anxiety and the social phobia it is causing in order to better understand it and to better enable us to get help.

When Social Anxiety Becomes a Disorder

The more you know about a problem, the easier it is to find a solution. The same is true with social anxiety and the disorder behind it. Learning more about the diagnosis of it and what it entails will help you assess your symptoms so you can determine whether seeking mental health assistance is advisable. In the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (or, DSM-5), Social Anxiety Disorder is described as:

“Marked anxiety or fear having to do with a social situation, or situations, where the individual is exposed to the possibility of being scrutinized by others. It might be brought on by something like a conversation with another person or persons, meeting new people, being observed when drinking, eating or something similar, and/or performing or speaking in front of others such as giving a speech.”

In children, the anxiety must be brought on in a setting that is pure rather than just when they are interacting with adults.

The individual has anxiety and fear of acting in a certain way or of showing the symptoms of anxiety in a fashion that will be viewed negatively such as being embarrassed or humiliated which will ultimately lead to being rejected by or offending others.

The situations are typically socially oriented and almost always instigated by anxiety or fear. It is common for children to express their anxiety and fear through crying, freezing, clinging, throwing tantrums or not speaking when they are in social situations.

Social situations which provoke negative emotions are either endured with great anxiety and fear or avoided altogether. The degree of anxiety or fear is exaggerated in comparison to the threat that’s posed from the situation or the socio-cultural context. Generally, the individual experiences the anxiety and/or fear for a period of six months or longer.

The negative feelings of anxiety or fear or the action of avoidance bring on significant clinical distress or the inability to function properly in the individual’s occupation, social life or another important area. It’s important to note that the avoidance is not brought about by drugs, illicit or prescription.

If there is a medical condition that exists (like Parkinson’s disease, disfigurement from injury or burns, obesity or such) the problem is only classified as social anxiety if it is not caused by the medical problems or if it is in extreme excess.

Self-diagnosing is not wise when you are concerned if you have a mental disorder just as it is not advisable to self-diagnose when wondering about medical problems. It is imperative to be certain that you are given the correct diagnosis and, if warranted, the right treatment as well. It is recommended that you incorporate time with a therapist to ensure you get the proper diagnosis.

Rekindling Our Bodily Connection

Anxiety is never comfortable. That is why our natural reaction is to get as far as we can away from it. We do whatever we can in order to avoid feeling it. The problem is that this type of reaction is counterproductive to the diagnosing of the problem and to successful treatment. With this in mind, the next time you feel anxiety creeping in, try to turn to it instead of away from it. Acknowledge your feeling. Don’t hide from it.

It is also helpful to approach it with curiosity. Ask yourself where you are feeling it. Perhaps it is in your stomach, or the area around your chest or in your neck. Sometimes, tingling fingers or hands accompany fear and anxiety.

Try to get a grip on it through taking deep, controlled breaths. Breathe in through your nose and then out slowly through your mouth, counting to three. Once you have completed the deep breathing exercise, attempt to figure out what the trigger is.

There are times the trigger will be obvious. You may suddenly recall that you are about to go to a party where there will be a number of people you don’t know. Or, it may seemingly come out of nowhere. It is a good idea to ask yourself where it came from anytime your anxiety or anger rises suddenly. Even if you don’t have the answer, you will be taking a step toward your recovery.

Trigger Complexities

Our mind, body, and emotions are all interconnected which means there can be a myriad of possibilities when it comes to causes for our anxieties, social ones included. It is a defense mechanism that we develop early on to deal with traumatic experiences. We naturally defend ourselves against further harm and protect ourselves from the pain as well.

Imagine you are in a dark room full of furniture. You can’t see the furniture so you continue to bump into it time after time. A therapist helps you to identify and understand the triggers you have, much like illuminating the furniture, one piece at a time.

When you can clearly see the furniture, the less likely you are to run into it as much and when you happen to, you know just what you ran into. Throughout the course of time, you may even decide to move the furniture elsewhere rather than it being in the middle of the room where you easily bump into it.

Understanding Social Anxiety

It is conducive to have a range to work with when we are trying to get a handle on our anxieties in social situations. When you note that it is rising, assign it a suitable number. “I feel my anxiety is at a 7 on a scale where 10 is the highest,” you may tell yourself. If you find your anxiety is in the 7-and-over range much of the time, it would be a wise idea to set up a meeting with a qualified therapist.

If you leave high anxiety unchecked, you can condition your body to be chronically anxious. That is why there are some disorders of anxiety that only get better with medication.

When you have identified the degree of your level of anxiety, the next thing you will want to do is to make an attempt to lower it by using the tools you have at your disposal. When our anxiety is soaring, it is very difficult to think with a clear head and deep breathing can be helpful at times like this. It sends a signal to your sympathetic nervous area (the system that deals with fight or flight) that it is alright to be calm as there is no danger.

While you are doing deep and slow breathing, you can try to think and focus on just one thing. It might be a smooth stone, a waterfall or a word. Since our minds can only handle thinking about one thing at a time, it becomes impossible to dwell on the fear at hand when we are thinking about a stone or waterfall. Initially, it may be difficult to do because we feel as if we are thinking of a million things at once, but in reality, our minds are just racing with many thoughts coming at us, one by one.

Controlling our focus is the key to stopping the circus. It takes some practice but it can be done. When you think of positive things about yourself, you will find that your anxiousness subsides. A good bit of the worry we have is based on things that are not true. You may feel God is going to punish you for something or that you are going to get a disease. Think of fears you had in the past that never came to pass. That is very helpful in recognizing the unwarranted fears.

Putting your thoughts and feelings into perspective is helpful too. Since there are millions of things that have the ability to kill you, you can see how it is a complete wasting of your time to try to figure out which of those things you will die from. Living in the here and now means not being obsessed with the past or the future. Now is all we have anyway so, why not chose to live in it?

It will be easier to think clearly when your anxiety has subsided and is under control. That is the time to think about the root of your social anxiety. Know the difference between normal anxiety and anxiety that is not typical. If you are at odds with someone and are nervous about running into them, that is normal. But, if you fear to encounter anyone, that is not.

What is it that scares you about the given situation? Do you worry that you will not know what to do or say and will look foolish? Are you afraid you will say something but it won’t be appropriate? Do you fear you will fall or break something and look clumsy?

In each one of the cases mentioned, fear is the underlying factor. You are afraid of looking foolish or like a jerk. You are afraid that you will be rejected or hated. While the fear is not legitimate because it is exaggerated, it certainly feels true. Until you take it by the horns. Realize that one of the greatest fears humans have is abandonment. Do you fear you will be left alone?

The stakes seem incredibly high when social anxiety tells that you will do or say something so bad that you’ll be hated, despised or abandoned. But when you start to understand more about the situation, you can make a plan and have a way out. You can control and manage your situation and fight the lies that you have let yourself believe.

Managing Social Anxiety

There are many experiences when it comes to anxiety and everyone is different. It is not possible to address each possible situation so I will be using a few vignettes with various examples of possibilities for the approaches. These are generalized in order to hopefully paint a picture that many can imagine themselves in.

First Vignette – A twenty-eight-year-old male is employed at a large company where there are no inside walls and the individual desks are grouped. Each person in the area views and contributes to everyone’s work. One day, the man walks into the area and his heart begins to race. He feels like he is getting dizzy and reaches to steady himself. He gets out of the building as quickly as he can and the thought of ever going back paralyzes him with overwhelming anxiety.

Approach Possibilities – When there is a symptom of dizziness or any form of chest pains, it is certainly recommended that a physician is consulted in order to rule out any medical causes. If medical causes are ruled out, then you can look further into the root.

One thing to check into is if anyone he is not comfortable with moving in closer to his proximity. Has the work he has been doing been brought into the spotlight and he has been ignoring it to where it has become an insurmountable anxiety? Perhaps the close quarters in his work setting is finally closing in on him. Is there anything about the area of his workspace that has undergone change or has any of the relationships changed?

If all environmental factors have been ruled out, it could very well boil down to a psychodynamic contributor, like having an overly critical father or mother who continually made him feel belittled. While this issue is one that can take some time to really work through, there are short-term solutions that can temporarily help to boost his self-confidence.

This is where the tools mentioned above could really help to calm anxiousness in the moment. Focusing on one single thing could be very helpful. If the given anxiety has continued for over six months, it might not respond to somatic techniques in which case, a visit with a qualified psychiatrist might be in order to talk about the possibility of an anti-anxiety prescription. Persistence and patience when pursuing a diagnosis is the best route to getting the best care possible.

Second Vignette – A thirty-something-year-old female always has anxiety creep up when she is in public, but one night when she is at a party where she doesn’t know hardly anyone, she gets so anxious that she has to flee the party.

Approach Possibilities – Like the man in the first vignette, the manifestation of chest pains or dizziness is a good indication a doctor should be seen as a first step.

If leaving the party helped to calm her, it might be of help to rule out the environmental factors that could have possibly been present. Asking if there was anything in the room that seemed to be threatening in some familiar way is a good place to start. Smells can initiate triggers too. Was there a smell that could have triggered an old trauma response emotionally?

Perhaps someone vocalized something that triggered the response. Maybe there was a person who appeared to be familiar but who she couldn’t seem to place and that mentally distressed her. And, there might be a person who had a similarity to someone within her past who was threatening.

Environmental factors should be ruled out and psychodynamic roots can be addressed and looked into too. Taking steps of desensitization may well be the most helpful answer so that she doesn’t have to avoid going to parties for months or even years.

The first thing she might attempt is to go to another party in order to see if the problem is a recurring one. Then, she could try meeting a stranger and a friend together. Then she could be around one friend and five or so strangers at once.

As she does this, she should monitor her anxiety level and also watch for triggers. She can then begin to get in touch with the level of her anxiety and can work to develop solutions for workarounds and also to address the specific issues she has.

While there are common factors, everyone’s individual anxiety is different. It is something that is unique to them and only them. It takes courage and it takes determination to face fears and to wonder about them so we can reduce anxiety by developing and using techniques.

If anxiety is disrupting your life, it is time to get help so you can explore your thoughts and feelings. Getting help will help you take steps toward a life of growth and better health. You can be free.

Photos
“Anxious,” courtesy of Sascha Berner, unsplash.com, CC0 License; “Thinking,” courtesy of Jacob Botter, Flickr CreativeCommons (CC BY 2.0); “Stretch,” courtesy of Jacob Postuma, unsplash.com, CC0 License; “Alejandra thinking II,” courtesy of Luis Alejandro Bernal Romeo, Flickr CreativeCommons (CC BY-SA 2.0)

How Do I Know if I Need Help for Depression?

Emotions, including sadness, are a natural part of what it means to be human. As much as Facebook friends might never admit it publicly, life isn’t all “likes” and “shares.” When sadness becomes all-encompassing and debilitating over an extended period, it may be time to consider the need to get help for depression.

We’ve all heard of depression, but how much do we really understand about it? It’s often misunderstood in terms of its clinical diagnosis and greatly overused in pop culture.

According to a recent 2016 national survey on drug use and health, an estimated 16.2 million adults 18 or older across the United States experienced at least one or more major episode of depression (SAMHSA, 2016).

This number represents nearly 5% of all adults (Bureau, 2016) with the highest percentage of occurrence among adult females (8.5%). From 2005 to 2015 depression had the highest increase among teenagers with the most rapid increases seen in young people (A. H. Weinberger, 2017).

When Should I Get Help for Depression?

Because depression can vary in how it presents itself, it’s difficult to know whether it’s truly a mental health concern or simply a case of the blues.

Below are some of the more common symptoms of depression that you should be aware of:

A pervasive feeling of sadness and hopelessness

Changes in emotional functioning are one of the most noticeable early signs of depression. You may notice yourself feeling more irritable, or just plain sad more days than not. Things suddenly feel hopeless, crying becomes a daily routine, sometimes for no clear reason.

You may begin to blame yourself for your condition and the lack of control you feel with your emotions. This is often accompanied by growing feelings of anger internalized to yourself.

Things you might find yourself saying things like:

  • “I can’t do this anymore.”
  • “Why do I feel this way, no matter how hard I try nothing changes?”
  • “I should just give up.”

Lashing out and reduced patience

If you’re noticing that you’re very short-tempered or yelling at your spouse or kids a lot, or otherwise lashing out. Instead of working through your feelings, and identifying their root cause you may project them onto others, blaming those around you for the feelings you have about yourself.

Things you might find yourself saying:

  • “You don’t understand me, you never have.”
  • “All you do is think about yourself, you don’t care how I feel.”
  • “Why am I always angry, I hate myself. I’m a horrible parent.”

A lack of appetite or disinterest in food

A sudden change in weight, either gaining or losing, can be a warning sign of depression. You may lack appetite, or no longer remember the last time you ate or have interest in foods that were once enjoyed. This is often tied to feelings of low self-worth regarding body image.

Things you might find yourself saying:

  • “No matter how hard I try, I’ll always look this way. I can’t change a thing.”
  • “I cry by myself and then I eat, it’s what makes me feel better for a short while.”
  • “I’m not hungry right now.”

Fatigue, lethargy, reduced physical activity

Another common symptom associated with clinal depression is being extremely restless at night and constantly tired during the day when awake, with little to no motivation to get out of bed to start daily activities. Going to work, or getting the kids on the bus in the morning becomes overwhelming. Even trips to the grocery store may begin to seem like they are simply too much to handle.

Things you might find yourself saying:

  • “Can we go out another time, I’m just not up for it today.”
  • “I’m falling behind on my work, I just can’t keep up. Who cares anymore, it doesn’t matter.”
  • “Why am I so tired all the time. I can’t get any good sleep, I just need to rest a little longer.”

Having feelings of worthless or excessive guilt

You may experience increased feelings of guilt about things that have occurred in the past. Regret and a growing sense of how little you matter to the fabric of everyday life with your friends and family may begin to fester. This often is accompanied by an increased or sudden onset of thoughts of death or dying.

Things you might find yourself saying:

  • “It might be better for everyone if I wasn’t around anymore.”
  • “It’s as if I didn’t exist now, no one even notices that I’m not around.”
  • “No one cares about me, and why should they, I’m a mess.”

A loss of interest interesting or pleasurable activities

It is common for people who are experiencing depression to experience a decreased or complete loss of interest in life. Things that once provided a sense of accomplishment or fulfillment no longer provide any satisfaction. Spending time with friends or family becomes more of a chore as isolation and solitude increase.

This often results in even greater feelings of worthlessness as one considers a possible reality where they are no longer tethered to the lives and activities of others they once identified as foundational to their sense of self.

Things you might find yourself saying:

  • “It doesn’t matter. Nobody cares about me anyway.”
  • “I’m all alone.”
  • “They will be better off if I’m not there. They don’t want to spend time with me anyway.”

Hope Through Christian Counseling

If you are reading this and you are concerned that you are experiencing one or more of these changes in functioning, health, or lifestyle, it is important that you seek treatment to determine the underlying cause.

Many different issues can be at the root of the emotions that cause symptoms of depression. A number of counselors at Huntington Beach Christian Counseling work directly with individuals and families who struggle with depression.

Give us a call and we can meet with you today to help you find the path to a functional and enjoyable life once again.

References
A. H. Weinberger, M. G. (2017, October). Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups. Psychological Medicine.
Bureau, U. C. (2016, July). Quick Facts United States. Retrieved from US Census: https://www.census.gov/quickfacts/fact/table/US/PST045217
SAMHSA. (2016). Key Substance Use and Mental Health Indicators in the United States: Results from the 2016 National Survey on Drug Use and Health. Retrieved from SAMHSA: https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm#mde

Photos
“Depressed”, Courtesy of Anh Nnguyen, Unsplash.com, CC0 License; “Eruption”, Courtesy of Yosh Ginsu, Unsplash.com, CC0 License; “Depressed”, Courtesy of Alex Boyd, Unsplash.com, CC0 License; “Depressed”, Courtesy of Ian Espinosa, Unsplash.com, CC0 License

Do Not Battle Alone: Seek Help for Depression

The LORD himself goes before you and will be with you; he will never leave you nor forsake you. Do not be afraid; do not be discouraged. Deuteronomy 31:8

Among the psychological struggles plaguing people in the US, depression is one of the more common ones. The ADAA.org states that “MDD [Major Depressive Disorder] affects more than 16.1 million American adults, or about 6.7% of the U.S. population age 18 and older in a given year.”

And even for adolescents, depression is an issue. “In 2015, an estimated 3 million adolescents age 12 to 17 in the United States had at least one major depressive episode in the previous year, according to the National Institute of Mental Health.” (ADAA.org)

These statistics are not surprising, however, given that life is so unpredictable. Negative experiences like the death of a loved one, separation, illnesses and accidents, failure at work or school and other forms of emotional or physical harm can readily cause severe depression.

Fortunately, it can be overcome.

The Various Ways to Get Help for Depression

Because depression is a common issue, much research has been done to discover ways to battle depression. Here are some things to do to receive help for depression.

1. Talk to somebody

One important step is to open up to someone about the problems causing the depression. The more a person stays isolated, the more hopeless the situation becomes. Speaking to a trusted family member, friend, or colleague can do wonders to lift the emotional burdens. Just the feeling of being cared for through their concern can make a sufferer feel that they are not alone.

Professional counseling is another way as some loved ones are unsure of what to say, especially if the issue is very complicated or life-threatening. Professional counselors can better probe the issue to get to the true root of the problem. If needed, counselors may also prescribe medicines to combat the problem.

2. Get diagnosed

There are different forms of depression such as major depressive disorder, seasonal affective disorder (SAD), postpartum depression, premenstrual dysphoric disorder, persistent depressive disorder, and even depression due to medical conditions. Each one has its own characteristics.

Since depression recovery requires the willing cooperation of the sufferer, it helps that the sufferer feels that they are in good hands. This is more quickly done if the type of depression is known so that the counselor knows how to objectively explain what the sufferer is going through.

3. Join a support group

For many people undergoing struggles – emotional or physical, it helps to know that you are not alone. In a support group, experiences are shared, and emotions are unburdened.

4. Contact a crisis worker

In case depression leads to suicidal thoughts, it is imperative that the sufferer speaks to somebody about this. Sadly, many are not able to as they feel ashamed to reach out to a loved one or there may be no loved ones around to speak to. Fortunately, there are hotlines specifically for this need.

  • One may call the suicide prevention lifeline at 1-800-273-8255 or visit their website https://suicidepreventionlifeline.org
  • One may also text 741741 and be connected immediately to a crisis worker for no charge.

5. Learn more about depression

A sufferer of depression can proactively choose to deal with their situation by learning more about what they are going through. There are many available resources (e.g. blogs, articles, videos and books) that deal with this, many of which written by people who dealt with depression themselves.

Here are some helpful options:

While there are several good books out there discussing depression, two very good Christian books on surmounting depression are:

  • When the Darkness Will Not Lift by John Piper
  • Spurgeon’s Sorrows: Realistic Hope for Those Who Suffer from Depression by Zack Eswine

Take Care of Yourself

As with any mental issue, help from others is important in order to address what is causing the suffering. But there are also things that a sufferer must do for themselves to take care of their physical, mental and spiritual health. Failure to do so will make the depression will feel even more insurmountable.

1. Exercise and diet

Just like in other sicknesses, mental issues or injuries, if the physical body is not well, then overcoming the problem becomes more difficult. A weak body can affect the mind and soul. While a depressed person may not “feel” like taking care of themselves, it is important that this is still done. For example, a quick jog around the neighborhood or a trip to the gym can give the sufferer a healthy change of scenery to uplift their mood.

Additionally, a proper diet is necessary to prevent sickness and ensure that one’s mood does not become even more morose, adding to the depression.

2. Yoga

In recent years, yoga has become quite popular in Western culture as a way to keep the body and mind strong.

The physical discipline required to do it, as well as the emphasis on deep breathing and mindfulness of one’s body and thoughts, do wonders for obtaining self-control and peace of mind. Research has even shown that yoga can positively combat anxiety.

3. Keep a journal

Similar to the methods of Cognitive Behavioral Therapy (CBT), journal writing allows a person to focus on their mental process and how that may be affecting them. When thoughts are written down, a sufferer may look at them objectively to unlock the negative thoughts behind their mental issues. Journal writing may also work as an “eraser” or “editing marker”, allowing a person to remove negative ideas or perhaps view them in a different light.

But even if journaling does not allow them to see the roots of their negativity, at least it may serve as an outlet for emotional release.

3. Listen to healing music

Music can be a means to heal if the melody and message are right. The following are some Christian artists whose songs can help heal.

  • Sleeping at Last

Try the songs “Saturn”, “Emphasis”, and “You are Enough.”

  • Bellarive

The song “Tendons” is about the act of grace committed on the cross.

  • Josh Garrels

The songs “Beyond the Blue,” “Farther Along,” and “Born Again” are very helpful.

  • Needtobreathe

Many of their light-hearted tunes contain much depth for the soul.

4. Read the Bible and Pray

I waited patiently for the LORD; he inclined to me and heard my cry. He drew me up from the pit of destruction, out of the miry bog, and set my feet upon a rock, making my steps secure. He put a new song in my mouth, a song of praise to our God. Many will see and fear, and put their trust in the LORD. – Psalm 40:1-3

All over Scripture, it is clearly seen that there is an on-going spiritual battle for our souls. Prayer and Bible reading are direct ways to fight the darkness’ powers that threaten to turn us away from God.

When depressed, a sufferer may feel that their spirit is at an all-time low, making it easier to succumb to negative thoughts about self-harm (e.g. suicide, alcohol or drug abuse) or breaking relationships (e.g. divorce, running away, isolation). This is why it is very important for the sufferer to reconnect with God.

Another helpful spiritual activity is to have someone pray for you or pray with you. As earlier stated, opening up to others is already a helpful step when battling depression.

It helps to know that somebody cares about your situation. But corporate prayer is also a powerful method in dire circumstances as there are two or more of you seeking God’s wisdom and help through Christ.

As stated in Matthew 18:19-20, “Again I say to you, that if two of you agree on earth about anything that they may ask, it shall be done for them by my Father who is in heaven. For where there are two or three gathered together in My name, I am there in their midst.”

Our Savior knows what is like to be human and what it means to struggle. If there is anyone that can help, it is He.

Depression is a serious issue indeed. It saps a person’s emotional, physical and spiritual energy, causing them to look at life from darkly tinted lenses.

If you or someone you know is suffering from it, it is best to get help soon. The abovementioned methods should be reviewed and applied. However, if professional counseling seems to be the best path, then you should get into contact with a professional Christian counselor who can listen to your concerns while applying Scripture to heal both mind and soul.

Photos
“Tearful”, Courtesy of Kat J, Unsplash.com; CC0 License; “Group Effort”, Courtesy of Rawpixel.com, Unsplash.com; CC0 License; “Yoga”, Courtesy of Matthew Kane, Unsplash.com, CC0 License; “His Word,” Courtesy of jclk8888, Pixabay.com, CC0 License