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    17 East Carver St | Huntington, NY 11743
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    How to Cope with the Stress and Anxiety Caused by COVID-19

    March 29, 2020

    If you’re like most people, you are doing your best to stay calm during COVID-19 pandemic. But that can feel incredibly difficult at times. When not worrying about friends and loved one’s health, there’s also the conflicting information provided by the media and the economic ramifications of the virus that have people on edge. Signs […]

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    How to Cope with the Stress and Anxiety Caused by COVID-19

    March 29, 2020

    If you’re like most people, you are doing your best to stay calm during COVID-19 pandemic. But that can feel incredibly difficult at times. When not worrying about friends and loved one’s health, there’s also the conflicting information provided by the media and the economic ramifications of the virus that have people on edge.

    Signs of Emotional Distress and 6 Ways to Cope

    Everyone reacts differently to stressful situations, but most will exhibit some of the following signs:

    • Changes in sleep or eating patterns
    • Difficulty concentrating
    • Worsening of chronic health problems
    • Increased use of alcohol, tobacco or other drugs

    If you are experiencing significant stress right now, here are some ways you can cope:

    1. Limit Media Consumption

    Hearing the media constantly spread panic isn’t good for anyone. It’s important to stay rational and do your own research to uncover facts from fiction as well as stay positive.

    2. Nurture Your Body and Spirit

    Be sure to get outside for some fresh air and go for a walk. Eat right and make sure to stay hydrated and get plenty of sleep. Avoid consuming too much alcohol and try and find fun ways to reconnect with your family.

    3. Tap into Your Sense of Fun

    If you have kids, look to them for some good old-fashioned playtime. Play hide and seek in the house. Create an obstacle course in the back yard. Watch some of your favorite funny movies. Laughter really is the best medicine so get plenty of it!

    4. Support Your Local Community

    Many local businesses are hurting right now. If you’re still getting a paycheck, consider buying a gift card from a local restaurant, gym, hair salon, etc. to give them revenue now and you can use the card later. This will make you feel great at the same time.

    5. Be a Role Model

    Remember, your kids will ALWAYS look to you first to see how they should be thinking and feeling about something. So move about each day calmly and confidently and reassure your kids everything will be okay because it will be.

    6. Use Your Time Constructively

    For many of us, there is a silver lining in this situation in the form of extra time. What can you do with the extra time that isn’t being used to drive an hour or more each day in commuting? Focus on using this time wisely. Maybe you have an ever-growing list of home projects that you just never have time to tackle. Tackle them now, you’ll feel great about it later.

     

    If you find yourself becoming too stressed or depressed during this time, I encourage you to connect with me. Speaking with a therapist can help you cope with the situation and navigate the days ahead. I am currently able to conduct sessions over the phone or via Skype, so you won’t even have to leave your home if your state is in lockdown.


    SOURCES:

    https://www.ucihealth.org/news/2020/03/covid-19-anxiety

    https://www.health.state.mn.us/communities/ep/behavioral/stress_covid19.pdf

    Filed Under: Anxiety, General

    Do You Have C-PTSD?

    March 13, 2020

    You have most likely heard the term Post Traumatic Stress Disorder – also known as PTSD. It is used to describe the mental and emotional anguish suffered by those who have experienced sudden trauma. PTSD is often experienced by soldiers as well as those who have been victims of rape and other crimes, and even […]

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    Do You Have C-PTSD?

    March 13, 2020

    You have most likely heard the term Post Traumatic Stress Disorder – also known as PTSD. It is used to describe the mental and emotional anguish suffered by those who have experienced sudden trauma. PTSD is often experienced by soldiers as well as those who have been victims of rape and other crimes, and even victims of house fires and car accidents.

    Complex Post Traumatic Stress Disorder (C-PTSD) describes a condition that very much presents like PTSD, the difference being the sufferer experienced prolonged periods of abuse or neglect. This could happen as a result of childhood neglect or the abuse suffered at the hands of a narcissistic partner.

    Diagnosing C-PTSD

    Diagnosing C-PTSD is tricky because the symptoms are usually not very unique. That is to say, someone who is suffering from C-PTSD may be experiencing anxiety and lethargy, but these symptoms match other mental health issues.

    But it is very important to accurately diagnose C-PTSD because of the necessary treatment measures. The main difference between C-PTSD and other mental health issues – say, bipolar disorder – is that C-PTSD is a result of things that were done TO an individual, and not an intrinsic problem. In other words, someone suffers from C-PTSD because of abuse and neglect at the hands of another and not because of genetically determined brain chemistry.

    To help correctly identify C-PTSD, a therapist must uncover an accurate history to understand if:

    • The individual has experienced multiple prolonged traumas that have lasted for months (or even years)
    • The traumas were caused by someone the individual had a deep interpersonal relationship with and/or someone who was part of their primary care network (most commonly a parent or caregiver)
    • These traumas were experienced as permanent features of life, with the individual unable to see any end in sight
    • The individual had no control or power over the person traumatizing them

    Symptoms of C-PTSD

    As I just mentioned, the outward symptoms of C-PTSD may match other mental health disorders. Those symptoms include:

    • Flashbacks and nightmares in which the trauma is relived.
    • Avoiding people, places, and situations that remind them of the trauma.
    • Dizziness or nausea when remembering the trauma.
    • Hyperarousal. This is a state of high alert and one they often lived in.
    • A belief that the world is a dangerous place.
    • A loss of trust in self or others.
    • Difficulty sleeping and concentrating.
    • Being startled by loud noises.

    Treatment for C-PTSD

    There are a few different treatment options for people suffering from C-PTSD:

    Psychotherapy

    Therapy can take place on a one-to-one basis or in a group setting. The focus will be on addressing feelings, improving connections with others, and dealing with anxiety and flashbacks. Many therapists have had success using cognitive behavioral therapy (CBT) helping people cope with the symptoms of C-PTSD.

    EMDR

    EMDR stands for eye movement desensitization and reprocessing. This is a process that uses eye movement to help a person desensitize their reactions to a specific traumatic event. The result is the person can eventually recall the memory but have no emotional reaction to it.

    Medication

    Some individuals may need to be on medications for a while to reduce their anxiety. A therapist can work with you to determine if this is the best course of action.

     

    If you believe you are suffering from C-PTSD and would like to explore treatment options, please be in touch. I’d be happy to discuss how I may be able to help.

    Filed Under: Abuse/Neglect, Anxiety, General, Trauma / PTSD

    How to Help Your Child Manage Their Anxiety

    March 9, 2020

    For many, childhood is the most wondrous and exciting time in a person’s life. But even when a child is growing in a loving and stable family environment, they can feel fear and anxiety. Think back on your childhood. Everything new was something to be not-so-sure of. It was easy to feel a bit anxious […]

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    How to Help Your Child Manage Their Anxiety

    March 9, 2020

    For many, childhood is the most wondrous and exciting time in a person’s life. But even when a child is growing in a loving and stable family environment, they can feel fear and anxiety.

    Think back on your childhood. Everything new was something to be not-so-sure of. It was easy to feel a bit anxious on the first day of school or meeting someone for the first time. A child often feels anxious at bedtime, having to go to the doctor or dentist, or on their first day of summer camp.

    When children experience anxiety, they may run away, become very quiet, scream, shake, act silly, cling or have a tantrum to avoid the stressful situation. You may have tried to talk with your child and reason with them in these moments. But this generally doesn’t work.

    Brain research suggests that it is extremely difficult for young children to think logically or control their behavior in these anxious moments. They are experiencing real fear and the fight/flight/freeze mode that accompanies it.

    Here are 3 science-based ways parents can help their children manage their anxiety so they may regain a sense of safety.

    1. Stimulate Their Vagus Nerve

    The vagus nerve is located on both sides of the voice box. Studies have shown that stimulating it can interrupt the fight/flight/freeze mode and send a signal to your child’s brain that he or she is not under attack.

    Some easy ways to help your child stimulate this nerve are:

    • Have them chew gum
    • Hum or sing
    • Gargle with regular warm water
    • Eat a piece of dark chocolate (this is also a parasympathetic regulator)

    2. Help Them Slow Their Breathing

    Like adults, when children are anxious they tend to take rapid shallow breaths from the chest. Taking slower, deeper breaths from the abdomen sends a signal to their brain that they are safe and can relax.

    Older children may be able to follow you as you show them slow breathing exercises. For younger children, there are some playful ways to get them to slow down and control their breathing. You can have them blow bubbles, blow into a pinwheel, imagine your fingers are birthday candles and have them slowly blow them out, teach them to whistle and simply see if they can hold their breath for three seconds as if they were swimming.

    3. Be Silly

    Research also suggests that humor can significantly reduce anxiety. Humor has a way of distracting, relaxing muscles and releasing endorphins that combat stress and anxiety.

    Try silly knock-knock jokes or word games like “I went on a picnic.” A quick internet search will result in a ton of corny jokes that your youngster will most likely love, so print some out and have them on hand.

    Anxiety is a part of life, but if you use these three techniques, you can help your child manage theirs.  If you think your child could benefit from speaking to someone, please feel free to be in touch. I’d be more than happy to discuss treatment options.

    Filed Under: Anxiety, Children

    What is Mindfulness-Based Cognitive Therapy?

    December 5, 2019

    You’ve probably heard of mindfulness meditation, but what exactly is Mindfulness-Based Cognitive Therapy (MBCT)? This form of therapy uses mindfulness practices like breathing exercises and meditation to help clients break free of negative thought patterns. What Can MBCT Treat? MBCT was first developed to prevent individuals who were struggling with repeating episodes of depression and anxiety from […]

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    What is Mindfulness-Based Cognitive Therapy?

    December 5, 2019

    You’ve probably heard of mindfulness meditation, but what exactly is Mindfulness-Based Cognitive Therapy (MBCT)? This form of therapy uses mindfulness practices like breathing exercises and meditation to help clients break free of negative thought patterns.

    What Can MBCT Treat?

    MBCT was first developed to prevent individuals who were struggling with repeating episodes of depression and anxiety from relapsing. Studies have found MBCT to be very effective at helping people with major depressive disorder who have experienced at least 3 instances of depression in their life. This therapy approach may also be helpful in improving the symptoms of depression in those with disease and physical illness, such as cancer and traumatic brain injuries.

    How Does Mindfulness Help Depression?

    You may think that meditation is something only monks or yoga masters do, but everyday people are reaping the major mind and body benefits through mindfulness meditation. Depressed people suffer rumination, that is they become stuck in mental patterns. They often mistake their rumination for problem-solving, but in reality, rumination prolongs a negative mental state.

    Meditation works by disrupting the mental process of rumination. When you focus your mental attention on the present moment, you cannot ruminate. While it’s hard for any person to completely stop the mental process of rumination, it’s our choice whether or not we engage with it. Meditation helps us “just say no.”

    How to Find an MBCT Therapist

    MBCT is usually held in group sessions once weekly for 2-hours each. The meditations and breath work will be led by your therapist. He or she will not only lead you in these techniques but also the fundamentals of cognition, such as the relationship between your thoughts and how they make you feel. Your therapist will also most likely give you homework to practice the breathing and meditation techniques you’ve learned that week.

    An MBCT therapist is a cognitive behavioral therapist who will have had additional training in mindfulness-based practices and techniques and is able to teach these to others. Beyond looking for these specific credentials, you’ll also want to find a therapist you feel comfortable working with. After doing a bit of research for qualified therapists in your area, get on the phone and talk to a few to see who you may like working with the best.

    If you or someone you know may be interested in exploring MBCT, please reach out to me. I’d be happy to discuss how I may be able to help.

    Filed Under: Anxiety, Depression, General, Issues for Women, New Mother, Self-Esteem

    5 Ways to Effectively Manage Anxiety

    December 5, 2019

    If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While […]

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    5 Ways to Effectively Manage Anxiety

    December 5, 2019

    If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While anxiety can feel debilitating, there are ways you can manage it.

    Slow Your Breathing

    When we feel anxious, our breathing becomes quicker and shallower. This way of breathing, in turn, makes us feel even more anxious. It’s a vicious cycle.

    When you feel the anxiety start to come on, start to focus on your breath and begin to slow it down. Breathe in slowly and deeply for a count of 4, hold for a count of 4, then exhale slowly for a count of 4. Repeat this cycle three to five times until you feel yourself begin to calm.

    Limit Caffeine 

    Drinking or eating anything with caffeine in it can exacerbate your anxiety. Studies have even shown that caffeine can trigger an anxiety attack, so try and avoid or greatly limit consumption.

    Exercise

    Studies have shown that just 20 minutes of exercise can reduce symptoms of anxiety. Not only does exercising make you feel good about yourself, it actually floods your body with feel-good endorphins, which can totally turn your mood around.

    Make a List

    One of the worst parts of feeling anxiety is the feeling that you are out of control. One simple exercise to turn this around is to make a to-do list of small, easy-to-manage tasks. Crossing these tasks off your list will actually empower you and make you feel in control again.

    Remind Yourself of Reality

    When the plane of a nervous flyer hits turbulence, that nervous flyer must remind themselves that the plane is okay, and it is just a normal occurrence to hit turbulence. People who experience anxiety may also have to remind themselves that they are actually okay when an anxiety attack comes on. Simply tell yourself that you are experiencing anxiety but that you are, basically, okay, you are not going to die.

    It can also be very beneficial to talk to someone about your anxiety issues. A therapist will be able to offer more tools and advice on how to cope and manage your anxiety.

    If you or someone you love suffers from anxiety and would like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

    Filed Under: Anxiety, General

    5 Subtle Exercises to Calm Anxiety in Public

    October 14, 2019

    According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days. When anxiety strikes, the world around us can become a sort of funhouse, only not that much […]

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    5 Subtle Exercises to Calm Anxiety in Public

    October 14, 2019

    According to the Anxiety and Depression Association of America, 40 million adults over the age of 18 suffer from an anxiety disorder. If you are one of them, you know how difficult your life can feel most days.

    When anxiety strikes, the world around us can become a sort of funhouse, only not that much fun. It’s important to be able to self-soothe in these instances. But how can you calm an anxiety attack subtly when you’re out in public?

     

    Breath Work

    As soon as you feel the anxiety coming on, focus intently on your breathing and nothing else. Begin to take slow… deep breaths. Inhale for a slow count of three… hold for a count of three… and exhale for a count of three. Slow deep breaths send a signal to our body that we are not under attack and everything is okay.

     

    Talk to Yourself

    In your mind, remind yourself that you are having an experience but that you are NOT that experience. While you feel that something is wrong, remind yourself that you are actually safe and all is well.

     

    Visualize

    Think of something that calms you. This may be your childhood bedroom or your grandparent’s home. It could be your favorite beach or your own bathtub. Simply put yourself IN that space. Use your full imagination to feel yourself there and allow the calm to settle over you.

     

    Carry Lavender Oil

    Keep a small vile of lavender oil in your purse or pocket and inhale its scent. You can even rub some between your finger and then rub on your temples to calm down.

     

    Practice Listening Meditation

    If you’ve never tried listening meditation, I highly recommend it for everyone. But it can be especially beneficial when you are feeling anxious, and here’s why. Listening requires you to stop thinking. Try it now. Stop reading and instead listen to all of the ambient sounds there in the room with you, outside the door and window.

    What do you hear?

    Let your sense of hearing grow and grow, picking up more subtle sounds. The buzz of the lights overhead… the noise of the ice maker… a bee at the window… your dog’s collar down the hall…

    It’s actually a very fun exercise to do. And in order to REALLY GIVE SOUND YOUR FULL ATTENTION, you can’t think while listening. It’s a bit like trying to juggle while standing on your hands, it simply cannot be done.

    Much of our anxiety comes from our anxious thoughts. It’s our reptilian brain trying to keep us alive by alerting us to all of the dangers around us. But when we meditate, this mind chatter goes away.

     

    When an anxiety attack comes on, life can feel unbearable. The next time this happens to you in public, try one or more of these techniques.

    And if you’d like to speak with someone about your anxiety, please get in touch. I’d be happy to explore treatment options.

    Filed Under: Anxiety

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    28 East Old Country Road | Hicksville, New York 11801

    17 East Carver St Huntington, NY 11743

    (631) 629-3631

    karenkieser3@gmail.com

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