Archive for the ‘Stress’ Category

Ultimate Self-Care

Thursday, February 25th, 2010

By Brenda Strausz, MA, LLP 

“Saying no can be the ultimate self-care” - Claudia Black.

Rosie (not her real name) came into my office looking miserable. She slumped in her chair and could hardly hold her head up.  She broke into tears as she described her exhaustion from the demands of her job, keeping up with the household, her husband, and her kids. She seemed to be the one everyone turned to when they needed something done. 

Rosie truly felt that she could not say “No”, that it was her duty as a human being to be there for everyone who needed her. She reported that her husband helped by cutting the grass and taking out the garbage while her kids did almost nothing. She felt that they were young, and it was her duty to make things easy for them.

 I explained to her the oxygen mask analogy, my old standby. Before take-off, the flight attendant directs the passengers that “in case of an emergency,” an oxygen mask will appear and that they should put their own mask first, before helping others. I told her to envision the “selfless” people on the plane helping everyone else with their mask while the selfless ones slowly suffocate. 

 

I explained that it was time for her to think of herself.  It was time to pay attention to her emotional, physical, and spiritual health.  This means eating healthy, exercising, balancing quiet time with activity, taking time for herself and time with friends. It also means saying “No” sometimes; it means not being a doormat, it means delegating chores to your husband and kids. It means making others in your life accountable.  It means giving to others but not at the expense of yourself.

 

 

“It sounds so selfish,” she said.  And I said what I have come to learn so well, “It is not selfish.  It is self-preservation”. 

 

Rosie began to understand her doormat mentality.  She said that she grew up in a family where she got her identify from pleasing others. She realized that in doing so, she lost herself. She understood that she was an automatic “yes machine” when people asked for help because she wanted people to like her and she didn’t want to disappoint anyone.  

 

It wasn’t always easy for Rosie to implement her new routine of putting herself first. Some of the people in her life were used to the status quo and were not comfortable with the new Rosie. She had to remind herself daily of the healthy benefits of self-care. Sometimes to save herself, she would have to disappoint someone else.

 

The last time I talked to Rosie she looked like a new person.  “Now that I have retired from being Master of the Universe I feel so much more rested, productive and alive”.  She said she was busy however, counseling others on putting on their oxygen masks first.  Thank goodness for old standbys.

 

Recommended Books

 

When I Say No I Feel Guilty by Manuel Smith

The Disease to Please by Harriet Braiker

 

Brenda Strausz is a psychotherapist at Apex Behavioral Healthcare in Westland, Michigan.  She combines conventional and alternative therapy (Guided Imagery and Emotional Freedom Techniques) to help clients to meet their goals and live with more ease, joy and peace. 

 

Marijuana potential help for PTSD patients

Thursday, November 5th, 2009

 Science Daily - Use of cannabinoids (marijuana) could assist in the treatment of post-traumatic stress disorder patients. This is exposed in a new study carried out at the Learning and Memory Lab in the University of Haifa’s Department of Psychology.

The study, carried out by research student Eti Ganon-Elazar under the supervision of Dr. Irit Akirav, was published in the Journal of Neuroscience.

In most cases, the result of experiencing a traumatic event — a car accident or terror attack — is the appearance of medical and psychological symptoms that affect various functions, but which pass. However, some 10%-30% of people who experience a traumatic event develop post-traumatic stress disorder, a condition in which the patient continues to suffer stress symptoms for months and even years after the traumatic event. Symptoms include reawakened trauma, avoidance of anything that could recall the trauma, and psychological and physiological disturbances. One of the problems in the course of treating trauma patients is that a person is frequently exposed to additional stress, which hinders the patient’s overcoming the trauma. \

The present study, carried out by Dr. Akirav and research student Eti Ganon-Elazar, aimed to examine the efficiency of cannabinoids as a medical treatment for coping with post-traumatic stress. The researchers used a synthetic form of marijuana, which has similar properties to the natural plant, and they chose to use a rat model, which presents similar physiological responses to stress to that of humans.

The first stage of the research examined how long it took for the rats to overcome a traumatic experience, without any intervention. A cell colored white on one side and black on the other was prepared. The rats were placed in the white area, and as soon as they moved over to the black area, which they prefer, they received a light electric shock. Each day they were brought to the cell and placed back in the white area. Immediately following exposure to the traumatic experience, the rats would not move to the black area voluntarily, but a few days later after not receiving further electric shocks in the black area, they learned that it is safe again and moved there without hesitation.

Next, the researchers introduced an element of stress. A second group of rats were placed on a small, elevated platform after receiving the electric shock, which added stress to the traumatic experience. These rats abstained from returning to the black area in the cell for much longer, which shows that the exposure to additional stress does indeed hinder the process of overcoming trauma.

The third stage of the research examined yet another group of rats. These were exposed to the traumatic and additional stress events, but just before being elevated on the platform received an injection of synthetic marijuana in the amygdala area of the brain — a specific area known to be connected to emotive memory. These rats agreed to enter the black area after the same amount of time as the first group — showing that the synthetic marijuana cancelled out the symptoms of stress. Refining the results of this study, the researchers then administered marijuana injections at different points in time on additional groups of rats, and found that regardless of when exactly the injection was administered, it prevented the surfacing of stress symptoms.

Dr. Akirav and Ganon-Elazar also examined hormonal changes in the course of the experiment and found that synthetic marijuana prevents increased release of the stress hormone that the body produces in response to stress.

According to Dr. Akirav, the results of this study show that cannabinoids can play an important role in stress-related disorders. “The results of our research should encourage psychiatric investigation into the use of cannabinoids in post-traumatic stress patients,” she concludes.

http://www.sciencedaily.com/releases/2009/11/091104091726.htm

How Stressed Are You?

Thursday, October 22nd, 2009

Do you feel out of control (personally, professionally, or socially)? Do you have difficulty sleeping or staying asleep? Do you have a rundown feeling or have frequent illnesses? Do you eat, drink, or smoke when you are nervous? If you can identify with a few of these conditions, then you are suffering from a high level of stress!

A “normal” stress in our bodies can be a positive force of “getting ready” to meet life’s challenges. It can come from mental, emotional, or physical activity. Stress is the flow of adrenalin (neurotransmitter substance in the brain), the tense muscles, the rise in blood pressure that occurs to meet any demand that is made upon us (eg. physical, emotional, or mental). Stress is an essential part of performance that motivates us; it get us ready for action and keeps us concentrating and functioning properly. However, when stress occurs too often it can be too severe, to the point of inhibiting our task or job performance. Stress then becomes a negative force that can make us lose efficiency or leave us feeling ”out of control.”  Stress can even take its toll in the form of chronic illnesses such as: depression, anxiety, mood swings, hypertension, ulcers, headaches or migraines, pain the neck or shoulder, and an increased risk of heart disease and stroke.

Here are a few basic guidelines to cope with stress and anxiety:

1. Listen to your body symptoms and recognize any ill feelings.

2. Figure out what made you feel stressed - what happened today or yesterday that made you feel that way?

3. Allow yourself permission to feel anxious about what bothers you. Be in charge of your mood - “don’t lose it!”.

4. Try to think if you can change anything to make the situation less serious (be prepared and organize for change).

5. Know your limitations! Don’t push yourself  “over the edge,” be assertive, and learn to say “no” sometimes.

6. Be organized. Prioritize your lifestyle - don’t do too much too soon (eg. pick up the kids, buy groceries, clean the house, etc.). Try to allocate chores to other family members or friends to help assist you.

7. Be positive! Stop criticism and negative thoughts, accept yourself exactly as you are - remember nobody is perfect! When you criticize yourself, your changes are negative. When you approve yourself, your changes are positive. Try to find a mental image in your mind that gives you pleasure. This will turn your negative thoughts into happy ones.

8. Take extra care of your body. Learn about nutrition, eat a healthy diet, exercise, and take walks. Extra oxygen releases endorphins (NTS) in the brain, which releases a feeling of well being, a “natural high.” Listen to soft music, learn how to meditate, and try to relax and sleep well.

9. Invest/confide in a good friendship with someone you trust (eg. spouse, relative, friend, neighbor) and share with them your thoughts, feelings, fears, or anger.

10. Be good to yourself! Be kind, loving, and forgiving. Hate perpetuates hostility, rage, and anger. Love gives a feeling of oneness, joy, success, harmony, and peace of mind.

If you are feeling overwhelmed and unable to deal or cope with stress, please seek outside help to help you sort out your problems and create a plan of action.  If you would like to speak with someone, please call Apex Behavioral Health at Westland, (724) 729-3133.

By: Hoda Amine-Majed, PH.D.., DCSW

I Love Myself - Group for Adolescent Girls

Thursday, October 15th, 2009

I 250px-love_heart Myself is a psychotherapy group for adolescent teen girls aged 12-15 facilitated by Nida Hamid, M.A., Psy.S., L.L.P.  The group will begin within the next two weeks, please call our Apex Westland Office at 734 729-3133 to join! The group offers an opportunity for young women to gain skills in identifying and articulating emotional and social concerns they may experience. Girls will also learn to strengthen self-awareness as they are preparing to transition into adulthood. I Love Myself is a dicussion group offering a chance for self expression and peer support.

I Love Myself aims to elevate self-esteem, increase self confidence, and heighten a positive self image while improving social skills, choice making, and stress management. The group will provide an outlet for sharing in a secure environment. Young women will have the chance to express themselves through interactive games, discussions, and didactics which also provide peer support.

The young women will be taught how to identify and label their feelings, and I Love Myself is here to help in the identification process. The ability to verbalize emotional needs will help the young women evaluate what their needs actually are and inspire brainstorming ways to make needs reality. We will teach the girls how to identify distorted images of the self and the world surrounding them, and how to implement daily responsibilities and self care. Sharing of one’s self with other young women will help feed positive ways of communication and birth a new self acceptance.

Problem Statement: Transitions for young people can be extremely difficult. I Love Myself is based on the belief that young women lack support systems while they are experiencing important stages in their lives. Sometimes, the caregivers or parents of an adolescent girl is not large enough of a support system. Young women may find it difficult to trust adults and avoid doing so. If one can speak to an adult, there is the possibility that feelings of shame and disappointment arise, in turn creating self blame because the young woman does not fit the expectation of the adult. So, from a young age, one starts to develop avoidance which can be very harmful to the self of the individual.

     Ruiz (1997) states:

          “Now imagine that all humans have this skin disease.  Nobody can touch each other because it is going to hurt.  Everyone has wounds on their skin, so the infection is seen as normal, the pain is also considered normal; we believe we are supposed to be that way.  Can you imagine how we would behave with each other if all the humans in the world had this skin disease?  Of course we would hardly ever hug each other because it would be too painful.  So we would need to create a lot of distance between us.” (Ruiz, 1997, p. 113)

The minds of many young women are similar to this description of infected skin. One can be so fearful of touching their own emotions, and allowing others to touch theirs, because of the pain. Some young women create a wall around them because they do not want this pain to be discovered.

Goal and purpose: This group has been developed for young women aged 12-15. The group will determine its own unique direction; the content may change but the requirements will remain the same.

The purpose of I Love Myself is to help girls verbalize their fears while increasing thoughts and language of self acceptance. We will help young women develop positive self talk as a way of boosting self confidence. The goal for this group is to create an environment for the members to acquire advanced coping skills and to address conflict in their lives in an empowering manner! Doing so will help the members gain self awareness when faced with complex situations so they are able to identify their emotions and triggers. This acquired awareness can help these young women observe their choices and make better decisions.

Philosophy: Humans think in language, so if we change our language we can change the way we think. I view language as a way of communicating with ourselves and others as a way to express who we are and our intentions; our beliefs and values are manifested in our word. Our word is extremely powerful, and because of its power we need to be aware of the impact it can have on ourselves and those around us.

Don Ruiz (2004) discusses how the legend of Adam and Eve is a story about us as humans. It is a story about a man and a woman, the original humans, set in the tree of knowledge, a tree of life and death. The tree of knowledge was quite beautiful and produced juicy, delicious fruit. Adam and Eve were warned not venture near the tree, for the fruit of the tree could result in death. A fallen angel that lived in the tree spread lies and fear, for he presented himself in the form of a slimy serpent. The fruit of the tree of knowledge was now punctured with lies. After being seduced by the fallen angel, we believed the lies and put our faith in them. When the apple was bit into, we tasted all the lies that came with the knowledge. The lies were in the form of a seed that was now planted in our minds, and soon it reproduced a whole mental tree of knowledge consisting of mostly lies.

     Ruiz (2004) states that:

          “Once the tree of knowledge is alive in our minds we hear the fallen angel talking very loudly.  That voice never stops judging.  It tells us what is right and what is wrong, what is beautiful and what is ugly.  The story teller is born inside our head, and survives inside our head because we feed it with our faith.”  (p.12).

The story of Adam and Eve tells us of how humanity came into existence and how we became the way we are today. Today, we are witness to our own experience of all the lies we may hear in our head. The voice may be judging and making its own opinions. The voice did not exist before we could learn or speak; the voice only comes after we have learned. We only speak our truth until the tree of knowledge is born in our head. All of our self-rejections, self judgments, our guilt and shame that we feel are a creation of this voice we have begun to believe. If one continues to feed this judgmental voice with faith then low self-esteem, low self confidence will dictate one’s world.

     Ruiz states that:

          “Every time you lie to yourself, or judge yourself or reject yourself, you have an emotional reaction, and it isn’t pleasant.  If you don’t like the emotional reactions it’s not about repressing what you feel; it’s about cleaning up the lies that cause it.  All of your emotions change when you no longer believe in lies because the emotions are the effect not the cause.” (p. 118). 

I Love Myself will help with the discussion on awareness of agreements created internally amongst young women and we aim to help them free themselves from the chains of imprisonment of their true evolving self.

Interventions:  Through the use of interactive games, such as the “talking, feeling, and doing game,” discussions, and didactics, young women will have a chance for self expressions and peer support. We will assist the young women in reframing their language and becoming aware of how they express or act out negative feelings about themselves. Members will be encouraged to journal daily one positive statement about themselves as a way to develop a positive self reportoire in aim to boost a positive self image. Role playing is also used to improve social skills and assertiveness.

 

If you have any questions, or would like to join the I Love Myself group, please call our Apex Westland office and ask for Nida Hamid, the group’s facilitator.

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