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Living with Only Physical Anxiety Symptoms – Anxiety Without the Worries

Living with Only Physical Anxiety Symptoms – Anxiety Without the Worries

When we talk about anxiety, we often talk about mental symptoms. We talk about unexplained fears. We talk about irrational worries. We talk about feelings of dread and “worst-case scenario thinking.” Many people that struggle with anxiety have these issues.

Still, anxiety doesn’t always manifest itself the same way for everyone. While many people that have anxiety know that it causes physical symptoms (such as shaking, sweating, and rapid heartbeat), most people assume that these physical symptoms are the result of worries, fears, etc. 

Yet it is possible for some people to develop the physical symptoms of anxiety without realizing that they have these stresses and worries. Essentially, it’s possible to have the physical symptoms of anxiety without a person feeling worried or fearful at all. 

Please note: Flourish Psychology is based in Brooklyn but licensed to provide mental health services in over 30 states. Please see our locations list and contact us if you’d like support. 

Physical-Only Anxiety – How Anxiety Affects the Body

Irrational worries, fear, and stress can trigger the activation of the fight or flight system. That activation can lead to symptoms that include:

  • Rapid Heartbeat
  • Trembling
  • Fast Breathing
  • Muscle Tension
  • Sweat
  • Difficulty Concentrating

If faced with real danger, these symptoms would keep us safe from harm. With a faster heartbeat, we’d be able to run quickly without getting as tired. By sweating, our bodies would not overheat. Trembling is caused by the adrenaline we need to react quickly, and so on. 

We know that many different issues can lead to anxiety. For some people, it’s trauma. For others, it is lifestyle choices. For some, it is life experiences, and for others it is genetics. We also know that, because anxiety can have so many causes, it can also present itself in different ways.

That is why some people seem to have the physical symptoms of anxiety, without necessarily the thoughts that we often associate with it. They may not feel fearful. They may not feel worried. They may not even notice they’re feeling very stressed at all. But their legs start to shake, their heartbeat starts to race, they may sweat a bit more – they experience the physical symptoms, even the absence of any thoughts to trigger them.

Many people with this form of anxiety do not realize they have anxiety at all. When someone that presents with this type of anxiety also has panic attacks, it’s not uncommon for them to feel like the panic attacks come “out of nowhere,” because they do not feel any intense worries or fears at the time the panic attack is triggered. They may even develop health anxieties as a result. 

Even though this type of anxiety may present differently, it is still anxiety. Because it is still anxiety, it also tends to respond well to treatments.

How We Approach “Physical Only” Anxiety

We often find that people with this form of anxiety do have stresses and worries that they’re struggling with, but they’re just not at the forefront of their minds at the time. We try to figure out what types of stresses the person may be under to determine if they are suppressing their feelings.

We also look for thoughts that may be triggering anxiety but do not feel like anxious thoughts at the time. For example, a person with “physical only anxiety” may worry about the symptoms themselves, creating a cycle where their concern over experiencing these symptoms ends up triggering their anxiety. Because their worries end up coming to fruition, they may not realize that it was triggered by that worry.

We also look for relaxation techniques and stress management strategies, to help people that may feel this type of tension learn to breathe slower and relax. These are some of the many ways that a person struggling with the physical symptoms of anxiety can find value in getting treatment from a trained therapist.

Getting Help for Physical Anxiety Symptoms

Anxiety responds well to treatment, and those struggling with physical anxiety with no clear negative or anxious thoughts should still seek help. Psychologists that understand anxiety, like those at Flourish Psychology, can provide the support and help that patients need in order to learn to manage these physical symptoms and find relief in their day-to-day lives using services like CBT. Learn more by contacting Flourish Psychology in NYC, today. 

5 Tips for Positive Mental Health During Summer

5 Tips for Positive Mental Health During Summer

Welcome Summer! It is common to feel a shift during the summer. As young kids, summer meant time off school. As adults, we still experience seasonal changes and mood differences but we sometimes forget to acknowledge this shift and let the summer pass without making attempts to improve our mental health. We still have our day-to-day routine with work and responsibilities so it is totally normal to forget to embrace the summer season.

Here are some tips to help you thrive this summer and have some positive changes to your mental health. 

1.Embrace Time Outside

Try going on more walks on routes you don’t normally frequent. This improves mindfulness and allows us to take a new adventure. While you are outside try to notice what is around you. Use your senses to come into your present moment by noticing what you see, feel, taste, smell, and hear. You will immediately calm and become more observant in this exercise, which helps decrease anxiety and prevent stress.

Time in nature helps us improve joy. Being in nature, we tend to tune into another part of ourselves that we sometimes forget is there when we engage in the same-old routines consistently. You might notice more beauty and peace if you spend just a small amount of time outdoors.

2. Pick Up A New Hobby

During the summer people tend to spend more time outside. Try to observe what others are doing while you are out. Are they playing a game that looks fun? Are they walking an adorable dog? Are they reading on a blanket? This observation might allow you to tap into a new hobby you might enjoy.
When we engage in a new hobby we tend to improve our mental health. We are having fun, we are goal-setting, and we are doing something novel. As adults, we sometimes forget to have fun and just play. A new hobby will allow you to tune into yourself and your interests- the ultimate self-care!

 

3. Enjoy Summer Foods

Lots of produce is in season and it is bright, colorful, and delicious! Try to cook something new or remember the summer meals you loved as a kid and remake them. Grill out or attend a park where you can grill to have some home-cooked flavors.

Look through online recipes for the best summer meals to get some creative ideas. Cooking new foods and trying new recipes can bring you joy. When you cook you engage more creatively and tend to reflect on positive food experiences. Cooking also improves your mindfulness and decreases stress!

Be sure to enjoy lots of summer treats too. Do you ever forget the ice cream truck is for adults too? Enjoy a milkshake as you sit on a bench and take in the warm air. Put on your favorite music and walk to your favorite ice cream shop. Get a variety of candy and lay on a blanket to enjoy it! These great tastes bring us so much joy. 

4. Meet New People

As more people are out and about we tend to feel more social. If you are in the market for new friends, join a fun Meet Up. Or if you want to be more spontaneous, talk to the group next to you at the park or sitting near you on a bench. You can even ask to join in a pick-up sports game if you are feeling up to it. Some activities are built for meeting new people that exist in the summer such as pick-up sports, reading groups, new classes, and volunteering. Moving your body, learning something new, or helping others all tend to bring us together and make us feel more connected. Social anxiety also decreases as we expose ourselves more to impromptu conversations with others. What’s the worst that can happen? They walk away and don’t speak to you. Their loss!

5. Start Therapy

Of course, therapy is the ultimate way to improve your mental health. Summer is a great time to start speaking to a therapist. Perhaps you use your summer Friday afternoons to take that hour to speak to your therapist and then hit your weekend feeling accomplished and positive. We are here to help you improve your mental health this summer so contact us to get connected.

 

 

Why Mental Health Is Important for men

Why Mental Health Is Important for men

According to Mental Health America, 6 million men suffer from depression every year. The American Foundation for Suicide Prevention’s findings on mental health in 2017 also indicates that men die by suicide at a higher rate than women every year. In fact, suicide and depression rank as the leading causes of death for men.

When a man is mentally ill, the effects can be devastating. Besides the threat of taking his life, he might also try harmful coping strategies like drugs and alcohol, which may cause physical health diseases like liver problems, brain damage, and premature death. Every year, 62,000 men die due to alcohol-related causes, according to the National Institute on Alcohol Abuse and Alcoholism.

Because most men who are mentally ill don’t look for help, many cases of mental illnesses in men remain undiagnosed. For the family members and loved ones of such a man, relating with him can be emotionally draining, exhausting, and painful.

However, this doesn’t mean that a mental illness diagnosis provides soothing relief. Many times, it also attracts stress and anxiety for his loved ones. They must learn to communicate in a supportive way while dedicating time to getting him adequate support. Despite this, a diagnosis is still the start of the journey towards healing.

What is Mental health?

When a man’s emotional, psychological, or social life hits bottom and begins to spiral out of his control, it’s appropriate to assume that he needs support with his mental health.

According to the Center for Disease Control (CDC),” Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood.”

Seeking support for mental health challenges doesn’t indicate a lack of will or laziness. In many ways, mental illnesses are just like physical illnesses. Just as more exposure to bacteria doesn’t cure a cold, listening to more adrenaline-pumping speeches won’t heal a post-traumatic stress disorder (PTSD).

Common Types of Mental Health Challenges Men Face

 1. Depression. This condition keeps men feeling low and drained, emotionally and psychologically. When undiagnosed and untreated, depression might trigger worse outcomes like feelings of suicide.

2. Anxiety Disorder. This condition is synonymous with uncontrollable feelings of fear, an emotion that society teaches men to conceal or bury. Yet, many still struggle with different variations of anxiety – social anxiety disorder (SAD) which causes intense fear in social situations, and obsessive-compulsive disorder (OCD), a condition characterized by the desire to repeat a series of habits to feel safe.

3. Substance Abuse or Dependence. Sometimes, substance abuse is portrayed in culture and media as “a normal way for men to deal with pain and frustration.” But using drugs or any substance unhealthily is a symptom of deeper mental health issues.

4. Post-traumatic Stress Disorder (PTSD). According to the National Institute of Mental Health (NIMH), PTSD is “a disorder that develops in some people who have experienced a shocking, scary, or dangerous event. Nearly everyone will experience a range of reactions after trauma… Those who continue to experience problems may be diagnosed with PTSD. People who have PTSD may feel stressed or frightened, even when they are not in danger.”

Warning Signs that a Man Is Mentally Ill

  • An obsessive desire to use drugs or alcohol as a way to cope with trauma.
  • A persistent feeling of sadness, hopelessness, or self-hate.
  • Having high levels of irritability and anger.
  • Inability to recover from trauma.
  • Constantly thinking about suicide.
  • High levels of social anxiety.

What Men With Mental Health Challenges Should Do

  1. Consult a mental health therapist. A professional will tell if the symptoms you’re facing indicate a mental illness and what steps you should take afterward.
  2. Join a support group consisting of members who have experienced mental illness. Depending on your schedule, location and preference, these groups can be in-person or virtual. Your group members can help you stand firm in a society where mental illness is stigmatized.
  3. Open up to friends who are knowledgeable about mental health and want the best for you.
  4. Build a network of friends and acquaintances whose expectations of masculinity don’t match toxic masculine norms and patriarchal standards.
  5. Start living a healthy lifestyle. Eat a balanced diet, avoid unhealthy food and get the recommended amount of sleep. Avoid the company of toxic people and trolls, both online and in person. 

helping others

When a loved one’s illness is diagnosed as a mental condition, it’s normal to feel worried. But there’s a bright light – recovery is possible if there’s adequate support. Here’s how to help:

  1. Learn more about mental health. After a few minutes of studying, from blogs like this or through a therapist, you’ll be able to impact their lives more positively.
  2. Be observant. Watch out for mood changes.
  3. If possible, offer to help them find a therapist and support groups.
  4. Be positive at all times. Many who struggle with mental illnesses already have feelings of anxiety and sadness. Avoid saying or doing anything that can dampen their mood.
  5. Stay healthy. You can’t offer much help if you’re not emotionally or psychologically healthy.

If you’re struggling with your mental health, it may be time to reach out for help. Contact us to schedule your first session.

How To Cope With The Suicide Of A Loved One

How To Cope With The Suicide Of A Loved One

Few things are worse than a suicide loss. Many survivors face long bouts of compounded grief, anxiety, and shame that can last for many years.

If the deceased is a child, they may worry about their parental abilities or the perceived lack of it; and if it contributed to their child’s suicide.

As an example, let’s consider Dale’s story (which we found in the comment section of this article).

Dale’s only son took his life when he was 16. The boy had been the center of a parental rights battle when he was only a few months old. His father won the case but celebrations were short-lived.

When the boy was five, he started showing signs of emotional distress. And at 10, he became depressed.

“We went (sic) to many hospitals across the state and saw (sic) so many counselors and psychiatrists, and (sic) tried all kinds of family counseling. I loved my boy.” Dale wrote in the comment section.

Eventually, the boy took his life.

“When the Nurses asked if I had friends to call, I broke down. I realized there was no one. He was my best friend… I am struggling every day… Please help me.” Dale added.

Although there was no indication that the custody battle contributed to the tragedy, it’s not far-fetched to imagine Dale making the connection.

Indeed, many survivors blame themselves for their child’s suicide. If they’re religious, they might accuse themselves of leading the child to eternal damnation. It could happen to anyone, including you.

Can Time Heal this Hurt?

Some families think that keeping mum about a loved one’s suicide is the way forward. This idea is the leftover of an era where mental health and suicide were stigmatized in the media and among health professionals. But as time has shown, tactics like this are unhelpful and dangerous.

Mariel is the granddaughter of famed novelist Ernest Hemingway who killed himself in 1961. It wasn’t the first suicide in the Hemingway family, and it wouldn’t be the last. Thirty-three years earlier, the elder Hemingway had also died of suicide. There was a problem but little information on how to solve it.

As Mariel notes, her family concealed their struggles with mental health problems and suicides from her while she was a child. When one of her sisters was institutionalized due to schizophrenia, they told Mariel that she was in college.

Eventually, Mariel’s older sister died of a suicidal drug overdose in 1996. Concealing the issue hadn’t solved the problem. Instead, it handicapped Mariel and her siblings, making them unable to deal with the overwhelming pain that a loved one’s suicide can leave behind.

Mariel says she eventually found some peace when she visited the Dalai Lama at 45. Today, she’s a mental health advocate.

Those who take a divergent route from Mariel’s by bottling their emotions and expecting time to heal their wounds are at risk of the following:

  1. Depression or post-traumatic stress disorder (PTSD).
  2. Compounded grief.
  3. Inability to pursue meaningful work.
  4. Blinding anger and confusion.
  5. Destruction of family relationships.
  6. Loss of desire to keep living.

8 Ways To Heal the PAIN Caused By A Loved One’s Suicide

1. Don’t use negative coping strategies like drugs or alcohol to deal with the pain. You can only get a temporary or false sense of relief. Instead, prioritize self-care.

2. Consult a psychologist specializing in depression, addiction, and mental health. While some family members and friends may want to support you, most won’t know how to. Even family members who have survived a suicide loss aren’t equipped to help you through this. You need a licensed psychologist.

3. Grieve without feeling shame. Don’t be boxed into societal and cultural expectations of how you’re supposed to mourn. No one truly understands your relationship with your loved one so they can’t tell you how to mourn.

4. Choose your support system wisely. Distance yourself from any family member, friend, or religious colleague who says, “There are so many other people who have it worse.” or “That was a selfish act.” While some may bear no ill intent when using such words, the impact will remain the same: reopening of emotional scars. That’s why you’ll need support from people who’re not just willing to help but are also knowledgeable on suicide loss.

5. Join a support group. Ideally, this group should comprise others who’ve also lost a loved one to suicide. Meeting and sharing experiences with others can help you find the strength and wisdom you need to navigate the pain.

6. Reduce your time on social media. Not everyone on social media understands what you’re facing. Some may condemn you for being a bad parent while others may condemn your loved one for taking his life. You should regulate your use of social media and limit participation to closed groups.

7. Express your pain through art. You can write a journal about your feelings, fears, and thoughts or a poem celebrating your loved one’s life. You can find healing by channeling your pain and frustrations into something positive. Learn about art therapy here.

8. Volunteer to help others. By sharing your experiences and knowledge with others, you can rekindle the motivation to live and impact the world positively.

Surviving the suicide of a loved one may feel like an impossible hill to climb but it’s doable. With support from the right people, you can still live your best life yet. Contact us to get help from licensed psychologists who can help you through this period.

Is It Possible To Get Seasonal Affective Disorder in the Spring?

Is It Possible To Get Seasonal Affective Disorder in the Spring?

Seasonal Affective Disorder, commonly (and humorously) abbreviated as SAD, is a mood disorder characterized by spikes in sadness occurring around the same time every year. The disorder is titled as such due to the sadness typically coming around with the changing of the seasons. Seasonal Affective Disorder is often brushed off as “the winter blues” or “being a bit more tired when it’s cold”. However, this condition can worsen over time and symptoms shouldn’t be ignored. 

The phenomenon of sadness that occurs with the changing of the seasons is incredibly common in both population and frequency. Hundreds of thousands of people across the world deal with the fluctuation of emotions in accordance with the seasons every year. Upon realizing the issue was seasonal and recurring, doctors termed it Seasonal Affective Disorder a few decades ago. Most often, this disorder affects people in climates that bear four distinct seasons. People living in temperate climates that experience sharp drops in temperature and light during winter identify lingering feelings of sadness, fatigue and social withdrawal. These feelings tend to persist until the spring when the cold breaks for the year or until the person seeks treatment for these symptoms.

Seasonal affective disorder manifests as depression during winter most often, with these symptoms being alleviated with the blooming of spring in the person’s environment. Since this disorder is dependent on the changing of the seasons, the symptoms tend to ebb and flow mirroring the natural elapsing of the seasons. With the depressed mood and actions typically affecting people in the winter, the beginning of spring brings more energy as well as improvements in mood. Most people affected by winter depression often spend the coldest months waiting for the warmth and sunlight of spring to return. Even without treatment, the absence of the extreme cold and darkness of winter typically helps to alleviate symptoms.

However, Seasonal Affective Disorder does not always follow this pattern of sadness in winter with joy returning in the spring. While most people suffering from this illness recognise depressive symptoms in the colder parts of the year, there are also people who are seasonally afflicted with marked declines in mood and energy during warmer months. While winter depression offers a clear correlation between oppressive weather conditions and downwards trends in mood and energy, Seasonal Affective Disorder in warmer months is often a bit harder for people to understand. Symptoms of depression in the winter can often look like listlessness, increasing fatigue and sluggish behaviour in patterns similar to those observed in animals that hibernate. Conversely, symptoms of depression during spring and summer can look like insomnia, irritability, a lack of appetite and restlessness.

Doctors are still unsure about what causes symptoms of Seasonal Affective Disorder in the warmer seasons of the year but the foremost theories give precedence to the longer days and the constant light and warmth negatively affecting people that are sensitive to these weather conditions because of pre-existing health issues or other comorbid mental illnesses like bipolar disorder or major depressive disorder. As it exists, however, there are ways that people suffering from Seasonal Affective Disorder in warmer months can alleviate the worst of their symptoms. This often looks like altering their routine to get things done when they have more energy (for example, following a nocturnal pattern); it may also look like people setting reminders to eat and taking sleep aids (melatonin or a prescribed sedative) to ensure they get enough rest.

Tips for coping with Seasonal Affective Disorder are often similar regardless of the afflicted season. These can include:

●  Seeing a mental health professional – People often neglect to take their symptoms of SAD to a doctor since they are used to simply waiting for the sadness and fatigue to pass. However, trained professionals see this disorder frequently and are equipped to help.

●  Setting alarms and reminders to help maintain routine – Having reminders to eat, drink water and rest can help immensely towards coping with SAD. The maintenance of a routine even in the face of an unfriendly season is essential for coping through undesirable symptoms.

●  Opening up about suffering to loved ones – Much like any other mood disorder or mental health crisis, SAD can often feel like a burden to bear alone. Talking to someone, whether it be a loved one or someone afflicted with the same condition, can offer insights as to the frequency of this disorder and remind the person suffering that SAD is not only common, but very treatable.

Whether healing looks like getting a sun lamp in the winter or sleeping through the hottest hours of the day during the summer, Seasonal Affective Disorder is fixable with the right coping skills. Contact us to discuss the best strategy for your ongoing mental wellbeing.

How to Improve Sleep Hygiene for Better Mental Health

How to Improve Sleep Hygiene for Better Mental Health

When most people hear the word hygiene, they tend to think of taking regular showers and keeping their surroundings clean and in order. When the term is paired with sleep, however, people often say they were unaware of hygienic standards for sleep. This is probably because people don’t consider sleep as a metric of health. Unfortunately, sleep is far more important and susceptible to misaligned patterns than we may think. Sleep hygiene is a combination of behavioral and environmental patterns that address repeated or chronic instances of poor sleep. These undesirable sleep patterns can look like insomnia or hypersomnia and there are different methods of adjustment for each. These can and should be looked at separately in order to effectively address treatment options for each.

What is Insomnia?

Insomnia is a pattern of disordered sleep that is identified by marked trouble falling asleep or staying asleep throughout the cycle. This difficulty sleeping can be either transient, acute or chronic. Transient insomnia lasts anywhere from one night to four weeks. Acute insomnia lasts anywhere from two to four weeks and is identified by a return to regular sleep. If the symptoms persist for longer than two months at a time, it becomes identified as chronic insomnia.

Along with little amounts of sleep and poor quality of sleep, additional symptoms of insomnia include daytime fatigue, forgetfulness and irritability as well as upward or downward trends in eating. All types of insomnia, from transient to chronic, have the propensity to bear similar root causes. These can include recent stress, chronic anxiety and/or depression, ADHD nighttime environments that are not conducive to good sleep as well as personal life habits like substance use or an unstable work-life balance.

What is Hypersomnia?

Conversely, hypersomnia refers to another kind of disordered sleep. Hypersomnia is the term used to discuss excessive daytime sleepiness or an excess of time spent sleeping. People dealing with hypersomnia have a hard time staying awake through obligations and activities. They may experience daytime fatigue that feels insurmountable, even while sleeping thoroughly at night. Symptoms of hypersomnia include a lack of energy to persist through the day, falling asleep at inappropriate times (such as during work or while driving) and excessive tiredness, all while getting adequate or extensive amounts of sleep at night.

Hypersomnia can be caused by prolonged use of certain substances, mood disorders (like major depressive disorder or bipolar disorder) as well as it can be a response to acute stress or depression. The metric that ties these symptoms and causes together in order to identify hypersomnia is the acknowledgment of regular to excessive amounts of sleep at night that offer no reprieve from fatigue. Excessive drowsiness can also be a response to acute sleep deprivation in a table of need and supply commonly referred to as sleep debt.

With the human brain and body needing a minimum of six hours of sleep every night for optimal function, there are consequences for brain function if this minimum is not met once, let alone repeatedly. If someone repeatedly gets insufficient sleep, they enter what is known as sleep debt wherein their inadequate amounts of rest begin to affect their daily ability to function. Many people respond to instances of sleep debt with excessive sleeping to treat the fatigue they are experiencing as a result of inadequate sleep.

With the recognition of resultant issues like sleep debt, it becomes clear how insomnia and hypersomnia can be connected and interrelated. Transient or acute insomnia can result in hypersomnia as the body tries to acquire the amount of rest necessary for function. However, sleep debt is likely to increase if the body gets into alternating patterns of insufficient and excessive sleep. The consideration of sleep as a necessary element of health becomes evident when you consider how overall function is affected by both insomnia and hypersomnia. Regarding healthy sleep patterns as an inextricable part of self care becomes essential for the general health of the brain and body. Regulating sleep patterns is a very important part of overall function and this can be done by cultivating good sleep hygiene habits.

Ways to Improve Your Sleep Hygiene

● Limiting nighttime screen time – Doctors recommend relinquishing screens for brain health at least thirty minutes before one intends to fall asleep. The lack of stimulation as well as the lack of bright screen lights can help the brain to wind down in preparation for sleep.

●  Eating properly and at regular times – Acknowledging and responding to the body’s hunger cues in ideal intervals can help to contribute to healthy sleep patterns by following suggested digestive times. Eating should stop for the day at least an hour before one intends to fall asleep so digestion can end before sleep therefore not interrupting the sleep cycle.

●  Seeing a professional – If symptoms of insomnia or hypersomnia persist even with the changing of individual life patterns, it may be time to see a doctor. Insomnia is often treated with anti-anxiety medication or prescribed sedatives that act as a sleep aid. Hypersomnia can also be treated with antidepressants or prescribed stimulants for energy throughout the day.
While poor sleep hygiene is extremely common, it can also have long-term negative impacts on brain and body health. If you find that you are sleeping too much or too little, it is essential to try to stick to routine patterns of sleep and waking in order to avoid falling into dangerous patterns of insomnia or hypersomnia. Help is possible and rest can be acquired.

When you’re ready to take the next step, contact us to schedule your first session.

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