Better Mental Health: Princeton Counseling Service

Professional, caring counselors for the challenging times in your life.

What is Mindfulness-Based Cognitive Therapy?

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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: Depression, Women's Issues

How Learning Disabilities Affect a Child’s Mental Health

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For many children and teens, learning disabilities are a frustrating part of life. Learning disabilities not only bring a sense of shame and isolation, but they can also lead to mental health issues in some children.

What Are Learning Disabilities?

According to the National Center for Education Statistics (NCES), a learning disability is any disorder of the fundamental psychological processes involved in understanding or using language. These can ultimately result in difficulties thinking, listening, reading, writing, math, and spelling.

Learning disabilities are quite common among young children and teens. According to the NCES, of the 7 million students who receive special education services in the country’s public school system, 33% have at least one learning disability. Common learning disabilities children deal with are ADHD, dyscalculia (trouble with counting and numbers), dyslexia, and others.

Learning Disabilities and Mental Health Issues in Children and Teens

While a learning disability isn’t a mental health issue in and of itself, both are closely related. When children and teens have a delay in learning, they can feel as if their academic efforts aren’t paying off. They can feel like a failure and, if their classmates aren’t sensitive, they can also feel like the butt of many jokes. This puts children and teens with learning disabilities at a higher risk of developing anxiety and depression.

It’s important that parents and teachers of students with learning disabilities look for any signs of anxiety or depression. These may include:

  • Sudden fear
  • Worrying
  • Trouble sleeping
  • Irritability
  • Anger issues
  • Feelings of sadness and/or hopelessness
  • Changes in social behaviors (not spending time with friends)
  • Changes in appetite
  • Thoughts of harming themselves

Once any signs are noticed, parents should bring their child to a qualified mental health therapist. This professional will help the child manage their symptoms so they can better function at home and at school. Some sessions may include the parents while in other sessions, the therapist may want to work one-on-one with the child.

Many child psychologists use cognitive-behavior therapy (CBT) to help children become aware of their own thoughts and feelings and then change their thoughts, emotions, and reactions to challenges at home and at school. CBT helps a child become independent and evaluate whether their thoughts and feelings or logical or distorted.

Does your child or teen have a learning disability? Do you believe this disability has caused them to develop depression or anxiety? If so, and you’d like to explore treatment options, please get in touch with me. I would be happy to speak with you to see if I might be able to help.

 

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Filed Under: Adolescents/Teens, Children, School & Academics

Lean on Me: Why People with a Mental Health Crisis Need a Support Network

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Human beings have a need for social connection. It stems from our ancestors needing to stick together to stay alive. Back in the day, those individuals who strayed from the group had a harder time surviving the elements and not starving to death.

While it is far safer to be an individual these days, that doesn’t mean it is healthy for us to be isolated, for isolation undoubtedly threatens a person’s mental well-being.

It is for this very reason that people suffering from depression and other mental health issues need the love and encouragement from a support network

Social Connection: A Vital Part of Depression Recovery

When a person suffers from depression, they live with a constant pit of despair at their side. Every moment hurts and the truth about life remains elusive.

When we feel these dark feelings, there is a natural tendency to retreat and isolate ourselves. But this only makes the dark darker.

Recovery from depression is a complex process but you don’t need to go it alone. By surrounding yourself with friends and loved ones, you can continue to feel genuine connections, and each one of those connections is a light that can pierce through the darkness.

Research suggests there is a definite link between social relationships and many different aspects of a person’s mental health and wellness. It is for this reason that mental health professionals often discuss the importance of having a strong social network.

Get Yourself Social Support

Social support comes in many different forms. Sometimes you might need help with daily tasks if you are struggling with depression. Sometimes you may need an ear to listen and a shoulder to cry on, and sometimes you may need some sound advice.

Whatever you may be going through and whatever kind of help you need, here are some ways you can build a support network of people that love and care about you.

1. Create a List

Make a shortlist of friends and family members who have shown their love, kindness, and support in the past.

2. Make a Commitment

Commit to reaching out to someone on your list every week (if not more). You can do this through a phone call, text, email, or in person.

3. Be Honest

The people that love you can only help and support you if you are honest with them. When you reach out, share what is on your mind and heart. Talk openly about any struggles you are dealing with and be sure to be open to any fresh perspective or advice.

4. Get Out – When Possible

With COVID still affecting our lives, it’s not always easy to get out and be social in person but doing so is remarkably helpful and healing for our mental health. Phone calls and emails work in a pinch, but nothing beats spending time with loved ones in person.

It’s also important to mention that sometimes we need a bit more help than our loved ones can give. If, after forming your support network, you feel that you need additional help, it’s vital you reach out to a mental health specialist. He or she can give you tools and strategies that will help you recover from depression.

If you’d like to explore treatment options, please reach out to me. I’d be happy to discuss how I may be able to help.

 

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Filed Under: General

How to Help Your Child Manage Their Anxiety

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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

How Infidelity Affects Mental Health

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No one ever wants to be on the receiving end of romantic betrayal. The emotional pain of discovering that someone you love and trust has been cheating and lying to you can be overwhelming.

When you are the victim of massive deception and betrayal, it can leave you feeling sadness, confusion, resentment, and anger. Many victims also feel an increase in their anxiety and a decrease in their self-esteem. But infidelity doesn’t just affect our emotional health, it also affects our mental health.

In fact, many victims of infidelity experience the same symptoms that are linked to Post-Traumatic Stress Disorder (PTSD), becoming totally disoriented and confused as to what has happened to them.

Some of the classic symptoms of PTSD often experienced by those whose partners have cheated on them are:

  • Looping intrusive thoughts
  • Inability to regulate emotions
  • Out of body experiences
  • Oscillating between feeling numb and rageful
  • Hyper alert (looking for new potential threats)
  • Feeling helpless and vulnerable
  • Confusion and disorientation
  • Problems with memory and cognition
  • Lack of trust

If you have been the victim of infidelity, then know that you, like a soldier returning from war, have been psychologically injured and you require tender care to set you on the path back to you.

Healing from Infidelity

As devastating as it can be to learn that your significant other has betrayed you in such an intimate way, there is a light at the end of the tunnel. You can pick up the pieces of your life and find joy and comfort once again.

Here are some ways you can begin to heal after infidelity:

Be Gentle on Yourself

Don’t fall into the “I should have known…” trap. This is not your fault. Now is the time to be on your own side.

Breathe Deeply

Your emotions will be overwhelming for a little while. You will feel lost, anxious and panicky. When these feelings start to rise, STOP, take a slow deep breath and let it out. Take another one and another one. It is amazing how deep breathing can completely calm us almost instantly. Your breath will become your new best friend.

Seek Counseling

Remember, you’re not just healing from infidelity, you are healing from the PTSD that the infidelity caused. You will need some professional guidance to help you cope with the symptoms you are currently experiencing.

If you would like to explore treatment options, please be in touch with me. I would be happy to help you on your journey to becoming whole and happy once again.

Filed Under: Women's Issues

4 Ways to Improve Communication in Your Relationship

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If you’re reading this blog post, chances are you and your significant other have hit a snag in the relationship. Maybe you’re spending less time with each other and you’ve grown apart. Or maybe you do little else than argue these days.

All relationships go through their ups and downs. No matter the good intentions of the individuals or how in love you were when the relationship began, it is completely natural for a relationship to take a hit every now and then.

In some ways, these trials can be a good thing. Much like you need to break down muscle to build it up stronger than it was before, many relationships can be strengthened by challenges, provided your communication is healthy.

Here are some ways to improve communication in your relationship:

1. Recognize the Change

It’s important to be open and honest with yourself and each other. Don’t deny that something has changed in your relationship, admit it openly. You may also need to recognize that each of you has changed over the years. None of us stays the same. Our wants, needs, passions, annoyances, etc. change as we mature and grow as people. People can usually accommodate this change as long as they admit it has happened.

2. Validate Each Other’s Feelings

There are two words that are very powerful in communication, “Yes, and…” Effective communication is not about one person being right and the other wrong. Often, both people are right and allowed to feel their feelings. Try not to attack the other person or get them to compromise on issues. Instead, focus on simply being heard and hearing the other person.

3. Be Ready to Change

If you want to improve your communication as a means to get the other person to change their ways, you are really thinking about this communication thing all wrong! Good communication is not about winning an argument. This is not a debate class. Your goal is to better share your thoughts, feelings, ideas, hopes and struggles with each other. Don’t be so focused on getting the other person to change and focus more on how your own behavior could change.

4. Breathe

Managing your emotions is one of the most important skills when it comes to interpersonal interaction. How often are you ready to blow when you and your spouse or partner are speaking to each other? How does the communication breakdown once you or your partner have become emotional?

When communicating with your partner, or anyone, should you feel your emotions rise, stop, take a slow, deep breath, and let it out. Taking this moment is important and will help you not to say something you’ll regret or that will escalate the situation.

None of us are perfect. All we can do is try to be the best versions of ourselves we can be for ourselves and our loved ones. By following these communication tips you will be able to strengthen your relationships.

Filed Under: Couples/Marriage

Can Marriage Counseling Really Help Your Relationship?

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When I first started my practice, I remember reading a statistic about divorce that I found shocking. And that was that 40-50% of all marriages in the United States ended in divorce.

According to recent surveys, however, the divorce rate in the U.S. fell by 18% between 2008 and 2016. While everyone has their theory as to why the rate is falling, the theory among therapists is that it is because marriage counseling actually works, and more couples are giving it a try.

If you and your spouse are experiencing difficulties, here are some reasons why you should give marriage counseling a try:

Identifying Patterns

One of the biggest benefits of seeking counseling is having help seeing negative behavioral patterns, whether those patterns are yours as individuals and/or as a couple. Healing can only begin once patterns have been recognized.

Impartial Advice

A therapist is not like a friend or family member who is going to take sides and hand out potentially harmful advice. Marriage counselors have a track record of dealing with all sorts of marital issues and want to understand what’s going on so they can offer the best strategies for healing.

A Safe Space

Marriage counseling offers both spouses a safe space to be completely open and honest with their feelings. If not delivered in the right space, complete honesty can have adverse effects. Counseling offers a safe environment in which no one is ever judged.

A Place to Rebuild Trust

Trust is the bedrock of every relationship. But when that trust is broken, as it is through infidelity, it is hard to put the pieces back together. Marriage counselors have years of experience dealing with issues of infidelity. Counseling explores different ways to rebuild trust one step at a time.

Bringing Out Toxic Emotions

Did you know that trapped toxic emotions are one of the main reasons marriages break down? When you have feelings of anger, resentment and frustration locked deep inside you, they fester there and make matters worse. Counseling offers the space and opportunity to let these emotions out in healthy, respectful ways.

 

If your relationship is on the rocks right now, divorce is not your only solution. Thousands of couples have been helped by marriage counseling and it’s worth it to you both to give it a shot.

If you’d like to explore counseling, please be in touch. I’d be happy to discuss how I may be able to help.

Filed Under: Couples/Marriage, Women's Issues

3 Steps to Self-Compassion

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“God, you can be so stupid sometimes.”

“Why would he be attracted to YOU?”

“You’re just going to screw this up.”

These are things you would probably never say to another human being unless you’re a real jerk. But how many of us have that inner critic that says these kinds of things all the time.

Most of us treat ourselves far more harshly than we would anyone else. And that’s a shame. In my experience, so much of the depression and anxiety my clients feel stems from a dysfunctional relationship they have with themselves.

But every day is a chance for you to develop a loving relationship with yourself. And the best way to do that is to practice self-compassion.

If that concept seems foreign to you or you are even uncomfortable with the idea of showing yourself compassion, then please keep reading to learn some simple but profound ways you can begin to practice self-compassion as a way to connect lovingly with yourself.

1. Become More Mindful of Your Feelings

Self-compassion is the pathway to emotional healing. But to begin, you must become more aware of your own emotions, especially as they relate to yourself.

Try to be more aware of when you are emotionally struggling with something. Perhaps you are feeling confused, desperate, or inadequate. Ordinarily, in these moments your inner critic may strike. But now, try and offer yourself kindness instead.

You may say something to yourself life, “I know you’re disappointed. And I also know you did your best. And I am so proud of you.”

If you are at a loss for the right words in these moments, simply talk to yourself as you would a friend, or better yet, a small child.

2. Monitor Yourself

Until you become used to being compassionate toward yourself, you’ll want to monitor the language you use. You are most likely so used to criticizing yourself that it will be far too easy for the wrong choice of words to come out. That’s okay. In these moments you certainly don’t want to scold yourself. Just be aware and make a compassionate correction.

3. Get Physical

There’s a phrase that says, “get out of your head and drop into your body.” This is a perfect way to begin the ritual of self-compassion.

Begin to use kind physical gestures with yourself. This could be gently stroking your cheeks and temples when you’re stressed, holding your hand over your heart when you’re sad, or holding your own hand when you feel lonely. Any physical gesture, so long as it’s loving, will help you show yourself true love and kindness in those moments.

For some people who have very low self-esteem, showing themselves compassion may prove to be incredibly difficult. In these cases, it’s a good idea to speak with a therapist who can help them uncover where the feelings stem from and how they can change their thoughts and behavior.

If you are interested in exploring treatment options, please get in touch with me. I would be happy to see how I may be able to help.

Filed Under: Self-Esteem, Women's Issues

5 Strategies to Calm Your Anxiety Quickly

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When you live with an anxiety disorder, any moment can become one that creates a slow-rising panic within you. Life is normal one second and the next, you feel your chest tighten and your heart begin to race. You may begin to hyperfocus on future events and find yourself getting lost in “what-ifs.”

To make matters worse, you may then begin to berate yourself for allowing the panic to get the best of you and begin to believe that all of those what-ifs are indisputable facts.

Luckily there are many powerful tools and techniques you can use to manage your anxiety effectively.

Breathe Deeply

The minute you feel a panic attack coming on, the first thing to do is stop and gain control of your breath. Deep, slow breathing sends a signal to our brains that everything is safe in our environment. Controlled breathing is one of the most powerful ways to activate your body’s relaxation response. It will take your mind and body out of “fight or flight” mode and put it instantly into a calm and relaxed state.

Accept That You are Anxious

It’s important to always remember that anxiety is “just a feeling.” And like all feelings, it can go as quickly as it came. You are having an emotional reaction to a string of thoughts. Accept your anxiety because trying to pretend it’s not happening will only make matters worse.

Let’s be clear – by accepting your anxiety, you are not resigning yourself to a life of eternal misery. You are not throwing in the towel and trying to suddenly like your anxiety. Nope. You are simply living a more mindful existence, being in the moment, and accepting whatever is in that moment with you.

Your Emotions Cannot Kill You

One of the most frightening things about a panic attack is the feeling that you are having a heart attack. But you aren’t. Your brain can and will play tricks on you, trying to get you to believe that you are in physical danger. But the truth is, you are not in physical danger. You are having an episode based on emotions and it will pass. Remind yourself of that as many times as you need to.

Question Your Thoughts

When your panic attack begins, your mind begins to throw out all sorts of outlandish ideas at you, hoping some of them stick. These thoughts are intended to keep the panic attack going.

Before you take any of these thoughts as reality and truth, question them. For instance, if your mind throws things out like, “No one here likes me. I am for sure going to screw this up. I probably left the stove on. And I’ll no doubt get stuck in bad traffic on the way home and maybe even get a flat so I will then be stranded, and on and on and on…”

Questions these ideas. Are you TRULY not liked by everyone around you? Most likely not. Are you really going to screw up? Probably not. Traffic? Well, maybe but a flat tire? Chances are no.

Always question your thoughts. You will usually find the majority aren’t very realistic or probable.

Visualize

Picture somewhere serene that brings you peace and calm. Maybe this is your grandparents’ old house or a lake you’ve visited before. Maybe it’s that fantastic beachfront condo from your last vacation. Just picture it in your mind’s eye and really put yourself there. See it, smell it, feel it. Feel how calm it feels to be in this space that is perfectly comforting and safe.

Use these techniques the next time you experience an anxiety attack. They should help you feel much calmer much sooner.

If you would like to explore treatment options for your anxiety, please get in touch with me. I’d would be more than happy to discuss how I may be able to help.

 

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Filed Under: Anxiety

Yes, Virginia, You Can Learn to Love… Okay Like, Exercise

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Hate exercising? You’re definitely not alone. At any time during the year, thousands of people across the country commit to working out, only to fall off the wagon weeks later.

So what gives? Why does exercising feel so hard and is there any possible way to like it more?

Exercise feels like a chore because there are so many misconceptions (AKA myths) out there surrounding it. The best way to like exercise is to put some of these myths to bed.

Let’s DO THIS…

Myth #1: You Need to Exercise X Minutes a Day for X Days a Week

Most people think there is a certain magical number of days and minutes of exercise, and if we hit it, we have exercised “enough.” But what happens is, people who are not in the best shape hit the gym hard for 45 minutes a day, 5 days a week. And this is simply too much for them all at once and they eventually quit.

There IS NO magic number. The real magic begins by simply moving your body more. So don’t focus on a number, focus on creating a better habit in yourself and moving your body more each day.

Myth #2: Exercise is Boring

Then you aren’t doing the right exercise for YOU. No one says you MUST take a spinning class or a yoga class. No one says you MUST run 5 miles a day or do 100 squats a day.

What do you enjoy? If you like dancing, take dance classes every week. Do you like to swim? Maybe you used to play tennis and it would be fun to get back into it.

There are almost endless activities and ways to move your body, so pick something that isn’t boring to you and do that.

Myth #3: No Pain, No Gain

Wrong.

Now I guess we should start by discussing what “pain” actually means. If you haven’t moved your body very much except to walk from the sofa to the kitchen to retrieve another beer, then yes, you can expect that your muscles might get a little sore. But sore and pain are NOT the same thing.

If, while you are working out, you feel any kind of real pain, STOP immediately. This is particularly true if you are over the age of 50 and very out of shape. Nothing should hurt on your body. This is a sign that you are pushing yourself too hard. When you workout so hard that you can barely move the next day… well, you are hardly going to want to do it all over again.

Go slow, pace yourself, don’t try and be a hero.

If you kick these 3 myths to the curb, choose an exercise you enjoy and just try and move your body a little bit each day, you may find that after a while you… (GASP!)… enjoy exercise!

 

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Filed Under: Sports / Exercise