Better Mental Health: Princeton Counseling Service

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

Coping with Seasonal Affective Disorder

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Seasonal Affective Disorder, or SAD, is a major depressive disorder that occurs during the same season each year. Also known as the “winter blues,” SAD typically comes on in the fall and winter, when the light is diminished.

SAD is believed to affect nearly 10 million Americans and is four times more common in women than men. Many people experience symptoms that are severe enough to affect their quality of life.

Though not everyone will experience the same symptoms, here are some of the most common:

  • Feelings of sadness and hopelessness
  • A change in appetite and developing a craving for sweet or starchy foods
  • Weight gain
  • A drop in energy level
  • Decreased physical activity
  • Fatigue
  • Difficulty concentrating
  • Irritability
  • Avoidance of social situations
  • Thoughts of suicide

Treatments

If you suffer from SAD, here are some ways you can alleviate your symptoms:

Light Boxes

By far the greatest relief, according to research, comes from the use of lightboxes. Lightboxes emit high-intensity light between 2,500 to 10,000 lux. Compare this to a normal light fixture that emits only 250 to 500 lux.

Lightboxes closely mimic the sun’s natural rays, helping our brains produce the right amount of neurotransmitters that are responsible for mood.

Depending on the severity of your symptoms, you may only need to use the lightbox for 30 minutes once a day. For more severe symptoms, people have found relief by using the box for long periods of time and can often feel true relief in as little as two weeks.

Some insurance providers will cover the cost of lightboxes, but not all do, so be sure to speak with your provider.

Exercise

While it may feel counterintuitive, if not downright impossible, to get up and get moving when you’re feeling depressed, exercise is one of the best ways to improve your mood. Exercise not only reduces stress and tension, but it releases those feel-good endorphins. Studies have also found that one hour of aerobic exercise outdoors (even if the sky is overcast) has the same positive effect on mood as 2.5 hours of using a lightbox.

Eat Well

It’s common to turn to junk food when you’re feeling the winter blues. High-sugar foods tend to give us a temporary boost in energy levels and mood. But then we come crashing down and feel even worse. A better choice is to eat a balanced and nutritious diet, opting for complex carbohydrates like sweet potatoes and whole grains.

Speak with a Therapist

If your symptoms are very severe, and if you are having any thoughts of harming yourself, then it is important to speak with a therapist who can help you navigate your depression and offer coping tools.

If you or a loved one are currently suffering from SAD and would like to explore treatment options, please get in touch with me. I would be more than happy to discuss how I may be able to help.

Filed Under: Depression, Women's Issues

Is Social Media Bad for Your Mental Health?

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Have you been feeling a bit low lately, but you can’t quite put your finger on why? It may have something to do with your social media habits. According to a recent study, social media use can increase depression and loneliness.

For years people have suspected that social media use might have an ability to negatively impact our mental well-being. After all, it’s hard not to feel inadequate or jealous when looking at photos of people whose lives seem so much more perfect than ours. But now research is actually making a definitive link between spending time on Instagram, Facebook and Twitter and a sense of loneliness and isolation.

It May be Time for a Social Media Detox

I encourage my clients to take a social media detox every now and then to gain a more positive sense of reality. They often report back to me that the detox offered some amazing and unexpected benefits such as:

Improved Self-Esteem

When you take a break from comparing yourself to other people, you can start to look at how great you and your own life really are.

New Interests and Hobbies

When you spend less time trying to get that social approval in the form of ‘likes’, ‘retweets’, and ‘upvotes’, you suddenly find you have a lot of time on your hands for other things.

Improves Your Mood

Trading in online friendships for real face-to-face ones makes us feel more grounded and connected to people. This can drastically improve our mood and sense of well-being.

Better Sleep 

Many people are on their mobile phone in bed, checking their social media accounts. The blue light from these devices disrupts our sleep pattern. When we put these devices away, we inevitably sleep better.

Able to Enjoy the Moment More

I am a big proponent of daily mindfulness. By being present in our lives, we feel an increased sense of peace and joy. That’s priceless.

So how do you perform a social media detox?

Follow these 4 steps:

  1. Temporarily deactivate your accounts. Don’t worry, you can reactivate them again in the future should you choose.
  2. Remove all Social Media Apps and notification pathways from your devices.
  3. Use a web filtering tool to block social media sites. (Why tempt yourself?)
  4. Be prepared for some withdrawal symptoms and have other activities ready to replace the void.

If you follow these steps and take a break from social media, chances are you will find you feel a whole lot better!

Filed Under: Addiction, Adolescents/Teens, Depression

How to Set Healthy Boundaries

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Relationships can only be healthy when both people have the space to be themselves and maintain their personal integrity. Sadly, many people find themselves in relationships, romantic and otherwise, with people who do not respect boundaries and feel entitled to have their needs met regardless of the other person’s. These people most likely grew up in households that were unsafe and unstable, and where there was a constant invasion of personal boundaries.

If you can relate, chances are you have a hard time creating healthy boundaries to create the life experience you wish to have. Here are some ways you can begin to do so:

Identify Your Limits

You can’t set boundaries unless you discover where it is you personally stand. You’ll need to take a bit of time to recognize what you can and cannot tolerate. What makes you happy and what makes you feel uncomfortable and stressed? Only until you have made these discoveries can you move on to the next steps.

Don’t Be Shy

People who have similar communication styles are easy to engage with. These people will quickly understand what your new barriers are. But people who have a different cultural background or personality may not easily understand your boundaries. With these people, it’s important to be very clear and direct.

Pay Attention to Your Feelings

People who have a hard time setting boundaries don’t often allow themselves to acknowledge their own feelings because they’re usually too busy worrying about everyone else’s.

You’ll need to start recognizing how people make you feel in order to know whether your new boundaries are being crossed or not. When you’re with someone, make mental notes, or even jot down in a journal how that interaction made you feel.

If, after spending time with someone, you feel anger or resentment, this is a sign that the person may be overstepping your boundaries. Reiterate to this person what your boundaries are. If they continue to disrespect you and them, you will want to cut yourself away from further interactions.

Make Self-Care a Priority

Put yourself and your needs first. This may feel strange and even somehow wrong if you’ve spent your entire life taking care of others. Give yourself permission to feel your feelings and get what you need to feel happy and well.

Speak with Someone

If you’ve spent an entire life with a sense of low self-worth, you may find setting boundaries quite difficult. In this case, it’s important to speak with a therapist that can help you discover where these feelings are coming from and how to change your thought patterns and behavior.

If you’d like to explore therapy, please get in touch with me. I would be happy to help you on your journey toward self-care.

Filed Under: Couples/Marriage, General, Issues for Women

5 Warning Signs It’s Time to Try Couples Counseling

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When you first fell in love, you could never imagine that someday the sound of your partner chewing could make you want to scream. It’s inevitable that once we are out of our honeymoon phase and reality sets in, we realize that all relationships take work and compromise. But while some couples may hit bumps in the road every so often, other couples find themselves in bigger trouble, with neither party knowing exactly how to fix things.

If you are in a relationship that is no longer feeling healthy, here are 5 warning signs that it may be time to try couples counseling:

1. There is No Longer Healthy Communication

Once you have a communication breakdown, you are unable to rationally share thoughts, feelings, and concerns with each other. Beyond this, unhealthy communication tends to leave one or both partners feeling depressed, angry and hopeless.

2. Trust Has Been Broken

When there has been infidelity, it is very difficult for the couple to rebuild trust and repair the damage. While there is no magic pill to recover from an affair, a therapist can offer tools and strategies to rebuild trust.

3. You’re More Like Roommates

If you and your partner act more like roommates than romantic partners, this indicates a lack of intimacy and a potential need for professional help.

4. One or Both of You Has Begun Acting Out

You try to mask your real feelings for as long as possible, but then you start to act out the hurt and resentment you may be feeling. For instance, if your partner has been unfaithful and you have agreed to stay in the relationship and work things out. But over time you find yourself lashing out, acting rude and trying to make them believe you are having an affair so they will feel the same kind of hurt. This acting out is unhealthy for both people and is a BIG indicator you need to seek some help.

5. When the Only “Solution” Seems to be Separation/Divorce

A break from negative energy can be very helpful to the relationship. But when a temporary break leads to more and more time away from home and someone renting their own apartment, this indicates a need for counseling. Spending time away from home usually doesn’t lead to any real resolution, just more distance.

 

If you and your partner are interested in exploring treatment options, please be in touch with me. I would be more than happy to discuss how I may be able to help.

Filed Under: Couples/Marriage, General

5 Signs of Childhood Emotional Neglect

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For many, childhood is a time of wonder and adventure; a time when all needs are met and comfort is merely a whimper away.

And yet for others, childhood never feels quite safe or secure. For these people, emotional neglect was something that colored their early years and affects them as adults.

Childhood Emotional Neglect (CEN) is the result of parents not responding enough to the emotional needs of their children. While it is an invisible form of suffering, as opposed to bruises and broken bones, it has lasting ramifications. And adults that have suffered from CEN have no idea that their current world is being created from a place of lack.

What Makes CEN Invisible?

There are a couple of specifics that make CEN invisible to the victim:

  • It can happen in otherwise loving families that have no material needs.
  • A parent’s failure to respond to your emotional needs is not something that happens to you as a child. It is something that doesn’t happen to you, and therefore, your brain has nothing to record as “proof.”

These adults find themselves creating lives that don’t quite feel right. They may investigate their childhoods, looking for clues, but usually come up with nothing, which can add to their sense of stress and anxiety.

In the end, they feel that something must be innately wrong with them. They take the blame, assuming that they are simply flawed and different from other people who seem to have their acts together.

If you identify with this feeling, here are 5 signs you grew up with Childhood Emotional Neglect:

1. Fear of Being Dependent on Others

Independence is a good quality to have. But having a deep-seated fear about depending on anyone for anything, never asking for help or support, is not healthy.

2. You Don’t Really Know Yourself

When you meet new people and have to tell them about yourself, do you find it difficult? Do you know your strengths and weaknesses? What you like and don’t like? Victims of CEN tend to not know themselves as well as they should.

3. You’re a People Pleaser

You spend a lot of time trying to meet other people’s needs and pay little attention to your own. You’re hard on yourself but soft with others.

4. You Feel Empty

This can feel different to different people. Maybe you feel an empty sensation in your gut, throat or chest. For some it comes and goes, for others, this feeling is there 24/7 – 365.

5. You Have Trouble Feeling Your Emotions

When your emotions were ignored as a child, you never learned how to feel them and express them in healthy ways. As an adult, do you find it hard to identify the feelings you feel, let alone express them to others?

 

If you’ve just had an A-ha moment and think you may have suffered CEN and would like to explore treatment options, please be in touch. There is hope and you CAN heal from the invisible wounds and start creating the life you were meant to live.

Filed Under: Abuse/Neglect, General, Teens/Children

How to Boost Your Self-Esteem

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What does it mean to have a healthy self-esteem?

Some people think it means you are okay with how you look. Other people think you must accomplish something big in your life to have a good self-esteem.

But the reality is, having a healthy self-esteem means you like and appreciate yourself faults and all. A good self-esteem can be the difference between being a happy, resilient individual, able to face life’s challenges head on, and someone who suffers from depression and anxiety and is often overwhelmed with life.

If you have struggled in the past with self-esteem issues, there are some things you can do to give it a much-needed boost:

Face the REAL Reality

Are you someone that generalizes your lack of self-esteem? By that I mean, do you make generalities about yourself such as, “I’m an idiot,” “I’m not pretty enough or smart enough?” The truth is, we all act like idiots from time-to-time, and most human beings on this planet can find someone who is smarter and more attractive than they are.

If you’re going to work on your self-esteem, you need to first recognize that you often lie to yourself with these generalities. It may be a very convincing lie from your point of view, but it’s still a lie.

To become familiar with reality, make a list of 10 of your strengths and 10 weaknesses. If you have a hard time coming up with your strengths, think about what others have said about you: you’re a good listener, you are thoughtful, you cook a mean burger.

When you’re done making this list, you’ll see there are plenty of things you are really good at. And, some of the weaknesses may be things you can absolutely change over time and with some effort.

Forget About Perfection

Perfection doesn’t exist. Now you may think all of those Hollywood A-listers that are on the cover of magazines are the epitome of perfection, but even they are air-brushed, photoshopped and have a team of people following them around so their hair is never out of place.

Stop spending your energy trying to have the perfect face, body, bank account, career, children or relationships. None of that exists. Focus your energy on achieving attainable goals like obtaining your degree and enjoying hobbies.

Get to Know Your Authentic Self

We spend so much of our lives comparing ourselves to others that we don’t really take the time to get to know ourselves. Beyond strengths and weaknesses, who are you as a person? What makes you happy or excites you? What hobbies do you enjoy? What kind of brother or sister are you?

The more you know about yourself, the more chances that you’ll find things out you really like.

If you would like to speak to someone about your self-esteem issues, please be in touch with me. I’d be happy to discuss how I may be able to help.

Filed Under: Anxiety, Depression, General, Issues for Women, Parenting, Self-Esteem, Teens/Children

Coping with the Holidays After Loss

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For many people, the holidays are about spending time with loved ones. But for those who have suffered a recent loss, the holidays can be painful and isolating.

Here are some ways you can cope with the holidays after a loss:

Recognize You are Not Alone

It’s easy to feel as though you are the only one experiencing great pain during the holiday season. Everywhere you turn, people seem to be happy, putting up decorations, buying gifts and making holiday plans. It’s important to recognize the truth right now, and that is that you are not alone. There are people all over the world who have experienced loss, some perhaps very recently.

Honor Your Pain

No one expects you to feel joyful and in the holiday mood right now, so don’t feel as though you must pretend for others’ sake. It is very important that you honor whatever emotions you may be experiencing, whether it’s sadness, anger, regret or a combination.

Take Your Time

The holidays are usually a busy time for people. There is much to accomplish and many events to host and/or attend. You do not have to keep your normal schedule this year. You simply will not have the mental or emotional stamina for it. So take the time you need. If you don’t feel like attending many (or any) events this year, that is fine. People will understand.

Help Others in Need

One of the worst parts about losing a loved one is the feeling that we no longer have any control over our lives. Loss makes us feel helpless. One way to fight this feeling is to help others who are in need. As a bonus, connecting with others who are hurting can often be a salve on our hearts as well.

When Don’t These Guidelines Apply?

If you have children, it’s important to understand that they are looking to you right now to know what life will be like from now on. To a child, the loss of a parent or sibling can frighten them terribly. Though you may not at all feel like celebrating the holidays, doing so helps your child know that life does go on and that there is space in your life to feel joy along with sadness.

 

If you have experienced loss and would like to explore grief counseling, please be in touch. You don’t have to suffer alone.

Filed Under: Depression, General, Grief

Keys to Successful Therapy

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Cognitive therapy has been shown over the years to be incredibly effective at helping people recognize and change their behaviors. But, as much potential as therapy has for every individual, some people seem to have success with therapy while others don’t.

Some of this stems from what the individuals’ expectations were going into therapy, some from how much effort they gave, and some from whether or not there was a good personality fit between patient and therapist.

If you’re thinking of exploring therapy and want to ensure your journey is successful, here are some things to keep in mind:

An Evidenced-Based Approach

The American Psychological Association defines an evidence-based practitioner as someone who integrates their (1) clinical expertise with (2) available/relevant psychological science and (3a) the client’s values and (3b) cultural context to guide the intervention. This means your therapist should be using proven techniques in a way that jive with your values, preferences, and needs. It’s not about them and what they bring to the table, it’s about what they have to offer and how they can offer it so you might be positively impacted.

A Solid Partnership

It’s important to shop around to find the right therapist for you. Ideally, you want someone who you feel comfortable opening up to and someone you trust to listen and offer guidance. You also want to know your therapist is competent and has your best interests at heart. And finally, you’ll want to have open communication so you can always be sure you are on the same page as far as your “story” and how well the interventions are working.

An Appreciation for the Process of Change

We live in an instant gratification society. We want what we want and we want it NOW. In many instances, we can get what we want quickly. But this isn’t true for real change.

For therapy to be successful, you MUST be realistic about the process. It is not linear, and it is not quick. This is particularly true if you are dealing with complex, long-term problems. This doesn’t mean you can expect to be in therapy for the rest of your life or even many, many years. It simply means you must appreciate the reality of what you can expect and how quickly.

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

Filed Under: General

5 Ways to Effectively Manage Anxiety

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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

How to Practice Self-Compassion

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Most of us from a young age are taught how to be kind, considerate and compassionate toward others. But rarely are we told to show the same consideration to ourselves. This becomes even more true for individuals brought up in abusive or unloving homes.

What is Self-Compassion?

Self-compassion is taken from Buddhist psychology and refers to how we can relate to the self with kindness. Self-compassion or self-love is NOT to be confused with arrogance or selfishness. In actuality, arrogance and selfishness stem from the absence of self-love.

But what does it really mean to be kind with ourselves? It means that on a day-to-day basis we are mindful of being courteous, supportive and compassionate with ourselves. Too many individuals treat themselves with harsh judgement instead of compassion.

Why is this important? Because self-compassion helps us recognize our unconditional worth and value. It allows us to recognize though we my sometimes make bad decisions, we’re not bad people.

Research, over the past decade, has shown the parallel between self care and psychological wellbeing. Those who recognize self-compassion also tend to have better connections with others, are reportedly happier with their own lives, and have a higher satisfaction with life overall. Self-compassion also correlates with less shame, anxiety and depression.

Now that you know the what and why of self-compassion, let’s look at the how.

How to Practice Self-Compassion

Treat Yourself as You Would a Small Child

You would never harshly judge or belittle a small child the way you do yourself. You would only want to help and love that child. When you begin to treat yourself as you would a small child, you begin to show yourself the same love, gentleness and kindness.

Practice Mindfulness

Every minute your mind is handling millions of bits of information, though you consciously are only aware of a few of them. This is to say we all have scripts or programs running in our minds 24/7. These scripts and programs are running our lives, insisting we have certain behaviors and make certain decisions.

Some of these scripts are the ones that tell us how “bad” or “unlovable” we are. They’ve been running since we were kids. The way to quiet these scripts is to become more mindful of your own mind.

When you begin to have a feeling or reaction to something, stop and ask yourself WHO is feeling that? Is it the compassionate self or the program running? If it’s the program, thank the program for what it has done and release it.

Good Will vs Good Feelings

Self-compassion is a conscious act of kindness we show ourselves; it’s not a way to alleviate emotional pain. Life happens, and we can’t always avoid negative or sad feelings. Never mistake self-compassion as a tool to ignore your deep and rich emotional life.

These are just a few ways you can begin to cultivate self-compassion. If you’d like to explore more options or talk to someone about your feelings of self-rejection and judgement, please get in touch with me. I’d be happy to discuss how cognitive therapy may help.

Filed Under: General, Issues for Women