anxiety

From Maesk Counseling in Fort Lauderdale - Infertility’s Impact on Women’s Mental Health

Infertility is a condition that refers to an inability to become pregnant or to take a baby to term after one year of trying. This is a heartbreaking reality for many women across the globe. In fact, it is estimated that in the United States alone, roughly 6 million women suffer from infertility, according to the Centers for Disease Control and Prevention.

What Causes Infertility?

Infertility can be caused by a variety of health issues. The most common is Polycystic ovarian syndrome (PCOS), which is a hormonal disorder that negatively impacts ovulation.

Other disorders that cause infertility in women are:

  • Uterine fibroids

  • Endometriosis

  • Pelvic Inflammatory Disease

  • Blocked fallopian tubes

  • Uterus deformities or abnormalities

And finally, one of the primary reasons for infertility is a woman’s age. Nearly one-third of all women over the age of 35 experience fertility issues. 

Infertility and a Woman’s Mental Health

Infertility is a very stressful issue to deal with and it can greatly impact a woman’s mental health. Research published by the North Carolina Medical Journal found that common mental health concerns of fertility patients are symptoms of depression and anxiety. 

Patients frequently report that each month’s cycle becomes a tumultuous storm of emotions ranging from anger, sadness, fear, and guilt. And the more demanding and intrusive the fertility treatment protocols become, the greater the emotions felt.

Much focus is given to the physical aspects of not being able to conceive. But it is important for women to recognize that their mental health may be impacted and to get help.

If you or someone you know is suffering from anxiety or depression because of infertility issues, please feel free to reach out to me. I would be happy to discuss treatment options with you.

SOURCES:

  • https://womensmentalhealth.org/specialty-clinics/infertility-and-mental-health/

  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4009564/

  • https://womensmentalhealth.org/posts/impact-infertility-treatment-mood-women-vulnerable/

From Maesk Counseling in Fort Lauderdale - 5 Signs That You Might be Struggling with Anxiety

It’s normal to feel anxious from time to time. Perhaps you get a bit nervous speaking in front of people or going on a job interview. But for some people, anxiety becomes a frequent and forceful occurrence that completely takes over their lives.

Since anxiety comes in many forms, for instance panic attacks, phobias and social anxiety, it can often be difficult to tell if what you’re experiencing is “normal” or has crossed the line into a mood disorder.

If you are experiencing any of the following symptoms, you may want to speak with a counselor who can help you cope with your anxiety.

Excessive Worry

General anxiety disorder (GAD), the broadest type of anxiety, is characterized by excessive worry. People with GAD worry too much about everyday things, both big and small. But what constitutes “too much worry?”

With GAD, people are plagued with persistent, anxious thoughts most days of the week. This anxiety can become so overwhelming it interferes with their daily life. If you are worrying to a degree that you have trouble doing daily tasks and are suffering with your emotions, it may be time to speak with a therapist.

Trouble Sleeping

Sleep issues such as falling asleep or staying asleep have been associated with a myriad of health conditions, both physical and psychological. It’s normal for people to have trouble sleeping from time to time. Perhaps you find yourself tossing and turning before a big job interview or giving a presentation.

However, if you find yourself night after night lying awake, anxious about specific problems (such as relationship problems or financial difficulties), or even about nothing in particular, it may be a sign of an anxiety disorder.

Muscle Tension

Anxiety disorders can often be accompanied by persistent muscle tension. Do you find yourself clenching your jaw or balling your fists throughout the day? You may have lived with this chronic muscular tension for so long you don’t even realize it anymore. While exercise can help relax muscles, therapy will get to the root cause of the anxiety.

Digestive Problems

While anxiety lives in the mind, it is often manifested in the body through chronic digestive problems, such as irritable bowel syndrome. Our guts are very sensitive to emotional and psychological stress. Unfortunately, digestive upset can often make a person feel even more anxious.

Panic Attacks

Panic attacks can be a frightening experience. You are suddenly gripped with an overwhelming feeling of dread and fear. These are often accompanied by physical symptoms such as shortness of breath, racing heart, dizziness, and profuse sweating. Though not everyone who has an anxiety disorder will experience panic attacks, but those that do live in constant fear.

Anxiety disorders keep people from living a joyful and fulfilling life. Luckily there is help. A therapist can assist in uncovering the root cause of the anxiety and offer tools to cope.

If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

From Maesk Counseling in Fort Lauderdale - Dealing With Stress (Stress Kills!)

A few years ago, I posted an article written by Captain Paul Watson about how he deals with stress. You may know him as the co-founder of Greenpeace and from the television show “Whale Wars.” If anyone knows about stress, he does. I find this article so helpful and insightful that I am posting it again. I hope you will take his message to heart.

Dealing with the Killer Called Stress

Observations and Advice by Captain Paul Watson

I am often asked how I deal with stress considering I’m wanted by Japan and Costa Rica, I have a price on my head from the shark fin mafia of Costa Rica, we have numerous ships on the sea in dangerous campaigns, I am being sued, threatened and harassed continuously and I have a lot of enemies, critics and people who wish me harm.

The answer to this is simple. I don’t deal with stress, because I do not suffer from stress. And these are ten primary reasons why, and for anyone suffering from anxiety, worry or stress, I would like to offer this advice.

1. It is what it is. Whatever the issue, whatever the threat, whatever the circumstances it simply is what it is. Stressing will not change the situation. All problems can be dealt with or ignored.

2. “It’s always something.” I say this all the time to my crews whenever a problem arises. “It’s always something and if it’s not something, it’s something else, but it is always something.” This means that life comes with obstacles, challenges and problems. Problems should not be unexpected. They are inevitable. All problems can be dealt with by dealing with them, delegating someone else to deal with them, or ignoring them. One thing for sure, on a ship, it is definitely always something.

3. Stay calm. There really is nothing worth getting upset about. For example, if I drop a bottle of wine or tomato sauce and it shatters, my reaction is, “hmmm okay, that needs cleaning up.” If I lose my phone, wallet or keys, my reaction is “I better replace what I lost and take measures to cancel my cards etc. More seriously when my regulator jammed once at 30 meters, I calmly signaled my partner to indicate my situation. Fretting about it will not recover the object. Panicking will not save your life. Anger emanates from stress. Without stress there can be no anger. Without stress there is no panic. 

4. Nothing material is permanent and thus objects are not worth stressing about. Your car is damaged, something you own is stolen, or you lost your investments etc. It is really not important. Material objects and comforts are nice but they should not be anchors keeping you attached to stress. Move on.

5. Friends are friends or they are not. A true friend will never betray you and if a “friend” does betray you than he/she is simply not a friend. Always walk away from betrayal and do not stress about it. True and loyal friends are rare treasures and should be treated as such. Loyalty returns loyalty. Compassion returns compassion. Courage returns courage. However you control only your own loyalty, compassion and courage, not that of others. And if they prove disloyal or they betray you, the treasure is no longer a treasure but merely a bauble to be tossed aside. Never stress about betrayal or loss. It is what it is. 

6. Loneliness is an opportunity. It is an opportunity to discover yourself. You can’t find someone to love you if you don’t love yourself, and the secret to finding the right person is to not look for that person. Love should blossom from the ground like a lovely wild flower. It cannot be cultivated until after it is realized. Do not seek the seed but let the flower reveal an opportunity to you to grow and learn.

7. Relationships are like streams, constantly flowing and as they flow they meet obstacles. Some are minor and others major but a relationship either flows around the obstacle or it is blocked, and if permanently blocked, it ends. This is not cause for stress or angry, resentment or jealously. It is what it is. Move on with appreciation and without bitterness for the relationship that is no more, and open your heart to other possibilities that life presents. The most important factor in maintaining a meaningful relationship with lovers, family or friends is simply acceptance. You need to accept them for who they are and they need to accept you for who you are. If you cannot accept another person for who they are, you need to stop inflicting stress on that person and to walk away. And if another person does not accept you for who you are, you need to walk away no matter the nature of the relationship. Stress kills and living with a person who does not accept you for who you are is like living with a person who is slowly killing you. 

8. Fear is a poison that seeps into the soul and paralyzes our senses generating paranoia, insecurity and anger. Never let fear enter your life. There is really nothing to fear because things are what they are and will be what they will be. Remember you are the captain of your fate and the master of your soul and body. Who you are and what you wish to be depends on you and you alone. A person free of fear can accomplish far more than a person shackled to fear. 

9. Oscar Wilde once said that the only thing worst than being talked about was not being talked about. People talk, they gossip, they make false accusations, some enjoy insulting and belittling others. They are easily dealt with by ignoring them. Responding to them is what they want, so don’t respond. Reacting to them is what they want, so don’t react. Such people are not worthy of causing stress to you. They come from a place of insecurity, jealously and fear. It is their stress, and their stress is their problem. It should not be yours. 

10. Hoka Hey. It’s a good day to die. It’s a Lakota saying and it means to not fear death and to stand firm for what you believe in, to fight against all odds and to never surrender. The one absolute of life is death. We all will die. What matters is not dying but living. It is how you live that is important and the only thing important about dying is how you die. It should be a death without fear, with dignity and with acceptance that it is what it is. The person without fear dies but once, the person shackled by fear dies slowly from stress and anxiety. Accept the inevitable, embrace the final reality of life and smile in the face of the infinite. The real secret to happiness is to not fear your own death, to not fear failure or ridicule, and not to fear others.

Stress is an obstacle to mindfulness and an impediment to impeccability. Stress is the cause of migraines, cancer and many other ailments. It is the reason people smoke, take drugs, and drink excessively. When people ask me why I’ve never smoked anything, the reason being is that I have never felt inclined to do so. It never seemed healthy to me and I have always been mindful of the consequences. I think that stress blocks mindfulness of consequences. The same holds true to getting drunk or stoned. Without stress there is no need, nor a desire to do either.

Mindfulness is simply awareness of who you are and what you are doing. A person who is mindful is a person free of stress.

Unfulfilled desire leads to stress. Wanting nothing allows you to appreciate what you have. When you want nothing, you want for nothing. We all have basic needs for food, for warmth and shelter, for clothing and for companionship. Mindfulness allows you to be secure with your basic needs. Everything else is a luxury and although luxuries may be appreciated, you should not depend upon them. Depending upon luxuries leads to stress.

I have never worked a day in my life for the sole purpose of making money. I have never wanted to own anything and although I now do own property and material things, I do not allow those things to own me. I never engage in arguments about money or debts. I tend to avoid debts but when debts occur my position is that they are what they are and certainly not anything to be troubled with.

As far as basic needs, I learned to address this as a teenager when I left home at 15. I had no money, no place to stay, no prospects. I jumped a freight train, rode in the automobiles being transported from Toronto all the way to Vancouver. I arrived and camped in the abandoned gun towers on Wreck Beach and the first thing I did was to go to Vancouver City College to enroll. I found a job, moved out of the gun tower into a single room I rented and went from there. Looking back I see it as an adventure. I had nothing but there was no stress. I simply replaced the insecurity of my position into an adventurous experience. I treated every job as a learning experience and working as a longshoreman, teamster, tree planter, warehouse man, short order cook, baker, painter, carpet layer, postman, tour guide, landscaper, and seaman all were educational experiences.

The truth is that all of life is an adventure, the good and the bad, the ups and the downs, the experiences, the hardships, the thrills and the times that were lonely, happy or difficult. Even the loss of friends and family is simply dealt with by acknowledging that death is as it is. It is inevitable and although we may sincerely mourn we can do so without being stressed. This may be difficult to understand but it is indeed quite possible. With the passing of every friend, with the passing of my brother I have silently said “Good-bye” with the appreciation of having known them.

I have gone into situations many times where the risks of injury, death or imprisonment were practically a certainty. My approach has always been acceptance. And amazingly I am still alive and still free. When I have had nothing I have had everything I need, and when I have risked all, I have usually been successful. One of the things that concerns me is when I read about, or hear of people, especially young people committing suicide because of bullying. I wish that I could talk to such people before they make such a terminal decision. I would tell them to not let the insecurities and fears of others influence them in any way. I would tell them to accept that all the ridicule, insults, bullying and peer pressure is irrelevant and simply unimportant to who they are. If a parent is unaccepting of who you are, you need to say to them that if you are unacceptable to them they have no right to be your parent and you should walk away from them. Too many people are enslaved to parents, partners and friends who do not accept them. Unacceptance and bullying are forms of violence and everyone should walk away from violence with dignity. No one should tell you what to believe, how to think, how to dress, how to behave or to dictate your sexual orientation or condemn you for your compassion, your passion, your imagination and your character. You are who you are and that is what it is, and how it should be, and if others do not tolerate who you are, don’t give them the satisfaction of destroying you. Simply symbolically spit in their eye, walk away and concentrate on being who you are for the benefit of yourself.

And if anyone is inclined to commit suicide my advice is to commit social suicide instead. That is, to drop out of your life as it is and begin another life, in another place with new ideas. Adventure is the antidote for depression. Take a chance, jump into the unknown and you will be amazed at what is awaiting you after you do.

I am not infallible. I have made mistakes in my life, many of them. I have at times in the past responded with anger although never physical and limited to the poison of the pen. I have let some people down, disappointed others and missed opportunities. But the one thing that I have been able to do in my life is to avoid stress.

At 67, I am healthy, happy, optimistic, and as passionate as I ever have been. Even more so because I have had the grace of experience and the satisfaction of achievement in those areas that I chose to address.

I am happily married to a wonderful woman and we have a 22 month old son and having a toddler can be stressful but the key to this is to be patient because babies will do what babies will do and by accepting this and dealing with it should not require enduring any stress over it. Always speak softly, smile and do not over-react.

The point of this posting is this: Do not let stress ruin your health, your love or your life. Dreadnaught and live the adventure, this adventure that is life. It may well be the only life you will ever have. Even if you believe in the afterlife (oh and don’t stress about that either) the fact is you will never know for sure, so no sense wasting the unique life that you have.

A stress free life is not only possible, it’s also essential for your health and your happiness.


From Maesk Counseling in Fort Lauderdale - Election Anxiety!

It’s been a little while. We have been so busy here at Maesk Counseling. With everything that has been happening this year, I’m sure you can relate!

Over the past several weeks, there has been a lot of talk about election stress - more than any other year in recent memory. So, will I can’t promise you the outcome you would like, I can share with you some tried and true ways to dial back the anxiety you may be feeling

First, focus on sleep. It is the foundation for good mental and physical health. A proper sleep hygiene program can go a long way to getting you to feel like your old self again. Try the tips mentioned HERE.

Second, try this simple trick to re-direct your anxiety: Each morning, write down three things you are grateful for, and say them out loud. It doesn’t matter what they are, what matters is that you say them. This simple act give you agency, and has been shown to lower stress.

Third, move. Yes, move. Get up, walk around the house. Take a walk around the block. Go run five miles, if that’s your thing. Exercise provides physiological benefits which are powerful, and will make you feel better. And remember, the little stuff still helps. Getting up and walking around the house at every TV commercial break is still better than sitting there for two hours. As they say, “don’t let the perfect be the enemy of the good.”

Try these things…they really work, and finally, remember to VOTE TOMORROW!

From Maesk Counseling in Fort Lauderdale - Anxious Depression

From Psychcentral:

Experiencing Anxious Depression

By LaRae LaBouff 
 

Depression is a part of bipolar disorder. It is, in fact, one of the poles. The question of experiencing depression is not “if” but “when.” Depression on its own is a horrible experience, but sometimes other problems pile on. More than half of people with bipolar disorder also have some form of anxiety disorder. These can include generalized anxiety disorder, panic disorder, post-traumatic stress disorder, obsessive compulsive disorder and social anxiety. When anxiety occurs during a depressive episode of bipolar disorder it is called depression “with anxious distress.” Distress is exactly the term to describe how it feels.

When I experience anxiety, I communicate how I am feeling by comparing my mood to a pot of water. When I am feeling fine, the water is ambient temperature. The more anxiety I feel, the hotter the water becomes. Lately I’ve been sitting at a simmer with occasional panic attacks that put me into a rolling boil. This is in addition to the depressive symptoms I feel like depressed mood, loss of interest, weight gain, fatigue and feelings of hopelessness. It’s a debilitating combination.

In order to be qualified as an episode with anxious distress, you have to experience at least two of the following: 

  • Feeling keyed up or tense.

  • Feeling unusually restless. 

  • Difficulty concentrating because of worry. 

  • Fear that something awful may happen. 

  • Feeling that you might lose control yourself.

If you experience two of these symptoms, the anxious distress is considered mild. Three symptoms is moderate and four or more is moderate to severe. If physical restlessness is involved, it’s considered severe.

Having bipolar disorder with anxiety can lead to extra complications with the disorder. People who have episodes with anxious distress typically have longer episodes, don’t respond to treatment as well and have a higher suicide risk. 

Experiencing severe anxiety mingled with depression is incredibly distressing.  On the one hand my brain is telling me that all I can do is to go to bed and not do anything. On the other hand my anxiety is telling me how horrible I am for ignoring other responsibilities. The two sensations fight each other and leave me frozen, not knowing what part of my brain I should listen to. The anxiety is usually louder than the depression, but that doesn’t mean I succeed at getting out of bed. It just means I end up having a panic attack while I’m there.

I’m continuing to talk to my therapist and psychiatrist about my situation. My therapist gave me a list of ways to combat distress and my psychiatrist gave me additional medication to manage the anxiety acutely. In the meantime, I hope this is a short phase and that I will reach a level of normality soon.

From Maesk Counseling in Fort Lauderdale - Panic Attack Help

Tips for Coping with Panic Attacks

Always begin with a visit to your doctor or health care provider to ensure that there is not an underlying medical cause to your symptoms. Don’t self-diagnose.  Panic symptoms include:

  • Shortness of breath

  • Tightness in the chest

  • Rapid heartbeat

  • Inability to relax*

*(NOTE): since these can be symptoms of other medical emergencies, DON’T self-diagnose. Seek emergency medical care if this is the first time you’ve experienced this)

What Can I Do To Cope?

  • RATE the panic on a scale of 1 to 10, 1 meaning not bad at all, up to 10 meaning, call an ambulance! Anything we can MEASURE we can start to control.

  • ACCEPT, don’t fight. Fighting increases the bodily symptoms.

  • ASK yourself: what’s the worst that could happen here? How would I handle it?

  • BREATHE normally and naturally. Pay attention to your breath.

  • FOCUS on an object in the room. See it, describe it to yourself. This helps orient you in the present moment reality.

  • TIME the attack (measuring again). Note how little time it actually lasts.

  • NOTICE if the attacks are happening in a certain location or at a certain time (“cued” attacks.) When it passes, get out a piece of paper and write about that place or time. BE A SCIENTIST about your panic—objective, measuring, curious.

  • TAKE your writings to your counselor to further explore the causes of the panic.

  • REMEMBER that overcoming panic is not a matter of willpower. It is a malfunction of brain chemistry which can be helped by cognitive-behavioral therapy and/or medication.  Medication takes away the SYMPTOM but not the CAUSE. Therapy helps get to the root of the problem.

Remember that a panic attack won’t hurt your physically. Although it’s very uncomfortable, your body will continue to breathe and function through it.   And we are here to help - don’t hesitate to contact us.