That odd feeling could be a panic attack

You think to yourself: "Something is seriously wrong with me." You step into your office and you feel like the walls are caving in. You try to take a few extra deep breaths, but you fear that you will choke. No matter how hard you try, you still can't catch your breath. You begin to sweat, and then suddenly, a wave of embarrassment washes over you. You don't want anyone to notice that you're struggling over here.

You rush to the bathroom as fast as you can to try to get control of yourself and it feels like you might throw up all over yourself. You hope you don't faint. Your body feels hot and you're lightheaded. After what feels like an eternity, you're able to get it together. You stay in the bathroom for a few extra minutes, but after that incident, you spend a lot of time worrying that it'll happen again.

Now it's all you can think about. Anytime you go to the store, you think "Will this happen to me again?" You leave your house and wonder, "Will today be the day?" After a while, your worry actually brings on another episode and it becomes a self fulfilling prophecy.

 If this has ever happened to you, it’s possible that you might have experienced a panic attack. First of all, it’s important to get checked by your physician to ensure that you’re not suffering from a physical health condition. Your doctor would also want to check that it isn’t being caused by a substance or medication.

Panic attacks often create very high anxiety. You try to keep it all under control, then you spend a lot of time worrying that they will happen again, which could then trigger another attack. If you experience panic attacks you might also experience dizziness, a choking sensation, trembling, shaking, hot flashes, nausea, difficulty catching your breath, pounding heart and even fear that you may be dying.

But you know what? Panic attacks are treatable by mental health counselors. Please don't be ashamed. Pick up the phone and reach out for help. The sooner you reach out, the sooner you can begin your journey of recovery. 

So if you’re in the Murrieta or Temecula area and you’ve been struggling with panic attacks or anxiety, don’t stay silent. Click here to schedule a free 15 minute phone consultation with me so we can decide how we can work together to help you find your calm. You can also all me on 951-905-3181. Sometimes all you need is some therapy or counseling. You deserve all the joy in the world.

If you're not close to the Murrieta area, but you reside in California, I also provide online sessions. Reach out for help today.

Types of anxiety disorders

You've heard the word anxiety over and over again. Maybe you've even felt that feeling in the pit of your stomach, or thoughts that move so fast that you can barely focus. Or maybe you've felt the room spinning and you couldn't catch your breath. Sometimes it shows up as an overwhelming feeling that stops you in your tracks. Or you wake up and instantly burst into tears. Well, did you know that there are many different types of anxiety disorders?

 Over the next few weeks, I'll be posting about each main category, but today let's just talk about the main categories. Before we dive in, I'll give you a brief overview of how I got the information. You see every therapist has a great huge manual from which we diagnose (yes, we can diagnose). Every few years, this manual is updated by tons of professionals in the mental health field. The most current version is called the Diagnostic and Statistics Manual of Mental Disorders 5 (DSM 5 or DSM V). This manual contains every single mental health disorder known to man. You can check it out here.

 Okay so on to the good stuff. Here are the main categories of anxiety disorders:

1) Separation Anxiety Disorder: This occurs when a person experiences a heightened sense of anxiety when they have to be away from someone whom they are very attached to. In many cases, children often feel this when they have to be away from a parent, guardian or loved one. Adults can also experience this. The person has a huge fear of being away from the person, they might scream and shout when the person has to leave, they avoid leaving the person and they might even have nightmares about leaving. This isn't just an ordinary feeling of "I'll miss you." It's a tense, anxiety provoking angst when you think about being separated from your loved one.

 2) Selective Mutism: This is also more common in children. This occurs when the person can speak, but he or she chooses not to speak in certain social situations such as at school or in a public place. This could be because the person feels very anxious or unsure. If the child does not speak due to a hearing or speech problem, or because they don't understand the language, then they probably don't meet the criteria for this disorder. My advice would be to first take the child to his or her pediatrician to get checked first, before going to a therapist.

 3) Specific Phobia: Did you know phobias are a real thing? A phobia is a serious fear about an object or situation which causes the person very serious distress. You could have a phobia about anything-water, trees, certain foods, mascots, feathers-anything. Phobias are not something to laugh about because they can intense emotional pain and fear. Luckily they are treatable.

 4) Social Anxiety Disorder: Serious fear or anxiety about being in a social situation where the person can be scrutinized by others. This isn't just a case of butterflies or a little shyness, in this situation the person has a serious fear. Because of this people often avoid such social situations.

 5) Panic Disorder: This is a case of getting various unexpected panic attacks. Some symptoms of a panic attack are shortness of breath, dizziness, sweating, difficulty breathing, hot flashes, numbness and even fear of dying. After the panic attack subsides, people who get them often have anxiety about getting more attacks-which could then cause them to have panic attacks. It's a vicious cycle.

 6) Generalized Anxiety Disorder: This is the diagnosis I see the most in my practice. It's basically excessive worry that is difficult to control, which occurs more days than not. Worry happens all the time even though you can't figure out why. Sometimes you experience tension in your neck and shoulders, difficulty sleeping, bad dreams, crankiness and tiredness.

 7) Agoraphobia: A serious fear about being in open spaces, being in enclosed places, going into  public transportation, being outside of your home alone and/or being in a crowd. Sometimes these situations could also trigger a panic attack. People with agoraphobia often feel most comfortable when they are in the comfort of their own homes.

 So you see, anxiety is real and it is often very complex. But the truth is we have all felt anxious to one degree or the other. Anxiety is treatable and mental health therapists and counselors are trained to help you reduce your anxiety.

 If you've been struggling with any of these situations, contact me for a free 15-minute phone consultation so we can talk about how to get you from sinking to thriving. Click here to email me.

Faith and anxiety

You go to church every single week. You pray every day and you have a strong faith that God can take away whatever pain you've been carrying. You consider yourself to be a good Christian. But you ask yourself, "If I'm a good Christian, why do I still have anxiety? Why does worry seem to follow me wherever I go?"

Well, as a Christian therapist, I understand that sometimes although we are following God and doing all the right things to feed our souls, anxiety still creeps in. We still worry about our future, we worry about our friends, we worry about our families and we worry about ourselves. We wonder if our prayers will get answered, if our sickness will be healed, if our kids will grow up right and if our spouses will stay forever faithful. You might still have old wounds from the way you were raised or you might have hurts from things that have happened to you in the past. No one ever said that a Christian will not have worries-you definitely will.

As a therapist in Murrieta who understands this, I give my Christian clients the space to include prayer and scriptures into the work that we do. I understand that faith cannot be separated from the heart of a Christian. I also understand that Christians are also humans who have real hurts and real troubles. Counseling and faith can work hand in hand. God can use counseling to heal past hurts while you continue to pray. We can work together to help you to use your faith as a balm to soothe your anxiety.

So can a Christian go to therapy? Absolutely. Look at it this way- if your arm was broken, would you still go to a doctor to get it fixed? Yup. But would you also pray after the doctor has treated your arm? Absolutely. I believe God can use counselors and therapists to heal broken hearts, the same way he can use doctors to heal broken bodies. 

When last have you used your faith to soothe your anxiety? If you'd like to reach out to me for a free 15 minute phone consultation so we can talk about how we can merge faith and counseling together in order to reduce the worrisome thoughts in your head, click here to email me or call me at 951-905-3181. You don't have to put your Christian faith aside when you go to therapy or counseling.

What is anxiety?

You've felt funny for a while but you have no idea who to talk to or what to call it. Sometimes you feel odd butterflies in your stomach and other times you sweat. Maybe you get the odd feeling before stepping in front of a crowd, or just before you go outside in the morning. Your thoughts are constantly racing and you don't know how to slow them down.

You try to shake it off, but the feeling seems to be spreading from your mind to your body too. Your neck and back are always tight, you find it hard to sleep at night and you feel like you can't talk to anyone about it, because they'll think you're being dramatic. Sometimes it feels like the world is closing in on you.

Your feeling might just be anxiety. Anxiety is the thoughts and feelings of unease that sweep through a person's mind or body. Sometimes you might get anxious because there's an important event coming up, and other times you don't have any clue why you feel this way. There are many different types of anxiety disorders, which I'll talk about in another blog post coming up soon.

But the most common anxiety disorder I see in my practice is Generalized Anxiety Disorder. This means the person isn't necessarily worrying about something specific, but there are many worries about many different things swimming through your mind all day long. For example, you could be worried about your weight, your kids' grades, your marriage, your long to do list as well as your career. Even when things seem to be going well on the home front, you might have this impending feeling of doom like something bad is about to happen.

So how do we treat anxiety?

Well there are many different ways. Some people choose to see a psychiatrist and get on anti anxiety medication. Others find more holistic treatments such as yoga, exercise, meditation and prayer. And still others choose to speak to a counselor or therapist and learn different ways to train their minds on how to not be so focused on situations, but think more realistically. Different therapists work from different approaches. Some focus on thought patterns, others focus on the emotional component, still some use approaches such as mindfulness among others.

Some people choose to use a hybrid method such as by taking meds and going to yoga. Or through prayer and therapy.

It really doesn't matter which route you take, or if you use a combination of treatments, all that matters is that you seek help if you feel that your anxiety is not under control. As I am not a doctor, I cannot prescribe medications. I also am not a yoga instructor or a certified physical trainer, so I cannot advise you on exercise or diet.

My approach to treating anxiety

My approach as a therapist, is to use a combination of Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT). Simply put, CBT looks at how to reduce anxiety by focusing on irrational thoughts. We work on shifting those thoughts, which will in turn shift your feelings and then your behavior. We know that your thoughts, feelings and behaviors are all linked. If you change one, you''ll change the other two.

DBT works mainly on helping you focus on the present. So instead of thinking about what you're going to do when you get back home, all the tasks on your to do list, how you're going to fix your marriage, how your life is falling apart, you'll learn how to focus on one thing at a time-living moment by moment.

So there you have it. If you've ever experienced anxiety, what helps you reduce it?

And if you're in the Murrieta area or you live anywhere in California, and you're tired of battling anxiety and worry all on your own, give me a call at 951-905-3181. I'll give you a free 15 minute consultation in which we'll talk about your worries and ways in which I might be able to help you find your calm. I believe that before you schedule an appointment with a therapist or counselor, you should have the opportunity to talk to him or her first.

Fears About Therapy

Your life has been in turmoil for a while. Maybe you and your spouse have been yelling daily or you're getting increasingly frustrated with the kids. You know you are unhappy. You've struggled for months and you can't seem to reach out for the help that you need. You've looked up therapy or counseling online, but you haven't had the courage to actually call a therapist.

 Here are the reasons why some people hesitate to call a therapist:

 1) Therapy means I'm crazy: Well not really. No one ever said that counseling was for "Crazy people." Therapy actually works great for people who are coherent enough to understand what the therapist is saying and can actually follow through with some of the homework given. Therapy isn't for the "Crazy," just like going to the doctor isn't for the comatose. Therapy is helpful for people who are willing to look at a different perspective and try something new. When you're stuck in old patterns, it much the time to call someone to help you get unstuck.

 2) People are going to laugh if they know I'm in therapy: Your therapist will definitely not be telling people about you. It's the law. Actually, if I see you at the store, I will walk right by you- that is unless you address me first. Now it's not because I'm ashamed of you, it's because I'm protecting your confidentiality. I do not tell anyone about you, that is of course unless you sign a form giving me permission to do so. So if your friend walks into my office and asks about you, I'll be saying to him or her "I cannot confirm or deny that I know her."

 Please note that in some instances California law actually mandates that we make a report. These instances are child abuse, dependent adult abuse and elder abuse. We also have to report if you are a danger to yourself or others. Plus you don't have to tell anyone that you're in therapy. It's YOUR business and you reserve the right to keep it to yourself.

 3) A therapist can't help me: Well, you wouldn't know unless you tried. Unless you actually picked up the phone to talk to a therapist, you'll never know if there is hope. A therapist might be able to help you, but if you don't call, they'll definitely not be able to do anything for you.

 4) Therapy will bring up painful memories: Well sometimes therapy does bring up memories we thought we had long forgotten. That is very true. But not always. Sometimes we need to dig up the dirt in order to lay the foundation. For a plant to bloom, its seed has to be buried in the soil for a while. After some time spent in the darkness, it springs out of the soil and makes its way up to become a beautiful flower. If this is a concern for you, definitely address it with your therapist. Don't let this stop you from seeking help. When we ignore our pain, it'll affect us negatively.

 5) The therapist will judge me: Well, let me speak for myself. I've had so many people come in to see me for literally thousands of hours that I really have no desire to judge you. Judging you will actually stand in the way of me doing my job. When I'm sitting across from you, I listen, I highlight patterns of behavior, I look for strengths, and then I try to challenge you to come up with solutions. If I spent my time judging you, I'd be completely useless to you. I serve as your guide, not your critic.

 6) Therapy is too expensive: Many people don't see therapy as an investment in themselves, rather, they see it as a luxury. Sometimes you might have to forgo other things in order to save up for therapy. If you spend time getting your nails and hair done regularly, you might be able to afford therapy. But think about it this way- just like you invest in a home to make memories forever, or a vacation to spend amazing family time, your mental health is super important and might take some sacrifices on your part so that you can shed the unhealthy, anxious parts of you. Would you rather spend money to heal old wounds or scrimp and continue to carry the baggage around?

And if saving and sacrificing is completely out of the picture for you, then contact your health insurance company to see if you could find a therapist who will take your insurance. Please note that when your therapist bills your insurance, your insurance company will have some of your information and your therapist will also be giving you a mental health diagnosis. So your information doesn't just stay between you and your therapist- it'll be shared with a third party. 

Are there any other fears you've had that have stopped you from seeking counseling? 

If you are searching for a therapist or counselor in Murrieta or somewhere nearby, and you'd like a free 15 minute phone consultation, call me on 951-905-3181. It's time to stop the anxiety and finally find your calm.

How do you know when you're drowning in overwhelm?

So often I hear people say, "I'm overwhelmed." In the moment it might feel like a quick avalanche that just sneaked up on you. But in reality, overwhelm is more like slow moving lava. It inches closer and closer and closer until you are knee deep in hot, fiery flames and you have nowhere to run. You get stuck and you have no clue how this happened.

 To avoid the hot trap, it's important to realize the warning signs that point to the fact that you are indeed overwhelmed. Take a closer look at your life. How does your appearance change when it starts to creep in? Maybe you stop wearing lipstick or mascara. Maybe you start to pull your hair in a bun instead of combing it out.

How does overwhelm creep in at work? Does your desk get messy? Do you stop socializing with coworkers? Do you yawn more or do you slack off? Or maybe you cram in every single task possible without taking lunch breaks.

How does overwhelm show up in your relationships? Do you pick fights with your partner or do you isolate yourself? Are you snapping at your kids for pouring milk on the floor or chewing too loudly?

 Are your relationships changing? Are you isolating yourself? Are you yelling more or are you becoming more cranky? Do you not feel like going to dinners? Ask your spouse or partner what he notices when things are getting difficult for you.

It's important to notice how overwhelm sneaks in-the gentle warning signs. Once you notice your hair going up in a bun, its time to start letting go of the things that might lead you to overwhelm. Take a break, do some yoga, talk to a friend- or a therapist. Pause so you can take a detour before the lava sucks you in. If you don't slow down, the lava it will sneakily creep its way into your life until you're burned into ashes. 

How will you stop overwhelm in its tracks today? To schedule a free 15-minute phone consultation with me, call 951-905-3181. During this consultation, we will talk about what's going on with you, what my therapy style is and how I may be able to help you find your calm and avoid the lava.