Anxiety Archives - Serene Shift

How to Manage Anxiety and Panic Attacks More Effectively

sereneshift — Sat, 01 Aug 2020 22:18:37 +0000

How to Manage Anxiety and Panic Attacks More Effectively

How much time and mental energy do we spend stressing about what could occur tomorrow, next month, or next year? How often do we worry about trying to prevent something that might never happen?

Anxiety is the body’s way of responding to stressful situations, creating a fight-or-flight response in the face of danger. When your sympathetic nervous system activates, it increases heart rate and alertness, preparing you for action.

Occasional anxiety can be helpful when responding to a serious threat or in less deadly situations that need our attention, like preparing for a job interview.

Frequent anxiety and panic attacks, however, can be very harmful to mental and physical health. If you are constantly in activation mode, geared up for action and anxious and worried over everyday events, your body and mind can become debilitated.

Developing healthy habits to prevent and respond to anxiety is essential for staying calm, happy, and at your best. In this article, I’m explaining what you need to know about anxiety:

The causes and symptoms of anxiety
How to manage anxiety in the short and long term
How to get through panic attacks
Strategies for minimizing everyday anxiety and feeling calmer and more grounded

Types of Anxiety Disorders and Symptoms

We’ve all experienced anxiety at one time or another. It’s normal to sometimes worry about things like performing well at work or school, raising kids, and going on a first date.

Anxiety disorders go beyond normal worrying. People with anxiety disorders experience frequent, intense, and persistent worry about everyday scenarios. Common symptoms include the following.

Feeling nervous, tense, or restless
A sense of panic or impending doom
Trouble focusing on anything but worrying
Feeling weak or tired
Fatigue and/or trouble sleeping
Higher than normal heart rate
Sweating and/or trembling
Hyperventilation

Anxiety disorders come in many forms. Below are three of the most common types.

Generalized anxiety disorder: Excessive worrying or fear for little or no reason. The worry and fear can be constant and debilitating.
Panic disorder: Sudden and overwhelming fear that triggers a panic attack. Symptoms of a panic attack include chest pain, excessive sweating, noticeable heartbeat (palpitations), and shortness of breath.
Social anxiety disorder: Intense worrying or self-consciousness in social situations. People with social anxiety disorder may obsess over being embarrassed in front of others.

What Causes Anxiety?

Triggers are cues in the environment which can lead to anxiety. They can be external or caused internally via the senses. Common anxiety triggers include:

Sensations (such as smell or touch) that remind you of a traumatic event, such as a medical emergency
Revisiting traumatic areas, like a certain room or street
Overwhelming environments
Thoughts of the future or past
Thoughts about something you haven’t finished
Focusing on something you wished was different or didn’t happen
Financial stress
Health conditions and/or medications
Thinking about anxiety (anxiety or panic attacks can be triggered by the mere thought of having anxiety)

Normally, anxiety is a natural and temporary response to stress. However, it is important to note that frequent feelings of anxiety condition our brains to have more anxiety in the future.

If you’ve gone through this and now experience constant anxiety or fear that becomes overwhelming, you may be dealing with an anxiety disorder.

How to Manage Anxiety

Shifting to a healthier, more sustainable way of thinking is not easy. How does anyone break unhealthy habits? The answer is: greater awareness.

Our brains are so complex, yet can be simple when we really understand the wiring that forms unhealthy results. To alter unhealthy habits, our brains need new information in order to carve out new pathways that lead to different results.

By noticing the negative results of your actions–for example, worrying about tomorrow immediately makes it more difficult to breathe–you become more aware of your behavior and sensations.

This creates more clarity and understanding so you can begin to “uncondition” your brain and have a healthier attachment with anxiety. You can find a path to reset your brain and create more effective behavior. The more aware you are, the less overwhelming anxiety and panic attacks will be.

To address anxiety long-term:

1. Pay attention to your triggers.

2. Notice how they make you feel.

3. Be curious and investigate the behaviors they create.

Greater awareness can help to reset unhealthy behaviors and improve health and quality of life in the long run.

For your day-to-day needs, try implementing one of the following strategies. Once you’ve mastered that one, move on to the others.

1. Breath into anxiety

Anxiety can cause shallow breathing or shortness of breath, which can sometimes lead to even greater anxiety. In these moments, focus on your breathing. Mindful breathing is an easy way to relieve anxiety, decrease stress and depression, and help with chronic pain.

1. Sit or stand in a quiet area. Close your eyes.

2. Put your hands on your stomach.

3. Breathe in “calm” through your nose for 5 counts, hold for 5 counts. Open your mouth and breath out “anxiety” for 5 counts.

4. Notice your stomach rise and fall. Feel your heartbeat slow and become more even.

5. Do this 5 times.

6. Ask: What do you notice in your body?

Quick tip: Many of my patients also find it helpful to count breaths in order to calm themselves. For example, breathe in on 1, breath out on 2. Repeat, continuing to count 1-2, 1-2, or count up to 10 before starting over.

2. Examine your body (Body Scan)

In moments of extreme anxiety, shift your attention and focus to your physical sensations in your body.

Can you hear your heart beating?
Do you notice more sensations in the right or left side of your chest?
Do you feel heat in your chest?
Does your chest feel heavy or hollow?
What do you notice in your stomach?
Do you notice pressure, tension, tightness, emptiness, heaviness, heat, a prickly feeling, unease, pain, fidgeting, restlessness?
How does your jaw feel?

Embrace your attention with curiosity. The more specific and curious you are with the sensations in your body, the more resilience you will build when experiencing anxiety symptoms.

This is one technique that will guide you to lean toward your difficult sensations (resilience and strength) rather than resisting them (which makes anxiety symptoms worse).

3. Notice what you are experiencing

One quick tip that I often share with my patients: bring awareness to what is already happening. When a panic attack hits, recognize that you’re having a panic attack and know that it will eventually pass.

Accept that you know what is happening, you know what to do, and that you will be okay. Remember that when you recognize your triggers, you are better prepared to handle triggers differently.

4. Build practical and daily routines

Having a practical daily routine creates space for you to feel secure, clear your mind, and ground yourself for your day. This will maximize your chances of being able to handle anxiety or panic more effectively and enhance your ability to regulate difficult emotions.

To start your routine, wake up a little earlier than you need to start your day. Spend 5 minutes in the morning alone to ground yourself.

For example: wake up, close your eyes for a body scan, then do 10 segments of short breathing exercises (counting 1-2, 1-2, etc.). Finish off by writing 3 things you are most thankful for today. When you get in the shower, bring attention to how the water feels on your back.

Also, give your body what it needs to thrive throughout the day. Eating a healthy diet is essential to good physical and mental health. Some foods in particular have been linked with reduced anxiety:

Salmon
Chamomile tea and green tea
Yogurt and other probiotic foods
Dark chocolate
Turmeric

Be sure to eat properly portioned meals at regular intervals to keep your energy levels consistent.

Lastly, don’t forget about the importance of sleep and exercise to your health. Anxiety can manifest physically in the body, especially if experienced long-term. Going to sleep and waking up at the same time every day takes care of your body and mind, injects calmness into your life, and minimizes anxiety.

5. Limit news and social media

In this fast-paced world, FOMO (the fear of missing out) can leave us glued to social media and news outlets. Endless feeds can make us addicted to the constant stream of information, much of which is negative and dramatic.

Experts call our addiction to negative news “doom scrolling.” This behavior can significantly contribute to anxiety and panic attacks.

Be aware of how actions affect your mental health. Notice what increases anxiety, such as ingesting too much news or social media. Assess whether you are more anxious after watching hours of the news and whether it is difficult for you to unplug from the constant stimulation.

These are indications that you may need to minimize news and social media. Ask yourself, “Is watching/reading/listening to this going to be helpful for me?” If the answer is no, realize that you have the control to walk away from something that is harmful to you.

6. Don’t avoid your anxiety — focus on what you can change

When faced with anxiety and/or panic attacks it’s often tempting to avoid triggers altogether, but trying to distract yourself from symptoms will also increase symptoms.

If you notice the symptoms coming, let them come. Ask yourself, “In this moment, what do I have control of?” Then, continue to identify your triggers and work on building a healthy response to anxiety-inducing situations in order to build resilience.

If you need assistance along the way, I am an experienced psychologist who specializes in anxiety disorders, depression, and more. I help patients “reset” ingrained thinking spirals that cause and exacerbate anxiety, and guide them toward a more serene life.

Contact me now to schedule a virtual appointment.

The post How to Manage Anxiety and Panic Attacks More Effectively appeared first on Serene Shift.

Going Back to Work After Coronavirus Lockdown: 5 Ways to Thrive

sereneshift — Mon, 01 Jun 2020 20:25:08 +0000

Going Back to Work After Coronavirus Lockdown: 5 Ways to Thrive

As shelter-in-place orders relax and people start returning to work and everyday life, we’re finally saying goodbye to cabin fever. But COVID-19 isn’t gone, leaving many of us with questions while going back to work or searching for a new job:

Is it safe to go back to work?
What things should we take into consideration when going back to work or looking for a new job?
How can we manage anxiety, stress, overwhelm, or rejection when returning to work or searching for a new job?

Below, I’m sharing 5 strategies to help you and your family stay well and thrive during this period of transition.

1. Accept that things may be different

While being able to go back to work can be a reassuring sign of improvement for both your life and the economy, it also doesn’t mean that everything will be perfect as soon as you walk in the office doors.

You may still be anxious about personal issues (the risk of getting sick, financial troubles, finding childcare, etc.), overwhelmed about being in close quarters with others after months of social isolation, less enthused than before about work, or missing coworkers who have been laid off.

To combat these negative feelings, try to remind yourself that change is a natural part of life. More than that, change can be great: getting outside of your comfort zone often leads to exciting opportunities and a new appreciation for aspects of life you previously overlooked, such as the ability to catch up with coworkers in person.

Your new work routine (or even your job itself) may not be exactly the same as before coronavirus, but recognizing that change can be positive–and that you have the ability to adapt to anything that comes your way–may soothe some anxiety about returning to work.

2. Develop resilience

In “Coronavirus: 5 Hidden Positives the Media Doesn’t Talk About,” I explain how important developing resilience–the ability to get through difficult circumstances–is during coronavirus. Resilience can help us stay mentally healthy and ward off negative feelings like anxiety, isolation, and depression.

Fortunately, resilience is a skill that anyone can develop. If you’ve lost a job or are going through financial difficulties, use the following tips to dust yourself off and push through what feels like a hopeless situation. You can come out on the other side stronger than before.

Embrace change.
Know that hope isn’t lost. You’ve made it through hardships before and you’ll do it again, so it’s best not to focus on the negative.
Practice optimism. Reflect on your skills and achievements, allowing yourself to feel confident about your past successes and those you can accomplish in a future job with those same traits.
Understand yourself and your needs. Practice self-care.
Look at what is causing you worry and stress, and then tackle those things. For example, if you’re worried about your health, take action to stay healthy–eat healthy foods, exercise regularly, and sleep enough. This could assuage your worries and leave your mind calmer.
Lean on your support network.
List achievable goals and break them down into actionable steps. These may be personal or work objectives. Setting realistic goals leads to progress and keeps your spirits up, which encourages further excitement about the future.

3. Work where you’re comfortable

Being able to go into work again can’t come soon enough for some, but others are understandably still wary about venturing into public due to health concerns.

Assess how comfortable you are with physically going into a workplace. What specific worries do you have about rejoining the workspace? Has your company (or the companies you’re applying to) put sufficient improvements in place to protect employees as much as possible?

If you’re not comfortable with your current employer’s response, speak with your manager or HR department about other arrangements. If you’re applying to a new role, speak to your recruitment contact about what preparations the company has put in place.

Don’t be afraid to have a discussion about flexible working arrangements, especially if you are immunocompromised or have close family members who are at risk. It never hurts to ask about working shifts that avoid high-traffic office hours or working from home. If you do end up working from home, use tip #4 to set yourself up for success.

4. Set boundaries between home and work

While working remotely can minimize the health worries of being among a large group of coworkers, it provides its own unique challenges. The two biggest issues people come to me about are:

The blurring between work time and home time
Feelings of isolation.

Without an option to physically leave the office at the end of the day, many of us tend to put in longer hours and feel like we’re constantly “on.” To combat this and protect your mental health, establish boundaries.

For example, try an “office hours” schedule with built-in breaks, a lunch hour, and a specific time to clock out. A good routine will ward off burnout. Along the same lines, blocking off 15 minutes to transition from the job mindset to a home mindset at the end of the workday can also smooth your mental shift towards relaxation time.

Think about it as time you’d normally spend driving home and decompressing from the day. Incorporate relaxing activities that typically help you separate yourself from work, such as listening to music or taking a rejuvenating walk.

5. Reach out for support

As coronavirus lockdown relaxes, it’s important to recognize that this is still a chaotic time and you may need extra support. If you need help getting through these uniquely challenging times, I’m available for virtual telehealth sessions using Zoom to discuss:

Anxiety
Fear
Overwhelm (lack of consistent schedule)
Panic disorders
Social isolation and loneliness
Depression
Insomnia
Parenting challenges
And more

I offer flexible scheduling to fit your needs. Please schedule your virtual telehealth appointment with me today.

The post Going Back to Work After Coronavirus Lockdown: 5 Ways to Thrive appeared first on Serene Shift.

Forget Homeschooling, It’s More Important to Keep Kids Mentally Healthy

sereneshift — Wed, 20 May 2020 23:30:14 +0000

Forget Homeschooling, It’s More Important to Keep Kids Mentally Healthy

In these strange times, many of us have new family priorities and responsibilities. These might include working from home while homeschooling the children, taking care of parents or elderly relatives, and helping kids adjust to new, chaotic surroundings or respond to the death of a loved one.

It’s tough to know what to prioritize and how.

I understand that and am here to tell you that right now, it’s more important to keep kids mentally healthy than to homeschool them — and it’s more important for parents to stay sane than to try to do everything “right.”

Why is homeschooling so tough right now?

Homeschooling is usually a carefully planned choice made by parents who have the time, skills, and resources to make it work in the long-term. After all, developing and implementing an age-appropriate curriculum requires a significant time commitment.

During this global emergency, many of us parents have had homeschooling thrust upon us, on top of working and tackling more financial and household responsibilities than ever.

Not surprisingly, we’ve found out just how difficult it is to make this arrangement work. Younger children can find formal learning challenges even at the best of times, but particularly when they are away from the structured school environment and without the company of their peers.

Add the fact that we are living in highly unusual circumstances, separated from friends and family, and it’s no wonder that children may be resisting our efforts to engage with anything academic!

Parents, meanwhile, may be dealing with a lack of support from their children’s schools and/or a huge amount of homeschooling work that seems impossible to complete. Many parents report feeling anxious when they see an email or text message arrive from their child’s school.

How to address homeschooling challenges

If you and/or your children find homeschooling too stressful or anxiety-inducing, protect your mental health by ignoring or unsubscribing from communications until you feel calmer and more equipped to deal with them.

It may also be helpful to call your child’s teacher, if he or she is available, and let them know that identifying one or two key tasks per week would be more useful than a neverending stream of suggestions.

Remember that any work is not compulsory and your child will not be penalized if it isn’t done. The best way to approach anything sent by your children’s schools is to consider it a resource to leverage as you please, rather than the ticking time bomb of stress-producing homework.

Consider these less stressful homeschooling alternatives

Textbooks aren’t the only way to learn during coronavirus lockdown. There are many creative activities that provide great learning for kids, without binding them to traditional educational methods.

Creative activities are equally valuable for developing existing skills along with acquiring new ones, and the following activities are perfect for young children:

Drawing, coloring, and painting
Modeling with dough or clay
Reading together
Singing (particularly nursery rhymes)
Counting (whether this is beads and blocks or butterflies!)
Water or sand play
Den building

For older children, try these learning activities:

Brain puzzles like Sudoku, crosswords, and word searches
Free reading — feel free to move away from curriculum and let them choose their own materials
Online learning for kids, such as spelling or math apps
Jigsaw puzzles
Playing musical instruments or instructional video games
Baking and cooking
Planting a vegetable garden
Building with Legos
Listening to TED Talks
Researching topics online and presenting findings as a talk or powerpoint
Writing emails to family and friends
Watching educational and age-appropriate YouTube videos

Just remember that children need downtime to relax and recharge between meaningful activities. What this looks like depends on the needs of the individual child, but might include calling friends or family members, watching their favorite TV shows, playing games, reading, running in the garden, or playing with toys.

It’s also important that amidst the chaos, we find a few quiet moments with our children. Read, hug, or watch a movie. Talking to kids openly and honestly about the current situation, and the fact that even adults are trying to come to terms with these uncertain times, is the best way to help them manage overwhelming feelings.

A good rule of thumb is to listen first and talk second, letting your children lead the way with conversations about coronavirus and mental health.

How to build a routine that doesn’t revolve around homeschooling

Under any circumstances, children thrive with a good routine. Now more than ever, predictability is important in helping your child feel safe and secure.

Try to get up, do your morning routine, and eat breakfast at the same time. Build a couple of meaningful activities into your day and allow plenty of time for daily exercise, free play, and relaxation. Stick to your child’s usual bath and bedtime routine — getting enough sleep is vital.

You can also help protect your child’s mental health by ensuring that they eat a reasonably balanced diet that’s low in sugar and high in vegetables and whole grains, with lots of healthy snacks. Also feel free to indulge with sugary treats every once in a while.

Focus on your biggest responsibility

Right now, our job as parents must include showing our children how to manage anxiety in a healthy way. Anxiety is a recurring part of life and this is the perfect opportunity to teach children how to cope with it and respond with strength.

We can do this by being in the moment and staying adaptive to an ever-changing environment. Focus on what you have control over in the here and now, like the physical sensations in your body. Build awareness of how you feel in the present moment instead of thinking what might come to be in the future. Teach your child these strategies as well.

Also, help your child identify his or her worst fear. Get specific. Gaining clarity over exactly what we fear most oftentimes expands our acceptance and brings a sense of calm — we think “Hey, I can handle that.” This can lead to inner resilience and strength.

If children are struggling with anxiety, depression, isolation, eating disorders, or other negative behaviors, arrange for them to speak to a professional.

Lastly, it’s important to schedule time out for ourselves wherever possible. When we’re feeling calm and relaxed, it’s easier to keep our anxieties about homeschooling and parenting in perspective.

Tip: Check out these 9 self-care tips to beat isolation and loneliness.

Go easy on yourself and enjoy being a parent

Coping with the COVID-19 outbreak is a huge challenge, and we’re all anxious about the impact of the crisis on our children’s education and future prospects.

Instead of allowing our worries about homeschooling to spiral out of control, pursuing unrealistic targets and berating ourselves when we fail to meet them, we can focus on what can be done in the here and now to protect our own and our children’s mental health.

If you need help navigating these tough times and dealing with parenting challenges, relationship issues, depression, overwhelm, fear, anxiety, or similar issues, please schedule a virtual telehealth appointment with me.

I am offering a sliding scale for anyone who needs assistance.

The post Forget Homeschooling, It’s More Important to Keep Kids Mentally Healthy appeared first on Serene Shift.

Self-Care During Coronavirus: 9 Tips to Beat Loneliness and Isolation

sereneshift — Mon, 23 Mar 2020 17:05:50 +0000

Self-Care During Coronavirus: 9 Tips to Beat Loneliness and Isolation.

With California recently announcing a statewide shelter in place order aimed at preventing the spread of Coronavirus, it looks like many of us are going to be hunkered down at home for the foreseeable future.

While good for public health, this isolation can take a toll on your psyche. Under the best of times, retreating from the world can easily lead to loneliness, anxiety and depression, and physical symptoms related to these mental health challenges.

Add in the additional stresses that millions of us are now dealing with–health concerns, job loss, worrying about bills, keeping kids engaged with e-learning–and the chances of feeling isolated, lonely, and anxious go way up. Fortunately, there are steps you can take during Coronavirus lockdown to:

Ward off loneliness
Feel connected with your community and social circles
De-stress
Feel less anxious
Establish good, balanced mental health

Read on to discover these strategies for better self-care during challenging times.

1-Name your emotions

Take a moment to assess how you’re feeling. Do you feel anxious? Depressed? Overwhelmed?

Try naming your emotions and identifying the feeling with an explanation. For example, “I’m anxious in my chest right now because I’m worried about draining my finances.” It sounds simple, but it really can help you calmly assess your emotions and lead to a greater sense of control and balance.

2-Find a routine that works for you

Humans are habitual creatures. Routines are comforting and help us make sense of life’s chaos. If you’re no longer going into the office or attending happy hour like normal, you might feel a little lost or unproductive.

Create a new routine. Set realistic, manageable goals for yourself and follow a ritual that makes sense for you.

Maintain good sleep hygiene: Wake up and go to bed at the same time every day. Keep your bedroom a quiet, calm space.
Exercise in any way you can–if possible, get outside and go on a walk with your spouse or your dog.
Eat a healthy, balanced diet, with set mealtimes and regular snacks.
Set boundaries between work from home time and personal time.
Feel free to binge Netflix but be mindful of how many hours you spend in front of the TV.

3-Keep in touch (without touching)

Suddenly being cut off from friends, family, coworkers, and small everyday social interactions can severely impact your mental health during times of crisis. Positive social support improves our resilience for coping with stress, even when practiced at a distance.

Catch up with your next door neighbors over the garden fence (keeping a distance of at least 6 feet) or host an event from your balcony.

4-Use tech tools

Use FaceTime or Skype for video calling. These are not only great tools for remote working and communicating with friends and family, they are also a fantastic way to keep small children occupied on a call with grandparents while you take care of household chores or catch up on work. Businesses are even using video tools to host virtual happy hours.

Email, text messages, and messaging apps (WhatsApp, Slack, etc.) can also help you feel like part of the group again.

Start group messages for family where you regularly check in and share updates
Swap photos of your creative indoor activities with friends
Create a thread with your coworkers where you share your best moments from the day, favorite work from home tips, and maybe even photos of your fluffy coworkers (your pets!)

5-Be “social”… but not too social

Sites like Twitter and Facebook can be a breeding ground for gossip and misinformation about Coronavirus, so exercise caution. Instead of endlessly scrolling through posts containing conflicting information, use social media to join support groups for those in similar situations to yourself, such as those homeschooling their kids or supporting elderly relatives.

6-Enjoy quality time with housemates

If you’re in Coronavirus lockdown with family members or roommates, check in with the people you are living with. This is a great opportunity to work on your existing relationships and spend quality time together, from playing with your kids in the garden or enjoying family activities like baking and painting. Coming together in these moments is a great way to collectively fight anxiety and depression.

7-Enjoy quality time with yourself

Looking after yourself well, and learning how and when to soothe yourself when lockdown or social distancing get tough, will be essential to getting through the coming weeks and months. Here are just a few ideas.

Treat yourself to a DIY massage, manicure, or pedicure.
Take a hot bath.
Curl up with a good book.
Write in a journal.
Try a fitness or yoga routine from YouTube.
Do guided meditation.
Doodle or enjoy a coloring book.

8-Know yourself

Some people can be more prone to feelings of anxiety, depression, or loneliness during social distancing and lockdown, such as people with a history of these challenges, elderly people who live alone, single parents with young children, and those who recently lost jobs (and the social and financial support that those jobs provided).

If you’ve experienced anxiety or depression in the past or you feel that you’re more prone to isolation and loneliness right now, make self-care a special priority and be aware that you may need to reach out to a professional for extra help.

9-Focus on balance

Self-care is more important than ever during these tough times. By creating balance in your mind, body, and spirit, you can find the calm that leads to clarity, ward off anxiety and depression, and gain the strength to make decisions that best support you and your family.

If you need help creating balance in your life right now, please schedule a virtual appointment with me. I specialize in assisting teens and adults with depression, anxiety disorders, parenting challenges, and more.

The post Self-Care During Coronavirus: 9 Tips to Beat Loneliness and Isolation appeared first on Serene Shift.

Anxiety over Coronavirus? Here are 5 ways to find calm during chaos

sereneshift — Wed, 18 Mar 2020 20:30:56 +0000

Anxiety Over Coronavirus? Here are 5 Ways to Find Calm During Chaos.

With breaking news about Coronavirus (COVID-19) circulating every hour and stores selling out of food, your world may feel a little out of control.

It’s natural to be more anxious than normal, especially when there’s so much misinformation and wild rumor about the Coronavirus. The good news is that although you may not feel like it, you’re still completely in control of your life and your thoughts. You don’t have to feel anxious.

In this article, I’m sharing time-tested tips for identifying and managing anxiety during chaotic times. These are the same strategies that I use with my clients to help them reach clarity during a crisis, feel calmer, and ward off stress and worry.

First things first: is it worry or anxiety?

Day-to-day life can include moments of anxiety even at the best of times. Unexpected events like terrorist attacks or pandemics, however, are more likely to raise our baseline anxiety levels to the point where we struggle to do everyday activities like leaving the house, sleeping or eating a balanced diet.

When anxiety spirals out of control, this can lead to a condition known as Generalized Anxiety Disorder (GAD). Symptoms of GAD include:

Feelings of impending danger, panic, or dread
Tension
Increased sweating
Muscle twitching
Weakness and lethargy
Problems with sleeping
Undereating or overeating
Trouble concentrating on anything other than worries
Rapid heart rate and breathing

How to calm anxiety during a crisis

If you’ve started experiencing any of these anxiety symptoms since the outbreak of Coronavirus or have noticed an increase in their severity, there are many steps you can take to ease your suffering.

1. Be specific

When approaching any anxiety provoking situation, it’s important to be specific about what we fear. This can bring some sense of balance and a little more control to uncertain situations – after all, anxiety and fear are often about ‘not knowing.’

These simple steps will help you identify, investigate, and address your fears surrounding the coronavirus pandemic.

Be specific about what your fear is. For example, becoming sick, losing money in the stock market, losing your job, or the death of a loved one.
Ask yourself, “If this worst case scenario comes true, what will this look like and how will I handle it?”
Truly examine the odds of this actually happening to you, using a credible source rather than hearsay or cyclical thoughts.
What can you do in this moment, if anything, to prevent your worst fears from happening?
Integrate mindfulness tactics focused on being calm and present, like conscious breathing with self-soothing techniques, positive self talk, self-massage, and self-holding.

When we move towards and welcome our fears rather than resisting and running away from them, we can build strength around what we are most frightened of.

2. Stop the information overload

Rather than listening to gossip on social media or sensationalized reports from unreliable sources, take your information about the spread of Coronavirus from reliable sources such as:

CDC (Centers for Disease Control and Prevention)
WHO (World Health Organization), which recently added a myth-busters page to its information on COVID-19.

Getting information from reputable sources is a great way to cut through the over-dramatized rumors that often cause panic and anxiety.

3. Set healthy boundaries

If you find yourself obsessively checking for new information or constantly discussing the Coronavirus, start setting boundaries. Limit the amount of time you can spend focusing on Coronavirus.

Do something personally fulfilling with those freed up hours, such as an at-home yoga session, baking cookies with the kids, or playing chess or cards online or via FaceTime with an elderly relative.

By getting away from the frantic news cycle that lends itself to anxiety, fear, and panic, you may feel much more calm and centered. This is particularly important for children and teenagers, who can more easily lose a sense of security and become fearful in response to chaotic surroundings and emotions.

4. Enjoy mindful minutes

Mindfulness helps us manage anxiety by teaching us awareness of our physical and mental states – allowing us to ‘check in’ with ourselves and regain some control of our thoughts, emotions, and physical sensations.

There are many ways to practice mindfulness throughout your day to ease anxious feelings:

Do a guided meditation or mindfulness practice. Try apps like Headspace or Calm, or put on a free YouTube video.
Doodle, color, draw, or paint.
Go for a walk.
Express your gratitude for others.
Turn your attention outward. Look up and around you to draw focus from internal (worry) to external (noticing others). Notice the sights and smells around you.
Become aware of your breathing. Take slow, deliberate breaths. Inhale through your nose and exhale through your mouth. Feel the breath flowing through your body.

5. Practice self-care

Many simple activities, when practiced daily, can have a powerful effect on managing anxiety:

Eating a healthy, balanced diet
Avoiding alcohol, caffeine, and sugar
Getting enough sleep
Exercising
Spending time in nature (research has shown that getting outdoors can lead to fewer negative thoughts, less anxiety, and lower stress!)
Counting to ten slowly
Taking a few quiet minutes for yourself
Talking to friends and family when you’re feeling overwhelmed

6. Do what you can, accept what you can’t control

Part of managing anxiety is letting go and accepting that you cannot control everything. The threat posed by Coronavirus is real, but there is only so much we can do as individuals to minimize risks.

Take the practical steps you can, including the following expert advice for limiting the spread of Coronavirus.

Wash your hands with soap and water regularly and thoroughly.
When coughing or sneezing, cover your mouth and nose with a tissue or sleeve (not your hands).
Place used tissues in the trash immediately.
Avoid close contact with people who are unwell.
Avoid gatherings of people.
Contact a doctor for advice if you experience Coronavirus symptoms (a dry cough, high temperature, or shortness of breath).
If possible, stay at home and ask family members to stay at home.

Outside of these practical steps, there’s not much you can do (at least at the time of writing this article). Accept that you have to let go of worrying about things that you can’t control.

If you or your teenage children need help managing anxiety during this chaotic time…

I’m here to help. Anxiety can manifest physically in the body if experienced long-term, and can also be associated with other disorders such as depression. Left untreated, anxious and negative thoughts can negatively impact your quality of life.

In these high-anxiety times, let’s work together to let go of negative thoughts and put you on a path toward calm and peace. Schedule a Skype appointment with me now.

The post Anxiety over Coronavirus? Here are 5 ways to find calm during chaos appeared first on Serene Shift.

7 Ways to Guide Your Child Through Tragedy

sereneshift — Mon, 27 Jan 2020 11:00:30 +0000

7 Ways to Guide Your Child Through Tragedy

The sudden death of Kobe Bryant, his young daughter Gianna, and seven others in a tragic helicopter accident have left families shaken, particularly around my Newport Beach community where many of the victims called home. During tough times like these, parents often struggle to help their children process news and work through intense emotions like anxiety, fear, and depression.

In this article, you will learn how to guide your child through a tragedy, particularly events that affect your larger community. We will discuss:

How to move past traumatic news event that can keep us stuck
Ways to make sense of news about a tragic death
Tips for ensuring we don’t fall into unhealthy patterns during grieving
How to respond positively for our children during tough times

How tragic current events can impact children

Most of us, including children and teenagers, hear news on TV, social media, and text quickly and often. News channels may break a story and then continue to play the same chaotic scene or coverage over and over again, overdramatizing coverage or adding misinformation.

Repeated exposure to these frantic news cycles can cause anxiety and obsessive ruminating thoughts in teenagers and children. It’s not uncommon for children to lose a sense of security and become fearful, developing fear as a defense mechanism to feel more in control of their chaotic surroundings and emotions.

These fears may be directly related to the situation at hand. For example, after hearing news of Kobe Bryant’s death, it’s understandable for children to become afraid of anything related to flying, helicopters, death, being away from home, or being alone.

Discovering a traumatic death on the news can also trigger other emotions from past trauma or a past death, such as the death of a grandparent, which can increase anxiety, fear, depression, insomnia, and repeated negative thinking.

Strategies to help your family through tough times

We need to be careful about what our children are exposed to and model healthy coping behaviors during difficult times. Assisting your child with developing healthy, sustainable coping skills is vital to ensuring they do not pursue unhealthy behaviors that create more suffering.

That brings us to the million-dollar question: how can we best teach our children to embrace tragedy with more strength?

1- You’ve probably heard the phrase “Put your own oxygen mask on first.” After hearing tragic news, identify what you need in any given moment for your own support. Ground yourself and treat yourself with compassion to create internal strength, so you can better assist your family.

2- Monitor your child’s social media, device, and TV exposure. Try to avoid having the TV on all day.

3- Be aware and notice any behavior that is not typical of your child. If they want space, this might be normal, but keep an eye out for any extreme or atypical behaviors such as: lack of appetite, not sleeping, isolation, not socializing, and extreme anger. Seek help if you notice extreme or dangerous behaviors.

4- After tragedy, you might be tempted to isolate yourself and avoid socializing or talking about tough topics. Your child, however, may need to work through questions and emotions by talking. If that’s the case, listen with full attention and focus when your child is talking to you. Make eye contact and show them that you are listening.

5- Similarly, be open to answering difficult questions if they are age-appropriate.

6- It’s okay to not know everything. Feel free to say “I don’t know” or “That’s a good question.” Sometimes just listening to your child is more meaningful than knowing all the answers.

7- Allow space for your child to experience any emotions, and try your best to assist them in staying present with their emotions and embracing them with kindness.

Experiencing difficult emotions is part of the healing process, so go through this process with your child, embracing it with loving, connected presence. Responding to a tragedy is never easy but it can be a wonderful opportunity to help your child and bring your family closer together.

If you need further guidance during tough times, please don’t be afraid to reach out for professional help. Make a virtual or in-person appointment today.

The post 7 Ways to Guide Your Child Through Tragedy appeared first on Serene Shift.