anxiety management

5 Paths To Discovering Your Body's Wisdom

Connect with your body’s wisdom

Connect with your body’s wisdom

Our bodies hold so much wisdom, intuition and awareness of how we’re feeling—yet we’ve become unaccustomed to listening or paying attention to what it’s telling us. Round-the-clock access to social media, news and entertainment can keep our attention and energy focused outward, increasing our lack of connection with our body and our desire to tune out instead of tune in.

Building a connection with the internal world of your body can help you heal from trauma, childhood emotional neglect and difficult life experiences. It also helps you feel more at peace and builds compassionate acceptance of self. 

Practicing mindfulness can help ground you.  As you start paying attention and become more aware of your body’s sensations, you grow more used to them—and more comfortable with the feelings that bubble up.

You might begin to recognize that some of those feelings are from long ago—that you’re not actually experiencing the pain right now, you’re just remembering. The growing awareness reinforces your understanding that the sensations and feelings in your body come and go all the time. Knowing that helps us feels less stuck.

Here are five ways to help you tune in to your body:

yoga and meditation can help you connect with your body

yoga and meditation can help you connect with your body

1. Yoga: Yoga is a mindful body-based exercise. Throughout the practice you’re checking in with your body, feeling the movement, paying attention to your breath and tuning into where your body is at that moment. Yoga helps you bring attention to the different parts of your body with compassion as you move. There are lots of different types of yoga—Hatha, Iyengar, Bikram, Kundalini, Ashtanga, just to name a few—so if you try one style and don’t like it, try a different one!

2. Body scan: The body scan is a meditation that gradually brings your attention from your head to your toes. This particular mediation has been shown to help people who struggle with chronic pain, but you don’t have to be suffering to enjoy the benefits of allowing your body to be where it is at any given moment, whether it’s relaxed, numb, tense or in pain. You can find a guided body scan here.

3. Meditation: Mindful meditations bring your awareness to your breath or another anchor. Each time your mind wanders, you bring it back to the anchor. As you meditate regularly, you begin to notice that your body reacts when you get caught up in thoughts, worries or plans. Practicing meditation helps you bring your awareness back again and again to a place of non-judgment, of non-reactivity and a place of calm.

4. Mindful walking: When you walk mindfully, you tune in to your body’s movements as you travel. You can do it indoors or out. Your body becomes your focus. You might sense how the earth feels under your feet, how the breeze feels on your skin or the sun on your face. You might notice the temperature of the air, or how your arms move and your hips sway as you walk. Maybe you can even feel some gratitude for the body that carries you throughout your day without you paying much attention to it. Here’s a guided mindful walking exercise to try.

5. Somatic interventions in therapy: If you’ve experienced trauma, you might not feel safe bringing more awareness to your body. Certain forms of therapy can help you get in touch with your body in the safe space of the therapist’s office. The therapist works with you to help you feel more grounded and present in your body. You work at your own pace and explore strategies to help you soothe yourself when you feel overwhelmed.

As with all new things, take your time, explore the different options and be compassionate for where you are on this journey. You’ll begin to open a path to a better understanding of what you’re feeling at any given moment.

In this week’s episode of the Woman Worriers podcast I talk about why body awareness is so vital to creating a better connection with yourself, and I share a guided exercise to help you tune in to your body.

Next week, we dive deeper into finding connection with the body on the podcast with my guest Lynn Fraser.

For readers who live in the Baltimore/Annapolis area, mindfulness groups are now forming for March. If you’re interested, you can find out more about the groups here.


If you enjoyed this blog post and would like more insights into living with anxiety, tune into the Woman Worriers podcast. In each weekly 30-minute episode, host Elizabeth Cush, LCPC, and her guests explore living with anxiety, relationships, parenting, surviving trauma and other topics and offer insights into mindfulness, meditation and other helpful resources.

Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979

 

11 Subtle Signs That You Might Be Anxious

Insomnia can be a sign of underlying anxiety

Insomnia can be a sign of underlying anxiety

Anxiety doesn’t look the same for everyone. It’s not always obvious. Anxiety can have subtle influences on your thoughts, behaviors and feelings. It shows up in different ways for different people.

The way you were raised, the experiences you’ve had in your lifetime, and your biology/genetics can all affect how you experience anxiety. Those factors can determine when you are likely to feel anxious, what you feel like when you’re anxious and how you respond to situations and things that make you feel anxious. That’s because anxiety is often triggered by an emotional memory that is stored both in the brain and in the body.

Here are a few traits and behaviors that might mean you’re anxious:

  1. Procrastination. If you constantly put things off because it feels uncomfortable to move forward, or you worry that you won’t be able to do something “right,” you might be anxious. If you find that you procrastinate a lot, putting things off might be a sign that you have anxiety about your abilities or about being judged by others.

  2. Perfectionism. Perfectionism and procrastination sometimes go hand in hand. You want things done perfectly. If you don’t think that will happen, you procrastinate. In reality, sometimes perfectionism leads to over-doing and over-thinking. Giving 110 percent to everything in your life might really be a sign of your anxiety working overtime. Part of you believes that avoiding mistakes, being perfect, going above and beyond in all areas of your life will keep you from feeling uncomfortable. Unfortunately, it often leads to exhaustion and burn-out. 

  3. Phobias of any kind. You might be afraid to cross bridges in a car, afraid of spiders or flying insects, or afraid of flying. No matter what you’re fearful of, if it gets in the way of daily activities, it’s probably due to your anxiety about the unexpected the unknown and the unpredictable.

  4. Fear of new situations. Do you avoid going places you’ve never been or being with people you’ve never met? It might be that your anxiety is making it hard to be in new situations because there are so many unknowns and things you can’t control.

  5. Indecision. Is it hard for you to make seemingly small choices? Do I exercise or not? Should I have the chicken or fish? Do I walk or drive? Sometimes small things can be very difficult to decide when you’re anxious. You feel stuck in the middle, unable to move toward either choice.

  6. Irritability. When anxiety starts to bubble up, it can leave you feeling uncomfortable. That discomfort can make you very irritable, especially if you’re trying to control uncontrollable situations. You might snap at your partner, friends or children for no reason at all, except that you’re anxious.

  7. Extreme distress when things don’t go as planned. Trying to control people, places and things is a hallmark behavior of an anxious person. You might think, “If I can keep everything under control, then I’ll feel calm.” But life is uncontrollable, so it’s a losing battle. The fight for control usually leads to more anxiety, because so little is really within your control.

  8. Insomnia. If you find that on many nights you lie tossing and turning, or just lie in bed awake, it might be due to anxiety. Anxiety can make it hard to turn off your mind and relax your body enough to fall asleep.

  9. Worrying all the time. We all worry sometimes, but if you find you worry all the time — and maybe worry about how much you’re worrying — you probably have some underlying anxiety.

  10. Assuming the worst. Worrying and assuming the worst are often partners in crime. If you find that you’re always thinking about all of the worst possible outcomes, and you tell yourself you just want to be prepared for what might happen, there’s usually some anxiety there below the surface. The problem is, we can’t control what might or might not happen. All that worrying about bad things just makes you more anxious.

  11. Frequent stomachaches or headaches. Anxiety has both emotional and physical symptoms. Frequent stomachaches, headaches, chest tightening, difficulty swallowing, feeling flushed and increased heart rate are a few of the physical symptoms of anxiety. If you’re experiencing one or more of these symptoms pretty regularly, and you’ve seen your doctor to rule out any health issues, you might be experiencing some anxiety.

Anxiety can take a toll on our daily life and our physical and emotional health. You don’t have to struggle with this alone. Know that others struggle, too, and that you can get help. Therapy, mindfulness practices, meditation and medication can help you better manage the anxiety so you can live your life with more ease and contentment.

On the Woman Worriers podcast this week:

If you’re anxious, does that mean you’re an introvert? Does being an introvert means you’re shy? In this episode of Woman Worriers, I talk with Nicole Burgess—a marriage and family therapist and life coach, an empowerment mentor for introverted women, and an introvert herself— clear up many myths and misperceptions about introversion. They also talk about how introverted women can come to find and embrace their unique strengths and find the quiet groundedness they crave.


 Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979. 

 

 

What Helps Manage Anxiety During The Holidays?

holiday stress.jpg

The holidays can be stressful. Even if Christmas, Chanukah, Boxing Day, Diwali or Kwanzaa is your favorite holiday, this season can add stress to your life. And stress can invite its more difficult cousin — anxiety — to the celebration.

Because anxiety often makes us feel uncomfortable, many of us avoid or fight the anxiety in an attempt to make it stop. Those strategies might work sometimes, but usually the anxiety returns with greater force and can lead to a panic attack.

Below are some strategies to help you manage the anxiety so that you can enjoy the holidays!

Remind yourself that you’re not alone. A lot of people struggle with anxiety during holiday season. Knowing that you share this experience with others can help you feel less isolated and alone.

Acknowledge your anxiety and allow to be there. Think of the anxiety as a message from your body telling you that there’s some kind of danger lurking. Your anxiety wants to keep you safe. When you ignore or avoid it, it just gets louder, because it wants you to pay attention. Practice saying, “I’m feeling very anxious right now.” Or you can greet your anxiety like an old friend: “Hello anxiety. It’s nice to see you again.” Or, “Here you are again.” Then ask it, “What is it that you want me to know?” You might not find an obvious answer right away, but as you get used to talking with your anxiety, it can make the feelings less intense.

Get curious about your anxiety. Notice where you feel the stress in your body and tune into the physical feelings. Can you breathe into that body part? Does is shift or change? Is it hot or cold? If you could assign it a color and/or shape, what would it look like?

Tune into the present moment

Practice self-care. I’m not talking about facials or mani-pedis here — although they sound like great ideas, too. I’m talking basic needs like eating, hydrating, sleeping, exercising and going to the bathroom regularly. When we get stressed, anxious and overwhelmed, it’s easy to let go of or put off the moment-to-moment needs. So, take time throughout your day to pause. Take a deep breath. Ask yourself, “What do I need right now?” Notice how easy it is to tell yourself you don’t have time to pause or to take care of your needs, and then do it anyway.

Practice mindfulness. When the anxiety gets activated, we can get stuck ruminating over past and future events. When you notice you’re stuck in your head—re-thinking, planning, worrying — slow down and bring your attention to your immediate surroundings. It doesn’t matter where you are. You can pay attention when you’re driving, walking, shopping, laying in bed or at work. Tune into your five senses:

  • What can you see? Colors? Shapes? Lights? Shadows?

  • What can you hear? Horns? Cars? Music? Voices? Wind? Rain?

  • What can you touch or feel? Your feet on the ground? The chair under your butt? Your hands holding your keys or a drink?

  • What can you smell? Food cooking? Exhaust from cars or busses? Scented candles or perfume?

  • What can you taste? Sweet, salty, bitter, sour?

When you allow your anxiety to serve as a reminder that you might need to take care of yourself, it can help you feel less intimidated and overwhelmed when it shows up. I’ve also recorded two podcast episodes to help you manage holiday stress using gratitude, self-compassion and mindfulness techniques.


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979. 




 

 

 

 

Nine Helpful Tips For Stressful Holidays

Handling The Holidays When You Don’t Feel Like Celebrating  

Holidays can overwhelm

Holidays can overwhelm

The holidays are here in full force with all the associated decorations, music, advertisements and crowds. For some, the season is a joyful, happy time; for others it can be difficult, stressful, even painful. Lots of articles focus on how to manage holiday stress — how to fit it all in without feeling overwhelmed. This  isn’t one of them. This post is for anyone who is struggling this holiday season.

Maybe your memories of holidays aren’t happy ones. Maybe you’ve lost someone, and celebrating seems impossible. Maybe you feel disconnected and lonely, or you’re living far from family and can’t get back to be with them. Maybe just the thought of spending time with family makes you anxious, depressed or stressed. Regardless of what you’re struggling with, if the holidays don’t seem like a time to celebrate, the constant seasonal reminders can make you feel pretty terrible. Below are nine tips to help you manage your anxiety or depression through the holiday season.

 9 Tips For Holiday Stress

  1. Take care of yourself. When we feel down or anxious, self-care is usually the first thing we drop. Taking care of yourself can be as easy as taking a bath, a walk or a drink of water. Whatever you do, it’s important to be kind to yourself when you’re struggling. If you need tips for practicing self-compassion, you can find some here.

  2. Manage expectations. Whether you’re spending time with family or friends, or you’re alone for the holidays, it can be helpful to manage your expectations. If your family or your friends are dysfunctional, combative, unsupportive or hard to be around, don’t expect them to be different or the holidays to be amazing. If you have friends who don’t connect unless you reach out first, don’t expect them to reach out just because you’re feeling down. Knowing that the holidays won’t provide a happy elixir to make all your troubles disappear can help you let go of the media’s portrayal of what the holidays “should” be.

  3. Create things to do. Whether you’re with family and friends or alone, having things to do can give you a sense of purpose and offer a distraction from holiday “stuff.” Planning a long walk, going to the movies, volunteering or traveling can provide some relief from holiday overload.

  4. Limit your exposure. Take your own car or have a separate mode of transportation, so you escape from a holiday celebration early if needed. Knowing you’re in control of when you leave can be very liberating.

  5. Find support. Reach out to those in your life who provide positive support if you’re feeling depressed and anxious. Connecting with others can be hard to do if you’re struggling, but it can provide a sense of belonging and meaning.

  6. Take time to be mindful. When we’re anxious, it’s often because we’re thinking about past or future events that make us uncomfortable. If you find that you’re rehashing the argument you had during last year’s holidays or worrying about what might happen this year, take a moment to pay attention to where you are. What do you see, smell or hear? What can you touch or taste? Being present in the moment can help get you out of your head and can ground and calm you.

  7. Feel what you feel. Allow yourself to feel your emotions. If you’re mourning a loss, feeling lonely, sad, angry, whatever… try not to push those uncomfortable feelings away. Instead, sit quietly for a moment and try to get in touch with them. Acknowledge and allow the pain, sorrow, loss or anger, and offer yourself, as you would a good friend, some compassion and kindness in this difficult time.

  8. Pause.  Things can get very busy around the holidays. Taking time to slow down, pause and reflect on your environment and your needs can be very nourishing. A great place to do this is in the bathroom. Take a moment to breathe deeply, look at yourself in the mirror, smile and take another deep breath.

  9. Get a good night’s sleep. Your body and mind need sleep to reset. If you’re burning the candle at both ends you probably go to bed stressed and wake up stressed. Make your bedtime routine a priority and try to get seven to eight hours of sleep every night. Your body and brain will thank you! You can find out more about sleep and stress here.

 

If you feel that managing the holidays seems too hard to do alone, counseling can help. Therapy can give you support, connection and a non-judgmental space to talk about what’s happening for you.

If you’d like help this holiday and aren’t sure if counseling is right for you, email or call (410) 339-1979 to set up a 15-minute free consultation.


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md and she’s been featured in these major publications. Elizabeth helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual, online and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Johannes Hofmann on Unsplash

 

Natural Ways To Manage Anxiety

Managing anxiety naturally

Managing anxiety naturally

Nine Ways To Help Anxiety Naturally

Anxiety management strategies are a very personal choice. What works for some doesn’t always work for others. Some clients choose to take medication to help lessen their anxiety but many come to see me for therapy because they’re looking for alternative ways to manage.

Do you have anxiety? Have you wondered if you can manage it without medication? You may be able to! In my post for Good Therapy this month I share with you nine strategies that provide a starting place. You can find Want To Manage Anxiety Naturally? Here Are Nine Ways To Begin here.

Essential Oils: Can They Help With Anxiety?

I also interviewed Deb Del Vecchio-Scully for the Woman Worriers podcast last month and she shared why essential oils work so well and so quickly and which essential oils works best when you’re anxious. You can find the episode here.

I hope you find these helpful! If you’re local to the Annapolis area I will be starting Mindfulness Groups for women beginning this Fall. If you’ve wanted to bring more mindfulness into your life but aren’t sure how, or you’d like support in your mindfulness practice I’d love to talk to you!


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Ksenia Makagonova on Unsplash

Manage Anxiety With Mindfulness & Meditation

Meditation and mindfulness can ease anxiety

Meditation and mindfulness can ease anxiety

If you’ve read my blogs or listened to my podcast, you know that I’ve struggled with anxiety throughout my life. I also share that my mindfulness practice, including meditation, has made a huge difference in how I feel and how I view my anxiety. I went from hating my anxiety and avoiding it to learning to appreciate it as my body’s signal that something doesn’t feel right.

Turning toward, instead of away from, the anxiety opens up space to allow the feelings to come and go. Feeling the feelings without judgment allows your body to understand that the situation you’re worrying over isn’t life or death — that it’s not going to last forever. It’s just a worry you’re struggling with right now. That non-judgmental awareness gives you the space to be more present in the moment for whatever is happening right here, right now.

In the end, just three things matter:
How well we have lived
How well we have loved
How well we have learned to let go
— Jack Kornfield

Mindfulness can help you learn to live with and allow difficult uncomfortable feelings. It brings a greater awareness of self, and that helps you feel connected to yourself and to others.

3 Mindful Activities For Managing Anxiety

So how do we bring more mindfulness into our daily lives? Here are three tips to get you started:

1. Practice mindful meditation every day.

If you’ve never meditated before, this can be a challenge so start small — five minutes a day. If you’d like help getting started, you can request FREE Get Started Meditating Guide and find some guided meditations here .

The goal of mindful meditation isn’t to clear your mind of all thoughts. The goal is to notice each time your mind wanders and bring your attention back to an anchor of your choosing — your breath, a sound, a sensation or something else.

“If you want to conquer the anxiety of life, live in the moment, live in the breath.”
— Amit Ray, Om Chanting and Meditation

2. Pick one activity a day and single-task.

What is single-tasking? It’s the opposite of multi-tasking! Pay attention to your five senses while performing a single task. You can choose any daily activity you usually do without thinking — like brushing your teeth, washing dishes, driving your car, walking your dog…. You get the idea.

Instead of tuning out or being inside your head or on your phone, bring a mindful attention to the activity. What do you see? What colors, shapes, objects? What can you feel? Do you feel water running on your hands, the ground under your feet, the toothbrush on your gums? What are the smells? Does the soap have a scent, or do you smell flowers blooming? What noises and sounds do you hear? What do you taste? Each time your mind wanders, gently bring your attention back to your senses and the task you chose.

People usually consider walking on water or in thin air a miracle. But I think the real miracle is not to walk either on water or in thin air, but to walk on earth. Every day we are engaged in a miracle which we don’t even recognize: a blue sky, white clouds, green leaves, the black, curious eyes of a child—our own two eyes. All is a miracle.
— Thich Nhat Hanh

3. Tune into and name your feelings.

As you begin meditating and being more mindful, you might begin to notice that feelings arise, sometimes without warning. When we’re more in tune with our bodies and ourselves, our feelings become more present. As you notice discomfort or joy, take some time to pause. Feel what you’re feeling. See if you can name what the feeling is, without judgment. Say the name of feeling aloud or to yourself, and see if the word resonates with you. If not, try to pick a different word that might describe what you’re feeling. If you find yourself judging yourself about how you feel, remind yourself, “All feelings are welcome.”

One is a great deal less anxious if one feels perfectly free to be anxious, and the same may be said of guilt.
— Alan W. Watts

If you’ve been meaning to start a mindfulness practice but keep putting it off, consider participating in a mindfulness group. Groups forming now will start in the fall. I will be holding Facebook Live events in August with weekly mindfulness tips to help you get you started. You can follow me on Facebook for more information on the live events.


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Antonika Chanel on Unsplash

Perfectionism and Anxiety

Striving For Perfection And Anxiety

Being perfect, never making mistakes or failing, would relieve a lot of stress! You could enter every task or challenge with the knowledge that you would succeed every time. How amazing would it be to be able to let go of all those insecurities, worries and anxieties when new, difficult life events happen? You could live your life with ease.

Unfortunately, if everyone were perfect, life would be pretty boring. We would’t learn or grow, because we’d already know how to do everything. As cliché as it sounds, imperfections make us human and make life more interesting.

Imperfections Can Create Anxieties #youareyourownworstenemy

woman on grass.jpg

When we believe that our mistakes reflect poorly on us, and when we feel that other people are constantly judging us for those mistakes or difficulties, it can create a lot of anxiety. You are your own worst enemy, because the perception that we need to be perfect all the time or people will criticize us often sets off a firestorm of critical self-talk:

  • I’m so stupid!
  • I can’t believe I just made a mistake!
  • What is wrong with me? I can’t get this right!
  • Now everyone will know I don’t know what I’m doing!
  • I shouldn’t have even tried!
  • I’ll never do that again!
  • I’m an idiot!

I’m pretty sure that you’d never say to others the hurtful things you say to yourself.  But when we feel vulnerable, the parts of us that want to protect us and keep us safe from harm jump in and start yelling. They criticize. They ridicule. Those parts of you believe that if they can get your attention, they’ll save you from making another mistake in the future.

Those self-protective parts think that the self-criticism will keep you on your toes for next time, but they can also encourage you to stop putting yourself out there, to stop you before you make the next mistake. Sadly, instead of making you feel better, fixing what went wrong or helping you learn from your mistakes, the negative self-talk leaves you feeling worthless, less-than and sometimes hopeless.

Soothing Our Critical Parts

So how do we break the cycle of beating ourselves up when we make mistakes? We do it through the practice of self-compassion.

smiling woman

If we can hold ourselves with the same compassion that we show to others, it can reduce stress and anxiety. When we allow ourselves to be imperfect, to embrace our imperfections, we’re able to approach life with more openness and ease.

Here are four steps to help bring more self-compassion into your life:

1. Start paying attention to your negative self-talk. When that negative voice pipes up, ask yourself, with curiosity, what prompted it? Try to identify what that part of you is afraid of or what you are worried about. Sometimes journaling when you’re most critical of yourself can help you identify the things in life that make you feel less-than. We call those things your triggers.

2. Make a note of the negative things you tell yourself and ask, “Would I say these things to a close friend?” If not, then say out loud or write down what you might tell a friend who was struggling with the same thing.

3. As you begin to recognize when you get triggered, and you become more aware of your negative self-talk, pay attention to those moments. When they arise, I want you to try to say to yourself with compassion, “Wow! I just said some really mean things to myself. I was ready to put myself down for not being perfect, and my critical parts jumped in without my noticing! I can be so hard on myself.”

4. Now, bring to mind the things you’d say to a close friend who was struggling and try to say them to yourself. If you’ve been hard on yourself for a long time, this takes a lot of practice. You might start by imagining what your good friend might say to you if they knew you were having a hard time.

When times are tough, it can help to remember that everyone struggles from time to time. It’s a part of the human experience. When you’re feeling overwhelmed or when that critical voice wants to berate and minimize your difficulties, try saying to yourself, “I’m struggling right now. We all struggle once in a while.” You can also place your hand on your heart and recite these phrases: “May I be peaceful. May I be safe. May I be healthy and may I live my life with ease.”

I hope these steps help you quiet your inner critic and bring more self-compassion into your life.


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by SHINE TANG & by Joshua Rawson-Harris on Unsplash

What's Your Body Telling You About Anxiety?

When you struggle with anxiety, sometimes you might wonder why you even get anxious in the first place. What purpose does it serve? And why does it make you feel so bad?

Over the years, while struggling to manage my own anxiety, I’ve learned that signs that I’m uncomfortable often show up before the anxiety is running full tilt. It might be a feeling of pressure in my chest. Sometimes my throat feels like it’s full of sand, or my belly feels hollow (like I have a pit in my stomach), depending on what’s making me uncomfortable and anxious.

My mindfulness practice has allowed me to be more aware of my body’s sensations in the moment when stressful things are happening (or I’m interpreting that the events are stressful). My body signals me long before I’m fully aware that the situation is overwhelming or triggering.

Where Do You Feel Anxiety?

worried woman.jpg

I ask clients to tune into their physical reactions when they’re talking about something stressful or difficult. When I ask, “Where do you feel that in your body?” they can often point or place their hand right where they feel it. Or is I ask, “What physical feelings do you have when your anxiety shows up?” Some clients can identify exactly where anxiety lives in them. For others, it’s a little harder to figure out, but usually clients at least have a general sense of some internal sensations.

Many times the body signals come before the anxiety is fully recognizable. Basically your body is telling you that you’re feeling something, usually something uncomfortable. It’s alerting you, wanting your attention and letting you know it’s time to tune in, it’s time to listen, it’s time to take care of yourself.

Tune Into Your Anxiety Through Your Body

So how do we learn to tune into our body so we can hear what it wants us to know?

Start a mindfulness practice. Mindfulness helps you become more aware of yourself — your reactions, your thoughts, your feelings and what’s happening inside your body. If you haven’t already recognized the patterns, you might begin to notice that when certain thoughts or feelings enter your consciousness, your body reacts to those thoughts and feelings in particular ways.

Practice yoga, tai chi or another form of movement. They help you learn to focus on the different parts of your body.

pausing woman.jpg

Start a meditation practice. Body scan meditations guide you from head to toe (or toe to head), gradually moving your non-judgmental awareness from one body part to another. It helps fine-tune your focus as you practice the meditation. It also brings an awareness of how your body holds stress and how the stress might change as you bring a conscious awareness to it.

Take a moment to pause. When you’re anticipating a stressful event or encounter, take a minute to pause. Take a few slow, deep breaths. Check in with yourself and ask “Where am I feeling this in my body right now?” If tuning into your body is something new, you might need to do it a few times before you’re able to pinpoint where you feel the stress. That’s okay. Be patient and keep tuning in.

Work with a therapist. The right therapist — one who’s been trained in somatic, movement or body awareness therapies — can help you work toward a greater understanding of your body and help you learn why it reacts the way it does.

As with all new habits and skills, getting in touch with your physical reactions can take some time and practice. Be gentle and compassionate with yourself on this journey!


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Tanja Heffner and by Caique Silva on  Unsplash

 

Your Inner Critic and Expectations Can Create Anxiety

The Inner Critic

worried woman.jpg

The inner critical part is something I write about and talk a lot about  a lot. That’s because it’s usually easy to identify and it can make us feel pretty terrible. This month my post, Does Your Inner Critic Fuel Anxiety? What Can You Learn Instead? for Good Therapy explores how our inner critic can often make us feel bad about our mistakes. But I also share that it's trying to protect us—and with a little practice, we can get it to be less critical. You can find it here.

Managing Expectations

In this week's Woman Worriers podcast I interview Agnes Wainman, PhD, of London Psychological Services. We talk about woman worriers and how the expectations that we learn from our culture and our own families can stand in the way of living a life that feels right. You can find it here.

You can tune in and subscribe to auto-download new podcast episodes to your Apple or Android device on IHeartRadio Spotify and on Stitcher. After you listen to a few episodes, please consider leaving an honest rating and review in iTunes  and let me know how you think this podcast might benefit women.

You can also follow the podcast on Twitter, Facebook and the Woman Worriers homepage.

Have a wonderful week!


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Kinga Cichewicz on Unsplash

Easing Your Anxiety When You’re Worried About A Loved One

I guest posted for Sharon Martin's blog Happily Imperfect on Psych Central. Here's her introduction followed by my post"
 

Have you spent a sleepless night worrying about a loved one? Perhaps it was your teenager who was out past curfew or your spouse who didn’t manage her diabetes. Feeling anxious in such a  situation is understandable. It’s scary to feel like things are out of your control and possibly heading for disaster.

When you have a loved one who is making “bad” decisions, worry can take over your life if you don’t know how to keep it in check. My colleague, Elizabeth Cush, an expert in treating anxiety, wrote this week’s blog post to support those of you who are experiencing worry and anxiety about a loved one.


Easing Your Anxiety When You’re Worried About A Loved One
by Elizabeth Cush, LCPC

woman worrying.jpg

It’s really hard to watch someone make bad or harmful choices or to see a loved one make decisions you wouldn’t have made given the same circumstances. Maybe you worry because:

  • They drink or smoke too much
  • They can’t control their anger
  • They quit their job
  • They hang out with “the wrong” people
  • They gamble
  • They don’t pay their bills

I know that as a mother, wife, and friend, I have had times when one or more of the people in my life did things that made me feel worried, angry, or hurt (and sometimes all three). It was hard not to get consumed by the worry. So, how do you stop worrying and quiet your mind when you’re concerned about a loved one but powerless to get him or her to change or make better decisions?

Anxiety shows up when we can’t control things

Relationships can create the perfect storm of emotional ups and downs, bringing with them waves of anxiety. We want the people in our lives to be happy. We don’t want them to struggle, to feel pain, or to cause pain and suffering, but we really can’t control a lot of what others do. That can bring on a lot of anxious feelings.

If you experience anxiety, this lack of control can make your anxiety worse. You might believe that if you could just control this thing — whether it’s someone else’s behaviors, life events, or future outcomes — then you would feel better. You stay awake worrying about what needs to be different, what needs to change, and how to make that happen. You get stuck in the “what ifs,” or “if onlys.” But the reality is that you can’t control many of the things going on around you. I might even venture to say you can’t control MOST things!

The need for control increases anxiety

My clients sometimes say, “if only my loved one wouldn’t __________ (you fill in the blanks). It’s ruining everything. I’ve told them time and again that they need to stop. I can’t sleep at night because I worry about what will happen.”

Worrying increases stress and it doesn’t create change or stop bad things from happening; it only makes you more stressed. I’m not saying that you shouldn’t worry about the people you love. I am saying is that the worry won’t make it better, and sometimes it makes you so stressed that it becomes hard to do anything else.

How to ease your anxiety when worries take over

So how do you ease the anxiety that arises when the people in your life aren’t cooperating? Here are seven steps to get you started:

  1. Take three slow deep breaths.
  2. Be curious about the part of you that wants to be able to control the behaviors of others. Maybe you say to yourself, “There’s a part of me that wants to keep things under control. I wonder what that part is afraid of?”
  3. Remind yourself that your anxiety is prompted by your fears about the future and of not being in control.
  4. Gently remind yourself that you can voice your concerns or opinions, but it’s up to others to make changes. A gentle reminder to yourself might be, “I can’t control what others choose to do or not do. I can only tell them how their behavior affects me and how I feel.”
  5. If the people in your life don’t change, be mindful that this might cause you distress. You might feel anxious or scared. You might say out loud,  “I’m so afraid because __________ isn’t changing. It makes me feel powerless and I worry about what might happen if they don’t change.”
  6. If someone’s behavior hurts you or puts you at risk, it’s important to create healthy boundaries or choose to spend time away from that person. If you’re not comfortable doing this, you might need to practice or get some support.
  7. Offer yourself some compassion. You might still feel worried about the people in your life. Saying to yourself, “This is really hard for me right now. I care about them, and I care about how they’re affecting me” creates a space where you can feel compassionate toward them and toward yourself.

Wanting the best for others is human. We want the people we love to make healthy choices, but that doesn’t always happen. If you need support and someone to help you work through the difficulty, seeing a therapist can provide a safe, non-judgmental space where you can share your feelings.


Elizabeth Cush, LCPC is a therapist, blogger,  creator and host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Kinga Cichewicz on Unsplash

Strategies For Dealing With Anxiety And Worry

Worrying and feeling anxious is normal; it’s how you assess and respond to potentially dangerous situations. But sometimes worry can take over your life. When that happens, you might need some strategies to help you let go of the worry and manage the anxiety.

5 Ways To Recognize That Worry And Anxiety Could Be Ruling Your Life

  1. Worrying keeps you from falling asleep or staying asleep most nights.
  2. It feels like your mind is always “on.”
  3. You rehash your conversations, actions or behaviors over and over again, wondering how you might have done things differently.
  4. When things don’t go as planned, you get frustrated, angry or scared.
  5. You’re irritable a lot of the time.
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All the worrying can make it hard to sleep well, and anxiety can cause headaches and stomachaches. Sometimes stress can be so intense that it can make it hard to swallow or eat because of the tightness in your throat or feelings of nausea.

If left unattended, all the stress and worrying can lead to an anxiety or panic attack. You might feel light headed. Your chest might feel constricted, and your breathing becomes shallow and fast. You might begin to sweat, see stars and feel like you’re going to faint. You might even worry that you’re having a heart attack.

Counseling For Anxiety

Often the worries and anxiety stem from things beyond our control, and the desire to control the uncontrollable fuels the stress.

Through counseling you begin to understand that your need for control might be rooted in a childhood that was filled with uncertainty or upheaval. Maybe you were left in charge of your siblings at a young age, or you were the moderator in your parent’s arguments. Counseling can help you understand how your childhood could have affected you as an adult.

Counseling can also help you understand that the constant worrying is a form of anxiety, and that all the worrying can have an impact on your mental and physical health. Through therapy, you can explore strategies to help you more easily accept the natural ups and downs of life, allowing you to let go of the need to control everything.

5 Strategies To Help You Let Go

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  1. Practice daily mindfulness. Mindfulness means paying closer attention to what is happening right now, with openness and compassion. It keeps you attuned to the here-and-now instead of worrying about past and future events. You can read more about practicing mindfulness and self-compassion here.
  2. Exercise regularly. Exercise releases the body’s natural “happiness” chemicals and hormones. It can also help you sleep better.
  3. Practice healthy sleep habits. A good night’s sleep can take the edge off, make you less irritable and activate your body’s immune system. The American Sleep Association has some great tips on how to promote good sleep habits here.
  4. Do yoga, get acupuncture or meditate. These alternative practices can help you relax your body and calm your mind.
  5. Get support. Talk to friends, family or a counselor. People often feel alone in their struggles. Sharing your experience can help you feel more connected and supported.

If you'd like more strategies on managing anxiety in the moment you can check out my podcast episode dedicated to anxiety here.

Achieving Emotional Balance

Through counseling and some lifestyle changes, you can live a more emotionally balanced life. If you would like to live your life with more balance, please email me or call me at Progression Counseling in Annapolis at 310-339-1979, for a free 15-minute consultation.

This week on the Woman Worriers I interview Dr. Jonice Webb where we explore why feelings of anxiety, emptiness and disconnect often have roots deep in seemingly happy childhoods. 


Elizabeth Cush, LCPC is a therapist, blogger,  host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Kinga Cichewicz & Nine Köpfer on Unsplash

 

 

How You Can Manage Your Anxiety

My specialty is working with women who have anxiety. But anxiety isn’t just a woman’s issue. Men and women both experience anxiety. The good news is that most anxiety management strategies are gender neutral, meaning anyone can use them! Managing anxiety often starts with good self-care, because if you’re not taking care of your most basic needs, your anxiety isn’t going anywhere.

The First 3 Steps Toward Managing Anxiety

Regular exercise can help with anxiety

Regular exercise can help with anxiety

  • Exercise: Exercise is different for everyone. Some of my clients have physical limitations that prevent them from doing strenuous exercise, and some are able to work out intensely every day. I encourage you to do what you can, and do it regularly. That means at least three times a week. Why? Because our bodies want to be used physically. They are hardwired that way. When you exercise regularly, your body releases endorphins, the chemicals that make you feel good naturally.
  • Nutrition: Our bodies need nutrition, so it’s important to pay attention to what you eat. A balanced diet also balances your body and your mind.  
  • Sleep: Get a good night’s sleep. I can’t say enough about how important sleep is for overall good health, and mental health especially. Research suggests that seven to nine hours of sleep a night is a basic requirement for most adults. Without enough sleep, your body and mind don’t have a chance to “reset.” So if you’re extremely stressed when you fall asleep and you only sleep for a few hours, it’s likely you’re waking up stressed. A good night’s sleep gives your body a chance to recharge and relax. If you need some tips on improving your quality of sleep, check out the National Sleep Foundation.

Daily Anxiety Management Ideas

Day to day, you can do several things to help you keep your stress and anxiety at manageable levels. Here a just a few to get you started:

Constantly searching the Internet can increase anxiety

Constantly searching the Internet can increase anxiety

  • Stop Googling. If you’re a worrier, chances are you check Google (or another search engine) a lot. Maybe you check out a disease symptoms, or plane accident statistics, or mental health issues. Unfortunately, searching for and finding answers that might confirm your worst suspicions only reinforces your anxiety. It tells your anxious brain that you were right to worry. It might even give you things to worry about that you weren’t aware of before your search. So when you get the urge to Google, put the phone down, walk away from the computer, take a walk, or take some slow deep breaths and allow that maybe it’s OK not to know this time.
  • Meditate. Your breath is a cheap, easy way to help you manage stress and anxiety. You can use your breath as an anchor in meditation, or use structured deep breathing methods. Either way, your breath is helpful in easing anxiety. Some other great benefits of meditating, according to this article in Healthline, include: stress reduction, promotion of emotional health, enhanced self-awareness, pain management, blood pressure regulation, increased focus, increased positive feelings toward self and others, controlling addictive behaviors.
  • Move. Anxiety often makes you feels stuck. That’s because when anxiety shows up, you can get caught in the freeze response. You feel powerless or frozen, which adds to your anxiety. I encourage physical movement when you’re feeling stuck. Walking mindfully, moving your arms across your body or swaying can help to activate the part of your brain that helps you feel unstuck.

Calling A Truce With Anxiety

I hope these strategies were helpful for you! I've launched a podcast soon called “Woman Worriers,” where I share more strategies on managing anxiety, but I'm also diving deep into why women are twice as likely as men to experience anxiety. I explore the psychological, biological, social and cultural issues that contribute to women's anxiety. I also share many strategies for anxiety management, like mindfulness, grounding techniques, meditation and other interventions that you can use to help stop fighting against your anxiety and call a truce in the battle.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Justyn Warner & Photo by Annie Spratt on Unsplash

 

 

 

 

Top 10 Questions About Therapy And My Counseling Practice

Progression Counseling Office

Progression Counseling Office

If you’ve thought about getting counseling but haven’t taken the first step, you probably have questions. Everybody does. In this post, I’ll share the questions I hear most often — and the answers. If I haven’t addressed your specific question here, please feel free to ask.

1. Do you take insurance?

New clients who call or email often ask this question first. Research shows that the most important component of effective therapy is the therapeutic relationship, which means that if you feel connected and aligned with your therapist, you’re more likely to feel better sooner. Regardless of whether you need to use insurance, my advice is to interview a few therapists to find the one you like who seems to truly understand what you need from therapy. Word of mouth, Google searches, your insurance company, Good Therapy and Psychology Today are good places to start looking for therapists in your area.

I am an Out-of Network provider, which means that you pay me my full fee and I give you paperwork to file with the insurance company for your partial reimbursement (if they provide out-of-network coverage).  But I understand that health costs are crazy, and being able to use insurance is a real consideration for many people.

2. Are you accepting new clients?

I am! I have openings for individual and group therapy.

3. How does counseling help?

The therapist should be someone you feel comfortable with, someone you trust, and someone you feel understands you and your perspective. When you find that, therapy provides a safe, supportive space for you to share your stuff. The therapist should also be qualified to do the kind of work you need. For instance, if you’ve experienced trauma in your life, you want a trauma-focused therapist. I you’re looking for therapy for your child, you want someone qualified to work with kids. 

Many clients either don’t know how they’re feeling at any given moment, or their emotional state feels like it’s in charge. For them, it feels as though their emotions are invisible or uncontrollable. Counseling can help through exploration and development of relaxation strategies, mindfulness and grounding techniques that help regulate emotional states — an important step in therapy. 

Therapists work at your pace to explore and bring to light life the events or feelings you want to understand better. They help you practice skills for coping when life circumstances trigger you. Counseling also gives you the opportunity to examine new and different perspectives about yourself and your life, creating greater self-awareness. When we feel connected to ourselves, it’s easier to feel more connected to others.

Working with women who struggle with anxiety is my specialty

Working with women who struggle with anxiety is my specialty

4. What’s your specialty?

I work best with women who struggle with anxiety. I experience anxiety myself and I know how hard it can be to feel like you’re always reacting instead of responding! I know how difficult it can be when anxiety affects your sleep, your peace of mind and your relationships. I’ve worked hard to manage my anxiety, and I want to help others on their journey.

5. Can you help me get rid of my anxiety?

I can’t. Being anxious is a natural state when we’re afraid and feel threatened, so it doesn’t go away. But therapy can help you learn to manage the anxiety better through a greater awareness of what triggers the anxiety, and by practicing self-compassion and self-care, practicing relaxation skills, and using mindfulness to help you get out of your head (where we get stuck when we’re anxious) and more focused on the present moment.

I often tell new clients that managing anxiety means that you learn to be more comfortable with the discomfort that anxiety brings. 

6. How often do we meet?

Therapy works best when it’s consistent, so I recommend meeting weekly to start.

7. Are my issues more severe than most of your clients?

I get this question a lot and my answer is always pretty much the same. Everyone enters therapy from a different place. And each person’s journey through the counseling process is different. You are where you are. As we work together, you’ll gain a greater understanding of who you are and how you got to be the person you are today.

I don't prescribe medication

I don't prescribe medication

8. Do you prescribe medication?

No. In Maryland, therapists are not allowed to prescribe medication. If needed, you would see your primary care provider or a psychiatrist for medication management, and we would all work together to help you find the medication that works best for you.

9. Is group therapy for me?

Group therapy is a unique experience. Unlike individual therapy, where it’s just you and the therapist, group therapy gives you the unique perspectives of all the people who share the group with you. Their insight and experience often brings a greater awareness to what you’re experiencing. It’s also incredibly supportive and connecting.

10. How much?

The first session is $150 for one hour, and subsequent sessions are $100 for 45 minutes. Group therapy sessions are usually $45 for one hour, but often there are cost incentives to sign up early.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photos by Jon Ly on Unsplash & pina messina on Unsplash