Mindfulness

Parenting Through Anxiety: Supporting an Anxious Child While Managing Your Own Anxiety

This week I have the pleasure of sharing a guest post by Sarah Leitschuh, MA, LMFT. Sarah is a Licensed Marriage and Family Therapist and owner of Sarah Leitschuh Counseling, PLLC. She provides therapy services, groups, educational workshops and supervision services in Eagan, MN. Sarah works with parents who are overwhelmed and burnt out, as they figure out how to care for their children, nurture their relationship with their partner and attend to their own well-being. Prior to opening her own practice Sarah worked at a non-profit agency where the primary focus of her work was providing therapy for children who had experienced abuse.


Have you ever felt like your anxiety has gotten in the way of parenting the way you would like?  You are not alone.   As parents, the experience of our own anxiety and parenting can be a tricky combination; this is especially true when our child also experiences anxiety.  It is not uncommon for parents and children to feel like they trigger each others' anxiety.   Yes, it can be challenging to support our children when they are anxious and manage our own anxiety at the same time.  But, it can be done.  Below you will find five tips that you may find helpful to consider when you find that anxiety is at play for you and your child.

1.   Be mindful of which emotions you are experiencing and which emotions your child is experiencing.  

It is important to remember that our children's emotions don't always match our own.   Being clear on who is anxious is an important part of determining how to respond to the anxiety.    Is your child anxious?   Are you anxious?   Are you both anxious?  

2.   Utilize calming strategies. 

Calming strategies ease anxious kids

Often times, anxiety can be so intense for children that it is difficult for them to share much information about their anxiety with us.    By walking your children through some calming strategies, you may help them alleviate some of the immediate intensity of their anxiety while also getting the benefit of the use of these calming strategies yourself.

3.   Assess and process the situation causing anxiety and support your child in deciding how to move forward.  

I specifically encourage parents to be purposeful in taking a supportive role instead of taking on responsibility to resolve their child's anxiety because we want to empower our children to develop the skills needed to cope with the anxiety they experience.    In the long run, helping our children feel confident in their ability to respond to anxiety-provoking situations helps them successfully interact with the world as they get older while also taking some pressure off of us to always have the answer for them (thus reducing a parent's anxiety).

4.   Don't hesitate to ask for outside support for yourself and your child. 

If you feel so intensely anxious that it is hard to support your child through an anxiety provoking situation, it is ok to ask others to help you do so.    I also encourage parents to have a strong support system of family, friends, other parents, and even professionals that they can talk to about the situations that make them anxious, so that their own anxiety doesn't spill into interactions with their child.

5.   Try to consider your anxiety as an opportunity to connect with your child.  

Connecting with your child eases your anxiety

In my work with children and teenagers who experience anxiety, one of the things that they tell me they find to be most difficult is the belief that no one understands their experience of anxiety.    As a parent who experiences anxiety, you may have a unique opportunity to connect with your child through the shared experience of anxiety.  Sharing your understanding of anxiety and how you’ve worked through it may help your child feel more understood and less alone. I encourage you to consider how to share this type of information in a way that is helpful to your children without minimizing their experience or burdening them with your worries.

I hope that you find these tips helpful in figuring out the way to best support your anxious child, while also taking care of any of your own anxiety that may pop up.  Please feel free to leave a comment sharing other tips that you’ve found helpful for your family.

You check out Sarah's website or follow her on Twitter, Facebook,


Elizabeth Cush, MA, LGPC 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.

New Ideas For A New Year

I’m not a big fan of New Year’s resolutions. They always feel like a “should” list: I should exercise more; I should eat healthier; I should be a better friend, partner, parent or daughter. Later, I usually wind up feeling guilty about my resolutions, because I don’t follow-through with them. The guilty feelings can then easily turn into anxiety and stress.

This year, instead of making resolutions, I’d like to focus on the things I’d like to grow and sustain in my life. Here are my thoughts on ways to make my New Year more fulfilling:

Spend time with people I care about.

connecting with others eases anxiety

I recently had lunch with a colleague and friend. She had encouraged me when I went back to school, told me to apply for a job I didn’t think I was qualified for (but which I got), and gave me support and guidance when I decided to create my own therapy business. We hadn’t seen each other since the summer and it felt so great to connect again with her. In that moment I made myself a promise, and I shared that promise with her: “I will make an effort to spend time with the people in my life whom I care about but don’t see often enough.”

Take more time away from work.

I love my job and my clients, but taking time away from work recharges me. It makes me appreciate the work I do that much more. Taking time off also gives me the opportunity to travel, and I love traveling!

Connect with my kids more regularly.

I LOVE MY KIDS, and now that they’re grown and living in other states, I don’t see them enough. This year I’m going to make the effort to phone, email and see them more often.

Meditate more regularly and maybe attend a retreat.

Meditation helps manage stress

Meditation has been a real asset for me. It calms me when I’m feelings stressed and anxious, it grounds me when my worries are in overdrive, and it creates a space for me to be in touch with myself and my feelings. In 2017 I want to make meditation a part of each day. I also want to go to a retreat to meet people who share my interest.

Make my own therapy a priority.

Therapists need therapy too! My therapist supports, listens, guides and provides the healing space for me to process the difficult experiences that I’ve struggled with in my life. I encourage everyone to be in therapy (and not just because I’m a therapist)!

Create art and journal regularly.

Creating art and writing can be very grounding. Once upon a time I journaled regularly and I created artwork. I’ve been journaling again sporadically and feeling the pull to paint, so I’m going to try it! I’m not sure if I’ll take a class or jump right in, but just thinking about it makes me smile.

I would love to know what you’d like to focus on in 2017. Send me an email or leave a comment below!


Elizabeth Cush, MA, LGPC 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.

Asking for Help and Setting Boundaries During The Holidays

Over the last few weeks I’ve shared some tips on how to manage holiday stress when you’re feeling overwhelmed. You can see the full post with 30 tips here, and the shorter posts on self-care and how to get organized to reduce your stress, for those who like to consume information in smaller chunks. 

This week I’m sharing tips on how to ask for help and set boundaries over the holidays. For some of us, creating, setting or keeping boundaries can be super hard. We feel guilty about saying no, we help others and often put their needs before our own, we don’t want to be a burden to others when asking for help, and we worry that others will be mad at us if we do say “no.”

Without clear boundaries you might feel underappreciated, irritated with others, taken for granted, anxious, stressed out, and you might not know why you feel overwhelmed with all of these feelings.  

Setting Boundaries Can Reduce Your Anxiety And Stress

Setting limits and creating boundaries allows you to tell others what you want or need without feeling guilty, you feel less burdened and you establish healthier relationships.

Relationships flourish with healthy bondaires

Say “no.”

Saying “no” isn’t easy, but saying “yes” to everyone and everything often leads to anxious, overwhelmed, resentful and irritated feelings.

Ask for help.

Asking for help can be difficult for people pleasers. You hope others will know what you want because asking for help feels vulnerable and needy. You might think your partner, friends or family can read your mind, but it’s not likely! The thing is, when you ask friends and family to help take care of the kids, your dog, or whatever it can relieve your stress and anxiety. Expressing what you need also allows others to help you out, and that can make them feel good too.

Manage others’ expectations.

Promising everyone everything they ask for will only lead to you feeling even more overwhelmed. Let your family and friends know your limits and stick to them. You’ll be able to accomplish what you need to do and you’ll feel more productive and empowered.

Let go of perfectionism.

You don't need to be perfect this holiday

I love Pinterest, but having happy holidays doesn’t mean that you have to try every Pinterest idea to create that “perfect” holiday experience.

Be kind to yourself.

When you forget to order something or forget to be somewhere you were supposed to be, know that you are not alone. Thousands of us out there are forgetting things, too. Instead of beating yourself up, offer yourself some words of comfort and know that you’re human, just like the rest of us.

A good resource to help you in this process is the workbook, Setting Boundaries Without Guilt by Sharon Martin, LCSW.  She writes, when you’re a people pleaser and are always doing for others “you compromise your own needs to make other people happy.”

Counseling can also help you learn how to set healthy boundaries so that you can live your life with more self-confidence and less stress, anxiety and resentment. If you think counseling might be helpful to you call me @410-340-8469 or email me.

Photos courtesy of Ian Schneider and Ellie Lord for Unsplash.com.

Preventing Stress This Holiday Season

Making yourself a priority can be difficult anytime, but it's even harder during the holidays. This week, my post focuses on ways you can take care of yourself while managing the season's craziness. I posted 30-tips to help you make it through New Year's a couple of weeks ago and over the next month I'm breaking it down by topic. Last week’s post provided tips on keeping you organized and your life under control to help you reduce stress and anxiety during the holidays and this week is all about taking care of yourself.

Practice mindfulness

Paying attention to your senses can calm the mind.

When stress overwhelms you, the sights, sounds, smells, tastes and sensations of the season and the holidays can be soothing. I know that frantic shoppers might not seem very calming, but if you take a deep breath and pay full attention to your senses, your body can relax and you might find something to appreciate in all of the craziness.

Allow feelings, even the icky ones

Let yourself feel your feelings, and know they, too, will pass.

Take time to enjoy the holiday

If we’re caught up in all that needs to be done, we forget why we’re celebrating.

Get a good night’s sleep

A good night's sleep reduces stress, is good for your body, and does wonders for your outlook on the day.

Eat healthy

Your body will thank you. Eating junk food can make you feel lethargic, bloated and uncomfortable.

Take time each day for self-care

Taking care of yourself can reduce stress.

Self-care can be as easy as reading for pleasure or taking a walk, just spend some time doing things that nourish your spirit.

Find time to relax

Calming your mind and body can help recharge you for the next task or challenge.

Fit exercise into your to-do list

Burning off that excess energy and stress does wonders for anxiety.

Check in with yourself

When stress and anxiety hits ask yourself, “What do I need in this moment?” and pay attention to those needs. If your body is screaming at you to take a break and relax, then do it!

I hope you have a happy holiday, but sometimes, no matter how much you try to take care of yourself, you still end up feeling overwhelmed, stressed, depressed or anxious. If you’re struggling this holiday season, know that you’re not alone. The holidays can be a very difficult time and therapy can help you talk about what’s bothering you, grieve for those you’ve lost or help you to process the difficult life experiences that keep you from moving forward. 

If you're wondering whether counseling is for you and you would like to talk about it please reach out. 


Elizabeth Cush, MA, LCPC is a therapist in Annapolis helping adults manage their stress and anxiety. She owns and operates Progression Counseling — 410-330-1979.

If you'd like more self-care tips during the holidays check out Laura Reagan's LCSW Therapy Chat Podcast episode #61.

Photos courtesy of Samilla Maioli and Kash Goudarzi for Unsplash.com.

How to Manage Anxiety Through the Holidays

Having anxiety can be tough on any given day, but it can be worse this season. The holidays create the perfect storm that makes you feel buffeted by emotions, overwhelmed by the mounting waves of to-do lists, and wanting to take shelter to avoid all the stress.

I’ve put together a list of things you can do to help you manage your anxiety and stress through the holidays and into the New Year. There are 30 tips, and you don't have to implement them all at once. If the idea of 30 stress reducing tips stresses you out and makes you want to close your browser right now, take a slow, deep breath. Over the next few weeks I will break these down into more manageable chunks, so that you too can enjoy a less stressful, more enjoyable holiday.

30 Tips for Reducing Holiday Stress

stay organized to ease holiday stress

1. Create manageable to-do lists for the day or week. If your to-do list is 50 items long, it’s bound to make you feel more anxious. You want a list that you can actually get done.

2. Organize your to-do lists by location. If you have three stores to visit, try to group your errands so you’re going to places that are near each other.

3. Manage your expectations about how much you can get done each day. Remember, if you’re putting pressure on yourself to get way more done than you realistically can, you’re just adding to your anxiety. Allow yourself to let some things go.

4. Keep your regular sleep habits. Getting a good night’s sleep does wonders for your outlook on the day. It reduces stress and it’s good for your body.

5. Eat healthy. Your body will thank you. Eating junk food can make you feel lethargic, bloated and uncomfortable.

6. Ask for help. You might think your partner, friends or family can read your mind, but it’s not likely! Ask friends and family to help take care of the kids or your dog if you have a long day of working and running errands. Expressing what you need allows others to help out.

7. Let go of perfectionism. I love Pinterest, but having happy holidays doesn’t mean that you have to try every Pinterest idea to create that “perfect” holiday experience.

take care of yourself during the holidays to reduce stress

8. Take time each day for self-care. Self-care can be as easy as taking the time to read for pleasure, just spend some time doing things that nourish your spirit.

9. Find time to relax. Calming your mind and body can help recharge you for the next task or challenge.

10. Budget your money realistically. You don’t want to go into extreme debt trying to create a perfect holiday, only to find you are totally stressed out later because of all the bills.

11. Budget your time. If you put off everything until the last minute, you’re only causing yourself more stress and anxiety.

12. Manage others’ expectations. Promising everyone everything they ask for will only lead to feeling more overwhelmed. Let your family and friends know your limits.

13. Allow yourself to defy tradition. Before you cave in to the pressure of “we’ve always done it that way,” ask yourself if that’s really how you want to do it or if there’s a simpler, less stressful alternative.

14. Say “no.” Saying “no” isn’t easy for many of us. We worry we’ll hurt feelings or make others mad at us, but saying “yes” to everyone usually leads to anxious, overwhelmed, resentful and irritated feelings.

15. Be okay with making some mistakes. Letting perfectionism go can be liberating, but we also need to be kind to ourselves. When you forget to order something or forget to be somewhere you were supposed to be, know that you are not alone. Thousands of us out there are forgetting things, too. Instead of beating yourself up, offer yourself some words of comfort and allow that you’re human.

16. Fit exercise into your to-do list. Burning off that excess energy and stress does wonders for anxiety.

17. Take time to enjoy the holiday. If we’re caught up in all that needs to be done, we forget why we’re celebrating.

Pay attention to your surroundings during holidays

18. Practice mindfulness. The sights, sounds, smells, tastes and sensations of the season and the holidays can be soothing. I know that frantic shoppers might not seem very calming, but if you take a deep breath and pay full attention to your senses, your body can relax and you might find something to appreciate in all of the craziness.

19. Try to de-stress while traveling. If you’re driving, instead of getting angry about the traffic, take the time have a conversation with your traveling companion, or listen to your favorite podcast, audio book or playlist.

20. When you’re stressed, take a moment to breath deeply a few times. Imagine a soothing presence as you breath in, and a letting go of the stress as you breath out.

21. Acknowledge that holidays can be SUPER stressful. Just allowing yourself to feel the frustration, or anger, or whatever it is you’re feeling can be liberating.

22. Manage your negative self-talk. If you find you’re constantly reminding yourself of all the mistakes you’ve made, try a little self-compassion. It goes like this, “Yup, I could have done that better, but it’s OK. I made a mistake but we all do and it’s OK.”

23. Be mindful that every family has issues. And your family’s stuff, whatever it might be, will not disappear just because it’s a holiday.

24. Each day, think of one thing you are grateful for and share it with a friend. Feeling gratitude can improve your mood if you’re feeling down.

25. Get a hug(s) each day. Hugs make us feel more connected with ourselves and others. If you live alone, you can hug yourself!

Hugs can help you feel connected and reduce anxiety

26. Allow feelings, even the icky ones. Let yourself feel your feelings, and know they, too, will pass.

27. Focus on the task in front of you. Worrying about your entire to-do list at once can be paralyzing. As they say, “Eat the elephant one bite at a time.”

28. Communicate with those you love and care for. Telling someone you love them and feeling the love from them can be very nourishing.

29. Before you blow a gasket when stressed or anxious, pause before reacting. Slow down your breathing and think about what you want to say before you say it.

30. Check in with yourself. Ask yourself, “What do I need in this moment?” and pay attention to those needs.

If you feel like you might need some additional support to help you manage your anxiety so you can enjoy the holiday season, please call me at 410-340-8469 or email me.


Photo credits go to Luis Llerna, Toa Heftiba, Cecil Vedemil and Nathan Anderson for Unsplash.com.

Elizabeth Cush, MA, LGPC is an Annapolis, Md counselor who helps high-functioning men and women manage their anxiety and stress. She owns and operates Progression Counseling.

Stress Relief After Election Day

Today's blog post is a quickie. Regardless of your political affiliation this election season has been filled will stress. tension and negativity.  Post-election I think we all need to take a moment to breathe, relax, and ground ourselves. To go forward with positivism and hope.

Mindful Grounding To Relieve Stress

As I mentioned in my last post, nature can help to clam frazzled nerves, calm anxious minds and ground us in the present. I hope you enjoy listening and watching.

If you're feeling as though you could use some extra help managing your anxiety and stress counseling can help you learn more about what drives your anxiety, and incorporate effective coping and relaxation skills into your daily life. If you'd like to know if counseling might help you, call or email me so we can talk.

How To Use Your Environment To Calm Your Anxiety

I usually spend Sunday as an “off” day. I try not to work on my business or think too much about work. It’s the one day I try to disconnect from work, because on Monday the work week begins and I want to enter it feeling refreshed and ready.

When Your Racing Thoughts Get In The Way

Last Sunday I had trouble letting things go; I was feeling anxious about the week ahead. Thoughts kept popping up that led to other thoughts and, sure enough, soon I was completely distracted and mentally chewing over what I needed to do in the coming week.

Mindful walking can ease anxious thoughts

I decided to take a walk to clear my head and get some exercise. It was sunny and windy in Annapolis, where I live. Leaves blew and swirled down the street, and the wind whipped my hair around. I like walking because it helps to ground me, and it physically relaxes me. I try to pay attention to what I see, hear, smell and feel while walking.

This Sunday, I was still caught up in thought about half way into my 40-minute walk. I live near the water, so during my walks I always try to pause at a scenic spot to take in the river, the boats the birds — whatever might be present. Just a few minutes of reflecting can really soothe and nourish me.

Being Mindful Of Nature Can Ease Anxious Thoughts

I decided that because my mind was so reactive, I would take some extra time to appreciate where I live and what nature provides. I stood for a minute and a half, allowing the wind to blow against my skin, feeling the sun on my face, listening to the sounds the wind made blowing the rigging of the sailboats, the water lapping at the shore and the leaves as they rustled in the wind. That minute and a half calmed my mind and allowed me to continue on my walk without my head full of work. I decided to capture some of it on video because I wanted to share how alive and nourishing the environment can be. You can watch the 30-second video below.

I hope you enjoyed the short video and will consider using mindful presence to help ease your stress, to help you feel grounded and to help you become more aware of the world around you.

If your stress or anxiety makes it too hard to get out of your head and into the present moment, maybe counseling can help. Counseling provides an opportunity to talk about your stressors in an accepting compassionate space; it helps you to recognize your triggers and allows you to see a future where stress and anxiety no longer rule your life.

Mindfulness groups start in October with early bird pricing happening now. If you’d like to talk about how therapy or mindfulness might help you, please call me at 410-340-8469 or email me.


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.

My Struggle With Anxiety

Suffering from anxiety can make you feel alone

This blog post was featured in the November editions of the Severna Park Voice.

Dealing with mental health issues can be hard. You often feel alone, isolated — like no one understands what you’re going through. The reality is, a lot of people struggle. The National Institute of Mental Health reports that in 2014, 18.1 percent of all adults in the United States suffered from some type of mental illness. I thought that I’d share my own experience with anxiety to let you know that you are not alone.

I’ve struggled with anxiety for most of my life. Up until my late 40s, I didn’t call it anxiety. I called it stress, or I’d say I was overwhelmed. So what if the same things got me stressed and overwhelmed, over and over again? Later, as I learned more about anxiety, I understood that those things that made me anxious were called triggers.

Some of my triggers included:

  • Holidays
  • Traveling to unknown places
  • Staying somewhere that wasn’t home
  • When things didn’t go the way I expected
  • When I felt like I was failing, or couldn’t figure something out
  • Unplanned events, like being asked to go somewhere at the last minute
  • Being with a group of people I didn’t know very well
  • Making phone calls

I could probably think of more examples, but you get the idea. When I wasn’t in control, when things weren’t “perfect,” I got anxious. Anxiety presented itself in ways I thought were just a part of my personality. I got really cranky leading up to things that made me anxious, like those listed above. I snapped at my family. I became obsessed with the details — everything had to be “just so” to make me feel somewhat at ease. I avoided situations and events that felt threatening. I’m pretty sure I lost some friends when my kids were little, because I was happier being at home where I could handle any emergency than I was hanging out with them. Later, when the kids were older, I felt uneasy when they weren’t at home. I’d also make my husband call for pizza or answer the phone.

I realize now that anxiety had a greater impact on my life than I was willing to recognize. If someone had asked me examine how anxiety or stress was affecting my day-to-day experiences, I might have gotten help sooner!

Managing Anxiety Day-To-Day

I’ve worked with counselors on and off throughout my life, and it’s been very helpful. (Yes, lots of counselors also get counseling.) These days, my anxiety usually pops up when I have significant transitions in my life. Counseling helped me identify my triggers, so I can start paying attention and begin to relax my body before the anxiety kicks into full gear. In addition to counseling, I also read a lot and learned about anxiety — what causes it, how it presents itself both physically and emotionally, and how to manage it better.

Being aware of the here and now reduces anxiety

Here are some strategies that have helped me manage my anxiety:

  • Using grounding techniques to refocus myself when situations make me anxious
  • Practicing mindful meditations
  • Taking care of myself and recognizing my needs
  • Being more present in the moment instead of worrying about the past or future
  • Practicing self-compassion

My struggle with anxiety pushed me to learn about more about it — the causes, how it shows up in my clients’ lives, and how to help those who grapple with anxiety manage it more effectively. Providing a calm, non-judgmental space for my clients to share their story is the first step.

Managing Anxiety Is An Ongoing Process

Anxiety is a normal response to threats, so it doesn’t just disappear. Different situations will continue to trigger my anxiety, so I have to keep working at managing it. The good news is, I’m more aware of the impact of anxiety when I let it take control, and I recognize what is happening. Now, anxiety no longer rules my life. It’s taken a backseat, where it belongs.

If you’d like help managing your anxiety or stress, call me at 410-339-1979 for a free 15-minute phone consultation.

Photos by Mike Wilson and Averie Woodard from Unsplash.com.


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. 

4 Ways Music Can Reduce Your Anxiety

This week I have the privilege to share a post from guest blogger Maya Benatar, a music therapist and psychotherapist in New York City. I've felt music's influence on me and on my moods throughout my life. Whether I'm dancing, driving with the radio cranked up, seeing live music, or using music for background entertainment, I find that it generates some very strong emotions. I love that Maya incorporates music into therapy. Check out her ideas on using music to manage anxiety, and leave a comment below!


smilingwoman.jpg

I have found that the kind of music that helps people with their anxiety can vary greatly. Some people can really sink into slow and peaceful music that helps them breathe and calm, while others really need to move the anxiety out energetically – to “shake it off”, so to speak (apologies to Taylor Swift!). Some people love toning, and others have no idea what it is (if that’s you, keep reading!). You may find that on certain days or in certain situations you respond differently to different types of music. This is completely typical – music is not a “one size fits all” kind of thing.

Here are some ideas to try – if music is not part of your self-care routine, there’s no time like the present to start.

1. Sound it. Toning is singing a vowel sound, or syllable, for the length of an exhalation. Some vowel sounds I like to play around with are “ah” “oo” and “ee”. Take an inhale through your nose, and as you exhale allow the sound to slide out on top of the breath. It doesn’t matter what pitch you sing, the quality of the sound, or its duration. Just imagine your anxiety flowing out of your body with the tone. Try 5-10 of these and see if you notice any physical or emotional shifts. You can experiment with toning on low or high pitches, different vowel sounds, lying down or sitting up. You may notice that your voice will sound different depending on how you’re feeling physically, the time of day, or your mood – that’s perfectly okay. Toning is more about the release of emotion and sound, and much less about sounding like a rock star.

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2. Listen to it. Experiment with different kinds of music to listen to. Sometimes when you’re anxious you may need to listen to something upbeat and rhythmic – try 80s music or hard rock or disco or whatever you like. At other times, you may find your anxiety soothed by slow, calm music – I’m personally partial to the cello, but there are many genres and artists that could potentially soothe you – maybe classical or Erykah Badu or John Legend. Allow yourself to not know exactly what will work for you, and give yourself some time and space to figure it out. You may be surprised by what you find – often my clients with anxiety feel soothed by music that’s not “typically relaxing” and that’s more than okay! Notice any pre-conceived ideas about what music you “should” find relaxing. Be open to something outside of the box – one of my go-to songs for anxious moments is “On My Way Home” by Pentatonix. Not your typical relaxing Bach piece, but it works for me!

3. Move it. This ties into the listening mentioned in number 2, but movement is often helpful for anxiety. Whether that’s dancing, playing air guitar, drumming on your steering wheel, or doing yoga to music is up to you. I also suggest noticing the rhythm and energy of your body as you move through your anxiety – what would your anxiety sound like if you played it on a drum? Where do you feel it in your body? What part of your body feels easy and free, instead of anxious? Sometimes anxiety needs to be expressed as it is – in its shakiness and stuckness – rather than just soothed. This relates directly to how sometimes you may need to have people hear and validate that you’re anxious, rather than just soothe or placate you.

music eases anxiety.jpg

4. Be still. If reading or journaling or meditating doesn’t work for you, perhaps try making a ritual of sound and stillness. You could sit quietly with eyes closed and listen to one favorite song, play a small bell or singing bowl – let each tone fade away before playing the next, or simply sit quietly and listen to the sounds around you, whether you’re inside or outside. See what sounds you notice if you pause right now, just for a moment. You may notice the sound of your own breathing, people around you, birds outside – or something completely unexpected!

Music can be a powerful way to practice gentle self-care and reduce your anxiety. What kind of music helps you feel less anxious? Leave me a comment below – I’d love to hear from you!

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Maya Benattar, MA, MT-BC, LCAT is a music therapist and psychotherapist in New York City. She helps women slow down their busy lives, reduce anxiety and worry through creative expression & become confident and calm in relationships, at work, and in everyday life. Maya also offers engaging presentations for healthcare professionals, educators, and stressed out adults. Get Maya’s free guided relaxation audio track to slow down and practice gentle self-care today.


Elizabeth Cush, MA, LGPC is an Annapolis therapist who helps people manage their anxiety and stress.

Signs Of And Strategies For Dealing With Worry

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

Always Worrying

You might see yourself in this story because this could be many of my clients that I’ve worked with in my Annapolis counseling practice who have struggled with worry, stress and feeling overwhelmed.

Worrying can leave you exhausted and feeling overwhelmed.

Worrying can leave you exhausted and feeling overwhelmed.

Francie was always busy. She took care of her home and her family, she worked part time, she volunteered at her kid’s school, and she was always the first one to offer to help out her friends. From the outside Francie appeared to have it all together, but what most people didn’t know was that Francie worried all the time.

She had twin girls and entering middle school, and she worried about them out in the world. She worried about her husband driving to Baltimore County on the beltway each day. She worried about her parents, who might be getting divorced. She worried about her sister, who seemed to like to have a little too much fun. She worried when her house wasn’t clean, or the laundry didn’t get done. She worried when everyone in her family wasn’t happy, and worried when she couldn’t make everything better. She worried that maybe she wasn’t a good enough mother, wife and friend. She worried about worrying too much.

We all worry. It’s part of being human, and worry can serve us well because we are ready for danger when and if it comes. But for some people, like Francie, worrying can take over their thoughts, leave them feeling overwhelmed, and they lose the joy and ease in their lives.

5 Ways To Recognize That Worrying 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 conversations, your 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.

All the worrying made it hard for Francie to sleep well. Some nights she fell asleep at 3 a.m., only to wake again at 6 a.m. Her friends and family didn’t know that she worried so much, that she often had trouble concentrating at work, and felt unfocused much of the time. She got frequent headaches and stomachaches. Sometimes she couldn’t swallow food because of the tightness in her throat.

Recently, Francie had an anxiety attack while working at her daughters’ school. She was light headed. Her chest felt constricted, and she could only take shallow breaths. She began to sweat, she saw stars, and she thought she was going to faint. This was the first time her friends knew she was struggling. She was mortified that they had witnessed her in such a vulnerable state. The feeling of losing control prompted Francie to seek therapy.

Counseling For Anxiety

Through counseling, Francie began to understand that her need for control stemmed from her learning at a young age that being in control kept the peace, and it also kept her safe. Over time, Francie revealed that her father had been an alcoholic. Francie had to take care of her younger siblings when her mother was at work. If Francie didn’t keep them under control, her father would yell at her and then at her mom when she got home. This made her mom really sad, and Francie felt she was to blame. When she was able to keep her siblings under control, things were less stressful, and she felt safer.

Counseling also helped Francie understand that her constant worrying was anxiety, and staying busy was her way of controlling it. If she was always doing something, she had little time to think about her worries, and so she filled her days with work, activities and chores.

We discussed the impact that all her worrying was having on her mental and physical health. We talked about why being in control was so important to her, and how hard it was to control everything in life.  Together we came up with some strategies to help her more easily accept the natural ups and downs of life, which allowed her to let go of her need to control everything.

5 Strategies To Help You Let Go

Practicing mindfulness can help ease worry

Practicing mindfulness can help ease worry

  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.

  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.  Here are some tips for a good night’s sleep.

  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.

Achieving Emotional Balance

Through counseling and some lifestyle changes, Francie has been able to live a more emotionally balanced life. If you would like to live your life with more balance please call or email Progression Counseling for a free 15-minute consultation.


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 410-340-8469.

 

Practice Self-Compassion To Ease Anxiety

Self-Compassion Helps You Feel less Anxious

Self-compassion helps reduce stress and anxiety.

Self-compassion helps reduce stress and anxiety.

I recently wrote and article for the Severna Park Voice on self-compassion, and how it can help you feel more connected to yourself and others. And it does, but self-compassion can also help you feel less anxious.

By replacing the negative self-talk from our inner critic with more supportive positive messages, we begin to feel more at ease, and at peace with ourselves. When we feel more at ease, our anxiety levels drop, because we no longer perceive potential danger. And our body is able to return to a more balanced emotional state.

More About Self- Compassion And Anxiety

You can read the article in the Severna Park Voice, and more about self-compassion in my blog.

Please leave a comment below to let me know how you practice self-compassion in your life.

If practicing self-compassion does not come easily to you, please call or email me for a free 15-minute phone consultation. 410-340-8469.


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469

Mindfulness In Less Than 10 Minutes A Day

Mindfulness

Mindfulness eases stress and anxiety

Mindfulness eases stress and anxiety

Lately, mindfulness has been a popular topic in the news and on social media. Psychologists and mental health therapists like mindfulness because research shows it can reduce anxiety and depression; it aids in reducing addictive behaviors, and can also help with eating disorders, chronic pain and stress reduction. I encourage clients in my Annapolis therapy practice to work towards becoming more mindful in their daily lives.

One way mindfulness can help in daily life is by allowing people to remain in the present moment during daily activities with thoughtful, non-judgmental attention. It also helps reduce stress by rewiring our neural pathways. These brain circuits can get stuck in the “always-on” position, so we are always in a reaction mode. 

Appreciate What’s Here

Being in the moment can help you catch yourself when your thoughts stray to the "what-ifs" and "if-onlys"— the thoughts that make you anxious, by causing you to wonder how you might have done things better, or what you should do in the future. When we constantly worry about the past or future, we miss what’s happening in the present.

Staying present helps you to appreciate what's happening in your life each day, each moment. Maybe your child or partner is talking to you, maybe the birds are chirping, or the sun shining on your face, and a warm breeze is blowing your hair. When we are present, we can mindfully attend to what is happening in our lives right now. 

Being More Mindful In Daily Life

I've been practicing mindfulness and meditation for over a year, and there are times when it’s really hard to be mindful. Because we’re human, our minds are always thinking about the next thing.  On the days when I'm extremely busy, I'm overwhelmed, or have a lot on my mind, it takes a little more effort, but I find it’s on those days that I get the most out of my mindful practice. It gets me to slow down. Using mindfulness, I can get out of my head, and I find I react less to stress.

The goal with a mindfulness meditation practice isn't to stop your thoughts or get rid of them. It’s to let your thoughts come and go while being present and paying attention to your breath.  When you recognize that you’re lost in thought, then you gently, without judgment, bring your attention back to the present moment.

Mindfulness In 10 Minutes Or Less

Here are three ways you can become more mindful in 10 minutes or less. As you become accustomed to the practice, I encourage you to increase the time you spend being mindful.

  • Practice mindful breathing. Set aside five minutes per day. That’s a great starting point. As you focus on your breath, let your thoughts come and go like waves in the ocean. Each time that you notice your mind wandering, you bring it back to your breath. Try not to be hard on yourself if this isn’t easy. As I mentioned above, it’s a practice. You will begin to become aware of how your thoughts can take you away from what’s happening right now. You can use my guided meditations or there are apps for your phone that can guide you if needed.
Feeling grounded eases anxiety and stress
  • Pay mindful attention to your surroundings for one to two minutes each day. Pay attention to the sights, sounds and smells in your environment and the feel of things that touch your body. Your senses are always in the present moment, so mindful awareness of things they are already noticing can help keep you grounded right here, right now.
  • Be kind to yourself. When you find you’re being hard on yourself, passing judgment, or putting yourself down, take a minute or two to offer yourself a kind word. Think of the things you might say to a good friend and offer yourself those same compassionate phrases.   

Let me know in the comments below how you do, or how you create mindful times throughout your day.

If you would are interested in living a more mindful life, Mindfulness Groups will be starting this Fall, 2017. Of you'd like more information on group or individual counseling call or email me for a free 15-minute phone consultation today- 410-340-8469.


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Annapolis. 410-340-8469

When Life Is Out Of Your Control

Life As A Caregiver

Care-giving can create overwhelming stress and anxiety

My husband recently had knee replacement surgery. The surgery is a huge life changer. Not only for a future with less knee pain, but immediately after the surgery when suddenly the little things you took for granted, like getting dressed, getting in a car, or walking, you are no longer able to do on your own.

It was life changing for me too. I became the “coach,” which is how the hospital staff frame your role post surgery. I think using the term “coach” instead of “caregiver” is their attempt to put a positive spin on a difficult situation. If I am a coach, then I am not a nag when I am pushing my husband to do his physical therapy exercises at home when all he wants to do is rest.

Feeling Trapped And Anxious With No Control

Having my life, my schedule, my day-to-day activities driven by my husband’s needs made me feel very uncomfortable. I felt resentful, frustrated, overwhelmed with stress, and anxious because I had lost control of my life. These uncomfortable feelings lead to me feel guilt and shame for being so selfish.

I don’t want to mislead you into thinking I was a terrible caregiver. I wasn’t, I just had moments where all I wanted to do was be alone with my cup of coffee and computer or to take a walk, but had to help him shower, or exercise, or get in the car, or get into bed. I hadn’t had to do so much for someone else since I had young kids.

Reflection On Anxious Feelings With Kids & Puppies

I came to realize that my discomfort felt very familiar. In moments of clarity, I recalled being an overwhelmed mom with two young children who needed me to be there for them 24/7. No one ever tells you that being a parent or caregiver can make you feel so many intense negative emotions. Nor do you hear the repercussions of having those feelings—the shame and guilt for not being the happy, carefree mom/caregiver you thought you would be.

Although resources for postpartum depression are available—including blogs and websites for overworked parents, and support groups for caregivers—I think we need to normalize those negative feelings more often. Very few doctors or nurses who will tell you that might want to scream because all you want to do is be alone for a few minutes—or that those feelings are normal.

My Aha Moment: Lack Of Control Creates Anxiety

When I was raising my kids, I was so exhausted all the time. As a result, I didn’t realize that the feeling that my life was no longer my own was creating an overabundance of anxiety. I entered motherhood believing that my life with children would be bliss. Sometimes it was, but the moments when I was tired, overworked and overwhelmed were really hard for me. Eventually, those feelings passed. 

When the kids were older and able to do a lot for themselves, we got a puppy, and those same uncomfortable, anxiety-inducing feelings arose again. I felt trapped and no longer in control of my life. Once again, a being who depended on my being there to care for him. When raising my puppy, I figured out pretty quickly why I was having these feelings. The recognition that a lack of control = anxiety helped me feel less guilt about my negative feelings.

 My Outlook Can Create A New Perspective

This time around, with my husband’s knee rehab, I was able to see the frustration, resentment, and anxiety for what they were: normal feelings that arise when your life takes a turn that you were not expecting.


It’s amazing how quickly your uncomfortable feelings will dissipate when you give yourself permission to feel them.


I still felt guilty because I wasn’t the perfect caregiver 24/7, but those feelings were not as intense, and I did not feel the shame of, “I am a bad person because I resent giving up control over my life to take care of a loved one.”

Reducing The Stress

Exercise relieves stress and anxiety.

Exercise relieves stress and anxiety.

Parents, or caregivers, or coaches, whether permanent or temporary, can do some things to help relieve the stress.

  • Take care of yourself. If you aren’t sleeping, eating well and getting exercise you are only adding more stress to your life
  • Carve out some alone time. Maybe that means asking for help, or getting a sitter but having time to yourself is so important to clear your mind, and feel less resentment.
  • Remind yourself that we all have negative feelings. I’m guessing that even the Dalai Lama gets them from time to time. He’s just better at recognizing that thoughts and feelings come and go like waves on the ocean. The thing to remember is that feeling mad, frustrated, or resentful doesn’t make you a “bad person.” It makes you human.

Living In The Moment Takes Practice

During my recent experience as a caregiver/coach, I tried to take each day as it came, and to live in the moment, but I’m human, and this wasn’t always easy. What I found helpful was having some time to myself each day. I would take a walk, go to the gym, write or read. The exercise not only relived the anxiety, but it helped ground me. I could then come back more refreshed and ready for whatever was next.

Is someone you know going through similar experiences? I would be honored if you would share this with them.

Have you had moments when your life felt like it was out of your control? Please share your experiences below in the comments.

If you’re feeling like your life is out of control, and you would like help learning to stay in the moment please contact me.

Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469


How to Take Control of Your Fatal Flaw

I recently communicated with Dr. Jonice Webb, the author of Running On Empty. I was inspired by her book, asked if I could share one of her article abouts Childhood Emotional Neglect (CEN). She generously offered to share this article about "the fatal flaw," one of the psychological effects of CEN. Let me know your thoughts in the comments below, and visit Dr. Webb's website if you'd like to know more.

By: Jonice Webb, PhD

The Fatal Flaw:

A deep-seated feeling that something is wrong with you. You are missing something that other people have. You are living life on the outside, looking in. You don’t quite fit in anywhere.

CEN can cause anxiety and stress

If you grew up with Childhood Emotional Neglect (CEN), chances are, The Fatal Flaw is at work in your life. If you pushed your feelings away as a child, you now lack access to them as an adult. You sense deep down that something is missing (it’s your emotions).  And your life lacks the richness, connection and meaning that your emotions should be bringing to you. This is the basic cause of the Fatal Flaw. Most people who have it are not aware of it, and this gives it incredible power.

Seven Effects of the Fatal Flaw:

  • You are not in touch with your gut feelings, so you don’t trust your gut (even though in the majority of CEN folks, it’s most often right).
  • It undermines your confidence to take risks.
  • It makes you uncomfortable in social situations.
  • It keeps many of your relationships at a surface level.
  • It makes you question the meaning and purpose of your life.
  • It makes you fear that if people get to know you well, they won’t like what they see.
  • Therefore you are quite fearful of rejection.

These seven effects will gradually wear away your contentment and your connection to life and happiness. So it is vital that you take control of your Fatal Flaw.

Six Steps to Break Down Your Fatal Flaw

  1. Recognize your Fatal Flaw: This will take away its power.
  2. Know that your Fatal Flaw is not a real flaw. It’s only a feeling.
  3. A feeling can be managed, so start to manage it. Pay attention to when you feel it, and how it affects you.
  4. Put it into words and tell someone about it.
  5. Override it every time that you possibly can. Do the opposite of everything your Fatal Flaw tells you to do.
  6. Start breaking down the wall between you and your feelings. Welcome them as the vital source of information, guidance, and richness that they are (even the painful ones).

Yes, your Fatal Flaw is powerful. But so are you. You have a great deal of personal power that is being drained by your Fatal Flaw.

So today’s the day. Declare war upon your Fatal Flaw, and start using your weapons of awareness, your emotions, your intellect and your words.

This is a battle that you can win. I promise.

To learn more about the Fatal Flaw, what causes it and how to overcome it, visit emotionalneglect.com and see the book Running on Empty. (link to: http://www.drjonicewebb.com/the-book/)


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469


 


 

Loss Of A Loved One

Loss

Anxiety can intensify after loss

We recently lost our family dog from illness. He was old but his death was unexpected and sudden. I was not ready. It seemed as though he was OK one day, and then it was time for him to go. We had him for almost 14 years, and he was truly a part of the family. His sudden death got me thinking about illness and loss on a bigger level. When a loved one gets sick or dies, the mix of emotions can be overwhelming and scary—especially when things happen unexpectedly. We no longer feel in control of our environment, which can cause anxiety and stress.

How You Might Feel When Illness or Loss Occurs

  • Anxious because of the uncertainty
  • Frustrated about loss of control
  • Anger because the loss or illness takes precedence over your life/schedule
  • Selfish for wanting things the way they were
  • Guilt or shame because of your feelings
  • Scared about the future
  • Pain and sorrow for the life lost
  • Alone in your grief

Avoiding The Pain

When my dog first showed signs of illness and things were not looking hopeful I had trouble sitting with that pain. I found things to do that took me out of my head. I went to the store; I cleaned and straightened—anything to distract myself from the overwhelming, uncomfortable mix of feelings. Although I knew my dog was not getting better, it was hard to accept that he would die.

Lean In To Your Emotions

As I was working so hard to avoid the uncomfortable, I realized that the feelings were not going anywhere and that maybe I would feel better if I paid mindful attention to them. As crazy as that sounds, research has shown that leaning in to our emotions or feelings can actually relieve some of the anxiety and stress that they generate.

Let Go And Be In The Moment

You can find many ways to get in touch with how you are feeling. I like to sit in a quiet place and meditate on the feelings that arise. With meditation, you can acknowledge the difficult emotions without holding on to them or allowing them to define you. Meditation allowed me to acknowledge my mix of emotions and process the fact that our dog’s time was over. 

Some Other Ways To Be With Your Feelings

Mindfulness helps when overwhelmed by anxiety

Mindfulness helps when overwhelmed by anxiety

  • Ground yourself with mindfulness. If your thoughts are going a mile a minute, you can practice grounding techniques to bring you back to the here and now.
  • Connect with others about your experience. Talk about what you’re going through with family, friends, support groups, counseling
  • Practice self-compassion. Grief and loss can bring up a lot of stuff, and there is no right or wrong way to grieve. Read more about self-compassion HERE.
  • Acknowledge the Struggle. Reminding yourself that, “We all struggle, I am struggling right now, and illness and loss are really hard,” can help you feel less isolated.

Remember, feelings aren’t good or bad, and they don’t define who we are. They're just feelings.


What If You Can’t Get In Touch With Your Feelings?

For some people, identifying or getting in touch with your feelings is very hard to do. Being numb, or being disconnected from your feelings is not uncommon, especially if you have experienced trauma or childhood emotional neglect (CEN). If you have a lot of trouble naming your feelings you might need assistance to access, name and experience them. If you would like help with this process please contact me.


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469

 

 

Turning Tigers Into Kittens: Mindfulness and the Release of the Anxious Mind

Robert Cox, MA, PLPC, NCC is my guest blogger this week. His blog focuses on the body's response to trauma and how trauma affects anxiety and depression. He also discusses the benefits of a mindfulness practice for symptom relief. He has counseling offices in Liberty, MO, where he specializes in the treatment of trauma, addictions and autism.  He writes, "I am trying to change the face of both addictions and autism treatment. "

If you would like to know more about Robert and his practice you can find it HERE. You can also follow him on Twitter-  HERE. Or Check out his amazing Mindful Recovery Podcast HERE.

By

Robert Cox, MA, PLPC, NCC

Trauma can often result in increased anxiety levels and depression.  This is because our brain, already primed to sense danger in advance, becomes overloaded with the trauma and begins to associate all kinds of everyday sensations with that event.  So we can be triggered by loud noises or by certain smells or the feeling of material on our skin.  Something simple and mundane to everyone else can set us into a tail spin of increased heart rate, rapid breathing, sweating and racing, panicked thought patterns.  All because the limbic region of our brain (the little part at the base of the skull just above your neck that is responsible for emotional regulation) is triggered and tells our body that there is danger and we better prepare to fight or to run away.  I call it our tiger response, because it’s a great response to have if you’re being chased by a tiger, but not so helpful in the middle of Wal Mart.  

mindfulness eases anxiety

If you have suffered through trauma and anxiety, then you know this feeling.  Dealing with this feeling constantly over a period of weeks, months, even years can lead to serious depression.  It simply wears on us physically and mentally.  The good news is there is hope, and often hope outside of medication.  It’s called mindfulness.  Mindfulness is a very simple practice of regulating the body by watching the breath and allowing that focus on the here and now of basic body functions to bring us out of the anxiety and panic, back in to this moment in front of us.  By slowing the body down, we tell the brain that there is no reason to be afraid or anxious and the limbic region begins to loose its grip on the rest of the brain allowing us the emotional space to begin making rational decisions with the forebrain again. 

In addition to the immediate effect of telling the brain it’s OK when we are in mindful moments, our body and brain react by reducing stress chemicals like Cortisol which increases all those fight or flight responses and increasing good chemicals in the brain like serotonin (a depression fighting drug) and Oxytocin, which psychologists often call the “hug drug” because it’s that feel good, relaxing drug that gets released when we hug each other for 20 seconds or more.  In fact, if you have a friend, or significant other that you trust in very intimate spaces…a good thing to do might be to ask for a hug and simply stand in that moment, completely focused on the sensation of safety you are getting and watching the breath move in and out of your body.  This mindful moment would serve as a double dose of oxytocin to release the anxiety of the brain.

anxiety feels like a tiger

Often, however, when we are in those triggered spaces the last thing we want is to be touched.  In that case it comes down to using some basic exercises to bring ourselves back to the here and now and just focusing on the breath while counting to three slowly as we breathe in, and holding for a second then counting the same three as we breathe out.  When we feel like we are being chased by the Tigers of the past this simple breathing exercise can bring us right back to the present.  If we practice when we are not being chased by Tigers then we can make this response second nature and when they do come, we respond by returning to the breath in the here and now. 

Before we know it we have calmed and we can clearly see that our tigers have become kittens.

For more about this body brain link and a map of the emotional brain you can go to the Mindful Recovery Podcast page and scroll down to Episode 1: The Emotional Brain in Recovery.  The map is just below the podcast artwork and you can follow along during the episode for a fuller discussion of how the brain reacts to trauma along with a brief exercise provided to help you learn how to release the grip of the limbic region and begin your mindfulness practice.  For more about beginning your own practice you can go to my Resource Page to find tools, music and learning programs designed for your needs.


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469

Spring: A Time To Cultivate And Grow Self-Compassion

Spring is A Season For New Beginnings

Self-compassion can ease anxiety

Budding trees, baby birds and blooming flowers come to mind when I think of spring. Commercials and the media tell us that spring is a time for weddings, new love, new growth and change.

Depression And Anxiety Make It Hard To Grow And Change

If you feel stuck, the changes spring brings can be a constant reminder of your immobility, which can bring on feelings of overwhelming anxiety and depression.

Maybe you feel stuck because:

  • You have no motivation.
  • The idea of change or growth makes you anxious or scared.
  • You feel you don’t have much to offer.
  • Making the first step feels overwhelming.
  • You feel disconnected or numb.
  • You yearn to connect with others but fear rejection.

Often, the apprehension or fears that keep us stuck stem from feelings of inadequacy or inferiority. Then we feel bad about ourselves because we worry that we will never be able to move forward. The cycle spirals downward.

Let’s Make Spring A Time To Practice Self-Compassion

Instead of beating ourselves up for not making external changes, or not being the person we want to be, let’s make spring a time to change how we think about ourselves!


If we can learn to see ourselves with compassion, to embrace our imperfections and accept our fears, we can start to embrace differences in others. This can help open us up to the possibility of new connections. Tweet This


What is Self-Compassion?

Dr. Kristin Neff has done a lot of research and writing about self-compassion. She identified that self compassion has three components—self-kindness, common humanity and mindfulness. You can read more about her findings by CLICKING HERE.

Self-compassion can ease anxiety and stress

5 Steps To Help You Cultivate Self-Compassion

  1. If you make a mistake, remind yourself that none of us are perfect and say, “We all struggle from time-to-time.”
  2. Practice self-compassion and loving kindness meditations. You can access some of Dr. Neff’s has guided meditations HERE.
  3. When you feel anxious, place your hand on your heart and tell yourself, “I am here and I love you.”*
  4. Practice mindfulness. This helps you understand that although right now might be hard, life has ups and downs, and things will change.
  5. Imagine what someone close to you might say to you if he or she knew you were having a hard time.

*Sometimes saying loving statements to ourselves is difficult. If you find it too hard to do this, you can say, “I am here and my intention is to love you.”

 

If you would like help cultivating and growing your self-compassion, you can call me or email Progression Counseling, offices in Annapolis and Arnold.

If you want to know more about me you can CLICK HERE, or HERE .


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469

The Impact of Shame And Blame After Trauma

Anxiety is common after trauma

Doubting The Victim

I recently listened to The Anatomy of Doubt, episode #581 of This American Life. The first half of the episode was about Shannon, who was sexually assaulted by a stranger who entered her home through an unlocked door.

Growing up she lived in multiple foster homes and became quite close to two of her foster mothers. After the sexual assault she called these two women and some friends to share what happened. Both mothers chose not to believe her. They told the interviewers that, at the time, they thought she was only trying to get attention. They communicated their doubts to the police too. I don’t want to rehash the entire episode (you can listen to it HERE) but not only did the police close the case without an investigation, they also charged Shannon with filing a false police report.

****SPOILER ALERT****

Years later, when the perpetrator was caught for another sexual assault, investigators found Shannon’s ID and photos taken that night in his apartment. He confessed to stalking and sexually assaulting many women, including her.

Doubting Your Memories

This story has stayed with me. It got me thinking, What is the impact on a trauma survivor when the people you trust don’t trust you? Shannon told the TAL interviewers that she began to doubt her memories. Her two primary supports and the police all implied she was lying. Although she was violated in her own home, she began to question what happened.


So, how do you overcome a traumatic experience when no one believes you, and this leads you to lose faith in yourself?


Trauma and PTSD

Traumatic experiences can lead some people to developing Post Traumatic Stress Disorder (PTSD).  Symptoms of PTSD include:

  • Nightmares or flashbacks
  • Avoiding things that remind you of the experience
  • Avoiding social situations
  • Distrust of the world and others
  • Numbing
  • Difficulty sleeping
  • Trouble focusing
  • Easily startled
  • Anxiety
  • Depression
  • Substance use

Other people might look for ways to avoid thinking or talking about what happened. Unfortunately, avoiding difficult emotions is usually a temporary fix, and can result in anxiety and depression.

You Deserve To Be Heard

You might say, this was one woman’s story—not a common occurrence.

Unfortunately, I can state from professional experience that it happens more often than you think. For years I worked as a crisis counselor for abuse victims at a local hospital. I had the privilege to counsel men, women and children who had experienced sexual assault, domestic violence, vulnerable adult abuse or child abuse during their lifetime.

Many survivors told me that when they disclosed the traumatic experiences to family, friends and/or police, it was suggested that they were lying or were partially to blame for what happened.

Many of those who came away from their traumatic experience feeling they were not supported or believed, later in life struggled with significant mental health and/or substance use issues.

Trauma, PTSD and Resilience

Counseling builds resilience after trauma

Research suggests that one of the key factors in resilience, or the ability to bounce back from trauma, is having a good support network and strong social connections such as family and friends. Psychiatrist Kathryn M. Connor, MD, wrote about measuring resilience after trauma in an article in The Journal of Clinical Psychiatry. Another protective factor is the ability to call on your past experiences for a reference when facing potential challenges in the future.

According to Dr. Connor, “Resilience has been shown to protect against posttrauma breakdown and may help alleviate an individual’s feelings of helplessness…” and potentially keep them from acquiring chronic PTSD.

It’s difficult enough for survivors to share what happened to them, because they often feel they are somehow to blame, or are shamed by the experience. If you were then questioned about the validity of your disclosure, it makes sense that such doubt would have an impact your ability to move on and heal. It would also affect how you handled any future trauma, making it difficult to trust others in a crisis.

How Counseling Can Help

Survivors of abuse have a lot of obstacles to overcome to move on from the trauma. The survivors I worked with who said their stories were doubted, or were told they were responsible for the traumatic experience often didn’t want to talk about the trauma, and avoided therapy, although they were struggling. Well, no wonder! Who would want to face the prospect of not being believed once again?

That being said, counseling can offer the opportunity to be heard, without judgment. Counseling moves at your pace, and you should never feel forced to talk about something until you’re ready to discuss it.

Counseling can also provide a safe space to explore the trauma while providing strategies for coping and moving forward.

Other Ways Counseling Can Help

Counseling can provide other tools to support healing, through:

  • Relaxations skills to stop your mind from racing, and calm your anxiety
  • Mindfulness techniques to keep you present in the here and now, instead of worrying about   past and future events
  • Body work to help understand the bodymind experience after trauma and improve self-regulation
  • Challenging the negative beliefs that undermine your self confidence, and make you feel “less than”
  • Art therapy to explore trauma through creativity
  • Play Therapy most often for children, to explore trauma through play
  • Group Therapy to share common experiences and get support  

Please share your thoughts below.

If you would like more information on how counseling can help you overcome a difficult life experience you can CLICK HERE to learn more about my Annapolis counseling practice. Or CONTACT ME to set up an appointment.


Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469

The Anxious Traveler

Anxious traveler

Vacation Anxiety

My family recently took an overseas vacation and it got me thinking about the effects of travel on anxiety. Travel is stressful. Many things are beyond our control, and this can trigger anxiety and stress.

Humans And Life Are Messy

The reality is that we can’t control much of anything in our lives except ourselves. We have even less control over situations when traveling with others to an unfamiliar place. Here are a few things that can take control of our vacations in a hurry:

  • Each person has a unique travel agenda
  • Hunger
  • Being tired and cranky
  • Getting lost
  • Stuff is closed
  • Getting caught in the rain and no rain gear because the Weather Channel said there was only a 10 percent chance of precipitation (this happened to us)

During our trip, when it seemed like all of the above messy issues were in play, I began to feel a looming anxiety. My anxiety usually starts in my chest. I feel tightness and then an increased sense of danger or fear. It is uncomfortable, and my first response is to try to figure out how to make it go away. I started thinking of things I could say to make everyone laugh, and to ease the tension. I wanted to try to accommodate everyone’s needs, in order to make them all happy.

How Our Body Reacts to Anxiety

When we’re in a situation that makes us anxious, our brain then goes into protection mode and gets us ready to fight, flee or freeze. The bodily functions that work to keep us safe, and have been around since forever, start cranking. Our heart races, skin gets flushed, breath quickens and muscles tense. Once the process starts it’s harder to get back to an emotional and physical balance.

If you want to know more about the physical affects of anxiety you can read more about it here

And here is an infographic on the body’s response to anxiety.

Using Mindfulness When Life Gets Uncomfortable

Practicing mindfulness can help us to take a step back and check in with ourselves when the anxiety begins. Mindfulness allows us to notice those physical symptoms and gives us a chance to interrupt the cycle.

If we can learn to calm ourselves before the anxiety kicks into high gear, we can maintain emotional balance even in stressful situations.

Allowing your thoughts to come and go like waves on the ocean, mindfulness calms the anxious mind

Allowing your thoughts to come and go like waves on the ocean, mindfulness calms the anxious mind

7 Steps to Help Recognize Anxiety Before It Takes Over

  1. Take note of situations that make you anxious
  2. Ask yourself, “What is the first sign of my anxiety being triggered?” Often it is a physical response.
  3. Pay attention to your physical symptoms, especially if you know the situation would trigger anxiety.
  4. When the physical symptoms appear, STOP whatever you are doing.
  5. Take a slow deep breath. Take another… and another.
  6. Ask yourself in a kind, non-judgmental way, “What’s going on for me, right now?”
  7. Acknowledge the situations that are beyond your control.

So, while we were walking down a beautiful street, filled with shops, people and sights I had never seen before—which I was totally missing because I was so caught up in how to make everyone happy—I noticed I was anxious and took a slow, deep breath and asked myself what was going on for me.

In that moment, I realized that although my family was cranky, hungry, and everyone’s needs were not being met, it was not up to me to make each person happy. Not only was it not up to me, but also it was an impossible task!

Learning to Accept the Things We Can’t Control

As I said, our anxiety is triggered by situations where we feel powerless. In reality, we don’t have the power to control most of the stuff in our lives, and that means we have the potential be anxious a lot. The key to managing the anxiety is to be able to acknowledge that we have no control, and that this is OK.

If we can acknowledge that life and humans are messy and imperfect, and understand that we can’t control a lot of what happens, then we can allow events to unfold naturally and this can reduce our anxiety. By letting go of the need to “fix-it” or control it we can be there fully and appreciate what is happening in the moment.

For the rest of the journey I worked to let go of the need to take charge of everyone else’s experiences. To recognize the value of being together as a family, in a beautiful country, and to take note of the good and the stressful times together allowed me to enjoy each moment as it came along, and made for an incredibly memorable experience.

I will be leading mindfulness groups for women beginning in October. If you're interested in signing up, or learning more please drop me a line.


This blog post was featured in the Health & Fitness section of the Severna Park Voice.

Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Annapolis. 410-340-8469

Contact Me

shhhh, Quiet Down Negative Nelly

Getting Stuck

Our inner critic creates anxious feelings

Often, when I consider doing something outside my comfort zone I start to get anxious, feel a tightness in my chest and I instantly think, “Nope I’m not doing that.” This critical inner voice stops me in my tracks and keeps me from growing personally and professionally. I named this inner voice Negative Nelly.

What Keeps Us Stuck?

  • Anxiety?
  • Social anxiety?
  • Worry?
  • Fear of failure
  • Fear of rejection?
  • Lack of self-confidence?

What Is The Discomfort Telling Us?

Where do these uncomfortable feelings come from? It could be our inner critic—that voice that judges, criticizes, ridicules, tells us how scary life is, focuses on our mistakes, tells us we are "less than." These negative messages alert our instinctual fight, flight, freeze responses. This tells our body there is a potential danger, and we stop, avoid or flee the situation. (Some people push forward but we are not those people.)

The Critical Inner Voice

Our critical inner voice comes from life experiences. Maybe our parents were hypercritical, or our best friend pointed out all the times we lost a game, or we had a verbally abusive partner who found fault in everything we did.  We take those messages from loved ones to heart. But we don’t often recognize that Negative Nelly continues whispering them to us, even when they no longer apply, leading us to feel:

Our inner critic can make us feel anxious and overwhelmed
  • Sad
  • Lonely
  • Disconnected
  • Afraid
  • Unlovable
  • Depressed
  • Anxious
  • Overwhelmed

I could go on and on.

It’s Time To Quiet Your Critic

The wonderful thing is that we don’t have to sit idly by and listen! We can challenge and quiet the inner critic who keeps us stuck. With counseling, we can learn to be mindful and begin to recognize the negative messages, and why we hear them. When we begin to pay attention we can then challenge our unhelpful, negative commentator. We can learn self-compassion and to embrace our imperfections.

4 Steps to Recognize Your Inner Critic

1. Take note of your physical sensations when a new situation or opportunity presents itself.

2.  Sense whether you're feeling uncomfortable, anxious, or stressed out.

3. Pause and take a few slow deep breaths.

4. Ask yourself with curiosity and without judgment, "What is the message my body is telling me?"

  • I’m scared.
  • I can’t do this because________.
  • Others will judge me if I don’t succeed.
  • Why try, I will fail.
  • I am not worthy.
  • I will be rejected.

Respond With Care

As you recognize these negative internal messages you can start to question their validity. Is the threat real? A creepy guy or girl? A physical or emotional harm? If it's your inner critic that’s keeping you from moving forward, respond with care and self-compassion. Then you can begin to challenge your Negative Nelly. It’s not always easy to understand what the inner critic wants us to hear, but meditation and mindfulness can help.

Tara Brach’s R.A.I.N. meditation can help you recognize the negative message and respond with care.

How Do We Get Unstuck?

Feeling uncomfortable is necessary if we want to move decisively towards our goals. Those tasks that make us feel unsettled create new opportunities to push beyond our everyday experiences. You might still feel anxious, scared, or worried in new situations. The key is to be able to put those uncomfortable feelings into perspective and to respond from a positive place. 

It’s Time To Grow

Counseling can help you understand how your inner critic holds you back, how to acknowledge the negative thoughts and find the path towards growth.

Are you ready to move ahead, to makes some changes, to challenge your Negative Nelly, to get unstuck?

Contact Me

Elizabeth Cush, MA, LCPC, is an Annapolis therapist helping people manage their stress and anxiety. Progression Counseling, offices in Arnold and Annapolis. 410-340-8469