When Stress Gets Overwhelming

At times I get overwhelmed by stress and anxiety. Usually it’s because I have too many things to do. Sometimes, just the thought of adding something else to my busy life makes me stressed. Other times, something unexpected pops up and leaves my well-laid plans in shambles, and then I have a hard time staying relaxed and calm.

If you’re overwhelmed by stress and anxiety here’s how you might be feeling:

Stress can leave you feeling overwhelmed

• You have lots to do but don’t know where to start.
• It’s hard to concentrate and focus.
• You lack motivation.
• It’s hard to fall asleep or stay asleep because your worries play on a continuous loop in your head.
• You’re irritable with those you care about.

It’s Hard To Manage If You Feel Overwhelmed

When you’re stressed, even daily tasks like doing the dishes, laundry, shopping or taking the dog out can feel like a burden. Today I completely avoided vacuuming. I really wanted clean carpets, and I knew it would only take a couple of minutes to do it, but guess what? I didn’t do it because the idea of having another thing on my plate left me feeling totally stressed out. I told myself, “I’ll do it tomorrow.”

Not vacuuming for a day isn’t a big deal. The problem comes when you’re constantly avoiding stuff just to avoid the stress and anxiety. Then things begin to snowball, leaving you more stressed out than you were to begin with.

How To Manage Your Stress

You may not be able to eliminate stress from your life completely, but you can find ways to manage it so you don’t feel as overwhelmed or anxious. Here are some tips that have worked for me and my clients:

• Keep to-do lists short. Long lists can add to your stress. Make the list manageable enough to complete easily in a day. I suggest no more than four items on your list. If you quickly cross them all off, you can always make another list — or just revel in your productiveness!
• Start small. Begin with the easiest thing on the list. If making that phone call that you’ve been putting off feels like too much, put the dishes in the dishwasher first. Sometimes checking off items on your list gives you the motivation to do more.
• Practice mindfulness when doing your to-dos. When you’re doing one task and you’re also busy thinking about and planning the next thing, or you’re multi-tasking, you’re creating more stress for yourself. Paying close attention to what you’re seeing, hearing, tasting, smelling and touching while doing the task at hand allows you to get out of your head and into what’s happening now, right in front of you. And that can calm your frazzled nerves.
• Create some time for you. Take a few minutes out of your day to sit and have an herbal tea, or whatever sounds good to you. It’s important to take care of yourself, even if that means you’re just taking time to get a drink of water, a snack, or go to the bathroom.
• Be kind to yourself. If that voice in your head is yelling at you all the time, you might think it would motivate you — but the reality is, it’s just making you feel bad about yourself and adding to your stress. Feeling bad can take the wind right out of your sails, leaving you feeling unmotivated once again. So instead of being overly critical, how about offering yourself some kindness? Say to yourself, “Today I didn’t get as much done as I wanted, but I did cross two things off my list. I will face challenges, and I’m OK with the things I accomplished.”

If you frequently feel overwhelmed and would like some help with managing your stress, please send me an email or call me at 410-340-8469 for a free 15-minute consultation.

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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.

Photos courtesy of Aidan Meyer and Tamarcus Brown for Unsplash.

Cultivate And Grow Self-Compassion This Spring

I love seeing the spring flowers break through the ground at this time of year. That first crocus blooming on a chilly day always makes me smile. When I hear the sound of robins chirping in the trees, I think that they, too, are excited for warmer weather and sunnier days.

But, for some people, springtime isn’t always a happy, hopeful time of year. You might feel disconnected from the people in your life and wonder what you’re doing wrong. Maybe you’re feeling that it’s time to make some changes in your life, but you don’t know where to start.

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 intense anxiety and depression.

Maybe you feel stuck because:

• You lack motivation.
• Your inner-critic is harsh or demanding
• The idea of making changes leaves you anxious or scared.
• You don’t believe that you have much to offer.
• You get overwhelmed easily.
• You feel disconnected or numb.
• You yearn to connect with others but fear rejection.

Often, feelings of inadequacy or inferiority generate fears that keep you stuck. Then you feel bad about yourself because you worry that you won’t ever move forward or make changes. The more you avoid making changes, the worse you feel, and you get caught in a cycle that spirals downward and leaves you feeling anxious and depressed.

Practicing self-compassion can help ease depression and anxiety

Instead of beating ourselves up for not making changes, or telling ourselves we’re lacking in some way, 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 opens us up to the possibility of new connections.

When we allow ourselves to be human, to make mistakes and respond with compassion, we begin to understand that we’re not alone in our struggle. Our sense of isolation recedes, the self-judgment softens, and that can ease the anxiety and depression.

What is self-compassion?

Self-compassion sounds like a great idea, but what exactly does it mean? Through extensive research, Dr. Kristin Neff found that self-compassion has three components—self-kindness, common humanity and mindfulness. You can read more about her findings here.

5 steps to help you cultivate self-compassion

What does practicing self-compassion look like in day-to-day life? Here are some things that have worked for me and for my clients:

1. If you’re always beating yourself up about mistakes or things you wish you’d done differently, remind yourself that we all struggle from time to time. Everyone has challenges. In fact, you probably know someone who’s having hard time right now, and there are probably people in your community you see every day who are struggling, and there are definitely people all over the world who are experiencing their own challenges. So in these difficult moments remind yourself, “This is really hard right now. I’m struggling, and we all struggle at times because we’re human.”
2. Practice self-compassion and loving kindness meditations.
3. When you feel anxious or stressed, place your hand on your heart, close your eyes and tell yourself, “I’m here. I will always be here, and I will always love you.” Sometimes making a loving statement to yourself is difficult. If this statement is too hard, instead you can say, “I am here and my intention is to love you.”
4. Practice mindfulness. This helps you understand that although the present circumstance might be hard, life is full of ups and downs, and things won’t always be as hard as they are right now.
5. Imagine what someone close to you might say to you if he or she knew you were having a hard time and repeat those words to your self.

If you would like help cultivating and growing your self-compassion and need some guidance for your journey, please email or call me at 410-340-8469.

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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.

Photos courtesy of Elizabeth Cush and Brooke Cagle for Unsplash.

Uncovering the Roots of Anxiety and Stress

Therapy can be a fascinating process. Some people compare it to peeling an onion. Each layer offers new insights and understanding. Case in point — many of my clients come to me because they want to learn how to manage their stress and anxiety more effectively. As therapy progresses it becomes evident that they’re not just stressed about what’s going on in their lives today. What triggers their anxiety are deeply rooted negative thoughts and feelings they have about themselves. These thoughts often determine the stories we tell ourselves about who we are.

Some of the deeply held negative beliefs that my clients have shared in sessions include:

• I am not enough.
• I don’t matter.
• I will always disappoint those who care about me.
• I am unlovable.
•  I am flawed.
• If they knew the real me, they wouldn’t like me.
• I should not be forgiven.

My clients are often surprised to learn that their situation is not unique. I’m not saying that each individual isn’t unique, but I have many clients who hold similar beliefs about themselves, because of their past experiences.

Doing the Deeper Work

Uncovering these beliefs often takes time because they’re unconscious, barely showing themselves when your anxiety starts to ramp up. As our work together progresses, trust begins to grow, and the deeper work begins. Sharing stories and impressions of past experiences in therapy can open the door to recognizing the messages you received growing up. Often, what I call the critical inner voice (or Negative Nelly), originates from experiences we had in those early years.

Because these messages are so painful and difficult to process, they’re often pushed down below the surface and bubble up through negative self-talk. That inner critic’s message can lead to anxious or depressed feelings. Therapy helps by bringing those negative messages to light. You can determine where they stem from, what drives them, and whether they are legitimate.

When Trauma and Emotional Neglect Aren’t Resolved

If you were emotionally, sexually or physically abused in childhood and that trauma wasn’t resolved or validated, it can leave you feeling inadequate or “less than” when you’re struggling. The same can be true if you were told to buck-up, to get over it, never show to when you’re hurt. These events and messages can also lead to being disconnected from your physical and emotional experience in adulthood, which makes it hard to know how you’re feeling. This can leave you uneasy or numb.

Mindfulness and Meditation Can Help

Mindfulness and meditation can help make you more aware of your negative thoughts and allow you to be more comfortable with your difficult feelings. Finding and practicing self-compassion also plays an important role in letting go of the negative self-talk that comes so easily when we make mistakes, or we embarrass ourselves through our actions or statements. Self-compassion acknowledges that we’re human and often make mistakes and that, although we all suffer, this too will pass. It also creates a space to offer yourself some support and comfort.

Therapy Can Make a Difference

If you’re suffering from trauma-related anxiety or depression, and it feels overwhelming, therapy can help. It’s important to find a therapist you feel comfortable sharing with and opening up to. You want someone who you feel will understand, empathize and support you in your journey forward. If you struggle with anxiety or depression that might be related to past trauma, please call me at 410-340-8469 to begin the journey to healing.

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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.

Photos courtesy of Joshua Earle and Ashley Batz for Unsplash.com

You Are Your Own Worst Critic

I woke up last night a bunch of times — each time with a different worry. Throughout the night I was rethinking plans for taking some time off, worrying about work and giving myself a hard time about things I need to get done but have been putting off. I woke up in a miserable mood. I was really down on myself.

Does this happen to you? Maybe it’s not when you’re trying to sleep; it could be at any point during the day when you’re caught up in your thoughts, and you’re being really hard on yourself. Suddenly you feel like poop.

When Your Life Makes You Anxious

When I’m worrying and feeling bad about myself, I tend to get cranky with others and annoyed by things that normally roll off my back. Suddenly, even a small irritation becomes a big deal. Some of my angry thoughts this morning: Why is my husband chewing so loudly? The dog needs to stop barking, NOW! What the heck, my computer is so slow! I need a new one.

As I sat with these angry thoughts, I realized that my worries during the night left me feeling stressed, anxious and really unhappy with myself and my life. Instead of allowing those feelings to color how the rest of my day would go, I decided it was time for a little self-compassion.

Practicing Self-Compassion

I did a short, guided meditation to promote self-compassion and felt so much better! It reduced my anxiety, generated feelings of love and compassion for the struggle I was having, and allowed me to feel less irritable and anxious. Research has shown that practicing self-compassion reduces anxiety and generates feelings of goodwill towards self and others.

Want to try it for yourself? Below is a short, guided meditation on self-compassion. 

Having Compassion For Others

Regardless of your political views, right now the world feels extremely polarized, and social media can make us feel as if it’s “Us versus Them.” This can leave you feeling anxious, disconnected and stressed. Through a self-compassion practice, we can begin to accept our imperfections and feel more connected with those around us, because we are all human, and humans occasionally struggle. We learn to accept the ups and downs in life as a part of our experience, instead of a reflection of who we are.

If you’d like to explore more ways to silence your inner critic by practicing self-compassion, please call me at 410-340-8469 or email me.

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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.

Photos courtesy of Ben White for Unsplash.com.

Do Anxious Parents Raise Anxious Kids?

Anxiety is sneaky — so sneaky that we often don’t realize we have it until it’s a part of our daily lives. I didn’t recognize that I was experiencing anxiety until I was over 40 years old. I just thought I was irritable, stressed, introverted. When I began to recognize that my anxiety caused these things, I took a look back at my life and began to understand how often it showed up. After I saw the impact anxiety had on me, I worried about how much my anxiety had affected my kids.

The thing about anxiety is that you can pass it down to your kids without even trying or knowing that it’s happening.

Anxious Parents = Anxious Kids

Studies have shown that anxious parents can lead to anxious children. And it’s not genetics; the kids aren’t born that way. One of the ways children learn is by modeling the behaviors of others, then imitating them and internalizing them. Anxiety is one of those behaviors. If your child sees you getting stressed out or irritated before taking them to school, he picks up on your anxious feelings about going to school. If this occurs regularly, , your child might then develop her own anxieties about going to school. Your children can pick up on your anxieties in other areas, too, like social situations, making phone calls, phobias, when things are out of your control — you get it.

My children have manifested anxiety in their own ways: a fear of bugs (me too), anxiety attacks (I’ve had them) and social anxiety (I get it). This is not the legacy I wanted to pass down to my kids.

Learning To Manage Anxiety

The good news is that other studies have shown that parents who learn to model healthy ways of managing their anxiety have children who are less likely to develop anxiety themselves. When kids see their parents managing their anxiety in healthy ways, they learn how to manage their own anxious feelings. When I realized that I’d been anxious a long time, I discussed it with my kids and shared the ways I was learning to manage it.

My previous post gives some awesome tips from a colleague on how to help you manage your children’s anxiety. Below are a few suggestions for healthy ways to manage anxiety that you can model for your children:

• Practice calming techniques together when you’re not stressed out. Creating space to calm yourself when you’re feeling at peace helps you access that calm place when you’re stressed.  Involving your children will help them access it too. Meditation, breath awareness, yoga, mindful drawing and sitting quietly are all good ways to practice.

• Pause before reacting. Anxiety can make you very irritable and short-tempered. If you’re stressed or feeling uncomfortable, you might lash out at those you care about in ways you’ll regret later. Take the time to pause and take a deep cleansing breath, acknowledge your anxious feelings, think about what you want to say and how you want to say it. For example, maybe you’re driving in heavy traffic and your kids are singing or talking loudly in the car. Because you’re anxious about the traffic, you might find yourself yelling at the kids to be quiet. Instead, take a deep breath, recognize that you’re anxious and think about what you need from your kids to help ease your anxiety. You might then be able to say something like, “It’s super busy on the roads right now and it’s stressing me out. It would really help me if you guys can keep it down so I can pay attention to all the cars on the road.”

• Be kind to yourself. Anxiety often gets activated when we make mistakes or forget things. Beating yourself up only increases your stress. Try offering yourself words of comfort and support: “Oh no! I dropped the eggs! But that’s OK, everyone makes mistakes,” or “I missed my dentist appointment! That happened because I have a lot on my mind. But it’s OK because I’m human and sometimes I forget things.” Saying these phrases aloud shows your children that no one is perfect, and being imperfect is a part of life.

Therapy Can Help You Manage Anxiety

If you’re having trouble managing your anxiety and stress, counseling can help. It helps you understand what your triggers are and how they developed. Therapy provides support and a safe place to share your thoughts and feelings. A therapist can also help you figure out what strategies work best for you to help you manage more effectively. If you’d like to find out if therapy might help you, please call or email me.

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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.

Photos courtesy of Caleb Jones and London Scout for Unsplash.com.

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.

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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. 

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.  

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,

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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.

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.

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

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

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. 

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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.

Keeping Anxiety In Check While Keeping Up With The Holidays

The holidays can be a stressful time. Whether you’re hosting an event, attending holiday parties, spending the holiday alone, traveling, or you have a long list of presents to buy, the holidays can create or ramp-up anxiety. Recently, I posted 30 tips to help you survive the season but over the next few weeks I'm breaking them down by topic. This week my tips will help you feel more organized and in control this holiday.

Keeping to-do lists short and can reduce holiday stress

Keep to-do lists short

Limit your lists to items you can realistically accomplish within an allotted time frame. If needed, allow yourself to let some things go. Looking at unfinished items on your list can add to your stress.

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. Or you can organize your trip by the things you need to buy. For instance, if you’re grocery shopping for the week you can also stock up on the non-perishables needed for the holidays like stuffing mix, or turkey broth.

Budget your money realistically to reduce future stress

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.

Budget your time

Set time aside some time to do a little each week. If you put off everything until the last minute, you’re only causing yourself more stress and anxiety.

Focus on the task instead of worrying about what's next

Worrying about what you need to do tomorrow, or the next day, or the next can be paralyzing. Try to stay in the present moment and focus on what you need to do today. “Whatever is going to happen will happen, whether we worry or not.”
― Ana Monnar

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. Focusing on your breath can ground you and help your body relax.

Keep it simple to avoid holiday burn-out

It’s easy to over think things, and get stuck worrying about making everything “just right,” but this can lead to holiday burnout. When deciding what gifts, food, or decorations you need, try not to get too caught up in finding the perfect ______ (you fill in the blank). 

Sometimes, no matter how hard we try to avoid or manage the holiday stress and anxiety, it can still overwhelm us. If you're struggling and feel you might need additional support, counseling can help. Counseling provides a safe, supportive, non-judgmental space to talk about what's happening. It also helps you find strategies to manage your stress and anxiety that work for you. Please call or email me if you think therapy might help you manage the stress of the holidays.

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Photo courtesy of Olu Eletu for Unsplash.com.

Elizabeth Cush, MA, LGPC is a licensed therapist who works with high-functioning adults and adolescents experiencing anxiety and stress. She owns and operates Progression Counseling in Annapolis, Md.

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

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.

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.

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!

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.

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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.

5 Expert Tips On How To Add Self-Care Into Your Life

Part 3 in a Series: Over-stressed and Overwhelmed — We’re Not Taking Care Of Ourselves

Making self-care a priority isn’t easy — but it’s critical to our well-being. My last two posts offered insights from experts on why self-care is so important and why women seem to struggle with self-care. Several of my colleagues talked about the negative consequences that we can experience if we don’t take care of ourselves. So the question remains: How can we make self-care a part of daily life, without adding stress to our life, or our to-do list? Here’s some suggestions:

Take a moment each day to simply pause and feel peace. In that moment, be aware of the breath, maybe close the eyes, find a smile on the face and feel it in the heart. Just simply pause... and feel peace. — Julie Blamphin, Stretch Your Spirit, Annapolis, Md.

Hug someone you love — more than once a day, if possible. (Pets count!!) Hugs. They heal. They connect. They remind you what it feels like to receive support. They remind you that you're not alone. They release oxytocin and serotonin: aka The Cuddle Drugs. They make you want to get closer and they make you feel a part of something cozy, and warm, and LOVE. Hugs are the physical manifestation of love. And as a Self Proclaimed LoveGeek, I advocate for more love, always. — Robyn D’Angelo, LMFT, The Happy Couple Expert, Laguna, Calif.

Mindfully check in with yourself, intentionally, at multiple points throughout each day. Use your breath to connect with your inner self and ask, what do I need? Then wait and listen. The first dozen times I did this, I would receive an answer and immediately discount it, thinking, “That can't be it.” But it was! It might be as simple as '” need water” or “I need to go to the bathroom.” It can be surprising to realize how often we simply ignore those basic needs that our body tries to tell us to attend to. — Laura Reagan, LCSW-C, Therapy Chat Podcast, Severna Park, Md.

Pay attention to things you are already doing that could be transformed into self-care. If you are already feeling overwhelmed, do not feel like you have to add more things onto your plate. Rather than wolfing down your lunch at your desk, actually enjoy and savor your food. If you’re in the car, put on music that you love listening to rather than surfing the radio stations getting frustrated. Look for opportunities to connect and enjoy your experiences that are already present. — Agnes Wainman, Ph.D., C. Psych., London Psychological Services, London, Ontario

Incorporate micro self-care into your day. Taking care of yourself doesn’t necessarily mean you have to go on a weekend spa retreat (although that sounds amazing). Micro self-care means adding small, regular habits into your daily routine that allow you to feel re-energized, more balanced and better able to cope with your day. In an article on micro self-care in Psychotherapy Networker, Ashley Davis Bush, points out that a one-minute grounding exercise, such as listening awareness or breath awareness, at the beginning or in the middle of your day can help keep your focus on the here and now, and you’ll worry less about what’s next. — Elizabeth Cush, MA, LGPC, Progression Counseling, Annapolis, Md.

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You can also listen to the Therapy Chat Podcast Episode #50 where more therapists share their personal favorite self-care tips.

I hope you’ve found this series on self-care to be helpful. If you’d like some support as you make self-care a greater priority in your life, call me for a free 15-minute phone consultation at 410-340-8469.

Photo by Freestock and Daniela Cuevas, for Unsplash.com

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Elizabeth Cush, MA, LGPC is an Annapolis counselor who works to help people manage their stress and anxiety. She owns and operates Progression Counseling in Annapolis, MD.

Over-Stressed and Overwhelmed — We're Not Taking Care Of Ourselves

Why Is Self Care So Hard?

Part 1 in a Series: Over-Stressed and Overwhelmed: We’re Not Taking Care of Ourselves

Recently, my husband and I were both ill — fortunately, not at the same time. When he became ill, I took time off from work, without thinking twice. I rescheduled my clients. I kept him company while he was in the hospital, and I brought him take-out food so he didn’t have to eat the gross food from the cafeteria.

After he was discharged from the hospital, I got sick. I had stomach pains that kept me up all night and lasted for three days. It was hard to eat, my body ached, I was exhausted, and I felt terrible.

If someone had asked me what I’d do if I got sick, I’m sure I would say, “I’d take time off to care for myself.” But that’s not what I did. I went to work! I suffered through the first two days, feeling miserable. I’m sure I wasn’t doing anyone any favors by being there and feeling terrible.

Only after I’d struggled through the week, and gone to see my doctor, did I ask myself why I didn’t take better care of myself. How is it I that can tell my clients how important self-care is, yet I can’t stay home when I’m sick?

I talked to a friend who offered her own example. She noted that her intentions were always good, and at times she made self-care a priority. For her, that meant doing yoga every day. But as life her got busier, more stressful and overwhelming, her daily yoga became weekly yoga, and now she said she struggles to fit that in. 

Why do we find it so hard to care for ourselves? Why, when we need it the most — when we’re stressed, burdened and overwhelmed — does self-care go to the bottom of the list, particularly for so many women? I struggled to answer these questions, so I asked a few therapists and healers for their thoughts. This is the first in a series of posts with their insights into the importance of self-care, why women struggle with self-care and how to take better care of ourselves.

Why Is Self-Care Important?

When asked about the benefits of self-care, more than person has said to me, ‘They tell you to put on your oxygen own mask before helping the person next to you for a reason.”  If we aren’t caring for ourselves then what good are we to the people in our lives whom we care about?

Read what my colleagues have to say about why self-care matters so much:

“Self Care is important to me because I don't do it enough and I really hate the consequence of that. As a helper, healer, and hopeful - I am wired to support, give to and guide others. Which means, all that giving does two things:

1. Leaves little or no room for receiving
2. Reminds me of my purpose

These two things don't sound astronomically horrible, but as a woman, I struggle to hold space for both. I try and remind myself that setting myself on fire just to provide light to others is not the best way to live.”

— Robyn D’Angelo, LMFT,  The Happy Couple Expert,  Laguna, CA,

“I used to think self-care was important because I can't be a good wife and mother if I am not taking care of myself. Now I realize that I deserve to have my own needs met just so I can be a healthy and happy human being, aside from my roles of caretaking for others as a mother, wife and therapist. I am worthy of love and attention just simply because I'm alive, and I have needs that must be met so I can function.”

— Laura Reagan, LCSW-C, Therapy Chat Severna Park, MD

“Self-care is an activity or practice that gives to us rather than takes from us. It may give us a time to rest, a time to connect with ourselves, a time to invest in our own physical and emotional well-being. Self-care is the fuel for our coping tank.”

— Agnes Wainman, Ph.D., C. Psych., London Psychological Services, London, Ontario

My next post will examine why women seem to have a hard time making self-care a priority. If you’d like help managing your stress and making self-care a greater priority in your life, call me for a free 15-minute consultation at 410-340-8469.

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Elizabeth Cush, MA, LGPC is an Annapolis Counselor who works to help people manage their stress and anxiety. She owns and operates Progression Counseling in Annapolis.

Photos by: Elizabeth Lies & Drew Coffman- unsplash.com

Coming Together When We’re Coming Apart

It feels like our society has lost its sense of unity. All we do is take sides: Are you on the right or the left, Democrat or Republican, white or are you black, Christian or Muslim, male or female…? You get the point.

In order to take sides, or to figure out who isn’t on your side, you make a judgment about them. We can form opinions based on analysis or careful consideration, but when we make judgments, they are usually quick, in the moment decisions. Judgments are based upon visual clues, emotional cues, and the way we process, categorize and make sense of things. We can then fit whatever we’re judging into our mental picture of how we see world.

Judging Others

Judging others can cause us stress and anxiety.

For instance, I was in a bookstore recently. The man ahead of me in the checkout line was white, and had a long ponytail, lots of tattoos, a leather jacket and boots, and a chain wallet. I hate to admit that my immediate thoughts were, He seems tough. He’s a biker. His motorcycle is parked out front. What is a guy like him doing in a bookstore? As soon as I started this process I chastised myself, for I had no way of knowing who he was, or why he was there. After we struck up a conversation, I found out that he had a lifelong meditation practice, and was buying a Jon Kabat-Zinn book for his girlfriend. When I made the effort to see him outside my narrow vision of him, and talked to him, I found out we weren’t so different.

Stressing Out

Constantly judging others who seem different from us takes mental energy and can cause stress and anxiety. When we feel threatened by people who are different from us, our nervous system gets activated, because our bodies think we are in real danger. If we see the world as a threatening or unsafe place because it includes people whose skin is a different color than ours, who are from a different culture or who practice a different religion, then we are living with added stress.

Each time we hear messages that reinforce our fears, our stress response activates, making us feel uncomfortable, and increasing our feelings of fear and distrust. All of that stress can overwhelm us.

An article in PsychologyBenefits.org noted that when we don’t take the time to learn about each other, and we respond from fear or anxiety, instead of empathy and compassion, we are more likely to:

• Smile less
• Maintain less eye contact
• Use a less friendly verbal tone
• Keep greater physical distance
• Avoid interactions with people of other races altogether

Being Empathetic

The good news is that we can change, and all it takes is getting to know the people who might seem different from us. Studies have shown that when we approach others with empathy, curiosity and compassion, the racial and cultural anxieties lessen and positive interracial relations increase.

How To Stop Judging Others

Here are five steps to help you reframe your thoughts if you find you are quick to judge others:

1. Be mindful or pay attention to your thoughts when you see someone who looks different from you.
2. If you find you are making a judgment about the person ask yourself, “How do I know this is true? Have I met him or spoken to her?”
3. Create a different story about him that doesn’t feel threatening.
4. Be curious. If it feels right, talk to her and ask questions.
5. Be empathetic. Try seeing the world from his eyes, and work to understand her experiences.

How To Stop Judging Yourself

Empathy and compassion not only affects how we see others, but also how we see ourselves. If we can see suffering and struggle as a common human experience, instead of being hard on ourselves when times are tough, or when we make mistakes, we can learn to be compassionate towards ourselves. You can find more about self-compassion here and here.

If you're feeling overly anxious or stressed and think that counseling might help you please reach out.

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Elizabeth Cush, MA, LGPC is an Annapolis therapist who helps people manage their stress and anxiety. She owns and operates Progression Counseling in Annapolis. For a free 15-minute consultation call me 410-340-8469.

It’s Time To Open Doors, Not Close Them

Hope

A friend recently asked me to write a happy blog to offset all the sadness in the news lately. It’s so painful to see all the hurt, hatred and violence that have become a part of our lives. When each new tragedy occurs, my heart breaks for all the victims and their families. And I am angry that nothing changes.

This is my effort to make sense of our nation and the world we live in. And although I don’t think I can do “happy,” I can do hopeful.

Feeling The Impact Of Racism, Bigotry And Hate In Daily Life

Being a therapist, I know the negative impact that racism, bigotry and hate have on our mental health and our physical well-being. Being a woman, I know the harmful effects of sexism and sexual violence. And I have family, friends, colleagues, clients and classmates who’ve also felt the adverse impact of racist, bigoted, hateful incidents ranging from microaggressions to assault. I also know that I am white and middle class, and as a result, have certain privileges that many people in our country do not.

In the wake of the recent killing of recent shootings of young black men by police officers, and the five police officers who were killed at a peaceful Black Lives Matter rally in Dallas, it’s hard to make sense of what’s happening in the world or to find any hope that things will get better.

History Offers Hope For Change

Fortunately, history tells us that change can come from difficult times. Peaceful and violent demonstrations have brought about significant changes in our society.  

I believe that real change can come. But before it can happen, those of us with power and privilege (like me) have to be open and ready to have uncomfortable conversations about the existing problems and to accept that many inequalities persist in our society.

Incorporating Activism In Daily Life

How can we become open and ready? I am no activist, but here is what I believe I can do:

·      I can make an effort to listen all my clients, family, friends, colleagues and strangers. I can try to understand their experience from their perspective, and be truly empathetic.

·      I can be aware and acknowledge that real problems exist and to be ready to learn about them with an open mind and heart.

·      I can learn about the differences of all cultures and races, and their differences, with curiosity and compassion, instead of with judgment and hatred. 

·      Lastly, I can communicate and educate others about how the messages of racism, bigotry and hatred that I hear, see and witness each day impact all of us.

It’s Time To Open Doors, Not Close Them

Instead of closing borders and closing our hearts, I think it’s time to open them. Instead of the “us” versus “them” refrain that we continue to hear on the news, from politicians, and on social media, I believe we need a real, two-way dialog and a stronger more unifying message. We are all “us,” and we can learn to embrace, appreciate and value our individual differences.

It’s Up To Us

I believe that each individual voice, open heart and open mind can make a difference, and I will continue to have hope that these trying, difficult times, in which racism, bigotry, violence and hatred are so prevalent, can lead to lasting changes in our society and in the world.

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

Wider Ripples: The Stanford Rape Case And Orlando Mass Shooting Affect All Survivors Of Violent Crime

The Stanford rapist’s sentencing, the rape survivor’s letter and the mass shooting at Pulse, a gay nightclub in Orlando, have recently dominated news headlines, and social media. I hesitated to add my voice to the overall noise of the conversation, but I thought it was important to speak to the survivors of rape, mass shootings and hate crimes.

Surviving Isn’t That Simple

To outsider observers, survivors of violent crime have, by definition, survived. Those who haven’t experienced the trauma might see survival as a thing of celebration, or as a reason to move forward. After all, the survivor made it; he or she is alive; the experience is over. Unfortunately, it’s rarely that simple. Survivors of violent crime are left with many conflicting feelings and thoughts. Years after the event, they might continue to struggle.

It’s hard for any of us to avoid the images, written text and video of the recent events. For survivors of violent crime, that information overload can bring back the thoughts, images, and feelings related to their past personal experience.

For survivors of rape or hate crimes, these feelings can include:

·      Shame because they believe that maybe somehow they deserved this.

·      Self-blame because “if only” they done that one thing (stayed home, skipped that last drink, worn different clothes...), it might not have happened.

·      Anxiety because they no longer feel safe.

·      Guilt because of the impact on family, friends and themselves.

·      Anger towards the perpetrator, the victim, the system and themselves.

·      Frustration that they can’t get over it, or that the perpetrator went free.

·      Sorrow from the loss of their former selves.

·      Relief because it was someone else this time.

·      Hope that now others will understand how devastating the rape or hate crime can be. Or maybe, that the publicized incident will finally drive lasting societal change.

·      Numbness because they can’t bare to think about what happened.

For survivors of mass shootings the feelings are similar but for slightly different reasons:

·      Shame that they were targeted.

·      Guilt that they survived and others didn’t.

·      Anxiety because the world doesn’t feel safe.

·      Anger towards the perpetrator, or the system.

·      Frustration that this is happening again.

·      Sorrow from the loss of those who died.

·      Relief because they weren’t there this time.

·      Hope that maybe this time something will change, and it won’t happen again.

·      Numbness because to think about what happened is too painful.

Coping Tools For Survivors

If you are a survivor of violent crime, take the time to remind yourself that it’s normal for your feelings to resurface, and for you to feel conflicted about what’s happened. It’s also normal to be triggered, or activated, by the recent events. If you are feeling overwhelmed, here are a few coping tools to help you manage this extremely difficult time and to take care of yourself:

·      Give yourself permission to feel whatever it is you are feeling.

·      Reach out. If you are in counseling, have a support group, or have supportive friends and family, talk to them about what’s going on for you.

·      Turn off the news. You know what happened. Watching 24/7 news coverage can increase your feelings of danger or threat and leave you feeling more anxious.

·      Take the time for self-care. Exercising, sleeping, reading, and spending time alone or with loved ones can create a sense of well-being.

·      Take a walk in nature. Natural settings can help calm your nervous system. According to a scientific study that was reported on in the New York Times, “…volunteers who had strolled along the quiet, tree-lined paths showed slight but meaningful improvements in their mental health…They were not dwelling on the negative aspects of their lives as much as they had been before the walk.”   

If you are feeling overwhelmed by the recent events and would like help please call or email me for a free 15-minute phone consultation.

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Elizabeth Cush, MA, LGPC, is an Annapolis therapist helping people who feel overwhelmed by stress and anxiety. Progression Counseling in Annapolis and Arnold, MD- 410-340-8469

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.

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

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.

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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.

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.

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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

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.

• 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.

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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

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.

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

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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.

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

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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.

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/)

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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