Counseling Blog | LGBTQ+ Couples & Individuals

May 24, 2020 by Alan Zupka Leave a Comment

Why Most People Misunderstand Depression

Of all the words in the English language, depression must be one of the most misunderstood. Why does this term seem to confuse so many people? Why is its real meaning so hard to grasp? It is because the term has two starkly contrasting meanings, depending on who is using it.

Among clinicians, the term depression is used to describe a debilitating syndrome that robs people of their energy, memories, ability to concentrate, love and experience joy. This is not just an emotional state, but a physical one that impacts specific regions of the brain. Depression actually lights up the brain’s pain circuitry, inducing a state of suffering that can become debilitating.

Beyond this, depression is actually neurotoxic, meaning the disorder can eventually lead to the death of neurons in critical memory and reasoning areas of the brain, including the hippocampus and prefrontal cortex. Simply stated – depression causes brain damage.

Colloqiual Usage

Confusion abounds when the term ‘depression’ is used by people in everyday conversation, however. In these instances, they usually are referring to something far less serious or clinical. In fact, most people use the term as a synonym for mere sadness or being slightly upset.

For instance, you will often here people make comments such as, “I was so depressed when Starbucks dropped its pumpkin spice latte,” or “Oh my God, I just ripped a whole in my favorite pair of jeans. I am like, so depressed right now.” No, you’re not, you’re bummed, pretty disappointed in fact, but you are certainly not depressed. These kinds of disappointments, while frustrating, are simply a part of life.

But ripped jeans and discontinued menu items have little effect on our ability to function, and the feelings of disappointment and annoyance rarely last for very long. A friendly word from a loved one or a hug is generally all that’s needed to get over the perceived “crisis.”

In contrast, clinical depression often persists for months, and no amount of friendly support from loved ones is enough to make it any less debilitating.

Time for New Language?

And that is where the confusion lies, and why many people simply don’t understand the true ramifications of clinical depression. It is also why those who suffer from depression are met with relative indifference when they open up to friends and family about their condition.

The sad reality is that, because of this profound confusion, many depressed patients are expected to simply “snap out of it” by their friends and family. No one would ever take this attitude with someone suffering from cancer or kidney disease; the admonition is equally offensive and inappropriate in the case of clinical depression.

Perhaps it is time to come up with a new term to describe the symptoms of clinical depression. By using new language, more people might understand the disease and show more compassion toward individuals suffering from it.

If you or a loved one is interested in exploring treatment, please contact me today. I would be happy to speak with you about how I may be able to help.

May 17, 2020 by Alan Zupka Leave a Comment

5 Ways to Effectively Manage Anxiety

If you suffer from anxiety, you know that awful feeling when heart races, you start to sweat, and you feel like you just want to run. According to the Anxiety and Depression Association of America, anxiety disorders are the most common form of mental illness in the United States, affecting roughly 40 million adults. While anxiety can feel debilitating, there are ways you can manage it.

Slow Your Breathing

When we feel anxious, our breathing becomes quicker and shallower. This way of breathing, in turn, makes us feel even more anxious. It’s a vicious cycle.

When you feel the anxiety start to come on, start to focus on your breath and begin to slow it down. Breathe in slowly and deeply for a count of 4, hold for a count of 4, then exhale slowly for a count of 4. Repeat this cycle three to five times until you feel yourself begin to calm.

Limit Caffeine

Drinking or eating anything with caffeine in it can exacerbate your anxiety. Studies have even shown that caffeine can trigger an anxiety attack, so try and avoid or greatly limit consumption.

Exercise

Studies have shown that just 20 minutes of exercise can reduce symptoms of anxiety. Not only does exercising make you feel good about yourself, it actually floods your body with feel-good endorphins, which can totally turn your mood around.

Make a List

One of the worst parts of feeling anxiety is the feeling that you are out of control. One simple exercise to turn this around is to make a to-do list of small, easy-to-manage tasks. Crossing these tasks off your list will actually empower you and make you feel in control again.

Remind Yourself of Reality

When the plane of a nervous flyer hits turbulence, that nervous flyer must remind themselves that the plane is okay, and it is just a normal occurrence to hit turbulence. People who experience anxiety may also have to remind themselves that they are actually okay when an anxiety attack comes on. Simply tell yourself that you are experiencing anxiety but that you are, basically, okay, you are not going to die.

It can also be very beneficial to talk to someone about your anxiety issues. A therapist will be able to offer more tools and advice on how to cope and manage your anxiety.

If you or someone you love suffers from anxiety and would like to explore treatment options, please be in touch. I would be happy to discuss how I may be able to help.

May 10, 2020 by Alan Zupka Leave a Comment

Somatic Experiencing for Treatment of PTSD Symptoms

Traumatic events such as war, rape, and severe accidents can lead people to suffer from symptoms of Post-Traumatic Stress Disorder (PTSD). What we have recently discovered is that any event that is experienced as threatening can generate PTSD-like symptoms and negatively affect a person’s quality of life.

Somatic Experiencing® (SE™) was developed by psychologist Peter A. Levine to address the effects of trauma. Levine developed this modality after noticing that prey animals, whose lives are constantly under threat in their natural habitat, are able to recover quickly by releasing stressful energy accumulated during the event.

Human beings don’t have this same capability of processing trauma. We tend to override this natural way of regulating our nervous system and instead feel emotions like fear and shame. Somatic Experiencing helps people move past the trauma.

What is Somatic Therapy Exactly?

Somatic therapy combines psychotherapy with physical therapies to bring about the holistic – or whole-person – healing. This modality focuses on the mind-body connection and uses talk therapy along with physical therapy techniques to release pent-up tension in the body that is negatively impacting a person’s health and well-being.

Somatic therapy can be very beneficial to people who have suffered trauma or abuse, as well as people who suffer from stress, anxiety, depression, grief, and addiction. This technique can be used in individual and group settings and may prove effective when other traditional forms of treatment have not delivered results.

What to Expect from Somatic Therapy

During a session, a therapist uses talk therapy to help their client revive past memories of traumatic experiences. The client then pays attention to any physical responses. Physical therapy techniques such as deep breathing, relaxation, and meditation are used to help relieve symptoms. Other adjunctive physical techniques that may be used with this therapy include yoga, dance, exercise, or other types of movement and massage.

How to Choose a Somatic Therapist

Somatic therapy can easily be integrated into other counseling practices. You’ll want to begin by looking for a somatic therapist that is licensed and experienced in somatic therapy techniques. In addition to looking for someone with the right skills and background, it’s also important that you find someone you feel comfortable with.

Somatic experiencing is an excellent way of getting rid of what is stuck and holding you back from experiencing joy and peace in your life. If you’d like to explore this treatment approach, please get in touch with me. I’d be more than happy discussing how I may be able to help.

SOURCES:

https://www.psychologytoday.com/us/blog/the-intelligent-divorce/201503/somatic-experiencing

https://www.psychologytoday.com/us/therapy-types/somatic-therapy

https://psychcentral.com/lib/how-why-somatic-experiencing-works/

https://www.goodtherapy.org/learn-about-therapy/types/somatic-experiencing

May 4, 2020 by Alan Zupka Leave a Comment

3 Busted Myths About Recovering Addicts

Addiction is complex. And because of this complexity, there tend to be a lot of opinions, and yes, even myths surrounding it.

In my practice, I have spoken to many addicts and loved ones of addicts, and I have found the same questions come up over and over again. Unfortunately, I am also aware that these myths and questions stand in the way of many people seeking treatment.

I would like to put some of these common myths about addiction recovery to bed once and for all.

Myth #1: I Can’t Afford Treatment

It is an absolute shame that so many people believe they can’t afford to seek help for their addictions. True, recovery can be expensive, but there are always low-cost options.

Cost of treatment typically depends on the program, and each program will have varying payment options. If you have insurance, you can always call facilities in your area to see if they accept your plan.

If you don’t have insurance, or your particular plan is not accepted, you have several recovery options:

Stabilization programs – These are low cost programs that run from between two to six weeks in an inpatient recovery facility following detox.
Self-help 12-Step programs – These are free programs that follow a 12-step holistic approach to recovery, focusing on surrender and making amends with loved ones.
Health Insurance Marketplace – State government low-cost insurance plans where coverage varies by state.

If you have any questions about recovery costs, you may contact Substance Abuse and Mental Health Services Administration (SAMHSA) to learn more.

Myth #2: I’ll Be Fired If I Go to Rehab

This is one of the most common myths. The reality is, if you have a substance abuse problem, it has more than likely become apparent to your boss and coworkers. By not getting treatment you may very well lose your job.

In my experience, management is generally supportive of an individual’s efforts to get better. Many employers even offer employee assistance programs (EAPs) for those struggling with substance abuse. Check with your boss or HR to see if this program may be available to you.

Another options is to check into the Family and Medical Leave Act (FMLA). This act provides 12 workweeks of job-protected, unpaid leave in a 12-month period for “a serious health condition that makes the employee unable to perform the essential functions of his or her job.” Qualifications for this coverage are determined by employers who will take into consideration how long you’ve worked for the company.

And finally, if you do not have access to EAPs or FMLA or discretion is very important to you, you may want to consider using vacation time for your recovery process.

Myth #3: Recovery Will be Quick

Let’s get one thing straight – there is no quick fix to substance abuse. Recovery is a process that continues even after you complete a program. Getting clean takes commitment from both you and your loved ones. In many cases, this will be the hardest thing you ever do, but doing it will be rewarding for your life and health, and the life and health of your family.

It’s important that you have some sort of aftercare in place before you leave your treatment facility. Aftercare can mean group therapy, individual therapy, a 12-step program, a sober house, or therapeutic community. Individuals who engage in aftercare programs have significantly better outcomes.

If you or a loved one is considering a treatment program and would like to explore therapy options for your aftercare, please get in touch. I would be more than happy to discuss how I may be able to help you and your family recover.

#Stayathome "It could save lives!"