anxiety
Sara Stanizai
Grounding When Anxiety Visits

by Wanda Diep, LCSW

An acute bout of anxiety is anything but cute. In the moment, you might feel intense dread, an indescribable feeling like something terrible is going to happen. Plus, there are the body sensations of sweating, tunnel vision, lightheadedness, shallow breathing, and feeling frozen in place.

The good news is, you’ll be ok. The bad news is, you don’t know that in the moment.

I wrote out some of the common ways I help my clients deal with intense anxiety they might experience when out in their daily life.

Different things may work for you and your nervous system. One person’s clean, white, empty room is another person’s pile of pillows in a dark room with a comfort TV show and sparkling water to distract them. Here are a few steps to try, and then you can personalize them for yourself.

Grounding When Anxiety Visits
depression
Sara Stanizai
From Survival to Softness: Lessons from The ...

by Brianna Patti.

“It can be easier to believe resting is simply about retiring to your bed when you are tired instead of beginning the messy process of deconstructing your own beliefs and behaviors that are aligned with white supremacy and capitalism. You must be committed to studying how training under the abusive teachings of dominant culture has you bound and limited. This is healing work. This is justice work. When we are aligned against the ideas of the oppressive culture, we understand we didn’t arrive on Earth to be a tool for a capitalist system.”

― Tricia Hersey, Rest Is Resistance: A Manifesto

Like many therapists, I have a very long list of books that I try to keep up with. This job benefits from constant learning, and I get really excited when a client mentions something that’s directly related to what I’ve read recently. If you’re under the capitalistic spell of hustle culture, body shame, and/or a sense of disappointment about the aesthetics of the clutter in your home, stick with me on this one. 

From Survival to Softness: Lessons from The Body Is Not an Apology, Rest Is Resistance, and How to Keep House While Drowning
Sara Stanizai
Understanding Grief: Beyond the Five Stages

by Sara Stanizai, LMFT

There’s a common, half-joking sentiment that therapists and their clients think “everything is trauma.” I tend to think that everything is grief.

What if power imbalances, trauma, depression, relationship struggles, differentiating from your family, self-esteem, or anything else that brings you therapy was actually related to grief? If you boil down a lot of our pain, it often contains some part of the grieving process. We struggle to adjust to changes and loss in one form or another. And yet, grief is often treated as a mysterious syndrome that we try to avoid but know we can’t.

This isn’t to downplay the extremely painful loss of a loved one. But on a much, much smaller scale, we are often experiencing a version of grief every time we lose something.

Understanding Grief: Beyond the Five Stages
Sara Stanizai
Life is Hard, Be Kind: Acceptance & ...

by Tiffany Hooton, LMFT

It seems that every day the ongoing trainwreck that is the current sociopolitical landscape brings me one uneasy step closer to embracing Doomerism - which, if you’ve been lucky to avoid the word, refers to an excessively pessimistic and fatalistic worldview. This may seem a somewhat problematic position for someone working in the mental health field, who is, ostensibly, tasked with assisting others to climb out of their own despair, anxiety, and doubt, but it nonetheless brings into sharp focus the various moral, ethical, and existential dilemmas many of us are grappling with on daily basis:

How do we continue living in an environment that appears to be fundamentally hostile to life? How do we reconcile a belief in human rights and dignity with the reality that a portion of everything you earn funds the very bombs used to destroy the lives of innocent people abroad? How do we protect the communities we care about when we ourselves are powerless? How do we behave morally while engaging in an immoral system?

And, while I certainly don’t know the answer to those questions, I do know that these are moments which challenge us - to reflect, to listen, to act. For people who find themselves frustrated with injustice, mired in feelings of powerlessness, and fearful of the future, this can mean slowing down, learning to regulate their emotions, and getting connected with their values. Below, I’ll share a few tools to do just that:

Life is Hard, Be Kind: Acceptance & Commitment Therapy for When You Don't Know What to Do.
trans affirming therapy
Sara Stanizai
Banned Words, Trans Lives, and the Stakes of ...

by Andrew Kravig

 

Every single day, we hear folks talking about how these are “unprecedented times.” Which is true, of course. These times do feel overly “unprecedented.”  But what does that mean? What does it actually mean, as a lived experience, to chart an existence in a world where there is not an instruction manual or reliable guideposts to help you navigate?

Banned Words, Trans Lives, and the Stakes of Being “Illegal”

anxiety

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Straddling two worlds: Fostering Immigrant Communities of Healing

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Straddling two worlds: Fostering Immigrant Communities of Healing

In so many recent conversations, I’ve heard about the specific challenges experienced by immigrant communities and first- and second-generation Americans. Like so many things, putting a name and framework to a cluster of experiences can be immensely healing.

For many of us, we don’t realize the impact of this identity — until we do.

It’s a strange experience trying to pay back an invaluable debt that you didn’t really ask for but very much appreciate.

I spoke with Lindsey Phillips at Counseling Today about what it’s like to work with my community therapeutically. She ended up writing an excellent article about the specific mental health challenges experienced by first- and second-generation Americans and how we can find healing.

Tips for Managing Social Anxiety Before, During, and After an Event

Tips for Managing Social Anxiety Before, During, and After an Event

We’ve all been there. You agreed to make plans (showing up for a birthday party, scheduling a meeting with your supervisor, attending an extended family event) and you’re totally dreading it.

Your introverted, anxious, or depressed side is regretting your recent optimism. “WTF was I thinking?”

You look for a way to bail, but then, you don’t want to seem like a flake.

So, despite the pressure to flee building in your chest, you psych yourself up and leave the house. Then, even though things seem to be going fine, panic starts to rise in the back of your mind. 

Social anxiety is a real thing.

Even people who seem to be confident, popular, and generally have their shit together, can have anxiety in social situations. Often, it's those people who have it the worst. Acting like socializing is a breeze is often a way to overcompensate for feelings of inadequacy or insecurity. Everyone feels this way occasionally, but it can be really exhausting and overwhelming when you feel like this all the time. 

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When Self-Care Becomes Self-Sabotage

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When Self-Care Becomes Self-Sabotage

It can be hard to tell, but sometimes our “self-care” routines are bordering on self-sabotage, and they’re not good for us at all. While it is essential to treat yourself from time to time, and also create an environment that isn’t toxic and burning you out, it’s just as important to recognize when your habits start holding you back.

Everyday self-care routines can become harmful if they’re done too frequently, or for the wrong reasons.

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#FirstGenerationProblems: It Matters Where You Come From

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#FirstGenerationProblems: It Matters Where You Come From

Sure, all kinds of parents can be over-protective. Some families may expect you to work (or stay home) depending on your age, gender, or the type of work you want to do. But immigrant communities have an added layer of stress built in, that other people don’t have to contend with. Getting a car or a diploma means so much more to us, and it may not necessarily be seen as a good thing.

Parents are acculturating at a different rate than their kids who are born or raised in America, and they really just want what’s best for you. But the accompanying ambivalence and inner conflict can lead to internalized feelings of unease, and can impact so many aspects of your life and relationships.

Things like choosing a more “palatable” name, only speaking English, choosing an unexpected career, avoiding cultural social circles, or even your romantic preferences are all places this conflict can manifest.

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You Might Be a Perfectionist

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You Might Be a Perfectionist

It’s natural to want to succeed at the things you do. But when does striving for achievement become perfectionism?

Perfectionist tendencies are the combination of wanting to do our best, while simultaneously feeling like we never actually do.

Having high standards and wanting to pursue excellence can be helpful qualities. Without them, one could argue, everyone and everything would stay mediocre.

But this is different from perfectionism, which is less about an excellent result, and more hyperfocused on not making any mistakes or having flaws.

When perfectionists make mistakes, they feel like a complete failure, fixate on the negative, and have anxiety or depression over their perceived flaws.

When people with high standards make mistakes, they forgive themselves, see it as “part of the process,” learn from it, and are not deterred from their pursuit.

How can you tell which one you are?

Three Ways You Might be Minimizing Your Trauma

Three Ways You Might be Minimizing Your Trauma

Trauma is any experience that overwhelms our ability to cope with it.

In other words, the deciding factor of whether an experience is traumatic or not, is whether it overwhelms your ability to cope with it.

The tricky part is that frequently, one way that we try to cope with traumatic events is to minimize them. That’s our brain trying not to be overwhelmed with the magnitude of the stress. This goes for events that overwhelm us physically, emotionally, or both.

Here are three signs that you might be minimizing your trauma, and thereby actually prolonging or intensifying its effects.

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Feeling Like a Fraud? How to Identify Impostor Syndrome

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Feeling Like a Fraud? How to Identify Impostor Syndrome

Many people can be socially awkward from time to time. It’s normal to experience periods of self-doubt. It’s natural (and healthy!) to second guess ourselves sometimes, too.

The important thing about impostor syndrome (rather than just regular anxiety or self-esteem issues) is that despite fears of being inadequate, you are wholly qualified to be doing what you’re doing.

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Add to Cart: What Are You Really Shopping For?

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Add to Cart: What Are You Really Shopping For?

Sometimes, your day just really sucks. So you re-do your most recent Postmates order, put your favorite Broad City episode on for the eighty millionth time, and open up ASOS to look at the new arrivals. Two hours later, you’ve spent all your grocery money for the week on the cute shoes you felt like you absolutely needed. (They sold out last time!)

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The Bi+ Guide to Going Home for the Holidays

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The Bi+ Guide to Going Home for the Holidays

Yes, another “holiday edition” blog post. They’re springing up everywhere!

This is a good one, especially for my fellow Bi+ (bisexual, pansexual, non-monosexual) folks, especially if you are in a relationship with a partner of a different gender. Bi+ people are less likely to be out, and can easily get roped into phobic rhetoric that is annoying on a good day, but triggering on a bad day.

People often feel like they have “no choice” but to commit to stressful, sometimes harmful family events. Hey guess what, you don’t have to. But if you do decide to attend, you can make it less painful for yourself and maybe even have a good time.

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When to Check on Your Strongest Friend

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When to Check on Your Strongest Friend

We need to feel discomfort first, for it to go away. This doesn’t mean you have to dwell on it for days or weeks. In fact, you’ll be surprised at how even a 20-minute conversation with someone who is listening can ease your pain. Here are some questions you can ask.

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Watching Your Bloopers vs Your Highlights

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Watching Your Bloopers vs Your Highlights

What's more fun? Watching the "highlight reel" or the "blooper reel" of life?

Does it help you personally to relive the times you **nailed it**, or to dissect the times you screwed up? To celebrate your success, or to wallow in your failure? Which is more useful? More educational? More revealing?

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Frustrated That Your Goal-Setting Isn't Working?

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Frustrated That Your Goal-Setting Isn't Working?

If your goal-setting isn't working, it might be because you're focusing on the wrong tasks. Have you ever set a deadline...and then kept moving it? Do you want to be a marathon runner but don't know where to start? Use this guide to figure out how to bridge the gap between where you are and where you want to be.

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How to Identify Your Own Toxic Behavior

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How to Identify Your Own Toxic Behavior

Aren't we as adults accountable for our own actions? But then, isn't everyone else responsible for theirs?

I recently spoke with Annamarie Higley at Brit + Co about how to identify our own toxic behavior. I think of this as our secret weapon when we're ready to try therapy.

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I Think I'm Feeling Burnt Out. What Do I Do?

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I Think I'm Feeling Burnt Out. What Do I Do?

No one has a stress-free job (or life), even though some people's Instagram accounts would have you believe that. 

Setting up built-in reinforcements to protect you from routine stress is essential to preventing burn out. We need to decompress, recharge, and get ready for the next challenge.

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The Nice Person's Guide to Setting Boundaries

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The Nice Person's Guide to Setting Boundaries

Yeah, ok. You keep hearing about "the importance of setting boundaries" and you kind of have an idea of what people mean by that. (It's just saying "no" a lot more frequently....right?)  

How do you set limits without hurting people's feelings? Especially when you don't even intend to be hurtful, but people take it the wrong way? Sometimes it feels easier to just give in and hope the other person notices that they're asking too much.

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