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Friday, 4 December 2015

How to Handle Fear, Anxiety, Anger, and Grief

How to Handle Fear, Anxiety, Anger, and Grief


With recent world events, it’s okay to feel emotional. Taking the time to reflect on your feelings, understand them, and share them in a safe space is part of the human experience of personal growth. To help and support you through fear, anxiety, anger, and grief, we gathered our doctors’ answers to questions about handling these emotions:

                                
1. How can I deal with fear and anxiety?
Clinical psychologist Dr. Arthur Ciaramicoli says, “Most fears are based on an actual experience that is extended mistakenly into the present and future. Try to identify the origin of your fear and get help working out this stress so that you don’t carry it forward.” Psychiatrist Dr. Edmund Cavazos says first steps include eliminating caffeine and alcohol; minimizing stress; trying meditation, relaxation techniques, and biofeedback; and lastly identifying the underlying reasons for your anxiety through therapy, such as cognitive behavioral therapy.

For a more in-depth approach, Dr. Heidi Fowler, a psychiatrist, says, “Start with a medical evaluation. It may uncover underlying medical problems that need to be addressed. Seeing a therapist for cognitive behavioral therapy can be quite effective. Aim for daily exercise, 8 hours of sleep per night, and good nutrition with 5 servings of veggies and 4 of fruit per day. Try tai chi, yoga, qi gong, progressive muscle relaxation, deep breathing exercises, and meditation.”

Clinical psychologist Dr. Ana Adelstein recommends looking for “Psychotherapy that goes beyond the line ‘tell me how you feel about that.'” You really do need someone with training and expertise in treatment of anxiety problems and disorders. It’s vital to understand what anxiety is, how it ticks, and what specific things can help if anxiety starts interfering with your ability to function and with your ability to form and keep relationships.”
                                  

2. Is there a healthy way for me to deal with my anger?
Yes, there’s always a healthy way to deal with your anger. Dr. Fowler says this one simple tip—counting to 10 before acting on the urge to impulsively hurt someone physically or emotionally—can help. Reduce anger by deep breathing. Breath in deeply and slowly through the nostrils. Hold air in lungs for a five-count before slowly exhaling through an open mouth. Repeatuntil you cool your jets. Focus on your breathing, not what is making you angry. Cognitive behavioral therapy is excellent for dealing with anger problems. Getting physical through aerobic activity is an excellent way to help keep anger in check. There are more serene ways to do it—including tai chi, qi gong, acupuncture, massage, and meditation. Avoid drugs and don’t look to alcohol as a solution.

                              
3. How do I deal with loss and grief?
The important thing to note with loss and grief is to seek support and avoid isolation. Psychiatrist Dr. Pamela Pappas says grieving is a time for support. Grief needs community in which to express and heal. This means friends, loved ones, grief support groups, and sometimes professional counseling/psychotherapy if grief gets “stuck.” Conflicted relationships with the deceased in life may lead to more difficult grief after death. It can help to share stories about the deceased with others who also knew him/her. Ceremonies can be healing too. Pediatric neurologist Dr. William Singer also recommends contacting local hospitals’ psychiatry departments for grief counseling and grief groups.
3 Simple Ways to Stay Cheerful During the Gloomy Winter Months

3 Simple Ways to Stay Cheerful During the Gloomy Winter Months

                          

Excited about the holidays? This month’s tinsel, lights, and delicious treats will really amp up the cheer and feel-good feelings! However, holidays are only part of the winter season. Once Christmas and New Year’s (and Chrismahanukwanzakah and other celebrations!) are over, we have another two months of winter to go. And some might experience seasonal affective disorder (SAD) or even just the winter blues.


Psychiatrist Dr. Charles Barnhart says SAD is more common in parts of the world where winters are very cloudy. Symptoms are similar to other depressive disorders: tearfulness, sadness, poor sleep, decreased appetite and libido, and poor concentration and focus. Winter blues have milder symptoms, which psychiatrist Dr. Robert Olsen notes can include lowered mood or reduced mood reactivity, often with reduced energy, increased sleep, weight gain, and/or reduced interest in activity.

To keep your cheer and warmth going through even the gloomiest of winter days, we gathered three simple, doctor-recommended ways to stay positive and happy—no travel needed!


                                                
1. Exercise—really!
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Leaving your warm bed is already a challenge, and dragging yourself to the gym during the winter is an even bigger struggle—we know how difficult that is! Still, once you get your blood flowing and your heart pumping, you’ll experience a rush of endorphins. Pediatrician Dr. Anthony La Barbera says aerobic exercise, running, swimming, or biking for 60 minutes a day can be very effective for treating any depression. Staying on a regular exercise schedule includes staying on a regular sleep schedule. Psychiatrist Dr. Donald Hazlett says a major factor in combating winter blues is getting enough light during waking hours, staying physically active, and getting restful sleep.
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2. Light therapy
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When the sun’s hiding behind the winter clouds, what do you do? Find your own light source! Psychiatrist Dr. Paul Schwartz says the treatment of choice for winter depression is bright light therapy—if you have the time to devote to the therapy and can afford a light box (around $250). Dr. Schwartz says light treatment works best when administered for 30–45 minutes twice a day (in the morning upon waking up and in the evening but not too close to bedtime). If you can’t afford light therapy lamps and boxes, don’t worry—there are cheaper, still effective alternatives. Dr. Joseph Hermann, a specialist in Family Medicine, says “full spectrum” fluorescent lighting, such as grow lights for plants, can be very helpful for many people. It’s easy enough to make your own bank of lights with just a few tools, and you can always consult your nearest home improvement store for help.
                              

3. Spend time in good company
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Too cold outside? Spending quality time with loved ones right indoors! Keep the warm, fuzzy feelings going by maximizing the time you share with friends and family. Pediatrician Dr. Helena Bentley recommends avoiding spending too much time alone, since that loneliness can fester and feed into winter depression. Instead, try to be around positive and supportive people. Dr. Donald Hazlett seconds this, saying that you should try to be socially active and avoid isolating yourself. Don’t wait until official holiday gatherings to carve out time—go for a coffee break with coworkers, take some extra time to groom your pets, do an activity with your kids, anything that involves other people.