Karen Kerschmann, LCSW

Cognitive Behavioral Therapy and Clinical Supervision

 

Kerschmann & Associates

Cognitive Behavioral Therapy and  Clinical Supervision

Kerschmann & Associates

Cognitive Behavioral Therapy and  Clinical Supervision

Coping with Anxiety

As the world has been inundated with news of the coronavirus,  I want to share this great post by fellow therapist and gifted writer, Brianne Rehac, LMHC in how we all are coping with anxiety differently. Take good care of yourself and your loved ones this weekend! Warmly- Karen

“This week, I have spoken to many people about their heightened emotions since the outbreak of coronavirus disease 2019 (COVID-19).
Everyone has a definition of what is a stressful event for them. And everyone reacts to those events differently. If you find that you have not felt impacted at all by reports of the coronavirus outbreak, that is a perfectly okay response. If you find that you have been more anxious, sad, irritable or angry lately, that is completely normal, too. Our reaction to stressful events is a product of a multitude of factors including, our proximity to the event, socioeconomic status, personal history, and personality. Some people who may respond more strongly include individuals who are managing a mental health condition (like anxiety), children, and first responders/healthcare professionals.


Sometimes responses to a stressful event don’t present as emotions. Instead, you may notice a change in sleep patterns; change in appetite; difficulty concentrating; worsening of a chronic health problem (like GERD or chronic pain); change in behavior (stocking up on essentials or changing your routine); or increased use of alcohol or other drugs.
It is really important that during stressful times, you continue to take care of your physical and mental health. That means sticking to your treatment plan, including taking medications as prescribed; attending routine appointments; adhering to any special diet you may have. It also means reaching out to your supports—family, friends, doctors, therapists, and support groups. You’re connecting to them not just for yourself, but for them, too. Let’s all check in with each other on this, okay?”
—Brianne

Information about COVID-19 is being updated frequently, so here are some additional resources to find updated information as needed:
https://www.cdc.gov/coronavirus/2019-nCoV/index.html

Another article on coping with anxiety                                           https://www.cdc.gov/coronavirus/2019-ncov/about/coping.html

Hotlines:
SAMHSA’s Disaster Distress Helpline
Toll-Free: 1-800-985-5990 (English and español)
SMS: Text TalkWithUs to 66746
SMS (español): “Hablanos” al 66746
TTY: 1-800-846-8517
National Suicide Prevention Lifeline
1-800-273-8255
Nacional de Prevención del Suicidio
1-888-628-9454
Options For Deaf + Hard of Hearing
1-800-799-4889
Veterans Crisis Line
1-800-273-8255
Text 838255

Top 5 Mental Health Apps

Online cognitive Behavioral Therapy in California and South Dakota

Your mental health is important, why mental health apps? Sometimes you cannot afford to see a therapist, do not have time to go to one, or one isn’t accessible where you live. Perhaps you aren’t ready to see one but would like to see what therapy all is about. Maybe you see a therapist, but need help to put the helpful techniques they have given you into practice. Mental health apps can be very beneficial, free, low-cost or affordably priced, and offer a way to help give you therapeutic help on the go. So which ones are best? There are so many out there!

Mental health apps that I recommend:

1. Headspace

Headspace is an app that just about anyone can use, whether you are dealing with stress, anxiety, lack of focus, or sleeping difficulties. It teaches you to “meditate and live mindfully”. Meditation has been shown to reduce stress, lessens anxiety, support emotional health, and enhances self-awareness. This app provides small meditation modules to accommodate people’s busy schedules and “SOS exercises in case of sudden meltdowns.” You can take advantage of their free trial and if you like it, you can make the jump to a monthly subscription.

2. Youper

Youper is an app that is powered by AI – “your emotional health assistant”. This app allows you to have conversations, guidance through meditations that are personalized for you and trackers that help you monitor your emotional health and mood. This technology created by doctors, scientists and engineers;focuses on the science and pursuit of happiness – helping those with depression and anxiety live happier lives with treatments personalized for them. This app also works in conjunction with seeing a therapist, as you can ‘share’ your information. Many of my clients use this app as complements many of the CBT techniques we use right in session.
Youper is free to download and have some free features; more advanced features are based on a subscription plan.

3. FitMind

This app offers meditation training as part of a “mental fitness” approach. FitMind uses traditional techniques used since ancient times with western science. Using daily challenges, along with access to meditation instructors; FitMind can help you learn to meditate in a way that works for you. Again, meditation is a useful tool for improving mental health because of all of the health benefits you get from practicing it. This app is free and offers in-app purchases.

4. Sanvello

Sanvello is an app designed for stress, anxiety, and depression using strategies and resources that can help you with the symptoms and situations you are dealing with at the moment. You can customize goals; like mindfulness, building confidence and thinking positively. Based on clinically proven techniques, this app offers tracking for mood and sleep, tools for relaxation and meditation and you can connect to a group of your peers for further support. Free to sign up and install.

5. MoodKit

This mental health app uses four tools that are designed to enhance your mood, identify and change unhealthy thinking, track mood, and create journal entries. Managing negative feelings thoughts by identifying situations that cause stress, changing how you think, monitoring your mood through tracking, and developing self-awareness through writing is all of the ways MoodKit is designed to help you improve your mood and mental health. This app is only available on the iPhone and iPad, but is just $4.99.

Mental health treatment is no longer limited to the office and self-help books. Whether you are on the road, want quick help, or establish a daily cognitive behaviorally based self-care routine, there has never been so many options on how to start.  It’s good for you, and most apps have a free trial! Jump in and let us know how it goes.

The Role of Media in Vicarious Trauma

When You or Your Children Are Upset by News Reports- The Role of Vicarious Trauma

This is a photo of a stressed out teen who may be suffering from vicarious trauma

Media coverage of a crime, natural disaster, war, act of terrorism, or other disturbing event provides vital and helpful information. News reports inform us about what is happening and guide us on what actions we may need to take. However, excessive exposure to such media can lead to vicarious trauma.

Too much exposure to media coverage of distressing events can amplify our stress and make us and our children feel anxious. Continual reports on burglaries in our community, for example, may be as unsettling as accounts of far-off disasters because local news hits closer to home. Below are strategies to help manage the impact of media coverage on stress for you and your family.

Stress Reactions to Media Coverage that can impact Vicarious Trauma

Today’s technology enables live TV and radio broadcasts from around the world, as well as instant online news updates. The increasing prevalence of Internet-connected cell phones makes it even more challenging to avoid media coverage.

Graphic and disturbing images, combined with nonstop reporting, can make us feel as if we are experiencing the trauma firsthand. This phenomenon, known as “vicarious trauma” or “secondary trauma,” can be distressing.

Signs of vicarious trauma include:

  • Prolonged sadness and crying
  • Difficulty concentrating
  • Physical symptoms like nausea, headaches, and muscle aches
  • Increased fear and anxiety
  • Sleep disturbances and distressing dreams
  • A general sense of unease
  • Isolation and withdrawal from others
  • Outbursts of anger
  • Depression

Coping Strategies to Protect from Vicarious Trauma

Taking a Break from Media Coverage

If media coverage is causing stress or anxiety, consider these steps:

  • Limit media consumption: Avoid watching or reading news stories about stressful events and refrain from going online to follow coverage.
  • Fill the time with alternative activities: Develop new habits, such as walking, planning meals, listening to music, or reading books.
  • Avoid discussing stressful events: Reduce conversations about upsetting news with friends and family.
  • Seek professional help if needed: If symptoms persist, consult your employee assistance program (EAP) or a counselor.

Resurfacing Feelings of Grief and Anxiety that May Lead to Vicarious Trauma

For some, media coverage can evoke memories of past losses or traumas. This can happen even if the events occurred many years ago, leading to feelings of grief, fear, or sadness.

Tips for managing resurfaced feelings:

  • Recognize the impact of graphic images and stories on your emotions. Limit exposure if you feel overwhelmed or irritable.
  • Talk with someone you trust about recent events and past experiences that are affecting you.
  • Maintain regular eating and sleeping patterns to strengthen your resilience.
  • Engage in exercise, which can help alleviate painful emotions.
  • Seek solace in your faith community if it provides comfort.

Supporting Children’s Emotional Well-being

Children are particularly vulnerable to the effects of repeated exposure to violent or traumatic news. This can lead to fears about their safety and that of their family. Children who have recently experienced a loss or separation may be especially affected.

To protect your child from vicarious trauma:

Limit exposure: Monitor what your child watches on TV or online and what they read in newspapers and magazines.

  • Be present: Watch news coverage with your child and discuss their questions and concerns. This is crucial even for teenagers.
  • Clarify misinformation: Ensure your child has accurate information if the news involves local crimes or frightening events.
  • Spend extra time together: Stick to family routines and plan enjoyable activities to provide reassurance.

Professional Resources

If you believe that media coverage or related stress is resulting in vicarious trauma you or your family, reach out to professional resources for assistance. Employee assistance programs, faith communities, and counselors can provide valuable support during challenging times.

This publication was prepared with the assistance of Alexandra Mezey, LICSW, who has expertise in family therapy and employee assistance counseling. For more resources on coping with stress and disturbing events, contact your EAP or community support services.

 

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