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

How to Keep the Happy in Your Holidays 2024: Part 1 in a 4-Part Series- The Basics

Holiday Stress can be challenging.  Look around any store, and you’ll find early reminders of what’s ahead of us- spending quality time with people we love, great food, fabulous parties, and more. Of course, we all hope our holiday season will be made of these, but that’s not always the case. Even in the best of situations, people struggle with excessive commitments, social anxiety, fallouts with loved ones, unrealistic expectations, and financial pressures. If any of those sound familiar, you may be wondering how to get on top of your mental health this year. In this 4-part series, you will find a way to manage the top holiday mental health concerns and start your 2025 fresh instead of frazzled.

Holiday Stress Management from a Cognitive Behavioral Therapist in San Diego Start Now, Not Later to Manage Holiday Stress

November can feel too soon to consider digging into holiday preparation, but if you want to enjoy some bliss this December, start the ball rolling now. Planning helps you take back control, and the time to plan your upcoming season is here! Managing the extra demands on your time early in the game is much easier. Why? You are more objective when you are not in a time crunch.

Tip #1: Give Yourself Time

One of the most effective ways to kick the holiday stress is to use planning to your advantage. A helpful rule during this time of the year is to assume everything will take 2 times as long as you think. When you plan upcoming errands, it can be hard to remember how time-consuming many of the demands are. This can lead to overbooking and excessive commitments, which leads to unnecessary anxiety.

Tip #2: Don’t Forget Yourself

It is easy to get so caught up in the swirl of holiday activities you forget to spend time with yourself. Reserving some personal time will help you keep what is important in perspective and help you manage stress during the holidays. We are vulnerable to poor moods when we neglect to care for ourselves. Need ideas? Check out some clever ways to enjoy the moment in front of you. 

Tip #3: Prioritize

This holiday season, ask yourself honestly: what and who is truly important? What can go to the side if I begin to feel overwhelmed or rushed? Although it can be hard, learn to say no to things you do not want or need to do. If you need help figuring out how to prioritize, look to your values. Values, not external expectations, will guide you during this time. Need to know what your core values are? Don’t know what your core values are? Here is a great exercise to figure out what is truly important to you so you can put your priorities in order.

Tip #4: Practice Mindful Gifting

We all know this state of awareness is the best way to go about our day. You may not have known is you can also practice mindful gifting.  When we have time to be leisurely about purchasing gifts, we tend to think more deeply about the person we are gifting for. If you take this time now, your gifts will mean much more to the recipient and yourself. Set aside time for reflection, list each receiver, and write down what they genuinely like and enjoy. Watch for clues if you still need to learn more about the recipient.

Holiday Stress, Anxiety and Depression

Holiday stress and depression can extend into your new year if not dealt with sooner than later. The tips and tricks above help answer the question of establishing holiday stress management tools through planning. However, there may be times when you need more help to deal with your anxiety. Finding the best cognitive behavioral therapist for you can be another tool when dealing with the holiday blues.

 

The Remarkable Connection Between Happiness and Behavior

A cognitive behavioral approach to achieve more happiness

Positive psychologists and cognitive behavioral therapists promote certain behaviors that prime the brain for happiness.

Shawn Achor is one of my personal heroes- you may have heard of him as the author of ‘The Happiness Advantage’ or through his infamous TED Talk which you can find here. After almost a half a century in the making, positive psychology is sweeping the mental health landscape and I couldn’t be more thrilled. Cognitive behavioral therapists, educators and behavioral scientists are adopting techniques, such as the ‘happiness advantage’ to help people shift their mindset towards the good.

A Cognitive Therapist’s Answer to “Why Can’t I Find Happiness?”

Happiness’ makes many think of smiles, the sunshine, material acquisitions, and absolute bliss. People often perceive ‘happy’ as being beyond our control, that it has to do with external factors or some level of intangible success. However, when you depend on external factors to reach this mysterious state, you set yourself up for fleeting joy but also long-term disappointment, which can lead to depression and anxiety.

Contentment does not have to be controlled by external factors, what you have achieved, or what you or someone else consider the ultimate success. Rather than telling yourself that happiness is something to wait for, or believing that a partner, weight loss, or more money will lead you there, you can train your brain to be positive in the here and now. According to Shawn, if your brain is focused on positivity, it performs 31% more productively than when it is negative, neutral, or stressed. With the happiness advantage, your intelligence, creativity, and energy levels rise. That said, it makes much more sense to focus on how happiness leads to success, instead of the other way around.

It makes sense that managing depression and anxiety can be approached in a different and more effective way- by creating a new internal reality. As you learn how to become more positive in the present, the solution may not seem as hard to achieve. Training your brain to be more positive is something you’ve already taught it to do other tasks until it becomes automatic. Have you ever catch your fingers hitting the ‘F’ for Facebook without even noticing? Reaching for the snooze button? These are both common examples of automatic thoughts.

Let’s Get Happy!

Over time, reversing your formula for happiness in the now and leading your brain to focus on the present and the positive aspects is a mighty force. The trick is to act differently right now, and your brain will begin to become primed for success, which means that you will be able to work harder, faster, and more intelligently in the moment as well as long-term. One of the ways that your brain can be trained is to encourage the release of dopamine, which is a vital ‘feel good’ hormone. Dopamine has two functions: first, to make you happier and second, to trigger all of your learning centers in your brain- of course, you’ve already watched Shawn Achor’s TED Talk and know this, right?

When I work with clients who are looking for solutions to anxiety or depression, I make sure I focus on behaviors instead of feelings. There are several actions that can train your brain to produce more of that precious dopamine.  Shawn asserts that if you practice a positive habit daily for 21 days in a row, you can build a habit and train your brain to be more positive. Three ways to achieve this are to:

  • Journaling- Write down one positive experience in the past 24-hours, so that your brain can relive that experience and start focusing on it. This habit teaches your brain that what you do and what actions you take each day matter.
  • Meditation- Take the time to slow down and meditate, giving your brain a chance to stop multitasking and to focus more on one task, such as the matter at hand. Opportunites to meditate are everywhere and are easier that you may think, as this article by Temma Ehrenfeld discusses.
  • Random act of kindness- Completing a conscious act of kindness can increase the dopamine levels in your brain, such as writing a positive email to a friend, praising a friend for something they accomplished, thanking someone for their support, or simply complimenting someone on their clothes or hair. Personally, this is one of my favorites. A few years ago I published an article on how volunteering can battle a sour mood. Do you live in my town of San Diego? Volunteer Match is a super way to get on it!

As the exercises above reflect, CBT helps you learn skills needed to be happier and more content. Behavioral interventions can be simple and if practiced every day, these types of activities help improve depressed moods and how to be happier in the present!

Happiness is within your control and is attainable with daily practice. Building some simple habits into your daily life will help you create that positivity and happiness that you desire. If you’ve already been influenced by Shawn Achor’s work, please comment below- I’d love to hear from you! 

The Importance of Sleep – What You Need to Know

Think about the last encounter you had with a friend or co-worker where you discussed sleep. You probably said something like, “You wouldn’t believe how tired I am! I only slept for five hours last night.” Your friendly likely responded with, “That’s nothing! I only got three hours of sleep.”

Examining this interaction, one would be led to believe that getting just a couple hours of sleep is worthy of a badge of honor. On the other hand, I’ll tell you something quite different.

What are the consequences of sleep deprivation?

When I have a client come into my office, one of the first questions I ask them is “How much sleep are you getting?” Have you ever thought about your sleep habits might affect your mental health? Sleep deprivation is clearly linked to increased anxiety, depression, and even psychosis in patients. In my experience clients who are suffering from any mental disorders will typically see symptoms improve remarkably with adequate shut eye.

Arguably the most dangerous consequence of sleep deprivation is a slower response time. The adage that a tired driver is more dangerous than a drunk driver is has been established over and over again in studies; cognitive effects of sleep deprivation may lead to mistakes, errors in judgment, and even psychosis. This relates to memory storage and even the decision-making process. If you haven’t been getting enough sleep, you are probably missing details at work or working on projects for school.

How much sleep do I need?

Truth be told, there really isn’t a specific amount of sleep that each person should aim for. Some people operate just fine with six hours, but some people need more than eight. Generally, you should always wake up feeling refreshed just a few minutes before the alarm rings.

What can I do to avoid sleep deprivation?

Sometimes going to bed earlier seems like an impossible feat, especially when issues like stress, temperature and diet come into play. You can create a bedtime ritual that gets your mind ready for sleep. Shut off the television and keep the electronics out of the bedroom for better sleep, and consider practicing good sleep hygiene.

Sleep deprivation is often related to psychological disorders. If this is the case, a therapist may be able to help. Cognitive behavioral therapy is a useful tool a professional might use to help you change your sleeping habits.

Individual Therapy in San Diego- CBT

In today’s society, adults face many challenges in their daily lives. With demanding schedules, the struggle to maintain a work-life balance and increasing mental health concerns, a greater number of adults are reaching out for therapeutic assistance to help them cope with their day to day lives and break down their barriers to happiness. With the help of a qualified mental health professional, many are able to work through the problems they are facing, recognize their coping techniques and use their established resources and strengths to live healthier, happier lives.

Adult Therapy – A Journey Toward a Healthier, Happier Life

While some individuals shy away from therapy because they associate it with weakness or feelings of inferiority, seeking the assistance of a qualified mental health professional is actually a testament of strength and displays a willingness to take responsibility for life’s most difficult events and seek out positive change. An adult therapist provides a high level of support and insight into challenging situations and assists clients in honing in on existing strengths in order to overcome obstacles to happiness.

Cognitive Behavioral Therapy Explained

When it comes to adult therapy, one method that has shown particular effectiveness in various clinical studies is Cognitive Behavioral Therapy. Cognitive Behavioral Therapy, or CBT as it is often referred to, is a collaborative effort between a therapist and her client that incorporates empathy, warmth and genuineness. The initial goal of CBT is to develop a clear understanding of the problems or barriers at hand and devise a path toward remedying those barriers and breaking down maladaptive patterns. Cognitive Behavioral Therapy is goal oriented, directive and time limited, meaning the individual seeking therapy is assisted in understanding the specific purpose of their sessions in order to direct their attention toward resolving or adjusting negative thought patterns with a clear end in sight. For many, CBT sessions are more effective than other forms of therapy, such as psychoanalysis, in a much shorter period of time. Several clinical studies have shown that adults participating in CBT often see significant improvement in 16 sessions or less. The end result of successful CBT is positive life changes that incorporate the adult’s strengths and lead to a happier, more fulfilling lifestyle.

Cognitive Behavioral Therapy for Adults – Past and Current Uses

Cognitive Behavioral Therapy was initially used for adults facing depression and anxiety. While this style of therapy is still a top choice for therapists assisting clients with these concerns today, it has also proven effective in treating other conditions including eating disorders, substance abuse problems, sleep disorders, post traumatic stress disorder, or PTSD, and attention deficit hyperactivity disorder, or ADHD, in adults. Basically, CBT works by helping a client to identify a problematic way of thinking. In the case of ADHD, this might mean that a client realizes he believes he is stupid because of poor grades and progress in his educational career. In the case of an anxiety disorder, this might mean the person comes to the realization that she always believes she is in danger. Once this line of thinking is established, the therapist works with the client to challenge thought patterns and paint a more realistic picture of why life experiences are the way they are. Next, the client is taught to recognize strengths and reshape feelings, thoughts and associated actions. This leads to the individual learning how to adapt thinking patterns and develop more productive behaviors and a healthier self image.

CBT is an effective adult therapeutic tool for individuals of all ages and in all walks of life, but it is important to seek the assistance of an experienced, trained therapist to gain the greatest results in the shortest amount of time. A qualified therapist will conduct an initial consultation and understand any barriers the individual is facing before therapy begins. The therapist will then tailor future sessions to assist the client in overcoming any barriers and empower the client to feel comfortable and successful in the therapeutic relationship.

Approaches to CBT for Adults

Cognitive Behavioral Therapy for adults is sometimes a stand-alone treatment, and it is sometimes combined with medications for those who require them. Consulting with a qualified mental health professional is the best way to decide how this course of treatment should be used in your particular situation and what, if any, additional medications or therapeutic practices you might also benefit from.

As a professional psychotherapist in San Diego, I have witnessed the many benefits that Cognitive Behavioral Therapy offers adults. I believe in empowering clients to recognize their own barriers to happiness and overcome them with the strengths that exist inside them, and that is a primary reason why CBT is one of many therapeutic approaches I use in my daily practice. If you are seeking a San Diego adult therapist to assist with any of the obstacles that life has thrown your way, contact my office today to schedule a free, no obligation CBT consultation. Together, we can work toward improving your outlook on life and moving toward your happier tomorrow.

Why Cognitive Behavioral Therapy?

Our thoughts and feelings are powerful, how you perceive your world has a strong impact on our body chemistry. Established studies have shown cognitive behavioral therapy works at least as well as anti-depressants in helping people with mild to moderate depression!

The goal of cognitive therapy is learning to recognize then correct negative automatic thoughts and core beliefs.

Over time, the client will be able to discover and correct deeply held bSan Diego Therapist discusses how CBT can emphasize behaviors over feelings when you are struggling with low self-esteemut unhelpful cognitions that contribute to the issues that are holding them back. The underlying premise of CBT is that our thoughts, feelings, and behaviors are deeply influenced by one another. Shifts in just one aspect of this triad can effectively reduce the negative patterns and build a powerful, more effective way of functioning.

There are lots of fun and fast ways to see how our behavior, thoughts and feelings intermingle- one of my favorites is the ‘Power Pose’. Amy Cuddy, a professor at Harvard Business School, discovered that posing like Wonder Woman or Superman for two minutes will rapidly increase your confidence….give it a whirl!

Combat the Holiday Blues by Helping Others

Combat the Holiday Blues by Helping OthersVolunteering is a great way to show you care about the world around you. It boosts morale in your community and provides opportunities to enrich the lives of others. While all of this sounds very selfless, there are valuable, selfish reasons to volunteer too. Sounds a little strange, right? Well, it is true! Volunteering benefits more than just the people or organization that you are helping. It also benefits you.

Recent studies conducted at The University of North Carolina Chapel Hill show a direct correlation between giving of yourself and finding happiness and improved personal relationships in life. Those who volunteer have increased lifespan, less instances of depression and a greater ability to remain healthy throughout crisis situations. Basically, volunteers remain incredibly resilient regardless of what curve balls life throws their way.

Perhaps you have considered volunteering, but you are not sure how to get started. The process is rather simple. The key to finding a great volunteer opportunity is to look for something you are passionate about and contact organizations who work with that cause. Regardless of how many hours you choose to volunteer, you will reap the benefits of your actions.

Don’t know where to start? Try the links below:

www.volunteermatch.org

www.allforgood.org