When feelings feel physical

 “It’s all in your head.”

“You need to get over it.”

 “Just ignore it and move on.”

How often do we say this to people who feel depressed or anxious?

Well, we’ve all heard of people heading for the Emergency Room with chest pain and learning it was a panic attack. This is because panic has a profoundly physical part of it that can make it hard to function. Imagine how hard would be to ignore severe chest pain. This is what’s being asked when folks tell people with anxiety and panic to just get over it. Many feelings and mental health disruptions can show up as physical health issues. Check with your doctor to rule out things like heart attacks, stomach ulcers, and brain or neurological problems, of course, but once those are ruled out, look for a mood or psychological issue (feelings or thoughts) that could be helped with counseling.

Imagine, or maybe you’ve already felt it, the amount of pain involved to send you to the hospital. All the parts of us are connected so it makes sense that depression, anxiety, and trauma can cause physical symptoms. If you get frequent stomach aches, headaches, or even just feel unwell or less healthy, this can be due to either a physical injury or illness, or a mental one.

Not sure about the connection between psychological and physical feelings? Try this little experiment: Bring something to mind that makes you feel angry – a memory, assumption, future meeting with someone. Sit with that thought or memory for a few minutes and notice if there’s a place in your body that feels pain or other physical sensations. For me, it’s my head. If I’m really angry my head sometimes aches. I know, most of us get headaches on occasion. I’m not saying they are always due to anger or other emotion - but sometimes mine are.

Now bring up a memory or future event that causes you fear. Where do you feel it in your body. Some people feel heavy limbs, stomach aches, or a sore throat.

Now try it with sadness, again sitting with the thought or memory for a few minutes. Pay attention to your body and where your sadness lives. Do you feel a heavy chest, a sharp stomach ache, something else?

And lastly, think of something or some time you felt joy. The kind of joy that has you jumping, clapping, and maybe even crying for its beauty. How does your body feel? Hollow? Full? Loose? My arms and legs get almost floaty, they become so light.

Bonus, you can try this with other positive feelings to help you improve your mood. Recall something terrific (calming, or safe, or happy), including sounds and smells. Keep it in your mind for more than a few minutes. It really works!

It seems that some pains may truly be in our head, but that’s not a bad thing. If you have unresolved pain, and your doctor can find nothing physically wrong, call me to talk about whether you might want more help. 

Related posts: Where do you hold stress, Mad as hell, Finding the right therapist (anywhere)

Depression: It's more than "just" sadness

When is it depression?

Some people think depression and sadness are the same thing. Or depression and grief. Like you’re sad your kid made a bad choice at school and you wish he didn’t have to spend recess “on the wall.” Or you’re grieving because your aunt died, and she was your favorite, and you cry sometimes when you think about her. Those things are different from depression - not less than or better than.

Depression is more about wanting to disappear, become tiny, curl up in a corner and stay that way forever. You can’t sleep but once you do you can’t get up. At all. And you feel like this pretty much all day every day.

Your limbs feel heavy, and walking from the couch or bed to the sink for a glass of water is like moving through mud and you don’t have the energy to even think about trying it. In fact, you might actually have mud – or at least dirt – throughout the house since, with depression, it’s hard to be motivated to clean.

You CAN get stuck in sadness and develop depression. And you CAN get stuck in grief and develop depression. But generally, sadness and grief ebb and flow depending on your situation, while depression sticks around for more than a couple of weeks.

You’ve lost interest in things that used to be fun for you. You don’t socialize anymore and even Facebook takes too much energy. You used to love visiting friends but now you spend your time at home alone, and don’t even open the curtains. You used to enjoy going dancing but now you binge watch Scandal or Breaking Bad.

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Generally, sadness and grief ebb and

flow, while depression sticks around

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If you’re eating, you’re eating whatever’s easy – whether it’s healthy or not, tasty or not. Or you might be eating all the time. Boxes of cereal and milk, cartons of ice cream, bags of potato chips, supersized candy bars one after the other, or Happy Meals from drive throughs. But you’re not likely cooking nutritionally balanced meals that take planning or look and taste appealing.

You’re probably moving and talking much slower than normal for you – so much that other people might have noticed. Your parents would say you’re “dawdling,” and coworkers would call you unmotivated, but you just know you’re exhausted. And your voice has become monotone with less feeling, shorter sentences, and smaller words.

It’s likely gotten harder to concentrate and make decisions. You don’t read books anymore or watch full length TV movies, but rather flip through magazines and watch shorter shows. And if the choice is what to eat, you probably won’t eat at all. What to wear? You’ll just stay in your bathrobe.

You feel so worthless and guilty and hopeless that you wonder why you were even born, like you’re a burden to all those around you, like your existence is a mistake. You can’t imagine a better or different future.  Please, if you feel like you might hurt yourself, call the National Suicide Prevention Lifeline at 1-800-273-8255 or go to the online Lifeline Chat at http://chat.suicidepreventionlifeline.org for help.

And all of this feels like it’s gone on for an eternity and that it will never, ever be different.

That’s depression

I picture sadness and grief as bumps on an otherwise steady road of life. Depression is more of a dip, a dent (or a depression) in the road, so deep you need help to climb out.

If this sounds like you - if you think you might have depression - call me for a free consultation where we’ll discuss strategies to get you feeling better or whether you need more help. And in the meantime, click for some activities to get temporary relief.

As always, thank you for reading my post, and please share with anyone you think it might help.

Why am I so angry?!?!

Irritation, frustration, and anger are normal emotions - neither positive or negative. Anger is likely one of two things: a messenger or a symptom.

How to feel better when you're depressed

Have you ever felt so sad you couldn't leave your bed? Make something to eat? Here are some ways to feel better, fast. If you feel you might have depression, try one or several of these.

1. Accept – Recognize your symptoms of insomnia or exhaustion, irritability and withdrawal, isolating, eating too much or having no appetite can be symptoms of depression. Depression is nothing to be ashamed of, in fact it’s quite common. According to the Centers for Disease Control and Prevention (CDC) 8% of people 12 and older suffer from depression. Accept.

2. Move – This one is hard because being depressed means you don’t want to move, don’t want to go anywhere, and maybe don’t want to get out of bed. If you can make yourself move your muscles every so often, even if it’s to walk from your couch to the refrigerator, you will feel better. Move.

3. Eat – Eat small healthy meals or snacks whether you’re hungry or not. Depression commonly affects appetite. Some of us eat comfort food and lots of it, while others would rather eat nothing at all. Eating a small healthy mix like an egg, and apple, and toast puts something good in your stomach, staves off hunger, and helps keep your blood sugar where it needs to be. Eat.

4. Argue – Identify the thought or belief that’s perpetuating your feelings and consciously dispute it. Argue with yourself. If you’re feeling down because you feel other people don’t understand you, tell yourself with resoluteness, “Shawn understands me.” If you’re sad because your partner left and you feel like you’ll never be OK without her, tell yourself, “I miss her but I was OK before her and I will be OK after her.” Argue.

5. Pet – If you have a cat, dog, or other household animal, or have access to visit one, spend time petting them. Research shows that petting an animal releases endorphins, the body’s natural opiates responsible for feeling good. Pet.

6. Seek a qualified therapist to talk to. A good therapist can help you experience relief in as little as 1 session, so long as you dig in and do the work. Many therapists specialize in treating people with depression. Seek.

5 Short Steps to Help Yourself Feel Better

Think back to the past week. Think about the positive, negative, and neutral events that happened. Did you have a bad day? Did you feel abandoned or panicked when the person you turned to wasn’t available? Do you want to feel better when it happens again? Because you will feel let down, disappointed, or abandoned again someday. We can control of our feelings of sadness, abandonment, grief, rage, and anxiety by changing our thoughts with a simple activity called cognitive restructuring.

In 5 steps, you can change what you think to change how you feel.

1. Name the triggering event I had a bad day last week and Susan didn’t help.

2. Name the irrational belief Susan didn’t help because she doesn’t like me anymore.

3. List the feelings caused by the belief Sadness and abandonment.

4. Dispute the irrational belief Susan didn’t help because she was taking care of her sick baby.

5. Name the new effect Feel closer to Susan and secure in our friendship.

Now you try it. Start with something small and simple.

1. Name the triggering event

2. Name the irrational belief

3. List the feelings caused by the belief

4. Dispute the irrational belief

5. Name the new effect

With practice, you can train yourself to manage your thoughts and keep feelings of depression, anxiety, fear, abandonment, and more from getting in the way. Let me know how it goes. Post a comment or email me at robin@balanceinsight.com

Finding the Right Therapist (Anywhere)

Seattle is a lovely vibrant city, with the requisite attractions like the Space Needle, Pike Place Market, and the Troll under the bridge. It’s also very hustle bustle and, some say, is known for a phenomenon called the Seattle Freeze. The Seattle Freeze is a belief that Seattleites are closed to newcomers; it’s difficult to make friends and get close to people here. If you experience loneliness, isolation, or sadness, you may benefit from working with a counselor in Seattle. Seattle has many counselors, psychotherapists, and life coaches, each with different fields of expertise. You could search on Google or ask your doctor or a friend for a recommendation. All of these are useful ways to locate a counselor that might fit your needs. Now what?The next step is scheduling a consultation with a therapist you’re interested in working with.

The consultation is often via phone conversation, although some therapists prefer to meet in person. You can expect to tell a bit about yourself. What motivated you to seek counseling now, have you ever had therapy before, why, and how did it help? What are you seeking help with? What would you like to be different to improve your situation? Have you experienced this issue before and how did you resolve it? What would you like your life to look like in 3, 6, 12 months? This helps the counselor and you envision possible therapy goals.

Then the counselor will explain a bit about how therapy works; discuss frequency of sessions for continuity of care. She’ll describe the process of setting long-term goals and short-term objectives, and explain the process for checking outcomes. Outcomes show progress, what’s working, and what might need to be changed up. Therapists generally check outcomes quarterly, to make sure the progress is flowing along the way you want it to.

She may talk with you about benefits and drawbacks to a diagnosis and possible therapeutic methods shown to benefit specific issues, like Cognitive Behavioral Therapy’s help for depression, motivational interviewing’s help for addictions, and Eye Movement Desensitization and Reprocessing Therapy’s benefit for anxiety, trauma, and phobias.

At this point, you both get to check in with yourselves and see how you think you’d feel working together. Does she listen more than she talks? Do you feel heard and understood? Do you have confidence that she can help? Do you feel like you can connect with her? If the answer to these questions is no, it may be time to seek another counselor.

If you can answer these questions with a confident yes, you can assume this is the therapist for you. At this time in the consultation, one of you, usually the therapist, brings up the topic of money. If you don’t connect, or this therapist specializes in other areas than your issue, it doesn’t matter if the fee is $20 a session. $20 a session gets very expensive when it goes on for years and years.

The therapist then tells you her fee, whether and which insurance she takes, when payment is due, and how/if you can be reimbursed. If your insurance pays out of network, you would likely pay for sessions and your insurance will reimburse you, minus your copay. If you participate in your employer’s flex care spending plan for medical costs, it will likely reimburse you for all therapy expenses, although you need to check your plan.

If all goes as you wish, you two will schedule your first session. You can relax; you already know you’ve got the right therapist for you. Now you can dig right in and start feeling better. And as always, I'm here. You can reach me in Seattle at Balance InSight, 206-790-7270.

Thanks for reading, and be well.

~ Robin