Author Archive

Panic Attacks: Stop them before they stop you

Tuesday, February 15th, 2011

           Panic attacks look different in different people. Some may experience them as asthma attacks, others as heart attacks, and in children sometimes as temper tantrums. If you suffer from panic attacks or know someone who does, read below for helpful tips on what to do to stop them.

First, know what causes a panic attack. Everyone handles stress differently and has different triggers, know what triggers anxiety and panic in you. Common triggers include entering an unfamiliar situations or a feeling of being out of control in a situation. Most people in the midst of a panic attack won’t know why it’s happening. Thinking about environmental triggers and how you respond when you’re calm will help you and others handle further attacks.

Know the symptoms of a panic attack. Many people who experience panic attacks attribute them to medical reasons resulting in time and money spent at doctors’ offices. By knowing the signs of panic you will be prepared beforehand and know what is happening. Common symptoms of a panic attack include:

Rapid heart rate

Sense of impending doom

Sweating

Trembling

Chills and/or hot flashes

Nausea

Dizziness

Headache

Chest Pain

Hyperventilation

Faintness

Get plenty of sleep. Sleep deprivation robs your body of needed the chemicals your brain needs to self-regulate. Without proper sleep, you will be more prone to panic attacks. Likewise, maintain a healthy diet. Diets rich in fruits, vegetables, and whole grains will help your body utilize and maintain proper energy sources.

Maintain the right environment. If you are hot, cool off. If you are cold, put on a sweater. It’s a good idea to always have a light sweater with you to take on and off as your body needs it. One of the best things you can do for someone in the middle of a panic attack is to keep them warm and lessen the sights and sounds around them. Remove them from the situation, without embarrassing them. Look for small contained spaces, which feel safe to the individual. It’s a good idea to think and talk about these beforehand. Is the car a safe place for the individual in the midst of a panic attack? Is their bedroom a safe place?

Panic and anxiety disorders can be significant functionally disabling clinical problems or moderately challenge our sense of well being.

 If you or a family member is suffering from panic attacks give the experts at Holtz Psychological Services a call. We are here to Help!

Mother-Daughter Relationships: Making It Work

Tuesday, February 8th, 2011

            Mother-Daughter relationships are important and unique in a woman’s life. Most women will describe their relationship with their mother are having typical ups and downs. Have you ever wondered how to take your relationship to the next level, from ordinary to extraordinary? Read below for some helpful tips on improving the mother-daughter relationship.

Make a conscious choice to improve your relationship with your mother. This entails making the relationship more important than being right in an argument. Be willing to let go of the past and any reasons why an extraordinary relationship won’t work.

            Write down what you want in the relationship. Do you want to be best friends with your mom? Increase laughter? Have a stronger bond? By writing out a definition of what you want you will be clear on your goals.

            Don’t let others, including your mother; stop you from creating an extraordinary relationship. Even if your mother isn’t on board initially with your efforts, try not to get discouraged. With time and consistency, she will see you are committed to improving your relationship. Furthermore, don’t let others in your family influence you as they may not be open to your efforts at a better relationship with your mother. Don’t let yourself become victim to old family patterns (arguing, not speaking to each other, etc).

            Be willing to accept your part in the past. Accept responsibility for any pain you caused your mother in the past and apologize. Be willing to do this face to face. This will allow both of you to talk openly about your roles in past arguments. Move on from the past after this conversation.

            Stay present in the moment and be honest. This will help you stay neutral to experiences that would have caused you to become upset in the past. Remember, that everyone is doing the best they can with what they have learned in life so far. Keep this in mind as you begin to build a better relationship with your mom.

            Spend quality time with your mother. Do things together just the two of you. Go out to eat, go shopping or to the movies, cook together. Engage in activities your mother enjoys. This will further the bond you share.

            While this isn’t an easy process, you can achieve it. Remember, to show unconditional love, support, and commitment. If you or a family member is struggling to improve their relationship with their mother or daughter give the experts at Holtz Psychological Services a call. We are here to help!

Communication Skills 101

Wednesday, January 26th, 2011

            Typically, arguments and misunderstandings stem from a lack of effective communication. By developing better communication skills you will begin to see a change in your interpersonal relationships. Below are a few tips to get you started on the road to effective communication.

The first step to being a good communicator is being a better listener. Hear what the other person is saying without responding in a way that suggests otherwise. Don’t talk over the other person; this shows that you are not interested in what they are saying but rather have your own agenda.

After the other person is done speaking, take a moment to think about what they said. You don’t need to respond instantly once their last word is spoken. Stopping to reflect for a few seconds shows that you are processing what they said and taking it seriously. Then, try to reiterate what they said. Start with phrases such as “what I heard you say is….” Or “what I understood was….” This will then allow the other person to correct any misunderstandings in what you heard.

Don’t let distractions interfere with your conversation, especially an emotionally charged conversation. If the phone rings, let it go to voicemail, you can respond later to it. If the television is on, lower the volume or turn it off. This will send the message that you are taking the conversation seriously.

Try to look at it from the other person’s perspective. Think about the importance of the relationship you have with them (your significant other, your parent/child, your co-worker). Keep this in mind when communicating with them. Also, acknowledge and accept responsibility for your role in the situation. This will allow the other person to feel comfortable doing the same.

Always make eye contact. This shows that you are engaged in the conversation. Show you care through nonverbal means, nodding, a hand to the shoulder, etc.

Remember, to keep an open mind to whatever the other person expresses. Patience and understanding go a long way.

If you are having relationship troubles, call the relationship experts at Holtz Psychological Services NOW! Before things get worse, so you can make them better!

Get a Better Night’s Sleep Tonight!

Monday, January 10th, 2011

Do you lie in bed at night frustrated because you can’t fall asleep? Do you wake up throughout the night tossing and turning? Do you feel exhausted the next day? If this sounds like you, read below for tips on how to get a better night of sleep, TONIGHT! Sleep is an essential component of health, with too little or poor quality sleep our immune system does not function properly thus we get more colds and feel run down, our metabolism slows and we gain weight, and we do not perform as well at work as our attention and concentration suffers.

Fix your bedroom so it sets the stage for sleep. Your bedroom is a place for sleep and rest. Remove televisions, computers, blackberry’s, iphone’s etc. and anything else that distracts you from sleep. Cleanliness is also important as it promotes a pleasant environment. Make sure your bedroom is tidy and your linens are clean. Additionally, people tend to sleep better in slightly cool rooms; make sure your bedroom is cool and well ventilated. Also, it’s easier for our brains to prepare for sleep in the dark, so turn off all lights before getting into bed. If congestion is a problem consider a room humidifier.

Keep a regular bedtime routine. Go to sleep and wake up at the same time every day. This will help your brain send signals to your body to unwind at night and wake up more easily the next morning.

Avoid stimulants in the evening hours, such as caffeine and nicotine and limit alcohol or other drugs. Caffeine is a strong stimulant that signals your brain to remain awake; likewise nicotine activates your metabolism thereby keeping your body awake. Try consuming drinks that will aid you to unwind and sleep, such as milk or decaffeinated teas such as valerian or chamomile.

Exercise approximately 4 to 6 hours before bed. Studies show that regular exercise during the day will help you fall asleep at night. However, avoid exercising right before bed as this will signal your body to stay awake by increasing your vital signs and circulating adrenalin.

Reduce your body temperature. People tend to sleep better when their bodies are cool. So, take a hot bath or shower before bed. This will raise your body temperature and help you unwind. Then, get into bed; your body temperature will start to fall, allowing you to fall asleep.

Don’t force yourself to go to sleep. If you don’t fall asleep after 20 minutes of lying in bed, get up. Try going to another room and engaging in a calm activity, like listening to soothing music or reading. Return back to bed when you feel sleepy.

Avoid taking naps during the day. This interferes with your body’s natural sleep-wake cycle. If you rest throughout the day, your body won’t be tired at night.

Lastly, remember that it will take a few days/nights to get your mind and body into a routine. Patience and consistency are essential.  if you or a family member struggles with sleep, this could also be making depression and other mood disorders worse, please call us we are here to help.

Assigning Credit and Blame

Tuesday, January 4th, 2011

                Assigning credit and blame to other’s actions is human nature.  For example, a boy is playing catch with a girl and throws the ball over her head causing her to miss it and causing a smashed a neighbor’s window; who is at fault? Many would say the boy is, as he threw the ball that crashed. However, what about the girl? She watched as the ball went through the window; she failed to act. This is the omission bias at work. Because the girl did not act, she does not get blame. The omission bias creeps into our judgments on a daily bases. It’s easier to notice something that is done rather than something that doesn’t happen. Likewise, it’s easier to assign blame, or credit, for an action someone took, rather than for inaction.

                A big part of assigning credit and blame has to do with intentions. We tend to evaluate others more harshly if we believe their action, or inaction, was intentional. Intentions are important because they are a signal into what someone might do in the future. By assigning credit and blame to bad behavior we teach children that there are consequences for their actions, positive and negative.  Generally speaking, it’s good to keep the omission bias in mind, both for your credit and blame as well as others. Make sure your actions are in line with your intentions , so it can be said that you are acting with “purpose” and when you act and it doesn’t work out as you intended, be sure to point out that at least you acted!

A recent article in Psychology Today posed these scenarios; what would you do?  How would you assign credit and blame?

You are walking on a subway platform when you see a train careening out of control. It is about to hit 5 people, however, you happen to be standing next to a switch that could alter the course of the train where it would hit and kill one person. Do you flip the switch?

You are walking on a subway platform when you see a train careening out of control. It is about to hit 5 people, however, you are standing next to a very fat man who is leaning over the edge to see what is going on. If you push him on the track he will stop the train and save the 5 people, but he will die. Do you push him?

While these moral/ethical questions can have different outcomes, what counts is the intention of the person who is acting.  It can be said that thoughts give rise to intentions, intentions lead to actions, actions, when repetitive form personality.  It can be said that with our thoughts we create the world.  Therefore each and every day think “what is my intention and what are the consequences of that intention when put into behavior.”

Fearless Living

Thursday, December 23rd, 2010

            A recent article in Going Bonkers magazine describes fear as “the mother of all negative emotions.” Fear is often the biggest hurdle to what we want most in life; love, happiness, freedom, peace, etc. Fear can manifest itself in a variety of ways as we can fear anything our imagination allows. Three broad categories of fear are external, internal, and subconscious. External fear is something outside of you that causes pain, discomfort, or anxiety. Spiders, elevators, and heights are all examples of external fear. Internal fears are triggered by something external but cause feelings of self-doubt and insecurity. For example, you want to apply for a new job, an external factor, but doubt your ability to get hired, an internal feeling. As a result you don’t apply for the job out of fear that you will not be hired. Lastly, subconscious fears stem from deeply held beliefs that lead to negative thinking. Examples include a fear of rejection, failure, and one’s own death.

            Everyone deserves to live a life of peace, security, love, and happiness; fear prevents this. In order to overcome fear you must be willing to face it. Do approach the feared object, situation, or being in small, gradual steps.  You will learn that the feared object is harmless. Start slowly and bring yourself just to the threshold of where the fear begins but where you can still breathe and relax. Do a relaxation exercise. Continue doing this in increasingly higher doses to the feared object or situation. When the feared stimulus is not something you can have physical contact with try using your imagination to make contact with it. Visualize the feared being; you will notice that your body will react in the same way as if you were actually in the presence of it. Expose yourself to the imagined being in small but increasing doses just as described above. By exposing yourself to the fear you are changing the way you interpret the stimulus; you are changing your thoughts, beliefs, and opinions. Incorporating a relaxation exercise into the exposure will eliminate any unhealthy, maladaptive conditioning you acquired as you will re-condition yourself to relax in presence of the feared stimulus rather than become fearful or anxious.

In addition, try writing down your fear and then listing all the ways it negatively affects your life. Next, try writing out a list of what your life will be like once you overcome the fear, how much more positive your life will be.

Other tips to overcoming fear:

Try to objectify your fear and perceive it as something separate from yourself.

Understand that in the beginning your fear was helpful but then got out of control.

Realize that you do not need the fear to protect you. Try to find healthier forms of protection.

When fears become severe, or start impacting your day to day life leading to distress, avoidance, or a restriction in your life activities do seek out help.  Please call on us if you or someone you know needs help with fears or phobias; we are ready to assist NOW!

Holiday Survival: Enjoying Family

Monday, December 13th, 2010

The holiday season is a time to celebrate; it’s a time to gather family members, eat, drink, and spend time together. However, for many families this is often a time of arguments, stress, and dread. By following a fewtips, your holiday season this year can hopefully be more of a celebration than a stressful series of events!

First, re-evaluate your attitude. This is not a time to bring up family issues or discuss hot topics. Remind yourself not to engage in arguments or let what others say bother you. FOCUS on letting things go, at least for the day.

ACCENTUATE the positive. Stay in the moment and notice the good and enjoyable things about your holiday events. Attend to, connect with, and enjoy being with the people you DO LIKE, while trying not to focus on the ones you do notCONTROLyour drinking. The more alcohol you consume the more your judgment is impaired. This may lead you to doing or saying something inappropriate. You may regret it later. Drink in moderation; mix alcoholic drinks with ice or sparkling water .

BE THANKFUL and try not to gripe.. When you become tempted to gripe or complain about a family remember become aware of it and try to name something you are thankful for instead (having a family to gather with, a home to gather in, food to eat).

RIGHT MIND – KIND SPEECH. There is nothing productive that comes out of gossip. It hurts people and can change the dynamic of the gathering. If people start gossiping about another family member, leave the conversation by politely excusing yourself.

We are only as happy as we choose to be, so this holiday season make a conscious CHOICE to think good positive thoughts, be THANKFUL, accentuate the positive, limit drinking, and FOCUS on enjoying those around you.

Parenting Skills 101: Emotion Coaching

Tuesday, December 7th, 2010

                           

Yelling, threatening, bribing, even spanking are common, but generally not good, parenting practices. These techniques often make children feel bad and parents feel even worse. What’s more important, these techniques are not effective. Despite this many parents continue to use them and become stuck innegative cycles of punishment.

A recent article in Going Bonkers magazine discusses one parenting technique that focuses on nurturing and supporting children; even better this technique often leads to positive change and increased cooperation from children. It’s called “emotion coaching” and involves teaching children how to recognize and express their emotions in an appropriate way. When a child is able to communicate his or her feelings, you will begin to see a change in how you in turn interact with your child. Below are examples of emotion coaching compared to more common but less effective parenting techniques:

Situation: You get home with your kids in the evening and finally have a few minutes to yourself to make an important phone call; you reach for the phone, your kids start playing a loud game of tag, running up and down the halls stamping their feet and screaming. What do you do? Some parents would hang up the phone and yell at their children to “stop or else!” Others would ignore their children and walk into another part of the house to make the call. Either way, you’re children are not learning to be cooperative. Emotion coaching would suggest you take a deep breath and speak to your kids in a calm voice, telling them “I can see you have tons of energy and are having fun but it’s really loud. Can you take the game outside (or in the basement)?”  In this example using the skill of “emotion coaching” you acknowledge your child’s need to play and have fun but redirect them to a more appropriate less disruptive space to play within.

Situation: You are at the park with your son and he falls down, he starts crying so you go, pick him up, brush him off, and tell him he’s all right. While you may think you need to teach your son not to be overly sensitive what you’re actually doing is neglecting to think what emotions arose in your when he fell down. Was he scared, embarrassed, startled? Emotion coaching would suggest you approach your son with empathy. When you pick him up ask him “Did you hurt yourself or are you scared/embarrassed?” Or even batter, “you fell, how do you feel?”

Situation: Most parents love to reward their children for good behavior. Sticker charts, candy, extra time in front of the TV are common incentives parents use to get their kids to behave, however it’s not a good idea. We must all learn to cooperate in life without expecting an external reward. If for example, your child is upset about leaving the park, instead of offering a incentive if he leaves say “I know you’re having a good time playing in the park but we have somewhere else we have to be. Can you help me pack up our things?”

Emotion coaching is a way of communicating with your child about their feelings, what went wrong, and coming up with a plan. Remember, any new parenting skill takes time. Don’t get discouraged if emotion coaching doesn’t work immediately, give it a chance as it is new for both you and your Child (children).

Our highly regarded parenting classes are starting this January, if you are interested in attending these informative, hands on workshops to increase your parenting effectiveness, reduce conflict with your children and to learn how to be the parent you want to be, please contact Adam Russo at adam@tehrapy-now.com or call us at Holtz Psychological Services 631-427-6669.